急惊之证，因热所生。热客于心，痰壅于肺，热极生风，风生惊，剧则搐搦、僵（仰阳）仆（覆
阴、）反目、八候渐见矣。凡儿欲发惊风，必精神不定，恍惚惧人，顾左复右，观上回下，即宜
清热降痰、镇养心神，不令至甚。如只反张、搐搦、上窜，若牙关不紧，喉无痰声，口无涎沫，
非为惊风。盖夹惊、夹食、伤寒、痘疹或三焦蕴热，五脏不宣，流入经络，热在筋脉，亦作搐搦
，量轻重而利之。脉候浮数洪紧，虎
口纹青紫相半。治宜主方利惊丸、导赤散（方见火门）、安神丸。（与前方参用）。
主方 （利惊丸） 龙胆草 青黛（画家用者） 防风（各三钱） 钩藤（二钱） 黄连（一
钱） 牛黄 麝香 冰片（各二分） 黛、牛、麝、冰，研细末。上为末，入四味匀，神曲糊丸
黍米大。每三十丸，金银、薄荷煎汤送下。
安神丸 治小儿惊悸、渴闷，面红颊赤，口燥脉实。
牙硝 山药 麦门冬 茯神 甘草（各五分） 朱砂（水飞，一钱）
上为细末，蜜丸鸡头大，每服半丸，砂糖汤下。
镇惊造命丹 治胎惊，急慢诸惊。癫痫不省人事，目直上视，惊风痰壅，睡中惊跳，夜卧不安，
啼哭不止，客忤、内 。凡一切惊疾，初生至长，及奇怪形状不能辩名者，并大人因惊忧劳损，
卧不安寐，怔忡恍惚，恐怖颠狂，妇人产后不语，昏愦啼笑。（神药。）
蛇含石（微火煨热，炭火 红，米醋淬；再 再淬七次，研细水飞，澄去水，晒燥，重研万
下。四两） 代赭石（ 研，如前） 辰砂（水飞） 青礞石（硝， 金色，水飞，重研） 南
星（牛胆制过） 茯神（各五钱） 僵蚕（洗、炒） 蝉蜕（去土） 白附子 使君子 天麻（
各末，三钱） 牛黄（陕西，七分） 麝香（五分） 冰片（三分）
上研匀，炼蜜和丸，金箔为衣。大人二钱，小儿一钱，婴儿三、五分，灯心，薄荷汤化服，
金银煎汤尤好。
抱龙丸 治伤风、寒、暑，发热、变蒸，惊风痰壅、喘急咳嗽等证。惊后调理，初生至长，微
有不快，即宜服。及大人风痰等证悉效。
南星（腊月牛胆，制多次佳。四两） 天竺黄（另研，一两） 朱砂（水飞） 雄黄（飞。
各五钱） 甘草（七钱） 麝香（五分，未出痘不必加） 加牛黄（陕西，千层） 琥珀（真者。
各五分，尤效。）
上和匀，取腊雪水或早首汲井水，另煎甘草汁，和丸如芡实大。每服一丸，临睡薄荷汤化下
，病急多服。伤风感寒，姜、葱、紫苏汤下，取汗。大人每服三、五丸。如风痰，用竹沥入姜汁
数匙化服。姜汤亦可。
The syndrome of acute convulsion (Ji Jing) is generated by heat. When heat invades the Heart, phlegm obstructs the Lungs; extreme heat generates wind, and wind movement induces惊 (convulsion). In severe cases, symptoms such as spasms (Chuo Nuo), stiff falling (Jiang Pu - lying supine or prone), upward deviation of the eyes (Fan Mu), and the gradual appearance of the eight signs (Ba Hou - typical manifestations of pediatric convulsion) occur. Before a child's convulsion is about to manifest, their spirit is invariably unsettled, appearing vague and fearful of people, looking left then right, observing above then below. At this stage, it is imperative to clear heat, descend phlegm, and calm/nourish the heart spirit to prevent the condition from worsening. If there is only body extension, spasms, and upward gazing, but the jaw is not tightly clenched, there is no phlegm rattle in the throat, and no saliva foam in the mouth, this is not convulsion. This may be due to accompanying fright, food stagnation, cold damage (Shang Han), smallpox/rubella (Dou Zhen), or heat accumulation in the San Jiao (Triple Burner), causing dysfunction of the five zang organs. Pathogenic factors flow into the meridians, where heat affects the sinews and vessels, also causing spasms. Treatment should involve purging methods according to the severity. The pulse is floating, rapid, full, and tight; the vein pattern on the tiger's mouth (Hu Kou) shows equal parts blue and purple. The treatment should primarily utilize Li Jing Wan (Detoxicate Convulsion Pill), Dao Chi San (Guide Out Red Powder) (see Fire section for formula), and An Shen Wan (Calm Spirit Pill). (These can be used in conjunction with previous formulas).
