夫小儿一岁至十岁。衣絮皆不得着新棉。又不得冬天以火烘炙衣服与着。亦令儿体热。
勿食桃杏。令儿体热。因伤寒病后未满百日。勿食羊肉狗肉。令儿体热。或作骨蒸也。
治小儿骨热瘦瘁。心神烦躁。不得睡卧。胡黄连散方。
胡黄连(一分) 知母(一分) 鳖甲(半两涂醋炙令黄去裙 ) 柴胡(半两去苗) 地
骨皮
(一
分炙微赤锉)
杏
上件药。捣粗罗为散。每服一钱。以水一小盏。煎至五分。去滓。不计时候温服。量儿
大小
治小儿自小伤饱。脚胫纤细无力。行立不得。或骨热疳瘦。柴胡饮子方。
柴胡(三分去苗) 鳖甲(半两涂醋炙令黄去裙 ) 知母〔一(半)两〕 桔梗(半
两去芦
头) 枳壳(半两麸炒微黄去瓤) 玄参(半两) 川升麻(半两) 桃嫩枝(三分锉) 甘
草(一分
炙微赤
上件药。细锉和匀。每服一分。以水一中盏。煎至六分。去滓。不计时候。
分为三服。更量儿大小。以意加减。
治小儿骨热口干。烦闷不欲饮食。四肢羸瘦。知母饮子方。
知母(半两) 柴胡(三分去苗) 川大黄(半两锉碎微炒) 恒山(半两) 犀角屑
(半两)
鳖甲
(一分
炙微
上件药。细锉和匀。每取一分。以水一中盏。煎至六分。去滓。分为三服。或吐泻三两
行便
治小儿骨热。黄瘦不食。多卧。胡蜣螂散方。
胡蜣螂(两枚去翅足微炒) 赤芍药(一分) 柴胡(半两去苗) 熊胆(半分细研) 鳖
甲
(一分
苓(一
分)
切烧灰)
麝
上件药。捣细罗为散。每服。以温水调下半钱。日三服。量儿大小。以意加减。
治小儿五岁至十岁以来。骨热及手足心烦闷。不欲饮食。秦艽散方。
秦艽(一两去苗) 甘草(一两炙微赤锉)
上件药。捣粗罗为散。每服一钱。以水一小盏。煎至五分。去滓。不计时候温服。更随
儿大
治小儿骨热体瘦。心神烦躁。天灵盖散方。
天灵盖(一枚涂酥炙令黄) 黄连(半两去须)
上件药。捣细罗为散。每服。以粥饮调下半钱。日三四服。更量儿大小。加减服之。
治小儿骨热。烦躁黄瘦。饮食无味。胡黄连丸方。
胡黄连(一分) 人参(一分去芦头) 柴胡(半两去苗) 羚羊角屑(一分) 麦门
冬(半两
去心
微炒)
木香
上件药。捣罗为末。炼蜜和丸。如绿豆大。每服。以温水下七丸。日服。更量儿大小。
增减
治小儿骨热羸瘦。虽食不生肌肉。宜服獭肝丸方。
獭肝(半两微炙) 麦门冬(一两去心焙) 人参(半两去芦头) 黄芩(半两) 黄
连(半两
去须)
瓤) 鳖
甲(半两涂醋炙令黄去裙 ) 桃仁(二十枚汤浸去皮尖双仁麸炒微黄)
上件药。捣罗为末。炼蜜和丸。如绿豆大。每服。以温水下七丸。日三服。更随儿大小。
以
治小儿骨热。日渐瘦弱。不能饮食。光明砂丸方。
光明砂(半两细研水飞过) 古子花(半两) 雄黄(半两细研) 槟榔(三枚) 桃
仁(一分
汤浸
分去
心)
上件药。捣罗为末。都研令匀。炼蜜和丸。如麻子大。每服。以粥饮下五丸。日三服。
更量
治小儿骨热宜服胡黄连丸方。
胡黄连(三分) 干蟾(三分酒浸去骨微炙) 麝香(一分细研)
上件药。捣罗为末。都研令匀。炼蜜和丸。如绿豆大。每服。以粥饮下五丸。日三四服。
量
Pediatric patients aged one to ten years should not wear clothing padded with new cotton. Furthermore, clothes should not be heated by fire in winter before being worn by the child, as this may also cause the child's body to become hot.
Children should not consume peaches or apricots, as this may induce heat in the body. If a child has not yet passed one hundred days since recovering from a cold damage (Shanghan) disease, mutton and dog meat should be avoided, as these may cause bodily heat or lead to bone-steaming disorder.
To treat pediatric bone-steaming accompanied by emaciation, restlessness of the mind and spirit, and insomnia, use the Hu Huang Lian San (Bitter Gourd Root Powder) formula.
Hu Huang Lian (Fen) Zhi Mu (Fen) Bie Jia (Ban Liang, coated with vinegar and roasted until yellow, remove the skirt edge) Chai Hu (Ban Liang, remove seedlings) Di Gu Pi (Fen, roasted slightly red and chopped).
The above herbs are coarsely pounded and sieved into a powder. Each dose consists of one Qian, decocted in one Xiao Zhan (small cup) of water until reduced to five Fen. Strain the dregs and administer warm, regardless of meal times. Adjust dosage according to the child's age and size.
To treat children suffering from weak and thin lower legs due to overeating since infancy, difficulty walking or standing, or bone-steaming and malnutrition (Gan syndrome), use the Chai Hu Yin Zi (Bupleurum Decoction) formula.
