夫小儿寒热往来者。由风邪外客于皮肤。而内痰饮渍于脏腑。致人血气不和。阴阳更相
乘克
热往
治小儿寒热往来。啼呼腹痛。宜服赤芍药散方。
赤芍药（半两） 寒水石（半两） 黄芩（半两） 当归（半两锉微炒） 甘草（半两
炙微赤锉）
桂
上件药。捣粗罗为散。每服一钱。以水一小盏。入生地黄半分。
煎至五分。去滓。不计时候温服。量儿大小。加减服之。
治小儿寒热往来。乳食不下。四肢无力。心腹胀满。上焦疼。渐渐羸瘦。柴胡散
方。
柴胡（一两去苗） 人参（半两去芦头） 赤芍药（半两） 桔梗（半两去芦头） 鳖
甲（一两
涂醋
炒微
黄）
上件药。捣筛为散。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。
治小儿寒热往来。腹胀渐瘦。不能饮食。宜服鳖甲散方。
鳖甲（一两涂醋炙令黄去裙 ） 柴胡（三分去苗） 赤茯苓（半两） 子芩（半两） 诃
黎勒
皮（
白瓤焙）
知
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。加减服之。以利为度。
治小儿寒热往来。头痛呕吐。及乳癖。诃黎勒丸方。
诃黎勒皮（半两） 木香（半两） 人参（半两去芦头） 赤茯苓（半两） 桂心（半
两） 柴胡
（三
上件药。捣罗为末。炼蜜和丸。如麻子大。每服。以薄荷生姜汤下五丸。日三四服。更
量儿
治小儿寒热往来。四肢羸瘦。鳖甲散方。
鳖甲（三分涂醋炙微黄） 淡竹茹（一分） 恒山（一杏仁许大） 川大黄（一分锉碎
微炒）
上件药。捣粗罗为散。每服一钱。以水一小盏。入葱白二寸。
煎至五分。去滓。研入麝香一豆大。更煎一两沸。温服。日三服。更量儿大小。以意加
减。
治小儿寒热往来。面色萎黄。柴胡散方。
柴胡（半两去苗） 石膏（一两） 川大黄（一分锉碎微炒） 麻黄（一分去根节） 秦
艽（一
分去
上件药。捣粗罗为散。每服一钱。以水一小盏。
煎至五分。去滓。温服。日三服。量儿大小。以意加减。
治小儿寒热往来不休。不能乳食。莽草汤浴方。
莽草（一两） 丹参（一两） 菖蒲（二两） 蛇床子（半两） 雷丸（一合） 桂心
（半两）
上件药。都锉。以水五升。煮至三升。去滓。通寒温以浴儿。宜避风冷。
又方。
上取猪后脚悬蹄。烧灰细研。以乳汁调下半钱。日三服。随儿大小。以意加减。
When children experience alternating chills and fever (Hanre Wanglai), it is caused by wind pathogen (Fengxie) invading the skin externally, while phlegm-fluid retention (Tanyin) soaks the internal organs. This leads to disharmony of blood and qi (Xueqi) and mutual overacting between yin and yang (Yinyang).
For treating alternating chills and fever in children accompanied by crying, calling, abdominal pain, and tenderness, the Chishao Yao San (Red Peony Powder) formula is suitable.
Ingredients: Chishao Yao (Radix Paeoniae Rubra, half liang), Hanshui Shi (Aqua Calcitae, half liang), Huangqin (Radix Scutellariae, half liang), Danggui (Radix Angelicae Sinensis, half liang, sliced and lightly stir-fried), Gancao (Radix Glycyrrhizae, half liang, honey-fried until slightly red and sliced).
Preparation and Administration: The above ingredients are coarsely ground into a powder. Each dose consists of one qian, boiled with one small cup of water and half a qian of Shengdihuang (Radix Rehmanniae Recens) until reduced to five fen. Strain the dregs and take warm at any time. Adjust the dosage according to the child's age and size.
For treating alternating chills and fever in children with poor appetite for milk and food, weakness in the four limbs, abdominal distension and fullness, upper jiao (Upper Burner) pain, and gradual emaciation, the Chaihu San (Bupleurum Powder) formula is suitable.
Ingredients: Chaihu (Radix Bupleuri, one liang, remove seedlings), Renshen (Radix Ginseng, half liang, remove rhizome), Chishao Yao (Radix Paeoniae Rubra, half liang), Jiegeng (Radix Platycodi, half liang, remove rhizome), Biejia (Carapax et Plastrum Testudinis, one liang, coated with vinegar and stir-fried until slightly yellow).
