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Pediatric food stagnation resulting from arbitrary eating manifests as warmth of the head, heat in the abdomen, purulent and sour-smelling stools, belching, anorexia, irritability, and thirst. Treatment requires careful assessment to determine whether Muxiang Da'an Wan (Aucklandia Great Peace Pill) or Xiao Chengqi Tang (Minor Order the Qi Decoction) is appropriate.

[Note]
Children who indulge in rich, sweet, fatty foods and raw/cold items may suffer from impaired spleen-stomach transportation and transformation, leading to accumulation and stagnation in the intestines and stomach.
Symptoms include warmth of the head, abdominal heat, sour-smelling loose stools, belching, aversion to food, restlessness with insomnia, dry mouth, and thirst.
For mild stagnation, Muxiang Da'an Wan (Aucklandia Great Peace Pill) is indicated to promote digestion and guide out stagnation.
For severe stagnation accompanied by constipation, Xiao Chengqi Tang (Minor Order the Qi Decoction) is indicated to purge and descend.

(Muxiang Da'an Wan [Aucklandia Great Peace Pill]) Aucklandiae Radix (Muxiang), Coptidis Rhizoma (Huanglian), Citri Reticulatae Pericarpium (Chenpi), Atractodis Rhizoma Praeparatum cum Fimo (Baizhu, stir-fried with soil), Immature Bitter Orange (Zhishi, stir-fried with bran), Hawthorn Fruit Flesh (Shanzha Rou), each 3 qian; Forsythiae Fructus (Lianqiao), 2 qian, heart removed; Fermented Soybean Curd (Shenqu), stir-fried; Malto (Maiya), each 3 qian, stir-fried; Amomi Fructus Rotundus (Sharen), Raphani Semen (Laifuzi), each 2 qian, roasted.
Grind all into fine powder. Use Shenqu paste to form pills. Take 1 qian per dose, washed down with decoction of aged rice grain.

(Xiao Chengqi Tang [Minor Order the Qi Decoction]) See the section on "Abdominal Pain due to Food Stagnation" for the formula.

Pi disease (masses in the hypochondrium) results from overeating causing fullness in the intestines and stomach, overflow of turbid fluids, and condensation due to cold pathogen invasion. Symptoms include tidal fever, preference for drinking cold water, emaciation, abdominal distension with hard masses, and a sallow complexion with bluish tints.

[Note]
Pi disease (masses in the hypochondrium) arises from unregulated diet causing excessive fullness in the intestines and stomach, overflow of turbid juices, and subsequent condensation upon exposure to cold pathogens.
It typically occurs below the left hypochondrium, initially resembling a chicken egg, hardening into a mass, and gradually expanding like an inverted basin. If it extends beyond the umbilicus, it becomes difficult to treat.
Clinical manifestations include tidal fever, desire to drink cold water, emaciated skin and muscles, and a complexion that is yellowish with bluish hues. Physicians should examine these signs carefully.

Pi disease (masses in the hypochondrium) presenting with tidal fever, thirst with preference for cold drinks, abdominal distension with visible subcutaneous veins, hardness, and pain can be treated effectively internally with Xiaopi Muxiang Wan (Eliminate Masses Aucklandia Pill) and externally with Honghua Gao (Safflower Ointment).

[Note]
At the onset of Pi disease (masses in the hypochondrium), there is afternoon tidal fever, thirst with preference for cold drinks, abdominal distension with prominent subcutaneous veins.
The condition progresses to hardness and mass formation, with intermittent pain.
Internally, Qianjin Xiaopi Wan (Thousand Gold Eliminate Masses Pill) is used; externally, Honghua Gao (Safflower Ointment) is applied. Treating both internally and externally will resolve the mass.
If there is no fever or thirst, begin treatment with Muxiang Wan (Aucklandia Pill), and apply Honghua Gao (Safflower Ointment) externally.

(Qianjin Xiaopi Wan [Thousand Gold Eliminate Masses Pill]) Aloe (Luhui), Asafoetida (awei, prepared separately into paste), Indigo Naturalis (Qingdai), Aucklandiae Radix (Muxiang), Magnoliae Officinalis Cortex (Houpo, stir-fried with ginger juice), Arecae Semen (Binglang), Citri Reticulatae Pericarpium (Chenpi), Glycyrrhizae Radix et Rhizoma (Gancao, raw), each 1 qian; Jujubae Semen (Shijunzi), shell removed; Coptidis Rhizoma (Huhuanglian), Hawthorn Fruit Flesh (Shanzha Rou), Cyperi Rhizoma (Xiangfu, stir-fried with vinegar), Sparganii Rhizoma (Sanleng, stir-fried with vinegar), Curcumae Longae Rhizoma (Ezhu, stir-fried with vinegar), each 2 qian; Alternantherae Sanguinea Seed (Shuihonghua Zi), Fermented Soybean Curd (Shenqu, stir-fried), Malto (Maiya), each 4 qian, stir-fried; Ginseng Radix et Rhizoma (Renshen), Atractodis Rhizoma Praeparatum cum Fimo (Baizhu, stir-fried with soil), Poria (Fuling), each 3 qian. Grind all above into fine powder. Take 1 qian of Asafoetida, mix with water and flour to make a paste for binding. Form pills the size of mung beans. Administer with rice drink, adjusting dosage according to the child's age and size.

(Muxiang Wan [Aucklandia Pill]) Aucklandiae Radix (Muxiang), Curcumae Zedoariae Rhizoma (Peng'ezhu), Amomi Fructus Rotundus (Suosharen), Citri Reticulatae Pericarpium Viride (Qingpi), Cinnabaris (Zhusha), each 2 qian, ground into fine powder.
Mix uniformly. Bind with refined white wheat flour paste. Form pills the size of hemp seeds. Take 2-3 pills per dose.
If caused by breast milk injury, wash down with breast milk or leftover milk from feeding. If caused by solid food injury, wash down with decoction of the offending food.

(Honghua Gao [Safflower Ointment]) Myrrha (Moyao), 5 qian; Draconis Os (Xuexie), Moschus (Shexiang), Asafoetida (Awei), each 3 qian; Angelicae Sinensis Radix (Danggui), Paeoniae Rubra (Chishao), each 1 qian.
Decoct one bundle of Alternantherae Sanguinea (Shuihonghua) in water, strain the residue, and boil down to one bowl of thick liquid. Mix the above powdered herbs into the ointment until uniform. Spread onto blue cloth and apply to the affected area.