小儿急惊，灸前顶一穴，三壮，取法，在百会前一寸，若不愈，灸两眉心，及鼻下
人中一穴，炷如小麦大。小儿慢惊，灸尺泽穴，各三壮，在肘中横纹约上动脉中，
炷如小麦大。若睡中惊掣，灸足大趾次趾之端去爪甲如韭叶许，各一壮。若
角弓反张身强，灸鼻上入发际三分，三壮，次灸大椎下节间，三壮。若睡中惊，
不合眼目，灸屈肘后横纹中三分，各一壮。
〔钱〕切牙甚者，发惊。目直面青，身反折者，生惊。呵欠面青者，惊风。
呵欠面黄者，脾虚惊。目赤兼青者，发搐。
惊痫发搐，男发搐，目左视无声，右视有声。女发搐，目右视无声，左视有声。
相胜故也，更有发时证。（洁古先生云∶男为木，故左视木位无声，右视金位，相击则有声。
女为金，故右视金位
无声，左视木位亦相击有声。）李寺丞子三岁，发搐自卯至巳，目右视，大叫哭。钱见曰此
逆也，男为阳，本发左视无声则顺，右视有声则逆，所以然者，左肝木也，右肺金
也，逆则二脏相战，金木相击，而有声也，治宜泻强补弱。假令女发搐，目左视，是
肺来乘肝，肝不能任，故叫哭也，当泻其肺，后治其心，续治其肝，若病在秋（日西时
同，）肺兼旺位，当大泻其肺，若病在春（早晨时同，）此肝旺之时尚不能胜肺，是肺强而肝
火弱也，当补其肝肾，大泻其肺。若男发搐，目右视，是肝来胜肺而叫哭，当泻其
肝心若病在春夏（早晨日中时同），肝心旺时，当大泻其肝，若病在秋冬（日晡时同，）此肺旺之
时尚不能胜肝，是肝强而肺极虚也，当补其肺，大泻其肝。所以言目反视者，乃肝
主目也，凡搐则是风热相搏于内，风属肝，故外见于目也。今此病男反女证，故稍
易治于女也，先泻其肺，以泻肺汤主之，二日不闷乱，知病退也，后用地黄丸补肾，
三服后，用泻青丸各二服，以泻心肝，五日而愈。又，肺虚不泻者何也？曰假令
男目右视，木克金，肝旺胜肺，而但泻肝，若更病在春夏，金气极虚，故当补其肺，
慎勿泻也。〔汤〕凡搐，男左女右为顺，易治，男右女左为逆，难治。《脉诀启蒙》
曰∶小儿脉促急，为虚惊。《直指》云∶浮数洪紧，为急惊。沉迟散缓，为
慢惊。虎口脉纹青紫，为惊风。红者风热轻。赤者风热盛。紫者惊热。青者惊积。
青紫相半，惊积风热俱有，主急惊风。青而淡紫，伸缩来去，主慢惊风。紫丝青丝
或黑丝隐隐相杂，似出而不出，主慢脾风。情势湾入里者顺。出外者逆。
小儿急惊风，灸前顶穴一个，三壮。取穴方法：在百会穴前一寸处。如果病不愈，再灸两眉心之间，以及鼻下的人中穴一个，艾炷大小如小麦粒。小儿慢惊风，灸尺泽穴，每穴各三壮。取穴位置：在肘部横纹中间，大约动脉搏动处，艾炷大小如小麦粒。如果在睡眠中出现惊厥抽搐，灸足大趾和第二趾末端，距离指甲边缘约韭菜叶宽的地方，每处一壮。如果出现角弓反张、身体强直的症状，灸鼻梁上进入发际线三分处，三壮；接着灸大椎穴下方的节间，三壮。如果在睡眠中受惊，眼睛不能闭合，灸屈肘时后侧横纹中间三分处，每处一壮。
〔钱乙〕咬牙严重的，是发生惊风。眼睛直视且面色发青，身体向后反折的，是生惊。打哈欠且面色发青的，是惊风。打哈欠且面色发黄的，是脾虚惊。眼睛发红兼带青色的是发生抽搐。
惊痫发作抽搐，男孩发病时，眼睛向左看无声，向右看有声。女孩发病时，眼睛向右看无声，向左看有声。这是五行相克原理所致，还有发病时的具体证候。（洁古先生说：男孩属木，所以向左看看向木位无声，向右看看向金位，金木相击则有声。女孩属金，所以向右看看向金位无声，向左看看向木位，也是金木相击而有声。）李寺丞的儿子三岁，抽搐从卯时持续到巳时，眼睛向右看，大声哭叫。钱乙见到后说这是逆证。男孩属阳，本来应该向左看无声才是顺证，向右看有声则是逆证。之所以这样，是因为左边属肝木，右边属肺金。逆证意味着两脏相战，金木相击，所以有声音。治疗应当泻其强盛之脏，补其虚弱之脏。假如女孩发病抽搐，眼睛向左看，这是肺气来乘袭肝木，肝木不能承受，所以哭叫。应当先泻肺，然后治心，接着治肝。如果病在秋季（傍晚时分同理），肺金当旺之时，应当大力泻肺。如果病在春季（早晨时分同理），此时肝木当旺尚且不能胜肺，说明肺强而肝火弱，应当补肝肾，大力泻肺。