陈紫山曰∶诸热元初各有因，对时发者是潮名，乍来乍止为虚症，乍作无寒属骨蒸。
又曰∶夫胎热者，儿生三朝旬日之间，目闭而赤，眼睑浮肿，常做呻吟，或啼叫不已，时复惊烦，遍体壮
热，小便黄色。此因在胎之时，母受时气热毒，或误服温剂，过食五辛，致令热蕴于内，熏蒸胎气，生下因有
此症，名曰胎热。若经久不治，则或鹅口、重舌、木舌赤紫丹瘤等症。又不可以大寒之剂攻之，热退则寒起，传
作他症，切宜慎之。
治法∶推三关，退六腑，分阴阳，清天河水，三焦，揉外劳宫，运八卦（自坎至坤，宜多二次，）掐肾水，
五总经，十王穴，运斗肘，水底捞明月。虎口及曲池，各用灯火一 。
涂蔚生曰∶十王穴失考，疑即是中指头之中冲穴。未知确否，姑存之以待考。灯火亦宜酌用。
陈紫山曰∶潮热者，时热时退，每日根据时而发，如潮水之应不差。大抵血气壅盛，五脏风热，熏发于外，或
夹伏热，或蕴宿寒。伏热者大便黄而气臭，宿食者大便白而酸臭是也。
治法∶推三关，补心经，运八卦，分阴阳，掐十王，掐中指，六腑，水底捞明月，运斗肘。
陈紫山曰∶惊热者，或遇异物而触目忤心，或金石之声而骇闻悚惧。是以心既受惊，而心气不顺，身发微热，
而梦寐虚惊，面光而汗，脉数烦躁。治当与急风同法也。
治法∶推三关，肺经，分阴阳，推二扇门清心经，清天河水，五经纹，运斗肘，水底捞明月，飞经走气。
陈紫山曰∶风热者，身热面青，口中赤热，烦叫不时，宜疏风解热。若热盛而大便热者，下之可也。
治法∶推三关，泻大肠，掐心经，补肾水运八卦，掐总经，清天河水，二龙戏珠，运斗肘。
陈紫山曰∶烦热者气血两盛，脏腑实热，表里俱热，烦躁不安，皮肤壮热是也。如手足心热甚者，五心烦热也。
治法∶推三关，掐中指，掐十王，泻五经纹，运八卦，揉外劳宫，分阴阳，退六腑，水底捞明月，打马过天
河，运斗肘。
涂蔚生曰∶烦热之症，属于阴血虚者最多，未可概断为气血两盛，脏腑实热。盖血液既少，而火无所养也。
不过小儿此症较少耳。
陈紫山曰∶舌络微缩，时时弄舌，因脾脏积热，不可妄用凉剂。
治法∶推三关，退下六腑，脾土，泻心火补肾水，运八卦，分阴阳，掐总筋，水底捞明月，运斗肘。
陈紫山曰∶虚热者，因病后血气未足，四肢瘦弱，时多发
热，一日三五次者。此客热乘虚而作。调气调血，其热自退。
治法∶推上三关，退下六腑，捻五指，运八卦，水底捞明月，掐总经，分阴阳，飞经走气，运斗肘。
陈紫山曰∶头昏颊赤，口内热，小便赤涩，大便秘结，肚腹结胀，此实热之症也，宜泻之。脏腑之热去，
则病自愈。
治法∶推上三关，泻大肠，清肾水，运八卦，推膀胱，分阴阳，水底捞明月，退六腑，打马过天河，飞经走
气，运斗肘。
陈紫山曰∶积热者，眼胞浮肿，面黄足冷，发热从头至肚愈甚，或恶闻饮食之气，呕吐恶心，肚腹疼痛。
治法∶推上三关，退下六腑，五经纹，脾土，大肠，三焦，肾水，运八卦，掐总经，分阴阳，水底捞明月，
飞经走气，运斗肘。
陈紫山曰∶疳热者，皆因过餐饮食，积滞于中，郁久成热。然脾家一脏，有积不治，传之别脏，则成五疳之
疾。若脾家病去，则余脏皆安矣。
治法∶推上三关，退下六腑，补脾土，推大小肠、三焦，运八卦，掐总筋，分阴阳，水底捞明月，飞经走气，
运斗肘。
陈紫山曰∶血热者，每日辰巳时发，遇夜则凉。世人不知，或谓疳热。殊不知此乃血热之症也。
治法∶推上三关，推下六腑，分阴阳，运八卦，五经纹，掐总筋，清肾水，水底捞明月，揉斗肘，按弦搓摩，
飞经走气。
涂蔚生曰∶血热与虚热有异。血热者，乃血分之火气壮实，而反耗其阴液也。虚热则系一种阴血先虚，而火无
