《巢氏病源》小儿盗汗候∶盗汗者，眠睡而汗出也。小儿阴阳之气嫩弱，腠理易开。若将养过温，因于睡
卧阴阳气交，津液发泄而汗出也。
《养生必用》∶童男室女、小儿肌瘦有汗，但用平和养气血温药，自无虞矣。（用术、桂、地黄、当归、芎等。）
钱乙论盗汗者，睡而自汗出，肌肉虚也，止汗散主之（方见喜汗门中。）遍身汗，香瓜丸主之（方见本门
中。）若胃怯汗出则上至项、下至脐，此胃虚也，当补胃，益黄散主之（方见胃气不和门中。）
钱乙论治病有等云∶张氏三子病。岁大者汗遍身；次者上至项、下至胸；小者但额有汗。众医以麦煎散治
之不效。钱氏曰∶大者与香瓜丸，次者与益黄散。（二方同见前。）小者与石膏汤，（钱乙方与诸方竹叶石膏汤并同
。）各五日而愈。（遍身者，盗汗也。上至项、下至胸者，胃虚也。额有汗者，喜汗也。）
《五关贯真珠囊》小儿盗汗候∶阴阳气弱，腠理易开，因于眠卧，阴阳气交，津液发泄，故为虚汗。
《婴童宝鉴》∶小儿心膈发热，时痢盗汗者，多病疳也。
《婴童宝鉴》小儿盗汗歌∶
小儿气血未调和，腠理开舒易染 ，将养过温成盗汗，早须医理莫蹉跎。
《玉诀》小儿盗汗虚热歌∶
盗汗频频气受伤，脏中虚热小便黄，夜间发热无时节，颊赤唇干口有疮。
此患先退热，后调其气，次和脏腑，故无误也。
《小儿形证论》四十八候盗汗歌∶
频频生盗汗，虚热小便黄，夜卧时烦热，鸣牙肾受伤，气粗还气细，肝内要消详。
此病是因伤气，非风蕴热，乃三焦不得通畅，出汗恐久成惊风候。先将南星丸利三焦（方见伤寒变疹子
门。）次下大
青丹（方见急慢惊风门中。）得心气不惊恐，汗不止，先服防风汤一、二服，补气定汗。（方见本门。）
《千金》治少小盗汗。三物黄连粉方
黄连 牡蛎 贝母（各十八铢）
上以粉一升，合捣下筛，以粉身良。《婴孺》方同，无粉一味。
《千金》此由心脏热之所感，宜服犀角饮子方。《圣惠》同。治小儿盗汗，体热瘦瘁，多惊。
犀角（十八铢） 茯苓（一两） 麦门冬（一两半） 甘草（炙，半两） 白术（炮，六钱）
上五味 咀，以水九合，煎取四合，分服。加龙齿一两佳。
《外台》∶《延年》治小儿盗汗方。
麻黄根 雷丸 牡蛎（熬。各三两） 甘草（三两，炙） 干姜（一两） 粱米（一升）
上六味，捣粉以粉身，汗即止。
孙尚药治小儿盗汗，潮热往来方。
南蕃胡黄连 柴胡（各等分）
上捣，罗极细，炼蜜和丸如鸡头大。每服二丸至三丸，银器中用酒少许化开，更入水五分，重汤煮三、二
十沸，放温，食后和滓服。
陈藏器治小儿盗汗方。
上用牡蛎 赤，捣为粉，粉身汗止。
《圣惠》治小儿盗汗，体热咽干。犀角散方
犀角（屑） 茯苓 麦门冬（去心，焙） 黄 （锉） 人参（去芦头。各半两） 甘草（一分，炙微赤，锉）
上件药捣，粗罗为散，每服一钱。以水一小盏，煎至五分，去滓，不计时候温服。量儿大小以意分减。
《圣惠》治小儿体热盗汗，心烦，不欲乳食。黄 散方
黄 （锉） 朱砂（细研、水飞过。各半两） 龙脑（一钱，细研） 人参（去芦头） 川升麻 川大
黄（锉，微炒） 甘草（炙微赤，锉） 天竺黄（一分） 牡蛎粉（一分）
上件药捣，细罗为散。不计时候煎竹叶汤调下半钱。量儿大小加减服之。
《圣惠》治小儿夜后常有盗汗，黄瘦。龙骨散方
白龙骨 牡蛎粉 黄 （锉） 人参（去芦头） 熟干地黄 甘草（炙微赤，锉） 麻黄根（各半两） 麦
门冬（一两，去心，焙）
上件药捣，粗罗为散。每服一钱，以水一小盏，煎至五分，去滓，不计时候温服。量儿大小以意加减。
《圣惠》治小儿盗汗不止，咽喉多干，心神烦热。麻黄根散方
麻黄根 败蒲灰 麦门冬（去心，焙） 黄 （锉） 甘草（炙微赤，锉） 龙骨（各半两）
上件药捣，粗罗为散。每服一钱，以水一小盏，煎至五分，去滓，不计时候温服。量儿大小以意加减。
《圣惠》治小儿盗汗不止。宜用粉身牡蛎散方
牡蛎粉 麻黄根 赤石脂（各一两）
上件药捣，细罗为散。入米粉二合拌令匀，每日及夜间常扑之。
《圣惠》又方
麻黄根 干姜（各一两） 雷丸 粱米（各二两）
上件药捣，罗为末。日三、四度以粉其身，汗即自止。
《婴孺》治小儿盗汗方。
麻黄根（三分） 故扇灰（二分）
上为末，乳汁或饮服三分匕，日三服。大人方寸匕，日三丸。
钱乙香瓜丸方
大黄瓜（黄色者，一个） 胡黄连 川大黄（湿纸裹，煨至纸焦） 柴胡（去芦） 鳖甲（醋炙
黄） 黄柏（浓者去粗皮，秤） 黄连 芦荟 青橘
皮（各等分）
上除黄瓜外同为细末，将黄瓜割去头，填入诸药至满，却盖口；用杖子插定，慢火内煨熟，面糊丸如绿豆
大。每服三、二丸，食后冷浆水或新水下。大者五、七丸至十丸。
