(《宝鉴》)紫阳黑散 治小儿变蒸壮热,亦治伤寒发热。
麻黄(去节,三钱) 大黄(酒炒黑,一钱) 杏仁(去皮尖,二钱)
上同一处捣和,烧存性,以杏仁膏和之,密器盛。每服一豆许,乳汁调和灌之。
平和饮子 治婴儿变蒸,于三日后,三日进一服,可免百病,百日内宜服。
人参(钱半) 白茯苓(一钱) 炙甘草(五分) 升麻(二分)
上咀水半盏,煎三分,不时服。弱者加白术一钱。
调元散 治小儿变蒸,脾弱不乳,吐乳、多啼。
人参 陈皮 白术 浓朴(姜制) 香附子(各一钱) 藿香炙甘草(各五分)
上为末,每服一钱,姜枣煎服。
当归饮子 治小儿变蒸有寒热者。
当归(一钱) 人参(一钱) 木香 官桂(各三分) 炙甘草(五分)
上锉每用一钱,姜枣煎服。
参杏膏 治小儿变蒸潮热。
人参(半钱) 杏仁(去皮尖,一钱) 炙甘草(一钱) 川升麻(煨,五分)
上为极细末,百日以前,每用一字,麦门冬煎汤调服。
(《经验》)柴胡饮子 治儿变蒸之期,有似伤寒,两疑之间,用之极稳。
软柴胡 紫苏叶 薄荷叶 陈皮 黄芩(各五分) 炙甘草(三分) 桔梗(五分) 芍药(五分)
上锉水一盏,枣姜煎三四分,不时与服。
抱龙丸 治变蒸壮热微惊者,方见惊风门。
(出自《小儿药证直诀》)紫阳黑散:治疗小儿变蒸期间出现的壮热,同时也用于治疗伤寒引起的发热。
麻黄(去除节部,三钱) 大黄(用酒炒至黑色,一钱) 杏仁(去皮和尖,二钱)
将上述药材放在同一处捣碎混合,烧至保留药性(存性),用杏仁膏调和,装入密封容器中保存。每次服用如豆粒大小的量,用乳汁调和后灌服。
平和饮子:治疗婴儿变蒸,在出生后第三日开始服用,每三天服用一次,可预防多种疾病,建议在百日内服用。
人参(一钱半) 白茯苓(一钱) 炙甘草(五分) 升麻(二分)
将药材切碎,加入半盏水,煎煮至剩余三分之一的药液,随时服用。体质虚弱者加白术一钱。
调元散:治疗小儿变蒸期间,因脾虚导致不愿吃奶、吐乳、多啼哭的症状。
人参 陈皮 白术 浓朴(姜制) 香附子(各一钱) 藿香 炙甘草(各五分)
将上述药材研为细末,每次服用一钱,用生姜和大枣煎汤送服。
当归饮子:治疗小儿变蒸期间出现寒热交替症状的。
当归(一钱) 人参(一钱) 木香 官桂(各三分) 炙甘草(五分)
将药材锉碎,每次取一钱,用生姜和大枣煎汤送服。
参杏膏:治疗小儿变蒸期间的潮热。
人参(半钱) 杏仁(去皮和尖,一钱) 炙甘草(一钱) 川升麻(煨制,五分)
将上述药材研为极细末,在百日以前,每次取“一字”量的药粉,用麦门冬煎汤调服。
(出自《经验方》)柴胡饮子:治疗儿童变蒸期间,症状类似伤寒,处于疑似伤寒与变蒸之间的模糊阶段时,使用此方非常稳妥。
软柴胡 紫苏叶 薄荷叶 陈皮 黄芩(各五分) 炙甘草(三分) 桔梗(五分) 芍药(五分)
将药材锉碎,加入一盏水,配合大枣和生姜煎煮至剩余三四分药液,随时服用。
(Ziyang Heisan from *Xiao'er Yaozheng Zhijue*): Ziyang Black Powder treats vigorous fever during the "bianzheng" (growth and development phase) in infants, and also treats fever caused by Shanghan (Cold Damage).
