小儿伤寒发热，自汗多啼，葛根芍药汤。
葛根（三分） 芍药 甘草 黄芩 桂枝（各半两）
粗末，每服三钱，水一盏，煎六分，去滓，温温作二服，相次与之。热盛者，去桂，加升麻半
两。无汗者，加麻黄一两。喘者，加杏子半两。
庞曰∶小儿伤寒，始因壮热不除，被汤丸下后，其项强眼翻，弄舌搐搦，如发痫状，久则哽气，
啼声不出。医以为惊风，屡服朱砂、水银、牛黄、录粉、巴豆、竹沥之类，药皆无验。此由误下后，
毒瓦斯结在心胸，内热生涎，涎裹诸药，不能宣行所致也，荡涎散。
粉霜（一钱） 腻粉（二匣） 芫花（一分）
细末，暖浆水调下，一岁半钱，病势大者再服。白色着底者，粉霜也，宜尽
之。良久得睡，取下黑黄涎裹包丹砂之类，皆成颗块，啼声便出，立安。
庞曰∶小儿结胸，亦如前状，但啼声出，医亦多作惊风治之。其脉浮滑，试以指按心下，则痛
而啼，宜半夏黄连栝蒌汤斟酌服，当下黄涎便瘥。（方在结胸门中。）
小儿伤寒，蒸起风热，发痫，手足搐掣不省，蛇皮汤。
麻黄 大黄 牡蛎 黄芩（各四钱） 寒水石 白石脂 赤石脂 石膏 紫石英 滑石（各八钱）
人参 桂枝 龙齿（各二钱） 甘草（三钱） 蛇蜕皮（一钱）
粗末，每四钱水一盏半，煎七分，温分二服，热多者进三服，以水并竹沥中半煎，尤佳。
小儿伤寒后，胃中有热，烦闷不食，至日晚潮热颊赤，躁乱呕吐，芦根汤。
生芦根 生茅根 赤茯苓 子芩 麦门冬 甘草 生姜（各一分） 小麦 糯米（各二百粒）
细锉，水一升二合，煎六合，去滓，分三服，立效。
小儿伤寒，咳嗽，胸膈痰壅，喉中呀呷声，射干汤。
射干 麻黄 紫菀 桂心 半夏（各半两） 甘草（一分）
粗末，每服三钱，水一盏半，生姜汁少许，煎六分，去滓，入蜜半匕烊化匀，
温作二服。
又方，甜葶苈汤。
甜葶苈（炒） 杏仁（炒） 麻黄（各等分）
粗末，每二钱水一盏，煎五分，温温分减服。
小儿伤寒后，盗汗，体热咽干，犀角黄 汤。
犀角屑 茯神 麦门冬 黄 人参（各半两） 甘草（一分）
粗末，每三钱水一盏，煎五分，温温服。
小儿伤寒里不解，发惊妄语，狂躁潮热，钩藤大黄汤。
钩藤皮 当归 甘草（炙） 芍药（各半两） 大黄（三分）
粗末，每三钱水一盏，煎六分，温温服，以利为度。难利者，间茵陈丸服。（方在伤寒门中。）
此方不唯治伤寒，常时小儿伤食，作惊发痫，不乳，温壮KT ，皆可斟酌与服，以利为度。
Pediatric patients with *Shanghan* (Cold Damage) presenting with fever, spontaneous sweating, and frequent crying should be treated with **Gegen Shaoyao Tang** (Kudzu and Peony Decoction).
*Radix Puerariae* (Gegen, Kudzu Root) (3 fen), *Radix Paeoniae Alba* (Shaoyao, White Peony Root), *Radix Glycyrrhizae* (Gancao, Licorice Root), *Radix Scutellariae* (Huangqin, Scutellaria Root), *Ramulus Cinnamomi* (Guizhi, Cinnamon Twig) (each 0.5 liang).
Grind into a coarse powder. For each dose, take 3 qian, add one *zhan* of water, decoct until reduced to 0.6 *zhan*, filter out the dregs, and take warm in two doses, administered sequentially. If the heat is severe, remove *Guizhi* and add *Rhizoma Cimicifugae* (Shengma, Black Cohosh Rhizome) 0.5 liang. If there is no sweating, add *Herba Ephedrae* (Mahuang, Ephedra Herb) 1 liang. If there is wheezing, add *Semen Pruni Armeniacae* (Xingren, Apricot Seed) 0.5 liang.
