白虎汤 治伤寒，或吐或下后，七八日邪毒不解，热结在里，表里作热，时时恶风大渴，舌
上干燥而烦，欲饮数升者，宜服之。又治夏月中暑，汗出恶风寒，身热而渴。
知母（三两） 甘草（一两，炙） 石膏（八两，另研） 糯米（三合）
上每服二三钱，水煎至米熟为度。
泻黄散（方见脾脏）
泻心汤（方见心脏）
地黄散（方见肾脏）
清凉饮
柴苓散
二黄犀角散
牛黄散
黄龙汤
牛黄膏
栀子仁汤
六物黄芩汤
五物人参饮
地骨皮散（十方见潮热）
惺惺散
理中汤（二方见咳嗽，加人参即人参理中汤）
龙胆汤
紫霜丸（二方见噤风撮口）
四物汤（方见急惊）
六神散（方见夜啼）
白术散（方见积痛）
羌活散（方见惊风）
下积丸（方见积滞）
补中益气汤
大安丸（即保和丸加白术）
六君子汤
四君子汤
加味逍遥散
异功散（六方见内钓）
泻白散（方见肺脏）
泻青丸（方见肝脏）
凉膈散（方见疮疡）
八珍汤（方见寒热）
钱仲阳曰∶潮热者，时间发热，过时即退，来日根据时而至。有风寒疳积食癖之分，阴阳虚实
五脏之异。如汗出身热，呵欠面赤者，风热也。伤寒时疫，阴阳相胜，外感热也。肌瘦口干
，骨蒸盗汗，疳热也。大小便秘涩，汗下不解，积热也。腹背先热，夜发旦止，食热也。涎
嗽饮水，乳食不消，癖热也。又有烦热者，气粗喘促，心躁不安，颊赤口疮，兼发痫症。疮
疹热者耳鼻尖冷。血热者，巳午间发，至夜则凉。虚热者，困倦少力，发于病后。阳邪于心
，则来去不定。阴阳相胜，则寒热如疟。前症在小儿。有因乳母或妊娠，七情浓味遗热，或
饮食停积，衣衾过暖，及频浴热汤而为患。若寅卯辰时，热而力盛，饮水者，肝经实热也，
用柴胡清肝散。热而力怯，饮汤者，肝经虚热也，用六味地黄丸。巳午时热，心经也，实用
导赤散；虚用秘旨安神丸。申酉戌时热，肺经也，实用泻白散；虚用秘旨保脾汤。亥子丑时
热，肾经也，用地黄丸。大凡壮热饮水，大便秘结，属实热，用二黄犀角散下之。热渴饮汤
，大便如常，属血虚，用四物汤补之。若下后，阴虚阳无所附而仍热，用四物、参、 。汗
后，阴阳虚无所生而仍热，用四君、芎、归。若汗下后，烦渴面赤，血虚发躁也，用当归补
血汤。若见惊搐等症，肝血虚而内生风也，用四物、天麻、钩藤钩。颊赤口干，小便赤涩，
大便焦黄，表里俱实热也，用清凉饮子。如大便已利，或热未止，表邪未解也，惺惺散未应
，加麻黄微汗之。既汗而仍热，此表里俱虚，气不归源，阳浮于外而虚热也，六神散加粳米
。阳气下陷于阴中而发热者，用补中益气汤。若乳下婴儿，当兼治其母。
治验
一小儿潮热烦渴，大便干实，气促咳嗽，右腮色赤。此肺与大肠有热，用柴胡饮子，一服顿
愈。后因微惊，发搐切牙顿闷，此肝脾气血虚也，用四君、芎、归、钩藤钩而愈。
一小儿潮热发躁，左腮青赤，此心肝血虚，用秘旨安神丸及四物、防风、酸枣仁渐愈。又用
六味地黄丸，调补肝肾而痊。
一小儿潮热发搐，痰涎上涌，手足指冷，左腮至申酉时，青中隐白，手足时搐，此肝经虚弱
，肺金所胜而潮搐，脾土虚弱，而手足冷也。用补中益气汤调补脾肺，用六味地黄丸滋补肝
肾而愈。盖病气有余，当认为元气不足。若用泻金伐肝、清热化痰，则误矣。
一小儿寅卯时发热，或兼搐有痰。服抱龙、泻青二丸而愈。后复患，服前药，兼咳嗽气喘不
时发搐，面赤色，或青黄，或浮肿，或流涎。余谓∶咳嗽气喘，脾肺气虚也；不时发搐，肝
木乘脾也；面青黄，肝入心脾也；浮肿流涎，脾气虚也。用益智丸，以养心血，补中益气汤
，以补脾气而愈。
一小儿腹满作呕，饮食少思，至暮腹胀发热，此脾虚下陷，朝用补中益气汤，夕用六君、柴
胡、升麻而愈。后因劳，不时寒热，夜间盗汗，用十全大补汤而愈。
一小儿夜间发热腹胀。余谓∶脾虚肝盛。朝用五味异功散，夕用四味肥儿丸，热止，乃朝用
六味地黄丸，夕用异功散而痊。
一小儿巳午时发热惊悸，发时形气倦怠，面黄懒食，流涎饮汤。余谓∶心气不足所致。不信
，反服凉心之药，更加吐泻，睡而露睛，手足并冷，几至慢脾风。先用六君、姜、桂，佐以
地黄丸而愈。
一小儿亥子时，患前症，用益黄散而愈。后复发，服前药及清热之剂，病发，不时嗜卧露睛
，作渴少食，大便频黄。余谓∶脾虚，而肝木胜之，兼元气下陷也。用补中益气汤，佐以地
黄丸而愈。
一小儿先停食，服克伐之药，致面色痿黄，体倦少食，申酉时潮热，或用清热消导之剂，更
加泄泻。余先用六君子汤数剂，后用补中益气汤渐愈。
一小儿申酉时发热面赤，腹中作痛，或用峻利之剂下之，致发搐吐痰作渴，腹痛按之即止，
此脾胃伤而变症也。用七味白术散、补中益气汤顿安。
柴苓散 治壮热来去。
柴胡 麦门冬（去心焙） 人参 赤茯苓 甘草（各半两） 黄芩（一两）
上为末，每服二钱，入小麦二十粒，青竹叶二片，水煎服。
二黄犀角散 治温壮热，心神不安，大腑秘结。
犀角屑 大黄（酒浸蒸） 钩藤钩 栀子仁 甘草 黄芩（各半两）
上为末，每服五分，热汤调下，量儿加减。
牛黄散 治温壮常热，或寒热往来。
牛黄（研） 甘草（各半两） 柴胡 栀子（酒炒） 龙胆草（酒炒） 黄芩（炒。各二钱半）
上为末，每服半钱，以金银薄荷汤调下。
黄龙汤 治发热不退，或寒热往来。
柴胡（五钱） 黄芩（炒） 甘草（炙。各二钱） 赤芍药（三钱）
上每服三钱，姜、枣水煎。
牛黄膏 治壮热，咽喉涎响，或不省人事，或左右手偏搐，或唇口眼鼻颤动。此涎热内蓄，
风邪外感也。宜急服之。
蝎尾（四十九枚） 巴豆肉（去油膜，一钱半） 梅花脑（半匙） 辰砂（研，二钱） 郁金（一钱，皂角水
