紫热红伤寒，青惊白是疳。黑时因中恶，
黄积困脾端。女右男分左，均须仔细看。
凡看小儿面部，必须辨明五色，然后治之。
小儿热症有七∶面赤红，大便闭，小便黄，渴不止，上气促急，眼红赤，鼻枯燥。此七
症皆实热，宜和解清凉，不宜用温补之药。
小儿寒症有七∶面 白，粪白清，肚虚胀，眼珠青，吐泻无热，足胫冷，睡露睛。此
症皆虚寒，宜温补，切忌寒凉，谨记熟读，庶不误投贻害。
急、慢惊风两症，总以前卷十内小儿科惊风门分别各方最为妥善。屡经效验，业已详细
发明，无须重赘。兹又补录经验各方及外治诸法，俾可对症施治，以备采择。
身热面红痰盛，忽然手足牵引，啼不出声，目睛上视。用活蚌一个，银簪脚挑开，滴入
姜汁，将蚌仰天，片时即有水流出，用瓷杯盛之，隔汤炖热，灌下立愈。
又方∶石菖蒲洗净，连根捣烂，绞取汁二三十匙，生老姜捣汁数匙，和匀，隔汤温热，
灌下即愈。
又，痰涎壅塞咽喉，其响如潮，名曰涎潮。用金星礞石火 研细末，入生薄荷汁内，少
加白蜜调和，隔水炖温服之，能降痰涎，其药自裹痰从大便出，屡试极效。慢惊忌服。
又，黑神丸∶治急惊风极效，垂死之儿，一服即愈。腻粉钱半，金墨、飞面、芦蔡各一
钱，麝香、龙脑、牛黄、青黛、使君子（去壳，面裹煨热）各五分，共研细末，面糊为丸如
桐
又，治急、慢惊风方∶取大虾蟆胆五个，刺破入碗中，再以飞净朱砂五钱，犀牛黄一分
，麝香五厘，共入碗内研匀阴干。每用二分，入乳调服。
又，惊风神效秘方并治痰症∶生南星、制半夏各一两，大皂荚三个，江子仁四十九粒。
以上四味，用阴阳水同浸一宿，更换新水煎干，选去南星、半夏、皂荚三味，只留江子仁去
膜衣及心，再用黑枣七枚去皮核，真西牛黄一分，轻粉八分，梅花冰片五厘，明雄黄一钱，
辰砂一钱，以上五味研末，与江子仁共和为丸如桐子大，金箔为衣。每服一分，小儿只用五
六厘，淡姜汤送下，一云∶江子仁须用纸数层压去油。
又方∶杏仁、桃仁、糯米、胡椒各七粒，栀子七个，共捣烂，用鸡蛋清调罗飞面敷小儿
脚底心，男左女右，过一夜，次日脚底甚黑，即愈。
又方∶黄栀子，鸡蛋清，飞罗面，连须葱白，共和捣数百下，敷脐下及手足心。
又方∶朱砂，用新汲水研涂顶心、前后心、手足心，均极神效。
又，小儿急惊，痰迷心窍，不省人事。以闻鼻丹，或用行军散搽少许入鼻中取喷嚏，以
通其气，即苏。
紫红色主热，红色主伤寒，青色主惊风，白色主疳积，黑色主中恶，黄色主脾虚积滞。诊察时，女孩看右手，男孩看左手，都必须仔细分辨。
凡是观察小儿的面部气色，必须辨明五色变化，然后才能进行治疗。
小儿的热症有七种表现：面色赤红，大便闭塞不通，小便黄，口渴不止，呼吸急促气逆，眼睛红赤，鼻孔干燥枯槁。这七种症状都属于实热证，适宜采用和解、清凉的方法治疗，不宜使用温补的药物。
小儿的寒症有七种表现：面色苍白，粪便白而清稀，腹部虚胀，眼珠发青，呕吐腹泻且无发热，小腿脚胫发冷，睡眠时眼睛半睁露出黑睛（睡露睛）。这些症状都属于虚寒证，适宜温补，切忌使用寒凉药物，务必牢记熟读，以免误用药物造成危害。
急惊风和慢惊风两种病症，总体以前卷第十篇“小儿科惊风门”中分别列出的各方最为妥善。这些方剂屡经验证有效，已经详细阐明，无需在此重复赘述。这里又补充收录了经验有效的各方及外治诸法，以便对症施治，供参考选择。
身体发热、面色红、痰多，突然手足抽搐牵引，哭不出声，眼球上翻。用一个活蚌，用银簪脚挑开，滴入姜汁，将蚌仰面朝天放置，片刻后会有水流出，用瓷杯盛接，隔水炖热后灌服，立即痊愈。
另一个方子：石菖蒲洗净，连根捣烂，绞取汁液二三十匙，生老姜捣汁数匙，混合均匀，隔水温热后灌服，即可痊愈。
另外，痰涎壅塞咽喉，声音如潮，称为“涎潮”。用金星礞石火煅研成细末，加入生薄荷汁内，稍加白蜜调和，隔水炖温服用，能降下痰涎，药力裹挟痰浊从大便排出，多次试验极有效。慢惊风忌服此药。
另外，黑神丸：治疗急惊风极效，濒临死亡的婴儿，服用一次即愈。腻粉半钱，金墨、飞面、芦蔡各一钱，麝香、龙脑、牛黄、青黛、使君子（去壳，用面粉包裹煨热）各五分，共同研成细末，用面糊制成如梧桐子大小的丸药。
另外，治疗急惊风、慢惊风的方子：取大蛤蟆胆五个，刺破放入碗中，再加入飞净朱砂五钱，犀牛黄一分，麝香五厘，共同在碗内研磨均匀，阴干。每次用二分，用乳汁调服。
另外，惊风神效秘方并治疗痰症：生南星、制半夏各一两，大皂荚三个，江子仁四十九粒。以上四味药，用阴阳水浸泡一夜，更换新水煎至干，选出南星、半夏、皂荚三味药，只留下江子仁，去掉膜衣和心，再用黑枣七枚（去皮核），真西牛黄一分，轻粉八分，梅花冰片五厘，明雄黄一钱，辰砂一钱，以上五味药研成末，与江子仁混合制成如梧桐子大小的丸药，用金箔做外衣。每次服用一分，小儿只用五六厘，淡姜汤送下。另一种说法是：江子仁需用纸多层压去油质。
另一个方子：杏仁、桃仁、糯米、胡椒各七粒，栀子七个，共同捣烂，用鸡蛋清调和罗飞面，敷在小儿脚底心，男左女右，过一夜，第二天脚底变得很黑，病就好了。
另一个方子：黄栀子，鸡蛋清，飞罗面，连须葱白，共同捣数百下，敷在脐下及手足心。
