夫小儿血气盛者。则腑脏生热。则脏躁。故令热渴不止也。
治小儿心肺积热。渴不止。咽喉干痛。黄连散方。
黄连（去须） 射干 川升麻 赤茯苓 麦门冬（去心焙） 玄参 甘草（炙微赤锉） 桑
根
白皮
上件药。捣粗罗为散。每服一钱。以水一小盏。入青竹叶七片。
煎至五分。去滓。入蜜半合。更煎一两沸。放温。时时与儿呷之。
治小儿气壅烦热。渴不止。少欲乳食。枇杷叶散方。
枇杷叶（拭去毛炙令黄） 葛根（锉） 胡黄连 甘草（炙微赤锉） 玄参（以上各一
分） 麦
门冬
上件药。捣粗罗为散。每服一钱。以水一小盏。入生姜半分。
煎至五分。去滓。入蜜半两。更煎一两沸。放温。时时与儿呷之。
治小儿心肺热壅。闷烦。渴不止。麦门冬散方。
麦门冬（去心焙） 栀子仁 犀角屑 知母 甘草（炙微赤锉） 黄芩（各半两）
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。不计时候。量儿大小。以意分减温服。
治小儿壮热。渴不止。芦根散方。
芦根（锉） 人参（去芦头） 黄 （锉） 知母 麦门冬（去心焙） 甘草（炙微赤
锉以上各
半两）
上件药。捣粗罗为散。每服一钱。以水一小盏。入竹叶七片。粟米一百粒。
煎至五分。去滓。不计时候温服。量儿大小。以意加减。
治小儿热渴不止。煎银饮子方。
银（五两） 石膏（二两） 寒水石（二两） 蚕蛹茧（二两）
上件药。以水三升。入银石三味。
煎至一升。去银石。次下蛹茧。更煎至七合。去滓。每服
量儿大小。以意加减。
治小儿热渴不止。烦闷。栝蒌根散方。
栝蒌根（三分） 黄芩（半两） 知母（半两）
上件药。捣粗罗为散。每服一钱。以水一小盏。入小麦粟米各一百粒。
煎至五分。去滓。不
又方。
栝蒌根（三分） 黄芩（半两） 小麦（半合）
上件药。都锉。以水二大盏。煎取一盏。去滓。不计时候。量儿大小。分减温服。
又方。
生葛汁（二合） 竹沥（一合）
上件药汁。相和令匀。不计时候。服半合。量儿大小。以意加减。
治小儿热渴不止。腻粉散方。
腻粉（一分） 皂荚〔一挺不（下有缺字）可长七八寸者去黑皮涂酥炙令香熟〕
上将皂荚捣罗为末。入腻粉同研令匀。不计时候。以温水调下一字。量儿大小。以意加
减。
治小儿热渴久不止。石莲散方。
石莲心（三十枚炒令黄） 浮萍（一分）
上件药。都以水一中盏。入生姜少许。
煎至六分。去滓。每服半合。徐徐服之。看儿大小。
以意加减。
又方。
葛根（半两细锉）
上以水一中盏。
煎至六分。去滓。不计时候。分减温服。
In children with vigorous blood and qi, internal heat is generated within the zang-fu organs, leading to Zang Zao (visceral dryness and irritability), which results in persistent heat-induced thirst.
**Huanglian San Formula for treating pediatric accumulation of heat in the Heart and Lung, persistent thirst, and dry, painful throat:**
Coptidis Rhizoma (remove rootlets), Belamcandae Radix, Cimicifugae Rhizoma, Poria Cocos with Red Core, Ophiopogonis Tuber (remove core and bake), Scrophulariae Radix, Glycyrrhizae Radix et Rhizoma (roast until slightly red and chop), Morus Albae Cortex (Sangbaipi).
Crush the above ingredients into a coarse powder. Take one qian per dose. Add seven leaves of Qingzhuye (fresh bamboo leaves) to one small cup of water. Decoct until five fen remains. Strain the dregs. Add half he of honey and boil for one or two more boils. Allow to cool to a warm temperature and let the child sip it occasionally.
**Pipaye San Formula for treating pediatric Qi stagnation with vexatious heat, persistent thirst, and poor appetite for milk and food:**
Eriobotryae Folium (wipe off hairs and roast until yellow), Puerariae Radix (chop), Coptidis Rhizoma (note: text says Huhuanglian, likely Coptis or similar bitter cold herb, but strictly translating as Hu Huanglian/Isatis Root contextually often implies cooling heat, here kept as Hu Huanglian), Glycyrrhizae Radix et Rhizoma (roast until slightly red and chop), Scrophulariae Radix (each one fen above), Ophiopogonis Tuber.
