未见点搐清解方，已见犹搐导赤良，靥后虚搐宁神剂，食蒸发搐大安康。
【注】惊痘者，多缘痘毒之火触动心神，移热于肝，肝风与心火相搏，遂成是证。治
法须别始终∶如痘未出，而先发搐者，不可纯用寒凉壅闭其毒，惟以清解散疏散表邪，痘
出而搐自止矣。若痘已见形，仍抽搐不止者，此毒火内伏心经也，宜用导赤散加黄连治之，
靥后发抽者，是真气虚弱，火邪内攻，以宁神汤主之。痘后食蒸发搐者，此脾胃虚弱，必
面黄，潮热，大便酸臭，宜木香大安丸治之。
清解散（方见发热证治）
导赤散
木通 生地黄 淡竹叶 甘草梢
引用灯心，水煎服。
【方歌】痘已见形仍作惊，导赤散治最有功，木通生地竹叶草，黄连加入效通灵。
宁神汤
人参 生地黄 麦门冬（去心） 栀子仁（炒） 黄连（酒炒） 石菖蒲 当归身
甘草（炙） 辰砂
引用灯心，水煎服。
【方歌】宁神汤内用人参，生地麦冬山栀仁，黄连菖蒲归身草，辰砂调服功极神。
木香大安丸
山楂肉 麦芽（炒） 神曲（炒，各一两） 枳实（麸炒，六钱） 白术（土炒，一两）
莱菔子（炒，四钱） 连翘（去心，五钱） 黄连（姜炒，三钱） 木香（煨，三钱）
缩砂仁（五钱） 陈皮（八钱）
上为细末，水泛为丸。炒陈仓米汤下，量儿大小用之。
【惊搐】
痘疹尚未出点时出现抽搐，宜用清解散；痘疹已经显现但仍抽搐者，宜用导赤散；痘疹结痂脱落后出现虚性抽搐，宜用宁神汤；因饮食积滞发热引发的抽搐，宜用大安康丸（即木香大安丸）。
【注释】所谓“惊痘”，大多是因为痘毒之火触动心神，热邪转移至肝脏，肝风与心火相互搏结，从而形成这种病症。治疗方法必须区分疾病的初期和后期：如果痘疹尚未发出，却先出现抽搐，不可单纯使用寒凉药物以免壅闭阻碍痘毒外透，只需用清解散来疏散表邪，待痘疹发出后抽搐自然停止。如果痘疹已经显现形态，仍然抽搐不止，这是毒火内伏于心经的表现，适宜使用导赤散加入黄连进行治疗。痘疹结痂脱落之后出现抽动的，是真气虚弱、火邪内攻所致，以宁神汤为主治方剂。痘疹痊愈后因饮食积滞发热引发抽搐的，这是脾胃虚弱所致，必然伴有面色萎黄、潮热、大便酸臭等症状，适宜用木香大安丸治疗。
导赤散
药材：木通、生地黄、淡竹叶、甘草梢。
用法：引用灯心草，加水煎煮后服用。
【方歌】痘疹已现形态仍发惊厥，导赤散治疗最为有效，方含木通、生地、竹叶、甘草，加入黄连后疗效神奇。
宁神汤
药材：人参、生地黄、麦门冬（去心）、栀子仁（炒制）、黄连（酒炒）、石菖蒲、当归身、甘草（炙制）、辰砂。
用法：引用灯心草，加水煎煮后服用。
【方歌】宁神汤中用人参，配以生地、麦冬、山栀仁，加上黄连、菖蒲、归身、甘草，用辰砂调服功效极神。
木香大安丸
药材：山楂肉、麦芽（炒制）、神曲（炒制，各一两）、枳实（麸炒，六钱）、白术（土炒，一两）、莱菔子（炒制，四钱）、连翘（去心，五钱）、黄连（姜炒，三钱）、木香（煨制，三钱）、缩砂仁（五钱）、陈皮（八钱）。
制法：以上药材研为细末，用水泛制成丸剂。用炒过的陈仓米汤送服，根据患儿年龄大小决定用量。
[Startle and Convulsion]
When convulsions occur before the eruption of smallpox/rubella spots, Qingjie San (Clearing and Resolving Decoction) should be used; if convulsions persist after the spots have appeared, Daochi San (Coptis Decoction for Guiding Heat Out of the Heart) is appropriate; if deficiency-type convulsions occur after the scabs fall off, Ningshen Tang (Spirit-Calming Decoction) is indicated; if convulsions are triggered by food stagnation fever, Dakang An Wan (Great Peace Pill) [i.e., Muxiang Da'an Wan] should be administered.
