急惊风症，牙关紧急，壮热涎潮，窜视反张、搐搦颤动、唇口眉眼牵引、口中热气、颊赤唇红、二便闭结、
脉浮洪数紧，此内有实热、外挟风邪，当截风定搐。若痰热尚作，仍微下之，痰热既泄，急宜调养胃气；搐定
而痰热少退，即宜调补脾气。此大法也。
急惊属肝，风邪、痰热有余之症也。急惊者，阳症也，
治宜解表，败毒散主之。若急惊、肚腹胀痛，灵砂丸、万亿丸之类。
败毒散 治急惊风初起，发热，手足搐搦、上宫天吊、角弓反张，并一切感冒风寒，头疼发热、咳嗽
喘急、鼻塞声重，及疮疹欲出发搐，并宜服之。
人参 羌活 独活 柴胡 前胡 茯苓（去皮） 桔梗（去芦） 川芎 枳壳（去瓤炒） 天麻 全蝎
（去毒） 姜蚕（炒） 白附子（煨） 地骨皮（各等分） 甘草（减半） 上锉一剂，生姜三片，水煎服。
灵砂丸 治小儿风痰惊积至危笃者，如神。
南星（泡） 半夏（泡） 巴豆（去壳酒煮干二次。各五钱） 全蝎 朱砂（一半入药，一半为衣。各三钱）
姜蚕（炒，七分） 轻粉（少许）
上为末，水和丸如黍米大，每一次三丸。如惊风，金银汤下。其余姜汤下。
龙脑安神丸 专治大人、小儿惊风癫痫，男、妇骨蒸劳热咳嗽，语涩舌强久不瘥者，及伤寒大热不解，
久无汗者。大人服一丸，井花水调雄黄四五分送下，或细嚼，或研下。小儿一岁以下者，四之一；二三岁，三
之一；四五岁以上者，二之一。极神效。
牛黄（五分） 片脑（三分） 乌犀角（二钱） 朱砂（飞过，二钱） 人参（去芦，二钱） 白茯神
（去皮，三钱） 地骨皮（二钱） 麦门冬（去心，二钱） 桑白皮（二钱） 麝香（三分） 马牙硝（三分）、
甘草（二钱）
上各为末，分两秤停，合为一处，炼蜜为丸。每两作十丸，金箔四大张为衣，阴干，瓷器内放，用黄蜡作
盖，恐泄脑麝之气。此方百发百中，其功不能尽述。
千金散 治小儿一切痰喘，急慢惊风，虽至死，但能开口灌下，无不活者。
全蝎（炙） 姜蚕（各三分） 朱砂（四分） 牛黄（六厘） 冰片 黄连 天麻（各四分） 胆星
甘草（各二分）
上为末，每用五七厘，薄荷、灯芯、金银煎汤，不拘时调下。
保生锭 治小儿急慢惊风，痰涎壅盛、胎惊内吊、多啼、夜间恍惚不宁、久患癫痫、咳嗽发热、夏月
中暑发搐皆治。常服，镇惊安神宁心。
牛黄（三钱） 天竺黄 辰砂（各一两） 雄黄（三钱） 麝香（五分） 片脑（五分） 琥珀（一两）
珍珠（五钱） 大赭石（三钱，火 七次） 蛇含石（三钱，火 七次） 金银箔（四帖） 天麻 防风
甘草 茯苓（去皮） 人参（各三钱） 姜蚕 血竭（各五钱） 远志（去心，三钱） 陈皮 牛胆南星（各一两）
上为细末，用米粉糊为锭，辰砂为衣，用薄荷汤化下。
大圣夺命金丹 治小儿急慢惊风，癫痫天吊，客忤物忤中恶，及初生脐风、撮口着噤、胎惊胎痫、牙
关紧急、惊风痰热、搐搦掣颤、反躬窜视、昏闷不醒，但是一切惊风危恶紧急之症并皆治之，其效如神。其他
惊药俱不及此，真起死回生之良剂也。（杨绳雨传。）
天麻（泡） 全蝎（去毒） 姜蚕（炒） 胆星 防风（去芦） 羌活 白附子（炮） 茯神（去皮木）
川芎 远志（泡去心） 桔梗（去芦，炒） 石菖蒲 半夏（姜制） 人参（去芦） 白术（去芦） 茯苓
（去皮） 酸枣仁（炒） 荆穗 细辛（各五钱） 川乌（炮去皮脐，一个） 乌蛇尾（酒浸、炙，五钱） 甘
草大赤头蜈蚣（一条，薄荷汁浸焙） 沉香 犀角 羚羊角 辰砂（水飞） 珍珠 琥珀（各一钱）
天竺黄（一两） 牛黄（一钱五分） 雄黄 麝香（各一钱） 金箔（三十片） 银箔（四十片）
