小儿元气未充，腠理不密，所以极易汗出，故凡饮食过热，或衣被过暖，皆能致汗。东垣诸公
云∶此是小儿常事，不必治之。然汗之根本，由于营气；汗之启闭，由于卫气。若小儿多汗者，终
是卫虚，所以不固。汗出既多，未免营卫血气愈有所损，而衰羸之渐，未必不由乎此，此所以不可
不治也。大都治汗之法，当以益气为主，但使阳气外固，则阴液内藏，而汗自止矣。
一、治法∶凡小儿无故常多盗汗，或自汗者，宜以团参散为主，或参苓散、四君子汤、五味异
功散，或白术散之类，俱可择用。若其甚者，宜三阴煎、人参养营汤，或十全大补汤。若心经有火
而见烦渴者，宜生脉散、一阴煎。若肝脾火盛，内热熏蒸，血热而汗出者，脉必洪滑，证多烦热，
宜当归六黄汤，或加减一阴煎。若阳明实热，汗出大渴者，宜仲景竹叶石膏汤。若因病后，或大
吐大泻之后，或误用克伐之药，以致气虚气脱而大汗亡阳者，速宜用参附汤、六味回阳饮，或 附
汤之类，庶可挽回也。大都汗多亡阳者，多致角弓反张，项强戴眼等证，此太阳、少阴二经精血
耗散，阴虚血燥而然，速宜用大营煎、人参养营汤，或十全大补汤之类，方可解救。若作风治，万
无一生矣。前汗证门有详论详法，所当参阅。余之儿辈，有于襁褓中多盗汗者，但以人参一钱，泡
汤与服，当夜即止。久不服参，必又汗出，再服再止，其效如神。凡养儿者，亦可以此为常法。
小儿的元气尚未充盈，腠理（皮肤纹理及毛孔）不够致密，所以极易出汗。因此，凡是饮食过热，或者衣被过暖，都能导致出汗。李东垣等医家说：这是小儿的常事，不必治疗。然而，汗的根本在于营气；汗的开合启闭，取决于卫气。如果小儿多汗，终究是卫气虚弱，所以不能固摄。汗出过多，难免使营卫血气进一步受损，而身体衰弱消瘦的渐进过程，未必不是由此引起，这就是为什么不可不治疗的原因。大抵治疗汗法，应当以益气为主，只要使阳气在外固护，则阴液在内藏守，汗自然就会停止。
一、治法：凡是小儿无故经常有多盗汗，或自汗的情况，适宜以团参散为主方，或者参苓散、四君子汤、五味异功散，或者白术散之类的方剂，都可以酌情选用。如果病情严重的，适宜用三阴煎、人参养营汤，或者十全大补汤。如果心经有火而见到烦躁口渴的，适宜用生脉散、一阴煎。如果肝脾火盛，内热熏蒸，血热而汗出的，脉象必定洪滑，证候多表现为烦热，适宜用当归六黄汤，或者加减一阴煎。如果是阳明实热，汗出且大渴的，适宜用张仲景的竹叶石膏汤。如果是因病后，或者大吐大泻之后，或者误用了攻伐的药物，以致气虚气脱而大汗亡阳的，速宜用参附汤、六味回阳饮，或者附子汤之类的方剂，才可能挽回生机。大抵汗多亡阳的，多会导致角弓反张、项强戴眼等证候，这是太阳经、少阴经二经的精血耗散，阴虚血燥所致，速宜用大营煎、人参养营汤，或者十全大补汤之类的方剂，才可以解救。如果当作风证来治疗，万无一人生还的道理了。前文汗证门有详细论述和详细方法，应当参考阅读。我的孩子们，有的在襁褓中就多盗汗的，只用人参一钱，泡汤给他们服用，当晚就停止了。长时间不服人参，必然又出汗，再服再止，其效果如神一般。凡是养育孩子的，也可以将此作为常规方法。
The primordial qi of infants and children is not yet fully developed, and their cou li (the texture of the skin and interstices) is not dense; therefore, they are extremely prone to sweating. Consequently, any diet that is too hot or clothing and bedding that are too warm can induce sweating. Physicians such as Li Dongyuan stated: This is a common occurrence in infants and children and requires no treatment. However, the root of sweat lies in Ying Qi (Nutritive Qi); the opening and closing of sweat are governed by Wei Qi (Defensive Qi). If an infant or child sweats excessively, it is ultimately due to the deficiency of Wei Qi, which fails to consolidate. Excessive sweating inevitably causes further damage to Ying-Wei, blood, and qi, and the gradual decline into emaciation may well stem from this; thus, treatment is indispensable. Generally, the method for treating sweating should prioritize tonifying Qi. By ensuring that Yang Qi consolidates externally, Yin fluids will be stored internally, and sweating will cease naturally.
