（脚手心热并五心热附）
《巢氏病源》烦热候∶小儿脏腑实，血气盛者，表里俱热，则苦烦躁不安，皮肤壮热也。
《小儿形证论》四十八候肺脏伏热歌∶
肺家伏热病难测，夜卧心烦大便结。劝君微取三两行，次进温平药教吃。如加口臭鼻清涎，更问根源须保
惜。若还壮热怕难医，妙剂休来谩相逼。
此病大小肠风，结涩不通，当进宽大肠槟榔散（方见本门。）潮热口臭，鼻有清涕，恐难治，为脾肺损也。
《本草》去小儿烦热，止渴方。
方诸水
上向月取之，得三、二合水饮之。
陶隐居去小儿烦热惊气方
上用景天叶，不以多少，煎汤洗浴，妙。
孟诜治小儿热惊痫，头生疮肿，卒烦热方。
上用白鸭肉和葱豉作汁饮之。
《千金》竹叶汤 主五心热，手足烦疼，口干唇燥，胸中热方。
竹叶 小麦（各一升） 知母 石膏（各三两） 黄芩 麦门
冬茯苓（各二两） 人参（一两半） 生姜（五两） 甘草（炙） 栝蒌根 半
夏（各一两）
上十二味 咀，以水一斗二升，煮竹叶小麦取八升，去滓；内药煮取三升，分三服，老小五服。
《圣惠》治小儿脏腑壅实，心神烦热，睡卧不安。黄芩散方
黄芩 川大黄（锉碎，炒） 甘草（炙） 川芒硝 麦门冬（去心） 石膏（各半两）
上件药捣，粗罗为散。每服一钱，以水一小盏，煎至五分，去滓。量儿大小以意分减，不计时候，温服。
《圣惠》治小儿气壅烦热，心躁目赤。大青散方
大青 川大黄（锉，炒。各半两） 牛黄（半分，细研） 朱砂 甘草（炙赤，锉） 犀角（屑） 元
参川升麻 栀子仁（各一分）
上件药捣，细罗为散，入研了药，都研令匀。不计时候，以沙糖水调半钱服。量儿大小以意加减。
《圣惠》治小儿烦热多惊。人参散方
人参（去芦头） 天竺黄（细研） 钩藤（各一分） 甘草（半两，炙赤，锉） 牛黄（半分，细研）
上件药捣，细罗为散。不计时候，煎竹叶汤调下半钱。量儿大小以意加减。
《圣惠》治小儿烦热，昏闷多睡。犀角散方
犀角（末，半两） 青黛 代赭 朱砂（各一分） 蛇蜕皮（灰，一钱）
上件药都研为散。每服以温水调下半钱。量儿大小加减服之。
《圣惠》又方
青黛（三分） 麝香（半分） 朱砂（一分） 干地龙（七条，炒，为末）
上件药都细研为散。每服以粥饮调下半钱。量儿大小加减服之。
《圣惠》治小儿心脏气壅，烦热闷乱。龙胆丸方
龙胆（去芦头） 黄连（去须。各一两） 铅霜（半两） 牛黄（一钱） 铁粉（一分。各细研）
上件药捣，罗为末，都研令匀，以粟米饭和丸如绿豆大。不计时候，以薄荷蜜水下五丸。量儿大小以意加减。
《圣惠》治小儿心脏积热，烦躁恍惚。牛蒡粥方
牛蒡根汁（一合） 粳米（一合）
上以水一大盏煮粥，临熟投牛蒡汁搅匀，空腹温温食之。
《灵苑》小金箔丸 解大人、小儿心脏壅毒，咽喉不利，上壅口疮，夜卧不稳，心膈烦躁。化痰毒风
涎，安魂定
魄。治惊邪，镇心神；解室女骨蒸热劳方。
金箔（五片） 朱砂 琥珀 雄黄 硼砂 铅白霜（各二钱） 白龙脑 生犀（末） 天竺黄 寒水石（
过。各三钱） 牛黄（少许研）
上十一味同入乳钵内，细研如粉，用粟米饮为丸如小豆大。每服五丸，用竹叶熟蜜水下。旧方云∶大金箔
丸治大人疾，小金箔丸治小儿疾，今亦互服。但小金箔丸正凉，大金箔丸小温而治风。
《婴孺》治小儿烦热。雷丸浴汤方
雷丸（二十个） 大黄（四两） 黄芩（一两） 丹参（二两） 苦参 石膏（研。各三两）
上以水二升，煮一升半。浴儿讫，粉粉之，勿浓衣，一宿复浴，避阴及目。一方只用石膏末半升，雷丸五
两，以雪水六升煮二升，用帛染拭头体。
《万全方》治小儿烦热多惊。茯神散
茯神 人参 天竺黄（研） 钩藤（各一分） 牛黄（半分，研入） 郁金 甘草（炙。各半两）
上捣罗为末。每服半钱，煎竹叶汤调下。
《万全方》治小儿烦热惊悸。竹沥犀角饮子
竹沥（二合） 犀角（不计多少）
上件药将犀角于竹沥内磨，令浓。量儿大小分减服。
《四十八候》治伏热心烦，疏风顺气。槟榔散方
槟榔（生） 大黄（蒸） 青皮（各一分） 黑牵牛（一钱，微炒） 木香（少许，炮）
上为末。每服一钱，薄荷蜜水调下。
《庄氏家传》∶初冬阳盛热壅，卧不稳，手脚心烦热。
川大黄 川升麻 白芍药（等分）
上为粗末。每服二钱，用竹茹水七分，同煎四分，去滓温服。三、两夜一服，冬至后一夜一服。
(Heat in palms and soles, with Five-Heart Heat)
*Zhubing Yuanhou Lun* (Catalogue of Causes and Manifestations of All Diseases), Chapter on Fanre (Vexing Heat): In infants and children whose zang-fu organs are full and blood-qigong is vigorous, if both the exterior and interior are hot, they will suffer from vexation and restlessness, accompanied by high skin fever.
*Xiao'er Xingzheng Lun* (Discussion on Infantile Forms and Syndromes), Song for the Forty-Eight Syndromes of Latent Heat in the Lung Organ:
