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Pediatric heat-dysentery arises from the child's underlying deficiency combined with internal heat, which is then invaded by wind-heat pathogenic factors. Both wind and heat pathogens enter the Large Intestine, resulting in heat-dysentery.

For pediatric heat-dysentery presenting with abdominal pain (Abdominal Pain), mental restlessness (Mental Restlessness), dry mouth (Dry Mouth), dark yellow urine (Dark Yellow Urine), and poor appetite (Poor Appetite), use Gardenia Seed Powder (Zhizi Ren San).
Gardenia Seed (Zhizi Ren, *Gardeniae Fructus*) (half liang)
Phellodendron Bark (Huangbai, *Phellodendri Cortex*) (three fen, lightly roasted and crushed)
Angelica Sinensis Root (Danggui, *Angelicae Sinensis Radix*) (half liang, crushed and lightly stir-fried)
Sanguisorba Root (Diyu, *Sanguisorbae Radix*) (three fen, lightly roasted and crushed)
Coptis Rhizome (Huanglian, *Coptidis Rhizoma*) (one liang, remove the stamens)
Crush the above ingredients finely, sift through a fine sieve to make a powder. Each dose consists of half qian, mixed with rice water for oral administration, three to four times daily. Adjust the dosage according to the child's age.

For pediatric heat-dysentery presenting with irritability and abdominal pain (Irritability and Abdominal Pain), sallow complexion (Sallow Complexion), and emaciation (Emaciation), it is suitable to use Rhinoceros Horn Powder (Xijiao San).
Rhinoceros Horn Shavings (Xijiao Xie, *Rhinocerotis Cornu*) (half liang)
Red Peony Root (Chishaoyao, *Paeoniae Radix Rubra*) (three fen)
Coptis Rhizome (Huanglian, *Coptidis Rhizoma*) (three fen, remove stamens and lightly stir-fry)
Scutellaria Root (Huangqin, *Scutellariae Radix*) (half liang)
Anemarrhena Rhizome (Zhimu, *Anemarrhenae Rhizoma*) (three fen)
Polygonatum Rhizome (Weirui, *Polygonati Rhizoma*) (three fen)
Crush the above ingredients coarsely, sift through a coarse sieve to make a powder. Each dose is one qian, decocted in one small cup of water until reduced to half a cup. Strain the dregs. Administer three to four times daily, adjusting according to the child's age.

For pediatric heat-dysentery presenting with emaciation (Emaciation), dry mouth (Dry Mouth), irritability (Irritability), and poor appetite (Poor Appetite), use Trichosanthes Root Powder (Gualougen San).
Trichosanthes Root (Gualougen, *Trichosanthis Radix*) (half liang)
White Poria (Baifuling, *Poria*) (half liang)
Anemarrhena Rhizome (Zhimu, *Anemarrhenae Rhizoma*) (half liang)
Scutellaria Root (Huangqin, *Scutellariae Radix*) (half liang)
Sanguisorba Root (Diyu, *Sanguisorbae Radix*) (half liang, lightly roasted and crushed)
Licorice Root (Gancao, *Glycyrrhizae Radix et Rhizoma*) (half liang)
Crush the above ingredients coarsely, sift through a coarse sieve to make a powder. Each dose is one qian, decocted in one small cup of water until reduced to half a cup. Strain the dregs. Take at any time, adjusting the dosage according to the child's age.

For pediatric dysentery presenting with abdominal pain (Abdominal Pain), mental restlessness (Mental Restlessness), and poor appetite (Poor Appetite), use Sanguisorba Powder (Diyu San).
Sanguisorba Root (Diyu, *Sanguisorbae Radix*) (three fen, lightly roasted and crushed)
Coptis Rhizome (Huanglian, *Coptidis Rhizoma*) (half liang, remove stamens and lightly stir-fry)
Red Halloysite (Chishizhi, *Halloysitum Rubrum*) (one liang)
Ginseng Root (Renshen, *Panacis Ginseng Radix*) (half liang, remove the rhizome head)
Apricot Kernel (Xingren, *Armeniacae Semen Amarum*) (half liang)
Crush the above ingredients coarsely, sift through a coarse sieve to make a powder. Each dose is one qian, decocted in one small cup of water until reduced to half a cup. Strain the dregs. Take at any time, adjusting the dosage according to the child's age.

For pediatric heat-dysentery presenting with abdominal pain (Abdominal Pain), high fever (High Fever), mental restlessness (Mental Restlessness), poor appetite (Poor Appetite), and weak limbs (Weak Limbs), use Zixin Powder (Zixin San).
Zixin (Scutellaria Root) (Zixin, *Scutellariae Radix*) (one liang)
Anemarrhena Rhizome (Zhimu, *Anemarrhenae Rhizoma*) (three fen)
Polygala Root (Nüwei, *Polygalae Radix*) (three fen)
Phellodendron Bark (Huangbai, *Phellodendri Cortex*) (half liang, lightly roasted and crushed)
Licorice Root (Gancao, *Glycyrrhizae Radix et Rhizoma*) (half liang, roasted until slightly red)
Red Peony Root (Chishaoyao, *Paeoniae Radix Rubra*) (three fen)
Crush the above ingredients coarsely, sift through a coarse sieve to make a powder. Each dose is one qian, decocted in one small cup of water with seven bamboo leaves until reduced to half a cup. Strain the dregs. Take at any time.

