夫小儿伤寒。若四五日后。热即入里。即宜下之。下之得利后。热犹不除者。是余热未
尽故
治小儿伤寒。二三日。已服药得汗后。余热未除。宜服逐毒瓦斯。葳蕤散方。
葳蕤（半两） 川大黄（半两锉微炒） 川升麻（半两） 甘草（半两炙微赤锉） 黄
芩（半两）
大
上件药。捣粗罗为散。每服一钱。以水一小盏。
煎至五分。去滓。不计时候。量儿大小。加减温服。
治小儿伤寒。汗利以后。余热不除。口干心烦。不欲乳食。黄 散方。
黄 （一分锉） 麦门冬（半两去心焙） 知母（一分） 人参（一分去芦头） 赤茯
苓（一分）
黄
上件药。捣粗罗为散。每服一钱。以水一小盏。
煎至五分。去滓。不计时候温服。量儿大小。加减服之。
治小儿伤寒。得汗利后。余热不除。心神烦躁。夜卧不安。黄连散方。
黄连（一分去须） 大青（二（一）分） 川升麻（一分） 赤茯苓（一分） 人参（一
分去芦头）
甘
（半分）
上件药。捣粗罗为散。每服一钱。以水一小盏。
煎至五分。去滓。不计时候温服。量儿大小。加减服之。
治小儿伤寒。汗利以后。余热不解。身体疼痛。心神虚烦。不思乳食。麦门冬散
方。
麦门冬（半两去心焙） 子芩（一分） 葛根（一分锉） 川升麻（半两） 前胡（半
两去芦）
玄参
锉）
上件药。捣粗罗为散。每服一钱。以水一小盏。入生姜少许。
煎至五分。去滓。不计时候温服。量儿大小。以意加减。
治小儿伤寒后。余热不除。心神不安。宜服茯神丸方。
茯神（半两） 麦门冬（半两去心焙） 犀角屑（一分） 栀子仁（一分） 白藓皮（一
分） 川
升麻
上件药。捣罗为末。与铁粉朱砂。同研令匀。炼蜜和丸。如绿豆大。不计时候。以温水
下五
治小儿伤寒后。余热不除。四肢不利。宜用此汤浴方。
川大黄（半两） 甘草（半两） 防风（半两去芦头） 丹参（半两） 雷丸（三分） 白
术（半
两）
上件药。捣粗罗为散。每服一两。以水三升。
煎至二升半。去滓。看冷热。于密室中浴儿。
Pediatric Shanghan (Cold Damage) disease. If, after four or five days of onset. the heat pathogen enters the interior. purgation should be applied at this time. After purgation and bowel movement. if fever persists. it is because residual heat has not been completely cleared.
For pediatric Shanghan (Cold Damage). when residual heat remains after sweating therapy with medication within two to three days of onset. it is appropriate to administer Wei Yu San (Jade Ribbon Powder) to expel toxic pathogens.
Wei Yu (Polygonatum odoratum, half tael) Chuan Da Huang (Rheum palmatum from Sichuan, half tael, crushed and lightly stir-fried) Chuan Sheng Ma (Bupleuri Radix from Sichuan, half tael) Gan Cao (Glycyrrhizae Radix et Rhizoma, half tael, honey-fried until slightly red and crushed) Huang Qin (Scutellariae Radix, half tael)
Da (Note: Likely a typo or formatting error in original text, retained as is)
The above herbs are coarsely ground and sieved to make a powder. Each dose is one qian. Boil with one small cup of water.
Simmer until reduced to five fen volume. Strain out the dregs. Take warm at any time. Adjust dosage according to the child's age.
