（此证，得于热甚夹外感风寒，或因物惊悖而发。惊风发搐，不可把捉其手足，只当任其风力遍行经络，热极自
止，不至伤人）
清心灵神汤（治急惊及诸热惊。合膏丸作汤。小儿时时有惊也，宜服此，以祛心肝之邪）
麦门冬（去心，七分） 白茯神（五分） 人参（二分半） 柴胡（蜜炙） 防风（各五分） 朱砂（水飞，二
分半，性寒不可久服，代入黄连、酒砂三分为可） 麝香（一字）
如闻大声而惊，此无阴也，宜下之。加黑丑头末（虚则不可用）木通（去节）各五分，恐是胆气不足，草龙胆（酒
洗）、益智仁（去壳盐水炒）各五分。
如见奇怪物象而惊，此心弱神虚也。当归身（酒洗）、酸枣仁（去皮尖，另炒）各五分，红花（酒洗）一分半。
如触风而惊，此夹外感也。倍入柴胡，加葛根、前胡各五分，羌活、甘草（炙）各三分。
如触冷气而惊（肺居五脏之上，先受其伤，气缩热结），加生黄 五分，升麻、苏叶各三分，干姜（炒）一分
半或二分。
如因踏与压而惊，血气惊滞而不行，加酸枣仁（去皮
尖，研炒）五分、乌药（去皮心，酒洗）三分、桂皮二分半（此材能通血脉）。
如人惊恐，是气不足，倍入人参，加酸枣仁（另炒，七分）、草龙胆（酒洗，五分）。
如火惊恐，是神不足，倍入朱砂，加当归身（酒洗）、酸枣仁（另炒）各五分，远志（去骨，干炒，三分），红花
（酒洗，一分半）。
如水惊恐，是精不足，倍入人参（益肺气，则金生水故也），加茱萸（酒蒸，去核）五分，肉苁蓉（酒浸、去
甲）、益智仁（去壳，盐炒）各三分。
如高举恍惚而惊，加天麻（去粗皮）、酸枣仁（另炒）各五分，白僵蚕（去觜，姜炒）三分。
如睡中惊魇，常恐畏不宁，加酸枣仁（另炒）、熟地（姜炒）五分（以防损胃），益智仁（盐炒）三分。
如痰盛如引锯喘，加胆星、贝母（去心，干制）各五分，乌药（去皮心，酒洗）三分。气顺则痰化而搐自止，先
以苏合丸调薄荷汤灌下一、二丸，后继服此剂，亦妙。
如惊搐痰喘，窒塞至死，加胆星、天麻各五分，白僵蚕（干炒）二分，全蝎（去头翅足、腹中土，干炒）二分半。
如窜视涎潮，加胆星、橘红各五分，木香三分，全蝎（干炒）一枚。
凡小儿之生理，本天一生水之妙，如治胎热、丹毒、惊风、痰热、变蒸、发热、呕吐、泻痢之症，以水道通利为捷
径，所以清心利小便而散火也。倍入人参，加灯心、赤茯苓各三分，猪苓、泽泻各二分半，天乙丸亦主之（方见下，余
仿此）。
如诸热惊，清心丸主之（柴胡、防风、白茯神、人参、朱砂等分，作丸，金箔衣）。
如邪热急惊，小儿安神丸主之（大安神丸方见下）。
如肝热急惊，泻青丸主之。
如眩晕，昏昧恍惚，保命丹主之。
如气郁痰搐，胆星抱龙丸主之（方见下）。
惊风危急难救，两乳头各灸三壮，百会、上星（穴在前发际上一寸）。一方，两眉间灸三壮，神效。凡惊风，专是
心火肝风交争，血乱气并，痰涎壅塞，开窍不通而无所泄，故暴烈窜搐。及其发定后了了如故者，急惊也，绵绵不止
者，慢惊也。宜考下慢惊治之。
开关散（治急、慢惊噤不开）
蜈蚣一条（金头赤足者，可用酒浸炙） 白僵蚕（去觜，干炒） 南星（炮，干制，各一钱） 射香（一字） 猪
牙皂角（各三挺，略烧存性）
上为末，以手点姜汁，蘸药少许擦牙，或用物引滴入药二、三点于口中，涎出开关。窃观此剂，虽入毒材，不可多
饮之药。然小儿有此症，施之无妨。（小儿能全纯阳之气，而未破阴，故虽服毒剂少许，不至大损故也）
小儿口噤，然谷（穴在内踝前直下一寸，大骨下）灸三壮，神效。
牛黄抱龙丸（胆星抱龙丸加牛黄、珍珠、琥珀、金箔四味，名曰牛抱。小儿百病之良方。急、慢惊未分，宜用
此先镇之。抱者保也，龙者肝也。肝为母，心为子，母安则子安。况心脏神，肝脏魂，神魂内守惊何徒生）