上为末，姜汁打糊为丸，如芡实大，朱砂为衣。每服一
丸，用金银同薄荷煎汤研化，不拘时服。
一小儿潮热发搐，痰涎上壅，手足指冷，申酉时左腮青色隐白，用补中益气汤调补脾肺，六味丸滋养肝肾
而痊。（二方俱见补益。）
一小儿三岁，因惊搐搦、发热痰盛，久服抱龙丸等药，面色或赤或青，此心肝二经血虚、风热生痰也。用
六味丸滋肾生血，用六君、柴胡、升麻调补脾胃而安。（三方俱见补益。）
急惊风证，表现为牙关紧闭、高热且痰涎涌盛、两眼上视或斜视、角弓反张、抽搐震颤、口唇眼角及眉部肌肉牵引抽动、口中呼出热气、面颊红赤、嘴唇红润、大小便闭塞不通、脉象浮洪数紧。这是体内有实热、外部兼夹风邪所致，应当采取熄风止痉的方法。如果痰热症状仍然存在，仍应轻微使用泻下法；待痰热泄去后，应立即调养胃气；若抽搐停止而痰热稍退，就应当调补脾气。这是治疗的大法。
急惊归属于肝，是风邪、痰热有余的病症。急惊属于阳证，治疗宜用解表法，以败毒散为主方。如果急惊伴有肚腹胀痛，可用灵砂丸、万亿丸之类的方剂。
败毒散：治疗急惊风初起，发热，手足抽搐，眼睛上翻（天吊），角弓反张，以及一切感冒风寒引起的头痛发热、咳嗽喘急、鼻塞声音重浊，还有疮疹欲发时出现的抽搐，都适宜服用。
配方：人参、羌活、独活、柴胡、前胡、茯苓（去皮）、桔梗（去芦头）、川芎、枳壳（去瓤炒制）、天麻、全蝎（去毒性）、姜蚕（炒制）、白附子（煨制）、地骨皮（各等分）、甘草（减半）。以上药材锉成粗末一剂，加生姜三片，水煎服。
灵砂丸：治疗小儿风痰惊积导致病情危重的情况，效果如神。
配方：南星（炮制）、半夏（炮制）、巴豆（去壳，酒煮干燥两次，各五钱）、全蝎、朱砂（一半入药，一半作衣，各三钱）、姜蚕（炒制，七分）、轻粉（少许）。
以上研为细末，用水和丸，如黍米大小，每次服用三丸。如果是惊风发作，用金银汤送服；其余情况用姜汤送服。
龙脑安神丸：专门治疗大人和小儿的惊风癫痫，男女的骨蒸劳热咳嗽、言语不清舌体僵硬久治不愈者，以及伤寒大热不退、长期无汗者。成人服用一丸，用井花水调服雄黄四五分送下，或者细嚼，或者研碎吞服。一岁以下小儿服用四分之一丸；二至三岁服用三分之一丸；四至五岁以上服用二分之一丸。效果极佳。
配方：牛黄（五分）、片脑（三分）、乌犀角（二钱）、朱砂（飞研，二钱）、人参（去芦头，二钱）、白茯神（去皮，三钱）、地骨皮（二钱）、麦门冬（去心，二钱）、桑白皮（二钱）、麝香（三分）、马牙硝（三分）、甘草（二钱）。
以上各味研为细末，称量分量均匀，混合一处，用炼蜜制成丸药。每两药粉做成十丸，用四大张金箔包裹作为外衣，阴干，放在瓷器内，用黄蜡封口，以防脑、麝香气挥发。此方百发百中，其功效无法尽述。
千金散：治疗小儿一切痰喘，急慢惊风，即使已经死亡，只要能开口灌下，没有不能救活的。
配方：全蝎（炙制）、姜蚕（各三分）、朱砂（四分）、牛黄（六厘）、冰片、黄连、天麻（各四分）、胆星、甘草（各二分）。
以上研为细末，每次用五到七厘，用薄荷、灯芯草、金银花煎汤，不拘时间调服。
保生锭：治疗小儿急慢惊风，痰涎壅盛、胎惊内吊、多啼哭、夜间恍惚不安、久患癫痫、咳嗽发热、夏季中暑引发的抽搐等都治疗。经常服用，可镇惊安神宁心。
配方：牛黄（三钱）、天竺黄、辰砂（各一两）、雄黄（三钱）、麝香（五分）、片脑（五分）、琥珀（一两）、珍珠（五钱）、大赭石（三钱，火煅七次）、蛇含石（三钱，火煅七次）、金银箔（四帖）、天麻、防风、甘草、茯苓（去皮）、人参（各三钱）、姜蚕、血竭（各五钱）、远志（去心，三钱）、陈皮、牛胆南星（各一两）。
