〔汤〕小儿腹痛曲腰，干哭无泪，面青白，唇黑，肢冷，为盘肠内吊。凡有此证，急煎葱汤淋洗其
腹揉之，葱熨脐腹间。良久，尿自痛中出，其疼立止。续次服药。
乳香 没药（各少许透明者，细研）
上件，木香一块，于乳钵内磨，水一分，滚数沸，调乳、没末。
此药只一服效。
〔钱〕钩藤膏 治小儿腹中极痛，干啼后偃，名盘肠内吊。
乳香（研） 没药（研） 木香 姜黄（各四钱） 木鳖子仁（二十一个）
上先将后三味同为细末，次研入上二味，炼蜜和成剂，收贮。每一岁儿可服半皂子大，余以意加减。
煎钩藤汤化下，无时。次用魏香散。
魏香散
蓬术（半两） 阿魏（一钱）
上先用温水化阿魏，浸蓬术一昼夜，培干为末，每服一字或半钱，煎紫苏米饮，空心调下。
〔无〕蒜乳丸 治冷证腹痛夜啼。
大蒜（一棵，慢火煨香熟，研烂） 乳香（另研，五分）
上研，为丸如芥菜子大。每服七粒，乳汁送下。
上四方，治寒腹痛，属盘肠内吊，其候曲腰干哭是也。
〔钱〕胃虚冷，面 白色，腹痛不思食，当补脾，益黄散主之。若不下利者，调中丸主之。（益黄
散治下利而痛也，调中丸治不利而痛也。）
调中丸
白术 人参 甘草（炒。各半两） 干姜（炮，四钱）
上为细末，蜜丸如绿豆大。每服五七丸至十五丸，食前，温水下。（海藏云∶仲景理中例也。）
当归散 凡小儿夜啼者，脏寒而腹痛，面青手冷，不吐乳是也，宜此方。服之效。
当归（去芦头） 白芍药 人参（各一钱） 甘草（炙，五分） 桔梗 陈皮（各一钱）
上 咀，煎五分，时时少服愈。
上三方，治寒腹痛，属胃虚，其候不思食是也。
热痛亦啼叫不止，夜发，面赤唇焦，小便赤黄，与三黄丸、人参汤下。（三黄丸方见发热法。）
〔丹〕腹痛夜啼。服牛黄丸如豆大，乳化吃之，于脐下书田字，立安。（《圣惠方》）
〔钱〕积痛，口中气温，面黄白，目无精光，或白睛多，及多睡畏食，或大便酸臭者，当磨积，
宜消积丸。甚者白饼子下之。后和胃，用白术散。（消积丸、白饼子方见癖。白术散方见消渴。）
〔丹〕食积腹痛硬。必用紫苏、萝卜子之类。
〔世〕小儿好吃粽成腹痛。用黄连、白酒药等分，为丸服。
〔汤〕三棱散 治积气肚痛。
砂仁 甘草 益智（炒，去壳） 三棱 蓬术 青皮（炒，各等分） 为末，白汤点下。
虫痛，面 白，心腹痛。口中沫及清水出，发痛有时，安虫散主之。小儿本怯者，多此病。
（田氏云∶虫痛，啼哭俯仰，坐卧不安，自按心腹，时时大叫，面无正色，或青或黄，唇白。又目无精色，
口吐涎沫，此为虫痛。）
〔钱〕安虫散 治小儿虫痛。
胡粉（炒黄） 鹤虱（炒黄） 川楝子（去皮核） 白矾（枯，二钱半）
上为细末，每服一字，大者五分，米饮调下，痛时服。
〔汤〕治虫动，痛极不可忍。用干漆半两，槟榔一枚生用，窑老一块，再 细研，三件一处为末，
空心热酒调，良久，取下虫，立愈，验。（窑老，恐窑中 过泥物也。）
又方 用干漆一两，捣碎，炒令烟尽出，用新汲水入生麻油，空心调下。
〔钱〕安虫丸 治上中二焦虚，或胃寒虫动及痛。
干漆（炒烟尽，二分） 雄黄（一分） 巴豆霜（一钱）
上为细末，糊丸如黍米大，量儿大小服之。取东引石榴根煎汤下，或苦楝根，或芜荑汤下五七丸至
二三十丸，发时服。
芜荑散 主治同前。凡小儿痛时，便高声啼叫，人中上鼻头唇口一时黑色，脉法当沉弱而弦，今
反脉大，是虫
症也。
白芜荑 干漆（炒。各等分）
上为细末，每服一字或五分，或一钱，米饮调下，发时服。
〔丹〕蛔虫。用苦楝根为君，佐以二陈汤煎下。
〔钱〕积痛，食痛，虚痛，大同小异。惟虫痛者当口淡而沫自出，治之随其症用药。虫与痫相似，小儿本
怯故胃虚冷，则虫动而心痛，与痫症略相似，但目不斜，手不搐也，安虫散主之。
辛氏女子五岁，病虫痛。诸医以巴豆、干漆、 砂之属治之，不效。至五日外，多哭而俯仰，睡卧不安，
自按心腹，时大叫，面无正色，或青或黄，或白或黑，目无光而慢，唇白吐沫。至六日，胸高而卧转不安。召
钱至，钱详视之。用芜荑散三服，见目不除青色。大惊曰∶此病大困，若更加泻，则为逆也。至次日，辛见钱
曰∶夜来三更果泻。钱于泻盆中看，如药汁，以杖搅之，见有丸药。钱曰∶此子肌浓，当气实，今证反虚，不
可治也。辛曰∶何以然？钱曰∶脾虚胃冷则虫动，而今反目青，此肝乘脾。又更加泻，知其气极虚也。
而丸药随粪下，即脾胃已脱，兼形病不相应，故知死病。后五日昏笃，七日而死。
