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Commentary states: The Foot-Yangming Stomach Meridian governs the muscles. If a child has latent heat in the stomach, or it is complicated by retained cold, all will cause disharmony of the Stomach Qi. The Qi steams and stagnates, manifesting in the muscles, thus causing the child's body to be hot and sleepy. This condition is called "Wen Zhuang" (Warmth and Vigor/Febrile Condition). The symptom presentation of yellow and foul-smelling stool indicates latent heat; mild purgation will lead to recovery. If the stool is white with a sour, vinegar-like odor, it indicates retained food stagnation; mild purgation combined with dietary restriction will lead to recovery. In ancient methods, Long Dan Tang (Gentian Decoction) is used to remove latent heat, and Zi Shuang Wan (Purple Frost Pill) is used to remove food stagnation. Treatment should follow these methods.

To treat infants just born, whose blood vessels are full and solid, presenting with alternating cold and heat, Wen Zhuang, convulsions and spasms of the four limbs, high fever accompanied by severe vomiting, if they can already accept supplementary food but digestion is poor, persistent high fever not resolving during the Bian Zheng (metabolic transformation) period, Qi of Ke Wu (external pathogenic influence from surprise/shock), and various types of Jing Xian (convulsive epilepsy), all are treated. Children under ten years old all take Long Dan Tang (Formula No. 1). This is a formula for infants just born. For those who have grown older in days and months, adjust the dosage sequentially according to this example. If it is known to be caused by Ke Wu and there is Qi stagnation, add Ren Shen (Ginseng Root) and Dang Gui (Angelica Sinensis Root). The dosage refers to the amount of Long Dan: for a hundred-day-old infant, add three Zhu; for a two-hundred-day-old infant, add six Zhu; for a one-year-old infant, add half Liang. Other herbs are calculated proportionally.

Long Dan Tang Formula: Long Dan (Gentianae Radix et Rhizoma), Gou Teng Pi (Uncariae Ramulus cum Uncis Cortex), Chai Hu (Bupleuri Radix, remove rhizome), Huang Qin (Scutellariae Radix, remove black heart), Jie Geng (Platycodonis Radix, stir-fried), Shao Yao (Paeoniae Radix), Chi Fu Ling (Poria Cocos with Red Skin, remove black skin), Gan Cao (Licorice Root, honey-fried and crushed). The above ten herbs are chopped like hemp or bean seeds. Use one Sheng of water, decoct to obtain five Ge as one dose. For infants aged one to seven days after birth, divide one Ge into three doses. For eight to fifteen days, divide one and a half Ge into three doses. For sixteen to twenty days, divide two Ge into three doses. For twenty to thirty days, divide three Ge into three doses. From thirty to forty days until completion, use five Ge divided into three doses. Stop administration once bowel movement occurs.

To treat children with unresolved fever due to Bian Zheng, complicated by Shang Han (Cold Damage) Wen Zhuang, fever persisting after sweating, phlegm-accumulation (Tan Pi) in the abdomen, refusal to nurse, vomiting upon nursing, and Shi Xian (food-induced epilepsy) starting with cold followed by heat. Zi Shuang Wan Formula: Dai Zhe (Hematitum, pounded to powder), Chi Shi Zhi (Halloysitum Rubrum, pounded to powder, each one Liang), Ba Dou (Crotonis Fructus, thirty seeds, remove heart and skin, express oil completely), Xing Ren (Armeniacae Semen Amarum, fifty seeds, remove skin and pointed ends). The above four ingredients: separately grind Ba Dou and Xing Ren into a paste. Mix with the other two ingredients and pound until well combined. If too hard, add a little honey and pound together. Store in a sealed container. Give one pill the next morning. For a hundred-day-old infant, give one pill the size of a small bean. Adjust the number and size of pills accordingly.

