（海蛤散）治妇人伤寒血结胸膈。揉而痛不可抚近。（妇人血结胸。法当刺期门。
仲景无药方治法。此方疑非仲景。然其言颇有理。姑存焉）
海蛤 滑石 甘草（各一两炙） 芒硝（半两）
上捣罗为散。每服二钱。鸡子清调下。小肠通利。则胸膈血散。膻中血聚。则小肠
壅。小肠既壅。膻中血不流行。宜此方。小便利。血数行。宜桂枝红花汤发其汗则愈。
此一卷论小儿伤寒。小儿大人。治法一般。但小分剂。药性差凉耳。寻常风壅发热
。鼻涕痰嗽烦渴。惺惺散主之。咽喉不利。痰实咳嗽。鼠粘子汤主之。头额身体温热。
大便黄赤。腹中有热。四顺散连翘饮三黄丸主之。头额身体温热。大便白而酸臭者。胃
中有食积。双丸主之。小儿无异疾。唯饮食过度。不能自节。心腹胀满。身热头痛。此
双丸悉治之。小儿身体潮热。头目碎痛。心神烦躁。小便赤。大便秘。此热剧也。洗心
散调胃承气汤主之。头疼发热而偎人恶寒者。此伤寒证也。升麻汤主之。无汗者麻黄黄
芩汤。有汗者升麻黄芩汤。皆要药也。小儿寻常不可过当服凉药。胃冷虫动。其证与惊
相类。医人不能辨。往往复进惊药。如脑射之类。遂发吐。胃虚而成慢惊者多矣。小儿
须有热证。方可疏转。仍慎用丸子药利之。当以大黄川芎等 咀作汤液。以荡涤蕴热。
盖丸子巴豆乃攻食积耳。
（洗心散）治遍身壮热。头目碎痛。背膊拘急。大热冲上。口苦唇焦。夜卧舌干。
咽喉肿痛。涕唾稠粘。痰壅。吃食不进。心神躁热。眼涩睛疼。伤寒鼻塞。四肢沉重。
语声不出。百骨节痛。大小便不利。麸豆疮时行温疫。狂语多渴。及小儿天吊风。夜惊并宜服之。
当归（四两炒） 芍药（四两生用） 甘草（四两炙） 荆芥（四两）
白术（一两炒） 麻黄（四两去节炒） 大黄（四两以米泔水浸一炊间漉出令干慢炒取熟）
上捣罗为细末。每服抄二钱。水一盏。生姜一片。薄荷二叶。同煎至八分。放温和
滓服了。仰卧。仍去枕少时。如五脏壅实。煎四五钱匕。若要溏转则热服。
（惺惺散）治小儿风热。及伤寒时气。或疮疹发热
桔梗 细辛 人参 白术 栝蒌根 甘草（炙） 白茯苓 川芎（各等分）
上捣罗为末。每服二钱。用水一盏。生姜二片。薄荷二叶。同煎七分服。三岁以下
作四五服。五岁以上分二服。凡小儿发热。不问伤风风热。先与此散数服。往往辄愈。
（四顺散）解大人小儿膈热。退壅盛凉心经。
大黄（熬） 甘草（炙） 当归（洗） 芍药
上各等分为细末。每服二钱。以水一盏。薄荷二叶。煎至七分温服。小儿量岁数与之。
（麻黄黄芩汤）小儿伤寒无汗。头疼发热恶寒。
麻黄（去节一两） 黄芩 赤芍药（各半两） 甘草（炙） 桂枝（去皮各一分）
上捣罗为细末。每服二钱。滚水调下。日三服。兼治天行热气。生豌豆疮不快。益烦
躁。昏愦。或出尚身疼热者。
（升麻黄芩汤）治小儿伤风有汗。头疼发热恶寒。
升麻 葛根 黄芩 芍药（各三钱） 甘草（一钱半炙）
上锉如麻豆大。每服二钱。以水一中盏。煎至六分。去滓温服。若时行疮豆出不快
。烦躁不眠者。加木香一钱五分。
（甘露饮子）治胃中客热口臭。不思饮食。或饥烦不欲食。齿龈肿疼。脓血舌口。咽
中有疮。赤眼目睑重不欲开。疮疹已发未发。并宜服。
熟干地黄 生干地黄 天门冬 麦门冬（并去心焙） 枇杷叶（去毛） 枳壳
（麸炒去穣） 黄芩 石斛（去苗） 山茵陈 甘草（炙。各等分）
上为细末。每服二钱。水一盏。煎至六分。去滓温服。食后临卧。
（双丸）治小儿身热头痛。饮食不消。腹胀满。或心腹疼痛。大小便不利。或下重
数起未瘥。可再服。小儿蒸候哺食减少。气息不快。夜啼不眠。是腹内不调。并宜用此丸下之。
甘遂（半两） 朱砂（一钱另研） 麦门冬（二两半去心） 蕤核（去仁另
研四两半） 牡蛎（二两 ） 甘草（一两一分炙） 巴豆（六十枚去皮心膜研。
