仲阳云∶潮热者、时间发热，过时即退，来日依然发热，此欲发惊也，发来潮热，又似疟热，总曰潮热。盖发作有
期，其热有三，荣热、卫热、瘴气热，两日一发，或三日一发，并用梨浆饮治之。王氏云∶潮热乃是血气壅实，五脏生
热，熏发于外，故令发热。伤寒论云∶潮热者实热也，当利大便，大柴胡汤、承气汤、等剂治之。虚热者、地骨皮散主
之，犀角饮、鳖甲饮、灵犀饮、秦艽饮、生犀散。圣济经用地骨皮饮、羌活饼等剂。
梨浆饮子 治潮热、荣热、卫热、瘴气热，两日一发，三日一发。积热、脾热、痞热、胃热、癖热、疟热、邪
热、寒热，脾疟、鬼疟，夜发单疟独热。
青蒿（童便、浸一日、晒干） 柴胡（去芦） 人参（去芦） 黄芩（炒） 前胡（去芦） 秦艽（去芦） 甘草
（炙、各等分）
上 咀，每服一岁半钱，二岁一钱。水一小盏，入生藕、生梨、薄荷、生地黄、同煎至半，去滓、通口空心食前服。
大柴胡汤 见第二十九问。
大承气汤 见第二十九问。
地骨皮散 治虚热，亦治伤寒壮热。
知母（一两） 柴胡（半两、去毛） 甘草（半两、生） 人参（半两、去芦） 地骨皮（一两） 茯苓（半两）
半夏（汤泡七次、切片晒、三钱）
上 咀，姜水煎服，每用三钱。有惊热、加蝉蜕、天麻、黄芩。全婴方加秦艽，名秦艽饮子。
犀角饮 治小儿骨蒸潮热、盗汗肌瘦。
犀角（镑碎、一两） 鳖甲（炙酥、一两） 柴胡（去芦、一两） 知母（去毛、炒、一两） 地骨皮（一两） 胡
黄连（一两） 大黄（半两） 桃枝（半两）
上 咀，每三岁一钱，水一盏，煎三分，去滓温服。
鳖甲饮 治小儿骨蒸，潮热盗汗，咳嗽多渴，心躁多惊，面黄消瘦。
鳖甲（酥炙、一两） 地骨皮（一两） 秦艽（一两） 柴胡（一两） 枳壳（麸炒、一两） 知母（去毛、一两）
当归（一两）
上 咀，三岁一钱，水半盏，桃柳枝各三寸，乌梅一个，煎三分，去滓服无时。
灵犀饮 治小儿骨蒸潮热，盗汗咳嗽，多渴萎黄，消瘦腹急气粗。
犀角（镑屑、半两） 胡黄连（半两） 茯苓（去皮、一两） 人参（去芦、一两） 川芎（一两） 秦艽（一两）
甘草（一两） 羌活（一两） 柴胡（一两） 桔梗（一两） 地骨皮（一两）
上 咀，三岁一钱，水半盏，乌梅、竹叶少许煎服。
秦艽饮 即地骨皮散加秦艽，方见前。
羚角散 治小儿骨蒸肌瘦，颊赤口干，日夜潮热，夜有盗汗，五心烦热，四肢困倦，饮食虽多，不生肌肉。及
大病瘥后，余毒不解。或伤寒病后，因食羊肉，体热不除。
地骨皮 秦艽 人参（去芦） 羚羊角（镑屑） 大黄（蒸） 麦门冬 枳壳 柴胡 白茯苓 赤芍药 桑白皮 鳖
甲（酥炙黄、各一两）
上锉，每服二钱，水一盏，入青蒿少许煎，温服食后，儿小分为二服，治疳劳。
青蒿散 治小儿、室女，肌瘦潮热。
青蒿（三钱） 甘草（一寸） 小麦（五十粒） 乌梅（一个）
上 咀，河水一碗，煎至三分，去滓服。
柴胡散 治小儿骨蒸潮热，面黄瘦弱。
柴胡（半两） 地骨皮（半两） 甘草（炙、半两）
上 咀，水一盏，每用二钱，煎七分，去滓服不拘时。
鲁伯嗣引用钱乙（字仲阳）的观点说：潮热是指按时辰发热，过了那个时辰热度就消退，第二天依然会按时发热，这是即将发生惊风的前兆。发作时的潮热，又类似于疟疾的发热，统称为潮热。因为发作有固定的时间规律，其热邪有三种类型：营分热、卫分热、瘴气热，每隔两天发作一次，或者每隔三天发作一次，都使用梨浆饮来治疗。
王氏认为：潮热是由于血气壅滞实证，五脏产生内热，熏蒸发散于体表，所以导致发热。《伤寒论》中说：潮热属于实热证，应当通利大便，使用大柴胡汤、承气汤等方剂治疗。如果是虚热证，主要用地骨皮散治疗，也可选用犀角饮、鳖甲饮、灵犀饮、秦艽饮、生犀散。《圣济总录》中使用地骨皮饮、羌活饼等方剂。
【梨浆饮子】主治潮热、营热、卫热、瘴气热，以及两日一发、三日一发的症状；也治疗积热、脾热、痞热、胃热、癖热、疟热、邪热、寒热往来、脾疟、鬼疟，以及夜间发作的单发疟疾独热。
