治脾经蕴热，而舌下廉泉穴，不能挟制而下者。
人参（四分） 黄连（酒炒，四分） 茯苓（八分） 山药（饭锅上蒸熟，炒黄，六分）
米仁（炒黄，一钱） 石斛（五分） 石膏（ ，一钱） 半夏（四分） 微姜水拌，加莲子去心七
粒，灯心七茎，水煎，食远服。
凡视芽儿之病，须审变蒸之期，当此误投药石，蒸长生气全消。凡三十二日为一
变，六十四日为蒸。三十二日一变者，以人三十二齿相应也。共有二十八齿者，以不
足日变也。人有三百六十五骨，内除手足中四十五碎骨外，则止三百二十数，自生下一
日，则主十段，十日即百段，三十二日，则三百二十段为一变，其骨之余气，自脑分入
龈中而为齿，自生下三十二日一变，而生癸肾脏气，属足少阴经，主身热而耳 俱冷，
唇起白泡。六十四日则二变一蒸，而生壬膀胱腑气，属足太阳经，主寒热将发而频喷
嚏， 乳多嗔，上唇微肿，肾与膀胱属水，水数一，故先变生之。九十六日则三变，而
生丁心脏气，属手少阴经，主体热汗出，恐畏虚惊。一百二十八日，则四变二蒸，而生
丙小肠腑气，属手太阳经，主壮热浑身，心与小肠俱火，火数二，故二蒸成之。一百六
十日则五变，而生乙肝脏气，属足厥阴经，主掌骨成而学匍匐。一百九十二日则六变三
蒸，而生甲胆腑气，属足少阳经，主情昏神倦，眼闭不开，盖肝胆属木，木数三，故三
蒸成之。二百二十四日，则七变而生辛肺脏气，属手太阳经，主情思 惶，而爱多哭。
二百五十六日，则八变四蒸，而生庚大肠腑气，属手阳明经，主微利肠鸣，而蒸热，盖
肺与大肠属金，金数四，故四蒸成之。二百八十八日，则九变而生已脾脏气，属足太阴
经，主身热吐泻。三百二十日则十变五蒸，而生戊胃腑气，属足阳明经，主不食腹痛，
吐乳微汗，盖土数五，故五蒸成之。心胞络为脏，属手厥阴经，三焦为腑，属手少阳
经，二者，俱无形状，故不变，而又不蒸。若至十变五蒸既讫，则共三百二十日矣。复
有三大蒸焉，以六十四日一蒸之数而计之，则又有一百九十二日，与前变蒸之数，共五
百一十二日矣。自后再加一蒸，而至五百七十六日之期，变蒸方定，儿乃成人，方生寸
脉，变者，变生五脏而易其情态也。蒸者，蒸养六腑而长其骨节也。凡变始得之一日以
至七日，上唇中心，必有白珠泡子，形如鱼目，目睛微亦，轻则身热有汗而微惊，耳与
尻冷，重则壮热或汗或不汗，脉乱不食而呕哕，如身耳尻皆热者，则又兼犯他证也。其
受兼蒸者，必上唇微肿，如卧蚕类，身休壮热，头额颅热，或乍热乍凉，唇口鼻干，哽
气吐逆，而脉乱汗出或不汗不食，时惊多啼 乳，自始得之一日，至十三日变蒸既足，
方无所苦，其三大蒸者，则必唇口干燥。咳嗽喘急，闷乱哽气腹疼，身体骨节皆痛，或
目上视，时多惊悸，然七日之内有病，但数呵其囟门，勿轻服药。若有不惊不热，无他
苦者，是受胎壮实而暗变也。然前之论变蒸者，以天一生水，地二生火，天三生木，地
四生金，天五生土为论，自内而长，自下而上之义也。复有以东方甲乙木为首之义，则
一变肝，二变胆，三变心，四受小肠，五受脾，六变胃，七变肺，八变大肠，九变肾。
十变膀胱，此主于子母相生之义，相生所以相继也。更有以《素问》春应木，而亦以肝
为首，则一变肝，二变肺，三变心，四变脾，五变肾，此主于夫妻相克之义，相克所
以相治也。然大抵阴阳造化，五行五脏相生者顺，相克者逆，况变蒸者，是长养气血，
滋荣五脏，相生之义，此理昭然者耶。
《灵枢》曰∶人生十岁，五脏始定，血气已通，其气在下，故好走。二十岁血气始
盛，肌肉方长，故好趋。三十岁五脏大定，肌肉坚固，血脉盛满，故好步。四十岁五脏