所潜。故一则发自上午，一则发自下午。若夫壮热，则又多系发自气分。盖热虽近于火，而火究热之原质，热究
系火之所蒸发也。
陈紫山曰∶骨蒸热者，乃骨热而蒸。有热无寒，醒后盗汗方止，非皮肤之外烧也。皆因小儿食肉太早，或素喜
炙爆面食之类，或好食桃李杨梅瓜果之类，或至冬月衣棉太浓，致耗津液而
成，或疳病余毒，传作骨蒸，又或腹内痞癖，有时作痛。
治法∶推三关，推六腑，运五经纹，分阴阳，清天河水，水底捞明月，补肾水，掐总经四横纹，打马过天河。
涂蔚生曰∶骨蒸热乃阴虚至极者。因脏内之阴液消砾已尽，而水阴不能化生骨髓，故其热亦至于骨间也。虽
紫山之解，尚未尽当。然而食积之热，亦确能消耗阴血也。
陈紫山曰∶壮热者，一向不止。皆因血气壅塞，五脏生热，蒸熨于内，故身体壮热，眠卧不安，精神恍惚。
熏发于外，则表里俱热，甚则生风也。
治法∶推三关，六腑，肺经，分阴阳，推二扇门，清心经，清天河水，五经纹，掐总筋运斗肘，水底捞明月，
飞经走气。
陈紫山曰∶温壮热者，与壮热相类而少异。但温温不甚盛，是温壮也。若胃气不和，气滞壅塞，而蕴积体热者，
则名为温壮热。大便黄臭，此腹内伏热。类白酸臭，则宿食停滞，宜微利之。
治法∶推三关，推六腑，肺经，分阴阳，推二扇门，清心经，清天河水，五经纹，掐总筋，运斗肘，水底捞明
月，飞经走气。
陈紫山曰∶变蒸热者，阴阳水火，蒸于气血，而使形体成就者也。所以变者，变生五脏。蒸者，蒸养六腑。小儿
初生三十二日，为之一变，六十四日，为之一蒸；十变五蒸，计三百二十日，蒸变俱毕，儿乃成人也。婴儿之有变
蒸，如蚕之有眠，龙之脱骨，虎之转爪，皆因类变生而长也。身热如蒸上气，虚惊耳冷，微汗，上唇有白泡如珠，或
微肿如卧蚕者，是其候也。重者身热神乱腹痛，叫不能食乳，切不可妄投药饵，及推拿火灸。若误治之，必致杀人。
故不立治法，特书以告之。
涂蔚生曰∶小儿变蒸之说，未知是先贤凭空结撰，抑是别有根据。谓其为凭空结撰欤，而其所谓变蒸之日数，
与变蒸之形状，似乎着着可信者。谓其确有根据钦，而此之所谓变蒸，又多异乎彼之所谓变蒸，似乎毫无定准者
。余因此互异之点，不禁有管见陈焉。盖人之生也，脏腑其根本，肢体其苗叶。必先脏腑充备，而后有肢体，肢
体具而后五官生焉。断未闻有五官肢体既具，而后变生脏腑者也。如肢体秉于完成，脏腑备于变蒸，试问小儿未至
三十二日变蒸以前，而其内之主宰消化乳食者何物？司乎化生血液者何物？而主乎藏血纳血，统气行气者，果又何
物？假使其内部未臻完成，则吾恐其儿纵能诞生，亦不过终朝耳，又焉能消化乳食，化生血液，而为第一月生长最
速之儿乎？不观夫钟耶，内部之机件完备，方能行走。使其内部少有损坏滞泥，则不能行其定时之职权。纵能行动，
而指亦不准矣。岂有活泼整个之儿，内部不至完成，而即能生长耶？余因各家俱有此说，始存之以供参考。余又因
各家之说互异，特阐之以正其误。
Chen Zishan said: Various types of heat syndromes have different causes at their onset. Heat that occurs at regular intervals is called tidal fever (定时发热). Heat that comes and goes suddenly belongs to deficiency syndromes. Heat that occurs without chills is classified as bone-steaming consumption (阴虚内热).
