心热，视其睡，口中气温，或合面睡，及上窜切牙，皆心热也，导赤散主之。心气热则心胸亦热，欲言不能，而有
就冷之意，故合面、卧。心气实则气上下行涩，合卧则不得通，故喜仰卧，则气得上下通也，泻心散主之。心病见冬大
旺，心强胜肾，当补肾治心，轻者病退，重者下窜不语，肾怯虚也。
导赤散 方见第八问。
泻心散 治心中痰气实则气行涩，合卧则气不通，故喜仰卧，则上下通也。
黄连（一两，去须）
上为末，每服半钱或一钱，临卧时温水下。
脾胃不和，面 白无精光，口中气冷，不思食，吐水，当补脾，益黄散主之。脾胃虚冷，面 白色，瘦弱腹痛，不
思食，当补脾，益黄散；下利者调中丸主之。伤风手足冷，脾脏怯也，当和脾，后发散。和脾，益黄散；发散，大青丸
主之。脾病见四旁，皆仿此治之。顺者易治，逆者难治，脾怯当面赤黄，五脏相反，随证治之。
益黄散 见第八问。
大青膏 见第八问。
调中丸 即理中丸，或作汤，同。见五十三问。
肺盛复有冷风，胸满短气，气急喘嗽上气，当先散肺，后发散风冷，散肺，泻白散主之。肺只伤寒，则不胸满。肺
热则手掐眉眼鼻面，甘桔汤主之。肺虚热，唇深红色，治之散肺虚热，少服泻白散。肺脏怯，唇白色，当补肺，阿胶散
主之。若闷乱气粗，喘促哽气者难治，肺虚损故也。脾肺病久，则虚而唇白，脾者肺之母也，母子皆虚，不能相营，故
曰怯。肺主唇，白而光泽者吉，白如枯骨者死。肺病春见，肺脏胜肝，当补肾肝，治肺脏，肝怯者受病也。补肝肾，地
黄丸；治肺，泻白散主之。肺病见春，旺肺胜肝，当泻肺，轻者肺病退，重者目淡青，必发惊，更有赤者当搐，为肝怯，
当目淡青色也。
泻白散 见第八问。
甘桔汤 治风热毒瓦斯上攻，咽喉疼痛，喉闭肿塞妨闷，及肺壅咳嗽，咯唾脓血，胸满振寒，咽干而渴，时出浊
沫，气血腥臭，久久吐脓，状如米粥，又治伤寒咽痛。
桔梗（二两） 甘草（一两）
上为粗末，每服二钱，水一盏，煎至七分，去滓，食后温服，加荆芥、防风，名如圣汤；热甚加羌活、黄芩、升麻。
阿胶散 治嗽，肺无津液，喘急，肺虚者，咳而哽气，喉中有声。
阿胶（一两半，蛤粉炒） 鼠粘子（二钱半，炒香） 马兜铃（半两，焙） 甘草（一钱，炙） 杏仁（七个，去
皮尖） 糯米（一两）
上为末，每服二钱，水一盏，煎六分，食后温服。
地黄丸 见第八问。
心脏第九问：
心热，观察其睡眠情况，口中气息温热，或者趴着睡，以及向上窜动并咬紧牙齿，这些都是心热的表现，用导赤散主治。心气热则心胸也感到热，想说话却说不出来，并有寻求凉爽的意愿，所以喜欢趴着睡。心气实则气机上下运行涩滞，趴着睡则气机更加不通畅，所以喜欢仰卧，这样气机就能上下通畅，用泻心散主治。心病如果在冬季见到脉象大旺（心火亢盛），心强胜肾，应当补肾兼治心，轻症病退，重症则出现向下窜动且不能言语的症状，这是肾气怯弱虚损所致。
导赤散 方剂见第八问。
泻心散 治疗心中痰气实盛导致气行涩滞，趴着睡则气不通畅，所以喜欢仰卧，这样气机上下通畅。
黄连（一两，去须）
将上述药材研为细末，每次服用半钱或一钱，临睡前用温水送服。
脾脏第十问：
脾胃不和，面色苍白无光泽，口中气息冷，不想吃东西，呕吐清水，应当补脾，用益黄散主治。脾胃虚冷，面色白而晦暗，身体瘦弱腹痛，不想吃东西，应当补脾，用益黄散；如果伴有腹泻，用调中丸主治。伤风导致手足冰冷，是脾脏怯弱所致，应当调和脾气，随后发散风寒。调和脾气用益黄散；发散风寒用大青丸主治。脾病波及四旁脏腑，都仿照此法治疗。顺证容易治疗，逆证难治，脾怯弱的面色应当是面赤黄，五脏之气相反，随证治疗。
益黄散 见第八问。
大青膏 见第八问。
调中丸 即理中丸，也可以做成汤剂，效果相同。见第五十三问。
肺脏第十一问：
肺盛复感冷风，胸满短气，气急喘嗽上气，应当先疏散肺邪，后发散风冷。疏散肺邪用泻白散主治。肺只受伤寒，则不会出现胸满。肺热则用手掐揉眉眼鼻面部，用甘桔汤主治。肺虚热，嘴唇深红色，治疗疏散肺虚热，少量服用泻白散。肺脏怯弱，嘴唇白色，应当补肺，用阿胶散主治。如果胸闷烦乱、气粗、喘促哽气者难治，这是肺虚损的缘故。脾肺病久，则虚而嘴唇白，脾是肺之母，母子皆虚，不能相互滋养，所以称为“怯”。肺主唇，唇色白而有光泽者吉，白如枯骨者死。肺病在春季见到，肺脏胜肝，应当补肾肝，治肺脏，肝怯弱者受病。补肝肾用地黄丸；治肺用泻白散主治。肺病在春季见到，旺肺胜肝，应当泻肺，轻症肺病退，重症则眼睛淡青色，必定发惊，如果有赤色应当搐搦，这是肝怯弱，应当表现为目淡青色。