[Tang] When a child suffers from abdominal pain, bends the waist, cries dryly without tears, has a cyan and pale complexion, black lips, and cold limbs, this is termed "Coiling Intestine Internal Hanging" (Panchang Neidiao). For any such presentation, immediately decoct green onion soup to wash and rub the abdomen, and apply moxibustion or hot compress with green onions to the umbilicus and abdomen. After some time, urine will naturally discharge amidst the pain, and the pain will cease immediately. Subsequently, administer oral medication.
Frankincense (Ruxiang) and Myrrh (Moyao) (take a small amount of transparent pieces of each, grind finely).
Take a piece of Costus Root (Muxiang), grind it in a mortar, add one fen of water, boil for several boils, and mix with the powders of Frankincense and Myrrh.
This medicine takes effect after a single dose.
[Qian] Gouteng Paste: Treats severe abdominal pain in children, dry crying followed by lying supine, named "Coiling Intestine Internal Hanging".
Frankincense (ground), Myrrh (ground), Costus Root (Muxiang), Turmeric Rhizome (Jianghuang) (each 4 qian), Semen Momordicae (Mubiezi Ren) (21 pieces).
First, grind the latter three ingredients into a fine powder, then incorporate the first two ingredients. Mix with refined honey to form a paste, and store. For each year of age, administer half the size of a soap pod; adjust the dosage according to circumstances.
Administer dissolved in Gouteng Decoction, at any time. Follow up with Weixiang San.
Weixiang San
Curcuma Zedoaria Rhizome (Pengzhu) (0.5 liang), Asafoetida (Awei) (1 qian).
First dissolve Asafoetida in warm water, soak Curcuma Zedoaria Rhizome for a day and night, dry it, and grind into powder. Take one zi or half a qian per dose, decoct Perilla Leaf (Zisu) and rice drink, and take mixed on an empty stomach.
[Wu] Suanru Wan: Treats night crying due to abdominal pain from cold syndrome.
Garlic (one clove, slow-roasted until fragrant and cooked, mashed), Frankincense (separately ground, 5 fen).
