五硬者，仰头取气，难以动摇，气壅作痛，连于胸膈，脚手心冷而硬，此阳气
不营于四末也。经曰∶脾主四肢。又曰∶脾主诸阴。今手足冷而硬者，独阴无阳也，
故难治。若肚筋青急者，木乘土位也，急用六君子汤加炮姜、肉桂、柴胡、升麻，
以复其真气，若系风邪，当参惊风治之。此证从肝脾二脏受患，当补脾平肝，仍参
急慢惊风门治之。《百问》云，如审系风证，根据中风治之，必有回生之理，小续命汤加减。
小续命汤 治中风不省人事，涎鸣反张，失音厥冷。
麻黄（去节） 人参 黄芩 川芎 芍药 甘草（炙） 杏仁（去皮尖，炒） 汉防己 官桂（去皮。
各半两） 防风（七钱半） 附子（炮，去皮脐，七钱半）
上，除附子、杏仁外，捣为粗末，次入二味夹和。每一钱，姜枣煎，食前服。
有热去附子，官桂减半。
经云∶诸暴强直，皆属于风，故收此方，非的风证勿用。
凡寒热往来无定期，其有定期者，疟也。巢氏曰∶风邪外客于皮肤，而痰饮
内渍于腑脏，致令血气不和，阴阳更相乘克，阳胜则热，阴胜则寒，阴阳之气，为
邪所乘，邪与正相干，阴阳交争，时发时止，则寒热往来也。《全生指迷》论曰∶
若其人翕翕如热，淅淅如寒，无有时度，支节如解，手足酸疼，头目昏晕，此由荣
卫虚弱，外为风邪相乘，搏于阳则发热，搏于阴则发寒，久不治，成劳。宜荆芥散。
又曰∶若寒热如疟，不以时度，肠满膨 ，起则头晕，大便不通，或时腹痛，胸膈
痞闷，此由宿谷停留不化，结于肠间，气道不舒，阴阳交乱，宜备急丸。经曰∶
阳虚则外寒，阴虚则内热，阳盛则外热，阴盛则内寒，寒热往来，此乃阴阳相胜也，
故寒气并于阴则发寒，阳气并于阳则发热，寸口脉微为阳不足，阴气上入阳中则恶
寒，尺脉弱为阴不足，阳气下入阴中则发热，阳不足则先寒后热，阴不足则先热后
寒，阴阳不归其分，则寒热交争也。又，上盛则发热，下盛则发寒，阳盛则乍热，
阴盛则乍寒，阴阳相胜，虚实不调，故邪气更作，而寒热往来，或乍寒乍热也。少
阳胆者，肝之府，界乎太阳、阳明之间，半表半里之分，阴阳之气，易于相乘，故
寒热多主肝胆经证，以小柴胡汤加减调之。若只见寒热，起居如常，久而不愈，及
大病后元气未复，悉属阴虚生热，阳虚生寒，宜用八珍汤（虚羸）补之，甚者十全大补汤
（汗）。有食积为病，亦令寒热，用保和丸（宿食）消之，若兼呕吐泄泻用六君子汤（吐泻），厥冷
饮热，人参理中丸（泻）；作渴不止，七味白术散（渴）；食积既消而寒热尚作者，肝邪乘脾，
所胜侮所不胜也，用异功散（吐泻）加柴胡、山栀。其疟证寒热详见疟门。
〔汤〕食积寒热如疟，渴泻气急，要合地卧。此候先当取下积，只用平胃散，次
常服进食丸。（平胃散、见不乳食，进食丸，见积。）
〔钱〕曹宜德子三岁，面黄时发寒热，不欲食而饮水及乳不止。众医以为潮热，
用牛黄丸不愈，及以止渴干葛散，服之反吐。钱曰当以白饼子下之，后补脾，乃以
消积丸磨之，此乃解也，后果愈。何以故？不食但饮水者，食伏于脾内不能消化，
致令发寒热，用止渴药吐者，药冲脾故也，故下之即愈。
〔子和〕高巡检子八岁，病热，医者皆为伤冷，治之以热药。欲饮冰水，禁而不
与，内水涸竭，烦躁转生，前后皆闭，口鼻俱干，寒热往来，咳嗽时作，遍身无汗。
又欲灸之。适遇戴人，戴人责其母曰，重 浓被，暖炕红炉，儿已不胜其热，尚可
灸乎。其母谢以不明。戴人令先服人参柴胡饮子，遂连进数服，下烂鱼肠之类，臭
气异常，渴欲饮水，听其所欲，冰雪冷水连进数杯，节次又下三四十行，大热方去，
又与通膈丸、牛黄丸，复下十余行，儿方大痊。前后约五十余行，略计所用冰雪水
饮计一斛，向灸之，当何如哉。
太医局小柴胡汤 治大人小儿伤寒温热病，身热恶风，颈项强急，胸满胁痛，呕哕烦
渴，寒热往来，身面皆黄，小便不利，大便秘硬，或过经未解，或潮热不除，及
瘥后劳复，发热头痛，妇人伤风，头痛烦热，经血适断，寒热如疟，发作有时，
及产后伤风，头痛烦热，并宜服之。
柴胡（去芦头秤半斤） 黄芩 人参（去芦头秤） 甘草（炙。各三两） 半夏（汤洗七次，焙干秤二两半）
上五味，同为粗末。每服三大钱，以水一盏半，入生姜五片，枣一枚擘破，同
煎至七分，滤去滓，稍热服，不拘时，小儿分作二服，更量大小加减。
〔张涣〕秦艽汤 治小儿寒热往来。
秦艽（去苗） 鳖甲（醋炙微黄，去裙 各一两） 川大黄（锉碎，微炒） 麻黄（去根节。各半两） 竹茹 甘
