心腹痛有六:有寒,有热,有食,有积,有虫,有霍乱。
凡小儿外感风寒,内伤冷物,胃气当心而痛,啼哭闷绝,手足
冷,或吐或不吐,以热手按摩则止者,用草豆蔻丸主之。
几小儿受寒,连腹疼痛,叫哭不宁,手足冷,汗出,或泄或
不泄。得热稍定,以理中汤主之。
几小儿腹痛,无时举发者,此积痛也。不可数下,下则气伤
而难愈,以集圣丸调之。
凡小儿饮食之后,卒然腹痛,此伤食也。须问其平日,曾有
此疾否?若原无此疾,作伤食看,以丁香脾积丸利去所伤之食,
用原伤之物,煎汤送下。后以集圣丸调之。若原有此疾,当作积
论。
几小儿心腹疼痛,嘈杂,口吐清水,面黄肌瘦,得食即止,
肚饥又作嘈杂痛,此虫痛也。先用雄黄解毒丸,苦楝根白皮煎汤
吞下,追去其虫,后用集圣丸调之。如元气弱者,不可下,只用
集圣丸主之。
凡小儿昼则无事,夜则啼哭,此腹痛也。盖腹属阴,痛主寒,
遇夜则发,阴寒盛也。以理中丸,灯心烧灰煎汤下。
草豆蔻(面包煨去油)一钱,陈皮六钱,泽泻,半夏
各一钱,桃仁(去皮尖)七粒,麦芽(炒)二钱半,神曲
(炒)、柴胡、姜黄各四钱,共为末,汤浸蒸饼为丸,白
汤下。
Coughing accompanied by chirping sounds like a chick, excessive phlegm, hemoptysis (blood in sputum), and stranguria (painful urination); one dose of Shengma Tang (Cimicifugae Decoction) will ensure peace and tranquility.
There are six types of heart and abdominal pain: cold pain, heat pain, food stagnation pain, accumulation pain, worm pain, and pain caused by cholera-like disorder (Huoluan).
When children are externally affected by wind-cold and internally injured by cold foods, causing stomach qi to obstruct below the heart leading to pain, crying out or even fainting, cold hands and feet, vomiting or not vomiting, and relief upon massage with warm hands, Caodoukou Wan (Grain-of-Paradise Pill) is the primary treatment.
When children are affected by cold, resulting in continuous abdominal pain, restless crying, cold hands and feet, sweating, diarrhea or no diarrhea, with slight relief upon warming, Lizhong Tang (Regulate the Middle Decoction) is the primary treatment.
When children suffer from abdominal pain that occurs at irregular intervals, this is pain due to accumulation. Frequent purging should be avoided as it damages qi and makes recovery difficult; Jisheng Wan (Accumulation-Suppressing Pill) is used for regulation.
When children experience sudden abdominal pain after eating, this is injury from food stagnation. One must ask if they have had this condition before. If not, treat it as food stagnation: use Dingxiang Pi Ji Wan (Clove Spleen-Accumulation Pill) to eliminate the stagnant food, administering the medicine with a decoction made from the originally consumed food item. Subsequently, regulate with Jisheng Wan. If the condition existed previously, it should be treated as an accumulation disorder.
When children experience heart and abdominal pain, epigastric discomfort (zaocao), spitting clear saliva, sallow complexion, emaciation, relief after eating, and recurrence of discomfort and pain when hungry, this is worm pain. First, administer Xionghuang Jiedu Wan (Realgar Detoxifying Pill), swallowed with a decoction of Cortex Ailanthi Radicis Albi (Bark of the Root of Ailanthus), to expel the parasites, then regulate with Jisheng Wan. For those with weak yuan qi (vital energy), purgatives should not be used; only Jisheng Wan should be administered as the main treatment.
When children are fine during the day but cry at night, this is abdominal pain. The abdomen belongs to yin, and pain indicates cold; occurrence at night signifies excess yin-cold. Administer Lizhong Wan (Regulate the Middle Pill), taken with a decoction prepared from the ash of burned Dengxin Cao (Juncus Effusus Stem).
Caodoukou (Grain-of-Paradise Fruit, roasted in bread to remove oil) 1 qian, Chenpi (Aged Tangerine Peel) 6 qian, Zexie (Alisma Rhizome) and Banxia (Pinellia Tuber) each 1 qian, Taoren (Peach Seed, peeled and tip removed) 7 grains, Maiya (Sprouted Hordeum Vulgare, stir-fried) 2.5 qian, Shenqu (Medicated Leaven, stir-fried), Chaihu (Bupleuri Radix), and Jianghuang (Curcuma Longa Rhizome) each 4 qian. Grind all into powder, mix with steamed dough moistened with water to form pills, and take with plain boiled water.