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Flaccidity, numbness, and inability to extend the four limbs, accompanied by distending pain that is unbearable, are caused by wind-toxin qi. It is suitable to use: Fangfeng (Saposhnikoviae Radix), Banxia (Pinelliae Rhizoma), Zhike (Aurantii Fructus Immaturus), Qianghuo (Notopterygii Rhizoma et Radix), Tianma (Gastrodiae Rhizoma). For lesions located above, add Shengma (Cimicifugae Rhizoma) and Jiegeng (Platycodonis Radix); for lesions located below, add Niuxi (Achyranthis Bidentatae Radix) and Mugua (Chaenomelis Fructus). If a child experiences irregular palpitations, swelling and pain on one side of the body, or involuntary movement of the hands and feet, it is called Jingtan (paralysis due to fright).

If treatment is slightly delayed, fluid accumulation may occur in the joints of the arms, wrists, knees, and shins, with swelling of cervical lymph nodes or knees, muscle wasting, and exposed bones resembling "crane's knee." In all such cases, sweating therapy should be employed to open the Couli (pores and interstitial spaces), thereby resolving wind-heat and eliminating dampness, preventing the generation of wind and phlegm. Do not treat this as a carbuncle or ulcer; instead, use half raw and half roasted Heiqianniu (Pharbitidis Semen) powdered, mixed into Wuling San (Five-Ingredient Poria Powder), and taken with wine.

The symptoms resemble those of Jingfeng (convulsive disease due to fright). Blood stasis obstructing the heart orifices leads to Ji Jing Cheng Xian (epilepsy formed from accumulated fright). External signs include depressed spirit, staring eyes, facial muscle traction, locked jaw with salivation, abdominal distension, and convulsions of the hands and feet, appearing neither fully alive nor dead. During attacks, there may be vocalization or silence, opisthotonos of the back and neck, or rigidity of the waist and spine, with periods of consciousness between episodes; this is defined as Xian (epilepsy). If rigidity persists without waking for a whole day, it is called Jing (spasm). Differentiation between Yin and Yang is essential: Attacks preceded by fever, convulsions, and crying are Yang Xian (Yang epilepsy), characterized by dry stools, dark urine, and a floating pulse. Since the pathology is in the Spleen and skin/flesh, it is easy to treat; warm herbs should not be used. Conversely, if the pathology is in the Zang organs and bone marrow, it is difficult to treat and classified as Yin Xian (Yin epilepsy); cold herbs should not be used. One should also observe the patient in supine and prone positions. The key treatment lies in relieving fright, expelling wind, and resolving phlegm. The sounds made during attacks may resemble those of dogs, sheep, cattle, chickens, or pigs. If a child has hot phlegm, manifesting as refusal to nurse, unstable sleep, and frequent palpitations, Xiaohong Wan (Little Red Pill) should be administered immediately to subdue excessive pathogenic qi.

Feng Xian (wind epilepsy) occurs when wind enters through deficient pores after sweating; initially, fingers flex as if counting, indicating heat generating phlegm. Jing Xian (fright epilepsy) results from shock, terror, or falls. Initial stages of accumulated fright involve mental confusion and loud screaming. Shi Xian (food epilepsy) occurs when fright happens during eating, causing food stagnation and accumulation; initially, there is vomiting of milk, anorexia, sour-smelling stools, followed by chills and then fever. All three types should first be purged with Xiaohong Wan, followed by a decoction containing: Danning (Arisaematis Cum Bile), Banxia (Pinelliae Rhizoma), Shenqu (Massae Fermentatae Medicinalis), Tianma (Gastrodiae Rhizoma), Fangfeng (Saposhnikoviae Radix), Zhishi (Aurantii Fructus Immaturus), Kuxingren (Armeniacae Semen Amarum), Suzi (Perillae Fructus or Leaf), Chenpi (Citri Reticulatae Pericarpium), Quanxie (Scorpio), Qingdai (Indigo Naturalis), Huanglian (Coptidis Rhizoma), Jiangcan (Bombyx Batryticatus), Tianzhuhuang (Calami Tiphosi), and Baifuzi (Typhonii Rhizoma). For Feng Xian, add Qianghuo (Notopterygii Rhizoma et Radix), Chantui (Cicadae Periostracum), and Duhuo (Angelicae Pubescentis Radix). For Jing Xian, add Yuanzhi (Polygalae Radix), Fushen (Poria cum Radice), and Shichangpu (Acori Tatarinowii Rhizoma). For Shi Xian, add Qingpi (Citri Reticulatae Pericarpium Viride) and Lvhui (Aloe).

Dian (catatonia), Xian (epilepsy), Kuang (mania), and Jing (spasm) all originate in the Heart. The Heart is the residence of Shen (spirit/mind) and prefers tranquility. Internal pathogens and external heat, combined with Spleen-Stomach deficiency failing to control Kidney water, lead to loss of spiritual mastery, mental confusion, and frequent fright, triggering these four conditions. Heavy Yin leads to Dian; Heavy Yang leads to Kuang. Xian involves softening of the body and subsequent awakening; Jing involves stiffness and warmth; Dian manifests as alternating sadness and joy, singing, and crying; Kuang manifests as delirious speech, anorexia, discarding clothes, and running. Xian involves falling to the ground, biting the tongue, foaming at the mouth, or making animal sounds; Jing involves opisthotonos and phlegm obstruction. These are all caused by wind-phlegm stagnating in the Pericardium Collateral. Failure to treat properly damages the Heart; heart damage leads to the departure of Shen and death. Treatment should focus on clearing the Heart, resolving phlegm, and regulating Qi.

Beimu (Fritillariae Bulbus), Danning (Arisaematis Cum Bile), Zisu (Perillae Folium), Zhishi (Aurantii Fructus Immaturus), Chenpi (Citri Reticulatae Pericarpium), Huanglian (Coptidis Rhizoma), Qingdai (Indigo Naturalis), Yuanzhi (Polygalae Radix), Fushen (Poria cum Radice), Banxiaqu (Pinelliae Praeparata Cum Fermento), and Shichangpu (Acori Tatarinowii Rhizoma).