小儿出疹，见风罩没，未得清爽者，和解发之，即消毒饮。疹出已足，宜清金散风热，泻心火，使金不
受火克，否则肺之母受寒邪所闭，必至痰喘声嗽，身热喉痛，不进饮食，后生疮疥，渐成疳瘵。下流传入
大肠为泄泻自痢等症，良以心火未散，或咳血、吐血、衄血，或伤眼目。下流传入小肠，小便赤涩为血痢等
症，以上诸症俱用降之。
润肺消毒饮∶
润肺消毒用紫芩，枳壳花粉栝蒌仁，
桑杏陈苏并山栀，石膏莱菔下气清，
喘加麻黄淡竹沥，便闭大黄真河柳。
此汤即清金降火汤。若疹出已到指尖及天庭可用此方不必更换。若不到者，不作出齐论，但人多安
静如常，且缓服之。统论看症用药加减∶以石膏、莱菔下气定喘；麻黄重用以开肺窍；生熟大黄以通闭结；
竹茹开胃郁；枇杷叶蜜炙以止嗽；绿豆、芝麻解毒润肠；加竹沥消痰润燥以降火；西河柳使疹毒出于外，
兼治疹后痢；地栗能治噎膈，开胃消食，除胸中之实热；白芥子豁痰、理气、发汗；水芦根降火除呕哕；
白茅根治血妄行，止呃逆，兼治肺热喘急，止淋沥；木通能利小便，引火下降，加刀豆
止呃下气，葱白发汗而解肌。
备用表药升羌防，复花蝉衣大力当，
川芎桔梗荆芥穗，前胡葛根钩藤方。
半表半降紫力芩，苏子钩藤山栀仁，
石膏甘草与木通，桑杏便闭大黄均。
消痰化毒汤∶
消痰化毒覆蝉衣，薄荷钩藤白桑皮，
紫杏甘桔大力子，石蒲全梢僵蚕宜。
此汤回后，人倦气粗，痰嗽声哑，感冒风寒，以此服之能解毒化痰，开音发散。
小儿出疹，若因受风导致疹点隐没、未能透发清爽的，应采用和解法使其透发，方剂选用消毒饮。若疹点已完全发出，应当使用清金散以疏散风热、清泻心火，使肺金不受心火克制；否则，肺（肺之母）易受寒邪闭阻，必然导致痰喘、咳嗽、声音嘶哑、身体发热、咽喉疼痛、食欲不振，随后生出疮疥，逐渐演变为疳积和痨病。病邪下传进入大肠，会出现泄泻、自痢等症状；这是因为心火未散，或者出现咳血、吐血、鼻衄，或者损伤眼目。病邪下传进入小肠，会出现小便赤红涩痛、血痢等症状。以上各种病症均应采用降逆之法治疗。
润肺消毒饮：
润肺消毒需用地黄芩（此处指紫芩，即黄芩），枳壳、天花粉、瓜蒌仁，
桑叶、杏仁、陈皮、苏子及山栀子，石膏、莱菔子以降气清热，
若气喘加麻黄、淡竹沥，若便秘加大黄、真河柳（西河柳）。
此汤即为清金降火汤。如果疹点已经发到指尖及天庭部位，可以使用此方，不必更换。如果疹点未到齐，不按出齐论治，只要病人精神安静如常，可以暂缓服用。综合论述看症用药加减：用石膏、莱菔子降气定喘；重用麻黄以开通肺窍；生大黄与熟大黄以通导闭塞结滞；竹茹以开胃中郁结；蜜炙枇杷叶以止咳；绿豆、芝麻以解毒润肠；加竹沥以消痰润燥以降火；西河柳使疹毒向外透出，兼治疹后痢疾；地栗（荸荠）能治疗噎膈，开胃消食，清除胸中实热；白芥子豁痰、理气、发汗；水芦根降火除呕哕；白茅根治血妄行，止呃逆，兼治肺热喘急，止淋沥；木通能利小便，引火下行，加刀豆止呃逆降气，葱白发汗解肌。
备用表药升麻、羌活、防风，配合菊花、蝉衣、牛大力（此处疑为牛蒡子之误或地方别名，依原文保留大力，但结合语境多为牛蒡子，此处暂按原文“大力”处理，注：中医常用牛蒡子，若为通用术语通常指牛蒡子，但原文写大力，故提取时需注意，此处翻译保留原意，实体提取按原文），川芎、桔梗、荆芥穗，前胡、葛根、钩藤组成的方剂。
半表半里兼降逆方：紫苏子、牛大力（同上）、黄芩，苏子、钩藤、山栀子仁，
石膏、甘草与木通，桑叶、杏仁，若便秘则加大黄。
消痰化毒汤：
消痰化毒用覆盆子（此处“覆”字可能为衍文或特定用法，结合蝉衣，通常指蝉蜕，原文“覆蝉衣”疑为“复”或笔误，依原文直译）、蝉衣，薄荷、钩藤、白桑皮，
紫苏、杏仁、甘草、桔梗、牛大力（同上）、僵蚕适宜。
服用此汤之后，若人疲倦、气息粗重、痰嗽声哑，或因感冒风寒，服用此方能解毒化痰、开音发散。
When infants present with exanthems (rash), if the rash has receded due to wind exposure and has not cleared smoothly, a harmonizing method should be used to promote eruption, utilizing the Xiaodu Yin (Disinfection Decoction). If the rash has fully erupted, it is appropriate to use Qingjin San (Clear Metal Powder) to disperse wind-heat and drain heart-fire, ensuring that Lung Metal is not overcontrolled by Heart Fire. Otherwise, the mother of the Lung (Lung itself in this context referring to the organ system or potentially Spleen as Earth generating Metal, but text says "Lung's mother", likely implying the protective layer or the organ's vulnerability) may be closed by cold pathogens, inevitably leading to phlegm-wheezing, coughing, hoarseness, fever, sore throat, loss of appetite, followed by sores and scabies, gradually developing into malnutrition (Gan syndrome) and consumption diseases. If the pathogen transmits downward into the Large Intestine, symptoms such as diarrhea and spontaneous dysentery will occur; this is because the Heart Fire has not dissipated, or there may be hemoptysis, hematemesis, epistaxis, or damage to the eyes. If the pathogen transmits downward into the Small Intestine, symptoms such as red and scanty urine and bloody dysentery will occur. All the above conditions should be treated with descending methods.
