夫小儿冷热不调者。盖为乳食乖度。寒温失节。或阴阳相胜。气血不调。致令冷归下焦。
热
不
治小儿冷热不调。胃气壅滞。少思饮食。木香散方。
木香（一分） 大腹皮（一分锉） 人参（一分去芦头） 赤茯苓（一分） 青橘皮（一
分汤浸
去白
遍去滑）
丁
上件药。捣粗罗为散。每服一钱。以水一小盏。入生姜半枣大。
煎至五分。去滓放温。量儿
治小儿冷热不调。可思饮食。食即不消。赤芍药丸方。
赤芍药（三分） 桂心（一分） 柴胡（半两去苗） 鳖甲（一两涂醋炙令黄去裙 ） 川
大黄
（三
上件药。捣罗为末。炼蜜和丸。如梧桐子大。二岁以上。粥饮化破三丸服。日三服。如
四岁
治小儿冷热不调。腹内疼痛。发歇不定。白术散方。
白术（半两） 当归（半两锉碎微炒） 芎 （半两） 干姜（一分炮裂锉） 青橘皮
（一分汤
浸去
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。分减服之。
治小儿冷热不调。腹痛下痢。香连散方。
木香（一分） 黄连（半两去须） 当归（一分锉微炒） 干姜（一分炮裂锉） 阿胶
（半两捣
碎炒
上件药。捣细罗为散。每服。以粥饮调下半钱。量儿大小。加减频服。
治小儿冷热不调。大便或壅或通。不欲乳食。诃黎勒散方。
诃黎勒皮（半两） 人参（一分去芦头） 槟榔（一分） 木香（一分） 川大黄（半
两锉碎微
炒）
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。量儿大小。加减温服。
治小儿冷热不调。大便青黄。心腹多痛。不欲乳食。当归丸方。
当归（三分锉微炒） 人参（三分去芦头） 白芍药（二分） 芎 （三分） 甘草（半
两炙微
赤锉）
上件药捣罗为末。以面糊和丸。如麻子大。每服。以粥饮下五丸。日三服。三岁以上。
加丸
治小儿冷热不调。腹痛不可忍。或时寒热。下痢浓血。木香丸方。
木香（一分） 芎 （半两） 当归（半两锉碎微炒） 桔梗（半两去芦头） 黄芩（半
两）
上件药。捣罗为末。炼蜜和丸。如梧桐子大。不计时候。以温生姜汤研破二丸服之。量
儿大
治小儿四五岁。腹内冷热不调。不能食饮。调气散方。
白术（三分） 人参（三分去芦头） 甘草（三分炙微赤锉） 浓朴（一两去粗皮涂生
姜汁炙
令香
上件药。捣粗罗为散。每服一钱。以水一盏。入生姜少许。
煎至五分。去滓放温。量儿大小。加减服之。
治小儿冷热不调。或时下痢。腹痛。不能饮食。犀角散方。
屑角屑（半两） 桂心（半两） 甘草（半两炙微赤锉） 当归（半两锉碎微炒） 黄
连（半两
去须）
上件药。捣粗罗为散。每服一钱。以水一小盏。
煎至五分。去滓放温服之。日三服。量儿大小。以意加减。
治小儿冷热不调。肠胃滞结。壮热作时。两肋刺痛。赤茯苓丸方。
赤茯苓（三分） 当归（一分锉微炒） 芎 （一分） 川大黄（三分锉碎微炒） 鳖
甲（三分
涂醋
上件药。捣罗为末。炼蜜和丸。如绿豆大。每服。以粥饮下五丸。日三服。量儿大小。
以意
For pediatric conditions characterized by the imbalance of cold and heat, it is generally due to irregularities in breastfeeding or feeding, and improper regulation of warmth and coolness. Alternatively, it may result from the mutual excess of yin and yang, and the disharmony of qi and blood, leading to cold pathogens settling in the lower jiao (lower burner), while heat [text incomplete] fails to be treated.
**Treatment for pediatric cold-heat imbalance with stagnation of stomach qi, leading to poor appetite: Muxiang San (Costus Powder)**
* *Muxiang* (Mu Xiang, Radix Aucklandiae) - 1 fen
* *Dafupi* (Da Fu Pi, Pericarpium Arecae) - 1 fen, crushed
* *Renshen* (Ren Shen, Radix Ginseng) - 1 fen, rhizome removed
* *Chifuling* (Chi Fu Ling, Poria Cocos cum Corte Rubra) - 1 fen
* *Qingjupi* (Qing Pi, Pericarpium Citri Reticulatae Viride) - 1 fen, soaked in hot water, albedo removed, stir-fried until non-greasy
The above herbs are coarsely ground into a powder. Take 1 qian per dose, add one small cup of water and ginger the size of half a jujube. Decoct until the volume reduces to one-fifth. Strain the dregs and allow to cool to warm. Administer according to the child's age.
