《圣惠》论∶夫心者,火也。主于血,神之所舍。小儿蕴积邪热,脏腑壅滞,则令气血不和,心神烦乱,
故夜卧多狂语也。
《婴童宝鉴》云∶小儿心中有客热者,即睡中语也。
姚和众方。小孩夜后狂语。
竹沥,每一岁儿,连夜二合服,令尽之。
《圣惠》治小儿心脏壅热,夜卧狂语,及手足多掣。犀角散方
犀角(屑) 川升麻 黄芩 柴胡(去苗。各三分) 茯神 川大黄(微炒) 钩藤 麦门冬(去心,焙) 甘草
(炙微赤,锉。以上各半两)
上件药捣,粗罗为散。每服一钱,以水一小盏,煎至五、六分去滓。量儿大小,分减温服。
《圣惠》治小儿心热多惊,睡中狂语,烦闷。赤茯苓散方
赤茯苓 龙齿 黄芩 甘草(炙微赤,锉) 钩藤 元参 石膏(以上各半两) 川升麻(三分) 麦门冬(一两,
去心焙)
上件药捣,粗罗为散。每服一钱,以水一小盏,入竹叶七片,煎至五分去滓。量儿大小以意加减。
《圣惠》治小儿热,夜卧狂语,烦渴。黄连散方
黄连(去须) 川升麻 黄芩 犀角(屑) 川大黄(锉碎,微炒) 麦门冬(去心,焙) 甘草(炙微赤,锉。
以上各半两) 茯神(三分)
上件药捣,细罗为散。每服以竹沥调下半钱,日三、四服。量儿大小以意加减。
《圣惠》治小儿心热,不睡多惊,狂语。犀角散方
犀角屑 茯神 人参(去芦头) 天竺黄(研) 朱砂(研) 川升麻 麦门冬(去心,焙) 葛根(锉) 子芩
黄(锉) 羚羊角屑 赤芍药 甘草(炙微赤,锉。以上各一分) 柴胡(去苗) 龙齿(细研。以上各半两)
上件药捣,细罗为末,入研了药,都研令匀。每服以温水调下半钱。量儿大小临时加减。
《圣惠》治小儿心脏风热,神思恍惚,夜多狂语,不得安眠。牛黄散方
牛黄(细研,飞过) 白龙脑(一钱) 金箔(五十片。各细研) 朱砂(细研,飞过) 寒水石(各半两) 真
珠(末) 铅霜(细研) 犀角屑 甘草(炙) 防风(去芦头) 黄芩(以上各一分)
上件药捣,细罗为散,入研了药,都研令匀。每服以蜜水调下半钱。量儿大小加减服之。
《圣惠》治小儿壮热,心神烦躁,夜卧狂语。龙脑散方
龙脑 牛黄(并细研。各一钱) 黄连(去须,一分) 犀角屑 羚羊角屑 琥珀末 甘草(炙微赤,锉) 真珠
末铁粉(细研。各半两)
上件药捣,细罗为散。每服用蜜水调下半钱。量儿大小以意加减。
《圣惠》治小儿心肺积热,黄瘦毛焦,睡卧多惊,狂语。朱砂丸方
人参(去芦头) 马牙硝(各半两) 脑麝(细研。各一钱) 牛黄 天竺黄(各细研) 麦门冬(去心,焙) 犀
角屑 茯神 升麻 子芩 甘草(炙赤,锉,以上各一分) 朱砂(三分,细研,水飞过)
上件药捣,罗为末,炼蜜和丸如绿豆大。不计时候,以温水研下五丸。量儿大小以意加减。
《圣惠》又方
铅霜 牛黄(各半分) 铁粉(一分)
上件药,用细研令匀。每服以竹沥调下一字。
《圣惠》又方
朱砂(半两) 牛黄(一分)
上件药同研如面,每服以水磨犀角调下一字。
The *Shenghui Fang* discusses: The Heart belongs to Fire. It governs Blood and is the residence of Shen (Spirit). When children accumulate pathogenic heat internally, causing stagnation in the Zang-Fu organs, it leads to disharmony of Qi and Blood, resulting in vexation and confusion of the Heart Spirit; therefore, they often speak deliriously during sleep at night.
