小儿之病，皆出于热，何也？盖男多肾火，女多肝火，肾有火则精热，肝有火则血热。小儿禀受父母之精血而成
胎，故小儿之病，皆由于胎热也。
经曰∶热生风。又曰∶热生痰。盖胎热挟风上升则为头疮、 耳、齿疳、雀目之证；外散则为丹毒、瘾疹、遍身胎
肿之证。胎热挟风与痰而流注于头项、胸背、腋胁、肢节，则为瘰 、瘿瘤、走马、飞□、痰厥、不仁、不遂、龟胸、
龟背之证。风痰火乘虚（气□所虚，邪□凑焉）。而聚合于五内，则为急惊（实热）、慢惊（虚热）、狂（实热）、癫
（虚热）、痫、钓、 （柔）、痉（强）、疝、淋、浮、胀之证。是以胎热变生六证（风、热、痰、火、燥、湿），六
证养成百病，百病根委不过曰胎热而已（热生痰者，热多则津液煎熬而成痰也）。
凡小儿禀气有虚实。气实则热亦实，气虚则热亦虚。虚
热甚而痰多风小，则为慢惊（气虚则热愈增势，热甚则痰愈增势）；实热甚而痰少风多，则为急惊。凡治急惊，先以清
热为主；治慢惊，先以补气消痰为主。
惊有三证∶急惊、慢惊、慢脾风也（眼半开半合，将成脾风之候。惊风三次复发则为痫也）。
惊有八候∶一搐（臂肘伸缩）、二搦（十指皆合）、三掣（势如提掣）、四颤（头身颤动）、五反（身首反张）、
六引（手如挽弓）、七窜（目直上窜）、八视（晴露斜视）。
搐有五证∶身热力大者，急惊；身冷力小者，慢惊；仆地作声，醒时吐沫者，痫；头仰视者，天吊；角弓反张者，
。
脾风有五证∶头虽热，眼珠青白而足冷；头虽热，或腹胀而足冷；头虽热，或泄泻而足冷；头虽热，或呕吐而足
冷；头虽热，或渴而足冷者，脾风之候。（凡头热足冷者，皆真元不足，而虚热上升之致）
惊搐无声者，顺；有声者，逆。男为阳属木，故发搐之时，左视水位（肺）则无声，右视金位（肺）则有声。女
人反是。盖金木相击故也。
心主惊，实则多叫哭惊悸，手足动摇，发热饮水；心气热则合面而卧；热实则仰卧目上窜，舌强不能语，虚则困卧
惊悸不安。
肝主风，实则目直视，大叫，呵欠，项急，烦闷。甚则两 俱紧，不转目睛，发惊切牙，手循衣乱捻物，身强反张。
脾主困，实则困睡，身热饮水，泄泻赤黄色，不思饮食，睡不露睛；虚则吐泻白色，睡露睛或有痰。
肺主喘，实则闷乱、喘促或渴，虚则哽气长，出气短，唇白色。
肾主无虚，实则目无精光，畏明，体骨重，虚劫神气不足，目中白睛多，颅解颅开，面色 白。肾虚者下窜，或胫
寒足热，不喜覆衣。
五脏传变皆痰为患，盖痰乃风苗，火静则伏于脾，火动则壅于脾，痰火交作则为惊风，结滞则为痫、钓，来去则为
泻青，皆由脾湿而成。（保元汤，加白芍药以养血，为使。乃慢惊之养剂也）
小儿的疾病，都源于热证，为什么呢？因为男孩多肾火，女孩多肝火，肾有火则精液受热，肝有火则血液受热。小儿禀受父母的精血而形成胎体，所以小儿的疾病，都由于胎热所致。
经典记载说：热极生风。又说：热盛生痰。胎热挟带风邪上升，就会表现为头疮、耳部病变、牙齿疳蚀、雀目（夜盲）等证候；向外发散则表现为丹毒、瘾疹（荨麻疹）、全身胎肿等证候。胎热挟带风邪与痰浊流注于头项、胸背、腋胁、四肢关节，就会表现为瘰疬、瘿瘤、走马牙疳、飞尸鬼魅（泛指急骤凶险之症）、痰厥、麻木不仁、半身不遂、龟胸、龟背等证候。风、痰、火乘人体正气虚弱之时（气虚则邪气凑集），聚合于五脏内部，就会表现为急惊（实热证）、慢惊（虚热证）、狂病（实热证）、癫病（虚热证）、痫病、钓风、柔痉（强直性痉挛较轻者）、刚痉（强直性痉挛较重者）、疝气、淋证、浮肿、胀满等证候。因此，胎热变化衍生出六种证候（风、热、痰、火、燥、湿），这六种证候演变成百病，追溯其根源，不过是胎热罢了（所谓热生痰，是因为热盛煎熬津液而成痰）。
凡是小儿禀受的元气有虚实之分。元气实则热证也实，元气虚则热证也虚。虚热严重而痰多风小，就会表现为慢惊（气虚则热势更增，热甚则痰势更盛）；实热严重而痰少风多，就会表现为急惊。凡治疗急惊，先以清热为主；治疗慢惊，先以补气消痰为主。
惊风有三种证候：急惊、慢惊、慢脾风（眼睛半开半合，是即将形成脾风的征兆。惊风三次复发就会转变为痫病）。
惊风有八种征候：一是搐（手臂肘部伸缩）、二是搦（十指紧握）、三是掣（势态如同牵引）、四是颤（头身颤抖）、五是反（身体头部向后仰折）、六是引（手如拉弓状）、七是窜（眼球向上直瞪）、八是视（眼球露白斜视）。
搐证有五种表现：身体发热且力量大者，为急惊；身体发冷且力量小者，为慢惊；倒地发作时发出声音，清醒时吐沫者，为痫病；头向后仰视者，为天吊；角弓反张者，为痉。
脾风有五种表现：头部虽热，但眼珠青白且脚冷；头部虽热，或腹部胀满且脚冷；头部虽热，或泄泻且脚冷；头部虽热，或呕吐且脚冷；头部虽热，或口渴且脚冷者，均为脾风的征兆。（凡是头热足冷的情况，都是真元不足，导致虚热上升所致）
惊搐无声者，为顺证；有声者，为逆证。男子属阳，归属于木，所以在发搐时，向左看水位（肺金位）则无声，向右看金位（肺金位）则有声。女子则相反。这是因为金木相击的缘故。
心主惊，实证多见叫哭、惊悸、手足动摇、发热、想喝水；心气热则喜欢脸朝下趴着睡；热实证则仰卧、眼球上翻、舌强不能说话，虚证则困倦卧倒、惊悸不安。
肝主风，实证多见两眼直视、大声呼叫、打哈欠、颈部僵硬、烦闷。严重时两胁紧绷，眼球不能转动，发惊咬牙，手摸衣被乱捻物品，身体强直后仰。
