论曰水为阴，火为阳，水者精气也。火者阳气也，小儿精气未盛，体性多热，若衣裘伤
浓，过食热物，或患时气大病之后，重亡津液，阳气偏盛，水不胜火，腑脏积热，熏灼肌体
，甚则销铄骨髓，是为骨热之病，久不已，变成骨蒸也。
治小儿十五岁以下，骨蒸热劳，盗汗体热咳嗽，烦躁发渴，长肌肉，退热。桃仁青蒿煎
丸方 桃仁（汤浸去皮尖研半两） 麝香（研一分） 柴胡（去苗） 丹砂（研） 紫菀
（去苗土）
鳖甲（去裙 醋炙各一两）
上六味，除麝香丹砂外，并捣罗为末，共研匀。用青蒿汁，童子小便。生地黄汁，各一
盏，于银石器内熬汁，入药末一半，慢火再熬，搅得所，余药末尽和匀，杵三二百下，丸如
绿豆大，每服五七丸至十丸，空心食前，煎陈粟米饮下，日三服。
治小儿不生肌肤，羸瘦骨热，小便黄赤。麦门冬丸方
麦门冬（去心焙一两） 人参 黄 （锉） 青蒿子 黄连（去须） 桑根白皮（锉） 地
骨皮 枳壳（去瓤麸炒各半两） 柴胡（去苗三分）
上九味，捣罗为末，炼蜜丸如绿豆大，每服五丸至七丸，温熟水下，量儿大小加减。
治小儿骨热生风。龙胆丸方
龙胆（一两） 熊胆（研一分） 马牙硝（研） 朴硝（研） 山栀子（去皮） 玄参 人
参枳
壳（去瓤麸炒） 柴胡（去苗） 当归（切焙） 陈橘皮（去白焙各半两） 麝香（研半钱）
沉香（半两） 甘草（炙锉） 赤茯苓（去黑皮各一两）
上一十五味，除研外，捣罗为末，共研匀，炼蜜丸如梧桐子大，一岁一丸，温水化下。
治小儿骨热日晚发热面赤，五心烦躁，四肢无力，饮食减少。夜多盗汗，面色萎黄。犀
角汤方 犀角（镑） 柴胡（去苗） 枳壳（去瓤麸炒） 麦门冬（去心焙） 赤茯苓（去
黑皮）
芍药 大黄（锉炒） 桑根白皮（锉） 黄 （锉） 人参（各一分） 鳖甲（去裙 醋炙
半两）
上一十一味，粗捣筛。每一钱匕，水一盏，入桃仁七枚，去皮尖，浆水煮过，麦门冬四
十九粒去心，煎至七分，去滓分温三服，食后临卧。
治小儿潮热，骨蒸羸瘦，久嗽咳喘。犀角汤下
生犀角（镑半两） 柴胡（去苗） 秦艽（去苗土各一两） 白术 人参 赤茯苓（去
黑皮）
木香（各半两） 甘草（炙一分）
上八味，粗捣筛。每服一钱匕，水七分、一盏，入小麦三七粒，同煎至六分，去滓温服
，日三。
治小儿肌瘦，五心潮热，解骨热，长肌肉益气。保童丸方
丹砂（研一分） 大黄（锉炒） 赤芍药 栀子仁（各半两） 知母（切焙） 鳖甲（去
裙醋
浸炙各一两） 人参 胡黄连（各半两）
上八味，除研外，捣为细末。入丹砂同研，浸蒸饼为丸，如小绿豆大，每服五丸至十丸
，温蜜汤或人参汤下。
治小儿骨热劳疾，面黄肌瘦发热，夜卧有汗。胡黄连丸方
胡黄连 夜明砂 五灵脂（各半两） 柴胡（去苗一两） 麝香（研半钱） 鳖甲（去
裙醋
炙） 人参（各半两）
上七味，捣罗为末，用猪胆汁煮面糊，丸如绿豆大，每服十丸至十五丸。米饮下，不拘
时。
治小儿骨热皮肤疮，肌体瘦弱，身热。连翘汤方
连翘 山栀子（去皮） 甘草（炙） 黄芩（去黑心） 秦艽（去苗土） 防风（去叉）
麦门冬
（去心焙各一两） 知母（焙） 荆芥穗（各半两）
上九味，粗捣筛。每服一钱匕，水七分，煎至四分，去滓食后临卧温服。
治小儿骨蒸潮热，瘦瘁颊赤，烦躁盗汗。食不生肌，病后余毒久不解。羚羊角汤方
羚羊角（镑） 地骨皮 秦艽（去苗土） 麦门冬（去心焙） 枳壳（去瓤麸炒） 大
黄（锉炒） 柴胡（去苗） 赤茯苓（去黑皮） 芍药 桑根白皮（锉） 黄 （锉） 人
参鳖甲（去裙 醋
炙各一两）
上一十三味，粗捣筛。每服一钱匕，水一盏，入青蒿少许，煎至六分，去滓食后温服，
量儿大小加减。
治小儿骨热，十五岁以下骨蒸热劳，遍身如火，日渐黄瘦，夜卧多汗，咳嗽烦渴。丹
砂丸方
丹砂（二两飞研） 柴胡（去苗为末四两）
上二味研匀，用 猪胆汁拌和，饭甑上蒸一次，候冷丸如绿豆大，每服十丸，用桃仁
乌梅煎汤下，日三服。
