巢氏云∶此二症乃风毒之气，客于咽喉，与血气相搏、而结肿成毒。热入于心，即烦乱不食而死。此候急用金星丸
下之。治小儿咽喉、腮肿、疼痛，当用升麻、马牙硝、硼砂、牛黄等剂，连翘汤不可缺也，连翘漏芦汤亦可服。
金星丸 治小儿风热壅盛，喉中痰鸣，嗽喘气粗，面颊红，腮赤肿疼，咽喉壅塞，目闭不开，多眠发热，狂言
烦躁多渴，则生惊风，大便不通，小便如血，诸般热壅，疮痍烦躁，并宜服之。
郁金 雄黄（各二钱半） 腻粉（半钱） 巴豆（七粒、去油）
上为末，调匀，醋糊为丸麻子大，薄荷汤下。
连翘漏芦汤 治小儿痈疮，丹毒，疮疖，咽喉肿痛，腮肿。
漏芦 麻黄（去根节） 连翘 升麻 黄芩 白敛（各一钱） 甘草 枳壳（各半钱）
上为粗末，每服一钱，以水一小盏，煎至五分，去滓量儿大小，不拘时温服。热甚加大黄朴硝。
连翘汤 见第三问大连翘饮子。
清凉饮子 治小儿百病，变蒸客忤，惊痫壮热，痰涎壅盛，烦闷颊赤，口干烦渴，项颈结热，头面疮疖，肚中
热痛。更四十四问有四顺清凉饮，可详症通用。
大黄 连翘 芍药 羌活 当归 防风 甘草 山栀仁（各等分）
上锉散，每服二钱，水半盏，煎三分，去滓，不拘时服。
巢氏云∶小儿四五岁不能言，盖人之五脏、以心之声为言，不能言者，由在胎时，其母卒有惊怖，内动于儿脏，邪
气乘于心，故令心气不足，而不能言也。宜服钱氏菖蒲丸以意加减，久服取效。
菖蒲丸 治小儿心气不足，五六岁不能言，心之声为言，儿稍长合语而迟，由妊娠时，其母惊怖、内动于儿
脏，邪气乘于心，使心气不足，舌本无力，故令语迟。
石菖蒲 丹参 天门冬（去心，焙、各一钱） 赤石脂（三钱） 人参（去芦、半两）
上为末，炼蜜丸如麻子大，食后温水下二十丸。圣济总录有黄连。
巢元方说：这两种病症是由于风毒之气，侵袭咽喉，与体内的血气相互搏结，从而形成肿胀和毒素。如果热邪侵入心脏，就会导致心烦意乱、无法进食而死亡。遇到这种情况，必须紧急使用金星丸来泻下排毒。治疗小儿咽喉和腮部肿胀、疼痛，应当使用升麻、马牙硝、硼砂、牛黄等药物，连翘汤不可省略，连翘漏芦汤也可以服用。
金星丸 用于治疗小儿风热壅盛，喉中有痰鸣声，咳嗽气喘且呼吸粗重，面颊发红，腮部红肿疼痛，咽喉堵塞感，眼睛紧闭难以睁开，嗜睡发热，胡言乱语，烦躁多渴，进而引发惊风，大便不通，小便颜色如血，以及各种热邪壅滞引起的疮疡烦躁，都适宜服用此药。
配方组成：郁金、雄黄（各二钱半）、腻粉（半钱）、巴豆（七粒，去油）。
制法用法：将上述药物研成细末，混合均匀，用醋调制成糊状，做成如麻子大小的丸剂，用薄荷汤送服。
连翘漏芦汤 用于治疗小儿痈疮、丹毒、疖肿，以及咽喉肿痛、腮部肿胀。
配方组成：漏芦、麻黄（去除根节）、连翘、升麻、黄芩、白敛（各一钱）、甘草、枳壳（各半钱）。
制法用法：将上述药物捣碎成粗末，每次取一钱，用水一小盏，煎煮至剩余五分水量，滤去药渣，根据患儿年龄大小调整剂量，不限时间温服。若热势严重，可加入大黄、朴硝。
清凉饮子 用于治疗小儿多种疾病，包括变蒸期间的客忤（外邪干扰）、惊痫高热、痰涎壅盛、烦闷面颊发红、口干烦躁口渴、颈项结热、头面部疮疖、腹部热痛等。另外在第四十一问中提到的四顺清凉饮，可根据具体症状通用参考。
配方组成：大黄、连翘、芍药、羌活、当归、防风、甘草、山栀仁（各等分）。
制法用法：将上述药物切碎成散剂，每次取二钱，用水半盏，煎煮至剩余三分水量，滤去药渣，不限时间服用。
巢元方说：小儿到了四五岁还不能说话，这是因为人的五脏之中，心主发声。不能说话的原因，是因为在胎儿时期，母亲突然受到惊吓恐惧，这种情绪内动影响了胎儿的脏腑，邪气乘虚侵袭心脏，导致心气不足，因而无法说话。适宜服用钱乙的菖蒲丸，并根据具体情况加减用药，长期服用以见效。
菖蒲丸 用于治疗小儿心气不足，导致五六岁仍不能说话。心主发声，孩子稍大后本应言语却迟缓，这是由于妊娠期间，母亲受到惊吓恐惧，内动影响胎儿脏腑，邪气乘袭心脏，使心气不足，舌根无力，从而导致语言发育迟缓。
配方组成：石菖蒲、丹参、天门冬（去除心，焙干，各一钱）、赤石脂（三钱）、人参（去除芦头，半两）。
制法用法：将上述药物研成细末，用炼蜜制成如麻子大小的丸剂，饭后用温水送服二十丸。《圣济总录》中记载有黄连。
Chao Yuanfang stated: These two conditions are caused by wind-toxin qi invading the throat and pharynx, where it clashes with blood and qi, resulting in swelling and toxin formation. If heat enters the heart, it leads to restlessness, inability to eat, and death. In such urgent cases, Jin Xing Wan (Golden Star Pill) must be used immediately to purge and detoxify. For treating pediatric throat and cheek swelling and pain, herbs such as Shengma (Cimicifugae Rhizoma), Mayaxiao (Natrii Sulfas), Pengsha (Borax), and Niuhuang (Calculus Bovis) should be used. Lianqiao Tang (Forsythia Decoction) is indispensable, and Lianqiao Lulu Tang (Forsythia and Euphorbiae Radix Decoction) may also be administered.