Grind together and make pills the size of mustard seeds. Take seven pills per dose, delivered with breast milk.
The above four formulas treat cold-type abdominal pain belonging to "Coiling Intestine Internal Hanging," characterized by bending the waist and dry crying.
[Qian] Stomach deficiency-cold presents with a sallow-white complexion, abdominal pain, and loss of appetite; tonify the spleen, primarily using Yihuang San. If there is no diarrhea, use Tiaozhong Wan. (Yihuang San treats painful diarrhea; Tiaozhong Wan treats pain without diarrhea.)
Tiaozhong Wan
Atractylodes Macrocephala Rhizome (Baizhu), Ginseng Radix (Renshen), Licorice Root (Gancao) (stir-baked, each 0.5 liang), Dried Ginger (Ganjiang) (processed, 4 qian).
Grind into fine powder, mix with honey to make pills the size of mung beans. Take five to seven pills up to fifteen pills before meals, with warm water. (Haicang says: This follows Zhongjing's Lizhong principle.)
Danggui San: Whenever children cry at night, it is due to internal cold causing abdominal pain, cyan complexion, cold hands, and refusal to suckle; this formula is suitable. It is effective.
Angelica Sinensis Radix (Danggui) (remove rhizome), White Peony Root (Baishao), Ginseng Radix (Renshen) (each 1 qian), Licorice Root (Gancao) (roasted, 5 fen), Platycodon Root (Jiegeng), Tangerine Peel (Chenpi) (each 1 qian).
Cut into pieces, decoct to obtain half a sheng of liquid, take small amounts frequently until cured.
The above three formulas treat cold-type abdominal pain due to stomach deficiency, characterized by loss of appetite.
Heat-type pain also causes incessant crying, occurring at night, with red face and scorched lips, and dark yellow urine; administer Sanhuang Wan, taken down with Renshen Tang. (Sanhuang Wan formula see Heat Fever methods.)
[Dan] Abdominal pain with night crying. Administer Niuhuang Wan the size of a bean, emulsified and fed; write the character "Tian" below the umbilicus, and relief is immediate. (From *Shenghui Fang*)
[Qian] Accumulation pain presents with warm breath, sallow-white complexion, lackluster eyes, excessive whites of the eyes, lethargy, aversion to food, or sour-smelling stool; eliminate accumulation, preferably using Xiaoji Wan. For severe cases, use Baibing Zi to purge. Afterwards, harmonize the stomach using Baizhu San. (Xiaoji Wan, Baibing Zi formulas see Pi masses. Baizhu San formula see Xiaoke.)
[Dan] Food stagnation causing abdominal pain and hardness. Must use Perilla Seed (Zisu) and Radish Seeds (Luobozhi) etc.
[Shi] Children who like eating zongzi may develop abdominal pain. Use Coptis Rhizome (Huanglian) and Fermented Rice Ball (Baijiuyao) in equal parts, make into pills and take.
[Tang] Sanleng San: Treats abdominal pain due to qi accumulation.
Amomum Fruit (Sharen), Licorice Root (Gancao), Alpinia Oxyphylla Fruit (Yizhi) (stir-baked, remove shell), Burreed Tuber (Sanleng), Curcuma Zedoaria Rhizome (Pengzhu), Green Tangerine Peel (Qingpi) (stir-baked, equal parts).
Grind into powder, take with plain boiled water.
Worm pain presents with a sallow-white complexion, heart and abdominal pain. Saliva and clear fluid flow from the mouth, pain occurs at fixed times; treat primarily with Anchong San. Children with innate timidity often suffer from this.
(Tian says: Worm pain involves crying while bending and straightening, restlessness in sitting and lying, self-pressing of the heart and abdomen, frequent loud crying, abnormal facial color, either cyan or yellow, white lips. Also lackluster eyes and spitting saliva; this is worm pain.)
[Qian] Anchong San: Treats pediatric worm pain.