煮
上为末，每服一匙，蜜水调下，量儿虚实用之。
栀子仁汤 治阳毒壮热，百节疼痛，下后热不退者。
栀子仁（酒炒） 赤芍药 大青 知母（各一两） 升麻 黄芩（酒炒） 石膏（各二两） 柴胡（一两半） 甘
草（五钱） 杏仁（二两，浸去皮，面炒微黄）
上每服三钱，生姜三片，水煎服。
六物黄芩汤 治壮热，腹大短气，往来寒热，饮食不化。
黄芩（酒炒） 大青 甘草（炙） 麦门冬（去心） 石膏（各半两） 桂（二钱）
上每服一二钱，水煎服。
五物人参饮 治壮热咳嗽，心腹胀满
人参 甘草（各半两） 麦门冬（去心） 生地黄（各一两半） 茅根（半握）
上每服二三钱，水煎服。
益智丸 治脾肾虚热，心气不足。
益智仁 茯苓 茯神（各等分）
上为末，炼蜜丸，桐子大。每服五六十丸，空心白滚汤下。（亦治白浊）
四物二连汤 治血虚劳，五心烦热，昼则明了，夜则发热，胁肋并一身尽热，日晡肌热。
当归 生地黄 白芍药 川芎 黄连 胡黄连（各等分）
上水煎服。
地骨皮散 治虚热壮热。
知母 柴胡 甘草 人参 地骨皮 茯苓 半夏（各等分）
上姜水煎，有惊热加蝉退、天麻、黄芩。
抱龙丸（方见伤寒）
六味丸（方见肾脏）
七味白术散（方见积痛）
导赤散
秘旨安神丸（二方见心脏）
泻白散（方见肺脏）
惺惺散
保肺汤（二方见咳嗽）
四物汤（方见急惊）
当归补血汤
柴胡清肝饮
清凉饮子（三方见发热）
六神散（方见夜啼）
补中益气汤（方见虚羸）
四君子汤
六君子汤（二方见内钓）
益黄散（方见脾脏）
泻青丸（方见肝脏）
白虎汤：治疗伤寒，或在呕吐、泻下之后，经过七八天邪毒仍未解除，热邪结聚在体内，表里都发热，时常怕风，极度口渴，舌面干燥且烦躁，想要喝几升水的情况，适宜服用此方。又用于治疗夏季中暑，出汗却怕风怕冷，身体发热且口渴。
知母（三两） 甘草（一两，经蜜炙） 石膏（八两，单独研磨成粉） 糯米（三合）
以上药材每次取二三钱，加水煎煮至米熟为止。
泻黄散（方剂见“脾脏”章节）
泻心汤（方剂见“心脏”章节）
地黄散（方剂见“肾脏”章节）
清凉饮
柴苓散
二黄犀角散
牛黄散
黄龙汤
牛黄膏
栀子仁汤
六物黄芩汤
五物人参饮
地骨皮散（上述十个方剂均见“潮热”章节）
惺惺散
理中汤（两个方剂见“咳嗽”章节，加入人参即为人参理中汤）
龙胆汤
紫霜丸（两个方剂见“噤风撮口”章节）
四物汤（方剂见“急惊”章节）
六神散（方剂见“夜啼”章节）
白术散（方剂见“积痛”章节）
羌活散（方剂见“惊风”章节）
下积丸（方剂见“积滞”章节）
补中益气汤
大安丸（即保和丸加白术）
六君子汤
四君子汤
加味逍遥散
异功散（六个方剂见“内钓”章节）
泻白散（方剂见“肺脏”章节）
泻青丸（方剂见“肝脏”章节）
凉膈散（方剂见“疮疡”章节）
八珍汤（方剂见“寒热”章节）
钱仲阳说：潮热是指定时发热，过了时间热度就退去，第二天按时再次发作。潮热有风寒、疳积、食癖的区别，以及阴阳、虚实、五脏的不同。例如出汗后身体发热，打哈欠且面色发红，这是风热。伤寒时疫，阴阳相互克制，属于外感热病。肌肉消瘦、口干、骨蒸盗汗，是疳热。大小便便秘涩滞，发汗或泻下后热不退，是积热。腹部和背部先发热，夜间发作早晨停止，是食热。流涎、咳嗽、想喝水但乳食不消化，是癖热。还有烦热，表现为气粗喘促，心中烦躁不安，脸颊发红，口中生疮，兼发癫痫症状。疮疹热表现为耳朵和鼻子尖端发冷。血热表现为巳时、午时（上午9点至下午3点）发热，到了夜晚则凉爽。虚热表现为困倦乏力，多在病后发生。阳邪侵犯心脏，则发热来去不定。阴阳相互克制，则寒热交替如疟疾。上述病症多见于小儿。有的因为乳母怀孕时七情过激、饮食厚味遗留热毒，或者饮食停滞积聚，衣被过暖，以及频繁用热水洗澡而致病。如果在寅时、卯时、辰时（凌晨3点至上午9点）发热且力气旺盛、想喝水的，是肝经实热，用柴胡清肝散。发热但力气怯弱、想喝热汤的，是肝经虚热，用六味地黄丸。巳时、午时发热，属心经，实证用导赤散；虚证用秘旨安神丸。申时、酉时、戌时（下午3点至晚上9点）发热，属肺经，实证用泻白散；虚证用秘旨保脾汤。亥时、子时、丑时（晚上9点至凌晨3点）发热，属肾经，用地黄丸。大凡高热想喝水，大便秘结，属实热，用二黄犀角散攻下。发热口渴想喝热汤，大便正常，属血虚，用四物汤滋补。如果泻下后，阴虚导致阳气无所依附而仍然发热，用四物汤加人参、[此处原文缺字，推测为黄芪或类似补气药]。发汗后，阴阳两虚导致气血无法生化而仍然发热，用四君子汤加川芎、当归。如果发汗、泻下后，烦躁口渴、面色发红，是血虚导致的烦躁，用当归补血汤。如果出现惊厥抽搐等症状，是肝血虚而生内风，用四物汤加天麻、钩藤。脸颊发红、口干、小便赤涩、大便焦黄，是表里俱实热，用清凉饮子。如果大便已经通畅，但热未止，说明表邪未解，若惺惺散无效，加麻黄轻微发汗。既已发汗但仍发热，这是表里俱虚，气不归源，阳气浮越于外导致的虚热，用六神散加粳米。阳气下陷于阴中而发热的，用补中益气汤。如果是哺乳期婴儿，应当同时治疗其母亲。
治验案例：
一个小孩潮热、烦躁口渴，大便干结，气促咳嗽，右腮颜色发红。这是肺与大肠有热，用柴胡饮子，服一次立刻痊愈。后来因轻微受惊，出现抽搐、咬牙、突然昏闷，这是肝脾气血虚，用人参、茯苓、白术、甘草（四君子汤）、川芎、当归、钩藤而愈。
一个小孩潮热、烦躁，左腮青红，这是心肝血虚，用秘旨安神丸及四物汤、防风、酸枣仁逐渐痊愈。后又用六味地黄丸，调补肝肾而康复。