The *Yingtong Baojian* states: If there is "guest heat" (external pathogenic heat) in a child's heart, they will talk in their sleep.
Yao Hezhong's prescription: For children speaking deliriously at night.
Zhu Li (Bamboo Sap): Administer two he (a traditional unit of volume) per year of age, continuously until finished.
The *Shenghui Fang* treatment for pediatric cardiac congestion and heat, delirious speech during sleep, and frequent convulsions of the hands and feet: Xijiao San Formula
Xijiao (Rhinoceros Horn, prepared as shavings), Chuan Shengma (Cimicifugae Rhizoma), Huangqin (Scutellariae Radix), Chaihu (Bupleuri Radix, stems removed, each 3 fen), Fushen (Poria with Hostwood), Chuan Dahuang (Rhei Radix et Rhizoma, slightly stir-fried), Gouteng (Uncariae Ramulus cum Uncis), Maimendong (Ophiopogonis Radix, core removed, baked), Gancao (Licorice Root, honey-fried until slightly red, cut into pieces, each half liang).
Crush the above herbs, sift coarsely to make a powder. Take one qian per dose, add one small cup of water, decoct until reduced to five or six parts, remove dregs. Adjust the dosage according to the child's size and administer warm.
The *Shenghui Fang* treatment for pediatric heart heat with excessive fright, delirious speech during sleep, and mental distress: Chi Fuling San Formula
Chi Fuling (Red Poria), Longchi (Dragon Teeth), Huangqin (Scutellariae Radix), Gancao (Licorice Root, honey-fried until slightly red, cut into pieces), Gouteng (Uncariae Ramulus cum Uncis), Yuanshen (Scrophulariae Radix), Shigao (Gypsum Fibrosum, each half liang), Chuan Shengma (Cimicifugae Rhizoma, 3 fen), Maimendong (Ophiopogonis Radix, core removed, baked, 1 liang).
Crush the above herbs, sift coarsely to make a powder. Take one qian per dose, add one small cup of water and seven leaves of Zhuye (Bambusa Leaves), decoct until reduced to five parts, remove dregs. Adjust the dosage according to the child's size.
The *Shenghui Fang* treatment for pediatric heat, delirious speech during sleep, and mental distress with thirst: Huanglian San Formula
Huanglian (Coptidis Rhizoma,须 removed), Chuan Shengma (Cimicifugae Rhizoma), Huangqin (Scutellariae Radix), Xijiao (Rhinoceros Horn, prepared as shavings), Chuan Dahuang (Rhei Radix et Rhizoma, cut into pieces, slightly stir-fried), Maimendong (Ophiopogonis Radix, core removed, baked), Gancao (Licorice Root, honey-fried until slightly red, cut into pieces, each half liang), Fushen (Poria with Hostwood, 3 fen).
Crush the above herbs, sift finely to make a powder. Each dose is mixed with Zhu Li (Bamboo Sap) and taken as half a qian, three to four times daily. Adjust the dosage according to the child's size.
The *Shenghui Fang* treatment for pediatric heart heat, insomnia with excessive fright, and delirious speech: Xijiao San Formula
Xijiao xie (Rhinoceros Horn shavings), Fushen (Poria with Hostwood), Renshen (Ginseng Radix, rhizome removed), Tianzhu Huang (Calami Rhizoma, ground), Zhusha (Cinnabar, ground), Chuan Shengma (Cimicifugae Rhizoma), Maimendong (Ophiopogonis Radix, core removed, baked), Gegen (Puerariae Radix, cut), Zixin (a type of Scutellaria, cut), Lingyangjiao xie (Saiga Tatarica Cornu, prepared as shavings), Chishaoyao (Paeoniae Radix Rubra), Gancao (Licorice Root, honey-fried until slightly red, cut into pieces, each 1 fen), Chaihu (Bupleuri Radix, stems removed), Longchi (Dragon Teeth, finely ground, each half liang).
