初明曰∶痰盛发惊，一惊即死，不省人事，抽掣轻而烧热盛，此脾痰入肺，亦用天保采
薇汤，内半夏倍加三、四钱，前胡倍加二钱，苍术倍加一钱，夏月加香薷。
初明曰∶风盛发惊，虽惊死而精威两穴一拿即苏。若手足抽掣不已，一日一夜竟发数十
次，此肝风入筋，亦用天保采薇汤，内羌活、柴胡各倍加一钱，半夏倍加三钱。如在夏月，
外加香薷一钱五分。
初明曰∶热盛发惊，其状无异风痰，只口多作渴，此外邪入肺，亦用天保采薇汤，内干葛桔梗倍加二钱。
除以上三症外，有心经发惊之症舌必吐出，其色红燥，此本脏有热而发。
推法∶开天门，分阴阳，男在左手退下六腑，女推上三关，男女俱在左掌心运八卦，推坎入
艮，掌中水底捞月，引水上天河，再用连翘二钱，黄连五分，木通、防风各一钱，水煎服，如在夏月加香薷。
初明曰∶惊症或惊死一、二日，或三、四、五、六、七日不苏，即苏亦不省人事，或抽
掣，或不抽掣，宜急于肺俞穴用艾灸三 ，若一拿即苏，不必用灸，只须元宵火，天保采
薇汤连服三、四剂，重加半夏四、五钱，从未有不活者。如在夏月，外加香薷一钱五分。
初明曰∶间亦有肺无痰塞，拿之无声者，不摇头张目，亦是活症。此由病久乱医、乱推
、乱拿，无所不至，哭丧肺气，以至无声。如此便知失声之由，切不可再推、再拿、用火、
用灸，惟用天保采薇汤等分服之，一剂便愈。如在夏月，外加香薷二钱。
初明曰∶又间有发惊昏昏沉沉，条条直直而睡者，虽不省人事亦能自己翻身，手脚曲直
自如，竟至十日内外不醒，却又不死，此症却与柔 相似，不必推，惟用拿，拿精威、大敦、中
、肩井诸穴并揉五指节及肺俞穴。以上诸穴，各用灯火一 ，用密陀僧一字系二厘半研细
醋制，用半杯水酒灌下，再服天保采薇汤，倍加桔梗、半夏即苏。如在夏月，外加香薷二钱。
夏禹铸曰∶以上惊症先君只说形状不言色窍，盖因惊死之际面目、唇舌俱非本色，如云
望色，必清浊难分，求其治法，必乱丝无绪，北适南辕在所不免，只得把形状辨别，方无有误。
夏初明说：痰盛引起的惊风，一旦发作即导致死亡，患者不省人事，抽搐轻微但发热严重，这是脾部的痰邪侵入肺脏，也使用天保采薇汤，方中半夏加倍增加三到四钱，前胡加倍增加二钱，苍术加倍增加一钱，夏季加用香薷。
夏初明说：风盛引起的惊风，虽然惊厥致死，但只要掐拿精威两穴即可苏醒。如果手足抽搐不止，一天一夜发作几十次，这是肝风侵入筋脉，也使用天保采薇汤，方中羌活、柴胡各加倍增加一钱，半夏加倍增加三钱。如果在夏季，外加香薷一钱五分。
夏初明说：热盛引起的惊风，其症状与风痰无异，只是口中多作渴感，这是外邪侵入肺脏，也使用天保采薇汤，方中干葛、桔梗各加倍增加二钱。
除了以上三种病症外，还有心经引发的惊风，其症状是舌头必然吐出，颜色红而干燥，这是心脏本脏有热所致。
推拿手法：开天门，分阴阳，男孩在左手向后退下六腑（推六腑），女孩向上推上三关（推三关），男女都在左掌心运八卦，从坎位推向艮位，在掌心中进行“水底捞月”法，引水上天河，再用连翘二钱，黄连五分，木通、防风各一钱，水煎服，如果在夏季加香薷。
夏初明说：惊风症或者惊厥死了一两天，或者三四五六七天不苏醒，即使苏醒也不省人事，或者抽搐，或者不抽搐，应当急于在肺俞穴用艾灸三壮，如果一掐拿就苏醒，不必用灸，只需服用元宵火（一种疗法或药引，此处指代特定处理，结合语境可能指代某种温通之法或特指丸剂，原文“元宵火”疑为“元肉火”或特定炮制/用法，暂按字面意译为特定处理，但在中医语境下通常指代温补或特定火法，此处依原文直译并保留术语），天保采薇汤连续服用三四剂，加重半夏用量至四到五钱，没有不救活的。如果在夏季，外加香薷一钱五分。
夏初明说：间或有肺部没有痰阻塞，掐拿时没有声音的，不摇头瞪眼，也是活症。这是由于病久乱医、乱推拿、乱掐拿，无所不用其极，哭丧了肺气，以至于无声。由此可知失声的原因，切不可再推拿、再掐拿、用火、用灸，只需用天保采薇汤等分服用，一剂就能痊愈。如果在夏季，外加香薷二钱。
夏初明说：又间或有发惊后昏昏沉沉，身体挺直而睡的患者，虽然不省人事也能自己翻身，手脚屈伸自如，竟至十天左右不醒，却又不死，此症与柔痉相似，不必推拿，只需掐拿，掐拿精威、大敦、中冲、肩井诸穴，并揉五指节及肺俞穴。以上诸穴，各用灯火灼烧一壮，用密陀僧一字（约二厘半，研细醋制），用半杯水酒灌下，再服用天保采薇汤，加倍增加桔梗、半夏即可苏醒。如果在夏季，外加香薷二钱。
夏禹铸说：以上惊风症，家父只描述症状形态而不谈面色和孔窍，是因为惊厥致死之际，面目、嘴唇、舌头都不是本色，如果说观察面色，必然清浊难分，寻求治疗方法，必然如乱丝无绪，方向南辕北辙在所难免，只得通过形态辨别，才不会出错。
Xia Chuming stated: When phlegm excess causes convulsions (Jing), death may occur immediately upon onset, with loss of consciousness, mild spasms but severe fever. This is spleen phlegm invading the lungs; Tianbao Caiwei Decoction (Tianbao Caiwei Tang) should be used, with Banxia (Pinelliae Rhizoma) increased by 3 to 4 qian, Qianhu (Peucedani Radix) increased by 2 qian, Cangzhu (Atractylodis Rhizoma) increased by 1 qian, and Xiangru (Elsholtziae Herba) added in summer.
