小儿消饥，由脾火动而消中，中消于脾，移热于胃，喜多食，食无足时，小便色黄，名曰中消，古法主人
参白虎汤（如人参、石膏、知母、炙甘草，下晚粳米为引）。煎以米熟为度，澄
清热服。
〔真按〕小儿消谷易饥，方用生地二钱，麦冬二钱，山药钱半，知母钱半，丹皮钱半，黄连六分，黄芩六
分，黄柏六分，引用荷叶钱半。
小儿消浊，色如膏脂，名曰下消。古法主加味地黄汤（如大生地、怀山药、山茱萸肉、泽泻、丹皮、知母、
茯苓、北五味子、建莲肉、芡实米、大麦冬等味）。浓煎空心服。
〔真按〕小儿口渴，小便如膏，但用六味地黄汤加生脉散主之。方以熟地黄钱半，山萸肉一钱，怀山药一钱，
粉丹皮一钱，云茯苓钱半，白泽泻钱半，西洋参钱半，麦冬（去心）钱半，五味子五分。
头痛之证不一，怒甚则太阳作痛，小儿无此证也。头痛必吐清水，不拘冬夏，食姜即止，此中气虚寒，小儿无
此证也。烦劳则头痛，此阳气虚不能上升，小儿亦无此证。痰湿头痛，发则呕吐痰涎，此湿痰上攻所致，小儿又无
此证。热厥头痛，虽当严冬，犹喜风寒，其痛便止，略见温暖，其痛更甚，小儿更无此证。然则小儿头痛之证，
何以辨之？曰∶只有表里二证，在表者外感风寒也，在里者内热熏蒸也。因作头痛解。
小儿消饥，是由于脾火亢动导致中焦消烁（中消），热邪由脾转移至胃，表现为喜欢多吃食物，进食没有饱足感，小便颜色发黄，这种病症称为“中消”。古代医家主张使用参白虎汤治疗（方中包含人参、石膏、知母、炙甘草，以下晚粳米为药引）。煎煮时以米熟为度，澄清后去除药渣，待药液冷却后服用。
〔陈守真按语〕小儿消谷善饥（吃得多且容易饿），处方使用生地二钱，麦冬二钱，山药一钱半，知母一钱半，丹皮一钱半，黄连六分，黄芩六分，黄柏六分，引用荷叶一钱半作为药引。
小儿消浊，尿液颜色像膏脂一样浑浊，称为“下消”。古代医家主张使用加味地黄汤治疗（方中包含大生地、怀山药、山茱萸肉、泽泻、丹皮、知母、茯苓、北五味子、建莲肉、芡实米、大麦冬等药物）。浓煎后空腹服用。
〔陈守真按语〕小儿出现口渴、小便如膏状的症状，只需使用六味地黄汤合生脉散为主进行治疗。方剂组成包括：熟地黄一钱半，山萸肉一钱，怀山药一钱，粉丹皮一钱，云茯苓一钱半，白泽泻一钱半，西洋参一钱半，麦冬（去心）一钱半，五味子五分。
头痛的证候有多种不同情况。愤怒过度会导致太阳经头痛，但小儿不会有这种证候。头痛必定伴随呕吐清水，无论冬夏，吃了生姜就能停止，这是中气虚寒所致，小儿也不会有这种证候。烦劳过度会导致头痛，这是因为阳气虚弱不能上升，小儿同样没有这种证候。痰湿引起的头痛，发作时会呕吐痰涎，这是湿痰上攻所致，小儿也没有这种证候。热厥头痛，即使在严冬，患者也喜欢风寒环境，遇到风寒疼痛就会停止，稍微感到温暖，疼痛反而加剧，小儿更不会有这种证候。那么，如何辨别小儿的头痛呢？回答说：只有表证和里证两种情况。在表的，是外感风寒；在里的，是内热熏蒸。因此撰写了这篇《头痛解》。
Pediatric "Xiao Ji" (Excessive Hunger), arises from the stirring of Spleen Fire leading to Middle Jiao Consumption (Zhong Xiao, consumption centered on the Spleen/Stomach). The heat transfers from the Spleen to the Stomach, manifesting as a preference for excessive eating without satiety and yellow urine. This condition is named Zhong Xiao (Middle Consumption). Ancient methods advocate using Renshen Baihu Tang (Ginseng White Tiger Decoction) [ingredients: Renshen (Ginseng Root), Shigao (Gypsum Fibrosum), Zhimu (Anemarrhenae Rhizoma), Zhigancao (Prepared Licorice Root), with Wanjingsmi (Late Rice Grain) as an guiding agent]. It is decocted until the rice is cooked, clarified, and taken cold.