钱乙黄 散 治虚热盗汗方。
牡蛎（烧） 生干地黄（焙，刮） 黄 （各等分）
上为末，煎服无时。
钱乙虎杖散 治实热盗汗方。
上用虎杖锉，水煎服，量多少与之，无时。
张涣沉香黄 散 调益荣卫，治肌瘦盗汗方。
绵黄 （锉） 当归（洗，焙干）沉香 赤芍药 人参（去芦头。各一两） 桂心 木香（各半两）
上件捣，罗为细末。每服一大钱，水一小盏，入生姜二片，枣二枚，煎六分，去滓；放温服，食后。
张涣沉香鳖甲丹 治潮热盗汗方。
鳖甲（童子小便浸一宿，去裙 ，酥炙黄） 绵黄 （锉） 草龙胆 当归（洗，焙干） 沉
香（各一两） 川大黄（炮） 川黄连（各半两）
上件捣，罗为细末，炼蜜和丸黍米大。每服十粒，用麦门冬去心煎汤下。量儿大小加减。
张涣苁蓉丹 治血少肌瘦盗汗方。
肉苁蓉（酒浸一宿，刮去皱皮，令干） 鳖甲（涂醋炙黄，或去裙 。各一两） 绵
黄（锉） 何首乌 当归（各半两）
上件捣，罗为细末，炼蜜丸如黍米大。每服十粒，温米饮下，食前。量儿大小加减。
张涣升麻汤 治肌热盗汗方。
川升麻 绵黄 （锉） 人参（去芦头。各一两） 熟干地黄（半两）
以上捣，罗为细末。次用∶天竺黄 牡蛎粉（展半两，研匀）
上件同拌匀。每服半钱至一钱，煎竹叶汤调下。
张涣牡蛎散 专止盗汗方。
牡蛎粉（二两，细研） 麻黄根（为细末） 赤石脂（细研） 糯米粉（各一两） 龙脑（一钱）
上件再研匀。每用一匙头，新绵包，每日及夜常常扑身体、头面有汗处。
《四十八候》治盗汗防风汤方
防风 麻黄（各一钱）
上为末，水半盏，莲子心四个，同煎三、五沸服。
《惠眼观证》龙胆丸 治盗汗睡着常出，若待日久，渐加黄瘦方。
龙胆草 防风（各等分）
上为末，以蜜为丸如此○大。每服十丸，蜜水下，不拘时候。
《张氏家传》治小儿夜多盗汗。白龙散方
龙骨（半两） 麝香（少许）
上同研为细末。每服半钱，冷水调下。
《张氏家传》人参黄 散 治身热肌瘦，自汗盗汗，服之大妙方。
人参 绵黄 白茯苓 山药 百合 甘草（炙。各一两）
上为细末。每服二钱，浓煎麦门冬汤点服，不以时候。小儿服一钱，频服甚妙。
《庄氏家传》小儿一切虚热，夜卧有汗方。
黄芩 甘草 芍药（各一两）
上为末。每服一钱，蜜汤调下。
《庄氏家传》治小儿肌热盗汗，不思饮食。柴胡饮子方
柴胡（去苗） 青蒿 嫩桃枝 嫩柳枝（各阴干取） 地骨皮 甘草（炙。各二两）
上等分细锉，每服二钱。入乌梅一个，拍破，小麦四十九粒，水一盏，煎七分。食后、临卧温服。
《王氏手集》止汗牡蛎散方 治卧即盗汗，风虚头痛，忪悸恍惚，口干羸瘦方。
牡蛎（ 赤） 白术 防风（各三两）
上同为细末，每服一平钱，温酒或米饮调下。止汗立验。
《王氏手集》又方防芷散
防风 白芷（各等分）
上碾，罗为细末。每服一平钱，米饮汤调下。食后极有效。
《吉氏家传》麻黄散 治小儿胃热盗汗，及衣浓伤温汗出方。
麻黄根（一分，焙） 麦麸（半两，炒黄黑色）
上为细末，每服半钱至一钱，猪耳煎汤调下。
《吉氏家传》升麻散 治小儿心脏虚热，小便黄，面赤口生疮，盗汗出方。
升麻 白药子 甘草（炙） 栝蒌根 丁香（各一分）
上为细末。每服半钱，水半盏，姜钱一片，同煎服。
长沙医者丁时发传治小儿骨热盗汗。重汤丸方
胡黄连（一分） 柴胡（半两） 天竺黄（三分）
上为末，炼蜜为丸如鸡头大。麦门冬汤化下。
《巢氏病源》中关于小儿盗汗的论述：所谓盗汗，是指在睡眠中出汗的现象。小儿的阴阳之气稚嫩虚弱，腠理（皮肤纹理及毛孔）容易开泄。如果在养育过程中保暖过度，导致在睡眠时阴阳之气相交，津液外泄从而引起出汗。
《养生必用》记载：对于未婚男女、身体消瘦且多汗的小儿，只需使用平和的补养气血、温补的药物，自然就没有危险了。（可选用药材包括白术、桂枝、地黄、当归、川芎等。）
钱乙论述盗汗时说，睡时自行出汗，是因为肌肉虚弱，主方用止汗散（该方见“喜汗”章节中）。如果是遍身出汗，主方用香瓜丸（该方见本章节中）。如果因为胃气怯弱而出汗，则汗液上至颈部、下至肚脐，这是胃虚的表现，应当补益胃气，主方用益黄散（该方见“胃气不和”章节中）。
钱乙在论述治病有等级差异时说：张家的三个孩子生病。年纪最大的孩子全身出汗；次大的孩子汗出上至颈部、下至胸部；最小的孩子只有额头出汗。众医生用麦煎散治疗无效。钱乙说：年纪大的给孩子用香瓜丸，次大的给孩子用益黄散。（这两个方子同上所述。）最小的孩子用石膏汤。（钱乙的其他方剂与竹叶石膏汤类似。）各服用五天后痊愈。（全身出汗的是盗汗；上至颈部、下至胸部的是胃虚；额头出汗的是喜汗。）