以上研为细末，用米粉糊制作成锭剂，辰砂为衣，用薄荷汤化开服用。
大圣夺命金丹：治疗小儿急慢惊风，癫痫天吊，客忤物忤中恶，以及初生脐风、撮口噤症、胎惊胎痫、牙关紧急、惊风痰热、抽搐掣颤、身体反折上视、昏闷不醒，但是一切惊风危重紧急的病症都治疗，效果如神。其他惊风药物都不如这个，真是起死回生的良剂。（由杨绳雨传授。）
配方：天麻（炮制）、全蝎（去毒性）、姜蚕（炒制）、胆星、防风（去芦头）、羌活、白附子（炮制）、茯神（去皮木）、川芎、远志（泡制去心）、桔梗（去芦头，炒制）、石菖蒲、半夏（姜汁制）、人参（去芦头）、白术（去芦头）、茯苓（去皮）、酸枣仁（炒制）、荆穗、细辛（各五钱）、川乌（炮制去皮脐，一个）、乌蛇尾（酒浸、炙制，五钱）、甘草、大赤头蜈蚣（一条，薄荷汁浸泡焙干）、沉香、犀角、羚羊角、辰砂（水飞）、珍珠、琥珀（各一钱）、天竺黄（一两）、牛黄（一钱五分）、雄黄、麝香（各一钱）、金箔（三十片）、银箔（四十片）。
以上研为细末，用姜汁打糊制成丸药，如芡实大小，朱砂为衣。每次服用一丸，用金银同薄荷煎汤研化，不拘时间服用。
案例一：一个小儿潮热发作抽搐，痰涎上壅，手足指头冷，申酉时（下午3-7点）左腮青色隐现白色，用补中益气汤调补脾肺，用六味丸滋养肝肾而痊愈。（这两个方剂都在补益篇中见到。）
案例二：一个小儿三岁，因惊搐搦、发热痰盛，长期服用抱龙丸等药，面色有时红有时青，这是心肝二经血虚、风热生痰所致。用六味丸滋肾生血，用六君子汤、柴胡、升麻调补脾胃而安定。（这三个方剂都在补益篇中见到。）
Ji Jing Feng (Acute Convulsive Disorder) presents with locked jaw, high fever with profuse phlegm, upward gaze or strabismus, opisthotonos, convulsions and tremors, traction of the muscles around the mouth, lips, eyebrows, and eyes, hot breath from the mouth, red cheeks and lips, constipation and urinary retention, and a floating, surging, rapid, and tight pulse. This indicates excess heat inside the body combined with external wind pathogen; treatment should focus on extinguishing wind and stopping spasms. If phlegm-heat symptoms persist, mild purgation may still be employed; once phlegm-heat is evacuated, immediate attention should be paid to nourishing stomach qi. If spasms cease and phlegm-heat subsides slightly, spleen qi should be tonified. This is the general principle.