草（炙。各一分）
上件捣，罗为粗散，每服一钱，水一盏，入葱白二寸，同煎至五分，去滓温服，量儿大小加减。
人参前胡散
人参（去芦头） 前胡 柴胡（去苗。各一两） 桔梗 地骨皮 甘草（炙） 半夏（汤洗七遍，焙干。各半两）
上件捣，罗为细末，每服一大钱，水一小盏，入生姜二片，煎至半盏，去滓放
温服，量儿大小加减。
芍药汤
赤芍药（一两） 黄芩 当归（锉，焙干） 柴胡（各半两） 肉桂 甘草（炙，各一分）
上件捣，罗为细末。每服一钱，水八分一盏，入生姜二片，枣一枚，同煎至五
分，去滓温服，量儿加减。
《王氏手集》柴胡人参汤 治小儿脾热生风，往来寒热（子和柴胡饮子有黄芩、大黄、当归，无茯苓）
柴胡 人参 芍药 茯苓 甘草（炙。各等分）
上每服二钱，水一盏，入生姜三片，煎至四分，温服。
《全生指迷》荆芥散
荆芥穗 人参 白术 当归（切、洗，焙） 黄 芍药 桂（去粗皮。各一两） 柴胡（去苗，二两） 甘草（炙，
半两）
上为粗末。每服五钱，水二盏，煎至一盏，去滓温服。
《全生指迷》备急丸
大黄（湿纸裹，煨） 巴豆（去皮心，去油） 干姜（去皮。各等分）
上为细末，炼蜜和丸，如豌豆大。每服一丸，米饮下。羸人服一丸如绿豆大，
以大便快利为度。
《千金》治小儿生一月至五月乍寒乍热方
上细切柳枝煮取汁洗儿，若渴，绞冬瓜汁饮之。
《水鉴》孩子百日内忽有寒热，何以治之。与冷药吃，即乳寒呕逆，若与热药治
之，其病加甚，无神法圣术，因循丧儿之命，博览石室秘方，用之应妙，歌云∶
桃花荫末一钱余，甘草冲汤力更殊，蓝花只消一两字（阴干），灌之入口立消除。上
三味为末，每服半钱，汤调灌之。
《庄氏家传》疗少小卒寒热不佳。不能服药，李叶浴儿方
上用李叶不拘多少，煮汤浴儿。（又白芷，又苦参。）
《玉诀》云，先调气，次解虚热，热不去，下真珠丸取。
真珠丸 治小儿寒热虚积，五脏烦满，及下风涎积滞，惊食疳积。
南星 半夏 滑石（各末，二钱） 轻粉（四钱匕） 巴豆（二七粒，去心油）
上末之，面糊丸芥子大。每服十五二十丸，煎葱汤吞下。
《婴孺》六味汤 治少小寒热进退，啼呼腹痛。
地黄 桂心（各八分） 芍药 寒水石 黄芩（炙） 甘草（炙。各二分）
上切细，以水三升，煮一升半。一岁儿二合至三合，量与服之。
大黄丸 疗小儿寒热，食不生肌肉。
大黄（一两，蒸之二斗米下） 桂心 干姜（炮。各二分） 巴豆（五十粒，去皮心，熬） 消石（三分，熬，无
者以芒硝代之）
上五味，捣筛四味，别捣巴豆令如泥，合和以蜜，更捣二千杵，丸如梧子。每
一丸，汤服之。但热在膈上当吐，在膈下当利，预作粥，如服他吐下丸法，
服药两食顷不吐下，以热饮动之，若不得吐下，可更服一丸半，能药壮人可二丸。
此药优于他下药丸，故宜大小。下多，冷粥解之。若有疮绵挺如指，蜜和一丸涂挺
头，旦内疮中，喁出之，不瘥更作。温病不得大便，服之得下佳，宿食不消，
亦服之。飞尸遁尸，浆服半丸，日一，应须臾止。心腹胀满痛，服一丸。疟者，
根据发日，先宿勿食，清晨服一丸，丁壮人服二丸，得吐下，忍饥，过发时乃
食。妇人产后血结中奔，走起上下，或绝产无子，或月经不调，面目青黄，服半
丸。小儿淋沥寒热，胪胀大腹，不欲食，食不生肌，三四岁如麻子大一丸，日一
服，六七岁儿服二丸，比三十日，心腹诸病瘥，儿小半之，愈，大良。忌野猪肉、芦笋、生葱。
按∶病儿若无实积，或有积而虚，皆不宜用此，若疳劳一路，自当求之肥儿之属。
《圣惠》柴胡散 治小儿寒热往来，乳食不下，四肢无力，心腹胀满，上焦痰壅，渐渐羸瘦。
柴胡（去苗） 鳖甲（涂醋炙令黄色，去裙 。各一两） 人参 前胡 桔梗 诃梨勒皮 地骨皮
赤芍药 杏仁（汤浸，去皮尖双仁，麸炒微黄） 甘草（炙，微赤） 陈橘皮（汤浸，去白，焙。各半两）
上件药捣，筛为散，每服一钱，水一小盏，煎至五分，去滓，不计时候温服，量儿大小加减。
五味子散 治小儿寒热往来，不欲乳食，羸瘦心胀。
五味子 当归（锉碎，微炒） 人参 桔梗 前胡（各去芦头） 白术 赤茯苓 黄芩（各用一分）
甘草（半分，炙微赤，锉） 麦门冬（半两，去心，焙）
上件药捣，粗罗为散。每服一钱，以水一小盏，煎至五分，去滓温服，日三四
服，更量儿大小，以意加减。
人参散 治小儿寒热往来，食少羸瘦。