[Chen Shouzhen's Note] For pediatric Xiaogu Shanji (Consuming food easily and feeling hungry frequently), the prescription uses Shengdi (Rehmanniae Radix) 2 qian, Maidong (Ophiopogonis Tuber) 2 qian, Shanyao (Dioscoreae Rhizoma) 1.5 qian, Zhimu (Anemarrhenae Rhizoma) 1.5 qian, Danpi (Moutan Cortex) 1.5 qian, Huanglian (Coptidis Rhizoma) 6 fen, Huangqin (Scutellariae Radix) 6 fen, Huangbai (Phellodendri Cortex) 6 fen, with He Ye (Nelumbinis Folium) 1.5 qian as a guiding agent.
Pediatric "Xiao Zhuo" (Turbid Urine), where the urine resembles paste or fat, is named Xia Xiao (Lower Consumption). Ancient methods advocate using Jiawei Dihuang Tang (Modified Rehmannia Decoction) [ingredients: Da Shengdi (Raw Rehmanniae Radix), Huai Shanyao (Dioscoreae Rhizoma), Shanzhuyu Rou (Corni Fructus), Zexie (Alismatis Rhizoma), Danpi (Moutan Cortex), Zhimu (Anemarrhenae Rhizoma), Fuling (Poria), Bei Wuweizi (Schisandrae Chinensis Fructus), Jian Lianrou (Nelumbinis Plumula), Qianshi (Euryales Semen), Damaidong (Ophiopogonis Tuber)]. It is decocted strongly and taken on an empty stomach.
[Chen Shouzhen's Note] When pediatric patients present with thirst and urine resembling paste, one should use Liuwei Dihuang Tang (Six-Ingredient Rehmannia Pill/Decoction) combined with Shengmai San (Generate the Pulse Powder) as the primary treatment. The formula consists of: Shudihuang (Prepared Rehmanniae Radix) 1.5 qian, Shanyurou (Corni Fructus) 1 qian, Huai Shanyao (Dioscoreae Rhizoma) 1 qian, Fen Danpi (Moutan Cortex) 1 qian, Yun Fuling (Poria) 1.5 qian, Bai Zexie (Alismatis Rhizoma) 1.5 qian, Xiyangshen (American Ginseng Root) 1.5 qian, Maidong (Ophiopogonis Tuber, heart removed) 1.5 qian, Wuweizi (Schisandrae Chinensis Fructus) 0.5 fen.
The syndrome of headache varies. Severe anger causes Taiyang Meridian headache, but children do not exhibit this syndrome. Headache accompanied by vomiting clear fluid, regardless of season, which stops after consuming ginger, indicates deficiency-cold of the Middle Qi; children do not have this syndrome. Fatigue-induced headache results from deficiency of Yang Qi failing to ascend; children also lack this syndrome. Phlegm-dampness headache involves vomiting phlegm-saliva during attacks due to upward assault of damp-phlegm; children again do not have this syndrome. Heat-jue headache, even in severe winter, prefers wind-cold where pain ceases, and worsens slightly with warmth; children certainly do not have this syndrome. So, how to differentiate pediatric headache? The answer is: there are only Exterior and Interior syndromes. Those on the Exterior are exogenous wind-cold; those on the Interior are steaming internal heat. Therefore, this section on resolving headache is composed.