小儿一岁至十岁，衣絮皆不得着新绵，又不得冬月以火烘衣被，勿令食桃杏杨
梅果实，又不得食炙爆热面之类，皆令儿体热。或因伤寒后食肉太早，令儿体热者
有之，或作骨蒸者，宜服生犀散、克效汤、地骨皮饮、七宝散、金莲饮子，治之。
〔曾〕骨蒸热，身体虚羸，遇晚而发，有热无寒，醒后渴汗方止，此乃疳病之余毒，
传作骨蒸。或腹内有癖块，有时微痛。用参苓白术散、姜枣三棱煎汤调服。或投化癖
丸先疗脾虚宿滞。次以柴胡饮为治。仍忌鸡酒羊面毒物。
人参生犀散 治小儿骨蒸肌瘦，颊赤口干，日晡潮热，夜有盗汗，五心烦躁，四肢
困倦。及大病瘥后余毒不解。或伤寒病后食羊肉，体热不思食。
羚羊角（镑） 地骨皮 秦艽（去土） 麦门冬（去心） 枳壳（麸炒） 川大黄（蒸）
柴胡（去芦） 赤茯苓（去皮） 赤芍药 桑白皮（炒） 黄 人参 鳖甲（去裙，醋炙黄。
各等分）
上锉碎。每服二钱，水半盏，乌梅半个，煎至三分，不拘时服。
地骨皮饮 治小儿骨蒸，潮热往来，心膈烦悸，及伤寒后气未解。
柴胡（去芦） 地骨皮（各二两） 知母 甘草（炙） 鳖甲（醋炙黄） 黄芩 人参（各二
钱半） 赤茯苓（半两）
上锉碎。一岁二钱，水六分，姜、梅各一片，煎三分，不拘时服。
柴胡饮 治骨蒸疳气，五心烦热，日晡转盛，口干无味，渴多身瘦，胸满痰紧，小
便黄色，食减神昏。
北柴胡 人参 当归（酒洗） 黄芩 赤芍药 甘草（炙。各一两） 大黄 桔梗（去芦，锉炒）
北五味（去梗） 半夏（各半两）
上锉。每服二钱，水一盏，乌梅小角，姜二片，煎七分，无时温服。
郑氏犀角饮 治小儿骨蒸潮热，盗汗肌瘦。
犀角屑 鳖甲（醋炙） 柴胡 知母（各半两） 地骨皮 胡黄连（各一两） 川大黄
桃枝（各半两）
咀。三岁一钱，水半盏煎服，无时。
灵犀饮 治骨蒸潮热，盗汗咳嗽，可食多渴，面黄肌瘦，肚急气粗。虚热余热通用。
犀角屑 胡黄连（各半两） 白茯苓 人参 川芎 秦艽 甘草 羌活 柴胡 桔梗
地骨皮（各一两）
咀。三岁一钱，水半盏，乌梅、竹叶各少许煎。
克效汤（见潮热） 化癖丸（见癖）
小儿从一岁到十岁，穿衣絮时都不应使用新绵（新棉花），也不应在冬季用火烘烤衣物和被褥，不要让孩子吃桃、杏、杨梅等果实，也不应食用烤炸过的燥热面食之类，这些都会导致孩子体内生热。有的因为伤寒病后过早吃肉，导致孩子体内发热，这种情况是存在的；有的甚至发展为骨蒸（一种以阴虚内热为主要表现的慢性消耗性疾病），适宜服用生犀散、克效汤、地骨皮饮、七宝散、金莲饮子来治疗。
〔曾氏〕骨蒸热表现为身体虚弱消瘦，傍晚发作，只有发热没有恶寒，醒来后口渴出汗才停止，这是疳病（小儿脾胃受损、气血亏虚的慢性病）的余毒，传变成为骨蒸。或者腹内有癖块（腹部结块），有时轻微疼痛。可用参苓白术散（健脾益气、渗湿止泻的方剂）、姜枣三棱煎汤调服。或者先投用化癖丸治疗脾虚宿滞（脾胃虚弱导致的积滞）。随后再用柴胡饮进行治疗。仍然要忌食鸡肉、酒类、羊肉、面食等发物。
人参生犀散：治疗小儿骨蒸肌肉消瘦，两颊发红口干，下午定时发热（日晡潮热），夜间盗汗，手心脚心及心胸烦热，四肢困倦。以及大病痊愈后余毒未清。或者伤寒病后吃了羊肉，身体发热不想吃东西。
组成：羚羊角（镑成薄片）、地骨皮、秦艽（去泥土）、麦门冬（去心）、枳壳（麸炒）、川大黄（蒸制）、柴胡（去芦头）、赤茯苓（去皮）、赤芍药、桑白皮（炒）、黄芩、人参、鳖甲（去裙边，醋炙至黄色）。以上各等分。
用法：将药材切碎。每次服用二钱，加水半盏，乌梅半个，煎至三分量，不拘时候服用。
地骨皮饮：治疗小儿骨蒸，潮热往来（发热与恶寒交替或定时发热），心胸膈部烦闷悸动，以及伤寒后邪气未解。
组成：柴胡（去芦头）、地骨皮（各二两）、知母、甘草（炙）、鳖甲（醋炙黄）、黄芩、人参（各二钱半）、赤茯苓（半两）。
用法：将药材切碎。一岁的孩子服用二钱，加水六分，生姜、乌梅各一片，煎至三分量，不拘时候服用。
柴胡饮：治疗骨蒸疳气，五心烦热（两手心、两足心及心胸烦热），下午加重，口干无味，口渴多饮身体消瘦，胸满痰多气紧，小便黄色，食欲减退精神昏沉。
组成：北柴胡、人参、当归（酒洗）、黄芩、赤芍药、甘草（炙，各一两）、大黄、桔梗（去芦头，锉碎炒制）、北五味子（去梗）、半夏（各半两）。
用法：将药材切碎。每次服用二钱，加水一盏，乌梅一小角，生姜两片，煎至七分量，随时温服。
郑氏犀角饮：治疗小儿骨蒸潮热，盗汗肌肉消瘦。
组成：犀角屑、鳖甲（醋炙）、柴胡、知母（各半两）、地骨皮、胡黄连（各一两）、川大黄、桃枝（各半两）。
用法：将药材捣碎。三岁儿童服用一钱，加水半盏煎服，随时服用。
灵犀饮：治疗骨蒸潮热，盗汗咳嗽，能进食但多渴，面色黄肌肉消瘦，腹部急迫呼吸粗重。虚热余热通用。
组成：犀角屑、胡黄连（各半两）、白茯苓、人参、川芎、秦艽、甘草、羌活、柴胡、桔梗、地骨皮（各一两）。
用法：将药材捣碎。三岁儿童服用一钱，加水半盏，加少许乌梅、竹叶煎服。