胆星（一两） 天竺（五钱） 黄雄黄 辰砂（水飞，各二钱半） 麝香 珍珠 琥珀（各一钱） 牛黄（五分） 金
箔（十片）
甘草煎膏和丸，芡实大，金箔为衣。半岁儿一丸三分服，三岁儿一丸。薄荷汤下。此剂镇惊退热化痰之妙方。但
恐性味极寒，专无补元之力，不可多服。如退热势大盛，不得已而用之，则人参二、三分，作茶调下无妨，惊止如常
后，宜移用补脾调理之剂（如补元汤之类）。大抵惊风，乃心火、肝风、脾痰三家之病，而金旺于土中，则木自衰，火
自退，而不得交争。故方云大病后调理脾胃，医家之王道，斯言至矣。牛黄抱龙丸稀贵非乡鄙之所可易得。人参、贝
母、白僵蚕、防风、酸枣仁、朱砂、牛黄七味，等分作散，薄荷汤和清服下，则功效之捷不减上丸。窃观俗人，徒知贵
材之治危症，而殊不知性味至寒之药，峻攻壮热，使热邪不得肆其毒于外，而反为缩藏于内，故服良剂之后，了了然如
故，仍谓之痊可，置之寻常。及其乘内虚而夹外感复发，植则根固而治之尤难，急惊变为痫，慢惊变为癫，养幼之家。
可不戒惧也哉。
截风丸 （治急惊、慢惊、痰搐及急惊变成慢惊等症，宜用此截之）
天麻 白僵蚕（去觜，干炒） 蜈蚣（一条） 白附子（炮制根据本草去） 防风 朱砂 全蝎（干炒，各一钱） 麝
香（一字）
上蜜丸梧桐子大，薄荷汤调下。此剂止惊、化痰、截风之要药，但多入毒材，病虽服此减歇，而其奈戕性损元何？
须去蜈蚣，且减白附子五分，去南星而代入贝母，加人参二钱、雄黄五分制之可也。
大安神丸 （治急、慢惊。安神定惊，又能治心热夜啼）
酸枣仁（去皮，研粉，炒） 甘草（炙，各五分） 白僵蚕 桔梗尾（各一钱二分半） 人参 赤茯苓 白术 朱
砂麦门冬（去心） 木香 代赭石（醋煮，各二钱半，此方真品难得，代入雄黄一钱亦可） 全蝎（姜炒，三枚） 金
银箔（各三片）
上蜜丸梧子大，金银箔为衣，薄荷汤化下一、二丸。此剂性味和平，且兼补泻，惊风新瘥后作丸或作汤，常常服之
可也。
(This syndrome arises from extreme heat combined with external contraction of wind-cold, or triggered by fright from objects. When convulsive wind manifests with spasms, one must not forcibly restrain the child's limbs; instead, allow the pathogenic force to circulate through the meridians naturally. Once the heat reaches its peak, it will subside on its own, preventing injury to the body.)
Qingxin Lingshen Tang (Clear Heart and Calm Spirit Decoction) (Treats acute convulsive wind and various heat-induced fright syndromes. Can be prepared as a paste or pill and decocted into a soup. Children often experience fright; this formula is suitable to dispel pathogens in the Heart and Liver channels.)