Discourse states: Water belongs to Yin, Fire belongs to Yang; water is the manifestation of Jing-Qi (Essence and Qi). Fire is the manifestation of Yang-Qi. Children's Jing-Qi is not yet abundant, and their constitution tends to be hot. If they wear too many clothes or are kept too warm, or overconsume hot-natured foods, or after suffering from epidemic Qi diseases where fluids are severely depleted, Yang-Qi becomes excessive, and Yin-Water fails to control Yang-Fire. Heat accumulates in the Fu and Zang organs, steaming and scorching the body. In severe cases, it may consume and erode the bone marrow, which is known as Bone-Heat disease. If prolonged without resolution, it transforms into Bone-Vapor disease.
Formula for treating Bone-Vapor Heat-Labor, night sweats, body heat, cough, irritability, thirst, promoting muscle growth, and reducing fever in children under fifteen years old: Tao Ren Qing Hao Jian Wan (Peach Kernel and Artemisia Annua Decoction Pills). Ingredients: Tao Ren (Peach Kernel) [Prunus persica Seed] (soaked in decoction, skin and tip removed, ground, 0.5 liang), She Xiang (Musk) [Moschus] (ground, 1 fen), Chai Hu (Bupleuri Radix) [Bupleurum chinense Root] (stalks removed), Dan Sha (Cinnabar) [Cinnabaris] (ground), Zi Wan (Asteris Radix) [Aster tataricus Root] (stalks and soil removed), Bie Jia (Testudinis Carapax et Plastrum) [Trionyx sinensis Shell] (skirt edge removed, vinegar-fried, each 1 liang). The above six herbs, except for Musk and Cinnabar, are all pounded and sieved into powder, then mixed and ground evenly. Use Qing Hao juice, urine from an uncircumcised boy, and Sheng Di Huang juice, one cup of each. Boil these juices in a silver or earthenware vessel, add half of the herb powder, simmer slowly on low heat while stirring appropriately. Add the remaining herb powder, mix thoroughly, pound 200-300 times, and form pills the size of mung beans. Take 5-7 to 10 pills per dose, before meals on an empty stomach, with Chen Su Mi Yin (aged millet drink) prepared by decoction. Administer three times daily.