《五关贯真珠囊》中关于小儿盗汗的论述：阴阳之气虚弱，腠理容易开泄，因睡眠时阴阳之气相交，津液外泄，所以形成虚汗。
《婴童宝鉴》记载：小儿心膈部位发热，时常痢疾并伴有盗汗的，大多患有疳积病。
《婴童宝鉴》小儿盗汗歌诀：
小儿气血尚未调和，腠理开张舒松容易受邪，养育过温导致成盗汗，必须尽早寻求医理诊治，不要延误时机。
《玉诀》小儿盗汗虚热歌诀：
盗汗频繁导致气受损，脏腑中有虚热小便发黄，夜间发热没有固定时间，脸颊发红嘴唇干燥口腔有疮疡。
此病患应先退热，然后调理其气，接着调和脏腑，这样就不会出错。
《小儿形证论》四十八候盗汗歌诀：
频频出现盗汗，虚热导致小便发黄，夜间卧睡时烦躁发热，磨牙说明肾受伤，呼吸气粗或气细，需要在肝脏内部仔细详查。
此病是因伤气所致，并非风蕴热邪，而是三焦不得通畅，出汗久了恐怕会发展成惊风证候。先将南星丸用来通利三焦（该方见“伤寒变疹子”章节中），接着服用大青丹（该方见“急慢惊风”章节中）。若得心气安宁不再惊恐，但汗仍不止，先服用防风汤一两次，以补气定汗。（该方见本章节中。）
《千金方》治疗少小儿童盗汗。三物黄连粉方
黄连 牡蛎 贝母（各十八铢）
以上药材制成粉末一升，混合捣碎过筛，用粉末扑在身上效果良好。《婴孺方》相同，只是没有扑粉这一用法。
《千金方》认为这是由于心脏受热所感，适宜服用犀角饮子方。《圣惠方》相同。治疗小儿盗汗，身体发热消瘦，易受惊吓。
犀角（十八铢） 茯苓（一两） 麦门冬（一两半） 甘草（炙，半两） 白术（炮制，六钱）
以上五味药切碎，用水九合，煎取四合，分次服用。加入龙齿一两更佳。
《外台秘要》记载：《延年方》治疗小儿盗汗方。
麻黄根 雷丸 牡蛎（熬制。各三两） 甘草（三两，炙） 干姜（一两） 粱米（一升）
以上六味药，捣成粉末扑在身上，汗即停止。
孙尚药治疗小儿盗汗，寒热往来方。
南蕃胡黄连 柴胡（各等分）
以上捣碎，筛选极细，用炼蜜和丸如鸡头大小。每次服用二丸至三丸，在银器中加入少许酒化开，再加入水五分，隔水煮沸三二十次，放温后，饭后连同药渣一起服用。
陈藏器治疗小儿盗汗方。
上面只用赤色牡蛎，捣为粉末，扑在身上汗即停止。
《圣惠方》治疗小儿盗汗，身体发热咽喉干燥。犀角散方
犀角（屑） 茯苓 麦门冬（去心，焙干） 黄芪（锉碎） 人参（去芦头。各半两） 甘草（一分，炙微红，锉碎）
以上药物捣碎，粗略罗筛成散剂，每次服用一钱。用水一小盏，煎至五分，去滓，不限时候温服。根据孩子的大小酌情减量。
《圣惠方》治疗小儿身体发热盗汗，心烦，不想吃奶进食。黄芪散方
黄芪（锉碎） 朱砂（细研、水飞。各半两） 龙脑（一钱，细研） 人参（去芦头） 川升麻 川大黄（锉碎，微炒） 甘草（炙微红，锉碎） 天竺黄（一分） 牡蛎粉（一分）
以上药物捣碎，细罗筛成散剂。不限时候，用竹叶汤调服半钱。根据孩子大小加减服用。
《圣惠方》治疗小儿夜间常有盗汗，面色萎黄瘦弱。龙骨散方
白龙骨 牡蛎粉 黄芪（锉碎） 人参（去芦头） 熟干地黄 甘草（炙微红，锉碎） 麻黄根（各半两） 麦门冬（一两，去心，焙干）
以上药物捣碎，粗略罗筛成散剂。每次服用一钱，用水一小盏，煎至五分，去滓，不限时候温服。根据孩子大小酌情加减。
《圣惠方》治疗小儿盗汗不止，咽喉多干燥，心神烦热。麻黄根散方
麻黄根 败蒲灰 麦门冬（去心，焙干） 黄芪（锉碎） 甘草（炙微红，锉碎） 龙骨（各半两）
以上药物捣碎，粗略罗筛成散剂。每次服用一钱，用水一小盏，煎至五分，去滓，不限时候温服。根据孩子大小酌情加减。
《圣惠方》治疗小儿盗汗不止。适宜用扑粉牡蛎散方
牡蛎粉 麻黄根 赤石脂（各一两）
以上药物捣碎，细罗筛成散剂。加入米粉二合拌匀，每天及夜间经常扑在身上。
《圣惠方》又一方
麻黄根 干姜（各一两） 雷丸 粱米（各二两）
以上药物捣碎，罗筛成末。每天三四次扑在身上，汗即自止。
《婴孺方》治疗小儿盗汗方。
麻黄根（三分） 故扇灰（二分）
以上为末，用乳汁或饮水送服三分匕，每天三次。成人方寸匕，每天三次丸药。
钱乙香瓜丸方
大黄瓜（黄色的一个） 胡黄连 川大黄（湿纸包裹，煨至纸焦） 柴胡（去芦） 鳖甲（醋炙黄） 黄柏（厚的去掉粗皮，称重） 黄连 芦荟 青橘皮（各等分）
除黄瓜外，其余共同成为细末，将黄瓜割去头，填入诸药至满，再盖好口；用棍子插定，在慢火内煨熟，用面糊做成如绿豆大小的丸。每次服用三、二丸，饭后用冷浆水或新水送服。大的孩子五、七丸至十丸。
钱乙黄芪散 治疗虚热盗汗方。
牡蛎（烧制） 生干地黄（焙干，刮净） 黄芪（各等分）
