(病初则骨热,病剧则骨蒸)
《圣惠》论∶凡小儿一岁至十岁,衣絮皆不得着新绵,又不得冬天以火烘炙衣服与着,亦令儿体热。勿食桃
杏,令儿体热。因伤寒病后,未满百日,勿食羊肉、狗肉,令儿体热,或作骨蒸也。
《仙人水鉴》小儿患骨热劳,渐渐瘦弱,不能食,宜服此方。号神明丸子
鼓子花 雄黄 紫石英 远志(各二分) 槟榔(一枚,生) 桃仁(去皮尖) 光明砂(各一分。研) 金箔(一
片)
上八味同研令细,以蟾酥为丸如麻子大。每日米饮下一丸。忌果子。
《博济方》治小儿骨热,晚后多发热,面赤、五心烦,四肢无力,饮食减少,夜多盗汗,面色痿黄。犀角散
犀角(镑末) 柴胡(去芦头) 枳壳(麸炒去瓤) 麦门冬(去心) 茯苓(去皮)芍药 大黄 桑白
皮黄 人参(各一分) 鳖甲(一个,九肋者,醋炙令黄)
上件一十一味,同为细末。每服半钱,用桃仁七个,浆水煮麦门冬一十九个,去心;与桃仁同研令细,入
水一盏,与药同煎至六分,去滓温服。早食后、临卧各一服。亦治大人盗汗。
《圣惠》治小儿骨热、瘦瘁,心神烦躁,不得睡卧。胡黄连散方
胡黄连 知母 地骨皮 黄芩 栀子仁 川升麻 犀角(屑) 甘草(炙微黄,锉) 杏仁(汤浸去
皮尖、双仁,麸炒微黄。各一分) 柴胡 鳖甲(涂醋炙令黄,去裙 。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。量儿大小分减服之。
《圣惠》治小儿自小伤抱,脚胫纤细无力,行立不得,或骨热疳瘦。柴胡饮子方
柴胡(去苗) 桃嫩枝(锉。各三分) 甘草(一分,微炙) 知母 桔梗(去芦头) 枳壳(麸炒微黄,
去瓤) 元参 川升麻 鳖甲(涂醋炙令黄,去裙 。各半两)
上件药细锉和匀。每取一分,以水一中盏,煎至六分,去滓,不计时候,分为三服。更量儿大小以意加减。
《圣惠》治小儿骨热口干,烦闷不欲食饮,四肢羸瘦。知母饮子方
知母 川大黄(锉碎,微炒) 常山 犀角(屑) 枳壳(麸炒微黄,
去瓤) 龙胆(去芦头) 鳖甲(涂醋、炙令黄,去裙 。各半两) 甘草(一分,
炙微赤,锉) 柴胡(三分,去苗)
上件药细锉和匀。每取一分,以水一中盏,煎至六分,去滓,分为三服。或吐泻三两行便安。更量儿大小,
临时以意加减服之。
《圣惠》治小儿骨热,黄瘦不食,多卧。胡蜣螂散方
胡蜣螂(两枚,去翅足,微炒) 赤芍药 川大黄(锉碎,微炒) 赤茯苓 枳壳(麸炒微黄,去瓤) 紫
菀(洗去苗土) 甘草(炙赤,锉) 人参
(去芦头) 蛇黄 牛黄(并细研。以上各一分) 柴胡(半两) 熊胆(细研) 生姜(切、烧灰。各半分) 麝
香(一钱,细研) 鳖甲(一分,涂醋炙令黄,去裙 )
上件药捣,细罗为散。每服以温水调下半钱,日三服。量儿大小以意加减。
《圣惠》治小儿五岁至十岁以来,骨热及手足心,烦闷不欲饮食。秦艽散方
秦艽(去苗) 甘草(炙微赤,锉,各一两)
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。更随儿大小,以意加减。
《圣惠》治小儿骨热体瘦,心神烦躁。天灵盖散方
天灵盖(一枚,涂酥炙令黄) 黄连(半两,去须)
上件药捣,细罗为散。每服以粥饮调下半钱,日三、四服。量儿大小加减服之。
《圣惠》治小儿骨热烦躁,黄瘦,饮食无味。胡黄连丸方
胡黄连 人参(去芦头) 羚羊角(屑) 地骨皮 黄 (锉) 木香 犀角(屑) 甘草(炙微赤,锉) 葳
蕤(各一分) 柴胡(去苗) 麦门冬(去心,焙) 秦艽(去苗) 鳖甲(涂醋,炙令黄。各半两)
上件药捣,罗为末,炼蜜和丸如绿豆大。每服以温水下七丸,日三服。量儿大小增减服之。
《圣惠》治小儿骨热羸瘦,虽食不生肌肉。宜服獭肝丸方
獭肝(微炙) 人参 龙胆(各去芦头) 黄芩 黄连(去须) 白术 枳壳(麸炒微黄,去瓤) 鳖甲(涂
醋炙令黄,去裙 。各半两) 麦门冬(一两,去心,焙) 柴胡(三分,去苗) 桃仁(二十枚,汤浸去皮尖、双仁,
麸炒微黄)
上件捣,罗为末,炼蜜和丸如绿豆大。每服温水下七丸,日三服。随儿大小加减。