He further stated: The so-called fetal heat refers to a condition in infants between three days and ten days after birth, characterized by eyes closed and red, swollen eyelids, frequent groaning, incessant crying, occasional fright and irritability, generalized high fever, and yellow urine. This is caused by the mother contracting seasonal heat-toxins during pregnancy, or mistakenly taking warm-tonifying medicines, or overeating pungent spices (five pungents), leading to internal heat accumulation that steams and affects the fetal qi. Upon birth, the infant presents with these symptoms, named fetal heat. If left untreated for a long time, it may develop into conditions such as thrush (鹅口疮), double tongue (重舌), wooden tongue (木舌), or red-purple danliu (赤紫丹瘤). At this stage, one must not use harsh cold-natured drugs to attack the heat, as retreating heat may invite cold pathogens, leading to other complications. Caution is essential.
Treatment method: Push San Guan (Three Gates), Retreat Liu Fu (Six Bowels), Divide Yin and Yang, Clear Tian He Shui (River of Heaven Water), Clear San Jiao (Triple Burner), Rub Wai Lao Gong (Outer Labor Palace), Move Ba Gua (Eight Trigrams) (from Kan to Kun position, preferably twice more), Pinch Shen Shui (Kidney Water), Push Wu Zong Jing (Five General Meridians), Pinch Shi Wang Xue (Ten Kings Acupoint), Move Dou Zhou (Dou Elbow), Water Bottom Retrieve Bright Moon (水底捞明月). Apply fire-moxibustion once each on the Tiger's Mouth (Hukou) and Qu Chi (Quchi, LI11).
Tu Weisheng noted: The origin of Shi Wang Xue (Ten Kings Acupoint) is lost; it is suspected to be Zhong Chong (Zhongchong, PC9) at the tip of the middle finger. Uncertainty remains, so it is preserved here for future verification. Fire-moxibustion should also be used judiciously.
Chen Zishan said: Tidal fever involves alternating periods of fever and defervescence, occurring daily at specific times, like the tide without error. Generally, this is due to excessive blood and qi stagnation, wind-heat in the five zang organs steaming outward, possibly combined with latent heat or retained cold. Latent heat manifests as yellow, foul-smelling stool; retained food manifests as white, sour-smelling stool.
Treatment method: Push San Guan (Three Gates), Tonify Xin Jing (Heart Meridian), Move Ba Gua (Eight Trigrams), Divide Yin and Yang, Pinch Shi Wang Xue (Ten Kings Acupoint), Pinch Middle Finger, Retreat Liu Fu (Six Bowels), Water Bottom Retrieve Bright Moon (水底捞明月), Move Dou Zhou (Dou Elbow).
Chen Zishan said: Fright-heat occurs when one is startled by strange objects or frightened by loud metallic sounds. Consequently, the heart is affected by fright, heart qi becomes obstructed, slight fever appears, dreams are filled with fright, the face shines with sweat, pulse is rapid, and there is irritability. Treatment should follow the same method as for acute wind syndrome.