人参（去芦头） 黄 （锉） 柴胡（去苗） 白茯苓 鳖甲（涂醋炙令黄，去裙 ） 木香（各半两） 甘草
（炙微赤，锉） 白术 桃仁（汤浸，去皮尖双仁，麸炒微黄。各一分） 诃梨勒皮（三分）
上件药捣，细罗为散。不计时候以粥饮调下半钱，量儿大小加减服之。
黄 丸 治小儿往来寒热，多汗心烦，小便赤黄，不欲乳食，四肢羸瘦。
黄 （锉） 麦门冬（去心，焙） 赤茯苓 白术 子芩 甘草（各一分） 柴胡（去苗） 鳖甲（涂醋炙令
黄，去裙 。各半两）
上件药捣，罗为末，炼蜜和丸如绿豆大。每服以粥饮下五丸，日三四服，量儿大小加减。
张涣香甲散 治寒热往来肌瘦。
鳖甲（酥炙黄，去裙 ） 木香（各一两） 川大黄（微炒） 陈橘皮（去白，焙干） 当归（洗，焙干） 柴胡
（去苗） 知母 甘草（炙。各半两） 槟榔（三枚）
上件捣，罗为粗散。每服一钱，水一小盏，入生姜二片，煎至六分，去滓温服，
量儿大小加减。
Wu Ying (Five Stiffnesses) manifests as the head tilting backward to seek breath, difficulty in moving or shaking the body, qi stagnation causing pain radiating to the chest and diaphragm, cold and stiff soles of hands and feet. This is due to yang qi failing to circulate to the four extremities. The Classics state: "The Spleen governs the four limbs." It also states: "The Spleen governs all yin meridians." Now, with cold and stiff hands and feet, it indicates the presence of only yin without yang, making it difficult to treat. If the abdominal tendons are cyanotic and tense, this is Wood overacting on Earth (Liver overacting on Spleen); immediately use Liujunzi Tang (Six Gentlemen Decoction) added with Paojiang (Prepared Zingiberis Rhizoma), Rougui (Cinnamomi Cortex), Chaihu (Bupleuri Radix), and Shengma (Cimicifugae Rhizoma) to restore true qi. If caused by wind pathogen, it should be treated referring to Jing Feng (Wind Tremors). This condition originates from the Liver and Spleen organs; one should tonify the Spleen and soothe the Liver, and refer to the sections on Ji Jing Feng (Acute Wind Tremors) and Man Jing Feng (Chronic Wind Tremors). "Baiwen" states: if confirmed as a wind syndrome, treat according to Zhong Feng (Wind Stroke), which will surely have life-saving effects; use Xiao Xuming Tang (Minor Rescue Life Decoction) with modifications.
