论曰脾胃者，仓廪之官。水谷入胃，脾主磨而消之，脾与胃合俱象土，其气喜温而恶寒
，故腑脏内温，则消谷引食，若脾胃虚寒，则食物化迟，故不能饮食。
治小儿脾胃气不和，不能饮食，温脾。人参汤方
人参（三分） 白术（半两） 诃黎勒皮（三分） 木香（半两） 黄 （锉半两） 白
茯苓（去
黑皮三分） 藿香叶（半两） 陈橘皮（汤浸去白焙半两） 桔梗（半两炒） 甘草（炙微
赤锉一分
）
上一十味，粗捣筛。每服一钱匕，水七分，入生姜二片，枣一枚劈。煎至四分，去滓不
计时候，量儿大小。增减温服。
治小儿脾胃气弱，乳不消化。陈橘皮汤方
陈橘皮（汤浸去白焙） 高良姜 人参（各一分） 白茯苓（去黑皮半两） 甘草（炙
锉半分）
上五味，粗捣筛。一二岁儿每服一钱匕，水七分，煎至三分。去滓食前温服，至晚三服
，随儿大小增减。
治小儿脾胃气不和，憎寒壮热，不纳乳食。白豆蔻汤方
白豆蔻（去皮） 甘草（炙赤锉） 陈橘皮（汤浸去白焙） 芎 枇杷叶（拭去毛炙
微黄各
一分） 干木瓜 黄 （锉） 人参（各半两）
上八味，粗捣筛。每服一钱匕，水七分，入生姜二片，枣一枚劈破，煎至四分，去滓不
计时候，量儿大小，加减温服。
治小儿脾胃气不和，腹胁妨闷，不能饮食，四肢羸弱。六味人参汤方
人参 甘草（炙锉） 丁香 黄 （锉各一分） 陈橘皮（汤浸去白焙） 诃黎勒皮（各
半两）
上六味，粗捣筛。每服一钱匕，水七分，入生姜二片，枣一枚劈，煎至四分，去滓食前
温服，量儿大小，以意加减。
治小儿脾胃虚冷，吐利不思饮食。和中汤方
人参（一两半） 白术 白茯苓（去黑皮各一两） 甘草（炙锉） 浓朴（去粗皮生姜
汁炙各
三分）
上五味，粗捣筛。三四岁儿，每服一钱匕，水半盏，同煎至三分，去滓带热服，至夜可
三服，量儿大小，以意增减。
治小儿脾胃气不调，不嗜食饮。干地黄丸方
生干地黄（焙半两） 大黄（锉碎炒令香半两） 白茯苓（去黑皮一分） 当归（炙干
半两）
柴胡（去苗半两） 杏仁（汤浸去皮尖双仁麸炒黄半两）
上六味，捣罗为末。炼蜜为丸，如麻子大，每服五丸，生姜汤下，日三服，随儿大小，
以意加减。不拘时。
治小儿脾胃虚冷，气逆不能饮食。橘皮汤方
陈橘皮（汤浸去白焙） 桂（去粗皮各一两）
上二味，锉碎。分作三帖，每用一帖，以水三盏，入薤白五茎细切，黍米一合，同煮
稀粥，熟去药，分二服。
治小儿伤冷，脾胃气不和，腹痛不欲饮食。高良姜汤方
高良姜（锉） 陈橘皮（汤浸去白焙） 草豆蔻（去皮） 当归（锉碎微炒） 桂（去
粗皮各一
分） 人参（半两）
上六味，粗捣筛。每服一钱匕，水七分，煎至四分，去滓不计时候，量儿大小，加减温
服。
治小儿脾胃气虚，乳不消腹胀。白术汤方
白术 人参 浓朴（去粗皮生姜汁炙各一分）
上三味，粗捣筛。一二岁儿，每服一钱匕，水半盏，煎至三分，去滓温服，至晚三服，
随儿大小，以意加减。
Commentary states: The Spleen and Stomach are the officials responsible for storing and processing grain. When food and water enter the Stomach, the Spleen is primarily responsible for grinding and digesting them. The Spleen and Stomach combine and together symbolize the Element of Earth; their Qi favors warmth and dislikes cold. Therefore, if the internal organs are warm, they can digest grains and promote appetite; if the Spleen and Stomach are deficient and cold, food digestion slows down, leading to an inability to eat.