Treatment method: Push San Guan (Three Gates), Clear Fei Jing (Lung Meridian), Divide Yin and Yang, Push Er Men Shan (Two Gate Mountains), Clear Xin Jing (Heart Meridian), Clear Wu Jing Wen (Five Palm Lines), Move Dou Zhou (Dou Elbow), Water Bottom Retrieve Bright Moon (水底捞明月), Fly Meridians and Move Qi (飞经走气).
Chen Zishan said: Wind-heat presents with body fever, greenish complexion, burning sensation in the mouth, and intermittent irritability and shouting. It should be treated by dispersing wind and clearing heat. If heat is severe accompanied by hot stools, purgation may be appropriate.
Treatment method: Push San Guan (Three Gates), Purge Da Chang (Large Intestine), Pinch Xin Jing (Heart Meridian), Tonify Shen Shui (Kidney Water), Move Ba Gua (Eight Trigrams), Pinch Zong Jing (General Meridian), Clear Tian He Shui (River of Heaven Water), Two Dragons Playing with a Pearl (二龙戏珠), Move Dou Zhou (Dou Elbow).
Chen Zishan said: Irritable heat is characterized by excess of both qi and blood, excess-heat in the zang-fu organs, heat in both interior and exterior, restlessness, and intense skin heat. If the palms and soles are extremely hot, it is termed "five-center heat" (五心烦热).
Treatment method: Push San Guan (Three Gates), Pinch Middle Finger, Pinch Shi Wang Xue (Ten Kings Acupoint), Purge Wu Jing Wen (Five Palm Lines), Move Ba Gua (Eight Trigrams), Rub Wai Lao Gong (Outer Labor Palace), Divide Yin and Yang, Retreat Liu Fu (Six Bowels), Water Bottom Retrieve Bright Moon (水底捞明月), Horse Strikes Across River of Heaven (打马过天河), Move Dou Zhou (Dou Elbow).
Tu Weisheng noted: Most cases of irritable heat belong to yin-blood deficiency and cannot be generally diagnosed as qi-blood excess or zang-fu excess-heat. Since blood is scant, fire lacks nourishment. However, such cases are less common in children.
Chen Zishan said: Slight retraction of the tongue tendons and frequent tongue protrusion are due to accumulated heat in the spleen. Cold-natured medicines should not be used recklessly.
Treatment method: Push San Guan (Three Gates), Retreat Xia Liu Fu (Lower Six Bowels), Tonify Pi Tu (Spleen Earth), Purge Xin Huo (Heart Fire), Tonify Shen Shui (Kidney Water), Move Ba Gua (Eight Trigrams), Divide Yin and Yang, Pinch Zong Jin (General Tendon), Water Bottom Retrieve Bright Moon (水底捞明月), Move Dou Zhou (Dou Elbow).
Chen Zishan said: Deficiency heat occurs when qi and blood are insufficient after illness, limbs are emaciated, and fever occurs frequently, three to five times a day. This is exogenous heat taking advantage of deficiency. Regulating qi and harmonizing blood will naturally resolve the heat.
Treatment method: Push Shang San Guan (Upper Three Gates), Retreat Xia Liu Fu (Lower Six Bowels), Twist Five Fingers, Move Ba Gua (Eight Trigrams), Water Bottom Retrieve Bright Moon (水底捞明月), Pinch Zong Jing (General Meridian), Divide Yin and Yang, Fly Meridians and Move Qi (飞经走气), Move Dou Zhou (Dou Elbow).
Chen Zishan said: Dizziness, red cheeks, oral heat, dark and scanty urination, constipation, and abdominal distension indicate excess-heat syndrome. Purging is indicated. Once the heat in the zang-fu organs is eliminated, the disease will heal itself.
