(Heat in palms and soles, with Five-Heart Heat)

*Zhubing Yuanhou Lun* (Catalogue of Causes and Manifestations of All Diseases), Chapter on Fanre (Vexing Heat): In infants and children whose zang-fu organs are full and blood-qigong is vigorous, if both the exterior and interior are hot, they will suffer from vexation and restlessness, accompanied by high skin fever.

*Xiao'er Xingzheng Lun* (Discussion on Infantile Forms and Syndromes), Song for the Forty-Eight Syndromes of Latent Heat in the Lung Organ:
The disease caused by latent heat in the lung family is difficult to predict; lying down at night brings mental vexation and constipation. Advise you to gently induce bowel movements two or three times, then administer mild and balanced medicines. If bad breath and clear nasal discharge are added, one must inquire into the root cause and exercise great care. If severe heat persists, it may be difficult to treat; do not force potent remedies indiscriminately.
This disease involves wind pathogens in the large and small intestines, causing stagnation and obstruction. One should administer *Kuan Dachang Binglang San* (Areca Nut Decoction to Broaden the Large Intestine) (see formula in this section). With tidal fever, bad breath, and clear nasal discharge, prognosis is poor due to damage to the Spleen and Lung.

*Bensao* (Materia Medica), prescription to remove pediatric fanre (vexing heat) and relieve thirst.
Fangzhu Shui (Water Collected from Fangzhu Vessel)
Collect water facing the moon, obtain two or three he of water, and drink it.

Tao Hongjing's prescription to remove pediatric fanre (vexing heat) and fright qi:
Use leaves of *Sedum aizoon* (Jingtian Ye), regardless of quantity, decoct in water for bathing. This is excellent.

Meng Shen's prescription for treating pediatric heat-induced convulsions, head sores and swelling, and sudden fanre (vexing heat):
Use white duck meat with scallion and fermented soybeans to make a juice, and drink it.

*Qianjin Fang* (Prescriptions Worth a Thousand Gold), Zhuye Tang (Bamboo Leaf Decoction)
Indicated for five-heart heat, vexing pain in hands and feet, dry mouth and parched lips, and heat in the chest.
Zhuye (Bamboo Leaves), Xiaomai (Wheat) (each 1 sheng); Zhi Mu (Anemarrhenae Rhizoma), Shigao (Gypsum Fibrosum) (each 3 liang); Huangqin (Scutellariae Radix), Maimendong (Ophiopogonis Radix), Fuling (Poria) (each 2 liang); Renshen (Ginseng Radix et Rhizoma) (1.5 liang); Shengjiang (Zingiberis Rhizoma Recens) (5 liang); Gancao (Licorice Root, honey-fried); Gualougen (Trichosanthis Radix); Banxia (Pinelliae Rhizoma) (each 1 liang).
Crush the above twelve ingredients. Boil in 12 sheng of water, first decocting Zhuye and Xiaomai until 8 sheng remain, then strain. Add the remaining herbs and decoct until 3 sheng remain. Divide into three doses for adults, or five doses for children and the elderly.

*Tai Ping Sheng Hui Fang* (Imperial Holy Welfare Formulary), Huangqin San (Scutellaria Powder)
Indicated for pediatric zang-fu organ congestion and excess, mental vexation and heat, and restless sleep.
Huangqin (Scutellariae Radix), Chuan Dahuang (Rhei Radix et Rhizoma, crushed and stir-fried), Gancao (Licorice Root, honey-fried), Chuan Mangxiao (Natrii Sulfas), Maimendong (Ophiopogonis Radix, core removed), Shigao (Gypsum Fibrosum) (each 0.5 liang).
Pulverize the above herbs and sieve coarsely. Take 1 qian per dose, decoct in one small cup of water until half remains, then strain. Adjust dosage according to the child's size, take warm at any time.

