某 惊则气逆。阳泄为汗。用重镇压惊。（气逆阳泄）
川桂枝木（五分） 黄 （去心二钱） 人参（一钱） 龙骨（ 一钱半） 左顾牡蛎（ 一钱半）
某 惊恐伤神。不语。（痰火阻窍）
建兰根汁 姜汁 金汁
共和一处。隔汤炖。徐徐服。
某 因惊外触。见症神怯欲迷。已经肢厥冷汗怕动。仿镇怯理虚。（脏燥阳浮）
人参 茯神 枣仁 生龙骨 石菖蒲 炙草 南枣 陈淮小麦 早上服
杨（氏） 经血期至。骤加惊恐。即病寒热。心悸不寐。此惊则动肝。恐则伤肾。最虑久延脏燥。即有肝
厥之患。
淮小麦 天冬 龙骨 牡蛎 白芍 茯神
陈（二九） 心中若烟雾。嗳则气散。少顷即聚。易惊恐畏惧。呕逆不渴。自述难鸣苦况。泻后亡阴。热药
劫阴。前议和胃不应。主以镇之摄之。
炙甘草 淮小麦 大枣 枣仁 青龙骨
某 骤惊。阳逆暴厥。为肝胆病。昼则心悸是阳动。夜则气坠属阴亏。用收固肾肝可效。（肝肾阴虚阳浮）
生地（五钱） 萸肉（一钱） 龙骨（三钱） 牡蛎（三钱） 五味（一钱） 真金箔（三张）
经云。惊则伤胆。恐则伤肾。大凡可畏之事。猝然而至者谓之惊。若从容而至。可以宛转
思维者。谓之恐。是惊急而恐缓也。夫惊症。大人亦有之。小儿最多。因其神志未坚。胆气未
充。故每遇稍异之形声。即陡然而惊矣。惊之所伤。由心猝及乎胆。由胆即及乎肝。遂致心
主君火。兼肝胆中相火风木。骤然而起。症现搐搦 。神昏谵妄。肢冷厥逆。吐乳身热。目
窜口噤。种种所患。无非心肝胆之现症。而实毫无外感之风邪。此因外受之惊。而动内之
木火风也。故但当以一惊字。立为病名。斯乃切当。因其内风沸起。遂加一风字。因病来迅
速又加一急字故遂有急惊风之病名。此已属牵强附会矣。至于今之混称为急惊风
者。更属背谬。总因小儿阴气未充。外感之风温风热风火。以及寒邪化热。并燥火诸症。最
易伤阴。阴伤则血不营筋。液伤则脉络滞涩。热盛。亦能使内之木火风相继而起。所现之
症。与受惊者类亦相同。然实非因受惊而起。其所治之法。大有区别。如果因惊者。治宜安
养心神。镇惊定怯。甘凉清内热。柔润熄肝风。或少佐芳香。通其窍络。舒其结闭。至于刚热
燥涩。表散之药。概不可用。若无惊而但感外邪者。有宜于凉散。有宜于温散。有宜于苦寒
清火。有宜于甘温扶阳。或补或泻。自当按六淫之邪而施治。与惊字毫无关涉。奈今之医
者。每遇非惊之症。因不能辨明六气中所伤何气。却定不出病名。遂强将一惊字混入。藉
口漫称为急惊风症。掩饰欺人。病家亦酷信之。以为小儿防范难周。焉有无惊之理。其
所订之方错杂游移不知治惊总以心肝胆为主。若治时邪。须兼肺胃脾肾。三焦营卫经
络而论。大不相同也。更有一种称慢惊风之病名者。尤属怪诞不经。必当亟为驳正。有论
在幼科吐泻之后。宜合观之。（华岫云）
徐评 风字最妙。凡肝胆之疾。无不因风。肝为风脏。经云风者百病之长也。不但外风名风。即
内风亦名风。故大人口眼歪斜。神昏厥冒。亦名中风。与小儿亦相类。何独小儿之病不得名风也。
某患者，受惊导致气机逆乱。阳气外泄表现为出汗。治疗采用重镇药物以平定惊恐。（病机为气逆、阳气外泄）
川桂枝木（五分） 黄芩（去心二钱） 人参（一钱） 龙骨（一钱半） 左顾牡蛎（一钱半）
某患者，惊恐损伤心神。表现为沉默不语。（病机为痰火阻塞清窍）
建兰根汁 姜汁 金汁
混合在一起。隔水炖煮。慢慢服用。
某患者，因受惊且外感邪气。出现神志怯弱、意识模糊的症状。已经出现四肢厥冷、冷汗、害怕动弹。仿照镇怯、调理虚损的方法治疗。（病机为脏燥、阳气浮越）
人参 茯神 枣仁 生龙骨 石菖蒲 炙甘草 南枣 陈淮小麦 早上服用
杨氏患者，月经期刚至，突然遭受惊恐，随即发病，出现寒热往来、心悸、失眠。这是惊恐扰动肝气，恐惧损伤肾精。最担心病情迁延日久导致脏躁，甚至出现肝厥的隐患。
淮小麦 天冬 龙骨 牡蛎 白芍 茯神
