凡治小儿喉痹，宜于大人喉痹法参用之。
〔汤〕喉痹别无治法，非吐不可。生此证万一危极，前法无效，急用官局碧霞丹研细，用薄荷自然
汁入醋调，以鸡翎蘸药送入喉内，徐徐导引，得吐出痰涎为佳。《本事方》论碧霞丹能害人，此不然，
盖当时遇有合死之人耳。
碧霞丹
石绿 附子尖 乌头尖 蝎梢
上为末，为丸。薄荷汁化，取涎出。
〔《明》〕喉中鸣，咽乳不利∶璇玑。急喉痹∶天突（一壮不宜，灸，忌之。）
〔钱〕肝热，手寻衣领及乱捻物，泻青丸主之。壮热饮水喘闷，泻白散主之。（壮热者，一向热而不已也。）
肺热，手掐眉目，日西热甚，咳嗽寒热，壮热饮水，甘桔汤主之。若肺虚热，唇深红色，轻者泻白
散，重者凉膈散主之。
心热，视其睡，口中气温，或合面卧，及上窜摇头切牙，皆心热也，导赤散主之。（心气热则心
胸亦然，欲言不能而有就冷之意，故合面睡。）
脾热，则目黄肚大，怠惰嗜卧，身热饮水，四肢不收，泻黄散主之。
肾虚，则下窜畏明，地黄丸主之。颊赤，由心脏邪热上攻也，宜服导赤散。
〔钱〕面上证∶左腮为肝，右腮为肺，额上为心，鼻为脾，颊为肾，赤者热也，随证治之。目内 赤者心
热，导赤散主之；淡红者心虚热，生犀散主之。青者肝热，泻青丸主之；浅淡者补之。黄者脾热，泻黄散主之。
无精光者，肾虚，地黄丸主之。（洁古云∶目中五色甚者，泻本脏。色浅者宜补之。又云∶白是寒，
小便青，四逆汤。黄赤是热，承气汤，泻本脏。青是腹痛，捻头散主之，桂枝芍药汤亦主之。）
〔《脉》〕小儿脉沉而数者，骨间有热，欲以腹按冷清也。
〔钱〕身热不饮水者，热在外；身热饮水者，热在内。
〔海〕四顺饮子治热在内而不厥。连翘散治热在外而不厥。
〔丹〕小儿发热，手足伏热，痰热，必用吐法。轻剂苦参、赤小豆末；重剂瓜蒂散、淡齑汁调服之。如不吐，
用鹅翎探之。
〔钱〕朱监簿子五岁，忽发热。医曰∶此心热也。腮赤而唇红，烦躁引饮。遂用牛黄丸三服，以
一物泻心汤下之，来日不愈，反加无力而不能食。又下之，便利黄沫。钱曰∶心经虚而有留热在内，
必被凉药下之，致此虚劳之病也。钱先用白术散，生胃中津液，次以生犀散治之。朱曰∶大便黄沫如何？
曰∶胃气正即泻自止，虚热也。朱曰∶医用泻心汤如何？钱曰∶泻心汤者，黄连一物耳。黄连性寒，
多服则利，能寒脾胃也。坐久，众医至，皆曰实热。钱曰∶虚热。若实热何以泻心汤下之不安，又加
面黄颊赤，五心烦躁，不食而引饮？医曰∶既虚热，何大便黄沫？钱笑曰∶便黄沫者，服泻心汤多故
也。钱与胡黄连丸治愈。郑人齐郎中者，家好收药散施，其子忽脏热，齐自取青金膏三服并一服饵之，
服毕，至三更泻五行，其子困睡。齐言子睡多惊，又与青金膏一服。又泻三行，加口干身热。齐言尚有
微热未尽，又与青金膏。其妻曰∶用药十余行未安，莫生他病否？召钱氏至，曰∶已成虚羸。先用前白
术散时时服之，后服香瓜丸，十三日愈。（香瓜丸即香瓜散方，见自汗条。）
〔海〕风热邪热，四君子汤加生姜、荆芥煎。
〔云〕小儿客热在内，不思乳食，先用导赤散，次用益黄散。实热在内者，四顺饮之类，在上者吐之。
（方见表里条。）
〔丹〕小儿热病，六一散，妙药也。
食伤胃热熏蒸。
白术（一两） 半夏 黄连（各半两）
加平胃散，粥食后白汤下。
〔本》〕治小儿惊热。
全蝎 天南星（取心为末，一钱） 人参（三钱） 蛇蜕（三钱）
上为末，薄荷、蜜汤调下。
〔钱〕风温热，壮热相似。潮热，时间发热，过时即止，来日根据时又热，此欲发惊候也。
壮热者，一向热而不已，甚则发惊痫也。
风温者，身不热而口中气热，又有风温症者，但温而不热。
伤寒热，口热，呵欠顿闷，项急。（治见伤寒部。）
痘疮热，喷嚏，悸动，耳尖冷。（治见痘疮部。）
变蒸热，唇上白泡珠起，耳冷。（不必治。）
疳热，面黄，吃炭土，羸瘦，鼻下赤烂。（治见疳部。）
惊风热，发搐悸痫，脉数，烦躁，颠叫恍惚。（治见急惊部。）