Xiao Xuming Tang treats Zhong Feng (Wind Stroke) with unconsciousness, phlegm rattling in the throat, opisthotonos, aphonia, and cold limbs.
Herbs include: Mahuang (Ephedrae Herba, de-jointed), Renshen (Ginseng Radix et Rhizoma), Huangqin (Scutellariae Radix), Chuanxiong (Ligustici Chuanxiong Rhizoma), Shaoyao (Paeoniae Radix), Gancao (Glycyrrhizae Radix et Rhizoma, honey-fried), Xingren (Armeniacae Semen Amarum, skin and tip removed, stir-fried), Hanfangji (Stephaniae Tetrandrae Radix), Guangui (Cinnamomi Cortex, bark removed, each 0.5 liang), Fangfeng (Saposhnikoviae Radix, 7.5 qian), Fuzi (Aconiti Lateralis Radix Praeparata, baked, skin and navel removed, 7.5 qian).
Above herbs, except Fuzi and Xingren, are crushed into coarse powder, then the two are mixed in between. Take 1 qian per dose, decoct with Jiang (Zingiberis Rhizoma) and Zao (Jujubae Fructus), take before meals. If there is heat, remove Fuzi and reduce Guanggui by half.
The Classics say: "All sudden stiffness belong to wind," hence this formula is included; do not use unless it is a wind syndrome.
Whenever chills and fever alternate without regularity, if they occur at regular intervals, it is Nue (Malaria). Chao Yuanfang says: "Wind pathogen externally resides in the skin, while phlegm-fluid internally infiltrates the fu-organs, causing disharmony of blood and qi, and mutual overacting of yin and yang. Yang excess leads to heat, Yin excess leads to cold. When yin and yang qi are attacked by pathogen, and pathogen interferes with healthy qi, yin and yang contend, appearing and disappearing intermittently, resulting in alternating chills and fever." "Quansheng Zhimi" discusses: "If a person feels hot like 'xi xi' (shivering warmth) and cold like 'xi xi' (chilly), without fixed timing, joints feeling loose and sore, limbs painful, dizziness and blurred vision, this is due to deficiency of Ying (Nutritive) and Wei (Defensive) qi, allowing external wind pathogen to invade. Pathogen combats Yang leading to fever, combats Yin leading to cold; if untreated for long, it becomes Lao (Consumption). Use Jingjie San (Schizonepeta Powder)."
It also says: "If chills and fever resemble Malaria without fixed timing, abdominal fullness and distension, dizziness upon rising, constipation, occasional abdominal pain, chest and diaphragm stuffiness, this is due to retained food failing to transform, knotting in the intestines, obstructing qi mechanism, and chaotic yin and yang. Use Beijij Wan (Urgent Rescue Pill)." The Classics say: "Yang deficiency leads to external cold, Yin deficiency leads to internal heat; Yang excess leads to external heat, Yin excess leads to internal cold. Alternating chills and fever result from mutual victory of yin and yang. Thus, when cold qi merges with Yin, cold occurs; when Yang qi merges with Yang, heat occurs. Cunkou pulse being faint indicates insufficient Yang, Yin qi entering Yang causes aversion to cold; Chi pulse being weak indicates insufficient Yin, Yang qi entering Yin causes fever. Insufficient Yang leads to cold first then heat; insufficient Yin leads to heat first then cold. If yin and yang do not return to their respective positions, chills and fever contend. Furthermore, excess above leads to heat, excess below leads to cold; Yang excess leads to sudden heat, Yin excess leads to sudden cold. Mutual victory of yin and yang, imbalance of deficiency and excess, cause pathogens to alternate, resulting in alternating chills and fever, or sudden cold and heat. Shaoyang Gallbladder is the residence of the Liver, situated between Taiyang and Yangming, in the half-exterior half-interior region, where yin and yang qi easily overact. Thus, chills and fever mostly belong to Shaoyang/Gallbladder-Liver meridian syndromes, regulated by Xiaochaihu Tang (Minor Bupleurum Decoction) with modifications. If only chills and fever are present, daily activities remain normal, persisting for a long time, or after severe illness when Yuan Qi (Original Qi) has not recovered, all belong to Yin deficiency generating heat and Yang deficiency generating cold. Use Bazhen Tang (Eight Treasures Decoction) to tonify (for emaciation); for severe cases, use Shiquan Dabu Tang (Ten Significant Tonifying Decoction) (for sweating). Food retention causing disease also leads to chills and fever; use Baohe Wan (Preserve Harmony Pill) to resolve (for retained food). If accompanied by vomiting and diarrhea, use Liujunzi Tang (for vomiting/diarrhea); for cold limbs desiring hot drinks, use Ren Shen Lizhong Wan (Ginseng Center-Regulating Pill) (for diarrhea); for unrelenting thirst, use Qiwei Baizhu San (Seven-Ingredient Atractylodes Powder) (for thirst); if chills and fever persist after food retention is resolved, it is Liver pathogen overacting on Spleen, where the conquered insults the conqueror; use Yigong San (Extraordinary Merit Powder) added with Chaihu (Bupleuri Radix) and Shanzhi (Gardeniae Fructus). For details on Malaria chills and fever, see the Malaria section.