脾主困，实证多见嗜睡、身体发热想喝水、排泄赤黄色稀便、不思饮食、睡觉时眼睛不闭合；虚证多见呕吐腹泻白色稀便、睡觉时眼睛睁开或有痰。
肺主喘，实证多见胸闷烦躁、气喘急促或口渴，虚证多见叹气长、呼气短、嘴唇白色。
肾主无虚（此处原文意指肾常虚，但此处列举了虚实表现，结合上下文应理解为肾的病变表现），实证多见眼神无光彩、畏光、身体骨骼沉重；虚证劫夺神气不足，眼中白睛多，囟门不合或开裂，面色苍白。肾虚者精气下陷，或小腿寒脚热，不喜欢盖被子。
五脏传变皆由痰致病，因为痰是风的苗头，火静伏时潜伏于脾，火动时壅塞于脾，痰火交结则产生惊风，结滞则产生痫病、钓风，来去无常则产生泻青，这些都由脾湿而成。（保元汤，加入白芍药以养血，作为使药。这是治疗慢惊的滋养方剂）
The diseases of children all originate from heat. Why is this? It is because boys often have Kidney Fire, and girls often have Liver Fire. When the Kidney has fire, the essence becomes hot; when the Liver has fire, the blood becomes hot. Children are formed in the womb by inheriting the essence and blood of their parents; therefore, the diseases of children all stem from fetal heat (Tai Re).
The Classics state: "Heat generates wind." It also states: "Heat generates phlegm." Fetal heat combined with wind rising upward manifests as head sores, ear disorders, dental canker (Chi Gan), and night blindness (Que Mu); dispersing outward, it manifests as erysipelas (Dan Du), urticaria (Yin Zhen), and generalized fetal edema. When fetal heat combines with wind and phlegm to flow and accumulate in the head, neck, chest, back, axillae, hypochondrium, and joints, it manifests as scrofula (Luo Li), goiter (Ying Liu), rapid-progressing dental gangrene (Zou Ma), sudden fatal illnesses (Fei Qiong), phlegm syncope (Tan Jue), numbness, hemiplegia, turtle chest (Gui Xiong), and turtle back (Gui Bei). Wind, phlegm, and fire take advantage of deficiency (when Qi is deficient, pathogens gather) and aggregate within the five zang organs, manifesting as acute convulsion (Ji Jing - excess heat), chronic convulsion (Man Jing - deficiency heat), mania (Kuang - excess heat), depression/epilepsy-like syndrome (Dian - deficiency heat), epilepsy (Xian), fishing-worm convulsion (Diao), flaccid spasm (Rou Jing), rigid spasm (Jing), hernia (Shan), strangury (Lin), edema (Fu), and distension (Zhang). Thus, fetal heat transforms into six syndromes (wind, heat, phlegm, fire, dryness, dampness); these six syndromes develop into a hundred diseases, and tracing their root causes reveals they are nothing but fetal heat (regarding heat generating phlegm: excessive heat boils down body fluids to form phlegm).
