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Wei Zhixiu recorded: Dou Cai treated a child who, after watching a religious drama, became frightened. The child frequently cried sadly and ate as if intoxicated. The illness had lasted ninety days, and the condition was critical. Dou Cai ordered moxibustion on the Jueque (CV14) acupoint for fifty moxa cones. The child immediately regained consciousness. Dou Cai said, "Just now, I felt heat rolling down from the heart like boiling fire, and then it improved. After taking Zhenxin Wan (Calming the Heart Pill), the child recovered."

Wan Mizhai treated a five-year-old child who cried in fear during sleep and clung to his mother calling out in terror. This was caused by fright. Wan Mizhai prescribed a formula consisting of Ren Shen (Ginseng Radix et Rhizoma), Mai Dong (Ophiopogonis Tuber), Fu Shen (Poria with Hostwood), Huang Lian (Coptidis Rhizoma), Suan Zao Ren (Ziziphi Spinosae Semen), Bai Zi Ren (Platycladi Semen), and Zhi Gan Cao (Prepared Licorice Root). These were ground into powder, mixed with Yam starch paste to form pills the size of millet seeds. Each dose consisted of twenty-five pills, taken with a decoction of Jie Cao (Scirpi Radiatis Caulis). The child stabilized before finishing one course of treatment. (This is what Ye Tianshi referred to as clearing heat/fire while calming the spirit.)

Gong Zicai treated a five-year-old child who was frightened by seeing someone wearing a mask at a temple fair. The child's pupils turned inward and sclerae outward, able to perceive only a sliver of light. Other physicians were helpless. Gong Zicai examined the child and asked, "Has this child ever had smallpox?" The family replied, "No." Gong said, "It can be cured when the smallpox erupts." A month later, smallpox was prevalent, and the child showed signs of impending eruption, so he was consulted again. Gong prepared a paste from cotton cochineal soaked in water, simmered slowly over low heat, and applied it to the child's upper and lower eyelids twice daily until the smallpox scabs fell off, restoring the eyes to normal. (The principle behind this was not explained.)

Wu Fuxian treated a child with weak congenital constitution and deficient Gallbladder Qi. At age six, while in school, the child saw the teacher punishing another student with a ruler behind him, leading to fright-induced illness. The child would suddenly cry out in fright, lifting the left foot to strike the ground loudly. This persisted for five or six years despite various treatments. Wu Fuxian said, "The Liver manifests through loud crying; here, Liver Qi is extremely depleted. Since the Kidney is the Mother of the Liver and the Heart is the Child of the Liver, I will use herbs to tonify the Liver and Kidney while calming the Heart and spirit. After more than fifty doses and three courses of pills, the child recovered."

Yang Shiying stated, "For children with trismus (lockjaw), drinking pig milk is effective. For neonatal fetal fright, applying a small amount of Cinnabar mixed with cow's milk to the mouth is excellent. This method is unknown in common medical texts; I passed it on to the Crown Prince. Wu Guancha's son suffered from this condition, and the method proved effective." (From *Bencao Gangmu*)

Feng Chuzhan treated Zhang's son, who was one year old. While sleeping in a low pit, he fell but sustained no injury and continued to laugh and play normally. However, afterward, his right hand and leg became flaccid and paralyzed, unable to grasp or stand. His pulse was surging and large but empty upon deep pressure. Feng diagnosed this as congenital deficiency compounded by fright during sleep, causing stagnation of Qi and Blood. He prescribed Shu Di Huang (Rehmanniae Radix Preparata) 4 qian, Mai Dong 1.5 qian, Chao Bai Zhu (Stir-fried Atractylodis Macrocephalae Rhizoma) 2.4 qian, Niu Xi (Achyranthis Bidentatae Radix) 2 qian, Wu Wei Zi (Schisandrae Chinensis Fructus) 0.4 qian, and Zhi Fu Zi (Prepared Aconiti Lateralis Radix) 0.5 fen. Decocted to half a cup, mixed with 2-3 fen of Ren Shen juice. After six doses, the limbs became stronger and spirit doubled.

