聂久吾曰∶急惊之候，身热面赤，搐搦上视，牙关紧硬，口鼻中气热，痰涎潮涌，忽然
而发，发过面色如故。有偶因惊吓而发者，有不因惊吓而发者，然多是身先有热而后发惊搐
，未有身凉而发者也，此阳症也。盖热生于痰，痰盛生惊生风，宜用凉剂以除热而化其痰，
则惊风自除矣。切不可用辛燥驱风之药，反助心火而为害也。当其搐搦大作时，但可扶持，
不可把捉，恐风痰流入经强，或至手足拘挛也。又不可惊惶失措，辄用艾火灸之，灯火烧之
，此阳症，大不宜于火攻，曾见有火攻而坏事者矣。戒之戒之！此症虽急，若从容服清凉之
剂调理，自可平安，不可听信时医峻用攻击、如巴豆、轻粉之类以取速效，伤害不小。古谚
云∶急惊风，慢慢医。此迩言之切当而可用者也。
幼儿将要出痘，有发热二三日，全无痘点形影，而忽然惊搐，状与急惊风一样。医者不
知，而误作急惊风施治。若以寒凉之剂，或以驱痰峻药下之，必致难救。遇有此症，宜留心
辨别，以免误事。
清热镇惊汤∶连翘（去心，研）、柴胡、地骨皮、龙胆草、勾藤、黄连、栀仁（炒黑）、
酒
滑石
未除
加减凉膈散∶连翘、酒芩、栀仁（炒黑）、枳实（炒）、前胡各五分，大黄（酒炒）一钱，
薄
宣风散∶陈皮（去白，为末）、槟榔末各五钱，甘草梢三钱五分，黑牵牛四两（半生半
炒
俱用蜜水调服，微泄一二次为妙。已泄则不必服。又益元散、抱龙丸、牛黄丸均极神效。以
上见《活幼心法》。
天保采薇汤∶专治急惊，神效。羌活、独活、苍术、前胡、升麻、葛根、陈皮、浓朴、
甘草、黄芩、川芎、柴胡、桔梗、半夏、枳壳、藿香、芍药各五分，姜、枣引，水煎服。
又方∶龙眼壳十二个（又名泡园，以带栗色为佳，深黄者忌用），细茶三钱，陈皮三钱，
姜皮三分，白盐三分，用水一碗煎至五、六分，灌入口内，忽然发战，其儿必生。此方平常
，其功甚速，虽已死可活，方名开棺斧。
又方∶生车前草并子，捣烂沥汁，对白蜜滚水令服，其风即止，屡试神效。如无生车前
草，即用车前子煎汤调蜜服亦可。
又方∶生石膏一两，辰砂一钱，各研末和匀，大人每服一钱，小儿一岁至三岁服五分，
以次递加，生蜜调下。
又方∶明雄黄五钱，砂仁六分，栀子五枚炒，冰片五厘，共为细末，以鸡蛋清调敷肚之
四围如碗口大，安脐眼入麝香五厘，上用绵纸盖好，再以软绢扎之，一昼夜后温水洗水，神
效。
又方∶甜杏仁六粒，桃仁六粒，黄栀子七个，上药研烂，加烧酒、鸡蛋清白、干面，量
孩儿年岁，作丸如元宵样之大小，置于手足二心，布条扎紧，一周时手足心均青蓝色，则病
已除。但须切记男左女右，不可错置，是所至要，万应万验，真有起死回生之功。
又方∶取芙蓉嫩叶（男单女双），捣烂，用鸡蛋和入，煎熟作饼，贴儿脐上，冷则随换，
立愈。
又方∶慢惊风亦可治，用白丝毛鸡（乌骨绿耳，又名绒毛鸡，又名白凤凰，多出江西太
和县），以鸡尾粪门向小儿肚脐上，无风鸡则远去，有风鸡必贴紧，吸拔风毒，少时即愈，
神效之至，愈后须用麻油灌入鸡口，以解其毒。
又方∶慢惊亦可治。用灯心在手心足心、男左女右各烧三焦，即愈。
又方∶有数岁小儿偶患惊风，头足往后扯成弯曲，谓之角弓反张，叫唤难闻，百药无效
，服活络丸一颗，即刻安睡，再服数颗，脱然全愈，神效无比。此丸以广东省城大新街己未
牌坊老陈李济店为真，别店多假，用之不效。
又方∶速用艾二小丸、于左右手背上接腕穴上烧三次，头足即不反矣。
又方∶见卷十四中风门。
聂久吾说：急惊风的症状，表现为身体发热、面色潮红、抽搐痉挛、眼球上翻、牙关紧闭僵硬、口鼻中呼出的气热、痰涎如潮水般涌出，突然发作，发作过后面色恢复正常。有的因偶尔受到惊吓而发作，有的并非因惊吓而发作，但大多是身体先有发热随后才出现惊厥抽搐，没有身体发凉却发生惊厥的，这属于阳证。大概是因为热邪产生于痰浊，痰浊盛极则引发惊厥和风动，适宜使用寒凉性质的方剂来清除热邪并化解痰浊，那么惊风自然就会消除。千万不可使用辛温燥烈以驱风的药物，否则会反而助长心火从而造成危害。当患儿抽搐剧烈时，只可轻轻扶持，不可用力把持捉拿，恐怕导致风痰流入经络引起肢体强直，或者导致手足拘挛。又不可惊慌失措，随意用艾火灸治或用灯火烧灼，这是阳证，非常不适宜用火攻法，我曾见过用火攻而导致病情恶化的案例。务必警惕！此症虽然紧急，若能从容地服用清凉药剂进行调理，自然可以平安无事，不可听信当时庸医峻猛攻伐，如使用巴豆、轻粉之类药物以求速效，这样造成的伤害不小。古谚语说：“急惊风，慢慢医。”这是近世言语中切中要害且可用的道理。
