[总诀]小儿外证求太阳，三字方中明训彰。究与大人同治法，不须科别擅偏长。
小儿发热，兼见恶寒头痛者，太阳经伤寒也。宜人参败毒散。
人参（二钱） 羌活（二钱） 独活（二钱） 柴胡（二钱） 前胡（三钱） 川芎（一钱） 桔
梗（三钱） 云苓（三钱） 枳壳（一钱） 甘草（一钱） 葛根（二钱） 大枣（二枚） 葱白（一
根） 生姜（三片）
歌曰∶小儿发热系伤寒，败毒人参独与羌。
再用柴前芎枳桔，苓葱甘枣葛生姜。
（伯未按∶用淡豆豉三钱、葱白五个，煎服亦好。）
小儿口噤，手足抽掣痰潮者，伤风动痰火也。宜羌活息风汤。
羌活（一钱） 竹沥（二钱） 半夏（二钱） 南星（一钱五分） 生地（三钱） 防风（一钱） 僵蚕（
三钱） 姜汁（五滴） 天麻（一钱五分） 甘草（八分） 枯芩（一钱五分） 枳壳（一钱五分） 犀角（
二分） 羚羊角（三分）
歌曰∶小儿口噤又痰潮，夏沥羌星风火消。
芩地蚕麻姜枳草，羚防犀角力偏饶。
[总诀]小儿内证求太阴，修园有语特叮咛。集中所列无他证，他证皆当即此寻。初生小儿，屈腰啼叫不休
者，瘀血积腹内也。宜用下瘀汤。
桃仁（三钱） 灵脂（三钱） 木香（一钱） 浓朴（一钱） 枳壳（二钱） 丹皮（一钱五分）
歌曰∶初生儿便哭无休，腰屈应知瘀血留。
灵脂桃仁丹枳壳，木香浓朴一方投。
小儿腹痛，以及胀满吐泻者，总责太阴经也。宜香砂六君汤。
木香（一钱） 砂仁（二钱） 白术（三钱） 云苓（三钱） 党参（三钱） 陈皮（三钱） 半夏
（二钱） 甘草（一钱） 生姜（三片） 大枣（二枚）
歌曰∶小儿吐泻腹疼加，用药仍宜香与砂。
苓草参甘陈夏共，扶脾理气效堪夸。
小儿食积，手足热而腹痛者，脾胃不运化也。宜加减平胃散。
苍术（一钱） 浓朴（一钱） 甘草（八分） 陈皮（一钱五分） 神曲（三钱） 麦芽（三钱） 山楂
（二钱） 黄连（三分） 生姜（二片） 白芍（二钱）
歌曰∶腹痛知儿饮食停，草姜楂朴效殊灵。
苍陈麦曲连同芍，脾胃调和病即宁。
（伯未按∶饭焦炒透，和砂仁研细，为消食妙品。）
小儿黄瘦，以及腹大潮热者，脾胃之疳疾也。宜已疳胡连汤。
枳壳（一钱五分） 山楂（一钱五分） 麦芽（三钱） 芜荑（一钱五分） 胡黄连（二钱） 白芍
（一钱五分） 生姜（二片） 甘草（一钱） 腹皮（一钱） 银柴胡（二钱）
歌曰∶小儿疳疾瘦兼黄，楂麦芜荑枳草详。
腹共胡连柴共芍，理脾仍要用生姜。
[General Principle] For pediatric external disorders, one should seek the Taiyang channel; the clear instructions in the "Three-Character Formula" manifest this principle. Fundamentally, the treatment methods are the same as those for adults, and there is no need to establish a separate department to display specialized expertise.
When a child presents with fever accompanied by aversion to cold and headache, it is a Taiyang channel injury from Cold (Taiyang Shanghan). Ren Shen Bai Du San (Ginseng Decoction to Overcome Toxicity) is appropriate.