配方：青蒿（用童便浸泡一天，晒干）、柴胡（去芦头）、人参（去芦头）、黄芩（炒制）、前胡（去芦头）、秦艽（去芦头）、甘草（炙制），以上药材各等分。
将药材捣碎成粗末，每服一岁半钱，两岁一钱。用水一小盏，加入生藕、生梨、薄荷、生地黄，共同煎煮至剩下一半药液，滤去药渣，空腹时温服。
【大柴胡汤】详见第二十九问。
【大承气汤】详见第二十九问。
配方：知母（一两）、柴胡（半两，去毛）、甘草（半两，生用）、人参（半两，去芦头）、地骨皮（一两）、茯苓（半两）、半夏（用汤泡七次，切片晒干，三钱）。
将药材捣碎成粗末，用姜水煎服，每次用量三钱。如果有惊热症状，加蝉蜕、天麻、黄芩。根据《全婴方》，加入秦艽，名为秦艽饮子。
配方：犀角（镑碎，一两）、鳖甲（炙酥，一两）、柴胡（去芦头，一两）、知母（去毛，炒制，一两）、地骨皮（一两）、胡黄连（一两）、大黄（半两）、桃枝（半两）。
将药材捣碎成粗末，每三岁用量一钱，用水一盏，煎煮至剩余三分之一的药液，滤去药渣，温服。
【鳖甲饮】主治小儿骨蒸，潮热盗汗，咳嗽多渴，心中烦躁易惊，面色发黄，身体消瘦。
配方：鳖甲（酥炙，一两）、地骨皮（一两）、秦艽（一两）、柴胡（一两）、枳壳（麸炒，一两）、知母（去毛，一两）、当归（一两）。
将药材捣碎成粗末，三岁用量一钱，用水半盏，加入桃枝和柳枝各三寸，乌梅一个，煎煮至剩余三分之一的药液，滤去药渣，随时服用。
【灵犀饮】主治小儿骨蒸潮热，盗汗咳嗽，口渴，面色萎黄，身体消瘦，腹部拘急，呼吸气粗。
配方：犀角（镑屑，半两）、胡黄连（半两）、茯苓（去皮，一两）、人参（去芦头，一两）、川芎（一两）、秦艽（一两）、甘草（一两）、羌活（一两）、柴胡（一两）、桔梗（一两）、地骨皮（一两）。
将药材捣碎成粗末，三岁用量一钱，用水半盏，加入乌梅、少许竹叶，煎煮后服用。
【羚角散】主治小儿骨蒸肌肉消瘦，脸颊发红口干，日夜潮热，夜间盗汗，五心烦热，四肢困倦，虽然饮食很多，但无法长肉。也治疗大病痊愈后余毒未清，或伤寒病后，因食用羊肉导致体内余热不除。
配方：地骨皮、秦艽、人参（去芦头）、羚羊角（镑屑）、大黄（蒸制）、麦门冬、枳壳、柴胡、白茯苓、赤芍药、桑白皮、鳖甲（酥炙至黄色，以上各一两）。
将药材切碎，每服二钱，用水一盏，加入少许青蒿煎煮，饭后温服。幼儿可将药量分为两次服用，用于治疗疳劳。
配方：青蒿（三钱）、甘草（一寸）、小麦（五十粒）、乌梅（一个）。
将药材捣碎成粗末，用一碗河水，煎煮至剩余三分之一的药液，滤去药渣服用。
将药材捣碎成粗末，用水一盏，每次取二钱，煎煮至剩余七分之一的药液，滤去药渣，随时服用。
Qian Yi (courtesy name Zhongyang) stated: "Tidal fever" refers to fever that occurs at specific times and subsides after those times pass, only to recur the following day. This indicates an impending onset of convulsions. The tidal fever during attacks resembles malaria fever; collectively, they are termed tidal fever. Since the attacks follow a regular schedule, the heat can be categorized into three types: Ying-level heat, Wei-level heat, and miasma heat. Whether occurring every two days or every three days, these conditions are treated with Li Jiang Yin (Pear Juice Decoction).