Crush the above ingredients into a coarse powder. Take one qian per dose. Add half qian of Shengjiang (Fresh Ginger) to one small cup of water. Decoct until five fen remains. Strain the dregs. Add half liang of honey and boil for one or two more boils. Allow to cool to a warm temperature and let the child sip it occasionally.
**Maimendong San Formula for treating pediatric heat obstruction in the Heart and Lung, chest oppression, vexation, and persistent thirst:**
Ophiopogonis Tuber (remove core and bake), Gardeniae Fructus, Cornu Bubali (Rhinoceros Horn - *Note: Modern usage substitutes this, but translation retains original term*), Anemarrhenae Rhizoma, Glycyrrhizae Radix et Rhizoma (roast until slightly red and chop), Scutellariae Radix (each half liang).
Crush the above ingredients into a coarse powder. Take one qian per dose. Add seven leaves of Zhuye (Bamboo Leaves) to one small cup of water. Decoct until five fen remains. Strain the dregs. Administer at any time, warming the decoction and adjusting the dose according to the child's age and size.
**Lugen San Formula for treating pediatric high fever and persistent thirst:**
Phragmitis Rhizoma (chop), Ginseng Radix et Rhizoma (remove rhizome head), Astragali Radix (chop), Anemarrhenae Rhizoma, Ophiopogonis Tuber (remove core and bake), Glycyrrhizae Radix et Rhizoma (roast until slightly red and chop; each half liang above).
Crush the above ingredients into a coarse powder. Take one qian per dose. Add seven leaves of Zhuye (Bamboo Leaves) and one hundred grains of Setaria Italica (Millet) to one small cup of water. Decoct until five fen remains. Strain the dregs. Administer warm at any time, adjusting the dose according to the child's age and size.
**Jian Yin Yinzi Formula for treating persistent heat-induced thirst in children:**
Folium Argenti (Silver Leaf/Foil) (five liang), Gypsum Fibrosum (two liang), Halloysitum Rubrum (Cold Water Stone) (two liang), Bombyx Batryticatus Cocoon (Silkworm Pupae Cocoon) (two liang).
Add three sheng of water to the silver leaf, gypsum, and halloysite. Decoct until one sheng remains. Remove the silver and stones. Then add the silkworm pupae cocoons. Decoct until seven he remains. Strain the dregs. Adjust the dose according to the child's age and size.
**Gualougen San Formula for treating persistent heat-induced thirst, vexation, and oppression in children:**
Trichosanthis Radix (three fen), Scutellariae Radix (half liang), Anemarrhenae Rhizoma (half liang).
Crush the above ingredients into a coarse powder. Take one qian per dose. Add one hundred grains each of Triticum aestivum (Wheat) and Setaria Italica (Millet) to one small cup of water. Decoct until five fen remains. Strain the dregs.
**Another Prescription:**
Trichosanthis Radix (three fen), Scutellariae Radix (half liang), Triticum aestivum (Wheat) (half he).
Chop all ingredients. Add two large cups of water and decoct until one cup remains. Strain the dregs. Administer warm at any time, adjusting the dose according to the child's age and size.
**Another Prescription:**
Fresh Puerariae Radix Juice (two he), Phyllostachys Nigra Bamboo Sap (Zhuli) (one he).
Mix the juices evenly. Administer half he at any time, adjusting the dose according to the child's age and size.
**Nifen San Formula for treating persistent heat-induced thirst in children:**
Nifen (Calomel/Mercurous Chloride) (one fen), Gleditsiae Sinensis Fructus (Soap Pod) (one pod, approx. 7-8 cun long, remove black skin, coat with butter/oil, roast until fragrant and cooked).
Grind the soap pod into a fine powder. Mix thoroughly with Nifen. Administer one zi amount mixed with warm water at any time, adjusting the dose according to the child's age and size.
**Shilian San Formula for treating persistent heat-induced thirst in children over a long duration:**
Nelumbinis Plumula (Stone Lotus Plumule) (thirty pieces, stir-fried until yellow), Urtica disperma (Floating Duckweed) (one fen).
Add one medium cup of water and a little Shengjiang (Fresh Ginger) to the above ingredients. Decoct until six fen remains. Strain the dregs. Take half he per dose, administering slowly. Adjust the dose according to the child's age and size.
**Another Prescription:**
Puerariae Radix (half liang, finely chopped).
Add one medium cup of water and decoct until six fen remains. Strain the dregs. Administer warm at any time, adjusting the dose.