小儿胎惊者。因妊娠饮酒。忿怒惊跌。或外挟风邪。内伤于胎。儿生下即病也。若月内壮热。
翻眼握拳。噤口出涎。腰强搐掣。惊怖啼叫。腮缩囟开。颊亦面青眼合者。当疏风利惊。化痰调
气。及贴囟法。若面青拳搐。用钩藤散。切不可误作脾风。妄用温药。若眉间色赤。或虎口指纹
曲里者可治。钩藤散加全蝎。若眉间青黑者不治。大抵小儿脏腑脆弱。不可辄用银粉镇坠之剂。
反伤真气。多致不救也。
目者肝之窍也。肝胆属风木二经。兼为相火。肝血不足。则风火内生。故目睛为之 动。经
曰。曲直动摇。风之象也。宜四物汤滋其血。柴胡、山栀清其肝。阴血内营。则虚风自息。兼用
六味丸以滋其源。若愈后惊悸不寐。或寐中发搐咬
牙。目睛 动者。血虚不能荣筋脉也。补中益气倍归、 。凡病气有余。皆属元气不足。况此证
兼属肝脾。多为慢惊之渐。尤当审之。
唇为脾之华。阳明之脉。环唇而交人中。是以脾胃虚者。多有此证。不独病后而已。夫脾主
涎。脾虚则不能收摄。多兼流涎。或误认为痰而用祛逐之药。则津液益枯。不能滋养筋脉。遂致
四肢抽搐。病势愈甚。原其治法与慢脾风相同。当大补脾胃。六君子加升、柴。切禁青皮、龙胆
草伐肝之药。若兼四肢微搐。或潮热往来。或泄泻呕吐。面色痿黄。皆脾胃有伤也。加黄 、当
归、白芍。若脾气下陷而肝木侮之者。补中益气以升其阳。加苓、半、芍药制肝补脾。切不可用
疏风治惊之药。
小儿胎惊，是因为母亲在妊娠期间饮酒、愤怒或受惊跌倒，或者外感风邪，内伤胎儿，导致婴儿出生后即刻发病。如果在出生一个月内出现高热、眼球上翻、手握拳、口噤流涎、腰部僵硬抽搐、惊恐啼哭、腮部收缩、囟门开放、脸颊和面色发青且眼睛闭合等症状，应当采用疏风定惊、化痰理气的方法，并配合贴囟法治疗。如果见面色发青、握拳抽搐，使用钩藤散。切不可误认为是脾风而妄用温补药物。如果眉间颜色发红，或者虎口指纹弯曲向内（曲里），属于可治之症；钩藤散中加入全蝎。如果眉间呈现青黑色，则属不治之症。大抵小儿脏腑功能脆弱，不可轻易使用朱砂、水银等重镇坠痰的药物，否则会反伤真气，大多导致无法救治。
眼睛是肝的外窍。肝胆属于风木二经，兼有相火。如果肝血不足，则风火内生，因此出现目睛动摇。《内经》说：“曲直动摇”是风的征象。适宜用四物汤滋养血液，用柴胡、山栀清泻肝火。阴血在内得以滋养，则虚风自然平息。同时配合使用六味丸以滋补肾阴之源。如果病愈后出现惊悸失眠，或者睡眠中抽搐咬牙、目睛动摇，这是血虚不能濡养筋脉所致。应使用补中益气汤，增加当归、白芍的用量。凡是病气有余，都属于元气不足。况且此证兼涉肝脾，多为慢惊风的先兆，尤其应当仔细审察。
嘴唇是脾之外华。足阳明胃经环绕嘴唇并交于人中穴。因此脾胃虚弱的人，多有此证，不仅仅是在病后出现。脾主涎液，脾虚则不能收摄津液，多伴有流涎。如果误认为是痰饮而使用祛逐痰饮的药物，则津液更加枯竭，不能滋养筋脉，从而导致四肢抽搐，病情加重。其治疗方法与慢脾风相同，应当大补脾胃，使用六君子汤加升麻、柴胡。切忌使用青皮、龙胆草等伐肝的药物。如果兼见四肢轻微抽搐，或者寒热往来，或者泄泻呕吐，面色萎黄，都是脾胃受损的表现。加入黄芪、当归、白芍。如果是脾气下陷而肝木乘侮脾土的情况，使用补中益气汤以提升阳气，加入茯苓、半夏、白芍以制约肝木、补益脾土。切不可使用疏风定惊的药物。
Congenital epilepsy in infants is caused by the mother drinking alcohol, experiencing anger or fright/falls during pregnancy, or being externally affected by wind pathogens that internally injure the fetus, resulting in illness immediately after birth. If within one month of birth there is high fever, eyes rolling upward, clenched fists, locked jaw with salivation, stiff back with spasms, frightened crying, retracted cheeks, open fontanelle, and bluish complexion with closed eyes, treatment should focus on dispersing wind and calming fright, resolving phlegm and regulating qi, along with applying external paste to the fontanelle. If the face is blue with clenched fists and spasms, use Gouteng San (Uncaria Decoction). Do not mistakenly treat it as Spleen Wind and recklessly apply warming herbs. If the area between the eyebrows is red, or if the fingerprint on the tiger's mouth curves inward, it is treatable; add Quanxie (Full Scorpion) to Gouteng San. If the area between the eyebrows is blue-black, it is untreatable. Generally, infants' zang-fu organs are fragile; heavy sedative agents containing silver powder (cinnabar/mercury compounds) should not be used lightly, as they may damage true qi and often lead to fatal outcomes.