The disease caused by latent heat in the lung family is difficult to predict; lying down at night brings mental vexation and constipation. Advise you to gently induce bowel movements two or three times, then administer mild and balanced medicines. If bad breath and clear nasal discharge are added, one must inquire into the root cause and exercise great care. If severe heat persists, it may be difficult to treat; do not force potent remedies indiscriminately.
This disease involves wind pathogens in the large and small intestines, causing stagnation and obstruction. One should administer *Kuan Dachang Binglang San* (Areca Nut Decoction to Broaden the Large Intestine) (see formula in this section). With tidal fever, bad breath, and clear nasal discharge, prognosis is poor due to damage to the Spleen and Lung.
*Bensao* (Materia Medica), prescription to remove pediatric fanre (vexing heat) and relieve thirst.
Fangzhu Shui (Water Collected from Fangzhu Vessel)
Collect water facing the moon, obtain two or three he of water, and drink it.
Tao Hongjing's prescription to remove pediatric fanre (vexing heat) and fright qi:
Use leaves of *Sedum aizoon* (Jingtian Ye), regardless of quantity, decoct in water for bathing. This is excellent.
Meng Shen's prescription for treating pediatric heat-induced convulsions, head sores and swelling, and sudden fanre (vexing heat):
Use white duck meat with scallion and fermented soybeans to make a juice, and drink it.
*Qianjin Fang* (Prescriptions Worth a Thousand Gold), Zhuye Tang (Bamboo Leaf Decoction)
Indicated for five-heart heat, vexing pain in hands and feet, dry mouth and parched lips, and heat in the chest.
Zhuye (Bamboo Leaves), Xiaomai (Wheat) (each 1 sheng); Zhi Mu (Anemarrhenae Rhizoma), Shigao (Gypsum Fibrosum) (each 3 liang); Huangqin (Scutellariae Radix), Maimendong (Ophiopogonis Radix), Fuling (Poria) (each 2 liang); Renshen (Ginseng Radix et Rhizoma) (1.5 liang); Shengjiang (Zingiberis Rhizoma Recens) (5 liang); Gancao (Licorice Root, honey-fried); Gualougen (Trichosanthis Radix); Banxia (Pinelliae Rhizoma) (each 1 liang).
Crush the above twelve ingredients. Boil in 12 sheng of water, first decocting Zhuye and Xiaomai until 8 sheng remain, then strain. Add the remaining herbs and decoct until 3 sheng remain. Divide into three doses for adults, or five doses for children and the elderly.
*Tai Ping Sheng Hui Fang* (Imperial Holy Welfare Formulary), Huangqin San (Scutellaria Powder)
Indicated for pediatric zang-fu organ congestion and excess, mental vexation and heat, and restless sleep.
