若不吐涎，则不甚便。盖吐涎能虚，又生惊也。痰实上攻，亦能发搐，故以法只宜先下痰，
而后补脾肺，必涎止而吐愈，为顺治也。若先补其肺，为逆耳！此所谓识病之轻重先后为治
郑人齐郎中者，家好收药散施。其子忽脏热，齐自取青金膏，三服并一服，饵之。服毕
三更泻五行，其子困睡，齐言子睡多惊，又与青金膏一服，又泻三行，加口干身热，齐言尚
有微热未尽，又与青金膏。其妻曰∶用药十余行未安，莫生他病否？召钱氏至，曰∶用药十
余行未安，莫生他病否？召钱氏至，曰∶已成虚羸。先用前白术散，时时服之，后服香瓜丸
，十三日愈。
曹宣德子，三岁，面黄，时发寒热，不欲食而饮水及乳。众医以为潮热，用牛黄丸、麝
，不愈。及以止渴干葛散，服之反吐。钱曰∶当下白饼子，后补脾。乃以消积丸磨之，此乃
癖也。后果愈。何以故？不食，但饮水者，食伏于管内不能消，致令发寒，服止渴药吐者，
以药冲故也，下之即愈。
治小儿热盛生风，欲为惊搐，血气未实，不能胜邪，故发搐也。大小便根据度，口中气热
，当发之。
天麻（末一钱） 白附子（末生一钱五分） 青黛（研一钱） 蝎尾（去毒生末） 乌蛇梢肉（
酒浸焙干取末各一钱） 朱砂（研） 天竺黄（研）
上同再研细，生蜜和成膏，每服半皂子大至一皂子大。月中儿粳米大。同牛黄膏、温薄
荷水化一处服之。五岁以上，同甘露散服之。
学海案∶“聚珍本”蝎尾、蛇梢肉各五分，有麝香研，同朱砂、竺黄各一字匕。方末
云《阎氏集宝生信效方》内小儿诸方，言皆得于汝人钱氏，其间大青膏无天麻，有大青生研
一分，其余药味，分料和制，与此皆同。其方下证治云∶治小儿伤风，其候伸欠顿闷，口中
气热，恶风脉浮，比此为详。只用薄荷汤下。
如果患儿不呕吐涎沫，则病情不算特别严重。因为呕吐涎沫会导致正气虚弱，且容易引发惊风。如果是痰实之邪上攻，也能引起抽搐，所以治疗法则应当先使用下法祛除痰涎，然后再补益脾肺，必须等到涎沫停止、呕吐痊愈，这才是顺治之法。如果先补益肺气，就是逆治了！这就是所说的识别病情的轻重缓急以决定治疗先后顺序的重要性。
郑地有一位齐郎中，家中喜欢收集药散施舍给他人。他的儿子突然出现脏腑发热，齐郎中自行取出大青膏，三次服用合为一次服下（意指短时间内连续服用），喂给孩子。服药完毕后，孩子三更时分腹泻五次，孩子困倦嗜睡。齐郎中说孩子睡觉多伴有惊悸，又给孩子服用大青膏一次，结果又腹泻三次，并出现口干、身体发热的症状。齐郎中说还有微热未清，又给孩子服用大青膏。孩子的妻子说：“用药后腹泻十余次仍未见好转，难道不会生出其他疾病吗？”于是召请钱乙前来诊治。钱乙说：“已经形成了虚羸（身体虚弱消瘦）的状态。先用前文提到的白术散，经常性地服用，之后再服用香瓜丸，十三天后痊愈。”
曹宣德的儿子，三岁，面色发黄，时常发作寒热往来，不想吃东西却想喝水及喝奶。众位医生认为是潮热，使用牛黄丸、麝香治疗，没有痊愈。后来改用止渴干葛散，服用后反而呕吐。钱乙说：“应当先服用白饼子泻下，然后再补脾。”于是用消积丸磨碎给他服用，这原来是癖积（腹内结块）。果然后来痊愈了。这是什么原因呢？不吃东西，只喝水的，是因为食物停滞在肠胃管内不能消化，导致发作寒战；服用止渴药后呕吐的，是因为药物刺激冲逆的缘故，通过泻下方法即可痊愈。
治疗小儿热盛生风，想要发生惊搐，由于血气尚未充实，不能抵御邪气，所以发生抽搐。大小便正常，口中气息热，应当采用发汗解表的方法。
天麻（研末一钱） 白附子（生用研末一钱五分） 青黛（研细一钱） 蝎尾（去毒研末） 乌蛇梢肉（酒浸焙干取末各一钱） 朱砂（研细） 天竺黄（研细）
以上药物共同再次研细，用生蜜调和成膏剂。每次服用半皂荚子大到一皂荚子大。一个月大的婴儿服用粳米大小的量。与牛黄膏一起，用温薄荷水化开混合服用。五岁以上的儿童，与甘露散一起服用。
学海案：聚珍本中蝎尾、蛇梢肉各五分，含有麝香研末，同朱砂、天竺黄各一字匕。方剂末尾注明出自《阎氏集宝生信效方》内的小儿诸方，言皆得于汝南人钱氏，其中大青膏没有天麻，有大青生研一分，其余药味，分量配比和炮制方法，与此方都相同。该方下的证治说明写道：“治疗小儿伤风，其症状表现为伸欠顿闷，口中气息热，恶风脉浮，比此方更为详细。只用薄荷汤送服。”
If the child does not vomit saliva, the condition is not very severe. This is because vomiting saliva can cause deficiency of healthy qi and also generate fright. Phlegm-solidness attacking upwards can also induce convulsions; therefore, the treatment principle should only first employ purgation to remove phlegm, and subsequently tonify Spleen and Lung. It must be until the saliva stops and vomiting heals that this constitutes a favorable treatment (Shun Zhi). If one first tonifies Lung Qi, it is an unfavorable treatment (Ni)! This is what is meant by recognizing the severity and sequence of the disease to determine the order of treatment.
