夫小儿冷热不调者。盖为乳食乖度。寒温失节。或阴阳相胜。气血不调。致令冷归下焦。
热
不
治小儿冷热不调。胃气壅滞。少思饮食。木香散方。
木香（一分） 大腹皮（一分锉） 人参（一分去芦头） 赤茯苓（一分） 青橘皮（一
分汤浸
去白
遍去滑）
丁
上件药。捣粗罗为散。每服一钱。以水一小盏。入生姜半枣大。
煎至五分。去滓放温。量儿
治小儿冷热不调。可思饮食。食即不消。赤芍药丸方。
赤芍药（三分） 桂心（一分） 柴胡（半两去苗） 鳖甲（一两涂醋炙令黄去裙 ） 川
大黄
（三
上件药。捣罗为末。炼蜜和丸。如梧桐子大。二岁以上。粥饮化破三丸服。日三服。如
四岁
治小儿冷热不调。腹内疼痛。发歇不定。白术散方。
白术（半两） 当归（半两锉碎微炒） 芎 （半两） 干姜（一分炮裂锉） 青橘皮
（一分汤
浸去
上件药。捣粗罗为散。每服一钱。以水一小盏。
煎至五分。去滓。不计时候。量儿大小。分减服之。
治小儿冷热不调。腹痛下痢。香连散方。
木香（一分） 黄连（半两去须） 当归（一分锉微炒） 干姜（一分炮裂锉） 阿胶
（半两捣
碎炒
上件药。捣细罗为散。每服。以粥饮调下半钱。量儿大小。加减频服。
治小儿冷热不调。大便或壅或通。不欲乳食。诃黎勒散方。
诃黎勒皮（半两） 人参（一分去芦头） 槟榔（一分） 木香（一分） 川大黄（半
两锉碎微
炒）
上件药。捣粗罗为散。每服一钱。以水一小盏。入生姜少许。
煎至五分。去滓。不计时候。量儿大小。加减温服。
治小儿冷热不调。大便青黄。心腹多痛。不欲乳食。当归丸方。
当归（三分锉微炒） 人参（三分去芦头） 白芍药（二分） 芎 （三分） 甘草（半
两炙微
赤锉）
上件药捣罗为末。以面糊和丸。如麻子大。每服。以粥饮下五丸。日三服。三岁以上。
加丸
治小儿冷热不调。腹痛不可忍。或时寒热。下痢浓血。木香丸方。
木香（一分） 芎 （半两） 当归（半两锉碎微炒） 桔梗（半两去芦头） 黄芩（半
两）
上件药。捣罗为末。炼蜜和丸。如梧桐子大。不计时候。以温生姜汤研破二丸服之。量
儿大
治小儿四五岁。腹内冷热不调。不能食饮。调气散方。
白术（三分） 人参（三分去芦头） 甘草（三分炙微赤锉） 浓朴（一两去粗皮涂生
姜汁炙
令香
上件药。捣粗罗为散。每服一钱。以水一盏。入生姜少许。
煎至五分。去滓放温。量儿大小。加减服之。
治小儿冷热不调。或时下痢。腹痛。不能饮食。犀角散方。
屑角屑（半两） 桂心（半两） 甘草（半两炙微赤锉） 当归（半两锉碎微炒） 黄
连（半两
去须）
上件药。捣粗罗为散。每服一钱。以水一小盏。
煎至五分。去滓放温服之。日三服。量儿大小。以意加减。
治小儿冷热不调。肠胃滞结。壮热作时。两肋刺痛。赤茯苓丸方。
赤茯苓（三分） 当归（一分锉微炒） 芎 （一分） 川大黄（三分锉碎微炒） 鳖
甲（三分
涂醋
上件药。捣罗为末。炼蜜和丸。如绿豆大。每服。以粥饮下五丸。日三服。量儿大小。
以意
凡是小儿冷热不调的病症，大概是因为乳食没有节制，寒温调节失当。或者是阴阳相互偏胜，气血运行不调和，导致寒气归于下焦，热气（此处原文似有缺漏或排版错误，结合下文“不治”二字及语境，推测原意可能为热邪滞留或类似表述，但严格按字面翻译）无法得到治疗。
治疗小儿冷热不调，胃气壅滞，食欲减退的方剂：木香散方。
木香（一分） 大腹皮（一分，锉碎） 人参（一分，去芦头） 赤茯苓（一分） 青橘皮（一分，汤浸，去白瓤，炒至无滑腻感）
以上药材，捣成粗散。每次服用一钱，用水一小盏，加入半个枣大小的生姜，煎煮至五分之一水量，滤去药渣，放温后，根据患儿年龄大小调整剂量服用。
治疗小儿冷热不调，思虑饮食但进食后不消化的方剂：赤芍药丸方。
赤芍药（三分） 桂心（一分） 柴胡（半两，去苗） 鳖甲（一两，涂醋炙令黄色，去裙边） 川大黄（三两，锉碎，微炒）
以上药材，捣罗成细末，用炼蜜调和制成丸药，如梧桐子大小。两岁以上的儿童，用米粥送服三丸，每日三次。四岁以上的儿童……（原文此处截断，通常指增加剂量）。
