小儿有热。热甚生惊。惊盛发搐。又盛则牙关紧急。而八候生焉。八候搐搦掣颤反引窜视也。
搐者。儿两手伸缩。搦者。十指开合。掣者。势如相扑。颤者。头偏不正。反者。身仰向后。引者。臂
若开弓。窜者。目视似怒。视者。露睛不活。是八候也。又有惊风痰热之四症。相因而生。二十四惊
之症。然总不外急慢两端。
急惊推拿宜泄。痰火一时相攻。自上而下莫从容。攻去痰火有用。推拿慢惊须补。自下而上
相从。一切补泄法皆同。男女关腑异弄。急惊父母惶恐。慢惊医者担心。不语口闭眼翻睛。下手便
掐威灵。大指两手齐掐。儿嫩隔绢为轻。一声叫醒得 忻。不醒还须法应。口鼻业已无气。心窝尚
觉微温。人中一烛四肢心。后烛承山有准。囟陷不跳必死。开而跳者还生。再掐中冲要知音。知痛
声音动听。大 眼可掐动。肾头掐亦苏醒。两乳穴下探生死。舍此何须又论。慢因吐泻已久。食积
脾伤而成。先止吐泄补脾经。莫使慢惊成症。脾虚饮食不消。胃冷冻饮料食难进。眼转气虚吐弱甚。慢
脾惊候一定。面上已无气色。痰又满在咽喉。慢惊风症使人愁。补脾清痰速救。慢惊诸法无救。用
艾咪粒为形。百会三壮烛醒醒。久咳又烛乳根。
儿初生柔软。眼闭不开。其原因在母腹中受气不全。即胎受伤。宜掐威灵为主。如掐之不叫。
用灯火烛上天心一 。涌泉一 。宜推三关。补肺经为主。
Infants with internal heat may develop convulsions (Jingfeng) when the heat becomes severe. Severe convulsions lead to spasms; if they intensify further, the jaw becomes rigid, giving rise to the "Eight Signs" (Ba Hou). The Eight Signs refer to: spasm (Chu), grasping (Nuo), jerking (Che), trembling (Chan), retraction (Fan), drawing (Yin), darting (Cuan), and staring (Shi).
"Chu" refers to the infant's hands extending and retracting. "Nuo" refers to the opening and closing of the ten fingers. "Che" refers to movements resembling the struggle in wrestling. "Chan" refers to the head tilting abnormally. "Fan" refers to the body arching backward. "Yin" refers to the arms extending as if drawing a bow. "Cuan" refers to the eyes glaring as if angry. "Shi" refers to the eyes half-open, showing the whites, with a fixed gaze. These constitute the Eight Signs. Additionally, there are four accompanying symptoms arising from the interplay of wind-phlegm-heat due to fright, along with twenty-four specific manifestations of convulsions. However, these can be broadly categorized into two types: acute convulsions (Ji Jing) and chronic convulsions (Man Jing).
For acute convulsions, tuina therapy should employ draining (Xie) methods. This is because phlegm-fire attacks simultaneously, moving from top to bottom with rapid onset. If phlegm and fire are expelled, tuina can be effective. For chronic convulsions, tuina therapy must employ tonifying (Bu) methods, addressing the pathology moving from bottom to top. The principles of tonification and drainage are generally consistent. Treatment differs slightly between male and female infants regarding organ regulation. Parents often panic during acute convulsions, while physicians worry about chronic cases. If the child is mute, has a closed mouth, and rolled-back eyes, immediately pinch the Weiling point (BL58). Use both thumbs to pinch simultaneously; since infants' skin is tender, place a silk cloth between the thumb and skin to reduce intensity. If the child cries upon pinching, it indicates improvement; if not, other methods must be applied. If breath ceases from the nose and mouth but warmth remains in the heart region, moxa should be applied to the Renzhong point (GV26) and the heart meridians of the limbs, followed by moxibustion on the Chengshan point (BL57), which is reliable. If the fontanelle is sunken and does not pulse, death is certain; if it pulses after treatment, survival is possible. Pinch the Zhongchong point (PC9) again to assess prognosis: pain response and audible sounds indicate preserved hearing. The Dazhun point (LR1) can also be pinched to restore consciousness, and pinching Yongquan (KI1) may also revive the child. Probe for signs of life or death below the nipples; beyond this, no further discussion is needed.
Chronic convulsions often result from prolonged vomiting and diarrhea, leading to food stagnation and spleen injury. Treatment should first stop vomiting and diarrhea and tonify the Spleen Meridian to prevent the formation of chronic convulsion syndrome. If spleen deficiency causes indigestion and stomach cold prevents intake of fluids and food, eye movement indicating qi deficiency and weak vomiting signify the condition of Chronic Spleen Convulsion. The face loses luster, and phlegm fills the throat. Chronic convulsions cause distress; one must tonify the spleen and clear phlegm for rapid rescue. If all methods for chronic convulsions fail, use moxa cones the size of rice grains to apply three moxibustion sessions at the Baihui point (GV20) to awaken consciousness. For persistent cough, add moxibustion to the Rugen point (ST18).
Newborns are soft-bodied with closed eyes. The cause is incomplete reception of Qi in the womb, resulting in fetal injury. Treatment should primarily focus on pinching the Weiling point (BL58). If pinching does not elicit crying, use fire-lighting moxibustion once on the Tianxin point (EX-HN14) and once on the Yongquan point (KI1). Pushing the Three Gates (San Guan) and tonifying the Lung Meridian are appropriate.