(小儿惊痫 急惊风 慢惊风)
囟会、治惊痫。戴目上不识人。(铜)巨骨、疗惊痫破心吐血。(明)鸠尾、疗心惊痫
发。
状如鸟鸣。破心吐血。心中气闷。不喜闻人语。心痛腹胀。少冲、疗惊痫吐舌沫出。束
骨、疗惊痫癫狂。身寒热。头痛目眩。(下)筋缩、疗惊痫狂走。痫病多言。脊强。两目转
上及目瞪。 脉、长强、主小儿惊痫螈 。呕吐泄注。惊恐失精。瞻视不明。(千)囟会
、前顶、本神、天柱、主小儿惊痫。临泣、主儿痫反视。囟会、主儿痫喘不得息。前
顶、治小儿惊痫。(明下同。)风痫螈 。发即先时鼻多清涕。顶肿。(铜
)脉、神道、颅囟、治儿发痫螈 。(并见小儿螈 。)长强、身柱、疗小儿惊痫。
小儿但是风病。灸率谷。(见风。)小儿先惊怖啼叫。后乃发惊痫。灸顶上旋毛中三壮。及
耳后青络脉。小儿惊痫。灸鬼录穴一壮。在上唇内中央弦上。用钢刀决断更佳。小儿急
惊风。灸前顶三壮。若不愈。须灸两眉头及人中穴。秦承祖灸小儿惊痫等。(见鬼邪。)小
儿
缓惊风。灸尺泽各一壮。狂邪惊痫病。灸承命三十壮。在内踝后上行三寸动脉上。亦灸惊狂
走。狂癫风惊。厥逆心烦。灸巨阳五十壮。
行间、(见癫狂。)主惊痫。(千)腕骨、治惊风。(铜见螈 。)筋缩、疗惊痫。(明
见癫狂。)
急慢惊风、非风也。古人谓之阴阳痫。犹伤寒之有阴阳证也。阳痫如阳证。当治以凉药
。阴
痫如阴证。当治以温药。庸医不知此例。以风药治之。风药多凉。或者慢惊。未有不罹其害
者。戒之戒之。若灸惊风。惟灸慢惊慢脾风为稳当云。
囟会穴,用于治疗惊痫。症状表现为眼球上翻(戴目),不能识别他人。(出自《铜人腧穴针灸图经》)巨骨穴,治疗惊痫导致的心胸破裂出血。(出自《明堂灸经》)鸠尾穴,治疗心经受邪引发的惊痫。症状如同鸟鸣声。心胸破裂出血。心中气机郁闷。不喜欢听人说话。心痛且腹部胀满。少冲穴,治疗惊痫时舌头伸出并流出涎沫。束骨穴,治疗惊痫癫狂。身体忽冷忽热。头痛目眩。(出自《针灸甲乙经》)筋缩穴,治疗惊痫导致的狂奔乱走。癫痫病人多言。脊柱僵硬。两眼向上转动或直视不动。脉诊方面,长强穴,主治小儿惊痫引起的抽搐。呕吐腹泻。惊恐失精。视物不清。(出自《千金要方》)囟会穴、前顶穴、本神穴、天柱穴,主治小儿惊痫。临泣穴,主治小儿癫痫眼睛反视。囟会穴,主治小儿癫痫气喘无法呼吸。前顶穴,治疗小儿惊痫。(以下注明“明”者均出自《明堂灸经》)。风痫引起的抽搐。发作前先流大量清鼻涕。头顶肿胀。(出自《铜人腧穴针灸图经》)脉诊方面,神道穴、颅囟穴,治疗儿童发作的癫痫抽搐。(均见于小儿抽搐章节)长强穴、身柱穴,治疗小儿惊痫。
凡是小儿患有风病,都灸率谷穴。(见风病章节)小儿先因惊恐啼叫,随后才发作惊痫,灸头顶旋毛处三壮。以及耳后的青色络脉。小儿惊痫,灸鬼录穴一壮。位置在上唇内部中央的弦线上。用钢刀切开效果更好。小儿急惊风,灸前顶穴三壮。如果不好转,必须灸两眉头及人中穴。秦承祖曾灸治小儿惊痫等症。(见鬼邪章节)小儿缓惊风,灸尺泽穴各一壮。狂邪惊痫病,灸承命穴三十壮。位置在内踝后向上三寸的动脉上。也灸治惊狂乱走。狂癫风惊。厥逆心烦,灸巨阳穴五十壮。
行间穴,(见癫狂章节)主治惊痫。(出自《千金要方》)腕骨穴,治疗惊风。(出自《铜人腧穴针灸图经》,见抽搐章节)筋缩穴,治疗惊痫。(出自《明堂灸经》,见癫狂章节)
急惊风和慢惊风,并非真正的风邪所致。古人称之为阴阳痫,就像伤寒病有阴阳证候一样。阳痫如同阳证,应当用凉性药物治疗。阴痫如同阴证,应当用温性药物治疗。庸医不懂这个规律,用祛风药来治疗。祛风药大多性质偏凉,如果是慢惊风,没有不因此受害的。务必警惕,务必警惕。如果说灸法治疗惊风,只有灸治慢惊风和慢脾风最为稳妥。
(Xiao'er Jingxian [Pediatric Convulsive Epilepsy], Ji Jingfeng [Acute Convulsive Wind], Man Jingfeng [Chronic Convulsive Wind])
Xinhui (GV22) is indicated for treating Jingxian. Symptoms include Dai Mu [eyes staring upward] and inability to recognize people. (From *Tongren Shuxue Zhenjiu Tujing* [Illustrated Manual of Acupoints in the Copper Figure]) Jugu (SI1) treats Jingxian accompanied by rupture of the heart/chest and hematemesis. (From *Mingtang Jiu Jing* [Moxibustion Classic of the Mingtang]) Jiutui (CV15) treats Xin Jingxian [epilepsy originating from the Heart]. The condition presents with sounds resembling bird calls. Rupture of the heart/chest with hematemesis. Stagnation of Qi in the chest causing oppression. Aversion to hearing human speech. Heart pain and abdominal distension. Shaochong (HT9) treats Jingxian with protrusion of the tongue and foaming at the mouth. Shugu (BL65) treats Jingxian Diankuang [epileptic mania]. Alternating chills and fever. Headache and vertigo. (From *Zhenjiu Jiayi Jing* [The Systematic Classic of Acupuncture and Moxibustion]) Jinsuo (GV22) treats Jingxian characterized by frantic running. Epileptic patients may exhibit excessive speech. Stiffness of the spine. Eyes turning upward or fixed staring. Regarding pulse diagnosis, Changqiang (GV1) governs Xiao'er Jingxian accompanied by convulsions. Vomiting and diarrhea. Loss of essence due to fright. Blurred vision. (From *Qianjin Yaofang* [Essential Prescriptions Worth a Thousand Gold]) Xinhui (GV22), Qanding (GV21), Benshen (GB13), Tianzhu (BL10) govern