声音轻清者，气也，弱也（保元汤主之）。重浊者，痛也，风也（惺惺散主之）。浊而沉静者，疳积也（消食丸主
之）。声急者，神惊也（镇心安神汤主之）。声塞者，痰也（胆星抱龙丸主之）。声战者，寒也（惺惺散主之）。声噎
者，气不顺也（苏合丸主之）。声喘者，气促也（保元汤加贝母、杏仁、黄连、香附子各五分服之）。高喊者，热也
（小儿清心丸主之）。喷嚏者，伤风也（惺惺散加柴胡、防风各五六分服之）。猝然语讷者，风中舌本也（加减养荣汤
加细辛、犀角、石菖蒲各四五分服之）。猝然惊叫者，火动气虚也，难治（人参七、八分煎茶，调牛黄抱龙丸服之）。
（小儿心弱，神不固守，故热夹风痰而肆其毒。若心实神安，则无生患）
加减镇心安神汤（此二剂安心止惊散邪。□合二丸材加减作汤，以为清补心经，预防惊风之候，而凡慢惊发
于虚热，则性寒之材恐无益而反有害，故今姑减之，随症加入）
麦门冬（去心） 山药（浸矾水，各七分） 白茯苓（茯神尤紧） 酸枣仁（去皮尖，研，另炒，各五分，大补
心肝气血） 人参（三分半，虚则入四、五分） 甘草（半生半炙，二分半） 朱砂（水飞，二分半。此材性寒不可久
服，宜代入黄连姜炒，或山栀子研，酒炒五分可） 麝香（一字）一方，以白芍药为使，养血。而云白芍能发生发之
气，宜酒浸另炒入五分服之（久服则入当归身酒洗五分，或红花酒洗一、二分，以养心血可也）。
如胎热甚，加连翘、牛蒡子（研，酒炒）、防风各五分。
如心热，口中气温，或合面卧，及眼上窜，额赤摇头切牙，或舌干、舌苔、舌肿，加生地（此材损胃，宜药汁另
炒），木通（去节）各五分（或合导赤散，从小便以泻热可也），黄连（姜炒）三分。
如肝热，手寻衣领乱捻物，眼黑，左腮赤，加柴胡、防风各五分。热甚，加草龙胆（酒洗，三分）、青皮（二分半）。
如脾热，面黄肚大，怠惰嗜卧，身热饮水，唇焦鼻赤，加山栀子（姜炒）、防风各五分。热甚，倍入人参（中气
实，邪热退），加石膏（ ，三分）、藿香（酒洗，三分）（或合泻黄散，以泻热）。
如肺热，咳嗽寒热，肚热水饮，喘闷鼻干，右腮赤，加山栀（研、蜜炒）、贝母（去心干制）各五分。热甚，倍入
人参，加桑白皮（蜜炙）二分半（性峻不可久服）。
如肾热，目下窜，畏明，颏赤色，加生地（干炒，五分）、干姜（炒黑，一分半）；热甚，加肉桂（三分）、黄柏（酒
炒黑，一分半）。（干桂二味引肾火归源）
如大肠热，右鼻孔干痛，加大黄（酒煨）、芒硝各三分。（此二味性峻不可久用）
如小肠热，下唇焦，加赤茯苓、生地（干炒）各五分。
如胃热，舌下痛，加石膏（ ）七分。
如胆热，眼色白，加草龙胆（酒洗）、柴胡（酒洗）各五分。
如筋热，甲焦，加川芎、当归身（酒洗）各五分。
如血热，发焦，加当归身（酒洗）、生地（酒洗）五分、桂心一分半。
如气热，鼻孔喘促，倍入人参，加山栀（酒炒）、软黄芩（酒炒）各五分。
如潮热（似潮有信），应时而发，过时即止，加连翘、前胡、木通（去节）各五分。
如骨蒸肌瘦，颊赤口干，潮热盗汗，五心烦躁，加寒水石（ ）、地骨皮（酒炒）各五分。
如痰热面赤，身热咳喘，胸膈不利，喉间有痰声，加贝母（干制）、杏仁（去心尖）各五分；痰甚，倍入人参（气
虚则痰甚故也），加胆星五分、乌药（酒洗去心皮）各三分。
如疟热，寒热往来，一日一发，二、三日一发，加柴胡（蜜炙）、草果（面炮煨）各五分；有疟母，加玄胡索（醋
炒）三分、槟榔（研）二分半。
如风寒热，发热不歇，身热口气热，呵欠鼻塞，加柴胡五分、羌活三分；伤寒无汗，倍入柴胡，加苏叶二分半；伤
寒有汗加防风五分；汗甚，加生黄 五分。
如上热，遍身发热不已，甚则发惊搐，加寒水石五分、马牙硝三分。
如寒热，身热喜饮水，大小便秘涩，去人参，加大黄（酒煨）五分、马牙硝三分。
如虚热，身热不饮水，大小便如常，倍入人参，加柴胡五分（蜜炙则补虚）、地骨皮（酒炒）三分。
如遍身胎肿，肿热，加连翘、牛蒡子（酒炒）、荆芥穗各五分。
如预防痘疹热，加葛根、升麻、连翘、牛黄子（酒炒）各五分，紫草茸三分。
如脑后遍热，而遍身如常者，虚热泛上而然，加当归身（酒洗）、白芍药（酒炒）各五分，肉桂、干姜（炒）各二分
