小儿心痛，当于大人心痛门参用之。
心痛吐水者，虫痛。心痛不吐水者，冷心痛。
钱氏灵矾散 治小儿虫咬心痛，欲绝。
五灵脂（二钱） 白矾（火飞，半钱）
上，同研。每服一二钱，水一钟，煎至五分，温服，无时。当吐出虫。
《圣惠》治小儿心痛，但觉儿将手数数摩心腹即啼，是心痛不可忍，宜服。芍药散方
赤芍药 人参（去芦） 白术 黄芩 川大黄（微炒，锉） 当归（以上各一分）
上，捣罗为粗散。每服一钱，以水一小盏，煎至五分，去滓，不计时候，量儿
大小加减，温服。
〔茅先生〕治小儿心痛。金铃散
金铃子（炮，去皮核） 蓬莪术（炮、各一两） 茴香 木香（炮） 荆三棱（炮。各半两）
上为末。每服一钱半钱，用热酒、调下。
〔薛〕仲景云；火入于肺则烦，入于肾则躁。夫心者君火也，火王则金燔水亏，
而火独存，故肺肾合而为躁也。《活人》云∶但烦热者，虚烦也，诸虚烦热，与伤寒
相似，但不恶寒，身不疼，故知非伤寒也，头不痛，脉不紧，故知非里实
也。不可发汗攻下，当与竹叶汤，兼呕者与橘皮汤。又心虚则先烦而后渴，翕翕发
热，其脉浮紧而大是也。盖烦者，心中烦扰而内热，故属阳。躁者，肢体躁动、或
裸身欲入井中，为外热，故属阴。外热者，无根之火也，是以为虚。在小儿当辨其
煎不安是烦， 不定是躁。 煎者，心经有热，精神恍惚，烦满生惊。 者，
心经有风，烦躁惊搐也。热甚者，黄连解毒汤，轻者，导赤散，风热者，至宝丹，
脉数而实，便闭有热者，神芎丸，此皆实热之治法也。若烦而头痛短气，口干咽燥
不渴者，虚也，用四君加芎归。因药攻伐而作渴者，用竹茹汤。烦而不得眠者，酸
枣仁汤。心神颠倒，烦热欲吐者，朱砂安神丸。面戴阳，目内赤，六脉洪大按之全
无者，血虚发躁，用当归补血汤。若躁而裸体欲入井中，脉沉细或浮大，按之如无
者，此皆阴盛发躁也，宜用参附汤，有回生之功。
清热解毒丸 治五脏积热，毒瓦斯上攻，胸臆烦闷，咽喉肿痛，赤眼壅肿，
头面发热，唇口干燥，两颊生疮，精神恍惚，心忪闷乱，坐卧不宁。及伤暑毒面赤
身热，心烦躁而渴，饮食不下。
寒水石 石膏（各八两） 青黛（四两）
上研末，入青黛和匀，蒸饼七个水调为丸，如芡实大。每服一丸，食后，新
汲水化下，或细嚼，生姜汤下。如中诸毒，并宜服之。及惊风潮热，痰涎壅塞，
心胸烦躁，颊赤多渴，坐卧不稳，每服半粒，量大小加减。
竹茹汤（吐）
橘皮汤
橘皮（一两半） 甘草（炙） 竹茹（各半两） 人参（二钱五分）
上，每服五钱，姜水煎，食前服。
黄连解毒汤 治时疾三日，汗已解，若烦闷干呕，口燥呻吟，发热不卧。
黄连（炒，三钱） 黄柏（炒，半两） 栀子（炒，四枚） 黄芩（炒，二钱）
上，每服二三钱，水煎。未效再服。亦治热痢。
导赤散（心）
至宝丹 治诸惊痫心热，及卒中客忤、烦躁风涎搐搦，或伤寒狂语，伏热呕吐。
生犀角（镑） 生玳瑁（镑） 琥珀 朱砂（水飞） 雄黄（水飞。各一两） 金箔（五十片，
一半为衣） 银箔（五十片） 片脑（一匙） 麝香（一钱） 牛黄（半两） 安息香（一
两半，为末，酒掬去砂，取一两，酒煎成膏）
上各另研为末，和匀，入安息香膏，如干，入熟蜜少许，丸桐子大。每服一二
丸，人参汤化下。量儿加减用之。
神芎丸 治风热壅滞，头目昏眩，口舌生疮，牙齿疳蚀，或遍身疮疥切牙，惊惕怔
忡，烦躁作渴，或大便涩滞，或积热腹满，惊风潮搐等证。
大黄（生） 黄芩（各二两） 生牵牛末（一两） 滑石（四两） 黄连 薄荷叶 川
芎（各半两）
上为末，水糊丸，如桐子大。每服三四丸，温水下。
酸枣仁汤
酸枣仁（去壳取仁） 甘草（炙） 生地黄 栀子仁 麦门冬 人参 当归身（各等分）
上锉细。加灯心，水一盏，煎七分，去滓温服，不拘时。
朱砂安神丸（心） 当归补血汤（虚热）
心痛且伴有呕吐清水的，是虫痛（寄生虫引起的疼痛）。心痛且不呕吐清水的，是冷心痛（寒邪所致的心痛）。
钱氏灵矾散：治疗小儿因虫咬引起的心痛，病情危急，似有断绝之象。