以上为末，煎服不限时候。
钱乙虎杖散 治疗实热盗汗方。
上面只用虎杖切碎，水煎服，根据情况给予剂量，不限时候。
张涣沉香黄芪散 调益荣卫，治疗肌瘦盗汗方。
绵黄芪（锉碎） 当归（洗，焙干） 沉香 赤芍药 人参（去芦头。各一两） 桂心 木香（各半两）
以上捣碎，罗筛成细末。每次服用一大钱，水一小盏，放入生姜两片，枣二枚，煎至六分，去滓；放温后，饭后服用。
张涣沉香鳖甲丹 治疗潮热盗汗方。
鳖甲（童子小便浸泡一夜，去裙边，酥炙黄） 绵黄芪（锉碎） 草龙胆 当归（洗，焙干） 沉香（各一两） 川大黄（炮制） 川黄连（各半两）
以上捣碎，罗筛成细末，炼蜜和丸如黍米大小。每次服用十粒，用麦门冬去心煎汤送下。根据孩子大小加减。
张涣苁蓉丹 治疗血少肌瘦盗汗方。
肉苁蓉（酒浸泡一夜，刮去皱皮，令干） 鳖甲（涂醋炙黄，或去裙边。各一两） 绵黄芪（锉碎） 何首乌 当归（各半两）
以上捣碎，罗筛成细末，炼蜜丸如黍米大小。每次服用十粒，温米饮送下，饭前服用。根据孩子大小加减。
张涣升麻汤 治疗肌热盗汗方。
川升麻 绵黄芪（锉碎） 人参（去芦头。各一两） 熟干地黄（半两）
以上捣碎，罗筛成细末。另外准备：天竺黄 牡蛎粉（展半两，研匀）
以上混合拌匀。每次服用半钱至一钱，煎竹叶汤调下。
张涣牡蛎散 专止盗汗方。
牡蛎粉（二两，细研） 麻黄根（为细末） 赤石脂（细研） 糯米粉（各一两） 龙脑（一钱）
以上再次研匀。每次用一匙头，新棉包裹，每天及夜晚常常扑在身体、头面有汗处。
《四十八候》治疗盗汗防风汤方
防风 麻黄（各一钱）
以上为末，水半盏，莲子心四个，同煎三、五沸后服用。
《惠眼观证》龙胆丸 治疗盗汗睡着常出，若待日久，渐加黄瘦方。
龙胆草 防风（各等分）
以上为末，以蜜为丸如弹子大。每次服用十丸，蜜水送下，不拘时候。
《张氏家传》治疗小儿夜多盗汗。白龙散方
龙骨（半两） 麝香（少许）
以上同研为细末。每次服用半钱，冷水调下。
《张氏家传》人参黄芪散 治疗身热肌瘦，自汗盗汗，服之大妙方。
人参 绵黄芪 白茯苓 山药 百合 甘草（炙。各一两）
以上为细末。每次服用二钱，浓煎麦门冬汤点服，不限时候。小儿服用一钱，频服甚妙。
《庄氏家传》小儿一切虚热，夜卧有汗方。
黄芩 甘草 芍药（各一两）
以上为末。每次服用一钱，蜜汤调下。
《庄氏家传》治疗小儿肌热盗汗，不思饮食。柴胡饮子方
柴胡（去苗） 青蒿 嫩桃枝 嫩柳枝（各阴干取） 地骨皮 甘草（炙。各二两）
以上等分细锉，每次服用二钱。放入乌梅一个，拍破，小麦四十九粒，水一盏，煎至七分。饭后、临卧温服。
《王氏手集》止汗牡蛎散方 治疗卧即盗汗，风虚头痛，忪悸恍惚，口干羸瘦方。
牡蛎（煅赤） 白术 防风（各三两）
以上同为细末，每次服用一平钱，温酒或米饮调下。止汗立验。
《王氏手集》又方防芷散
防风 白芷（各等分）
以上碾，罗筛成细末。每次服用一平钱，米饮汤调下。饭后极有效。
《吉氏家传》麻黄散 治疗小儿胃热盗汗，及衣浓伤温汗出方。
麻黄根（一分，焙干） 麦麸（半两，炒黄黑色）
以上为细末，每次服用半钱至一钱，猪耳煎汤调下。
《吉氏家传》升麻散 治疗小儿心脏虚热，小便黄，面赤口生疮，盗汗出方。
升麻 白药子 甘草（炙） 栝蒌根 丁香（各一分）
以上为细末。每次服用半钱，水半盏，姜钱一片，同煎服。
长沙医者丁时发传治小儿骨热盗汗。重汤丸方
胡黄连（一分） 柴胡（半两） 天竺黄（三分）
以上为末，炼蜜为丸如鸡头大。麦门冬汤化下。
According to *Chao Shi Bing Yuan* (Source of Diseases by Master Chao) regarding the syndrome of night sweats in children: Night sweats refer to sweating during sleep. The yin and yang qi of children are tender and weak, and their cou li (skin texture and pores) easily open. If they are kept too warm during upbringing, leading to an interaction of yin and yang qi during sleep, body fluids are discharged, resulting in sweating.
