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Pediatric wind-stroke occurs because the child's qi and blood are not yet stabilized, and the regulation of cold and warmth is disordered. Internally, excessive heat accumulates and stagnates; externally, the couli (skin pores) are open and deficient. Thus, wind pathogens take advantage of this external deficiency to suddenly strike and injure the body. The manifestations include coma with loss of consciousness, high fever with mania and restlessness, convulsions and twitching, coarse breathing, locked jaw, and salivary overflow.

Wind-stroke affecting the Heart presents as lying supine unable to turn sideways, fever, and aphonia, with a scorched red tongue. If sweating is profuse and lips are reddish, it is treatable; moxa can be applied to Xinshu (BL15). If the lips show mixed colors of white, black, green, or yellow, this indicates heart failure leading to water flooding; if the face and eyes appear green-black with frequent startles, these are intractable cases.

Wind-stroke affecting the Liver presents as sitting in a squatting position unable to bow the head, pain in the left hypochondrium, spasms and tightness of all sinews, turning of the head and eyes, upward gaze, irritability, and greenish eyes. If there is slight greenish discoloration around both eyes extending to the forehead, with green lips and yellow complexion, it is treatable; moxa can be applied to Ganshu (BL18). If the color is deeply green-black, or one eye is yellow and the other white, it is intractable.

Wind-stroke affecting the Kidney presents as squatting with facial edema, lower back and spine pain radiating to the lower abdomen, and black ears. If no yellow patches have appeared in the hypochondriac region, it is treatable; moxa can be applied to Shenshu (BL23). If the skin between the ribs resembles yellow earth, with stiff hair and yellow-red teeth, it is intractable.

Wind-stroke affecting the Lung presents as supine posture with chest fullness, panting, coughing, restlessness, sweating, and a white nose. If the area from below the eyes to around the nose, as well as the lips and mouth, are all white, it is treatable; moxa can be applied to Feishu (BL13). If the complexion carries a yellow hue, this indicates lung failure leading to blood stasis, which is intractable.

Wind-stroke affecting the Spleen presents as squatting with abdominal fullness, twitching of skin and flesh, inability to control the four limbs, and yellow lips. If the whole body is jaundiced and the patient spits out salty saliva, it is treatable; moxa can be applied to Pishu (BL20). If the hands and feet are cyanotic and cold (jue), it is intractable.

Generally, when humans are struck by wind pathogens, the pathogen enters through the Five Zang Shu points on the back. If wind enters the mandible and cheek areas, it causes facial deviation and locked jaw. If wind obstructs the throat and vocal cords, it results in inability to speak and aphonia. When wind struggles with qi, and qi is blocked by phlegm, a snoring sound is heard in the throat. This wind pathogen initially invades the skin and couli, then reaches the meridians and collaterals, struggling within the main meridians. Sinews subjected to cold become contracted, painful, and spasmodic; those subjected to heat become relaxed and weak. Wind combined with cold causes spasms; wind combined with heat causes relaxation. Spasmodic conditions present with floating and tight pulses; relaxed conditions present with floating and surging pulses. Cold patterns are treated with Xiao Xuming Tang (Minor Continuation Life Decoction); heat patterns are treated with formulas like Zhuifeng Du Cuo San (Wind-Chasing Poison Powder). Floating pulse indicates disease in the exterior; excess pulse indicates disease in the interior; rapid/intermittent pulse indicates disease in the upper jiao. Exterior diseases are dispersed; interior diseases are purged; upper jiao diseases are induced to vomit. For deficiency-cold patterns, Aconite (Fuzi) and Asarum (Wutou) types are indispensable. Ancient treatments prioritized moxibustion but also required careful assessment before prescribing. Although wind, cold, summer-heat, and dampness can all invade the body, wind-stroke caused by emotional qi disturbance also exists. Among sudden illnesses, wind-stroke is the most urgent. In emergencies, if precise diagnosis is difficult, first use methods to descend qi and resolve phlegm. Since wind-stroke often arises from phlegm stagnation and qi obstruction, first use Tongguan San (Pass-the-Gate Powder) to unblock orifices. Urgently decoct Arisaemae Rhizoma (Nanxing), Zingiberis Rhizoma Recens (Shengjiang), and Aucklandiae Radix (Muxiang), mix with Suhexiang Wan (Styrax Pill), and administer. For locked jaw, apply powder of Nanxing and Asari Radix et Rhizoma (Xixin) mixed with Moschus (Shexiang) and Pruni Mume Carpos (Wumei) to rub the teeth until the jaw opens. After medication, when phlegm dissipates and qi descends, and the condition slightly improves, carefully assess the external symptoms of the five zang organs for further regulation. Suitable formulas include Shengfeng Tang (Wind-Prostrating Decoction) and Qianghuo San (Notopterygii Root Powder); for severe cases, Fangfeng Tongsheng San (Saposhnikovia Universal Relief Powder), Huafeng Dan (Wind-Transforming Pill), Niuhuang San (Calculus Bovis Powder), Gouteng San (Uncaria Decoction), and Zhibao Dan (Precious Treasure Pill) may be selected.