一个小孩潮热、抽搐，痰涎上涌，手足指头冷，左腮到申酉时，青色中隐现白色，手足不时抽搐，这是肝经虚弱，被肺金所克导致潮搐，脾土虚弱导致手足冷。用补中益气汤调补脾肺，用六味地黄丸滋补肝肾而愈。大概病情有余，应当认为是元气不足。如果用泻肺金、伐肝木、清热化痰的方法，就错了。
一个小孩在寅卯时发热，有时兼有抽搐和有痰。服用抱龙丸、泻青丸而愈。后来复发，服用前药，兼有咳嗽气喘、不时抽搐，面色红，或青黄，或浮肿，或流涎。我认为：咳嗽气喘，是脾肺气虚；不时抽搐，是肝木乘脾；面色青黄，是肝入心脾；浮肿流涎，是脾气虚。用益智丸养心血，补中益气汤补脾气而愈。
一个小孩腹部胀满作呕，饮食减少，到了傍晚腹胀发热，这是脾虚下陷，早上服用补中益气汤，晚上服用六君子汤加柴胡、升麻而愈。后来因劳累，不时寒热，夜间盗汗，用十全大补汤而愈。
一个小孩夜间发热腹胀。我认为：脾虚肝盛。早上服用五味异功散，晚上服用四味肥儿丸，热止后，乃早上服用六味地黄丸，晚上服用异功散而痊愈。
一个小孩在巳午时发热惊悸，发作时形体气息倦怠，面色黄懒食，流涎喝汤。我认为：这是心气不足所致。不信，反而服用凉心之药，更加吐泻，睡觉时眼睛露出，手脚冰冷，几乎变成慢脾风。先用六君子汤加生姜、肉桂，佐以地黄丸而愈。
一个小孩在亥子时患前症，用益黄散而愈。后来复发，服用前药及清热之剂，病发，不时嗜睡露睛，口渴少食，大便频黄。我认为：脾虚，肝木胜之，兼元气下陷。用补中益气汤，佐以地黄丸而愈。
一个小孩先停食，服用克伐之药，导致面色萎黄，体倦少食，申酉时潮热，或用清热消导之剂，更加泄泻。我先用六君子汤数剂，后用补中益气汤逐渐痊愈。
一个小孩申酉时发热面赤，腹中作痛，或用峻利之剂泻下，导致发搐吐痰作渴，腹痛按之即止，这是脾胃受伤而变症。用七味白术散、补中益气汤立刻安定。
柴苓散：治疗壮热来去不定。
柴胡 麦门冬（去心焙干） 人参 赤茯苓 甘草（各半两） 黄芩（一两）
以上研为末，每次服二钱，加入小麦二十粒，青竹叶二片，水煎服。
二黄犀角散：治疗温壮热，心神不安，大腑秘结。
犀角屑 大黄（酒浸蒸） 钩藤钩 栀子仁 甘草 黄芩（各半两）
以上研为末，每次服五分，用热汤调下，根据儿童情况加减剂量。
牛黄散：治疗温壮常热，或寒热往来。
牛黄（研细） 甘草（各半两） 柴胡 栀子（酒炒） 龙胆草（酒炒） 黄芩（炒。各二钱半）
以上研为末，每次服半钱，用金银薄荷汤调下。
黄龙汤：治疗发热不退，或寒热往来。
柴胡（五钱） 黄芩（炒） 甘草（炙。各二钱） 赤芍药（三钱）
以上每次服三钱，姜、枣水煎。
牛黄膏：治疗壮热，咽喉痰鸣，或不省人事，或左右手偏侧抽搐，或唇口眼鼻颤动。这是痰热内蓄，风邪外感所致。宜紧急服用。
蝎尾（四十九枚） 巴豆肉（去油膜，一钱半） 梅花脑（半匙） 辰砂（研细，二钱） 郁金（一钱，皂角水煮）
以上研为末，每次服一匙，蜜水调下，根据儿童虚实使用。
栀子仁汤：治疗阳毒壮热，全身关节疼痛，泻下后热不退者。
栀子仁（酒炒） 赤芍药 大青 知母（各一两） 升麻 黄芩（酒炒） 石膏（各二两） 柴胡（一两半） 甘草（五钱） 杏仁（二两，浸泡去皮，面粉炒微黄）
以上每次服三钱，生姜三片，水煎服。
六物黄芩汤：治疗壮热，腹部胀大短气，往来寒热，饮食不化。
黄芩（酒炒） 大青 甘草（炙） 麦门冬（去心） 石膏（各半两） 桂（二钱）
以上每次服一二钱，水煎服。
五物人参饮：治疗壮热咳嗽，心腹胀满
人参 甘草（各半两） 麦门冬（去心） 生地黄（各一两半） 茅根（半握）
以上每次服二三钱，水煎服。
益智丸：治疗脾肾虚热，心气不足。
益智仁 茯苓 茯神（各等分）
以上研为末，炼蜜为丸，梧桐子大。每次服五六十丸，空腹白开水送下。（也治疗白浊）
四物二连汤：治疗血虚劳损，五心烦热，白天清醒，夜间发热，胁肋及全身发热，日晡时肌热。
当归 生地黄 白芍药 川芎 黄连 胡黄连（各等分）
以上水煎服。
地骨皮散：治疗虚热壮热。
知母 柴胡 甘草 人参 地骨皮 茯苓 半夏（各等分）
以上姜水煎，有惊热加蝉蜕、天麻、黄芩。
抱龙丸（方剂见“伤寒”章节）
六味丸（方剂见“肾脏”章节）
七味白术散（方剂见“积痛”章节）
导赤散
秘旨安神丸（两个方剂见“心脏”章节）
泻白散（方剂见“肺脏”章节）
惺惺散
保肺汤（两个方剂见“咳嗽”章节）
四物汤（方剂见“急惊”章节）
当归补血汤
柴胡清肝饮
清凉饮子（三个方剂见“发热”章节）
六神散（方剂见“夜啼”章节）
补中益气汤（方剂见“虚羸”章节）
四君子汤
六君子汤（两个方剂见“内钓”章节）
益黄散（方剂见“脾脏”章节）
泻青丸（方剂见“肝脏”章节）
Baihu Tang (White Tiger Decoction): Treats Shanghan (Cold Damage), or after vomiting or purging, when pathogenic toxins remain unresolved for seven to eight days. Heat is knotted internally, causing heat in both the exterior and interior, occasional aversion to wind, severe thirst, dryness and irritability on the tongue, and a desire to drink several liters of water. This formula is suitable. It also treats summerheat-stroke in summer, characterized by sweating with aversion to wind and cold, body heat, and thirst.
