(Deficient Heat Steaming Jaundice) Total of nine sections.

Qian Yi discussed lung deficient heat: The lips appear deep red. Treatment should involve dispersing lung deficient heat, administering a small dose of Xiebai San (Bai Du San). (Formula see section on Asthma and Cough.)

Qian Yi discussed deficiency and excess heat syndromes: The son of Supervisor Zhu was five years old and suddenly developed fever. The physician said: This is heart heat. The child had red cheeks and red lips, restlessness, and excessive thirst. Three doses of Niuhuang Wan (Calculus Bovis Pill) were administered, followed by Yiwu Xiexin Tang (One-Ingredient Heart-Purging Decoction). The next day, the condition did not improve; instead, weakness increased and appetite was lost. The physician used purgatives again, resulting in yellow frothy stools. Qian Yi said: The heart meridian is originally deficient with lingering heat inside. It must have been injured by cold and purgative medicines, leading to this consumptive disease. Qian Yi first used Baizhu San (Atractylodes Macrocephala Powder) to generate stomach fluids (Formula see section on Stomach Qi Disharmony), then treated it with Shengxi San (Raw Rhinoceros Horn Powder). Zhu asked: What about the yellow frothy stools? Qian Yi said: When stomach qi recovers, diarrhea will stop naturally; this is deficient heat. Zhu asked: How was the use of Xiexin Tang by the physician? Qian Yi said: Xiexin Tang contains Huanglian (Coptidis Rhizoma), which is cold in nature. Overconsumption causes diarrhea and damages spleen and stomach yang. After sitting for a long time, other physicians arrived and claimed it was excess heat. Qian Yi stated it was deficient heat. If it were excess heat, why would the condition worsen after purging with Xiexin Tang, presenting with sallow complexion, red malar eminences, five-palm heat, anorexia, and thirst? The physician asked: Since it is deficient heat, why are there yellow frothy stools? Qian Yi smiled and said: The yellow frothy stools are due to the excessive prior consumption of Xiexin Tang. Later, Qian Yi cured him with Huhuanglian Wan (Coptis Chinensis Pill). (Formula see section on Post-illness Emaciation.)

Yangsheng Biyong records Shuyu Wan (Dioscorea Pill) for treating wind-lao, cold qi, and various diseases. It also treats wind-strabismus, back stiffness and fatigue, chest fullness and shortness of breath, emaciation with poor diet, and pediatric diarrhea with excessive sweating and fever.
Ingredients: Shuyu (Dioscoreae Rhizoma, 3 liang), Danggui (Angelicae Sinensis Radix), Guizhi (Cinnamomi Ramulus, peeled), Dahuangdoujuan (Fermented Soybean, stir-fried), Shudihuang (Rehmanniae Radix Praeparata), Shenqu (Massa Medicata Fermentata, each 1 liang), Ganjiang (Zingiberis Rhizoma, 3 qian), Bailing (Pseudostellariae Radix, 2 qian), Gancao (Glycyrrhizae Radix et Rhizoma, honey-fried, 2 liang 8 qian), Renshen (Ginseng Radix et Rhizoma), Ejiao (Asini Corii Colla, stir-fried until white, each 7 qian), Xiong (Ligustici Chuanxiong Rhizoma), Baishao (Paeoniae Radix Alba), Baizhu (Atractylodis Macrocephalae Rhizoma), Maimendong (Ophiopogonis Radix, core removed, dried), Xingren (Armeniacae Semen Amarum, skin and tip removed, bran-fried until yellow), Fangfeng (Saposhnikoviae Radix, radix removed, each 6 qian), Chaihu (Bupleuri Radix, stem removed), Jiegeng (Platycodonis Radix), Baifuling (Poria, each half liang).
Grind all ingredients into fine powder. Mix with refined honey to form pills the size of bullet seeds. Brew jujube decoction thickly. Chew one pill on an empty stomach, and take another at noon. For those with heat signs, make pills the size of sesame seeds. Take twenty pills on an empty stomach and at noon with rice drink, up to thirty pills maximum.