Lu Yangyu treated Chen Yunggu's son, aged fourteen. At the end of April, returning from school, he played near water. Someone behind him shouted, "The teacher is coming!" Startled, he fell into the water, wetting his head and face. That night, he developed fever and headache. By morning, he was restless, confused, and speaking nonsense. When questioned, he wanted to speak but could not produce sound. Some observed floating-tight pulses and diagnosed Taiyang Cold Damage (Shanghan), attributing the restlessness to exterior constraint blocking interior Qi flow, recommending heavy sweating with Wuji San in a sealed room. The next day, he developed convulsions, opisthotonos, inability to inhale deeply, spontaneous sweating, and mutism. Baolong Wan and Gouteng San failed. Pulses were floating-numerous and scattered on both hands, and deep-weak-choppy at Guan and Chi positions. Lu diagnosed Liver-Kidney injury due to fright. The Classics state: "Fright causes Qi chaos." Nonsense speech results from Qi chaos; inability to speak results from Qi sinking. Initially, soothing the Liver and calming the Heart with slight addition of Qi-Blood tonics should have healed him. Mistakenly treating it as Cold Damage and inducing heavy sweating led to Yang collapse, transforming into Jing Syndrome (spasm/stiffness). The Classics state: "Yang Qi nourishes the Spirit when refined, and tendons when soft." Now, with exhausted Yang, Blood lacks attachment to nourish tendons, causing stiffness. Yang floats externally, causing failure to inhale, sweating, and mutism. Urgently, large doses of Ren Shen were used as Sovereign herb to save failing Yang; Si Wu Tang (Four Substances Decoction) served as Minister, adding Tian Ma (Gastrodiae Rhizoma) to nourish Liver Blood; Suan Zao Ren and Wu Wei Zi served as Assistant to gather dissipating Spirit; Gan Cao and Mai Dong served as Envoy to clear floating Fire. Two doses brought immediate relief; intermittent use of Zhusha Anshen Wan led to recovery in ten days. (Sweat is blood; excessive sweating injures Yin, depriving the Liver of nourishment, thus causing spasm. Here, it was mistaken for Yang collapse, clinging to the old theory that heavy sweating causes Yang collapse.)

Wan Mizhai treated Hu Feng's son, who developed Gan syndrome (malnutrition/parasitic disorder) from food stagnation after smallpox, resulting in emaciation and sparse hair. One doctor's treatment was effective but induced a new condition resembling epilepsy but not quite. The child was calm by day but dreamt by night, occasionally hugging the wet nurse crying, "I'm afraid, I'm afraid," as if being chased. Inquiry revealed the child feared medicine; doctors used needles and cautery to intimidate him during administration. Fear injures the Kidney. The Kidney stores Zhi (Will); deficiency leads to unsettled spirit and fright. When awake, spirit resides in the Heart; when asleep, in the Kidney. The Spleen is the gateway of entry and exit. Treatment focused on tonifying the Spleen, followed by calming the spirit. Using Bupi Fei'er Wan and Anshen Wan,调理 (regulation) for half a month led to recovery. (This is Fear, not Fright. It is included here for reference, but one must not mistake Fear for Fright and apply inappropriate treatments.)

Wu Qingxi, magistrate of Ying Shan, treated his son for Jing Feng (convulsive disorder). All treatments targeting Wind failed. Wu said, "This is not Wind, but caused by Fright. Wind is treated via the Liver; Fright is treated via the Heart. Without knowing the source, how can there be efficacy?" He used Zhisheng Baoming Dan, stopping the convulsions. (Note: Fright is treated via the Gallbladder; Zhang Zihe's theory is clear, not via the Heart.)

Ma Yuanyi treated a boy whose teacher had become ill from Fear. From the first day of the lunar month, the boy was comatose and unconscious, reviving only after seven days. Others treated him for Fright, but the condition persisted. Ma said, "This is Fear, not Fright." Asked to distinguish them, Ma said, "Fright comes from outside; Fear arises from within. Fear injures the Kidney. Kidney injury from Fear depletes True Water, allowing Dragon Fire to float upward and disturb the Spirit. Meeting the first day of the month (Chong Yang) further depletes True Yin. On the seventh day, Yin Qi returns, allowing Dragon Fire to return to its lair, like clouds dispersing and sky clearing. Treatment should strengthen the Master of Water to suppress excessive Fire. Liuwei Dihuang Tang tonifies True Yin; Yuan Zhi (Polygalae Radix) opens the Spirit; Rou Gui (Cinnamomi Cortex) guides Dragon Fire back to its source. No recurrence occurred."

Pediatric Ji Jing (Acute Fright) occurs due to loud noises or fright inducing convulsions, resolving to normal afterwards. Heat generates in the Heart, presenting with fever, red face, thirst, hot breath, yellow-red urine and stool, and potentially convulsions. Excessive heat generates Wind, characterized by excess Yang and deficient Yin. Li Jing Wan should be used to remove Phlegm-Heat; Ban Dou (Seminarum Crotonis) should not be used.

Ye Tianshi stated, "Fright causes Qi chaos. Even in severe fright, one should not solely focus on recovering Spirit and Qi. One must observe complexion and symptoms. If Phlegm exists, clear Phlegm and calm Spirit; if Fire exists, clear Fire and calm Spirit. Do not use only tonics; flexible treatment is essential."