Wang Shi believed that tidal fever results from stagnation and excess in blood and qi, generating internal heat within the five zang organs, which steams outward to the body surface, causing fever. The *Shanghan Lun* states: "Tidal fever is excess heat; one should promote bowel movements." It is treated with formulas such as Da Chai Hu Tang (Major Bupleurum Decoction) and Cheng Qi Tang (Descending the Qi Decoction). For deficiency heat, Di Gu Pi San (Lycium Bark Powder) is the primary formula, while Xi Jiao Yin (Rhinoceros Horn Drink), Bie Jia Yin (Softshell Turtle Shell Drink), Ling Xi Yin (Spiritual Rhinoceros Drink), Qin Jiao Yin (Gentian Root Drink), and Sheng Xi San (Fresh Rhinoceros Powder) may also be used. The *Shengji Zonglu* employs Di Gu Pi Yin (Lycium Root Bark Decoction) and Qiang Huo Bing (Notopterygium Cake), among others.
**Li Jiang Yin Zi (Pear Juice Decoction)** treats tidal fever, Ying-level heat, Wei-level heat, miasma heat, fevers occurring every two or three days, accumulated heat, spleen heat, pi-mass heat, stomach heat, xi-mass heat, malaria heat, pathogenic heat, alternating chills and fever, spleen malaria, ghost malaria, and isolated night-onset malaria fever.
Ingredients: Qing Hao (Artemisiae Annuae Herba, soaked in child's urine for one day, dried), Chai Hu (Bupleuri Radix, removed rhizome), Ren Shen (Ginseng Radix, removed rhizome), Huang Qin (Scutellariae Radix, stir-fried), Qian Hu (Peucedani Radix, removed rhizome), Qin Jiao (Gentianae Macrophyllae Radix, removed rhizome), Gan Cao (Glycyrrhizae Radix et Rhizoma, honey-fried), all in equal proportions.
Crush the herbs into coarse powder. Dosage: half qian for one-year-olds, one qian for two-year-olds. Add fresh lotus root, fresh pear, Bo He (Menthae Haplocalycis Herba), and Sheng Di Huang (Rehmanniae Radix) to one small cup of water. Decoct until half remains, strain, and take on an empty stomach before meals.
**Da Chai Hu Tang (Major Bupleurum Decoction)** See Question 29.
**Da Cheng Qi Tang (Major Descending the Qi Decoction)** See Question 29.
**Di Gu Pi San (Lycium Bark Powder)** Treats deficiency heat and high fever caused by cold damage.
Ingredients: Zhi Mu (Anemarrhenae Rhizoma, 1 liang), Chai Hu (Bupleuri Radix, 0.5 liang, remove hairs), Gan Cao (Glycyrrhizae Radix et Rhizoma, 0.5 liang, raw), Ren Shen (Ginseng Radix, 0.5 liang, remove rhizome), Di Gu Pi (Lycii Cortex, 1 liang), Fu Ling (Poria, 0.5 liang), Ban Xia (Pinelliae Rhizoma, boiled seven times, sliced and dried, 3 qian).
Crush into coarse powder. Decoct in ginger water. Dosage: 3 qian per dose. If there is heat with convulsions, add Chan Tui (Cicadae Periostracum), Tian Ma (Gastrodiae Rhizoma), and Huang Qin (Scutellariae Radix). According to *Quan Ying Fang*, adding Qin Jiao (Gentianae Macrophyllae Radix) creates Qin Jiao Yin Zi (Gentian Root Decoction).
**Xi Jiao Yin (Rhinoceros Horn Drink)** Treats pediatric bone-steaming tidal fever, night sweats, and emaciation.
Ingredients: Xi Jiao (Rhinocerotis Cornu, shaved, 1 liang), Bie Jia (Testudinis Carapax et Plastrum, fried with butter, 1 liang), Chai Hu (Bupleuri Radix, removed rhizome, 1 liang), Zhi Mu (Anemarrhenae Rhizoma, remove hairs, stir-fried, 1 liang), Di Gu Pi (Lycii Cortex, 1 liang), Hu Huang Lian (Coptidis Rhizoma variant, 1 liang), Da Huang (Rhei Radix et Rhizoma, 0.5 liang), Tao Zhi (Persicae Ramulus, 0.5 liang).
Crush into coarse powder. Dosage: one qian for every three years of age. Decoct one cup of water until one-third remains, strain, and take warm.
**Bie Jia Yin (Softshell Turtle Shell Drink)** Treats pediatric bone-steaming, tidal fever, night sweats, cough with excessive thirst, irritability, frequent fright, sallow complexion, and emaciation.
