《脉诀启蒙》云∶小儿脉促急为虚惊。《直指》云∶浮数洪紧为急惊。沉迟散缓为慢惊。
虎口脉纹青紫为惊风。红者风热轻。赤者风热盛。紫者惊热,青者惊积。青而淡紫,伸缩来去,
主慢惊。青紫相半,惊积风热俱有,主急惊风。紫丝青丝或黑丝隐隐相杂,似出而不出,主慢
脾风。情势弯入里者顺,出外者逆。
惊风痰热四证用药法
小儿有热,热盛生痰,痰盛生惊,惊盛生风,风盛生搐,搐盛则牙关急,急甚反张上窜。
痰涎壅,牙关紧。风热极闭经络,即作搐搦涎壅。胃口闷乱,不醒,才入中脘。手足拳挛,
是诸关窍不通,百脉凝滞。有退热而愈者,有治痰而愈者,有治惊而愈者,有通关而愈者,皆是
根据证用药,不可不究竟其所以受病。凡病在热,不可妄治痰;病在惊,不可妄治风;病在痰,
不可妄治惊;病在风,不可妄治搐。治法病在惊,惊由痰热得者,只可退热化痰,其惊自止。
病在风,风由惊作,只可利惊化痰,其风自散。病在痰,涎急,须退热化痰。若还有搐,须用截
风散惊。此为活泼之治也。
治惊当分三因
钱氏曰∶小儿惊搐,因伤风后得之,口中气出热,呵欠烦闷,手足动摇,当发散,大青
膏主之。小儿本怯,多此病也。因伤食后得之,身体温,多睡或吐,不思乳食而发搐,当先定搐,
搐退,白饼子下之,后与安神丸主之。惟疮疹能发搐,风火相争故也。治当泻心肝补母也。《类
萃》治小儿因伤风而得惊搐者,同大人伤风寒之类,当辨有汗无汗,阴阳二证,用大青膏、仲景
小续命之类开发则愈。伤食发搐,谓不因他证,忽然而搐,此因饮食过度,致损脾胃,故见多
睡,或吐,不思乳食,脾胃既虚,引肝风,则发搐。当先定其搐,加羌活、防风煎下泻青丸,
后用白饼子下其食,渐渐用调中丸,异功散养其气。或因斑疹而得搐者,盖疹为脾虚所生,脾虚
而肝旺乘之,木来胜土,热气相击,动于心神,心喜为热,神气不安故也。斑为心所生,心主
热,热则生风,风属于肝,二脏相搏,故发搐也。宜泻肝补其母,导赤散、地黄丸主之。
丹溪治惊风大法
小儿惊风有二,急惊属痰热,宜凉泻。一云用降火下痰丸,养血药作汤下之。慢惊属脾虚
所主,多死,宜用温补,一云当义脾。世以一药通治二惊,此甚妄也。急惊风,热口疮,手心
伏热,痰嗽痰喘,并用涌法,重则用瓜蒂散,轻则用赤小豆、苦参末,须用酸 汁调服之。
候小定用通圣散,蜜丸服之,间以桑树上桑牛阴干为末调服,以平其风。又以北薄荷叶、寒水石
各一两,青黛、白僵蚕、辰砂各一钱,全蝎二枚,猪牙皂角、槐角各五分为末,灯心汤和乳汁灌
之。角弓反张,目直视,因惊而致,宜南星、半夏入姜汁、竹沥灌之,更灸印堂。频吐泻者,
将成慢惊,用钱氏白术散加山药、扁豆、炒肉豆蔻、面包煨,各一钱,入姜一片煎服。若慢惊
已作,加细辛、天麻各一钱,全蝎三个去梢,白附子八分面煨。惊而泻,用参、苓、芍药酒炒白
术,姜煎。夏月加姜黄连、生甘草服之。
惊风候各有所属
小儿非时钓上眼睛是肝风惊。白日无时喜笑,惊风在心。梦中五指捻动,惊风在筋。
畏人恐怖,惊在脾。梦中非时手足抽动,惊风在肝心二脏。面色赤非时作黑,惊在肾。无时咬
人,惊风在骨。非时手足 人,惊在三焦。梦中吐舌,惊在心。睡时喉中响拽,惊在肺并胃脘。
面色青白无时发热战,惊在脾。无时面上黑色恶叫,惊在肾。治惊大法有方,用药有序,急以
退热疏风,下痰定搐开关。当下便不可用巴豆、硝粉、脑、麝、牛黄大寒之剂下之,大黄可也,
恐伤真气元阳也。小儿易虚易实,用温凉之剂无过与不及。要问前医曾经解利不曾,又不知真假
逆顺,伤寒伤风,麻痘食积,变蒸热急亦致发搐,假搐是也,各有见证可验。牙关不紧,若无
痰潮,见其惊风,便言热则生风,便与脑、麝、巴、霜、牛黄、轻粉,大寒毒剂截风峻取下痰,
以致脾胃虚损,以传慢候夭伤者多矣。凡百病不可损其胃气,医者慎之。曾经下后,诸病犹存,
不得再下。有惊散惊,有热退热,有痰利痰,壅实则去壅实。热退则不生痰,惊散则不生风。
壅实去,气自平,病何由作?钱氏曰温惊丸,凉惊丸,利惊丸,何也?虚则温之,实则利之,
热则凉之。
通惊开关
杨氏曰∶惊风搐搦,关窍不通,皆由痰塞中脘,留滞百节所致。痰之潮塞者,气实使之。治
风痰,当用半夏、南星、全蝎、僵蚕,亦当用苏合香丸,同青州白丸子,同薄荷煎汤调入生姜汁
灌服,盖使气下则痰下,痰下则关窍自通,若搐鼻不嚏者,不治。
惊风不能治证
急惊眼睛翻转,口中出血,两足摆跳,肚腹搐动,或神缓而摸体寻衣,或证笃而神昏气促,
喷药不下,通
关不嚏,心烦忽叫者,不治。慢惊四肢厥冷,吐泻咳嗽,面黯神惨,鸦声胃痛,两胁动气,