*Yang Sheng Bi Yong* states: For unmarried males and females, or children who are emaciated and sweaty, simply using mild herbs that nourish qi and blood and provide warmth will ensure safety without worry. (Herbs such as Atractylodis Rhizoma [Baizhu], Cinnamomi Ramulus [Guizhi], Rehmanniae Radix [Dihuang], Angelicae Sinensis Radix [Danggui], and Ligustici Chuanxiong Rhizoma [Xiongon] may be used.)
Qian Yi discussed night sweats, stating that spontaneous sweating during sleep is due to muscle deficiency; the primary formula is Zhi Han San (Stop Sweat Powder) (see the section on "Joyful Sweating"). If sweating covers the entire body, Xiang Gua Wan (Melon Pill) is the primary formula (see this section). If sweating occurs due to stomach weakness, extending from the neck down to the navel, this indicates stomach deficiency; the stomach should be tonified, and Yi Huang San (Benefit Yellow Powder) is the primary formula (see the section on "Stomach Qi Disharmony").
Qian Yi discussed that diseases have different levels/severity: The Zhang family had three sons who were ill. The eldest son sweated all over his body; the second son's sweat extended from the neck down to the chest; the youngest son only sweated on his forehead. Many physicians treated them with Mai Jian San (Wheat Decoction Powder) without effect. Qian Yi said: Give Xiang Gua Wan to the eldest, and Yi Huang San to the second. (Both formulas are mentioned above.) Give Shi Gao Tang (Gypsum Decoction) to the youngest. (Qian Yi's other formulas are similar to Zhu Ye Shi Gao Tang [Bamboo Leaf and Gypsum Decoction].) All recovered after five days of treatment. (Sweating all over the body is night sweats; sweating from the neck to the chest is stomach deficiency; sweating on the forehead is joyful sweating.)
*Wu Guan Guan Zhen Zhu Nang* discusses the syndrome of night sweats in children: Yin and yang qi are weak, cou li easily opens, and due to sleep, yin and yang qi interact, causing body fluids to discharge, thus forming deficiency sweating.
*Ying Tong Bao Jian* states: When children have heat in the heart and diaphragm, frequent dysentery, and night sweats, it is mostly due to Gan accumulation disease (malnutrition syndrome).
Song from *Ying Tong Bao Jian* on Night Sweats:
Children's qi and blood are not yet harmonized; cou li opens and relaxes, making them susceptible to pathogens. Over-warming during upbringing causes night sweats; seek medical principles early, do not delay.
Song from *Yu Jue* on Deficiency Heat Night Sweats in Children:
Frequent night sweats damage qi; deficiency heat in organs leads to yellow urine. Fever at night has no fixed time; cheeks are red, lips are dry, and there are sores in the mouth.
For this condition, first reduce fever, then regulate qi, and subsequently harmonize the zang-fu organs, thus avoiding errors.
Song from *Xiao Er Xing Zheng Lun* (Forty-Eight Syndromes) on Night Sweats:
Frequent night sweats occur; deficiency heat leads to yellow urine. Restless heat during night sleep; grinding teeth indicates kidney injury. Breathing is coarse or fine; details must be examined within the liver.
This disease is caused by qi injury, not wind-accumulated heat, but rather the San Jiao (Triple Burner) failing to flow smoothly. Prolonged sweating may fearfully develop into convulsive disorders. First use Nan Xing Wan (Arisaema Pill) to unblock the San Jiao (see "Cold Damage Turning into Rash" section), then administer Da Qing Dan (Great Cyan Pill) (see "Acute and Chronic Convulsions" section). If the heart qi becomes calm and free from fright, but sweating does not stop, first take Fang Feng Tang (Saposhnikovia Decoction) one or two doses to tonify qi and stop sweat (see this section).
*Qian Jin Fang* treats night sweats in infants and young children. San Wu Huang Lian Fen (Three-Ingredient Coptis Powder)
Coptidis Rhizoma (Huanglian), Ostreae Concha (Muli), Fritillariae Bulbus (Beimu) (each 18 zhu).