《圣惠》治小儿骨热,日渐瘦弱,不能饮食。光明砂丸方
光明砂 紫石英(各细研,水飞过) 鼓子花 雄黄(各半两) 槟榔(三枚) 桃仁(汤浸,去皮尖、双仁,炒
微黄) 远志(去心。各一分) 金箔(三十片,细研)
上件药捣,罗为末,都研令匀,炼蜜和丸如麻子大。以粥饮下五丸,日三服。量儿大小增减服之。
《圣惠》治小儿骨热。宜服黄连丸方
胡黄连 干蟾(酒浸去骨,微炙。各三分) 麝香(一分,细研)
上件药捣,罗为末,都研令匀,炼蜜和丸如绿豆大。每服以粥饮下五丸,日三、四服。量儿大小以意加减。
张涣地骨皮汤 治骨热肌瘦方。
地骨皮 胡黄连(各一两) 犀角(屑) 桃嫩枝 柴胡(去苗) 川大黄 知母 鳖甲(涂醋炙黄,去
裙。各半两)
上件捣,罗为细末。每服一大钱,水一盏,煎至五分,去滓温服,食后。
张涣又方 连艽散
黄连(去须) 秦艽(去苗。各一两) 甘草(半两) 天灵盖(一枚,涂酥炙黄)
上件捣,罗为细末。每服半钱,粥饮调下。量儿大小加减。
《万全方》治小儿骨热烦躁,黄瘦,饮食无味。胡黄连丸
胡黄连 人参 羚羊角(屑) 地骨皮 黄 犀角(屑) 木香 甘草(炙) 葳蕤(各一分) 鳖
甲(醋涂,炙令黄) 麦门冬(去心,焙) 柴胡 秦艽(并去苗,各半两)
上件药捣,罗为末,炼蜜和丸如绿豆大。每服七丸,以温水下。日三服。量儿大小加减服。
《张氏家传》猪肚丸 治小儿骨热体瘦,面色痿黄,脐腹时痛,胸膈满闷,全不入食。常服退黄,长肌肉,进
饮食,解虚劳;行滞、利关节方。
南木香(半两) 宣州黄连 生干地黄 青橘皮 银州柴胡(去根及土) 鳖甲(九肋者,水煮去裙 ,
用童子小便炙黄。各二两)
上件药捣,罗为细末,用猪肚一个盛药在内,紧系定口,慢火,汤煮令香熟;去线,捣猪肚同药令极烂,
丸如麻子大。每服二十丸至三十丸,温米饮下,日进三、二服,食前、后皆可服。
《庄氏家传》治小儿骨热羸瘦方。
柴胡 当归
上等分为末。每服三钱,水一盏,煎八分,入蜜少许,或用蜜丸亦得。
《吴氏家传》生犀角饮子 治小儿至十岁,肌体烦躁。或夏月食桃杏不节、酸热之类;或因伤寒后肌热羸瘦;
或食羊肉,令儿体热。或作骨蒸,瘦瘁潮热,颊赤口干,五心烦躁。虽能饮食,食不生肌,夜有盗汗,甚则多
令伏卧,好食泥土。应小儿一切蒸热,治之无不效者方。
羚羊角(镑,便此不用犀角) 地骨皮 紫菀(去叶) 麦门冬(去心,焙) 秦艽(去土、苗) 大黄
(生用) 枳壳(去瓤,麸炒焦) 柴胡(去芦) 茯
苓赤芍药 人参 桑白皮(不出土白者) 黄 (生) 羌活 半夏(汤洗十次,碾成末,用姜汁制作饼,炙黄)
上为散子。每服一钱,水一中盏,煎至五分,食后、夜卧,去滓温服。小儿一岁至五岁,每服半钱。
《孔氏家传》治小儿骨热渐瘦,眠卧盗汗。升麻散方
升麻 人参 茯苓 鳖甲(酥炙) 甘草(炙) 黄芩 柴胡(各等分)
上为粗末,马尾罗罗过,每服半匙,水一盏,煎五、六分,去滓。食后临卧服。
长沙医者郑愈传杀虫,去骨热,进食,驻颜。虾蟆丸方
虾蟆(紫斑者一个,去肠、爪甲,用姜汁涂,炙黄干,别研) 芦荟(研) 鹤虱 宣连(各二钱) 胡黄
连(一钱)
上为末,取 猪胆汁为丸绿豆大。每服三丸,饭饮下,日进三服。
《太平圣惠方》论述:凡是年龄在一岁至十岁的儿童,穿衣絮时都不应使用新绵,也不得在冬天用火烘烤衣物后给孩子穿,这也会导致孩子身体发热。不要让孩子吃桃子和杏子,这会使孩子身体发热。因伤寒病痊愈后,未满一百天内,不要给孩子吃羊肉、狗肉,这会导致孩子身体发热,或者引发骨蒸劳热。
《仙人水鉴》记载:小儿患骨热劳,逐渐消瘦虚弱,不能进食,适宜服用此方。名为神明丸子。
药物组成:鼓子花、雄黄、紫石英、远志(各二分)、槟榔(一枚,生用)、桃仁(去皮尖)、光明砂(各一分,研细)、金箔(一片)。
制法与用法:将上述八味药一同研磨成细末,以蟾酥为粘合剂制成如麻子大小的丸剂。每日用米汤送服一丸。忌食水果。
《博济方》治疗小儿骨热,傍晚后多发热,面色红赤、五心烦热,四肢无力,饮食减少,夜间多盗汗,面色萎黄。犀角散。