Zhimu (Anemarrhenae Rhizoma) (3 liang), Gancao (Glycyrrhizae Radix et Rhizoma) (1 liang, honey-fried), Shigao (Gypsum Fibrosum) (8 liang, separately ground), Nuomi (Oryzae Sativa Semen Glutinosa) (3 he).
Take 2-3 qian of the above herbs per dose, decoct in water until the rice is cooked.
Xiehuang San (Drain the Spleen Powder) (See "Spleen Organ" chapter for formula)
Xiexin Tang (Drain the Heart Decoction) (See "Heart Organ" chapter for formula)
Dihuang San (Rehmannia Powder) (See "Kidney Organ" chapter for formula)
Qingliang Yin (Cooling Drink)
Chailing San (Bupleurum and Coix Powder)
Erhuang Xijiao San (Two Yellows and Rhino Horn Powder)
Niuhuang San (Calculus Bovis Powder)
Huanglong Tang (Yellow Dragon Decoction)
Niuhuang Gao (Calculus Bovis Ointment)
Zhizi Ren Tang (Gardeniae Seed Decoction)
Liuwu Huangqin Tang (Six-Ingredient Scutellaria Decoction)
Wuwu Renshen Yin (Five-Ingredient Ginseng Drink)
Digupi San (Cortex Lycii Powder) (The above ten formulas are seen in the "Tidal Fever" chapter)
Xingxing San (Stirring Powder)
Lizhong Tang (Regulate the Middle Decoction) (Two formulas seen in "Cough" chapter; adding Renshen makes it Renshen Lizhong Tang)
Longdan Tang (Gentiana Decoction)
Zishuang Wan (Purple Frost Pill) (Two formulas seen in "Jinfeng Cuokou" chapter)
Siwu Tang (Four Substances Decoction) (See "Acute Convulsion" chapter for formula)
Liushen San (Six Deities Powder) (See "Night Crying" chapter for formula)
Baizhu San (Atractylodes Macrocephala Powder) (See "Accumulation Pain" chapter for formula)
Qianghuo San (Notopterygii Rhizoma Powder) (See "Convulsion" chapter for formula)
Xiaji Wan (Downward Accumulation Pill) (See "Food Stagnation" chapter for formula)
Buzhong Yiqi Tang (Tonify the Middle and Augment the Qi Decoction)
Da'an Wan (Great Peace Pill) (i.e., Baohe Wan plus Baizhu)
Liujunzi Tang (Six Gentlemen Decoction)
Sijunzi Tang (Four Gentlemen Decoction)
Jiawei Xiaoyao San (Modified Free and Easy Wanderer Powder)
Yigong San (Benefiting Skill Powder) (Six formulas seen in "Neidiao" chapter)