Generally, children's innate qi has deficiency or excess. If qi is excess, heat is excess; if qi is deficiency, heat is deficiency. When deficiency heat is severe with much phlegm and little wind, it manifests as chronic convulsion (deficiency of qi allows heat to increase its momentum, and severe heat increases the momentum of phlegm); when excess heat is severe with little phlegm and much wind, it manifests as acute convulsion. In treating acute convulsion, clearing heat is prioritized; in treating chronic convulsion, tonifying qi and resolving phlegm is prioritized.
Convulsion presents in three forms: acute convulsion, chronic convulsion, and chronic spleen wind (eyes half-open and half-closed indicate impending spleen wind. Recurrent convulsions occurring three times transform into epilepsy).
Convulsion presents with eight signs: 1. Twitching (Chù - extension and flexion of arms and elbows); 2. Grasping (Nuo - closing of all ten fingers); 3. Pulling (Chè - motion like pulling); 4. Trembling (Chàn - trembling of head and body); 5. Arching (Fǎn - backward arching of body and head); 6. Drawing (Yǐn - hands drawn back like drawing a bow); 7. Gazing upward (Cuàn - eyes staring straight up); 8. Glancing (Shì - eyes showing whites and looking obliquely).
Twitching presents in five forms: Body heat with strong force indicates acute convulsion; body cold with weak force indicates chronic convulsion; falling down making sounds and foaming at the mouth upon waking indicates epilepsy; head looking upward indicates heavenly suspension (Tian Diao); rigid arching backward indicates spasm (Jing).
Spleen wind presents in five forms: Head is hot, but eyes are blue-white and feet are cold; head is hot, or abdomen is distended and feet are cold; head is hot, or diarrhea occurs and feet are cold; head is hot, or vomiting occurs and feet are cold; head is hot, or thirst occurs and feet are cold. These are all signs of spleen wind. (Whenever the head is hot and feet are cold, it is caused by insufficiency of true yuan, leading to rising deficiency heat).
Convulsions without sound are favorable (shun); those with sound are unfavorable (ni). Males belong to yang and wood; thus, during convulsions, looking left toward the water position (Metal/Lung position in some contexts, though traditionally Water/Kidney, here text says Lung/Metal position for sound/no sound logic based on Metal-Wood interaction) results in no sound, while looking right toward the metal position results in sound. Females are the opposite. This is due to the clash between metal and wood.
The Heart governs fright. Excess manifests as crying, screaming, fright, palpitations, shaking of hands and feet, fever, and desire to drink water. Heat in heart qi manifests as sleeping face-down. Heat-excess manifests as supine sleeping with eyes rolling up, stiff tongue unable to speak. Deficiency manifests as lethargic lying down, fright, palpitations, and restlessness.
The Liver governs wind. Excess manifests as fixed gaze, loud screaming, yawning, neck stiffness, and irritability. Severe cases present with tightness in both hypochondria, inability to move eyeballs, fright with teeth grinding, hand wandering touching clothes and objects aimlessly, and rigid body with backward arching.
The Spleen governs stagnation/lethargy. Excess manifests as drowsiness, body heat, desire to drink, red-yellow diarrhea, loss of appetite, and sleeping with eyes open. Deficiency manifests as white vomiting and diarrhea, sleeping with eyes open, or presence of phlegm.
The Lungs govern panting. Excess manifests as chest oppression, confusion, rapid panting, or thirst. Deficiency manifests in long sighing, short exhalation, and white lips.
The Kidneys are described as having no deficiency in this specific context listing symptoms, but manifestations include: Excess manifests as lack of luster in eyes, photophobia, heavy bones/joints. Deficiency involves depletion of spirit and qi, excessive whites in eyes, fontanelles remaining open or splitting, and pale complexion. Kidney deficiency manifests as downward sinking of essence, or cold shins with hot feet, and dislike of covering with clothes.
Transmission among the five zang organs is always caused by phlegm. Phlegm is the sprout of wind. When fire is quiet, it hides in the Spleen; when fire moves, it obstructs the Spleen. The intersection of phlegm and fire produces convulsion; stagnation and knotting produce epilepsy and fishing-worm convulsion; coming and going produce green diarrhea. All these arise from spleen dampness. (Bao Yuan Tang, added with Bai Shao Yao [Radix Paeoniae Alba] to nourish blood, serves as the guiding herb. This is a nourishing formula for chronic convulsion.)