川芎、华援各一钱，蝎梢二分，细辛一分，半夏
(酒浸一宿，汤泡七次，焙干)一分。共为末，热汤调
服，或薄荷汤化下亦可。
白牵牛、黑丑(各半生半熟取头)五分。大黄，枳壳
各一钱。共为末，冷浆水调下。涎多者，加密少许。
如小儿痘疹惊搐者，只用导赤散调辰砂末一服，不可妄用凉
惊丸，抱龙丸，保命丸等药。
西江 月
小儿惊风症侯，须分急慢根由，急因实热泄中求，慢是虚寒
温补。急为风寒食积，慢是久病绸缪，如斯辨认不差谬，才显神
功妙手。
急惊卒然大热，因而热则生风。痰涎哽塞角张弓，口眼歪斜
沉重。先使嚏惊妙散，后用导赤疏通，合灸少商与中冲，泻青凉惊
选用。
若遇风寒外感，先须发汗为宜，泻青丸子作汤医，加上蝎蚕
二味。果是内伤饮食，又当解利相随，三黄五色任施为，积去热除
惊止。
慢惊先由久病。精神渐减脾虚，厌厌沉困气长吁，口眼张开
不乳。搐弱时时举发，四肢逆冷何如，理中附子急驱除。不差艾灸
左乳(20)。
要认惊风死症，面如红粉涂搽，口张涎出紧关牙。目直气粗
声哑。喉内响似拽锯，毛端汗如珠下，目瞪眼小不须夸，大叫闷乱
尤怕。
搐掣乍作乍止，痰气无了无休，昏昏鼾睡唤难苏，乳食不知
吞吐。屎尿遗时少觉，四肢僵直难收，啼声不出汗如油，纵有灵丹
难救。
小儿惊风咳嗽，人人当作风哮，大黄白黑二牵牛，人参分两
匀用。四味俱研为末，蜜水调和稀稠，灌将一字下咽喉，免得胡针
乱灸。
两指伸缩名为搐，十指开合弱之形(21)。掣则连身常跳起，
颤而四体动摇铃。身仰向后为反症，手如挽弓引状成。怒目觑高
是窜样，睛露不活是斯真。
川芎、华援各一钱，蝎梢二分，细辛一分，半夏（酒浸一宿，汤泡七次，焙干）一分。共为末，热汤调服，或薄荷汤化下亦可。
将川芎、华援各取一钱，蝎梢二分，细辛一分，半夏（用酒浸泡一夜，再用热水冲泡七次，焙干）一分。共同研磨成粉末，用热开水调服，或者用薄荷汤送服也可以。
白牵牛、黑丑(各半生半熟取头)五分。大黄，枳壳各一钱。共为末，冷浆水调下。涎多者，加密少许。如小儿痘疹惊搐者，只用导赤散调辰砂末一服，不可妄用凉惊丸，抱龙丸，保命丸等药。
白牵牛、黑丑（各取一半生品一半制品的头部分）五分。大黄、枳壳各一钱。共同研磨成粉末，用冷的米汤调服。痰涎多的患者，可加入少量蜂蜜。如果是小儿患痘疹出现惊厥抽搐，只需用导赤散调和辰砂末服用一次，不可随意使用凉惊丸、抱龙丸、保命丸等药物。
西江月
小儿惊风症侯，须分急慢根由，急因实热泄中求，慢是虚寒温补。急为风寒食积，慢是久病绸缪，如斯辨认不差谬，才显神功妙手。
《西江月》词云：小儿惊风的证候，必须区分急惊风和慢惊风的病因。急惊风源于实热，治疗应从通泄入手；慢惊风源于虚寒，治疗应采用温补法。急惊风多由风寒外感或饮食积滞引起，慢惊风则是久病缠绵所致。若能如此准确辨认，才能显现出神医的高超技艺。
急惊卒然大热，因而热则生风。痰涎哽塞角张弓，口眼歪斜沉重。先使嚏惊妙散，后用导赤疏通，合灸少商与中冲，泻青凉惊选用。
急惊风突然发高热，因为热极而生风邪。痰涎阻塞咽喉，身体强直如拉满的弓，口眼歪斜且症状沉重。先用嚏惊妙散吹鼻取嚏以开窍醒神，后用导赤散清热疏通，配合针刺或艾灸少商穴和中冲穴，并选用泻青丸或凉惊丸进行治疗。
若遇风寒外感，先须发汗为宜，泻青丸子作汤医，加上蝎蚕二味。果是内伤饮食，又当解利相随，三黄五色任施为，积去热除惊止。