Formula for treating children who fail to develop flesh, suffer from emaciation and bone heat, and have yellow-red urine: Mai Men Dong Wan (Ophiopogon Pill). Ingredients: Mai Men Dong (Ophiopogonis Radix) [Ophiopogon japonicus Tuber] (heart removed, roasted, 1 liang), Ren Shen (Ginseng Radix) [Panax ginseng Root], Huang Qi (Astragali Radix) [Astragalus membranaceus Root] (cut into pieces), Qing Hao Zi (Artemisiae Annuae Fructus) [Artemisia annua Fruit], Huang Lian (Coptidis Rhizoma) [Coptis chinensis Rhizome] (fibrous roots removed), Sang Gen Bai Pi (Mori Cortex) [Morus alba Root Bark] (cut into pieces), Di Gu Pi (Lycii Cortex) [Lycium barbarum Root Bark], Zhi Ke (Aurantii Fructus Immaturus) [Citrus aurantium Unripe Fruit] (pulp removed, bran-fried, each 0.5 liang), Chai Hu (Bupleuri Radix) [Bupleurum chinense Root] (stalks removed, 3 fen). The above nine herbs are pounded and sieved into powder, mixed with refined honey to form pills the size of mung beans. Take 5-7 pills per dose, with warm boiled water. Adjust dosage according to the child's age and size.
Formula for treating Bone-Heat generating Wind in children: Long Dan Wan (Gentian Pill). Ingredients: Long Dan (Gentianae Radix et Rhizoma) [Gentiana scabra Root] (1 liang), Xiong Dan (Ursi Bile) [Ursus arctos Bile] (ground, 1 fen), Ma Ya Xiao (Natrii Sulfas) [Sodium Sulfate] (ground), Pu Xiao (Natrii Sulfas) [Sodium Sulfate] (ground), Shan Zhi Zi (Gardeniae Fructus) [Gardenia jasminoides Fruit] (skin removed), Xuan Shen (Scrophulariae Radix) [Scrophularia ningpoensis Root], Ren Shen (Ginseng Radix) [Panax ginseng Root], Zhi Ke (Aurantii Fructus Immaturus) [Citrus aurantium Unripe Fruit] (pulp removed, bran-fried), Chai Hu (Bupleuri Radix) [Bupleurum chinense Root] (stalks removed), Dang Gui (Angelicae Sinensis Radix) [Angelica sinensis Root] (sliced and roasted), Chen Ju Pi (Citri Reticulatae Pericarpium) [Citrus reticulata Peel] (white pith removed, roasted, each 0.5 liang), She Xiang (Musk) [Moschus] (ground, 0.5 qian), Chen Xiang (Aquilariae Lignum Resinatum) [Aquilaria agallocha Wood] (0.5 liang), Gan Cao (Glycyrrhizae Radix et Rhizoma) [Glycyrrhiza uralensis Root] (roasted and cut), Chi Fu Ling (Poria) [Poria cocos Sclerotium] (black skin removed, each 1 liang). The above fifteen herbs, except those requiring grinding, are pounded and sieved into powder, mixed evenly, and formed into pills the size of sophora seeds using refined honey. One-year-old children take one pill, dissolved in warm water.
Formula for treating Bone-Heat in children with evening fever, red face, five-palm heat, weakness in limbs, reduced appetite, night sweats, and sallow complexion: Xi Jiao Tang (Rhinoceros Horn Decoction). Ingredients: Xi Jiao (Rhinocerotis Cornu) [Rhinoceros Horn] (shaved), Chai Hu (Bupleuri Radix) [Bupleurum chinense Root] (stalks removed), Zhi Ke (Aurantii Fructus Immaturus) [Citrus aurantium Unripe Fruit] (pulp removed, bran-fried), Mai Men Dong (Ophiopogonis Radix) [Ophiopogon japonicus Tuber] (heart removed, roasted), Chi Fu Ling (Poria) [Poria cocos Sclerotium] (black skin removed), Shao Yao (Paeoniae Radix) [Paeonia lactiflora Root], Da Huang (Rhei Radix et Rhizoma) [Rheum palmatum Root] (cut and fried), Sang Gen Bai Pi (Mori Cortex) [Morus alba Root Bark] (cut into pieces), Huang Qi (Astragali Radix) [Astragalus membranaceus Root] (cut into pieces), Ren Shen (Ginseng Radix) [Panax ginseng Root] (each 1 fen), Bie Jia (Testudinis Carapax et Plastrum) [Trionyx sinensis Shell] (skirt edge removed, vinegar-fried, 0.5 liang). The above eleven herbs are coarsely crushed and sifted. For each dose of one qian bi (approx. 3-5g), use one cup of water, add seven Tao Ren (Peach Kernel) [Prunus persica Seed] (skin and tip removed), boil in Jiang Shui (fermented rice liquid) until processed, then add forty-nine Mai Men Dong (Ophiopogonis Radix) [Ophiopogon japonicus Tuber] (hearts removed). Decoct until reduced to 70%, strain, and divide into three warm doses. Take after meals and before bedtime.