〔《素》〕帝曰∶乳子而病热，脉悬小者何如？岐伯曰∶手足温则生，寒则死。（通评虚实论《甲乙经》
谓妇人乳子者。）
〔钱〕热证疏利，或解化后无虚证，勿温补，热必随生。
〔汤〕治疗喉痹没有其他的办法，非用催吐法不可。如果发生这种病症且情况万分危急，前面的方法无效时，紧急使用官方局方生产的碧霞丹，研磨成细粉，用薄荷自然汁加入醋调匀，用鸡毛蘸取药液送入咽喉内部，慢慢引导，能够吐出痰涎为最佳效果。《本事方》论述碧霞丹能害人，这是不对的，大概是当时遇到了注定要死的人罢了。
碧霞丹
石绿、附子尖、乌头尖、蝎梢
以上药物研为末，制成丸剂。用薄荷汁化开服用，以引出痰涎。
〔《明》〕喉中发出鸣响，吞咽乳汁不利：取穴璇玑。急喉痹：取穴天突（灸一壮不宜，艾灸此穴需禁忌）。
〔钱〕肝热，表现为手抓衣领及乱捻物品，主方用泻青丸。高热、饮水、气喘胸闷，主方用泻白散。（所谓“壮热”，指持续发热不停止。）
肺热，表现为手掐眉目，傍晚时分热势加重，咳嗽伴有寒热感，高热饮水，主方用甘桔汤。若是肺虚热，嘴唇深红色，轻症用泻白散，重症用凉膈散主方。
心热，观察其睡眠状态，口中气息温热，或者趴着睡，以及向上窜动、摇头、咬牙，都是心热的表现，主方用导赤散。（心气热则心胸也热，想说话却说不出而有寻求凉爽之意，所以趴着睡。）
脾热，则眼睛发黄、腹部胀大、倦怠嗜睡、身体发热、口渴饮水、四肢无力不能收持，主方用泻黄散。
肾虚，则向下躲藏、畏光，主方用地黄丸。脸颊发红，是由心脏邪热上攻所致，宜服用导赤散。
〔钱〕面部的证候：左腮属肝，右腮属肺，额头属心，鼻子属脾，颊部属肾，发红代表有热，根据证候进行治疗。眼睛内侧发红是心热，主方用导赤散；淡红色是心虚热，主方用生犀散。青色是肝热，主方用泻青丸；浅淡色则予以补益。黄色是脾热，主方用泻黄散。眼神无精光是肾虚，主方用地黄丸。（洁古说：眼中五色明显者，泻本脏之热；颜色浅淡者宜补益。又说：白色是寒，小便青，用四逆汤。黄赤色是热，用承气汤，泻本脏之热。青色是腹痛，用捻头散主方，桂枝芍药汤也主方。）
〔《脉》〕小儿脉象沉而数，说明骨间有热，喜欢用腹部贴着冷的地方以求凉爽。
〔钱〕身体发热但不喝水的，热在体表；身体发热且喝水的，热在体内。
〔海〕四顺饮子治疗热在体内而不出现四肢厥冷。连翘散治疗热在体表而不出现四肢厥冷。
〔丹〕小儿发热，手足伏热，痰热，必须使用催吐法。轻症用苦参、赤小豆粉末；重症用瓜蒂散，用淡醋汁调服。如果不呕吐，用鹅毛探喉催吐。
〔钱〕朱监簿的儿子五岁，突然发热。医生说：“这是心热。”脸颊红、嘴唇红，烦躁引水喝。于是用了三服牛黄丸，并用一味药组成的泻心汤送服，第二天病没好，反而更加无力且不能进食。又用了泻下法，大便排出黄色泡沫状物。钱乙说：“心经虚而有留热在内，必然被凉药泻下，导致这种虚劳的病。”钱乙先用白术散，生养胃中津液，其次用生犀散治疗。朱氏问：“大便黄沫是怎么回事？”回答说：“胃气恢复正常就会停止腹泻，这是虚热。”朱氏问：“医生用泻心汤怎么样？”钱乙说：“泻心汤就是黄连一味药。黄连性寒，多服则导致腹泻，能寒伤脾胃。”坐了很久，众医生到了，都说这是实热。钱乙说：“是虚热。”如果是实热，为什么用泻心汤泻下后不安宁，又加上面色黄、脸颊红、五心烦躁、不吃饭却想喝水？医生说：“既然是虚热，为什么大便排黄沫？”钱乙笑着说：“大便排黄沫，是因为服用泻心汤过多的缘故。”钱乙用胡黄连丸治愈。郑人齐郎中，家里喜欢收集药散施舍，他的儿子突然内脏发热，齐自己取了青金膏三服并喂了一次，服完后，到三更天拉了五次，孩子困倦嗜睡。齐说孩子睡觉多惊悸，又给了一服青金膏。又拉了三次，加上口干身热。齐说还有微热未尽，又给了青金膏。他的妻子说：“用药十多次还没安稳，莫非生出别的病了吗？”召来钱乙，说：“已经形成虚羸之症。”先用之前的白术散时时服用，后来服用香瓜丸，十三日痊愈。（香瓜丸即香瓜散方，见自汗条。）
