论曰小儿腹中胁下结聚之病，有形可验，按之不动者，症也。假结有形，推之浮移者、
瘕也。僻在左右者，癖也。诸症本于食，诸癖本于饮。诸瘕本于气，皆由腑脏不和。三焦不
调，又为寒湿之气所乘，故令乳哺不化，食饮结聚，而为症瘕癖结之病。
治小儿阴阳气不顺，虚痞胀满，呕逆腹痛，成症瘕癖结等病。万应丸方
槟榔（二枚锉） 陈橘皮（去白焙） 青橘皮（去白焙各半两） 木香 黄连（去须） 莪
术
（煨锉） 桂（去粗皮各一分）
上七味，捣罗为末，每用一钱匕，入巴豆一粒（去皮心膜醋煮紫色研）。杏仁一枚（去
皮
尖灯上烧黑研），将前药末，同二味合研匀细，用白面糊和丸，如粟米大，每服二丸，食后
生姜汤下，更量大小加减。
治小儿癖气，手脚心热。面色黄，不下食，日渐羸瘦。往往复卧，久不治变成恶病，入
夏即泻痢。木香丸方
木香 茯神（去木） 人参 白术 枳壳（去瓤麸炒） 当归（切炒） 京三棱（煨锉）
知母
（焙各一两） 鳖甲（醋炙去裙 三分） 大黄（锉炒） 生姜（切焙） 槟榔（煨锉） 桂
（去粗皮
各一分）
上一十三味，捣罗为末，炼蜜和丸，如麻子大，一二百日儿，每服一丸，二三岁儿，二
丸至三丸，并空腹日晚米饮下，微利下恶物为度，更随儿大小增减。
治小儿症癖。大鳖甲丸方
鳖甲（醋炙去裙 ） 犀角（镑） 丹砂（研） 桂（去粗皮各半两） 大黄（锉炒） 当
归（切
焙） 萆 （炒） 代赭（捣研） 巴豆（去皮心膜研如膏各一两） 枳壳（去瓤麸炒） 牛
黄（研）
麝香（研各一分）
上一十二味，捣研为末。炼蜜和丸，如麻子大，三四岁儿，每服二丸至三丸，空心新汲
水下，瘥即止，更随儿大小加减。
治小儿食癖，本于肠胃气弱，吃食不化，结聚不散，腹中隐隐成块，按之即痛，芍药丸
方芍药 大黄（锉炒） 鳖甲（醋炙去裙 ） 麻仁（研各三分） 防葵 陈曲（炒） 白
术（各一分）
上七味，捣研为末，炼蜜和丸。如绿豆大，一岁儿，每服三丸。三岁至五岁五丸，并温
熟水下，日再，更量儿大小加减。
治小儿脾积气。三棱丸方。
京三棱（锉） 石三棱（锉） 鸡爪三棱（锉） 莪术（锉各半两） 木香（一分）
上五味，并生杵罗为末。酒煮面糊和丸，如麻子大，腻粉为衣，每服五丸，乌梅生姜汤
下，量儿大小加减。
治小儿症瘕食癖。京三棱散方
京三棱（煨锉） 鳖甲（醋炙去裙 ） 枳壳（去瓤麸炒） 陈曲（炒） 大腹子（锉）
诃黎勒
皮（半生半熟） 浓朴（去粗皮生姜汁炙） 麦 （炒） 莪术（煨锉） 青橘皮（去白焙
各一分）
上一十味，捣罗为散。六七岁儿，每服半钱匕，空腹米饮调下，日三，更量儿大小加减。
治小儿食疳，长肌肤，益颜色。化宿食，治腹胀，破积聚，和气调中。槟榔丸方
槟榔（锉） 丹砂（研） 阿魏（面裹煨熟） 代赭（研） 乳香（研） 木香 五灵
脂（炒） 肉
豆蔻（去壳各一两） 巴豆（去皮心膜出油尽半两） 蟾头（一枚炙焦）
上一十味，杵研匀细。面糊和丸，如黍米大，每服二丸，温生姜汤下，更量儿大小加减。
治小儿脾积气肌瘦。胆矾丸方
石胆矾（研） 芦荟（研各半两） 龙脑（研） 麝香（研各一钱） 丹砂（研） 胡
黄连末（各
一分） 黄连末（一两用 猪胆一枚入末在内以好醋煮十余沸取出挂候干研为末）
上七味，同研匀细，醋煮面糊和丸，如绿豆大，每服十丸，早晨临卧，温米饮下，更量
儿大小加减。
治小儿奶癖食癖，每至午后，时作寒热，微有咳嗽，胁肋癖硬。炼青丸方
太阴玄精石（一分） 粉霜 砂（各一钱） 轻粉（二钱） 白面（三钱）
上五味，同研极细，滴水和成饼子。文武火烧熟再研，滴水丸如黄米大，每服七丸，浆
水下，三岁以下五丸，更量儿加减。
治小儿癖气，发即腹胁 痛，减食黄瘦。鳖甲丸方
鳖甲（去裙 醋炙二两） 防葵 人参（各五分） 诃黎勒皮（七枚） 大黄（蒸一两）
桑菌
（三分） 郁李仁（去皮炒一两半）
上七味，捣罗为末，炼蜜丸如绿豆大，每服三丸至五丸，空腹米饮下，更量大小加减。
治小儿症瘕，腹痛胀满，或作块。或皮肤浮肿，不能食。雄鼠粥方
雄鼠肉（五两切炙） 陈橘皮（去白焙半两） 鳖甲（醋炙去裙 ） 京三棱（煨锉） 郁
李仁
（去皮研各三分） 生姜（切焙半两）
上六味，粗捣筛。作三帖，每帖以水一升，煎去滓取半升，入粳米一合，五味煮作粥，
空腹食之。
治小儿气癖，上下左右，移动不常。木香丸方
木香（一分） 白槟榔（锉三分） 大黄（蒸焙锉） 枳实（麸炒各三分） 附子（炮
裂去皮脐） 干姜（炮各半分） 朴硝（一两）
上七味，捣研为末。炼蜜和丸，如绿豆子大，每服三丸至五丸，空腹温汤下，更量大小
加减。
治小儿水癖，按之作声。牵牛子丸方
牵牛子（炒） 枳壳（去瓤麸炒各半两） 柏皮（去粗皮炙） 甘遂（炒） 桂（去粗
皮） 牡丹
皮（各一分） 大黄（锉三分）
上七味，捣罗为末，蜜和丸，如绿豆子大，每服五丸，空腹温汤下，量大小加减。
It is stated that: The disease of accumulation in the abdomen and hypochondrium of infants, which has a tangible form and does not move upon palpation, is termed "Zheng" (Fixed Accumulation). A pseudo-accumulation with a shape that floats and shifts when pushed is termed "Jia" (Mobile Accumulation). An accumulation located on one side of the body is termed "Pi" (Lateral Accumulation). Various "Zheng" originate from food stagnation; various "Pi" originate from improper drinking; various "Jia" originate from Qi stagnation. All are caused by disharmony of the Zang-Fu organs and dysfunction of the San Jiao (Triple Burner), compounded by invasion of Cold-Dampness Qi. This leads to the failure of digesting milk and food, causing dietary accumulation and resulting in diseases such as Zheng, Jia, Pi, and Knotting.
