论曰小儿壮热者，由阴阳不和，气盛血实，邪热之气，客于肠胃，蕴蓄日久，熏发肌肉
，故
口干
治小儿百日以来，结实壮热兼惊。祛热汤方
大黄（锉炒） 朴硝 甘草（炙） 龙齿（各一分） 枳壳（去瓤麸炒一两）
上五味，粗捣筛，每服半钱匕，以水半盏，煎至三分，去滓放温，时与一分服。日可三
服，乳母服之亦妙。
治小儿壮热胀满，不饮乳。龙胆饮方
龙胆（去根） 犀角（镑屑各半两） 升麻 天麻（锉炒） 甘草（炙） 鳖甲（去裙
醋
上七味，粗捣筛，每服一钱匕，以水半盏，煎至三分，去滓分温三服。
治小儿生四五十日，服药下后，身体壮热如火，伤寒兼腹满，头面丹肿，此皆内有伏热
龙胆汤方
龙胆（去根） 冬葵子 葳蕤 大青 柴胡（去苗各一分） 赤茯苓（去黑皮） 甘草
（炙各
上七味，粗捣筛，每服一钱匕，以水半盏，煎至三分，去滓分为三服，如人行十里以来
一服，随儿大小加减。
治小儿期岁。至三岁，时时壮热。升麻汤方
升麻 柴胡（去苗） 枳壳（去瓤麸炒） 黄芩（去黑心） 芍药 栀子仁 知母（焙）
杏仁
上一十味，以八味粗捣筛，入杏仁石膏拌匀，每服一钱匕，以水一中盏，入青竹叶，同
煎至三分，去滓食后，相继三服。量儿大小加减。
治小儿壮热不除。犀角汤方
犀角（镑半两） 升麻（一分） 大黄（锉炒一分） 石膏（捣研三分）
上四味，以三味粗捣筛，入石膏拌匀，每服半钱匕，以水半盏，煎至三分，去滓放温，
相继三服，随儿大小，以意加减。
治小儿服药吐利后，身壮热，精神昏昧，或微利而内有结热。大青汤方
大青（半两） 大黄（锉炒一分） 甘草（炙半两） 麻黄（去根节半两）
上四味，粗捣筛。二三岁儿，每服半钱匕，以水半盏，煎至三分，去滓食后，相继三服
，仍随儿大小，以意增减。
治小儿壮热实滞不去，及寒热往来微惊。大黄饮方
大黄（锉炒一两） 黄芩（去黑心） 栝蒌根 甘草（炙各三分） 牡蛎（熬） 龙骨 凝
水
上一十二味，以九味粗捣筛，入研药和匀，五六岁儿，每服一钱匕，以水一中盏。煎至
五分，去滓温服，食后，相继三服，随儿大小加减。
治小儿壮热不安。钩藤饮方
钩藤 升麻 甘草（炙） 人参（各半两）
上四味，粗捣筛，每服一钱匕，以水一盏，煎至五分，去滓分温二服，空心午后各一服
，随儿大小，以意加减。
治小儿八九岁痰实壮热。山栀子汤方
山栀子仁 黄芩（去黑心） 前胡（去芦头） 甘草（生用）
上四味等分。粗捣筛，每服一钱匕，水一中盏，煎至五分，去滓温服日三。量儿大小加
减，不计时候。
治小儿蓐内，及百日以来壮热。虎睛牛黄丸方
虎睛（一对研） 牛黄（研） 麝香（研） 丹砂（研） 雄黄（研各一分）
上五味，再同研为末，炼蜜和丸，如小豆大，以乳汁研一丸与服。
治小儿未百日，壮热结实兼惊。龙齿汤方
龙齿（半两） 大黄（锉炒半两） 山栀子仁（一分） 枳壳（去瓤麸炒一分） 朴硝
（三分）
上六味，粗捣筛，每服一钱匕，水七分，煎至五分，去滓温服。量儿大小加减。
治小儿壮热面赤，唇口焦干，大小便不通。四肢掣动惊啼，或时发渴。人参汤方
人参（三分） 柴胡（去苗一分） 大黄（锉炒一分） 升麻（半两） 芍药一分 山
栀子仁（
上八味，粗捣筛，每服一钱匕，水七分，煎取四分，去滓温服。
治小儿壮热不解，及惊热风热。龙脑散方
龙脑（研半钱） 马牙硝（一分入合子内固济火 通赤先掘一地坑子甘草水泼冷湿纸衬
药
上四味，合研匀细，每服半钱匕，或一字，煎人参茯苓汤调下，惊热冷水下，热甚者。
冷水研生地龙汁调下。
治小儿肌体壮热，夜多惊啼，及发吐逆。日久不解，或泻或秘，变成慢惊。或作疳疾，
定搐搦，除疳气，坠痰涎，镇心神。如圣青金丸方
龙脑（研一钱） 麝香（研） 腻粉（各一分） 香墨（杵研） 芦荟（研各一钱半） 白
面（三
杵取末）
上一十味，再同研令匀，滴井华水为丸，如鸡头实大，患慢惊，用冷薄荷水化下，三岁
以上，服一丸，已下则半丸，服讫便睡，觉后利动立愈，后隔三五日，更与一服，如些小惊
着
治小儿风热壅滞，壮热烦渴时呕。麦门冬汤方
麦门冬（去心焙三两） 栝蒌根 知母（焙） 人参 藜芦（去芦头各一两） 龙胆（半
两）
上七味，粗捣筛，每用三钱匕，水一盏半，煎至八分，去滓分温三服。
Discussion states: Infantile high fever (Zhuang Re) is caused by disharmony of Yin and Yang, with excess Qi and full Blood. Pathogenic heat invades the stomach and intestines, accumulates for a long time, and steams the muscles, resulting in dry mouth.
**Qure Re Tang (Heat-Dispersing Decoction)** for treating infants over one hundred days old with internal firmness, high fever, and convulsions:
Da Huang (Rhei Radix et Rhizoma, crushed and stir-fried), 1 fen; Pu Xiao (Natrii Sulfas), 1 fen; Gan Cao (Glycyrrhizae Radix et Rhizoma, honey-fried), 1 fen; Long Chi (Dent Draconis), 1 fen; Zhi Qiao (Aurantii Fructus Pericarpium, pith removed and bran-fried), 1 liang.