幼儿即将出痘疹时，若有发热二三日，完全没有痘点的形影，却忽然出现惊厥抽搐，症状与急惊风完全一样。医生如果不了解情况，误当作急惊风进行治疗。若使用寒凉药剂，或用峻猛的祛痰药攻下，必定导致难以救治。遇到这种情况，应当留心辨别，以免耽误病情。
清热镇惊汤：连翘（去除心部，研磨）、柴胡、地骨皮、龙胆草、钩藤、黄连、栀子仁（炒黑）、酒制滑石粉。以上药材未除杂质前需处理，具体用法见下文加减说明或常规煎服。
加减凉膈散：连翘、酒制黄芩、栀子仁（炒黑）、枳实（炒）、前胡各五分，大黄（酒炒）一钱，薄荷少许。
宣风散：陈皮（去除白色内层，研为粉末）、槟榔末各五钱，甘草梢三钱五分，黑牵牛四两（一半生用，一半炒用）。以上均用蜜水调服，轻微腹泻一两次为宜。已经腹泻则不必再服。另外益元散、抱龙丸、牛黄丸也都极具神效。以上内容见于《活幼心法》。
天保采薇汤：专门治疗急惊风，效果神奇。羌活、独活、苍术、前胡、升麻、葛根、陈皮、厚朴、甘草、黄芩、川芎、柴胡、桔梗、半夏、枳壳、藿香、芍药各五分，生姜、大枣为引，加水煎煮后服用。
又一方：龙眼壳十二个（又名泡园，以带有栗色为佳，深黄色的忌用），细茶三钱，陈皮三钱，姜皮三分，白盐三分，用水一碗煎至五六分，灌入口中，患儿忽然发生战栗，必定能够存活。此方平常，但功效迅速，即使已死也可救活，方名开棺斧。
又一方：新鲜车前草及其种子，捣烂后榨取汁液，兑入白蜜和滚开水让患儿服用，风症即刻停止，屡试屡验，效果神奇。如果没有新鲜车前草，用车前子煎汤调蜂蜜服用也可以。
又一方：生石膏一两，辰砂一钱，分别研成粉末混合均匀，成人每次服用一钱，小儿一至三岁服用五分，依次递增，用生蜜调服。
又一方：明雄黄五钱，砂仁六分，栀子五枚炒过，冰片五厘，共同研成细末，用鸡蛋清调和敷在肚脐周围如碗口大小，将麝香五厘放入脐眼中，上面用绵纸盖好，再用软绢扎紧，一昼夜后用温水清洗，效果神奇。
又一方：甜杏仁六粒，桃仁六粒，黄栀子七个，上述药物研烂，加入烧酒、鸡蛋清、干面粉，根据孩子年龄大小，制成如元宵大小的丸子，置于双手足心，用布条扎紧，一周时间后手足心均呈青蓝色，则病已去除。但须切记男左女右，不可放错位置，这是至关重要的，万应万验，真有起死回生的功效。
又一方：取芙蓉嫩叶（男性单数，女性双数），捣烂，用鸡蛋调和，煎熟做成饼，贴在患儿肚脐上，变冷则随时更换，立即痊愈。
又一方：慢惊风也可以治疗，使用白丝毛鸡（乌骨绿耳，又名绒毛鸡，又名白凤凰，多产于江西太和县），将鸡尾肛门朝向小儿肚脐，无风的鸡则会远离，有风的鸡必紧贴，吸拔风毒，不久即可痊愈，效果极佳，痊愈后需用麻油灌入鸡口，以解除其毒性。
又一方：慢惊风也可以治疗。用灯心草在手心足心，男左女右各烧三焦穴，即愈。
又一方：有几岁小儿偶然患惊风，头脚向后拉扯形成弯曲，称为角弓反张，叫声难闻，百药无效，服用活络丸一颗，即刻安睡，再服几颗，彻底痊愈，效果无比神奇。此丸以广东省城大新街己未牌坊老陈李济店生产的为真品，其他店铺多为假货，使用无效。
又一方：迅速用两个小艾炷，在左右手背上的接腕穴上烧三次，头脚就不再反张了。
又一方：详见卷十四中风门。