Main Formula (Li Jing Wan): Long Dan Cao (Gentianae Radix), Qing Dai (Indigo Naturalis, used by painters), Fang Feng (Saposhnikoviae Radix) (each 3 qian), Gou Teng (Uncariae Ramulus cum Uncis) (2 qian), Huang Lian (Coptidis Rhizoma) (1 qian), Niu Huang (Calculus Bovis), She Xiang (Moschus), Bing Pian (Borneolum Syntheticum) (each 2 fen). Grind Qing Dai, Niu Huang, She Xiang, and Bing Pian into fine powder. Mix this powder evenly with the other four ingredients. Use Shen Qu (Medicated Leaven) paste to form pills the size of millet seeds. Take 30 pills each time, delivered with a decoction of Jin Yin Hua (Lonicerae Japonicae Flos) and Bo He (Menthae Haplocalycis Herba).
An Shen Wan: Treats pediatric palpitations, thirst and oppression, red face and flushed cheeks, dry mouth, and solid pulse.
Formula: Ya Xiao (Natrii Sulfas), Shan Yao (Dioscoreae Rhizoma), Mai Men Dong (Ophiopogonis Tuber), Fu Shen (Poria with Hostwood), Gan Cao (Glycyrrhizae Radix et Rhizoma) (each 5 fen), Zhu Sha (Cinnabaris) (water-ground, 1 qian).
Preparation and Dosage: Grind all ingredients into fine powder. Form pills the size of a chicken head using honey. Take half a pill each time, delivered with sugar water.
Zhen Jing Zao Ming Dan: Treats fetal fright, acute and chronic convulsions. Epilepsy with loss of consciousness, upward staring eyes, phlegm obstruction due to convulsion, startle during sleep, restless night sleep, incessant crying, Ke Wu (external malevolent qi invasion), and internal injuries. It treats all kinds of fright diseases from infancy to adulthood, including strange shapes/symptoms that cannot be named, as well as adults suffering from fright, worry, and overwork leading to insomnia, palpitations, vagueness, fear, mania, postpartum aphonia in women, and confusion with inappropriate laughter or crying. (This is a miraculous medicine.)
Formula: She Han Shi (Hematitum) (lightly roasted until red-hot, quenched in rice vinegar; repeat roasting and quenching seven times, grind fine, water-grind, settle, remove water, dry, and grind again ten thousand times. 4 liang), Dai Zhe Shi (Haematitum) (ground, as above), Chen Sha (Cinnabaris) (water-ground), Qing Meng Shi (Calcareous Schist treated with Niter) (niter-treated, calcined to golden color, water-ground, re-ground), Nan Xing (Arisaematis Rhizoma prepared with ox bile), Fu Shen (Poria with Hostwood) (each 5 qian), Jiang Can (Bombyx Batryticatus) (washed, stir-fried), Chan Tui (Cicadae Periostracum) (cleaned of soil), Bai Fu Zi (Typhonii Rhizoma), Shi Jun Zi (Quisqualis Fructus), Tian Ma (Gastrodiae Rhizoma) (each ground to powder, 3 qian), Niu Huang (Calculus Bovis) (from Shaanxi, 7 fen), She Xiang (Moschus) (5 fen), Bing Pian (Borneolum Syntheticum) (3 fen).
Preparation and Dosage: Grind uniformly, mix with refined honey to form pills, coat with gold foil. Adults take 2 qian, children take 1 qian, infants take 3-5 fen. Dissolve in a decoction of Deng Xin Cao (Junci Medullae) and Bo He (Menthae Haplocalycis Herba). A decoction of Jin Yin Hua (Lonicerae Japonicae Flos) is particularly good for delivery.
Bao Long Wan: Treats conditions caused by wind-cold, summerheat, fever, Bian Zheng (physiological changes in infant development), phlegm obstruction due to convulsion, wheezing, and cough. It is suitable for conditioning after convulsions, for any slight discomfort from infancy to adulthood, and is effective for adult wind-phlegm syndromes.
Formula: Nan Xing (Arisaematis Rhizoma prepared with ox bile in the twelfth lunar month, multiple preparations are better. 4 liang), Tian Zhu Huang (Bambusae Concretio Silicea) (separately ground, 1 liang), Zhu Sha (Cinnabaris) (water-ground), Xiong Huang (Realgar) (sublimed/ground. Each 5 qian), Gan Cao (Glycyrrhizae Radix et Rhizoma) (7 qian), She Xiang (Moschus) (5 fen, do not add if smallpox has not erupted), Niu Huang (Calculus Bovis) (from Shaanxi, Qian Ceng - likely referring to quality/layering), Hu Po (Electrum) (genuine. Each 5 fen, especially effective.).
Preparation and Dosage: Mix uniformly. Use snow water from the twelfth lunar month or well water drawn at dawn. Separately decoct Gan Cao (Glycyrrhizae Radix et Rhizoma) juice. Mix to form pills the size of a Chinese chestnut. Take one pill each time, dissolve in Bo He (Menthae Haplocalycis Herba) tea before sleep. Increase dosage for urgent conditions. For wind-cold, deliver with a decoction of Sheng Jiang (Zingiberis Rhizoma), Cong Bai (Allii Fistulosi Bulbus), and Zi Su Ye (Perillae Folium) to induce sweating. Adults take 3-5 pills each time. For wind-phlegm, dissolve in Zhu Li (Bambusae Succus) mixed with a few spoons of Sheng Jiang (Zingiberis Rhizoma) juice. Ginger soup is also acceptable.