方药组成：五灵脂（二钱），白矾（经火煅飞制，半钱）。
制法与用法：将上述药物共同研磨成细粉。每次服用一二钱，加水一钟，煎煮至五分量，温服，不限定具体时间。服药后应当吐出虫子。
《圣惠方》芍药散：治疗小儿心痛，只见患儿频繁用手抚摸心腹部随即啼哭，这是心痛剧烈难以忍受的表现，适宜服用此方。
方药组成：赤芍药，人参（去芦头），白术，黄芩，川大黄（微炒，锉碎），当归（以上各一分）。
制法与用法：将上述药物捣碎并过筛制成粗散。每次服用一钱，加水一小盏，煎煮至五分量，滤去药渣，不限定时间，根据患儿年龄大小酌情增减剂量，温服。
〔茅先生〕金铃散：治疗小儿心痛。
方药组成：金铃子（炮制，去皮核），蓬莪术（炮制，各一两），茴香，木香（炮制），荆三棱（炮制，各半两）。
制法与用法：将上述药物研为粉末。每次服用一钱或半钱，用热酒调服。
〔薛己〕张仲景说：火邪侵入肺则产生烦感，侵入肾则产生躁动。心属于君火，当火气旺盛时，会导致金（肺）被燔灼、水（肾）亏损，而火邪独存，所以肺和肾合病表现为躁动。《活人书》说：只有烦热感的，属于虚烦。各种虚烦热的症状，与伤寒相似，但不恶寒、身体不疼痛，所以知道不是伤寒；头部不痛、脉象不紧，所以知道不是里实证。不可使用发汗或攻下的治法，应当给予竹叶汤，兼有呕吐的给予橘皮汤。另外，心气虚弱则先出现烦感而后口渴，伴有轻微发热，脉象浮紧而大。大概来说，烦，是指心中烦扰且内热，所以归属于阳证；躁，是指肢体躁动不安，或者裸露身体想要跳入井中，这是外热表现，所以归属于阴证。外热是无根之火，因此属于虚证。在小儿身上，应当辨别其坐立不安是烦，还是举动不定是躁。所谓“煎”（此处指烦闷不安的状态），是心经有热，导致精神恍惚，心中烦满而生惊悸。所谓“躁”，是心经受风，导致烦躁惊搐。热势严重的，用黄连解毒汤；轻症的，用导赤散；风热证的，用至宝丹；脉象数而有力，大便闭塞且有热象的，用神芎丸，这些都是治疗实热证的方法。如果烦闷且头痛、短气，口干咽燥但不觉得渴的，属于虚证，用四君子汤加川芎、当归。因药物攻伐过度而导致口渴的，用竹茹汤。烦闷且无法入睡的，用酸枣仁汤。心神错乱，烦热想吐的，用朱砂安神丸。面色泛红如戴阳状，目内发红，六脉洪大但重按完全无力的，是血虚导致的发躁，用当归补血汤。如果躁动且裸露身体想要跳入井中，脉象沉细或浮大但重按如无的，这都是阴盛格阳导致的发躁，适宜用参附汤，具有回阳救逆的功效。
清热解毒丸：治疗五脏积热，毒气上攻，导致胸膈烦闷，咽喉肿痛，眼睛红肿，头面部发热，嘴唇口舌干燥，两颊生疮，精神恍惚，心慌闷乱，坐卧不宁。以及中暑毒导致面红身热，心烦急躁而口渴，饮食不下。
方药组成：寒水石，石膏（各八两），青黛（四两）。
制法与用法：将上述药物研为粉末，加入青黛混合均匀，用七个蒸饼的水调和制成丸药，大小如芡实。每次服用一丸，饭后用新汲水化开服用，或者细细咀嚼，用生姜汤送服。如果是中了各种毒，也都适宜服用。此外，对于惊风潮热，痰涎壅塞，心胸烦躁，脸颊发红多渴，坐卧不稳的情况，每次服用半粒，根据年龄大小酌情增减。
竹茹汤（用于呕吐）
橘皮汤
方药组成：橘皮（一两半），甘草（炙），竹茹（各半两），人参（二钱五分）。
制法与用法：每次服用五钱，用姜水煎煮，饭前服用。
黄连解毒汤：治疗时行疾病三天后，汗出已解，但如果出现烦闷干呕，口燥呻吟，发热不能安卧。
方药组成：黄连（炒，三钱），黄柏（炒，半两），栀子（炒，四枚），黄芩（炒，二钱）。
制法与用法：每次服用二三钱，用水煎煮。若未见效可再服。也治疗热痢。
导赤散（主治心经）
至宝丹：治疗各种惊痫心热，以及卒中客忤、烦躁风涎抽搐，或者伤寒谵语，伏热呕吐。
方药组成：生犀角（镑片），生玳瑁（镑片），琥珀，朱砂（水飞制），雄黄（水飞制，各一两），金箔（五十片，一半作为包衣），银箔（五十片），片脑（冰片，一匙），麝香（一钱），牛黄（半两），安息香（一两半，研末，酒浸去砂，取一两，酒煎成膏）。
