小儿急惊，灸前顶一穴，三壮，取法，在百会前一寸，若不愈，灸两眉心，及鼻下
人中一穴，炷如小麦大。小儿慢惊，灸尺泽穴，各三壮，在肘中横纹约上动脉中，
炷如小麦大。若睡中惊掣，灸足大趾次趾之端去爪甲如韭叶许，各一壮。若
角弓反张身强，灸鼻上入发际三分，三壮，次灸大椎下节间，三壮。若睡中惊，
不合眼目，灸屈肘后横纹中三分，各一壮。
〔钱〕切牙甚者，发惊。目直面青，身反折者，生惊。呵欠面青者，惊风。
呵欠面黄者，脾虚惊。目赤兼青者，发搐。
惊痫发搐，男发搐，目左视无声，右视有声。女发搐，目右视无声，左视有声。
相胜故也，更有发时证。（洁古先生云∶男为木，故左视木位无声，右视金位，相击则有声。
女为金，故右视金位
无声，左视木位亦相击有声。）李寺丞子三岁，发搐自卯至巳，目右视，大叫哭。钱见曰此
逆也，男为阳，本发左视无声则顺，右视有声则逆，所以然者，左肝木也，右肺金
也，逆则二脏相战，金木相击，而有声也，治宜泻强补弱。假令女发搐，目左视，是
肺来乘肝，肝不能任，故叫哭也，当泻其肺，后治其心，续治其肝，若病在秋（日西时
同，）肺兼旺位，当大泻其肺，若病在春（早晨时同，）此肝旺之时尚不能胜肺，是肺强而肝
火弱也，当补其肝肾，大泻其肺。若男发搐，目右视，是肝来胜肺而叫哭，当泻其
肝心若病在春夏（早晨日中时同），肝心旺时，当大泻其肝，若病在秋冬（日晡时同，）此肺旺之
时尚不能胜肝，是肝强而肺极虚也，当补其肺，大泻其肝。所以言目反视者，乃肝
主目也，凡搐则是风热相搏于内，风属肝，故外见于目也。今此病男反女证，故稍
易治于女也，先泻其肺，以泻肺汤主之，二日不闷乱，知病退也，后用地黄丸补肾，
三服后，用泻青丸各二服，以泻心肝，五日而愈。又，肺虚不泻者何也？曰假令
男目右视，木克金，肝旺胜肺，而但泻肝，若更病在春夏，金气极虚，故当补其肺，
慎勿泻也。〔汤〕凡搐，男左女右为顺，易治，男右女左为逆，难治。《脉诀启蒙》
曰∶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。
青紫相半，惊积风热俱有，主急惊风。青而淡紫，伸缩来去，主慢惊风。紫丝青丝
或黑丝隐隐相杂，似出而不出，主慢脾风。情势湾入里者顺。出外者逆。
小儿急惊风，灸前顶穴一穴，三壮。取穴方法：在百会穴前方一寸处。如果无效，再灸两眉中间（印堂）及鼻下人中穴各一穴，艾炷大小如小麦粒。小儿慢惊风，灸尺泽穴，每穴三壮，穴位在肘横纹中约摸动脉搏动处，艾炷大小如小麦粒。如果在睡眠中出现惊厥抽搐，灸足大趾和第二趾末端，距离指甲边缘如韭菜叶宽度处，每穴一壮。如果出现角弓反张、身体强直，灸鼻梁上进入发际线三分处，三壮；接着灸大椎穴下方的节间，三壮。如果在睡眠中受惊，眼睛不能闭合，灸屈肘时后方的横纹中三分处，每穴一壮。
〔钱乙〕咬牙严重的，是发惊。眼睛直视、面色青、身体向后反折的，是生惊。打哈欠且面色青的，是惊风。打哈欠且面色黄的，是脾虚惊。眼睛红兼青色的，是发搐。
惊痫发作抽搐，男孩发病时，眼睛向左看无声，向右看有声。女孩发病时，眼睛向右看无声，向左看有声。这是五行相克原理所致，还有发病时的具体证候。（洁古先生说：男孩属木，所以向左看看向木位无声，向右看看向金位，金木相击则有声。女孩属金，所以向右看看向金位无声，向左看看向木位，也是金木相击而有声。）李寺丞的儿子三岁，抽搐从卯时持续到巳时，眼睛向右看，大声哭叫。钱乙见到后说这是逆证。男孩属阳，本来应该向左看无声才是顺证，向右看有声则是逆证。之所以这样，是因为左边属肝木，右边属肺金。逆证意味着这两脏相互交战，金木相击，所以有声音。治疗应当泻其强盛之脏，补其虚弱之脏。假如女孩发病抽搐，眼睛向左看，这是肺金来乘袭肝木，肝木不能承受，所以哭叫。应当先泻肺，然后治心，接着治肝。如果病在秋季（傍晚时分同理），肺金当令旺盛，应当大泻肺金。如果病在春季（早晨时分同理），此时肝木旺盛尚且不能胜肺金，说明肺强而肝火弱，应当补肝肾，大泻肺金。如果男孩发病抽搐，眼睛向右看，这是肝木来胜肺金而哭叫，应当泻肝心。如果病在春夏季（中午时分同理），肝心当令旺盛时，应当大泻肝木。如果病在秋冬季（下午申酉时分同理），此时肺金当令旺盛尚且不能胜肝木，说明肝强而肺极虚，应当补肺，大泻肝木。之所以说眼睛反视，是因为肝主目。凡是抽搐，都是风热在内相搏结，风属于肝，所以外现于眼睛。