论曰小儿胎寒之病，本于在胎时，禀受不足。或犯寒冷，既生之后，腑脏又怯，乳哺不
化，或胀或利，颜色青葩，甚则邪冷与正气相搏，令儿腹痛 张蹙气而啼，是为胎寒之病。
治小儿胎寒 啼，腹中痛，舌上青黑。蜀椒丸方
蜀椒（去目及闭口者炒出汗一分） 当归（切焙半两） 吴茱萸（汤浸焙干炒半分） 野狼
毒（
锉炒一分） 细辛（去苗叶三分） 干姜（炮一分） 巴豆（十枚去心膜研细纸裹出油尽） 豉
（炒
二合） 附子（炮裂去皮脐三分）
上九味，将八味捣罗为末，以巴豆一处同研令匀，炼蜜和丸，一月儿，服如黍米大一丸
，早晨晚后各一服，一岁儿两丸，三岁至五岁儿，服五丸，并用米饮下，更量儿大小加减。
治小儿胎寒，腹中 痛。黄 汤方
黄 （切焙） 人参 芍药（各一两半） 当归（切焙） 甘草（炙） 芎 （各一两）
上六味，粗捣筛。每二钱匕，以水一小盏，生姜二片，煎至五分，去滓分温三服，早晨
日午近晚各一。
治小儿胎寒腹痛， 啼下利。理中丸方
人参 干姜（炮） 白术 甘草（炙等分）
上四味，捣罗为末，炼蜜为丸，如弹丸大，每一丸水一盏，入大枣一枚擘破，同煎至半
盏，分温三服，或以姜枣汤化下。
治小儿胎寒，聚唾弄舌 啼，反张怒惊。当归散方
当归（切焙） 黄 （锉） 细辛（去苗叶） 黄芩（去黑心） 龙骨（烧） 桂（去
粗皮） 芍药
（各一两）
上七味，捣罗为散，每服一字匕，或半钱匕，乳汁调下，早晨日午近晚各一，量儿大小
加减。
治小儿胎寒 啼，温中止痛。逐痛丸方
雀屎（一分炒） 牛黄（别研） 芍药 芎 （各半两） 当归（切焙一两）
上五味，捣罗为末。炼蜜和丸，麻子大。百日儿，每服一丸，乳汁下，早晨日午近晚各
一，量儿大小加减。
治小儿胎寒， 啼惊痫，虚胀不嗜食，大便青或夹脓，并治诸痫证。当归丸方
当归（切焙半两） 蜀椒（去目及闭口者炒出汗一分） 附子（一枚炮裂去皮脐） 杏
仁（十
二枚汤浸去皮尖双仁麸炒） 野狼毒（锉炒半分） 巴豆（二十枚去皮心研烂出油尽） 豉（微
炒）
细辛（去苗叶各一分）
上八味，捣罗为末。炼蜜和杵，以瓷器盛之，每用旋丸，未满百日儿，服如麻子大一丸
，温水下，一二岁儿二丸，早晨只一服，更量儿大小加减。以利为度。
治小儿胎寒大便青，不欲食。芍药丸方
芍药 当归（切焙） 芎 人参（各三分） 甘草（炙一两）
上五味，捣罗为末。炼蜜和丸，如麻子大。每服一丸，以乳汁下，早晨日午近晚各一，
量儿大小加减。
治小儿胎寒，腹痛 啼。芎 汤方
芎 当归（切焙） 黄 （锉焙各二两） 干姜（炮） 甘草（炙） 黄芩（去黑心各半两）
上六味，粗捣筛。每一钱匕，以水一小盏，煎至五分，去滓分温二服，早晨日晚各一，
量儿大小加减。
治小儿胎寒腹痛，大便青。芎 丸方
芎 黄 （各三分） 牛黄（研一分） 虫（炙半两） 麝香（研一钱） 当归（切
焙） 芍
药（各半两）
上七味，捣罗为末，炼蜜和丸，如麻子大，每服两丸至三丸，米饮下，早晨晚间各一，
量儿大小加减。
治小儿五十日以来，胎寒腹痛微热，聚唾弄舌， 啼上视。当归酒方
当归（切焙粗捣一分） 猪肉（一两薄切小片）
上二味相和，以清酒一碗，煮至七分去滓，每服取半呷许，令儿咽之，日三夜一，量儿
大小加减。
治小儿胎寒，腹痛汗出，衣中白鱼摩方
衣中白鱼（二七枚）
上一味，以薄熟绢包裹，于儿腹上，回转摩之。
Discourse states: The disease of fetal cold in infants originates from insufficient endowment received during the fetal stage. It may be caused by exposure to cold, and after birth, the zang-fu organs remain weak, leading to indigestion of milk and food, manifesting as abdominal distension or diarrhea. The complexion appears cyanotic with mottled patterns. In severe cases, pathogenic cold clashes with healthy qi, causing infantile abdominal pain, curling up, Qi rebellion with crying, which constitutes the disease of fetal cold.
