即绞肠痧。忽然心腹绞痛，上不得吐，下不得泄，痰壅腹胀，手足厥冷。急以食盐一两
、生姜五钱，同炒黑色，水一碗煎汤温服，良久以指探喉中令吐之，或不吐即泻而愈。
绞肠痧亦有阴阳，阴痧，手足冷，看其身上有红点，以灯火于红点上淬之。阳痧，腹痛
手足暖，以针刺两大拇指甲内侧离肉一韭叶许，出血即安。仍先自两臂捩下其恶血，令聚指
用温水一碗，令病患伏卧凳上，以手蘸水，拍其两膝弯，名委中穴，看其有紫黑点现，
以针刺出恶血即愈。又法，以香油拍两手曲池穴，即两肘内弯处，以苎麻蘸油戛之，刮起紫
疹即愈。近时用光钱蘸油刮两肘弯并背上出痧，甚效。
（即幼科之慢惊慢脾风）
即幼科之慢惊慢脾风，其词自相矛盾，其方治无一效。故《集成》以非搐辨之，引夏禹
铸之言曰，世人均称慢惊，予独曰慢证，盖此证多成于大病之后，庸工一见病愈，遂不防守
去路，或初误汗、误下、吐泻，久而脾胃虚极，故成慢证，慢证何惊之有!彼庸医见儿眼翻
手搐握拳，形状似惊，故以惊名之。一作惊治，或推拿、或火，是犹儿已落井而又下石也。
急以六君子汤加桂附及理中汤加附子等药，稍可救之。凡四肢厥冷，宜用葱姜同捣，炒温熨
其胸腹。或以硫黄五分、胡椒一分，姜汁调敷脐上，膏药盖之。市上所卖治急慢惊风丸药，
乃抱龙丸、牛黄丸之类，急惊服之有效，若遇慢惊则速其死。
六君子汤 治小儿吐泻之后，脾胃大伤；或大病之后，不思乳食；一切久病中气虚寒及
成慢证者，并皆治之。
官拣参（一钱） 漂白术（二钱） 白云苓（钱半） 法半夏 陈皮（各五分） 炙甘草（一钱） 煨姜（三片）
大枣（三枚） 早米（一撮）
水煎温服。四肢厥冷，加炮姜四分，甚者加附子五分。头摇者，加天麻八分。手足搐搦
，加青化桂，去粗，七分，钩藤一钱，又方∶治虚搐，桂圆整个烧存性，研，二钱，炮姜四
分，红枣三个，煎汤调服。
理中汤 治脾胃虚寒，面青腹痛，寒呕寒泻，及幼科慢惊等症。
人参（二钱） 漂白术（三钱） 炮姜 炙草（各一钱）
水煎温凉 徐徐服。若四肢厥冷，加附子一钱；肉桂，去粗，五分。如寒泻不止，加肉
豆蔻，去油，四分；丁香，研，四分。
这就是绞肠痧。突然发生心腹剧烈绞痛，想吐吐不出来，想拉拉不出去，痰液阻塞导致腹部胀满，手脚冰冷。紧急用食盐一两、生姜五钱，一起炒至黑色，加一碗水煎成汤温服，过一会儿用手指探入喉咙催吐，如果不吐出来就会腹泻而痊愈。
绞肠痧也有阴证和阳证之分。阴痧表现为手脚冰冷，观察身上有红点，用灯火在红点上快速灼烫（淬之）。阳痧表现为腹痛且手脚温暖，用针刺两大拇指指甲内侧距离肉边缘约一片韭菜叶宽的地方，放出血液症状即可缓解。仍然要先从两臂向下捩挤排出恶血，让患者握住手指，用一碗温水，让患者俯卧在凳子上，用手蘸水拍打两膝弯处，这个穴位叫委中穴，看到有紫黑色的瘀点出现，用针刺出恶血即可痊愈。另一种方法，用香油拍打两手曲池穴，即两肘内侧弯曲处，用苎麻蘸油刮拭，刮起紫红色皮疹即可痊愈。近来常用铜钱蘸油刮两肘弯以及背部来引出痧气，效果很好。
这就是儿科中的慢惊风和慢脾风，其名称自相矛盾，其治疗方法没有一种有效。所以《集成》通过“非搐”来辨析它，引用夏禹铸的话说：“世人都称为慢惊，我独自称之为慢证。”大概这种病症多在大病之后形成，庸医一见病似乎好了，就不注意防守病邪去路，或者起初误用发汗、误用泻下、或呕吐腹泻，时间久了脾胃极度虚弱，所以形成慢证，慢证哪里有什么惊风呢！那些庸医看到孩子眼睛上翻、手部抽搐握拳，形状像惊风，所以用“惊”来命名它。一旦当作惊风治疗，无论是推拿还是用火灸，这就好比孩子已经掉进井里却又往下扔石头一样危险。紧急时用六君子汤加入桂枝、附子，以及理中汤加入附子等药物，稍微可以挽救。凡是四肢冰冷的，宜用葱和姜一同捣碎，炒热后熨烫胸腹部。或者用硫黄五分、胡椒一分，用姜汁调匀敷在肚脐上，再用膏药覆盖。市面上售卖的治疗急慢性惊风的丸药，是抱龙丸、牛黄丸之类的，急惊服用有效，如果遇到慢惊风则会加速死亡。
六君子汤：治疗小儿呕吐腹泻之后，脾胃严重受损；或者大病之后，不想吃奶吃饭；一切久病导致中气虚寒及形成慢证的，都加以治疗。
官拣参（一钱） 漂白术（二钱） 白云苓（钱半） 法半夏 陈皮（各五分） 炙甘草（一钱） 煨姜（三片） 大枣（三枚） 早米（一撮）
