小儿温热症，悉与大人同，惟时见痉厥，类于惊风，误治多死，兹特先论其症治。
一、风温致痉 皆由医者不明风寒、风热，见儿头痛发热，不问何邪，概曰风寒夹食，辄与辛燥升散，
杂以苦温消导，往往阴液被伤，肝风内动，鼓痰上升，血不荣筋，筋急拘挛，致成痉螈。一见痉螈，便称惊风，
乱投冰、麝、金石，苦寒 悍毒药，以为开窍镇惊，清热祛风，家传秘法，家藏丸丹，多系如此。又或将惊字
误作筋字之讹，挑筋刺血，强推强拿，其在富贵之家，酿祸尤速。治法∶先以辛凉开肺，继以甘寒化热，佐以
润剂降痰，尤必辨其轻重。轻者用辛凉轻剂，桑菊饮加钩藤、桑枝、竹沥、竺黄、鲜石菖蒲之类；重者用甘
寒复咸寒法，如白虎汤加天麻、羚角、栝蒌、川贝之类，取效最捷，昏厥不语者，速加瓜霜紫雪丹开之；阴液
亏极者，必兼色瘁窍干，无涕无泪等症，再加梨汁、蔗汁、鲜生地、鲜石斛，甘凉以润之。
二、暑热致痉 症必面赤齿燥，四肢厥冷，手足抽搐，神昏若惊。轻则吴氏清络饮加菊花、钩藤；重则
犀羚镇痉汤加瓜霜紫雪丹。神清以后，用竹叶地黄汤，清凉血分，以善其后。
三、燥火致痉 皆由温热化燥，液涸动风。症必鼻窍无涕，目干无泪，面色枯憔，神昏痉厥，势最危急。
速用犀羚白虎汤，加瓜霜紫雪丹挽救之∶或竹叶石膏汤去半夏，重加川贝、竹沥、竹黄、安宫牛黄丸等，亦多
获效，病减后余热，或用叶氏养胃汤清养胃阴，或用竹叶地黄汤清凉血分。此皆似惊非惊，为小儿温热症中之
最重者也。
Pediatric warm-heat diseases are essentially the same as those in adults, except that convulsions and syncope (spasms and fainting) often occur, resembling wind-stroke (Jing Feng). Misdiagnosis and mistreatment frequently lead to death; therefore, this section specifically discusses their symptoms and treatment first.
1. Convulsions caused by Wind-Warmth: These arise because physicians fail to distinguish between Cold-Wind and Wind-Heat. Upon observing headache and fever in children, without determining the pathogenic factor, they generally attribute it to "Cold-Wind combined with food stagnation." They immediately administer acrid-warm, drying, ascending, and dispersing herbs, mixed with bitter-warm digestive agents. This often damages Yin fluids, causing Liver Wind to stir internally, driving phlegm upward. Since blood fails to nourish the sinews, the sinews become tight and cramped, resulting in convulsions. Once convulsions appear, it is indiscriminately labeled as "Wind-Stroke" (Jing Feng), leading to the reckless use of Borneol (Bingpian), Musk (Shexiang), mineral substances, and harsh bitter-cold toxic drugs under the guise of opening orifices, calming fright, clearing heat, and dispelling wind—often touted as family secret recipes or stored pills. Furthermore, some confuse the character for "Fright" (Jing) with "Sinew" (Jin), performing tendon-piercing and bloodletting, or forcing vigorous massage. In wealthy families, such errors cause disaster even more rapidly. Treatment method: First, use acrid-cool herbs to ventilate the Lung Qi; subsequently, use sweet-cool herbs to resolve heat; assist with moistening agents to descend phlegm. It is crucial to differentiate severity. For mild cases, use light acrid-cool formulas, such as Sang Ju Yin (Mulberry Leaf and Chrysanthemum Decoction) added with Gouteng (Uncaria Rhynchophylla), Sangzhi (Morus Twig), Zhuli (Bamboo Sap), Zhuhuang (Processed Bamboo Bezoar), and Xian Shichangpu (Fresh Acorus Tatarinowii). For severe cases, employ a combination of sweet-cool and salty-cool methods, such as Baihu Tang (White Tiger Decoction) added with Tianma (Gastrodia Rhizome), Lingjiao (Antelope Horn), Gualou (Trichosanthes Fruit), and Chuanbeimu (Fritillaria Cirrhosa Bulb), which yield rapid results. For patients with coma and inability to speak, quickly add Guashuang Zixue Dan (Melon Frost Purple Snow Pill) to open the orifices. For those with extreme depletion of Yin fluids, who necessarily present with sallow complexion, dry orifices, absence of nasal discharge, and absence of tears, add Pear Juice, Sugarcane Juice, Xian Shengdihuang (Fresh Rehmannia Root), and Xian Shihu (Fresh Dendrobium Stem), using sweet-cool herbs to moisten.
2. Convulsions caused by Summer-Heat: Symptoms must include flushed face, dry teeth, cold extremities, hand and foot spasms, and mental confusion resembling fright. For mild cases, use Wu Shi Qingluo Yin (Wu’s Clear Collateral Decoction) added with Juhua (Chrysanthemum Flower) and Gouteng (Uncaria Rhynchophylla); for severe cases, use Xiling Zhenjing Tang (Rhinoceros Horn and Antelope Horn Convulsion-Calming Decoction) added with Guashuang Zixue Dan (Melon Frost Purple Snow Pill). After mental clarity is restored, use Zhuye Dihuang Tang (Bamboo Leaf and Rehmannia Decoction) to cool the Blood level for convalescence.
3. Convulsions caused by Dryness-Fire: These result from warm-heat transforming into dryness, leading to fluid exhaustion and stirring of Wind. Symptoms must include absence of nasal discharge, dry eyes without tears, sallow and emaciated complexion, mental confusion, and convulsions/syncope, representing the most critical condition. Quickly use Xiling Baihu Tang (Rhinoceros Horn and White Tiger Decoction) added with Guashuang Zixue Dan (Melon Frost Purple Snow Pill) for rescue; alternatively, use Zhuye Shigao Tang (Bamboo Leaf and Gypsum Decoction) with Banxia (Pinellia Tuber) removed, heavily added with Chuanbeimu (Fritillaria Cirrhosa Bulb), Zhuli (Bamboo Sap), Zhuhuang (Processed Bamboo Bezoar), and Angong Niuhuang Wan (Angong Unicorn Pill), which also often prove effective. For residual heat after the illness subsides, use Ye Shi Yangwei Tang (Ye’s Stomach-Nourishing Decoction) to clear and nourish Stomach Yin, or use Zhuye Dihuang Tang (Bamboo Leaf and Rehmannia Decoction) to cool the Blood level. These conditions resemble fright but are not true fright; they represent the most severe type among pediatric warm-heat diseases.