Crush the above herbs, sift finely to make a powder, mix with the already ground ingredients until uniform. Each dose is mixed with warm water and taken as half a qian. Adjust the dosage according to the child's size.
The *Shenghui Fang* treatment for pediatric cardiac wind-heat, absent-mindedness, frequent delirious speech at night, and inability to sleep peacefully: Niuhuang San Formula
Niuhuang (Calculus Bovis, finely ground and washed), Binao (Borneolum Syntheticum, 1 qian), Jinbo (Gold Leaf, 50 pieces, each finely ground), Zhusha (Cinnabar, finely ground and washed), Hanshuishi (Aqua Marina, each half liang), Zhenzhu (Pearl, powdered), Qianshuang (Plumbum Subacetatum, finely ground), Xijiao xie (Rhinoceros Horn shavings), Gancao (Licorice Root, honey-fried), Fangfeng (Saposhnikoviae Radix, rhizome removed), Huangqin (Scutellariae Radix, each 1 fen).
Crush the above herbs, sift finely to make a powder, mix with the already ground ingredients until uniform. Each dose is mixed with honey water and taken as half a qian. Adjust the dosage according to the child's size.
The *Shenghui Fang* treatment for pediatric high fever, vexation of Heart and Spirit, and delirious speech during sleep: Longnao San Formula
Longnao (Borneolum Syntheticum), Niuhuang (Calculus Bovis, both finely ground, each 1 qian), Huanglian (Coptidis Rhizoma, 1 fen), Xijiao xie (Rinoceros Horn shavings), Lingyangjiao xie (Saiga Tatarica Cornu, prepared as shavings), Hupo mo (Amber Powder), Gancao (Licorice Root, honey-fried until slightly red, cut into pieces), Zhenzhu mo (Pearl Powder), Tiefen (Ferrum Oxydatum Rubrum, finely ground, each half liang).
Crush the above herbs, sift finely to make a powder. Each dose is mixed with honey water and taken as half a qian. Adjust the dosage according to the child's size.
The *Shenghui Fang* treatment for pediatric accumulation of heat in Heart and Lungs, sallow emaciation, dry and brittle hair, frequent fright during sleep, and delirious speech: Zhusha Wan Formula
Renshen (Ginseng Radix, rhizome removed), Mayaxiao (Natrii Sulfas, each half liang), Naoshe (Borneolum and Moschus, finely ground, each 1 qian), Niuhuang (Calculus Bovis), Tianzhu Huang (Calami Rhizoma, both finely ground), Maimendong (Ophiopogonis Radix, core removed, baked), Xijiao xie (Rhinoceros Horn shavings), Fushen (Poria with Hostwood), Shengma (Cimicifugae Rhizoma), Zixin (a type of Scutellaria), Gancao (Licorice Root, honey-fried until red, cut into pieces, each 1 fen), Zhusha (Cinnabar, 3 fen, finely ground and washed with water).
Crush the above herbs, sift to make a powder, mix with refined honey to form pills the size of mung beans. Take at any time, dissolve five pills in warm water and swallow. Adjust the dosage according to the child's size.
The *Shenghui Fang* another formula:
Qianshuang (Plumbum Subacetatum), Niuhuang (Calculus Bovis, each half fen).
Grind the above herbs finely until uniform. Each dose is mixed with Zhu Li (Bamboo Sap) and taken as a "zi" amount.
The *Shenghui Fang* another formula:
Zhusha (Cinnabar, half liang), Niuhuang (Calculus Bovis, 1 fen).
Grind the above herbs together until fine like flour. Each dose is mixed with water-ground Xijiao (Rhinoceros Horn) juice and taken as a "zi" amount.