半（干桂二味，引虚火归源。干姜炒黑，则且生阴分血），黄柏（酒炒）一分半。
如头热，或阳而足冷者，脾风之候，加丁香、天花粉各五分，桂皮三分，附子（炮制）一分（附桂二味，引阳气下
行足部）。
如左腮热而右腮冷者，肝虚夹火，脾虚夹痰而然。加黄 （蜜炙）、阿胶各五分（二味俱补肝肺），胆星、草龙胆
（酒洗）、乌药（去皮心，酒洗）各三分。
如右腮热而左腮冷者，肺虚夹火，脾虚夹痰而然。加黄 （蜜炙）、阿胶各五分，贝母（去心，干制）、山栀子
（炒黑）、川芎、乌药（去皮心，酒洗）各三分。
如身半只热、半只冷者，痰火郁滞，气血不行，阴阳不调之致。倍入人参，加胆星、白僵蚕（去觜干炒）各五分，
全蝎（去头翅足及腹中土，姜炒另）、乌药（去皮心，酒洗）各三分，附子（炮制）分半。
如呕吐乳食，脾胃热，加藿香（酒洗）、砂仁（碎炒）各三分（甚则考呕吐门治之，余仿此）。
如赤痢，热入血分，加白芍药（酒炒）五分（清血热），浓朴（干炒）、桃仁（去心尖，研）各三分。
如白痢，热入气分，加砂仁（碎，炒）、陈皮各三分，浓朴（干炒）二分半。
如泄泻冷热交攻，加砂仁（碎，炒）、木香（炮）、肉豆蔻（以纸去油酸，调面煨）各三分。
Voices that are light and clear indicate Qi deficiency (treated with Baoyuan Decoction). Voices that are heavy and turbid indicate pain or Wind pathogen (treated with Xingxing San). Voices that are turbid and quiet indicate Gan accumulation (treated with Xiaoshi Wan). Urgent voices indicate Spirit fright (treated with Zhenxin Anshen Tang). Blocked voices indicate Phlegm obstruction (treated with Danxing Baolong Wan). Trembling voices indicate Cold syndrome (treated with Xingxing San). Choking voices indicate stagnant Qi mechanism (treated with Suhe Wan). Panting voices indicate shortness of breath (Baoyuan Decoction plus Fritillariae Bulbus, Armeniacae Semen, Coptidis Rhizoma, Cyperi Rhizoma, each 0.5 fen). Loud shouting indicates Heat syndrome (treated with Xiao'er Qingxin Wan). Sneezing indicates Wind injury (Xingxing San plus Bupleuri Radix, Saposhnikoviae Radix, each 5-6 fen). Sudden speech impediment indicates Wind striking the tongue root (Jiajian Yangrong Tang plus Asari Radix, Rhinocerotis Cornu, Acori Tatarinowii Rhizoma, each 4-5 fen). Sudden screaming indicates Fire agitation and Qi deficiency, which is difficult to treat (Ren Shen 7-8 fen decocted in tea, mixed with Niuhuang Baolong Wan).