用水煎煮温服。四肢冰冷，加炮姜四分，严重的加附子五分。头摇动的，加天麻八分。手足抽搐，加青化桂，去掉粗皮，七分，钩藤一钱。另一个方子：治疗虚性抽搐，桂圆整个烧至存性，研末，二钱，炮姜四分，红枣三个，煎汤调服。
理中汤：治疗脾胃虚寒，面色青黄腹痛，寒性呕吐寒性腹泻，以及儿科慢惊风等症状。
人参（二钱） 漂白术（三钱） 炮姜 炙草（各一钱）
用水煎煮，待温度变凉后慢慢服用。如果四肢冰冷，加附子一钱；肉桂，去掉粗皮，五分。如果寒性腹泻不止，加肉豆蔻，去掉油脂，四分；丁香，研末，四分。
This is Jiaochang Sha (Intestinal Twisting Sha, a type of severe abdominal cramp syndrome). Sudden onset of severe colic in the heart and abdomen, inability to vomit or defecate, phlegm obstruction causing abdominal distension, and cold extremities. Urgently use one tael of salt and five qian of fresh ginger, stir-fry together until black, decoct in one bowl of water, and take warm. After a while, induce vomiting by probing the throat with a finger; if vomiting does not occur, diarrhea will ensue and the patient will recover.
Jiaochang Sha can be classified into Yin and Yang types. Yin Sha presents with cold extremities; observe for red spots on the body and cauterize them quickly with a lamp flame. Yang Sha presents with abdominal pain and warm extremities; prick the inner side of the nail beds of both great toes, approximately one leek-leaf width from the flesh, to release blood, which brings immediate relief. Additionally, draw out evil blood from both arms downwards. Have the patient grasp a finger, hold one bowl of warm water, and have the patient lie prone on a stool. Dip hands in water and slap the popliteal fossae bilaterally; this acupoint is named Weizhong (BL-40). When purple-black stasis points appear, prick them to release evil blood for recovery. Another method: apply sesame oil to Quchi (LI-11) acupoints, located at the lateral end of the transverse cubital crease, and scrape with ramie soaked in oil until purple rashes appear, indicating recovery. Recently, scraping the cubital fossae and back with a copper coin dipped in oil to bring out Sha is also very effective.