Xiebai San (Drain the Lung Powder) (See "Lung Organ" chapter for formula)
Xieqing Wan (Drain the Liver Pill) (See "Liver Organ" chapter for formula)
Liangge San (Cool the Diaphragm Powder) (See "Sores and Ulcers" chapter for formula)
Bazhen Tang (Eight Treasures Decoction) (See "Chills and Fever" chapter for formula)
Qian Zhongyang said: Tidal fever refers to fever occurring at specific times, subsiding after the time passes, and recurring at the same time the next day. There are distinctions among wind-cold, malnutrition accumulation, and food癖 (masses), as well as differences in yin-yang, deficiency-excess, and the five zang organs. For example, fever after sweating, yawning, and reddened face indicates wind-heat. Shanghan epidemics, where yin and yang contend, indicate external contraction heat. Emaciation, dry mouth, bone-steaming night sweats indicate malnutrition heat. Constipation and difficult urination, fever unrelieved by sweating or purging, indicates accumulation heat. Heat first appearing in the abdomen and back, starting at night and stopping in the morning, indicates food heat. Salivation, cough, desire to drink but indigestion of milk and food indicates mass heat. There is also vexatious heat, characterized by coarse breathing, panting, mental restlessness, red cheeks, mouth sores, and concurrent epilepsy symptoms. Rash heat presents with cold ears and nose tips. Blood heat manifests as fever during Si-Wu hours (9 AM - 3 PM) and cooling at night. Deficiency heat presents as fatigue and weakness, often occurring after illness. Yang pathogens affecting the heart cause irregular fever. Contention between yin and yang causes chills and fever alternating like malaria. The aforementioned conditions are common in children. Some are caused by the mother's excessive emotions or rich diet during pregnancy leaving residual heat, or by food stagnation, excessive clothing/bedding warmth, and frequent bathing in hot water. If fever occurs during Yin-Mao-Chen hours (3 AM - 9 AM) with strong vitality and desire to drink, it is excess heat in the Liver Meridian, treated with Chaihu Qinggan San. If fever occurs with weak vitality and desire for warm drinks, it is deficiency