Ophiopogonis Radix (Ouyangdong, remove heart, 7 fen) Poria cocos with Hostwood (Baifushen, 5 fen) Ginseng Radix et Rhizoma (Renshen, 2.5 fen) Bupleuri Radix (Chaihu, honey-fried) Saposhnikoviae Radix (Fangfeng, 5 fen each) Cinnabar (Zhusha, water-triturated, 2.5 fen; cold natured, do not use long-term; substitute with Scutellariae Radix (Huanglian) and wine-processed Zhusha, 3 fen total) Moschus (Shexiang, 1 zi)
If frightened by loud noises, indicating Yin deficiency, purgation is indicated. Add Strychni Semen (Heiqiu) head powder (contraindicated in deficiency), Akebiae Caulis (Mutong, remove nodes), 5 fen each; if fearing Gallbladder Qi deficiency, add Gentianae Macrophyllae Radix (Caolongdan, wine-washed) and Alpiniae Officinarum Fructus (Yizhiren, shell removed, salt-water fried), 5 fen each.
If frightened by strange sights, indicating weak Heart Qi and empty Shen, add Angelicae Sinensis Radix (Dangguishen, wine-washed) and Ziziphi Spinosae Semen (Suanzaoren, skin and tip removed, stir-fried separately), 5 fen each, Carthami Flos (Honghua, wine-washed), 1.5 fen.
If frightened by wind contact, indicating concurrent exterior contraction, double the amount of Chaihu, add Puerariae Lobatae Radix (Gegen) and Peucedani Radix (Qianhu), 5 fen each, Notopterygii Rhizoma et Radix (Qianghuo) and Glycyrrhizae Radix et Rhizoma (Gancao, fried), 3 fen each.
If frightened by cold air contact (Lung resides above the five zang organs and suffers first, leading to qi contraction and heat binding), add Astragali Membranacei Radix (Sheng Huangqi), 5 fen, Cimicifugae Rhizoma (Shengma) and Perillae Folium (Ziyè), 3 fen each, Zingiberis Rhizoma (Ganjiang, fried), 1.5 or 2 fen.
If frightened by stepping or pressure, causing blood and qi stagnation due to fright, add Suanzaoren (skin and tip removed, crushed and fried), 5 fen, Linderae Radix (Wuyao, skin and core removed, wine-washed), 3 fen, and Cinnamomi Cortex (Guipi, 2.5 fen; this material can unblock blood vessels).
If frightened by human intimidation, indicating Qi deficiency, double Renshen, add Suanzaoren (stir-fried separately, 7 fen) and Caolongdan (wine-washed, 5 fen).
If frightened by fire, indicating Shen insufficiency, double Zhusha, add Dangguishen (wine-washed) and Suanzaoren (stir-fried separately), 5 fen each, Polygalae Radix (Yuanzhi, bone removed, dry-fried), 3 fen, and Honghua (wine-washed), 1.5 fen.
If frightened by water, indicating Jing (Essence) deficiency, double Renshen (tonifies Lung Qi, as Metal generates Water), add Corni Fructus (Zhuyu, wine-steamed, pitted), 5 fen, Cynomorii Herba (Roucongrong, wine-soaked, scale removed) and Yizhiren (shell removed, salt-fried), 3 fen each.
If frightened with head raised and trance-like state, add Gastrodiae Rhizoma (Tianma, coarse skin removed) and Suanzaoren (stir-fried separately), 5 fen each, Bombyx Batryticatus (Baijiangcan, mouth removed, ginger-fried), 3 fen.
If startled during sleep with nightmares, constant fear and restlessness, add Suanzaoren (stir-fried separately) and Rehmanniae Radix Praeparata (Shudi, ginger-fried), 5 fen (to prevent stomach damage), and Yizhiren (salt-fried), 3 fen.