Ji Jing belongs to the Liver channel and is a condition characterized by excess wind pathogen and phlegm-heat. Ji Jing is a Yang syndrome; treatment should prioritize releasing the exterior, primarily using Bai Du San (Decoction for Overcoming Toxins). If Ji Jing is accompanied by abdominal distension and pain, formulas such as Ling Sha Wan (Spirit Sand Pill) or Wan Yi Wan (Ten Thousand Billion Pill) may be used.
Bai Du San: Treats early-stage Ji Jing with fever, hand and foot convulsions, upward eye deviation (Tian Diao), opisthotonos, as well as all cases of cold-wind invasion causing headache, fever, cough, wheezing, nasal congestion, and heavy voice. It is also suitable for convulsions occurring during the eruption stage of sores and rashes.
Ingredients: Ren Shen (Ginseng Radix et Rhizoma), Qiang Huo (Notopterygii Rhizoma et Radix), Du Huo (Angelicae Pubescentis Radix), Chai Hu (Bupleuri Radix), Qian Hu (Peucedani Radix), Fu Ling (Poria), Jie Geng (Platycodonis Radix - remove rhizome), Chuan Xiong (Ligustici Chuanxiong Rhizoma), Zhi Ke (Aurantii Fructus - remove albedo and stir-fry), Tian Ma (Gastrodiae Rhizoma), Quan Xie (Scorpio - remove toxicity), Jiang Can (Bombyx Batryticatus - stir-fried), Bai Fu Zi (Typhonii Rhizoma - baked), Di Gu Pi (Lycii Cortex - equal parts each), Gan Cao (Licorice Root - half dose). Prepare one dose by coarsely crushing the herbs, adding three slices of fresh ginger, and decocting in water.
Ling Sha Wan: Treats critical conditions in children caused by wind-phlegm, fright, and accumulation, with miraculous effects.
Ingredients: Nan Xing (Arisaematis Cum Bile), Ban Xia (Pinelliae Rhizoma - both soaked), Ba Dou (Crotonis Fructus - shelled, boiled in wine and dried twice, 5 qian each), Quan Xie (Scorpio), Zhu Sha (Cinnabar - half for medicine, half for coating, 3 qian each), Jiang Can (Bombyx Batryticatus - stir-fried, 7 fen), Qing Fen (Calomelas - small amount). Grind into powder, mix with water to form pills the size of millet seeds. Take three pills per dose. For convulsions, take with Yin Jin Tang (Gold and Silver Decoction); for other conditions, take with Ginger Decoction.
Long Nao An Shen Wan: Specifically treats adult and pediatric convulsions, epilepsy, bone-steaming consumptive fever with cough, slurred speech and stiff tongue persisting for a long time, as well as unresolved high fever from Shang Han (Cold Damage) with prolonged absence of sweating. Adults take one pill, taken down with well water mixed with Xiong Huang (Realgar, 4-5 fen), or chewed finely, or ground and swallowed. Infants under one year take one-quarter pill; those aged two to three take one-third pill; those aged four to five take one-half pill. Extremely effective.
