上件代赭、赤石脂先捣细筛，巴豆四十枚去心、皮熬，（《千金翼》、《元和纪用经》并三十枚，又《纪
用经》以二十枚洗，沙皮制，
十个生用。）杏仁五十枚去皮，令碎研如脂，（《元和纪用经》用四七个。）合三物，捣三千杵，自相看，若
硬，加少蜜更捣，
密器中盛。三十日儿服如麻子一丸，与少乳汁令下，良久复与少乳，勿令多，宜至日中当小下，热若不尽，
明旦更服一丸。百日儿如小豆大小，以此加减，若小儿夏月多热，往往发疾，此丸无所不治，三、二十日与
一服殊佳。如真代赭不可求，用左顾牡蛎代之。《千金要》、《翼》紫丸治小儿变蒸发热不解，并挟伤寒、
温壮，汗后热不歇，及腹中有痰癖，哺乳不进，乳则吐 、食痫、先寒后热，此亦《元和纪用经》育婴七宝，
紫阳道士保子七圣方也。又《千金翼》谓小儿气盛有病，但下之，必无所损，若不时下，则将成病，固难治矣。
《圣惠》治小儿变蒸，经时不止，挟热心烦、啼叫无歇，骨热面黄。柴胡散方
柴胡（去苗） 甘草（炙微赤，锉） 人参（去芦头） 元参（各一两） 龙胆（半两，去芦头） 麦
门冬（一两半，去心焙）
上件药捣，罗为散。每服一钱，以水一小盏，煎至五分，去滓，不计时候，温服，量儿大小加减服之。
《婴孺方》治小儿变蒸，壮热不止。
代赭（一两半） 杏仁（三十个，别入研。）
上为末，拌和匀，以黄蜡丸之。二十日儿服黑散，汗出后，更服此紫丸子，黍大一丸讫，少乳乳之，令药
得下。两食久，复乳之，勿过饱。平旦一服，日中药势尽，日西久时复增丸。至鸡鸣时若不瘥，复与一丸，
若愈即止。三十日儿，胡豆大一丸。若不利，壮热者加半丸，以利下为度。又方云∶紫丸服之当利而全出，
若不出及不全者，为病未尽，更须服之。有热服紫丸子，无热有寒者，勤服当归散，若黄 散。变蒸后微热
者，可与除热黄芩汤。
汉东王先生服黑散，候有微汗，浑身稍凉，即用香粉散方
蚌粉（末拘多少，研令极细，水飞过） 麝香（少许，研细）
上为末，用绵裹掺之。
张涣治婴儿周 内，时或体热，眠卧不宁，乳哺不调，目睛不明，或瘥或作，三十二日一变，六十四日再变，
甚者微惊，乃长血气，名曰变蒸候。过周 渐除，切不可乱投汤药，宜用清心汤方
人参（半两，去芦头） 麻黄（去节） 川大黄 麦门冬（去心） 甘草（炙） 犀角屑（各一分）
上件捣，罗为细末。每服一钱，水八分，入杏仁一个，去尖拍破，同煎至四分，去滓，放温，时时与服。
张涣紫砂丹方 治变蒸身热不已。
代赭（研细，水浸一宿，澄去清水，焙干） 当归（洗、焙干。各半两） 朱砂（细研，水飞） 木
香人参（去芦头。各一分）
上件为细末，与代赭石同研匀，入杏仁十个，去皮尖，巴豆五个，去心膜，出油同研匀，入麝香半钱，拌
匀，滴水和如针头大。每服三粒至五粒，煎荆芥汤下，乳后。
《吉氏家传》治伤寒变蒸候方。
当归（一钱） 大黄（炒） 北黄芩 川乌头（煮。各一分） 防风（半两）
上件为细末。每服一钱，水半盏，入荆芥煎四分，温服。
长沙医者丁时发传治变蒸候方。
变蒸日数甚分明，或泻槐黄又夹惊。发热喜啼多不乳，急须匀气便安宁。
匀气散
香附子 甘草（炙。各一分） 天仙藤 人参 橘皮 藿香（各一钱）
上件为末。每服半钱，用米饮调下。
The aforementioned Ochre (Dai Zhe Shi) and Red Halloysite (Chi Shi Zhi) are first pounded into a fine powder and sifted. Forty kernels of Croton Seed (Ba Dou), with hearts and skins removed, are roasted (both *Qianjin Yi Fang* and *Yuanhe Jiyong Jing* record using thirty kernels; additionally, *Jiyong Jing* records washing twenty kernels, processing them with sand skin, and ten are used raw). Fifty Almond Kernels (Xing Ren), with skins removed, are crushed and ground until they resemble fat (*Yuanhe Jiyong Jing* uses forty-seven kernels). The three substances are combined and pounded for three thousand strokes. Observe the consistency yourself; if it is too hard, add a small amount of honey and continue pounding. Store in a sealed container. For a thirty-day-old infant, administer one pill the size of a hemp seed, followed by a small amount of breast milk to help it go down. After some time, give a little more milk, but do not overfeed. It is expected that there will be mild diarrhea by midday. If the fever does not subside, administer another pill the next morning. For a hundred-day-old infant, adjust the dosage to the size of a small bean, modifying accordingly. If infants often fall ill with heat in summer, this pill can treat almost any condition; administering it once every thirty or twenty days is particularly beneficial. If genuine Ochre cannot be found, Left-Facing Oyster Shell (Zuo Gu Mu Li) can be used as a substitute. The Purple Pill (Zi Wan) from *Qianjin Yao Fang* and *Qianjin Yi Fang* treats pediatric Bian Zheng (periodic growth fever) where fever persists, accompanied by Shang Han (cold damage), Wen Zhuang (warmth and high fever), persistent fever after sweating, phlegm accumulation in the abdomen, refusal to nurse, vomiting upon nursing, food epilepsy, alternating chills and fever. This is also one of the Seven Treasures for Infant Care in *Yuanhe Jiyong Jing*, and the Seven Sages Formula for Protecting Children by the Purple Yang Daoist. Furthermore, *Qianjin Yi Fang* states that if an infant has excess Qi and illness, purging will cause no harm; if purging is delayed, the illness will become difficult to treat. *Taiping Shenghui Fang* treats pediatric Bian Zheng that persists for a long time, accompanied by internal heat, irritability, ceaseless crying, bone heat, and yellow complexion. Chai Hu San Formula: Bupleurum Root (Chai Hu, remove sprouts), Licorice Root (Gan Cao, roast until slightly red and cut), Ginseng Root (Ren Shen, remove rhizome), Scrophularia Root (Xuan Shen) (each 1 liang), Gentian Root (Long Dan, 0.5 liang, remove rhizome), Ophiopogon Tuber (Mai Men Dong, 1.5 liang, remove heart and roast). Pound the above herbs, sieve into a powder. Take 1 qian per dose, decoct in one small cup of water until reduced to half a cup, strain, and take warm at any time, adjusting the dose according to the infant's