小儿肝痫、谓肝有邪也，忽然昏迷，抽掣有力，方用龙胆草一钱，淡黄芩八分，生白芍八分，连翘壳钱半，
生甘草五分。
大便不通，加生锦纹三分。
小儿心痫，谓心有火也，忽然昏迷，目赤有火，饮水，方用
生川连五分，淡竹叶钱半，连翘心一钱，细生地钱半，朱灯芯六分，栝蒌霜钱半，甘草梢三分。
小儿脾痫，谓脾有痰也，忽然昏迷，目直发热，面色光润，方用紫苏梗一钱，生香附钱半，米泔浸苍术八分，
广陈皮钱半，川郁金三分，炙甘草三分，蜜栝蒌钱半，引用竹沥姜汁各十滴。
小儿肺痫，谓肺气不通也，忽然昏迷，面色白，手足微动，方用苦桔梗钱半，川贝母一钱，甘菊花钱半，蜜
款冬花钱半，广陈皮钱半，云茯苓三钱，甜杏仁三钱，炙甘草五分，引用甜葶苈三分。
小儿肾痫，谓肾气先天不足也，忽然昏迷，肢体如尸，口吐白沫，方用六味地黄丸三钱，加炒牛膝八分，上
肉桂二分，煎汤连续服。
附∶诸痫外治法∶
细看小儿耳后高骨间，有紫青筋纹，用银针轻轻挑破即醒。
上古之人不出痘，中古之人皆出痘者，此情欲之关系，即胎禀之关系也。塞北之人不出痘，中土之人，无一
不出痘者，此地理之关系，即气候寒凉温热之关系也。毒有浅深，故出有轻重，小儿痘证初起，与伤寒相似，身
体发热，不时惊悸，口鼻气粗，两眼发定，惟中指独冷，耳尻不热，再细察耳后有红筋，皆为出痘之形证也，如
呵欠烦闷，痘出肝经，咳嗽有痰，喷嚏出涕，痘出肺经，惊悸烦躁，面色红赤，痘出心经，喜睡自利，四肢发热，
痘出脾经，惟肾经但见耳尻发凉者，是火不能胜水也。
当今种痘之法，盛行中外，一切出痘之部位，痘形痘色之顺
逆，痘证之老嫩疏密，辨形神声气饮食之虚实，辨气血阴阳表里之虚实，禀赋之顺逆，天时人事之顺逆，皆与
种痘无关系，故略而不详。
Pediatric Liver Epilepsy refers to the pathogenic invasion of the Liver. The symptoms manifest as sudden coma and forceful convulsions. The prescription uses Longdan Cao (Gentianae Radix) 1 qian, Dan Huangqin (Scutellariae Radix) 0.8 fen, Sheng Baishao (Paeoniae Radix Alba) 0.8 fen, Liaoqiao Qiao (Forsythiae Fructus) 1.5 qian, and Sheng Gancao (Glycyrrhizae Radix et Rhizoma) 0.5 fen. If there is constipation, add Sheng Jinwen (Rhei Radix et Rhizoma) 0.3 fen.
Pediatric Heart Epilepsy refers to Fire in the Heart. The symptoms manifest as sudden coma, red eyes with signs of heat, and a desire to drink water. The prescription uses Sheng Chuanlian (Coptidis Rhizoma) 0.5 fen, Dan Zhuye (Lophatheri Herba) 1.5 qian, Liaoqiao Xin (Forsythiae Fructus Cor) 1 qian, Xi Shengdi (Rehmanniae Radix) 1.5 qian, Zhu Dengxin (Sparganii Strobilus) 0.6 fen, Gualou Shuang (Trichosanthis Fructus Pulvis) 1.5 qian, and Gancao Shao (Glycyrrhizae Radix et Rhizoma Caudex) 0.3 fen.