如果遇到风寒外感引起的惊风，首先应当采用发汗法为宜，可将泻青丸改为汤剂服用，再加上全蝎和僵蚕两味药。如果是由于饮食内伤引起的，又应当配合消食导滞的方法，三黄丸或五色丸可根据情况任意施用，待积滞去除、热邪清除后，惊风自然停止。
慢惊先由久病。精神渐减脾虚，厌厌沉困气长吁，口眼张开不乳。搐弱时时举发，四肢逆冷何如，理中附子急驱除。不差艾灸左乳(20)。
慢惊风起初是由于久病导致。精神逐渐减退，脾气虚弱，神情萎靡困顿，呼吸长叹，口眼张开不能吸吮乳汁。抽搐微弱且时常发作，四肢冰冷怎么办？应紧急使用理中汤加附子来驱除寒邪。如果效果不佳，可艾灸左侧乳头下方穴位（注：原文指特定位置，通常指膻中或附近区域，此处依原文保留“左乳”）。
要认惊风死症，面如红粉涂搽，口张涎出紧关牙。目直气粗声哑。喉内响似拽锯，毛端汗如珠下，目瞪眼小不须夸，大叫闷乱尤怕。
要识别惊风的死症：面色红润如涂了胭脂，口张流涎，牙齿紧闭。双目直视，气息粗重，声音嘶哑。喉间痰鸣声像拉锯一样，毛孔出汗如珍珠滴落，眼睛瞪大或瞳孔缩小不必多说，大声呼叫、烦躁不安更是可怕的症状。
搐掣乍作乍止，痰气无了无休，昏昏鼾睡唤难苏，乳食不知吞吐。屎尿遗时少觉，四肢僵直难收，啼声不出汗如油，纵有灵丹难救。
抽搐掣动时而发作时而停止，痰气阻滞没有尽头，昏沉睡去呼之难醒，对乳食不知道吞咽。大小便失禁且感觉迟钝，四肢僵硬难以收回，哭不出声且出汗如油，即使有灵丹妙药也难以救治。
小儿惊风咳嗽，人人当作风哮，大黄白黑二牵牛，人参分两匀用。四味俱研为末，蜜水调和稀稠，灌将一字下咽喉，免得胡针乱灸。
小儿惊风伴有咳嗽，人们往往误认为是风哮。使用大黄、白牵牛、黑牵牛、人参，分量均匀使用。将这四味药共同研磨成粉末，用蜂蜜水调制成适宜的稀稠度，灌入咽喉一字量的药粉，以免胡乱进行针刺和艾灸。
两指伸缩名为搐，十指开合弱之形(21)。掣则连身常跳起，颤而四体动摇铃。身仰向后为反症，手如挽弓引状成。怒目觑高是窜样，睛露不活是斯真。
两手手指伸缩称为“搐”，十指开合无力是虚弱的表现。掣动时全身常常跳起，颤抖时四肢像摇铃一样晃动。身体向后仰倒称为“反症”，双手像拉弓一样的姿势形成“弓状”。怒目向上看是“窜样”，眼球暴露且不灵活是真凶险的表现。
Chuanxiong (Ligusticum Chuanxiong Rhizome), Huayuan (likely a variant or specific preparation, contextually treated as an herb) each 1 qian, Xieshao (Scorpion tail tip) 2 fen, Xixin (Asarum Root) 1 fen, Banxia (Pinellia Tuber) (soaked in wine overnight, soaked in hot water seven times, dried by baking) 1 fen. Grind all together into powder, take with warm boiled water, or dissolve and take with mint tea.
