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Pediatric fever arises from various causes, such as food stagnation or cold invasion; conditions may be excess, deficiency, or heat accumulation due to stagnation. Physicians must examine carefully to differentiate the syndrome.

If the child has fever with a red face, coarse breathing, thirst, restlessness and crying, red lips, and dark urine, releasing the exterior will resolve the fever. The appropriate prescription is: Huangqin (Scutellariae Radix), Zisu (Perillae Folium), Sugan and Bohé (Stem of Perilla and Folium Menthae), Fangfeng (Saposhnikoviae Radix), Chaihu (Bupleuri Radix), Chongtui (Cicadae Periostracum), Lianqiao (Forsythiae Fructus), Mutong (Akebiae Caulis), Cheqian (Plantaginis Semen), Jingjie (Schizonepetae Spica) (each 0.15 g), using Dengxincao (Junci Medulla) as an guide drug.

If the child has fever with a pale face, bluish eyes, weak breath, and mental fatigue, warming and tonifying will resolve the fever. The appropriate prescription is: Yangshen (Panacis Quinquefolii Radix), Baizhu (Atractylodis Macrocephalae Rhizoma), Fuling (Poria), Banxia (Pinelliae Rhizoma), Chongtui (Cicadae Periostracum), Gusuibu and Dihuang (Drynariae Rhizoma and Rehmanniae Radix), Guangpi (Citri Reticulatae Pericarpium), Tianma (Gastrodiae Rhizoma) (stir-fried with ginger juice), Gancao (Glycyrrhizae Radix et Rhizoma) (each 0.15 g).

If the child has fever with a red face, rapid breathing, flaring of nostrils, and profuse sweating, this indicates obstruction of the lung orifices and excess lung fire. The appropriate prescription is: Niubangzi (Arctii Fructus) (stir-fried), Zhike (Aurantii Fructus), Su Zi (Perillae Fructus), Beijie (Brassicae Semen or Inulae Flos, contextually likely Brassicae Semen for descending qi), Laifuzi (Raphani Semen), Gouteng (Uncariae Ramulus cum Uncis), Fuling (Poria), Sugan and Bohé (Stem of Perilla and Folium Menthae), Jiegeng (Platycodonis Radix), Yunpi (likely Sangbaipi or Mudanpi, retained as Yunpi), Guangxiang (Aquilariae Lignum Resinatum), Puhuang (Typhae Pollen) (each 0.3 g), Beixin (Asari Radix et Rhizoma), Yazao (Gleditsiae Spina) (each 0.06 g).

If the child has slight fever with a pale face, rapid breathing, flaring of nostrils, and constitutional deficiency, the appropriate prescription is: Dangshen (Codonopsis Radix) (0.6 g), Yunling (Poria), Chenpi (Citri Reticulatae Pericarpium), Banxia (Pinelliae Rhizoma) (each 0.3 g), Rougui (Cinnamomi Cortex) (0.15 g), Zhigancao (Prepared Glycyrrhizae Radix et Rhizoma), Heijiang (Prepared Zingiberis Rhizoma) (each 0.18 g), Danggui (Angelicae Sinensis Radix) (0.3 g), Hongdazao (Jujubae Fructus) (two pieces) as a guide drug.

If there is prolonged deficiency fever with heat in the palms and soles, worsening in the afternoon, intermittent fever, deficiency irritability, and thirst, the appropriate prescription is: Shengdi (Rehmanniae Radix), Zaopi (Corni Fructus), Huai shanyao (Dioscoreae Hypoglaucae Rhizoma), Fuling (Poria), Danggui (Angelicae Sinensis Radix), Digupi (Phellodendri Cortex or Lycii Cortex, contextually Digupi usually refers to Lycii Cortex/Digupi), Shudi (Prepared Rehmanniae Radix), Danpi (Moutan Cortex), Zexie (Alismatis Rhizoma), Maidong (Ophiopogonis Radix) (heart removed, each 0.3 g), Beiwei (Schisandrae Fructus) (seven grains), Wumei (Mume Fructus), Hongdazao (Jujubae Fructus) (each one piece) as a guide drug.

If fever is caused by gan accumulation (malnutrition due to parasitic infection or indigestion), with emaciation and hard stools, where diaphoresis and purgation are contraindicated, this is heat accumulation. The appropriate prescription is: Yujin (Curcumae Radix), Danning (Arisaema cum Bile), Shujun (Prepared Rheum Palmati Radix), Shijunzi (Quisqualis Fructus) (shell removed), Hongqu (Red Yeast Rice) (each 0.6 g), ground into powder and taken with brown sugar water.

If fever is accompanied by cough, nasal congestion, and heavy voice, the appropriate prescription is: Qianhu (Peucedani Radix), Sangbai (Mori Cortex), Sugan and Bohé (Stem of Perilla and Folium Menthae), Jiegeng (Platycodonis Radix), Gan Ge (Puerariae Lobatae Radix), Zisu (Perillae Folium), Zhimu (Anemarrhenae Rhizoma) (each 0.3 g), Beixin (Asari Radix et Rhizoma) (0.09 g), Xingshuang (Amandus Amarus prepared as paste, oil removed) (0.3 g), decocted in water.

If there is prolonged fever with facial and ocular edema and clear nasal discharge, this is constitutional deficiency complicated by wind-cold invasion. The appropriate prescription is: Huangqi (Astragali Radix), Baizhu (Atractylodis Macrocephalae Rhizoma), Danggui (Angelicae Sinensis Radix), Shengma (Cimicifugae Rhizoma), Chaihu (Bupleuri Radix), Chenpi (Citri Reticulatae Pericarpium), Dangshen (Codonopsis Radix), Guizhi (Cinnamomi Ramulus), Fangfeng (Saposhnikoviae Radix) (each 0.3 g), Gancao (Glycyrrhizae Radix et Rhizoma) (0.09 g), with Shengjiang (Zingiberis Rhizoma Recens) and Hongdazao (Jujubae Fructus) as guide drugs.

If fever is accompanied by epistaxis, the appropriate prescription is: Sangbai (Mori Cortex), Xingren (Pruni Semen), Danpi (Moutan Cortex), Baishao (Paeoniae Radix Alba), Gupi (Lycii Cortex or Phellodendri Cortex, contextually Digupi/Gupi), Cebaiye (Platycladi Cacumen) (stir-fried), Gancao (Glycyrrhizae Radix et Rhizoma), Jingjie (Schizonepetae Spica) (each 0.3 g), without guide drug, decocted in water.

Pediatric night crying: Grind five dried flower heads of Oryza sativa (Denghua) into a paste, apply to the mother's nipple, and let the infant suckle to calm down. Another method is to take Qingdai (Indigo Naturalis) powder mixed with water. Another method is to take Wubeizi (Galae Chinensis) powder mixed with water and apply it to the umbilicus to achieve calmness.