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 five centers (palms, soles, and heart region) are severely hot, accompanied by restlessness and irritability, with a tendency to expose hands and feet, dark and scanty urine, it is termed *Fan Re* (Vexing Heat). *Bazhen Yinzi* (Eight-Treasure Drink) or *Qibao San* (Seven-Treasure Powder) may be administered. If the lips are deep red and there is incessant thirst, treat with *Zhuye Shigao Tang* (Bamboo Leaf and Gypsum Decoction) or *Jia Zhu Ganlu San* (Cinnabar-Enhanced Sweet Dew Powder).
*Yili Jin Dan* (One-Grain Golden Pill): Treats children with heat accumulation in the five zang organs, chest and diaphragm vexation, and vexing heat in the five centers.
Ingredients: Renshen (Ginseng Radix), Xijiao (Rhinoceros Horn - *Note: Substitute with Buffalo Horn/Niujiajiao in modern practice*), Daimao (Hawksbill Turtle Shell), Hupo (Amber), Fangfeng (Saposhnikovia Root) (each 1 qian); Fuling (Poria), Hanshuishi (Calcitum) (dosage unspecified in source text); Gancao (Licorice Root) (each 2 qian); Longnao (Borneol), Zhusha (Cinnabar) (processed by water levigation; each half qian).
Preparation: Grind all into fine powder, add Mushe (Musk) half a qian, and bind with paste from aged rice to form pills the size of a Chinese bayberry (Qianshi). Coat with 25 leaves of Gold Foil (Jinbo). Administer with decoction of Maimendong (Ophiopogon Root) from which the heart has been removed.
*Jiangxue Dan* (Crimson Snow Pill): Treats pediatric vexing heat.
Ingredients: Mangxiao (Natrii Sulfas) (1 liang), Zhusha (Cinnabar) (1 liang).
Preparation: Grind into powder, bind with steamed rice to form pills the size of a Chinese bayberry. For a three-year-old child, administer one pill dissolved in sugar water.
*Dihuang Jian Wan* (Rehmannia Decoction Pill): Treats pediatric wind obstruction, upper jiao heat and vexation, epistaxis, oral ulcers, sore throat and swelling, mouth and tongue sores, or blood-heat causing chronic heat in the five centers and excessive thirst for water.
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); Pian Nao (Borneol) (half qian).
Preparation: Grind into powder, bind with refined honey to form pills the size of a Chinese bayberry. Take one pill per dose, grind in warm water until dissolved, and administer after nursing/meals.
*Zhuye Shigao Tang* (Bamboo Leaf and Gypsum Decoction): Treats pediatric emaciation and shortness of breath, rebellious qi with 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 (Ophiopogonis Radix) (heart removed, 1 liang); Gancao (Licorice Root) (roasted, 7 qian 5 fen); Danye Zhu (Light Bamboo Leaves) (half a handful).
Preparation: Coarsely crush ingredients. For each dose of 2 qian, use 6 parts water, 30-40 grains of Jingmi (Glutinous Rice), and 2 slices of Shengjiang (Zingiberis Rhizoma Recens). Decoct until 3 parts remain, strain, and take at any time.
*Jia Zhu Ganlu San* (See section on Jing Re / Startled Heat).