陈某（二十九岁），心中感觉如有烟雾笼罩，打嗝则气散，片刻后又聚集。容易惊恐畏惧，呕吐逆气但不口渴。自述难以言说的痛苦状况。泻下后阴液亡失，使用热药劫夺阴液。前议调和胃气无效，主用镇摄之法。
炙甘草 淮小麦 大枣 枣仁 青龙骨
某患者，突然受惊，阳气逆乱暴发性厥逆，属于肝胆疾病。白天心悸是阳气妄动，夜晚气坠属于阴亏。使用收敛固涩肝肾的方法可以见效。（病机为肝肾阴虚、阳气浮越）
生地（五钱） 山茱萸（一钱） 龙骨（三钱） 牡蛎（三钱） 五味子（一钱） 真金箔（三张）
经书云：惊伤胆，恐伤肾。大凡令人畏惧的事情，猝然到来称为“惊”；如果从容到来，可以委婉思维应对的，称为“恐”。所以惊急而恐缓。惊症，大人也有，但小儿最多。因为小儿神志未坚定，胆气未充实，所以每当遇到稍异的声音形象，就陡然受惊。惊所伤害的，由心猝然波及到胆，由胆即波及到肝，致使心主君火，兼及肝胆中的相火与风木，骤然兴起。症状出现抽搐、神昏谵语妄言、四肢冰冷厥逆、吐乳身热、眼球上窜、牙关紧闭等种种病患，无非是心、肝、胆的表现症状，实际上毫无外感的风邪。这是因为外受惊吓，而动摇了体内的木火风。所以只应当以“惊”字立为病名，这才恰当。因为内风沸腾而起，于是加一个“风”字；因病来势迅速，又加一个“急”字，所以就有了“急惊风”的病名。这已经属于牵强附会了。至于现在混称为“急惊风”的，更是荒谬背理。总因小儿阴气未充，外感的风温、风热、风火，以及寒邪化热，并燥火诸症，最容易伤阴。阴伤则血不能濡养筋脉，液伤则脉络滞涩。热盛，也能使体内的木火风相继而起。所出现的症状，与受惊者类似也相同。然而实际上并非因受惊而起，其治疗方法大有区别。如果是确实因惊所致，治疗宜安养心神，镇惊定怯，用甘凉药清内热，用柔润药熄肝风，或少许佐以芳香药，通其窍络，舒其结闭。至于刚热燥涩、表散的药物，一概不可用。如果没有受惊，只是感受外邪的，有的宜于凉散，有的宜于温散，有的宜于苦寒清火，有的宜于甘温扶阳。或补或泻，自然应当根据六淫之邪而施治，与“惊”字毫无关系。无奈现在的医者，每当遇到非惊的病症，因为不能辨明在六气中受伤的是哪一种气，却定不出病名，于是强行将“惊”字混入，借口漫称为“急惊风症”，掩饰欺人。病人家属也深信不疑，认为小儿防范难周全，怎么会有不受惊的道理。他们所制定的方剂错杂游移，不知道治疗惊症总以心、肝、胆为主。若治疗时行邪气，须兼肺、胃、脾、肾、三焦、营卫、经络来论述。大不相同啊。更有一种称为“慢惊风”的病名，尤其荒诞不经。必须亟力驳正。有论述在儿科吐泻之后，宜合观之。（华岫云评注）
徐评：“风”字用得最妙。凡是肝胆的疾病，无不与风有关。肝为风脏，经书云风是百病之长。不但外风叫风，即内风也叫风。所以大人出现口眼歪斜、神昏厥冒，也叫中风，与小儿的情况相似。为什么唯独小儿的病不得名为风呢？
A certain patient: Shock causes Qi rebellion. Yang leakage manifests as sweating. Treatment uses heavy sedatives to calm the fright. (Pathogenesis: Qi rebellion, Yang leakage)
Cassiae Ramulus (5 fen) Scutellariae Radix (devoid of heart, 2 qian) Ginseng Radix et Rhizoma (1 qian) Os Draconis (1.5 qian) Ostreum Concha (left-facing, 1.5 qian)
A certain patient: Fright and terror damage the Shen (Spirit). Manifests as muteness. (Pathogenesis: Phlegm-fire obstructing orifices)
