夫心者火也。内主于血。神之所舍。小儿蕴积邪热。脏腑壅滞。则令气血不和。心神烦
乱。
治小儿心脏壅热。夜卧狂语。及手足多掣。犀角散方。
犀角屑 川升麻 黄芩 柴胡（去苗以上各三分） 茯神 川大黄（微炒） 钩藤 麦
门冬
（去
上件药。捣粗罗为散。每服一钱。以水一小盏。
煎至五分。去滓。量儿大小。分减温服。
治小儿心热多惊。睡中狂语。烦闷。赤茯苓散方。
赤茯苓 龙齿 黄芩 甘草（炙微赤锉） 钩藤 玄参 石膏（以上各半两） 川升麻
（三
分）
上件药。捣粗罗为散。每服一钱。以水一小盏。入竹叶七片。
煎至五分。去滓。量儿大小。以意分减。
治小儿心热。夜卧狂语。烦渴。黄连散方。
黄连（去须） 川升麻 黄芩 犀角屑 川大黄（锉碎微炒） 麦门冬（去心焙） 甘
草（炙
微赤
上件药。捣细罗为散。每服。以竹沥调下半钱。日三四服。量儿大小。以意加减。
治小儿心热。不睡多惊。狂语。犀角散方。
犀角屑 茯神 人参（去芦头） 天竹黄（细研） 朱砂（细研） 川升麻 麦门冬（去
心焙）
葛
（去苗）
龙齿（细研以上各半两）
上件药。捣细罗为散。入研了药。都研令匀。每服。以温水调下半钱。量儿大小。临时
加减
治小儿心脏风热。神思恍惚。夜多狂语。不得安眠。牛黄散方。
牛黄（半两细研） 白龙脑（一钱细研） 金箔（五十片细研） 朱砂（二两细研水飞
过） 寒
水石
分）
上件药。捣细罗为散。入研了药。都研令匀。每服以蜜水调下半钱。量儿大小。加减服
之。
治小儿壮热。心神烦躁。夜卧狂语。龙脑散方。
龙脑（一钱细研） 牛黄（一钱细研） 黄连（一分去须） 犀角屑 羚羊角屑 琥珀
末甘
草（
上件药。捣细罗为散。每服。用蜜水调下半钱。量儿大小。以意加减。
治小儿心肺烦热。黄瘦毛焦。睡卧多惊。狂语。朱砂丸方。
朱砂（三分细研水飞过） 人参（半两去芦头） 龙脑（一钱细研） 马牙硝（半两） 麝
香
（一钱
芩
甘草
上件药。捣罗为末。炼蜜和丸。如绿豆大。不计时候。以温水研下五丸。量儿大小。以
意加
又方。
铅霜（半分） 铁粉（一分） 牛黄（半分）
上件药。同细研令匀。每服。以竹沥调下一字。
又方。
朱砂（半两） 牛黄（一分）
上件药。同研如面。每服。以水磨犀角。调下一字。
The Heart belongs to Fire in the Five Elements, internally governs Blood, and serves as the residence of Shen (Spirit). When children accumulate pathogenic Heat, causing stagnation and obstruction within the Zang-Fu organs, it leads to disharmony of Qi and Blood, resulting in a vexed and chaotic state of the Heart Spirit.
For treating pediatric cases of Heart organ heat with congestion, manifesting as delirious speech during sleep at night, as well as convulsions of the hands and feet, use Xijiao San (Rhinoceros Horn Powder) Formula.
Ingredients: Xi Jiao (Rhinoceros Horn), Chuan Sheng Ma (Bupleuri Radix Ascendens), Huang Qin (Scutellariae Radix), Chai Hu (Bupleuri Radix, remove seedlings; each 3 fen), Fu Shen (Poria with Hostwood), Chuan Da Huang (Rhei Radix et Rhizoma, lightly stir-fried), Gou Teng (Uncariae Ramulus cum Uncis), Mai Men Dong (Ophiopogonis Tuber, remove heart).
Process the above ingredients by crushing them coarsely and sieving to make a powder. Each dose is one qian. Add one small cup of water, decoct until reduced to five fen, strain off the dregs, and administer warm according to the child's age and size, dividing the dose appropriately.
For treating pediatric cases of Heart heat with frequent fright, delirious speech during sleep, and mental restlessness, use Chifuling San (Red Poria Powder) Formula.
Ingredients: Chi Fu Ling (Red Poria), Long Chi (Dragon Teeth), Huang Qin (Scutellariae Radix), Gan Cao (Licorice Root, honey-fried until slightly red and cut into pieces), Gou Teng (Uncariae Ramulus cum Uncis), Xuan Shen (Scrophulariae Radix), Shi Gao (Gypsum Fibrosum; each half liang), Chuan Sheng Ma (Bupleuri Radix Ascendens; 3 fen).