If phlegm is abundant with sawing-like wheezing, add Arisaematis Cum Bile (Danningxing) and Fritillariae Thunbergii Bulbus (Beimu, heart removed, dried), 5 fen each, Wuyao (skin and core removed, wine-washed), 3 fen. When qi flows smoothly, phlegm transforms and spasms stop spontaneously. First administer Suhé Wán (Suhe Pill) mixed with Bohe Tang (Mint Decoction), 1-2 pills, followed by this formula for good effect.
If convulsions with phlegm-wheezing cause suffocation nearing death, add Danningxing and Tianma, 5 fen each, Baijiangcan (dry-fried), 2 fen, Scorpio (Quanxie, remove head, wings, feet, and earth from abdomen, dry-fried), 2.5 fen.
If eyes roll upward with tidal saliva, add Danningxing and Citri Reticulatae Pericarpium Rubrum (Juhong), 5 fen each, Aucklandiae Radix (Muxiang), 3 fen, and Quanxie (dry-fried), 1 piece.
Generally, the physiological principle of children originates from the wonder of "Heaven generates One, Water." For treating fetal heat, erysipelas, convulsive wind, phlegm-heat, metamorphosis fever, fever, vomiting, and dysentery, promoting free flow of the water passages is the most expedient method, thus clearing Heart heat and promoting urination to dissipate fire. Double Renshen, add Junci Medulla (Dengxin), 3 fen each, Polyporus (Zuling) and Alismatis Rhizoma (Zexie), 2.5 fen each. Tianyi Wan also treats these conditions (formula see below, others follow this pattern).
For various heat-induced fright, Qingxin Wan (Clear Heart Pill) is primary (Chaihu, Fangfeng, Baifushen, Renshen, Zhusha in equal parts, made into pills, coated with Gold Leaf).
For acute convulsive wind caused by evil heat, Xiao'er Anshen Wan (Children's Calming Spirit Pill) is primary (Da Anshen Wan formula see below).
For acute convulsive wind due to Liver heat, Xieqing Wan (Drain Green Pill) is primary.
For dizziness, confusion, and trance, Baoming Dan (Life-Preserving Pill) is primary.
For Qi stagnation with phlegm-induced spasms, Danning Bao Long Wan (Phlegm-Nine Dragon Guarding Pill) is primary (formula see below).
When convulsive wind is critical and difficult to save, moxa three burns on each nipple, Baihui (GV20) and Shangxing (GV23) (acupoints located one cun above the anterior hairline). Another method: moxa three burns between the eyebrows, highly effective. Convulsive wind is specifically the contention between Heart Fire and Liver Wind, chaotic blood and merged qi, obstructed phlegm-saliva, blocked orifices unable to vent, causing violent sudden spasms. After the attack subsides, if the child returns to normal consciousness, it is acute convulsive wind; if continuous and lingering, it is chronic convulsive wind. Refer to the treatment of chronic convulsive wind below.
Kaiguan San (Open Gate Powder) (Treats acute/chronic convulsive wind with locked jaw)
Centipede (Wugong, one piece; those with golden heads and red legs can be wine-soaked and roasted) Baijiangcan (mouth removed, dry-fried) Arisaema cum Bile (Nanxing, processed, dried, 1 qian each) Shexiang (1 zi) Gleditsiae Sinensis Fructus (Zhuya Zaojiao, three pods, slightly burned to retain properties)
Grind all into powder. Dip finger in Ginger Juice, apply small amount of medicine to rub teeth, or use a tool to drip 2-3 drops into the mouth. Saliva discharge opens the gate. I observe that although this formula contains toxic materials, it is not for frequent consumption. However, for children with this symptom, application is harmless. (Children preserve pure Yang Qi and have not broken Yin, so even small doses of toxic agents do not cause major damage.)
For pediatric trismus (locked jaw), moxa Ran Gu (KI2) (acupoint one cun directly below the medial malleolus, below the large bone) three burns, highly effective.
Niuhuang Bao Long Wan (Cattle Gallstone Dragon-Guarding Pill) (Based on Danning Bao Long Wan plus Niuhuang, Zhenzhu, Hupo, Jinbo. Name implies Niuhuang Bao. Excellent formula for hundred diseases in children. Use first to calm when acute/chronic types are undifferentiated. 'Bao' means protect; 'Long' refers to Liver. Liver is Mother, Heart is Child; if Mother is safe, Child is safe. Heart houses Shen, Liver houses Hun; if Shen and Hun are guarded internally, how can fright arise?)
