Library

Pediatric patients aged one to ten years should not wear new cotton wadding (new cotton) in their clothing, nor should their clothes and bedding be dried over fire during winter. They should not consume fruits such as peaches, apricots, yangmei (Chinese bayberry), nor foods like roasted or fried hot wheat noodles, as these will cause heat in the child's body. Some cases of internal heat arise from eating meat too early after a Shanghan (Cold Damage) illness; some may develop into Guzheng (Bone-steaming fever, a chronic consumptive disease characterized by yin deficiency and internal heat). It is appropriate to treat them with Shengxi San (Raw Rhinoceros Horn Powder), Ke Xiao Tang (Ke Xiao Decoction), Digupi Yin (Digupi Decoction), Qibao San (Seven Treasures Powder), and Jinlian Yinzi (Jinlian Drink).

[From Zeng] Guzhen fever presents with a weak and emaciated body, onset in the evening, fever without chills, and cessation only after waking up with thirst and sweating. This is the residual toxin of Gan disease (infantile malnutrition syndrome caused by spleen-stomach dysfunction), which transmits to become Guzhen. There may also be Pi masses (abdominal masses) inside the abdomen with occasional mild pain. Shenling Baizhu San (Ginseng, Poria, and Atractylodes Macrocephala Powder) or Jiang Zao Sanleng Decoction can be used to regulate the condition. Alternatively, Huapi Wan (Pi-Mass Resolving Pill) can be administered first to treat spleen deficiency and retained stagnation, followed by treatment with Chaihu Yin (Bupleurum Decoction). One must still avoid toxic foods such as chicken, alcohol, mutton, and wheat noodles.

Renshen Shengxi San: Treats pediatric Guzhen with muscle wasting, flushed cheeks, dry mouth, tidal fever in the late afternoon (Ribu Chaore), night sweats, five-palm heat irritability (Wuxin Fanzao), and limb fatigue. It also treats residual toxins remaining after severe illnesses have healed, or body heat and loss of appetite after consuming mutton following a Shanghan illness.
Ingredients: Lingyangjiao (Antelope Horn, sliced), Digupi (Cortex Lycii), Qinjiao (Radix Gentianae Macrophyllae, cleaned of soil), Maimendong (Radix Ophiopogonis, heart removed), Zhike (Fructus Aurantii, bran-fried), Chuandahuang (Radix et Rhizoma Rhei, steamed), Chaihu (Radix Bupleuri, radix removed), Chi Fu Ling (Poria Cocos with red skin removed), Chi Shaoyao (Radix Paeoniae Rubra), Sangbaipi (Cortex Mori, fried), Huangqin (Radix Scutellariae), Renshen (Radix Ginseng), Biejia (Carapax et Plastrum Testudinis, skirt removed, vinegar-fried to yellow). All ingredients are in equal proportions.
Usage: Coarsely crush the herbs. Take 2 qian per dose, add half zhan of water and half a Wu Mei (Mume Fructus), decoct until three parts remain. Take at any time.

Digupi Yin: Treats pediatric Guzhen, alternating tidal fever, vexation and palpitations in the chest and diaphragm, and unresolved pathogenic factors after Shanghan.
Ingredients: Chaihu (Radix Bupleuri, radix removed), Digupi (Cortex Lycii) (each 2 liang), Zhimu (Rhizoma Anemarrhenae), Gancao (Radix Glycyrrhizae, honey-fried), Biejia (Carapax et Plastrum Testudinis, vinegar-fried to yellow), Huangqin (Radix Scutellariae), Renshen (Radix Ginseng) (each 2.5 qian), Chi Fu Ling (Poria Cocos with red skin removed) (0.5 liang).
Usage: Coarsely crush the herbs. For a one-year-old child, take 2 qian, add six parts water, one slice of ginger, and one slice of Wu Mei, decoct until three parts remain. Take at any time.

Chaihu Yin: Treats Guzhen and Gan Qi (Gan gas/toxin), five-palm heat, worsening in the late afternoon, dry mouth with no taste, excessive thirst with emaciation, chest fullness with tight phlegm, yellow urine, reduced appetite, and mental confusion.
Ingredients: Beichaihu (Radix Bupleuri), Renshen (Radix Ginseng), Danggui (Radix Angelicae Sinensis, wine-washed), Huangqin (Radix Scutellariae), Chi Shaoyao (Radix Paeoniae Rubra), Gancao (Radix Glycyrrhizae, honey-fried) (each 1 liang), Dahuang (Radix et Rhizoma Rhei), Jiegeng (Radix Platycodonis, radix removed, crushed and fried), Bei Wuwei (Fructus Schisandrae, stems removed), Banxia (Rhizoma Pinelliae) (each 0.5 liang).
Usage: Coarsely crush the herbs. Take 2 qian per dose, add one zhan of water, a small corner of Wu Mei, and two slices of ginger, decoct until seven parts remain. Take warm at any time.

Zhengshi Xijiao Yin: Treats pediatric Guzhen with tidal fever, night sweats, and muscle wasting.
Ingredients: Xijiao xie (Hornis Rhinocerotis, shaved), Biejia (Carapax et Plastrum Testudinis, vinegar-fried), Chaihu (Radix Bupleuri), Zhimu (Rhizoma Anemarrhenae) (each 0.5 liang), Digupi (Cortex Lycii), Huhuanglian (Rhizoma Coptidis) (each 1 liang), Chuandahuang (Radix et Rhizoma Rhei), Taozhi (Ramulus Persicae) (each 0.5 liang).
Usage: Crush the herbs. For a three-year-old child, take 1 qian, add half zhan of water, and decoct. Take at any time.

Lingxi Yin: Treats Guzhen with tidal fever, night sweats, cough, ability to eat but excessive thirst, sallow complexion with muscle wasting, abdominal urgency, and coarse breathing. Suitable for general use in deficiency heat and residual heat.
Ingredients: Xijiao xie (Hornis Rhinocerotis, shaved), Huhuanglian (Rhizoma Coptidis) (each 0.5 liang), Bai Fu Ling (Poria Cocos), Renshen (Radix Ginseng), Chuanxiong (Rhizoma Chuanxiong), Qinjiao (Radix Gentianae Macrophyllae), Gancao (Radix Glycyrrhizae), Qianghuo (Rhizoma Notopterygii), Chaihu (Radix Bupleuri), Jiegeng (Radix Platycodonis), Digupi (Cortex Lycii) (each 1 liang).
Usage: Crush the herbs. For a three-year-old child, take 1 qian, add half zhan of water, and a small amount of Wu Mei and Zhuye (Leaf of Bambusa), and decoct.

Ke Xiao Tang (See "Tidal Fever" chapter), Huapi Wan (See "Pi Mass" chapter).