口生白疮,发直摇头,眼青不转,涎鸣喘嗌,头软,大小便不禁,手足一边牵引者,皆为不
治。慢脾身冷粘汗,直卧如尸,喘嗽头软,背曲口禁摇头,痰如拽锯,面无润泽,唇促气粗
者,不治。
《脉诀启蒙》说:小儿脉搏急促,是虚惊的表现。《直指方》说:脉象浮、数、洪、紧,属于急惊风;脉象沉、迟、散、缓,属于慢惊风。
虎口脉络(指纹)呈现青紫色,主惊风。红色表示风热轻浅;赤色表示风热炽盛;紫色表示惊热;青色表示惊积。若纹路青中带淡紫,且形态伸缩自如、往来流动,主慢惊风。若青紫各半,说明既有惊积又有风热,主急惊风。若见紫丝、青丝或黑丝隐隐混杂,似出非出,主慢脾风。若纹路弯曲向手掌内侧延伸为顺证,向外侧延伸为逆证。
小儿体内有热,热盛则生痰,痰盛则生惊,惊盛则生风,风盛则引发抽搐,抽搐剧烈则导致牙关紧闭,严重时出现角弓反张、头向后仰及向上窜视的症状。若痰涎壅塞,牙关紧闭,风热极盛闭塞经络,就会发生抽搐、搦动和痰涎壅盛。胃脘部闷乱不舒,神志昏迷不醒,病邪才进入中脘穴所在部位。手足蜷缩拘挛,是因为诸窍不通,全身经脉凝滞。有的通过退热而痊愈,有的通过治痰而痊愈,有的通过镇惊而痊愈,有的通过开通关窍而痊愈,这都是根据具体证候用药的结果,不可不深入探究其致病原因。凡是病在热,不可胡乱治痰;病在惊,不可胡乱治风;病在痰,不可胡乱治惊;病在风,不可胡乱治搐。治疗方法上,如果病在惊,且惊由痰热引起,只需退热化痰,惊症自然停止。如果病在风,且风由惊引起,只需利惊化痰,风症自然消散。如果病在痰,且痰涎急迫,必须退热化痰。如果还有抽搐,必须用截风散惊的方法。这是灵活变通的治疗原则。
治疗惊风应当区分三种病因
钱乙说:小儿惊搐,如果是伤风后引起的,表现为口中呼出热气,呵欠烦闷,手足动摇,应当采用发散法,以大青膏为主方。小儿本性怯弱,容易患此病。如果是伤食后引起的,表现为身体微温,多睡或呕吐,不思乳食而发搐,应当先止住抽搐,抽搐消退后,用白饼子攻下积滞,随后给予安神丸主治。只有疮疹能引起惊搐,这是因为风火相争的缘故。治疗应当泻心肝之火并补益母脏(肺)。《类萃》治疗小儿因伤风而得惊搐的,与大人伤风寒类似,应当辨别有汗无汗,区分阴阳二证,使用大青膏、仲景小续命汤等开发透表即可痊愈。伤食引起的惊搐,是指不因其他病症,突然发生抽搐,这是由于饮食过度,损伤脾胃,所以见到多睡、呕吐、不思乳食,脾胃既已虚弱,引动肝风,从而发生抽搐。应当先定住抽搐,加羌活、防风煎煮后送服泻青丸,之后用白饼子攻下积食,渐渐改用调中丸、异功散来调养正气。或者因斑疹而引发抽搐的,因为疹子是脾虚所生,脾虚则肝旺乘之,木克土,热气相击,扰动心神,心喜热,神气不安的缘故。斑疹由心所生,心主热,热则生风,风归属于肝,两脏相搏,所以发生抽搐。适宜泻肝并补其母(肾),用导赤散、地黄丸主治。
小儿惊风有两种,急惊属于痰热,宜用凉泻法。一种说法是用降火下痰丸,配合养血药煎汤送服。慢惊属于脾虚所致,多预后不良,宜用温补法,一种说法应当健脾益气。世人用一种药通治两种惊风,这是非常荒谬的。急惊风,伴有口疮,手心伏热,痰嗽痰喘,均应用涌吐法,重症用瓜蒂散,轻症用赤小豆、苦参末,需用酸醋汁调服。待病情稍稳定后,用通圣散,蜜丸服用,间或用桑树上生长的桑牛阴干研末调服,以平息风邪。又用北薄荷叶、寒水石各一两,青黛、白僵蚕、辰砂各一钱,全蝎二枚,猪牙皂角、槐角各五分,研为细末,用灯心草汤调和乳汁灌服。若出现角弓反张,目睛直视,因惊所致,宜用南星、半夏加入姜汁、竹沥灌服,并艾灸印堂穴。频繁呕吐腹泻者,将转为慢惊风,用钱氏白术散加山药、扁豆、炒肉豆蔻(面包煨制),各一钱,加入生姜一片煎服。如果慢惊已经发作,加细辛、天麻各一钱,全蝎三个去梢,白附子八分(面煨)。惊风兼腹泻,用人参、茯苓、芍药酒炒白术,生姜煎服。夏季加姜黄连、生甘草服用。
惊风症状与各脏腑所属关系