Huangqin (Scutellariae Radix), Chuan Dahuang (Rhei Radix et Rhizoma, crushed and stir-fried), Gancao (Licorice Root, honey-fried), Chuan Mangxiao (Natrii Sulfas), Maimendong (Ophiopogonis Radix, core removed), Shigao (Gypsum Fibrosum) (each 0.5 liang).
Pulverize the above herbs and sieve coarsely. Take 1 qian per dose, decoct in one small cup of water until half remains, then strain. Adjust dosage according to the child's size, take warm at any time.
*Tai Ping Sheng Hui Fang*, Daqing San (Isatidis Powder)
Indicated for pediatric qi congestion with vexing heat, mental irritability, and red eyes.
Daqing (Isatidis Folium), Chuan Dahuang (Rhei Radix et Rhizoma, crushed and stir-fried) (each 0.5 liang); Niuhuang (Bovis Calculus, finely ground) (0.5 fen); Zhusha (Cinnabar), Gancao (Licorice Root, honey-fried until red and crushed), Xijiao (Rhino Horn, shaved), Xuanshen (Scrophulariae Radix), Chuan Shengma (Cimicifugae Rhizoma), Zhizi Ren (Gardeniae Semen) (each 1 fen).
Pulverize the above herbs and sieve finely. Mix with the already ground ingredients until uniform. Take 0.5 qian mixed with sugar water at any time. Adjust dosage according to the child's size.
*Tai Ping Sheng Hui Fang*, Renshen San (Ginseng Powder)
Indicated for pediatric fanre (vexing heat) with frequent fright.
Renshen (Ginseng Radix et Rhizoma, rhizome removed), Tianzhuhuang (Calami Tuber, finely ground), Gouteng (Uncariae Ramulus cum Uncis) (each 1 fen); Gancao (Licorice Root, honey-fried until red and crushed) (0.5 liang); Niuhuang (Bovis Calculus, finely ground) (0.5 fen).
Pulverize the above herbs and sieve finely. Take 0.5 qian mixed with Zhuye Tang (Bamboo Leaf Decoction) at any time. Adjust dosage according to the child's size.
*Tai Ping Sheng Hui Fang*, Xijiao San (Rhino Horn Powder)
Indicated for pediatric fanre (vexing heat), drowsiness, and excessive sleep.
Xijiao (Rhino Horn, powder) (0.5 liang); Qingdai (Indigo Naturalis), Daizhe (Haematitum), Zhusha (Cinnabar) (each 1 fen); She Tuipi (Snake Slough, ash) (1 qian).
Grind all ingredients into a fine powder. Take 0.5 qian mixed with warm water. Adjust dosage according to the child's size.
*Tai Ping Sheng Hui Fang*, Another Formula
Qingdai (Indigo Naturalis) (3 fen); Shexiang (Moschus) (0.5 fen); Zhusha (Cinnabar) (1 fen); Gan Dilong (Pheretima, stir-fried and powdered) (7 strips).
Grind all ingredients finely. Take 0.5 qian mixed with rice broth. Adjust dosage according to the child's size.
*Tai Ping Sheng Hui Fang*, Longdan Wan (Gentian Pills)
Indicated for pediatric heart qi congestion, vexing heat, and confusion.
Longdan (Gentianae Radix, rhizome removed), Huanglian (Coptidis Rhizoma, fibers removed) (each 1 liang); Qianshuang (Plumbum Subacetatum) (0.5 liang); Niuhuang (Bovis Calculus) (1 qian); Tiefen (Ferrum Pulveratum) (1 fen). Grind each finely.
Pulverize the above herbs, sieve, mix thoroughly, and bind with millet rice paste into pills the size of mung beans. Take 5 pills mixed with mint honey water at any time. Adjust dosage according to the child's size.
*Tai Ping Sheng Hui Fang*, Niubang Zhou (Arctii Porridge)
Indicated for pediatric heart accumulation of heat, irritability, and trance-like state.
Niubang Genzhi (Juice of Arctii Radix) (1 he); Jingmi (Oryza Sativa Glutinosa) (1 he).
Cook the rice in one large cup of water to make porridge. Near completion, add the arctii juice and stir well. Eat warm on an empty stomach.