Arisaematis Cum Bile (Danningxing, 1 liang) Tianshu Huang (Tianzhuhu, 5 qian) Realgar (Xionghuang) Cinnabar (Chensha, water-triturated, 2.5 qian each) Shexiang Zhenzhu Hupo (1 qian each) Niuhuang (5 fen) Gold Leaf (Jinbo, 10 pieces)
Mix with Licorice decoction paste to form pills size of Euryale Seed (Qianshi), coat with Gold Leaf. Half-year-old infant takes 1/3 of a pill; three-year-old takes one pill. Take with Mint Decoction. This is an excellent formula for calming fright, reducing heat, and resolving phlegm. However, its nature is extremely cold, lacking Yuan-tonifying power, so do not overuse. If heat reduction is urgently needed, adding 2-3 fen of Renshen taken with tea is acceptable. After fright stops and normalcy returns, switch to Spleen-tonifying regulators (such as Buyuan Tang). Generally, convulsive wind is a disease of Heart Fire, Liver Wind, and Spleen Phlegm. If Metal is prosperous within Earth, Wood naturally declines and Fire retreats, preventing contention. Thus, regulating Spleen and Stomach after severe illness is the King's Way of medicine, a profound truth. Niuhuang Bao Long Wan is rare and expensive, unaffordable for commoners. Using Renshen, Beimu, Baijiangcan, Fangfeng, Suanzaoren, Zhusha, Niuhuang in equal parts as powder, taken with Mint Decoction, yields swift efficacy comparable to the pill. Observing laypeople, they only know using precious materials for critical conditions, unaware that extremely cold medicines aggressively attacking high heat may trap pathogens internally rather than expelling them externally. After taking good medicine, the patient appears normal, deemed cured, and neglected. Later, when relapse occurs due to internal deficiency and external contraction, the root is solidified and harder to treat. Acute convulsive wind becomes epilepsy; chronic becomes mania. Families raising young children should beware.
Jiefeng Wan (Wind-Cutting Pill) (Treats acute/chronic convulsive wind, phlegm spasms, and acute transforming into chronic; use to cut off the condition)
Gastrodiae Rhizoma (Tianma) Baijiangcan (mouth removed, dry-fried) Wugong (one piece) Bai Fuzi (processed according to Materia Medica to remove toxicity) Fangfeng Zhusha Quanxie (dry-fried, 1 qian each) Shexiang (1 zi)
Make honey pills size of Sophora Seed (Wutongzi), take with Mint Decoction. This is a key medicine for stopping fright, resolving phlegm, and cutting wind, but contains many toxic materials. Although symptoms reduce, it damages nature and depletes Yuan Qi. Remove Wugong, reduce Bai Fuzi by 5 fen, replace Nanxing with Beimu, add Renshen 2 qian and Xionghuang 5 fen to moderate it.
Da Anshen Wan (Great Calming Spirit Pill) (Treats acute/chronic convulsive wind. Calms spirit and stops fright, also treats Heart heat night crying)
Ziziphi Spinosae Semen (Suanzaoren, skin removed, powdered, fried) Gancao (fried, 5 fen each) Baijiangcan Jiegeng Wei (tips, 1.25 qian each) Renshen Chi Fuling Baizhu Zhusha Ouyangdong (remove heart) Muxiang Daizheshi (vinegar-boiled, 2.5 qian each; authentic product hard to find, substitute with 1 qian Xionghuang) Quanxie (ginger-fried, 3 pieces) Gold and Silver Foil (3 pieces each)
Make honey pills size of Sophora Seed, coat with Gold/Silver Foil, dissolve 1-2 pills in Mint Decoction. This formula has mild nature, combining tonification and draining. It can be taken regularly as pills or decoction after recovery from convulsive wind.