Decoction modification for treating tidal fever, Bone-Vapor emaciation, and chronic cough/asthma in children: Xi Jiao Tang Modification. Ingredients: Sheng Xi Jiao (Fresh Rhinoceros Horn) [Rhinoceros Horn] (shaved, 0.5 liang), Chai Hu (Bupleuri Radix) [Bupleurum chinense Root] (stalks removed), Qin Jiao (Gentianae Macrophyllae Radix) [Gentiana macrophylla Root] (stalks and soil removed, each 1 liang), Bai Zhu (Atractylodis Macrocephalae Rhizoma) [Atractylodes macrocephala Rhizome], Ren Shen (Ginseng Radix) [Panax ginseng Root], Chi Fu Ling (Poria) [Poria cocos Sclerotium] (black skin removed), Mu Xiang (Aucklandiae Radix) [Aucklandia lappa Root] (each 0.5 liang), Gan Cao (Glycyrrhizae Radix et Rhizoma) [Glycyrrhiza uralensis Root] (roasted, 1 fen). The above eight herbs are coarsely crushed and sifted. For each dose of one qian bi, use 0.7 cups plus one cup of water, add thirty-seven Xiao Mai (Tritici Venientis Granum) [Triticum aestivum Grain], decoct together until reduced to 60%, strain, and take warm. Three times daily.
Formula for treating emaciation, five-palm tidal fever, resolving Bone-Heat, and promoting muscle growth and Qi supplementation in children: Bao Tong Wan (Child-Protection Pill). Ingredients: Dan Sha (Cinnabar) [Cinnabaris] (ground, 1 fen), Da Huang (Rhei Radix et Rhizoma) [Rheum palmatum Root] (cut and fried), Chi Shao Yao (Red Paeonia Root) [Paeonia lactiflora Root], Zhi Zi Ren (Gardeniae Semen) [Gardenia jasminoides Seed] (each 0.5 liang), Zhi Mu (Anemarrhenae Rhizoma) [Anemarrhena asphodeloides Rhizome] (sliced and roasted), Bie Jia (Testudinis Carapax et Plastrum) [Trionyx sinensis Shell] (skirt edge removed, vinegar-soaked and fried, each 1 liang), Ren Shen (Ginseng Radix) [Panax ginseng Root], Hu Huang Lian (Coptidis Rhizoma variant/Huang Lian substitute) [Coptis chinensis or related species] (each 0.5 liang). The above eight herbs, except those requiring grinding, are pounded into fine powder. Mix with ground Cinnabar, use soaked steamed cake dough as binder to form pills the size of small mung beans. Take 5-10 pills per dose, with warm honey water or Ren Shen Tang (Ginseng Decoction).
Formula for treating Bone-Heat Labor Disease, sallow face, emaciated muscles, fever, and night sweats in children: Hu Huang Lian Wan (Coptis Pill). Ingredients: Hu Huang Lian (Coptis Rhizome variant) [Coptis chinensis or related species], Ye Ming Sha (Pharidae Concha) [Pharilis concha], Wu Ling Zhi (Trogopterori Faeces) [Trogopterus dung] (each 0.5 liang), Chai Hu (Bupleuri Radix) [Bupleurum chinense Root] (stalks removed, 1 liang), She Xiang (Musk) [Moschus] (ground, 0.5 qian), Bie Jia (Testudinis Carapax et Plastrum) [Trionyx sinensis Shell] (skirt edge removed, vinegar-fried), Ren Shen (Ginseng Radix) [Panax ginseng Root] (each 0.5 liang). The above seven herbs are pounded and sieved into powder. Use Pig Gallbladder Juice (Zhu Dan) [Sus scrofa domestica Bile] to cook wheat paste, forming pills the size of mung beans. Take 10-15 pills per dose, with Mi Yin (rice drink). Time is not restricted.
