方五十七首 论一首
主五六岁儿温壮，腹中急满，气息不利，或有微肿。亦主极羸，不下饮食，坚痞，手足
逆冷方∶
竹叶（切，一升） 小麦（半升） 甘草（炙） 黄芩 栝蒌根 泽泻 知母 人参 茯
苓
白术 大黄（各一两） 生姜（一两半，切） 麦门冬（二两，去心） 桂心（二铢） 半
夏（二两，
洗）
上十六味， 咀，以水七升，煮麦、竹叶取四升，去滓，纳诸药。煮取一升六合，分四
服。
治小儿连壮热实滞不去，寒热往来，微惊方∶
大黄 黄芩（各一两） 栝蒌根（三分） 甘草（炙） 牡蛎（熬） 人参（各半两） 桂
心（二
两） 龙骨 凝水石 白石脂（各半两） 滑石（二两，碎） 硝石（半两）
上十二味， 咀，加紫石英半两，以水四升，煮取一升半，分服三合，一日令尽。
治小儿寒热咳逆，膈中有 乳若吐，不欲食方∶
干地黄（四两） 麦门冬（半升，去心） 五味子（半升） 大黄（一两） 硝石（一
两） 蜜（半
升）
上六味， 咀，以水三升，煮取一升，去滓，纳硝石、蜜更煮令沸。服二合，日三。胸
中当有宿乳一升许出。儿大者服五合。
主小儿咳逆喘息如水鸡声方∶
射干（二两） 麻黄（二两，去节） 紫菀（一两） 甘草（一两，炙） 桂心（五寸）
半夏（
五枚，洗去滑） 生姜（一两，切） 大枣（四枚，擘）
上八味， 咀，以水七升，煮取一升半，去滓，纳蜜半斤，更煮一沸，饮三合，日三服
又方∶
半夏（四两，洗） 桂心（二两） 生姜（二两，切） 紫菀（二两） 细辛（二两） 阿
胶（二
两） 甘草（二两，炙） 蜜（一合） 款冬花（二合）
右九味， 咀，以水一斗，煮半夏取六升，去滓，纳诸药，更煮取一升五合。五岁儿饮
一升，二岁儿服六合，量大小加减之。
治小儿咳逆短气，胸中吸吸，呵出涕唾，咳出臭脓。亦治大人。
烧淡竹沥，煮二十沸。小儿一服一合，日五服；大人服一，亦日五服。不妨食，息乳哺。
Formula 57, with one treatise.
Indicated for children aged five or six suffering from *wen zhuang* (fever with robust heat), abdominal urgency and fullness, difficult breathing, or slight swelling. It is also indicated for extreme emaciation, inability to eat, hard fixed masses (*jian pi*), and cold extremities:
Zhu Ye (Bamboo Leaf, cut, 1 sheng) Xiao Mai (Wheat, 0.5 sheng) Gan Cao (Licorice Root, honey-fried) Huang Qin (Scutellaria Root) Gua Lou Gen (Trichosanthes Root) Ze Xie (Alisma Rhizome) Zhi Mu (Anemarrhena Rhizome) Ren Shen (Ginseng Root) Fu Ling (Poria)
Bai Zhu (Atractylodes Macrocephala Rhizome) Da Huang (Rhubarb Rhizome) [each 1 liang] Sheng Jiang (Fresh Ginger, 1.5 liang, cut) Mai Men Dong (Ophiopogon Tuber, 2 liang, heart removed) Gui Xin (Cinnamon Twig Heart, 2 zhu) Ban Xia (Pinellia Tuber, 2 liang, washed)
The above sixteen ingredients are coarsely crushed. Add seven sheng of water, boil the wheat and bamboo leaves until four sheng remain, strain off the dregs, and add the remaining herbs. Boil until one sheng and six dou remain. Divide into four doses.
For pediatric persistent high fever, retention of excess pathogens, alternating chills and fever, and slight palpitations:
Da Huang (Rhubarb Rhizome) Huang Qin (Scutellaria Root) [each 1 liang] Gua Lou Gen (Trichosanthes Root, 3 fen) Gan Cao (Licorice Root, honey-fried) Mu Li (Oyster Shell, calcined) Ren Shen (Ginseng Root) [each 0.5 liang] Gui Xin (Cinnamon Twig Heart, 2 liang) Long Gu (Fossilized Bone) Ning Shui Shi (Halloysitum) Bai Shi Zhi (Halloysitum Rubrum) [each 0.5 liang] Hua Shi (Talcum, 2 liang, crushed) Xiao Shi (Niter, 0.5 liang)
The above twelve ingredients are coarsely crushed. Add 0.5 liang of Zi Shi Ying (Purple Quartz). Add four sheng of water, boil until one sheng and half remain. Take three ge per dose, consume entirely within one day.
For pediatric chills and fever, coughing and counterflow qi, regurgitation of retained milk from the diaphragm, and anorexia:
Shu Di Huang (Prepared Rehmannia Root, 4 liang) Mai Men Dong (Ophiopogon Tuber, 0.5 sheng, heart removed) Wu Wei Zi (Schisandra Fruit, 0.5 sheng) Da Huang (Rhubarb Rhizome, 1 liang) Xiao Shi (Niter, 1 liang) Mi (Honey, 0.5 sheng)
The above six ingredients are coarsely crushed. Add three sheng of water, boil until one sheng remains. Strain off the dregs, add the niter and honey, and boil again until bubbling. Take two ge per dose, three times daily. Approximately one sheng of retained milk should be expelled from the chest. Older children take five ge.
Indicated for pediatric coughing and counterflow qi, wheezing with a sound like a frog:
She Gan (Belamcanda Rhizome, 2 liang) Ma Huang (Ephedra Stem, 2 liang, nodes removed) Zi Wan (Aster Root, 1 liang) Gan Cao (Licorice Root, 1 liang, honey-fried) Gui Xin (Cinnamon Twig Heart, 5 cun)
Ban Xia (Pinellia Tuber, 5 pieces, washed to remove slipperiness) Sheng Jiang (Fresh Ginger, 1 liang, cut) Da Zao (Jujube Fruit, 4 pieces, torn open)
The above eight ingredients are coarsely crushed. Add seven sheng of water, boil until one sheng and half remain. Strain off the dregs, add half a jin of honey, and boil once more. Drink three ge per dose, three times daily.
Another formula:
Ban Xia (Pinellia Tuber, 4 liang, washed) Gui Xin (Cinnamon Twig Heart, 2 liang) Sheng Jiang (Fresh Ginger, 2 liang, cut) Zi Wan (Aster Root, 2 liang) Xi Xin (Asarum Root, 2 liang) E Jiao (Donkey-Hide Gelatin, 2 liang) Gan Cao (Licorice Root, 2 liang, honey-fried) Mi (Honey, 1 ge) Kuan Dong Hua (Coltsfoot Flower, 2 ge)
The above nine ingredients are coarsely crushed. Add one dou of water, boil the pinellia until six sheng remain. Strain off the dregs, add the remaining herbs, and boil until one sheng and five dou remain. Children aged five drink one sheng; children aged two take five ge. Adjust according to age and size.
For pediatric coughing, counterflow qi, shortness of breath, inspiratory stridor in the chest, expulsion of nasal discharge and saliva, and expectoration of foul-smelling pus. Also applicable to adults.
Prepare Dan Zhu Li (Bamboo Sap) by burning, and boil it twenty times. Children take one ge per dose, five times daily; adults take one ge, also five times daily. Do not restrict food intake; continue normal nursing and feeding.