《巢氏病源》壮热候∶小儿壮热者，是小儿血气盛，五脏生热，熏发于外，故令身体壮热。大体与温壮相似，
而有小异，或挟伏热，或挟宿寒。其挟伏热者，大便黄而臭；挟宿寒者，粪白而有酸气。此二者腑脏不调，冷
热之气俱乘肠胃，蕴积渐染而发。温温然热甚盛，是温壮也。其壮热者，是血气盛，熏发于外，其发无渐壮热
甚，以此为异。若壮热不歇，则变为惊，极重者，亦变痫也。
钱乙论风温、潮热、壮热相似云∶潮热未晚间发热，过时即退，来日根据时发热，此欲发惊也。壮热者，
一向热而不已，甚则发惊痫也。风热者，身热而口中气热，有风证。温壮者，但温而不热也。
钱乙附方论小儿壮热昏睡、伤风、风热、疮疹、伤食皆相似。未能辨认间，服升麻葛根汤、惺惺散、（方并见本
卷伤寒门。）小柴胡汤（方见伤寒头汗出门中。）甚验。盖此数药通治之，不致误也。惟伤食则大便酸臭，不消化，畏食，
或吐食，宜以药下之。
张涣谨按∶小儿冬末春初温浓之衣，或乳母恣食酒面甘肥等，令儿心肺不和，内蕴邪热。因其解脱，风邪
伤于皮毛，传入腑脏，则令胸膈痰滞，身体壮热，心神惊悸，又似伤寒、时气、疮疹之类，乃名风热候。
《庄氏家传》小儿壮热有七候∶
伤寒候∶浑身壮热，时时舌出缴唇。
斑疮候∶咳嗽，嗄声，浑身壮热，唯耳鼻不热，不然哕逆也。
风热候∶浑身壮热，鼻两边胞动，吸吸然。甚者，鼻内生疮，手有血纹也。
气积候∶浑身壮热，早晨手足冷，晓沉重困闷，晚哺发潮热。
虚积候∶浑身壮热，脚冷手不冷，积在左肋，即右腮赤；在右肋，即左腮赤也。
惊热候∶亦浑身壮热，爱睡，妄语，睡便仰卧、惊跳、啼叫、摇头、弄舌、上窜也。
喉痹候∶亦浑身壮热，时时发嗽，思冷水饮。喉中痛时，复小寒是也。以上七候，宜在审详用药。
《葛氏肘后》徐王神效方 百日儿患壮热气急，唯得欹眠、眼不开，小便黄赤方。
上服水银如大豆一粒，日十度。三日瘥止，不瘥更服。（水银太冷，切宜消息用也。）
《千金》治小儿肉中久挟宿热，瘦瘠，热进退休作无时。大黄汤方
大黄 甘草（炙） 芒硝（各半两） 石膏（一两） 大枣（五枚） 桂心（八铢）
上六味 咀，以水三升煮取一升。每服二合。
《千金》治少小有热不汗。二物通汗散方
雷丸（四两） 粉（半斤）
上捣和下筛，以粉儿身。
《千金》调中汤 治小儿春秋月晨夕中暴冷，冷气折其四肢，热不得泄，则壮热。冷气入胃变下痢，或欲赤白滞起数去，小腹胀痛极，壮热。气脉洪大，或急数者，服之热便歇，下亦瘥也。但壮热不吐下者，亦主之方。
葛根 黄芩 茯苓 桔梗 芍药 白术 本 大黄 甘草（炙。各六铢）
上九味 咀，以水二升，煮取五合。服如后法∶儿生一日至七日，取一合，分三服。生八日至十五日，取
一合半，分三服。生十六日至二十日，取二合，分三服。生二十日至三十日，取三合，分三服。生三十日至
四十日，取五合，分三服，恐吃五合未得，更斟酌之。其百日至三百日儿，一如龙胆汤加之。
《千金》治小儿腹大短气，热有进退，吃食不安，谷为不化方。
大黄 黄芩 甘草（炙） 芒硝 麦门冬（各半两） 石膏（一两） 桂心（八铢）
上七味 咀，以水三升，煮取一升半，分三服。期岁以下儿，作五服。
《千金》青木香汤 浴小儿壮热羸瘠方。
青木香（四两） 麻子仁（一升） 虎骨（五两） 白芷（二两） 竹叶（一升）
上五味 咀，以水二斗，煮取一斗，稍稍浴儿。
《千金》治小儿暴有热，得之二三日。李根汤方
李根 桂心 芒硝（各十八铢） 甘草（炙） 麦门冬（去心。各一两）
上五味 咀，以水三升，煮取一升，分五服。
《千金》治少小身体壮热，不能服药。十二物寒水石散粉方
寒水石 芒硝 滑石 石膏 赤石脂 青木香 大黄 甘草（炙） 黄芩 防风 芎 麻黄根
上各等分，合治下筛，以粉一升，药屑三合相和，复以筛筛之。以粉儿身，日三。（《外台》以牡蛎代防风，余并同。）
《千金》治少小新生肌肤嫩弱，喜为风邪所中，身体壮热，或中大风，手足惊掣。五物甘草生摩膏方
甘草 防风（各一两） 白术 桔梗（各二十铢） 雷丸（二两半）
上 咀，以不中水猪肪一斤煎为膏，以煎药，微火上煎之，消息视稠浊，膏成去滓。取如弹丸大一枚，炙
手，以摩儿百过，寒者更热，热者更寒。小儿虽无病，早起常以膏摩囟上及手足心，甚辟寒风。
《千金》治少小身热。李叶汤浴方
李叶无多少 咀，以水煮，去滓，将浴儿良。
《千金翼》治少小身热不去，寒热往来，微惊方。
大黄 黄芩（各一两） 栝蒌根（三分） 甘草（炙） 牡蛎（熬） 人参 白石脂 硝石 龙骨 凝水石（各半
两） 桂心 滑石（碎。各二两）
上十二味 咀，加紫石英半两，以水四升，煮取一升半。分服三合，一日令尽。
《外台》崔氏疗少小身热方
白芷煎汤浴儿佳。根苗皆得。
《外台》崔氏又方
苦参汤浴儿良。
《药性论》治小儿身热。
秦白皮一升，水煎作汤，澄清浴，瘥。冷洗赤眼亦效。
日华子治小儿壮热，一切疮疥皮肤瘙痒。
梓白皮煎汤洗之，梓枝皮有数般，惟楸梓佳，余即不堪。
日华子治小儿壮热。
枣叶煎汤浴，和葛粉 之。
《圣惠》治小儿壮热，口干，心烦，不欲乳食。宜服犀角散方
犀角屑 黄 （锉。各一分） 黄芩 麦门冬（去心，焙） 柴胡（去苗） 川升麻 甘草（炙微赤，锉。各半两）
上件药捣，粗罗为散。每服一钱，以水一小盏，入淡竹叶七片，煎至五分，去滓。量儿大小，分减温服。
《圣惠》治小儿壮热惊悸，大小便赤涩。钩藤散方
钩藤 天竺黄（细研） 地骨皮（各一分） 犀角屑 赤茯苓 龙胆（去芦头） 川芒硝 甘草（炙微赤，锉。各
半两） 川大黄（三分，锉碎，微炒）
上件药捣，粗罗为散。每服一钱，以水一小盏，煎至五分，去滓。量儿大小分减温服。
《圣惠》治小儿壮热，心神不安。人参散方
人参（去芦头） 钩藤 赤茯苓 川升麻（各半两） 犀角（镑） 山栀子 甘草（炙微赤，锉。各一分）
上件药捣，粗罗为散。每服一钱，以水一小盏，煎至五分，去滓。量儿大小分减，不计时候温服。
《圣惠》治小儿期岁至三岁壮热。大黄散方
川大黄（锉碎，微炒，一两） 石膏（一两半） 柴胡（去苗） 川升麻 枳壳（麸炒微黄，去瓤） 黄芩 赤芍
药栀子仁 知母 杏仁（汤浸，去皮尖、双仁，麸炒令黄。各三分）
上件药捣，粗罗为散。每服一钱，以水一小盏，入青竹叶七片，煎至五分，去滓。量儿大小，分减服之。
《圣惠》治小儿百日已来，结实、壮热、兼惊。宜服龙齿散方
龙齿 栀子仁 枳壳（麸炒微黄，去瓤） 甘草（炙微赤，锉。各一分） 朴硝（三分） 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，煎至五分，去滓。量儿大小分减温服。
《圣惠》治八九岁儿，脏腑结实壮热。芒硝散方
川芒硝 川大黄（锉碎，微炒） 赤茯苓（各三分） 木通（锉，一两） 黄芩（半两） 甘草（一分，炙微赤，
锉）
上件药捣，粗罗为散。每服一钱，以水一小盏，煎至五分，去滓，入生姜少许，葱白二寸在内同煎。随儿
大小加减温服。
《圣惠》治小儿卒身体壮热，心肺烦壅。牛黄散方
牛黄（细研） 甘草（炙微赤，锉。各半分） 黄芩 栀子仁 龙齿 犀角屑 寒水石（各一分） 麝香（一钱，
细研）
上件药捣，细罗为散，入牛黄、麝香同研令匀。每服，以竹沥调半钱服。量儿大小，以意临时加减。
《圣惠》治小儿滞结壮热。大黄丸方
川大黄（一两，锉碎，微炒） 赤茯苓 鳖甲（涂醋，炙令黄，去裙 。各半两）
上件药捣，罗为末，炼蜜和丸如麻子大。一二岁儿每服以粥饮下五丸，每日空心、午后各一服。量儿大小
以意加减。
《圣惠》治小儿蓐内及百日已来，壮热多惊。虎睛丸方
