夫小儿疟病者。是夏伤于暑热。客于皮肤。至秋复为风邪所折。阴阳交争。攻发寒热而
成疟
未得
治小儿七八岁患疟。发歇。寒热心烦。或渴。干漆散方。
干漆（一分捣碎炒令烟出） 川大黄（一分锉碎微炒） 恒山（半两） 石膏（一两研）
甘草
（半两
上件药。捣粗罗为散。每服一钱。以水一小盏。入小麦三十粒。
煎至五分。去滓放温。发前服之。量儿大小。以意加减。
治小儿疟发后。肚胀。兼头面浮肿。宜服防葵散方。
防葵（半两） 柴胡（半两去苗） 川大黄（半两锉碎微炒） 桑根白皮（半两锉） 甘
草（一
分炙
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。加减服之。
治小儿热瘴气为疟。犀角散方。
犀角屑（半两） 鳖甲（一两涂醋炙令黄去裙 ） 柴胡（三分） 知母（半两） 甘
草（半两
炙微
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。日三四服。量儿大小。以意加减。
治小儿痰热发疟。知母散方。
知母（一两） 鳖甲（一两涂醋炙令黄去裙 ） 牡蛎粉（半两） 恒山（半两）
上件药。捣细罗为散。每服。以粥饮调下半钱。日三（二）服。量儿大小。以意加减。
治小儿痰癖。疟发无时。牡蛎散方。
牡蛎粉（半两） 知母（一分） 恒山（半两） 乌梅肉（半两微炒） 人参（半两去
芦头） 鳖
甲（
仁（一
分汤
上件药。捣细罗为散。每服。以温酒调下半钱。日二服。量儿大小。以意加减。
治小儿疟疾。发后烦热。升麻散方。
川升麻（一分） 恒山（一分） 蜀漆（一分） 川大黄（一分锉碎微炒） 葳蕤（一
分） 黄芩
（一
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。以吐利为度。量儿大小。以意加减。
治小儿疟疾。发歇寒热。小便赤黄。宜服桃仁散方。
桃仁（三分汤浸去皮尖双仁麸炒微黄） 知母（半两） 鳖甲（三分涂醋炙微黄去裙 ）
赤
茯苓
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。日三四服。量儿大小。以意加减。
治小儿疟疾壅烦闷。恒山散方。
恒山（半两） 川大黄（半两） 桂心（一分） 甘草（半两炙微赤锉）
上件药。捣粗罗为散。每服一钱。以水一小盏。
煎至五分。去滓。未发前温服。得吐利为度。如未吐利。再服。量儿大小。以意加减服。
治小儿疟。胸膈间痰涎。发歇寒热。宜服松萝散吐方。
松萝（三分） 恒山（一两） 甘草（三分炙微赤锉）
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。量儿大小。以意加减。以吐为效。不吐更服。
治小儿疟。发作不定。多渴心烦。乌梅散方。
乌梅肉（半两微炒） 恒山（一两） 甘草（三分炙微赤锉）
上件药。捣粗罗为散。每服一钱。以水一小盏。入淡竹叶十片。小麦三十粒。同煎
至五分。
治小儿疟。寒热发歇不定。黄丹丸方。
黄丹（半两微炒） 人参（半两去芦头） 鳖甲（半两涂醋炙令黄去裙 ） 恒山（半
两）
上件药。捣罗为末。炼蜜和丸。如绿豆大。每于未发前。以冷水下一丸。三岁以上。即
可三
治小儿疟。累发不定。砒霜丸方。
砒霜（一分醋熬五遍细研） 朱砂（一分细研） 巴豆（七枚去皮心研纸裹压去油） 母
丁香
（
上件药。捣罗为末。入研了药令匀。炼蜜和丸。如黍米大。每于未发前。以冷水下二丸。
每
治小儿疟疾烦热。牛黄丸方。
牛黄（一分） 杏仁（一分汤浸去皮尖双仁麸炒微黄）
上件药。同研如膏。炼蜜和丸。如麻子大。每服。以温水下三丸。日三服。量儿大小。
加减
治小儿疟疾。必效大蒜丸方。
独颗蒜（一枚去心） 巴豆（一枚去皮心）
上件药。取巴豆纳蒜中。用湿纸裹煨令熟。捣如膏。丸如麻子大。每服。以醋汤下三丸。
以
治小儿疟疾。恒山丸方。
恒山（一两末） 白蜡（半两） 鸡子（一枚）
上件药。敲鸡子。去黄用清。与恒山末拌和令匀。于瓷碗中熔蜡。都拌和。以绵幕碗口。
坐甑中蒸三遍。取出。丸如麻子大。每服。以粥饮下五丸。当吐即瘥。量儿大小。加减
服之
治小儿久疟不断。胸胁下痞坚。蜀漆丸方。
蜀漆（一分） 杏仁（一分汤浸去皮尖双仁麸炒微黄） 黄连（一分去须） 桂心（一
分） 甜
葶苈
上件药。捣罗为末。炼蜜和丸。如麻子大。每服。以粥饮下五丸。日服量儿大小。以意
加减
治小儿疟疾。发歇寒热。体颤。黄丹丸方。
黄丹（半两微炒） 恒山末（半两） 虎睛（一只酒浸炙令黄）
上件药。同研令细。炼蜜和丸。如梧桐子大。每未发前。以温水下二丸。五岁以下。可
服一
治小儿疟疾。发时壮热憎寒。面色青黄。饮食不下。恒山丸方。
恒山（半两） 川大黄（半两锉碎微炒） 甘草（半两炙微赤锉） 麝香〔半两（钱）
