痰火之症。即俗所谓急惊风也。小儿或感风寒。或积乳食。皆能生痰。痰积则化火。或受暑热
亦生火。失于清解。则火升而痰亦升。痰火上壅。闭其肺窍。则诸窍皆闭。其症目直气喘。昏闷
不醒。且火甚则肝燥筋急。为搐搦掣颤反引窜视。而八候生焉。总因痰火郁结。肝风内动而
成。当其拘挛弓仰之时。但以手扶。勿可用力抱紧。伤其筋络。致成废疾。初起以通关散开其
嚏。得嚏则醒。轻者利火降痰汤。重者清膈煎加石菖蒲、竹茹。或抱龙丸。醒后清热养血汤。
木侮土症。即俗所谓慢惊风也。小儿受暑受寒。或伤乳食。皆能作吐作泻。或吐泻交作。久则
脾土虚弱。肝木乘之。其泻渐见青色。面部痿白带青。手足微搐无力。神气恹恹不振。而慢脾
成矣。初起即宜异功散。吐则加藿香、煨姜。若病已数日。粪见青色。即加木香或肉桂。若手足
皆冷。脉息微细。唇舌痿白。此将脱之症。宜急用附子理中汤。以温中回阳。尚有可救。诸脏之
症皆缓。独脾病之变甚速。尽有吐泻一昼夜而即脱者。慎勿缓视也。
大惊猝恐。真惊也。小儿气血未充。心神怯弱。一遇惊吓。则神魂震怖。举动失常。夜则跳醒。昼
则惊惕。治宜安神魂。敛心气。七福饮、秘旨安神丸、安神定志汤皆可。心有蕴热而惊悸者。七
味安神丸。神定后。气虚者。四君子汤以补其阳。血虚者。六味地黄丸以补其阴。若妄投以朱
砂镇惊丸子。耗其心血。则愈发愈盛。肝风乘虚而亢。其势不可复制矣。慎之。
痰火证，就是民间所说的急惊风。小儿如果感受风寒，或者乳食积滞，都能产生痰湿。痰湿积聚就会化火；如果感受暑热之邪，也会生火。若未能及时清热解表，就会导致火气上炎，随之痰浊也随火上逆。痰火壅塞于上，闭塞肺窍，进而导致全身诸窍闭塞。其症状表现为两眼直视、气喘、神志昏闷不醒。而且火势炽盛会导致肝燥筋脉拘急，出现抽搐、痉挛、震颤、角弓反张、眼球上窜等症状，这就是所谓的“八候”。这总归是因为痰火郁结，引动肝风内扰所致。当患儿出现拘挛、身体后仰时，只需用手轻轻扶持，切勿用力紧紧抱住，以免损伤筋络，导致残疾。初起时可用通关散吹鼻取嚏，打喷嚏后患儿即可苏醒。轻症用利火降痰汤，重症用清膈煎加石菖蒲、竹茹，或者服用抱龙丸。患儿清醒后，再用清热养血汤调理。
木侮土证，就是民间所说的慢惊风。小儿感受暑邪或寒邪，或者饮食伤及脾胃，都会引起呕吐和腹泻，或者吐泻同时发作。日久则脾土虚弱，肝木乘虚克制脾土。其大便逐渐呈现青色，面部萎黄而带青色，手足轻微抽搐且无力，精神萎靡不振，这就形成了慢脾风。初起时就适宜使用异功散。如果有呕吐症状，加入藿香、煨姜。如果患病已经几天，粪便见青色，就加入木香或肉桂。如果手足冰冷，脉搏微细，嘴唇和舌色萎白，这是阳气将脱的危重证候，应当紧急使用附子理中汤，以温中焦、回阳气，还有救治的希望。五脏的疾病变化大多缓慢，唯独脾病的变化非常迅速，甚至有吐泻仅一昼夜就导致阳气暴脱的情况。务必谨慎对待，不可轻视。
大惊猝恐，属于真正的惊吓。小儿气血尚未充盈，心神怯弱，一旦遇到惊吓，神魂就会受到震撼恐惧，举动失常。夜间会惊醒跳跃，白天则会惊惧警惕。治疗应当安神定魂，收敛心气。七福饮、秘旨安神丸、安神定志汤都可以使用。如果心中蕴有热邪而导致惊悸的，使用七味安神丸。神志安定后，气虚者用四君子汤来补益阳气，血虚者用六味地黄丸来滋补阴液。如果错误地投用朱砂镇惊丸，会耗伤心血，导致病情愈发严重，肝风乘虚亢盛，那时局势就无法控制了。务必慎重。
The Phlegm-Fire Syndrome is what is commonly referred to as Acute Convulsive Fever (Ji Jing Feng) in popular terms. In children, contracting Wind-Cold or having accumulated milk and food can both generate Phlegm. When Phlegm accumulates, it transforms into Fire; alternatively, contracting Summer-Heat also generates Fire. If failing to clear heat and resolve the pathogen promptly, Fire will ascend, carrying Phlegm with it. The obstruction of Phlegm and Fire at the upper jiao closes the Lung orifices, thereby closing all orifices. Symptoms include staring eyes, panting, coma, and unresponsiveness. Moreover, excessive Fire causes Liver dryness and tendon tension, leading to spasms, convulsions, tremors, opisthotonos, and upward deviation of the eyes—these constitute the "Eight Signs." This condition arises fundamentally from the stagnation of Phlegm and Fire stirring up internal Liver Wind. During episodes of rigidity and arching of the back, one should only support the child gently by hand; do not hold tightly with force, as this may damage the sinews and meridians, resulting in permanent disability. At the onset, use Tongguan San (Passing Through Obstruction Powder) to induce sneezing; awakening occurs upon sneezing. For mild cases, utilize Lihuo Jiangtan Tang (Fire-Reducing and Phlegm-Lowering Decoction); for severe cases, use Qingge Jian (Clear Diaphragm Decoction) added with Shichangpu (Acorus Rhizome) and Zhuru (Bamboo Shavings), or Baolong Wan (Embracing Dragon Pill). After regaining consciousness, administer Qingre Yangxue Tang (Heat-Clearing and Blood-Nourishing Decoction).