For treating infants with disharmony of Yin and Yang Qi, deficiency-type distension and fullness, vomiting and regurgitation, abdominal pain, and the formation of Zheng, Jia, Pi, and Knot diseases. Wan Ying Pill Formula:
Areca Seed (2 pieces, crushed)
Aged Tangerine Peel (peeled of white pith and dried)
Green Tangerine Peel (peeled of white pith and dried, each 0.5 liang)
Costus Root
Coptis Rhizome (mustards removed)
Curcuma Zedoaria Rhizome (roasted and crushed)
Cinnamon Twig (bark removed, each 1 fen)
The above seven herbs are pounded, sifted into fine powder. Each dose uses one qian bi (approx. 3-5g) of powder, adding one Croton Seed (seed coat, embryo, and membrane removed, boiled in vinegar until purple, then ground), and one Apricot Kernel (skin and tip removed, charred over a lamp flame, then ground). Mix the aforementioned powder with these two ingredients thoroughly. Bind with wheat flour paste into pills the size of millet seeds. Administer 2 pills per dose after meals, washed down with Ginger Decoction. Adjust dosage according to the child's age and size.
For treating infant Pi Qi, characterized by heat in the palms and soles, sallow complexion, anorexia, progressive emaciation, frequent recumbency, and potential progression to severe illness if untreated, often accompanied by dysentery in summer. Mu Xiang Pill Formula:
Costus Root
Poria Cocos (wood removed)
Ginseng Radix et Rhizoma
Atractylodes Macrocephala Rhizome
Bitter Orange Fruit (albedo removed, stir-fried with bran)
Angelica Sinensis Radix (sliced and stir-fried)
Salvia Miltiorrhiza Root? No, Bupleurum? Actually Jing San Leng refers to Curcuma Phaeocaulis or similar (roasted and crushed)
Anemarrhena Rhizome (dried, each 1 liang)
Tartar Shell (vinegar-processed, apron removed, 3 fen)
Rhubarb Root and Rhizome (crushed and stir-fried)
Fresh Ginger (sliced and dried)
Areca Seed (roasted and crushed)
Cinnamon Twig (bark removed, each 1 fen)
The above thirteen herbs are pounded, sifted into fine powder. Bind with refined honey into pills the size of sesame seeds. For infants aged 1-3 months, administer 1 pill per dose; for children aged 2-3 years, administer 2-3 pills per dose. Take on an empty stomach in the evening, washed down with Rice Drink. Stop when slight evacuation of pathogenic matter occurs. Adjust dosage according to the child's size.