Nie Jiuwu stated: The manifestations of acute convulsive disease (Ji Jing Feng) include body heat, flushed face, spasms and convulsions, upward deviation of the eyes, tightness and stiffness of the jaw, hot breath from the mouth and nose, and profuse salivation resembling a tide. It occurs suddenly, and after the episode subsides, the facial color returns to normal. Some cases are triggered by sudden fright, while others are not; however, most involve prior fever followed by convulsions, and there are no cases where convulsions occur with a cool body. This belongs to Yang syndrome (Yang Zheng). Generally, heat generates phlegm; when phlegm is excessive, it gives rise to fright and wind. It is appropriate to use cooling formulas to clear heat and resolve phlegm, thereby eliminating the convulsions and wind. One must absolutely avoid using acrid, warm, and drying wind-dispelling herbs, as this would instead exacerbate Heart fire and cause harm. When severe spasms occur, one should only support the patient gently and avoid grasping or restraining forcefully, lest wind-phlegm enter the meridians causing rigidity or contracture of the limbs. Furthermore, one must not panic or resort to moxibustion with moxa cones or burning lamps. Since this is a Yang syndrome, fire therapy is highly contraindicated; I have witnessed cases where fire therapy worsened the condition. Be vigilant! Although this condition is urgent, if managed calmly with cooling agents, peace can be restored. Do not heed contemporary quacks who use drastic purgatives such as Crotonis Fructus (Badou, 巴豆) or Calomelas (Qingfen, 轻粉) for quick results, as this causes significant harm. An old proverb says, "For acute convulsions, treat slowly." This is a practical and applicable maxim.
