方脉中有中寒中暑诸症。时医混以为中风。东垣、景岳以非风别之。善矣。儿科有急惊风慢
惊风二症。不惟惊字全无干涉。即风字亦未可混称。乃自有惊风之名。而滥以丸子相投。从
此小儿之遭其劫者。不知万万矣。试思惊字何解。凡受吓者谓之惊。吓则神魂失守。心神恍
惚。惕惕悸动。唯心虚者易犯此。在方脉中亦有之。儿科中大惊猝恐一症。即此候也。是真惊
也。故用药以人参、五味、枣仁、丹参等安神定魂为主。断无有攻痰散风而能治惊症者。且风
字亦有二义。在外感则为风邪。宜用表散。在内病则为肝风。宜用镇息。今混言之曰风。究竟
外风乎。内风乎。治外风之药不可以治肝。治肝风之药不可以解表。甚矣哉其混也。盖时俗
所谓急惊风者。痰火闭也。小儿受暑热则生火。乳积则生痰。痰火相搏。则血虚而肝失所养。
肝主筋。筋脉干热则抽搐。故外作拘挛。面现青色。是肝燥而风内动。非外风也。是痰火闭其
窍。而目窜牙紧发厥。非吓惊也。但利其窍。清其火。降其痰。则神醒矣。此症即不医亦能自醒。
而漫以惊风名之可乎。世俗所谓慢惊风者。脾虚生风也。小儿或吐或泻。久则脾虚。肝木乘
之。手足微搐。是内风侮土。非外风也。阳衰神怠。气息短促。是中气脱乏。非吓惊也。宜补其脾。
回其阳。则土振而木静矣。此症不补必死。而谬以惊风名之可乎。且急惊为实火症。慢惊为
虚寒症。如水火然。治急惊药不可以治慢。治慢惊药不可以治急。而世俗竟有以一粒丹丸。
名之曰治急慢惊风。欺人乎。欺天乎。兹特并揭之曰非惊。而分为痰火闭症。木侮土症。则为
实为虚。当各求其病源而治之。而小儿庶不至于枉死。
在成人内科脉证中，有中寒、中暑等各种病症。当时的医生混淆地将其都当作中风来治疗。李东垣、张景岳用“非风”这一概念将它们区分开来，这种做法是很好的。儿科中有急惊风和慢惊风两种病症。这不但与“惊”字毫无关系，就连“风”字也不应该混用称呼。然而既然有了“惊风”这个名称，就滥用丸药给患儿服用，从此导致小儿遭受这种误治劫害的，不知有多少万之多。试着思考一下，“惊”字是什么意思？凡是受到惊吓的人叫做惊。受吓之后，神魂失去守持，心神恍惚不定，惊恐悸动。只有心气虚弱的人才容易犯此病。在成人内科中也存在这种情况。儿科中的“大惊猝恐”一症，就是这种候象。这才是真正的惊症。所以用药应以人参、五味子、酸枣仁、丹参等药物为主，用来安神定魂。绝对没有通过攻逐痰浊、疏散外风就能治愈惊症的道理。而且“风”字也有两层含义。在外感病中，风指的是风邪，适宜使用解表发散的方法；在内伤病中，风指的是肝风，适宜使用镇潜息风的方法。现在混淆地说它是“风”，究竟是指外风还是内风呢？治疗外风的药物不能用来治疗肝病，治疗肝风的药物不能用来解表。这种混淆真是太严重了。大概世俗所说的急惊风，实际上是痰火闭窍。小儿感受暑热则生火，乳食积滞则生痰。痰与火相互搏结，导致血虚而肝失所养。肝主筋，筋脉因干热而出现抽搐，所以外在表现为拘挛，面部呈现青色。这是肝燥而导致内风妄动，并非外感风邪。这是痰火闭塞了清窍，导致眼球上窜、牙关紧闭、昏厥，并非因为惊吓所致。只要通利其窍道，清除其火热，降泄其痰浊，神志就会清醒。这种病症即使不治疗也能自行苏醒，而随意地把它命名为惊风，可以吗？世俗所说的慢惊风，是脾虚生风。小儿或者呕吐或者腹泻，时间久了导致脾虚，肝木乘虚克制脾土，出现手足轻微抽搐。这是内风侮犯脾土，并非外感风邪。阳气衰微，精神倦怠，气息短促，这是中气脱失匮乏，并非惊吓所致。适宜补益脾脏，回阳救逆，那么脾土振奋而肝木安静。这种病症如果不进行补益治疗必定死亡，而错误地把它命名为惊风，可以吗？况且急惊属于实火症，慢惊属于虚寒症，就像水和火一样截然不同。治疗急惊的药物不能用来治疗慢惊，治疗慢惊的药物不能用来治疗急惊。而世俗竟然有一种丹丸，名叫“治急慢惊风”，这是在欺骗人呢？还是在欺骗天呢？现在特别一并揭示出来，称之为“非惊”，并将其分为痰火闭症和木侮土症。根据是实证还是虚证，应当分别探求病因进行治疗，这样小儿才不至于枉死。
In adult internal medicine pulse patterns, there are various syndromes such as Cold Stroke (Zhong Han) and Heat Stroke (Zhong Shu). Contemporary physicians indiscriminately treat them all as Wind Stroke (Zhong Feng). Li Dongyuan and Zhang Jingyue distinguished them using the concept of "Non-Wind" (Fei Feng), which was excellent. In pediatrics, there are two syndromes: Acute Convulsion (Ji Jing Feng) and Chronic Convulsion (Man Jing Feng). These have not only no relation to the character "Convulsion/Jing" (Jing), but the character "Wind/Feng" should also not be used indiscriminately. Yet, since the name "Convulsion-Feng" exists, pills are滥ly administered, causing countless pediatric deaths from this mismanagement. Let us consider what "Jing" means. Those who are startled are called "Jing". After being startled, the Hun and Shen spirits lose their residence, the Heart Spirit becomes vague and unsettled, and there is palpitation and fear. This is prone to occur in those with Heart Deficiency (Xin Xu). This also exists in adult internal medicine. The pediatric syndrome of "Great Startle and Sudden Fear" (Da Jing Cu Kong) corresponds to this presentation. This is true Convulsion. Therefore, medication should primarily consist of Ren Shen (Ginseng Radix