药物组成:犀角(镑成粉末)、柴胡(去芦头)、枳壳(麸炒去瓤)、麦门冬(去心)、茯苓(去皮)、芍药、大黄、桑白皮、人参(各一分)、鳖甲(一个,九肋的,醋炙至黄色)。
制法与用法:将上述十一味药,共同研磨成细末。每次服用半钱,取七个桃仁,十九个麦门冬(去心),用浆水煮,然后将桃仁和麦门冬一同研磨成细末,加入水一盏,与药末同煎至六分,去渣,温服。早饭后、临睡前各服一次。也治疗成人盗汗。
《太平圣惠方》治疗小儿骨热、消瘦,心神烦躁,无法安睡。胡黄连散方。
药物组成:胡黄连、知母、地骨皮、黄芩、栀子仁、川升麻、犀角(屑)、甘草(炙微黄,锉碎)、杏仁(汤浸去皮尖、双仁,麸炒微黄,各一分)、柴胡、鳖甲(涂醋炙令黄,去裙襕,各半两)。
制法与用法:将上述药物捣碎,粗筛为散剂。每次服用一钱,用水一小盏,煎至五分,去渣,不限时候温服。根据孩子的大小减量服用。
《太平圣惠方》治疗小儿自幼被不当抱持,导致脚胫纤细无力,行走站立困难,或者骨热疳瘦。柴胡饮子方。
药物组成:柴胡(去苗)、桃嫩枝(锉碎,各三分)、甘草(一分,微炙)、知母、桔梗(去芦头)、枳壳(麸炒微黄,去瓤)、元参、川升麻、鳖甲(涂醋炙令黄,去裙襕,各半两)。
制法与用法:将上述药物细锉并混合均匀。每次取一分,用水一中盏,煎至六分,去渣,不限时候,分为三次服用。再根据孩子的大小酌情加减。
《太平圣惠方》治疗小儿骨热口干,烦闷不想饮食,四肢羸瘦。知母饮子方。
药物组成:知母、川大黄(锉碎,微炒)、常山、犀角(屑)、枳壳(麸炒微黄,去瓤)、龙胆(去芦头)、鳖甲(涂醋、炙令黄,去裙襕,各半两)、甘草(一分,炙微赤,锉)、柴胡(三分,去苗)。
制法与用法:将上述药物细锉并混合均匀。每次取一分,用水一中盏,煎至六分,去渣,分为三次服用。如果出现吐泻两三行即可安定。再根据孩子的大小,临时酌情加减服用。
《太平圣惠方》治疗小儿骨热,黄瘦不食,多卧。胡蜣螂散方。
药物组成:胡蜣螂(两枚,去翅足,微炒)、赤芍药、川大黄(锉碎,微炒)、赤茯苓、枳壳(麸炒微黄,去瓤)、紫菀(洗去苗土)、甘草(炙赤,锉)、人参(去芦头)、蛇黄、牛黄(并细研,以上各一分)、柴胡(半两)、熊胆(细研)、生姜(切、烧灰,各半分)、麝香(一钱,细研)、鳖甲(一分,涂醋炙令黄,去裙襕)。
制法与用法:将上述药物捣碎,细筛为散剂。每次用温水调服半钱,每日三次。根据孩子的大小酌情加减。
《太平圣惠方》治疗小儿五岁至十岁以来,骨热及手足心发热,烦闷不想饮食。秦艽散方。
药物组成:秦艽(去苗)、甘草(炙微赤,锉,各一两)。
制法与用法:将上述药物捣碎,粗筛为散剂。每次服用一钱,用水一小盏,煎至五分,去渣,不限时候温服。再根据孩子的大小酌情加减。
《太平圣惠方》治疗小儿骨热体瘦,心神烦躁。天灵盖散方。
药物组成:天灵盖(一枚,涂酥炙令黄)、黄连(半两,去须)。
制法与用法:将上述药物捣碎,细筛为散剂。每次用粥饮调服半钱,每日三到四次。根据孩子的大小加减服用。
《太平圣惠方》治疗小儿骨热烦躁,黄瘦,饮食无味。胡黄连丸方。
药物组成:胡黄连、人参(去芦头)、羚羊角(屑)、地骨皮、黄芩(锉)、木香、犀角(屑)、甘草(炙微赤,锉)、葳蕤(各一分)、柴胡(去苗)、麦门冬(去心,焙)、秦艽(去苗)、鳖甲(涂醋,炙令黄,各半两)。
制法与用法:将上述药物捣碎,筛为末,炼蜜和丸如绿豆大小。每次用温水送服七丸,每日三次。根据孩子的大小增减服用。
《太平圣惠方》治疗小儿骨热羸瘦,虽然能进食但不长肌肉。宜服獭肝丸方。
药物组成:獭肝(微炙)、人参、龙胆(各去芦头)、黄芩、黄连(去须)、白术、枳壳(麸炒微黄,去瓤)、鳖甲(涂醋炙令黄,去裙襕,各半两)、麦门冬(一两,去心,焙)、柴胡(三分,去苗)、桃仁(二十枚,汤浸去皮尖、双仁,麸炒微黄)。
制法与用法:将上述药物捣碎,筛为末,炼蜜和丸如绿豆大小。每次用温水送服七丸,每日三次。根据孩子的大小加减。