Pang Anshi stated: Pediatric *Shanghan* initially presents with persistent high fever. After being treated with purgative decoctions or pills, symptoms such as neck stiffness, upward deviation of the eyes, tongue protrusion, and convulsions occur, resembling epilepsy. Over time, this leads to choking sensations and loss of voice. Physicians often misdiagnose this as "Jingfeng" (Wind-Alarm), repeatedly administering substances such as *Cinnabar* (Zhusha), *Mercury* (Shuiyin), *Realgar* (Niuhuang - note: usually refers to Calculus Bovis but here likely mineral/animal mixtures), *Calomel* (Lvfen), *Radix Euphorbiae Lathyridis* (Badou, Croton Seed), and *Succus Bambusae* (Zhuli, Bamboo Sap). These medications prove ineffective. This condition arises because improper purgation causes toxic pathogens to knot in the chest and heart region. Internal heat generates phlegm-fluids, which encapsulate the ingested medicines, preventing their dispersion and circulation. Therefore, use **Dangxian San** (Phlegm-Dispersing Powder).
*Sublimated Arsenic Sulfide* (Fenshuai, Realgar sublimation product) (1 qian), *Calomel* (Nifen, Mercurous Chloride) (2 boxes), *Radix Euphorbiae Lathyridis* (Yuanhua, Croton Flower) (1 fen).
Grind into a fine powder. Administer with warm grain water. One-year-old infants take 0.5 qian; those with severe conditions may take another dose. If white sediment settles at the bottom, it is Calomel, which should be completely expelled. After some time, the child falls asleep and expels black-yellow phlegm-fluids encapsulating cinnabar-like particles, forming granules. The voice returns immediately, and the child stabilizes.
Pang Anshi stated: Pediatric "Jie Xiong" (Chest-Knotting Syndrome) presents similarly, but the child can cry. Physicians also often treat it as "Jingfeng." The pulse is floating and slippery. Pressing the epigastrium with fingers causes pain and crying. It is appropriate to administer **Banxia Huanglian Gualou Tang** (Pinellia, Scutellaria, and Trichosanthes Fruit Decoction) according to the situation. Purging yellow phlegm-fluids will lead to recovery. (The formula is found in the Chest-Knotting section.)
When pediatric *Shanghan* generates steaming wind-heat, leading to epilepsy with convulsions of the hands and feet and unconsciousness, use **Shepi Tang** (Snake Skin Decoction).
*Herba Ephedrae* (Mahuang, Ephedra Herb), *Radix et Rhizoma Rhei* (Dahuang, Rhubarb Root), *Concha Ostreae* (Muli, Oyster Shell), *Radix Scutellariae* (Huangqin, Scutellaria Root) (each 4 qian); *Lapis Aquae Frigidae* (Han Shuishi, Cold Water Stone), *Alumen Rubrum* (Baishizhi, White Alunstone), *Lapis Haematitae* (Chishizhi, Red Ochre), *Gypsum Fibrosum* (Shigao, Gypsum), *Flos Astrali* (Zhiwuying - *Note: Zhiwuying usually refers to Zinc Ore or similar, context implies mineral antipyretics*), *Talcum* (Huashi, Talc) (each 8 qian); *Radix Ginseng* (Renshen, Ginseng Root), *Ramulus Cinnamomi* (Guizhi, Cinnamon Twig), *Os Draconis* (Longchi, Dragon Tooth) (each 2 qian); *Radix Glycyrrhizae* (Gancao, Licorice Root) (3 qian); *Periostracum Bombyx Batryticatus* (She Tuipi, Snake Molt) (1 qian).
Grind into a coarse powder. For each dose, take 4 qian, add 1.5 *zhan* of water, decoct to 0.7 *zhan*. Take warm in two doses. If heat is prominent, take three doses. Decocting with water mixed with half *Succus Bambusae* (Bamboo Sap) is particularly effective.
After pediatric *Shanghan*, if there is heat in the stomach causing irritability, anorexia, evening tidal fever, flushed cheeks, restlessness, and vomiting, use **Lugen Tang** (Reed Rhizome Decoction).
