较客忤更甚。如老柩腐尸、淫祠古树、冷庙枯井、败屋阴沟，皆有恶毒之气，小儿触之
，从鼻孔入肺，闭其清道，窒塞胸中。忽然而倒，四肢厥冷，两手握卷，上气喘急者是也。
复有中恶毒之物者，如菌蕈、河豚、瘟牛、疫马自死六畜，并水鸡虾蚌等类，自口而入，则
肠胃受之，故心腹刺痛，腹皮青黑。前后二症，俱宜搐鼻散搐鼻，令其喷嚏，毒瓦斯散出，然
返魂汤 治前症中恶气死者。
麻黄（去节，二钱） 杏仁（去皮，七个） 炙草（一钱） 葱白（三寸） 水（一盅） 煎至半盅，分数次
解毒雄黄丸 治后症中毒物死者。
明雄黄 巴豆霜（各一钱） 川郁金（二钱） 研末，醋和米汁打糊为丸，绿豆大，每用三五丸
，白汤下，以利为度。
幼科以此为急惊，其实小儿气血未充，所以一受大惊卒恐，神气失散，愦乱不堪，又何
实邪之有?收复正气犹恐不及，安可以急惊而用清散耶!即如朱砂、琥珀之类，不过取其镇坠
，亦非救本之法。夫急惊由于风热，慢惊由于脾肾之虚。而此以大惊受困者，本于心胆受伤
、神气陡离之病，当以收复神气为主。宜秘旨安神丸、团参散、独参汤之类加金银物煎服。
秘旨安神丸 原治心血虚而睡中惊惕，并治大惊卒恐。又治大病后夜啼。
人参 枣仁（炒） 茯神 法半夏（各一钱） 大当归 白芍 橘红（各七分） 北五味（七粒，捶扁
炙甘草（五分）
共为细末，炼蜜为丸，如芡实大，每服一丸，生姜汤下。
团参散 治心虚血热、自汗盗汗之类，并治大惊卒恐。
人参 当归（等分）
共为细末，用雄猪心一个，切作三片，每以药末二钱，用猪心一片，煎汤服。加桂圆三
More severe than Ke Wu (a disease in infants caused by exposure to strange odors or fright). Such as old coffins, rotting corpses, ancient trees of illicit shrines, desolate temples, dry wells, dilapidated houses, and dark ditches; all possess evil toxic qi. When children are exposed to these, the pathogenic factor enters the lungs through the nose, obstructing the clear pathways and causing blockage in the chest. They suddenly fall down, with cold limbs, clenched fists, and rapid upper-body panting; this is the condition described.
There are also cases of poisoning by toxic substances, such as mushrooms, pufferfish, cattle dead from plague, horses dead from epidemic diseases, and other livestock that died naturally, as well as water frogs, shrimp, clams, and similar items. Entering through the mouth, these affect the intestines and stomach, resulting in stabbing pain in the heart and abdomen, and bluish-black discoloration of the abdominal skin. For both the former symptom (poisoning by evil qi) and the latter symptom (poisoning by toxic substances), it is appropriate to use Chu Bi San (Sneeze-Nose Powder) insufflated into the nose to induce sneezing, thereby dispersing the toxic vapors. However, Fan Hun Tang (Revive-Soul Decoction) is used to treat death caused by the former condition of inhaling evil qi.
Ephedrae Herba (Mahuang, 麻黄) (remove joints, 2 qian), Armeniacae Semen Amarum (Xingren, 杏仁) (remove skin, 7 seeds), Glycyrrhizae Radix et Rhizoma Praeparata cum Melle (Zhigancao, 炙甘草) (1 qian), Scallion White (Congbai, 葱白) (3 cun), Water (1 zhong). Decoct until half a zhong remains, and divide into several doses for administration.
Jiedu Xionghuang Wan (Detoxifying Realgar Pill) is used to treat death caused by the latter condition of ingesting toxic substances.
Realgar (Mingxionghuang, 明雄黄), Crotonis Fructus Frost (Badoushuang, 巴豆霜) (each 1 qian), Curcumae Radix (Chuan Yujin, 川郁金) (2 qian). Grind into fine powder, mix with vinegar and rice juice to form a paste, make into pills the size of mung beans. Take 3-5 pills each time, administered with plain warm water, stopping when bowel movement occurs.
If the specific disease is unknown, blow Chu Bi San (Sneeze-Nose Powder) into the nose. If no medicine is available, take one pill of dog feces, extract its juice, and administer orally.
Pediatric practitioners often classify this as Ji Jing Feng (Acute Convulsion). In reality, because a child's Qi and Blood are not yet fully developed, upon experiencing sudden great fright, the Shen Qi (Spiritual Energy) scatters and becomes chaotically disordered. Where could there be any excess pathogenic factors? It is barely sufficient to restore the healthy Qi; how can one use clearing and dispersing methods intended for Acute Convulsion? Substances like Cinnabar (Zhusha, 朱砂) and Amber (Hupo, 琥珀) merely serve to anchor and settle, which is not a method to save the root. Acute Convulsion arises from Wind-Heat, while Chronic Convulsion arises from Spleen and Kidney deficiency. This condition, however, is caused by confinement due to great fright, rooted in injury to the Heart and Gallbladder and the sudden departure of Shen Qi. The treatment should focus primarily on recovering the Shen Qi. It is suitable to use Mizhi Anshen Wan (Secret Instruction Calming Spirit Pill), Tuanshen San (Round Ginseng Powder), or Dushen Tang (Single Ginseng Decoction), added with gold or silver foil, decocted and administered.
Mizhi Anshen Wan (Secret Instruction Calming Spirit Pill) originally treats palpitations during sleep due to Heart Blood deficiency, and also treats sudden great fright. It further treats night crying after serious illness.
Ginseng Radix et Rhizoma (Renshen, 人参), Ziziphi Spinosae Semen (Zaoren, 枣仁) (stir-fried), Poria (Fushen, 茯神), Pinelliae Rhizoma Preparatum (Faxiaosu, 法半夏) (each 1 qian), Angelicae Sinensis Radix (Danggui, 当归) (large), Paeoniae Radix Alba (Baishao, 白芍), Citri Reticulatae Pericarpium (Juhong, 橘红) (each 0.7 fen), Schisandrae Fructus (Bei Wuwei, 北五味子) (7 grains, crushed flat), Glycyrrhizae Radix et Rhizoma Praeparata cum Melle (Zhigancao, 炙甘草) (0.5 fen).
Grind all into fine powder, mix with refined honey to make pills the size of Euryale Seed (Qianshi, 芡实). Take one pill per dose, administered with Ginger Decoction.
Tuanshen San (Round Ginseng Powder) treats conditions such as Heart deficiency with Blood Heat, spontaneous sweating, and night sweating, and also treats sudden great fright.
Ginseng Radix et Rhizoma (Renshen, 人参), Angelicae Sinensis Radix (Danggui, 当归) (equal parts).
Grind all into fine powder. Use one male pig heart, sliced into three pieces. For each dose, take 2 qian of the powder and one slice of pig heart, decoct in water, and drink the soup. Add three Longan Arillus (Guiyuan, 桂圆)