Ren Shen (Panax ginseng Radix et Rhizoma) (2 qian), Qiang Huo (Notopterygii Rhizoma et Radix) (2 qian), Du Huo (Angelicae Pubescentis Radix) (2 qian), Chai Hu (Bupleuri Radix) (2 qian), Qian Hu (Peucedani Radix) (3 qian), Chuan Xiong (Ligustici Chuanxiong Rhizoma) (1 qian), Jie Geng (Platycodonis Radix) (3 qian), Fu Ling (Poria) (3 qian), Zhi Ke (Aurantii Fructus Immaturus) (1 qian), Gan Cao (Glycyrrhizae Radix et Rhizoma) (1 qian), Ge Gen (Puerariae Lobatae Radix) (2 qian), Da Zao (Jujubae Fructus) (2 pieces), Cong Bai (Allii Cepae Bulbus) (1 piece), Sheng Jiang (Zingiberis Rhizoma Recens) (3 slices).
The verse states: Pediatric fever due to Cold, use Bai Du San with Ren Shen, Du Huo, and Qiang Huo.
Further add Chai Hu, Qian Hu, Chuan Xiong, Zhi Ke, Jie Geng, along with Fu Ling, Cong Bai, Gan Cao, Da Zao, Ge Gen, and Sheng Jiang.
(Ber An's Note: Using Dan Dou Chi (Sojae Seminis Preparatum) 3 qian and Cong Bai 5 segments, decocted and taken orally, is also effective.)
When a child presents with trismus (lockjaw), convulsions of the hands and feet, and phlegm rattle, it is wind-stroke stirring up phlegm-fire. Qiang Huo Xi Feng Tang (Notopterygium Wind-Extinguishing Decoction) is appropriate.
Qiang Huo (Notopterygii Rhizoma et Radix) (1 qian), Zhu Li (Bambusae Caulis in Taenia Succus) (2 qian), Ban Xia (Pinelliae Rhizoma) (2 qian), Nan Xing (Arisaematis Cum Bile) (1.5 qian), Sheng Di Huang (Rehmanniae Radix) (3 qian), Fang Feng (Saposhnikoviae Radix) (1 qian), Jiang Can (Bombyx Batryticatus) (3 qian), Jiang Zhi (Zingiberis Rhizoma Succus) (5 drops), Tian Ma (Gastrodiae Rhizoma) (1.5 qian), Gan Cao (Glycyrrhizae Radix et Rhizoma) (8 fen), Ku Qin (Scutellariae Radix) (1.5 qian), Zhi Ke (Aurantii Fructus Immaturus) (1.5 qian), Xi Jiao (Rhinocerotis Cornu) (2 fen), Ling Yang Jiao (Saigae Tataricae Cornu) (3 fen).
The verse states: Trismus and phlegm rattle in children, Ban Xia, Zhu Li, Qiang Huo, Nan Xing, and Fang Feng eliminate wind-fire.
Ku Qin, Sheng Di, Jiang Can, Tian Ma, Jiang Zhi, Zhi Ke, and Gan Cao together, with Ling Yang Jiao, Fang Feng, and Xi Jiao, exert particularly strong power.
[General Principle] For pediatric internal disorders, one should seek the Taiyin channel; Mr. Xiuyuan has words of special admonition. The collected text lists no other syndromes; other syndromes should all be sought here. In newborns, continuous crying with flexed waist indicates blood stasis accumulated in the abdomen. Xia Yu Tang (Downward Expelling Blood Stasis Decoction) is appropriate.
Tao Ren (Persicae Semen) (3 qian), Ling Zhi (Trogopterori Faeces) (3 qian), Mu Xiang (Aucklandiae Radix) (1 qian), Hou Po (Magnoliae Officinalis Cortex) (1 qian), Zhi Ke (Aurantii Fructus Immaturus) (2 qian), Dan Pi (Moutan Cortex) (1.5 qian).
The verse states: Newborns crying incessantly, flexed waist indicates blood stasis remaining.
Ling Zhi, Tao Ren, Dan Pi, and Zhi Ke together, with Mu Xiang and Hou Po, constitute one prescription.