泻白散 见第八问。
甘桔汤 治疗风热毒瓦斯上攻，咽喉疼痛，喉闭肿塞妨闷，以及肺壅咳嗽，咯吐脓血，胸满振寒，咽干而渴，时常吐出浊沫，气血腥臭，久久吐脓，状如米粥，又治疗伤寒咽痛。
桔梗（二两） 甘草（一两）
将上述药材研为粗末，每次服用二钱，用水一盏，煎至七分，去渣，食后温服，加入荆芥、防风，名为如圣汤；热甚加羌活、黄芩、升麻。
阿胶散 治疗咳嗽，肺无津液，喘急，肺虚者，咳而哽气，喉中有声。
阿胶（一两半，蛤粉炒） 鼠粘子（二钱半，炒香） 马兜铃（半两，焙） 甘草（一钱，炙） 杏仁（七个，去皮尖） 糯米（一两）
将上述药材研为细末，每次服用二钱，用水一盏，煎至六分，食后温服。
地黄丸 见第八问。
Question 9 of the Heart:
Heart heat: Observe the child's sleep; if the breath from the mouth is warm, or if the child sleeps face down, and grinds teeth while looking upward, these are all signs of heart heat. Lead Chi San (Cinnabar Decoction) is the primary prescription. When heart qi is hot, the chest and heart area also feel hot; the child may wish to speak but cannot, and has a desire for coolness, hence sleeping face down. If heart qi is excess, the movement of qi up and down becomes obstructed; sleeping face down further blocks this flow, so the child prefers lying on their back to allow qi to circulate freely. Xie Xin San (Drain the Heart Powder) is the primary prescription. In heart disease, if the pulse is excessively strong in winter (when water should control fire), indicating heart fire overcoming kidney water, one should tonify the kidney and treat the heart. In mild cases, the disease recedes; in severe cases, symptoms such as downward deviation and muteness appear, indicating kidney deficiency and weakness.
Lead Chi San: See Question 8.
Xie Xin San: Treats conditions where phlegm and qi excess in the heart cause obstructed qi movement; sleeping face down blocks qi, so the child prefers lying on their back to facilitate free circulation.
Huanglian (Coptidis Rhizoma, 1 liang, remove stamens):
Grind into fine powder. Take half a qian or one qian per dose, administered with warm water before bedtime.