Formula for treating Bone-Heat skin sores, weak musculature, and body heat in children: Lian Qiao Tang (Forsythia Decoction). Ingredients: Lian Qiao (Forsythiae Fructus) [Forsythia suspensa Fruit], Shan Zhi Zi (Gardeniae Fructus) [Gardenia jasminoides Fruit] (skin removed), Gan Cao (Glycyrrhizae Radix et Rhizoma) [Glycyrrhiza uralensis Root] (roasted), Huang Qin (Scutellariae Radix) [Scutellaria baicalensis Root] (black heart removed), Qin Jiao (Gentianae Macrophyllae Radix) [Gentiana macrophylla Root] (stalks and soil removed), Fang Feng (Saposhnikoviae Radix) [Saposhnikovia divaricata Root], Mai Men Dong (Ophiopogonis Radix) [Ophiopogon japonicus Tuber] (heart removed, roasted, each 1 liang), Zhi Mu (Anemarrhenae Rhizoma) [Anemarrhena asphodeloides Rhizome] (roasted), Jing Jie Sui (Schizonepetae Spica) [Schizonepeta tenuifolia Inflorescence] (each 0.5 liang). The above nine herbs are coarsely crushed and sifted. For each dose of one qian bi, use 0.7 cups of water, decoct until reduced to 40%, strain, and take warm after meals and before bedtime.
Formula for treating Bone-Vapor tidal fever, emaciation with red cheeks, irritability, night sweats, failure of food to nourish flesh, and lingering toxins after illness in children: Ling Yang Jiao Tang (Antelope Horn Decoction). Ingredients: Ling Yang Jiao (Saigae Tataricae Cornu) [Saiga tatarica Horn], Di Gu Pi (Lycii Cortex) [Lycium barbarum Root Bark], Qin Jiao (Gentianae Macrophyllae Radix) [Gentiana macrophylla Root] (stalks and soil removed), Mai Men Dong (Ophiopogonis Radix) [Ophiopogon japonicus Tuber] (heart removed, roasted), Zhi Ke (Aurantii Fructus Immaturus) [Citrus aurantium Unripe Fruit] (pulp removed, bran-fried), Da Huang (Rhei Radix et Rhizoma) [Rheum palmatum Root] (cut and fried), Chai Hu (Bupleuri Radix) [Bupleurum chinense Root] (stalks removed), Chi Fu Ling (Poria) [Poria cocos Sclerotium] (black skin removed), Shao Yao (Paeoniae Radix) [Paeonia lactiflora Root], Sang Gen Bai Pi (Mori Cortex) [Morus alba Root Bark] (cut into pieces), Huang Qi (Astragali Radix) [Astragalus membranaceus Root] (cut into pieces), Ren Shen (Ginseng Radix) [Panax ginseng Root], Bie Jia (Testudinis Carapax et Plastrum) [Trionyx sinensis Shell] (skirt edge removed, vinegar-fried, each 1 liang). The above thirteen herbs are coarsely crushed and sifted. For each dose of one qian bi, use one cup of water, add a small amount of Qing Hao (Artemisiae Annuae Herba) [Artemisia annua Herb], decoct until reduced to 60%, strain, and take warm after meals. Adjust dosage according to the child's size.
Formula for treating Bone-Heat, Bone-Vapor Heat-Labor in children under fifteen, body feeling like fire, gradual sallow emaciation, night sweats, cough, irritability, and thirst: Dan Sha Wan (Cinnabar Pill). Ingredients: Dan Sha (Cinnabar) [Cinnabaris] (two liang, flying/grinding process), Chai Hu (Bupleuri Radix) [Bupleurum chinense Root] (stalks removed, ground into powder, four liang). The above two ingredients are ground evenly, mixed with Pig Gallbladder Juice (Zhu Dan) [Sus scrofa domestica Bile], steamed once in a rice steamer, cooled, and formed into pills the size of mung beans. Take ten pills per dose, with Tao Ren Wu Mei Jian Tang (Peach Kernel and Mume Fruit Decoction). Three times daily.