Pediatric patients aged one to ten years should not wear new cotton wadding (new cotton) in their clothing, nor should their clothes and bedding be dried over fire during winter. They should not consume fruits such as peaches, apricots, yangmei (Chinese bayberry), nor foods like roasted or fried hot wheat noodles, as these will cause heat in the child's body. Some cases of internal heat arise from eating meat too early after a Shanghan (Cold Damage) illness; some may develop into Guzheng (Bone-steaming fever, a chronic consumptive disease characterized by yin deficiency and internal heat). It is appropriate to treat them with Shengxi San (Raw Rhinoceros Horn Powder), Ke Xiao Tang (Ke Xiao Decoction), Digupi Yin (Digupi Decoction), Qibao San (Seven Treasures Powder), and Jinlian Yinzi (Jinlian Drink).
[From Zeng] Guzhen fever presents with a weak and emaciated body, onset in the evening, fever without chills, and cessation only after waking up with thirst and sweating. This is the residual toxin of Gan disease (infantile malnutrition syndrome caused by spleen-stomach dysfunction), which transmits to become Guzhen. There may also be Pi masses (abdominal masses) inside the abdomen with occasional mild pain. Shenling Baizhu San (Ginseng, Poria, and Atractylodes Macrocephala Powder) or Jiang Zao Sanleng Decoction can be used to regulate the condition. Alternatively, Huapi Wan (Pi-Mass Resolving Pill) can be administered first to treat spleen deficiency and retained stagnation, followed by treatment with Chaihu Yin (Bupleurum Decoction). One must still avoid toxic foods such as chicken, alcohol, mutton, and wheat noodles.
Renshen Shengxi San: Treats pediatric Guzhen with muscle wasting, flushed cheeks, dry mouth, tidal fever in the late afternoon (Ribu Chaore), night sweats, five-palm heat irritability (Wuxin Fanzao), and limb fatigue. It also treats residual toxins remaining after severe illnesses have healed, or body heat and loss of appetite after consuming mutton following a Shanghan illness.