Jianlan Gen Juice Ginger Juice Jin Zhi (Gold Water)
Mixed together. Steamed in a water bath. Taken slowly.
A certain patient: Due to shock and external pathogenic invasion. Symptoms include mental timidity and欲迷 (desire for confusion/loss of consciousness). Already presenting with cold limbs, cold sweat, and fear of movement. Following the method of calming timidity and treating deficiency. (Pathogenesis: Visceral dryness, Yang floating)
Ginseng Radix et Rhizoma Fu Shen (Poria with Hostwood) Semen Ziziphi Spinosae (Zao Ren) Raw Os Draconis Shi Chang Pu (Rhizoma Acori Tatarinowii) Honey-fried Glycyrrhizae Radix et Rhizoma Nan Zao (Southern Jujube) Chen Huai Xiao Mai (Old Huai Wheat) Taken in the morning.
Patient Yang: Menstruation had just begun, sudden fright ensued, immediately developing chills and fever, palpitations, and insomnia. This is fright disturbing the Liver, fear injuring the Kidney. Most feared is prolonged illness leading to visceral dryness, and even the risk of Liver jue (syncope/collapse).
Huai Xiao Mai (Triticum aestivum L.) Tian Dong (Asparagi Radix) Long Gu (Os Draconis) Mu Li (Ostreae Concha) Bai Shao (Radix Paeoniae Alba) Fu Shen (Poria cum Radice)
Patient Chen (29 years old): Heart feels as if shrouded in smoke. Belching disperses Qi, which gathers again after a while. Prone to fright and fear. Vomiting and reflux without thirst. Self-reports unbearable suffering. After purgation, Yin was lost; hot herbs depleted Yin. Previous proposal to harmonize the Stomach failed. Main treatment focuses on sedating and grasping.
