婴儿百日，任脉生，能反复。乳母当存节喜怒，适其寒温。婴儿半 。尻骨已成
当教儿学坐。婴儿二百日外，掌骨成，乳母教儿地上匍匐。婴儿三百日，膑骨成，乳
独立。婴儿周 ，膝骨已成，乳母教儿行步。
上件并是定法，世人不能如法，往往抱儿过时，损伤筋骨，切宜戒之。
治痘疹初起，发热未退，无论是痘是邪，疑似之间。均宜用此平和养营之剂，以为
有毒者可托，有邪者可散。实者不致助邪，虚者不致损气。（凡阳明实热邪盛者，宜
根汤。如无实邪，悉宜用此增减之。小儿壮热，呵欠顿闷，时发惊悸。或吐或泻，手
面颊腮赤，嗽嚏者，为痘症也。呵欠顿闷，肝之症也。时发惊悸，心之症也。或吐
足时冷者，脾之症也。颊赤嗽嚏，肺之症也。腰痛喜寐，肾之症也。五脏之症尽显
必多。但显一二症者，其痘必少。其本总由于淫火之毒也。）
当归（二三钱） 芍药（或生或炒一钱半） 荆芥（一钱炙） 炙甘草（七分或一钱） 柴
胡（一
姜肉桂。
小儿初间发热壮盛，为风寒，为痘疹。莫能辨的，此方稳当。
方见卷三上表散门
表热壮盛，此邪实于表也。经曰∶轻可去实，故用升麻葛根以疏表。甘草佐之，可以和
在表
间之
治痘疹初起发热。凡气血强盛，无藉滋补者，单宜解邪，此方为主。以代升麻葛根
苏葛等方，最为稳当。
芍药（酒炒） 柴胡（倍用） 甘草（炙） 苏叶 荆芥穗（减半） 水煎热服。无火
者。加生姜三
火盛内热者加黄芩，渴者加葛。
去苏叶荆芥，加干葛黄芩连翘，名柴葛煎。治痘疹表热，及瘟疫等症。
When an infant reaches one hundred days of age, the Ren Mai (Conception Vessel) develops, and the child gains the ability to roll over. The wet nurse should regulate emotions of joy and anger, ensuring the infant adapts to cold and warmth. At half a year of age, the sacral bones are formed; the child should be taught to sit. After two hundred days, the metacarpal bones develop; the wet nurse should teach the child to crawl on the ground. At three hundred days, the patellar bones form, enabling independent standing. Upon reaching one year of age, the knee bones are formed; the wet nurse should teach the child to walk.
These are fixed developmental laws. People often fail to follow these rules, holding infants for excessive periods, which damages the sinews and bones; this must be strictly avoided.
For the initial stage of variola (smallpox) or exanthema, where fever has not yet subsided, whether it is variolous toxin or pathogenic factor, amidst uncertainty, this mild formula nourishing Ying (Nutritive Qi) is appropriate as a base treatment. It can support the expulsion of toxins in cases of toxicity, and disperse pathogens in cases of external invasion. In excess conditions, it will not aid the pathogen; in deficiency conditions, it will not damage Zheng Qi (Upright Qi). (In cases of Yangming channel Excess Heat with vigorous pathogenic factors, Baihu Tang [White Tiger Decoction] is indicated. If there is no Excess pathogen, modifications of this formula are suitable. Symptoms such as high fever, yawning, sudden lethargy, frequent palpitations, vomiting or diarrhea, redness of hands, feet, cheeks, and malar region, coughing, and sneezing indicate variola. Yawning and sudden lethargy correspond to Liver symptoms; frequent palpitations correspond to Heart symptoms; vomiting/diarrhea with cold extremities correspond to Spleen symptoms; red cheeks with cough/sneeze correspond to Lung symptoms; lower back pain with preference for sleep corresponds to Kidney symptoms. When symptoms of all five Zang organs appear fully, the eruption will be profuse. If only one or two symptoms appear, the eruption will be sparse. The root cause lies in the toxin of hyperactive fire.)
Dang Gui (Angelicae Sinensis Radix, 2-3 qian), Shao Yao (Paeoniae Radix, raw or stir-fried, 1.5 qian), Jing Jie (Schizonepetae Spica, stir-baked with honey, 1 qian), Zhi Gan Cao (Prepared Glycyrrhizae Radix et Rhizoma, 0.7-1 qian), Chai Hu (Bupleuri Radix, 1 qian), Sheng Jiang (Zingiberis Rhizoma Recens, 3 slices), Rou Gui (Cinnamomi Cortex, a small amount).
If an infant presents with intense fever in the early stage, distinguishing between Wind-Cold and variola/exanthema may be difficult; this formula is safe and reliable.
(See Formula in Volume III, Section on Exterior-Releasing Formulas)
If exterior heat is intense, this indicates Pathogenic Factor Excess at the exterior. The Classic states: "Light substances can dispel excess." Therefore, Sheng Ma (Cimicifugae Rhizoma) and Ge Gen (Puerariae Lobatae Radix) are used to release the exterior. Gan Cao (Glycyrrhizae Radix et Rhizoma) assists in harmonizing the exterior.
For treating fever at the initial stage of variola/exanthema. For patients with strong Qi and Blood who do not require tonification, the primary approach is to resolve the pathogen. This formula serves as a substitute for Shengma Gegen Tang [Cimicifuga and Kudzu Root Decoction] or Suge Tang, being the most reliable option.
Shao Yao (Paeoniae Radix, wine-stir-fried), Chai Hu (Bupleuri Radix, doubled dose), Zhi Gan Cao (Prepared Glycyrrhizae Radix et Rhizoma, stir-baked), Zi Su Ye (Perillae Folium), Jing Jie Sui (Schizonepetae Spica, halved dose). Decoct in water and take hot. For those without internal fire, add Sheng Jiang (Zingiberis Rhizoma Recens, 3 slices); for those with excessive fire and internal heat, add Huang Qin (Scutellariae Radix); for thirst, add Ge Gen (Puerariae Lobatae Radix).
Removing Zi Su Ye and Jing Jie Sui, and adding Gan Ge (Puerariae Radix), Huang Qin (Scutellariae Radix), and Lian Qiao (Forsythiae Fructus), creates the name Chaige Jian [Bupleurum and Kudzu Decoction]. It treats exterior heat of variola/exanthema and epidemic febrile diseases.