细研〕
上件药。捣罗为末。研入麝香令匀。炼蜜和丸。如梧桐子大。每临发前。以暖水下二丸。
三
又方。
蛇蜕皮。烧灰细研为散。于未发前。以冷水调下一字。三岁以上。即服半钱。
又方。
鳖甲（一两）
上烧灰细研为散。于未发前。以温酒调下半钱。三岁以下。即服一字。
Malaria in children is caused by summer-heat pathogenic factors injuring the body during summer, lodging in the skin and subcutaneous tissues. In autumn, these are further constrained by wind pathogens, leading to a struggle between Yin and Yang energies, resulting in alternating chills and fever, thus forming malaria.
For children aged seven or eight suffering from malaria with paroxysmal onset and remission, accompanied by chills, fever, irritability, or thirst, Ganxi San (Dry Lacquer Powder) is indicated.
Ingredients: Ganxi (Dry Lacquer, 1 fen, crushed and stir-fried until smoke emerges), Chuan Dahuang (Rhei Radix et Rhizoma, 1 fen, sliced and lightly stir-fried), Hengshan (Dichroae Radix, 0.5 liang), Shigao (Gypsum Fibrosum, 1 liang, ground), Gancao (Glycyrrhizae Radix et Rhizoma, 0.5 liang).
Preparation and Administration: The above ingredients are coarsely ground into powder. Take 1 qian per dose, add one small cup of water and 30 wheat grains, decoct until reduced to 0.5 cup. Strain and administer warm before the onset of the attack. Adjust dosage according to the child's age and size.
For children whose malaria attacks are followed by abdominal distension and edema of the head and face, Fangkui San (Akebiae Caulis Powder) is indicated.
Ingredients: Fangkui (Akebiae Caulis, 0.5 liang), Chaihu (Bupleuri Radix, 0.5 liang, stems removed), Chuan Dahuang (Rhei Radix et Rhizoma, 0.5 liang, sliced and lightly stir-fried), Sanggen Baipi (Mori Cortex, 0.5 liang, sliced), Gancao (Glycyrrhizae Radix et Rhizoma, 1 fen, honey-fried).
Preparation and Administration: The above ingredients are coarsely ground into powder. Take 1 qian per dose, add one small cup of water, decoct until reduced to 0.5 cup. Strain and take warm. Administer three times daily. Adjust dosage according to the child's age and size.
