急惊之后传如疟,外感风邪为气虚,略表次和脾与胃,自然寒热得消除。
阴盛阳虚病已深,吐余泻后睡扬睛,神昏搐缓涎流甚,此证分明是慢惊。
搐证虽分急慢惊,亦因气郁致昏沉,良医欲治宜宽气,气顺之时搐自停。
诸风夹热隐皮肤,凝结难为陡(音斗)顿除,项颊肿须护喉舌,内疏风热外宜涂。
跌扑皮肤因破损,外风侵袭在伤痕,随时发肿微加痛,活血疏风是要言。
头疼身热腹微胀,足冷神昏只爱眠,因食所伤脾气弱,下宜迟缓表宜先。
大府无时泄下青,见人啾唧似生嗔,解惊去积宜施剂,立致精神起卧宁。
诸热元初各有因,对时发者是潮名,乍来乍止为虚证,晚作无寒属骨蒸。
脾虚胃弱病根源,水谷如何运化行,清浊相干成吐泻,久传虚渴便风生。
伤寒之候有多般,一概推详便究难,面目俱红时喷嚏,气粗身热是伤寒。
恶风发热头应痛,两颊微红鼻涕多,汗出遍身兼咳嗽,此伤风证易调和。
身微有热生烦躁,睡不安兮神不清,此是夹惊感寒证,亦须先表次宁心。
鼻涕头疼时吐逆,面黄红白变不一,此因夹食又伤寒,发表有功方下积。
表而未尽遽宣通,通后从而喘气攻,此是阳微阴弱证,肺经再受有邪风。
After the acute convulsion syndrome (Ji Jing Feng), the condition transmits to resemble malaria; this is due to external contraction of wind pathogen and deficiency of Qi. A mild release of the exterior should be performed first, followed by harmonizing the Spleen and Stomach, so that the alternating chills and fever will naturally resolve.
When Yin is excessive and Yang is deficient, the disease has progressed deeply. After vomiting and diarrhea, the child sleeps with eyes rolling upward. With unconsciousness, slow convulsions, and profuse salivation, this syndrome is clearly identified as chronic convulsion syndrome (Man Jing Feng).
Although convulsive disorders are divided into acute and chronic convulsions, they also arise from Qi stagnation leading to lethargy. To treat effectively, a skilled physician should soothe and regulate the Qi; when the Qi flows smoothly, the convulsions will cease spontaneously.
Various wind pathogens combined with heat hide in the skin, coagulating and resisting sudden removal. If the neck and cheeks swell, the throat and tongue must be protected. Internally, wind-heat should be purged, and externally, topical applications are suitable.
Falls or blows cause skin damage, allowing external wind to invade the wounds. Swelling occurs readily with slight pain; promoting blood circulation and dispersing wind are the key therapeutic principles.
Headache, body heat, slight abdominal distension, cold feet, unconsciousness, and a preference for sleep indicate injury from food retention weakening the Spleen Qi. The purgative method should be applied cautiously and slowly, while releasing the exterior should be prioritized.
Unscheduled passage of green stool, whimpering upon seeing people as if angry, requires formulas to relieve convulsions and eliminate accumulation. This can immediately restore vitality and ensure peaceful rest.
Various febrile conditions have different initial causes. Fevers occurring at specific times are termed tidal fever (Chao Re). Fevers that come and go abruptly indicate deficiency syndromes. Evening-onset fever without chills belongs to bone-steaming consumption (Gu Zheng).
Spleen deficiency and Stomach weakness are the root of the disease; how can water and grain be transported and transformed? Interference between clear and turbid Qi leads to vomiting and diarrhea. Prolonged transmission results in deficiency-thirst and internal wind (Bian Feng).
The manifestations of Cold Damage (Shang Han) are manifold, making comprehensive analysis difficult. Redness of the face and eyes, frequent sneezing, coarse breathing, and body heat characterize Cold Damage.
Aversion to wind, fever, headache, slightly red cheeks, and abundant nasal discharge, accompanied by generalized sweating and coughing, constitute Wind Injury (Shang Feng), which is easy to harmonize.
Slight body heat with irritability, restless sleep, and unclear spirit indicate Cold Damage complicated by Convulsion (Jia Jing Gan Han). Treatment must first release the exterior, then calm the Heart.
Nasal discharge, headache, frequent regurgitation, and variable facial coloration (yellow, red, white) indicate Cold Damage complicated by Food Retention. Only after the efficacy of releasing the exterior is achieved should accumulation be purged.
If the exterior is not fully released and one hastily promotes unblocking, subsequent wheezing and Qi attack may occur. This indicates weak Yang and deficient Yin, with the Lung Meridian suffering secondary invasion by wind pathogen.
Children suffering from Cold Damage complicated by Wind often present with excessive eye discharge and tearing, reddened cheeks, cold sweat on the Taiyang region, slight wheezing, and saliva dripping onto the chest.
When both Wind and Cold strike simultaneously, sweating is difficult to achieve. Heavy use of Xionghuang San (Realgar Powder) is effective. Once sweating occurs, treatment remains viable; do not allow the absence of sweat to progress to opisthotonos (Zhang Gong).