虎睛（一对，酒浸，微炙，取仁） 牛黄 麝香 朱砂 雄黄（各一分）
上件药同研令细，炼蜜和丸如绿豆大。以乳汁研服五丸。随儿大小，以意加减服之。
《圣惠》治小儿壮热，心烦，眠卧不安。生地黄煎方
生地黄（汁一升） 白蜜 生麦冬（汁） 酥（各三合）
上件药于银锅中，以慢火熬如稀饧。每服以温水调下半茶匙。
《圣惠》治小儿壮热不解，宜以寒水石散粉之方。
寒水石 川芒硝 赤石脂 石膏 滑石 甘草 川大黄（各一两）
上件药捣，细罗为散。每用粉儿身良。
《灵苑》红龙散 治小儿壮热不解及惊风热等疾。
朱砂（一钱，研） 干蝎（七个，微炒） 龙脑（半钱） 牙硝（一分，入合子内，固济火 通赤，先掘一地坑子，
先以甘草水沃令湿，纸衬药入坑子内，荫一宿，取出研）
上细研。每服半钱或一字，参苓汤调下。惊热用冷水调下。热甚者，冷水研生地龙汁调下。
《谭氏殊圣》治小儿壮热。
天南星 半夏 滑石（各二钱） 巴豆霜（一字）
上同为细末，入轻粉半钱，研匀，以面糊为丸如粟米大。每一岁三粒，三岁七粒，用葱汤下。
《婴孺》治五岁儿壮热发疹，已服汤煎丸，尚时时热不消。竹沥葛根汤方
竹沥（一升二合） 生葛（汁五合，洗净） 牛黄（三大黑豆许大，研末，入汁内，匀）
上四五岁儿为四服，六七岁为三服，月内儿与半合，出月与一合，百日儿与三合。
《婴孺》治四岁儿壮热兼气汤方。
大黄（五分） 麦门冬（去心） 甘草（各三分） 细辛（二分） 甘竹叶（一合，切） 黄芩（四分）
上水三升，煮一升二合。一服一合，日再。二三岁儿服量减之。
《婴孺》治小儿心胸壮热、发热者饮子方。
子芩 升麻 龙胆 大黄（各三分）
上以水二升，煮一升二合。温，一日服尽。利三二行。乳母忌热面、动风物。
《婴孺》治少小暴热，得之二三日。李根汤方
李根 葱 芒硝（各二分） 甘草（炙） 麦门冬（去心。各四分）
上以水三升，煮一升半，为三服。
《婴孺》治小儿潮热，及百日儿壮热气急，虽得歇，眠不开，小便黄赤方。
蜀漆 甘草（炙） 知母 龙骨 牡蛎（各半两）
上切，以水四升煮一升，去滓。一岁儿半合，日进二服，百日儿以意服。
《婴孺》治少小热。除热龙骨汤方
龙骨 甘草（炙） 赤石脂 大黄 石膏 桂心 寒水石 栝蒌（各二分）
上以酒、水各一小盏，取散一鸡子大，煮三沸，去滓。一岁服尽，不过三服愈。
《万全方》治小儿壮热惊悸，大小便赤涩。钩藤散
钩藤 天竺黄（细研） 地骨皮（各一分） 茯神 犀角屑 龙胆（去芦头） 川芒硝 甘草 赤茯苓（各半两）
川大黄（三分，锉碎，微炒）
上件杵罗为末。每服一钱，以水一小盏，煎至五分，去滓。量儿大小分减温服。
《孔氏家传》治小儿心经热，夜发壮热，夜啼，并解伤寒诸病。犀角散方
甘草 牛蒡子 荆芥
上件药各等分，为粗末。每服一钱，水八分，煎五分，温服。临卧、食后服。
孔氏又方
荆芥（去枝梗） 桔梗（苦者。各二两） 甘草（一两半） 牛蒡子（二两，略炒）
上为末。每服二钱，汤点服，食空时服。
《赵氏家传》人参保童丸 治禀气虚弱，筋骨软，肌肉浅薄，乳食不成，肌肉面黄，体热多汗，久服不热方。
人参 石连肉 使君子（去皮） 没石子 干山药（各半两） 木香（一分） 白术 白芍药 当归（各半分） 黄
连（一分，先捣半夏末一分，炒黄连，候半夏末黑色，去半夏末不用。）
上件为末，稀糊和丸如麻子大。每服七丸至十丸；三岁以上十五丸，温汤下。
《吉氏家传》治伤寒潮热、鼻塞、头疼。人参散。亦治清涕壮热不解，大妙。
人参 茯苓 羌活 当归 前胡 甘草（各一钱） 麻黄（三钱，去节）
上末。每服半钱，水半盏，姜一片同煎三分，温服。
《巢氏病源》中关于壮热的论述：小儿出现壮热（高热），是因为小儿气血旺盛，五脏产生内热，热气熏蒸发散于体表，从而导致身体高热。这种情况大体上与温壮（低热持续）相似，但又有细微差别，有的夹杂伏热，有的夹杂宿寒。其中夹杂伏热的，大便呈黄色且有臭味；夹杂宿寒的，粪便发白且有酸味。这两种情况都是脏腑功能失调，冷气和热气同时侵犯肠胃，蕴结积聚逐渐感染而发病。那种温热感明显、热度极盛的，称为温壮。而壮热，则是由于气血旺盛，热气熏蒸发散于外，发热没有渐进过程，直接表现为高热，这就是两者的区别。如果壮热不退，就会转变为惊风（小儿惊厥），病情极重的，也会演变为痫证（癫痫）。
钱乙论述风温、潮热、壮热相似之处时说：潮热是在傍晚时分发热，过了时间就退去，第二天按时再次发热，这是将要发生惊风的征兆。壮热则是一直发热不停止，严重时会导致惊痫。风热，表现为身体发热且口中呼出热气，伴有风邪症状。温壮，只是体温微温而不算高热。
钱乙在附方中提到，小儿壮热昏睡、伤风、风热、疮疹、伤食等症状都很相似。在未能明确辨认期间，服用升麻葛根汤、惺惺散（方剂见本卷伤寒门）、小柴胡汤（方剂见伤寒头汗出门中），效果非常显著。因为这些药物可以通治上述多种情况，不会造成误治。只有伤食导致的大便酸臭、不消化、畏食，或者呕吐食物，适宜用泻下药治疗。
张涣谨慎按语：小儿在冬末春初穿着过厚的衣服，或者乳母恣意食用酒、面、甘甜肥腻的食物，导致小儿心肺不和，体内蕴积邪热。因为此时脱去厚衣，风邪侵袭皮毛，传入脏腑，就会导致胸膈痰湿阻滞，身体壮热，心神惊悸，这又类似于伤寒、时气、疮疹等疾病，所以命名为风热候。
《庄氏家传》记载小儿壮热有七种候证：
伤寒候：全身壮热，时常伸舌舔嘴唇。
斑疮候：咳嗽，声音嘶哑，全身壮热，只有耳朵和鼻子不热，否则会出现呃逆。
风热候：全身壮热，鼻翼两侧眼睑跳动，呼吸急促。严重的，鼻腔内生疮，手上出现血纹。
气积候：全身壮热，早晨手脚冰凉，清晨感到沉重困闷，傍晚发作潮热。
虚积候：全身壮热，脚冷手不冷，积滞位于左肋，右腮发红；位于右肋，左腮发红。
惊热候：也是全身壮热，爱睡觉，说胡话，睡觉仰卧、惊跳、啼叫、摇头、弄舌头、向上窜动。
喉痹候：也是全身壮热，时常咳嗽，想喝冷水。喉咙痛的时候，反而感觉轻微怕冷。以上七种候证，应当仔细审察后用药。
《葛氏肘后》徐王神效方：治疗百日内的婴儿患壮热、气急，只能侧身睡眠、眼睛睁不开，小便黄赤的方子。
上方用水银如大豆大小一粒，每日服用十次。三天痊愈即停服，若未愈继续服用。（水银性太寒凉，务必斟酌使用。）
《千金方》治疗小儿肌肉中长期夹杂宿热，消瘦，热势进退无常无定时的方子：大黄汤方
大黄 甘草（炙） 芒硝（各半两） 石膏（一两） 大枣（五枚） 桂心（八铢）
以上六味药，切碎，用水三升煮取一升。每次服用二合。
《千金方》治疗少小儿童有热无汗。二物通汗散方
雷丸（四两） 粉（半斤）
以上捣碎混合后筛成细粉，用来扑洒在患儿身上。
《千金方》调中汤：治疗小儿在春秋季节早晚突然受冷，冷气折损四肢，热气无法宣泄，从而引起壮热。冷气入胃变成下痢，或者想要排出赤白黏液且次数频繁，小腹胀痛剧烈，壮热。脉象洪大，或急促数者，服用此药热势便会停止，下痢也会痊愈。只要是壮热但没有呕吐或下痢症状的，也主治此方。
葛根 黄芩 茯苓 桔梗 芍药 白术 藁本 大黄 甘草（炙。各六铢）
以上九味药，切碎，用水二升，煮取五合。服用方法如下：出生一天至七天，取一合，分三次服。出生八天至十五天，取一合半，分三次服。出生十六天至二十天，取二合，分三次服。出生二十天至三十天，取三合，分三次服。出生三十天至四十天，取五合，分三次服，恐怕吃不下五合，需酌情调整。对于一百天至三百天的婴儿，完全按照龙胆汤的方法，并在此基础上加减。
《千金方》治疗小儿腹部胀大、气短，热势有进有退，进食不安，谷物不消化的方子。
