五心热甚,烦躁不安,手足时欲露出,小便赤涩,谓之烦热。八珍饮子、七宝
散皆可服之,若唇深红,饮水不止,以竹叶石膏汤、加朱甘露散治之。
一粒金丹 治小儿五脏蕴热,胸膈烦闷,五心烦热。
人参 犀角 玳瑁 琥珀 防风(各一钱) 茯苓 寒水石( ) 甘草(各二钱)
龙脑 朱砂(水飞。各半钱)
上为细末,入麝半钱,用陈米糊丸,芡实大,金箔二十五片为衣。麦门冬去心
煎汤、下。
绛雪丹 治小儿烦热。
芒硝(一两) 朱砂(一两)
上为末,饭丸,芡实大。三岁一丸,沙糖水化下。
地黄煎丸 治小儿风壅,上膈热烦,鼻衄口疮,咽喉肿痛,口舌生疮,或血热五心
常热,多渴饮水。
生地黄 熟地黄(各一两) 薄荷叶(一两一钱) 甘草(微炙) 山栀仁 玄参(各七钱半)
片脑(半钱)
上为末,炼蜜、为丸如芡实大。每服一丸,白汤磨化,乳后服。
竹叶石膏汤 治小儿虚羸少气,气逆欲吐,四体烦热。
石膏(三两) 半夏(洗) 人参(各七钱半) 麦门冬(去心,一两) 甘草(炙,七钱半)
淡竹叶(半把)
上锉碎。每服二钱,用水六分,粳米三四十粒,生姜二片,煎至三分,去滓,
不拘时服。
加朱甘露散(见惊热)
When the heat in the five centers (the palms of both hands, the soles of both feet, and the chest/heart region) is severe, accompanied by irritability and restlessness, with a tendency to expose the hands and feet, and with dark red, scanty, or painful urination, this condition is termed "Fan Re" (Vexing Heat). Bazhen Yinzi (Eight-Treasure Drink) and Qibao San (Seven-Treasure Powder) may be administered. If the lips are deep red and there is incessant thirst, Zhuye Shigao Tang (Bamboo Leaf and Gypsum Decoction) or Jia Zhu Ganlu San (Cinnabar-Enhanced Sweet Dew Powder) should be used for treatment.
Yili Jinwan (One-Pill Golden Pellet): Treats children with heat accumulation in the five zang organs, oppression and vexation in the chest and diaphragm, and heat in the five centers.
Ingredients: Renshen (Ginseng Radix), Xijiao (Rhinoceros Horn - *Note: Substitute with Buffalo Horn in modern practice*), Daimao (Hawksbill Turtle Shell), Hupo (Amber), Fangfeng (Saposhnikovia Root) (each 1 qian); Fuling (Poria), Hanshuishi (Calcitum) (dosage missing in original text); Gancao (Licorice Root) (each 2 qian); Longnao (Borneol), Zhusha (Cinnabar) (processed by water levigation, each half qian).
Preparation and Administration: Grind the above ingredients into a fine powder, add Mushe (Musk) half a qian, and bind with paste made from aged rice to form pills the size of an Euryale seed (Qianshi). Coat with 25 leaves of Jinbo (Gold Foil). Administer by washing down with decoction of Maimendong (Ophiopogon Tuber) prepared after removing the heart.
Jiangxue Dan (Crimson Snow Pill): Treats pediatric vexing heat.
Ingredients: Mangxiao (Natrii Sulfas) (1 liang), Zhusha (Cinnabar) (1 liang).
Preparation and Administration: Grind into powder, bind with cooked rice to form pills the size of an Euryale seed. For a three-year-old child, administer one pill dissolved in sweet sand sugar water.
Dihuang Jianwan (Rehmannia Decoction Pill): Treats pediatric wind obstruction, upper jiao heat causing vexation, epistaxis (nosebleed), oral ulcers, sore throat and swelling, aphthous stomatitis, or blood-heat manifesting as constant heat in the five centers and excessive thirst requiring drinking.
Ingredients: Sheng Dihuang (Fresh Rehmannia Root), Shu Dihuang (Prepared Rehmannia Root) (each 1 liang); Boheye (Menthae Haplocalycis Folium) (1 liang 1 qian); Gancao (Licorice Root) (lightly roasted); Shanzhiren (Gardeniae Fructus), Xuanshen (Scrophulariae Radix) (each 7 qian 5 fen); Piannao (Borneol) (half qian).
Preparation and Administration: Grind into powder, bind with refined honey to form pills the size of an Euryale seed. Take one pill per dose, grind it in warm water until dissolved, and administer after nursing or feeding.
Zhuye Shigao Tang (Bamboo Leaf and Gypsum Decoction): Treats pediatric emaciation with shortness of breath, rebellious qi leading to nausea/vomiting, and vexing heat in the four limbs.
Ingredients: Shigao (Gypsum Fibrosum) (3 liang); Banxia (Pinelliae Rhizoma) (washed); Renshen (Ginseng Radix) (each 7 qian 5 fen); Maimendong (Ophiopogon Tuber) (heart removed, 1 liang); Gancao (Licorice Root) (roasted, 7 qian 5 fen); Danye Zhu (Light Bamboo Leaves) (half handful).
Preparation and Administration: Coarsely crush the herbs. For each dose of 2 qian, use 6 parts water, add 30-40 grains of Jingmi (Rice Grain) and 2 slices of Shengjiang (Zingiberis Rhizoma Recens), decoct until 3 parts remain, strain, and take at any time without restriction.
Jia Zhu Ganlu San (See "Jing Re" / Startled Heat section).