*Lingyuan*, Xiao Jinbo Wan (Small Gold Foil Pills)
Resolves heart congestion and toxicity in adults and children, throat discomfort, upper congestion with mouth ulcers, restless sleep, and chest/epigastric vexation. Resolves phlegm toxins and wind-phlegm, calms the soul and stabilizes the spirit. Treats fright pathogen, settles heart-mind; resolves bone-steaming heat and consumptive disorder in unmarried women.
Jinbo (Gold Foil) (5 pieces); Zhusha (Cinnabar), Hupo (Amber), Xionghuang (Realgar), Pengsha (Borax), Qianbaishuang (Plumbum Subacetatum) (each 2 qian); Bailongnao (Borneolum Syntheticum Bai), Shengxi (Fresh Rhino Horn, powder), Tianzhuhuang (Calami Tuber), Hanshuishi (Aqua Marina, calcined) (each 3 qian); Niuhuang (Bovis Calculus) (small amount, ground).
Grind the eleven ingredients together in a mortar until fine as powder. Bind with millet drink into pills the size of adzuki beans. Take 5 pills with bamboo leaf honey water. Old texts state: Da Jinbo Wan treats adult diseases, Xiao Jinbo Wan treats pediatric diseases; now they can be used interchangeably. However, Xiao Jinbo Wan is purely cooling, while Da Jinbo Wan is slightly warming and treats wind.
*Yingru Shu*, Leiwan Yu Tang (Polyporus Bath Decoction)
Indicated for pediatric fanre (vexing heat).
Leiwan (Polyporus Umbellatus) (20 pieces); Dahuang (Rhei Radix et Rhizoma) (4 liang); Huangqin (Scutellariae Radix) (1 liang); Danshen (Salviae Miltiorrhizae Radix et Rhizoma) (2 liang); Kushen (Sophorae Flavescentis Radix), Shigao (Gypsum Fibrosum, ground) (each 3 liang).
Decoct in 2 sheng of water until 1.5 sheng remain. Bathe the child, then apply powder. Do not dress warmly. Bathe again after one night, avoiding阴 areas and eyes. Another method uses only 0.5 sheng of Shigao powder and 5 liang of Leiwan, decocted in 6 sheng of snow water until 2 sheng remain. Wipe head and body with cloth soaked in this liquid.
*Beiji Qianjin Yaofang* (Essential Prescriptions Worth a Thousand Gold for Emergencies), Fushen San (Poria Powder)
Indicated for pediatric fanre (vexing heat) with frequent fright.
Fushen (Poria with Pine Root), Renshen (Ginseng Radix et Rhizoma), Tianzhuhuang (Calami Tuber, ground), Gouteng (Uncariae Ramulus cum Uncis) (each 1 fen); Niuhuang (Bovis Calculus, ground and added) (0.5 fen); Yujin (Curcumae Radix), Gancao (Licorice Root, honey-fried) (each 0.5 liang).
Pulverize and sieve. Take 0.5 qian mixed with Zhuye Tang (Bamboo Leaf Decoction).
*Beiji Qianjin Yaofang*, Zhuli Xijiao Yinzi (Bamboo Sap and Rhino Horn Drink)
Indicated for pediatric fanre (vexing heat) with palpitations and fright.
Zhuli (Bamboo Sap) (2 he); Xijiao (Rhino Horn) (quantity unspecified).
Grind the rhino horn in the bamboo sap until thick. Administer in divided doses adjusted for the child's size.
*Sibashihou*, Binglang San (Areca Nut Powder)
Indicated for latent heat with mental vexation, unblocking wind and regulating qi.
Binglang (Arecae Semen, raw), Dahuang (Rhei Radix et Rhizoma, steamed), Qingpi (Citri Reticulatae Pericarpium Viride) (each 1 fen); Hei Qianniu (Morning Glory Seed, lightly stir-fried) (1 qian); Muxiang (Aucklandiae Radix) (small amount, processed).
Powder the ingredients. Take 1 qian mixed with mint honey water.
*Zhuangshi Jiacuan*: Early winter, yang qi is abundant and heat congests, causing restless sleep and vexing heat in hands and feet.
Chuan Dahuang (Rhei Radix et Rhizoma), Chuan Shengma (Cimicifugae Rhizoma), Baishaoyao (Paeoniae Radix Alba) (equal parts).
Make into coarse powder. Take 2 qian per dose, decoct with Zhuru (Bamboo Shavings) water (7 portions) until 4 portions remain, then strain and take warm. Take every two or three nights; after Winter Solstice, take every night.