大黄 黄芩 甘草（炙） 芒硝 麦门冬（各半两） 石膏（一两） 桂心（八铢）
以上七味药，切碎，用水三升，煮取一升半，分三次服。周岁以下的婴儿，分成五次服。
《千金方》青木香汤：洗浴治疗小儿壮热、消瘦羸弱的方子。
青木香（四两） 麻子仁（一升） 虎骨（五两） 白芷（二两） 竹叶（一升）
以上五味药，切碎，用水二斗，煮取一斗，慢慢给婴儿洗浴。
《千金方》治疗小儿突发热症，得病二三天。李根汤方
李根 桂心 芒硝（各十八铢） 甘草（炙） 麦门冬（去心。各一两）
以上五味药，切碎，用水三升，煮取一升，分五次服。
《千金方》治疗少小儿童身体壮热，不能服药。十二物寒水石散粉方
寒水石 芒硝 滑石 石膏 赤石脂 青木香 大黄 甘草（炙） 黄芩 防风 川芎 麻黄根
以上各等分，混合研磨过筛，用一升粉和三合药屑混合，再次过筛。将粉末扑洒在患儿身上，每日三次。（《外台秘要》用牡蛎代替防风，其余相同。）
《千金方》治疗少小新生儿肌肤嫩弱，容易遭受风邪侵袭，身体壮热，或者中风，手足抽搐惊掣。五物甘草生摩膏方
甘草 防风（各一两） 白术 桔梗（各二十铢） 雷丸（二两半）
以上切碎，用未经污染的猪脂肪一斤煎制成膏，用煎好的药汁，在微火上熬制，观察其浓稠度，膏成后滤去渣滓。取如弹丸大一枚，加热手掌，按摩患儿身体百遍，寒者使其变热，热者使其变寒。小儿即使无病，早起常用此膏按摩囟门及手足心，能很好地抵御寒风。
《千金方》治疗少小儿童身热。李叶汤浴方
李叶不限多少，切碎，用水煮，去渣，用来给婴儿洗浴很好。
《千金翼方》治疗少小儿童身热不退，寒热往来，轻微惊悸的方子。
大黄 黄芩（各一两） 栝蒌根（三分） 甘草（炙） 牡蛎（煅） 人参 白石脂 硝石 龙骨 凝水石（各半两） 桂心 滑石（碎。各二两）
以上十二味药，切碎，加入紫石英半两，用水四升，煮取一升半。分三次服用，每次三合，一天内服完。
《外台秘要》崔氏治疗少小儿童身热方
白芷煎汤给婴儿洗浴很好。根和苗都可以使用。
《药性论》治疗小儿身热。
秦皮白皮一升，用水煎作汤，澄清后洗浴，可治愈。冷洗赤眼也有效。
日华子治疗小儿壮热，一切疮疥皮肤瘙痒。
梓白皮煎汤清洗，梓树枝皮有多种，只有楸梓最好，其余的不行。
《圣惠方》治疗小儿壮热，口干，心烦，不想吃奶和食物。宜服用犀角散方
犀角屑 黄芪（锉。各一分） 黄芩 麦门冬（去心，焙） 柴胡（去苗） 川升麻 甘草（炙微赤，锉。各半两）
以上药材捣碎，粗罗为散。每次服用一钱，用水一小盏，加入淡竹叶七片，煎至五分，去渣。根据婴儿大小，减量温服。
《圣惠方》治疗小儿壮热惊悸，大小便赤涩。钩藤散方
钩藤 天竺黄（细研） 地骨皮（各一分） 犀角屑 赤茯苓 龙胆（去芦头） 川芒硝 甘草（炙微赤，锉。各半两） 川大黄（三分，锉碎，微炒）
以上药材捣碎，粗罗为散。每次服用一钱，用水一小盏，煎至五分，去渣。根据婴儿大小减量温服。
《圣惠方》治疗小儿壮热，心神不安。人参散方
人参（去芦头） 钩藤 赤茯苓 川升麻（各半两） 犀角（镑） 山栀子 甘草（炙微赤，锉。各一分）
以上药材捣碎，粗罗为散。每次服用一钱，用水一小盏，煎至五分，去渣。根据婴儿大小减量，不拘时候温服。
《圣惠方》治疗小儿周岁至三岁壮热。大黄散方
川大黄（锉碎，微炒，一两） 石膏（一两半） 柴胡（去苗） 川升麻 枳壳（麸炒微黄，去瓤） 黄芩 赤芍药 栀子仁 知母 杏仁（汤浸，去皮尖、双仁，麸炒令黄。各三分）
以上药材捣碎，粗罗为散。每次服用一钱，用水一小盏，加入青竹叶七片，煎至五分，去渣。根据婴儿大小减量服用。
《圣惠方》治疗小儿百日以来，结实、壮热、兼有惊风。宜服用龙齿散方
龙齿 栀子仁 枳壳（麸炒微黄，去瓤） 甘草（炙微赤，锉。各一分） 朴硝（三分） 川大黄（半两，锉碎，微炒）
以上药材捣碎，粗罗为散。每次服用一钱，用水一小盏，煎至五分，去渣。根据婴儿大小减量温服。
《圣惠方》治疗八九岁儿童，脏腑结实壮热。芒硝散方
川芒硝 川大黄（锉碎，微炒） 赤茯苓（各三分） 木通（锉，一两） 黄芩（半两） 甘草（一分，炙微赤，锉）
以上药材捣碎，粗罗为散。每次服用一钱，用水一小盏，煎至五分，去渣，加入少许生姜、葱白二寸一同煎煮。根据婴儿大小加减温服。
《圣惠方》治疗小儿突然身体壮热，心肺烦闷壅滞。牛黄散方
牛黄（细研） 甘草（炙微赤，锉。各半分） 黄芩 栀子仁 龙齿 犀角屑 寒水石（各一分） 麝香（一钱，细研）
以上药材捣碎，细罗为散，加入牛黄、麝香共同研磨均匀。每次服用，用竹沥调服半钱。根据婴儿大小，临时斟酌加减。
《圣惠方》治疗小儿滞结壮热。大黄丸方
川大黄（一两，锉碎，微炒） 赤茯苓 鳖甲（涂醋，炙令黄，去裙襕。各半两）
以上药材捣碎，罗为末，炼蜜和丸如麻子大。一二岁的婴儿每次用米饮送服五丸，每天空腹、午后各服一次。根据婴儿大小斟酌加减。
《圣惠方》治疗小儿产褥期内及百日以来，壮热多惊。虎睛丸方
虎睛（一对，酒浸，微炙，取仁） 牛黄 麝香 朱砂 雄黄（各一分）
以上药材共同研磨细腻，炼蜜和丸如绿豆大。用乳汁研开送服五丸。根据婴儿大小，斟酌加减服用。
《圣惠方》治疗小儿壮热，心烦，眠卧不安。生地黄煎方
生地黄（汁一升） 白蜜 生麦冬（汁） 酥（各三合）
以上药材在银锅中，用慢火熬制成稀饧状。每次用温水调下半茶匙服用。
《圣惠方》治疗小儿壮热不解，宜用寒水石散扑洒身上的方子。
寒水石 川芒硝 赤石脂 石膏 滑石 甘草 川大黄（各一两）
以上药材捣碎，细罗为散。每次取适量扑洒在患儿身上很好。
《灵苑》红龙散：治疗小儿壮热不解及惊风热等疾病。
朱砂（一钱，研） 干蝎（七个，微炒） 龙脑（半钱） 牙硝（一分，放入盒子内，密封用火煅烧通红，先挖一地坑，先用甘草水润湿地面，用纸衬垫药物放入坑内，荫蔽一夜，取出研磨）
以上细研。每次服用半钱或一字，用参苓汤调下。惊热用冷水调下。热势严重的，用冷水研磨生地龙汁调下。
《谭氏殊圣》治疗小儿壮热。
天南星 半夏 滑石（各二钱） 巴豆霜（一字）
以上同为细末，加入轻粉半钱，研磨均匀，用面糊为丸如粟米大。每一岁三粒，三岁七粒，用葱汤送下。
《婴孺书》治疗五岁儿童壮热发疹，已服用汤剂丸剂，仍然时时发热不退。竹沥葛根汤方
竹沥（一升二合） 生葛（汁五合，洗净） 牛黄（三大黑豆许大，研末，入汁内，匀）
以上四五岁儿童分为四次服，六七岁儿童分为三次服，月内婴儿给予半合，满月婴儿给予一合，百日婴儿给予三合。
《婴孺书》治疗四岁儿童壮热兼气汤方。
大黄（五分） 麦门冬（去心） 甘草（各三分） 细辛（二分） 甘竹叶（一合，切） 黄芩（四分）
以上用水三升，煮取一升二合。每次服用一合，每日两次。二三岁儿童服用量酌情减少。
《婴孺书》治疗小儿心胸壮热、发热者的饮子方。
子芩 升麻 龙胆 大黄（各三分）
以上用水二升，煮取一升二合。温服，一日服完。腹泻二三行。乳母忌食热面、动风之物。
《婴孺书》治疗少小突发热，得病二三天。李根汤方
李根 葱 芒硝（各二分） 甘草（炙） 麦门冬（去心。各四分）
以上用水三升，煮取一升半，分为三次服。
《婴孺书》治疗小儿潮热，及百日婴儿壮热气急，虽然热势暂歇，但睡眠不醒，小便黄赤的方子。
蜀漆 甘草（炙） 知母 龙骨 牡蛎（各半两）
以上切碎，用水四升煮取一升，去渣。一岁婴儿服用半合，每日两次，百日婴儿酌情服用。
《婴孺书》治疗少小发热。除热龙骨汤方
龙骨 甘草（炙） 赤石脂 大黄 石膏 桂心 寒水石 栝蒌（各二分）
以上用酒、水各一小盏，取散剂如鸡蛋大，煮三沸，去渣。一岁婴儿服完，不超过三次即可痊愈。
