治婴孩小儿四症已作八候未具者速宜与脉
金蝎（去毒炒） 白僵蚕（去丝炒） 天麻 白附子（炮） 天南星（炮各一分） 朱砂（一两）
赤脚蜈蚣（一条酒炙酥） 麝（一字）
上为末炼蜜为丸鸡头实大每服一二粒煎金银薄荷汤化下
治婴孩小儿急惊四症八候俱并作者宜服
天麻 白附子（炮） 天南星（炮各半两） 蝎稍（炒一分） 朱砂（一两） 代赭石（一两
米醋
浸七次） 雄黄（一两） 乳香（一两） 白花蛇头（一分酒炙） 脑（一字） 麝（一字） 赤脚蜈
蚣（一条酒炙）
上为细末每服半钱煎金银薄荷汤调下炼蜜如鸡头大亦佳
议曰搐症未作痰热壅盛故生其风风不自散流入筋脉又入经络遂发搐搦定其搐搦先用截风
风若
不加则搐搦自息矣且搐搦已作痰热有盛疾候传极其风不可得而截搐不可得而定由如遗漏炎
炽
猛烈难以摸减如此患者理宜下之大抵阳痫用下乃良阴痫何以加之儿分长幼用药惟有发风作搐
大小皆然风之为疾猖獗冲突乃五脏虚处受之察之在证疗之未前由惊而作或痰与热而为察其源
而定其疾者要也有其风即发搐有其搐即因风风定搐其议相续今述截风散不待搐搦才觉风痰惊
热
有作便与服之令不搐搦故曰截风既已搐搦并作宜与定搐散御之御之不散与服暖金丹其势加重
即与
下之且下之法医家出不得已而为劫风揭风青金三方量其轻重今人直便拟下更不截风定搐之药
得失之议皆由忽遽昏惑智者良工幸宜考较
治疗婴幼儿出现四种病症的征兆，但尚未具备八种典型症状时，应迅速给予脉诊判断。
金蝎（去除毒性并炒制）一两，白僵蚕（去除丝络并炒制）一两，天麻一两，白附子（炮制）一两，天南星（炮制）各一两，朱砂一两，赤脚蜈蚣（一条，用酒炙烤至酥软），麝香（一字量）。
以上药物研为细末，用炼蜜制成如鸡头实大小的丸剂。每次服用一至二粒，用金银花、薄荷煎汤化开服下。
治疗婴幼儿急惊风，若四种病症与八种候象同时具备者，适宜服用此方：
天麻半两，白附子（炮制）半两，天南星（炮制）半两，蝎梢（炒制）一分，朱砂一两，代赭石一两（用米醋浸泡七次），雄黄一两，乳香一两，白花蛇头（一分，用酒炙烤），脑（一字量），麝香（一字量），赤脚蜈蚣（一条，用酒炙烤）。
以上药物研为极细末。每次服用半钱，用金银花、薄荷煎汤调服；若制成如鸡头实大小的蜜丸亦可。
医家议论说：搐搦症尚未发作时，因痰热壅盛而生风，风气不能自行消散，流入筋脉，进而深入经络，于是引发搐搦。要制止搐搦，首先应用截风散。如果风气得以平息，则搐搦自然停止。况且搐搦已经发作，说明痰热炽盛，病情危重，此时风气已无法通过截断来消除，搐搦也无法强行镇定。这就如同遗漏了火势，导致烈焰猛烈，难以扑灭。对于此类患者，理应使用泻下法。大致而言，阳痫使用泻下法是良策，阴痫为何也要加上泻下法呢？儿童分为年长和年幼，用药原则只有发散风邪以制止搐搦，无论大小都一样。风邪这种疾病猖獗冲突，是在五脏虚弱之处受邪。在辨证之前进行诊疗，需查明是由惊恐引起，还是由痰与热引起，探究其根源以确定病机，这是关键所在。有风邪就会引发搐搦，有搐搦就是由于风邪所致，风定则搐止，这些道理是相连续的。现在叙述截风散，不必等到搐搦才察觉，只要觉得风、痰、惊、热有所发作，便立即服用，使其不发生搐搦，所以称为“截风”。既然已经搐搦并作，宜服用定搐散来抵御它。如果抵御后风气不散，则服用暖金丹，这样病情会加重，随即使用泻下法。至于泻下的方法，是医者出于不得已而采用的劫夺风邪、揭除风邪的方法，参考青金三方，根据病情的轻重来决定。如今的人直接就使用泻下法，不再使用截风、定搐的药物。其中的得失议论，都源于匆忙、昏乱和迷惑，明智且技艺高超的医生应当仔细考证比较。
For infants and young children presenting with signs of the four syndromes but not yet exhibiting all eight manifestations, pulse diagnosis should be performed promptly.