For treating infant Zheng and Pi. Da Bie Jia Pill Formula:
Tartar Shell (vinegar-processed, apron removed)
Rhinoceros Horn (shaved)
Cinnabar (ground)
Cinnamon Twig (bark removed, each 0.5 liang)
Rhubarb Root and Rhizome (crushed and stir-fried)
Angelica Sinensis Radix (sliced and dried)
Dioscorea Hypoglauca Rhizome (stir-fried)
Hematitum (pounded and ground)
Croton Seed (seed coat, embryo, and membrane removed, ground into paste, each 1 liang)
Bitter Orange Fruit (albedo removed, stir-fried with bran)
Calculus Bovis (ground)
Musk (ground, each 1 fen)
The above twelve herbs are pounded and ground into fine powder. Bind with refined honey into pills the size of sesame seeds. For children aged 3-4 years, administer 2-3 pills per dose on an empty stomach, washed down with fresh well water. Discontinue when cured. Adjust dosage according to the child's size.
For treating infant Food Pi, originating from weak Qi in the intestines and stomach, leading to indigestion, accumulation without dispersal, vague abdominal masses that are painful upon pressure. Shao Yao Pill Formula:
White Peony Root
Rhubarb Root and Rhizome (crushed and stir-fried)
Tartar Shell (vinegar-processed, apron removed)
Hemp Seed (ground, each 3 fen)
Leuzea Saflor? No, Fang Kui (Radix Angelicae Dahuricae? Or Leuzea? Standard is Fang Kui)
Aged Fermented Wheat Mass (stir-fried)
Atractylodes Macrocephala Rhizome (each 1 fen)
The above seven herbs are pounded and ground into fine powder. Bind with refined honey into pills the size of mung beans. For 1-year-old infants, administer 3 pills per dose; for children aged 3-5 years, administer 5 pills per dose. Wash down with warm cooked water, twice daily. Adjust dosage according to the child's size.
For treating infant Spleen Accumulation Qi. San Leng Pill Formula:
Curcuma Phaeocaulis Rhizome (crushed)
Ligusticum Chuanxiong? No, Shi San Leng (Crushed)
Polyporus? No, Ji Zhua San Leng (Chicken Claw Curcuma, crushed)
Curcuma Zedoaria Rhizome (crushed, each 0.5 liang)
Costus Root (1 fen)
The above five herbs are directly pounded and sifted into powder. Bind with wine-boiled wheat flour paste into pills the size of sesame seeds, coated with Nifen (Calomel/Mercurous Chloride - *Note: Toxic, historical context*). Administer 5 pills per dose, washed down with Sour Plum and Ginger Decoction. Adjust dosage according to the child's size.
For treating infant Zheng Jia and Food Pi. Jing San Leng Powder Formula:
Curcuma Phaeocaulis Rhizome (roasted and crushed)
Tartar Shell (vinegar-processed, apron removed)
Bitter Orange Fruit (albedo removed, stir-fried with bran)
Aged Fermented Wheat Mass (stir-fried)
Betel Nut (crushed)
Chebula Terminalia Fruit Peel (half raw, half roasted)
Magnolia Bark (bark removed, processed with ginger juice)
Malt (stir-fried)
Curcuma Zedoaria Rhizome (roasted and crushed)
Green Tangerine Peel (peeled of white pith and dried, each 1 fen)
The above ten herbs are pounded and sifted into powder. For children aged 6-7 years, administer half a qian bi per dose on an empty stomach, mixed with Rice Drink. Three times daily. Adjust dosage according to the child's size.
For treating infant Food Gan (Malnutrition), promoting muscle growth, improving complexion, resolving retained food, treating abdominal distension, breaking up accumulations, and harmonizing the Middle Jiao. Bing Lang Pill Formula:
Areca Seed (crushed)
Cinnabar (ground)
Ferula Resin (wrapped in flour and roasted until cooked)
Hematitum (ground)
Olibanum (ground)
Costus Root
Trogopterus Dung (stir-fried)
Nutmeg (dehusked, each 1 liang)
Croton Seed (seed coat, embryo, and membrane removed, oil fully expressed, 0.5 liang)
Toad Head (one piece, roasted until charred)
The above ten herbs are pounded and ground uniformly. Bind with wheat flour paste into pills the size of broomcorn millet. Administer 2 pills per dose, washed down with warm Ginger Decoction. Adjust dosage according to the child's size.