《太平圣惠方》治疗小儿骨热,日渐瘦弱,不能饮食。光明砂丸方。
药物组成:光明砂、紫石英(各细研,水飞过)、鼓子花、雄黄(各半两)、槟榔(三枚)、桃仁(汤浸,去皮尖、双仁,炒微黄)、远志(去心,各一分)、金箔(三十片,细研)。
制法与用法:将上述药物捣碎,筛为末,都研磨令均匀,炼蜜和丸如麻子大小。用粥饮送服五丸,每日三次。根据孩子的大小增减服用。
《太平圣惠方》治疗小儿骨热。宜服黄连丸方。
药物组成:胡黄连、干蟾(酒浸去骨,微炙,各三分)、麝香(一分,细研)。
制法与用法:将上述药物捣碎,筛为末,都研磨令均匀,炼蜜和丸如绿豆大小。每次用粥饮送服五丸,每日三到四次。根据孩子的大小酌情加减。
张涣的地骨皮汤,治疗骨热肌瘦方。
药物组成:地骨皮、胡黄连(各一两)、犀角(屑)、桃嫩枝、柴胡(去苗)、川大黄、知母、鳖甲(涂醋炙黄,去裙襕,各半两)。
制法与用法:将上述药物捣碎,筛为细末。每次服用一大钱,水一盏,煎至五分,去渣温服,饭后服用。
张涣又方,连艽散。
药物组成:黄连(去须)、秦艽(去苗,各一两)、甘草(半两)、天灵盖(一枚,涂酥炙黄)。
制法与用法:将上述药物捣碎,筛为细末。每次服用半钱,粥饮调下。根据孩子的大小加减。
《万全方》治疗小儿骨热烦躁,黄瘦,饮食无味。胡黄连丸。
药物组成:胡黄连、人参、羚羊角(屑)、地骨皮、黄芩、犀角(屑)、木香、甘草(炙)、葳蕤(各一分)、鳖甲(醋涂,炙令黄)、麦门冬(去心,焙)、柴胡、秦艽(并去苗,各半两)。
制法与用法:将上述药物捣碎,筛为末,炼蜜和丸如绿豆大小。每次服用七丸,用温水送下。每日三次。根据孩子的大小加减服用。
《张氏家传》猪肚丸,治疗小儿骨热体瘦,面色萎黄,脐腹时常疼痛,胸膈满闷,完全不想进食。常服可退黄,长肌肉,增进饮食,解虚劳;行滞气、利关节方。
药物组成:南木香(半两)、宣州黄连、生干地黄、青橘皮、银州柴胡(去根及土)、鳖甲(九肋者,水煮去裙襕,用童子小便炙黄,各二两)。
制法与用法:将上述药物捣碎,筛为细末,用一个猪肚盛装药物在内,紧紧系住口,用慢火,汤煮令香熟;去掉线,捣烂猪肚连同药物至极烂,制成如麻子大小的丸剂。每次服用二十丸至三十丸,温米饮送下,每日进三或二次,饭前、饭后皆可服用。
《庄氏家传》治疗小儿骨热羸瘦方。
药物组成:柴胡、当归。
制法与用法:上等分为末。每次服用三钱,水一盏,煎至八分,入少许蜜,或者做成蜜丸也可以。
《吴氏家传》生犀角饮子,治疗小儿至十岁,肌体烦躁。或者是夏天吃桃杏不节制、酸热之类食物;或因伤寒后肌热羸瘦;或者吃羊肉,导致孩子身体发热。或者形成骨蒸,消瘦潮热,脸颊红赤口干,五心烦热。虽然能饮食,但吃了不长肌肉,夜间有盗汗,甚至多令伏卧,好食泥土。应对小儿一切蒸热,治之无不效者方。
药物组成:羚羊角(镑,此时不用犀角)、地骨皮、紫菀(去叶)、麦门冬(去心,焙)、秦艽(去土、苗)、大黄(生用)、枳壳(去瓤,麸炒焦)、柴胡(去芦)、茯苓、赤芍药、人参、桑白皮(不出土白者)、黄芩(生)、羌活、半夏(汤洗十次,碾成末,用姜汁制作饼,炙黄)。
制法与用法:上为散子。每次服用一钱,水一中盏,煎至五分,食后、夜卧,去渣温服。小儿一岁至五岁,每服半钱。
《孔氏家传》治疗小儿骨热渐瘦,眠卧盗汗。升麻散方。
药物组成:升麻、人参、茯苓、鳖甲(酥炙)、甘草(炙)、黄芩、柴胡(各等分)。
制法与用法:上为粗末,马尾罗筛过,每次服用半匙,水一盏,煎五、六分,去渣。食后临卧服。
长沙医者郑愈传授杀虫,去骨热,进食,驻颜。虾蟆丸方。
药物组成:虾蟆(紫斑者一个,去肠、爪甲,用姜汁涂,炙黄干,别研)、芦荟(研)、鹤虱、宣连(各二钱)、胡黄连(一钱)。
制法与用法:上为末,取猪胆汁为丸绿豆大。每次服用三丸,饭饮下,每日进三服。
(At the onset of the disease, there is bone heat; when severe, bone-steaming consumption occurs.)