小儿非正常时间吊起眼睛,是肝风惊。白天无端喜欢笑,惊风在心。梦中五指捻动,惊风在筋。害怕人恐怖,惊在脾。梦中非正常时间手足抽动,惊风在肝心二脏。面色红赤却非正常时间发黑,惊在肾。无端咬人,惊风在骨。非正常时间手足抽搐,惊在三焦。梦中吐舌,惊在心。睡觉时喉中有声响拖拽,惊在肺并胃脘。面色青白且无端发热战栗,惊在脾。无端面上现黑色恶叫,惊在肾。治疗惊风的总法有方剂,用药有序,急症应先退热疏风,下痰定搐开关。当下便不可用巴豆、硝粉、冰片、麝香、牛黄等大寒之剂攻下,大黄可以使用,恐怕损伤真气元阳。小儿体质易虚易实,使用温凉药剂不可过偏。要询问前医是否曾经解利过,又不知真假逆顺,伤寒伤风、麻疹痘疮、食积、变蒸热急也会导致发搐,假搐就是这种情况,各有见证可以验证。如果牙关不紧,若无痰潮,一见惊风表现,就说热则生风,便给予冰片、麝香、巴豆、霜类、牛黄、轻粉等大寒毒剂截风峻下取痰,以致脾胃虚损,传变为慢惊而夭折伤害的很多。所有疾病不可损伤胃气,医者务必谨慎。曾经攻下后,各种病证仍然存在,不得再次攻下。有惊散惊,有热退热,有痰利痰,壅实则去除壅实。热退则不生痰,惊散则不生风。壅实去除,气机自然平和,病从何而来?钱乙说温惊丸、凉惊丸、利惊丸,为什么呢?虚则温之,实则利之,热则凉之。
通惊开关
杨氏说:惊风抽搐,关窍不通,都是由痰堵塞中脘,留滞于周身关节所致。痰涎潮塞,是气实导致的。治疗风痰,当用半夏、南星、全蝎、僵蚕,也应当用苏合香丸,同青州白丸子,同薄荷煎汤调入生姜汁灌服,大概是为了使气下行则痰下行,痰下行则关窍自然通畅,如果用搐鼻法不打喷嚏的,属不治之症。
惊风不能治愈的证候
急惊风出现眼睛翻转,口中出血,两足跳动,肚腹抽搐,或者神情迟缓而摸体寻衣,或者病情危重而神昏气促,喷药不下,通关不嚏,心烦忽叫的,属不治。慢惊风出现四肢厥冷,吐泻咳嗽,面色晦暗神情凄惨,发出鸦叫声胃痛,两胁动气,口生白疮,头发直竖摇头,眼青不转,涎鸣喘嗌,头软,大小便失禁,手足一边牵引的,都属不治。慢脾风出现身冷粘汗,直卧如尸体,喘嗽头软,背曲口禁摇头,痰声如拉锯,面无润泽,唇促气粗的,属不治。
According to *Maijue Qimeng* (Enlightenment on Pulse Diagnosis), a rapid and hurried pulse in children indicates deficiency-type fright (*Xu Jing*). According to *Zhizhi Fang*, a floating, rapid, full, or tight pulse indicates acute convulsion (*Ji Jing Feng*), while a deep, slow, scattered, or slack pulse indicates chronic convulsion (*Man Jing Feng*).
A blue-purple coloration of the finger vein pattern at the tiger's mouth (the radial aspect of the index finger) indicates convulsion due to fright. A red color indicates mild wind-heat; a crimson color indicates intense wind-heat; a purple color indicates fright-heat; a green color indicates fright with food accumulation. If the pattern is green with pale purple, extending and retracting freely, it indicates chronic convulsion. If green and purple are equal, indicating both fright and food accumulation as well as wind-heat, it indicates acute convulsion. If purple, green, or black threads are faintly mixed, appearing as if emerging but not fully coming out, it indicates chronic spleen wind (*Man Pi Feng*). If the pattern curves inward toward the palm, it is a favorable sign (*Shun*); if it extends outward, it is an unfavorable sign (*Ni*).
