论曰小儿因气不升降，膈脘否滞，致令乳饮不化，流入胃中，随气上溢，故令多涎。其
候胸闷短气，饮食迟化，内经谓脾为涎，当调脾胃，升降其气，则病可愈。
治小儿脾风多涎，心胸壅闷，不下乳食，昏昏多睡。铅霜散方。
铅霜（研） 牛黄（研） 半夏（生姜汁制焙干） 龙脑（研各半分） 白附子（炮） 马
牙硝（
研） 防风（去叉） 丹砂（研） 天竺黄（研） 犀角屑 细辛（去苗叶） 黄芩（去黑
心） 甘草（
炙锉各一分）
上一十三味，捣研为散，再同研匀，每服一字。用生姜蜜温水调下，更量儿大小，以意
加减，不计时候。
治小儿脾肺风热，膈上多涎，心神昏闷，少欲乳食。防风汤方
防风（去叉） 羚羊角屑 黄芩（去黑心） 人参 枳壳（去瓤麸炒） 甘草（炙锉各
一分）
半夏（半分生姜汁制焙干）
上七味，粗捣筛，每服一钱匕。水八分，入生姜少许，煎至五分，去滓不计时候，量儿
大小，分减温服。
治小儿脾热乳食不下，胸膈多涎。半夏丸方
半夏（半分生姜汤洗七遍去滑） 皂荚子仁（半两）
上二味，捣罗为末，用生姜汁和丸，如麻子大。不计时候，以温水下三丸，随儿大小，
以意加减。
治小儿脾胃气不升降，气溢于上，涎液不收。半夏丸方
半夏（微炒一两） 白矾（生研半两）
上二味，先以半夏为细末，再入白矾和匀，面糊和丸，如粟米大，每服五七丸。量轻重
加减，食后临卧，生姜汤下。
治小儿胃气上溢，气不升降，涎液不收。清膈降气丸方
牛蒡子 栀子仁 甘草（炙微赤锉） 川硝 郁金（以上各半两） 枳壳（一分麸炒微
黄去
瓤） 龙脑（半两研）
上七味，捣罗为末，面糊和为丸，如麻子大，用薄荷水化下二丸，至三丸。不计时候，
量儿大小加减服之。
治小儿脾热，乳食不下，胸膈痞闷，涎溢不收。桑白汁方
新桑根白皮（不以多少细锉）
上一味，取自然汁，涂于儿口内，立效。如无新桑根白皮，取干桑根白皮一两，细锉，
用水一盏。煎至半盏放温，涂儿口内，极妙。
Commentary states: In children, due to the dysfunction of Qi ascending and descending, stagnation in the diaphragm and epigastrium causes milk and fluids to fail to digest. These flow into the stomach and overflow upwards along with the rebellious Qi, resulting in excessive salivation (Xian). The manifestations include chest tightness, shortness of breath, and slow digestion of food. The *Neijing* states that the Spleen manifests as saliva; therefore, one should regulate the Spleen and Stomach to restore the normal ascending and descending of Qi, at which point the disease will be cured.
For treating excessive salivation due to Spleen Wind in children, accompanied by chest and heart oppression, inability to take milk or food, and lethargy with excessive sleepiness. Formula for Qianshuang San (Lead Frost Powder):
Qianshuang (Lead Frost) [Litharge], Niuhuang (Calculus Bovis), Banxia (Pinelliae Rhizoma) processed with Shengjiang juice and dried, Longnao (Borneolum Syntheticum), Baifuzi (Typhonii Rhizoma) prepared, Mayaxiao (Natrii Sulfas), Fangfeng (Saposhnikoviae Radix) cleaned of twigs, Dansha (Cinnabaris), Tianzhuhuang (Calamusi Semen), Xijiaoxie (Rhinocerotis Cornu), Xixin (Asari Radix et Rhizoma) cleaned of roots and leaves, Huangqin (Scutellariae Radix) cleaned of black hearts, Gancao (Glycyrrhizae Radix et Rhizoma) roasted and cut (each 1 fen).
