Library

According to *Chishu Bingyuan* (Source Book of Diseases and Syndromes) regarding the syndrome of alternating cold and fever with indigestion in children: Wind pathogenic factors invade the skin, while phlegm-fluids soak into the zang-fu organs internally. This causes disharmony of blood and qi, and contention between yin and yang, resulting in alternating chills and fever. If the spleen and stomach qi has a pre-existing deficiency-cold constitution, although the exterior presents with chills and fever, the internal cold is triggered, leading to food not digesting.

*Qianjin Yifang* (Supplement to the Thousand Golden Formulas) treats children with alternating chills and fever, cough with rebellious qi, masses of retained milk in the diaphragm, vomiting, and loss of appetite.
Sheng Dihuang (Radix Rehmanniae Preparata, 4 liang)
Men Dong (Fructus et Semen Trichosanthis, heart removed)
Wu Wei Zi (Fructus Schisandrae Chinensis)
Feng Mi (Mel, 0.5 jin each)
Da Huang (Radix et Rhizoma Rhei)
Xiao Shi (Natrii Sulfas, 1 liang each)
The above six ingredients are cut into pieces, boiled in three sheng of water to obtain one sheng of decoction, then filtered to remove dregs. Xiao Shi and Feng Mi are added, and it is boiled again until boiling. Take two ge per dose, three times daily. After administration, approximately one sheng of old milk should be expelled from the chest.
Older children take five ge.

*Tai Ping Sheng Hui Fang* (Holy惠民 Formularies of the Taiping Era) treats children with alternating chills and fever, headache, vomiting, and retained milk masses using Helile Wan (Chebulic Myrobalan Pill).
Helile Pi (Pericarpium Chebulae)
Mu Xiang (Radix Aucklandiae)
Ren Shen (Radix Ginseng, head and rhizome removed)
Chi Fuling (Poria cum Radix Pini Rosida)
Gui Xin (Cortex Cinnamomi Cassiae)
Chuan Da Huang (Radix et Rhizoma Rhei, crushed and slightly stir-fried)
Chen Ju Pi (Pericarpium Citri Reticulatae, soaked in hot water, white pith removed, dried; 0.5 liang each)
Chai Hu (Radix Bupleuri, 3 fen, radix removed)
The above medicines are pounded, sifted into powder, and mixed with refined honey to form pills the size of hemp seeds. Each time, take five pills with mint and fresh ginger decoction, three to four times daily. Dosage should be adjusted according to the child's age and size.

According to *Chishu Bingyuan* regarding the syndrome of alternating chills and fever in children who eat but do not gain muscle: Wind pathogenic factors invade the skin, while phlegm-fluids soak into the fu organs internally, causing disharmony of blood and qi and contention between yin and yang, thus triggering alternating chills and fever. The stomach qi carries heat; heat promotes digestion of grains, so rapid digestion leads to increased appetite. Contention between yin and yang causes disharmony of blood and qi; disharmony of blood and qi fails to nourish the body. Therefore, despite alternating chills and fever and the ability to eat, the child does not gain muscle.

*Waitai Miyao* (Essential Prescriptions Worth a Thousand Gold for Emergencies) cites *Gujin Luyan* (Ancient and Modern Recorded Experiences) treating children with alternating chills and fever, eating but not gaining muscle, using Dahuang Wan (Rhubarb Pill).
Da Huang (Radix et Rhizoma Rhei, 1 liang, steamed with two dou of rice)
Gui Xin (Cortex Cinnamomi Cassiae)
Gan Jiang (Rhizoma Zingiberis Officinalis Recens, processed; 2 fen each)
Ba Dou (Semen Crotonis Tiglii, 50 grains, heart and skin removed, roasted)
Xiao Shi (Natrii Sulfas, 3 fen, roasted; if unavailable, Mang Xiao/Natrii Sulfas Anhydrous may substitute)
The above five ingredients: pound and sieve the four non-Ba Dou ingredients separately. Pound Ba Dou alone until it becomes a paste. Mix with honey and pound another two thousand times. Form pills the size of paulownia seeds. Break off one pill and administer with warm water. If the heat is above the diaphragm, vomiting should occur; if below the diaphragm, purgation should occur. Prepare porridge in advance. If vomiting or purgation has already occurred after administration, continue medication as usual. If there is no vomiting or purgation after about two meals' worth of time, stimulate it with hot drinks. If still unable to vomit or purge, administer an additional half pill; robust individuals may take two pills. This medicine is superior to other purgative pills and is suitable for various ages. If purgation is excessive, resolve it with cold porridge. For sores/ulcers, use a cotton swab finger-thick, coat the tip with one pill mixed with honey, insert into the sore in the morning, and remove in the evening. If not healed, prepare anew. For warm diseases causing constipation, taking this to induce bowel movement is favorable. It is also taken for retained food indigestion. For Feishi Dunshi (ancient terms for sudden acute conditions), take half a pill with grain mash water, once daily; cessation should be immediate. For abdominal distension, fullness, and pain, take one pill. For malaria, abstain from food the night before the attack day, and take one pill early in the morning. Robust individuals take two pills. After vomiting or purgation, endure hunger until past the attack time before eating. For postpartum women with blood stasis, sensation of blood rushing up and down, infertility, irregular menstruation, and blue-yellow complexion, take half a pill. For children with dribbling dysuria, alternating chills and fever, abdominal distension, large abdomen, loss of appetite, and failure to gain muscle: children aged three to four take one pill the size of a hemp seed, once daily; children aged six to seven take two pills. Over thirty days, various heart and abdominal diseases will heal. Younger children take half the dose to heal; older children do well. Avoid wild boar meat, reeds/asparagus shoots, and raw green onions.