**Treatment for pediatric cold-heat imbalance where the child desires food but digestion is impaired: Chishaoyao Wan (Red Peony Pill)**
* *Chishaoyao* (Chi Shao Yao, Radix Paeoniae Rubra) - 3 fen
* *Guixin* (Gui Xin, Cortex Cinnamomi) - 1 fen
* *Chaihu* (Chai Hu, Radix Bupleuri) - 0.5 liang, stems removed
* *Biejia* (Bie Jia, Carapax et Plastrum Testudinis) - 1 liang, coated with vinegar and roasted until yellow, skirt removed
* *Chuan Dahuang* (Chuan Da Huang, Radix et Rhizoma Rhei) - 3 liang, crushed and lightly stir-fried
The above herbs are finely ground into powder. Mix with refined honey to form pills the size of paulownia seeds. For children over two years old, dissolve three pills in rice gruel and administer. Three times daily. For children over four years old... [text truncated].
**Treatment for pediatric cold-heat imbalance with abdominal pain of intermittent nature: Baizhu San (Atractylodes Powder)**
* *Baizhu* (Bai Zhu, Rhizoma Atractylodis Macrocephalae) - 0.5 liang
* *Danggui* (Dang Gui, Radix Angelicae Sinensis) - 0.5 liang, crushed and lightly stir-fried
* *Xiongnu* (Xiong Qiong, Radix Ligustici Chuanxiong) - 0.5 liang
* *Ganjiang* (Gan Jiang, Rhizoma Zingiberis Secati) - 1 fen, processed until cracked, crushed
* *Qingjupi* (Qing Pi, Pericarpium Citri Reticulatae Viride) - 1 fen, soaked in hot water, albedo removed
The above herbs are coarsely ground into a powder. Take 1 qian per dose, add one small cup of water. Decoct until the volume reduces to one-fifth. Strain the dregs. Administer at any time, adjusting the dose according to the child's age and size.
**Treatment for pediatric cold-heat imbalance with abdominal pain and dysentery: Xianglian San (Costus and Coptis Powder)**
* *Muxiang* (Mu Xiang, Radix Aucklandiae) - 1 fen
* *Huanglian* (Huang Lian, Rhizoma Coptidis) - 0.5 liang, fibrous roots removed
* *Danggui* (Dang Gui, Radix Angelicae Sinensis) - 1 fen, crushed and lightly stir-fried
* *Ganjiang* (Gan Jiang, Rhizoma Zingiberis Secati) - 1 fen, processed until cracked, crushed
* *Ejiao* (E Jiao, Colla Corii Asini) - 0.5 liang, crushed and stir-fried
The above herbs are finely ground into a powder. Each dose consists of 0.5 qian mixed with rice gruel. Administer frequently, adjusting the frequency based on the child's age.
**Treatment for pediatric cold-heat imbalance with alternating constipation and diarrhea, and loss of appetite: Helile San (Terminalia Powder)**
* *Helilepi* (He Li Le Pi, Cortex Terminaliae Chebulae) - 0.5 liang
* *Renshen* (Ren Shen, Radix Ginseng) - 1 fen, rhizome removed
* *Bolang* (Bing Lang, Semen Arecae) - 1 fen
* *Muxiang* (Mu Xiang, Radix Aucklandiae) - 1 fen
* *Chuan Dahuang* (Chuan Da Huang, Radix et Rhizoma Rhei) - 0.5 liang, crushed and lightly stir-fried
The above herbs are coarsely ground into a powder. Take 1 qian per dose, add one small cup of water and a little ginger. Decoct until the volume reduces to one-fifth. Strain the dregs. Administer warm at any time, adjusting the dose based on the child's age.