Chai Hu (San Fen, remove seedlings) Bie Jia (Ban Liang, coated with vinegar and roasted until yellow, remove the skirt edge) Zhi Mu (Yi Ban Liang) Jie Geng (Ban Liang, remove rhizome head) Zhi Ke (Ban Liang, bran-fried until slightly yellow, remove pulp) Xuan Shen (Ban Liang) Chuan Sheng Ma (Ban Liang) Tao Neng Zhi (San Fen, chopped) Gan Cao (Fen, roasted slightly red).
The above herbs are finely chopped and mixed evenly. Each dose consists of one Fen, decocted in one Zhong Zhan (medium cup) of water until reduced to six Fen. Strain the dregs and divide into three doses, administered regardless of meal times. Adjust dosage based on the child's age and size at discretion.
To treat pediatric bone-steaming, dry mouth, irritability, anorexia, and emaciated limbs, use the Zhi Mu Yin Zi (Anemarrhena Decoction) formula.
Zhi Mu (Ban Liang) Chai Hu (San Fen, remove seedlings) Chuan Da Huang (Ban Liang, chopped and slightly fried) Heng Shan (Ban Liang) Xi Jiao Xie (Ban Liang) Bie Jia (Fen, slightly roasted).
The above herbs are finely chopped and mixed evenly. Take one Fen per dose, decoct in one Zhong Zhan of water until reduced to six Fen. Strain the dregs and divide into three doses. If vomiting or diarrhea occurs, stop after three doses.
To treat pediatric bone-steaming, sallow complexion, emaciation, anorexia, and excessive sleepiness, use the Hu Dang Lang San (Dung Beetle Powder) formula.
Hu Dang Lang (Liang Mei, remove wings and feet, slightly fried) Chi Shao Yao (Fen) Chai Hu (Ban Liang, remove seedlings) Xiong Dan (Ban Fen, finely ground) Bie Jia (Fen, roasted and calcined to ash) Fu Ling (Fen) She Xiang (Small amount).
The above herbs are finely pounded and sieved into a powder. Each dose is half a Qian, mixed with warm water, administered three times daily. Adjust dosage according to the child's age and size at discretion.
To treat bone-steaming and heat in the palms and soles with irritability and anorexia in children aged five to ten years, use the Qin Jiao San (Gentian Powder) formula.
Qin Jiao (Yi Liang, remove seedlings) Gan Cao (Yi Liang, roasted slightly red and chopped).
The above herbs are coarsely pounded and sieved into a powder. Each dose consists of one Qian, decocted in one Xiao Zhan of water until reduced to five Fen. Strain the dregs and administer warm, regardless of meal times. Adjust according to the child's age and size.
To treat pediatric bone-steaming, emaciation, and mental restlessness, use the Tian Ling Gai San (Human Skull Cap Powder) formula.
Tian Ling Gai (Yi Mei, coated with lard and roasted until yellow) Huang Lian (Ban Liang, remove roots).
The above herbs are finely pounded and sieved into a powder. Each dose is half a Qian, mixed with rice water, administered three to four times daily. Adjust dosage according to the child's age and size.
To treat pediatric bone-steaming, irritability, sallow emaciation, and loss of taste, use the Hu Huang Lian Wan (Bitter Gourd Pill) formula.
Hu Huang Lian (Fen) Ren Shen (Fen, remove rhizome head) Chai Hu (Ban Liang, remove seedlings) Ling Yang Jiao Xie (Fen) Mai Men Dong (Ban Liang, remove heart, slightly fried) Mu Xiang (Small amount).
The above herbs are pounded and sieved into powder, mixed with refined honey to form pills the size of mung beans. Each dose consists of seven pills, taken with warm water, once daily. Adjust dosage according to the child's age and size.
For pediatric bone-steaming characterized by emaciation where food intake does not result in muscle gain, the Ta Gan Wan (Otter Liver Pill) formula is suitable.
Ta Gan (Ban Liang, slightly roasted) Mai Men Dong (Yi Liang, remove heart and baked) Ren Shen (Ban Liang, remove rhizome head) Huang Qin (Ban Liang) Huang Lian (Ban Liang, remove roots) Zhi Shi (Ban Liang, bran-fried, remove pulp) Bie Jia (Ban Liang, coated with vinegar and roasted until yellow, remove skirt edge) Tao Ren (Twenty Mei, soaked in hot water, skin and tip removed, double-kernel variety, bran-fried until slightly yellow).
The above herbs are pounded and sieved into powder, mixed with refined honey to form pills the size of mung beans. Each dose consists of seven pills, taken with warm water, three times daily. Adjust according to the child's age and size.
To treat pediatric bone-steaming with progressive weakness and inability to eat, use the Guang Ming Sha Wan (Light Bright Cinnabar Pill) formula.
Guang Ming Sha (Ban Liang, finely ground and washed with water) Gu Zi Hua (Ban Liang) Xiong Huang (Ban Liang, finely ground) Bing Lang (Three Mei) Tao Ren (Fen, soaked in hot water, skin and tip removed, heart removed).
The above herbs are pounded and sieved into powder, thoroughly mixed, and combined with refined honey to form pills the size of sesame seeds. Each dose consists of five pills, taken with rice water, three times daily. Adjust according to the child's age and size.
For pediatric bone-steaming, the Hu Huang Lian Wan (Bitter Gourd Pill) formula is recommended.
Hu Huang Lian (San Fen) Gan Chan (San Fen, soaked in wine, bones removed, slightly roasted) She Xiang (Fen, finely ground).
The above herbs are pounded and sieved into powder, thoroughly mixed, and combined with refined honey to form pills the size of mung beans. Each dose consists of five pills, taken with rice water, three to four times daily. Adjust according to the child's age and size.