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It arises after food stagnation, with a warm body, excessive salivation and somnolence, or vomiting, anorexia, followed by convulsions. One should first stop the convulsions; after they subside, administer *Baibing Zi* (White Pill) to purge the accumulation, and subsequently take *Anshen Wan* (Calming the Spirit Pill).

True [internal] cases will result in death within two or three episodes; false [external] cases occur frequently but are not severe. True cases involve internal generation of fright-epilepsy, while false cases result from external contraction of wind-cold. This is because the child's qi and blood are not yet substantial, and thus cannot withstand the pathogenic factors, leading to convulsions. To identify a false case, observe that the breath exhaled from the mouth is hot. Treatment can employ dispersing methods, primarily using *Daqing Gao* (Great Cyan Ointment), as well as methods for applying paste to the fontanelle and bathing the body.

Convulsions triggered by loud noises or sudden fright, which resolve completely after the episode, indicate a deficiency of yin. Purging is indicated, primarily using *Lijing Wan* (Draining Fright Pill).
Pediatric acute fright-convulsion originates fundamentally from heat generated in the heart. Symptoms include fever, flushed face, thirst, hot breath, yellow and red urine and stool, and convulsions in severe cases. Since excessive heat generates wind, and wind corresponds to the liver, this represents excess yang and deficient yin. Therefore, *Lijing Wan* is used to eliminate phlegm-heat. Do not use *Radix Euphorbiae Lathyridis* (Badou, Croton Seed) or other warming purgatives for strong evacuation, lest it cause deficiency-heat to accumulate and fail to dissipate. When pediatric phlegm-heat lodges in the heart and stomach, unusual sounds may trigger movement and fright-convulsions. If heat is extreme, convulsions may occur spontaneously even without auditory stimuli or fright.

Following illness, or due to vomiting and diarrhea damaging the spleen and stomach, resulting in coldness throughout the body, cold breath from the mouth and nose, occasional spasms of the hands and feet, lethargy, and sleeping with eyes partially open. This indicates a deficiency of yang, treated primarily with *Gualou Tang* (Trichosanthes Decoction).
Acute and chronic fright-convulsions present different yin and yang syndromes; it is crucial to distinguish them before treatment. Acute cases require cooling and purging, while chronic cases require warming and tonifying. Common prescriptions in the world often fail to distinguish between them, causing much harm to children. Furthermore, when a child contracts wind-cold and suffers from vomiting and diarrhea, physicians may attribute it to spleen deficiency and treat with warming tonification. If ineffective, they may switch to cooling medicines; if still ineffective, they may diagnose it as initial wind injury and apply indiscriminate attacking methods. Because the spleen qi is already deficient, it cannot disperse internally nor resolve externally. After more than ten days, symptoms often include somnolence with exposed eyes, mild warmth of the body, and wind residing in the spleen and stomach, causing loose stools and diarrhea. One must expel the wind from the spleen; once the wind recedes, the diarrhea will cease. *Xuanfeng San* (Wind-Dispersing Powder) is primarily used. Subsequently, *Shijunzi Wan* (Quince Seed Pill) is used to tonify the stomach. There are also cases where prolonged vomiting and diarrhea do not heal, leading to spleen deficiency generating wind and evolving into chronic fright-convulsion.