(Children have weak Heart Qi, so their Spirit cannot hold fast; thus Heat pathogens combine with Wind and Phlegm to unleash their toxicity. If Heart Qi is substantial and Spirit is peaceful, no disaster will arise.)
Jiajian Zhenxin Anshen Tang (This prescription, taken for two doses, calms the mind, stops fright, and disperses evil. □ The ingredients of the two mentioned pills are modified into a decoction to clear and tonify the Heart Meridian, preventing the onset of convulsions. However, for slow convulsions caused by deficient Heat, cold-natured herbs may be ineffective and even harmful, so they are temporarily omitted here, and appropriate herbs are added according to symptoms):
Ophiopogonis Radix (Heart removed), Dioscoreae Rhizoma (soaked in Alum water), each 0.7 fen; Poria (Fu Shen is preferable); Ziziphi Spinosomi Semen (skin and tip removed, ground, stir-fried separately), each 0.5 fen, greatly tonifies Heart and Liver Qi and Blood; Ginseng Radix et Rhizoma (0.35 fen, use 0.4-0.5 fen for deficiency); Glycyrrhizae Radix et Rhizoma (half raw, half honey-fried), 0.25 fen; Cinnabaris (water-ground), 0.25 fen. This herb is cold in nature and should not be taken long-term; it is advisable to substitute with Ginger-processed Coptidis Rhizoma, or Gardeniae Fructus ground and wine-fried at 0.5 fen; Moschus (one character measure). Another formula uses Paeoniae Radix Alba as an envoy to nourish Blood. Some say Paeoniae Radix Alba generates ascending Qi; it should be wine-soaked, stir-fried separately, and added at 0.5 fen (for long-term use, add Wine-washed Angelicae Sinensis Radix 0.5 fen, or Safflower 1-2 fen wine-washed to nourish Heart Blood).
If fetal Heat is severe, add Forsythiae Fructus, Arctii Fructus (ground, wine-fried), Saposhnikoviae Radix, each 0.5 fen.
If Heart Heat exists, with warm breath from the mouth, preference for prone sleeping, eyes rolling upward, red forehead, head shaking, teeth grinding, dry tongue, abnormal tongue coating, or swollen tongue, add Rehmanniae Radix (this herb damages Stomach Qi, should be stir-fried separately with herbal decoction), Akebiae Caulis, each 0.5 fen (alternatively, combine with Daochi San to drain Heat via urination), Coptidis Rhizoma (Ginger-processed) 0.3 fen.
If Liver Heat exists, with hands grasping clothes and randomly twisting objects, blackened vision, red left cheek, add Bupleuri Radix, Saposhnikoviae Radix, each 0.5 fen. If Heat is severe, add Gentianae Radix (wine-washed) 0.3 fen, Aurantii Fructus 0.25 fen.
If Spleen Heat exists, with yellow complexion, large abdomen, lethargy and desire to sleep, body heat with thirst, cracked lips, red nose, add Gardeniae Fructus (Ginger-processed), Saposhnikoviae Radix, each 0.5 fen. If Heat is severe, double the dose of Ginseng Radix et Rhizoma (when Middle Qi is solid, Evil Heat recedes), add Gypsum Fibrosum 0.3 fen, Agastaches Herba (wine-washed) 0.3 fen (alternatively, combine with Xiehuang San to drain Heat).
