〔汤〕哺露者，因乳哺不消，脾胃衰弱，渐不能食，血气减损，肌肉不荣，柴骨羸露，吸吸苦热，谓之哺
露也，宜麝香进食丸。（方见本条。）
〔汤〕小儿积症∶面黄肿，肚胀，面合卧地，小便如油，多呕，眼睛黄，腹内虚鸣，多睡眼白黄，赤白痢
下，发黄，眼赤，多泻。
凡有积滞，须辨虚实，况孩儿虚瘦，长短黑白，南北古今不同，不可一概论也。予今之法，实者可服进食
丸，虚而微白及疳瘦者，宜服肥儿丸。（肥儿丸方见疳门心疳条为丸如黍米大，儿一岁十丸，饭饮下。）
〔钱〕小儿腹中有癖，不食，但饮乳是也，当渐用白饼子送下。
白饼子
滑石 轻粉 半夏（汤洗，焙干） 南星（各一钱，为末） 巴豆（二十四个，去皮膜，水一升，煮水尽为度）
上研匀，巴豆后入众药，以糯米饭为丸如小绿豆大。捏作饼子，儿三岁以上三五饼，四岁以下一二饼，葱
白汤下，临卧服。
〔《局》〕进食丸 治乳食不化，心胸胀满，疳积肚疼。
木香（炮） 枳壳（去白，炒） 当归 代赭石 朱砂（另研，三钱） 巴豆（去油膜，一钱） 麝香（另研，五
分）
上为细末，面糊为丸如黍米大，一岁二丸，量儿大小加减，米饮送下。
〔《活》〕双圣丸 治小儿身热头痛，饮食不消，心腹胀疼痛，大小便不利，或下重数起。未瘥，可再服。
巴豆（六十个，去皮心膜，研去油） 甘遂 麦门冬（去心，三两五钱） 甘草（炙，一两） 朱砂（另研，一钱）
牡蛎（二两） 蕤核（取仁，四两半，另研）
上麦门冬、甘草、甘遂、牡蛎四味为细末，入巴豆、朱砂、蕤仁，合和捣二千杵，更入少蜜捣和极熟旋丸。
儿半岁服如苏子大，儿一岁服如麻子大，分为二丸。儿二岁服如麻子大一丸，儿三四岁服如麻子大二丸，五
六岁服如麻子大三丸。儿七八岁服小豆大二丸，儿十岁微大如小豆大三丸，以鸡鸣时分服之。如至日出不下
者，热粥饮数合，投之即下，丸药皆双出也。若利甚，浓煎冷粥数合与之即止。
〔钱〕珍珠丸 治小儿一切积聚，惊涎，宿食，乳癖，大小便涩滞，疗腹胀，行滞气。
巴豆仁（十四个，水浸一宿，细研） 木香 白丁香 丁香（各五分） 滑石（二钱） 轻粉（五分，留少许
为衣）
上为末，研匀，湿纸裹，烧粟米饭为丸如麻子大。一岁儿一丸，八九岁至十五岁服八丸，枣子煎汤，放冷
下。如挟风热难动者，先服凉药一帖。乳癖者，临卧服数丸。
〔《本》〕消积丸 治小儿食积气、湿气，面黄白多肿，大便黄赤酸臭。
砂仁（十二个） 丁香（九粒） 乌梅肉（三个） 巴豆（去油，三粒）
上细末，糊丸如粟米大。三岁以上五六丸，以下二三丸，用温水下，无时服。大凡小儿身温壮热，非变蒸
之候，大便白而酸臭，为胃有蓄冷，宜此药消下，后服温胃药。若身温壮热，大便赤而酸臭，为胃有蓄热，
宜此药下，后服凉胃药，无不愈。（一方有使君子七枚。）
〔丹〕丁香化癖散 治乳癖。
白丁香 密陀僧 硫黄（以上各二钱） 砂（五分） 轻粉（少许）
上研细末，每一岁儿服五分，男病女乳调，女病男乳调，出下黑粪为度，后用通膈丸泄之。
〔世〕二丁丸 治小儿乳癖。
白丁香（半两） 丁香 密陀僧（各一两） 韶粉（一钱） 硫黄（三钱）
上细末，糊丸如小豆大。三岁儿十丸，日晡时米饮下。饮乳者，乳汁下。次日当取下恶物，热即随退。加
黄莺屎一钱，尤妙。
〔钱〕紫霜丸
代赭石（细研，水飞，二钱） 杏仁（二十一个，去皮尖） 巴豆（二十一粒，去油心皮膜）
上为细末，饭丸如粟米大。每服三五丸至十丸，皂荚子汤下，无时。海藏云∶五色加减，并见治法。
〔汤〕惊癖，须用礞石药方可治之。
上七方治癖皆峻剂。若稍涉虚者，必用四君子及益黄散之类兼服之。
〔《秘录》〕治小儿气癖。取三棱针作羹粥，以米面为之，与乳母食。每日取一枣大与儿吃，亦得作粥与
羹热食之。治小儿十岁以下及新生百日，无问痫热无辜 癖等，皆理之，妙不可言者。
〔田〕小儿癖气久不瘥者。灸中脘一穴、章门二穴各七壮。章门在大横外直脐季胁肋端，侧卧，曲上足，
伸下足，举臂取之。中脘在上脘下一寸，脐上四寸，居心蔽骨与脐之中，从 HT 下取病患四指定穴，
并灸脐后脊骨中二七壮，无不验。
[Tang] Bulu (Bulu Syndrome) is caused by the inability to digest milk and food, leading to spleen and stomach weakness. Gradually, appetite diminishes, qi and blood are depleted, muscles lose nourishment, resulting in emaciation with exposed bones. It is accompanied by a persistent sensation of bitter heat, hence called Bulu. The appropriate treatment is Muxiang Jinshi Wan (Musk Appetite-Enhancing Pill). (Formula see this section.)