(This corresponds to Slow Convulsion and Slow Spleen Wind in pediatrics.)
This refers to Slow Convulsion and Slow Spleen Wind in pediatrics. The terminology is self-contradictory, and none of the treatments are effective. Therefore, *Jicheng* distinguishes it as "Non-Convulsion," citing Xia Yuzhu: "The world calls it Slow Convulsion, but I call it Slow Syndrome." This syndrome often develops after a major illness. Quack doctors, seeing the illness seemingly resolved, fail to guard against relapse, or due to initial errors such as mistaken sweating, purging, vomiting, or diarrhea, leading to extreme deficiency of the Spleen and Stomach over time, thus forming the Slow Syndrome. How can there be Convulsion in a Slow Syndrome! Quacks see children with eyes rolling back and hands twitching/clenching, resembling convulsions, hence naming it Convulsion. Treating it as Convulsion, whether via massage or moxibustion/fire, is like throwing stones at a child who has already fallen into a well. Urgently treat with Liu Junzi Tang (Six Gentlemen Decoction) added with Guizhi (Cinnamon Twig) and Fuzi (Aconite Root), or Lizhong Tang (Regulate the Middle Decoction) added with Fuzi, which may barely save the patient. For cold extremities, crush green onion and ginger together, stir-fry warm, and apply as a compress to the chest and abdomen. Alternatively, mix five fen of sulfur and one fen of pepper with ginger juice, apply to the umbilicus, and cover with a plaster. Patent pills sold in markets for treating acute and chronic convulsions, such as Baolong Wan (Embrace Dragon Pill) and Niuhuang Wan (Calculus Bovis Pill), are effective for acute convulsions but will accelerate death if used for slow convulsions.
Liu Junzi Tang (Six Gentlemen Decoction): Treats severe damage to the Spleen and Stomach after pediatric vomiting and diarrhea; or loss of appetite for milk/food after major illness; and all cases of prolonged illness resulting in middle Qi deficiency-cold and formation of Slow Syndrome.
Ginseng Radix et Rhizoma (Guanjian variety) (one qian), Atractylodis Macrocephalae Rhizoma (bleached) (two qian), Poria (white cloud variety) (one and a half qian), Pinelliae Tuber (processed), Citri Reticulatae Pericarpium (each five fen), Glycyrrhizae Radix et Rhizoma (roasted with honey) (one qian), Zingiberis Rhizoma (roasted) (three slices), Jujubae Fructus (three pieces), Oryza Sativa (early rice) (a pinch).
Decoct in water and take warm. For cold extremities, add Zingiberis Rhizoma Preparatum (four fen); for severe cases, add Aconiti Lateralis Radix Preparata (five fen). For head tremors, add Gastrodiae Rhizoma (eight fen). For hand and foot twitching, add Cinnamomi Ramulus (Qinghua variety, debarked) (seven fen) and Uncariae Ramulus cum Uncis (one qian). Another prescription for deficiency-type twitching: Roast whole Longan Arillus until carbonized but retaining nature, powder it (two qian), mix with Zingiberis Rhizoma Preparatum (four fen) and three Red Dates, decoct in water, and take the liquid.
Lizhong Tang (Regulate the Middle Decoction): Treats Spleen and Stomach deficiency-cold, cyanotic complexion with abdominal pain, cold vomiting, cold diarrhea, and pediatric slow convulsion.
Ginseng Radix et Rhizoma (two qian), Atractylodis Macrocephalae Rhizoma (bleached) (three qian), Zingiberis Rhizoma Preparatum, Glycyrrhizae Radix et Rhizoma (roasted with honey) (each one qian).
Decoct in water, allow to cool slightly, and administer slowly. If extremities are cold, add Aconiti Lateralis Radix Preparata (one qian) and Cinnamomi Cortex (debarked) (five fen). If cold diarrhea persists, add Myristicae Semen (de-oiled) (four fen) and Caryophylli Flos (powdered) (four fen).