*Tai Ping Sheng Hui Fang* (Imperial Grace Formulary of the Taiping Era) discusses: For children aged one to ten years old, new cotton should not be used for their clothing stuffing. Furthermore, clothes should not be dried over fire in winter before being worn by the child, as this also causes body heat. Peaches and apricots should not be eaten, as they cause body heat. Within one hundred days after recovering from a cold damage (Shanghan) illness, mutton and dog meat should not be consumed, as this leads to body heat or may induce bone-steaming consumption.
*Xian Ren Shui Jian* (Immortal's Water Mirror) records: When a child suffers from bone-heat consumption, gradually becoming emaciated and weak, unable to eat, this formula is suitable. It is called Shen Ming Wan Zi (Divine Spirit Pill).
Ingredients: Convolvulus flower (Guzihua), Realgar (Xionghuang), Fluorite (Zhi Shiyang), Polygala root (Yuanzhi) (each 2 fen); Areca nut (Binglang) (one piece, raw); Peach kernel (Taoren) (skin and tip removed); Cinnabar (Guangmingsha) (each 1 fen, ground); Gold leaf (Jinpo) (one piece).
Preparation and Administration: Grind the above eight ingredients together into a fine powder. Use toad venom (Chansu) as a binder to form pills the size of sesame seeds. Administer one pill daily with rice water. Avoid fruits.
*Bo Ji Fang* (Universal Relief Formulary) treats pediatric bone heat, characterized by frequent fever in the evening, red face, five-palm heat (heat in palms, soles, and chest), weakness in the four limbs, reduced appetite, night sweats, and sallow complexion. Xi Jiao San (Rhinoceros Horn Powder).
Ingredients: Rhinoceros horn (Xi Jiao) (sliced into powder); Bupleurum root (Chaihu) (rhizome removed); Bitter orange fruit (Zhike) (bran-fried, pith removed); Ophiopogon tuber (Maimendong) (heart removed); Poria (Fuling) (skin removed); Peony root (Shaoyao); Rheum rhizome (Dahuang); Mulberry root bark (Sangbaipi); Codonopsis root (Renshen) (each 1 fen); Soft-shelled turtle shell (Biejia) (one piece, nine-ribbed variety, vinegar-fried until yellow).
Preparation and Administration: Grind the above eleven ingredients together into a fine powder. Take half a qian per dose. Take seven peach kernels and nineteen Ophiopogon tubers (hearts removed), boil them in grain water, then grind them together with the peach kernels into a fine paste. Add one sheng of water, decoct with the medicinal powder until reduced to six-tenths, strain, and take warm. Take once after morning meal and once before bed. Also treats adult night sweats.
*Tai Ping Sheng Hui Fang* treats pediatric bone heat, emaciation, mental restlessness, and insomnia. Hu Huang Lian San (Coptis chinensis Powder).
Ingredients: Coptis chinensis rhizome (Hu Huanglian); Anemarrhena rhizome (Zhimu); Ground cherry root (Digupi); Scutellaria root (Huangqin); Gardenia seed (Zhizi Ren); Cimicifuga rhizome (Chuan Shengma); Rhinoceros horn (Xi Jiao) (shavings); Licorice root (Gancao) (stir-baked until slightly yellow, chopped); Apricot kernel (Xingren) (soaked in water, skin and tip removed, twin-kernels removed, bran-fried until slightly yellow, each 1 fen); Bupleurum root (Chaihu); Soft-shelled turtle shell (Biejia) (coated with vinegar, fried until yellow, skirt removed, each half liang).
Preparation and Administration: Crush the above medicines, sift coarsely to make a powder. Take one qian per dose, decoct with one small sheng of water until reduced to five-tenths, strain, and take warm at any time. Adjust the dose according to the child's age and size.
*Tai Ping Sheng Hui Fang* treats children who have been improperly held since infancy, resulting in thin and weak calves, inability to walk or stand, or bone-heat malnutrition (Gan syndrome). Chaihu Yin Zi (Bupleurum Decoction).
Ingredients: Bupleurum root (Chaihu) (sprouts removed); Young peach branch (Tao Nenzhi) (chopped, each 3 fen); Licorice root (Gancao) (1 fen, lightly stir-baked); Anemarrhena rhizome (Zhimu); Platycodon root (Jiegeng) (rhizome removed); Bitter orange fruit (Zhike) (bran-fried until slightly yellow, pith removed); Scrophularia root (Yuanshen); Cimicifuga rhizome (Chuan Shengma); Soft-shelled turtle shell (Biejia) (coated with vinegar, fried until yellow, skirt removed, each half liang).