现在这个病例是男孩表现出女孩的证候，所以比女孩的病稍容易治疗。先泻肺，以泻肺汤为主方。两天后如果不烦闷混乱，就知道病势减退了。之后用地黄丸补肾，服用三服后，再用泻青丸各二服，以泻心肝之火，五天痊愈。另外，为什么肺虚不泻呢？回答说：假如男孩眼睛向右看，是木克金，肝旺胜肺，如果只泻肝，若更兼病在春夏季，金气极虚，所以应当补肺，千万不要泻肺。〔汤氏〕凡抽搐，男孩左视、女孩右视为顺证，容易治疗；男孩右视、女孩左视为逆证，难治疗。《脉诀启蒙》说：小儿脉搏急促，为虚惊。《直指》说：脉象浮数洪紧，为急惊风。脉象沉迟散缓，为慢惊风。虎口脉纹青紫，为惊风。红色表示风热轻浅。赤色表示风热盛。紫色表示惊热。青色表示惊积。青紫各半，表示惊积与风热都有，主病为急惊风。青色淡紫，脉纹伸缩往来，主病为慢惊风。紫丝、青丝或黑丝隐隐混杂，似出而未出，主病为慢脾风。脉纹弯曲向里者为顺证。向外者为逆证。
For pediatric acute convulsion (Jing Jing), moxa the Qian Ding (GV20, Frontal Vertex) acupoint once, three moxibustion cones. The location is one cun anterior to Baihui (GV20). If ineffective, moxa the area between the two eyebrows (Yintang, EX-HN3) and the Ren Zhong (GV26) point below the nose, using moxa cones the size of a wheat grain. For pediatric chronic convulsion (Man Jing), moxa the Chi Ze (LU5) acupoint, three cones per side, located in the transverse crease of the elbow near the arterial pulse, using moxa cones the size of a wheat grain. If convulsions occur during sleep, moxa the distal ends of the first and second toes of the foot, approximately the width of a leek leaf from the nail, one cone per site. If opisthotonos (body stiffening backward like a bow) and body rigidity occur, moxa three fen above the nasal bridge entering the hairline, three cones; then moxa the interspace below the Dazhui (GV14) vertebra, three cones. If startled during sleep with eyes unable to close, moxa three fen within the transverse crease at the posterior aspect of the flexed elbow, one cone.
[Qian Yi] Severe teeth grinding indicates onset of fright. Fixed gaze, cyanotic complexion, and body arching backward indicate development of fright. Yawning with a cyanotic complexion indicates wind-phlegm convulsion. Yawning with a yellowish complexion indicates spleen deficiency with fright. Red eyes combined with cyanosis indicate spasms.
