论曰小儿盗汗者，由心气不足，风邪入于阳经，阳经虚故也。以其眠睡之间，盗人气血
，故谓之盗汗，久不已，令儿皮腠虚疏，潮热时作，肌肉消瘦，治不宜缓。
治小儿盗汗，睡中惊啼，犀角汤方
生犀角屑（三分） 茯神（去木一两） 麦门冬（去心焙一两半） 白术（一分） 甘
草（炙锉
半两）
上五味，粗捣筛。每服二钱匕，以水一小盏，煎至五分，去滓分温二服，食后临卧，量
儿大小加减。
治小儿盗汗。故扇散方
故扇（烧灰一分） 麻黄（取根节三分）
上二味，捣罗为散，每服半钱匕，乳汁调下，量儿大小加减。
治小儿盗汗。柴胡秦艽汤方
柴胡（去苗） 秦艽（去苗土） 常山 贝母（去心） 甘草（微炙） 乌梅肉（焙干）
山栀子
仁豉 鳖甲（去裙 醋炙） 黄芩（去黑心各一两） 生姜（切） 大黄（锉炒各半两） 桃
枝（锉） 柳枝（锉） 葱白（切） 薤白（切各一握） 糯米（半合）
上一十七味，粗捣筛。每服一钱匕，水半盏，酒二分，同煎至四分，去滓温服，早晨日
午临卧各一，五岁以下，分作二服，二岁以下，分作三服。
治小儿骨蒸盗汗，乳食减少。猪肚丸方
鳖甲（去裙 醋炙） 柴胡（去苗） 木香 青蒿（去茎） 生干地黄（焙各一两） 黄
连（去
须炒二两） 青橘皮（去白焙半两）
上七味，捣罗为末，用一枝嫩小猪肚净洗。入药末在内系定，蒸令极烂，研和药末，丸
如绿豆大，每服十丸，温水下，食前日午临卧日三，更看儿大小加减。
治小儿盗汗肌热。青蒿煎丸方
青蒿（切一斤） 甘草（炙锉为末） 杏仁（汤浸去皮尖双仁炒研各一两） 鳖甲（去
裙醋
炙为末一两半） 柴胡（去苗为末一两） 白蜜（二分）
上六味，用童子小便五升，先煎青蒿取一升，去滓更煎令如稀饧。入酥少许，及蜜诸药
末等，熬成煎，丸如绿豆大，每服十五丸，至二十丸，空心熟水下，更量儿大小加减。
治小儿骨蒸壮热，肌肉减瘦，多困少力，夜多盗汗。地骨皮汤方
地骨皮 秦艽（去苗土） 柴胡（去苗） 枳壳（去瓤麸炒） 知母（焙） 当归（切
焙） 鳖甲
（去裙 醋炙）
上七味等分，粗捣筛。每服一钱半匕，水八分，入桃柳心各五枚，姜二片。乌梅半枚，
同煎至四分，去滓温服，空心临卧各一，五岁以下，分作二服。
治小儿骨蒸肌瘦盗汗。鳖甲柴胡煎丸方
鳖甲（九肋者一枚去裙 醋炙） 柴胡（去苗二两） 甘草（炙） 杏仁（汤浸去皮尖
双仁研） 桔梗（炒各一两） 胡黄连（一分） 当归（切焙） 地骨皮 赤芍药（各一两）
木香（半两）
黄连（去须一分） 桂（去粗皮半两） 人参（一两） 麝香（少许研） 酥蜜（各三两）
上一十六味，除酥蜜外，捣研为末。用青蒿一斤锉，童子小便五升，好酒一升，熬蒿
至二升，去蒿入酥蜜，再熬成煎，候冷入药末和丸，如绿豆大，每服十丸，米饮下，日二服
，如秋冬合时，更入桃柳心各七枚，宜与后方柴胡人参汤，相间服。
治小儿骨热盗汗肌瘦减食。柴胡人参汤方
柴胡（去苗） 人参 白茯苓（去黑皮） 当归（切） 桔梗 青橘皮（去白） 芍药 芎
麦门冬（去心） 白术 升麻 桑根白皮 甘草（各一两）
上一十三味，并生锉如麻豆大，每服二钱匕，水一盏，煎至六分，去滓分温二服。食
后临卧，与前鳖甲柴胡煎丸相间服。速效。
治小儿盗汗，潮热往来。重汤丸方
胡黄连 柴胡（去苗等分）
上二味，捣罗为末。炼蜜和丸，如鸡头实。每服二丸至三丸。银器内用酒少许化开，更
入水五分，重汤上煮三二十沸，放温食后服，量儿大小加减。
治小儿肌热盗汗。丹砂散方
丹砂（研一两） 白矾（熬汁枯研二钱）
上二味，再同研匀细。每服半钱匕，薄荷自然汁调下。
治小儿心热盗汗。芎 汤方
芎 大黄（煨锉） 羌活（去芦头） 甘草（炙锉各一两）
上四味，粗捣筛。每服二钱匕，水一中盏。入薄荷数叶，同煎至六分，去滓分温二服，
量儿大小加减。
治小儿盗汗。黄连散方
黄连（去须三分） 牡蛎（烧研如粉） 贝母（去心各半两）
上三味，捣研为末。以米粉一升，相和令匀，如有汗，粉儿身。
治小儿盗汗。麻黄根散方
麻黄根 雷丸 牡蛎（火 过各一两半） 甘草（炙一两） 干姜（炮半两） 粱米（半
升）
上六味，捣罗为散。以粉儿身体。及头，甚验。
Discussion states: Pediatric nocturnal sweating (Xiao'er Dao Han) is caused by insufficiency of Heart Qi, where Wind-Evil invades the Yang meridians, resulting in deficiency of the Yang meridians. Because it occurs during sleep, stealing the body's Qi and Blood, it is called nocturnal sweating. If left untreated for a long time, it causes the child's skin and pores to become loose and sparse, with tidal fever occurring intermittently and muscle emaciation; treatment should not be delayed.