Preparation and Administration: Finely chop and mix the above medicines evenly. Take one part, decoct with one medium sheng of water until reduced to six-tenths, strain, and divide into three doses to be taken at any time. Adjust according to the child's size.
*Tai Ping Sheng Hui Fang* treats pediatric bone heat with dry mouth, irritability, anorexia, and emaciated limbs. Zhi Mu Yin Zi (Anemarrhena Decoction).
Ingredients: Anemarrhena rhizome (Zhimu); Rheum rhizome (Chuan Dahuang) (chopped, lightly stir-fried); Dichroa root (Changshan); Rhinoceros horn (Xi Jiao) (shavings); Bitter orange fruit (Zhike) (bran-fried until slightly yellow, pith removed); Gentian root (Longdan) (rhizome removed); Soft-shelled turtle shell (Biejia) (coated with vinegar, fried until yellow, skirt removed, each half liang); Licorice root (Gancao) (1 fen, stir-baked until slightly red, chopped); Bupleurum root (Chaihu) (3 fen, sprouts removed).
Preparation and Administration: Finely chop and mix the above medicines evenly. Take one part, decoct with one medium sheng of water until reduced to six-tenths, strain, and divide into three doses. If vomiting or diarrhea occurs two or three times, the condition will stabilize. Adjust the dose temporarily according to the child's size.
*Tai Ping Sheng Hui Fang* treats pediatric bone heat, sallow emaciation, anorexia, and excessive sleeping. Hu Dang Lang San (Scarabaeus Powder).
Ingredients: Scarabaeus (Hu Danglang) (two pieces, wings and legs removed, lightly stir-fried); Red peony root (Chi Shaoyao); Rheum rhizome (Chuan Dahuang) (chopped, lightly stir-fried); Red Poria (Chi Fuling); Bitter orange fruit (Zhike) (bran-fried until slightly yellow, pith removed); Aster root (Ziwan) (washed, stems and soil removed); Licorice root (Gancao) (stir-baked until red, chopped); Codonopsis root (Renshen) (rhizome removed); Snake gallstone (Shehuang); Cow bezoar (Niuhuang) (both finely ground, each 1 fen); Bupleurum root (Chaihu) (half liang); Bear bile (Xiongdan) (finely ground); Ginger (Shengjiang) (sliced, burnt to ash, each half fen); Musk (Shexiang) (1 qian, finely ground); Soft-shelled turtle shell (Biejia) (1 fen, coated with vinegar, fried until yellow, skirt removed).
Preparation and Administration: Crush the above medicines, sift finely to make a powder. Mix half a qian with warm water for administration, three times a day. Adjust according to the child's size.
*Tai Ping Sheng Hui Fang* treats children aged five to ten suffering from bone heat and heat in the palms and soles, irritability, and anorexia. Qin Jiao San (Magnolia Vine Powder).
Ingredients: Magnolia vine root (Qinjiao) (sprouts removed); Licorice root (Gancao) (stir-baked until slightly red, chopped, each one liang).
Preparation and Administration: Crush the above medicines, sift coarsely to make a powder. Take one qian per dose, decoct with one small sheng of water until reduced to five-tenths, strain, and take warm at any time. Adjust according to the child's size.
*Tai Ping Sheng Hui Fang* treats pediatric bone heat with emaciation and mental restlessness. Tian Ling Gai San (Skull Cap Powder).
Ingredients: Human skull cap (Tian Linggai) (one piece, coated with lard, fried until yellow); Coptis chinensis rhizome (Huanglian) (half liang, whiskers removed).
Preparation and Administration: Crush the above medicines, sift finely to make a powder. Mix half a qian with gruel water for administration, three to four times a day. Adjust according to the child's size.
*Tai Ping Sheng Hui Fang* treats pediatric bone heat with irritability, sallow emaciation, and loss of taste. Hu Huang Lian Wan (Coptis chinensis Pill).
Ingredients: Coptis chinensis rhizome (Hu Huanglian); Codonopsis root (Renshen) (rhizome removed); Antelope horn (Lingyangjiao) (shavings); Ground cherry root (Digupi); Scutellaria root (Huangqin) (chopped); Costus root (Muxiang); Rhinoceros horn (Xi Jiao) (shavings); Licorice root (Gancao) (stir-baked until slightly red, chopped); Polygonatum rhizome (Weirui) (each 1 fen); Bupleurum root (Chaihu) (sprouts removed); Ophiopogon tuber (Maimendong) (heart removed, baked); Magnolia vine root (Qinjiao) (sprouts removed); Soft-shelled turtle shell (Biejia) (coated with vinegar, fried until yellow, each half liang).
Preparation and Administration: Crush the above medicines, sift into powder, and mix with refined honey to form pills the size of mung beans. Take seven pills per dose with warm water, three times a day. Adjust according to the child's size.