制法与用法：将各药分别研为粉末，混合均匀，加入安息香膏，如果太干，加入少许熟蜜，制成梧桐子大小的丸药。每次服用一二丸，用人参汤化开送服。根据患儿情况酌情加减使用。
神芎丸：治疗风热壅滞，头目昏眩，口舌生疮，牙齿疳蚀，或者全身疮疥咬牙，惊惕怔忡，烦躁作渴，或者大便涩滞，或者积热腹满，惊风潮搐等症状。
方药组成：大黄（生用），黄芩（各二两），生牵牛末（一两），滑石（四两），黄连，薄荷叶，川芎（各半两）。
制法与用法：将上述药物研为粉末，用水糊制作丸药，大小如梧桐子。每次服用三四丸，温水送下。
酸枣仁汤
方药组成：酸枣仁（去壳取仁），甘草（炙），生地黄，栀子仁，麦门冬，人参，当归身（各等分）。
制法与用法：切碎。加入灯心草，加水一盏，煎至七分，滤去药渣，温服，不限定时间。
Pediatric heart pain should be treated by referring to the methods for adult heart pain.
Heart pain accompanied by vomiting clear water indicates worm pain (pain caused by parasites). Heart pain without vomiting clear water indicates cold heart pain (heart pain caused by cold pathogen).
Qian's Lingfan San: Treats pediatric heart pain caused by worm bites, where the condition is critical and seems on the verge of collapse.
Ingredients: Wulingzhi (Trogopterus Dung, two qian), Baifan (Alum, calcined and levigated, half a qian).
Preparation and Administration: Grind the above ingredients together into a fine powder. Take one or two qian each time, add one zhong of water, decoct until five fen remains, and take warm at any time. After administration, worms should be vomited out.
Shenghui Fang Shaoyao San: Treats pediatric heart pain. When the child frequently rubs the chest and abdomen with their hands and then cries, it indicates unbearable heart pain; this formula is suitable.
Ingredients: Chi Shaoyao (Red Peony Root), Renshen (Ginseng Root, radix removed), Baizhu (Atractylodes Macrocephala Rhizome), Huangqin (Scutellaria Root), Chuan Dahuang (Rhubarb Root, slightly stir-fried and cut), Danggui (Angelica Sinensis Root) (each one fen).