The above five herbs are coarsely pounded and sieved. For each dose, take half a qian bi (a small measuring spoon), add half a zhan (unit of volume) of water, decoct until reduced to three parts, remove the dregs, let cool to warm, and administer one part at a time. It may be given three times a day. It is also effective if the nursing mother takes it.
**Long Dan Yin (Gentian Drink)** for treating infantile high fever with abdominal distension and refusal to nurse:
Long Dan (Gentianae Radix, roots removed), Xi Jiao (Rhino Horn, shaved into flakes), Sheng Ma (Cimicifugae Rhizoma), Tian Ma (Gastrodiae Rhizoma, crushed and stir-fried), Gan Cao (Glycyrrhizae Radix et Rhizoma, honey-fried), Bie Jia (Testudinis Carapax et Plastrum, skirt removed and vinegar-fried). Each herb is prepared as specified (half liang for Xi Jiao, etc.).
The above seven herbs are coarsely pounded and sieved. For each dose, take one qian bi, add half a zhan of water, decoct until reduced to three parts, remove the dregs, and divide into three warm doses.
**Long Dan Tang (Gentian Decoction)** for treating infants aged forty to fifty days who, after taking purgative medicines, exhibit high fever like fire, cold damage with abdominal fullness, and carbuncles on the head and face, all due to latent internal heat:
Long Dan (Gentianae Radix, roots removed), Dong Kui Zi (Abutilonis Semen), Wei Rui (Polygonati Odorati Rhizoma), Da Qing (Isatidis Folium), Chai Hu (Bupleuri Radix, sprouts removed), Chi Fu Ling (Poria Cocos with red skin removed), Gan Cao (Glycyrrhizae Radix et Rhizoma, honey-fried). Each herb is one fen.
The above seven herbs are coarsely pounded and sieved. For each dose, take one qian bi, add half a zhan of water, decoct until reduced to three parts, remove the dregs, and divide into three doses. Administer one dose every interval equivalent to walking ten li, adjusting according to the child's size.
**Sheng Ma Tang (Cimicifuga Decoction)** for treating children aged one to three years with recurrent high fever:
Sheng Ma (Cimicifugae Rhizoma), Chai Hu (Bupleuri Radix, sprouts removed), Zhi Qiao (Aurantii Fructus Pericarpium, pith removed and bran-fried), Huang Qin (Scutellariae Radix, black heart removed), Shao Yao (Paeoniae Radix), Zhi Zi Ren (Gardeniae Semen), Zhi Mu (Anemarrhenae Rhizoma, baked), Xing Ren (Armeniacae Semen Amarum).