**Rhino Horn Decoction (Xijiao Tang) for treating pediatric nocturnal sweating with startle crying during sleep:**
Raw Rhino Horn shavings (3 fen), Fushen (heartwood removed, 1 liang), Ophiopogon Tuber (Ophiopogonis Radix, heart removed, roasted, 1.5 liang), Atractylodes Rhizome (Atractylodis Rhizoma, 1 fen), Licorice Root (Glycyrrhizae Radix et Rhizoma, roasted and crushed, 0.5 liang).
The above five herbs are coarsely pounded and sifted. For each dose, take 2 qianbi, add one small cup of water, decoct until reduced to 0.5 cup, remove dregs, and divide into two warm doses. Administer after meals and before bedtime, adjusting dosage according to the child's age and size.
**Old Fan Powder (Gushan San) for treating pediatric nocturnal sweating:**
Old Fan (burned to ash, 1 fen), Ephedra Stem (Ephedrae Herba, root nodes taken, 3 fen).
The above two herbs are pounded and sieved into a powder. For each dose, take 0.5 qianbi, mix with milk for administration, adjusting dosage according to the child's age and size.
**Bupleurum and Gentian Decoction (Chaihu Qinjiao Tang) for treating pediatric nocturnal sweating:**
Bupleurum Root (Bupleuri Radix, seedlings removed), Gentian Root (Gentianae Radix, seedlings and soil removed), Dichroa Root (Chanshan), Fritillaria Bulb (Fritillariae Cirrhosae Bulbus, heart removed), Licorice Root (Glycyrrhizae Radix et Rhizoma, lightly roasted), Dark Plum Flesh (Wumei Rou, dried), Gardenia Fruit (Gardeniae Fructus), Fermented Soybean (Douchi), Softshell Turtle Shell (Testudinis Carapax et Plastrum, skirt removed, vinegar-roasted), Scutellaria Root (Scutellariae Radix, black heart removed, 1 liang each), Fresh Ginger (Shengjiang, sliced), Rhubarb (Rhei Radix et Rhizoma, crushed and stir-fried, 0.5 liang each), Peach Branch (Tao Zhi, crushed), Willow Branch (Liu Zhi, crushed), Scallion White (Cong Bai, sliced), Chinese Leek Root (Xie Bai, sliced, one handful each), Glutinous Rice (Nuomi, 0.5 he).
The above seventeen herbs are coarsely pounded and sifted. For each dose, take 1 qianbi, add half a cup of water and two parts wine, decoct together until reduced to four parts, remove dregs, and take warm. Administer once in the morning, at noon, and before bedtime. For children under five years old, divide into two doses; for children under two years old, divide into three doses.