Question 10 of the Spleen:
Spleen and stomach disharmony: The complexion is pale without luster, breath from the mouth is cold, there is no appetite, and vomiting of clear fluid occurs. Tonify the spleen; Yi Huang San (Yellow Protecting Powder) is the primary prescription. Spleen and stomach deficiency-cold: The complexion is white and dull, the body is emaciated with abdominal pain, and there is no appetite. Tonify the spleen with Yi Huang San; if accompanied by diarrhea, Tiao Zhong Wan (Regulate the Middle Pill) is the primary prescription. Wind injury causing cold hands and feet indicates spleen weakness; harmonize the spleen first, then disperse wind-cold. Harmonize the spleen with Yi Huang San; disperse wind-cold with Da Qing Wan (Great Blue Pill). If spleen disease affects the surrounding organs, treat according to this principle. Favorable patterns are easy to treat; adverse patterns are difficult. Spleen weakness typically presents with a reddish-yellow complexion; when the five zang organs' energies conflict, treat according to the specific syndrome.
Yi Huang San: See Question 8.
Da Qing Gao (Great Blue Ointment): See Question 8.
Tiao Zhong Wan: Identical to Li Zhong Wan (Regulate the Middle Pill), can also be prepared as a decoction with similar effects. See Question 53.
Question 11 of the Lung:
Lung excess compounded by cold wind: Chest fullness, shortness of breath,急促 breathing, coughing, and rebellious qi. First, dissipate lung pathogenic factors, then disperse wind-cold. Dissipate lung pathogenic factors with Xie Bai San (Drain the White Powder). If the lung is only affected by cold damage, chest fullness will not occur. Lung heat causes the child to pinch the eyebrows, eyes, nose, and face; Gan Jie Tang (Licorice and Platycodon Decoction) is the primary prescription. Lung deficiency-heat: Lips are deep red. To dissipate lung deficiency-heat, administer small doses of Xie Bai San. Lung weakness: Lips are white. Tonify the lung; E Jiao San (Donkey-Hide Gelatin Powder) is the primary prescription. If there is mental restlessness, coarse breathing,急促 panting, and choking sensations, the condition is difficult to treat due to lung deficiency and damage. Chronic spleen and lung diseases lead to deficiency and white lips. Since the spleen is the mother of the lung, if both mother and child are deficient, they fail to nourish each other, hence termed "weakness." The lung governs the lips; white lips with luster indicate a good prognosis, while white lips like dry bones indicate death. Lung disease appearing in spring suggests lung overacting on liver; tonify the liver and kidney, and treat the lung. Liver weakness leads to disease. Tonify liver and kidney with Di Huang Wan (Rehmannia Pill); treat the lung with Xie Bai San. Lung disease appearing in spring, with excessive lung qi overcoming the liver, requires draining the lung. In mild cases, lung disease recedes; in severe cases, the eyes appear pale green, convulsions are likely, and if redness is present, spasms may occur, indicating liver weakness, which manifests as pale green eyes.
Xie Bai San: See Question 8.
Gan Jie Tang: Treats wind-heat and toxic vapors attacking upwards, causing sore throat, throat closure with swelling and obstruction, lung congestion with cough, expectoration of pus and blood, chest fullness with chills, dry throat and thirst, frequent discharge of turbid saliva, foul-smelling blood and qi, chronic expectoration of pus resembling congee. Also treats sore throat due to cold damage.
Jiegeng (Platycodonis Radix, 2 liang) Gancao (Glycyrrhizae Radix et Rhizoma, 1 liang):
Grind into coarse powder. Take 2 qian per dose, decoct with one cup of water until reduced to 0.7 cups, strain, and take warm after meals. Add Jingjie (Schizonepetae Herba) and Fangfeng (Saposhnikoviae Radix) to name Ru Sheng Tang (Like Sage Decoction); if heat is severe, add Qianghuo (Notopterygii Rhizoma et Radix), Huangqin (Scutellariae Radix), and Shengma (Cimicifugae Rhizoma).
E Jiao San: Treats cough, lack of lung fluids,急促 panting, and lung deficiency with cough, choking sensations, and sounds in the throat.
Ejiao (Asini Corii Colla, 1.5 liang, stir-fried with clam powder) Niubangzi (Arctii Fructus, 2.5 qian, stir-fried until fragrant) Muduling (Aristolochiae Fructus, 0.5 liang, baked) Gancao (Glycyrrhizae Radix et Rhizoma, 1 qian, honey-fried) Xingren (Prunus Armeniacae Semen, 7 kernels, peel and remove tips) Nuomi (Oryza Sativa Glutinosa, 1 liang):
Grind into fine powder. Take 2 qian per dose, decoct with one cup of water until reduced to 0.6 cups, strain, and take warm after meals.
Di Huang Wan: See Question 8.