The above thirteen ingredients are pounded and ground into a powder, then mixed thoroughly. Each dose is "Yi Zi" (a traditional small measure). Administer with warm water mixed with ginger juice and honey. Adjust dosage according to the child's age and condition. No specific time restriction.
For treating excessive salivation on the upper diaphragm, mental cloudiness, and reduced appetite for milk/food due to Wind-Heat of the Spleen and Lungs in children. Formula for Fangfeng Tang (Saposhnikovia Decoction):
Fangfeng (Saposhnikoviae Radix) cleaned of twigs, Lingyangjiaoxie (Saigae Tataricae Cornu), Huangqin (Scutellariae Radix) cleaned of black hearts, Renshen (Ginseng Radix), Zhike (Aurantii Fructus) de-albendo and stir-baked with bran, Gancao (Glycyrrhizae Radix et Rhizoma) roasted and cut (each 1 fen), Banxia (Pinelliae Rhizoma) half fen, processed with Shengjiang juice and dried.
The above seven ingredients are coarsely crushed and sieved. Each dose is "Yi Qianbi" (a spoonful measure). Use eight parts water, add a little Shengjiang, decoct until five parts remain. Strain and discard dregs. Administer warm, adjusting dosage according to the child's age. No specific time restriction.
For treating inability to take milk/food and excessive salivation in the chest/diaphragm due to Spleen Heat in children. Formula for Banxia Wan (Pinellia Pill):
Banxia (Pinelliae Rhizoma) half fen, washed seven times in Shengjiang decoction to remove slipperiness, Zaojiaoren (Gleditsiae Sinensis Semen) kernel half liang.
The above two ingredients are pounded, sifted into powder, and formed into pills using Shengjiang juice, sized like hemp seeds. Administer three pills with warm water, no specific time restriction. Adjust dosage according to the child's age.
For treating unrestrained salivation due to dysfunction of Spleen-Stomach Qi ascending and descending, with Qi overflowing upwards. Formula for Banxia Wan (Pinellia Pill):
Banxia (Pinelliae Rhizoma) lightly stir-fried 1 liang, Baijian (Alumen) raw-ground half liang.
The above two ingredients: first grind Banxia into fine powder, then mix evenly with Baijian. Form pills using wheat paste, sized like millet grains. Each dose is 5-7 pills. Adjust based on severity. Take after meals and before bed with Shengjiang decoction.
For treating unrestrained salivation due to Stomach Qi overflowing upwards and dysfunction of Qi ascending and descending. Formula for Qingge Jiangqi Wan (Clear Diaphragm and Descend Qi Pill):
Niubangzi (Arctii Fructus), Zhiziren (Gardeniae Semen), Gancao (Glycyrrhizae Radix et Rhizoma) roasted until slightly red and cut, Chuanxiao (Natrii Sulfas), Yujin (Curcumae Radix) (each half liang), Zhike (Aurantii Fructus) 1 fen, stir-baked with bran until slightly yellow and de-albendo, Longnao (Borneolum Syntheticum) half liang, ground.
The above seven ingredients are pounded, sifted into powder, and formed into pills using wheat paste, sized like hemp seeds. Dissolve 2-3 pills in Bohe water (Menthae Haplocalycis Herba water) and administer. No specific time restriction. Adjust dosage according to the child's age.
For treating Spleen Heat in children, characterized by inability to take milk/food, chest/diaphragm fullness and oppression, and unrestrained salivation. Formula for Sangbai Zhi (Mulberry Root Bark Juice):
Xin Sanggen Baipi (Mori Cortex) fresh root bark white layer (quantity as needed), finely cut.
The above single ingredient: extract natural juice and apply inside the child's mouth for immediate effect. If fresh Sanggen Baipi is unavailable, use 1 liang of dried Sanggen Baipi, finely cut. Decoct in one zhan of water until half remains. Cool to warm temperature and apply inside the child's mouth. This is extremely effective.