1. Treatment Methods: For infants and children who suffer from frequent nocturnal sweating (Dao Han) or spontaneous sweating (Zi Han) without apparent cause, Tuanshen San (Round Ginseng Powder) should be used as the primary formula. Alternatively, Shenling San (Ginseng and Poria Powder), Sijunzi Tang (Four Gentlemen Decoction), Wuyi Yigong San (Five Agents and Efficacy Powder), or Baizhu San (Atractylodes Macrocephala Powder) may be selected according to the situation. In severe cases, Sanyin Jian (Three Yin Decoction), Renshen Yangying Tang (Ginseng Nourishing the Nutritive Decoction), or Shiquan Dabu Tang (Ten Complete Great Tonifying Decoction) are appropriate. If there is fire in the Heart channel manifesting as irritability and thirst, Shengmai San (Generate Pulse Powder) or Yiyin Jian (One Yin Decoction) should be used. If Liver and Spleen fire are flourishing, with internal heat steaming and blood heat causing sweating, the pulse will likely be surging and slippery, and symptoms will predominantly involve irritability and heat; Danggui Liu Huang Tang (Angelica Sinensis and Six Yellow Roots Decoction) or Jiajian Yiyin Jian (Modified One Yin Decoction) are suitable. In cases of Yangming excess heat with profuse sweating and intense thirst, Zhuye Shigao Tang (Bamboo Leaf and Gypsum Decoction) by Zhang Zhongjing is indicated. Following illness, or after severe vomiting and diarrhea, or due to the mistaken use of purgative/draining medicines leading to Qi deficiency, Qi collapse, and profuse sweating resulting in Yang exhaustion, Shenfu Tang (Ginseng and Aconite Decoction), Liuwei Huiyang Yin (Six-Ingredient Return-to-Yang Decoction), or Fuzi Tang (Aconite Decoction) should be administered immediately to potentially reverse the condition. Profuse sweating leading to Yang exhaustion often results in opisthotonos (rigid arching of the back like a bow), neck stiffness, and upward gaze of the eyes. These conditions arise from the depletion of essence and blood in the Taiyang (Greater Yang) and Shaoyin (Lesser Yin) channels, leading to Yin deficiency and dryness of blood. Immediate treatment with Daying Jian (Great Camp Decoction), Renshen Yangying Tang (Ginseng Nourishing the Nutritive Decoction), or Shiquan Dabu Tang (Ten Complete Great Tonifying Decoction) is necessary for rescue. Treating these as wind disorders would certainly result in death. Detailed discussions and methods regarding sweating syndromes are provided in the preceding section on Sweat Syndromes and should be consulted. Among my own children, those who suffered from excessive nocturnal sweating while in swaddling clothes were treated simply by administering one qian of Ren Shen (Ginseng Radix et Rhizoma) steeped in water; the sweating ceased that very night. If ginseng was withheld for a long time, sweating would recur; resuming administration stopped it again. The efficacy was miraculous. Those raising children may adopt this as a standard practice.