〔云〕小儿客热在体内，不思乳食，先用导赤散，次用益黄散。实热在体内的，用四顺饮之类，热在上焦的用吐法。（方剂见表里条。）
饮食损伤导致胃热熏蒸。
白术（一两） 半夏 黄连（各半两）
加平胃散，饭后用白开水送下。
〔本〕治疗小儿惊热。
全蝎 天南星（取中心部分研为末，一钱） 人参（三钱） 蛇蜕（三钱）
以上研为末，用薄荷、蜜汤调服。
〔钱〕风温发热，与壮热相似。潮热，定时发热，过时即止，次日按时又发热，这是将要发作惊风的征兆。
壮热，指持续发热不停止，严重则会发作惊痫。
风温，身体不发热但口中气息热；又有风温症者，只是温和而不发热。
伤寒热，口热，打哈欠顿闷，项部拘急。（治疗见伤寒部。）
痘疮热，打喷嚏，悸动，耳尖冷。（治疗见痘疮部。）
变蒸热，嘴唇上起白色水泡珠，耳朵冷。（不必治疗。）
疳热，面色黄，吃炭土，消瘦，鼻子下方红肿溃烂。（治疗见疳部。）
惊风热，发作抽搐惊痫，脉数，烦躁，癫狂叫喊恍惚。（治疗见急惊部。）
〔《素》〕黄帝问：婴儿患热病，脉象悬小，怎么样？岐伯说：手足温暖则生，手足寒冷则死。（《通评虚实论》，《甲乙经》称妇人为乳子者。）
For the treatment of pediatric throat obstruction (Hou Bi), one should refer to and apply the methods used for adult throat obstruction.
[Tang] There is no other method for treating throat obstruction; emesis (inducing vomiting) is indispensable. If this condition arises with extreme danger and previous methods fail, urgently use Bixia Dan (Emerald Pill) from the Official Bureau, grind it into fine powder, mix with natural juice of Bohe (Menthae Haplocalycis Herba) and vinegar, dip a chicken feather in the medicine, insert it into the throat, and slowly guide it. The best outcome is the expulsion of phlegm and saliva. The *Ben Shi Fang* argues that Bixia Dan harms people; this is incorrect, as it likely encountered patients destined to die at that time.
Bixia Dan
Shi Lv (Malachite), Fuzi Jian (Tip of Aconiti Lateralis Radix Praeparata), Wutou Jian (Tip of Aconiti Radix), Xie Shao (Tail of Scorpio).
Grind the above into powder and make pills. Dissolve with Menthae Haplocalycis Herba juice to induce expectoration of phlegm.