六腑十二经脉皆大盛以平定，腠理始疏，荣华颓落，发颇斑白，平盛不摇，故好坐。五
十岁肝气始衰，肝叶始薄，胆汁始减目始不明。六十岁心气始衰，善忧悲，血气懈惰，
故好卧。七十岁脾气虚，皮肤枯。八十岁肺气衰魄离，故言善误，九十岁肾气焦，四脏
经脉空虚。百岁五脏皆虚，神气皆去，形骸独居而终矣。
治疗脾经蕴藏热邪，导致舌下廉泉穴无法制约津液而流出的情况。
人参（四分） 黄连（用酒炒制，四分） 茯苓（八分） 山药（在蒸饭的锅上蒸熟，炒至黄色，六分）
薏苡仁（炒黄，一钱） 石斛（五分） 石膏（打碎，一钱） 半夏（四分，用微量的姜水拌润），加入去心的莲子七粒，灯心草七茎，加水煎煮，在饭后很久服用。
凡是诊治婴幼儿的疾病，必须审察变蒸的时期，如果在此时误投药物，会消减其生长发育的生机。每三十二日为一“变”，六十四日为“蒸”。所谓三十二日一变，是因为人体有三十二颗牙齿相对应。共有二十八颗牙齿的情况，是因为不足三十日的变数。人有三十六十五块骨头，除去手足中四十五块碎骨外，只剩三百二十之数，从出生第一天起，每十日主十段，十日即百段，三十二日则为三百二十段，构成一次“变”，骨骼的余气，从脑部进入牙龈形成牙齿。出生后三十二日发生第一次变，产生癸肾脏气，归属于足少阴经，主要表现为身体发热且耳朵和尾骶部发冷，嘴唇起白泡。六十四日则是二变一蒸，产生壬膀胱腑气，归属于足太阳经，主要表现为寒热交替即将发作且频繁打喷嚏，吃奶时容易烦躁哭闹，上唇轻微肿胀。肾与膀胱属水，水数为1，所以先由变生发。九十六日则是三变，产生丁心脏气，归属于手少阴经，主要表现为身体发热出汗，恐惧虚惊。一百二十八日，则是四变二蒸，产生丙小肠腑气，归属于手太阳经，主要表现为高热浑身，心与小肠都属火，火数为2，所以由两次蒸形成。一百六十日则是五变，产生乙肝脏气，归属于足厥阴经，主要表现为掌骨长成而学习匍匐爬行。一百九十二日则是六变三蒸，产生甲胆腑气，归属于足少阳经，主要表现为神情昏沉倦怠，眼睛闭合不睁开，因为肝胆属木，木数为3，所以由三次蒸形成。二百二十四日，则是七变，产生辛肺脏气，归属于手太阴经（注：原文此处有误，应为手太阴，但依原文翻译为手太阳经或保留原意，通常肺属手太阴，此处按原文逻辑处理，若严格按原文则写手太阳经，但考虑到中医常识及上下文对应关系，原文可能有误，此处忠实于原文文字“手太阳经”进行翻译，但在实体提取时需注意），主要表现为情绪思虑惶恐，喜爱多哭。二百五十六日，则是八变四蒸，产生庚大肠腑气，归属于手阳明经，主要表现为轻微腹泻肠鸣，以及蒸热，因为肺与大肠属金，金数为4，所以由四次蒸形成。二百八十八日，则是九变，产生己脾脏气，归属于足太阴经，主要表现为身体发热呕吐腹泻。三百二十日则是十变五蒸，产生戊胃腑气，归属于足阳明经，主要表现为不吃东西腹痛，吐乳微汗，因为土数为5，所以由五次蒸形成。心包络作为脏，归属于手厥阴经，三焦作为腑，归属于手少阳经，这两者都没有具体形状，所以不变也不蒸。如果到了十变五蒸结束，共三百二十日了。另外还有三大蒸，以六十四日一蒸的数量来计算，则又有一百九十二日，与前变蒸的数量，共五百一十二日了。之后再增加一蒸，直到五百七十六日的期限，变蒸才确定，孩子才成人，才开始出现寸脉。变，是指变化生成五脏并改变其情态。蒸，是指蒸养六腑并增长其骨节。凡是变刚开始的一天到七天，上唇中心，一定有像鱼眼珠一样的白色水泡，眼睛微微眯着，轻则身体发热有汗且轻微惊悸，耳朵和尾骶部发冷，重则高热或有汗或无汗，脉象紊乱不吃东西且呕吐呃逆，如果身体、耳朵、尾骶部都发热，则是又兼犯了其他证候。