[Tang] Food retention causing chills and fever resembling Malaria, with thirst, diarrhea, and rapid breathing, requires lying flat with Di Gu Pi (Phellodendri Cortex). This condition should first be purged of retention, using only Pingwei San (Level the Stomach Powder), followed by frequent administration of Jinshi Wan (Appetite-Stimulating Pill). (Pingwei San see "Refusal to Nurse"; Jinshi Wan see "Retention".)
[Qian Yi] Cao Yide's son, aged three, had yellowish complexion, intermittent chills and fever, anorexia but excessive drinking of water and milk. Other physicians considered it Chao Re (Tidal Fever), used Niuhuang Wan (Calculus Bovis Pill) without success, then used Zhike Gansan (Thirst-Relieving Kudzu Powder), which caused vomiting after ingestion. Qian said one should purge with Baibing Zi (White Cake Pills), then tonify the Spleen, using Xiaoji Wan (Retention-Resolving Pill) to grind away retention. This was the correct approach, and he indeed recovered. Why? Not eating but only drinking indicates food hidden in the Spleen unable to digest, causing chills and fever. Vomiting from thirst-relieving medicine is due to the medicine irritating the Spleen; thus, purging resolves it.
[Zhang Congzheng] The son of Patrol Officer Gao, aged eight, suffered from heat disease. Physicians all diagnosed it as Cold Injury and treated with hot medicines. The child desired ice water, but was denied, leading to depletion of internal fluids, increased irritability, closure of both upper and lower orifices, dry mouth and nose, alternating chills and fever, intermittent cough, and generalized anhidrosis. They wished to apply moxibustion. Fortunately, Dairen (Zhang Congzheng's pseudonym) met them. Dairen reproached the mother: "Wrapped in heavy quilts, on a red-hot heated kang, the child cannot bear the heat; how can moxibustion be applied?" The mother apologized for ignorance. Dairen ordered the administration of Renshen Chaihu Yinzi (Ginseng-Bupleurum Drink) first, administered several doses continuously, resulting in the passage of foul-smelling, fish-intestine-like stool. Thirsty for water, allowed whatever he wanted; ice-cold water was consumed in cups. Subsequently, thirty to forty bowel movements occurred, and the high fever subsided. Then Tongge Wan (Unblocking Chest Pill) and Niuhuang Wan were given, resulting in more than ten bowel movements, and the child fully recovered. In total, about fifty bowel movements occurred, consuming approximately one hu of ice water. If moxibustion had been performed, what would have happened?
Taiyi Bureau Xiaochaihu Tang treats adults and children with Shanghan (Cold Damage) or Wenre Bing (Warm Disease), presenting with fever, aversion to wind, neck and back stiffness, chest and hypochondriac fullness/pain, vomiting/hiccups, irritability, and thirst, alternating chills and fever, jaundice of body and face, dysuria, constipation, or unresolved transmission stages, persistent tidal fever, or relapse after recovery due to overexertion with fever and headache. Also suitable for women with Wind Strike, headache, irritability, fever, cessation of menstruation, malaria-like chills and fever with regular onset, and postpartum Wind Strike with headache, irritability, and fever.
Herbs include: Chaihu (Bupleuri Radix, radix removed, weighed 0.5 jin), Huangqin (Scutellariae Radix), Renshen (Ginseng Radix et Rhizoma, radix removed, weighed), Gancao (Glycyrrhizae Radix et Rhizoma, honey-fried, each 3 liang), Banxia (Pinelliae Rhizoma, washed seven times in boiling water, dried and weighed 2.5 liang).
The above five herbs are made into coarse powder. Take 3 qian per dose, add 1.5 sheng of water, 5 slices of Jiang (Zingiberis Rhizoma), and one broken Zao (Jujubae Fructus). Decoct to 0.7 sheng, filter dregs, take slightly warm, at any time. For children, divide into two doses, adjusting dosage based on size.