**Treatment for pediatric cold-heat imbalance with greenish-yellow stools, frequent heart/abdominal pain, and loss of appetite: Danggui Wan (Angelica Pill)**
* *Danggui* (Dang Gui, Radix Angelicae Sinensis) - 3 fen, crushed and lightly stir-fried
* *Renshen* (Ren Shen, Radix Ginseng) - 3 fen, rhizome removed
* *Baishaoyao* (Bai Shao Yao, Radix Paeoniae Alba) - 2 fen
* *Xiongnu* (Xiong Qiong, Radix Ligustici Chuanxiong) - 3 fen
* *Gancao* (Gan Cao, Radix Glycyrrhizae Uralensis) - 0.5 liang, roasted until slightly red, crushed
The above herbs are finely ground into powder. Mix with flour paste to form pills the size of hemp seeds. Each dose consists of five pills taken with rice gruel, three times daily. For children over three years old, increase the number of pills... [text truncated].
**Treatment for pediatric cold-heat imbalance with unbearable abdominal pain, occasional chills and fever, and dysentery with pus and blood: Muxiang Wan (Costus Pill)**
* *Muxiang* (Mu Xiang, Radix Aucklandiae) - 1 fen
* *Xiongnu* (Xiong Qiong, Radix Ligustici Chuanxiong) - 0.5 liang
* *Danggui* (Dang Gui, Radix Angelicae Sinensis) - 0.5 liang, crushed and lightly stir-fried
* *Jiegeng* (Jie Geng, Radix Platycodonis) - 0.5 liang, rhizome removed
* *Huangqin* (Huang Qin, Radix Scutellariae) - 0.5 liang
The above herbs are finely ground into powder. Mix with refined honey to form pills the size of paulownia seeds. Administer at any time by dissolving two pills in warm ginger decoction, adjusting the dose based on the child's age... [text truncated].
**Treatment for four-to-five-year-old children with abdominal cold-heat imbalance and inability to eat or drink: Tiaoqi San (Regulating Qi Powder)**
* *Baizhu* (Bai Zhu, Rhizoma Atractylodis Macrocephalae) - 3 fen
* *Renshen* (Ren Shen, Radix Ginseng) - 3 fen, rhizome removed
* *Gancao* (Gan Cao, Radix Glycyrrhizae Uralensis) - 3 fen, roasted until slightly red, crushed
* *Noupo* (Hou Po, Cortex Magnoliae Officinalis) - 1 liang, coarse bark removed, coated with ginger juice and roasted until fragrant
The above herbs are coarsely ground into a powder. Take 1 qian per dose, add one cup of water and a little ginger. Decoct until the volume reduces to one-fifth. Strain the dregs and allow to cool to warm. Administer, adjusting the dose based on the child's age.
**Treatment for pediatric cold-heat imbalance with occasional dysentery, abdominal pain, and inability to eat or drink: Xijiao San (Rhino Horn Powder)**
* *Xijiaoxie* (Xi Jiao Xiao, Cornu Rhinocerotis) - 0.5 liang
* *Guixin* (Gui Xin, Cortex Cinnamomi) - 0.5 liang
* *Gancao* (Gan Cao, Radix Glycyrrhizae Uralensis) - 0.5 liang, roasted until slightly red, crushed
* *Danggui* (Dang Gui, Radix Angelicae Sinensis) - 0.5 liang, crushed and lightly stir-fried
* *Huanglian* (Huang Lian, Rhizoma Coptidis) - 0.5 liang, fibrous roots removed
The above herbs are coarsely ground into a powder. Take 1 qian per dose, add one small cup of water. Decoct until the volume reduces to one-fifth. Strain the dregs and administer warm, three times daily. Adjust the dose based on the child's age.
**Treatment for pediatric cold-heat imbalance with intestinal stagnation, high fever, stabbing pain in the hypochondrium, and dysentery with pus and blood: Chifuling Wan (Red Poria Pill)**
* *Chifuling* (Chi Fu Ling, Poria Cocos cum Corte Rubra) - 3 fen
* *Danggui* (Dang Gui, Radix Angelicae Sinensis) - 1 fen, crushed and lightly stir-fried
* *Xiongnu* (Xiong Qiong, Radix Ligustici Chuanxiong) - 1 fen
* *Chuan Dahuang* (Chuan Da Huang, Radix et Rhizoma Rhei) - 3 fen, crushed and lightly stir-fried
* *Biejia* (Bie Jia, Carapax et Plastrum Testudinis) - 3 fen, coated with vinegar and roasted
The above herbs are finely ground into powder. Mix with refined honey to form pills the size of mung beans. Each dose consists of five pills taken with rice gruel, three times daily. Adjust the dose based on the child's age... [text truncated].