Ingredients: Niu Huang (Calculus Bovis, 5 fen), Pian Nao (Borneolum Syntheticum, 3 fen), Wu Xi Jiao (Rhinocerotis Cornu, 2 qian), Zhu Sha (Cinnabar, water-ground, 2 qian), Ren Shen (Ginseng Radix et Rhizoma, remove rhizome, 2 qian), Bai Fu Shen (Poria cum Radix Pini, remove skin, 3 qian), Di Gu Pi (Lycii Cortex, 2 qian), Mai Men Dong (Ophiopogonis Tuber, remove heart, 2 qian), Sang Bai Pi (Mori Cortex, 2 qian), She Xiang (Moschus, 3 fen), Ma Ya Xiao (Natrii Sulfas, 3 fen), Gan Cao (Licorice Root, 2 qian). Grind each ingredient into powder, weigh accurately, mix together, and form pills with refined honey. Each liang of powder makes ten pills. Coat with four large sheets of gold foil. Dry in shade, store in porcelain jars sealed with yellow wax to prevent volatilization of borneol and musk. This formula is infallible; its merits cannot be fully described.
Qian Jin San: Treats all types of phlegm-wheezing in children, acute and chronic convulsions. Even if death has occurred, if the mouth can be opened for administration, recovery is certain.
Ingredients: Quan Xie (Scorpio - roasted), Jiang Can (Bombyx Batryticatus - 3 fen each), Zhu Sha (Cinnabar - 4 fen), Niu Huang (Calculus Bovis - 6 li), Bing Pian (Borneolum Syntheticum), Huang Lian (Coptidis Rhizoma), Tian Ma (Gastrodiae Rhizoma - 4 fen each), Dan Xing (Arisaematis Cum Bile), Gan Cao (Licorice Root - 2 fen each). Grind into fine powder. Use 5-7 li per dose, mixed with decoction of Bo He (Menthae Haplocalycis Herba), Deng Xin Cao (Junci Medullae), and Yin Jin Hua (Flos Lonicerae Japonicae). Take at any time.
Bao Sheng Ding: Treats pediatric acute and chronic convulsions, excessive phlegm-saliva, fetal fright with internal retraction, excessive crying, nighttime restlessness and confusion, chronic epilepsy, cough with fever, and summerheat-induced convulsions. Regular use calms fright, soothes the spirit, and stabilizes the heart.
Ingredients: Niu Huang (Calculus Bovis, 3 qian), Tian Zhu Huang (Bambusae Calamus Taeniam), Chen Sha (Cinnabar - 1 liang each), Xiong Huang (Realgar, 3 qian), She Xiang (Moschus, 5 fen), Pian Nao (Borneolum Syntheticum, 5 fen), Hu Po (Amber, 1 liang), Zhen Zhu (Margarita, 5 qian), Da Zhe Shi (Hematitum, 3 qian, calcined seven times), She Han Shi (Pyritum, 3 qian, calcined seven times), Yin Jin Bo (Lamina Aurii et Argentii, 4 sheets), Tian Ma (Gastrodiae Rhizoma), Fang Feng (Saposhnikoviae Radix), Gan Cao (Licorice Root), Fu Ling (Poria - remove skin), Ren Shen (Ginseng Radix et Rhizoma - 3 qian each), Jiang Can (Bombyx Batryticatus), Xue Jie (Dragon's Blood - 5 qian each), Yuan Zhi (Polygalae Radix - remove heart, 3 qian), Chen Pi (Citri Reticulatae Pericarpium), Niu Dan Nan Xing (Arisaematis Cum Bile - 1 liang each). Grind into fine powder, bind with rice flour paste to form ingots, coat with Chen Sha. Dissolve in Bo He (Mint) decoction before administration.
Da Sheng Duo Ming Jin Dan: Treats pediatric acute and chronic convulsions, epilepsy, Tian Diao (upward gaze), external fright, evil influences, umbilical tetanus in newborns, lockjaw, fetal fright and epilepsy, locked jaw, convulsions due to wind-phlegm-heat, twitching and tremors, opisthotonos with upward gaze, coma and unresponsiveness. It treats all critical and urgent convulsive disorders with miraculous efficacy. Other convulsion remedies are inferior to this; it is truly a life-restoring preparation. (Transmitted by Yang Shengyu.)
