惊者总名也婴孩小儿心气不足智志率伏恍惚无定神不守舍怯人怕物渐作怖畏怖畏之盛已
作恐
惧之多乃抱怔忪怔忪之久则自惕愕惕愕既有螈 已为斯乃心气不足而生之惭但分轻重耳又有
心气
虚弱暴触作惊更不由渐即便面青唇白视之定晴目无所睹听之哄HT 耳无所闻精神顿七心智全失
及至良久收敛且五脏六腑虚处所受惊风而作疾已述前议然幼幼多因吻母不意之乳耗其心气作
惊以渐凡小儿因水火所加者悸也自跌模所致者恐也人物之所触者愕也惕惕不散郁郁闷于胸堂
者怔忪也是知积惊难散由其不能自化如恐恐悸悸者盖自能知之矣不为积聚且怖畏之诚常在其
中无以自遣偶因触闷心神其肝主风其HT 生痰其肺作热其心发惊四症相临重者先发假如雷声霹雳
至响不为咎者何盖声相应情无所加矣惟有小儿在僻静处或神庙中心存怖畏之时忽被无知小人
戏叫鬼来鬼来且儿奔走无门惊气入心若不速利其惊气少顷则指甲黑唇口青所受重害不可得疗
理自古及今调理婴孩最为难事悉皆凭药取愈且惊风至难也慢惊又难也慢脾候危难也今摘述调
理小儿至难者症候前后有所不堪疗理或古人未备其意或己着于集后人未明者今与详悉本末开
陈利害指于迷涂直径可进庶有益于学人胸次务家治产之夫及仕宦子弟易晓其理幼幼阴阳稍有
偏侧遵而扶之不至夭横暇日熟研可补缓急良士一观足知野老肺腑意不藏机亦无缘饰巧伪更无
妄谄隐情直欲普济使婴孩初生自幼至长有患无疏受疾不害 价鼓腹歌笑嬉娱又母即无颦眉蹙
忧苦之叹怡然顺事不劳再三快哉至诚咸获体焉
惊风是总称。婴幼儿心气不足,智志往往伏藏,神情恍惚不定,神不守舍,害怕他人和事物,逐渐产生恐怖畏惧。当恐怖畏惧发展到极点,就会变成恐惧;恐惧过多,就会出现心中惊慌不安(怔忪);惊慌不安久了,就会自然出现惊骇愕然(惕愕)。惊骇愕然之后,若出现抽搐(螈),这就是心气不足所生的病症,只是有轻重之分罢了。
又有因心气虚弱,突然受到惊吓而发病的,这并非逐渐形成,而是立即面色青白,目光呆滞定睛不动,视物不清;听之则耳无所闻,精神顿时涣散,心智完全丧失。等到许久之后才慢慢收敛。这都是因为五脏六腑虚损之处受惊风侵袭而发作的疾病,前面已经论述过。
然而幼儿多因为母亲无意中喂奶不当,耗伤心气,从而逐渐产生惊风。凡是小儿因水火伤害所致的是心悸(悸);因跌倒磕碰所致的是恐惧(恐);因人物触碰所致的是惊骇(愕);惊恐不散,郁闷积聚于胸中,就是心中惊慌不安(怔忪)。由此可知,积惊难以消散,是因为它不能自行化解;如恐惧、心悸等,大概是因为患者自己能够感知到,所以不会形成积聚。况且恐怖畏惧之情常在心中,无法自我排遣,偶尔因触动郁闷心神……肝主风,脾生痰,肺作热,心发惊。这四种症状相继出现,重症先发。假如雷声霹雳响而不为害,为什么呢?这是因为声音相应,情感没有受到伤害。只有小儿在僻静处或神庙中心存怖畏之时,忽然被无知小人戏叫“鬼来鬼来”,且孩子奔走无门,惊气入心。若不迅速消除其惊气,片刻之间指甲变黑、唇口发青,所受重害不可救治。
自古至今,调理婴幼儿最为难事,全都依靠药物痊愈。而且惊风极难治疗,慢惊更难,慢脾候更是危难之症。现在摘述调理小儿至难的症候,前后有所不堪忍受,难以治疗。或者是古人意旨未备,或者是前人著作中后人未明者,现在详细陈述本末,开陈利害,指引迷途中的正确方向,希望能有益于学者。务必让治产之家及仕宦子弟容易理解其理。幼儿阴阳稍有偏侧,遵循此法扶持,不至夭折横死。闲暇时日熟研,可补缓急良士之用。一观足知野老肺腑之意,不藏机巧,亦无缘饰巧伪,更无妄谄隐情,直欲普济,使婴孩从初生自幼至长,患病无疏漏,受疾不受害,皆能鼓腹歌笑嬉娱。母亲也就没有皱眉蹙额忧苦之叹,怡然顺事,不劳再三担忧,快哉!至诚之心,咸获体焉。
Jingfeng (Wind-Convulsion) is a general term. Infants and young children have insufficient Heart Qi, their wisdom and will are often subdued, their spirit is vague and unstable, failing to reside within the body; they fear others and objects, gradually developing terror and dread. When terror and dread reach an extreme, they transform into fear; when fear is excessive, it leads to palpitations and inner unrest (Zhengsong); prolonged Zhengsong naturally results in startled astonishment (Ti'e). Once Ti'e occurs, if convulsions (Yong) follow, this is a condition arising from insufficient Heart Qi, differing only in severity.
Furthermore, due to weak Heart Qi, sudden exposure to fright causes illness not gradually but immediately: the face turns cyan and lips pale, eyes stare fixedly without seeing clearly, hearing becomes dull with no sound perceived, spirit scatters instantly, and mental faculties are completely lost. After a long while, they slowly recover. These are diseases caused by Wind-Fright invading the deficient areas of the five zang and six fu organs, as previously discussed.