[Ming] Hoarse sounds in the throat, difficulty swallowing milk: Xuanti (Ren 22). Acute throat obstruction: Tiantu (Ren 22) (Moxibustion of one moxa cone is not suitable; caution against moxibustion here).
[Qian] Liver heat, manifested by grasping the collar and randomly twisting objects, treated primarily with Xie Qing Wan (Drain the Green Pill). High fever, drinking water, wheezing and chest oppression, treated primarily with Xie Bai San (Drain the White Powder). ("High fever" refers to continuous fever without cessation.)
Lung heat, manifested by pinching eyebrows and eyes, worsening heat in the evening, cough with chills and fever, high fever with thirst, treated primarily with Gan Jie Tang (Licorice and Platycodon Decoction). For lung deficiency-heat, with deep red lips, mild cases use Xie Bai San, severe cases use Liang Ge San (Cool the Diaphragm Powder).
Heart heat, observed by sleep patterns: warm breath from the mouth, sleeping face down, or upward staring, head shaking, and teeth grinding indicate heart heat, treated primarily with Dao Chi San (Direct Red Out Powder). (Heat in heart qi causes heat in the chest and heart; wanting to speak but unable, seeking cold, hence sleeping face down.)
Spleen heat, manifested by yellow eyes, distended abdomen, lethargy and desire to lie down, body heat, thirst, and flaccidity of limbs, treated primarily with Xie Huang San (Drain the Yellow Powder).
Kidney deficiency, manifested by crouching downwards and fear of light, treated primarily with Dihuang Wan (Rehmannia Pill). Red cheeks are due to pathogenic heat from the heart attacking upwards, suitable for Dao Chi San.
[Qian] Facial signs: Left cheek corresponds to the Liver, right cheek to the Lung, forehead to the Heart, nose to the Spleen, and jaw/cheek area to the Kidney. Redness indicates heat; treat according to the syndrome. Redness inside the eyes indicates heart heat, treated with Dao Chi San; pale red indicates heart deficiency-heat, treated with Sheng Xi San (Fresh Rhinoceros Horn Powder). Cyan color indicates liver heat, treated with Xie Qing Wan; pale cyan indicates deficiency, treat with tonification. Yellow indicates spleen heat, treated with Xie Huang San. Lack of luster in the eyes indicates kidney deficiency, treated with Dihuang Wan. (Jiegu said: Prominent five colors in the eyes indicate draining the corresponding zang organ; faint colors indicate tonifying. Also: White indicates cold, clear urine, use Sini Tang (Frigid Extremities Decoction). Yellow-red indicates heat, use Chengqi Tang (Order the Qi Decoction), drain the zang organ. Cyan indicates abdominal pain, treated with Niantou San (Pinch Head Powder), Guizhi Shaoyao Tang (Cinnamon Twig and Peony Decoction) also applies.)
[Mai] Pediatric pulse that is deep and rapid indicates heat in the bones; the child desires to press their abdomen against cool surfaces.
[Qian] Body heat without thirst indicates heat on the exterior; body heat with thirst indicates heat on the interior.
[Hai] Sishun Yinzi (Four Smooth Infusion) treats heat in the interior without cold extremities. Lianqiao San (Forsythia Powder) treats heat on the exterior without cold extremities.
[Dan] For pediatric fever, latent heat in hands and feet, and phlegm-heat, emesis is mandatory. Mild cases use Ku Shen (Sophorae Flavescentis Radix) and Chi Xiao Dou (Adzuki Bean) powder; severe cases use Gouti San (Melon Peduncle Powder) mixed with weak vinegar juice. If vomiting does not occur, stimulate the throat with a goose feather.