Ingredients: Tian Ma (Gastrodiae Rhizoma - soaked), Quan Xie (Scorpio - remove toxicity), Jiang Can (Bombyx Batryticatus - stir-fried), Dan Xing (Arisaematis Cum Bile), Fang Feng (Saposhnikoviae Radix - remove rhizome), Qiang Huo (Notopterygii Rhizoma et Radix), Bai Fu Zi (Typhonii Rhizoma - processed), Fu Shen (Poria cum Radix Pini - remove wood), Chuan Xiong (Ligustici Chuanxiong Rhizoma), Yuan Zhi (Polygalae Radix - soak and remove heart), Jie Geng (Platycodonis Radix - remove rhizome and stir-fry), Shi Chang Pu (Acori Tatarinowii Rhizoma), Ban Xia (Pinelliae Rhizoma - ginger processed), Ren Shen (Ginseng Radix et Rhizoma - remove rhizome), Bai Zhu (Atractylodis Macrocephalae Rhizoma - remove rhizome), Fu Ling (Poria - remove skin), Suan Zao Ren (Ziziphi Spinosae Semen - stir-fried), Jing Sui (Perillae Folium), Xi Xin (Asari Radix et Rhizoma - 5 qian each), Chuan Wu (Aconiti Radix - processed, remove skin and navel, one piece), Wu She Wei (Agkistrodon Tail - wine-soaked and roasted, 5 qian), Gan Cao (Licorice Root), Da Chi Tou Wu Gong (Scolopendra - one piece, soaked in mint juice and roasted), Chen Xiang (Aquilariae Lignum Resinatum), Xi Jiao (Rhinocerotis Cornu), Ling Yang Jiao (Caprae Subcut cornu), Chen Sha (Cinnabar - water-ground), Zhen Zhu (Margarita), Hu Po (Amber - 1 qian each), Tian Zhu Huang (Bambusae Calamus Taeniam, 1 liang), Niu Huang (Calculus Bovis, 1.5 qian), Xiong Huang (Realgar), She Xiang (Moschus - 1 qian each), Jin Bo (Lamina Aurea, 30 pieces), Yin Bo (Lamina Argentea, 40 pieces). Grind into powder, bind with ginger juice paste to form pills the size of Euryale Seed. Coat with Zhu Sha. Take one pill per dose, dissolved in decoction of Yin Jin (Gold and Silver) and Bo He (Mint). Take at any time.
Case 1: A child presented with tidal fever and convulsions, phlegm-saliva obstructing upwards, and cold fingers/toes. The left cheek appeared cyanotic with hidden white color during Shen and You hours (3 PM - 7 PM). Treatment involved Bu Zhong Yi Qi Tang (Tonify the Middle and Augment the Qi Decoction) to tonify Spleen and Lung, followed by Liu Wei Wan (Six-Ingredient Pill with Rehmannia) to nourish Kidney and Liver, resulting in recovery. (Both formulas are found in the Tonification section.)
Case 2: A three-year-old child presented with convulsions due to fright, fever, and profuse phlegm. Long-term use of Bao Long Wan (Embrace Dragon Pill) resulted in alternating red and cyan facial complexion. This indicated blood deficiency in Heart and Liver channels with wind-heat generating phlegm. Treatment involved Liu Wei Wan (Six-Ingredient Pill with Rehmannia) to nourish Kidney and generate blood, combined with Liu Jun Zi Tang (Six-Gentlemen Decoction), Chai Hu (Bupleuri Radix), and Sheng Ma (Cimicifugae Rhizoma) to tonify and regulate Spleen and Stomach, leading to stabilization. (These three formulas are found in the Tonification section.)