et Rhizoma), Wu Wei Zi (Schisandrae Fructus), Zao Ren (Ziziphi Spinosomi Semen), and Dan Shen (Salviae Miltiorrhizae Radix et Rhizoma) to calm the Spirit and stabilize the Soul. There is absolutely no way that resolving Phlegm and dispersing Wind can treat Convulsion syndromes. Furthermore, "Feng" has two meanings. In exogenous diseases, it refers to Wind Pathogen (Feng Xie), which requires release and dispersion via the exterior. In endogenous diseases, it refers to Liver Wind (Gan Feng), which requires calming and extinguishing. Now, if one confuses them simply as "Wind," is it Exogenous Wind or Endogenous Wind? Medicines for treating Exogenous Wind cannot treat Liver disorders, and medicines for treating Liver Wind cannot release the exterior. This confusion is severe. Generally, what the世俗 calls Acute Convulsion is actually Phlegm-Fire Closing the Orifices (Tan Huo Bi Qiao). When children contract Summer-Heat, Fire is generated; when milk accumulates, Phlegm is generated. Phlegm and Fire struggle against each other, leading to Blood Deficiency and Liver malnourishment. The Liver governs the Sinews (Jin); dryness and heat in the sinews cause twitching and convulsions. Thus, externally there is spasm, and the face appears cyanotic. This is Liver Dryness causing Internal Wind movement, not Exogenous Wind. It is Phlegm-Fire closing the orifices, causing eye deviation, clenched teeth, and syncope, not caused by fright. If the orifices are unblocked, Fire is cleared, and Phlegm is descended, the Spirit will awaken. This syndrome can resolve spontaneously even without treatment; is it appropriate to casually name it Convulsion-Feng? What the世俗 calls Chronic Convulsion is Wind generated from Spleen Deficiency (Pi Xu). Children may vomit or have diarrhea; over time, Spleen Deficiency occurs, and Liver Wood overacts on Spleen Earth, causing slight twitching of hands and feet. This is Internal Wind insulting Earth, not Exogenous Wind. Yang Qi is declining, Spirit is lethargic, and breath is short; this is depletion of Middle Qi (Zhong Qi), not fright. It is suitable to tonify the Spleen and restore Yang Qi, so that Earth flourishes and Wood calms. Without tonification, this syndrome leads to death; is it erroneous to name it Convulsion-Feng? Moreover, Acute Convulsion is a Real-Fire syndrome, while Chronic Convulsion is a Deficient-Cold syndrome; they are like water and fire. Medicines for Acute Convulsion cannot treat Chronic Convulsion, and vice versa. Yet the世俗 has a pill named "Treating Acute and Chronic Convulsion-Feng." Is this deceiving people? Or deceiving Heaven? Here, I specifically expose this as "Non-Convulsion" (Fei Jing), dividing it into Phlegm-Fire Closing Syndrome and Wood Insulting Earth Syndrome. Depending on whether it is Real or Deficient, one must seek the root cause of the disease to treat it, so that children may avoid unjustified death.