治疗小儿冷热不调，腹部疼痛，发作间歇不定的方剂：白术散方。
白术（半两） 当归（半两，锉碎，微炒） 川芎（半两） 干姜（一分，炮裂，锉碎） 青橘皮（一分，汤浸，去白瓤）
以上药材，捣成粗散。每次服用一钱，用水一小盏，煎煮至五分之一水量，滤去药渣，不限时间，根据患儿年龄大小，酌情减量服用。
治疗小儿冷热不调，腹痛并伴有腹泻痢疾的方剂：香连散方。
木香（一分） 黄连（半两，去须） 当归（一分，锉碎，微炒） 干姜（一分，炮裂，锉碎） 阿胶（半两，捣碎，炒）
以上药材，捣成细散。每次服用，用米粥调服半钱，根据患儿年龄大小，加减次数频繁服用。
治疗小儿冷热不调，大便有时堵塞有时通畅，不想吃奶吃饭的方剂：诃黎勒散方。
诃黎勒皮（半两） 人参（一分，去芦头） 槟榔（一分） 木香（一分） 川大黄（半两，锉碎，微炒）
以上药材，捣成粗散。每次服用一钱，用水一小盏，加入少许生姜，煎煮至五分之一水量，滤去药渣，不限时间，根据患儿年龄大小，加减温服。
治疗小儿冷热不调，大便颜色青黄，心腹部多痛，不想吃奶吃饭的方剂：当归丸方。
当归（三分，锉碎，微炒） 人参（三分，去芦头） 白芍药（二分） 川芎（三分） 甘草（半两，炙至微红，锉碎）
以上药材捣罗成细末，用面糊调和制成丸药，如麻子大小。每次服用，用米粥送服五丸，每日三次。三岁以上的儿童，增加丸数……（原文此处截断）。
治疗小儿冷热不调，腹痛剧烈难以忍受，有时发冷发热，下痢脓血的方剂：木香丸方。
木香（一分） 川芎（半两） 当归（半两，锉碎，微炒） 桔梗（半两，去芦头） 黄芩（半两）
以上药材，捣罗成细末，用炼蜜调和制成丸药，如梧桐子大小。不限时间，用温生姜汤研化两丸服用，根据患儿年龄大小……（原文此处截断）。
治疗四五岁小儿，腹内冷热不调，不能进食饮水的方剂：调气散方。
白术（三分） 人参（三分，去芦头） 甘草（三分，炙至微红，锉碎） 厚朴（一两，去粗皮，涂生姜汁炙令香）
以上药材，捣成粗散。每次服用一钱，用水一盏，加入少许生姜，煎煮至五分之一水量，滤去药渣放温，根据患儿年龄大小，酌情加减服用。
治疗小儿冷热不调，有时出现腹泻痢疾，腹痛，不能饮食的方剂：犀角散方。
犀角屑（半两） 桂心（半两） 甘草（半两，炙至微红，锉碎） 当归（半两，锉碎，微炒） 黄连（半两，去须）
以上药材，捣成粗散。每次服用一钱，用水一小盏，煎煮至五分之一水量，滤去药渣放温服用，每日三次。根据患儿年龄大小，酌情加减。
治疗小儿冷热不调，肠胃阻滞结聚，壮热发作时，两肋刺痛，伴有下痢脓血的方剂：赤茯苓丸方。
赤茯苓（三分） 当归（一分，锉碎，微炒） 川芎（一分） 川大黄（三分，锉碎，微炒） 鳖甲（三分，涂醋炙）
以上药材，捣罗成细末，用炼蜜调和制成丸药，如绿豆大小。每次服用，用米粥送服五丸，每日三次。根据患儿年龄大小，酌情……（原文此处截断）。
For pediatric conditions characterized by the imbalance of cold and heat, it is generally due to irregularities in breastfeeding or feeding, and improper regulation of warmth and coolness. Alternatively, it may result from the mutual excess of yin and yang, and the disharmony of qi and blood, leading to cold pathogens settling in the lower jiao (lower burner), while heat [text incomplete] fails to be treated.