When infants are about to erupt smallpox (or chickenpox/rash), they may have a fever for two or three days without any visible rash spots, yet suddenly experience convulsions identical to acute convulsive disease. If physicians do not recognize this and mistakenly treat it as acute convulsive disease, administering cold-natured formulas or harsh phlegm-resolving purgatives will inevitably lead to untreatable conditions. In such cases, careful differentiation is required to avoid errors.
Qingre Zhenjing Tang (Clear Heat and Calm Fright Decoction): Lonicerae Japonicae Flos (Lianqiao, 连翘) [remove heart, grind], Bupleuri Radix (Chaihu, 柴胡), Psoraleae Fructus (Dugupi, 地骨皮 - *Note: Text likely refers to Lycii Cortex/Digupi*), Gentianae Radix (Longdancao, 龙胆草), Uncariae Ramulus cum Uncis (Gouteng, 钩藤), Coptidis Rhizoma (Huanglian), Gardeniae Fructus (Zhiren, 栀子仁) [stir-fried until black], Polished Talcum (Huashi, 滑石) prepared with wine.
Jiajian Liangge San (Modified Cooling Pagoda Powder): Lonicerae Japonicae Flos (Lianqiao, 连翘), Scutellariae Radix (Huangqin, 黄芩) prepared with wine, Gardeniae Fructus (Zhiren, 栀子仁) [stir-fried until black], Aurantii Fructus Immaturus (Zhishi, 枳实) [stir-fried], Peucedani Radix (Qianhu, 前胡) each 5 fen, Rheomi Radix et Rhizoma (Dahuang, 大黄) [prepared with wine] 1 qian, Menthae Haplocalycis Herba (Bohe, 薄荷) a small amount.
Xuanfeng San (Dispel Wind Powder): Citri Reticulatae Pericarpium (Chenpi, 陈皮) [remove white pith, powder], Arecae Semen (Binglang, 槟榔) powder each 5 qian, Glycyrrhizae Radix et Rhizoma (Gancao, 甘草) tip 3.5 qian, Black Petiolosma Seed (QianNiu, 黑牵牛) 4 liang [half raw, half stir-fried]. Mix all with honey water for administration; mild diarrhea once or twice is ideal. Stop if diarrhea occurs. Additionally, Yuanyuan San (Yuyuan San, 益元散), Baolong Wan (Baolong Pill, 抱龙丸), and Niuhuang Wan (Niuhuang Pill, 牛黄丸) are also extremely effective. These are cited from *Huoyou Xinfa* (New Methods for Pediatric Care).
Tianbao Caiwei Tang (Tianbao Caiwei Decoction): Specifically treats acute convulsive disease with miraculous effects. Notopterygii Rhizoma et Radix (Qianghuo, 羌活), Angelicae Pubescentis Radix (Duohuo, 独活), Atractylodis Rhizoma (Cangzhu, 苍术), Peucedani Radix (Qianhu, 前胡), Cimicifugae Rhizoma (Shengma, 升麻), Puerariae Radix (Gegen, 葛根), Citri Reticulatae Pericarpium (Chenpi, 陈皮), Magnoliae Officinalis Cortex (Houpo, 厚朴), Glycyrrhizae Radix et Rhizoma (Gancao, 甘草), Scutellariae Radix (Huangqin, 黄芩), Chuanxiong Rhizoma (Chuanxiong, 川芎), Bupleuri Radix (Chaihu, 柴胡), Platycodonis Radix (Jiegeng, 桔梗), Pinelliae Rhizoma Preparatum (Banxia, 半夏), Aurantii Fructus Immaturus (Zhike, 枳壳), Agastaches Herba (Huoxiang, 藿香), Paeoniae Radix Alba (Shaoyao, 芍药) each 5 fen. Use Ginger and Jujube as guides, decoct in water and administer.