新布绞去油。日中晒之。白如霜者）
上麦门冬甘草甘遂牡蛎四味为细末。入巴豆朱砂蕤仁合和。捣二千杵。更入少蜜捣
和。极熟旋丸。半岁儿服如荏子大一双。一岁儿服如半麻子大分为一双服。二岁儿服如麻
子大一枚分一双。三四岁者。服如麻子大二丸。五六岁者。服如大麻子大二丸。七八岁
者如小豆大二丸。十岁者。微大于小豆二丸。常以鸡鸣时服。如至日出时不下者。热粥
饮服数合投之。即下药丸。皆双出也。下利甚者。浓煎冷粥饮之便止。
（石膏麻桂汤）治小儿伤寒未发热。咳嗽。头面热。
麻黄（一两去节汤泡） 甘草（半两炙） 石膏（半两） 芍药（半两）
桂心（一分） 黄芩（一两） 杏仁（十枚去皮尖）
上七味为散。每服二钱。水一中盏。入生姜二片。煎半盏。去滓服。儿若甚小。以意增减之。
（连翘饮）治小儿一切热。
连翘 防风 甘草（炙） 山栀子（各等分）
上件捣罗为末。每服二钱。水一中盏。煎七分。去滓温服。
（麦门冬汤）治婴儿未满百日。伤寒鼻衄。身热呕逆。
麦门冬（三分去心） 石膏 寒水石 甘草（各半两炙） 桂心（三钱半）
上锉如麻豆大。每服三钱。水一盏。煎七分。去滓温服。
（十物升麻汤）治小儿伤寒。变热毒病。身热面赤。口燥心腹坚急。大小便不利。
或口疮。或因壮热。便四肢挛掣。惊仍作。 疾时发时醒。醒后身热如火者。
升麻 白薇 麻黄（去根节） 葳蕤 柴胡 甘草（各半两炙） 黄芩（一两
）朴硝 大黄 钩藤（各一分）
上锉如麻豆大。每服三钱。水一盏。煎至七分。去滓下硝。再煎化。温服。
（六物黄芩汤）治婴儿腹大。短气。热有进退。食不安。谷为之不化。
黄芩 大青 甘草（炙） 麦门冬 石膏（各半两） 桂心（三钱）
上锉如麻豆大。每服三钱。水一盏。煎七分温服。
（五物人参饮）治小儿天行壮热。咳嗽心腹胀满。
人参 甘草（各半两炙） 麦门冬（一两去心） 生地黄（一两半。如无只用生干地黄半两）
上锉如麻豆大。每服三钱。水一盏。入茅根半握。煎至七分。去滓温服。
（八物麦门冬饮）治小儿天行壮热。咳嗽心烦。
麦门冬（三两去心） 甘草（炙） 人参（各一分） 紫菀 升麻（各二两） 贝母（一分半）
上锉如麻豆大。每服三钱。水一盏。入茅根半握。煎至七分。去滓。再入竹沥少
许。重煎服。
（枣叶饮）治小儿天行壮热。五日以后热不歇者。
枣叶（半握） 麻黄（半两去根节） 豉（一合） 葱白（切一合）
上件共童子小便二盏。煎至一盏。去滓。分二服。
[Hai Ge San] Treats women suffering from cold damage (Shanghan) with blood stasis knotting in the chest and diaphragm. Rubbing the area causes severe pain, making it intolerable for others to approach or touch. (For the syndrome of blood stasis in the chest in women, the standard treatment is to puncture the Qimen [Liv 14] acupoint. Zhang Zhongjing's works do not record a herbal prescription for this condition. This formula is suspected not to be authored by Zhang Zhongjing, but its rationale is sound; therefore, it is retained here.)