Purple indicates heat, red indicates cold damage (Shanghan), green indicates fright syndrome (Jingfeng), white indicates gan syndrome (Ganji), black indicates evil invasion (Zhong'e), and yellow indicates spleen deficiency with accumulation. When examining, for girls observe the right hand, for boys observe the left hand; careful distinction is required in all cases.
When observing a child's facial complexion, one must clearly distinguish the five colors before proceeding with treatment.
There are seven manifestations of heat syndromes in children: reddish-red face, constipation, yellow urine, unquenchable thirst, rapid and forced breathing, red and bloodshot eyes, and dry and withered nostrils. These seven symptoms all belong to excess-heat patterns; harmonizing and cooling methods are appropriate, while warming and tonifying medicines should not be used.
There are seven manifestations of cold syndromes in children: pale white face, white and clear stools, abdominal distension due to deficiency, bluish-green eye whites, vomiting and diarrhea without fever, cold calves and shins, and sleeping with eyes partially open (sleeping with exposed pupils). These symptoms all belong to deficiency-cold patterns; warming and tonifying methods are appropriate, and cold-cooling medicines must be strictly avoided. Remember this well and study it thoroughly to avoid misprescribing and causing harm.
For both acute and chronic fright syndromes (Jingfeng), the various prescriptions listed separately in Volume 10 under "Pediatrics - Fright Syndrome" are the most appropriate. Having been repeatedly verified as effective and thoroughly explained previously, no further repetition is necessary here. Herein, additional empirical prescriptions and external treatment methods are supplemented for symptomatic treatment and reference.
Body heat, red face, profuse phlegm, sudden traction and spasms of hands and feet, inability to cry, and upward deviation of the eyeballs. Use one live clam, pry it open with the foot of a silver hairpin, drip ginger juice into it, place the clam facing upwards, and after a short while, water will flow out. Collect it in a porcelain cup, warm it by steaming in hot water, and administer orally for immediate recovery.