《万全方》治疗小儿壮热惊悸，大小便赤涩。钩藤散
钩藤 天竺黄（细研） 地骨皮（各一分） 茯神 犀角屑 龙胆（去芦头） 川芒硝 甘草 赤茯苓（各半两）
川大黄（三分，锉碎，微炒）
以上药材杵罗为末。每次服用一钱，用水一小盏，煎至五分，去渣。根据婴儿大小减量温服。
《孔氏家传》治疗小儿心经热，夜间发作壮热，夜啼，并解伤寒诸病。犀角散方
甘草 牛蒡子 荆芥
以上药材各等分，为粗末。每次服用一钱，水八分，煎至五分，温服。临睡前、食后服用。
孔氏又一方
荆芥（去枝梗） 桔梗（苦者。各二两） 甘草（一两半） 牛蒡子（二两，略炒）
以上为末。每次服用二钱，开水冲服，空腹时服用。
《赵氏家传》人参保童丸：治疗禀赋虚弱，筋骨软，肌肉浅薄，乳食不成，面色萎黄，体热多汗，久服不再发热的方子。
人参 石连肉 使君子（去皮） 没石子 干山药（各半两） 木香（一分） 白术 白芍药 当归（各半分） 黄连（一分，先捣半夏末一分，炒黄连，候半夏末黑色，去半夏末不用。）
以上为末，稀糊和丸如麻子大。每次服用七丸至十丸；三岁以上十五丸，温汤送下。
《吉氏家传》治疗伤寒潮热、鼻塞、头疼。人参散。也治疗清涕壮热不解，效果极佳。
人参 茯苓 羌活 当归 前胡 甘草（各一钱） 麻黄（三钱，去节）
以上为末。每次服用半钱，水半盏，姜一片同煎至三分，温服。
According to *Chao Shi Bing Yuan* (Source of Diseases by Master Chao) regarding the syndrome of Zhuang Re (Intense Fever): When a child presents with Zhuang Re (Intense Fever), it is because the child's blood and Qi are vigorous, generating internal heat in the five Zang organs. This heat steams and radiates outward, causing intense fever throughout the body. Generally, this resembles Wen Zhuang (Persistent Mild Fever), but there are slight differences; it may be accompanied by latent heat or residual cold. In cases accompanied by latent heat, the stool is yellow and foul-smelling; in cases accompanied by residual cold, the stool is white and has a sour odor. Both conditions result from disharmony of the Fu and Zang organs, where cold and hot qi simultaneously invade the stomach and intestines, accumulating and gradually manifesting. The condition characterized by a distinct sense of warmth and extreme heat intensity is called Wen Zhuang (Persistent Mild Fever). In contrast, Zhuang Re (Intense Fever) arises from vigorous blood and Qi, with heat radiating outward without a gradual onset, directly presenting as high fever; this is the distinction. If Zhuang Re does not subside, it may transform into Jing Feng (Pediatric Convulsion); in severe cases, it may evolve into Xian Zheng (Epilepsy).
Qian Yi discussed the similarities between Wind-Warmth, Tide Fever, and Zhuang Re: Tide Fever manifests as fever in the evening that subsides after a certain time, recurring at the same time the next day; this indicates an impending onset of convulsions. Zhuang Re involves continuous fever without cessation, which can lead to severe convulsions and epilepsy. Wind-Heat presents with body heat and warm breath, accompanied by wind-pathogen symptoms. Wen Zhuang is merely mild warmth without significant heat.
In his supplementary formulas, Qian Yi noted that pediatric Zhuang Re with lethargy, Wind-Cold, Wind-Heat, rash, and food stagnation present similarly. During the period of uncertainty in differentiation, administering Shengma Gegen Tang (Burdock and Kudzu Decoction), Xingxing San (Awakening Powder), or Xiao Chaihu Tang (Minor Bupleurum Decoction) yields excellent results. These formulas provide general treatment for these conditions, minimizing the risk of misdiagnosis. However, if the cause is food stagnation, characterized by sour, foul-smelling, undigested stool, aversion to eating, or vomiting, purgative methods should be used.
