羌活、川芎、细辛、木通、麻黄、石菖蒲各一钱，
龙脑少许，麝香少许。
羌活、独活、苍术。防风，升麻、荆芥穗、葛根。
甘草(炙)、细辛、麻黄、白芷、川芎、木通，姜三片，
枣二扶，葱白三寸，水煎食后服。
辛荑仁五钱，苍耳子(炒)二钱半，白芷一钱，薄荷
叶五分，黄连一钱。共晒干为末，葱汤调服。
香附子、川芎，荆芥穗、僵蚕、细辛、牙皂，共为
末，以葱白捣成膏，摊绢袖上，烘热，临卧对点囱门。
生地、黄芩、栀子仁、赤芍、郁金、茅花引。水煎
入车前草自然汁，细细服之。
山栀仁、乱头发(烧灰)。共为末，吹入鼻中
祖传治衄血：用神芎丸，茅花煎汤下。
西 江 月
小儿若是鼻塞，风寒各有根由，伤风清涕必长流，干燥伤寒
热搐，清涕荆防发散，干燥火热中求，芩连栀柏可同俦，引用葱
姜平复。
忽然鼻中衄血，五脏积热所为；血随气上溢于鼻，治用凉血
为主。川芎当归赤芍，生地黄芩生栀、黄连甘草牡丹皮，柏叶茅
根煎吃。
口者脾之窍，唇内应乎脾。
小儿鹅口者，口内白屑满舌上，如鹅之口者，此为胎热，而
心脾最甚，重发于口也。当内服凉惊丸，外用鹅口中涎，以绢包
手指洗净，以保命散吹之，此亦名口疮。
口疮者，满口赤疮，此因胎禀本厚，养育过温，心脾积热，
薰蒸于上，以成口疮。内服凉惊丸，补用地鸡[37]擂水，遍涂疮
上，又以一连散敷之。
以上二症，如服凉惊丸不效。洗心散如神。
口糜者，满口生疮溃烂，乃膀胱移热于小肠，膈肠不便，上为
口糜。以导赤散去小肠热，五苓散去膀胱热，当以导赤散调五苓
散主之。
口疮服凉药不效，乃肝脾气不足，虚火泛上而无制，用理中
汤治之，外用官桂末吹之。
吐泻后，口生疮者，亦是虚火。理中汤主之。
小儿上愕有胀起如悬痈者，此名重愕，由脾胃挟热，血气不
能收敛而成此者，用针刺去恶血，内服凉膈散，外用碧雪散吹
之，轻者服凉惊丸。
小儿两颐流涎浸溃胸前者，此滞颐，盖涎者脾之液，口为脾
之窍，由脾胃虚冷，不能收敛津液，故涎从口出，而溃于颐者，
宜温脾丹主之。
小儿口频撮者，气不和也。盖唇应于脾，气乃肺之所生。脾
虚不能养子。故口频撮。宜补其母，则气自和，以异功散主之。
小儿口撮面青多哭者，此脐下痛也，理中汤主之。
初生因脐风口撮，脐腹肿者，不治。
小儿急欲乳吃。而口不吮乳者，此心脾有热，泻黄散治之。
Notopterygii Rhizoma et Radix (Qianghuo), Chuanxiong Rhizoma (Chuanxiong), Asari Radix et Rhizoma (Xixin), Akebiae Caulis (Mutong), Ephedrae Herba (Mahuang), and Calami Rhizoma (Shichangpu) each one qian; a small amount of Borneolum Syntheticum (Longnao) and Moschus (Shexiang).
Notopterygii Rhizoma et Radix (Qianghuo), Angelicae Pubescentis Radix (Duhuo), Atractylodis Rhizoma (Cangzhu), Saposhnikoviae Radix (Fangfeng), Cimicifugae Rhizoma (Shengma), Schizonepetae Spica (Jingjie Sui), Puerariae Lobatae Radix (Gegen), Glycyrrhizae Radix et Rhizoma preparated with honey (Zhi Gancao), Asari Radix et Rhizoma (Xixin), Ephedrae Herba (Mahuang), Angelicae Dahuricae Radix (Baizhi), Chuanxiong Rhizoma (Chuanxiong), Akebiae Caulis (Mutong), add three slices of Zingiberis Rhizoma Recens (Fresh Ginger), two dates, and three cun of Scallion White. Decoct in water and take after meals.
Magnoliae Flos (Xinyi Ren) five qian, Xanthii Fructus (Cangerzi) stir-fried, two and a half qian, Angelicae Dahuricae Radix (Baizhi) one qian, Menthae Haplocalycis Herba (Bohe Ye) five fen, Coptidis Rhizoma (Huanglian) one qian. Sun-dry together and grind into powder; mix with Scallion decoction for oral administration.
Cyperi Rhizoma (Xiangfu), Chuanxiong Rhizoma (Chuanxiong), Schizonepetae Spica (Jingjie Sui), Bombyx Batryticatus (Jiangcan), Asari Radix et Rhizoma (Xixin), and Dalbergiae Odoriferae Lignum (Yazao) are ground into powder together. Scallion white is mashed into a paste, spread on a silk sleeve, warmed, and applied to the anterior fontanelle before bedtime.
