大便闭，邪热入里者，胃有燥粪也。三焦暑热者，津液干枯，大肠夹热也。宿食留滞者
，腹胀，痛闷胸痞欲吐也。热气燔灼者，内受风热，涸燥闭塞也，宜胶蜜汤。
胶蜜汤
葱白（三茎） 阿胶 生蜜 煎热去葱，食前服。（炳章按∶葱蜜合用有毒，服之杀人。）
小儿身热作泻，用四君子加白芷、黄 服；或加炒松花三分，五味七粒。伤食用草果煨
熟去壳，再研炒焦为末，每用半匙，入口以呷之，白汤亦可。
伤寒时气，热极发黄，昏乱难言，不省人事，宜紫金锭子。
紫金锭方
五倍子 雄黄 山慈菇（净肉，各二两） 山豆根（一两） 共末，粳米糊和成，石臼内杵
千下。每服一钱，薄荷汤下。
吐乳，用紫苏、甘草、滑石等分，水煎服。
夏月泄泻，甘草、滑石、白术，水煎服，入砂糖一匙。
吐泻脾土虚弱者，参苓白术散。有积，加使君子；腹不和，加木香。看病表里，加引服之。
小儿作泻，日久必致发惊。盖久泻脾土虚，不能生金，金衰则木旺，肝气逆而不下，惊
久泻用豆蔻一枚，切开，入麝香五厘在内，合定，面裹煨熟，为末服。又方∶白芷、炮
末，蜜丸纳脐中，油纸盖，热鞋底熨即止。又用柿饼熟吃立止。又方∶五倍子为末，醋调纳
脐。又方∶生姜四两，香油四两，炼丹二两，熬膏，贴脐。皆效。
小儿过食水果面食，腹胀身瘦，善食，遍身水肿，泄泻脓血，用锅焦二分，马豆一分，
为末，久服痊愈。
小儿作泻，服利药太过，致浑身热甚，喜卧冷地。盖因利肾虚而肝火起，胃中燥也。用
松花炒黑一钱以安肾，肾水足而火不起；红曲炒一钱，安胃消食，则生发之气旺而病愈矣。
小儿疟疾半月不止，用四君子加柴胡、青皮。
疟、痢久则脾虚不禁，用酒煮白术，焙干为末，神曲丸元眼大，朱砂为衣，米饮化下。
无汗用臭草根捣擦，取微汗而愈；有一月不愈者，乃血热也，用何首乌五钱，青皮二钱，空
痢久不止，炮姜、红曲二味，煎服即止。红曲微炒温中，炮姜炒黑凉肾也。
Constipation with fecal impaction indicates pathogenic heat entering the interior, resulting in dry stool in the Stomach. Heat-dampness or summerheat affecting the Triple Burner (San Jiao) leads to dryness of body fluids and heat clamping the Large Intestine. Retention of undigested food causes abdominal distension, chest fullness and pain, and a desire to vomit. Blazing heat due to internal wind-heat invasion causing fluid depletion and obstruction is treated with Jiaomi Tang (Gelatin and Honey Decoction).
Jiaomi Tang (Gelatin and Honey Decoction)
Scallion White (Cong Bai, three stalks), Donkey-hide Gelatin (Ejiao), Raw Honey. Boil, remove scallions, and take before meals. (Bingzhang notes: The combination of scallion and honey is toxic and can be fatal.)
For infants with fever and diarrhea, use Sijunzi Tang (Four Gentlemen Decoction) added with Baizhi (Angelicae Dahuricae Radix) and Huangqin (Scutellariae Radix); or add 3 fen of fried pine pollen and seven grains of Wuweizi (Schisandrae Fructus). For food retention, roast Caoguo (Tsaoko Fructus) until cooked, remove shells, grind into powder, and take half a spoonful slowly with warm water.
In Shanghan (Cold Damage) or epidemic febrile diseases, extreme heat leading to jaundice, confusion, inability to speak, and loss of consciousness is treated with Zijin Dingzi (Purple Gold Pellet).