Grind the above into a powder totaling one sheng, mix, pound, and sieve. Applying the powder to the body is beneficial. The *Ying Ru* formula is the same, except for the application method.
*Qian Jin Fang* attributes this to heat affecting the Heart; Xi Jiao Yin Zi (Rhinoceros Horn Drink) is suitable. *Sheng Hui Fang* is the same. Treats pediatric night sweats, body heat, emaciation, and frequent fright.
Rhinocerotis Cornu (Xi Jiao) (18 zhu), Poria (Fuling) (1 liang), Ophiopogonis Radix (Maidong) (1.5 liang), Glycyrrhizae Radix et Rhizoma (Gancao) (roasted, 0.5 liang), Atractylodis Macrocephalae Rhizoma (Baizhu) (processed, 6 qian).
Chop the above five ingredients, add nine he of water, decoct to obtain four he, and divide for administration. Adding Long Gu (Dragon Bone) (1 liang) is better.
*Wai Tai Mi Yao* records: *Yan Nian Fang* treats pediatric night sweats.
Ephedrae Radix et Rhizoma Root (Mahuang Gen), Polyporus Umbellatus (Leiyuan), Ostreae Concha (Muli) (roasted, each 3 liang), Glycyrrhizae Radix et Rhizoma (Gancao) (roasted, 3 liang), Zingiberis Rhizoma (Ganjiang) (1 liang), Panicum miliaceum (Liangmi) (1 sheng).
Pound the above six ingredients into powder and apply to the body; sweat will stop.
Sun Shang Yao treats pediatric night sweats with alternating tidal fever.
Coptidis Rhizoma (Huhuanglian), Bupleuri Radix (Chaihu) (equal parts).
Pound and sift extremely finely, mix with refined honey to form pills the size of a chicken head. Take two to three pills per dose, dissolve in a small amount of wine in a silver vessel, add five fen of water, boil in a double boiler for twenty times, let cool to warm, and take with dregs after meals.
Chen Cangqi treats pediatric night sweats.
Use red Ostreae Concha (Muli), pound into powder, and apply to the body; sweat stops.
*Sheng Hui Fang* treats pediatric night sweats with body heat and dry throat. Xi Jiao San (Rhinoceros Horn Powder)
Rhinocerotis Cornu (Xi Jiao) (shavings), Poria (Fuling), Ophiopogonis Radix (Maidong) (decored, roasted), Astragali Membranaceus (Huangqi) (chopped), Ginseng Radix (Renshen) (decored, each 0.5 liang), Glycyrrhizae Radix et Rhizoma (Gancao) (roasted slightly red, chopped, 1 fen).
Pound the above medicines, coarsely sieve into powder. Take one qian per dose. Add one small cup of water, decoct to five fen, remove dregs, and take warm at any time. Adjust dosage according to the child's size.
*Sheng Hui Fang* treats pediatric body heat, night sweats, irritability, and loss of appetite. Huangqi San (Astragalus Powder)
Astragali Membranaceus (Huangqi) (chopped), Cinnabaris (Zhusha) (fine grind, water levigated, each 0.5 liang), Borax (Longnao) (1 qian, fine grind), Ginseng Radix (Renshen) (decored), Cimicifugae Rhizoma (Shengma), Rheum Palmatum (Dahuang) (chopped, slightly fried), Glycyrrhizae Radix et Rhizoma (Gancao) (roasted slightly red, chopped), Bambusae Concretio Silicea (Tianzhuhuang) (1 fen), Ostreae Concha Powder (Muli Fen) (1 fen).
Pound the above medicines, finely sieve into powder. At any time, take half a qian mixed with Bamboo Leaf Decoction. Adjust dosage according to the child's size.
*Sheng Hui Fang* treats pediatric frequent night sweats at night, sallow and emaciated appearance. Longgu San (Dragon Bone Powder)
White Longgu (Dragon Bone), Ostreae Concha Powder (Muli Fen), Astragali Membranaceus (Huangqi) (chopped), Ginseng Radix (Renshen) (decored), Prepared Rehmanniae Radix (Shudihuang), Glycyrrhizae Radix et Rhizoma (Gancao) (roasted slightly red, chopped), Ephedrae Radix et Rhizoma Root (Mahuang Gen) (each 0.5 liang), Ophiopogonis Radix (Maidong) (1 liang, decored, roasted).
Pound the above medicines, coarsely sieve into powder. Take one qian per dose. Add one small cup of water, decoct to five fen, remove dregs, and take warm at any time. Adjust dosage according to the child's size.
*Sheng Hui Fang* treats persistent pediatric night sweats, dry throat, and mental irritability. Mahuang Gen San (Ephedra Root Powder)
Ephedrae Radix et Rhizoma Root (Mahuang Gen), Ash of Broken Rushes (Baipuhui), Ophiopogonis Radix (Maidong) (decored, roasted), Astragali Membranaceus (Huangqi) (chopped), Glycyrrhizae Radix et Rhizoma (Gancao) (roasted slightly red, chopped), Dragon Bone (Longgu) (each 0.5 liang).
Pound the above medicines, coarsely sieve into powder. Take one qian per dose. Add one small cup of water, decoct to five fen, remove dregs, and take warm at any time. Adjust dosage according to the child's size.
*Sheng Hui Fang* treats persistent pediatric night sweats. Suitable to use Muli San (Oyster Shell Powder) for dusting.