Jin Xing Wan (Golden Star Pill) treats pediatric excess of wind-heat, rattling of phlegm in the throat, coughing and wheezing with coarse breathing, redness of the cheeks, swollen and painful cheeks, throat obstruction, eyes closed and difficult to open, somnolence with fever, delirious speech, irritability, excessive thirst, which may lead to wind-stroke (convulsions), constipation, urine resembling blood, and various heat obstructions causing sores and irritability; it is suitable for all these conditions.
Ingredients: Yujin (Curcumae Radix), Xionghuang (Realgar) (each 2.5 qian), Nifen (Calomel), Badou (Crotonis Fructus, 7 seeds, oil removed).
Preparation and Administration: Grind into fine powder, mix evenly, form pills the size of hemp seeds using vinegar paste, and administer with Bohe Tang (Mint Decoction).
Lianqiao Lulu Tang (Forsythia and Euphorbiae Radix Decoction) treats pediatric carbuncles, erysipelas, furuncles, sore throat, and cheek swelling.
Ingredients: Lulu (Euphorbiae Radix), Mahuang (Ephedrae Herba, root nodes removed), Lianqiao (Forsythiae Fructus), Shengma (Cimicifugae Rhizoma), Huangqin (Scutellariae Radix), Bailian (Paeoniae Alb Radix) (each 1 qian), Gancao (Glycyrrhizae Radix et Rhizoma), Zhike (Aurantii Fructus Immaturus) (each 0.5 qian).
Preparation and Administration: Coarsely crush into pieces. Take 1 qian per dose, add one small cup of water, decoct until half remains, filter, and administer warm according to the child's age at any time. If heat is severe, add Dahuang (Rhei Radix et Rhizoma) and Puxiao (Natrii Sulfatis Crystal).
Lianqiao Tang (Forsythia Decoction) see Da Lianqiao Yinzi (Large Forsythia Drink) in Question 3.
Qingliang Yinzi (Cooling Drink) treats various pediatric diseases, including Ke Wu (external pathogenic interference during physiological transformation), convulsive febrile diseases, excess phlegm-saliva, irritability with red cheeks, dry mouth with irritability and thirst, heat accumulation in the neck, head and facial furuncles, and abdominal heat pain. Additionally, Si Shun Qingliang Yin (Four Smooth Cooling Drink) mentioned in Question 44 can be used generally based on symptoms.
Ingredients: Dahuang (Rhei Radix et Rhizoma), Lianqiao (Forsythiae Fructus), Shaoyao (Paeoniae Radix), Qianghuo (Notopterygii Rhizoma et Radix), Danggui (Angelicae Sinensis Radix), Fangfeng (Saposhnikoviae Radix), Gancao (Glycyrrhizae Radix et Rhizoma), Shanzhiren (Gardeniae Semen) (equal parts).
Preparation and Administration: Cut into fragments. Take 2 qian per dose, add half a cup of water, decoct until three-tenths remain, filter, and administer at any time.
Chao Yuanfang stated: Children who cannot speak at four or five years of age do so because the heart governs speech among the five zang organs. The inability to speak arises because during gestation, the mother suddenly experienced fright or terror, which internally disturbed the fetus's organs. Evil qi invaded the heart, causing deficiency of heart qi and resulting in an inability to speak. It is appropriate to administer Qian Shi's Changpu Wan (Acorus Pill) with modifications as needed, taking it over a long period to achieve efficacy.
Changpu Wan (Acorus Pill) treats pediatric deficiency of heart qi, leading to an inability to speak at five or six years of age. Since the heart governs speech, delayed language development in slightly older children is due to the mother experiencing fright during pregnancy, which internally disturbed the fetus's organs. Evil qi invaded the heart, causing deficiency of heart qi and weakness of the tongue base, thus resulting in delayed speech.
Ingredients: Shichangpu (Acori Tatarinowii Rhizoma), Danshen (Salviae Miltiorrhizae Radix et Rhizoma), Tianmendong (Asparagi Radix, heart removed, dried) (each 1 qian), Chishizhi (Halloysit Rubrum) (3 qian), Renshen (Ginseng Radix et Rhizoma, rhizome removed) (0.5 liang).
Preparation and Administration: Grind into fine powder, form pills the size of hemp seeds using refined honey, and take twenty pills after meals with warm water. Shengji Zonglu (General Records of Sacred Empathy) includes Huanglian (Coptidis Rhizoma).