Zhang Huan cautiously noted: In late winter and early spring, children wearing overly thick clothing, or wet nurses consuming excessive alcohol, wheat products, sweet and fatty foods, can cause disharmony between the Heart and Lungs, leading to the accumulation of pathogenic heat internally. Upon removing heavy clothes, wind pathogens attack the skin and hair, transmitting into the Fu and Zang organs. This causes phlegm stagnation in the chest and diaphragm, Zhuang Re (Intense Fever), and mental restlessness with palpitations. This presentation resembles Tai Yang Disease (Exterior Syndrome), epidemic febrile diseases, and rashes, and is thus named the Wind-Heat Syndrome.
*Zhuang Shi Jia Chuan* records seven syndromes of Zhuang Re in children:
1. Tai Yang Disease Syndrome: Intense fever throughout the body, frequently protruding the tongue to lick the lips.
2. Macule/Rash Syndrome: Cough, hoarseness, intense fever throughout the body, but the ears and nose remain cool; otherwise, hiccups may occur.
3. Wind-Heat Syndrome: Intense fever throughout the body, twitching of the eyelids on both sides of the nose, rapid breathing. In severe cases, sores form inside the nose, and blood streaks appear on the hands.
4. Qi Accumulation Syndrome: Intense fever throughout the body, cold limbs in the morning, heaviness and oppression in the early morning, and tide fever in the evening.
5. Deficiency Accumulation Syndrome: Intense fever throughout the body, cold feet but warm hands. If stagnation is in the left hypochondrium, the right cheek becomes red; if in the right hypochondrium, the left cheek becomes red.
6. Heat due to Fright Syndrome: Also presents with intense fever throughout the body, excessive sleep, delirium, sleeping on the back, startle jumps, crying, shaking the head, playing with the tongue, and upward gazing.
7. Throat Bi Syndrome: Also presents with intense fever throughout the body, frequent coughing, and a desire to drink cold water. When the throat hurts, there is a sensation of slight chills. For the above seven syndromes, medication should be administered after careful examination.
*Ge Shi Zhou Hou* Xu Wang Shen Xiao Fang: A formula for infants under one hundred days suffering from Zhuang Re and rapid breathing, who can only sleep on their side, have eyes that will not open, and have yellow-red urine.
Take Mercury (Shui Yin) the size of a soybean, ten times daily. Stop after three days if cured; if not cured, continue administration. (Mercury is extremely cold; use with caution and discretion.)
*Qian Jin* Formula for Long-standing Internal Heat in Flesh, Emaciation, and Irregular Fever: Dahuang Tang (Rhubarb Decoction)
Dahuang (Rhubarb Root and Rhizome), Gancao (Licorice Root, honey-fried), Mangxiao (Mirabilite), each half tael; Shigao (Gypsum Fibrosum), one tael; Dazao (Jujube), five fruits; Guixin (Cinnamon Twig), eight zhu.
Crush the six ingredients, decoct in three sheng of water to obtain one sheng. Take two he per dose.
*Qian Jin* Two-Ingredient Sweating Powder for Children with Heat but No Sweat: Liwan Tonghan San
Leiwan (Omphalia Lapponica), four liang; Fen (Starch), half jin.
