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For pediatric excess-heat syndromes, manifestations include dizziness (tou hun), flushed cheeks (jia chi), heat in the mouth (kou nei re), dark and scanty urine with dysuria (xiao bian chi se), urine turbid like bean juice (zhuang ru dou zhi), hard or constipated stools (da bian jian ying), abdominal urgency (fu ji). Treatment is suitable with Sishun Yinzi (Four-Obedience Decoction), Dahuang Puxiao Tang (Rhubarb and Niter Decoction), Bazhen San (Eight-Treasure Powder); slightly moving the accumulation in the Zang-Fu organs will bring relief. [Yang] states: Excess syndromes present with deep red and yellowish complexion (mian chi nong huang), coarse breathing (qi cu), oral heat (kou re), dryness and thirst (zao ke), swollen lips (chun zhong), difficulty in urination and defecation (da xiao bian nan), uncovering clothes due to heat (xian lou jie yi), irritability, crying, and sudden shouting (fan ti bao jiao). Treatment is suitable with Sishun Qingliang Yin (Four-Obedience Cooling Decoction) added with Chaihu (Bupleuri Radix). Xue also describes symptoms such as lying with body extended (shen ti er wo), eyes not opening during sleep (shui bu lu jing), and heat in the fingertips of hands and feet (shou zu zhi re).

Commentary: Excess syndromes should be differentiated into exterior and interior. Exterior excess requires sweating (han), interior excess requires purgation (xia), and half-exterior half-interior requires harmonization (he jie). To treat all with purgation as the primary method is not a universal principle. For treatment methods and formulas, refer to the "Exterior and Interior" section later. Yun Qi said: For pediatric excess-heat located internally, use decoctions like Sishun Yin; for excess-heat located superiorly, use emesis (tu). Dan Xi said: For pediatric heat diseases, Liuyi San (Six-Ingredient Powder) is an excellent remedy.

[Mao Xiansheng] Sanjie Niuhuang San (Three-Resolving Calculus Bezoar Powder), treating excess-heat and tidal fever (chao re).
Herbs: Bai Jiangcan (Bombyx Batryticatus), Quanxie (Scorpio), Fangfeng (Saposhnikoviae Radix), Baifuzi (Aconiti Kusnezoffii Rhizoma), Jiegeng (Platycodonis Radix), Chuan Dahuang (Rhei Radix et Rhizoma), Gancao (Glycyrrhizae Radix et Rhizoma, prepared), Baifuling (Poria), Chuan Huangqin (Scutellariae Radix), Renshen (Ginseng Radix), Chuan Yujin (Curcumae Radix, boiled with Gleditsiae Sinensis Fructus water).
Equal parts. Before administration, take 0.5 qian to 1 qian per dose, mixed with honey water infused with Bohe (Menthae Haplocalycis Herba).

Niuhuang Liangge Wan (Bezoar Cooling Diaphragm Pill), treating wind-phlegm obstruction and phlegm-excess, accumulation failing to disperse, headache (tou tong) and flushed face (mian chi), mental restlessness (xin fan) and tidal fever (chao re), phlegm-saliva obstruction (tan xian yong sai), throat and diaphragm discomfort (yan ge bu li), vague spirit (jing shen huang hu), restless sleep (shui wo bu an), dry mouth and excessive thirst (kou gan duo ke), scorched lips and sore throat (chun jiao yan tong), swollen red mandible and cheeks (han jia chi zhong), sores on mouth and tongue (kou she sheng chuang).
Ingredients: Niuhuang (Calculus Bovis, 1 liang 1 fen), Gancao (Glycyrrhizae Radix et Rhizoma, 10 liang), Hanshuishi (Aqua Stibitum), Yaxiao (Natrii Sulfas, calcined), Shigao (Gypsum Fibrosum, each 20 liang), Zhi Shiyuan (Quartzum Roseum, refined), Naoshe (Camphora and Moschus, each 5 liang), Danning (Arisaematis Cum Bile, 7.5 liang).
Grind into powder, make pills with honey. Each liang of powder makes 30 pills. Take one pill after meals, chewed, with warm Bohe and Renshen tea. For regular maintenance, take half a pill. For acute convulsions (ji jing), dissolve in Bohe water.