[Zhang Huan] Qinjiao Tang treats pediatric alternating chills and fever.
Herbs include: Qinjiao (Gentianae Macrophyllae Radix, buds removed), Biejia (Testudinis Carapax et Plastrum, vinegar-baked until slightly yellow, skirt removed, each 1 liang), Chuan Dahuang (Rhei Radix et Rhizoma, sliced, slightly stir-fried), Mahuang (Ephedrae Herba, roots and joints removed, each 0.5 liang), Zhuru (Bambusae Caulis in Taeniae), Gancao (Glycyrrhizae Radix et Rhizoma, honey-fried, each 1 fen).
The above herbs are crushed and sieved into coarse powder. Take 1 qian per dose, 1 sheng of water, add 2 cun of Congbai (Allii Fistulosi Bulbus), decoct to 0.5 sheng, filter dregs, take warm, adjust based on child's size.
Renshen Qianhu San
Herbs include: Renshen (Ginseng Radix et Rhizoma, radix removed), Qianhu (Peucedani Radix), Chaihu (Bupleuri Radix, buds removed, each 1 liang), Jiegeng (Platycodonis Radix), Digupi (Phellodendri Cortex), Gancao (Glycyrrhizae Radix et Rhizoma, honey-fried), Banxia (Pinelliae Rhizoma, washed seven times in boiling water, dried, each 0.5 liang).
The above herbs are crushed and sieved into fine powder. Take 1 da qian per dose, 0.1 sheng of water, add 2 slices of Jiang (Zingiberis Rhizoma), decoct to 0.5 sheng, filter dregs, take warm, adjust based on child's size.
Shaoyao Tang
Herbs include: Chishaoyao (Paeoniae Radix Rubra, 1 liang), Huangqin (Scutellariae Radix), Danggui (Angelicae Sinensis Radix, sliced, dried), Chaihu (Bupleuri Radix, each 0.5 liang), Rougui (Cinnamomi Cortex), Gancao (Glycyrrhizae Radix et Rhizoma, honey-fried, each 1 fen).
The above herbs are crushed and sieved into fine powder. Take 1 qian per dose, 0.8 sheng of water, add 2 slices of Jiang (Zingiberis Rhizoma) and one Zao (Jujubae Fructus), decoct to 0.5 sheng, filter dregs, take warm, adjust based on child's size.
"Wangshi Shouji" Chaihu Renshen Tang treats pediatric Spleen Heat generating Wind, alternating chills and fever (Zihe's Chaihu Yinzi contains Huangqin, Dahuang, Danggui, no Fuling).
Herbs include: Chaihu (Bupleuri Radix), Renshen (Ginseng Radix et Rhizoma), Shaoyao (Paeoniae Radix), Fuling (Poria), Gancao (Glycyrrhizae Radix et Rhizoma, honey-fried, equal parts).
Take 2 qian per dose, 1 sheng of water, add 3 slices of Jiang (Zingiberis Rhizoma), decoct to 0.4 sheng, take warm.
"Quansheng Zhimi" Jingjie San
Herbs include: Jingjisui (Schizonepetae Spica), Renshen (Ginseng Radix et Rhizoma), Baizhu (Atractylodis Macrocephalae Rhizoma), Danggui (Angelicae Sinensis Radix, sliced, washed, dried), Huangqi (Astragali Radix), Shaoyao (Paeoniae Radix), Gui (Cinnamomi Cortex, rough bark removed, each 1 liang), Chaihu (Bupleuri Radix, buds removed, 2 liang), Gancao (Glycyrrhizae Radix et Rhizoma, honey-fried, 0.5 liang).
Make into coarse powder. Take 5 qian per dose, 2 sheng of water, decoct to 1 sheng, filter dregs, take warm.
"Quansheng Zhimi" Beijij Wan
Herbs include: Dahuang (Rhei Radix et Rhizoma, wrapped in wet paper, baked), Badou (Crotonis Fructus, skin and heart removed, oil removed), Ganjiang (Zingiberis Rhizoma, skin removed, equal parts).
Make into fine powder, mix with refined honey into pills the size of soybeans. Take 1 pill per dose, down with rice drink. For frail people, take 1 pill the size of mung bean, stop when bowels move freely.
"Qianjin" Formula for infants aged one to five months with sudden chills and fever.
Cut Willow branches finely, boil to extract juice to wash the infant. If thirsty, squeeze Donggua (Benincasae Fructus) juice to drink.