Ostreae Concha Powder (Muli Fen), Ephedrae Radix et Rhizoma Root (Mahuang Gen), Halloysit Rubrum (Chishizhi) (each 1 liang).
Pound the above medicines, finely sieve into powder. Mix with two he of rice flour evenly. Dust frequently day and night.
*Sheng Hui Fang* Another Formula
Ephedrae Radix et Rhizoma Root (Mahuang Gen), Zingiberis Rhizoma (Ganjiang) (each 1 liang), Polyporus Umbellatus (Leiyuan), Panicum miliaceum (Liangmi) (each 2 liang).
Pound and sieve the above medicines into powder. Apply to the body three or four times a day; sweat will stop spontaneously.
*Ying Ru Fang* treats pediatric night sweats.
Ephedrae Radix et Rhizoma Root (Mahuang Gen) (3 fen), Ash of Old Fans (Gushanhui) (2 fen).
Make into powder. Take three bi with milk or drink, three times a day. Adult dose is one cun bi, three pills a day.
Qian Yi Xiang Gua Wan (Melon Pill) Formula
Large cucumber (yellow, one), Coptidis Rhizoma (Huhuanglian), Rheum Palmatum (Dahuang) (wrapped in wet paper, baked until paper is charred), Bupleuri Radix (Chaihu) (decored), Testudinis et Carapax et Plastrum (Biejia) (vinegar-roasted yellow), Phellodendri Cortex (Huangbai) (thick bark removed, weighed), Coptidis Rhizoma (Huanglian), Aloe (Luhui), Citri Reticulatae Pericarpium (Qingjupi) (equal parts).
Except for the cucumber, grind the rest into fine powder. Cut off the head of the cucumber, fill with the herbs, cover the opening, secure with a stick, and bake slowly over low heat until cooked. Form pills the size of mung beans using wheat paste. Take two or three pills after meals with cold grain water or new water. Older children take five to ten pills.
Qian Yi Huangqi San (Astragalus Powder) treats deficiency heat night sweats.
Ostreae Concha (Muli) (calcined), Dried Rehmanniae Radix (Sheng Dihuang) (roasted, scraped), Astragali Membranaceus (Huangqi) (equal parts).
Make into powder, decoct and take at any time.
Qian Yi Huzhang San (Polygoni Cuspidati Powder) treats excess heat night sweats.
Chop Polygoni Cuspidati Caulis (Huzhang), decoct in water and take. Adjust dosage as needed, at any time.
Zhang Huan Chenxiang Huangqi San (Agarwood and Astragalus Powder) benefits Ying and Wei, treats emaciation and night sweats.
Mian Huangqi (Astragali Radix) (chopped), Angelicae Sinensis Radix (Danggui) (washed, dried), Agarwood (Chenxiang), Red Peony Root (Chi Shaoyao), Ginseng Radix (Renshen) (decored, each 1 liang), Cinnamon Twig (Guixin), Costus Root (Muxiang) (each 0.5 liang).
Pound and sieve into fine powder. Take one large qian per dose. Add one small cup of water, two slices of ginger, two dates, decoct to six fen, remove dregs, let cool to warm, and take after meals.
Zhang Huan Chenxiang Biejia Dan (Agarwood and Turtle Shell Pill) treats tidal fever and night sweats.
Testudinis et Carapax et Plastrum (Biejia) (soaked overnight in urine of a boy, remove skirt edge, roast with butter until yellow), Mian Huangqi (Astragali Radix) (chopped), Gentiana Scabra (Caolongdan), Angelicae Sinensis Radix (Danggui) (washed, dried), Agarwood (Chenxiang) (each 1 liang), Rheum Palmatum (Dahuang) (processed), Coptidis Rhizoma (Huanglian) (each 0.5 liang).
Pound and sieve into fine powder, mix with refined honey to form pills the size of millet seeds. Take ten pills per dose, washed down with Ophiopogonis Radix (Maidong) decoction. Adjust dosage according to the child's size.
Zhang Huan Congrong Dan (Cistanche Pill) treats blood deficiency, emaciation, and night sweats.
Cistanches Herba (Rongrongsu) (soaked in wine overnight, scrape off wrinkled skin, dry), Testudinis et Carapax et Plastrum (Biejia) (coat with vinegar, roast yellow, or remove skirt edge, each 1 liang), Mian Huangqi (Astragali Radix) (chopped), Polygoni Multiflori Radix (Heshouwu), Angelicae Sinensis Radix (Danggui) (each 0.5 liang).
Pound and sieve into fine powder, mix with refined honey to form pills the size of millet seeds. Take ten pills per dose, washed down with warm rice drink, before meals. Adjust dosage according to the child's size.
Zhang Huan Shengma Tang (Cimicifuga Decoction) treats muscular heat and night sweats.
Cimicifugae Rhizoma (Shengma), Mian Huangqi (Astragali Radix) (chopped), Ginseng Radix (Renshen) (decored, each 1 liang), Prepared Rehmanniae Radix (Shudihuang) (0.5 liang).
Pound and sieve the above into fine powder. Additionally prepare: Bambusae Concretio Silicea (Tianzhuhuang), Ostreae Concha Powder (Muli Fen) (half a liang, ground evenly).
Mix well. Take half to one qian, washed down with Bamboo Leaf Decoction.
Zhang Huan Muli San (Oyster Shell Powder) specifically stops night sweats.