However, infants often develop Jingfeng gradually because improper breastfeeding by the mother consumes their Heart Qi. Generally, injuries from fire or water cause Palpitations (Ji); falls and bumps cause Fear (Kong); contact with people or objects causes Startled Astonishment (E); when fear and astonishment do not dissipate,郁闷 (depression/stagnation) accumulates in the chest, leading to Zhengsong. Thus, accumulated Jingfeng is difficult to dissipate because it cannot resolve itself; whereas Kong and Ji are self-aware, so they do not form accumulations. Moreover, feelings of terror and dread often linger within, unable to be discharged on one's own; occasionally triggered by emotional stagnation affecting the Heart... The Liver governs Wind, the Spleen generates Phlegm, the Lungs produce Heat, and the Heart generates Fright. These four symptoms occur sequentially; in severe cases, the first symptom appears suddenly. For instance, thunderclaps may be loud yet harmless, why? Because the sound corresponds to the emotion without causing injury. However, when a child is in a secluded place or a temple, harboring fear, and is suddenly teased by ignorant people shouting "Ghost coming!", with no way to escape, the Qi of Fright enters the Heart. If this Fright Qi is not quickly resolved, within moments the fingernails turn black and lips/mouth turn cyan, resulting in severe harm that is incurable.
Since ancient times, treating infants has been the most difficult task, relying entirely on herbal medicine for recovery. Jingfeng is extremely difficult to treat; Slow Jingfeng is even harder; Slow Spleen syndrome is critical. Herein, I excerpt the most difficult syndromes requiring infant care, which are unbearable and hard to treat either before or after onset. Perhaps ancient physicians' intentions were incomplete, or later generations failed to understand previous works. Now, I detail the origins and consequences, clarify benefits and harms, guide those lost on the right path, hoping to benefit scholars. This must be made easy for midwives and noble families to understand. If an infant's Yin and Yang are slightly imbalanced, following these principles for support prevents premature death. Studying this in leisure time aids practitioners in emergencies. One glance reveals the heart of this old practitioner: no hidden tricks, no artificial embellishments, no false modesty or concealed truths, but simply a desire to universally save lives, ensuring infants from birth to adulthood suffer no negligence in treatment, and illnesses do not cause harm, allowing them to laugh and play with full bellies. Mothers need not frown or sigh in sorrow, but remain content and at ease, avoiding repeated worries. How joyful! With sincere intent, all achieve physical well-being.