Pound and mix, sift into fine powder, and dust onto the child's body.
*Qian Jin* Tiaozhong Tang (Regulating Middle Decoction): Treats sudden cold exposure in spring and autumn mornings/evenings, where cold qi impairs the limbs, preventing heat release, leading to Zhuang Re. If cold qi enters the stomach causing dysentery, or desire to pass red-and-white mucus frequently with severe lower abdominal pain and Zhuang Re, and the pulse is surging or rapid, this formula stops the heat and cures the dysentery. It is also indicated for Zhuang Re without vomiting or diarrhea.
Gegen (Kudzu Root), Huangqin (Scutellaria Root), Fuling (Poria), Jiegeng (Platycodon Root), Shaoyao (Peony Root), Baizhu (Atractylodes Macrocephala Rhizome), Ben (Ligusticum Chuanxiong Rhizome - specifically Gaoben here), Dahuang (Rhubarb Root and Rhizome), Gancao (Licorice Root, honey-fried), each six zhu.
Crush the nine ingredients, decoct in two sheng of water to obtain five he. Dosage: For infants 1-7 days old, take one he divided into three doses. For 8-15 days, take one and a half he divided into three doses. For 16-20 days, take two he divided into three doses. For 20-30 days, take three he divided into three doses. For 30-40 days, take five he divided into three doses; adjust if five he is too much. For infants 100-300 days old, follow the method of Longdan Tang (Gentian Decoction) with modifications.
*Qian Jin* Formula for Abdominal Distension, Shortness of Breath, Fluctuating Heat, Restless Eating, and Undigested Food in Children:
Dahuang (Rhubarb Root and Rhizome), Huangqin (Scutellaria Root), Gancao (Licorice Root, honey-fried), Mangxiao (Mirabilite), Maidong (Ophiopogon Tuber), each half tael; Shigao (Gypsum Fibrosum), one tael; Guixin (Cinnamon Twig), eight zhu.
Crush the seven ingredients, decoct in three sheng of water to obtain one and a half sheng, divided into three doses. For children under one year, divide into five doses.
*Qian Jin* Qingmuxiang Tang (Blue Magnolia Bark Decoction) for Bathing Children with Zhuang Re and Emaciation:
Qingmuxiang (Magnolia Officinalis Bark), four liang; Maziren (Hemp Seed), one sheng; Huguj (Tiger Bone), five liang; Baizhi (Angelica Dahurica Root), two liang; Zhuye (Bamboo Leaf), one sheng.
Crush the five ingredients, decoct in two dou of water to obtain one dou, and bathe the child gradually.
*Qian Jin* Li Gen Tang (Li Root Decoction) for Sudden Heat in Children, Onset 2-3 Days:
Li Gen (Li Root), Guixin (Cinnamon Twig), Mangxiao (Mirabilite), each eighteen zhu; Gancao (Licorice Root, honey-fried); Maidong (Ophiopogon Tuber, core removed), each one tael.
Crush the five ingredients, decoct in three sheng of water to obtain one sheng, divided into five doses.
*Qian Jin* Twelve-Ingredient Hanshuishi San (Calcite Powder) for Children with Intense Body Heat Unable to Take Oral Medication:
Hanshuishi (Calcitum), Mangxiao (Mirabilite), Huashi (Talcum), Shigao (Gypsum Fibrosum), Chishizhi (Red Halloysite), Qingmuxiang (Magnolia Officinalis Bark), Dahuang (Rhubarb Root and Rhizome), Gancao (Licorice Root, honey-fried), Huangqin (Scutellaria Root), Fangfeng (Saposhnikovia Root), Xiong (Ligusticum Chuanxiong Rhizome), Mahuanggen (Ephedra Root), equal parts.
Grind and sift together. Mix one sheng of powder with three he of medicinal powder, and sift again. Dust onto the child's body, three times daily. (*Waitai Miyao* uses Muli (Oyster Shell) instead of Fangfeng, otherwise identical.)
*Qian Jin* Five-Ingredient Gancao Raw Massage Paste for Neonates with Tender Skin Susceptible to Wind Pathogens, Presenting with Intense Heat or Stroke with Limb Convulsions:
Gancao (Licorice Root), Fangfeng (Saposhnikovia Root), each one tael; Baizhu (Atractylodes Macrocephala Rhizome), Jiegeng (Platycodon Root), each twenty zhu; Leiwan (Omphalia Lapponica), two and a half liang.
Crush the ingredients, decoct in one jin of clean pork lard to make a paste. Simmer over low heat until thick, then strain. Take a pill-sized amount (size of a pellet), warm in hand, and massage the child's body a hundred times. For cold conditions, generate heat; for heat conditions, induce cooling. Even healthy children should use this paste to massage the fontanelle and palms/soles in the morning to ward off cold wind.
*Qian Jin* Li Ye Tang (Li Leaf Decoction) for Bathing Children with Body Heat:
Li Ye (Li Leaf), quantity unspecified. Crush, decoct in water, strain, and use for bathing. Effective.
*Qian Jin Yi* Formula for Persistent Body Heat, Alternating Cold and Heat, and Mild Startle in Children:
Dahuang (Rhubarb Root and Rhizome), Huangqin (Scutellaria Root), each one tael; Gualougen (Trichosanthes Root), three fen; Gancao (Licorice Root, honey-fried); Muli (Oyster Shell, calcined); Renshen (Ginseng Root); Baishizhi (White Halloysite); Xiaoshi (Niter); Longgu (Fossilized Bones); Ningshuishi (Halloysitum Rubrum), each half tael; Guixin (Cinnamon Twig); Huashi (Talcum), crushed, each two liang.
Crush the twelve ingredients, add Zi Yanshi (Purple Quartz), half tael. Decoct in four sheng of water to obtain one and a half sheng. Divide into three doses of three he each, consume within one day.
*Waitai Miyao* Cui Shi Formula for Pediatric Body Heat:
Baizhi (Angelica Dahurica Root) decocted for bathing is excellent. Both root and shoot can be used.
*Cui Shi Another Formula*:
Kushen (Sophora Root) decocted for bathing is effective.
*Xing Ming Lun* for Pediatric Body Heat:
Qin Bai Pi (Phellodendron Bark), one sheng. Decoct in water, clarify, and use for bathing. Cures the condition. Cold washing for red eyes is also effective.
Ri Hua Zi for Pediatric Zhuang Re and All Skin Sores/Itching:
Zi Bai Pi (Broussonetia Papyrifera Bark) decocted for washing. Among various types of Zhi bark, Qiu Zhi (Paulownia Bark) is best; others are unsuitable.
Ri Hua Zi for Pediatric Zhuang Re:
Zao Ye (Jujube Leaf) decocted for bathing, mixed with Ge Fen (Kudzu Starch).
*Sheng Hui Fang* Xi Jiao San (Rhinoceros Horn Powder) for Zhuang Re, Dry Mouth, Vexation, and Anorexia:
Xi Jiao (Rhinoceros Horn, shaved), Huangqi (Astragalus Root, crushed), each one fen; Huangqin (Scutellaria Root); Maidong (Ophiopogon Tuber, core removed, dried); Chaihu (Bupleurum Root, weed removed); Chuan Shengma (Cimicifuga Rhizome); Gancao (Licorice Root, honey-fried, slightly reddened, crushed), each half tael.