heat in the Liver Meridian, treated with Liuwei Dihuang Wan. Fever during Si-Wu hours belongs to the Heart Meridian; excess is treated with Daochi San, deficiency with Mizhi Anshen Wan. Fever during Shen-You-Xu hours (3 PM - 9 PM) belongs to the Lung Meridian; excess is treated with Xiebai San, deficiency with Mizhi Baopi Tang. Fever during Hai-Zi-Chou hours (9 PM - 3 AM) belongs to the Kidney Meridian, treated with Dihuang Wan. Generally, high fever with thirst and constipation indicates excess heat, treated with Erhuang Xijiao San to purge. Fever with thirst for warm drinks and normal stool indicates blood deficiency, treated with Siwu Tang to tonify. After purging, if yin deficiency leaves yang without attachment and fever persists, use Siwu Tang plus Renshen [text missing, likely Huangqi]. After sweating, if yin and yang deficiency prevents qi and blood generation and fever persists, use Sijunzi Tang plus Chuanxiong and Danggui. If after sweating and purging there is vexation, thirst, and red face due to blood deficiency causing agitation, use Danggui Buxue Tang. If convulsions occur due to liver blood deficiency generating internal wind, use Siwu Tang plus Tianma and Gouteng. Red cheeks, dry mouth, dark scanty urine, and dry yellow stool indicate exterior-interior excess heat, treated with Qingliang Yinzi. If stool has passed but fever persists, indicating unresolved exterior pathogen, if Xingxing San is ineffective, add Mahuang to induce mild sweating. If fever persists after sweating, this indicates exterior-interior deficiency, qi failing to return to its source, and yang floating externally causing deficiency heat, treated with Liushen San plus Jingmi. If fever is caused by yang qi sinking into yin, use Buzhong Yiqi Tang. For nursing infants, treat the mother simultaneously.
Clinical Cases:
One child had tidal fever, vexation, thirst, dry hard stool, shortness of breath, cough, and red right cheek. This indicated heat in the Lung and Large Intestine. Used Chaihu Yinzi, cured after one dose. Later, due to slight fright, developed convulsions, teeth grinding, and sudden stupor. This indicated liver-spleen qi and blood deficiency. Cured using Sijunzi Tang, Chuanxiong, Danggui, and Gouteng.