那些受到兼蒸影响的，一定上唇轻微肿胀，像卧蚕一样，身体壮热，头额颅骨发热，或者忽冷忽热，嘴唇口鼻干燥，哽气吐逆，脉象紊乱出汗或不出汗不吃东西，时常惊啼吃奶，从开始得病的一天到十三天变蒸既足，才没有痛苦。那三大蒸，则一定是嘴唇口鼻干燥。咳嗽喘急，烦闷乱气腹痛，身体骨节都痛，或者眼睛向上看，时常多惊悸，然而七天之内有病，只要多呵气在其囟门，不要轻易服药。如果有不惊不热，没有其他痛苦的，是受胎壮实而暗中变蒸。然而前面关于变蒸的论述，是以天一生水，地二生火，天三生木，地四生金，天五生土为理论依据，是从内向外生长，从下向上的意义。又有以东方甲乙木为首的意义，则一变肝，二变胆，三变心，四受小肠，五受脾，六变胃，七变肺，八变大肠，九变肾，十变膀胱，这是主于子母相生的意义，相生所以相继。更有以《素问》春应木，也以肝为首，则一变肝，二变肺，三变心，四变脾，五变肾，这是主于夫妻相克的意义，相克所以相治。然而大抵阴阳造化，五行五脏相生者为顺，相克者为逆，何况变蒸，是长养气血，滋荣五脏，是相生的意义，这个道理是显而易见的。
《灵枢》说：人生十岁，五脏始定，血气已通，其气在下，所以喜欢跑。二十岁血气始盛，肌肉方长，所以喜欢快走。三十岁五脏大定，肌肉坚固，血脉盛满，所以喜欢步行。四十岁五脏六腑十二经脉皆大盛以平定，腠理开始疏阔，荣华颓落，头发颇斑白，平盛不摇，所以喜欢坐。五十岁肝气始衰，肝叶始薄，胆汁始减，眼睛开始不明。六十岁心气始衰，善于忧悲，血气懈惰，所以喜欢躺卧。七十岁脾气虚，皮肤枯。八十岁肺气衰魄离，所以说话容易出错，九十岁肾气焦，四脏经脉空虚。百岁五脏皆虚，神气皆去，形骸独居而终矣。
Treats the condition where heat is accumulated in the Spleen Meridian, causing the Lianquan acupoint (Ren-23, located under the tongue) to fail in controlling fluids, resulting in drooling.
Ren Shen (Ginseng Radix, 4 fen) Huang Lian (Coptidis Rhizoma, stir-fried with wine, 4 fen) Fu Ling (Poria, 8 fen) Shan Yao (Dioscoreae Rhizoma, steamed over a rice cooker until cooked, stir-fried until yellow, 6 fen) Yi Yi Ren (Coicis Semen, stir-fried until yellow, 1 qian) Shi Hu (Dendrobii Caulis, 5 fen) Shi Gao (Gypsum Fibrosum, crushed, 1 qian) Ban Xia (Pinelliae Rhizoma, 4 fen, mixed with a small amount of ginger juice), add seven lotus seeds (removed from hearts), and seven stalks of Deng Xin Cao (Junci Medulla). Decoct in water and take long after meals.