For pediatric heat-dysentery characterized only by high fever (High Fever), excessive thirst (Excessive Thirst), and persistent dysentery that does not cease, use Mume Powder (Wumei San).
Mume Fruit (Wumei, *Pruni Mume Fructus*) (two pieces, lightly stir-fried and pitted)
Coptis Rhizome (Huanglian, *Coptidis Rhizoma*) (one fen, remove stamens and lightly stir-fry)
Isatis Leaf (Lanye, *Isatidis Folium*) (one fen)
Rhinoceros Horn Shavings (Xijiao Xie, *Rhinocerotis Cornu*) (half liang)
Donkey-hide Gelatin (Ejiao, *Asini Corii Colla*) (half liang, crushed)
Crush the above ingredients coarsely, sift through a coarse sieve to make a powder. Each dose is one qian, decocted in one small cup of water until reduced to half a cup. Strain the dregs and let cool to warm temperature. Take at any time, adjusting the dosage according to the child's age.

For pediatric heat-dysentery presenting with high fever (High Fever) and vomiting milk (Vomiting Milk), use Bear Bile Powder (Xiongdan San).
Bear Bile (Xiongdan, *Ursi Fel*) (half liang)
Coptis Rhizome (Huanglian, *Coptidis Rhizoma*) (three fen, remove stamens and lightly stir-fry)
Dried Purslane (Gan Machicai, *Portulacae Herba*) (one liang)
Myrobalan Nut (Meishi Zi, *Terminalia Chebula Retz.*) (one piece)
Python Bile (Ranshe Dan, *Pythonis Fel*) (half liang)
Rhinoceros Horn (Xijiao, *Rhinocerotis Cornu*) (small amount)
Crush the above ingredients finely, sift through a fine sieve to make a powder. For infants aged one to two hundred days, administer one zi measure mixed with fresh well-water per dose. For children aged two to three years, administer an appropriate amount mixed with fresh well-water per dose.

For pediatric heat-toxin dysentery where stool resembles fish brains (Stool Resembling Fish Brains), use Pulsatilla Powder (Baitouweng San).
Pulsatilla Root (Baitouweng, *Pulsatillae Radix*) (half liang)
Coptis Rhizome (Huanglian, *Coptidis Rhizoma*) (two and a half liang, remove stamens and lightly stir-fry)
Acid Pomegranate Peel (Suan Shiliu Pi, *Punicae Granati Pericarpium*) (one liang, lightly roasted and crushed)
Crush the above ingredients coarsely, sift through a coarse sieve to make a powder. Each dose is one qian, decocted in one small cup of water until reduced to half a cup. Strain the dregs. Take at any time, adjusting the dosage according to the child's age.

For pediatric heat-dysentery where the child completely refuses milk and food (Refusal of Milk and Food), and presents with high body heat (High Body Heat), use Bear Bile Powder (Xiongdan San).
Bear Bile (Xiongdan, *Ursi Fel*) (one fen)
Aloe (Luhui, *Aloes*) (three fen)
Coptis Rhizome (Huanglian, *Coptidis Rhizoma*) (half liang, remove stamens and lightly stir-fry)
Myrobalan Nut (Meishi Zi, *Terminalia Chebula Retz.*) (one piece)
Dried Purslane (Gan Machixian, *Portulacae Herba*) (one liang)
Crush the above ingredients finely, sift through a fine sieve to make a powder. Each dose consists of half qian, mixed with rice water for oral administration, three to four times daily. Adjust the dosage according to the child's age.

For pediatric heat-dysentery presenting with irritability (Irritability), dry mouth (Dry Mouth), excessive thirst (Excessive Thirst), and refusal of milk and food (Refusal of Milk and Food), use Dragon Bone Powder (Longgu San).
Dragon Bone (Longgu, *Fossilia Ossis Mastodi seu Homo*) (one liang)
Coptis Rhizome (Huanglian, *Coptidis Rhizoma*) (three fen, remove stamens and lightly stir-fry)
Sanguisorba Root (Diyu, *Sanguisorbae Radix*) (three fen, lightly roasted and crushed)
Scutellaria Root (Huangqin, *Scutellariae Radix*) (three fen)
Mume Flesh (Wumei Rou, *Pruni Mume Fructus*) (half liang, lightly stir-fried)
Crush the above ingredients finely, sift through a fine sieve to make a powder. Each dose consists of half qian, mixed with rice water for oral administration, three to four times daily. Adjust the dosage according to the child's age.

For pediatric heat-dysentery that has not healed after prolonged treatment (Persistent Dysentery), use Rhinoceros Horn Powder (Xijiao San).
Rhinoceros Horn Shavings (Xijiao Xie, *Rhinocerotis Cornu*) (half liang)
Zelkova Bark (Jushupi, *Zelkovae Cortex*) (one liang, crushed)
Coptis Rhizome (Huanglian, *Coptidis Rhizoma*) (half liang, remove stamens and lightly stir-fry)
Crush the above ingredients coarsely, sift through a coarse sieve to make a powder. Each dose is one qian, decocted in one small cup of water until reduced to half a cup. Strain the dregs. Take at any time, adjusting the dosage according to the child's age.

Another prescription:
Sanguisorba Root (Diyu, *Sanguisorbae Radix*) (one liang, lightly roasted and crushed)
Rhinoceros Horn Shavings (Xijiao Xie, *Rhinocerotis Cornu*) (one liang)
Di Mai Cao (Dimaiccao, *Commelinae Herba*) (one liang)
Crush the above ingredients coarsely, sift through a coarse sieve to make a powder. Each dose is one qian, decocted in one small cup of water until reduced to half a cup. Strain the dregs, add one qian of honey, and boil for two or three more boils.

Yet another prescription:
Pu Gen (Pugen, *Typhae Pollen* or *Typhae Stamen*, context implies root/stalk) (one liang, finely sliced)
Take two he of millet, cook together with one large cup of water. When the rice is cooked, strain the dregs and take the juice. Take at any time, adjusting the dosage according to the child's age, and drink warm.