如果男孩发病抽搐，眼睛向右看，这是肝木来胜肺金而哭叫，应当泻肝心。如果病在春夏季（中午时分同理），肝心当旺之时，应当大力泻肝。如果病在秋冬季（下午申酉时分同理），此时肺金当旺尚且不能胜肝，说明肝强而肺极虚，应当补肺，大力泻肝。之所以说眼睛反视，是因为肝主目。凡是抽搐，都是风热在内相搏结，风属于肝，所以外现于眼睛。现在这个病例，男孩出现了女孩的证候，所以比女孩的病稍容易治疗。先泻肺，用泻肺汤为主方。两天后如果不烦闷混乱，就知道病势减退了。之后用地黄丸补肾，服用三剂后，再用泻青丸各服两剂，以泻心肝之火，五天痊愈。另外，为什么肺虚不泻呢？回答说：假如男孩眼睛向右看，是木克金，肝旺胜肺，如果只泻肝，若更逢春夏季节，金气极虚，所以应当补肺，千万不要泻肺。
〔汤氏〕凡是抽搐，男孩向左看、女孩向右看为顺证，容易治疗；男孩向右看、女孩向左看为逆证，难治。《脉诀启蒙》说：小儿脉搏急促，是虚惊。《直指》说：脉象浮数洪紧，是急惊风。脉象沉迟散缓，是慢惊风。虎口脉纹呈现青紫色，是惊风。红色表示风热轻浅。赤色表示风热盛重。紫色表示惊热。青色表示惊积。青紫各半，表示惊积与风热都有，主病为急惊风。青色而淡紫，脉纹伸缩往来，主病为慢惊风。紫色丝、青色丝或黑色丝隐隐混杂，似出而未出，主病为慢脾风。脉纹弯曲向里者为顺证。向外者为逆证。
For infantile acute convulsion (Jing Kong), moxa the Qian Ding (GV 20) acupoint once, three moxa cones. The method for locating this point is one cun anterior to Bai Hui (GV 20). If the condition does not improve, moxa the area between the two inner canthi, as well as Ren Zhong (GV 26) located below the nose. The moxa cone should be the size of a wheat grain. For infantile chronic convulsion (Man Jing), moxa Chi Ze (LU 5) acupoint, three moxa cones per side. Locate it in the middle of the transverse crease of the elbow, approximately at the arterial pulse, with the moxa cone the size of a wheat grain. If convulsions occur during sleep, moxa the distal ends of the first and second toes of the foot, about the width of a leek leaf away from the nail, one moxa cone each. If opisthotonos (Jiao Gong Fan Zhang) and body stiffness occur, moxa three fen above the hairline on the nose bridge, three moxa cones; then moxa the interspace below Da Zhui (GV 14), three moxa cones. If startled during sleep with eyes unable to close, moxa three fen in the middle of the posterior transverse crease when the elbow is flexed, one moxa cone each.