**Medication Principles for the Four Syndromes of Convulsion: Phlegm, Heat, Fright, and Wind**
When heat exists in a child's body, excessive heat generates phlegm; excessive phlegm generates fright; excessive fright generates wind; excessive wind triggers spasms. Severe spasms lead to lockjaw, and extreme cases result in opisthotonos (arched back), head retraction, and upward gazing. When saliva and phlegm are congested, the jaw is tight. Extreme wind-heat blocks the meridians, causing spasms, jerking, and phlegm congestion. Stagnation and confusion in the stomach region, unconsciousness, and the pathogen entering the *Zhongwan* (CV12) area manifest as curled hands and feet. This occurs because all orifices are blocked and the hundred vessels are stagnant. Some recover through clearing heat, some through resolving phlegm, some through calming fright, and some through opening orifices. All these treatments are based on the specific syndrome. One must thoroughly investigate the root cause of the disease. If the pathology lies in heat, do not indiscriminately treat phlegm; if it lies in fright, do not indiscriminately treat wind; if it lies in phlegm, do not indiscriminately treat fright; if it lies in wind, do not indiscriminately treat spasms. Regarding treatment methods: if the pathology is in fright caused by phlegm-heat, one should only clear heat and resolve phlegm, and the fright will subside naturally. If the pathology is in wind caused by fright, one should only promote the resolution of fright and resolve phlegm, and the wind will disperse naturally. If the pathology is in phlegm with urgent salivation, one must clear heat and resolve phlegm. If spasms persist, one must use methods to arrest wind and calm fright. This represents flexible and adaptive treatment.