[Tang] Pediatric Ji Syndrome (Accumulation Syndrome): The face is yellow and swollen, the abdomen is distended, the child lies prone with the face pressed to the ground, urine is turbid like oil, frequent vomiting occurs, eyes are yellow, there is empty rumbling in the abdomen, excessive sleepiness with yellowish whites of the eyes, dysentery with red and white discharge, jaundice, red eyes, and frequent diarrhea.
Whenever there is accumulation, one must differentiate between excess and deficiency. Moreover, children have weak and thin constitutions; their height, skin color, and regional or temporal contexts vary greatly, so they cannot be generalized. My current method is: for excess patterns, Shijin Wan (Appetite-Enhancing Pill) can be taken; for deficiency patterns with slightly pale complexion and emaciation (Gan emaciation), Fei'er Wan (Flesh-Nourishing Pill) is suitable. (Fei'er Wan formula see Gan Gate Heart Gan section, made into pills the size of millet seeds. For a one-year-old child, ten pills per dose, taken with rice drink.)
[Qian] When a child has Pi (masses) in the abdomen, manifested by refusal to eat but willingness to drink milk, it should gradually be treated with Baixing Zi (White Cake Pills).
Baixing Zi
Talcum (Huashi), Calomel (Qingfen), Pinellia Tuber (Banxia - washed in boiling water, dried by baking), Arisaema Rhizome (Nanxing) (each 1 qian, powdered), Croton Seed (Badou - 24 seeds, peeled and membrane removed, boiled in one sheng of water until water is exhausted).
Grind all ingredients uniformly. Add Badou last to the other powders. Form pills the size of small mung beans using glutinous rice paste. Shape into cakes. For children over three years old, 3-5 cakes per dose; for children under four years old, 1-2 cakes per dose. Take with scallion white decoction at bedtime.
[Jufang] Shijin Wan (Appetite-Enhancing Pill) treats indigestion of milk and food, chest and epigastric fullness/distension, Gan accumulation abdominal pain.
Costus Root (Muxiang - processed), Bitter Orange Pericarp (Zhiqiao - white pith removed, stir-fried), Angelica Sinensis Radix (Danggui), Hematite (Daizheshi), Cinnabar (Zhusha - separately ground, 3 qian), Croton Seed (Badou - oil and membrane removed, 1 qian), Musk (Muxiang - separately ground, 5 fen).
Grind into fine powder. Form pills the size of millet seeds using wheat paste. For a one-year-old child, two pills per dose, adjust according to the child's size. Take with rice drink.
[Huo'an] Shuangsheng Wan (Double Sage Pill) treats pediatric fever and headache, indigestion, epigastric and abdominal distension and pain, difficulty in urination and defecation, or tenesmus with frequent urges. If not cured, it may be taken again.
Croton Seed (Badou - 60 seeds, peel and remove heart/membrane, grind and remove oil), Kansui Root (Gansui), Ophiopogon Tuber (Maidong - heart removed, 3 liang 5 qian), Licorice Root (Gancao - honey-fried, 1 liang), Cinnabar (Zhusha - separately ground, 1 qian), Oyster Shell (Muli - 2 liang), Prunus Persica Kernel/Rui He Ren (Ruihe - take kernel, 4.5 liang, separately ground).
Grind Maidong, Gancao, Gansui, and Muli into fine powder. Add Badou, Zhusha, and Rui Ren. Mix and pound for two thousand strokes. Add a little honey and pound until very well incorporated, then form pills. For a half-year-old, dose size of perilla seed; for a one-year-old, dose size of sesame seed, divided into two pills. For a two-year-old, one pill size of sesame seed. For 3-4 year olds, two pills size of sesame seed. For 5-6 year olds, three pills size of sesame seed. For 7-8 year olds, two pills size of adzuki bean. For a ten-year-old, three pills slightly larger than adzuki bean. Take during the chicken-crowing period (3-5 AM). If stool does not pass by sunrise, drink several he of hot porridge; the medicine will act immediately, and the pills usually pass completely. If diarrhea is severe, give several he of thick, cold porridge decoction to stop it.