In convulsive epilepsy, when boys have spasms, looking left without sound is normal, while looking right with sound is abnormal. When girls have spasms, looking right without sound is normal, while looking left with sound is abnormal. This is due to the principle of mutual overcoming among the Five Elements. There are also specific manifestations during attacks. (Mr. Jiegu stated: Boys belong to Wood, so looking left towards the Wood position produces no sound, while looking right towards the Metal position causes Metal and Wood to clash, producing sound. Girls belong to Metal, so looking right towards the Metal position produces no sound, while looking left towards the Wood position also causes clashing and sound.) The son of Official Li, aged three, had spasms from Mao hour to Si hour, looking right and crying loudly. Qian Yi observed and said this is a reverse pattern. Boys are Yang; normally looking left without sound is smooth/normal, while looking right with sound is reverse. This is because the left corresponds to Liver Wood and the right to Lung Metal. In reverse patterns, these two organs battle, Metal and Wood clash, resulting in sound. Treatment should reduce the excess and tonify the deficiency. Suppose a girl has spasms and looks left; this indicates Lung Metal overacting on Liver Wood, which cannot withstand it, hence crying. One should first reduce the Lung, then treat the Heart, and subsequently treat the Liver. If the disease occurs in Autumn (similarly at dusk), when Lung Metal is prosperous, one should heavily reduce the Lung. If the disease occurs in Spring (similarly in the morning), when Liver Wood is prosperous yet still cannot overcome Lung Metal, it indicates Lung is strong and Liver Fire is weak; one should tonify the Liver and Kidney and heavily reduce the Lung. If a boy has spasms and looks right, this indicates Liver Wood overcoming Lung Metal, causing crying; one should reduce the Liver and Heart. If the disease occurs in Spring and Summer (similarly at noon), when Liver and Heart are prosperous, one should heavily reduce the Liver. If the disease occurs in Autumn and Winter (similarly in the afternoon), when Lung Metal is prosperous yet still cannot overcome Liver Wood, it indicates Liver is strong and Lung is extremely deficient; one should tonify the Lung and heavily reduce the Liver. The reason for retroversion of the eyes is that the Liver governs the eyes. All spasms result from Wind-Heat battling internally. Wind belongs to the Liver, thus manifesting externally in the eyes. Since this case shows a boy exhibiting a girl's pattern, it is slightly easier to treat than a girl's case. First, reduce the Lung using Xie Fei Tang (Lung-Reducing Decoction). If after two days there is no restlessness, the disease is receding. Then use Di Huang Wan (Rehmannia Pill) to tonify the Kidney. After three doses, use Xie Qing Wan (Green-Reducing Pill) twice each to reduce the Heart and Liver. Recovery in five days. Furthermore, why not reduce the Lung if it is deficient? The answer is: Suppose a boy looks right, indicating Wood overcoming Metal, with Liver excess overcoming Lung. If only the Liver is reduced, and especially if the disease occurs in Spring and Summer when Metal Qi is extremely deficient, one must tonify the Lung and absolutely avoid reducing it. [Tang Shi] Generally, spasms where boys look left and girls look right are smooth/normal patterns, easy to treat; boys looking right and girls looking left are reverse patterns, difficult to treat. *Mai Jue Qi Meng* states: A rapid and urgent pulse in children indicates deficiency-fright. *Zhi Zhi* states: Floating, rapid, full, and tight pulses indicate acute convulsion. Deep, slow, scattered, and slack pulses indicate chronic convulsion. Cyanotic and purplish tiger-mouth vein patterns indicate wind-phlegm convulsion. Red indicates mild wind-heat. Crimson indicates severe wind-heat. Purple indicates fright-heat. Green indicates fright-stagnation. Half green and half purple indicates both fright-stagnation and wind-heat, primarily acute convulsion. Pale green mixed with purple, with veins extending and retracting, indicates chronic convulsion. Intermixed faint purple, green, or black threads, appearing but not fully emerging, indicate chronic Spleen-wind. Curving inward is a smooth/normal sign. Extending outward is a reverse/adverse sign.