Tongguan San: Treats sudden acute wind-stroke with coma, loss of consciousness, locked jaw, and inability to swallow medicine.
Ingredients: Asari Radix et Rhizoma (Xixin), Menthae Haplocalycis Herba (Bohe), Natrii Sulfas (Yaxiao), Realgar (Xionghuang) in equal parts.
Usage: Grind into powder. Use a small amount, insufflate into the nose. Wait for sneezing, then administer oral medicine. Alternatively, rub teeth with Pruni Mume Carpos (Wumei), place Acori Tatarinowii Rhizoma (Changpu) powder under the tongue to open the jaw. Useful in emergencies.

Xiao Xuming Tang: See Question 27.

Zhuifeng Du Cuo San: Treats wind-stroke with internal and external heat.
Ingredients: Rheomi Radix (Dahuang, 2 qian), Prunus humilis seed (Yuliren, stir-fried, 2 qian), Morus alba root bark (Sangbaipi, stir-fried, 0.5 liang), Arecae Semen (Binglang, 0.5 liang), Saposhnikoviae Radix (Fangfeng, 0.5 liang), Notopterygii Rhizoma et Radix (Qianghuo, 1 liang).
Usage: Cut into pieces. Take 2 qian per dose, decoct with 30 black soybeans. Take after milk or food.

Shengfeng Tang: See Question 14.

Fangfeng Tongsheng San: Treats pediatric convulsive wind due to severe heat, or slow eruption of macules and papules, even critical cases with dark, depressed lesions nearing death, or chronic wind-heat sores and scabies, and various wind-heat patterns.
Ingredients: Saposhnikoviae Radix (Fangfeng, remove rhizome, 0.5 liang), Schizonepetae Spica (Jingjie, 2.5 qian), Chuanxiong Rhizoma (Chuanxiong, 0.5 liang), Rheomi Radix (Jinwen Dahuang, 0.5 liang), Angelicae Sinensis Radix (Danggui, 0.5 liang), Menthae Haplocalycis Herba (Boheye, 0.5 liang), Paeoniae Radix (Shaoyao, 0.5 liang), Ephedrae Herba (Mahuang, remove roots and joints, 0.5 liang), Natrii Sulfas (Mangxiao, 0.5 liang), Gypsum Fibrosum (Shigao, fine texture preferred, 1 liang), Scutellariae Radix (Huangqin, 1 liang), Platycodonis Radix (Jiegeng, 1 liang), Talcum (Huashi, 6 liang), Glycyrrhizae Radix et Rhizoma (Gancao, 2 liang), Atractylodis Macrocephalae Rhizoma (Baizhu, 2.5 qian), Gardeniae Fructus (Shanzhizi, small ones preferred, 2.5 qian).
Usage: Coarsely grind. Take 2 qian per dose, add two slices of Zingiberis Rhizoma (Shengjiang), decoct one cup of water to 0.7 portion, strain, and take at any time. Also treats prolonged mutism after stroke or sudden aphonia.

Huafeng Dan: See Question 19.

Gouteng San: See Question 16.

Zhibao Dan: See Question 20.