"Shuijian" How to treat infants under 100 days with sudden chills and fever? Giving cold medicines causes milk to become cold and lead to vomiting/regurgitation; giving hot medicines worsens the condition. Without divine methods, negligence kills the child. Having extensively studied secret formulas from stone chambers, usage yields miraculous results. Song says: "Taohua Yinmo (Flower Ash) slightly over 1 qian, Gancao (Licorice) in soup enhances power; Lanhua (Indigo Flower) only needs a few characters (dried in shade), poured into mouth eliminates instantly." Above three herbs made into powder, take 0.5 qian per dose, mixed with soup and administered.
"Zhuangshi Jiazhan" Treatment for sudden poor chills and fever in young children who cannot take medicine, Liye Bath Formula.
Use Liye (Pruni Leaves) in any amount, boil water to bathe the child. (Also Baizhi (Angelicae Dahuricae Radix), also Kushen (Sophorae Flavescentis Radix).)
"Yujue" states: First regulate Qi, then resolve Deficiency Heat. If heat persists, use Zhenzhu Wan (Pearl Pill) to purge.
Zhenzhu Wan treats pediatric chills/fever, deficiency retention, visceral fullness/irritation, lower wind-phlegm retention, and fright/food/Gan retention.
Herbs include: Nanxing (Arisaematis Rhizoma Preparatum), Banxia (Pinelliae Rhizoma), Huashi (Talcum, each powdered, 2 qian), Qingfen (Calomelas, 4 qian bi), Badou (Crotonis Fructus, 14 grains, heart and oil removed).
Powder above, bind with wheat paste into pills the size of mustard seeds. Take 15-20 pills per dose, swallow with scallion decoction.
"Yinglu" Liuwei Tang treats young children with advancing/retreating chills/fever, crying, and abdominal pain.
Herbs include: Dihuang (Rehmanniae Radix), Guixin (Cinnamomi Ramulus, each 8 fen), Shaoyao (Paeoniae Radix), Hanshuishi (Aqua Calcitae), Huangqin (Scutellariae Radix, honey-fried), Gancao (Glycyrrhizae Radix et Rhizoma, honey-fried, each 2 fen).
Cut finely, add 3 sheng of water, boil to 1.5 sheng. One-year-old child takes 2-3 he, administer according to condition.
Dahuang Wan treats pediatric chills/fever, food failing to generate muscle.
Herbs include: Dahuang (Rhei Radix et Rhizoma, 1 liang, steamed with 2 dou of rice), Guixin (Cinnamomi Ramulus), Ganjiang (Zingiberis Rhizoma, baked, each 2 fen), Badou (Crotonis Fructus, 50 grains, skin and heart removed, roasted), Xiaoshi (Natrii Sulfas, 3 fen, roasted, substitute Mangxiao (Natrii Sulfas) if unavailable).
The above five herbs, sieve four, separately pound Badou into paste, mix with honey, pound another 2000 times, form pills the size of wu zi (walnut seeds). Take one pill with water. If heat is above the diaphragm, induce vomiting; if below, induce purgation. Prepare porridge beforehand. If no vomiting/purgation after two meal periods, stimulate with hot drink. If still no effect, take another 1.5 pills; robust individuals may take 2 pills. This medicine is superior to other purgatives, suitable for all ages. If purgation is excessive, resolve with cold porridge. If there is a boil like a finger-sized cotton swab, mix one pill with honey, apply to swab tip, insert into boil in morning, draw out pus; repeat if not healed. For Warm Disease with constipation, taking this to achieve bowel movement is good; for undigested food, also take this. For Feishi/Dunshi (Flying/Darting Corpse pathogens), take half pill with grain mash, once daily, stops quickly. For abdominal fullness/pain, take one pill. For Malaria, on the day of attack, fast overnight, take one pill in morning; robust adults take two pills. After vomiting/purgation, endure hunger, eat only after attack time passes. For postpartum blood stasis rushing upward/downward, sterility, irregular menstruation, blue-yellow complexion, take half pill. For pediatric dribbling chills/fever, abdominal distension, anorexia, failure to gain weight, age 3-4 years take one pill the size of hemp seed, once daily; age 6-7 years take two pills. Within 30 days, abdominal diseases heal. For smaller children, halve the dose. Great efficacy. Avoid wild boar meat, reeds, raw green onions.
Note: If the sick child has no solid retention, or has retention with deficiency, this should not be used. For Gan Lao (Gan Consumption), seek formulas belonging to Fei'er (Fattening Child) category.
"Shenghui" Chaihu San treats pediatric alternating chills and fever, inability to nurse/eat, limb weakness, abdominal fullness, upper jiao phlegm congestion, gradual emaciation.