**Distinguishing Three Etiologies for Treating Convulsion**
Qian Yi stated: Children's convulsions may arise after contracting wind-cold. Symptoms include hot breath, yawning, restlessness, and trembling limbs. Treatment requires dispersing the exterior, primarily using *Daqing Gao* (Great Green Ointment). Children are inherently timid and prone to this condition. If arising after dietary injury, symptoms include mild fever, excessive sleep, vomiting, loss of appetite, and subsequent convulsions. One must first stop the convulsions; after they subside, administer *Baibing Zi* (White Pill) to purge the accumulation, followed by *Anshen Wan* (Calming Spirit Pill). Only exanthematous diseases can trigger convulsions due to the struggle between wind and fire. Treatment should involve purging the heart and liver and tonifying the mother organ (lung). *Leicui* states that for convulsions caused by wind-cold in children, similar to adults, one must distinguish between sweating and non-sweating presentations, differentiating yin and yang syndromes, and use *Daqing Gao* or Zhang Zhongjing's *Xiaoxuming Tang* (Minor Continuation of Life Decoction) to vent the pathogen. Dietary injury causing convulsions refers to sudden spasms without other causes, resulting from overeating damaging the spleen and stomach. Symptoms include lethargy, vomiting, and anorexia. Since the spleen and stomach are deficient, liver wind is drawn forth, triggering convulsions. First, stabilize the convulsions by adding *Qianghuo* (Notopterygii Rhizoma) and *Fangfeng* (Saposhnikoviae Radix) decocted to deliver *Xieqing Wan* (Draining Green Pill). Later, use *Baibing Zi* to purge food stagnation, gradually switching to *Tiaozhong Wan* (Regulating Middle Pill) and *Yigong San* (Extraordinary Power Powder) to nourish qi. Convulsions triggered by macules and papules occur because rashes are generated by spleen deficiency; spleen deficiency allows liver wood to overcome earth. Heat strikes, disturbing the heart spirit. The heart delights in heat, causing spiritual unrest. Macules are generated by the heart; the heart governs heat. Heat generates wind, which belongs to the liver. The two organs clash, causing convulsions. Treatment should purge the liver and tonify its mother (kidney), using *Daochi San* (Guiding Out Redness Powder) and *Dihuang Wan* (Rehmannia Pill).
**Zhu Danxi's General Principles for Treating Convulsion**
There are two types of pediatric convulsion: acute convulsion belongs to phlegm-heat and is suitable for cooling and purging. One method uses *Jianghuo Xiatan Wan* (Fire-Reducing Phlegm-Resolving Pill) taken with blood-nourishing decoctions. Chronic convulsion is governed by spleen deficiency, often fatal, and is suitable for warming and tonifying, specifically strengthening the spleen. It is highly erroneous to use a single medicine to treat both types. For acute convulsion with mouth sores, hidden heat in palms, phlegm cough, and wheezing, emetic therapy is used. For severe cases, *Gua Di San* (Melon Sepal Powder); for mild cases, *Chi Xiaodou* (Vigna Angularis Seed) and *Kushen* (Sophorae Flavescentis Radix) powder, taken with sour juice. After slight stabilization, take *Tongsheng San* (Universal Salvation Powder) as honey pills. Occasionally, take dried mulberry bugs (*Sang Niu*) ground into powder to pacify wind. Another formula uses *Bohe Ye* (Menthae Haplocalycis Herba) and *Hanshui Shi* (Calcitum) each 1 liang, *Qingdai* (Indigo Naturalis), *Bai Jiangcan* (Bombyx Batryticatus), and *Chensha* (Cinnabar) each 1 qian, *Quanxie* (Scorpio) 2 pieces, *Zhuya Zaojiao* (Gleditsiae Sinensis Fructus Spine) and *Huaijiao* (Gleditsiae Sinensis Fructus) each 5 fen, ground into powder, mixed with *Dengxin Cao Tang* (Junci Medullae Decoction) and milk for administration. For opisthotonos and fixed gaze due to fright, use *Nanxing* (Arisaematis Cum Bile) and *Banxia* (Pinelliae Rhizoma) with ginger juice and bamboo sap for administration, plus moxibustion on *Yintang* (EX-HN3). For frequent vomiting and diarrhea, indicating impending chronic convulsion, use Qian's *Baizhu San* (Atractylodis Macrocephalae Powder) added with *Shanyao* (Dioscoreae Rhizoma), *Biandou* (Lablab Semen Album), and fried *Roudoukou* (Myristicae Semen) baked in flour, each 1 qian, decocted with ginger slice. If chronic convulsion has already manifested, add *Xixin* (Asari Radix et Rhizoma) and *Tianma* (Gastrodiae Rhizoma) each 1 qian, *Quanxie* (Scorpio) 3 pieces (tip removed), and *Baifuzi* (Aconiti Kusnezoffii Radix Praeparata) 8 fen baked in flour. For fright with diarrhea, use *Renshen* (Ginseng Radix), *Fuling* (Poria), *Shaoyao* (Paeoniae Radix), and wine-fried *Baizhu* (Atractylodis Macrocephalae Rhizoma), decocted with ginger. In summer, add *Jiang Huanglian* (Coptidis Rhizoma processed with ginger) and *Sheng Gancao* (Glycyrrhizae Radix et Rhizoma).