Ingredients: Hai Ge (Clam Shell), Huashi (Talcum), Gancao (Licorice Root, each 1 liang, honey-fried), Mangxiao (Mirabilite, 0.5 liang).
Preparation and Administration: Pound and sieve the ingredients into a powder. Take 2 qian per dose, mixed with egg white. Once the Small Intestine functions smoothly, the blood stasis in the chest and diaphragm will dissipate. If blood accumulates at the Shanzhong [CV 17], it causes obstruction in the Small Intestine; once the Small Intestine is obstructed, blood circulation at the Shanzhong cannot flow freely. This formula is suitable. If urination is clear and abundant, indicating blood has moved downwards, Guizhi Honghua Tang (Cinnamon Twig and Safflower Decoction) should be used to induce sweating for a cure.
This volume discusses pediatric cold damage. The treatment principles for children are generally similar to those for adults, but with smaller dosages and cooler-natured herbs. For common wind-phlegm obstruction causing fever, runny nose, phlegmy cough, restlessness, and thirst, Xingxing San (Stirring Up Powder) is indicated. For throat discomfort and phlegm-solid cough, Niuzi Tang (Burdock Seed Decoction) is indicated. For warmth in the head/forehead and body, yellow-red stool, and internal heat, Sishun San (Four-Compliance Powder), Lianqiao Yin (Forsythia Drink), and Sanhuang Wan (Three-Yellow Pill) are indicated. For warmth in the head/forehead and body with white, sour-smelling stool, indicating food stagnation in the Stomach, Shuang Wan (Double Pill) is indicated. For children without other diseases who suffer from overeating and lack of self-control, leading to abdominal distension, fever, and headache, Shuang Wan treats all these conditions. For children with tidal fever, fine pain in the head and eyes, mental restlessness, red urine, and constipation, indicating severe heat, Xixin San (Wash Heart Powder) combined with Tiaowei Chengqi Tang (Stomach-Harmonizing Purging Decoction) is indicated. For headache, fever, preference for leaning on others, and aversion to cold, indicating a cold damage syndrome, Shengma Tang (Aucklandia Decoction) is indicated. For cases with no sweat, Mahuang Huangqin Tang (Ephedra and Scutellaria Decoction) is used; for cases with sweat, Shengma Huangqin Tang (Aucklandia and Scutellaria Decoction) is used. These are essential formulas. Children should not be given excessive cooling medicines, as this can cause Cold in the Stomach and moving parasites, presenting symptoms similar to convulsions. If physicians fail to distinguish this and administer convulsion medicines containing substances like Nao (Camphor/Borneol) or She (Musk), vomiting may result. Many cases of slow convulsions arise from Stomach deficiency. Only when there is evidence of Heat in children should purgative methods be used, and pills should be used cautiously. Instead, decoctions made from Dahuang (Rhubarb) and Chuanxiong (Sichuan Lovage Rhizome) should be used to purge accumulated heat, as pills containing Badou (Croton Seed) are primarily for attacking food stagnation.