Ostreae Concha Powder (Muli Fen) (2 liang, finely ground), Ephedrae Radix et Rhizoma Root (Mahuang Gen) (made into fine powder), Halloysit Rubrum (Chishizhi) (finely ground), Glutinous Rice Flour (Nuomifen) (each 1 liang), Borax (Longnao) (1 qian).
Grind the above uniformly again. Use one spoonful, wrap in new cotton, and frequently dust the body and face where sweating occurs, day and night.
*Si Shi Ba Hou* treats night sweats with Fangfeng Tang (Saposhnikovia Decoction).
Saposhnikoviae Radix (Fangfeng), Ephedrae Herba (Mahuang) (each 1 qian).
Make into powder. Add half a cup of water and four Nelumbinis Plumulae (Lianzixin), decoct for three to five boils, and take.
*Hui Yan Guan Zheng* Longdan Wan (Gentian Pill) treats night sweats occurring during sleep; if delayed, it gradually leads to sallow and emaciated appearance.
Gentianae Radix et Rhizoma (Longdancao), Saposhnikoviae Radix (Fangfeng) (equal parts).
Make into powder, form pills with honey the size of a bullet. Take ten pills per dose, washed down with honey water, at any time.
*Zhang Shi Jia Chuan* treats frequent night sweats in children. Bailong San (White Dragon Powder).
Dragon Bone (Longgu) (0.5 liang), Moschus (Shexiang) (a little).
Grind together into fine powder. Take half a qian per dose, washed down with cold water.
*Zhang Shi Jia Chuan* Renshen Huangqi San (Ginseng and Astragalus Powder) treats body heat, emaciation, spontaneous sweating, and night sweats; a wonderful formula.
Ginseng Radix (Renshen), Mian Huangqi (Astragali Radix), White Poria (Baifuling), Dioscoreae Rhizoma (Shanyao), Lilii Bulbus (Baihe), Glycyrrhizae Radix et Rhizoma (Gancao) (roasted, each 1 liang).
Make into fine powder. Take two qian per dose, taken with strong Ophiopogonis Radix (Maidong) decoction, at any time. Children take one qian; frequent dosing is excellent.
*Zhuang Shi Jia Chuan* treats all deficiency heat in children and night sweats during sleep.
Scutellariae Radix (Huangqin), Glycyrrhizae Radix et Rhizoma (Gancao), Paeoniae Radix Alba (Shaoyao) (each 1 liang).
Make into powder. Take one qian per dose, washed down with honey water.
*Zhuang Shi Jia Chuan* treats pediatric muscular heat, night sweats, and loss of appetite. Chaihu Yinzi (Bupleuri Drink).
Bupleuri Radix (Chaihu) (decored), Artemisiae Annuae Herba (Qinghao), Tender Peach Branch (Nen Tao Zhi), Tender Willow Branch (Nen Liu Zhi) (each shade-dried), Lycii Cortex (Digupi), Glycyrrhizae Radix et Rhizoma (Gancao) (roasted, each 2 liang).
Cut finely into equal parts. Take two qian per dose. Add one Smoked Prunus Salicina (Wumei), crushed, and forty-nine Triticum aestivum (Xiaomai) grains. Add one cup of water, decoct to seven tenths. Take warm after meals and before bed.
*Wang Shi Shou Ji* Zhihan Muli San (Stop Sweat Oyster Shell Powder) treats night sweats upon lying down, wind-deficiency headache, palpitations, confusion, dry mouth, and emaciation.
Ostreae Concha (Muli) (calcined red), Atractylodis Macrocephalae Rhizoma (Baizhu), Saposhnikoviae Radix (Fangfeng) (each 3 liang).
Grind together into fine powder. Take one level qian per dose, washed down with warm wine or rice drink. Stops sweat immediately.
*Wang Shi Shou Ji* Another Formula Fangzhi San
Saposhnikoviae Radix (Fangfeng), Angelicae Dahuricae Radix (Baizhi) (equal parts).
Grind and sieve into fine powder. Take one level qian per dose, washed down with rice drink. Very effective after meals.
*Ji Shi Jia Chuan* Mahuang San (Ephedra Powder) treats pediatric stomach heat night sweats and sweating due to heavy clothing and excessive warmth.
Ephedrae Radix et Rhizoma Root (Mahuang Gen) (1 fen, roasted), Wheat Bran (Maifu) (0.5 liang, stir-fried until yellow-black).
Make into fine powder. Take half to one qian per dose, washed down with pig ear decoction.
*Ji Shi Jia Chuan* Shengma San (Cimicifuga Powder) treats pediatric heart deficiency heat, yellow urine, red face, oral sores, and night sweats.
Cimicifugae Rhizoma (Shengma), Stemonae Radix (Baiyaozi), Glycyrrhizae Radix et Rhizoma (Gancao) (roasted), Trichosanthis Radix (Gualougen), Eugeniae Caryophyllatae Flos (Dingxiang) (each 1 fen).
Make into fine powder. Take half a qian per dose. Add half a cup of water and a slice of ginger, decoct together and take.
Ding Shifa, a physician from Changsha, transmitted a formula for pediatric bone heat and night sweats. Chongtang Wan (Double-Boiled Pill).
Coptidis Rhizoma (Huhuanglian) (1 fen), Bupleuri Radix (Chaihu) (0.5 liang), Bambusae Concretio Silicea (Tianzhuhuang) (3 fen).
Make into powder, mix with refined honey to form pills the size of a chicken head. Dissolve and take with Ophiopogonis Radix (Maidong) decoction.