*Tai Ping Sheng Hui Fang*, Daqing San (Isatidis Powder)
Indicated for pediatric qi congestion with vexing heat, mental irritability, and red eyes.
Daqing (Isatidis Folium), Chuan Dahuang (Rhei Radix et Rhizoma, crushed and stir-fried) (each 0.5 liang); Niuhuang (Bovis Calculus, finely ground) (0.5 fen); Zhusha (Cinnabar), Gancao (Licorice Root, honey-fried until red and crushed), Xijiao (Rhino Horn, shaved), Xuanshen (Scrophulariae Radix), Chuan Shengma (Cimicifugae Rhizoma), Zhizi Ren (Gardeniae Semen) (each 1 fen).
Pulverize the above herbs and sieve finely. Mix with the already ground ingredients until uniform. Take 0.5 qian mixed with sugar water at any time. Adjust dosage according to the child's size.

*Tai Ping Sheng Hui Fang*, Renshen San (Ginseng Powder)
Indicated for pediatric fanre (vexing heat) with frequent fright.
Renshen (Ginseng Radix et Rhizoma, rhizome removed), Tianzhuhuang (Calami Tuber, finely ground), Gouteng (Uncariae Ramulus cum Uncis) (each 1 fen); Gancao (Licorice Root, honey-fried until red and crushed) (0.5 liang); Niuhuang (Bovis Calculus, finely ground) (0.5 fen).
Pulverize the above herbs and sieve finely. Take 0.5 qian mixed with Zhuye Tang (Bamboo Leaf Decoction) at any time. Adjust dosage according to the child's size.

*Tai Ping Sheng Hui Fang*, Xijiao San (Rhino Horn Powder)
Indicated for pediatric fanre (vexing heat), drowsiness, and excessive sleep.
Xijiao (Rhino Horn, powder) (0.5 liang); Qingdai (Indigo Naturalis), Daizhe (Haematitum), Zhusha (Cinnabar) (each 1 fen); She Tuipi (Snake Slough, ash) (1 qian).
Grind all ingredients into a fine powder. Take 0.5 qian mixed with warm water. Adjust dosage according to the child's size.

*Tai Ping Sheng Hui Fang*, Another Formula
Qingdai (Indigo Naturalis) (3 fen); Shexiang (Moschus) (0.5 fen); Zhusha (Cinnabar) (1 fen); Gan Dilong (Pheretima, stir-fried and powdered) (7 strips).
Grind all ingredients finely. Take 0.5 qian mixed with rice broth. Adjust dosage according to the child's size.

*Tai Ping Sheng Hui Fang*, Longdan Wan (Gentian Pills)
Indicated for pediatric heart qi congestion, vexing heat, and confusion.
Longdan (Gentianae Radix, rhizome removed), Huanglian (Coptidis Rhizoma, fibers removed) (each 1 liang); Qianshuang (Plumbum Subacetatum) (0.5 liang); Niuhuang (Bovis Calculus) (1 qian); Tiefen (Ferrum Pulveratum) (1 fen). Grind each finely.
Pulverize the above herbs, sieve, mix thoroughly, and bind with millet rice paste into pills the size of mung beans. Take 5 pills mixed with mint honey water at any time. Adjust dosage according to the child's size.

*Tai Ping Sheng Hui Fang*, Niubang Zhou (Arctii Porridge)
Indicated for pediatric heart accumulation of heat, irritability, and trance-like state.
Niubang Genzhi (Juice of Arctii Radix) (1 he); Jingmi (Oryza Sativa Glutinosa) (1 he).
Cook the rice in one large cup of water to make porridge. Near completion, add the arctii juice and stir well. Eat warm on an empty stomach.