Scorpio (Jin Xie) [Diplocentris bidentata], detoxified and stir-fried, 1 liang; White Silkworm (Bai Jiang Can) [Bombyx batryticatus], silk removed and stir-fried, 1 liang; Gastrodia Rhizome (Tian Ma) [Gastrodiae Rhizoma], 1 liang; Prepared Aconite Rootlet (Bai Fu Zi) [Aconiti Kusnezoffii Radix], processed, 1 liang; Prepared Arisaema Tuber (Tian Nan Xing) [Arisaematis Rhizoma Preparatum], processed, each 1 liang; Cinnabar (Zhu Sha) [Cinnabaris], 1 liang; Red-footed Centipede (Chi Jiao Wu Gong) [Scolopendra subspinipes mutilans] (one piece, wine-roasted until crisp); Musk (She Xiang) [Moschus], one zi dose.
Grind the above ingredients into a fine powder. Form pills using refined honey, sized like a corn kernel. Administer one or two pills per dose, dissolved in a decoction of Honeysuckle Flower (Jin Yin Hua) [Lonicerae Japonicae Flos] and Mint (Bo He) [Menthae Haplocalycis Herba].
For infants and young children suffering from acute convulsive syndrome (Ji Jing Feng), where both the four syndromes and eight manifestations are present simultaneously, this formula is suitable:
Gastrodia Rhizome (Tian Ma) [Gastrodiae Rhizoma], half liang; Prepared Aconite Rootlet (Bai Fu Zi) [Aconiti Kusnezoffii Radix], processed, half liang; Prepared Arisaema Tuber (Tian Nan Xing) [Arisaematis Rhizoma Preparatum], processed, half liang; Scorpio Tail (Xie Shao) [Diplocentris bidentata tail], stir-fried, one fen; Cinnabar (Zhu Sha) [Cinnabaris], 1 liang; Hematite Ore (Dai Zhe Shi) [Hematitum], 1 liang (soaked seven times in rice vinegar); Realgar (Xiong Huang) [Realgar], 1 liang; Frankincense (Ru Xiang) [Olibanum], 1 liang; White Snake Head (Bai Hua She Tou) [Deinagkistrodon acutus head], one fen (wine-roasted); Brain (Nao) [Cervus Moschiferus brain or similar animal brain], one zi dose; Musk (She Xiang) [Moschus], one zi dose; Red-footed Centipede (Chi Jiao Wu Gong) [Scolopendra subspinipes mutilans] (one piece, wine-roasted).
Grind the above ingredients into an extremely fine powder. Administer half a qian per dose, mixed with a decoction of Honeysuckle Flower (Jin Yin Hua) [Lonicerae Japonicae Flos] and Mint (Bo He) [Menthae Haplocalycis Herba]; forming pills with refined honey the size of a corn kernel is also acceptable.
The physician discusses: When the convulsion has not yet occurred, phlegm-heat congestion generates wind. If the wind does not dissipate naturally, it flows into the sinews and meridians, eventually triggering convulsions. To arrest convulsions, one should first use the Jiefeng San (Wind-Cutting Powder). If the wind is subdued, the convulsions will cease spontaneously. However, once convulsions have already manifested, it indicates severe phlegm-heat accumulation and critical progression; at this stage, wind cannot be cut off, nor can convulsions be forcibly stopped. This is akin to neglecting a fire until it blazes fiercely, making it difficult to extinguish. For such patients, purgation (xia fa) is indicated. Generally, purgation is a sound method for Yang Epilepsy (Yang Xian); why apply it to Yin Epilepsy (Yin Xian)? Whether the child is older or younger, the treatment principle remains the same: disperse wind to stop convulsions. Wind pathogens are aggressive and conflictuous, invading areas of deficiency within the five zang organs. Before treating, one must examine whether the cause is fright (jing) or phlegm-heat, identify the root source, and determine the pathology—this is essential. The presence of wind leads to convulsions; the presence of convulsions is due to wind. When wind settles, convulsions stop; these principles are continuous. Now, regarding the Jiefeng San, it should be administered as soon as wind, phlegm, fright, or heat are suspected, preventing convulsions from occurring, hence the name "Cutting Wind." If convulsions have already begun, Dingchu San (Convulsion-Stabilizing Powder) should be used to counteract them. If counteraction fails to resolve the wind, Nuanjindan (Warm Golden Pill) may be taken, though this may worsen the condition, necessitating subsequent purgation. Purgation is a method employed by physicians out of necessity to劫 (seize/overcome) and remove wind, referencing the Qingjin San formulas, adjusted according to severity. Currently, people directly resort to purgation without attempting wind-cutting or convulsion-stabilizing methods. The debate over gains and losses stems from haste, confusion, and bewilderment; wise and skilled practitioners should carefully evaluate these approaches.