The Wood-Rebelling-Earth Syndrome corresponds to Chronic Convulsive Fever (Man Jing Feng) in common parlance. Children contracting Summer-Heat or Cold, or suffering from dietary injury to milk and food, may experience vomiting and diarrhea, or simultaneous vomiting and purging. Prolonged occurrence weakens Spleen Earth, allowing Liver Wood to overact upon it. Stool gradually turns greenish, the face appears sallow with a bluish tint, hands and feet exhibit slight twitching and weakness, and spirit is listless and depressed, marking the formation of Slow Spleen Wind. At the initial stage, Yigong San (Benefiting Work Powder) is appropriate. If vomiting is present, add Huoxiang (Patchouli Herb) and Wei Jiang (Baked Ginger). If the illness has persisted for several days and stool shows green color, add Muxiang (Costus Root) or Rougui (Cinnamon Bark). If hands and feet are cold, pulse is faint and fine, and lips and tongue are pale and flaccid, this indicates impending collapse of Yang Qi. Urgent administration of Fuzi Lizhong Tang (Aconite Warming Middle Decoction) is required to warm the middle jiao and restore Yang Qi, offering a chance of rescue. Pathological changes in the five Zang organs are generally slow, but alterations in Spleen disease are extremely rapid; some cases progress to collapse within a day and night of vomiting and diarrhea. Caution is imperative; do not overlook this.
Sudden Great Fear represents true fright. Children have insufficient Qi and Blood, and their Heart Spirit is timid and weak. Upon encountering a startling event, the Soul and Spirit are shaken and terrified, leading to abnormal behavior. They may startle awake jumping at night and remain easily startled during the day. Treatment should focus on calming the Soul and Spirit, and consolidating Heart Qi. Qifu Yin (Seven Blessings Decoction), Mizhi Anshen Wan (Secret Purpose Calming Spirit Pill), and Anshen Dingzhi Tang (Calming Spirit Stabilizing Will Decoction) are all suitable. For palpitations and fright due to latent Heat in the Heart, use Qiwei Anshen Wan (Seven-Ingredient Calming Spirit Pill). After the spirit stabilizes, if Qi deficiency exists, employ Sijunzi Tang (Four Gentlemen Decoction) to tonify Yang; if Blood deficiency exists, use Liuwei Dihuang Wan (Six-Ingredient Rehmannia Pill) to nourish Yin. Incorrectly administering Zhusha Zhenjing Wan (Cinnabar Calming Convulsion Pill) consumes Heart Blood, causing the condition to worsen progressively, allowing Liver Wind to hyperactive due to deficiency, making the situation uncontrollable. Exercise extreme caution.