Qian Yi's Qinjiao San (Meliosma Powder) treats tidal fever, reduced appetite, and steaming emaciation.
Ingredients: Qinjiao (Meliosmae Radix, head removed, cut and dried), Gancao (Glycyrrhizae Radix et Rhizoma, honey-fried, each 1 liang), Ganboheye (Menthae Haplocalycis Folium, half liang, do not dry).
Grind into coarse powder. Each dose takes 1–2 qian. Add one zhan of water, boil to 0.8 portion, and take warm after meals.

Qian Yi's Xin'an Shenming Wan (Heart-Nourishing and Spirit-Calming Pill) treats sallow complexion, red malar eminences, and high fever.
Ingredients: Maimendong (Ophiopogonis Radix, core removed, dried), Mayaxiao (Natrii Sulfas), Baifuling (Poria), Ganshashen (Dioscoreae Rhizoma), Hanshuishi (Calcitritum, ground), Gancao (Glycyrrhizae Radix et Rhizoma, each half liang), Zhusha (Cinnabar, 1 liang, ground), Longnao (Borneolum Syntheticum, one zi, ground).
Grind into powder. Mix with refined honey to form pills the size of a corn kernel. Take half a pill per dose, dissolved in sugar water, at any time.

Qian Yi's Shengxi San (Raw Rhinoceros Horn Powder) treats pale red eyes and heart deficient heat.
Ingredients: Shengxi (Rhinocerotis Cornu, 2 qian, scraped into powder), Digupi (Lycii Cortex, preferably self-harvested), Chishaoyao (Paeoniae Radix Rubra), Chaihu Gen (Bupleuri Radix), Gange (Puerariae Radix, chopped, each 1 liang), Gancao (Glycyrrhizae Radix et Rhizoma, honey-fried, half liang).
Grind into coarse powder. Each dose takes 1–2 qian. Add one zhan of water, boil to 0.7 portion, and take warm after meals.

Qian Yi's Digupi San (Lycii Cortex Powder) treats recurrent deficient heat, as well as high fever from cold damage and residual heat.
Ingredients: Digupi (Lycii Cortex, preferably self-harvested), Zhimu (Anemarrhenae Rhizoma), Yinzhou Chaihu (Bupleuri Radix from Yinzhou, radix removed), Gancao (Glycyrrhizae Radix et Rhizoma, honey-fried), Banxia (Pinelliae Rhizoma, washed seven times in water, cut and dried), Renshen (Ginseng Radix et Rhizoma, top removed, dried), Chi Fuling (Poria with pink wood, equal parts).
Grind into fine powder. Each dose takes 2 qian. Add five slices of fresh ginger and one zhan of water, boil to 0.8 portion, and take warm after meals. Adjust dosage according to the child's age and size.

Zhang Huan's Qinjiao San (Meliosma Powder) treats muscle-heat syndrome.
Ingredients: Qinjiao (Meliosmae Radix, 1 liang), Chuan Dahuang (Rhei Radix et Rhizoma, chopped, slightly stir-fried), Huangqi (Astragali Radix), Chixiaodou (Vigna Angularis Semen), Nuomi (Oryza Sativa Glutinosa, each half liang).
Pound the ingredients and sieve into fine powder. Each dose takes 1 qian. Add one zhan of water, boil to 0.5 portion, remove dregs, and take warm after meals.

Zhuang Family Collection's Ren Shen Xi Jiao San (Ginseng and Rhinoceros Horn Powder) treats pediatric ying-wei disharmony, upper jiao deficient heat, muscle heat caused by accumulation, progression to gan-lao (childhood malnutrition and tuberculosis-like symptoms) if muscle heat persists, night sweats, red malar eminences, and incessant cough.
Ingredients: Renshen (Ginseng Radix et Rhizoma), Fuling (Poria), Baizhu (Atractylodis Macrocephalae Rhizoma, each half liang), Xi Jiao (Rhinocerotis Cornu), Chaihu (Bupleuri Radix, stem removed), Biejia (Trionycis Carapax, vinegar-fried), Gancao (Glycyrrhizae Radix et Rhizoma, honey-fried), Banxia (Pinelliae Rhizoma, ginger-prepared, each 1 fen).
Grind the eight herbs into powder. Decoct with fresh ginger and jujubes. Each dose takes 0.5 qian. Add half a zhan of water, boil to 0.3 portion, filter dregs, and take warm after meals.

