汗者心之液也。唯头汗不必治。小儿纯阳之体。头者诸阳之会。心属火。头汗者。
炎上之象也。故头汗者。乃清阳发越之象。不必治也。
自汗者。昼夜出不止。此血气俱热。荣卫虚也。宜当归六黄汤主之。其方用黄 以补其
当归生地黄以补其荣。芩连柏以泻其血气之火。用浮小麦为引。入肺以泻其皮毛之热。此治
诸汗之神方也。
盗汗者。梦中自出。醒则干也。其病在肾。宜当归六黄汤加止汗散主之。
钱氏止汗散 败蒲扇。烧存性。研末。入煎药内。假物象形之理也。
本县江兰峰。其子七岁。头面出汗如流。用人参当归二味。同 猪心煮汤服之安。
小儿病则有热。热则生风。不可不调理也。
肝热者。目中青。手寻衣领。及乱捻物。泻青丸。当归龙荟丸主之。
有身热。口中气热。湿风温证者。谓之风热。亦肝热也。宜生犀散脱甲散主之。
心热者。目中赤。视其睡。口中气温。合面睡。或仰睡。上窜切牙。宜导赤散黄连安神
丸主之。
有一向热不已。亦心热也。甚则发惊痫。宜黄连安神丸主之。
如目中热。心虚也。宜钱氏安神丸主之。
脾热者。目中黄。弄舌。泻黄散茵陈五苓散主之。
有但温而不热。亦谓之温热。亦脾热也。宜人参白虎汤主之。
肺热者。目中混白。手掐眉目面鼻。甘桔汤木通散主之。
有时间发热。过后却退。次日根据时发热。谓之潮热。此亦肺热。宜地骨皮散主之。
肾热者。目无精光。畏明。脊骨重。目中白睛多。其颅即解。地黄丸主之。
汗是心所化生的津液。只有头部的出汗不需要治疗。小儿属于纯阳之体。头部是诸阳经汇聚之处。心属火。头部出汗,是火性炎上的表现。所以头部出汗,是清阳之气向外发散的表现,不需要治疗。
自汗,是指白天黑夜出汗不止。这是血和气都热,营卫虚弱所致。适宜用当归六黄汤主治。该方剂中用黄芪来补益气,当归、生地黄来补益营血,黄芩、黄连、黄柏来泻除血和气中的火热,用浮小麦作为引经药,入肺经以泻除皮毛的热邪。这是治疗各种汗证的神效方剂。
盗汗,是指在睡梦中自行出汗,醒来后汗即停止。其病位在肾。适宜用当归六黄汤加钱氏止汗散主治。
钱氏止汗散:败蒲扇(枯死的蒲草扇),烧至存性,研成粉末,加入煎好的药液中服用。这是利用“假物象形”的原理(蒲扇能扇风散热,故取其意)。
本县江兰峰的儿子七岁,头面部出汗如水流一样。用人参和当归两味药,同猪心一起煮汤服用,病情痊愈。
小儿生病就会有发热,发热就会生风,不可不调理。
肝热者,眼中呈现青色,手去抓衣领,以及胡乱捻弄物品。宜用泻青丸、当归龙荟丸主治。
有身体发热,口中气息热,属于湿温或风温证候的,称为风热,也是肝热。宜用生犀散、脱甲散主治。
心热者,眼中发红,观察其睡眠状态,口中气温高,喜欢趴着睡,或者仰面睡,出现惊窜、磨牙等症状。宜用导赤散、黄连安神丸主治。
有一直发热不停止的,也是心热。严重时引发惊痫。宜用黄连安神丸主治。
脾热者,眼中呈现黄色,玩弄舌头。宜用泻黄散、茵陈五苓散主治。
有只觉温热而不发高烧的,也称为温热,也是脾热。宜用人参白虎汤主治。
肺热者,眼中浑浊发白,手去掐眉毛、眼睛、面部和鼻子。宜用甘桔汤、木通散主治。
Sweat is the fluid of the Heart. Only sweating on the head does not require treatment. Children possess a constitution of "Pure Yang" (Chunyang, 纯阳). The head is the convergence point of all Yang meridians. The Heart belongs to Fire. Sweating on the head is an image of fire flaring upwards. Therefore, sweating on the head is an image of Clear Yang Qi dispersing outward and does not require treatment.
