温壮与壮热，相类而有小异，一向热而不止是壮热也。但温温然不甚盛是温壮
也。若大便臭而黄者，此腹内有伏热，以四顺饮子治之。若粪白而酸臭，则挟宿食
不消，当服紫霜丸，轻者少服，重者节乳哺，增加丸药，当取微利可也。
紫霜丸（见癖积）
柴苓汤 治小儿温壮，伏热来去。
柴胡（三钱半） 麦门冬（去心） 人参（去芦） 赤茯苓 甘草（各二钱半） 黄芩（五钱）
上锉散。用水煎，入小麦二十粒、竹叶三片。
二黄犀角散 治温壮，心热神不安，大腑秘结。
犀角屑 大黄（酒浸，蒸） 钓藤钩 栀子仁 甘草 黄芩（各半两）
上为末。每服五分，热汤调下，量儿加减。
牛黄散 治温壮，常热或寒热往来。
牛黄（研） 甘草（各半两） 柴胡 栀子（酒炒） 龙胆草（酒炒） 黄芩（炒，各二钱半）
上为末。每服半钱，以金银薄荷汤调下。
惊热者，遍身发热，或热而不甚，面青自汗，睡梦虚惊，颠叫恍忽，有因惊而
生热者，有因热而生惊者，钱氏导赤散、凉惊丸、安神散之类，皆其治也。
七宝散（见前）
天竺黄散 治小儿惊风热。
天竺黄（研） 川郁金 山栀子 白僵蚕（炒，去丝嘴） 蝉壳（去土） 甘草（各等分）
上为末。一岁半钱，熟水、薄荷汤皆可，服不拘时。
甘露散 治小儿惊热，通利小肠，去惊涎，清心腑，止烦渴。安神稳睡加朱砂，名
加朱甘露散。
寒水石（研，软而微青、中有细纹者是） 石膏（研。各二两，坚白、有墙壁，如无、以方
解石代之） 生甘草末（一两）
上件为末和匀。量儿大小，或一钱或半钱，热月冷服，寒月热服，用薄荷汤调
或灯心汤调。被惊心热不安卧皆可服。小便不通快，麦门冬灯心汤。若惊热，入
朱砂少许，不拘时服。一方，有赤茯苓一两。《苏沈方》用滑石，不是石膏。钱氏
名玉露散，每服一字或半钱或一钱，食后，温白汤调下。
辰砂金箔散 治小儿心膈邪热，神志不宁，惊惕烦渴，恍忽怔忡，夜卧不安，齿龈
肿烂，及痰实咳嗽，咽膈不利。
辰砂（另研） 桔梗（各二钱半） 人参 白茯苓（各一钱半） 蛤粉（四钱，飞研）
牙硝（枯，一钱半） 甘草（炙，一钱二分半） 片脑（一分半） 半金箔（一片）
上为末。一岁半钱，薄荷汤调，不拘时。百 小儿脏腑多热，睡卧不稳，大便
不利，蜜汤调一字。
〔本〕治小儿惊热。
全蝎 天南星（取心，为末，一钱） 人参（三钱） 蛇蜕（三钱）
上为末。薄荷蜜汤调下。
Wen Zhuang (Warm Febrile Condition) and Zhuang Re (High Febrile Condition) are similar but have slight differences. Continuous high fever without abatement is Zhuang Re; whereas a mild, low-grade warmth that is not intense is Wen Zhuang. If the stool is foul-smelling and yellow, this indicates latent heat (Fu Re, hidden pathogenic heat) in the abdomen, which should be treated with Sishun Yinzi (Four Compliance Decoction). If the stool is white and sour-smelling, it indicates indigestion of retained food, and Zishuang Wan (Purple Frost Pill) should be administered. For mild cases, take a small dose; for severe cases, restrict milk feeding, increase the dosage of the pill, and aim for a mild laxative effect.
Chailing Tang (Bupleurum and Poria Decoction) treats Wen Zhuang in children and the fluctuating nature of latent heat.
Chai Hu (Bupleuri Radix, 3 qian 1/2), Maidong (Ophiopogonis Radix, heart removed), Renshen (Ginseng Radix, radix removed), Chifuling (Red Poria), Gancao (Licorice Root, each 2 qian 1/2), Huangqin (Scutellariae Radix, 5 qian).
Crush into coarse powder. Decoct in water, adding twenty grains of wheat and three leaves of bamboo leaf.
Erhuang Xijiao San (Two Yellows and Rhinoceros Horn Powder) treats Wen Zhuang accompanied by heart heat, mental restlessness, and constipation.