Honey-fried Glycyrrhizae Radix et Rhizoma Huai Xiao Mai (Triticum aestivum L.) Da Zao (Jujubae Fructus) Zao Ren (Semen Ziziphi Spinosae) Qing Long Gu (Green Dragon Bone)
A certain patient: Sudden shock, Yang rebellion causing acute jue (collapse), belongs to Liver and Gallbladder disease. Palpitations during the day indicate Yang hyperactivity; Qi sinking at night indicates Yin deficiency. Using methods to consolidate and secure the Liver and Kidney can be effective. (Pathogenesis: Liver-Kidney Yin deficiency, Yang floating)
Shu Di Huang (Rehmanniae Radix Preparata) Shan Zhu Yu (Corni Fructus) Long Gu (Os Draconis) Mu Li (Ostreae Concha) Wu Wei Zi (Schisandrae Chinensis Fructus) True Jin Bo (Gold Leaf)
The Classics state: Shock injures the Gallbladder, fear injures the Kidney. Generally, matters that are terrifying and arrive suddenly are called "Shock" (Jing); if they arrive leisurely, allowing for gradual contemplation, they are called "Fear" (Kong). Thus, shock is rapid, fear is slow. Shock syndromes occur in adults but are most common in children. Because their Shen (Spirit) is not firm and Gallbladder Qi is not full, upon encountering slightly unusual sounds or sights, they are startled abruptly. The injury from shock spreads from the Heart to the Gallbladder, then from the Gallbladder to the Liver, causing the Heart's Ministerial Fire and the Liver/Gallbladder's Xiang Fire and Wind-Wood to rise suddenly. Symptoms manifest as convulsions, coma with delirious speech, cold limbs and jue, vomiting milk with body heat, eyes rolling up, and jaw stiffness. All these ailments are essentially symptoms of the Heart, Liver, and Gallbladder, actually having no external Wind pathogen. This is because external shock agitates the internal Wood-Fire-Wind. Therefore, one should only use the character "Shock" to name the disease, which is appropriate. Because internal wind boils up, a "Wind" character is added; because the disease comes rapidly, an "Acute" character is added, thus creating the disease name "Acute Convulsive Wind" (Ji Jing Feng). This is already far-fetched. As for currently mixing it up and calling it "Acute Convulsive Wind," this is even more absurd. It is generally because children's Yin Qi is not full; external Wind-Warmth, Wind-Heat, Wind-Fire, as well as Cold transforming into Heat, and Dryness-Fire syndromes, easily damage Yin. When Yin is damaged, Blood cannot nourish tendons; when fluids are damaged, meridians become stagnant. Excessive Heat can also cause internal Wood-Fire-Wind to arise sequentially. The manifested symptoms are similar to those of shock. However, they do not actually arise from shock, and the treatment methods differ greatly. If indeed caused by shock, treatment should soothe and nourish the Heart-Shen, sedate fright and stabilize timidity, use sweet-cool herbs to clear internal heat, use soft-moist herbs to extinguish Liver-wind, or add a little aromatic herbs to open orifices and unblock collaterals, relieving blockage. Rigid-hot, drying, and astringent, or exterior-releasing drugs must absolutely not be used. If there is no shock but only external pathogenic invasion, some require cool release, some warm release, some bitter-cold fire-clearing, some sweet-warm Yang-supporting. Tonification or purgation should naturally be applied according to the Six Excesses (Liu Yin), having nothing to do with the character "Shock." Unfortunately, current physicians, when encountering non-shock syndromes, unable to distinguish which of the Six Qi caused the injury and unable to determine the disease name, forcibly mix in the "Shock" character, using the excuse of casually calling it "Acute Convulsive Wind Syndrome" to deceive and cover up. Patients' families also believe it deeply, thinking that since protection for children is hard to be perfect, how could there be no shock? Their prescribed formulas are chaotic and indecisive, not knowing that treating shock always focuses on the Heart, Liver, and Gallbladder. Treating seasonal pathogens requires discussing the Lung, Stomach, Spleen, Kidney, San Jiao, Ying and Wei, and meridians. They are vastly different. Furthermore, there is another disease name called "Slow Convulsive Wind," which is especially bizarre and unreasonable. It must be urgently refuted. There is a discussion regarding pediatric vomiting and diarrhea, which should be viewed together. (Commentary by Hua Xiuyun)
Xu's Commentary: The word "Wind" is used excellently. All Liver and Gallbladder diseases are related to Wind. The Liver is the organ of Wind. The Classics state that Wind is the chief of all diseases. Not only external Wind is called Wind, but internal Wind is also called Wind. Therefore, adults presenting with facial paralysis, coma, and syncope are also called Zhong Feng (Stroke/Wind Strike), similar to children. Why should children's diseases not be named Wind?