Xiao'er Jingxian. Linqi (GB15) governs pediatric epilepsy with upward deviation of the eyes. Xinhui (GV22) governs pediatric epilepsy with asthma and inability to breathe. Qanding (GV21) treats Xiao'er Jingxian. (Note: "Ming" below refers to *Mingtang Jiu Jing*). Fengxian [Wind Epilepsy] convulsions. Prior to onset, there is profuse clear nasal discharge. Swelling of the vertex. (From *Tongren Shuxue Zhenjiu Tujing*) Regarding pulse diagnosis, Shendao (GV11), Luxin [likely referring to a specific point or region related to the fontanelle], treat childhood-onset epilepsy convulsions. (Both seen in the section on Pediatric Convulsions). Changqiang (GV1), Shenzhu (GV12) treat Xiao'er Jingxian.
For any wind disease in children, moxa Lvgu (GB8). (See Wind Disease section). If a child first cries out in fright and terror, subsequently developing Jingxian, moxa three burns at the whorl of hair on the vertex. Also moxa the blue collateral vessels behind the ears. For Xiao'er Jingxian, moxa Guilu acupoint one burn. Located on the central string line inside the upper lip. Using a steel knife to incise is even better. For Xiao'er Ji Jingfeng [Acute Convulsive Wind], moxa Qanding (GV21) three burns. If not cured, must moxa both glabella corners (Meichuang) and Renzhong (GV26). Qin Chengzu treated Xiao'er Jingxian etc. via moxibustion. (See Guixie [Ghost Evil] section). For Xiao'er Huan Jingfeng [Chronic/Slow Convulsive Wind], moxa Chize (LU5) one burn each side. For Kuangxie Jingxianbing [Manic evil and epileptic disease], moxa Chengming (KI14? Note: Text says Chengming, likely a specific historical point name distinct from ST36) thirty burns. Located three cun superior to the posterior aspect of the medial malleolus on the pulsating artery. Also moxa for Jingkuang zou [frightened mania and running wild]. Kuangdian Fengjing [Manic epilepsy wind fright], Jueni [Cold extremities] and Xinfan [Heart vexation], moxa Juyang (BL62? Note: Text says Juyang, likely referring to Weiyang BL39 or similar, but strictly translating text as Juyang) fifty burns.
Xingjian (LR2), (See Diankuang section) governs Jingxian. (From *Qianjin Yaofang*) Wanggu (SI4) treats Jingfeng. (From *Tongren Shuxue Zhenjiu Tujing*, see Convulsions section) Jinsuo (GV22) treats Jingxian. (From *Mingtang Jiu Jing*, see Diankuang section)
Ji Jingfeng and Man Jingfeng are not caused by true Wind pathogens. The ancients called them Yin-Yin Jian [Yin-Yang Epilepsy], analogous to how Shanghan [Cold Damage] has Yin and Yang syndromes. Yang Jian resembles Yang syndromes; it should be treated with cooling medicines. Yin Jian resembles Yin syndromes; it should be treated with warming medicines. Incompetent physicians do not understand this principle and treat it with Wind-dispelling medicines. Wind-dispelling medicines are mostly cooling in nature. If it is Man Jing [Chronic Wind], there is no case that does not suffer harm from this. Beware, beware. It is said that regarding moxibustion for Jingfeng, only moxing Man Jing and Man Pi Feng [Chronic Spleen Wind] is considered safe and appropriate.