Xijiao (Rhinocerotis Cornu), Dahuang (Rhei Radix et Rhizoma, soaked in wine and steamed), Goutenguncus Uncariae, Zhizi (Gardeniae Fructus), Gancao (Licorice Root), Huangqin (Scutellariae Radix, each half liang).
Grind into fine powder. Take 5 fen per dose, mixed with hot water, adjusting the amount according to the child's age.
Niuhuang San (Calculus Bovis Powder) treats Wen Zhuang characterized by persistent fever or alternating chills and fever (Hanre Wanglai).
Niuhuang (Calculus Bovis, ground), Gancao (Licorice Root, each half liang), Chai Hu (Bupleuri Radix), Zhizi (Gardeniae Fructus, wine-fried), Longdancao (Gentianae Radix, wine-fried), Huangqin (Scutellariae Radix, stir-fried, each 2 qian 1/2).
Grind into fine powder. Take half a qian per dose, mixed with Jin Yinbohe Tang (Honeysuckle and Mint Decoction).
Jing Re (Heat due to Fright) presents as generalized fever, or mild fever, cyanotic complexion, spontaneous sweating, fright dreams during sleep, sudden screaming, and confusion. Some fevers arise from fright, while some fright arises from fever. Qian Shi’s Daochi San (Guide Out Redness Powder), Liangjing Wan (Cooling Fright Pill), Anshen San (Calm Spirit Powder), and similar formulas are treatments for this condition.
Tianzhuhuang San (Hyriana Cum Scuta Powder) treats pediatric wind-heat due to fright.
Tianzhuhuang (Hyriana Cum Scuta, ground), Chuan Yujin (Curcumae Radix), Shanzhizi (Gardeniae Fructus), Baijiangcan (Bombyx Batryticatus, stir-fried, silk mouth removed), Chanqiao (Cicadae Periostracum, cleaned), Gancao (Licorice Root, equal parts).
Grind into fine powder. For a one-year-old child, take half a qian, taken with boiled water or mint decoction at any time.
Ganlu San (Sweet Dew Powder) treats pediatric heat due to fright, promoting urination through the small intestine, removing phlegm-saliva due to fright, clearing the heart fu, and relieving irritability and thirst. Adding Cinnabar to calm the spirit and stabilize sleep creates Jia Zhu Ganlu San (Sweet Dew Powder with Added Cinnabar).
Hanshuishi (Aragonitum, ground, soft, slightly green, with fine veins is authentic), Shigao (Gypsum Fibrosum, ground, two liang each, hard, white, with layered structure; if unavailable, substitute with Calcitum), Sheng Gancao Mo (Raw Licorice Root Powder, one liang).
Mix and grind into uniform powder. Based on the child's size, take one qian or half a qian. In summer, take cold; in winter, take warm. Mix with mint decoction or Naidengxin Tang (Juncus Decoction). It can be taken for anxiety and restlessness due to fright and heat. If urine is blocked, use Maidong Dengxin Tang (Ophiopogon and Juncus Decoction). For heat due to fright, add a little Cinnabar and take at any time. Another prescription includes one liang of Chifuling. The *Su Shen Fang* uses Huashi (Talcum) instead of Shigao. Qian Shi named this Yulu San (Jade Dew Powder); take one zi, half a qian, or one qian after meals, mixed with warm plain water.
Chensha Jinpo San (Cinnabar and Gold Leaf Powder) treats evil heat in the heart and diaphragm of children, mental unrest, fright, irritability, and thirst, confusion, palpitations, restless sleep at night, swollen and ulcerated gums, as well as cough with phlegm-solidity and obstruction in the throat and diaphragm.
Chensha (Cinnabar, separately ground), Jiegeng (Platycodonis Radix, each 2 qian 1/2), Renshen (Ginseng Radix), Baifuling (White Poria, each 1 qian 1/2), Haf Fen (Concha Meretricis et Cyprinae, four qian, refined and ground), Yanxiao (Natrii Sulfas, calcined, 1 qian 1/2), Gancao (Licorice Root, honey-fried, 1 qian 2 fen 1/2), Pian Nao (Borneolum Syntheticum, 1 fen 1/2), Ban Jinbo (Half a sheet of Gold Leaf).
Grind into fine powder. For a one-year-old child, take half a qian, mixed with mint decoction at any time. Another note: Children's zang-fu organs often have excess heat, leading to unstable sleep and difficult defecation; mix with honey water and take one zi.
[Ben] Treats pediatric heat due to fright.
Quanxie (Scorpio), Tiannanxing (Arisaematis Rhizoma, take the center, grind into powder, one qian), Renshen (Ginseng Radix, three qian), Tuieshe (Bovis Colla, three qian).
Grind into fine powder. Take mixed with mint and honey water.