One child had tidal fever, agitation, and cyanotic-red left cheek. This indicated heart-liver blood deficiency. Gradually improved using Mizhi Anshen Wan and Siwu Tang, Fangfeng, Suanzaoren. Later cured using Liuwei Dihuang Wan to regulate and tonify liver and kidney.
One child had tidal fever, convulsions, surging phlegm-saliva, and cold fingers/toes. From Shen-You hours, the left cheek showed white hidden within cyanosis, with intermittent hand-foot convulsions. This indicated liver meridian weakness overcome by lung metal causing tidal convulsions, and spleen earth weakness causing cold extremities. Cured by using Buzhong Yiqi Tang to regulate spleen and lung, and Liuwei Dihuang Wan to tonify liver and kidney. Generally, when pathological qi is in excess, it should be recognized as yuan qi deficiency. Using methods to drain lung metal, attack liver wood, clear heat, and resolve phlegm would be an error.
One child had fever during Yin-Mao hours, sometimes with convulsions and phlegm. Cured using Baolong Wan and Xieqing Wan. Relapsed later; taking previous medicines along with cough, asthma, intermittent convulsions, red face, or cyanotic-yellow, edema, or salivation. I stated: Cough and asthma indicate spleen-lung qi deficiency; intermittent convulsions indicate liver wood attacking spleen; cyanotic-yellow face indicates liver entering heart and spleen; edema and salivation indicate spleen qi deficiency. Cured using Yizhi Wan to nourish heart blood, and Buzhong Yiqi Tang to tonify spleen qi.
One child had abdominal fullness, vomiting, poor appetite, and evening abdominal distension with fever. This indicated spleen qi sinking. Morning dose of Buzhong Yiqi Tang, evening dose of Liujunzi Tang plus Chaihu and Shengma, cured. Later due to overwork, experienced intermittent chills and fever, night sweats. Cured using Shiquan Dabu Tang.
One child had nighttime fever and abdominal distension. I stated: Spleen deficiency with liver excess. Morning dose of Wuwei Yigong San, evening dose of Siwei Fei'er Wan. After fever stopped, morning dose of Liuwei Dihuang Wan, evening dose of Yigong San, cured.
One child had fever and palpitations during Si-Wu hours. During attacks, physical energy was fatigued, face yellow, reluctant to eat, salivating, drinking soup. I stated: Caused by heart qi insufficiency. Disbelieving, took cooling-heart medicines, worsening vomiting and diarrhea, sleeping with eyes open, cold hands and feet, nearly developing Manpi Feng (Slow Spleen Wind). First cured using Liujunzi Tang with Jiang and Rougui, assisted by Dihuang Wan.
One child had the previous condition during Hai-Zi hours, cured using Yihuang San. Relapsed later; taking previous medicines and heat-clearing agents, disease returned with drowsiness, exposed eyes, thirst, poor appetite, frequent yellow stool. I stated: Spleen deficiency with liver wood excess, combined with yuan qi sinking. Cured using Buzhong Yiqi Tang, assisted by Dihuang Wan.
One child had food stagnation initially, took attacking medicines, resulting in sallow complexion, fatigue, poor appetite, tidal fever during Shen-You hours. Using heat-clearing and digestion-promoting agents worsened diarrhea. First used Liujunzi Tang for several doses, then gradually cured using Buzhong Yiqi Tang.
One child had fever, red face, and abdominal pain during Shen-You hours. Using harsh purgatives led to convulsions, phlegm expectoration, thirst, and abdominal pain relieved by pressure. This indicated spleen-stomach injury causing transformed symptoms. Instantly stabilized using Qiwei Baizhu San and Buzhong Yiqi Tang.
Chailing San: Treats fluctuating high fever.
Chaihu, Maidong (Ophiopogonis Radix, heart removed and roasted), Renshen, Chifuling, Gancao (each half liang), Huangqin (1 liang).
Grind into powder. Take 2 qian per dose, add 20 wheat grains and 2 green bamboo leaves, decoct in water and take.
Erhuang Xijiao San: Treats warm high fever, restless mind, and large bowel constipation.
Xijiao (Rhinocerotis Cornu), Dahuang (Rhei Radix et Rhizoma, wine-soaked and steamed), Gouteng Uncariae Ramulus cum Uncis, Zhizi Gardeniae Fructus, Gancao, Huangqin (each half liang).
Grind into powder. Take 5 fen per dose, mix with hot water, adjust dosage according to the child.
Niuhuang San: Treats persistent warm high fever or alternating chills and fever.
Niuhuang (Calculus Bovis, ground), Gancao (each half liang), Chaihu, Zhizi (wine-fried), Longdancao (Gentianae Radix, wine-fried), Huangqin (fried. each 2.5 qian).
