（惊疾潮发）凡九门
《巢氏病源》惊候∶小儿惊者，由血气不和，热实在内，心神不定。所以发惊甚者，掣缩变成痫。又小儿变
蒸亦微惊，所以然者，亦由热气所为。但须微发惊以长血脉，不欲大惊，大惊乃灸惊脉。若五、六十日灸者，
惊复更甚。生百日后，灸惊脉乃善耳。
《小儿形证论》五脏惊传候∶一肝脏惊风，令小儿非时窜上眼睛，手脚冷。二肾脏惊风，令儿啮齿，面色赤。
三脾脏惊风，令儿夜啼，白日多睡。四心脏惊风，令儿发心热，四肢逆冷。五肺脏惊风，令儿口内热喘，出气
细微。五脏惊邪，皆因惊风传受。缘初惊有涎，涎在膈上不发，或即涎潮脏腑入惊邪也。日久不医，致传邪气
入于心、肺，或传肝、脾、肾等也。却被巫师皆言有祟妖祸，求神渐加深重，即令小儿枉丧性命。虽有名方千
道，须晓病源，今具传入五脏于左。
一惊邪入脾。郑冲虚云∶令儿非时喷乳，呕逆翻吐，不思饮乳，故成慢惊也。二惊邪入心。周奇云∶令儿
非时面上赤红，恶叫，四肢缓慢，故成慢惊也。三惊邪入肝。郑冲虚云∶令儿眼目上翻，眼多白，睛上窜，引
饮，故惊痫也。四惊邪入肾。赵氏云∶令儿忽然面上黑色，恶叫咬人，故惊啼也。五惊邪入肺。崔氏云∶令儿
夜多虚汗，狂言乱叫，或传下利，是虚惊也。
《惠眼观证》论小儿惊候∶急惊者，本内有风热，面色红赤。又因乳母不自调摄，酒食过度；或涌乳饮儿；
或涎停膈中；或风感身内，故中此疾。遍身壮热，吊上眼睛，四肢搐搦，牙关不开。胎惊者，在母胎内八、九
月时，母曾中惊，胎纳邪气，传之心脏，发时亦壮热吐涎，眼带翻张。此候生一月日或半月后发。慢惊者，荣
卫皆受邪气，面无血色，脏腑久冷，或泻或吐，或自惊扑因而成之。
《惠眼观证》论小儿元有惊候∶白日多睡，遍身虚汗，是惊气纳脾；喘气微细，是惊气传肺，无故咬奶，是
惊气传肾；非时忽然眼睛吊上，是惊气在脾；梦里多切牙，是惊气在骨；夜啼至晓，是惊气传心；面色非时红
赤，是惊气在心；上喘吃水，是惊气在肝；恶声啼叫，是惊气在肾；前后心及四肢热，是惊气传脾，欲吐泻。
凡小儿惊风，切忌爪甲青黑及吐出白虫有血，泻下啼叫无泪。与夫眼直，半开半闭，兼亦咬人时复鸦声，皆不
可用药。
《婴童宝鉴》惊痫死候∶项软无力，鱼口开，气粗喉中如锯，头不直，面红如妆，目陷无光，啮衣并咬人，
两目似开不开，泻下如瘀血，身体若无筋骨。
【惊疾发作】共九门
《诸病源候论》关于惊的证候：小儿患惊，是由于血气不和，体内有热邪实滞，导致心神不安。所以惊症严重的，会出现肢体抽搐收缩，进而转变为痫证。另外，小儿在“变蒸”（婴幼儿生长发育过程中的生理现象）期间也会有轻微的惊悸，之所以这样，也是因为热气所致。但应当让惊悸轻微发作以利于血脉生长，不希望出现大惊，若大惊则需灸治“惊脉”。如果在出生后五、六十天就进行灸治，惊症反而会加重。等到出生一百天后，再灸治惊脉才是适宜的。
《小儿形证论》关于五脏惊传变的证候：一是肝脏惊风，导致小儿非正常时间眼球上窜，手脚发冷。二是肾脏惊风，导致小儿咬紧牙齿，面色发红。三是脾脏惊风，导致小儿夜间啼哭，白天嗜睡。四是心脏惊风，导致小儿心中发热，四肢逆冷。五是肺脏惊风，导致小儿口内发热气喘，呼吸气息细微。五脏的惊邪，都是因为惊风传受所致。因为初起惊时伴有痰涎，痰涎停留在膈上未发散，随即痰涎上涌侵犯脏腑，从而引发惊邪。如果日久不医治，会导致邪气传入心、肺，或者传入肝、脾、肾等脏器。然而却被巫师都说是中了妖邪祸祟，通过求神拜佛使病情逐渐加深严重，这就导致小儿枉送性命。虽然有名方千道，但必须知晓病源，现在将传入五脏的情况列于左侧。
一、惊邪入脾。郑冲虚说：导致小儿非正常时间喷吐乳汁，呕吐逆反，不想吃奶，因此形成慢惊风。二、惊邪入心。周奇说：导致小儿非正常时间面部赤红，厌恶呼叫，四肢动作缓慢，因此形成慢惊风。三、惊邪入肝。郑冲虚说：导致小儿眼睛向上翻，眼白多，眼球上窜，引水饮用，因此形成惊痫。四、惊邪入肾。赵氏说：导致小儿忽然面色发黑，厌恶呼叫并咬人，因此形成惊啼。五、惊邪入肺。崔氏说：导致小儿夜间多盗汗，胡言乱语大声叫喊，或者传变为腹泻，这是虚惊。