When diagnosing diseases in infants, one must examine the periods of Bian Zheng (developmental changes and fevers). If medications are mistakenly administered during this time, the vital energy for growth will be entirely depleted. Every 32 days constitutes one "Bian" (change), and every 64 days constitutes one "Zheng" (steaming). The concept of one Bian every 32 days corresponds to the 32 teeth in the human body. In cases where there are only 28 teeth, it is because the number of days for Bian is insufficient. Humans have 365 bones; excluding the 45 small bones in the hands and feet, there remain 320. From the first day of birth, each ten days governs ten segments, so ten days equal one hundred segments. Thirty-two days thus equal three hundred twenty segments, forming one Bian. The residual Qi of the bones enters the gums from the brain to form teeth. At 32 days after birth, the first Bian occurs, generating the Kidney Zang Qi associated with Gui (Water), belonging to the Foot Shaoyin Meridian. It manifests as fever with cold ears and coccyx, and white blisters on the lips. At 64 days, there are two Bian and one Zheng, generating the Bladder Fu Qi associated with Ren (Water), belonging to the Foot Taiyang Meridian. It manifests as alternating chills and fever about to occur, frequent sneezing, irritability during nursing, and slight swelling of the upper lip. Since Kidney and Bladder belong to Water, and the number of Water is one, this arises first from Bian. At 96 days, there are three Bian, generating the Heart Zang Qi associated with Ding (Fire), belonging to the Hand Shaoyin Meridian. It manifests as body heat with sweating, fearfulness, and empty fright. At 128 days, there are four Bian and two Zheng, generating the Small Intestine Fu Qi associated with Bing (Fire), belonging to the Hand Taiyang Meridian. It manifests as high fever throughout the body. Since Heart and Small Intestine belong to Fire, and the number of Fire is two, this is formed by two Zheng. At 160 days, there are five Bian, generating the Liver Zang Qi associated with Yi (Wood), belonging to the Foot Jueyin Meridian. It manifests as the completion of palm bone formation and learning to crawl. At 192 days, there are six Bian and three Zheng, generating the Gallbladder Fu Qi associated with Jia (Wood), belonging to the Foot Shaoyang Meridian. It manifests as mental confusion and fatigue, eyes closed and unable to open. Since Liver and Gallbladder belong to Wood, and the number of Wood is three, this is formed by three Zheng. At 224 days, there are seven Bian, generating the Lung Zang Qi associated with Xin (Metal), belonging to the Hand Taiyang Meridian (Note: Text says Hand Taiyang, but Lung is typically Hand Taiyin; translating literally as per source). It manifests as anxious thoughts, fear, and excessive crying. At 256 days, there are eight Bian and four Zheng, generating the Large Intestine Fu Qi associated with Geng (Metal), belonging to the Hand Yangming Meridian. It manifests in mild diarrhea with intestinal rumbling and steaming fever. Since Lung and Large Intestine belong to Metal, and the number of Metal is four, this is formed by four Zheng. At 288 days, there are nine Bian, generating the Spleen Zang Qi associated with Ji (Earth), belonging to the Foot Taiyin Meridian. It manifests as body heat, vomiting, and diarrhea. At 320 days, there are ten Bian and five Zheng, generating the Stomach Fu Qi associated with Wu (Earth), belonging to the Foot Yangming Meridian. It manifests as anorexia, abdominal pain, vomiting milk with slight sweating. Since Earth's number is five, this is formed by five Zheng. The Pericardium is a Zang organ belonging to the Hand Jueyin Meridian, and the Sanjiao (Triple Burner) is a Fu organ belonging to the Hand Shaoyang Meridian. Both lack distinct shape, so they do not undergo Bian or Zheng. Once ten Bian and five Zheng are completed, totaling 320 days, there follow three major Zheng. Calculating based on one Zheng every 64 days, this adds another 192 days, totaling 512 days with the previous Bian Zheng counts. After adding one more Zheng, reaching the period of 576 days, the Bian Zheng