For children suffering from malaria due to hot miasma, Xijiao San (Rhino Ceratosis Powder) is indicated.
Ingredients: Xijiao Xie (Rhino Ceratosis shavings, 0.5 liang), Biejia (Testudinis Carapax et Plastrum, 1 liang, vinegar-fried until yellow, skirt edges removed), Chaihu (Bupleuri Radix, 3 fen), Zhimu (Anemarrhenae Rhizoma, 0.5 liang), Gancao (Glycyrrhizae Radix et Rhizoma, 0.5 liang, honey-fried until slightly yellow).
Preparation and Administration: The above ingredients are coarsely ground into powder. Take 1 qian per dose, add one small cup of water, decoct until reduced to 0.5 cup. Strain and take warm. Administer three to four times daily. Adjust dosage according to the child's age and size.
For children suffering from malaria caused by phlegm-heat, Zhimu San (Anemarrhenae Rhizoma Powder) is indicated.
Ingredients: Zhimu (Anemarrhenae Rhizoma, 1 liang), Biejia (Testudinis Carapax et Plastrum, 1 liang, vinegar-fried until yellow, skirt edges removed), Muli Fen (Ostreae Concha powder, 0.5 liang), Hengshan (Dichroae Radix, 0.5 liang).
Preparation and Administration: The above ingredients are finely ground into powder. Take half a qian per dose, mixed with congee broth. Administer two to three times daily. Adjust dosage according to the child's age and size.
For children with phlegm accumulation and irregular malaria paroxysms, Muli San (Ostreae Concha Powder) is indicated.
Ingredients: Muli Fen (Ostreae Concha powder, 0.5 liang), Zhimu (Anemarrhenae Rhizoma, 1 fen), Hengshan (Dichroae Radix, 0.5 liang), Wumei Rou (Mume Fructus pulp, 0.5 liang, lightly stir-fried), Renshen (Ginseng Radix, 0.5 liang, rhizome removed), Biejia (Testudinis Carapax et Plastrum, 1 liang, vinegar-fried until yellow, skirt edges removed), Xingren (Armeniacae Semen Amarum, 1 fen, soaked in water, skin and pointed ends removed, double kernels used, bran-fried until slightly yellow).
Preparation and Administration: The above ingredients are finely ground into powder. Take half a qian per dose, mixed with warm wine. Administer twice daily. Adjust dosage according to the child's age and size.
For children with malaria presenting with irritability and heat after attacks, Shengma San (Cimicifugae Rhizoma Powder) is indicated.
Ingredients: Chuan Shengma (Cimicifugae Rhizoma, 1 fen), Hengshan (Dichroae Radix, 1 fen), Shuqi (Perillae Folium, 1 fen), Chuan Dahuang (Rhei Radix et Rhizoma, 1 fen, sliced and lightly stir-fried), Weirui (Polygonati Odorati Rhizoma, 1 fen), Huangqin (Scutellariae Radix, 1 fen).
Preparation and Administration: The above ingredients are coarsely ground into powder. Take 1 qian per dose, add one small cup of water, decoct until reduced to 0.5 cup. Strain and take warm. Continue until vomiting or diarrhea occurs. Adjust dosage according to the child's age and size.
For children with malaria presenting with alternating chills and fever and dark yellow urine, Taoren San (Persicae Semen Powder) is indicated.
Ingredients: Taoren (Persicae Semen, 3 fen, soaked in water, skin and pointed ends removed, double kernels used, bran-fried until slightly yellow), Zhimu (Anemarrhenae Rhizoma, 0.5 liang), Biejia (Testudinis Carapax et Plastrum, 3 fen, vinegar-fried until slightly yellow, skirt edges removed), Chi Fuling (Poria Cocos with red bark, 0.5 liang).
Preparation and Administration: The above ingredients are coarsely ground into powder. Take 1 qian per dose, add one small cup of water, decoct until reduced to 0.5 cup. Strain and take warm. Administer three to four times daily. Adjust dosage according to the child's age and size.
