小儿有热。热甚生惊。惊盛发搐。又盛则牙关紧急。而八候生焉。八候搐搦掣颤反引窜视也。
搐者。儿两手伸缩。搦者。十指开合。掣者。势如相扑。颤者。头偏不正。反者。身仰向后。引者。臂
若开弓。窜者。目视似怒。视者。露睛不活。是八候也。又有惊风痰热之四症。相因而生。二十四惊
之症。然总不外急慢两端。
急惊推拿宜泄。痰火一时相攻。自上而下莫从容。攻去痰火有用。推拿慢惊须补。自下而上
相从。一切补泄法皆同。男女关腑异弄。急惊父母惶恐。慢惊医者担心。不语口闭眼翻睛。下手便
掐威灵。大指两手齐掐。儿嫩隔绢为轻。一声叫醒得 忻。不醒还须法应。口鼻业已无气。心窝尚
觉微温。人中一烛四肢心。后烛承山有准。囟陷不跳必死。开而跳者还生。再掐中冲要知音。知痛
声音动听。大 眼可掐动。肾头掐亦苏醒。两乳穴下探生死。舍此何须又论。慢因吐泻已久。食积
脾伤而成。先止吐泄补脾经。莫使慢惊成症。脾虚饮食不消。胃冷冻饮料食难进。眼转气虚吐弱甚。慢
脾惊候一定。面上已无气色。痰又满在咽喉。慢惊风症使人愁。补脾清痰速救。慢惊诸法无救。用
艾咪粒为形。百会三壮烛醒醒。久咳又烛乳根。
儿初生柔软。眼闭不开。其原因在母腹中受气不全。即胎受伤。宜掐威灵为主。如掐之不叫。
用灯火烛上天心一 。涌泉一 。宜推三关。补肺经为主。
小儿体内有热，热势亢盛则引发惊风，惊风剧烈则出现抽搐，若再加重，则牙关紧闭，从而产生“八候”症状。所谓“八候”，即搐、搦、掣、颤、反、引、窜、视这八种表现。
“搐”，是指小儿双手一伸一缩；“搦”，是指十指一张一合；“掣”，是指肢体动作之势如同相扑搏斗；“颤”，是指头部歪斜不正；“反”，是指身体向后仰倒；“引”，是指手臂伸展如同拉弓；“窜”，是指目光怒视似有怒气；“视”，是指眼睛半开半闭、露出白睛且眼神呆滞无光。这就是所谓的“八候”。此外，还有因惊风、痰浊、内热相互影响而产生的四种兼症，以及二十四种惊风的具体证候。然而，总括而言，不外乎急惊风和慢惊风两大类。
对于急惊风，推拿治疗宜采用泻法。这是因为痰火一时相互攻冲，病势自上而下发展，来势汹汹不容从容应对。若能祛除痰火，则病情可用推拿治愈。而对于慢惊风，推拿治疗必须采用补法，病势自下而上，顺势而治。无论是补法还是泻法，其操作原则是相同的。男女患儿在脏腑调理上略有不同，需要分别对待。急惊风发作时，父母往往惶恐不安；慢惊风发作时，医者则深感担忧。若患儿出现不语、口闭、眼翻白等症状，下手时应立即掐按威灵穴。用双手大拇指同时掐按，因小儿肌肤娇嫩，可隔一层绢布以减轻刺激力度。若患儿一声哭叫醒来，便为好转之兆（忻）；若不醒，还需继续施用其他方法。若口鼻已无气息，但心窝处尚觉微温，此时应点燃艾条灸疗人中穴及四肢末梢的心经穴位，随后再灸承山穴，此法确有把握。若囟门凹陷且不跳动，则必死无疑；若经过处理囟门恢复跳动，则尚有生机。再次掐按中冲穴以判断预后，若知痛且有声音反应，说明听觉尚可。大敦穴也可通过掐按使其苏醒，涌泉穴（肾头）掐按亦能促其苏醒。在两乳下方的穴位探查生死迹象，除此之外无需多论。
慢惊风多因长期呕吐腹泻，导致食积停滞、脾脏受损而成。治疗应先止住吐泻，并补益脾经，以免慢惊风形成定局。若脾虚导致饮食不消化，胃寒冷冻致使饮料食物难以进入，眼球转动显示气虚，呕吐微弱严重，这便是慢脾惊的征候。此时面色已无光泽，痰涎又充满咽喉。慢惊风病症令人忧愁，需补脾并清除痰浊以迅速救治。若慢惊风诸法无效，可用艾绒做成米粒大小的艾炷，在百会穴灸三壮以唤醒神志。若伴有久咳，再加灸乳根穴。
新生儿初生时身体柔软，眼睛闭合不睁开。其原因在于母腹中受气不全，即胎元受损。治疗宜以掐按威灵穴为主。如果掐按后患儿不哭，应用灯火灸上天心穴一次，灸涌泉穴一次。适宜推三关穴，并以补肺经为主。
Infants with internal heat may develop convulsions (Jingfeng) when the heat becomes severe. Severe convulsions lead to spasms; if they intensify further, the jaw becomes rigid, giving rise to the "Eight Signs" (Ba Hou). The Eight Signs refer to: spasm (Chu), grasping (Nuo), jerking (Che), trembling (Chan), retraction (Fan), drawing (Yin), darting (Cuan), and staring (Shi).