[Xixin San] Treats generalized high fever, fine pain in the head and eyes, stiffness in the back and shoulders, surging heat upwards, bitter taste in the mouth, dry/cracked lips, dry tongue during sleep, sore/swollen throat, thick/sticky sputum, phlegm obstruction, loss of appetite, mental restlessness, dry/aching eyes, nasal congestion from cold damage, heaviness in the four limbs, inability to speak, pain in all joints, difficulty in urination and defecation, measles-like eruptions, epidemic warm pathogens, delirium with excessive thirst, and pediatric Tian Diao Feng (convulsive disorder) and night terrors. It is suitable for all these conditions.
Ingredients: Danggui (Angelica Sinensis, 4 liang, fried), Shaoyao (Peony Root, 4 liang, raw), Gancao (Licorice Root, 4 liang, honey-fried), Jingjie (Schizonepeta, 4 liang), Baizhu (Atractylodes Macrocephala, 1 liang, fried), Mahuang (Ephedra, 4 liang, nodes removed, fried), Dahuang (Rhubarb, 4 liang, soaked in rice washing water for one meal time, drained, dried, and slowly fried until cooked).
Preparation and Administration: Pound and sieve into a fine powder. Take 2 qian per dose, with 1 cup of water, 1 slice of Shengjiang (Fresh Ginger), and 2 leaves of Bohe (Mint). Decoct to 80% volume, strain, and drink while warm. Lie supine and remove the pillow for a short period. If the Five Viscera are severely obstructed, use 4-5 qian. To induce loose stools, take it hot.
[Xingxing San] Treats pediatric wind-heat, cold damage epidemic qi, or fever from rashes.
Ingredients: Jiegeng (Platycodon Root), Xixin (Asarum), Renshen (Ginseng), Baizhu (Atractylodes Macrocephala), Gualougen (Trichosanthes Root), Gancao (Licorice Root, honey-fried), Baifuling (Poria, white part), Chuanxiong (Sichuan Lovage Rhizome, equal parts).
Preparation and Administration: Pound and sieve into powder. Take 2 qian per dose, with 1 cup of water, 2 slices of Shengjiang (Fresh Ginger), and 2 leaves of Bohe (Mint). Decoct to 70% volume. For children under three years, divide into 4-5 doses; for children over five years, divide into 2 doses. For any pediatric fever, whether due to wind-cold or wind-heat, administering this powder several times often leads to recovery.
[Sishun San] Relieves diaphragmatic heat in adults and children, reduces excess heat, and clears the Heart Meridian.
Ingredients: Dahuang (Rhubarb, processed), Gancao (Licorice Root, honey-fried), Danggui (Angelica Sinensis, washed), Shaoyao (Peony Root).
Preparation and Administration: Grind equal parts into a fine powder. Take 2 qian per dose, with 1 cup of water and 2 leaves of Bohe (Mint). Decoct to 70% volume and take warm. Adjust dosage for children according to age.
[Mahuang Huangqin Tang] Treats pediatric cold damage with no sweat, headache, fever, and aversion to cold.
Ingredients: Mahuang (Ephedra, 1 liang, nodes removed), Huangqin (Scutellaria Root), Chi Shaoyao (Red Peony Root, each 0.5 liang), Gancao (Licorice Root, honey-fried), Guizhi (Cinnamon Twig, peeled, each 1 fen).
Preparation and Administration: Pound and sieve into powder. Take 2 qian per dose, mixed with boiling water. Take three times daily. Also treats epidemic heat pathogens, slow eruption of smallpox/measles, increased restlessness, confusion, or body pain/fever after eruption.
[Shengma Huangqin Tang] Treats pediatric wind-cold with sweat, headache, fever, and aversion to cold.
Ingredients: Shengma (Cimicifuga Root), Gegen (Kudzu Root), Huangqin (Scutellaria Root), Shaoyao (Peony Root, each 3 qian), Gancao (Licorice Root, honey-fried, 1.5 qian).
Preparation and Administration: Cut into pieces the size of hemp seeds. Take 2 qian per dose, with 1 cup of water. Decoct to 60% volume, strain, and take warm. For epidemic rashes that fail to erupt properly with restlessness and insomnia, add Muxiang (Aucklandia Root, 1.5 qian).