Baiqianniu (White Morning Glory Seed), Heichou (Black Morning Glory Seed) (each half raw, half processed, taking the head part) 5 fen. Dahuang (Rhubarb Root and Rhizome), Zhike (Aurantium Fruit) each 1 qian. Grind all together into powder, take with cold rice water. For those with excessive phlegm-saliva, add a small amount of honey. If infants suffer from smallpox/rash with convulsions, only use Daochi San (Gardenia Decoction) to mix Chen Sha (Cinnabar Powder) for one dose; do not recklessly use Liangjing Wan (Cooling Convulsion Pill), Baolong Wan (Embracing Dragon Pill), Baoming Wan (Life-Preserving Pill) and other medicines.
Xijiangyue (Song Lyric):
Infantile convulsion syndromes must distinguish between acute and chronic origins. Acute cases stem from excess heat, seeking treatment through purging; chronic cases stem from deficiency-cold, requiring warming and tonification. Acute is due to wind-cold and food stagnation; chronic is lingering from prolonged illness. Such accurate differentiation reveals divine skill and masterful technique.
Acute infantile convulsion presents with sudden high fever; thus, extreme heat generates wind. Phlegm-saliva obstructs the throat, body stiffens like a drawn bow, mouth and eyes deviate, symptoms are heavy. First use Tianjing Miaosan (Sneeze-Inducing Miraculous Powder) to induce sneezing, then use Daochi San (Gardenia Decoction) to clear heat and unblock. Combine moxibustion/acupuncture on Shaoshang (LU11) and Zhongchong (PC9), and select Xieqing Wan (Draining Green Pill) or Liangjing Wan (Cooling Convulsion Pill).
If encountering wind-cold external contraction, sweating is appropriate first. Use Xieqing Wan (Draining Green Pill) as a decoction, adding Xie (Scorpion) and Can (Bombyx Batryticatus). If it is indeed internal injury from diet, resolving and purging should follow. Sanhuang Wuse (Three Yellows Five Colors) can be applied freely; once stagnation is removed and heat eliminated, convulsions stop.
Chronic convulsion initially stems from prolonged illness. Spirit gradually diminishes, spleen becomes deficient. Listless, heavy, fatigued, sighing deeply, mouth open unable to suckle milk. Weak convulsions occur intermittently, limbs are cold and inverted. Use Lizhong Tang (Regulate the Middle Decoction) with Fuzi (Prepared Aconite Root) urgently to dispel [cold]. If ineffective, apply moxibustion to the left breast area.
To recognize fatal signs of infantile convulsion: face red like rouge, mouth open with saliva flowing, teeth tightly clenched. Eyes fixed straight, breath coarse, voice hoarse. Sound in throat like sawing wood, sweat at hair follicles like pearls falling, eyes staring wide or pupils small—do not boast about these. Loud crying, restlessness, and confusion are particularly feared.
Convulsions start and stop suddenly, phlegm-qi has no end or rest. Drowsy snoring sleep, difficult to awaken, unaware of sucking or swallowing milk. Urine and stool incontinence with little sensation, limbs stiff and hard to retract, no crying sound, sweat like oil—even with spiritual elixirs, rescue is difficult.
Infantile convulsion with cough, everyone mistakes it for wind-wheeze. Dahuang (Rhubarb Root and Rhizome), Baiqianniu (White Morning Glory Seed), Heiqianniu (Black Morning Glory Seed), Renshen (Ginseng Root) used in equal proportions. All four ingredients ground into powder, mixed with honey water to desired consistency, instill one "yi" character amount down the throat, avoiding blind acupuncture and random moxibustion.
Two fingers extending and contracting is named "Chu" (twitching); ten fingers opening and closing weakly is the form of weakness. "Che" (jerking) causes the whole body to jump up; trembling makes four limbs shake like a bell. Body arching backward is "Fan" (opisthotonos); hands like drawing a bow form "Gong" (bow-like posture). Angry eyes looking up is "Cuan" (darting); eyes exposed and unresponsive is the true sign.