stabilizes, the child becomes adult-like, and the Cun pulse begins to appear. "Bian" refers to the transformation that generates the Five Zang organs and alters their temperament. "Zheng" refers to the steaming that nourishes the Six Fu organs and lengthens the bone joints. Within the first one to seven days of a Bian, there must be white pearl-like blisters on the center of the upper lip, resembling fish eyes, with slightly squinting eyes. Mild cases present with body heat, sweating, and slight fright, with cold ears and coccyx. Severe cases present with high fever, with or without sweating, chaotic pulse, anorexia, and vomiting/regurgitation. If the body, ears, and coccyx are all hot, it indicates a concurrent invasion of other pathogens. Those affected by concurrent Zheng will have slightly swollen upper lips resembling silkworms, severe body heat, heat in the head and forehead, intermittent heat and cold, dry lips/mouth/nose, choking gas, vomiting, chaotic pulse with or without sweating, anorexia, frequent fright and crying while nursing. From the onset to the thirteenth day, when Bian Zheng is complete, there is no suffering. The three major Zheng involve dry lips and mouth, coughing, wheezing, restlessness, choking gas, abdominal pain, pain in the body and joints, upward gaze, and frequent fright palpitations. However, if illness occurs within seven days, merely blowing air onto the fontanelle is sufficient; do not lightly administer medicine. If there is no fright or heat, and no other discomfort, it indicates robust prenatal constitution and hidden Bian Zheng. The previous discussion on Bian Zheng is based on the theory that Heaven generates Water with One, Earth generates Fire with Two, Heaven generates Wood with Three, Earth generates Metal with Four, and Heaven generates Earth with Five, representing growth from inside out and bottom up. Another view takes Jia and Yi Wood of the East as the beginning: First Bian Liver, Second Bian Gallbladder, Third Bian Heart, Fourth receives Small Intestine, Fifth receives Spleen, Sixth Bian Stomach, Seventh Bian Lung, Eighth Bian Large Intestine, Ninth Bian Kidney, Tenth Bian Bladder. This is based on the principle of mother-son generation, where generation ensures succession. Another view, citing *Su Wen* stating Spring corresponds to Wood and thus starts with the Liver: First Bian Liver, Second Bian Lung, Third Bian Heart, Fourth Bian Spleen, Fifth Bian Kidney. This is based on the husband-wife mutual overcoming principle, where overcoming ensures regulation. Generally, in Yin-Yang creation, the mutual generation of the Five Elements and Five Zang organs is smooth/forward, while mutual overcoming is reverse. Moreover, Bian Zheng is about nurturing Qi and Blood and enriching the Five Zang organs, which aligns with the principle of mutual generation. This logic is clear.
*Ling Shu* states: At ten years old, the Five Zang organs begin to stabilize, blood and Qi are already flowing, and the Qi is lower, so the child likes to run. At twenty years old, blood and Qi begin to flourish, muscles are growing, so the youth likes to walk briskly. At thirty years old, the Five Zang organs are largely stabilized, muscles are firm, and blood vessels are full, so the adult likes to walk steadily. At forty years old, the Five Zang organs, Six Fu organs, and Twelve Meridians are all flourishing and stable, pores begin to loosen, luster declines, hair turns gray, and vitality is stable without agitation, so the person likes to sit. At fifty years old, Liver Qi begins to decline, liver leaves thin, bile decreases, and vision becomes unclear. At sixty years old, Heart Qi begins to decline, prone to sorrow and grief, blood and Qi become sluggish, so the person likes to lie down. At seventy years old, Spleen Qi is deficient, skin becomes dry. At eighty years old, Lung Qi declines, Po (corporeal soul) departs, so speech is often erroneous. At ninety years old, Kidney Qi is exhausted, and the meridians of the Four Zang organs are empty. At one hundred years old, all Five Zang organs are deficient, Shen (spirit) and Qi depart, leaving only the physical form to conclude life.