[Ganlu Yinzi] Treats guest-heat in the Stomach causing bad breath, loss of appetite, hunger with aversion to eating, swollen/painful gums with pus/blood, sores on tongue/mouth/throat, red eyes with heavy eyelids unwilling to open, and pre/post eruption phases of rashes.
Ingredients: Shu Dihuang (Prepared Rehmannia Root), Sheng Dihuang (Raw Rehmannia Root), Tianmendong (Asparagus Tuber), Maidong (Ophiopogon Tuber, both heart removed and baked), Pipaye (Loquat Leaf, hairs removed), Zhike (Bitter Orange, bran-fried, pith removed), Huangqin (Scutellaria Root), Shihu (Dendrobium Stem, tips removed), Shanyinchen (Artemisia Capillaris), Gancao (Licorice Root, honey-fried, equal parts).
Preparation and Administration: Make into a fine powder. Take 2 qian per dose, with 1 cup of water. Decoct to 60% volume, strain, and take warm. Take after meals and before bed.
[Shuang Wan] Treats pediatric body heat, headache, indigestion, abdominal distension, or heart/abdominal pain, difficulty in urination/defecation, or tenesmus with incomplete relief (can repeat dose). For pediatric steaming fever, reduced feeding, poor breathing, night crying, and insomnia, indicating internal disharmony, this pill is suitable for purging.
Ingredients: Gansui (Kansui Root, 0.5 liang), Zhusha (Cinnabar, 1 qian, separately ground), Maidong (Ophiopogon Tuber, 2.5 liang, heart removed), Ruhe (Prunus Persica Kernel/Peach Pit Core?, 4.5 liang, kernel removed, separately ground), Moli (Oyster Shell, 2 liang), Gancao (Licorice Root, honey-fried, 1.1 liang), Badou (Croton Seed, 60 seeds, skin/core/membrane removed, ground, oil pressed out with new cloth, sun-dried until white as frost).
Preparation and Administration: Grind Maidong, Gancao, Gansui, and Moli into a fine powder. Add Badou, Zhusha, and Ru Ren (Peach Kernel). Pound two thousand times. Add a little honey and pound until very smooth. Roll into pills immediately. Half-year-old infants: size of sesame seed, one pair (two pills). One-year-old: size of half a hemp seed, divided into two doses. Two-year-old: size of a hemp seed, one pill divided into two doses. Three-to-four-year-olds: two pills size of hemp seeds. Five-to-six-year-olds: two pills size of large hemp seeds. Seven-to-eight-year-olds: two pills size of mung beans. Ten-year-olds: two pills slightly larger than mung beans. Take at dawn. If no bowel movement by sunrise, drink a few mouthfuls of hot porridge soup to promote expulsion. Stool will pass in double batches. If diarrhea is severe, drink concentrated cold porridge soup to stop it.
[Shigao Magui Tang] Treats pediatric cold damage before fever onset, cough, and heat in head/face.
Ingredients: Mahuang (Ephedra, 1 liang, nodes removed, soaked in decoction), Gancao (Licorice Root, 0.5 liang, honey-fried), Shigao (Gypsum, 0.5 liang), Shaoyao (Peony Root, 0.5 liang), Guixin (Cinnamon Bark, 1 fen), Huangqin (Scutellaria Root, 1 liang), Xingren (Apricot Seed, 10 seeds, skin/tip removed).
Preparation and Administration: Make into a powder from the seven ingredients. Take 2 qian per dose, with 1 cup of water and 2 slices of Shengjiang (Fresh Ginger). Decoct to half a cup, strain, and take. Adjust dosage for very young infants.
[Lianqiao Yin] Treats all heat syndromes in children.
Ingredients: Lianqiao (Forsythia Fruit), Fangfeng (Saposhnikovia Root), Gancao (Licorice Root, honey-fried), Shanzhizi (Gardenia Fruit, equal parts).
Preparation and Administration: Pound and sieve into powder. Take 2 qian per dose, with 1 cup of water. Decoct to 70% volume, strain, and take warm.
