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Qian Yi stated: If pediatric convulsions and tremors (Jing Chu) occur after a wind-cold injury, characterized by hot breath from the mouth, yawning, restlessness and oppression, and trembling of the limbs, dispersing methods should be used, with Da Qing Gao (Great Blue Ointment) as the primary formula. Children are naturally timid and prone to this disease.

If convulsions occur after food retention, characterized by slight body warmth, excessive sleepiness, or vomiting and anorexia leading to convulsions, the convulsions should first be arrested. After the convulsions subside, Bai Bing Zi (White Pill) should be administered to purge accumulation, followed by An Shen Wan (Calming the Spirit Pill) for treatment.

Only convulsions caused by macules and papules (Chuang Zhen) result from the struggle between wind and fire; treatment should involve purging the Heart and Liver and tonifying their mother organ (Kidney).

Note: Pediatric cases where the above symptoms arise from wind-cold injury are similar to adults contracting wind-cold. One must distinguish between yin and yang syndromes based on the presence or absence of sweating. Da Qing Gao or formulas similar to Zhang Zhongjing's Xiao Xu Ming Tang (Minor Continuation of Life Decoction) should be used to open the pores, leading to recovery.

Convulsions caused by food retention refer to sudden convulsions without other illnesses, resulting from overeating damaging the Spleen and Stomach. Symptoms include excessive sleepiness, vomiting, and anorexia. Since the Spleen and Stomach are deficient, they draw out Liver Wind, causing convulsions. The convulsions should first be arrested, then Xie Qing Wan (Drain Green Pill) should be taken with a decoction of Qiang Huo (Notopterygii Rhizoma et Radix) and Fang Feng (Saposhnikoviae Radix). Subsequently, Bai Bing Zi should be used to purge food stagnation. Gradually, Tiao Zhong Wan (Regulate the Middle Pill) and Yi Gong San (Extraordinary Efficacy Powder) should be used to nourish Qi.

Convulsions arising from macules and papules generally occur because rashes are generated by Spleen deficiency. Spleen deficiency allows excessive Liver Qi to invade the Earth element; Wood overcoming Earth creates conflicting forces that disturb the Heart Spirit. The Heart governs joy; heat disturbs the spirit, causing spiritual unrest, thus manifesting the disease. Macules are generated by the Heart, which governs heat. Excessive heat generates wind, which belongs to the Liver. The conflict between these two organs causes convulsions. Treatment should involve purging the Heart and Liver and tonifying their mother organ, using Dao Chi San (Direct Out Red Powder) and Di Huang Wan (Rehmannia Pill) as primary formulas.

Pediatric Jing Feng (Startling Wind) is divided into two categories: Ji Jing Feng (Acute Startling Wind) belongs to Phlegm-Heat and is suitable for cooling and purging methods; one school suggests using Jiang Huo Xia Tan Wan (Descend Fire and Resolve Phlegm Pill) combined with blood-nourishing herbs in a decoction. Man Jing Feng (Chronic Startling Wind) is governed by Spleen deficiency, often has a poor prognosis, and is suitable for warming and tonifying methods; another view suggests nourishing the Spleen using Zhu Sha An Shen Wan (Cinnabar Calming Spirit Pill) taken with rice water, seeking remedies within blood-nourishing prescriptions. It is highly erroneous for people to use a single medicine to treat both conditions universally.

For Acute Startling Wind accompanied by fever, mouth ulcers, latent heat in the palms, phlegm cough, and phlegm wheezing, emetic methods should be employed. For severe cases, Gua Di San (Melon Peduncle Powder) is used; for mild cases, a powder of Chi Xiao Dou (Vigna umbellata) and Ku Shen (Sophorae Flavescentis Radix), mixed with sour vinegar juice, is administered. Once the condition stabilizes slightly, Tong Sheng San (Universal Salvation Powder) honey pills are taken. During this period, dried mulberry tree insects (Sang Niu), ground into powder and mixed, can be taken to pacify wind. Another prescription consists of Bei Bo He Ye (Mentha haplocalyx Leaf), Han Shui Shi (Stibnite), each 1 liang; Qing Dai (Indigo Naturalis), Bai Jiang Can (Bombyx Batryticatus), and Chen Sha (Cinnabaris), each 1 qian; Quan Xie (Scorpio) 2 pieces; Zhu Ya Zao Jiao (Gleditsia Sinensis Fructus Spina) and Huai Jiao (Sophorae Tonkinensis Fructus), each 5 fen. These are ground into powder and administered with Deng Xin Tang (Junci Medullae Decoction) mixed with breast milk.

If opisthotonos (rigid arching of the back) and fixed gaze occur due to startling wind, Nan Xing (Arisaema Cum Bile) and Ban Xia (Pinelliae Rhizoma) should be administered with Ginger Juice and Bamboo Sap. Additionally, moxibustion should be applied to Yin Tang (Extracranial Point).

When frequent vomiting and diarrhea are about to transform into Chronic Startling Wind, Qian’s Bai Zhu San (Atractylodis Macrocephalae Powder) should be used, adding Shan Yao (Dioscoreae Rhizoma), Bian Dou (Vigna unguiculata), and roasted Rou Dou Kou (Myristicae Semen) prepared with flour, each 1 qian, with one slice of ginger, decocted and taken.

If Chronic Startling Wind has already manifested, add Xi Xin (Asari Radix et Rhizoma) and Tian Ma (Gastrodiae Rhizoma), each 1 qian; three Quan Xie (Scorpio) with tips removed; and Ba Fu Zi (Fuzi Preparata) 8 fen, roasted with flour. For diarrhea caused by startling, use Ren Shen (Ginseng Radix), Ling Zhu (Poria), Shao Yao (Paeoniae Radix alba) stir-fried with wine, and Bai Zhu (Atractylodis Macrocephalae Rhizoma) stir-fried with ginger juice. In summer, add Huang Lian (Coptidis Rhizoma), Sheng Gan Cao (Glycyrrhizae Radix et Rhizoma), and Zhu Ye (Bambusae Folium).