The above ten herbs: eight are coarsely pounded and sieved, mixed with Xing Ren and Shi Gao (Gypsum Fibrosum, crushed). For each dose, take one qian bi, add one zhong zhan of water and Qing Zhu Ye (Bambusae Folium), decoct together until reduced to three parts, remove the dregs, and administer three consecutive doses after meals. Adjust according to the child's size.
**Xi Jiao Tang (Rhino Horn Decoction)** for treating persistent high fever in children:
Xi Jiao (Rhino Horn, shaved), half liang; Sheng Ma (Cimicifugae Rhizoma), 1 fen; Da Huang (Rhei Radix et Rhizoma, crushed and stir-fried), 1 fen; Shi Gao (Gypsum Fibrosum, crushed and ground), 3 fen.
The above four herbs: three are coarsely pounded and sieved, mixed with Shi Gao. For each dose, take half a qian bi, add half a zhan of water, decoct until reduced to three parts, remove the dregs, let cool to warm, and administer three consecutive doses. Adjust according to the child's size.
**Da Qing Tang (Isatis Decoction)** for treating high fever, mental confusion, or mild diarrhea with internal heat accumulation after vomiting and purging from medication in children:
Da Qing (Isatidis Folium), half liang; Da Huang (Rhei Radix et Rhizoma, crushed and stir-fried), 1 fen; Gan Cao (Glycyrrhizae Radix et Rhizoma, honey-fried), half liang; Ma Huang (Ephedrae Herba, roots and joints removed), half liang.
The above four herbs are coarsely pounded and sieved. For children aged two or three, take half a qian bi per dose, add half a zhan of water, decoct until reduced to three parts, remove the dregs, and administer three consecutive doses after meals. Adjust according to the child's size.
**Da Huang Yin (Rhubarb Drink)** for treating persistent high fever with solid stagnation, alternating chills and fever, and slight convulsions:
Da Huang (Rhei Radix et Rhizoma, crushed and stir-fried), 1 liang; Huang Qin (Scutellariae Radix, black heart removed), Gua Lou Gen (Trichosanthis Radix), Gan Cao (Glycyrrhizae Radix et Rhizoma, honey-fried), Mu Li (Ostreae Concha, calcined), Long Gu (Fossilia Ossis Mastodi et Scapulae), Ning Shui Shi (Halloysitum Rubrum). Each is 3 fen.
The above twelve herbs: nine are coarsely pounded and sieved, mixed with finely ground powders. For children aged five or six, take one qian bi per dose, add one zhong zhan of water, decoct until reduced to five parts, remove the dregs, take warm, and administer three consecutive doses after meals. Adjust according to the child's size.
**Gou Teng Yin (Uncaria Drink)** for treating restless high fever in children:
Gou Teng (Uncariae Ramulus cum Uncis), Sheng Ma (Cimicifugae Rhizoma), Gan Cao (Glycyrrhizae Radix et Rhizoma, honey-fried), Ren Shen (Ginseng Radix et Rhizoma). Each is half liang.
The above four herbs are coarsely pounded and sieved. For each dose, take one qian bi, add one zhan of water, decoct until reduced to five parts, remove the dregs, and divide into two warm doses. Take one dose on an empty stomach and one in the afternoon. Adjust according to the child's size.
**Shan Zhi Zi Tang (Gardenia Decoction)** for treating phlegm-solidity and high fever in children aged eight or nine:
Shan Zhi Zi Ren (Gardeniae Semen), Huang Qin (Scutellariae Radix, black heart removed), Qian Hu (Peucedani Radix, rhizome removed), Gan Cao (Glycyrrhizae Radix et Rhizoma, raw).
Equal parts of the above four herbs are coarsely pounded and sieved. For each dose, take one qian bi, add one zhong zhan of water, decoct until reduced to five parts, remove the dregs, and take warm. Three times a day. Adjust according to the child's size, without restriction on timing.
**Hu Jing Niu Huang Wan (Tiger Eye and Calculus Bovis Pill)** for treating high fever in fetuses and infants under one hundred days:
Hu Jing (Tiger Eye, ground), Niu Huang (Calculus Bovis, ground), She Xiang (Moschus, ground), Dan Sha (Cinnabaris, ground), Xiong Huang (Realgar, ground). Each is 1 fen.
