巢氏云∶此二症乃风毒之气，客于咽喉，与血气相搏、而结肿成毒。热入于心，即烦乱不食而死。此候急用金星丸
下之。治小儿咽喉、腮肿、疼痛，当用升麻、马牙硝、硼砂、牛黄等剂，连翘汤不可缺也，连翘漏芦汤亦可服。
金星丸 治小儿风热壅盛，喉中痰鸣，嗽喘气粗，面颊红，腮赤肿疼，咽喉壅塞，目闭不开，多眠发热，狂言
烦躁多渴，则生惊风，大便不通，小便如血，诸般热壅，疮痍烦躁，并宜服之。
郁金 雄黄（各二钱半） 腻粉（半钱） 巴豆（七粒、去油）
上为末，调匀，醋糊为丸麻子大，薄荷汤下。
连翘漏芦汤 治小儿痈疮，丹毒，疮疖，咽喉肿痛，腮肿。
漏芦 麻黄（去根节） 连翘 升麻 黄芩 白敛（各一钱） 甘草 枳壳（各半钱）
上为粗末，每服一钱，以水一小盏，煎至五分，去滓量儿大小，不拘时温服。热甚加大黄朴硝。
连翘汤 见第三问大连翘饮子。
清凉饮子 治小儿百病，变蒸客忤，惊痫壮热，痰涎壅盛，烦闷颊赤，口干烦渴，项颈结热，头面疮疖，肚中
热痛。更四十四问有四顺清凉饮，可详症通用。
大黄 连翘 芍药 羌活 当归 防风 甘草 山栀仁（各等分）
上锉散，每服二钱，水半盏，煎三分，去滓，不拘时服。
巢氏云∶小儿四五岁不能言，盖人之五脏、以心之声为言，不能言者，由在胎时，其母卒有惊怖，内动于儿脏，邪
气乘于心，故令心气不足，而不能言也。宜服钱氏菖蒲丸以意加减，久服取效。
菖蒲丸 治小儿心气不足，五六岁不能言，心之声为言，儿稍长合语而迟，由妊娠时，其母惊怖、内动于儿
脏，邪气乘于心，使心气不足，舌本无力，故令语迟。
石菖蒲 丹参 天门冬（去心，焙、各一钱） 赤石脂（三钱） 人参（去芦、半两）
上为末，炼蜜丸如麻子大，食后温水下二十丸。圣济总录有黄连。
Chao Yuanfang stated: These two conditions are caused by wind-toxin qi invading the throat and pharynx, where it clashes with blood and qi, resulting in swelling and toxin formation. If heat enters the heart, it leads to restlessness, inability to eat, and death. In such urgent cases, Jin Xing Wan (Golden Star Pill) must be used immediately to purge and detoxify. For treating pediatric throat and cheek swelling and pain, herbs such as Shengma (Cimicifugae Rhizoma), Mayaxiao (Natrii Sulfas), Pengsha (Borax), and Niuhuang (Calculus Bovis) should be used. Lianqiao Tang (Forsythia Decoction) is indispensable, and Lianqiao Lulu Tang (Forsythia and Euphorbiae Radix Decoction) may also be administered.
Jin Xing Wan (Golden Star Pill) treats pediatric excess of wind-heat, rattling of phlegm in the throat, coughing and wheezing with coarse breathing, redness of the cheeks, swollen and painful cheeks, throat obstruction, eyes closed and difficult to open, somnolence with fever, delirious speech, irritability, excessive thirst, which may lead to wind-stroke (convulsions), constipation, urine resembling blood, and various heat obstructions causing sores and irritability; it is suitable for all these conditions.
Ingredients: Yujin (Curcumae Radix), Xionghuang (Realgar) (each 2.5 qian), Nifen (Calomel), Badou (Crotonis Fructus, 7 seeds, oil removed).
Preparation and Administration: Grind into fine powder, mix evenly, form pills the size of hemp seeds using vinegar paste, and administer with Bohe Tang (Mint Decoction).
Lianqiao Lulu Tang (Forsythia and Euphorbiae Radix Decoction) treats pediatric carbuncles, erysipelas, furuncles, sore throat, and cheek swelling.
Ingredients: Lulu (Euphorbiae Radix), Mahuang (Ephedrae Herba, root nodes removed), Lianqiao (Forsythiae Fructus), Shengma (Cimicifugae Rhizoma), Huangqin (Scutellariae Radix), Bailian (Paeoniae Alb Radix) (each 1 qian), Gancao (Glycyrrhizae Radix et Rhizoma), Zhike (Aurantii Fructus Immaturus) (each 0.5 qian).
Preparation and Administration: Coarsely crush into pieces. Take 1 qian per dose, add one small cup of water, decoct until half remains, filter, and administer warm according to the child's age at any time. If heat is severe, add Dahuang (Rhei Radix et Rhizoma) and Puxiao (Natrii Sulfatis Crystal).
Lianqiao Tang (Forsythia Decoction) see Da Lianqiao Yinzi (Large Forsythia Drink) in Question 3.
Qingliang Yinzi (Cooling Drink) treats various pediatric diseases, including Ke Wu (external pathogenic interference during physiological transformation), convulsive febrile diseases, excess phlegm-saliva, irritability with red cheeks, dry mouth with irritability and thirst, heat accumulation in the neck, head and facial furuncles, and abdominal heat pain. Additionally, Si Shun Qingliang Yin (Four Smooth Cooling Drink) mentioned in Question 44 can be used generally based on symptoms.
Ingredients: Dahuang (Rhei Radix et Rhizoma), Lianqiao (Forsythiae Fructus), Shaoyao (Paeoniae Radix), Qianghuo (Notopterygii Rhizoma et Radix), Danggui (Angelicae Sinensis Radix), Fangfeng (Saposhnikoviae Radix), Gancao (Glycyrrhizae Radix et Rhizoma), Shanzhiren (Gardeniae Semen) (equal parts).
Preparation and Administration: Cut into fragments. Take 2 qian per dose, add half a cup of water, decoct until three-tenths remain, filter, and administer at any time.
Chao Yuanfang stated: Children who cannot speak at four or five years of age do so because the heart governs speech among the five zang organs. The inability to speak arises because during gestation, the mother suddenly experienced fright or terror, which internally disturbed the fetus's organs. Evil qi invaded the heart, causing deficiency of heart qi and resulting in an inability to speak. It is appropriate to administer Qian Shi's Changpu Wan (Acorus Pill) with modifications as needed, taking it over a long period to achieve efficacy.
Changpu Wan (Acorus Pill) treats pediatric deficiency of heart qi, leading to an inability to speak at five or six years of age. Since the heart governs speech, delayed language development in slightly older children is due to the mother experiencing fright during pregnancy, which internally disturbed the fetus's organs. Evil qi invaded the heart, causing deficiency of heart qi and weakness of the tongue base, thus resulting in delayed speech.
Ingredients: Shichangpu (Acori Tatarinowii Rhizoma), Danshen (Salviae Miltiorrhizae Radix et Rhizoma), Tianmendong (Asparagi Radix, heart removed, dried) (each 1 qian), Chishizhi (Halloysit Rubrum) (3 qian), Renshen (Ginseng Radix et Rhizoma, rhizome removed) (0.5 liang).
Preparation and Administration: Grind into fine powder, form pills the size of hemp seeds using refined honey, and take twenty pills after meals with warm water. Shengji Zonglu (General Records of Sacred Empathy) includes Huanglian (Coptidis Rhizoma).