*Lingyuan*, Xiao Jinbo Wan (Small Gold Foil Pills)
Resolves heart congestion and toxicity in adults and children, throat discomfort, upper congestion with mouth ulcers, restless sleep, and chest/epigastric vexation. Resolves phlegm toxins and wind-phlegm, calms the soul and stabilizes the spirit. Treats fright pathogen, settles heart-mind; resolves bone-steaming heat and consumptive disorder in unmarried women.
Jinbo (Gold Foil) (5 pieces); Zhusha (Cinnabar), Hupo (Amber), Xionghuang (Realgar), Pengsha (Borax), Qianbaishuang (Plumbum Subacetatum) (each 2 qian); Bailongnao (Borneolum Syntheticum Bai), Shengxi (Fresh Rhino Horn, powder), Tianzhuhuang (Calami Tuber), Hanshuishi (Aqua Marina, calcined) (each 3 qian); Niuhuang (Bovis Calculus) (small amount, ground).
Grind the eleven ingredients together in a mortar until fine as powder. Bind with millet drink into pills the size of adzuki beans. Take 5 pills with bamboo leaf honey water. Old texts state: Da Jinbo Wan treats adult diseases, Xiao Jinbo Wan treats pediatric diseases; now they can be used interchangeably. However, Xiao Jinbo Wan is purely cooling, while Da Jinbo Wan is slightly warming and treats wind.

*Yingru Shu*, Leiwan Yu Tang (Polyporus Bath Decoction)
Indicated for pediatric fanre (vexing heat).
Leiwan (Polyporus Umbellatus) (20 pieces); Dahuang (Rhei Radix et Rhizoma) (4 liang); Huangqin (Scutellariae Radix) (1 liang); Danshen (Salviae Miltiorrhizae Radix et Rhizoma) (2 liang); Kushen (Sophorae Flavescentis Radix), Shigao (Gypsum Fibrosum, ground) (each 3 liang).
Decoct in 2 sheng of water until 1.5 sheng remain. Bathe the child, then apply powder. Do not dress warmly. Bathe again after one night, avoiding阴 areas and eyes. Another method uses only 0.5 sheng of Shigao powder and 5 liang of Leiwan, decocted in 6 sheng of snow water until 2 sheng remain. Wipe head and body with cloth soaked in this liquid.

*Beiji Qianjin Yaofang* (Essential Prescriptions Worth a Thousand Gold for Emergencies), Fushen San (Poria Powder)
Indicated for pediatric fanre (vexing heat) with frequent fright.
Fushen (Poria with Pine Root), Renshen (Ginseng Radix et Rhizoma), Tianzhuhuang (Calami Tuber, ground), Gouteng (Uncariae Ramulus cum Uncis) (each 1 fen); Niuhuang (Bovis Calculus, ground and added) (0.5 fen); Yujin (Curcumae Radix), Gancao (Licorice Root, honey-fried) (each 0.5 liang).
Pulverize and sieve. Take 0.5 qian mixed with Zhuye Tang (Bamboo Leaf Decoction).

*Beiji Qianjin Yaofang*, Zhuli Xijiao Yinzi (Bamboo Sap and Rhino Horn Drink)
Indicated for pediatric fanre (vexing heat) with palpitations and fright.
Zhuli (Bamboo Sap) (2 he); Xijiao (Rhino Horn) (quantity unspecified).
Grind the rhino horn in the bamboo sap until thick. Administer in divided doses adjusted for the child's size.

*Sibashihou*, Binglang San (Areca Nut Powder)
Indicated for latent heat with mental vexation, unblocking wind and regulating qi.
Binglang (Arecae Semen, raw), Dahuang (Rhei Radix et Rhizoma, steamed), Qingpi (Citri Reticulatae Pericarpium Viride) (each 1 fen); Hei Qianniu (Morning Glory Seed, lightly stir-fried) (1 qian); Muxiang (Aucklandiae Radix) (small amount, processed).
Powder the ingredients. Take 1 qian mixed with mint honey water.

*Zhuangshi Jiacuan*: Early winter, yang qi is abundant and heat congests, causing restless sleep and vexing heat in hands and feet.
Chuan Dahuang (Rhei Radix et Rhizoma), Chuan Shengma (Cimicifugae Rhizoma), Baishaoyao (Paeoniae Radix Alba) (equal parts).
Make into coarse powder. Take 2 qian per dose, decoct with Zhuru (Bamboo Shavings) water (7 portions) until 4 portions remain, then strain and take warm. Take every two or three nights; after Winter Solstice, take every night.