**Pig Stomach Pills (Zhudu Wan) for treating pediatric bone-steaming nocturnal sweating and reduced appetite:**
Softshell Turtle Shell (Testudinis Carapax et Plastrum, skirt removed, vinegar-roasted), Bupleurum Root (Bupleuri Radix, seedlings removed), Costus Root (Muxiang), Sweet Wormwood Herb (Qinghao, stems removed), Rehmannia Root (Rehmanniae Radix, dried, 1 liang each), Coptis Rhizome (Coptidis Rhizoma, mustache removed, stir-fried, 2 liang), Green Tangerine Peel (Qingju Pi, white pith removed, roasted, 0.5 liang).
The above seven herbs are pounded and sieved into powder. Take one tender young pig stomach, clean it thoroughly. Insert the herb powder inside and tie it securely. Steam until extremely soft, then grind and mix with the powder to form pills the size of mung beans. For each dose, take ten pills, swallow with warm water. Administer before meals, at noon, and before bedtime, three times daily, adjusting dosage according to the child's age and size.
**Sweet Wormwood Paste Pills (Qinghao Jian Wan) for treating pediatric nocturnal sweating and muscular heat:**
Sweet Wormwood Herb (Qinghao, sliced, 1 jin), Licorice Root (Glycyrrhizae Radix et Rhizoma, roasted, crushed, and powdered), Apricot Seed (Semen Armeniacae Amarum, soaked in water, skin and tip removed, double-kernel, stir-fried and ground, 1 liang each), Softshell Turtle Shell (Testudinis Carapax et Plastrum, skirt removed, vinegar-roasted and powdered, 1.5 liang), Bupleurum Root (Bupleuri Radix, seedlings removed and powdered, 1 liang), White Honey (Baimi, 2 fen).
The above six ingredients are processed using five sheng of urine from an uncircumcised boy. First, decoct the Sweet Wormwood to obtain one sheng of liquid, remove dregs, and continue decocting until it resembles thin syrup. Add a little butter and the honey and other herb powders, boil into a paste, and form pills the size of mung beans. For each dose, take fifteen to twenty pills, swallow with well-cooked water on an empty stomach, adjusting dosage according to the child's age and size.
**Anchorage Root Bark Decoction (Digupi Tang) for treating pediatric bone-steaming high fever, muscle emaciation, lethargy, weakness, and frequent nocturnal sweating:**
Anchorage Root Bark (Digupi), Gentian Root (Gentianae Radix, seedlings and soil removed), Bupleurum Root (Bupleuri Radix, seedlings removed), Aurantium Fruit (Zhiqiao, pulp removed, bran-roasted), Anemarrhena Rhizome (Zhimu, roasted), Angelica Sinensis Root (Danggui, sliced and roasted), Softshell Turtle Shell (Testudinis Carapax et Plastrum, skirt removed, vinegar-roasted).
The above seven herbs are used in equal proportions, coarsely pounded and sifted. For each dose, take 1.5 qianbi, add eight parts water, five peach and willow heart pieces, two slices of ginger, and half a dark plum. Decoct together until reduced to four parts, remove dregs, and take warm. Administer on an empty stomach and before bedtime. For children under five years old, divide into two doses.
**Softshell Turtle and Bupleurum Paste Pills (Biejia Chaihu Jian Wan) for treating pediatric bone-steaming, muscle emaciation, and nocturnal sweating:**
Softshell Turtle Shell (Testudinis Carapax et Plastrum, nine-ribbed variety, one piece, skirt removed, vinegar-roasted), Bupleurum Root (Bupleuri Radix, seedlings removed, 2 liang), Licorice Root (Glycyrrhizae Radix et Rhizoma, roasted), Apricot Seed (Semen Armeniacae Amarum, soaked in water, skin and tip removed, double-kernel, ground), Platycodon Root (Jiegeng, stir-fried, 1 liang each), Picrorhiza Rhizome (Huhuanglian, 1 fen), Angelica Sinensis Root (Danggui, sliced and roasted), Anchorage Root Bark (Digupi), Red Peony Root (Chishao, 1 liang each), Costus Root (Muxiang, 0.5 liang), Coptis Rhizome (Coptidis Rhizoma, mustache removed, 1 fen), Cinnamon Bark (Guirou, coarse bark removed, 0.5 liang), Ginseng Root (Renshen, 1 liang), Musk (Shexiang, a little, ground), Butter and Honey (Sumi, 3 liang each).