Treatment for infantile fetal cold presenting with crying, abdominal pain, and a bluish-black tongue coating. Shujiao Wan (Spicy Pepper Pill) Formula:
Shujiao (Zanthoxyli Fructus, remove seeds and closed-mouthed ones, stir-fry until oil exudes, 1 fen) Danggui (Angelicae Sinensis Radix, slice and bake, 0.5 liang) Wuzhuyu (Evodiae Fructus, soak in decoction, bake dry, stir-fry, 0.5 fen) Yelangdu (Stellerae Radix, chop and stir-fry, 1 fen) Xixin (Asari Radix et Rhizoma, remove seedlings and leaves, 3 fen) Ganjiang (Zingiberis Rhizoma Praeparatum, processed, 1 fen) Badou (Crotonis Fructus, 10 seeds, remove heart and membrane, grind finely, wrap in paper to extract all oil) Chishao (Sojae Semen Praeparatum, stir-fry, 2 he) Fuzi (Aconiti Lateralis Radix Praeparata, process until cracked, remove skin and navel, 3 fen).
The above nine ingredients: Grind the eight ingredients (excluding Badou) into powder. Mix with Badou and grind uniformly. Blend with refined honey to form pills. For one-month-old infants, administer one pill the size of a millet grain, once in the morning and once in the evening. For one-year-olds, two pills; for three- to five-year-olds, five pills. All should be taken with rice water, adjusting dosage according to the child's size.
Treatment for infantile fetal cold with abdominal pain. Huangqi Tang (Astragalus Decoction) Formula:
Huangqi (Astragali Radix, slice and bake) Renshen (Ginseng Radix) Shaoyao (Paeoniae Radix, each 1.5 liang) Danggui (Angelicae Sinensis Radix, slice and bake) Gancao (Glycyrrhizae Radix et Rhizoma, honey-fried) Xiong (Chuanxiong Rhizoma, each 1 liang).
The above six ingredients: Coarsely crush and sieve. Take two qianbi (approx. 6g) per dose, add one small cup of water and two slices of fresh ginger. Decoct until reduced to one-fifth volume. Remove dregs and divide into three warm doses, taken in the morning, at noon, and near evening.
Treatment for infantile fetal cold abdominal pain with crying and diarrhea. Lizhong Wan (Regulate the Middle Pill) Formula:
Renshen (Ginseng Radix) Ganjiang (Zingiberis Rhizoma Praeparatum, processed) Baizhu (Atractylodis Macrocephalae Rhizoma) Gancao (Glycyrrhizae Radix et Rhizoma, honey-fried, equal parts).
The above four ingredients: Grind into powder. Blend with refined honey to form pills the size of a bird's egg. For each pill, use one cup of water and one broken red date. Decoct together until half a cup remains. Divide into three warm doses, or dissolve in ginger-date decoction before administration.
Treatment for infantile fetal cold with excessive saliva, tongue protrusion, crying, opisthotonos, and fright/agitation. Danggui San (Angelica Powder) Formula:
Danggui (Angelicae Sinensis Radix, slice and bake) Huangqi (Astragali Radix, chop) Xixin (Asari Radix et Rhizoma, remove seedlings and leaves) Huangqin (Scutellariae Radix, remove black heart) Longgu (Fossilia Ossis Mastodi et Scapulae, calcined) Gui (Cinnamomi Ramulus, remove rough bark) Shaoyao (Paeoniae Radix, each 1 liang).
The above seven ingredients: Grind into powder. Take one zi bi or half qianbi per dose, mix with breast milk for administration. Take in the morning, at noon, and near evening, adjusting dosage according to the child's size.
Treatment for infantile fetal cold crying, warming the middle and relieving pain. Zhutong Wan (Expel Pain Pill) Formula:
Queshi (Passeris Faeces, 1 fen stir-fried) Niuhuang (Bovis Calculus, separately ground) Shaoyao (Paeoniae Radix) Xiong (Chuanxiong Rhizoma, each 0.5 liang) Danggui (Angelicae Sinensis Radix, slice and bake, 1 liang).