For treating infant Spleen Accumulation Qi leading to emaciation. Dan Fan Pill Formula:
Alumen (ground)
Aloe (ground, each 0.5 liang)
Borneol (ground)
Musk (ground, each 1 qian)
Cinnabar (ground)
Picrorhiza Rhizome Powder (each 1 fen)
Coptis Rhizome Powder (1 liang, prepared by mixing with bile from one pig gallbladder, boiling in good vinegar for more than ten boils, hanging to dry, then grinding into powder)
The above seven herbs are ground uniformly together. Bind with vinegar-boiled wheat flour paste into pills the size of mung beans. Administer 10 pills per dose in the morning and before bed, washed down with warm Rice Drink. Adjust dosage according to the child's size.
For treating infant Milk Pi and Food Pi, characterized by alternating chills and fever every afternoon, mild cough, and hard Pi masses in the hypochondrium. Lian Qing Pill Formula:
Taiyin Xuanjing Stone (1 fen)
Calaminus Sublimatus (Fen Shuang)
Cinnabar (each 1 qian)
Calomel (Qing Fen, 2 qian)
Wheat Flour (3 qian)
The above five herbs are ground extremely finely. Add drops of water to form cakes. Cook over mild and strong fire, grind again, add drops of water to form pills the size of yellow millet. Administer 7 pills per dose, washed down with Bean Juice Water. For children under three years, administer 5 pills. Adjust dosage according to the child.
For treating infant Pi Qi, characterized by abdominal and hypochondriac pain upon onset, reduced appetite, and sallow emaciation. Bie Jia Pill Formula:
Tartar Shell (apron removed, vinegar-processed, 2 liang)
Leuzea Saflor? No, Fang Kui
Ginseng Radix et Rhizoma (each 5 fen)
Chebula Terminalia Fruit Peel (7 pieces)
Rhubarb Root and Rhizome (steamed, 1 liang)
Sang Jun (Mulberry Gall/Mushroom? Text says Sang Jun, likely referring to a specific fungal mass or typo for Sang Bai Pi, but sticking to text: Sang Jun)
Prunus Turbinata Seed (skin removed, stir-fried, 1.5 liang)
The above seven herbs are pounded and sifted into fine powder. Bind with refined honey into pills the size of mung beans. Administer 3-5 pills per dose on an empty stomach, washed down with Rice Drink. Adjust dosage according to the child's size.
For treating infant Zheng Jia, abdominal pain and distension, formation of masses, skin edema, and inability to eat. Xiong Shu Porridge Formula:
Male Rat Meat (5 liang, chopped and roasted)
Aged Tangerine Peel (peeled of white pith and dried, 0.5 liang)
Tartar Shell (vinegar-processed, apron removed)
Curcuma Phaeocaulis Rhizome (roasted and crushed)
Prunus Turbinata Seed (skin removed, ground, each 3 fen)
Fresh Ginger (sliced and dried, 0.5 liang)
The above six herbs are coarsely pounded and sieved. Divide into three doses. For each dose, boil in 1 sheng of water, strain to obtain 0.5 sheng of liquid. Add 1 he of Japonica Oryza Sativa Var. Glutinosa Grain (Jing Mi). Boil all five ingredients (herbs + rice) into porridge. Eat on an empty stomach.
For treating infant Qi Pi, characterized by mobile masses moving up, down, left, and right irregularly. Mu Xiang Pill Formula:
Costus Root (1 fen)
White Areca Seed (crushed, 3 fen)
Rhubarb Root and Rhizome (steamed, dried, crushed)
Immature Bitter Orange Fruit (stir-fried with bran, each 3 fen)
Aconite Lateralis Radix Praeparata (processed until cracked, skin and umbilicus removed)
Dried Ginger (processed, each 0.5 fen)
Mirabilite (1 liang)
The above seven herbs are pounded and ground into fine powder. Bind with refined honey into pills the size of mung beans. Administer 3-5 pills per dose on an empty stomach, washed down with warm water. Adjust dosage according to the child's size.
For treating infant Water Pi, characterized by splashing sound upon palpation. Qian Niu Zi Pill Formula:
Morning Glory Seed (stir-fried)
Bitter Orange Fruit (albedo removed, stir-fried with bran, each 0.5 liang)
Phellodendron Bark (bark removed, roasted)
Kansui Root (stir-fried)
Cinnamon Twig (bark removed)
Moutan Cortex (each 1 fen)
Rhubarb Root and Rhizome (crushed, 3 fen)
The above seven herbs are pounded and sifted into fine powder. Bind with honey into pills the size of mung beans. Administer 5 pills per dose on an empty stomach, washed down with warm water. Adjust dosage according to the child's size.