Another prescription: Wash fresh Acori Tatarinowii Rhizoma (Shichangpu), pound it thoroughly including the roots, and squeeze out two to thirty spoons of juice. Pound fresh old Zingiberis Rhizoma (Laojiang) to extract several spoons of juice, mix evenly, warm by steaming in hot water, and administer orally for recovery.
Furthermore, when phlegm-saliva obstructs the throat with a sound like roaring tides, it is called "phlegm-tide" (Xianchao). Calcinate Mingyanshi (Venus Flycatcher Stone/Jinxing Mengshi) until fine, mix with fresh Menthae Haplocalycis Herba juice (Shengbohe), add a little Mel (Baimi), warm by steaming in water, and take orally. It can descend phlegm-saliva; the medicine wraps the phlegm, which is then expelled via the large intestine. This has proven extremely effective in repeated trials. Contraindicated for chronic fright syndrome.
Furthermore, Heishen Wan (Black Spirit Pill): Extremely effective for acute fright syndrome; even infants on the verge of death recover after one dose. Qianban Fen (Nifan, Calomel) half qian, Jinmo (Gold Ink), Feimian (Fly Flour), Lucai each one qian, Shexiang (Musk), Naozhang (Borneol), Niuhuang (Calculus Bovis), Qingdai (Indigo Naturalis), Shijunzi (Quisqualis Fructus, shell removed, wrapped in flour and roasted) each five fen. Grind all into fine powder, make pills with flour paste the size of paulownia seeds.
Another prescription for treating acute and chronic fright syndrome: Take five large Bufo bufo gargarizans gallbladders (Daxiatama Dan), pierce them into a bowl. Add Wujin Zhusha (Cinnabar, purified) five qian, Xiniuhuang (Rhinoceros Horn Calculus/Niuxihuang, one fen), and Shexiang (Musk, five li). Grind uniformly in the bowl and dry in the shade. Use two fen per dose, mixed with breast milk for administration.
Furthermore, Shenxiao Mifang (Divine Efficacy Secret Prescription) for fright syndrome and phlegm disorders: Sheng Nanxing (Arisaema Cum Bile/Raw Arisaematis Rhizoma), Zhi Banxia (Pinelliae Rhizoma Preparatum) each one liang, Da Zaojia (Gleditsiae Sinensis Fructus) three pieces, Jiangziren (Crotonis Fructus/Semen Crotonis) forty-nine grains. Soak the above four ingredients in Yin-Yang Water overnight, change to fresh water, and decoct until dry. Remove Arisaematis Rhizoma, Pinelliae Rhizoma, and Gleditsiae Sinensis Fructus, retaining only Crotonis Fructus. Remove the membrane, coat, and heart from the Crotonis Fructus. Use seven black dates (Ziziphus Jujuba, peeled and pitted), Zhen Xininiu Huang (True Water Buffalo Calculus Bovis) one fen, Qingfen (Calomel) eight fen, Meihua Bingpian (Platycodon/Borneol, five li), Ming Xionghuang (Real Realgar) one qian, Chensha (Cinnabar) one qian. Grind the above five minerals/drugs into powder, mix with the prepared Crotonis Fructus, make pills the size of paulownia seeds, and coat with Jinbo (Gold Foil). Administer one fen per dose; for children, use only five to six li, washed down with light ginger soup. Alternatively, it is said that Crotonis Fructus must be pressed between several layers of paper to remove the oil.
Another prescription: Xingren (Apricot Seed), Taoren (Peach Seed), Nuomi (Glutinous Rice), Hu jiao (Pepper) each seven grains, Zhizi (Gardenia Fruit) seven pieces. Pound thoroughly, mix with egg white (Danqing) and Luofei mian (Sifted Wheat Flour), apply to the sole of the child's foot. For boys, apply to the left; for girls, to the right. Leave overnight; if the sole turns very black the next day, the disease is cured.
Another prescription: Huang Zhizi (Yellow Gardenia), egg white, Luofei mian (Sifted Wheat Flour), Lianxu Congbai (Scallion White with roots), pound together hundreds of times, apply to the area below the navel and the soles/palms of hands and feet.
Another prescription: Zhusha (Cinnabar), grind with newly drawn water, and apply to the top of the head (Baihui), anterior and posterior chest, and palms/soles. All are extremely effective.
Furthermore, for pediatric acute fright syndrome where phlegm confounds the heart orifices leading to unconsciousness: Use Wenbidan (Inhalation Powder) or Xingjun San (Military March Powder), apply a small amount to the nose to induce sneezing, thereby opening the qi pathways, resulting in revival.