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Pediatric malaria is not beyond the scope of wind-phlegm and food stagnation. Without food stagnation, there is no fever; without wind, there is no chills. Phlegm and food are formed by wind. External contraction of wind-cold damages the Spleen. If Lung Qi is not clear, phlegm is generated; if Spleen Earth is injured, it wraps phlegm. Thus, phlegm is formed by wind and food. Without phlegm, malaria cannot form, hence alternating chills and fever occur. In summary, although wind belongs to the Lung and food belongs to the Spleen, the storage site of wind and food is close to the Gallbladder Meridian, thus causing alternating chills and fever. The Gallbladder Meridian is the Foot Shaoyang, located at the half-exterior and half-interior level, which is why chills and fever alternate. Generally, more chills indicate heavier wind, more fever indicates heavier food, and equal chills and fever indicate both wind and food are abundant. To treat this disease, one must only resolve food stagnation, disperse wind, and transform phlegm. However, resolving food stagnation must be combined with dispersing wind; dispersing wind must be combined with resolving food; and resolving food and dispersing wind must be combined with transforming phlegm. Because if these three are not complete, malaria cannot form, so they should be used together, weighing their respective lightness or heaviness.

Shu Pi Yin (Spleen-Dispersing Decoction): Treats pediatric malaria caused by wind.
Perilla Leaf (Zi Su Ye), Bupleurum Root (Chai Hu), Pinellia Tuber (Ban Xia) (each 1 qian); Saposhnikovia Root (Fang Feng), Tangerine Peel (Qing Pi), Magnolia Bark (Nong Po), Ligusticum Rhizome (Chuan Xiong) (each 0.5 qian); Fresh Ginger (Sheng Jiang) 3 slices. Take warm at any time.

Bing Chen Yin: Treats pediatric malaria caused by food stagnation.
Hawthorn Fruit (Shan Zha), Tangerine Peel (Qing Pi), Tsaoko Cardamom (Cao Guo) (each 0.8 fen); Areca Seed (Bing Lang), Immature Bitter Orange (Zhi Shi), Pinellia Tuber (Ban Xia), Bupleurum Root (Chai Hu), Malt (Mai Ya) (each 0.6 fen); Fresh Ginger (Sheng Jiang) 3 slices. Decoct and take on an empty stomach.

Ping Tuo Yin: Treats pediatric phlegm-malaria, accompanied by vomiting upon onset.
Pinellia Tuber (Ban Xia), Fritillaria Bulb (Bei Mu), Aged Tangerine Peel (Ju Hong), Bupleurum Root (Chai Hu) (each 0.7 fen); Scutellaria Root (Huang Qin), Tsaoko Cardamom (Cao Guo), Atractylodes Rhizome (Bai Zhu), Aurantium Fruit (Zhi Ke) (each 0.5 fen); Fresh Ginger (Sheng Jiang) 3 slices. Take warm at any time.

Bie Jia Yin: Treats persistent pediatric malaria.
Polygonum Multiflorum Root (He Shou Wu), Turtle Shell (Bie Jia) (prepared with wine), Angelica Sinensis Root (Dang Gui), Atractylodes Rhizome (Bai Zhu), Ginseng Root (Ren Shen), Scutellaria Root (Huang Qin) (each 0.8 fen); Black Date (Hei Zao) 3 pieces. Decoct and take on an empty stomach.

Generally, diarrhea resides in the Spleen, while dysentery resides in the Kidney. Therefore, diarrhea preceding dysentery is called "Spleen transmitting to Kidney," constituting a destructive pathogen (Ze Xie), making the disease difficult to cure. Dysentery preceding diarrhea is called "Kidney transmitting to Spleen," constituting a mild pathogen (Wei Xie), making the disease easy to cure. This is the view of predecessors. In my opinion, while diarrhea indeed mostly involves the Spleen, I have reservations about stating that dysentery resides in the Kidney. Diarrhea is indeed often due to dietary irregularities, but is dysentery not also injured by diet? Food stagnation transforms due to damp-heat, becoming thick, turbid, and sticky within the intestines and stomach. It desires to pass but cannot, resulting in the suffering of tenesmus. This is clearly a disease of the Spleen Meridian. Why then attribute dysentery to the Kidney? I have never heard that food entering the body bypasses the Spleen to go directly to the Kidney. Even if called a Kidney disease, the herbs for treating dysentery all use Atractylodes Rhizome (Cang Zhu), Magnolia Bark (Nong Po), Scutellaria Root (Huang Lian), Aucklandia Root (Mu Xiang), Atractylodes Rhizome (Bai Zhu), and Tangerine Peel (Chen Pi). None use Eucommia Bark (Du Zhong), Phellodendron Bark (Huang Bo), Achyranthes Root (Niu Xi), or Rehmannia Root (Di Huang) to tonify the Kidney. Treating a Kidney disease with Spleen formulas implies it is not a Kidney disease. Ultimately, dysentery followed by diarrhea being easy to cure is because stagnation has cleared and the Spleen is still deficient, not because of "Kidney transmitting to Spleen." Diarrhea followed by dysentery being difficult to cure is because Spleen Earth is damaged and stagnation is just accumulating, not because of "Spleen transmitting to Kidney." The Kidney stores essence but does not store food. If dysentery belonged to the Kidney, food would be stored in the Kidney, which is illogical. Generally, the method for treating dysentery in children is no different from adults. However, pure blood dysentery is difficult to treat in adults, whereas in children it is due to food stagnation and poses no major hindrance. Treatment for pediatric dysentery should focus mainly on resolving stagnation. Details are provided in the Adult Dysentery section, so no further elaboration is needed here.