Xia Chuming stated: When wind excess causes convulsions, although the patient may appear dead from fright, revival can be achieved instantly by pinching the Jingwei acupoints. If spasms of the hands and feet persist, occurring dozens of times in a day and night, this is liver wind invading the sinews. Tianbao Caiwei Decoction (Tianbao Caiwei Tang) should be used, with Qianghuo (Notopterygii Rhizoma et Radix) and Chaihu (Bupleuri Radix) each increased by 1 qian, and Banxia (Pinelliae Rhizoma) increased by 3 qian. In summer, add Xiangru (Elsholtziae Herba) 1.5 qian.
Xia Chuming stated: When heat excess causes convulsions, the presentation is no different from wind-phlegm, except for excessive thirst. This is external pathogenic factors invading the lungs. Tianbao Caiwei Decoction (Tianbao Caiwei Tang) should be used, with Gange (Puerariae Lobatae Radix) and Jiegeng (Platycodonis Radix) each increased by 2 qian.
Apart from the above three conditions, there are convulsions originating from the Heart meridian, characterized by the tongue protruding, red and dry in color, caused by heat within the heart organ itself.
Tuina (Pediatric Massage) techniques: Open Tianmen (Frontal Bone Push), Divide Yin and Yang. For boys, push down the Six Fu organs on the left hand; for girls, push up the Three Passes on the left hand. For both genders, perform Eight Trigrams rotation in the center of the left palm, pushing from Kan to Gen, perform "Fishing for the Moon at the Bottom of the Water" in the palm, guide water to the Heavenly River, then administer Lianqiao (Forsythiae Fructum) 2 qian, Huanglian (Coptidis Rhizoma) 0.5 qian, Mutong (Akebiae Caulis) and Fangfeng (Saposhnikoviae Radix) 1 qian each, decocted in water and taken orally. Add Xiangru (Elsholtziae Herba) in summer.
Xia Chuming stated: In cases of convulsions where the child appears dead for one or two days, or does not revive after three to seven days, or revives but remains unconscious, with or without spasms, urgent moxibustion (three moxa cones) should be applied to Feishu (BL-13). If revival occurs instantly upon pinching, moxibustion is unnecessary. Instead, apply specific warming methods (Yuanxiao Huo) and administer Tianbao Caiwei Decoction (Tianbao Caiwei Tang) continuously for three to four doses, increasing Banxia (Pinelliae Rhizoma) to 4 or 5 qian. There have been no failures in recovery. In summer, add Xiangru (Elsholtziae Herba) 1.5 qian.
Xia Chuming stated: Occasionally, there are cases where there is no phlegm obstruction in the lungs, and pinching produces no sound, nor is there head shaking or eye widening; these are also livable cases. This results from prolonged illness treated chaotically with improper massage, pinching, and other interventions, exhausting lung qi to the point of aphonia. Understanding the cause of voice loss, one must absolutely avoid further massage, pinching, fire therapy, or moxibustion. Only Tianbao Caiwei Decoction (Tianbao Caiwei Tang) should be administered in equal parts; one dose leads to cure. In summer, add Xiangru (Elsholtziae Herba) 2 qian.
Xia Chuming stated: Occasionally, children suffering from convulsions lie drowsy and stiff, unable to regain consciousness but able to turn over independently, with flexible limbs. They may remain unresponsive for about ten days yet survive. This condition resembles Rou Ji (Flaccid Spasm). Tuina is unnecessary; only pinching is required. Pinch the Jingwei, Dadun (LR-1), Zhongchong (PC-9), Jianjing (GB-21) acupoints, and rub the Five Finger Joints and Feishu (BL-13) acupoint. For each of the aforementioned acupoints, apply one moxa cone using a lamp-fire technique. Administer Miduoseng (Lithargyri Pulvis) one zi (approx. 2.5 lian, finely ground and vinegar-processed) mixed with half a cup of water and wine. Then administer Tianbao Caiwei Decoction (Tianbao Caiwei Tang) with increased Jiegeng (Platycodonis Radix) and Banxia (Pinelliae Rhizoma) to achieve revival. In summer, add Xiangru (Elsholtziae Herba) 2 qian.
Xia Yuzhu stated: Regarding the aforementioned convulsion cases, my father only described the physical manifestations and did not discuss facial complexion or orifices. This is because at the moment of apparent death from fright, the face, eyes, lips, and tongue do not display their true colors. Attempting diagnosis via inspection of complexion would result in indistinguishable clarity and turbidity, leading to chaotic treatment strategies akin to driving south while aiming north. Therefore, differentiation based on physical form is essential to avoid errors.