For children with malaria presenting with stagnation, irritability, and oppression, Hengshan San (Dichroae Radix Powder) is indicated.
Ingredients: Hengshan (Dichroae Radix, 0.5 liang), Chuan Dahuang (Rhei Radix et Rhizoma, 0.5 liang), Guixin (Cinnamomi Ramulus, 1 fen), Gancao (Glycyrrhizae Radix et Rhizoma, 0.5 liang, honey-fried until slightly red and sliced).
Preparation and Administration: The above ingredients are coarsely ground into powder. Take 1 qian per dose, add one small cup of water, decoct until reduced to 0.5 cup. Strain and take warm before the onset of the attack. Continue until vomiting or diarrhea occurs. If no vomiting or diarrhea occurs, administer again. Adjust dosage according to the child's age and size.
For children with malaria presenting with phlegm-saliva in the chest and diaphragm and alternating chills and fever, Songluo San (Usnea Powder for Vomiting) is indicated.
Ingredients: Songluo (Usnea, 3 fen), Hengshan (Dichroae Radix, 1 liang), Gancao (Glycyrrhizae Radix et Rhizoma, 3 fen, honey-fried until slightly red and sliced).
Preparation and Administration: The above ingredients are coarsely ground into powder. Take 1 qian per dose, add one small cup of water, decoct until reduced to 0.5 cup. Strain and take warm. Adjust dosage according to the child's age and size. Efficacy is indicated by vomiting; if vomiting does not occur, administer again.
For children with malaria presenting with irregular onset, excessive thirst, and irritability, Wumei San (Mume Fructus Powder) is indicated.
Ingredients: Wumei Rou (Mume Fructus pulp, 0.5 liang, lightly stir-fried), Hengshan (Dichroae Radix, 1 liang), Gancao (Glycyrrhizae Radix et Rhizoma, 3 fen, honey-fried until slightly red and sliced).
Preparation and Administration: The above ingredients are coarsely ground into powder. Take 1 qian per dose, add one small cup of water, ten slices of Danzhuye (Lophatheri Herba), and thirty wheat grains. Decoct together until reduced to 0.5 cup. Strain and take warm. Adjust dosage according to the child's age and size.
For children with malaria presenting with irregular alternating chills and fever, Huangdan Wan (Lead Tetroxide Pill) is indicated.
Ingredients: Huangdan (Minii Oxidum Rubrum, 0.5 liang, lightly stir-fried), Renshen (Ginseng Radix, 0.5 liang, rhizome removed), Biejia (Testudinis Carapax et Plastrum, 0.5 liang, vinegar-fried until yellow, skirt edges removed), Hengshan (Dichroae Radix, 0.5 liang).
Preparation and Administration: The above ingredients are ground into fine powder and mixed with refined honey to form pills the size of mung beans. Administer one pill with cold water before each onset. For children over three years old, administer three pills.
For children with recurrent and irregular malaria, Pishuang Wan (Arsenic Trioxide Pill) is indicated.
Ingredients: Pishuang (Arsenici Trioxidum, 1 fen, boiled five times in vinegar and finely ground), Zhusha (Cinnabaris, 1 fen, finely ground), Badou (Crotonis Fructus, seven seeds, skin and heart removed, ground and pressed through paper to remove oil), Mudingxiang (Syzygii Aromatica Flos, 1 fen).
Preparation and Administration: The above ingredients are ground into fine powder, mixed thoroughly, and combined with refined honey to form pills the size of millet seeds. Administer two pills with cold water before each onset. Adjust dosage according to the child's age and size.
For children with malaria presenting with irritability and heat, Niuhuang Wan (Bovis Calculus Pill) is indicated.
Ingredients: Niuhuang (Bovis Calculus, 1 fen), Xingren (Armeniacae Semen Amarum, 1 fen, soaked in water, skin and pointed ends removed, double kernels used, bran-fried until slightly yellow).