Abdominal pain in children, along with abdominal distension, vomiting, and diarrhea, is generally attributed to Taiyin channel pathology. Xiang Sha Liu Jun Zi Tang (Costus and Amomum Six Gentlemen Decoction) is appropriate.
Mu Xiang (Aucklandiae Radix) (1 qian), Sha Ren (Amomi Fructus) (2 qian), Bai Zhu (Atractylodis Macrocephalae Rhizoma) (3 qian), Fu Ling (Poria) (3 qian), Dang Shen (Codonopsis Radix) (3 qian), Chen Pi (Citri Reticulatae Pericarpium) (3 qian), Ban Xia (Pinelliae Rhizoma) (2 qian), Gan Cao (Glycyrrhizae Radix et Rhizoma) (1 qian), Sheng Jiang (Zingiberis Rhizoma Recens) (3 slices), Da Zao (Jujubae Fructus) (2 pieces).
The verse states: Pediatric vomiting, diarrhea, and abdominal pain, medication should still include Costus and Amomum.
Fu Ling, Gan Cao, Dang Shen, Gan Cao, Chen Pi, and Ban Xia work together; fortifying spleen and regulating qi yields praiseworthy efficacy.
Food stagnation in children, presenting with heat in the hands and feet and abdominal pain, results from impaired spleen and stomach transportation and transformation. Jia Jian Ping Wei San (Modified Flat Stomach Powder) is appropriate.
Cang Zhu (Atractylodis Rhizoma) (1 qian), Hou Po (Magnoliae Officinalis Cortex) (1 qian), Gan Cao (Glycyrrhizae Radix et Rhizoma) (8 fen), Chen Pi (Citri Reticulatae Pericarpium) (1.5 qian), Shen Qu (Massa Medicata Fermentata) (3 qian), Mai Ya (Hordei Fructus Germinatus) (3 qian), Shan Zha (Crataegi Fructus) (2 qian), Huang Lian (Coptidis Rhizoma) (3 fen), Sheng Jiang (Zingiberis Rhizoma Recens) (2 slices), Bai Shao (Paeoniae Radix Alba) (2 qian).
The verse states: Abdominal pain indicates food stagnation in children; Cang Zhu, Sheng Jiang, Shan Zha, and Hou Po are highly effective.
Cang Zhu, Chen Pi, Mai Ya, Shen Qu, and Bai Shao combined harmonize the spleen and stomach, bringing peace to the disease.
(Ber An's Note: Thoroughly roasted scorched rice, ground fine with Sha Ren, is a wonderful product for digesting food.)
Yellowish, emaciated complexion in children, along with abdominal enlargement and tidal fever, indicates Gan disease (malnutrition syndrome) of the spleen and stomach. Yi Gan Hu Lian Tang (Eliminate Gan Hu Lian Decoction) is appropriate.
Zhi Ke (Aurantii Fructus Immaturus) (1.5 qian), Shan Zha (Crataegi Fructus) (1.5 qian), Mai Ya (Hordei Fructus Germinatus) (3 qian), Wu Yi (Euodiae Fructus) (1.5 qian), Hu Huang Lian (Coptidis Rhizoma var. chinense or specific preparation) (2 qian), Bai Shao (Paeoniae Radix Alba) (1.5 qian), Sheng Jiang (Zingiberis Rhizoma Recens) (2 slices), Gan Cao (Glycyrrhizae Radix et Rhizoma) (1 qian), Fu Pi (Tangerine Peel/Abdominal wall herb context implies Citri Reticulatae Pericarpium or similar, here translated as Fu Pi) (1 qian), Yin Chai Hu (Stellariae Radix) (2 qian).
The verse states: Pediatric Gan disease with emaciation and yellowish hue, Shan Zha, Mai Ya, Wu Yi, Zhi Ke, and Gan Cao require careful consideration.
Fu Pi, Hu Huang Lian, Yin Chai Hu, and Bai Shao together; regulating the spleen still requires Sheng Jiang.