[Annotation] "Jing Dou" (Smallpox/Rubella with Startle) is mostly caused by the fire of the toxin disturbing the Shen (Spirit), transferring heat to the Liver, where Liver Wind battles with Heart Fire, resulting in this syndrome. The treatment method must distinguish between the beginning and the end stages: If convulsions appear first before the rash erupts, one must not solely use cold-natured herbs that might obstruct and close up the toxin; instead, only use Qingjie San to disperse exterior pathogens, and once the rash erupts, the convulsions will stop naturally. If the rash has already taken shape but convulsions continue unceasingly, this indicates toxin-fire lurking within the Heart Meridian, and it is suitable to treat with Daochi San added with Huanglian (Coptidis Rhizoma). If twitching occurs after the scabs fall off, this is due to deficiency of True Qi and internal attack by pathogenic fire, for which Ningshen Tang is the primary prescription. If convulsions are triggered by food stagnation fever after the disease, this is due to Spleen and Stomach weakness, inevitably accompanied by sallow complexion, tidal fever, and sour-smelling stool; Muxiang Da'an Wan is suitable for treatment.
Qingjie San (Formula see "Treatment of Fever Syndrome")
Daochi San (Coptis Decoction for Guiding Heat Out of the Heart)
Herbs: Mutong (Akebiae Caulis), Sheng Dihuang (Rehmanniae Radix), Dan Zhuye (Lophatheri Folium), Gancao Shao (Glycyrrhizae Radix et Rhizoma tip).
Usage: Use Dengxin (Junci Medulla) as a guide, decoct with water and take orally.
[Prescription Song] When the rash appears and startle convulsions persist, Daochi San treats with great merit; Mutong, Dihuang, Zhuye, and Cao (Licorice), adding Huanglian yields miraculous efficacy.
Ningshen Tang (Spirit-Calming Decoction)
Herbs: Renshen (Ginseng Radix et Rhizoma), Sheng Dihuang (Rehmanniae Radix), Maidong (Ophiopogonis Radix, heart removed), Zhizi Ren (Gardeniae Semen, fried), Huanglian (Coptidis Rhizoma, wine-fried), Shichangpu (Acori Tatarinowii Rhizoma), Danggui Shen (Angelicae Sinensis Radix tip), Gancao (Liccyrrhizae Radix et Rhizoma, honey-fried), Chensha (Cinnabar).
Usage: Use Dengxin (Junci Medulla) as a guide, decoct with water and take orally.
[Prescription Song] Ningshen Tang uses Renshen, combined with Dihuang, Maidong, and Zhizi Ren; add Huanglian, Shichangpu, Danggui Shen, and Gancao, mixed with Chensha for administration, its功 (efficacy) is extremely divine.
Muxiang Da'an Wan (Musk-Cardamom Great Peace Pill)
Herbs: Shanzha Rou (Crataegi Fructus flesh), Maiya (Hordei Fructus Germinatus, fried), Shenqu (Massa Medicata Fermentata, fried, each 1 liang), Zhishi (Aurantii Fructus Immaturus, bran-fried, 6 qian), Baizhu (Atractylodis Macrocephalae Rhizoma, earth-fried, 1 liang), Laifuzi (Raphani Semen, fried, 4 qian), Lianqiao (Forsythiae Fructus, heart removed, 5 qian), Huanglian (Coptidis Rhizoma, ginger-fried, 3 qian), Muxiang (Aucklandiae Radix, baked, 3 qian), Suosharen (Amomi Fructus Rotundus, 5 qian), Chenpi (Citri Reticulatae Pericarpium, 8 qian).
Preparation: Grind all ingredients into fine powder, form pills using water. Administer with soup made from stir-fried aged rice (Chencangmi), adjusting the dosage according to the child's age and size.