**Syndromes Associated with Specific Organs in Convulsion**
Abnormal upward deviation of the eyes indicates liver wind fright. Unprovoked laughter during the day indicates fright in the heart. Finger twitching in dreams indicates fright in the sinews. Fearfulness indicates fright in the spleen. Limb twitching in dreams indicates fright in the liver and heart. Red face turning black abnormally indicates fright in the kidney. Unprovoked biting indicates fright in the bones. Abnormal limb spasms indicate fright in the Triple Burner. Tongue protrusion in dreams indicates fright in the heart. Noisy breathing during sleep indicates fright in the lung and stomach. Blue-white complexion with unprovoked fever and shivering indicates fright in the spleen. Black facial hue with unprovoked screaming indicates fright in the kidney. The general principles for treating fright have specific formulas and ordered medication. Acute cases require immediate clearing of heat, dispersing wind, draining phlegm, stopping spasms, and opening orifices. Do not use harsh cold purgatives like *Badou* (Crotonis Fructus), *Xiaofen* (Mirabilitum), *Naobing* (Borneolum Syntheticum), *Shexiang* (Moschus), or *Niuhuang* (Bovis Calculus) immediately, as they may damage true qi and yuan yang. *Dahuang* (Rhei Radix et Rhizoma) is permissible. Children's constitutions are easily deficient or excess; warm and cool agents must be balanced. Inquire if previous physicians attempted to resolve the condition and determine if the presentation is true/false or favorable/unfavorable. Cold damage, wind strike, measles, smallpox, food stagnation, and developmental fever can also cause spasms (false spasms), each with distinct signs. If the jaw is not tight and there is no phlegm tide, assuming heat generates wind and administering toxic cold agents like borneol, musk, croton, calomel, bezoar, and calomine to forcefully drain phlegm and arrest wind damages the spleen and stomach, leading to chronic conditions and early death. Never damage the stomach qi in any disease. Physicians must be cautious. If symptoms persist after purgation, do not purge again. Resolve fright with methods for fright, heat with methods for heat, phlegm with methods for phlegm, and excess with methods for removing excess. When heat clears, phlegm does not generate; when fright disperses, wind does not generate. When excess is removed, qi becomes peaceful, and the disease cannot arise. Qian Yi asked about *Wen Jing Wan* (Warming Fright Pill), *Liang Jing Wan* (Cooling Fright Pill), and *Li Jing Wan* (Promoting Resolution Fright Pill): why? Deficiency is warmed, excess is drained, heat is cooled.
**Opening Orifices for Convulsion**
Yang Shi stated: Convulsive spasms and blocked orifices are caused by phlegm blocking the *Zhongwan* (CV12) and stagnating in the joints. Phlegm congestion is driven by excess qi. To treat wind-phlegm, use *Banxia* (Pinelliae Rhizoma), *Nanxing* (Arisaematis Cum Bile), *Quanxie* (Scorpio), and *Jiangcan* (Bombyx Batryticatus). Also use *Suhe Xiang Wan* (Styrax Pill) and *Qingzhou Bai Wanzi* (Qingzhou White Pills), mixed with mint decoction and ginger juice for administration. This aims to direct qi downward so phlegm descends; once phlegm descends, orifices open naturally. If sneezing is not induced by nasal insufflation, the case is incurable.
**Incurable Syndromes of Convulsion**
Acute convulsion with eye rolling, oral bleeding, leg jumping, abdominal spasms, lethargy with picking at clothes, severe coma with shortness of breath, inability to receive medication, failure to induce sneezing via orifice-opening methods, and sudden crying with irritability are incurable. Chronic convulsion with cold limbs, vomiting/diarrhea/cough, dark complexion with despair, crow-like voice with stomach pain, hypochondriac movement, oral ulcers, stiff hair with head shaking, cyanotic immobile eyes, noisy saliva with wheezing, soft head, incontinence, and unilateral limb traction are all incurable. Chronic spleen wind with cold sticky sweat, rigid corpse-like posture, wheezing with soft head, curved back with lockjaw and head shaking, sawing-sound phlegm, lack of luster in face, pursed lips with coarse breathing are incurable.