[Qian] The son of Supervisor Zhu, aged five, suddenly developed fever. The physician said: "This is heart heat." With red cheeks and lips, irritability, and craving for drinks, three doses of Niuhuang Wan (Calculus Bovis Pill) were administered, followed by a single-herb Xiexin Tang (Drain the Heart Decoction). The next day, the condition did not improve; instead, weakness and anorexia worsened. Another purgative was given, resulting in yellow frothy stools. Qian Yi stated: "Deficiency of the Heart channel with retained heat internally, caused by cooling purgatives, leads to this consumptive disease." Qian first used Baizhu San (Atractylodes Macrocephala Powder) to generate stomach fluids, then treated with Sheng Xi San. Zhu asked: "What about the yellow frothy stool?" Answer: "When stomach qi recovers, diarrhea stops naturally; this is deficiency-heat." Zhu asked: "How was the use of Xiexin Tang?" Qian replied: "Xiexin Tang consists only of Huanglian (Coptidis Rhizoma). Huanglian is cold in nature; excessive use causes diarrhea and damages spleen and stomach qi." After sitting for a while, other physicians arrived, all claiming it was excess heat. Qian insisted: "It is deficiency-heat." If it were excess heat, why would Xiexin Tang cause discomfort, along with sallow complexion, red cheeks, five-center vexation, anorexia, and thirst? Physician asked: "If deficiency-heat, why yellow frothy stool?" Qian laughed: "The yellow frothy stool is due to excessive consumption of Xiexin Tang." Qian cured him with Huhuanglian Wan (Coptis Chinensis Pill). Qi Langzhong of Zheng, who distributed herbal powders, had a son with sudden internal organ heat. Qi gave Qingjin Gao (Blue Gold Ointment) three times. By midnight, the child had five bowel movements, became drowsy. Qi noted frequent startles during sleep and gave another dose of Qingjin Gao. Three more bowel movements occurred, accompanied by dry mouth and fever. Qi claimed residual mild heat remained and gave more Qingjin Gao. His wife questioned if further medication would cause new diseases. Qian Yi was summoned and diagnosed "consumptive emaciation." He prescribed continuous administration of Baizhu San, followed by Xianggua Wan (Muskmelon Pill), curing him in thirteen days. (Xianggua Wan is the same formula as Xianggua San, see spontaneous sweating section.)
[Hai] Wind-heat and pathogenic heat: Si Junzi Tang (Four Gentlemen Decoction) with Shengjiang (Zingiberis Rhizoma Recens) and Jingjie (Schizonepetae Herba) decocted.
[Yun] Pediatric external heat trapped internally, loss of appetite for milk: First use Dao Chi San, then Yihuang San (Strengthen the Yellow Powder). Excess heat internally: Use Sishun Yin etc.; heat in the upper jiao requires emesis. (Formulas see Exterior-Interior section.)
[Dan] For pediatric heat diseases, Liu Yi San (Six-to-One Powder) is a miraculous drug.
Dietary injury causing stomach heat steaming.
Baizhu (1 liang), Banxia (Pinelliae Rhizoma), Huanglian (Coptidis Rhizoma) (each half liang).
Add Pingwei San (Peace the Stomach Powder), taken with plain water after meals.
[Ben] Treats pediatric fright-heat.
Quanxie (Scorpio), Tiannanxing (Arisaematis Rhizoma - take center core, powder, 1 qian), Renshen (Ginseng Radix et Rhizoma, 3 qian), Shetui (Ophiopogonis Skin/Dermatolepis, 3 qian).
Grind into powder, mix with Menthae Haplocalycis Herba and honey water for administration.
[Qian] Wind-warmth fever resembles high fever. Tidal fever: fever occurs at specific times, ceases afterwards, recurs the next day at the same time; this indicates impending wind-stroke/fright.
High fever: Continuous fever without cessation; severe cases develop fright-seizures.
Wind-warmth: Body not hot, but breath is hot; some wind-warmth syndromes are merely warm, not hot.
Shanghan (Cold Damage) heat: Hot mouth, yawning, stuffiness, stiff neck. (Treatment see Shanghan section.)
Smallpox heat: Sneezing, palpitations, cold ear tips. (Treatment see Smallpox section.)
Bianzheng (Developmental Fever): White blisters on lips, cold ears. (No treatment needed.)
Gan (Wasting-Thirst) heat: Sallow complexion, eating charcoal/earth, emaciation, red erosion under nose. (Treatment see Gan section.)
Fright-wind heat: Convulsions, palpitations, seizures, rapid pulse, vexation, screaming, confusion. (Treatment see Acute Fright-Wind section.)
[Su] Emperor asked: When an infant has heat disease and the pulse is suspended and small, what happens? Qibo replied: Survival if hands and feet are warm; death if cold. (From *Tong Ping Xu Shi Lun*, *Jia Yi Jing* refers to women nursing infants.)
[Qian] For heat syndromes requiring purgation or resolution, if no deficiency signs remain after clearing heat, do not use warming tonics; otherwise, heat will inevitably regenerate.