Treatment method: Push Shang San Guan (Upper Three Gates), Purge Da Chang (Large Intestine), Clear Shen Shui (Kidney Water), Move Ba Gua (Eight Trigrams), Push Pang Guang (Bladder), Divide Yin and Yang, Water Bottom Retrieve Bright Moon (水底捞明月), Retreat Liu Fu (Six Bowels), Horse Strikes Across River of Heaven (打马过天河), Fly Meridians and Move Qi (飞经走气), Move Dou Zhou (Dou Elbow).
Chen Zishan said: Accumulated heat presents with swollen eyelids, sallow complexion, cold feet, fever intensifying from head to abdomen, aversion to food odors, vomiting, nausea, and abdominal pain.
Treatment method: Push Shang San Guan (Upper Three Gates), Retreat Xia Liu Fu (Lower Six Bowels), Clear Wu Jing Wen (Five Palm Lines), Tonify Pi Tu (Spleen Earth), Push Da Chang (Large Intestine), Clear San Jiao (Triple Burner), Tonify Shen Shui (Kidney Water), Move Ba Gua (Eight Trigrams), Pinch Zong Jing (General Meridian), Divide Yin and Yang, Water Bottom Retrieve Bright Moon (水底捞明月), Fly Meridians and Move Qi (飞经走气), Move Dou Zhou (Dou Elbow).
Chen Zishan said: Gan heat (wasting-thirst heat) results from overeating, causing stagnation in the middle jiao which turns to heat over time. If spleen stagnation is not treated, it transmits to other zang organs, forming the five types of Gan diseases. If the spleen pathology resolves, the other organs remain peaceful.
Treatment method: Push Shang San Guan (Upper Three Gates), Retreat Xia Liu Fu (Lower Six Bowels), Tonify Pi Tu (Spleen Earth), Push Da Xiao Chang (Small and Large Intestines), San Jiao (Triple Burner), Move Ba Gua (Eight Trigrams), Pinch Zong Jin (General Tendon), Divide Yin and Yang, Water Bottom Retrieve Bright Moon (水底捞明月), Fly Meridians and Move Qi (飞经走气), Move Dou Zhou (Dou Elbow).
Chen Zishan said: Blood heat occurs every day during Chen and Si hours (7:00–11:00 AM) and cools down at night. People often mistake it for Gan heat, but it is actually blood heat.
Treatment method: Push Shang San Guan (Upper Three Gates), Push Xia Liu Fu (Lower Six Bowels), Divide Yin and Yang, Move Ba Gua (Eight Trigrams), Clear Wu Jing Wen (Five Palm Lines), Pinch Zong Jin (General Tendon), Clear Shen Shui (Kidney Water), Water Bottom Retrieve Bright Moon (水底捞明月), Rub Dou Zhou (Dou Elbow), Press String and Rub (按弦搓摩), Fly Meridians and Move Qi (飞经走气).
Tu Weisheng noted: Blood heat differs from deficiency heat. Blood heat involves robust fire in the blood level, which consumes yin fluids. Deficiency heat arises from prior yin-blood deficiency, leaving fire unanchored. Thus, one originates in the morning, the other in the afternoon. Regarding strong heat (Zhuang Re), it mostly originates from the qi level. Although heat is close to fire, fire is the essence of heat, and heat is the evaporation of fire.
Chen Zishan said: Bone-steaming heat is heat steaming from the bones. There is heat but no chills, and night sweats cease only upon waking. It is not superficial burning. It is caused by infants eating meat too early, habitual consumption of roasted/baked foods, preference for fruits like peaches, plums, waxberries, or melons, wearing thick cotton clothes in winter consuming body fluids, residual toxins from Gan disease transmitting to bone-steaming, or abdominal masses causing intermittent pain.
Treatment method: Push San Guan (Three Gates), Push Liu Fu (Six Bowels), Move Wu Jing Wen (Five Palm Lines), Divide Yin and Yang, Clear Tian He Shui (River of Heaven Water), Water Bottom Retrieve Bright Moon (水底捞明月), Tonify Shen Shui (Kidney Water), Pinch Zong Jing Si Heng Wen (General Meridian Four Transverse Lines), Horse Strikes Across River of Heaven (打马过天河).