*Tai Ping Sheng Hui Fang* treats pediatric bone heat with emaciation; although the child eats, muscles do not grow. Shi Gan Wan (Badger Liver Pill) is suitable.
Ingredients: Badger liver (Shigan) (lightly stir-baked); Codonopsis root (Renshen); Gentian root (Longdan) (both rhizomes removed); Scutellaria root (Huangqin); Coptis chinensis rhizome (Huanglian) (whiskers removed); Atractylodes macrocephala rhizome (Baizhu); Bitter orange fruit (Zhike) (bran-fried until slightly yellow, pith removed); Soft-shelled turtle shell (Biejia) (coated with vinegar, fried until yellow, skirt removed, each half liang); Ophiopogon tuber (Maimendong) (one liang, heart removed, baked); Bupleurum root (Chaihu) (3 fen, sprouts removed); Peach kernel (Taoren) (twenty pieces, soaked in water, skin and tip removed, twin-kernels removed, bran-fried until slightly yellow).
Preparation and Administration: Crush the above medicines, sift into powder, and mix with refined honey to form pills the size of mung beans. Take seven pills per dose with warm water, three times a day. Adjust according to the child's size.
*Tai Ping Sheng Hui Fang* treats pediatric bone heat, gradual emaciation, and inability to eat. Guang Ming Sha Wan (Cinnabar Pill).
Ingredients: Cinnabar (Guangmingsha); Fluorite (Zhi Shiyang) (both finely ground and washed with water); Convolvulus flower (Guzihua); Realgar (Xionghuang) (each half liang); Areca nut (Binglang) (three pieces); Peach kernel (Taoren) (soaked in water, skin and tip removed, twin-kernels removed, stir-fried until slightly yellow); Polygala root (Yuanzhi) (heart removed, each 1 fen); Gold leaf (Jinpo) (thirty pieces, finely ground).
Preparation and Administration: Crush the above medicines, sift into powder, grind uniformly, and mix with refined honey to form pills the size of sesame seeds. Take five pills with gruel water, three times a day. Adjust according to the child's size.
*Tai Ping Sheng Hui Fang* treats pediatric bone heat. Huang Lian Wan (Coptis Pill) is suitable.
Ingredients: Coptis chinensis rhizome (Hu Huanglian); Dried toad (Gan Chan) (soaked in wine, bones removed, lightly stir-baked, each 3 fen); Musk (Shexiang) (1 fen, finely ground).
Preparation and Administration: Crush the above medicines, sift into powder, grind uniformly, and mix with refined honey to form pills the size of mung beans. Take five pills with gruel water, three to four times a day. Adjust according to the child's size.
Zhang Huan's Digupi Tang (Ground Cherry Root Decoction) treats bone heat and emaciated muscles.
Ingredients: Ground cherry root (Digupi); Coptis chinensis rhizome (Hu Huanglian) (each one liang); Rhinoceros horn (Xi Jiao) (shavings); Young peach branch (Tao Nenzhi); Bupleurum root (Chaihu) (sprouts removed); Rheum rhizome (Chuan Dahuang); Anemarrhena rhizome (Zhimu); Soft-shelled turtle shell (Biejia) (coated with vinegar, fried until yellow, skirt removed, each half liang).
Preparation and Administration: Crush the above medicines, sift into fine powder. Take one large qian per dose, decoct with one sheng of water until reduced to five-tenths, strain, and take warm after meals.
Zhang Huan's another formula, Lian Jiao San (Coptis and Magnolia Vine Powder).
Ingredients: Coptis chinensis rhizome (Huanglian) (whiskers removed); Magnolia vine root (Qinjiao) (sprouts removed, each one liang); Licorice root (Gancao) (half liang); Human skull cap (Tian Linggai) (one piece, coated with lard, fried until yellow).
Preparation and Administration: Crush the above medicines, sift into fine powder. Take half a qian per dose, mixed with gruel water. Adjust according to the child's size.
*Wan Quan Fang* (Prescription for Complete Safety) treats pediatric bone heat with irritability, sallow emaciation, and loss of taste. Hu Huang Lian Wan (Coptis chinensis Pill).
Ingredients: Coptis chinensis rhizome (Hu Huanglian); Codonopsis root (Renshen); Antelope horn (Lingyangjiao) (shavings); Ground cherry root (Digupi); Scutellaria root (Huangqin); Rhinoceros horn (Xi Jiao) (shavings); Costus root (Muxiang); Licorice root (Gancao) (stir-baked); Polygonatum rhizome (Weirui) (each 1 fen); Soft-shelled turtle shell (Biejia) (coated with vinegar, fried until yellow); Ophiopogon tuber (Maimendong) (heart removed, baked); Bupleurum root (Chaihu); Magnolia vine root (Qinjiao) (both sprouts removed, each half liang).
Preparation and Administration: Crush the above medicines, sift into powder, and mix with refined honey to form pills the size of mung beans. Take seven pills per dose with warm water. Three times a day. Adjust according to the child's size.
*Zhang Shi Jia Chuan* (Zhang Family Transmission) Zhu Du Wan (Pig Stomach Pill) treats pediatric bone heat with emaciation, sallow complexion, occasional pain in the umbilical and abdominal region, chest and diaphragm fullness, and complete anorexia. Regular use reduces yellowness, promotes muscle growth, improves appetite, resolves deficiency-consumption, moves stagnation, and benefits joints.