To treat children with alternating Wen Zhuang and internal abdominal heat. Chai Hu Tang Formula: Chai Hu (Bupleuri Radix, remove rhizome, three Qian), Huang Qin (Scutellariae Radix, remove black heart), Ren Shen (Ginseng Radix), Gan Cao (Licorice Root, honey-fried and crushed), Chi Fu Ling (Poria Cocos with Red Skin, remove black skin), Mai Men Dong (Ophiopogonis Radix, remove heart and dry-roast). The above six herbs are coarsely ground and sieved. Each time use one Qian Bi, with one Zhan of water, add several slices of Zhu Ye (Bamboo Leaf), decoct to obtain five Fen, remove dregs and let cool to warm. Adjust dosage according to the child's size.

To treat children with Wen Zhuang where heat does not subside, tongue is wide and cannot hold milk, phlegm in the chest, sores in the mouth, combined with fright. Huang Qin Tang Formula: Huang Qin (Scutellariae Radix, remove black heart, one Liang and one Fen), Gou Teng (Uncariae Ramulus cum Uncis, finely cut, one Fen), She Tui (Boidis Skin, roasted, one Cun), Gan Cao (Licorice Root, honey-fried and crushed, half Liang), Mang Xiao (Natrii Sulfas, one Liang). The above seven herbs are coarsely ground and sieved. For three-to-four-year-old children, each dose is half a Qian Bi, with half a Zhan of water, decoct to three Fen, remove dregs and take warm after meals. Three times daily. Adjust according to the child's size.

To treat children with vigorous heat and various diseases. Shao Yao Tang Formula: Shao Yao (Paeoniae Radix), Gan Cao (Licorice Root, honey-fried and crushed, half Liang each), Da Huang (Rhei Radix et Rhizoma, steamed, baked dry, and crushed, one Liang). The above three herbs are coarsely ground and sieved. For five-to-six-year-old children, each dose is one Qian Bi, with half a Zhan of water, decoct to three Fen, remove dregs and take warm after meals. Three times daily. Adjust according to the child's size.

To treat children with unresolved Wen Zhuang. Sheng Ma Tang Formula: Sheng Ma (Cimicifugae Rhizoma), Chai Hu (Bupleuri Radix, remove rhizome), Mai Men Dong (Ophiopogonis Radix, remove heart and dry-roast), Huang Qin (Scutellariae Radix, remove black heart), Gan Cao (Licorice Root, honey-fried and crushed, half Liang each), Huang Qi (Astragali Radix, sliced), Ren Shen (Ginseng Radix, one Fen each). The above seven herbs are coarsely ground and sieved. Each time take one Qian Bi, with eight Fen of water, decoct to five Fen, remove dregs. Adjust dosage according to the child's size.

To treat children with excess-type Wen Zhuang and slight fright. Dang Gui Tang Formula: Dang Gui (Angelicae Sinensis Radix, sliced and dry-roasted, half Liang), Chai Hu (Bupleuri Radix, remove rhizome, three Qian), Huang Qin (Scutellariae Radix, remove black heart, half Liang), Xi Xin (Asari Radix et Rhizoma, remove seedlings and leaves, three Qian), Da Huang (Rhei Radix et Rhizoma... [text truncated in source]), Ren Shen (Ginseng Radix... [text truncated in source]). The above ten herbs are coarsely ground and sieved. For two-to-three-year-old children, each dose is one Qian Bi, with seven Fen of water, decoct to five Fen, remove dregs, divide into warm doses, take three times daily. Adjust according to the child's size.

To treat children with heat, where after strong purgation, Wen Zhuang does not resolve and there is knotted heat in the chest. Wu Wei Zi Tang Formula: Wu Wei Zi (Schisandrae Chinensis Fructus), Huang Qin (Scutellariae Radix, remove black heart), Chai Hu (Bupleuri Radix, remove rhizome), Mang Xiao (Natrii Sulfas), Mai Men Dong (Ophiopogonis Radix, remove heart and dry-roast, half Liang each), Huang Lian (Coptidis Rhizoma, remove whiskers, one Fen), Shi Gao (Gypsum Fibrosum, crushed), Zhi Mu (Anemarrhenae Rhizoma, half Liang each), Ren Shen (Ginseng Radix, half Liang), Gan Cao (Licorice Root, honey-fried, half Liang). The above ten herbs are coarsely ground and sieved. For five-to-six-year-old children, each dose is one Qian Bi, with seven Fen of water, decoct to four Fen, remove dregs and take warm after meals. Take three doses if no phlegm; if there is phlegm, induce vomiting. Adjust according to the child's size.