Tu Weisheng noted: Bone-steaming heat represents extreme yin deficiency. When internal yin fluids are exhausted, water-yin cannot generate marrow, so heat reaches the bones. Although Zishan's explanation is not entirely accurate, food-stagnation heat indeed consumes yin-blood.
Chen Zishan said: Strong heat (Zhuang Re) persists continuously. It is caused by qi-blood obstruction, heat generation in the five zang organs steaming internally, resulting in intense body heat, restless sleep, and mental confusion. Steaming outward causes heat in both interior and exterior, potentially generating wind in severe cases.
Treatment method: Push San Guan (Three Gates), Retreat Liu Fu (Six Bowels), Clear Fei Jing (Lung Meridian), Divide Yin and Yang, Push Er Men Shan (Two Gate Mountains), Clear Xin Jing (Heart Meridian), Clear Tian He Shui (River of Heaven Water), Clear Wu Jing Wen (Five Palm Lines), Pinch Zong Jin (General Tendon), Move Dou Zhou (Dou Elbow), Water Bottom Retrieve Bright Moon (水底捞明月), Fly Meridians and Move Qi (飞经走气).
Chen Zishan said: Warm-strong heat is similar to strong heat but milder. "Warm" implies heat that is not severe. If stomach qi is disharmonious, qi stagnates and accumulates, causing internal heat, it is named warm-strong heat. Yellow, foul stool indicates latent heat in the abdomen. White, sour stool indicates retained food stagnation, requiring mild purgation.
Treatment method: Push San Guan (Three Gates), Push Liu Fu (Six Bowels), Clear Fei Jing (Lung Meridian), Divide Yin and Yang, Push Er Men Shan (Two Gate Mountains), Clear Xin Jing (Heart Meridian), Clear Tian He Shui (River of Heaven Water), Clear Wu Jing Wen (Five Palm Lines), Pinch Zong Jin (General Tendon), Move Dou Zhou (Dou Elbow), Water Bottom Retrieve Bright Moon (水底捞明月), Fly Meridians and Move Qi (飞经走气).
Chen Zishan said: Bian Zheng heat (Developmental heat) is the steaming of yin-yang and water-fire within qi and blood, facilitating physical maturation. "Bian" (Change) refers to the formation of the five zang organs; "Zheng" (Steam) refers to the nourishment of the six fu organs. At 32 days after birth is one "Bian"; at 64 days is one "Zheng". After ten Bians and five Zhengs, totaling 320 days, development completes, and the infant becomes an adult. Infant developmental heat is like silkworms molting, dragons shedding bones, or tigers changing claws—all due to biological transformation and growth. Symptoms include steaming fever, upper qi rebellion, fright, cold ears, slight sweating, white bubbles on the upper lip like pearls, or swelling like a sleeping silkworm. Severe cases involve fever, mental confusion, abdominal pain, crying, and inability to nurse. Do not administer drugs or use tuina/fire-moxibustion recklessly. Mistreatment can be fatal. Therefore, no treatment method is prescribed; this is recorded for awareness.
Tu Weisheng noted: The theory of infant developmental heat (Bian Zheng) is unknown whether fabricated by ancient sages or based on evidence. If fabricated, the described days and shapes seem credible. If based on evidence, the descriptions vary significantly among texts, lacking consistency. I offer my perspective: In human life, zang-fu organs are the root, and limbs/branches are the leaves. Zang-fu must be complete before limbs form, and limbs before senses arise. It is unheard of for senses and limbs to exist before zang-fu develop. If limbs require completion and zang-fu develop through Bian Zheng, what digests milk before 32 days? What generates blood? What stores blood and governs qi? If internal structures were incomplete, survival would be brief, let alone rapid growth. Consider a clock: internal mechanisms must be complete to function accurately. Damage causes inaccuracy. How can a living infant grow rapidly with incomplete internals? I preserve this theory for reference due to its prevalence but clarify discrepancies to correct errors.