Preparation and Administration: Pound and sieve the above ingredients into a coarse powder. Take one qian each time, add one small zhan of water, decoct until five fen remains, strain, and take warm at any time, adjusting the dose according to the child's age and size.
[Mr. Mao] Jinling San: Treats pediatric heart pain.
Ingredients: Jinlingzi (Chaenomeles Fruit, processed, skin and seeds removed), Peng Ezhu (Curcuma Zedoary Rhizome, processed, one liang each), Huixiang (Fennel Fruit), Muxiang (Aucklandia Root, processed), Jing Sanleng (Sparganium Rhizome, processed, half a liang each).
Preparation and Administration: Grind into powder. Take one and a half qian or half a qian each time, mix with hot wine and swallow.
[Xue Ji] Zhang Zhongjing said: When fire enters the Lung, it causes Fan (restlessness); when it enters the Kidney, it causes Zao (agitation). The Heart belongs to Sovereign Fire. When Fire is excessive, Metal (Lung) is scorched and Water (Kidney) is depleted, leaving Fire alone. Thus, Lung and Kidney combined manifest as Zao. The *Huoren* book states: If there is only heat and restlessness, it is Xu Fan (deficiency restlessness). Various deficiency-related heat and restlessness resemble Shanghan (Cold Damage), but without aversion to cold and body ache, so it is known not to be Shanghan; without headache and tight pulse, so it is known not to be Interior Excess. Do not use sweating or purging methods. Instead, give Zhuye Tang (Bamboo Leaf Decoction); if accompanied by vomiting, give Jupi Tang (Tangerine Peel Decoction). Furthermore, Heart Qi deficiency leads to Fan first and then thirst, accompanied by slight fever and a floating, tight, and large pulse. Generally, Fan refers to internal mental restlessness and heat, thus belonging to Yang. Zao refers to physical agitation or nakedness with a desire to enter a well, representing external heat, thus belonging to Yin. External heat is rootless fire, hence it is deficiency. In children, one must distinguish between sitting/lying uneasily as Fan, and erratic movement as Zao. "Jian" (here referring to a state of anxious discomfort) indicates Heat in the Heart Meridian, causing spiritual trance, mental fullness, and fright. "Zao" indicates Wind in the Heart Meridian, causing irritability and convulsions. For severe heat, use Huanglian Jiedu Tang (Coptis Decoction for Detoxification); for mild cases, use Daochi San (Guide Out Red Powder); for Wind-Heat, use Zhibao Dan (Precious Treasure Pill); for rapid and forceful pulse with constipation and heat, use Shenxiong Wan (Shenxiong Pill). These are all treatments for Excess-Heat syndromes. If there is irritability, headache, shortness of breath, dry mouth and throat without thirst, it is Deficiency; use Sijun Zi Tang (Four Gentlemen Decoction) plus Chuanxiong and Danggui. If thirst arises due to harsh medicinal attack, use Zhuru Tang (Bamboo Shavings Decoction). If irritability prevents sleep, use Suanzaoren Tang (Sour Jujube Seed Decoction). If spirit is disordered, with heat and urge to vomit, use Zhusha Anshen Wan (Cinnabar Calming Spirit Pill). If the face appears flushed like Yang floating outward, eyes are red inside, and six pulses are flooding but empty upon deep pressure, it is Zao caused by Blood Deficiency; use Danggui Buxue Tang (Angelica Tonifying Blood Decoction). If there is agitation, nakedness, and a desire to enter a well, with sinking-thin or floating-large pulses that feel empty upon pressure, this is Zao caused by Yin Excess repelling Yang; use Shenfu Tang (Ginseng and Aconite Decoction), which has the merit of restoring life.
Qingre Jiedu Wan: Treats accumulated heat in the Five Viscera, toxic qi attacking upward, causing chest oppression and stuffiness, sore throat, red and swollen eyes, heat in head and face, dry lips and mouth, sores on cheeks, spiritual trance, palpitations and confusion, restlessness in sitting and lying. Also treats summerheat toxicity causing red face and body heat, irritability with thirst, and inability to eat.