Mahuang (Ephedrae Herba, nodes removed, 3 qian) Dahuang (Rhei Radix et Rhizoma, stir-fried with wine until black, 1 qian) Xingren (Prunus Armeniacae Semen, skin and tips removed, 2 qian)
Grind the above ingredients together in one place, calcine them to retain their medicinal properties (cun xing), and mix with an ointment made from Xingren. Store in a sealed container. Administer approximately the amount of one bean per dose, mixed with breast milk for administration.
Pinghe Yinzi: Treats bianzheng in infants. Begin administration on the third day after birth, giving one dose every three days. This can prevent various diseases and is suitable for use within the first hundred days.
Renshen (Panacis Ginseng Radix, 1.5 qian) Baifuling (Poria, 1 qian) Zhigancao (Glycyrrhizae Radix et Rhizoma Preparata, 0.5 qian) Shengma (Cimicifugae Rhizoma, 0.2 qian)
Cut the herbs into small pieces, add half a cup of water, and decoct until one-third remains. Take as needed. For weak constitutions, add Baizhu (Atractylodis Macrocephalae Rhizoma, 1 qian).
Tianyuan San: Treats bianzheng in infants characterized by spleen deficiency leading to refusal to nurse, vomiting of milk, and excessive crying.
Renshen (Panacis Ginseng Radix) Chenpi (Citri Reticulatae Pericarpium) Baizhu (Atractylodis Macrocephalae Rhizoma) Houpo (Magnoliae Officinalis Cortex, ginger-processed) Xiangfuzi (Cyperi Rhizoma) Huoxiang (Agastaches Herba) Zhigancao (Glycyrrhizae Radix et Rhizoma Preparata) (each 1 qian for the first four, each 0.5 qian for the last two)
Grind into fine powder. Take 1 qian per dose, decocted with fresh ginger and jujube fruit.
Danggui Yinzi: Treats bianzheng in infants presenting with alternating chills and fever.
Danggui (Angelicae Sinensis Radix, 1 qian) Renshen (Panacis Ginseng Radix, 1 qian) Muxiang (Aucklandiae Radix) Guigui (Cinnamomi Ramulus, specifically Guigui, each 0.3 qian) Zhigancao (Glycyrrhizae Radix et Rhizoma Preparata, 0.5 qian)
Cut into small pieces. Take 1 qian per dose, decocted with fresh ginger and jujube fruit.
Shenxing Gao: Treats tidal fever during bianzheng in infants.
Renshen (Panacis Ginseng Radix, 0.5 qian) Xingren (Prunus Armeniacae Semen, skin and tips removed, 1 qian) Zhigancao (Glycyrrhizae Radix et Rhizoma Preparata, 1 qian) Chuan Shengma (Cimicifugae Rhizoma, roasted, 0.5 qian)
Grind into an extremely fine powder. Before the infant is one hundred days old, take an amount equivalent to "one character" (a very small measure), mixed with a decoction of Maidong (Ophiopogonis Radix).
(Jingyan Fang): Chaihu Yinzi: Treats the period of bianzheng in children where symptoms resemble Shanghan (Cold Damage), creating diagnostic uncertainty between the two conditions. This formula is highly stable and reliable for such cases.
Chaihu (Bupleuri Radix, soft variety) Zisuye (Perillae Folium) Boheye (Menthae Haplocalycis Herba) Chenpi (Citri Reticulatae Pericarpium) Huangqin (Scutellariae Radix) (each 0.5 qian) Zhigancao (Glycyrrhizae Radix et Rhizoma Preparata, 0.3 qian) Jiegeng (Platycodonis Radix) Shaoyao (Paeoniae Radix) (each 0.5 qian)
Cut into small pieces. Add one cup of water, decoct with jujube fruit and fresh ginger until three or four parts remain. Administer as needed.
Baolong Wan: Treats bianzheng accompanied by vigorous fever and slight convulsions. The specific prescription is found in the section on Convulsive Disorders (Jingfeng Men).