Ingredients: Bie Jia (Testudinis Carapax et Plastrum, fried with butter, 1 liang), Di Gu Pi (Lycii Cortex, 1 liang), Qin Jiao (Gentianae Macrophyllae Radix, 1 liang), Chai Hu (Bupleuri Radix, 1 liang), Zhi Ke (Aurantii Fructus, bran-fried, 1 liang), Zhi Mu (Anemarrhenae Rhizoma, remove hairs, 1 liang), Dang Gui (Angelicae Sinensis Radix, 1 liang).
Crush into coarse powder. Dosage: one qian for three-year-olds. Decoct half a cup of water with Tao Zhi (Persicae Ramulus) and Liu Zhi (Salicis Ramulus, each 3 cun) and one Wu Mei (Mume Fructus) until one-third remains. Strain and take at any time.
**Ling Xi Yin (Spiritual Rhinoceros Drink)** Treats pediatric bone-steaming tidal fever, night sweats with cough, excessive thirst, sallow complexion, emaciation, abdominal tightness, and coarse breathing.
Ingredients: Xi Jiao (Rhinocerotis Cornu, shaved, 0.5 liang), Hu Huang Lian (Coptidis Rhizoma variant, 0.5 liang), Fu Ling (Poria, peeled, 1 liang), Ren Shen (Ginseng Radix, removed rhizome, 1 liang), Chuan Xiong (Ligustici Chuanxiong Rhizoma, 1 liang), Qin Jiao (Gentianae Macrophyllae Radix, 1 liang), Gan Cao (Glycyrrhizae Radix et Rhizoma, 1 liang), Qiang Huo (Notopterygii Rhizoma et Radix, 1 liang), Chai Hu (Bupleuri Radix, 1 liang), Jie Geng (Platycodonis Radix, 1 liang), Di Gu Pi (Lycii Cortex, 1 liang).
Crush into coarse powder. Dosage: one qian for three-year-olds. Decoct half a cup of water with Wu Mei (Mume Fructus) and a little Zhu Ye (Phyllostachydis Folium). Take orally.
**Qin Jiao Yin (Gentian Root Drink)** Is Di Gu Pi San (Lycium Bark Powder) with added Qin Jiao (Gentianae Macrophyllae Radix). See previous formula.
**Ling Jiao San (Antelope Horn Powder)** Treats pediatric bone-steaming with emaciation, red cheeks, dry mouth, tidal fever day and night, night sweats, five-palm heat, limb fatigue, and inability to gain muscle mass despite adequate food intake. It also treats residual toxins after severe illness recovery, or persistent body heat after cold damage due to consuming mutton.
Ingredients: Di Gu Pi (Lycii Cortex), Qin Jiao (Gentianae Macrophyllae Radix), Ren Shen (Ginseng Radix, removed rhizome), Ling Yang Jiao (Saigae Tataricae Cornu, shaved), Da Huang (Rhei Radix et Rhizoma, steamed), Mai Men Dong (Ophiopogonis Tuber), Zhi Ke (Aurantii Fructus), Chai Hu (Bupleuri Radix), Bai Fu Ling (Poria, white interior), Chi Shao Yao (Paeoniae Radix Rubra), Sang Bai Pi (Mori Cortex), Bie Jia (Testudinis Carapax et Plastrum, fried with butter to yellow color). All ingredients in equal proportion (1 liang each).
Cut into pieces. Dosage: 2 qian per serving. Decoct one cup of water with a little Qing Hao (Artemisiae Annuae Herba). Take warm after meals. For young children, divide into two doses. Treats gan-lao (malnutrition with consumption syndrome).
**Qing Hao San (Artemisia Annua Powder)** Treats pediatric tidal fever and emaciation, as well as in unmarried women.
Ingredients: Qing Hao (Artemisiae Annuae Herba, 3 qian), Gan Cao (Glycyrrhizae Radix et Rhizoma, 1 cun), Xiao Mai (Tritici Fructus, 50 grains), Wu Mei (Mume Fructus, 1 piece).
Crush into coarse powder. Decoct one bowl of river water until one-third remains. Strain and take.
**Chai Hu San (Bupleurum Powder)** Treats pediatric bone-steaming tidal fever, sallow complexion, and weakness/emaciation.
Ingredients: Chai Hu (Bupleuri Radix, 0.5 liang), Di Gu Pi (Lycii Cortex, 0.5 liang), Gan Cao (Glycyrrhizae Radix et Rhizoma, honey-fried, 0.5 liang).
Crush into coarse powder. Dosage: 2 qian per serving. Decoct one cup of water until seven-tenths remain. Strain and take at any time.