If Lung Heat exists, with cough accompanied by alternating chills and fever, abdominal heat with thirst, panting and chest oppression, dry nose, red right cheek, add Gardeniae Fructus (ground, honey-fried), Fritillariae Bulbus (heart removed, dried) 0.5 fen. If Heat is severe, double the dose of Ginseng Radix et Rhizoma, add Mori Cortex 0.25 fen (potent nature, do not take long-term).
If Kidney Heat exists, with eyes looking downward, photophobia, red chin, add Rehmanniae Radix (dry-fried) 0.5 fen, Zingiberis Rhizoma (charred) 0.15 fen; if Heat is severe, add Cinnamon Twig 0.3 fen, Phellodendri Cortex (wine-charred) 0.15 fen. (Dried Ginger and Cinnamon guide Kidney Fire back to its source).
If Large Intestine Heat exists, with dry and painful right nostril, add Rheum Radix et Rhizoma (wine-baked), Natrii Sulfas, each 0.3 fen. (These two herbs are potent and should not be used long-term).
If Small Intestine Heat exists, with cracked lower lip, add Red Poria, Rehmanniae Radix (dry-fried), each 0.5 fen.
If Stomach Heat exists, with pain under the tongue, add Gypsum Fibrosum 0.7 fen.
If Gallbladder Heat exists, with whitish eye color, add Gentianae Radix (wine-washed), Bupleuri Radix (wine-washed), each 0.5 fen.
If Sinew Heat exists, with brittle nails, add Ligustici Chuanxiong Rhizoma, Angelicae Sinensis Radix (wine-washed), each 0.5 fen.
If Blood Heat exists, with brittle hair, add Angelicae Sinensis Radix (wine-washed), Rehmanniae Radix (wine-washed) 0.5 fen, Cinnamon Bark 0.15 fen.
If Qi Heat exists, with nasal breathing urgency, double the dose of Ginseng Radix et Rhizoma, add Gardeniae Fructus (wine-fried), Scutellariae Radix (wine-fried), each 0.5 fen.
If tidal fever (regular like tides) occurs, starting on time and stopping when due, add Forsythiae Fructus, Peucedani Radix, Akebiae Caulis (nodes removed), each 0.5 fen.
If bone-steaming emaciation exists, with red cheeks, dry mouth, tidal fever, night sweats, five-palm heat and irritability, add Natrii Chloridum, Lycii Cortex 0.5 fen (wine-fried).
If Phlegm-Heat causes red face, body heat, cough and panting, chest discomfort, phlegm sounds in throat, add Fritillariae Bulbus (dried), Armeniacae Semen (heart and tip removed), each 0.5 fen; if Phlegm is severe, double the dose of Ginseng Radix et Rhizoma (since Qi deficiency leads to severe Phlegm), add Arisaematis Cum Bile 0.5 fen, Linderae Fructus (wine-washed, heart and skin removed) 0.3 fen.
If Malaria fever exists, with alternating chills and fever, occurring once a day or every two to three days, add Bupleuri Radix (honey-fried), Tsaoko Fructus (flour-roasted) 0.5 fen; if malaria mass exists, add Corydalis Rhizoma (vinegar-fried) 0.3 fen, Arecae Semen (ground) 0.25 fen.
If Wind-Cold Heat exists, with unceasing fever, hot body and breath, yawning, nasal congestion, add Bupleuri Radix 0.5 fen, Notopterygii Rhizoma et Radix 0.3 fen; for Shanghan without sweat, double Bupleuri Radix, add Perillae Folium 0.25 fen; for Shanghan with sweat, add Saposhnikoviae Radix 0.5 fen; for excessive sweating, add Raw Astragali Radix 0.5 fen.
If Upper Heat exists, with continuous whole-body fever, potentially leading to convulsions, add Natrii Chloridum 0.5 fen, Halloysit Rubra 0.3 fen.
If alternating chills and fever exist, with body heat, thirst, and constipation/urinary difficulty, remove Ginseng Radix et Rhizoma, add Rheum Radix et Rhizoma (wine-baked) 0.5 fen, Halloysit Rubra 0.3 fen.