**Treatment for pediatric cold-heat imbalance with stagnation of stomach qi, leading to poor appetite: Muxiang San (Costus Powder)**
* *Muxiang* (Mu Xiang, Radix Aucklandiae) - 1 fen
* *Dafupi* (Da Fu Pi, Pericarpium Arecae) - 1 fen, crushed
* *Renshen* (Ren Shen, Radix Ginseng) - 1 fen, rhizome removed
* *Chifuling* (Chi Fu Ling, Poria Cocos cum Corte Rubra) - 1 fen
* *Qingjupi* (Qing Pi, Pericarpium Citri Reticulatae Viride) - 1 fen, soaked in hot water, albedo removed, stir-fried until non-greasy
The above herbs are coarsely ground into a powder. Take 1 qian per dose, add one small cup of water and ginger the size of half a jujube. Decoct until the volume reduces to one-fifth. Strain the dregs and allow to cool to warm. Administer according to the child's age.
**Treatment for pediatric cold-heat imbalance where the child desires food but digestion is impaired: Chishaoyao Wan (Red Peony Pill)**
* *Chishaoyao* (Chi Shao Yao, Radix Paeoniae Rubra) - 3 fen
* *Guixin* (Gui Xin, Cortex Cinnamomi) - 1 fen
* *Chaihu* (Chai Hu, Radix Bupleuri) - 0.5 liang, stems removed
* *Biejia* (Bie Jia, Carapax et Plastrum Testudinis) - 1 liang, coated with vinegar and roasted until yellow, skirt removed
* *Chuan Dahuang* (Chuan Da Huang, Radix et Rhizoma Rhei) - 3 liang, crushed and lightly stir-fried
The above herbs are finely ground into powder. Mix with refined honey to form pills the size of paulownia seeds. For children over two years old, dissolve three pills in rice gruel and administer. Three times daily. For children over four years old... [text truncated].
**Treatment for pediatric cold-heat imbalance with abdominal pain of intermittent nature: Baizhu San (Atractylodes Powder)**
* *Baizhu* (Bai Zhu, Rhizoma Atractylodis Macrocephalae) - 0.5 liang
* *Danggui* (Dang Gui, Radix Angelicae Sinensis) - 0.5 liang, crushed and lightly stir-fried
* *Xiongnu* (Xiong Qiong, Radix Ligustici Chuanxiong) - 0.5 liang
* *Ganjiang* (Gan Jiang, Rhizoma Zingiberis Secati) - 1 fen, processed until cracked, crushed
* *Qingjupi* (Qing Pi, Pericarpium Citri Reticulatae Viride) - 1 fen, soaked in hot water, albedo removed
The above herbs are coarsely ground into a powder. Take 1 qian per dose, add one small cup of water. Decoct until the volume reduces to one-fifth. Strain the dregs. Administer at any time, adjusting the dose according to the child's age and size.
**Treatment for pediatric cold-heat imbalance with abdominal pain and dysentery: Xianglian San (Costus and Coptis Powder)**
* *Muxiang* (Mu Xiang, Radix Aucklandiae) - 1 fen
* *Huanglian* (Huang Lian, Rhizoma Coptidis) - 0.5 liang, fibrous roots removed
* *Danggui* (Dang Gui, Radix Angelicae Sinensis) - 1 fen, crushed and lightly stir-fried
* *Ganjiang* (Gan Jiang, Rhizoma Zingiberis Secati) - 1 fen, processed until cracked, crushed
* *Ejiao* (E Jiao, Colla Corii Asini) - 0.5 liang, crushed and stir-fried
The above herbs are finely ground into a powder. Each dose consists of 0.5 qian mixed with rice gruel. Administer frequently, adjusting the frequency based on the child's age.
**Treatment for pediatric cold-heat imbalance with alternating constipation and diarrhea, and loss of appetite: Helile San (Terminalia Powder)**
* *Helilepi* (He Li Le Pi, Cortex Terminaliae Chebulae) - 0.5 liang
* *Renshen* (Ren Shen, Radix Ginseng) - 1 fen, rhizome removed
* *Bolang* (Bing Lang, Semen Arecae) - 1 fen
* *Muxiang* (Mu Xiang, Radix Aucklandiae) - 1 fen
* *Chuan Dahuang* (Chuan Da Huang, Radix et Rhizoma Rhei) - 0.5 liang, crushed and lightly stir-fried
The above herbs are coarsely ground into a powder. Take 1 qian per dose, add one small cup of water and a little ginger. Decoct until the volume reduces to one-fifth. Strain the dregs. Administer warm at any time, adjusting the dose based on the child's age.