Rehmanniae Radix Preparata (Shengdi), Scutellariae Radix (Huangqin), Gardeniae Fructus (Zhizi Ren), Paeoniae Radix Rubra (Chishao), Curcumae Radix (Yujin), with Imperatae Rhizoma (Maohua) as a guide. Decoct in water, add fresh juice of Plantaginis Herba (Cheqiancao), and take slowly.
Gardeniae Fructus (Zhizi Ren) and disordered hair (burnt to ash) are ground into powder together and insufflated into the nose.
Ancestral prescription for epistaxis: Use Shenxiong Wan, taken with Maohua decoction.
Xi Jiang Yue (Poem):
If a child has nasal congestion, wind-cold has its own root causes; wind-strike results in long-flowing clear rhinorrhea, while dry cold-heat involves convulsions. Clear rhinorrhea should be dispersed with Schizonepetae Spica (Jingjie) and Saposhnikoviae Radix (Fangfeng); dry heat-fire requires internal treatment, using Scutellariae Radix (Huangqin), Coptidis Rhizoma (Huanglian), Gardeniae Fructus (Zhizi), and Phellodendri Cortex (Huangbai) together, guided by Scallion and Ginger to restore balance.
Sudden epistaxis is caused by accumulated heat in the five zang organs; blood overflows into the nose following qi ascent. Treatment focuses primarily on cooling the blood. Chuanxiong Rhizoma (Chuanxiong), Angelicae Sinensis Radix (Danggui), Paeoniae Radix Rubra (Chishao), Rehmanniae Radix Preparata (Shengdi), Scutellariae Radix (Huangqin), unprepared Gardeniae Fructus (Sheng Zhizi), Coptidis Rhizoma (Huanglian), Glycyrrhizae Radix et Rhizoma (Gancao), Moutan Cortex (Mudanpi), Platycladi Cacumen (Baiye), and Imperatae Rhizoma (Maogen) are decocted and taken.
The mouth is the orifice of the Spleen, and the lips correspond to the Spleen internally.
Pediatric thrush (E Kou): White debris fills the tongue surface inside the mouth, resembling a goose's beak. This is fetal heat, most severe in the Heart and Spleen, manifesting heavily in the mouth. Internally administer Liangjing Wan (Cool the Agitation Pill). Externally, use saliva from the goose's mouth; wrap a clean finger in silk, insufflate Baoming San (Life-Preserving Powder) into the mouth. This is also called kou chuang (mouth sore).
Kou chuang (Mouth sore): Red sores cover the entire mouth. This is due to thick congenital constitution and overly warm nurturing, causing accumulated heat in the Heart and Spleen to steaming upward, forming mouth sores. Internally administer Liangjing Wan. Apply water from grinding Di Ji [37] (a specific herb/preparation) to coat all sores, and apply Yilian San (One-Chain Powder) externally.
For the above two conditions, if Liangjing Wan is ineffective, Xixin San (Wash the Heart Powder) is miraculous.
Kou mi (Oral candidiasis/mucosal erosion): Sores and ulcers cover the entire mouth. This is heat transferring from the Bladder to the Small Intestine, with obstruction in the diaphragm and intestines, manifesting upward as oral erosion. Use Daochi San (Guide Out Red Powder) to clear Small Intestine heat, and Wuling San (Five-Ingredient Powder with Poria) to clear Bladder heat. The main formula is Daochi San combined with Wuling San.
If kou chuang does not respond to cooling medicines, it indicates deficiency of Liver and Spleen qi, with floating deficient fire uncontrolled. Treat with Lizhong Tang (Regulate the Middle Decoction). Externally insufflate Guigui Mo (Cinnamon Bark Powder).
After vomiting and diarrhea, if mouth sores appear, it is also due to deficient fire. Lizhong Tang is the primary treatment.
When a child has swelling on the upper palate resembling a hanging abscess, this is named zhong e (heavy palate). It is formed by spleen and stomach carrying heat, where qi and blood fail to converge. Prick to remove bad blood, internally administer Liange San (Cool the Diaphragm Powder), and externally insufflate Bixue San (Green Snow Powder). For mild cases, administer Liangjing Wan.
When a child drools from both cheeks, eroding onto the chest, this is named zhi yi (stagnant chin). Saliva is the fluid of the Spleen, and the mouth is the orifice of the Spleen. Due to spleen and stomach deficiency-cold failing to consolidate fluids, saliva exits the mouth and erodes the cheeks. Wenpi Dan (Warm the Spleen Pill) is indicated.
Frequent puckering of the mouth in children indicates disharmony of qi. The lips correspond to the Spleen, and qi is generated by the Lung. Spleen deficiency fails to nourish the Lung (the child element). Therefore, tonify the Mother (Spleen) to harmonize qi; Yigong San (Extraordinary Merit Powder) is used.
Puckering of the mouth, blue complexion, and excessive crying in children indicate pain below the umbilicus. Lizhong Tang is the primary treatment.
Newborns with umbilical wind causing mouth puckering and abdominal swelling are difficult to cure.
Children urgently wanting milk but unable to suckle have heat in the Heart and Spleen. Xiehuang San (Drain the Yellow Powder) treats this.