方脉中有中寒中暑诸症。时医混以为中风。东垣、景岳以非风别之。善矣。儿科有急惊风慢
惊风二症。不惟惊字全无干涉。即风字亦未可混称。乃自有惊风之名。而滥以丸子相投。从
此小儿之遭其劫者。不知万万矣。试思惊字何解。凡受吓者谓之惊。吓则神魂失守。心神恍
惚。惕惕悸动。唯心虚者易犯此。在方脉中亦有之。儿科中大惊猝恐一症。即此候也。是真惊
也。故用药以人参、五味、枣仁、丹参等安神定魂为主。断无有攻痰散风而能治惊症者。且风
字亦有二义。在外感则为风邪。宜用表散。在内病则为肝风。宜用镇息。今混言之曰风。究竟
外风乎。内风乎。治外风之药不可以治肝。治肝风之药不可以解表。甚矣哉其混也。盖时俗
所谓急惊风者。痰火闭也。小儿受暑热则生火。乳积则生痰。痰火相搏。则血虚而肝失所养。
肝主筋。筋脉干热则抽搐。故外作拘挛。面现青色。是肝燥而风内动。非外风也。是痰火闭其
窍。而目窜牙紧发厥。非吓惊也。但利其窍。清其火。降其痰。则神醒矣。此症即不医亦能自醒。
而漫以惊风名之可乎。世俗所谓慢惊风者。脾虚生风也。小儿或吐或泻。久则脾虚。肝木乘
之。手足微搐。是内风侮土。非外风也。阳衰神怠。气息短促。是中气脱乏。非吓惊也。宜补其脾。
回其阳。则土振而木静矣。此症不补必死。而谬以惊风名之可乎。且急惊为实火症。慢惊为
虚寒症。如水火然。治急惊药不可以治慢。治慢惊药不可以治急。而世俗竟有以一粒丹丸。
名之曰治急慢惊风。欺人乎。欺天乎。兹特并揭之曰非惊。而分为痰火闭症。木侮土症。则为
实为虚。当各求其病源而治之。而小儿庶不至于枉死。
In adult internal medicine pulse patterns, there are various syndromes such as Cold Stroke (Zhong Han) and Heat Stroke (Zhong Shu). Contemporary physicians indiscriminately treat them all as Wind Stroke (Zhong Feng). Li Dongyuan and Zhang Jingyue distinguished them using the concept of "Non-Wind" (Fei Feng), which was excellent. In pediatrics, there are two syndromes: Acute Convulsion (Ji Jing Feng) and Chronic Convulsion (Man Jing Feng). These have not only no relation to the character "Convulsion/Jing" (Jing), but the character "Wind/Feng" should also not be used indiscriminately. Yet, since the name "Convulsion-Feng" exists, pills are滥ly administered, causing countless pediatric deaths from this mismanagement. Let us consider what "Jing" means. Those who are startled are called "Jing". After being startled, the Hun and Shen spirits lose their residence, the Heart Spirit becomes vague and unsettled, and there is palpitation and fear. This is prone to occur in those with Heart Deficiency (Xin Xu). This also exists in adult internal medicine. The pediatric syndrome of "Great Startle and Sudden Fear" (Da Jing Cu Kong) corresponds to this presentation. This is true Convulsion. Therefore, medication should primarily consist of Ren Shen (Ginseng Radix et Rhizoma), Wu Wei Zi (Schisandrae Fructus), Zao Ren (Ziziphi Spinosomi Semen), and Dan Shen (Salviae Miltiorrhizae Radix et Rhizoma) to calm the Spirit and stabilize the Soul. There is absolutely no way that resolving Phlegm and dispersing Wind can treat Convulsion syndromes. Furthermore, "Feng" has two meanings. In exogenous diseases, it refers to Wind Pathogen (Feng Xie), which requires release and dispersion via the exterior. In endogenous diseases, it refers to Liver Wind (Gan Feng), which requires calming and extinguishing. Now, if one confuses them simply as "Wind," is it Exogenous Wind or Endogenous Wind? Medicines for treating Exogenous Wind cannot treat Liver disorders, and medicines for treating Liver Wind cannot release the exterior. This confusion is severe. Generally, what the世俗 calls Acute Convulsion is actually Phlegm-Fire Closing the Orifices (Tan Huo Bi Qiao). When children contract Summer-Heat, Fire is generated; when milk accumulates, Phlegm is generated. Phlegm and Fire struggle against each other, leading to Blood Deficiency and Liver malnourishment. The Liver governs the Sinews (Jin); dryness and heat in the sinews cause twitching and convulsions. Thus, externally there is spasm, and the face appears cyanotic. This is Liver Dryness causing Internal Wind movement, not Exogenous Wind. It is Phlegm-Fire closing the orifices, causing eye deviation, clenched teeth, and syncope, not caused by fright. If the orifices are unblocked, Fire is cleared, and Phlegm is descended, the Spirit will awaken. This syndrome can resolve spontaneously even without treatment; is it appropriate to casually name it Convulsion-Feng? What the世俗 calls Chronic Convulsion is Wind generated from Spleen Deficiency (Pi Xu). Children may vomit or have diarrhea; over time, Spleen Deficiency occurs, and Liver Wood overacts on Spleen Earth, causing slight twitching of hands and feet. This is Internal Wind insulting Earth, not Exogenous Wind. Yang Qi is declining, Spirit is lethargic, and breath is short; this is depletion of Middle Qi (Zhong Qi), not fright. It is suitable to tonify the Spleen and restore Yang Qi, so that Earth flourishes and Wood calms. Without tonification, this syndrome leads to death; is it erroneous to name it Convulsion-Feng? Moreover, Acute Convulsion is a Real-Fire syndrome, while Chronic Convulsion is a Deficient-Cold syndrome; they are like water and fire. Medicines for Acute Convulsion cannot treat Chronic Convulsion, and vice versa. Yet the世俗 has a pill named "Treating Acute and Chronic Convulsion-Feng." Is this deceiving people? Or deceiving Heaven? Here, I specifically expose this as "Non-Convulsion" (Fei Jing), dividing it into Phlegm-Fire Closing Syndrome and Wood Insulting Earth Syndrome. Depending on whether it is Real or Deficient, one must seek the root cause of the disease to treat it, so that children may avoid unjustified death.