内热头痛属阳明，鼻干目痛齿颊疼，清热加味茶调治，便柲加入大黄攻。
[注]
胃热头痛，病在阳明，因小儿肥甘无节，胃火上炎，
故发时鼻干目痛，上至头下至齿，颊痛无定时，宜加味茶调散清之。
(加味茶调散)
荆芥穗 薄荷 黄芩 青茶叶 石膏生 自芷 川芎 引用生姜水煎服。
便秘者加川大黄。
(方歌)
加味茶调治头疼，胃经积热上攻冲，荆穗薄荷芩茶叶，石膏生用芷川芎。
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小儿腹痛有四因，食寒虫动痛相侵，停食感寒相兼痛，临证医治要详分。
[注]
小儿腹痛，其证有四，
如寒痛，食痛，虫痛，停食感寒痛也，须随证施治，
寒则温中，食则消导，虫则安虫，停食感寒则消散，
调治合宜，其痛自除矣。
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腹痛门
食痛伤食心胃痛，食入即痛喜饮凉，恶食腹满吐便秘，承气平胃酌量尝。
[注]
食痛者，皆因饮食不节，积滞不化所致，故食入即痛也。
其候喜饮凉水，恶食腹满，吐酸便柲，宜先以小承气汤下之，
若下后仍痛者，以香砂平胃散消导可也。
(小承气汤)大黄 枳实麸炒 厚朴姜炒 引用生姜水煎服。
(方歌)
小承气汤治腹痛，腹硬烦渴便不通，枳实厚朴大黄共 煎服便利立时松。
(香砂平胃散)
苍术米泔水浸炒 陈皮 厚朴姜炒 甘草炙 。砂研 香附醋炒
南山查 神麴炒 麦芽炒 枳壳麸炒 白芍炒 引用生荁水煎服。
(方歌)
香砂平胃伤食痛，下后仍痛用此和，苍陈朴草缩香附 山查麴麦枳壳芍。
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腹痛门
Headache due to internal heat belongs to the Yangming channel, presenting with dry nose, eye pain, and pain in the teeth and cheeks. Treatment should employ Jiawei Chatiao San (Modified Tea-Regulating Powder) to clear heat; if constipation is present, Dahuang (Rhei Radix et Rhizoma) should be added to purge accumulation.
[Note]
Headache caused by stomach heat occurs in the Yangming channel. Due to children's unregulated consumption of rich and sweet foods, stomach fire flares upward. Consequently, upon onset, symptoms include dry nose and eye pain, with pain extending from the head down to the teeth, cheeks, and occurring at irregular intervals. It is appropriate to use Jiawei Chatiao San (Modified Tea-Regulating Powder) to clear the heat.
(Jiawei Chatiao San / Modified Tea-Regulating Powder)
Jingjie Sui (Schizonepetae Spica), Bohe (Menthae Haplocalycis Herba), Huangqin (Scutellariae Radix), Qing Chaye (Tea Leaf), Sheng Shigao (Gypsum Fibrosum), Baizhi (Angelicae Dahuricae Radix), Chuanxiong (Chuanxiong Rhizoma). Decoct with fresh ginger water for oral administration.
For those with constipation, add Chuan Dahuang (Rhei Radix et Rhizoma).
(Prescription Verse)
Jiawei Chatiao treats headache, caused by accumulated heat in the Stomach channel attacking upward. The ingredients are Jingjie Sui, Bohe, Huangqin, tea leaves, Sheng Shigao, Baizhi, and Chuanxiong.
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There are four causes of abdominal pain in children: food stagnation, cold invasion, and intestinal parasites causing pain that invades each other. Pain resulting from simultaneous food stagnation and cold invasion requires detailed differentiation during clinical diagnosis and treatment.
[Note]
Abdominal pain in children presents in four types: cold pain, food pain, parasitic pain, and pain from combined food stagnation and cold invasion. Treatment must be administered according to the specific syndrome: for cold, warm the middle and dispel cold; for food stagnation, digest food and guide out stagnation; for parasitic pain, calm the parasites; for combined food stagnation and cold, dissipate both. If the regulation and treatment are appropriate, the pain will naturally subside.
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Abdominal Pain Section
Food stagnation pain manifests as heart and stomach pain after injury from food intake, immediate pain upon eating, preference for cool drinks, aversion to food, abdominal fullness, vomiting, and constipation. Treatment involves酌情 selecting Xiaochengqi Tang (Minor Order the Qi Decoction) or Pingwei San (Stomach-Pacifying Powder) based on the situation.
[Note]
Food stagnation pain is caused by unregulated diet leading to accumulation and indigestion, hence pain occurs immediately after eating.
Symptoms include a preference for drinking cool water, aversion to food, abdominal fullness, vomiting of acid, and constipation. It is appropriate to first use Xiaochengqi Tang (Minor Order the Qi Decoction) to purge the accumulation.
If pain persists after purgation, Xiangsha Pingwei San (Amomum and Cyperus Stomach-Pacifying Powder) can be used to digest food and guide out stagnation.
(Xiaochengqi Tang / Minor Order the Qi Decoction)
Dahuang (Rhei Radix et Rhizoma), Zhishi (Aurantii Fructus Immaturus) stir-fried with bran, Houpo (Magnoliae Officinalis Cortex) stir-fried with ginger juice. Decoct with fresh ginger water for oral administration.
(Prescription Verse)
Xiaochengqi Tang treats abdominal pain, characterized by abdominal hardness, irritability, thirst, and inability to pass stool. Zhishi, Houpo, and Dahuang are decocted together; once bowel movement is facilitated, relief comes instantly.
(Xiangsha Pingwei San / Amomum and Cyperus Stomach-Pacifying Powder)
Cangzhu (Atractylodis Rhizoma) soaked in rice wash water and stir-fried, Chenpi (Citri Reticulatae Pericarpium), Houpo (Magnoliae Officinalis Cortex) stir-fried with ginger juice, Gancao (Glycyrrhizae Radix et Rhizoma) honey-fried. Sharen (Amomi Fructus) ground into powder, Xiangfu (Cyperi Rhizoma) stir-fried with vinegar.
Shanzha (Crataegi Fructus), Shenqu (Massa Medicata Fermentata) stir-fried, Maiya (Hordei Fructus Germinatus) stir-fried, Zhiqiao (Aurantii Fructus Immaturus) stir-fried with bran, Baishao (Paeoniae Radix Alba) stir-fried. Decoct with fresh ginger water for oral administration.
(Prescription Verse)
Xiangsha Pingwei San treats food stagnation pain; if pain persists after purgation, this formula is used to harmonize. The ingredients are Cangzhu, Chenpi, Houpo, Gancao, Suoxiang (Sharen), Xiangfu, Shanzha, Shenqu, Maiya, Zhiqiao, and Baishao.
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Abdominal Pain Section