Preparation and Administration: The above ingredients are finely ground into a powder. Each dose consists of one qian, boiled with one small cup of water until reduced to five fen. Strain the dregs and take warm at any time. Adjust the dosage according to the child's age and size.
For treating alternating chills and fever in children with abdominal distension, gradual emaciation, and inability to eat, the Biejia San (Turtle Shell Powder) formula is suitable.
Ingredients: Biejia (Carapax et Plastrum Testudinis, one liang, vinegar-processed, yellow, remove skirt), Chaihu (Radix Bupleuri, three qian, remove seedlings), Chi Fuling (Poria Cocos with Red Host, half liang), Ziqin (Radix Scutellariae, half liang), Helile Pi (Pericarpium Chebulae, processed without white pulp), Zhi (Rhizoma Anemarrhenae, likely abbreviated as 'Zhi' in text, half liang - *Note: Text fragmentarily lists 'Zhi', interpreted as Zhi Mu for coherence*).
Preparation and Administration: The above ingredients are coarsely ground into a powder. Each dose consists of one qian, boiled with one small cup of water and a little fresh ginger root until reduced to five fen. Strain the dregs and take warm at any time. Adjust the dosage according to the child's age and size. Use mild laxation as the guideline.
For treating alternating chills and fever in children with headache, vomiting, and breast lumps/stasis (Rupi), the Helile Wan (Chebula Pill) formula is suitable.
Ingredients: Helile Pi (Pericarpium Chebulae, half liang), Muxiang (Radix Aucklandiae, half liang), Renshen (Radix Ginseng, half liang, remove rhizome), Chi Fuling (Poria Cocos with Red Host, half liang), Guixin (Cortex Cinnamomi, half liang), Chaihu (Radix Bupleuri, three... *text incomplete*).
Preparation and Administration: The above ingredients are ground into fine powder and mixed with refined honey to form pills the size of hemp seeds. Take five pills each time with Mint and Ginger Decoction. Administer three to four times daily. Adjust the dosage according to the child's age and size.
For treating alternating chills and fever in children with emaciated four limbs, the Biejia San (Turtle Shell Powder) formula is suitable.
Ingredients: Biejia (Carapax et Plastrum Testudinis, three qian, vinegar-processed until slightly yellow), Danzhuru (Succus Bambusae, one qian), Hengshan (Radix Dichroae, size of one apricot kernel), Chuan Dahuang (Radix et Rhizoma Rhei, one qian, sliced and lightly stir-fried).
Preparation and Administration: The above ingredients are coarsely ground into a powder. Each dose consists of one qian, boiled with one small cup of water and two cun of Congbai (White Part of Allii Fistulosi Bulbus) until reduced to five fen. Strain the dregs, add one bean-sized amount of Shexiang (Moschus), boil for one more minute, and take warm. Administer three times daily. Adjust the dosage according to the child's age and size.
For treating alternating chills and fever in children with sallow complexion, the Chaihu San (Bupleurum Powder) formula is suitable.
Ingredients: Chaihu (Radix Bupleuri, half liang, remove seedlings), Shigao (Gypsum Fibrosum, one liang), Chuan Dahuang (Radix et Rhizoma Rhei, one qian, sliced and lightly stir-fried), Mahuang (Herba Ephedrae, one qian, remove roots and joints), Qinjiao (Radix Gentianae Macrophyllae, one qian... *text incomplete*).
Preparation and Administration: The above ingredients are coarsely ground into a powder. Each dose consists of one qian, boiled with one small cup of water until reduced to five fen. Strain the dregs and take warm. Administer three times daily. Adjust the dosage according to the child's age and size.
For treating incessant alternating chills and fever in children with inability to nurse or eat, the Mangcao Tang Bath formula is suitable.
Ingredients: Mangcao (Herba Siegesbeckiae, one liang), Danshen (Radix Salviae Miltiorrhizae, one liang), Changpu (Rhizoma Acori Tatarinowii, two liang), Shechuangzi (Fructus Cnidii, half liang), Leiwan (Egg of Holoturia, one he), Guixin (Cortex Cinnamomi, half liang).
Preparation and Administration: All ingredients are chopped. Boil in five sheng of water until reduced to three sheng. Strain the dregs. Bathe the child in the decoction when the temperature is suitable (neither too hot nor too cold). Avoid wind and cold.
Another prescription.
Take the hoof tips of the pig's hind legs, burn them to ash, and grind finely. Mix with milk and administer half a qian. Administer three times daily. Adjust the dosage according to the child's age and size.