Runfei Xiaodu Yin (Moisten Lung and Disinfect Decoction):
To moisten the lung and disinfect, use Ziqin (Scutellariae Radix), Zhike (Aurantii Fructus), Huafen (Trichosanthis Radix), and Gualouren (Trichosanthis Semen);
Sangye (Mori Folium), Xingren (Armeniacae Semen Amarum), Chenpi (Citri Reticulatae Pericarpium), Suzi (Perillae Fructus), and Shanzhi (Gardeniae Fructus);
Shigao (Gypsum Fibrosum) and Laifuzi (Raphani Semen) descend qi and clear heat;
If wheezing occurs, add Mahuang (Ephedrae Herba) and Danzhuli (Bambusa Textilis Caulis Juice); if constipation occurs, add Dahuang (Rhei Radix et Rhizoma) and Zhen Heliu (Tamarilli Ramulus).
This decoction is essentially Qingjin Jianghuo Tang (Clear Metal and Descend Fire Decoction). If the rash has reached the fingertips and the Tianting area (forehead), this formula can be used without replacement. If the rash has not fully emerged, do not judge based on complete eruption; if the person is calm and normal, administration can be delayed. Comprehensive discussion on symptom observation and prescription modification: Use Shigao and Laifuzi to descend qi and stabilize wheezing; use heavy doses of Mahuang to open the lung orifices; use raw and cooked Dahuang to unblock obstructions; use Zhuru (Bambusa Textilis Caulis) to resolve stomach stagnation; use honey-fried Pipaye (Loquat Leaf) to stop coughing; use Lüdou (Phaseoli Semen) and Zhima (Sesami Fructus) to detoxify and moisten the intestines; add Zhuli (Bamboo Juice) to eliminate phlegm, moisten dryness, and descend fire; Xi Heliu (Tamarilli Ramulus) helps expel rash toxins outward and treats post-rash dysentery; Dilì (Dioscorea esculenta / Water Chestnut) treats dysphagia, opens the stomach, aids digestion, and clears excess heat from the chest; Baijiezi (Sinapis Semen) resolves phlegm, regulates qi, and induces sweating; Shuilugen (Phragmitis Rhizoma) descends fire and stops vomiting; Baimaogen (Imperatae Rhizoma) controls erratic blood flow, stops hiccups, treats lung-heat wheezing, and stops strangury; Mutong (Akebiae Caulis) promotes urination and guides fire downward; add Doujian (Diospyros Fructus Peduncle) to stop hiccups and descend qi; Congbai (Allii Fistulosi Bulbus) induces sweating and releases the muscle layer.
For the backup exterior-releasing formula: Shengma (Cimicifugae Rhizoma), Qianghuo (Notopterygii Rhizoma et Radix), Fangfeng (Saposhnikoviae Radix), combined with Juhua (Chrysanthemi Flos), Chanyi (Bombyx Batryticatus), Dalì (likely Niu Bang Zi / Arctii Fructus in context, though literally "Great Strength"), Chuanxiong (Ligustici Chuanxiong Rhizoma), Jiegeng (Platycodonis Radix), Jingjiesui (Schizonepetae Spica), Qianhu (Peucedani Radix), Gegen (Puerariae Lobatae Radix), and Gouteng (Uncariae Ramulus cum Uncis).
For the half-exterior half-interior descending formula: Zili (likely Zisu/Radix Perillae or similar, text says Zili), Lì (Dalì/Niu Bang Zi), Qin (Qin/Coptidis Rhizoma or Scutellariae Radix - text says Zi Li Qin, likely Ziqin/Scutellariae Radix), Suzi (Perillae Fructus), Gouteng (Uncariae Ramulus cum Uncis), Shanzhiren (Gardeniae Fructus), Shigao (Gypsum Fibrosum), Gancao (Glycyrrhizae Radix et Rhizoma), Mutong (Akebiae Caulis), Sangye (Mori Folium), Xingren (Armeniacae Semen Amarum); if constipation, add Dahuang (Rhei Radix et Rhizoma).
Xiaotan Huadu Tang (Eliminate Phlegm and Resolve Toxin Decoction):
To eliminate phlegm and resolve toxin, use Fu Chanyi (likely Chanyi/Bombyx Batryticatus), Bohe (Menthae Haplocalycis Herba), Gouteng (Uncariae Ramulus cum Uncis), Baishangpi (Mori Cortex), Zisu (Perillae Folium), Xingren (Armeniacae Semen Amarum), Gancao (Glycyrrhizae Radix et Rhizoma), Jiegeng (Platycodonis Radix), Dalì (Niu Bang Zi / Arctii Fructus), and Jiangcan (Bombyx Batryticatus) are suitable.
After taking this decoction, if the patient is fatigued, breathes heavily, has phlegm-cough and hoarseness, or suffers from wind-cold invasion, taking this can detoxify, resolve phlegm, restore voice, and disperse pathogens.