夫小儿肺脏壅滞。内有积热。上攻于脑。则令脑热也。又肺气通于鼻。主于涕。若其脏
有热
治小儿脑热无涕。口干心躁。眠卧不安。宜服木通散方。
木通（锉） 川升麻 麦门冬（半两去心焙） 知母 犀角屑 杏仁（汤浸去皮尖双仁
麸炒
微黄
上件药。捣粗罗为散。每服一钱。以水一小盏。煎至五分。去滓。不计时候。量儿大小。
以
治小儿心肺壅热。脑干无涕。时有烦躁。牛黄散方。
牛黄（一分细研） 黄连（半两去须） 赤茯苓（半两） 犀角屑（半两） 铅霜（半
两细研）
麦门
分炙微
赤锉）
上件药。捣细罗为散。入研了药。都研令匀。不计时候。用温蜜水。调下半钱。量儿大
小。
治小儿肺壅。脑热。鼻干无涕。大肠秘涩。眠卧心躁。天门冬散方。
天门冬（半两去心焙） 桑根白皮（锉） 川升麻 枳壳（ 炒微黄去瓤） 甘草（炙
微赤锉
以上
上件药。捣粗罗为散。每服一钱。以水一小盏。煎至五分。去滓。不计时候。量儿大小。
分
治小儿肺心壅热。鼻干无涕。咽喉不利。少欲乳食。射干散方。
射干（半两） 川升麻（半两） 麦门冬（半两去心焙） 黄连（去须） 犀角屑 子
芩甘草
（炙
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。不计时候。
加
治小儿心肺气壅。脑热鼻干。心神烦躁。大小肠不利。犀角散方。
犀角屑（半两） 黄 （锉半两） 麦门冬（半两去心焙） 川大黄 赤芍药 枳壳（
炒微
黄去
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。不计时候。
加
治小儿脑热鼻干。宜用贴顶散方。
地胆草（半两） 芒硝〔一两（分）〕 地龙粪（半两） 黄柏（一分锉）
上件药。捣细罗为散。以猪胆汁和。捏作饼子两枚。更互贴于囟门上。
治小儿脑热无涕。吹鼻散方。
蚺蛇胆（一分） 蟾酥（一小豆大） 滑（硝）石（一分）
上细研如粉。每取少许。吹入鼻中。尤良。
The lung organ of infants is obstructed with qi stagnation, and accumulated heat resides internally. When this heat attacks upward to the brain, it causes brain heat. Furthermore, lung qi connects to the nasal cavity and governs the secretion of nasal mucus. If there is heat in the zang organs, symptoms such as brain heat without nasal discharge, dry mouth, mental restlessness, and disturbed sleep may occur. It is appropriate to administer Mutong San (Cinnamon Twig and Akebia Powder).
Mutong (Akebiae Caulis, sliced) Chuan Shengma (Bupleuri Radix et Rhizoma) Maidong (Ophiopogonis Radix, half tael, heart removed, dried) Zhimu (Anemarrhenae Rhizoma) Xijiao (Rhinocerotis Cornu, shaved) Xingren (Prunus Armeniaca Seed, soaked in water, skin and tip removed, stir-fried with bran until slightly yellow).
The above ingredients are coarsely pounded and sifted into a powder. Take one qian per dose, add one small cup of water, decoct until reduced to half a cup, remove the dregs, and take at any time, adjusting the dosage according to the child's age.
For treating infantile heart and lung excess heat, manifesting as dry brain without nasal discharge and occasional irritability, Niuhuang San (Calculus Bovis Powder) is indicated.
Niuhuang (Calculus Bovis, one fen, finely ground) Huanglian (Coptidis Rhizoma, half tael, mustards removed) Chifuling (Poria Cocos with Red Bark, half tael) Xijiao (Rhinocerotis Cornu, shaved, half tael) Qianshuang (Plumbum Superficies, half tael, finely ground)... [Text fragment: Maidong...] ... Gancao (Licorice Root, roasted...).
The above ingredients are finely pounded and sifted into a powder. Mix in the already ground medicines and grind uniformly. Take half a qian per dose mixed with warm honey water at any time, adjusting the dosage according to the child's size.
For treating infantile lung obstruction, brain heat, dry nose without nasal discharge, constipation and sluggishness of the large intestine, and mental restlessness during sleep, Tiandong San (Asparagi Radix Powder) is indicated.
Tiandong (Asparagi Radix, half tael, heart removed, dried) Sangbaipipi (Mori Cortex, sliced) Chuan Shengma (Bupleuri Radix et Rhizoma) Zhiqiao (Aurantii Fructus, stir-fried until slightly yellow, pith removed) Gancao (Licorice Root, roasted until slightly red, sliced).
[Text fragment regarding preparation] The above ingredients are coarsely pounded and sifted into a powder. Take one qian per dose, add one small cup of water, decoct until reduced to half a cup, remove the dregs, and take at any time, adjusting the dosage according to the child's age.
For treating infantile heart and lung excess heat, manifesting as dry nose without nasal discharge, unfavorable throat condition, and reduced desire for milk and food, Shegan San (Belamcandae Rhizoma Powder) is indicated.
Shegan (Belamcandae Rhizoma, half tael) Chuan Shengma (Bupleuri Radix et Rhizoma, half tael) Maidong (Ophiopogonis Radix, half tael, heart removed, dried) Huanglian (Coptidis Rhizoma, mustards removed) Xijiao (Rhinocerotis Cornu, shaved) Zixin (Scutellariae Radix) Gancao (Licorice Root, roasted).
The above ingredients are coarsely pounded and sifted into a powder. Take one qian per dose, add one small cup of water, decoct until reduced to half a cup, remove the dregs, and take at any time, adjusting the dosage according to the child's age.
For treating infantile heart and lung qi obstruction, manifesting as brain heat, dry nose, mental restlessness, and dysfunction of the large and small intestines, Xijiao San (Rhinoceros Horn Powder) is indicated.
Xijiao (Rhinocerotis Cornu, shaved, half tael) Huangqin (Scutellariae Radix, sliced, half tael) Maidong (Ophiopogonis Radix, half tael, heart removed, dried) Dahuang (Rhei Radix et Rhizoma) Chi Shaoyao (Paeoniae Radix Rubra) Zhiqiao (Aurantii Fructus, stir-fried until slightly yellow, pith removed).
The above ingredients are coarsely pounded and sifted into a powder. Take one qian per dose, add one small cup of water, decoct until reduced to half a cup, remove the dregs, and take at any time, adjusting the dosage according to the child's age.
For treating infantile brain heat and dry nose, Tie Ding San (Scalp-Adhering Powder) is recommended.
Dichangcao (Elephantopus Scaber Herb, half tael) Mangxiao (Natrii Sulfas, one tael) Dilongfen (Earthworm Excrement, half tael) Huangbai (Phellodendri Cortex, one fen, sliced).
The above ingredients are finely pounded and sifted into a powder. Mix with pig bile and knead into two cakes. Apply alternately to the fontanelle.
For treating infantile brain heat without nasal discharge, Chuibi San (Nasal-Blowing Powder) is indicated.
Ranshedan (Python Gallbladder, one fen) Chansu (Toad Venom, size of a small bean) Huashi (Talcum, one fen).
Grind all ingredients finely into a powder. Take a small amount each time and blow it into the nasal cavity. This method is particularly effective.