For pediatric Shanghan (Cold Damage). after sweating or purging. if residual heat persists. accompanied by dry mouth and vexation. and aversion to milk or food. Huang Qi San (Astragalus Powder) is indicated. (Note: Original text "Huang San" likely refers to Huang Qi San based on context and common formulas, but strictly translating visible text)
Huang Qi (Astragali Radix, one fen, crushed) Mai Men Dong (Ophiopogonis Tuber, half tael, core removed and baked) Zhi Mu (Anemarrhenae Rhizoma, one fen) Ren Shen (Ginseng Radix, one fen, radix removed) Chi Fu Ling (Poria with Hostwood, one fen)
Huang (Redundant character in original text)
The above herbs are coarsely ground and sieved to make a powder. Each dose is one qian. Boil with one small cup of water.
Simmer until reduced to five fen volume. Strain out the dregs. Take warm at any time. Adjust dosage according to the child's age.
For pediatric Shanghan (Cold Damage). after sweating or purging. if residual heat persists. with mental restlessness and insomnia at night. Huang Lian San (Coptis Powder) is indicated.
Huang Lian (Coptidis Rhizoma, one fen, fibrous roots removed) Da Qing (Isatidis Folium, two fen) Chuan Sheng Ma (Bupleuri Radix from Sichuan, one fen) Chi Fu Ling (Poria with Hostwood, one fen) Ren Shen (Ginseng Radix, one fen, radix removed)
Gan (Incomplete term in original text, likely Gan Cao/Glycyrrhizae Radix et Rhizoma)
The above herbs are coarsely ground and sieved to make a powder. Each dose is one qian. Boil with one small cup of water.
Simmer until reduced to five fen volume. Strain out the dregs. Take warm at any time. Adjust dosage according to the child's age.
For pediatric Shanghan (Cold Damage). after sweating or purging. if residual heat is not resolved. with body pain. mental deficiency vexation. and aversion to milk or food. Mai Men Dong San (Ophiopogon Powder) is indicated.
Mai Men Dong (Ophiopogonis Tuber, half tael, core removed and baked) Zi Qin (Scutellariae Radix, one fen) Ge Gen (Puerariae Lobatae Radix, one fen, crushed) Chuan Sheng Ma (Bupleuri Radix from Sichuan, half tael) Qian Hu (Peucedani Radix, half tael, radix removed)
Xuan Shen (Scrophulariae Radix, one fen, crushed)
The above herbs are coarsely ground and sieved to make a powder. Each dose is one qian. Boil with one small cup of water. Add a small amount of fresh ginger.
Simmer until reduced to five fen volume. Strain out the dregs. Take warm at any time. Adjust dosage according to the child's age.
After pediatric Shanghan (Cold Damage). if residual heat persists. with mental unrest. Fu Shen Wan (Poria Pill) is indicated.
Fu Shen (Poria with Pine Root, half tael) Mai Men Dong (Ophiopogonis Tuber, half tael, core removed and baked) Xi Jiao (Rhinocerotis Cornu, one fen) Zhi Zi Ren (Gardeniae Semen, one fen) Bai Xian Pi (Dictamni Cortex, one fen) Chuan Sheng Ma (Bupleuri Radix from Sichuan, half tael)
The above herbs are finely ground into powder. Mix evenly with Tie Fen (Iron Powder) and Zhu Sha (Cinnabar). Blend with refined honey to form pills the size of mung beans. Take five pills with warm water at any time.
After pediatric Shanghan (Cold Damage). if residual heat persists. with impaired mobility of the four limbs. this decoction for bathing is indicated.
Chuan Da Huang (Rheum palmatum from Sichuan, half tael) Gan Cao (Glycyrrhizae Radix et Rhizoma, half tael) Fang Feng (Saposhnikoviae Radix, half tael, radix removed) Dan Shen (Salviae Miltiorrhizae Radix, half tael) Lei Wan (Oxyuris/Polysphincta egg case, three fen) Bai Zhu (Atractylodis Macrocephalae Rhizoma, half tael)
The above herbs are coarsely ground and sieved to make a powder. Each dose is one liang. Boil with three sheng of water.
Simmer until reduced to two and a half sheng volume. Strain out the dregs. Adjust water temperature. Bathe the child in a sealed room.