Zhuang Family Collection's Early Autumn Deficient Heat and Palpitation Formula.
Ingredients: Huoxiang (Agastaches Herba), Tugua Gen (Benincasae Caulis or similar root, each 2 liang), Gancao (Glycyrrhizae Radix et Rhizoma, processed, 1 liang), Caodoukou (Amomi Fructus Rotundus, half liang).
Grind into coarse powder. Each dose takes 1 qian. Add 0.5 zhan of water, boil to 0.3 portion, and take warm.

Zhuang Family Collection's Huangqi Wan (Astragalus Pill) treats children with weak constitution who experience intermittent fever, loss of appetite, or frequent palpitations. It strengthens qi and tonifies deficiency.
Ingredients: Huangqi (Astragali Radix, thinly sliced, honey-fried until yellow), Renshen (Ginseng Radix et Rhizoma), Chaihu (Bupleuri Radix, stem removed, thoroughly washed), Ganshuyu (Dioscoreae Rhizoma), Chi Fuling (Poria with pink wood, each half liang), Huangqin (Scutellariae Radix, tight and small ones), Shengxi Mo (Raw Rhinoceros Horn powder, each 1 fen).
Chop finely, dry by baking, grind into powder. Mix with refined honey to form pills the size of large cherries. Take with Ophiopogon prepared water.

Zhuang Family Collection's Renshen San (Ginseng Powder) treats pediatric deficient heat with irritability and thirst; also suitable for incessant irritability and thirst due to vomiting and diarrhea, and after bowel evacuation.
Ingredients: Renshen (Ginseng Radix et Rhizoma, 5 liang), Fuling (Poria, 8 liang 3 qian), Gancao (Glycyrrhizae Radix et Rhizoma, baked, 1 liang), Jiegeng (Platycodonis Radix), Gange (Puerariae Radix, chopped), Shengxi (Rhinocerotis Cornu, each half liang).
Grind into powder. Each dose takes one large qian. Add one zhan of water and five stalks of Dengxin Cao (Junci Medullae), boil together to 0.6 portion, let cool to warm, and take at any time. For severe irritability and thirst, add fresh bamboo leaves.

Kong Family Collection's Formula for Tidal Deficient Heat, Irritability, and Emaciation in Boys and Girls.
Ingredients: Chaihu (Bupleuri Radix), Digupi (Lycii Cortex, each half liang), Gancao (Glycyrrhizae Radix et Rhizoma, honey-fried), Xixin (Asari Radix et Rhizoma, each 1 fen).
Grind into powder. Each dose takes 2 qian. Add one zhan of water, boil to 0.7 portion, and take warm.

Kong Family Collection's Tao Nu Wan (Peach Slave Pill) treats heart deficiency with heat, mental confusion, irregular speech, shi-zhu (ghost infection), ke-wu (alien influence), nightmares, and pediatric convulsions.
Ingredients: Tao Xiao (Immature Peach Fruit attached to branch, seven pieces, separately ground), Taoren (Persicae Semen, fourteen pieces, skin and tip removed), Anshixiang (Styrax, ground with non-alcoholic wine, filtered to remove sand, slow-cooked in silver vessel into paste, stored tightly), Xionghuang (Realgar, boiled with peach leaves, ground, filtered, each 3 fen), Chen Sha (Cinnabar), Sheng Daimei (Testudo Carapax et Plastrum, raw, each 1 liang), Hupo (Electrum, separately ground), Heixi (Black Rhinoceros Horn, water-ground on stone, clarified, each half liang), Niuhuang (Calculus Bovis), Naoshe (Borneolum and Moschus, each 1 fen, separately ground).
Grind all into fine powder. Mix with the prepared paste. Form pills the size of a corn kernel. Seal tightly in a closed container and store in a clean room. Grind one pill in Ginseng decoction and take after meals. Stop medication when the disease is cured; if not cured, increase the number of pills.

Kong Family Collection's Formula for Muscle Emaciation and Tidal Fever in Boys and Girls.
Dry Qinghao (Artemisiae Annuae Herba) by baking and grind into powder. Each dose takes 3 qian. Combine with one cun of Gancao (Glycyrrhizae Radix et Rhizoma), one Wumei (Mume Fructus), and fifty grains of Xiaomai (Tritici Semen). Add one zhan of river water, boil to 0.7 portion, and take warm.