Pound the herbs, sieve coarsely. Take one qian per dose, decoct with one small cup of water and seven leaves of Dan Zhu Ye (Light Bamboo Leaf) to reduce to five fen. Strain. Adjust dosage based on child's size and take warm.
*Sheng Hui Fang* Gouteng San (Uncaria Powder) for Zhuang Re with Palpitations and Red/Difficult Urination:
Gouteng (Uncaria Ramulus cum Uncis), Tianzhu Huang (Calculus Bovis), Digupi (Lyceum Cortex Radicis), each one fen; Xi Jiao (Rhinoceros Horn, shaved); Chi Fuling (Red Poria); Longdan (Gentiana Root, rhizome removed); Chuan Mangxiao (Mirabilite); Gancao (Licorice Root, honey-fried, slightly reddened, crushed), each half tael; Chuan Dahuang (Rhubarb Root and Rhizome), three fen, crushed, slightly fried.
Pound the herbs, sieve coarsely. Take one qian per dose, decoct with one small cup of water to reduce to five fen. Strain. Adjust dosage based on child's size and take warm.
*Sheng Hui Fang* Renshen San (Ginseng Powder) for Zhuang Re with Mental Restlessness:
Renshen (Ginseng Root, rhizome removed), Gouteng (Uncaria Ramulus cum Uncis), Chi Fuling (Red Poria), Chuan Shengma (Cimicifuga Rhizome), each half tael; Xi Jiao (Rhinoceros Horn, sliced); Shanzhizi (Gardenia Fruit); Gancao (Licorice Root, honey-fried, slightly reddened, crushed), each one fen.
Pound the herbs, sieve coarsely. Take one qian per dose, decoct with one small cup of water to reduce to five fen. Strain. Adjust dosage based on child's size and take warm at any time.
*Sheng Hui Fang* Dahuang San (Rhubarb Powder) for Zhuang Re in Children One to Three Years Old:
Chuan Dahuang (Rhubarb Root and Rhizome), crushed, slightly fried, one tael; Shigao (Gypsum Fibrosum), one and a half taels; Chaihu (Bupleurum Root, weed removed); Chuan Shengma (Cimicifuga Rhizome); Zhike (Citrus Aurantium Fructus Immaturus, bran-fried, pith removed); Huangqin (Scutellaria Root); Chi Shaoyao (Red Peony Root); Zhizi Ren (Gardenia Seed); Zhimu (Anemarrhena Rhizome); Xingren (Apricot Seed), soaked in water, skin and twin kernels removed, bran-fried until yellow, each three fen.
Pound the herbs, sieve coarsely. Take one qian per dose, decoct with one small cup of water and seven green bamboo leaves to reduce to five fen. Strain. Adjust dosage based on child's size.
*Sheng Hui Fang* Longchi San (Dragon Tooth Powder) for Infants Over 100 Days with Stagnation, Zhuang Re, and Startle:
Longchi (Dragon Tooth/Fossilized Teeth/Bones), Zhizi Ren (Gardenia Seed), Zhike (Citrus Aurantium Fructus Immaturus, bran-fried, pith removed), Gancao (Licorice Root, honey-fried, slightly reddened, crushed), each one fen; Pu Xiao (Mirabilite), three fen; Chuan Dahuang (Rhubarb Root and Rhizome), half tael, crushed, slightly fried.
Pound the herbs, sieve coarsely. Take one qian per dose, decoct with one small cup of water to reduce to five fen. Strain. Adjust dosage based on child's size and take warm.
*Sheng Hui Fang* Mangxiao San (Mirabilite Powder) for Eight-to-Nine-Year-Olds with Visceral Stagnation and Zhuang Re:
Chuan Mangxiao (Mirabilite), Chuan Dahuang (Rhubarb Root and Rhizome), crushed, slightly fried; Chi Fuling (Red Poria), each three fen; Mutong (Akebia Stem), crushed, one tael; Huangqin (Scutellaria Root), half tael; Gancao (Licorice Root, honey-fried, slightly reddened, crushed), one fen.
Pound the herbs, sieve coarsely. Take one qian per dose, decoct with one small cup of water to reduce to five fen. Strain, add a little fresh ginger and two cun of scallion white, decoct together. Adjust dosage based on child's size and take warm.
*Sheng Hui Fang* Niuhuang San (Calculus Bovis Powder) for Sudden Zhuang Re with Heart-Lung Vexation and Congestion:
Niuhuang (Calculus Bovis), finely ground; Gancao (Licorice Root, honey-fried, slightly reddened, crushed), each half fen; Huangqin (Scutellaria Root); Zhizi Ren (Gardenia Seed); Longchi (Dragon Tooth); Xi Jiao (Rhinoceros Horn, shaved); Hanshuishi (Calcitum), each one fen; Shexiang (Musk), one qian, finely ground.
Pound the herbs, sieve finely. Mix with Niuhuang and Shexiang until uniform. Take half a qian per dose, mixed with Zhuli (Bamboo Sap). Adjust dosage based on child's size.
*Sheng Hui Fang* Dahuang Wan (Rhubarb Pill) for Stagnant Zhuang Re:
Chuan Dahuang (Rhubarb Root and Rhizome), one tael, crushed, slightly fried; Chi Fuling (Red Poria); Biejia (Turtle Carapace, coated with vinegar, fried until yellow, edges removed), each half tael.
Pound and sieve into powder. Mix with refined honey to form pills the size of hemp seeds. For 1-2 year olds, take five pills with rice broth, once on an empty stomach and once in the afternoon. Adjust dosage based on child's size.
*Sheng Hui Fang* Hu Jing Wan (Tiger Eye Pill) for Postpartum and Infant Zhuang Re with Frequent Startle:
Hu Jing (Tiger Eye Kernel), soaked in wine, slightly fried, kernel taken; Niuhuang (Calculus Bovis); Shexiang (Musk); Zhusha (Cinnabar); Xionghuang (Realgar), each one fen.
Grind all ingredients finely. Mix with refined honey to form pills the size of mung beans. Take five pills dissolved in breast milk. Adjust dosage based on child's size.
*Sheng Hui Fang* Shengdihuang Jian (Rehmannia Decoction) for Zhuang Re with Vexation and Restless Sleep:
Sheng Dihuang (Fresh Rehmannia Root Juice), one sheng; Baimi (White Honey); Sheng Maidong (Fresh Ophiopogon Juice); Su (Butter), each three he.
Simmer in a silver pot over low heat until resembling thin syrup. Take half a tea spoon mixed with warm water per dose.
*Sheng Hui Fang* Hanshuishi San (Calcite Powder) for External Application for Unresolved Zhuang Re:
Hanshuishi (Calcitum), Chuan Mangxiao (Mirabilite), Chishizhi (Red Halloysite), Shigao (Gypsum Fibrosum), Huashi (Talcum), Gancao (Licorice Root), Chuan Dahuang (Rhubarb Root and Rhizome), each one tael.
Pound and sieve finely. Dust onto the child's body.
*Ling Yuan* Honglong San (Red Dragon Powder) for Unresolved Zhuang Re and Convulsive Heat:
Zhusha (Cinnabar), one qian, ground; Gan Xie (Dried Scorpion), seven, slightly fried; Longnao (Borneol), half qian; Yan Xiao (Refined Mirabilite), one fen. Place Yan Xiao in a box, seal tightly, calcine until red-hot. Dig a pit, moisten with Licorice water, line with paper, place medicine in pit, shade overnight, then grind.