[Qian Yi] Severe teeth grinding indicates the onset of convulsion. Eyes staring straight ahead with cyanotic complexion and body arching backward indicate impending convulsion. Yawning with a cyanotic complexion indicates wind-stroke (Jing Feng). Yawning with a sallow complexion indicates spleen-deficiency fright. Red eyes accompanied by cyanosis indicate spasms.
In convulsive epilepsy, when boys have spasms, their eyes look to the left without sound, and to the right with sound. When girls have spasms, their eyes look to the right without sound, and to the left with sound. This is due to the principle of mutual overcoming [in Five Elements]. There are also specific manifestations during attacks. (Mr. Jiegu stated: Boys belong to Wood, so looking left towards the Wood position produces no sound; looking right towards the Metal position causes Metal and Wood to clash, producing sound. Girls belong to Metal, so looking right towards the Metal position produces no sound; looking left towards the Wood position also causes clashing and sound.) The son of Li Sicheng was three years old when he had spasms lasting from Mao hour to Si hour, with eyes looking to the right and crying loudly. Qian Yi observed and said this is a contrary pattern. Boys are Yang; originally, looking left without sound is the favorable pattern, while looking right with sound is unfavorable. The reason is that the left corresponds to Liver Wood and the right to Lung Metal. In an unfavorable pattern, the two organs battle, Metal and Wood clash, resulting in sound. Treatment should involve draining the excess and tonifying the deficiency. Suppose a girl has spasms and looks to the left; this indicates Lung Qi invading Liver Wood, which cannot withstand it, hence the crying. One should drain the Lung, then treat the Heart, and subsequently treat the Liver. If the disease occurs in Autumn (similarly in the evening hours when Lung Metal is prosperous), one should strongly drain the Lung. If the disease occurs in Spring (similarly in the morning hours), when Liver Wood is prosperous yet still fails to overcome Lung, it indicates Lung is strong and Liver Fire is weak; one should tonify Liver and Kidney, and strongly drain the Lung. If a boy has spasms and looks to the right, this indicates Liver Wood overcoming Lung Metal, causing crying; one should drain Liver and Heart. If the disease occurs in Spring and Summer (similarly at noon when Liver and Heart are prosperous), one should strongly drain the Liver. If the disease occurs in Autumn and Winter (similarly in the afternoon hours when Lung Metal is prosperous) yet still fails to overcome Liver, it indicates Liver is strong and Lung is extremely deficient; one should tonify the Lung and strongly drain the Liver. The reason for retroversion of the eyes is that the Liver governs the eyes. All spasms result from Wind-Heat battling internally. Wind belongs to the Liver, thus manifesting externally in the eyes. Since this case presents a male patient with female symptoms, it is slightly easier to treat than the female pattern. First, drain the Lung using Xie Fei Tang (Lung-Draining Decoction). If there is no restlessness after two days, the disease recedes. Then use Di Huang Wan (Rehmannia Pill) to tonify the Kidney. After three doses, use Xie Qing Wan (Green-Draining Pill) twice each to drain Heart and Liver. The patient recovered in five days. Furthermore, why not drain the Lung if it is deficient? The answer is: suppose a boy looks to the right, indicating Wood overcoming Metal, with Liver excess overcoming Lung. If one only drains the Liver, and especially if it is Spring or Summer when Metal Qi is extremely deficient, one must tonify the Lung and absolutely avoid draining it.
[Tang Shi] Generally, for spasms, boys looking left and girls looking right is the favorable pattern, easy to treat; boys looking right and girls looking left is the unfavorable pattern, difficult to treat. *Mai Jue Qi Meng* states: A rapid and urgent pulse in children indicates deficiency-fright. *Zhi Zhi* states: Floating, rapid, full, and tight pulses indicate acute convulsion. Deep, slow, scattered, and slack pulses indicate chronic convulsion. Cyanotic and purplish tiger-mouth vein patterns indicate wind-stroke. Red indicates mild wind-heat. Crimson indicates severe wind-heat. Purple indicates fright-heat. Green indicates fright-with-stagnation. Half green and half purple indicates both fright-with-stagnation and wind-heat, primarily acute convulsion. Green with pale purple, extending and retracting, indicates chronic convulsion. Intermixed faint purple, green, or black threads appearing but not fully emerging indicate chronic Pi-wind. Curving inward is favorable; curving outward is unfavorable.