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Acute convulsion (Ji Jing) causes panic among parents, while chronic convulsion (Man Jing) worries physicians. The child is mute, mouth closed, and eyes rolling upward. Immediately pinch the Weilings point (威灵). Simultaneously pinch with both thumbs. Since the infant's skin is tender, use a layer of silk gauze as an interlayer and apply light pressure. If the child cries out loudly showing vitality, it is auspicious; if not waking, other emergency methods must be employed. A sunken fontanelle that does not pulsate indicates certain death; an open fontanelle that pulsates indicates survival. Pinch the Zhongchong point (中冲) again to assess prognosis; hearing a responsive cry indicates spirit is present. Pinching the outer canthus may induce movement; pinching the heel (Shentou) may also restore consciousness. Probe for life and death at the points below the two breasts; beyond this, no further discussion is needed.

The acupoints on the entire body of a child are treated identically on both left and right sides. The techniques for pushing San Guan (Three Passages) and retreating Liu Fu (Six Bowels) must be integrated flexibly, adapting to upper/lower body differences and gender variations. (For males, use the left hand; for females, use the right hand. For males, pushing from the lateral side towards the medial side of the left hand is tonification [Bu], and pushing from medial to lateral is clearing [Qing]; for females, the operation is reversed on the right hand.)

For the Spleen Earth point (Pitu), tonification for males is performed by pushing the left side, while for females, tonification is achieved by rotating the right side. Yin and Yang differ, reflecting natural skill. Except for these, the remaining points generally share common techniques. Acute convulsion requires draining techniques because phlegm and fire attack each other suddenly. When pathogenic factors move from interior to exterior, one cannot act leisurely; eliminating phlegm and fire is effective. Chronic convulsion requires tonifying techniques, with movements following from exterior to interior. All tonifying and draining principles are essentially the same, but operations on San Guan and Liu Fu differ between genders. Although the laws are fixed, flexibility depends on the physician's mind. Distinguish the severity of root and branch conditions; determine deficiency and excess based on symptoms. Newborns require light finger-pointing; children aged two or three require moderate force. Pushing becomes deeper for ages five to seventy. Physicians must progress step-by-step to achieve divine proficiency. One-year-olds require 300 manipulations; two-year-olds require 600 without doubt. Infants within months should be treated gently; adjust cold/heat intensity accordingly. Children over sixteen years old find manipulation laborious and difficult to sustain. If the disease persists after seven or ten days, and deficiency is mistaken for excess (false fullness), who can treat it? Avoid pushing San Guan, as it causes foot heat and difficulty in urination and defecation. Avoid retreating Liu Fu if there is severe thirst, red cheeks, red eyeballs, rapid pulse, panting, and tongue protrusion, as it leads to blue or pale complexion. Avoid it if the pulse is faint, vomiting occurs, abdomen is distended and empty, feet are cold, and eyes are blue.

Conditions suitable for purgative (Xia) techniques in children: Excess-heat patterns with red face and eyes, abdominal distension, hypochondriac fullness, and difficult-to-pass accumulation; edema and painful swelling of the cheeks; dark yellow urine, high fever; panting and food stagnation requiring attack; widespread sores and ulcers with bleeding; hard abdomen and abdominal pain requiring combination with purgatives.

Contraindications for purgative techniques: Sunken fontanelle, cold limbs, lack of spirit; spontaneous sweating and frequent diarrhea; Qi deficiency with unbearable dry heaving; pale face and indigestion; deficiency-pattern tidal fever and borborygmus; dry hair, mental fatigue, and faint/deep pulse; irritability, nasal congestion, and severe coughing.