Pediatric Spleen Epilepsy refers to Phlegm-Dampness in the the Spleen. The symptoms manifest as sudden coma, staring eyes with fever, and a shiny, lustrous complexion. The prescription uses Zisu Geng (Perillae Caulis) 1 qian, Sheng Xiangfu (Cyperi Rhizoma) 1.5 qian, Cangzhu soaked in rice wash water 0.8 fen, Guang Chenpi (Citri Reticulatae Pericarpium) 1.5 qian, Chuan Yujin (Curcumae Radix) 0.3 fen, Zhi Gancao (Glycyrrhizae Radix et Rhizoma Praeparata cum Melle) 0.3 fen, Mi Gualou (Trichosanthis Fructus Preparatus cum Melle) 1.5 qian, taken with Zhu Li (Bambusae Sap) and Jiang Zhi (Zingiberis Rhizoma Recens Juice), each 10 drops.
Pediatric Lung Epilepsy refers to obstruction of Lung Qi. The symptoms manifest as sudden coma, pale complexion, and slight movement of the hands and feet. The prescription uses Ku Jiegeng (Platycodonis Radix) 1.5 qian, Chuan Beimu (Fritillariae Cirrhosae Bulbus) 1 qian, Gan Juhua (Chrysanthemi Flos) 1.5 qian, Mi Kuantonghua (Farfarae Flos Preparatus cum Melle) 1.5 qian, Guang Chenpi (Citri Reticulatae Pericarpium) 1.5 qian, Yun Fuling (Poria) 3 qian, Tian Xingren (Pruni Semen) 3 qian, Zhi Gancao (Glycyrrhizae Radix et Rhizoma Praeparata cum Melle) 0.5 fen, taken with Tian Tingli (Descurainiae Semen seu Lepidii Semen) 0.3 fen.
Pediatric Kidney Epilepsy refers to congenital insufficiency of Kidney Qi. The symptoms manifest as sudden coma, limbs stiff like a corpse, and foaming at the mouth. The prescription uses Liuwei Dihuang Wan (Six-Ingredient Rehmannia Pill) 3 qian, added with Chao Niuxi (Achyranthis Bidentatae Radix Stir-fried) 0.8 fen, Shang Rougui (Cinnamomi Cortex) 0.2 fen, decocted in water for continuous administration.
Appendix: External Treatment Methods for Various Epilepsies:
Carefully observe the area between the high bone behind the ear of the child. If purple-green vein patterns are present, gently puncture them with a silver needle to restore consciousness.
People in ancient times did not suffer from smallpox, while those in middle antiquity all suffered from it; this relates to desires and lifestyle, which in turn relate to prenatal constitution. People in the northern regions did not suffer from smallpox, while those in the central plains all suffered from it; this relates to geography, specifically the relationship of cold, cool, warm, and hot climates. Toxins have varying depths, so the eruption varies in severity. At the onset of pediatric smallpox, it resembles Taiyang disease (Exterior Syndrome due to Cold Damage). Symptoms include body fever, occasional palpitations and fright, coarse breathing through the mouth and nose, fixed gaze, coldness isolated to the middle finger, and warmth in the ears and sacrum. Further observation of red veins behind the ears confirms the signs of smallpox eruption. For instance: yawning and restlessness indicate the toxin emerging from the Liver Meridian; cough with phlegm, sneezing, and runny nose indicate emergence from the Lung Meridian; palpitations, irritability, and red face indicate emergence from the Heart Meridian; preference for sleep, spontaneous diarrhea, and heat in the four limbs indicate emergence from the Spleen Meridian; only coldness in the ears and sacrum indicates emergence from the Kidney Meridian, representing Fire failing to overcome Water.
Currently, the method of variolation (smallpox inoculation) is prevalent both domestically and internationally. All aspects regarding the site of eruption, the smooth or adverse nature of pustule shape and color, the maturity and density of the rash, the differentiation of deficiency and excess based on form, spirit, voice, breath, and diet, the differentiation of deficiency and excess in Qi, Blood, Yin, Yang, Interior, and Exterior, the smooth or adverse nature of constitutional endowment, and the smooth or adverse nature of heavenly timing and human affairs, are unrelated to variolation. Therefore, they are briefly omitted without detailed discussion.