Grind into powder. Take half a qian per dose, mix with Jin Yinbo He Tang (Honeysuckle and Mint Decoction).
Huanglong Tang: Treats persistent fever or alternating chills and fever.
Chaihu (5 qian), Huangqin (fried), Gancao (honey-fried. each 2 qian), Chi Shaoyao (Paeoniae Radix Rubra) (3 qian).
Take 3 qian per dose, decoct with ginger and jujube water.
Niuhuang Gao: Treats high fever, rattling phlegm in throat, unconsciousness, unilateral limb convulsions, or trembling of lips, mouth, eyes, and nose. This is due to internal accumulation of phlegm-heat and external contraction of wind pathogen. Should be taken urgently.
Xiewei (Scorpio), Badou (Crotonis Fructus, oil removed, 1.5 qian), Meihua Nao (Camphora), Chen Sha (Cinnabaris, ground, 2 qian), Yujin (Curcumae Radix, 1 qian, boiled in soap pod water).
Grind into powder. Take one spoon per dose, mix with honey water, use according to child's deficiency or excess.
Zhizi Ren Tang: Treats yang toxicity high fever, joint pain, and fever unrelieved after purging.
Zhizi Ren (Gardeniae Fructus, wine-fried), Chi Shaoyao, Daqing (Isatidis Folium), Zhi Mu (Anemarrhenae Rhizoma) (each 1 liang), Shengma (Cimicifugae Rhizoma), Huangqin (wine-fried), Shigao (Gypsum Fibrosum) (each 2 liang), Chaihu (1.5 liang), Gancao (5 qian), Xingren (Pruni Semen, soaked peeled, flour-roasted slightly yellow) (2 liang).
Take 3 qian per dose, add 3 slices of ginger, decoct in water and take.
Liuwu Huangqin Tang: Treats high fever, abdominal distension with shortness of breath, alternating chills and fever, and indigestion.
Huangqin (wine-fried), Daqing, Gancao (honey-fried), Maidong (heart removed), Shigao (each half liang), Gui (Cinnamomi Cortex) (2 qian).
Take 1-2 qian per dose, decoct in water and take.
Wuwu Renshen Yin: Treats high fever with cough, chest and abdominal fullness.
Renshen, Gancao (each half liang), Maidong (heart removed), Shengdihuang (Rehmanniae Radix) (each 1.5 liang), Maogen (Imperatae Rhizoma, half handful).
Take 2-3 qian per dose, decoct in water and take.
Yizhi Wan: Treats spleen-kidney deficiency heat and heart qi insufficiency.
Yizhiren (Alpiniae Oxyphyllae Fructus), Fuling (Poria), Fushen (Poria with Hostwood) (equal parts).
Grind into powder, make pills with refined honey, size of paulownia seeds. Take 50-60 pills per dose, swallow with plain warm water on an empty stomach. (Also treats leukorrhea/prostatorrhea)
Siwu Erlian Tang: Treats blood deficiency consumption, five-palm heat, clarity during day and fever at night, hypochondriac and whole-body heat, afternoon muscle heat.
Danggui (Angelicae Sinensis Radix), Shengdihuang, Baishaoyao (Paeoniae Radix Alba), Chuanxiong, Huanglian (Coptidis Rhizoma), Huhuanglian (Picrorhizae Rhizoma) (equal parts).
Decoct in water and take.
Digupi San: Treats deficiency heat and high fever.
Zhi Mu, Chaihu, Gancao, Renshen, Digupi (Cortex Lycii), Fuling, Banxia (Pinelliae Rhizoma) (equal parts).
Decoct with ginger water. Add Chanui (Cicadae Periostracum), Tianma (Gastrodiae Rhizoma), Huangqin if there is fright-heat.
Baolong Wan (See "Shanghan" chapter for formula)
Liuwei Wan (See "Kidney Organ" chapter for formula)
Qiwei Baizhu San (See "Accumulation Pain" chapter for formula)
Daochi San
Mizhi Anshen Wan (Two formulas seen in "Heart Organ" chapter)
Xiebai San (See "Lung Organ" chapter for formula)
Xingxing San
Baofei Tang (Two formulas seen in "Cough" chapter)
Siwu Tang (See "Acute Convulsion" chapter for formula)
Danggui Buxue Tang
Chaihu Qinggan Yin
Qingliang Yinzi (Three formulas seen in "Fever" chapter)
Liushen San (See "Night Crying" chapter for formula)
Buzhong Yiqi Tang (See "Emaciation" chapter for formula)
Sijunzi Tang
Liujunzi Tang (Two formulas seen in "Neidiao" chapter)
Yihuang San (See "Spleen Organ" chapter for formula)
Xieqing Wan (See "Liver Organ" chapter for formula)