Herbs include: Chaihu (Bupleuri Radix, buds removed), Biejia (Testudinis Carapax et Plastrum, coated with vinegar, baked yellow, skirt removed, each 1 liang), Renshen (Ginseng Radix et Rhizoma), Qianhu (Peucedani Radix), Jiegeng (Platycodonis Radix), Helilepi (Terminaliae Chebulae Pericarpium), Digupi (Phellodendri Cortex), Chishaoyao (Paeoniae Radix Rubra), Xingren (Armeniacae Semen Amarum, soaked in water, skin and tip removed, double kernel, bran-stir-fried until slightly yellow), Gancao (Glycyrrhizae Radix et Rhizoma, honey-fried, slightly red), Chenju pi (Citri Reticulatae Pericarpium, soaked in water, white pith removed, dried, each 0.5 liang).
Crush and sieve the above herbs into powder. Take 1 qian per dose, 0.1 sheng of water, decoct to 0.5 sheng, filter dregs, take warm at any time, adjust based on child's size.
Wuweizi San treats pediatric alternating chills and fever, refusal to nurse/eat, emaciation, abdominal distension.
Herbs include: Wuweizi (Schisandrae Chinensis Fructus), Danggui (Angelicae Sinensis Radix, sliced, slightly stir-fried), Renshen (Ginseng Radix et Rhizoma), Jiegeng (Platycodonis Radix), Qianhu (Peucedani Radix, each radix removed), Baizhu (Atractylodis Macrocephalae Rhizoma), Chifuling (Polyporus), Huangqin (Scutellariae Radix, each 1 fen), Gancao (Glycyrrhizae Radix et Rhizoma, 0.5 fen, honey-fried, slightly red, sliced), Maidong (Ophiopogonis Radix, 0.5 liang, heart removed, dried).
Crush and coarsely sieve the above herbs. Take 1 qian per dose, 0.1 sheng of water, decoct to 0.5 sheng, filter dregs, take warm, 3-4 times daily, adjust based on child's size and discretion.
Renshen San treats pediatric alternating chills and fever, poor appetite, emaciation.
Herbs include: Renshen (Ginseng Radix et Rhizoma, radix removed), Huangqi (Astragali Radix, sliced), Chaihu (Bupleuri Radix, buds removed), Baifuling (Poria), Biejia (Testudinis Carapax et Plastrum, coated with vinegar, baked yellow, skirt removed), Muxiang (Aucklandiae Radix, each 0.5 liang), Gancao (Glycyrrhizae Radix et Rhizoma, honey-fried, slightly red, sliced), Baizhu (Atractylodis Macrocephalae Rhizoma), Taoren (Persicae Semen, soaked in water, skin and tip removed, double kernel, bran-stir-fried until slightly yellow, each 1 fen), Helilepi (Terminaliae Chebulae Pericarpium, 3 fen).
Crush and finely sieve the above herbs. Take 0.5 qian mixed with porridge drink at any time, adjust based on child's size.
Huangqi Wan treats pediatric alternating chills and fever, profuse sweating, irritability, dark yellow urine, refusal to nurse/eat, emaciated limbs.
Herbs include: Huangqi (Astragali Radix, sliced), Maidong (Ophiopogonis Radix, heart removed, dried), Chifuling (Polyporus), Baizhu (Atractylodis Macrocephalae Rhizoma), Ziqin (Scutellariae Radix), Gancao (Glycyrrhizae Radix et Rhizoma, each 1 fen), Chaihu (Bupleuri Radix, buds removed), Biejia (Testudinis Carapax et Plastrum, coated with vinegar, baked yellow, skirt removed, each 0.5 liang).
Crush and sieve the above herbs into powder, mix with refined honey into pills the size of mung beans. Take 5 pills per dose with porridge drink, 3-4 times daily, adjust based on child's size.
Zhang Huan Xiangjia San treats alternating chills and fever with emaciation.
Herbs include: Biejia (Testudinis Carapax et Plastrum, butter-baked yellow, skirt removed), Muxiang (Aucklandiae Radix, each 1 liang), Chuan Dahuang (Rhei Radix et Rhizoma, slightly stir-fried), Chenju pi (Citri Reticulatae Pericarpium, white pith removed, dried), Danggui (Angelicae Sinensis Radix, washed, dried), Chaihu (Bupleuri Radix, buds removed), Zhimu (Anemarrhenae Rhizoma), Gancao (Glycyrrhizae Radix et Rhizoma, honey-fried, each 0.5 liang), Binglang (Arecae Semen, 3 pieces).
Crush and sieve the above herbs into coarse powder. Take 1 qian per dose, 0.1 sheng of water, add 2 slices of Jiang (Zingiberis Rhizoma), decoct to 0.6 sheng, filter dregs, take warm, adjust based on child's size.