《惠眼观证》论述小儿惊的证候：急惊风，本来是因为内有风热，面色红赤。又因为乳母自身不调摄，饮酒饮食过度；或者催乳喂儿；或者痰涎停滞在膈中；或者外感风邪侵入体内，因此患上此病。全身高热，眼球上吊，四肢抽搐痉挛，牙关紧闭不开。胎惊，是在母亲怀孕八、九个月时，母亲曾受惊吓，胎儿吸纳了邪气，传给心脏，发作时也表现为高热吐涎，眼睛上翻张开。这种证候通常在出生后一个月或半个月后发作。慢惊风，是营卫之气都受到邪气侵袭，面色无血色，脏腑长期寒冷，或者腹泻或者呕吐，或者因自身惊恐扑跌而形成的。
《惠眼观证》论述小儿原本有的惊证候：白天多睡，全身出虚汗，这是惊气纳入脾脏；呼吸喘促且气息细微，这是惊气传入肺脏，无故咬乳头，这是惊气传入肾脏；非正常时间忽然眼球上吊，这是惊气在脾脏；梦中频繁磨牙，这是惊气在骨骼；夜间啼哭直到天亮，这是惊气传入心脏；面色非正常时间发红，这是惊气在心；上气喘促喝水，这是惊气在肝；厌恶声音啼叫，这是惊气在肾；前后心及四肢发热，这是惊气传入脾脏，想要呕吐腹泻。
凡是小儿惊风，切忌出现指甲青黑以及吐出带血的白色虫子，腹泻时啼哭无泪。还有眼睛直视，半开半闭，兼有咬人时发出乌鸦叫声，这些情况都不可用药治疗。
《婴童宝鉴》论述惊痫的死证候：颈部软弱无力，鱼口（肛门）开张，呼吸粗重喉中如拉锯声，头颈不能挺直，面色红润如化妆一般，眼窝凹陷没有光泽，咬衣物并咬人，两眼似开非开，泻下物如瘀血，身体软若无筋骨。
[Manifestation of Jing Disease] Total Nine Sections
*Chubing Yuanshou Lun* (Source Book of Diseases) on the syndrome of Jing: The manifestation of Jing in children arises from disharmony of blood and qi, with heat and excess internally, leading to an unsettled heart spirit. When Jing is severe, it causes twitching and contraction, transforming into epilepsy (Xian). Additionally, during the "Bianzheng" (physiological developmental changes in infants), children may experience slight Jing; this is also due to the influence of heat. However, slight manifestations of Jing are necessary to nourish the blood vessels; severe Jing should be avoided. If severe Jing occurs, moxibustion on the "Jing Mai" (Shock Meridian) is indicated. Moxibustion performed at 50 or 60 days after birth may exacerbate the condition. It is beneficial to perform moxibustion on the Jing Mai only after 100 days of life.