Preparation and Administration: The above ingredients are ground together into a paste and mixed with refined honey to form pills the size of sesame seeds. Take three pills with warm water per dose. Administer three times daily. Adjust dosage according to the child's age and size.
For children with malaria, the highly effective Dasuan Wan (Garlic Pill) is indicated.
Ingredients: Du Ke Suan (Single-clove Garlic, one clove, core removed), Badou (Crotonis Fructus, one seed, skin and heart removed).
Preparation and Administration: Place the Badou inside the garlic clove. Wrap in wet paper and roast until cooked. Grind into a paste and form pills the size of sesame seeds. Take three pills with vinegar-water per dose. Continue until vomiting or diarrhea occurs. Adjust dosage according to the child's age and size.
For children with malaria, Hengshan Wan (Dichroae Radix Pill) is indicated.
Ingredients: Hengshan (Dichroae Radix, 1 liang, powdered), Bala (Cera Flava, 0.5 liang), Jizi (Galli Ovum, one egg).
Preparation and Administration: Crack the egg and use only the white. Mix evenly with the Hengshan powder. Melt the Bala in a porcelain bowl, mix thoroughly with the powder mixture, cover the bowl mouth with cotton cloth, and steam in a steamer for three cycles. Remove and form pills the size of sesame seeds. Take five pills with congee broth per dose. Recovery is indicated by vomiting. Adjust dosage according to the child's age and size.
For children with chronic persistent malaria presenting with hard masses under the chest and hypochondrium, Shuqi Wan (Perillae Folium Pill) is indicated.
Ingredients: Shuqi (Perillae Folium, 1 fen), Xingren (Armeniacae Semen Amarum, 1 fen, soaked in water, skin and pointed ends removed, double kernels used, bran-fried until slightly yellow), Huanglian (Coptidis Rhizoma, 1 fen, whiskers removed), Guixin (Cinnamomi Ramulus, 1 fen), Tian Tingli (Descurainiae Semen Lepidii seu Lepidii Semen, 1 fen, stir-fried until yellow).
Preparation and Administration: The above ingredients are ground into fine powder and mixed with refined honey to form pills the size of sesame seeds. Take five pills with congee broth per dose. Administer daily. Adjust dosage according to the child's age and size.
For children with malaria presenting with alternating chills and fever and body tremors, Huangdan Wan (Lead Tetroxide Pill) is indicated.
Ingredients: Huangdan (Minii Oxidum Rubrum, 0.5 liang, lightly stir-fried), Hengshan Mo (Dichroae Radix powder, 0.5 liang), Hu Jing (Tigris Oculus, one eye, soaked in wine and fried until yellow).
Preparation and Administration: The above ingredients are ground finely together and mixed with refined honey to form pills the size of sophora seeds. Take two pills with warm water before each onset. For children under five years old, administer one pill.
For children with malaria presenting with high fever and aversion to cold during attacks, greenish-yellow complexion, and inability to eat, Hengshan Wan (Dichroae Radix Pill) is indicated.
Ingredients: Hengshan (Dichroae Radix, 0.5 liang), Chuan Dahuang (Rhei Radix et Rhizoma, 0.5 liang, sliced and lightly stir-fried), Gancao (Glycyrrhizae Radix et Rhizoma, 0.5 liang, honey-fried until slightly red and sliced), Shexiang (Moschus, 0.5 liang, finely ground).
Preparation and Administration: The above ingredients are ground into fine powder, mixed with the finely ground Shexiang, and combined with refined honey to form pills the size of sophora seeds. Take two pills with warm water just before the onset. For children over three years old, administer three pills.
Another prescription:
She Tuipi (Ophiopogonis Dermis / Snake Slough), burned to ash and finely ground into powder. Take one zi amount mixed with cold water before the onset. For children over three years old, take half a qian.
Another prescription:
Biejia (Testudinis Carapax et Plastrum, 1 liang), burned to ash and finely ground into powder. Take half a qian mixed with warm wine before the onset. For children under three years old, take one zi amount.