Lead Carbonate (Hufen) (stir-baked yellow), Chrysanthemum Carancas Seed (Heshi) (stir-baked yellow), Toosendan Fruit (Chuanlianzi) (remove peel and seed), Alum (Bai fan) (calcined, 2.5 qian).
Grind into fine powder. Take one zi per dose, or five fen for older children, mixed with rice drink, taken during pain.
[Tang] Treating moving worms with unbearable pain. Use Dry Resin of Toxicodendron (Ganqi) 0.5 liang, Areca Seed (Binglang) one piece (raw), Yaolao one piece, grind finely again. Mix the three items into powder, take with hot wine on an empty stomach. After a while, expel the worms, and cure immediately. (Yaolao is likely mud objects burned in kilns.)
Another prescription: Use Dry Resin of Toxicodendron (Ganqi) one liang, crush, stir-fry until smoke ceases. Mix with fresh well water and raw sesame oil, take on an empty stomach.
[Qian] Anchong Wan: Treats deficiency of upper and middle jiao, or stomach cold causing worm movement and pain.
Dry Resin of Toxicendron (Ganqi) (stir-fry until smoke ceases, 2 fen), Realgar (Xionghuang) (1 fen), Croton Seed Frost (Badou Shuang) (1 qian).
Grind into fine powder, make pills with paste the size of millet seeds. Dosage depends on the child's size. Take down with decoction of East-growing Pomegranate Root, or Vitex Root, or Xuyi Tang, five to seven pills up to twenty to thirty pills, taken when pain occurs.
Xuyi San: Main indications same as above. Whenever children cry loudly during pain, and the philtrum, nose tip, lips, and mouth turn black simultaneously, pulse diagnosis should be deep, weak, and wiry; now the pulse is large instead, indicating worm syndrome.
White Xuyi (Bai Wuyi), Dry Resin of Toxicodendron (Ganqi) (stir-baked, equal parts).
Grind into fine powder. Take one zi or five fen, or one qian, mixed with rice drink, taken when pain occurs.
[Dan] Ascariasis. Use Vitex Root (Kuliu Gen) as the chief herb, assisted by Erchen Tang decoction.
[Qian] Accumulation pain, food pain, and deficiency pain are largely similar. Only worm pain presents with bland taste and spontaneous saliva flow; treat according to symptoms. Worm pain resembles epilepsy; because children are innately timid, stomach deficiency-cold causes worm movement and heart pain, slightly resembling epilepsy, but without eye deviation or hand convulsions; treat primarily with Anchong San.
Ms. Xin's five-year-old daughter suffered from worm pain. Various physicians treated her with Croton Seed (Badou), Dry Resin of Toxicodendron (Ganqi), Nardostachys (Naxiao) etc., without effect. By the fifth day, she cried much, bent and straightened, slept restlessly, pressed her heart and abdomen herself, cried loudly at times, had varying facial colors (cyan, yellow, white, black), lackluster and slow eyes, white lips, and spitting saliva. On the sixth day, her chest was elevated and she lay restlessly. Qian Yi was summoned and examined carefully. After three doses of Xuyi San, the cyan color in the eyes remained. Qian Yi was greatly alarmed, saying: "This disease is critical; if diarrhea ensues, it is a adverse sign." The next day, Ms. Xin told Qian Yi: "Indeed, there was diarrhea at midnight." Qian Yi looked into the chamber pot, seeing liquid like medicine juice, stirred it with a stick, and saw pill fragments. Qian Yi said: "This child has thick flesh, implying robust Qi, yet the presentation is deficient; it is untreatable." Ms. Xin asked: "Why?" Qian Yi said: "Spleen deficiency and stomach cold cause worm movement; now the eyes are cyan, indicating Liver overacting on Spleen. Plus the diarrhea indicates extreme Qi deficiency. The pills passing with feces indicate Spleen and Stomach collapse. Combined with the mismatch between form and disease, I know it is fatal." Five days later, the condition became comatose, and she died on the seventh day.