Another Prescription: Twelve shells of Dimocarpus Longan (Longyanke, 龙眼壳) [also known as Paoyuan, preferably with chestnut color, avoid deep yellow], fine tea 3 qian, Citri Reticulatae Pericarpium (Chenpi, 陈皮) 3 qian, Zingiberis Pericarpium (Jiangpi, 姜皮) 3 fen, White Salt (Baixian, 白盐) 3 fen. Decoct in one bowl of water until reduced to five or six parts, and instill into the mouth. If the child suddenly shivers, they will survive. This common prescription acts quickly; even if death has occurred, it can revive the child. It is named Kaiguan Fu (Open Coffin Axe).
Another Prescription: Fresh Plantaginis Herba et Semen (Cheqiancao, 车前草) and seeds, crushed to extract juice, mixed with white honey and boiling water for administration. The wind symptoms stop immediately; this has been tested repeatedly with miraculous results. If fresh Plantaginis Herba is unavailable, decoct Plantaginis Semen (Cheqiansi, 车前子) with honey water.
Another Prescription: Gypsum Fibrosum (Shigao, 生石膏) 1 liang, Cinnabar (Chensha, 辰砂) 1 qian. Grind separately and mix evenly. Adults take 1 qian per dose; children aged 1-3 years take 5 fen, increasing gradually. Administer with raw honey.
Another Prescription: Realgar (Xionghuang, 明雄黄) 5 qian, Amomi Fructus (Sharen, 砂仁) 6 fen, Gardeniae Fructus (Zhizi, 栀子) 5 pieces [stir-fried], Borneolum Syntheticum (Bingpian, 冰片) 5 li. Grind into fine powder. Mix with egg white and apply around the umbilicus in a circle the size of a bowl opening. Place 5 li of Moschus (Shexiang, 麝香) into the umbilicus. Cover with cotton paper and tie securely with soft silk. After 24 hours, wash with warm water. Miraculous effect.
Another Prescription: Sweet Almond (Tian Xingren, 甜杏仁) 6 grains, Peach Kernel (Taoren, 桃仁) 6 grains, Gardeniae Fructus (Zhizi, 黄栀子) 7 pieces. Crush these herbs, add rice wine, egg white, and dry flour. Form pills the size of Yuanxiao (glutinous rice balls) according to the child's age. Apply to the palms and soles, tying tightly with cloth strips. After one week, the palms and soles turn blue-green, indicating the disease is gone. Crucially, apply to the left side for males and the right side for females. This is essential, universally effective, and truly capable of reviving the dying.
Another Prescription: Take tender leaves of Hibiscus mutabilis (Furong, 芙蓉) [odd number for males, even for females], crush them, mix with egg, cook into a cake, and apply to the infant's umbilicus. Replace when cool. Immediate cure.
Another Prescription: Also treats slow convulsive disease. Use a white silky-feathered chicken (Black-boned green-eared, also known as Downy Chicken or White Phoenix, often from Taihe County, Jiangxi). Press the chicken's vent against the child's umbilicus. A chicken without wind will move away; one affected by wind will stick tightly, absorbing the wind toxin. Recovery occurs shortly. This is extremely effective. After recovery, pour sesame oil into the chicken's mouth to detoxify it.
Another Prescription: Also treats slow convulsions. Burn Junci Medulla (Dengxin, 灯心) at the center of the palms and soles [left for males, right for females] to stimulate the Triple Burner (Sanjiao, 三焦). Cure follows.
Another Prescription: A child of several years suffered from convulsions, arching backward into opisthotonos (Jiaogong Fanzhang, 角弓反张), with distressing cries. All medicines failed. One pill of Huoluo Wan (Huoluo Pill, 活络丸) induced immediate sleep. A few more pills led to complete recovery. This is incredibly effective. The genuine product is from Lao Chen Li Ji Shop at Jiwei Archway, Daxin Street, Guangzhou City. Other shops sell fakes which are ineffective.
Another Prescription: Quickly use two small moxa cones on the Jiewan points (Acupoints near the wrist crease) on both dorsal hands [three burns on each]. The head and feet will cease arching.
Another Prescription: See Volume 14, Stroke Section.