Ingredients: Hanshuishi (Calcitum, eight liang), Shigao (Gypsum Fibrosum, eight liang), Qingdai (Indigo Naturalis, four liang).
Preparation and Administration: Grind into powder, mix evenly with Qingdai, and combine with water from seven steamed buns to form pills the size of Euryale Seeds. Take one pill after meals, dissolved in fresh drawn water, or chewed finely and taken with Ginger Decoction. For various poisonings, this is also suitable. Additionally, for convulsive fevers, phlegm obstruction, chest irritability, red cheeks with excessive thirst, and instability in sitting/lying, take half a pill, adjusting according to size.
Zhuru Tang (for Vomiting)
Jupi Tang
Ingredients: Jupi (Tangerine Peel, one and a half liang), Gancao (Licorice Root, honey-fried), Zhuru (Bamboo Shavings, half a liang each), Renshen (Ginseng Root, two qian five fen).
Preparation and Administration: Take five qian each time, decoct with ginger water, and take before meals.
Huanglian Jiedu Tang: Treats epidemic diseases after three days, where sweat has resolved, but if there is irritability, dry retching, dry mouth with groaning, fever, and inability to lie down.
Ingredients: Huanglian (Coptis Rhizome, stir-fried, three qian), Huangbai (Phellodendron Bark, stir-fried, half a liang), Zhizi (Gardenia Fruit, stir-fried, four fruits), Huangqin (Scutellaria Root, stir-fried, two qian).
Preparation and Administration: Take two or three qian each time, decoct in water. Repeat if ineffective. Also treats dysentery with heat.
Daochi San (Heart)
Zhibao Dan: Treats various fright-epilepsy and Heart Heat, as well as sudden onset of guest evil, irritability with wind-phlegm convulsions, or Shanghan delirium, and latent heat vomiting.
Ingredients: Sheng Xijiao (Rhino Horn, shaved), Sheng Daimei (Trionyx Carapace, shaved), Hupo (Amber), Zhusha (Cinnabar, water-leveled), Xionghuang (Realgar, water-leveled, each one liang), Jinbo (Gold Foil, fifty pieces, half used as coating), Yinbo (Silver Foil, fifty pieces), Pian Nao (Borneol, one spoon), Shexiang (Musk, one qian), Niuhuang (Calculus Bovis, half a liang), Anxi Xiang (Styrax Resin, one and a half liang, powdered, soaked in wine to remove sand, take one liang, decoct in wine to make paste).
Preparation and Administration: Grind each ingredient separately into powder, mix evenly, add Anxi Xiang paste. If too dry, add a little cooked honey. Form pills the size of Sophora Seeds. Take one or two pills each time, dissolved in Ginseng Decoction. Adjust dosage according to the child.
Shenxiong Wan: Treats Wind-Heat stagnation causing dizziness, sores in mouth and tongue, dental caries, generalized sores and itching, biting teeth, fright and palpitations, irritability with thirst, constipation, abdominal fullness from accumulated heat, and convulsive symptoms.
Ingredients: Dahuang (Rhubarb Root, raw), Huangqin (Scutellaria Root, each two liang), Sheng Qianniu Mo (Morning Glory Seed Powder, one liang), Huashi (Talcum, four liang), Huanglian (Coptis Rhizome), Bohe Ye (Mint Leaf), Chuanxiong (Ligusticum Rhizome, each half a liang).
Preparation and Administration: Grind into powder, bind with water paste to form pills the size of Sophora Seeds. Take three or four pills each time, with warm water.
Suanzaoren Tang
Ingredients: Suanzaoren (Sour Jujube Seed, shelled), Gancao (Licorice Root, honey-fried), Sheng Dihuang (Rehmannia Root, raw), Zhizi Ren (Gardenia Seed), Maidong (Ophiopogon Tuber), Renshen (Ginseng Root), Danggui Shen (Angelica Sinensis Root Body) (equal parts).
Preparation and Administration: Cut finely. Add Dengxin Cao (Juncus Effusus Pith), add one zhan of water, decoct to seven parts, strain, and take warm at any time.
Zhusha Anshen Wan (Heart) Danggui Buxue Tang (Deficiency Heat)