The above five herbs are repeatedly ground together into powder, mixed with refined honey to form pills the size of small beans. Dissolve one pill in milk and administer to the infant.
**Long Chi Tang (Dragon Tooth Decoction)** for treating infants under one hundred days with high fever, internal firmness, and convulsions:
Long Chi (Dent Draconis), half liang; Da Huang (Rhei Radix et Rhizoma, crushed and stir-fried), half liang; Shan Zhi Zi Ren (Gardeniae Semen), 1 fen; Zhi Qiao (Aurantii Fructus Pericarpium, pith removed and bran-fried), 1 fen; Pu Xiao (Natrii Sulfas), 3 fen.
The above six herbs are coarsely pounded and sieved. For each dose, take one qian bi, add seven parts water, decoct until reduced to five parts, remove the dregs, and take warm. Adjust according to the child's size.
**Ren Shen Tang (Ginseng Decoction)** for treating high fever with red face, dry and scorched lips and mouth, obstruction of urination and defecation, limb twitching and crying, or occasional thirst:
Ren Shen (Ginseng Radix et Rhizoma), 3 fen; Chai Hu (Bupleuri Radix, sprouts removed), 1 fen; Da Huang (Rhei Radix et Rhizoma, crushed and stir-fried), 1 fen; Sheng Ma (Cimicifugae Rhizoma), half liang; Shao Yao (Paeoniae Radix), 1 fen; Shan Zhi Zi Ren (Gardeniae Semen), 1 fen; Huang Qin (Scutellariae Radix), 1 fen; Gan Cao (Glycyrrhizae Radix et Rhizoma, honey-fried), 1 fen.
The above eight herbs are coarsely pounded and sieved. For each dose, take one qian bi, add seven parts water, decoct until four parts remain, remove the dregs, and take warm.
**Long Nao San (Borneolum Syntheticum Powder)** for treating unresolved high fever, wind-cold, wind-heat, and heat-toxin in children:
Long Nao (Borneolum Syntheticum, ground), half qian; Ma Ya Xiao (Natrii Sulfas crystallized), 1 fen (sealed in a box and fired until red); Di Keng (Earth pit preparation method described); Gan Cao (Glycyrrhizae Radix et Rhizoma).
The above four herbs are mixed and ground finely. For each dose, take half a qian bi or one zi character amount. Mix with Ren Shen and Fu Ling decoction; for convulsive heat, use cold water; for severe heat, grind Di Long (Pheretima) juice with cold water and mix.
**Ru Sheng Qing Jin Wan (Like-Sage Green Gold Pill)** for treating high fever, night crying, vomiting, chronic convulsions, and malnutrition (Kan disease):
Long Nao (Borneolum Syntheticum, ground), 1 qian; She Xiang (Moschus, ground), 1 fen; Ni Fen (Calomelas), 1 fen; Xiang Mo (Ink Stick, pounded), 1.5 qian; Lu Hui (Aloe), 1.5 qian; Bai Mian (White Flour), 3 liang; Zhu Sha (Cinnabaris, ground), 1 qian; Xiong Huang (Realgar, ground), 1 qian; Qing Fen (Calomelas sublimated), 1 fen; Huang Lian (Coptidis Rhizoma, whiskers removed), 1 qian.
The above ten herbs are repeatedly ground uniformly, moistened with well-water to form pills the size of cockle seeds. For chronic convulsions, dissolve in cold mint water. Children over three years take one pill; younger take half. After administration, allow sleep. Upon waking, bowel movement indicates immediate cure. Repeat every three to five days if minor convulsions occur.
**Mai Men Dong Tang (Ophiopogon Decoction)** for treating wind-heat congestion, high fever, irritability, thirst, and occasional vomiting:
Mai Men Dong (Ophiopogonis Tuber, heart removed and baked), 3 liang; Gua Lou Gen (Trichosanthis Radix), 1 liang; Zhi Mu (Anemarrhenae Rhizoma, baked), 1 liang; Ren Shen (Ginseng Radix et Rhizoma), 1 liang; Li Lu (Veratri Radix, rhizome removed), 1 liang; Long Dan (Gentianae Radix), half liang.
The above seven herbs are coarsely pounded and sieved. Use three qian bi per dose, add one and a half zhan of water, decoct until reduced to eight parts, remove the dregs, and divide into three warm doses.