To treat latent heat in the abdomen of children, with alternating Wen Zhuang. Chai Hu Tang Formula: Chai Hu (Bupleuri Radix, remove rhizome, three Qian), Huang Qin (Scutellariae Radix, remove black heart, one Liang), Ren Shen (Ginseng Radix, half Liang), Gan Cao (Licorice Root, honey-fried, half Liang), Chi Fu Ling (Poria Cocos with Red Skin, remove black skin, half Liang), Mai Men Dong (Ophiopogonis Radix, remove heart and dry-roast, half Liang). The above six herbs are coarsely ground and sieved. Each time take one Qian Bi, with seven Fen of water, add fifty to seventy grains of Xiao Mai (Triticum aestivum) and ten slices of Zhu Ye (Bamboo Leaf), decoct to four Fen. Remove dregs and take warm. Adjust dosage according to the child's size.

To treat children with heat complication, abundant phlegm, Wen Zhuang, and restless sleep at night. Tian Nan Xing Wan Formula: Tian Nan Xing (Arisaematis Rhizoma Praeparatum, roasted and powdered), Ban Xia (Pinelliae Rhizoma, washed seven times in boiling water, dried and powdered), Ni Fen (Calomel, ground), Hua Shi (Talcum, ground, one Qian each), Ba Dou (Crotonis Fructus, twenty-four seeds, remove heart and membrane, soak in water overnight, grind finely without expressing oil). The above five ingredients: first grind Ba Dou thoroughly, then add the powders of the other herbs. Mix with rice porridge to form pills the size of mung beans. Each dose is three pills. Adjust according to the child's size. For diarrhea/dysentery, take with rice drink; for constipation, take with scallion soup; for palpitations/fright, take with mint and Schizonepeta soup.

To treat children after febrile disease, with abdominal disharmony, irregular diet, abdominal fullness, Wen Zhuang, Ke Wu (shock), and cold from breastfeeding. Xiao Zhi Wan Formula: Que Shi Bai (Sparrow Droppings White), Niu Huang (Bovis Calculus, ground, one Fen each), Xiong (Ligustici Chuanxiong Rhizoma), Shao Yao (Paeoniae Radix), Gan Jiang (Zingiberis Rhizoma, roasted), Gan Cao (Licorice Root, honey-fried, half Liang each), She Xiang (Moschus, ground), Zhu Sha (Cinnabar, ground), Xiong Huang (Realgar, ground), Qing Dai (Indigo Naturalis), Lu Hui (Aloe), Huang Lian (Coptidis Rhizoma, one Fen each). The above twelve ingredients are pounded and sifted into powder. Refine honey to form pills the size of sesame seeds. Take three pills with warm cooked water. To induce purgation, take five pills.

To treat children with Wind Evil, Wen Zhuang fever, calming fright, stopping headache, and transforming phlegm. Sheng Xi Niu Huang Wan Formula: Xi Jiao Xie (Rhinocerotis Cornu, sliced, one Fen), Niu Huang (Bovis Calculus, one Qian, ground), Long Nao (Borneolum Syntheticum), She Xiang (Moschus, half Qian each, ground), Tian Nan Xing (Arisaematis Rhizoma, those processed with Bovis Bile, ground to powder), Zhen Zhu (Margarita, ground), Hu Po (Amber, ground), Jin Bo (Folium Aurum, ten sheets), Yin Bo (Folium Argenti, ten sheets). The above eight ingredients are mixed and ground into powder. Refined honey is used to form pills the size of a chicken head. Each dose is one pill, at any time. Dissolve in mint soup before taking.