A physician named Qi from Zheng enjoyed collecting medicinal powders to distribute freely. His son suddenly developed internal heat in the viscera. Qi took Qingjin Gao (Blue Gold Ointment) himself, administering three doses combined into one serving. After finishing the dose, at the third watch of the night, the son had five bowel movements. The son was lethargic and sleepy. Qi said the son slept much with signs of fright, and gave another dose of Qingjin Gao. Again, there were three bowel movements, accompanied by dry mouth and body heat. Qi said there was still residual mild heat, and gave more Qingjin Gao. The wife said, "After using medicine for over ten bowel movements, there is no improvement; could it have caused other diseases?" They summoned Qian Yi. Qian Yi said, "It has already become Xu Lei (deficiency emaciation). First use the previously mentioned Baizhu San (White Atractylodes Powder), administer frequently, then take Xigua Wan (Melon Pill). He recovered in thirteen days."
The son of Cao Xuande, aged three, had a yellow complexion, occasionally experienced alternating chills and fever, did not want to eat but desired to drink water and milk. Many physicians considered it Chao Re (tidal fever) and used Niuhuang Wan (Calculus Bovis Pill) and She Xiang (Musk), but it did not heal. Later, they used Zhike Gan Ge San (Thirst-Relieving Kudzu Root Powder); after taking it, he vomited instead. Qian said, "One should first administer Baixing Zi (White Cake Pill) to purge, then tonify Spleen." Thus, he used Xiaoji Wan (Accumulation-Dispersing Pill) ground up for him to take. This was actually Pi Ji (accumulated mass). Indeed, he later recovered. Why? Not eating but only drinking water indicates food stagnating in the intestines unable to digest, causing chills. Vomiting after taking thirst-relieving medicine is due to the medication irritating and forcing upward; purging will cure it.
Treating children where excessive heat generates wind, intending to cause fright and convulsions. Since blood and qi are not yet solid, they cannot overcome the pathogen, hence convulsions occur. Urination and defecation are within normal limits, breath from the mouth is hot; one should employ sweating method (Fa Han).
Tianma (Endotuber of Gastrodia Elata, powdered, 1 qian)
Baifuzi (Rhizoma Typhonii Flagelliformis, raw, powdered, 1.5 qian)
Qingdai (Indigo Naturalis, ground, 1 qian)
Xiewei (Tail of Buthus martensii, venom removed, powdered)
Wushe Shao Rou (Meat of the tip of Deinagkistrodon Acutus, soaked in wine, baked dry, powdered, 1 qian)
Zhusha (Cinnabar, ground)
Tianzhuhuang (Calamus Tectorum, ground)
All ingredients are finely re-ground together, mixed with raw honey to form an ointment. Each dose is half to one size of a soap bean (Zaozi). For infants of one month old, the size of a rice grain. Take together with Niuhuang Gao (Calculus Bovis Ointment), dissolved in warm Bohe Shui (Mint Water) and administered together. For those above five years old, take together with Ganlu San (Sweet Dew Powder).
Academic Note: In the 'Juzhen Ben' edition, Xiewei and She Shao Rou are each 0.5 qian, containing Shi Xiang (Musk) ground, along with Zhusha and Tianzhuhuang each one 'zi bi'. At the end of the formula, it states that these pediatric formulas come from "Yan's Collection of Precious Formulas Generating Faith and Efficacy," claiming derivation from Qian Shi of Runan. Among them, Daqing Gao lacks Tianma but contains Daqing (Isatis Root) raw-ground 1 fen. The remaining ingredients, proportions, and processing methods are identical to this formula. The indication under this formula states: "Treats pediatric Wind Injury, symptoms include yawning/sighing with sudden oppression, hot breath, aversion to wind, floating pulse; this is more detailed than the current one. Use only Mint Decoction for administration."