The above sixteen herbs, except for butter and honey, are pounded and ground into powder. Take one jin of chopped Sweet Wormwood, five sheng of urine from an uncircumcised boy, and one sheng of good wine. Boil the wormwood until reduced to two sheng, remove the wormwood, add butter and honey, and boil again into a paste. When cool, mix with the herb powder to form pills the size of mung beans. For each dose, take ten pills, swallow with rice drink, twice daily. If prepared in autumn or winter, add seven peach and willow heart pieces. It is advisable to alternate this with the following Bupleurum and Ginseng Decoction.
**Bupleurum and Ginseng Decoction (Chaihu Renshen Tang) for treating pediatric bone-heat, nocturnal sweating, muscle emaciation, and reduced food intake:**
Bupleurum Root (Bupleuri Radix, seedlings removed), Ginseng Root (Renshen), Poria Sclerotium (Baifuling, black skin removed), Angelica Sinensis Root (Danggui, sliced), Platycodon Root (Jiegeng), Green Tangerine Peel (Qingju Pi, white pith removed), Peony Root (Shaoyao), Ligusticum Rhizome (Chuanxiong), Ophiopogon Tuber (Ophiopogonis Radix, heart removed), Atractylodes Rhizome (Atractylodis Rhizoma), Cimicifuga Rhizome (Shengma), Mulberry Root Bark (Sangbaipi), Licorice Root (Glycyrrhizae Radix et Rhizoma, 1 liang each).
The above thirteen herbs are all freshly crushed to the size of hemp seeds. For each dose, take 2 qianbi, add one cup of water, decoct until reduced to six parts, remove dregs, and divide into two warm doses. Administer after meals and before bedtime, alternating with the previous Softshell Turtle and Bupleurum Paste Pills. Rapid effect.
**Double-Pot Pills (Chongtang Wan) for treating pediatric nocturnal sweating and alternating tidal fever:**
Picrorhiza Rhizome (Huhuanglian), Bupleurum Root (Bupleuri Radix, seedlings removed, equal parts).
The above two herbs are pounded and sieved into powder. Mix with refined honey to form pills the size of cocklebur fruits. For each dose, take two to three pills. In a silver vessel, dissolve with a little wine, add five parts water, boil over a double boiler for thirty to twenty boils, let cool to warm temperature, and administer after meals, adjusting dosage according to the child's age and size.
**Cinnabar Powder (Dansha San) for treating pediatric muscular heat and nocturnal sweating:**
Cinnabar (Dansha, ground, 1 liang), Alum (Baifan, boiled until dry and ground, 2 qian).
The above two herbs are ground together again until fine and uniform. For each dose, take 0.5 qianbi, mix with fresh juice of Mint (Bohe) for administration.
**Angelica and Rhubarb Decoction (Xiong [Missing Character] Tang) for treating pediatric Heart-heat and nocturnal sweating:**
Ligusticum Rhizome (Xiong [Missing Character]), Rhubarb (Rhei Radix et Rhizoma, baked and crushed), Notopterygium Rhizome (Qianghuo, rhizome head removed), Licorice Root (Glycyrrhizae Radix et Rhizoma, roasted and crushed, 1 liang each).
The above four herbs are coarsely pounded and sifted. For each dose, take 2 qianbi, add one medium cup of water. Add several leaves of Mint (Bohe), decoct together until reduced to six parts, remove dregs, and divide into two warm doses, adjusting dosage according to the child's age and size.
**Coptis Powder (Huanglian San) for treating pediatric nocturnal sweating:**
Coptis Rhizome (Coptidis Rhizoma, mustache removed, 3 fen), Oyster Shell (Muli, burned and ground to powder), Fritillaria Bulb (Fritillariae Cirrhosae Bulbus, heart removed, 0.5 liang each).
The above three herbs are pounded and ground into powder. Mix with one sheng of rice flour evenly. If sweating occurs, dust the powder on the child's body.
**Ephedra Root Powder (Mahuanggen San) for treating pediatric nocturnal sweating:**
Ephedra Root (Mahuanggen), Omphalia Spore (Leiwan), Oyster Shell (Muli, calcined, 1.5 liang each), Licorice Root (Glycyrrhizae Radix et Rhizoma, roasted, 1 liang), Dried Ginger (Ganjiang, processed, 0.5 liang), Sorghum Grain (Liangmi, 0.5 sheng).
The above six herbs are pounded and sieved into a powder. Dust on the child's body and head. Very effective.