age. *Ying Ru Fang* treats pediatric Bian Zheng with persistent high fever. Ochre (Dai Zhe, 1.5 liang), Almond Kernels (Xing Ren, 30 pieces, separately ground). Grind the above into powder, mix evenly, and form pills with beeswax. For a twenty-day-old infant, administer Black Powder (Hei San); after sweating occurs, administer the Purple Pill (Zi Wan), one pill the size of a millet seed, followed by a little breast milk to facilitate drug absorption. Between feedings, nurse again, avoiding overfeeding. Administer once at dawn; when the drug's effect wears off by noon, add another pill in the late afternoon. If not recovered by cockcrow, administer another pill; stop if recovered. For a thirty-day-old infant, use a pill the size of a broad bean. If constipation persists with high fever, add half a pill, stopping when bowel movement occurs. Another prescription states: after taking the Purple Pill, there should be purging and complete expulsion; if not expelled or incomplete, the disease pathogen remains, and further administration is required. For heat conditions, take the Purple Pill; for cold conditions without heat, diligently take Dang Gui San or Huang Qin San. For slight fever after Bian Zheng, administer Chu Re Huang Qin Tang. Mr. Wang Handong of Handong takes Black Powder (Hei San); wait for slight sweating and slight cooling of the body, then apply Fragrant Powder San Formula: Concha Tridacnae (Bang Fen, grind extremely fine, wash with water), Musk (She Xiang, a small amount, grind fine). Grind the above into powder, wrap in cotton, and sprinkle on the body. Zhang Huan treats infants within their first year who occasionally have body heat, restless sleep, irregular nursing, unclear vision, intermittent symptoms, changing every thirty-two days and again at sixty-four days; severe cases show slight fright. This is the growth of blood and Qi, named Bian Zheng Hou. After the first year, it gradually subsides; do not indiscriminately administer herbal decoctions. Use Qing Xin Tang Formula: Ginseng Root (Ren Shen, 0.5 liang, remove rhizome), Ephedra Stem (Ma Huang, remove joints), Rhubarb (Da Huang), Ophiopogon Tuber (Mai Men Dong, remove heart), Licorice Root (Gan Cao, roast), Rhinoceros Horn (Xi Jiao, each 1 fen). Pound the above herbs, sieve into fine powder. Take 1 qian per dose, with 0.8 cups of water, add one Almond Kernel (remove tip and crush), decoct together until reduced to 0.4 cups, strain, cool to warm temperature, and administer frequently. Zhang Huan's Zi Sha Dan Formula treats persistent body heat during Bian Zheng. Ochre (Dai Zhe, finely ground, soaked in water overnight, clarified, dried), Angelica Root (Dang Gui, washed and dried, each 0.5 liang), Cinnabar (Zhu Sha, finely ground, water-washed), Aucklandia Root (Mu Xiang), Ginseng Root (Ren Shen, remove rhizome, each 1 fen). Grind the above into fine powder, mix evenly with Ochre. Add ten Almond Kernels (remove skin and tips), five Croton Seeds (Ba Dou, remove heart and membrane, express oil), grind evenly. Add half a qian of Musk (She Xiang), mix well, add drops of water to form pills the size of needle heads. Take 3 to 5 pills per dose, taken with Schizonepeta Decoction (Jing Jie Tang) after nursing. *Ji Shi Jia Chuan* treats Shang Han Bian Zheng Hou Formula: Angelica Root (Dang Gui, 1 qian), Rhubarb (Da Huang, stir-fried), Scutellaria Root (Huang Qin), Aconite Root (Wu Tou, boiled, each 1 fen), Saposhnikovia Root (Fang Feng, 0.5 liang). Grind the above into fine powder. Take 1 qian per dose, with half a cup of water, add Schizonepeta (Jing Jie), decoct until reduced to 0.4 cups, take warm. Ding Shifa, a physician from Changsha, transmits a formula for treating Bian Zheng Hou: The days of Bian Zheng are very clear; sometimes purging with Sophora Flower (Huai Hua) and addressing fright. Fever with crying and refusal to nurse requires urgent regulation of Qi for peace. Yun Qi San: Cyperus Rhizome (Xiang Fu), Licorice Root (Gan Cao, roast, each 1 fen), Aristolochia Vine (Tian Xian Teng), Ginseng Root (Ren Shen), Tangerine Peel (Ju Pi), Patchouli Leaf (Huo Xiang, each 1 qian). Grind the above into powder. Take half a qian per dose, mixed with rice water.