Spontaneous sweating (Zihan, 自汗) refers to continuous sweating day and night. This is due to heat in both Blood and Qi, and deficiency of Ying (Nutritive) and Wei (Defensive) Qi. It should be primarily treated with Danggui Liuhuang Tang (Cinnamon Twig and Rehmannia Decoction). In this formula, Huangqi (Astragali Radix) is used to tonify Qi; Danggui (Angelicae Sinensis Radix) and Shengdihuang (Rehmanniae Radix Recens) are used to tonify Ying blood; Huangqin (Scutellariae Radix), Huanglian (Coptidis Rhizoma), and Huangbai (Phellodendri Cortex) are used to drain the fire in Blood and Qi; Fuxiaomai (Tritici Levis Fructus) is used as a guiding herb, entering the Lung meridian to drain heat from the skin and hair follicles. This is a miraculous formula for treating various types of sweating.
Night sweating (Daohan, 盗汗) refers to sweating spontaneously during dreams/sleep, which stops upon waking. The pathology lies in the Kidney. It should be primarily treated with Danggui Liuhuang Tang combined with Qian's Zhihan San (Qian's Stop-Sweating Powder).
Qian's Zhihan San: Baipushan (Bai Pusa Fan, dried leaf fan of *Trachycarpus fortunei*), burned until carbonized but retaining its nature, ground into powder, and added to the decoction. This utilizes the principle of "imagery correspondence" (using the object's function to treat the condition).
The son of Jiang Lanfeng from this county, aged seven, had sweat flowing like water from his head and face. He was administered a decoction of Renshen (Ginseng Radix et Rhizoma) and Danggui (Angelicae Sinensis Radix) boiled with Zhu Xin (Porcis Cor) and consumed, resulting in recovery.
When children are ill, there is heat; when there is heat, wind is generated. Regulation is indispensable.
In Liver Heat, the eyes appear greenish-blue, the hands grasp at clothing collars, and the child fidgets with objects aimlessly. Xieqing Wan (Drain the Green Pill) or Danggui Longhui Wan (Angelica and Gardenia Pill) should be used.
If there is body heat, hot breath from the mouth, and symptoms of damp-warmth or wind-warmth, it is termed Wind-Heat, which is also a manifestation of Liver Heat. Shengxi San (Fresh Rhinoceros Horn Powder) or Tuojia San (Shedding Carapace Powder) should be used.
In Heart Heat, the eyes appear red. Observing sleep patterns: if the child sleeps with their face down or on their back, has warm breath, and exhibits convulsions or teeth grinding, Daochi San (Guide Out Redness Powder) or Huanglian Anshen Wan (Coptis Calming Spirit Pill) should be used.
Continuous unceasing heat is also Heart Heat. If severe, it may develop into Jingxian (Convulsive Epilepsy). Huanglian Anshen Wan (Coptis Calming Spirit Pill) should be used.
If there is heat sensation in the eyes, it indicates Heart Deficiency. Qian's Anshen Wan (Qian's Calming Spirit Pill) should be used.
In Spleen Heat, the eyes appear yellowish, and the child plays with their tongue. Xiehuang San (Drain Yellow Powder) or Yinchin Wuling San (Artemisia Capillaris and Five-Ingredient Powder with Poria) should be used.
If there is only warmth without high fever, it is also termed Warm-Thermal disease, representing Spleen Heat. Ren Shen Baihu Tang (Ginseng White Tiger Decoction) should be used.
In Lung Heat, the eyes appear cloudy and white, and the child pinches their eyebrows, eyes, face, and nose. Ganjie Tang (Licorice and Magnolia Bud Decoction) or Mutong San (Akebia Powder) should be used.
Intermittent fever that subsides and returns at the same time the next day is termed Tide Fever (Chaore, 潮热). This is also Lung Heat. Digupi San (Lycium Bark Powder) should be used.
In Kidney Heat, the eyes lack luster, there is photophobia, heaviness in the spine, excessive whiteness in the sclera, and the fontanelle remains open/unhealed. Dihuang Wan (Rehmannia Pill) should be used.