夫小儿寒热结实者。此由风邪客于皮肤。而内有痰饮。渍于腑脏。使血气不和。阴阳交
争。
小便
治小儿寒热结实。或热攻冲心肺。气急。昼夜有汗。日渐消瘦。不吃乳食。柴胡丸
方。
柴胡（半两去苗） 赤茯苓（一分） 人参（一分去芦头） 木香（一分） 桂心（一
分） 川大
黄（
醋炙微
黄去
上件药。捣罗为末。炼蜜和丸。如麻子大。每服。用温水下五丸。日二服。量儿大小。
加减
治小儿憎寒壮热。发歇不定。腹中结实。不能乳食。大黄丸方。
川大黄（半两锉碎微炒） 柴胡（半两去苗） 赤茯苓（一分） 人参（一分去芦头） 木
香
（一分）
汤浸去皮
尖双仁麸
上件药。捣罗为末。炼蜜和丸。如麻子大。每服。以温水下五丸。日三服。量儿大小。
加减
治小儿寒热结实。腹下妨闷。不欲乳食。鳖甲散方。
鳖甲（半两涂醋炙令黄去裙 ） 赤茯苓（半两） 川大黄（一两锉碎微炒） 枳壳（半
两麸
炒微
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。不计时候。量儿大小。分减温服。
治小儿宿食。痰癖寒热。腑脏结实。宜服芒硝丸方。
川朴硝（半两） 川大黄（半两锉碎微炒） 甘遂（一分） 代赭（半两） 半夏（一
分汤洗七
遍去
上件药。捣罗为末。与巴豆杏仁膏一处。研令匀。炼蜜和捣三二百杵。丸如绿豆大。五
六岁
治小儿腹有积滞。致生寒热。腑脏结实。心腹气胀。常多少力。五灵脂丸方。
五灵脂（半两） 陈橘皮（三分汤浸去白瓤焙） 木香（半两） 川大黄（一分锉碎微
炒） 巴
豆霜
上件药。捣罗为末。入巴豆霜。同研令匀。用软饭和丸。如黍米大。每服。以粥饮下两
丸。
The syndrome of cold and heat with solid accumulation in children arises from wind pathogens invading the skin, coupled with internal retention of phlegm-fluids that soak into the zang-fu organs. This disrupts the harmonious flow of Qi and Blood, leading to a conflict between Yin and Yang.
For treating the syndrome of cold and heat with solid accumulation in children: If heat pathogenic factors attack and rush towards the Heart and Lung, causing rapid breathing, sweating day and night, progressive emaciation, and refusal to suckle or eat, use Chaihu Wan (Bupleurum Pill).
Ingredients: Chai Hu (Radix Bupleuri, 0.5 liang, remove seedlings), Chi Fu Ling (Poria Cocos with Red Bark, 1 fen), Ren Shen (Radix Ginseng, 1 fen, remove rhizome), Mu Xiang (Radix Aucklandiae, 1 fen), Gui Xin (Cortex Cinnamomi, 1 fen), Chuan Da Huang (Radix et Rhizoma Rhei, 0.5 liang, stir-bake with vinegar until slightly yellow, discard residue).
Process these ingredients by crushing and sieving them into fine powder. Mix with refined honey to form pills the size of hemp seeds. Administer five pills per dose with warm water, twice daily. Adjust dosage according to the child's age and size.
For treating children suffering from aversion to cold with high fever, where fever comes and goes irregularly, abdominal solid accumulation, and inability to suckle or eat, use Dahuang Wan (Rhubarb Pill).
Ingredients: Chuan Da Huang (Radix et Rhizoma Rhei, 0.5 liang, cut into small pieces and lightly stir-baked), Chai Hu (Radix Bupleuri, 0.5 liang, remove seedlings), Chi Fu Ling (Poria Cocos with Red Bark, 1 fen), Ren Shen (Radix Ginseng, 1 fen, remove rhizome), Mu Xiang (Radix Aucklandiae, 1 fen)... [Text fragment missing specific herbs/processes such as soaking in soup, removing peel/spikes, stir-frying with bran].
Process these ingredients by crushing and sieving them into fine powder. Mix with refined honey to form pills the size of hemp seeds. Administer five pills per dose with warm water, three times daily. Adjust dosage according to the child's age and size.
For treating the syndrome of cold and heat with solid accumulation in children, characterized by distension and oppression in the lower abdomen and reluctance to suckle or eat, use Biejia San (Tartar Shell Powder).
Ingredients: Bie Jia (Carapax Testudinis, 0.5 liang, coat with vinegar and bake until yellow, remove skirt edges), Chi Fu Ling (Poria Cocos with Red Bark, 0.5 liang), Chuan Da Huang (Radix et Rhizoma Rhei, 1 liang, cut into small pieces and lightly stir-baked), Zhi Ke (Fructus Aurantii, 0.5 liang, stir-fry with bran until slightly yellow).
Process these ingredients by crushing and sieving them into coarse powder. Take one qian of powder per dose, add one small cup of water, and decoct until half remains. Strain the dregs and allow to cool to warm temperature. Administer at any time, divided into doses based on the child's age and size, taken warm.
For treating residual food stagnation in children, cold and heat caused by phlegm-pi, and solid accumulation in the zang-fu organs, Mangxiao Wan (Mirabilite Pill) is suitable.
Ingredients: Chuan Piao Xiao (Natrii Sulfas, 0.5 liang), Chuan Da Huang (Radix et Rhizoma Rhei, 0.5 liang, cut into small pieces and lightly stir-baked), Gan Sui (Radix Euphorbiae Humifusae, 1 fen), Dai Zhe Shi (Haematitum, 0.5 liang), Ban Xia (Rhizoma Pinelliae, 1 fen, wash seven times in water...).
Process these ingredients by crushing and sieving them into fine powder. Combine with Ba Dou Xing Ren Gao (Paste of Semen Crotonis and Semen Armeniacae Amarum), grind uniformly. Mix with refined honey and pound 300-200 times to form pills the size of mung beans. For children aged five or six... [Text cuts off before specifying dosage].
For treating abdominal stasis in children leading to cold and heat, solid accumulation in the zang-fu organs, abdominal distension and Qi blockage, and constant fatigue, use Wulingzhi Wan (Trogopterus Dung Pill).
Ingredients: Wu Ling Zhi (Faeces Trogopterori, 0.5 liang), Chen Ju Pi (Pericarpium Citri Reticulatae, 3 fen, soak in water, remove white pith, and bake), Mu Xiang (Radix Aucklandiae, 0.5 liang), Chuan Da Huang (Radix et Rhizoma Rhei, 1 fen, cut into small pieces and lightly stir-baked), Ba Dou Shuang (Semen Crotonis Frost)...
Process these ingredients by crushing and sieving them into fine powder. Add Ba Dou Shuang (Semen Crotonis Frost) and grind uniformly. Mix with soft rice to form pills the size of millet seeds. Administer two pills per dose with gruel broth.