Zijin Dingzi Formula
Wubeizi (Galla Chinensis), Xionghuang (Realgar), Shancigu (Fritillariae Cirrhosae Bulbus, cleaned flesh, each 2 liang), Shandougen (Sophorae Tonkinensis Radix) (1 liang). Grind into powder, mix with rice paste, and pound for a thousand times in a stone mortar. Take 1 qian per dose, washed down with Bohe Tang (Mint Decoction).
For vomiting milk, use Zisu (Perilla Leaf), Gancao (Licorice Root), and Huashi (Talcum) in equal parts, decocted in water.
For summer diarrhea, use Gancao (Licorice Root), Huashi (Talcum), and Baizhu (Atractylodis Macrocephalae Rhizoma), decocted in water, with one spoonful of brown sugar added.
For vomiting and diarrhea due to Spleen Earth deficiency, use Shenling Baizhu San (Ginseng, Poria, and Atractylodes Macrocephala Powder). Add Shijunzi (Quisqualis Fructus) if there is accumulation; add Muxiang (Vladimiriae Root) if abdominal discomfort exists. Administer with guiding herbs according to the exterior-interior condition.
Prolonged diarrhea in children inevitably leads to Jingfeng (Infantile Convulsion). This is because prolonged diarrhea weakens Spleen Earth, failing to generate Lung Metal; when Lung Metal is deficient, Liver Wood becomes hyperactive, causing Liver Qi to rebel upward instead of descending, thus triggering convulsions.
To treat prolonged diarrhea, use one Cardamom Doukou (Amomi Fructus Rotundus), cut open, insert 5 li of Moschus (She Xiang), seal it, wrap in dough, and bake until cooked. Grind into powder and administer. Another formula: Baizhi (Angelicae Dahuricae Radix) roasted and powdered, formed into pills with honey, inserted into the umbilicus, covered with oiled paper, and warmed with a hot shoe sole to stop immediately. Another method: eat ripe persimmons to stop immediately. Another method: Wubeizi (Galla Chinensis) powdered, mixed with vinegar, applied to the umbilicus. Another method: 4 liang Ginger (Sheng Jiang), 4 liang Sesame Oil, 2 liang Danlin (likely a specific mineral or processed substance), boiled into a plaster and applied to the umbilicus. All are effective.
For children who overeat fruits and wheat products, presenting with abdominal distension, emaciation, good appetite but generalized edema, and dysentery with pus and blood, use 2 fen of Guojiao (Charred Rice Crust) and 1 fen of Madou (Vigna Angularis Seed), ground into powder. Long-term administration leads to recovery.
If pediatric diarrhea is treated with excessive purgatives, causing severe whole-body heat and a preference for lying on cold surfaces, it is due to kidney damage from purging leading to rising Liver Fire and dryness in the Stomach. Use 1 qian of blackened Pine Pollen Songhua to calm the Kidney; sufficient Kidney Water prevents fire from rising. Use 1 qian of red yeast Hongqu (Monascus Fermented Rice) to calm the Stomach and digest food, thereby strengthening the generating qi and curing the disease.
For pediatric malaria lasting more than half a month, use Sijunzi Tang (Four Gentlemen Decoction) added with Chaihu (Bupleuri Radix) and Qingpi (Citri Reticulatae Pericarpium Viride).
For chronic malaria and dysentery causing Spleen deficiency and failure to consolidate, use Baizhu (Atractylodis Macrocephalae Rhizoma) wine-boiled, dried, and powdered. Form pills the size of paulownia seeds using Shenqu (Medicated Leaven), coat with Zhusha (Cinnabar), and swallow with rice drink.
For no sweat, rub crushed Chugen Cao (Radix Isatidis or similar root, literally "stinky root") externally to induce slight sweating for cure. If unhealed after one month, it is Blood Heat; use 5 qian Heshouwu (Polygoni Multiflori Radix) and 2 qian Qingpi (Citri Reticulatae Pericarpium Viride).
For chronic dysentery not stopping, decoct Paojiang (Prepared Ginger) and Hongqu (Red Yeast Rice) to stop it. Hongqu lightly stir-fried warms the middle; Paojiang stir-fried to black cools the Kidney.