The above five ingredients: Grind into powder. Blend with refined honey to form pills the size of a hemp seed. For infants under 100 days old, administer one pill per dose with breast milk, taken in the morning, at noon, and near evening, adjusting dosage according to the child's size.
Treatment for infantile fetal cold with crying, convulsive epilepsy, abdominal distension due to deficiency, anorexia, green stool or stool mixed with pus, and various epilepsy syndromes. Danggui Wan (Angelica Pill) Formula:
Danggui (Angelicae Sinensis Radix, slice and bake, 0.5 liang) Shujiao (Zanthoxyli Fructus, remove seeds and closed-mouthed ones, stir-fry until oil exudes, 1 fen) Fuzi (Aconiti Lateralis Radix Praeparata, one piece, process until cracked, remove skin and navel) Xingren (Armeniacae Semen, 12 seeds, soak in water, remove skin and pointed ends, double-kernel, bran-fried) Yelangdu (Stellerae Radix, chop and stir-fry, 0.5 fen) Badou (Crotonis Fructus, 20 seeds, remove skin and heart, grind to paste, extract all oil) Chishao (Sojae Semen Praeparatum, lightly stir-fried) Xixin (Asari Radix et Rhizoma, remove seedlings and leaves, each 1 fen).
The above eight ingredients: Grind into powder. Blend with refined honey and pound. Store in a porcelain vessel. Form pills as needed. For infants under 100 days old, administer one pill the size of a hemp seed with warm water. For one- to two-year-olds, two pills. Take only once in the morning. Adjust dosage according to the child's size. Consider effective when diarrhea occurs.
Treatment for infantile fetal cold with green stool and anorexia. Shaoyao Wan (Peony Pill) Formula:
Shaoyao (Paeoniae Radix) Danggui (Angelicae Sinensis Radix, slice and bake) Xiong (Chuanxiong Rhizoma) Renshen (Ginseng Radix, each 3 fen) Gancao (Glycyrrhizae Radix et Rhizoma, honey-fried, 1 liang).
The above five ingredients: Grind into powder. Blend with refined honey to form pills the size of a hemp seed. Administer one pill per dose with breast milk, taken in the morning, at noon, and near evening, adjusting dosage according to the child's size.
Treatment for infantile fetal cold abdominal pain and crying. Xiong Tang (Chuanxiong Decoction) Formula:
Xiong (Chuanxiong Rhizoma) Danggui (Angelicae Sinensis Radix, slice and bake) Huangqi (Astragali Radix, chop and bake, each 2 liang) Ganjiang (Zingiberis Rhizoma Praeparatum, processed) Gancao (Glycyrrhizae Radix et Rhizoma, honey-fried) Huangqin (Scutellariae Radix, remove black heart, each 0.5 liang).
The above six ingredients: Coarsely crush and sieve. Take one qianbi per dose, add one small cup of water. Decoct until reduced to one-fifth volume. Remove dregs and divide into two warm doses, taken in the morning and evening, adjusting dosage according to the child's size.
Treatment for infantile fetal cold abdominal pain and green stool. Xiong Wan (Chuanxiong Pill) Formula:
Xiong (Chuanxiong Rhizoma) Huangqi (Astragali Radix, each 3 fen) Niuhuang (Bovis Calculus, ground, 1 fen) Chong (Eupolyphaga seu Steleophaga, honey-fried, 0.5 liang) Shexiang (Moschus, ground, 1 qian) Danggui (Angelicae Sinensis Radix, slice and bake) Shaoyao (Paeoniae Radix, each 0.5 liang).
The above seven ingredients: Grind into powder. Blend with refined honey to form pills the size of a hemp seed. Administer two to three pills per dose with rice water, taken in the morning and evening, adjusting dosage according to the child's size.
Treatment for infants over fifty days old with fetal cold abdominal pain, slight fever, excessive saliva, tongue protrusion, crying, and upward gaze. Danggui Jiu (Angelica Wine) Formula:
Danggui (Angelicae Sinensis Radix, slice, bake, coarsely crush, 1 fen) Zhu Rou (Porcis Carnis, 1 liang, thinly sliced).
Mix the two ingredients. Boil in one bowl of clear wine until reduced to seven-tenths volume. Remove dregs. Administer approximately half a sip per dose for the infant to swallow. Give three times daily and once at night, adjusting dosage according to the child's size.
Treatment for infantile fetal cold with abdominal pain and sweating. Yizhong Baiyu Massage Formula:
Yizhong Baiyu (Thermobia domestica, 14 pieces).
Wrap the single ingredient in thin, cooked silk gauze. Rub it back and forth on the infant's abdomen.