"Chu" refers to the infant's hands extending and retracting. "Nuo" refers to the opening and closing of the ten fingers. "Che" refers to movements resembling the struggle in wrestling. "Chan" refers to the head tilting abnormally. "Fan" refers to the body arching backward. "Yin" refers to the arms extending as if drawing a bow. "Cuan" refers to the eyes glaring as if angry. "Shi" refers to the eyes half-open, showing the whites, with a fixed gaze. These constitute the Eight Signs. Additionally, there are four accompanying symptoms arising from the interplay of wind-phlegm-heat due to fright, along with twenty-four specific manifestations of convulsions. However, these can be broadly categorized into two types: acute convulsions (Ji Jing) and chronic convulsions (Man Jing).
For acute convulsions, tuina therapy should employ draining (Xie) methods. This is because phlegm-fire attacks simultaneously, moving from top to bottom with rapid onset. If phlegm and fire are expelled, tuina can be effective. For chronic convulsions, tuina therapy must employ tonifying (Bu) methods, addressing the pathology moving from bottom to top. The principles of tonification and drainage are generally consistent. Treatment differs slightly between male and female infants regarding organ regulation. Parents often panic during acute convulsions, while physicians worry about chronic cases. If the child is mute, has a closed mouth, and rolled-back eyes, immediately pinch the Weiling point (BL58). Use both thumbs to pinch simultaneously; since infants' skin is tender, place a silk cloth between the thumb and skin to reduce intensity. If the child cries upon pinching, it indicates improvement; if not, other methods must be applied. If breath ceases from the nose and mouth but warmth remains in the heart region, moxa should be applied to the Renzhong point (GV26) and the heart meridians of the limbs, followed by moxibustion on the Chengshan point (BL57), which is reliable. If the fontanelle is sunken and does not pulse, death is certain; if it pulses after treatment, survival is possible. Pinch the Zhongchong point (PC9) again to assess prognosis: pain response and audible sounds indicate preserved hearing. The Dazhun point (LR1) can also be pinched to restore consciousness, and pinching Yongquan (KI1) may also revive the child. Probe for signs of life or death below the nipples; beyond this, no further discussion is needed.
Chronic convulsions often result from prolonged vomiting and diarrhea, leading to food stagnation and spleen injury. Treatment should first stop vomiting and diarrhea and tonify the Spleen Meridian to prevent the formation of chronic convulsion syndrome. If spleen deficiency causes indigestion and stomach cold prevents intake of fluids and food, eye movement indicating qi deficiency and weak vomiting signify the condition of Chronic Spleen Convulsion. The face loses luster, and phlegm fills the throat. Chronic convulsions cause distress; one must tonify the spleen and clear phlegm for rapid rescue. If all methods for chronic convulsions fail, use moxa cones the size of rice grains to apply three moxibustion sessions at the Baihui point (GV20) to awaken consciousness. For persistent cough, add moxibustion to the Rugen point (ST18).
Newborns are soft-bodied with closed eyes. The cause is incomplete reception of Qi in the womb, resulting in fetal injury. Treatment should primarily focus on pinching the Weiling point (BL58). If pinching does not elicit crying, use fire-lighting moxibustion once on the Tianxin point (EX-HN14) and once on the Yongquan point (KI1). Pushing the Three Gates (San Guan) and tonifying the Lung Meridian are appropriate.