The eyes are the orifices of the Liver. The Liver and Gallbladder belong to the Wind-Wood meridians and are associated with Ministerial Fire. When Liver blood is insufficient, internal wind and fire arise, causing the eyes to tremble. The Classics state: "Bending and straightening, shaking and moving" are manifestations of Wind. It is appropriate to use Siwu Tang (Four Substances Decoction) to nourish blood, and Chaihu (Bupleuri Radix), Shanzhi (Gardeniae Fructus) to clear the Liver. When Yin-blood is nourished internally, deficient wind will naturally subside. Additionally, use Liuwei Wan (Six-Ingredient Pill with Rehmannia) to nourish the root source. If after recovery there is palpitation and insomnia, or convulsions, teeth grinding, and eye trembling during sleep, this is due to blood deficiency failing to nourish the sinews and vessels. Use Buzhong Yiqi Tang (Tonify the Middle and Augment the Qi Decoction) with increased amounts of Danggui (Angelicae Sinensis Radix) and Baishao (Paeoniae Radix Alba). Whenever pathogenic qi is excessive, it belongs to a deficiency of Yuanqi (Primary Qi). Moreover, this syndrome involves both the Liver and Spleen, often representing the onset of Slow Convulsion (Man Jing); thus, careful examination is essential.
The lips are the flourishing aspect of the Spleen. the Foot-Yangming Stomach Meridian circles the lips and intersects at the Renzhong point. Therefore, those with Spleen-Stomach deficiency often present with this syndrome, not only post-illness. The Spleen governs saliva; when Spleen deficiency fails to control fluids, drooling often accompanies it. If mistakenly treated as Phlegm using drugs to expel phlegm, body fluids will become further depleted, failing to nourish the sinews, leading to limb convulsions and worsening condition. The treatment method is the same as for Slow Spleen Wind (Man Pi Feng): greatly tonify the Spleen and Stomach using Liujunzi Tang (Six Gentlemen Decoction) with Shengma (Cimicifugae Rhizoma) and Chaihu (Bupleuri Radix). Strictly prohibit using Qingpi (Aurantii Fructus Immaturus) and Longdancao (Gentianae Radix) which drain the Liver. If accompanied by slight limb convulsions, alternating chills and fever, diarrhea, vomiting, and sallow complexion, these indicate Spleen-Stomach injury. Add Huangqi (Astragali Radix), Danggui (Angelicae Sinensis Radix), and Baishao (Paeoniae Radix Alba). If Spleen Qi sinks and Liver Wood insults it, use Buzhong Yiqi Tang to raise Yang, adding Fuling (Poria), Banxia (Pinelliae Rhizoma), and Shaoyao (Paeoniae Radix) to restrain Liver and tonify Spleen. Do not use wind-dispersing or fright-calming drugs.