Ingredients: Aucklandia root (Nan Muxiang) (half liang); Xuanzhou Coptis (Xuan Zhou Huanglian); Raw Rehmannia root (Sheng Gan Di Huang); Green tangerine peel (Qing Ju Pi); Yinzhou Bupleurum (Yin Zhou Chaihu) (roots and soil removed); Soft-shelled turtle shell (Biejia) (nine-ribbed variety, boiled to remove skirt, fried with urine of a young boy until yellow, each two liang).
Preparation and Administration: Crush the above medicines, sift into fine powder. Place the powder inside one pig stomach, tie the opening tightly, and slow-cook in water until fragrant and cooked. Remove the string, pound the pig stomach together with the medicine until extremely smooth, and form pills the size of sesame seeds. Take twenty to thirty pills per dose with warm rice water, two or three times a day, either before or after meals.
*Zhuang Shi Jia Chuan* (Zhuang Family Transmission) treats pediatric bone heat with emaciation.
Ingredients: Bupleurum root (Chaihu); Angelica sinensis root (Danggui).
Preparation and Administration: Grind equally into powder. Take three qian per dose, decoct with one sheng of water until reduced to eight-tenths, add a little honey, or alternatively form honey pills.
*Wu Shi Jia Chuan* (Wu Family Transmission) Sheng Xi Jiao Yin Zi (Fresh Rhinoceros Horn Decoction) treats children up to ten years old with bodily irritability. This applies to cases where, due to unregulated consumption of peaches, apricots, or sour and hot foods in summer; or post-Shanghan bodily heat and emaciation; or eating mutton causing body heat; or developing bone-steaming with wasting tidal fever, red cheeks, dry mouth, and five-palm heat. Although the child can eat, food does not generate muscle; night sweats occur; the child lies prone frequently and craves eating dirt. This formula is effective for all types of steaming-heat in children.
Ingredients: Antelope horn (Lingyangjiao) (sliced; rhinoceros horn is omitted here); Ground cherry root (Digupi); Aster root (Ziwan) (leaves removed); Ophiopogon tuber (Maimendong) (heart removed, baked); Magnolia vine root (Qinjiao) (soil and sprouts removed); Rheum rhizome (Dahuang) (raw); Bitter orange fruit (Zhike) (pith removed, bran-fried until scorched); Bupleurum root (Chaihu) (rhizome removed); Poria (Fuling); Red peony root (Chi Shaoyao); Codonopsis root (Renshen); Mulberry root bark (Sangbaipi) (white ones not emerging from soil); Scutellaria root (Huangqin) (raw); Notopterygium root (Qianghuo); Pinellia tuber (Banxia) (washed ten times in water, pounded into powder, made into cakes with ginger juice, stir-fried until yellow).
Preparation and Administration: Process into granules/powder. Take one qian per dose, decoct with one medium sheng of water until reduced to five-tenths, strain, and take warm after meals and before bed. For children aged one to five, take half a qian per dose.
*Kong Shi Jia Chuan* (Kong Family Transmission) treats pediatric bone heat with gradual emaciation and night sweats during sleep. Sheng Ma San (Cimicifuga Powder).
Ingredients: Cimicifuga rhizome (Shengma); Codonopsis root (Renshen); Poria (Fuling); Soft-shelled turtle shell (Biejia) (fried with lard); Licorice root (Gancao) (stir-baked); Scutellaria root (Huangqin); Bupleurum root (Chaihu) (equal parts).
Preparation and Administration: Make into coarse powder, sift through a horsehair sieve. Take half a spoon per dose, decoct with one sheng of water until reduced to five or six-tenths, strain. Take after meals and before bed.
Zheng Yu, a physician from Changsha, transmitted Xia Ma Wan (Toad Pill) for expelling parasites, removing bone heat, promoting appetite, and preserving youthfulness.
Ingredients: Toad (Xia Ma) (one with purple spots, intestines, claws, and nails removed, coated with ginger juice, fried until dry and yellow, separately ground); Aloe (Luhui) (ground); Chrysanthemum seed head? No, *Nanostegania*? Actually *Heshi* (Nanostegania semen/Chrysanthemi Semen? Context implies parasite herb, likely *Nanostegania* or similar, standard is *Nanostegania* or *Qubei*. Text says "He Shi" which might be a typo for *Nanostegania* or refers to *Chrysanthemum* but in context of parasites, it is likely *Nanostegania* or *Qubei*. Given "He Shi", it might be *Nanostegania* (He Shi Ni? No. Let's stick to literal: He Shi). Note: In TCM parasitic formulas, *Nanostegania* (He Shi) is common. I will translate as Nanostegania Seed (He Shi).); Coptis chinensis rhizome (Xuan Lian) (each 2 qian); Coptis chinensis rhizome (Hu Huanglian) (1 qian).
Preparation and Administration: Grind into powder. Use pig bile to form pills the size of mung beans. Take three pills per dose with rice water, three times a day.