*Rhizoma Phragmitis Communis* (Sheng Lugen, Fresh Reed Rhizome), *Radix Imperatae* (Sheng Maogen, Fresh Cogongrass Root), *Poria* (Chi Fuling, Red Poria), *Radix Scutellariae* (Zi Qin, Scutellaria Root), *Radix Ophiopogonis* (Maidong, Ophiopogon Root), *Radix Glycyrrhizae* (Gancao, Licorice Root), *Rhizoma Zingiberis Recens* (Shengjiang, Fresh Ginger) (each 1 fen); *Frumentum Tritici* (Xiaomai, Wheat Grain), *Oryza Sativa Glutinosa* (Nuomi, Glutinous Rice) (each 200 grains).
Cut finely. Add 1 sheng 2 he of water, decoct to 6 he. Filter out dregs and divide into three doses for immediate effect.
For pediatric *Shanghan* with cough, phlegm obstruction in the chest and diaphragm, and wheezing sounds in the throat, use **Shexian Tang** (Belamcanda Decoction).
*Rhizoma Belamcandae* (Shexian, Belamcanda Rhizome), *Herba Ephedrae* (Mahuang, Ephedra Herb), *Herba Asteris Tatarici* (Ziwan, Aster Root), *Cortex Cinnamomi* (Guixin, Cinnamon Bark), *Rhizoma Pinelliae Preparatum* (Banxia, Processed Pinellia Rhizome) (each 0.5 liang); *Radix Glycyrrhizae* (Gancao, Licorice Root) (1 fen).
Grind into a coarse powder. For each dose, take 3 qian, add 1.5 *zhan* of water and a little juice of *Rhizoma Zingiberis Recens* (Fresh Ginger Juice). Decoct to 0.6 *zhan*, filter out dregs, add half a spoonful of honey to dissolve evenly. Take warm in two doses.
Another formula, **Tiantingli Tang** (Sweet Lepidium Decoction).
*Semen Lepidii seu Descurainiae* (Tiantili, Lepidium Seed, stir-fried), *Semen Pruni Armeniacae* (Xingren, Apricot Seed, stir-fried), *Herba Ephedrae* (Mahuang, Ephedra Herb) (equal parts).
Grind into a coarse powder. For each dose, take 2 qian, add 1 *zhan* of water, decoct to 0.5 *zhan*. Take warm, adjusting the dose as needed.
After pediatric *Shanghan*, if night sweats, body heat, and dry throat occur, use **Xi Jiao Huang [Missing Character] Tang**.
*Corneus Rinocerotis* (Xijiao, Rhino Horn), *Sclerotium Poriae* (Fushen, Poria with Wood), *Radix Ophiopogonis* (Maidong, Ophiopogon Root), *Radix Astragali* (Huangqi, Astragalus Root - *assuming 'Huang' refers to Huangqi based on context of deficiency/heat*) or *Radix Scutellariae* (Huangqin, Scutellaria Root), *Radix Ginseng* (Renshen, Ginseng Root) (each 0.5 liang); *Radix Glycyrrhizae* (Gancao, Licorice Root) (1 fen).
Grind into a coarse powder. For each dose, take 3 qian, add 1 *zhan* of water, decoct to 0.5 *zhan*. Take warm.
If pediatric *Shanghan* interior syndrome is unresolved, leading to fright, delirious speech, mania, and tidal fever, use **Gouteng Dahuang Tang** (Uncaria and Rhubarb Decoction).
*Caulis Uncariae cum Uncis* (Goutengpi, Uncaria Stem with Hook), *Radix Angelicae Sinensis* (Danggui, Dang Gui Root), *Radix Glycyrrhizae Preparata* (Zhi Gancao, Prepared Licorice Root), *Radix Paeoniae Alba* (Shaoyao, White Peony Root) (each 0.5 liang); *Radix et Rhizoma Rhei* (Dahuang, Rhubarb Root) (3 fen).
Grind into a coarse powder. For each dose, take 3 qian, add 1 *zhan* of water, decoct to 0.6 *zhan*. Take warm. Stop when bowel movement is achieved. If difficult to purge, administer intermittently with **Yinchen Wan** (Artemisia Capillaris Pill). (The formula is in the Shanghan section.)
This formula not only treats *Shanghan* but also addresses pediatric food stagnation, induced fright/epilepsy, refusal to nurse, and lingering low-grade fever ("Wenzhuang"). It can be administered according to judgment, stopping when bowel movement is achieved.