If Deficient Heat exists, with body heat but no thirst, normal bowel movements and urination, double the dose of Ginseng Radix et Rhizoma, add Bupleuri Radix 0.5 fen (honey-fried for tonifying deficiency), Lycii Cortex (wine-fried) 0.3 fen.
If generalized fetal edema with swelling and heat exists, add Forsythiae Fructus, Arctii Fructus (wine-fried), Schizonepetae Spica, each 0.5 fen.
To prevent Vaccine Pox Heat, add Puerariae Lobatae Radix, Cimicifugae Rhizoma, Forsythiae Fructus, Niuhuangzi (wine-fried), each 0.5 fen, Lichen Ruber 0.3 fen.
If heat covers the back of the head while the rest of the body is normal, this is deficient Heat floating upward; add Angelicae Sinensis Radix (wine-washed), Paeoniae Radix Alba (wine-fried), each 0.5 fen, Cinnamon Twig, Zingiberis Rhizoma (fried) 0.25 fen (Dried Ginger and Cinnamon guide deficient Fire back to its source. Charred Dried Ginger generates Yin blood), Phellodendri Cortex (wine-fried) 0.15 fen.
If head heat exists, or Yang excess with cold feet, this is a sign of Spleen Wind; add Symplocos Fructus, Panax Notoginseng Radix? No, Tianhuafen (Trichosanthis Radix), each 0.5 fen, Cinnamon Bark 0.3 fen, Aconiti Lateralis Radix Praeparata (prepared) 0.1 fen (Aconite and Cinnamon guide Yang Qi down to the feet).
If the left cheek is hot and the right cheek is cold, this is Liver deficiency with夾 Fire, Spleen deficiency with夾 Phlegm; add Astragali Radix (honey-fried), Donkey-hide Gelatin, each 0.5 fen (both tonify Liver and Lung), Arisaematis Cum Bile, Gentianae Radix (wine-washed), Linderae Fructus (skin and heart removed, wine-washed), each 0.3 fen.
If the right cheek is hot and the left cheek is cold, this is Lung deficiency with夾 Fire, Spleen deficiency with夾 Phlegm; add Astragali Radix (honey-fried), Donkey-hide Gelatin, each 0.5 fen, Fritillariae Bulbus (heart removed, dried), Gardeniae Fructus (charred), Ligustici Chuanxiong Rhizoma, Linderae Fructus (skin and heart removed, wine-washed), each 0.3 fen.
If only one half of the body is hot and the other half is cold, this is caused by stagnation of Phlegm-Fire, blocked Qi and Blood, and disharmony of Yin and Yang. Double the dose of Ginseng Radix et Rhizoma, add Arisaematis Cum Bile, Bombyx Batryticatus (mouth removed, dry-fried), each 0.5 fen, Scorpio (head, wings, legs, and earth in abdomen removed, Ginger-fried separately), Linderae Fructus (skin and heart removed, wine-washed), each 0.3 fen, Aconiti Lateralis Radix Praeparata (prepared) 0.15 fen.
If vomiting milk and food occurs due to Spleen-Stomach Heat, add Agastaches Herba (wine-washed), Amomi Fructus Rotundus (crushed, fried), each 0.3 fen (if severe, refer to Vomiting chapter for treatment, others follow this pattern).
If bloody dysentery exists, with Heat entering the Blood level, add Paeoniae Radix Alba (wine-fried) 0.5 fen (clears Blood Heat), Magnoliae Officinalis Cortex (dry-fried), Pruni Semen (heart and tip removed, ground), each 0.3 fen.
If white dysentery exists, with Heat entering the Qi level, add Amomi Fructus Rotundus (crushed, fried), Citri Reticulatae Pericarpium, each 0.3 fen, Magnoliae Officinalis Cortex (dry-fried) 0.25 fen.
If diarrhea involves alternating Cold and Heat, add Amomi Fructus Rotundus (crushed, fried), Aucklandiae Radix (prepared), Myristicae Semen (oil and acid removed with paper, roasted with flour), each 0.3 fen.