Ingredients: Lingyangjiao (Antelope Horn, sliced), Digupi (Cortex Lycii), Qinjiao (Radix Gentianae Macrophyllae, cleaned of soil), Maimendong (Radix Ophiopogonis, heart removed), Zhike (Fructus Aurantii, bran-fried), Chuandahuang (Radix et Rhizoma Rhei, steamed), Chaihu (Radix Bupleuri, radix removed), Chi Fu Ling (Poria Cocos with red skin removed), Chi Shaoyao (Radix Paeoniae Rubra), Sangbaipi (Cortex Mori, fried), Huangqin (Radix Scutellariae), Renshen (Radix Ginseng), Biejia (Carapax et Plastrum Testudinis, skirt removed, vinegar-fried to yellow). All ingredients are in equal proportions.
Usage: Coarsely crush the herbs. Take 2 qian per dose, add half zhan of water and half a Wu Mei (Mume Fructus), decoct until three parts remain. Take at any time.
Digupi Yin: Treats pediatric Guzhen, alternating tidal fever, vexation and palpitations in the chest and diaphragm, and unresolved pathogenic factors after Shanghan.
Ingredients: Chaihu (Radix Bupleuri, radix removed), Digupi (Cortex Lycii) (each 2 liang), Zhimu (Rhizoma Anemarrhenae), Gancao (Radix Glycyrrhizae, honey-fried), Biejia (Carapax et Plastrum Testudinis, vinegar-fried to yellow), Huangqin (Radix Scutellariae), Renshen (Radix Ginseng) (each 2.5 qian), Chi Fu Ling (Poria Cocos with red skin removed) (0.5 liang).
Usage: Coarsely crush the herbs. For a one-year-old child, take 2 qian, add six parts water, one slice of ginger, and one slice of Wu Mei, decoct until three parts remain. Take at any time.
Chaihu Yin: Treats Guzhen and Gan Qi (Gan gas/toxin), five-palm heat, worsening in the late afternoon, dry mouth with no taste, excessive thirst with emaciation, chest fullness with tight phlegm, yellow urine, reduced appetite, and mental confusion.
Ingredients: Beichaihu (Radix Bupleuri), Renshen (Radix Ginseng), Danggui (Radix Angelicae Sinensis, wine-washed), Huangqin (Radix Scutellariae), Chi Shaoyao (Radix Paeoniae Rubra), Gancao (Radix Glycyrrhizae, honey-fried) (each 1 liang), Dahuang (Radix et Rhizoma Rhei), Jiegeng (Radix Platycodonis, radix removed, crushed and fried), Bei Wuwei (Fructus Schisandrae, stems removed), Banxia (Rhizoma Pinelliae) (each 0.5 liang).
Usage: Coarsely crush the herbs. Take 2 qian per dose, add one zhan of water, a small corner of Wu Mei, and two slices of ginger, decoct until seven parts remain. Take warm at any time.
Zhengshi Xijiao Yin: Treats pediatric Guzhen with tidal fever, night sweats, and muscle wasting.
Ingredients: Xijiao xie (Hornis Rhinocerotis, shaved), Biejia (Carapax et Plastrum Testudinis, vinegar-fried), Chaihu (Radix Bupleuri), Zhimu (Rhizoma Anemarrhenae) (each 0.5 liang), Digupi (Cortex Lycii), Huhuanglian (Rhizoma Coptidis) (each 1 liang), Chuandahuang (Radix et Rhizoma Rhei), Taozhi (Ramulus Persicae) (each 0.5 liang).
Usage: Crush the herbs. For a three-year-old child, take 1 qian, add half zhan of water, and decoct. Take at any time.
Lingxi Yin: Treats Guzhen with tidal fever, night sweats, cough, ability to eat but excessive thirst, sallow complexion with muscle wasting, abdominal urgency, and coarse breathing. Suitable for general use in deficiency heat and residual heat.
Ingredients: Xijiao xie (Hornis Rhinocerotis, shaved), Huhuanglian (Rhizoma Coptidis) (each 0.5 liang), Bai Fu Ling (Poria Cocos), Renshen (Radix Ginseng), Chuanxiong (Rhizoma Chuanxiong), Qinjiao (Radix Gentianae Macrophyllae), Gancao (Radix Glycyrrhizae), Qianghuo (Rhizoma Notopterygii), Chaihu (Radix Bupleuri), Jiegeng (Radix Platycodonis), Digupi (Cortex Lycii) (each 1 liang).
Usage: Crush the herbs. For a three-year-old child, take 1 qian, add half zhan of water, and a small amount of Wu Mei and Zhuye (Leaf of Bambusa), and decoct.
Ke Xiao Tang (See "Tidal Fever" chapter), Huapi Wan (See "Pi Mass" chapter).