小儿惊痫者。世俗之总名。须分轻重也，轻者但身热面赤。睡眠不安。悸惕上窜。不发摇者。此名惊也。重
者上视身强。手足拳。发
搐者。此名痫也。其发搐之病，最为重大。必有因渐。亦有将发之候。以明之也。养小儿之家。若能辨之。求治
于未发之前。不惟易愈。又不至于危殆。今集欲发搐候下项。
目上视喜惕者。欲发搐也。身热项强。常汗出者。欲发搐也。手足喜振掉者。欲发搐也。摇头弄舌者。欲发
搐也。喜欠目直面青者。欲发搐也。潮热或壮热不歇者。欲发搐也。睡中时笑。或狂语言。手足摇动者。欲发搐
也。鼻中燥。大便小便不利者。欲发搐也。发上逆。啼。面暗色不变者。欲发搐也。身热吐 喘粗者。欲发搐
也。噫气下而妄怒者。欲发搐也。鼻口青。喜忪悸者。欲发搐也。切牙甚者。欲发搐也。目直色赤或青者。欲发
搐也。瞳子卒大异常者。欲发搐也。面色青黄。上窜气急者。欲发搐也。眼斜视者。欲发搐也。咽乳不和或
噎乳。唇舌紧者。欲发搐也。涎盛膈壅。呀呷有声者。欲发搐也。卧而不安。身热不乳。数惕跳者。欲发搐也。
体热口中气亦热。面目青。呵欠顿闷者。欲发搐也。掌中赤。印内青筋见。怕物生涎者。欲发搐也。吐痢不止。
厥痛时起者。欲发搐也。唇口颊腮青。手足心皆热喜冷者。欲发搐也。目痴昏闷。撮口吐
舌者。欲发搐也。身热小便难。或目直视。或视不精。皆欲发搐也。
孙真人曰。小儿眠睡不稳。或身热之时。见有诸小惊之证。辄紫丸微下之。减其盛气。令终不病痫发搐也。
月用一次甚佳。（方已在前变蒸门中）
Pediatric "Jing Xian" (Startle and Epilepsy) is a general term used by the common people for such diseases. It is necessary to distinguish between mild and severe cases. In mild cases, there is only body heat, redness of the face, restless sleep, palpitations with startle and upward gazing movements, but without limb shaking or convulsions; this is called "Jing" (Startle). In severe cases, there is upward gazing of the eyes, rigidity of the body, clenched fists and toes, raised hair, and convulsions; this is called "Xian" (Epilepsy). Among these, the condition of "Fa Chu" (Convulsion) is the most critical. It must have a gradual cause, and there are also prodromal signs before onset that need to be clarified. Families raising children, if they can identify these signs and seek treatment before the convulsion occurs, will not only find it easier to cure but also avoid critical danger. The following are collected as the prodromal signs of impending convulsion:
Eyes looking upward with frequent startle indicates impending convulsion. Body heat, neck stiffness, and frequent sweating indicate impending convulsion. Frequent trembling or shaking of hands and feet indicates impending convulsion. Shaking the head and playing with the tongue indicates impending convulsion. Frequent yawning, staring straight ahead, and bluish complexion indicate impending convulsion. Tidal fever or persistent high fever indicates impending convulsion. Laughing frequently during sleep, or speaking deliriously with shaking hands and feet indicates impending convulsion. Dry nose and difficulty in urination or defecation indicate impending convulsion. Qi rebelling upward, crying, and unchanging dull complexion indicate impending convulsion. Body heat, vomiting, and coarse breathing indicate impending convulsion. Belching downward with irrational anger indicates impending convulsion. Bluish color around the nose and mouth, with frequent palpitations and startle indicates impending convulsion. Severe teeth grinding indicates impending convulsion. Staring eyes with red or bluish complexion indicates impending convulsion. Sudden abnormal enlargement of the pupils indicates impending convulsion. Bluish-yellow complexion with rapid breathing and upward qi movement indicates impending convulsion. Strabismus (deviated gaze) indicates impending convulsion. Difficulty in suckling or choking on milk, with tight lips and tongue indicates impending convulsion. Excessive saliva, chest diaphragm congestion, and noisy breathing indicate impending convulsion. Restless lying down, body heat, refusal to nurse, and frequent startled jumping indicate impending convulsion. Body heat, hot breath from the mouth, bluish face and eyes, yawning accompanied by drowsiness indicates impending convulsion. Red palms, visible blue veins in the palm creases, fear of objects, and excessive salivation indicate impending convulsion. Unstopping vomiting and diarrhea, with intermittent cold limbs and pain indicates impending convulsion. Bluish lips, corners of the mouth, cheeks, and jaw, with hot palms and soles and preference for cold indicates impending convulsion. Dull and confused eyes, puckering the mouth and protruding the tongue indicates impending convulsion. Body heat with difficult urination, or staring eyes, or blurred vision, all indicate impending convulsion.
Sun Simiao said: When infants have unstable sleep or body heat, and exhibit various minor signs of startle, one should use Zi Wan (Purple Pill) to slightly induce purgation, thereby reducing the excess pathogenic qi, ensuring that epilepsy and convulsions do not ultimately develop. Using it once a month is very effective. (The formula has been listed earlier in the section on Bian Zheng).