**Treatment for pediatric cold-heat imbalance with greenish-yellow stools, frequent heart/abdominal pain, and loss of appetite: Danggui Wan (Angelica Pill)**
* *Danggui* (Dang Gui, Radix Angelicae Sinensis) - 3 fen, crushed and lightly stir-fried
* *Renshen* (Ren Shen, Radix Ginseng) - 3 fen, rhizome removed
* *Baishaoyao* (Bai Shao Yao, Radix Paeoniae Alba) - 2 fen
* *Xiongnu* (Xiong Qiong, Radix Ligustici Chuanxiong) - 3 fen
* *Gancao* (Gan Cao, Radix Glycyrrhizae Uralensis) - 0.5 liang, roasted until slightly red, crushed
The above herbs are finely ground into powder. Mix with flour paste to form pills the size of hemp seeds. Each dose consists of five pills taken with rice gruel, three times daily. For children over three years old, increase the number of pills... [text truncated].
**Treatment for pediatric cold-heat imbalance with unbearable abdominal pain, occasional chills and fever, and dysentery with pus and blood: Muxiang Wan (Costus Pill)**
* *Muxiang* (Mu Xiang, Radix Aucklandiae) - 1 fen
* *Xiongnu* (Xiong Qiong, Radix Ligustici Chuanxiong) - 0.5 liang
* *Danggui* (Dang Gui, Radix Angelicae Sinensis) - 0.5 liang, crushed and lightly stir-fried
* *Jiegeng* (Jie Geng, Radix Platycodonis) - 0.5 liang, rhizome removed
* *Huangqin* (Huang Qin, Radix Scutellariae) - 0.5 liang
The above herbs are finely ground into powder. Mix with refined honey to form pills the size of paulownia seeds. Administer at any time by dissolving two pills in warm ginger decoction, adjusting the dose based on the child's age... [text truncated].
**Treatment for four-to-five-year-old children with abdominal cold-heat imbalance and inability to eat or drink: Tiaoqi San (Regulating Qi Powder)**
* *Baizhu* (Bai Zhu, Rhizoma Atractylodis Macrocephalae) - 3 fen
* *Renshen* (Ren Shen, Radix Ginseng) - 3 fen, rhizome removed
* *Gancao* (Gan Cao, Radix Glycyrrhizae Uralensis) - 3 fen, roasted until slightly red, crushed
* *Noupo* (Hou Po, Cortex Magnoliae Officinalis) - 1 liang, coarse bark removed, coated with ginger juice and roasted until fragrant
The above herbs are coarsely ground into a powder. Take 1 qian per dose, add one cup of water and a little ginger. Decoct until the volume reduces to one-fifth. Strain the dregs and allow to cool to warm. Administer, adjusting the dose based on the child's age.
**Treatment for pediatric cold-heat imbalance with occasional dysentery, abdominal pain, and inability to eat or drink: Xijiao San (Rhino Horn Powder)**
* *Xijiaoxie* (Xi Jiao Xiao, Cornu Rhinocerotis) - 0.5 liang
* *Guixin* (Gui Xin, Cortex Cinnamomi) - 0.5 liang
* *Gancao* (Gan Cao, Radix Glycyrrhizae Uralensis) - 0.5 liang, roasted until slightly red, crushed
* *Danggui* (Dang Gui, Radix Angelicae Sinensis) - 0.5 liang, crushed and lightly stir-fried
* *Huanglian* (Huang Lian, Rhizoma Coptidis) - 0.5 liang, fibrous roots removed
The above herbs are coarsely ground into a powder. Take 1 qian per dose, add one small cup of water. Decoct until the volume reduces to one-fifth. Strain the dregs and administer warm, three times daily. Adjust the dose based on the child's age.
**Treatment for pediatric cold-heat imbalance with intestinal stagnation, high fever, stabbing pain in the hypochondrium, and dysentery with pus and blood: Chifuling Wan (Red Poria Pill)**
* *Chifuling* (Chi Fu Ling, Poria Cocos cum Corte Rubra) - 3 fen
* *Danggui* (Dang Gui, Radix Angelicae Sinensis) - 1 fen, crushed and lightly stir-fried
* *Xiongnu* (Xiong Qiong, Radix Ligustici Chuanxiong) - 1 fen
* *Chuan Dahuang* (Chuan Da Huang, Radix et Rhizoma Rhei) - 3 fen, crushed and lightly stir-fried
* *Biejia* (Bie Jia, Carapax et Plastrum Testudinis) - 3 fen, coated with vinegar and roasted
The above herbs are finely ground into powder. Mix with refined honey to form pills the size of mung beans. Each dose consists of five pills taken with rice gruel, three times daily. Adjust the dose based on the child's age... [text truncated].