*Xiao'er Xingzheng Lun* (Discussion on Infant Forms and Syndromes) on the transmission of Jing among the Five Zang Organs: First, Liver Jing Wind causes the child's eyes to roll upward abnormally and hands and feet to become cold. Second, Kidney Jing Wind causes teeth grinding and a red complexion. Third, Spleen Jing Wind causes night crying and excessive daytime sleepiness. Fourth, Heart Jing Wind causes internal heart heat and cold extremities. Fifth, Lung Jing Wind causes heat in the mouth, panting, and faint breathing. The Jing evil of the five Zang organs all results from the transmission of Jing Wind. Initially, there is phlegm-drool associated with Jing; if this phlegm remains stagnant above the diaphragm without dispersing, it surges into the zang-fu organs, triggering Jing evil. If untreated for a long time, the pathogenic factor transmits to the Heart and Lungs, or to the Liver, Spleen, and Kidneys. However, shamans often attribute this to demonic curses, and seeking divine intervention deepens the severity, potentially causing the child's death. Although numerous famous prescriptions exist, one must understand the disease source. The transmission to the five Zang organs is detailed below.
One, Jing evil entering the Spleen: Zheng Chongxu states that this causes abnormal spitting up of milk, vomiting and regurgitation, and refusal to nurse, thus forming Slow Jing Wind. Two, Jing evil entering the Heart: Zhou Qi states that this causes abnormal facial redness, aversion to crying/shouting, and slow limb movements, thus forming Slow Jing Wind. Three, Jing evil entering the Liver: Zheng Chongxu states that this causes eyes rolling upward, excessive whites of the eyes, eyeballs protruding upward, and craving for water, thus forming Jing Epilepsy. Four, Jing evil entering the Kidney: Ms. Zhao states that this causes sudden blackening of the face, aversion to shouting, and biting behavior, thus forming Jing Crying. Five, Jing evil entering the Lung: Cui Shi states that this causes nocturnal spontaneous sweating, delirious speech and shouting, or progression to diarrhea, constituting Deficient Jing.
*Huiyan Guanzheng* (Observing Signs with the Wise Eye) discusses infant Jing syndromes: Acute Jing Wind originates from internal Wind-Heat, presenting with a red face. It may also result from the nursing mother's lack of self-care, such as excessive alcohol and food intake; forceful lactation feeding; stagnation of phlegm in the diaphragm; or external Wind invading the body. Symptoms include high fever throughout the body, eyes rolling upward, spasms and convulsions of the four limbs, and locked jaw. Fetal Jing occurs when the mother experiences fright during the eighth or ninth month of pregnancy, allowing the fetus to absorb pathogenic factors which transmit to the Heart. Upon manifestation, it presents with high fever, vomiting of saliva, and eyes rolling open. This syndrome typically manifests half a month to one month after birth. Slow Jing Wind occurs when both Ying and Wei (Nutritive and Defensive Qi) are affected by pathogens, resulting in a pale complexion, chronic coldness of the zang-fu organs, or resulting from vomiting, diarrhea, or fright/falling incidents.
*Huiyan Guanzheng* discusses inherent Jing signs in infants: Excessive daytime sleep and generalized sweating indicate Jing Qi entering the Spleen; fine and rapid breathing indicates Jing Qi transmitting to the Lungs;无故 biting the nipple indicates Jing Qi transmitting to the Kidneys; sudden upward eye deviation indicates Jing Qi in the Spleen; frequent teeth grinding in dreams indicates Jing Qi in the bones; night crying until dawn indicates Jing Qi transmitting to the Heart; abnormal facial redness indicates Jing Qi in the Heart; panting and drinking water indicates Jing Qi in the Liver; aversive crying and shouting indicates Jing Qi in the Kidneys; heat in the anterior/posterior chest and four limbs indicates Jing Qi transmitting to the Spleen, accompanied by impending vomiting and diarrhea.
In cases of infant Jing Wind, the following signs are critical contraindications for medication: cyanotic/black nails, expulsion of white worms mixed with blood, and crying during diarrhea without tears. Also, fixed staring eyes, eyes half-open/half-closed, biting behavior accompanied by crow-like sounds, are conditions where medication should not be used.
*Yingtong Baojian* (Precious Mirror for Infants and Children) discusses fatal signs of Jing Epilepsy: Flaccid neck muscles, gaping anus (Yu Kou), coarse respiration with a sawing sound in the throat, inability to hold the head upright, ruddy complexion resembling makeup, sunken eyes lacking luster, biting clothes and people, eyes partially open/closed, bloody stool resembling clotted blood, and a body so soft it seems devoid of sinews and bones.