[Qian] Zhenzhu Wan (Pearl Pill) treats various accumulations in children, fright-phlegm, retained food, Ru Pi (milk masses), difficult urination and defecation, abdominal distension, and promotes qi movement.
Croton Kernel (Badou Ren - 14 seeds, soaked in water overnight, finely ground), Costus Root (Muxiang), White Stork Dropping (Baidingxiang), Clove Bud (Dingxiang) (each 5 fen), Talcum (Huashi - 2 qian), Calomel (Qingfen - 5 fen, reserve some for coating).
Grind into powder, mix uniformly. Wrap in wet paper, roast with millet rice, and form pills size of sesame seeds. One-year-olds take one pill; children aged 8-15 take eight pills. Take with cooled jujube decoction. If complicated by wind-heat and difficult to move, first take one dose of cooling medicine. For Ru Pi, take several pills at bedtime.
[Bencao] Xiaoji Wan (Accumulation-Dissolving Pill) treats pediatric food stagnation qi and dampness, yellowish-white complexion with swelling, and yellow-red sour-smelling stool.
Amomum Fruit (Sharen - 12 fruits), Clove Bud (Dingxiang - 9 buds), Dried Plum Flesh (Wumei Rou - 3 pieces), Croton Seed (Badou - oil removed, 3 seeds).
Grind into fine powder. Form pills size of millet grains using paste. Children over three years old take 5-6 pills; younger ones take 2-3 pills. Take with warm water, anytime. Generally, if a child has warm-feverish heat and it is not Bianzheng (physiological growth fever), and the stool is white and sour-smelling, it indicates cold accumulation in the stomach; use this medicine to dissipate and purge, followed by warming stomach medicines. If the child has warm-feverish heat and the stool is red and sour-smelling, it indicates heat accumulation in the stomach; use this medicine to purge, followed by cooling stomach medicines. There will be no failure to heal. (Another prescription includes seven Semen Quisqualis [Shijunzi].)
[Dan] Dingxiang Huapi San (Clove Mass-Dissolving Powder) treats Ru Pi (milk masses).
White Stork Dropping (Baidingxiang), Litharge (Mituoseng), Sulfur (Liuhuang) (each 2 qian), Sand (Sha - 5 fen), Calomel (Qingfen - a little).
Grind into fine powder. Each year of age takes 5 fen. For boys, mix with female breast milk; for girls, mix with male breast milk. Continue until black stool is passed. Afterwards, use Tongge Wan to purge.
[Shishi] Erding Wan (Two Cloves Pill) treats pediatric Ru Pi.
White Stork Dropping (Baidingxiang - 0.5 liang), Clove Bud (Dingxiang), Litharge (Mituoseng) (each 1 liang), Lead Carbonate Powder (Shaofen - 1 qian), Sulfur (Liuhuang - 3 qian).
Grind into fine powder. Form pills size of adzuki beans using paste. Three-year-olds take ten pills. Take with rice drink at dusk (Shiwu time). For nursing infants, take with breast milk. On the next day, foul matter should be discharged, and fever will recede accordingly. Adding 1 qian of Oriole feces is especially effective.
[Qian] Zishuang Wan (Purple Frost Pill)
Hematite (Daizheshi - finely ground, water-flowered, 2 qian), Apricot Seed (Xingren - 21 seeds, peel and tip removed), Croton Seed (Badou - 21 seeds, oil, heart, peel, and membrane removed).
Grind into fine powder. Form pills size of millet grains using rice. Take 3-5 to 10 pills per dose. Take with Gleditsia Sinensis Pod Decoction, anytime. Haizang states: Five-color modification methods are seen in treatment principles.
[Tang] Jingpi (Fright Pi) must be treated with Mengshi (Lapis Lazuli) preparations.
The above seven formulas for treating Pi are all harsh/potent agents. If there is any involvement of deficiency, one must concurrently administer Sizijunzi Tang (Four Gentlemen Decoction) or Yihuang San (Yellow-Enriching Powder).
[Milu] Treating pediatric Qi Pi. Make a soup/porridge using a three-edged needle, prepared with rice and flour, and feed it to the lactating mother. Every day, give the child an amount the size of a jujube to eat. It can also be made into porridge or soup and eaten hot. This treats children under ten years old and newborns up to 100 days old, regardless of epilepsy, fever, Wugu Pi, etc. The effect is miraculous and indescribable.
[Tian] For pediatric Pi Qi that persists for a long time without healing: Moxibustion on Zhongwan (CV12) one point, Zhangmen (LR13) two points, each seven moxa cones. Zhangmen is located lateral to Dahan (SP15), directly opposite the umbilicus, at the end of the costal margin in the hypochondrium. Lie on the side, flex the upper leg, extend the lower leg, raise the arm to locate the point. Zhongwan is one cun below Shangwan, four cun above the umbilicus, midway between the xiphoid process and the umbilicus. Locate the point using the patient's four fingers below HT (Heart Meridian). Also moxa twenty-eight cones (two sets of seven) on the midline of the spine behind the umbilicus. No case fails.