Grind finely. Take half a qian or one zi per dose, mixed with Shenling Tang (Ginseng and Poria Decoction). For convulsive heat, mix with cold water. For severe heat, mix with fresh Dilong (Earthworm) juice prepared with cold water.
*Tan Shi Shu Sheng* for Pediatric Zhuang Re:
Tiannanxing (Arisaema Cum Bile), Banxia (Pinellia Tuber), Huashi (Talcum), each two qian; Badoushuang (Croton Seed Frost), one zi.
Grind into fine powder, add Banfen (Calomel), half qian, mix uniformly. Form pills the size of millet grains using flour paste. Dosage: Three pills per year of age (e.g., three pills for one year old, seven for three years old). Take with scallion decoction.
*Ying Ru* Zhuli Gegen Tang (Bamboo Sap and Kudzu Decoction) for Five-Year-Olds with Zhuang Re and Rash, Unresponsive to Previous Treatment:
Zhuli (Bamboo Sap), one sheng two he; Sheng Ge (Fresh Kudzu Juice), five he, washed; Niuhuang (Calculus Bovis), size of three large black soybeans, ground, mixed into juice.
For 4-5 year olds, divide into four doses. For 6-7 year olds, divide into three doses. For infants under one month, give half he. For infants over one month, give one he. For 100-day-olds, give three he.
*Ying Ru* Si Sui Er Zhuangre Jianqi Tang (Four-Year-Old Zhuang Re and Qi Regulating Decoction):
Dahuang (Rhubarb Root and Rhizome), five fen; Maidong (Ophiopogon Tuber, core removed); Gancao (Licorice Root), each three fen; Xixin (Asarum), two fen; Gan Zhuye (Sweet Bamboo Leaf), one he, cut; Huangqin (Scutellaria Root), four fen.
Decoct in three sheng of water to obtain one sheng two he. Take one he per dose, twice daily. Reduce dosage for 2-3 year olds.
*Ying Ru* Yinzi for Chest/Heart Heat and Fever in Children:
Zi Qin (Scutellaria Root), Shengma (Cimicifuga Rhizome), Longdan (Gentiana Root), Dahuang (Rhubarb Root and Rhizome), each three fen.
Decoct in two sheng of water to obtain one sheng two he. Take warm, finish within one day. Expect 2-3 bowel movements. Wet nurse should avoid hot wheat products and wind-aggravating foods.
*Ying Ru* Li Gen Tang (Li Root Decoction) for Sudden Heat Onset 2-3 Days:
Li Gen (Li Root), Congbai (Scallion White), Mangxiao (Mirabilite), each two fen; Gancao (Licorice Root, honey-fried); Maidong (Ophiopogon Tuber, core removed), each four fen.
Decoct in three sheng of water to obtain one and a half sheng, divided into three doses.
*Ying Ru* Formula for Tide Fever and 100-Day-Old Zhuang Re with Rapid Breathing, Lethargy, and Yellow Urine:
Shuqi (Polygala Root), Gancao (Licorice Root, honey-fried), Zhimu (Anemarrhena Rhizome), Longgu (Fossilized Bones), Muli (Oyster Shell), each half tael.
Cut, decoct in four sheng of water to obtain one sheng. Strain. One-year-old takes half he, twice daily. 100-day-old takes adjusted dose.
*Ying Ru* Chu Re Longgu Tang (Heat-Removing Dragon Bone Decoction) for Pediatric Heat:
Longgu (Fossilized Bones), Gancao (Licorice Root, honey-fried), Chishizhi (Red Halloysite), Dahuang (Rhubarb Root and Rhizome), Shigao (Gypsum Fibrosum), Guixin (Cinnamon Twig), Hanshuishi (Calcitum), Gualou (Trichosanthes Fruit), each two fen.
Decoct with one small cup of wine and one small cup of water. Take a piece of powder the size of a chicken egg, boil three times. Strain. One-year-old consumes fully; usually cured within three doses.
*Wan Quan Fang* Gouteng San (Uncaria Powder) for Zhuang Re with Palpitations and Red/Difficult Urination:
Gouteng (Uncaria Ramulus cum Uncis), Tianzhu Huang (Calculus Bovis), Digupi (Lyceum Cortex Radicis), each one fen; Fushen (Poria with Hostwood), Xi Jiao (Rhinoceros Horn, shaved), Longdan (Gentiana Root, rhizome removed), Chuan Mangxiao (Mirabilite), Gancao (Licorice Root), Chi Fuling (Red Poria), each half tael; Chuan Dahuang (Rhubarb Root and Rhizome), three fen, crushed, slightly fried.
Pound and sieve into powder. Take one qian per dose, decoct with one small cup of water to reduce to five fen. Strain. Adjust dosage based on child's size and take warm.
*Kong Shi Jia Chuan* Xi Jiao San (Rhinoceros Horn Powder) for Heart Heat, Nighttime Zhuang Re, Night Crying, and Resolving Tai Yang Disease:
Gancao (Licorice Root), Niubangzi (Arctium Fruit), Jingjie (Schizonepeta Spike), equal parts.
Grind into coarse powder. Take one qian, decoct with eight parts water to five parts. Take warm before bed and after meals.
*Kong Shi Another Formula*:
Jingjie (Schizonepeta Spike, stems removed), Jiegeng (Platycodon Root, bitter variety), each two liang; Gancao (Licorice Root), one and a half taels; Niubangzi (Arctium Fruit), two liang, lightly fried.
Grind into powder. Take two qian, taken with boiling water, on an empty stomach.
*Zhao Shi Jia Chuan* Renshen Bao Tong Wan (Ginseng Protecting Child Pill) for Weak Constitution, Soft Bones/Muscles, Poor Feeding, Sallow Complexion, Heat, and Sweating:
Renshen (Ginseng Root), Shilian Rou (Areca Seed Kernel?), Shijunzi (Quisqualis Fruit, peeled), Meishizi (Myrobalan), Ganshashen (Dried Yam), each half tael; Muxiang (Aucklandia Root), one fen; Baizhu (Atractylodes Macrocephala Rhizome), Baishaoyao (White Peony Root), Danggui (Angelica Sinensis Root), each half fen; Huanglian (Coptis Rhizome), one fen. (First grind Banxia powder, fry Huanglian with it until Banxia turns black, discard Banxia powder.)
Grind into powder. Mix with thin paste to form pills the size of hemp seeds. Take 7-10 pills per dose; 15 pills for children over three years. Take with warm water.
*Ji Shi Jia Chuan* Renshen San (Ginseng Powder) for Tai Yang Tide Fever, Nasal Congestion, Headache. Also Excellent for Clear Runny Nose and Unresolved Zhuang Re:
Renshen (Ginseng Root), Fuling (Poria), Qianghuo (Notopterygium Rhizome), Danggui (Angelica Sinensis Root), Qianhu (Peucedanum Root), Gancao (Licorice Root), each one qian; Mahuang (Ephedra Herb, nodes removed), three qian.
Grind into powder. Take half a qian, decoct with half a cup of water and one slice of ginger to three parts. Take warm.