[Maidong Tang] Treats infants under 100 days old with cold damage, epistaxis, body heat, and vomiting/reversal.
Ingredients: Maidong (Ophiopogon Tuber, 3 fen, heart removed), Shigao (Gypsum), Hanshuishi (Calcitum), Gancao (Licorice Root, 0.5 liang each, honey-fried), Guixin (Cinnamon Bark, 3.5 qian).
Preparation and Administration: Cut into pieces the size of hemp seeds. Take 3 qian per dose, with 1 cup of water. Decoct to 70% volume, strain, and take warm.
[Shiwu Shengma Tang] Treats pediatric cold damage transforming into heat-toxin disease, with body heat, red face, dry mouth, rigid/tense heart/abdomen, difficulty in urination/defecation, mouth sores, or limb spasms and convulsions due to high fever. The disease comes and goes; upon waking, the body is hot as fire.
Ingredients: Shengma (Cimicifuga Root), Baiwei (Cynanchum Atratum), Mahuang (Ephedra, root/nodes removed), Weirui (Polygonatum Odoratum), Chaihu (Bupleurum Root), Gancao (Licorice Root, 0.5 liang each, honey-fried), Huangqin (Scutellaria Root, 1 liang), Poxiao (Niter), Dahuang (Rhubarb), Gouteng (Uncaria Rhynchophylla, each 1 fen).
Preparation and Administration: Cut into pieces the size of hemp seeds. Take 3 qian per dose, with 1 cup of water. Decoct to 70% volume, strain, add Poxiao (Niter), re-decoct until dissolved, and take warm.
[Liuwu Huangqin Tang] Treats infant abdominal distension, shortness of breath, fluctuating fever, food intolerance, and undigested food in stool.
Ingredients: Huangqin (Scutellaria Root), Daqing (Indigo Naturalis), Gancao (Licorice Root, honey-fried), Maidong (Ophiopogon Tuber), Shigao (Gypsum, 0.5 liang each), Guixin (Cinnamon Bark, 3 qian).
Preparation and Administration: Cut into pieces the size of hemp seeds. Take 3 qian per dose, with 1 cup of water. Decoct to 70% volume and take warm.
[Wuwu Renshen Yin] Treats pediatric epidemic high fever, cough, and heart/abdominal distension.
Ingredients: Renshen (Ginseng), Gancao (Licorice Root, 0.5 liang each, honey-fried), Maidong (Ophiopogon Tuber, 1 liang, heart removed), Shengdi Huang (Raw Rehmannia Root, 1.5 liang; if unavailable, use 0.5 liang of Sheng Gan Di Huang/Dried Raw Rehmannia).
Preparation and Administration: Cut into pieces the size of hemp seeds. Take 3 qian per dose, with 1 cup of water and a handful of Maogen (Imperata Rhizome). Decoct to 70% volume, strain, and take warm.
[Bawu Maidong Yin] Treats pediatric epidemic high fever, cough, and mental restlessness.
Ingredients: Maidong (Ophiopogon Tuber, 3 liang, heart removed), Gancao (Licorice Root, honey-fried), Renshen (Ginseng, each 1 fen), Ziwan (Aster Root), Shengma (Cimicifuga Root, 2 liang each), Beimu (Fritillaria Bulb, 1.5 fen).
Preparation and Administration: Cut into pieces the size of hemp seeds. Take 3 qian per dose, with 1 cup of water and a handful of Maogen (Imperata Rhizome). Decoct to 70% volume, strain, add a little Zhuli (Bamboo Juice), re-decoct, and take.
[Zaoye Yin] Treats pediatric epidemic high fever persisting beyond five days.
Ingredients: Zao Ye (Jujube Leaf, half a handful), Mahuang (Ephedra, 0.5 liang, roots/nodes removed), Chi (Fermented Soybean, 1 he), Congbai (Green Onion White, chopped, 1 he).
Preparation and Administration: Decoct the above ingredients in 2 cups of Tongzi Xiaoshui (Boy's Urine) to 1 cup. Strain and divide into two doses.