Process the above ingredients by crushing them coarsely and sieving to make a powder. Each dose is one qian. Add one small cup of water and seven leaves of Zhu Ye (Bambusae Folium), decoct until reduced to five fen, strain off the dregs, and administer according to the child's age and size, adjusting the dosage as appropriate.
For treating pediatric cases of Heart heat, manifesting as delirious speech during sleep at night, mental vexation, and thirst, use Huanglian San (Coptidis Powder) Formula.
Ingredients: Huang Lian (Coptidis Rhizoma, remove mustache), Chuan Sheng Ma (Bupleuri Radix Ascendens), Huang Qin (Scutellariae Radix), Xi Jiao (Rhinoceros Horn), Chuan Da Huang (Rhei Radix et Rhizoma, cut into pieces and lightly stir-fried), Mai Men Dong (Ophiopogonis Tuber, remove heart and bake), Gan Cao (Licorice Root, honey-fried until slightly red).
Process the above ingredients by grinding them finely and sieving to make a powder. For each dose, mix half a qian with Zhu Li (Bambusa Sap). Administer three to four times daily, adjusting the dosage according to the child's age and size.
For treating pediatric cases of Heart heat, manifesting as insomnia, frequent fright, and delirious speech, use Xijiao San (Rhinoceros Horn Powder) Formula.
Ingredients: Xi Jiao (Rhinoceros Horn), Fu Shen (Poria with Hostwood), Ren Shen (Ginseng Radix, remove rhizome), Tian Zhu Huang (Bambusae Resina), Zhu Sha (Cinnabar, finely ground), Chuan Sheng Ma (Bupleuri Radix Ascendens), Mai Men Dong (Ophiopogonis Tuber, remove heart and bake), Ge Gen (Puerariae Radix, remove seedlings), Long Chi (Dragon Teeth, finely ground; each half liang).
Process the above ingredients by grinding them finely and sieving to make a powder. Mix in the already-ground ingredients and grind uniformly. For each dose, mix half a qian with warm water. Adjust the dosage temporarily according to the child's age and size.
For treating pediatric cases of Wind-Heat in the Heart organ, manifesting as absent-mindedness, frequent delirious speech at night, and inability to sleep peacefully, use Niuhuang San (Calculus Bovis Powder) Formula.
Ingredients: Niu Huang (Calculus Bovis, half liang, finely ground), Bai Long Nao (Borneolum Syntheticum, one qian, finely ground), Jin Bo (Folium Aurum, fifty sheets, finely ground), Zhu Sha (Cinnabar, two liang, finely ground and washed with water), Hanshui Shi (Halloysitum Rubrum; 3 fen).
Process the above ingredients by grinding them finely and sieving to make a powder. Mix in the already-ground ingredients and grind uniformly. For each dose, mix half a qian with honey-water. Adjust the dosage according to the child's age and size.
For treating pediatric cases of high fever, mental restlessness, and delirious speech during sleep at night, use Longnao San (Borneolum Powder) Formula.
Ingredients: Long Nao (Borneolum, one qian, finely ground), Niu Huang (Calculus Bovis, one qian, finely ground), Huang Lian (Coptidis Rhizoma, one fen, remove mustache), Xi Jiao (Rhinoceros Horn), Lingyang Jiao (Saigae Tataricae Cornu), Hupo Mo (Succinum Pulvis), Gan Cao (Licorice Root).
Process the above ingredients by grinding them finely and sieving to make a powder. For each dose, mix half a qian with honey-water. Adjust the dosage according to the child's age and size.
For treating pediatric cases of Heart and Lung heat with vexation, yellowish emaciation, dry and brittle hair, frequent fright during sleep, and delirious speech, use Zhusha Wan (Cinnabar Pill) Formula.
Ingredients: Zhu Sha (Cinnabar, three fen, finely ground and washed with water), Ren Shen (Ginseng Radix, half liang, remove rhizome), Long Nao (Borneolum, one qian, finely ground), Mayaxiao (Natrii Sulfas), She Xiang (Moschus, one qian), Huang Qin (Scutellariae Radix), Gan Cao (Licorice Root).
Process the above ingredients by sifting them into powder. Mix with refined honey to form pills the size of mung beans. Take at any time, dissolving five pills in warm water. Adjust the number of pills according to the child's age and size.
Another prescription:
Qianshuang (Plumbi Subcarbonas, half fen), Tiefen (Hydrargyri Oxydum Rubrum, one fen), Niu Huang (Calculus Bovis, half fen).
Grind the above ingredients together finely until uniform. For each dose, mix one zi amount with Zhu Li (Bambusa Sap).
Yet another prescription:
Zhu Sha (Cinnabar, half liang), Niu Huang (Calculus Bovis, one fen).
Grind the above ingredients together until fine like flour. For each dose, mix one zi amount with Xi Jiao juice prepared by grinding Rhinoceros Horn in water.