To treat pediatric cases of disharmony of Spleen and Stomach Qi resulting in inability to eat, use the formula Ren Shen Tang (Ginseng Decoction) to warm the Spleen.
Herbs: Ren Shen (Panax ginseng Radix et Rhizoma, 3 fen), Bai Zhu (Atractylodis Macrocephalae Rhizoma, 0.5 liang), He Li Le Pi (Terminalia chebula Pericarpium, 3 fen), Mu Xiang (Aucklandiae Radix, 0.5 liang), Huang Qi (Astragali Membranacei Radix, crushed, 0.5 liang), Bai Fu Ling (Poria, black skin removed, 3 fen), Huo Xiang Ye (Agastaches Herba, 0.5 liang), Chen Ju Pi (Citri Reticulatae Pericarpium, soaked in hot water, white pith removed, dried, 0.5 liang), Jie Geng (Platycodonis Radix, stir-fried, 0.5 liang), Gan Cao (Licorice Root, honey-fried until slightly red, crushed, 1 fen).
The above ten herbs are coarsely pounded and sieved. For each dose, take one qian bi (a small measuring spoon), add seven parts water, two slices of Sheng Jiang (Zingiberis Rhizoma Recens), and one date split open. Decoct until four parts remain, remove the dregs, and serve warm at any time, adjusting the dosage according to the child's age.
To treat pediatric cases of weak Spleen and Stomach Qi where milk is not digested, use the formula Chen Ju Pi Tang (Tangerine Peel Decoction).
Herbs: Chen Ju Pi (Citri Reticulatae Pericarpium, soaked in hot water, white pith removed, dried), Gao Liang Jiang (Galangalis Rhizoma), Ren Shen (Panax ginseng Radix et Rhizoma, 1 fen each), Bai Fu Ling (Poria, black skin removed, 0.5 liang), Gan Cao (Licorice Root, honey-fried, crushed, 0.5 fen).
The above five herbs are coarsely pounded and sieved. For children aged one to two years, take one qian bi per dose, add seven parts water, and decoct until three parts remain. Remove the dregs and serve warm before meals, administering three doses by evening, adjusting according to the child's age.
To treat pediatric cases of disharmony of Spleen and Stomach Qi, characterized by aversion to cold with high fever and refusal of milk/food, use the formula Bai Dou Kou Tang (White Cardamom Decoction).
Herbs: Bai Dou Kou (Cardamomi Rotundus Fructus, skin removed), Gan Cao (Licorice Root, honey-fried until red, crushed), Chen Ju Pi (Citri Reticulatae Pericarpium, soaked in hot water, white pith removed, dried), Xiong Qiong (Ligustici Chuanxiong Rhizoma), Pi Pa Ye (Loquat Leaf, hairs wiped off, stir-fried until slightly yellow, 1 fen each), Gan Mu Gua (Chaenomelis Fructum), Huang Qi (Astragali Membranacei Radix, crushed), Ren Shen (Panax ginseng Radix et Rhizoma, 0.5 liang each).
The above eight herbs are coarsely pounded and sieved. For each dose, take one qian bi, add seven parts water, two slices of Sheng Jiang (Zingiberis Rhizoma Recens), and one split date. Decoct until four parts remain, remove the dregs, and serve warm at any time, adjusting the dosage according to the child's age.
To treat pediatric cases of disharmony of Spleen and Stomach Qi, presenting with abdominal and hypochondriac fullness/stuffiness, inability to eat, and emaciation/weakness of the four limbs, use the Liu Wei Ren Shen Tang (Six-Ingredient Ginseng Decoction).
Herbs: Ren Shen (Panax ginseng Radix et Rhizoma), Gan Cao (Licorice Root, honey-fried, crushed), Ding Xiang (Caryophylli Flos), Huang Qi (Astragali Membranacei Radix, crushed, 1 fen each), Chen Ju Pi (Citri Reticulatae Pericarpium, soaked in hot water, white pith removed, dried), He Li Le Pi (Terminalia chebula Pericarpium, 0.5 liang each).
The above six herbs are coarsely pounded and sieved. For each dose, take one qian bi, add seven parts water, two slices of Sheng Jiang (Zingiberis Rhizoma Recens), and one split date. Decoct until four parts remain, remove the dregs, and serve warm before meals, adjusting the dosage according to the child's age.
To treat pediatric cases of deficient-cold in the Spleen and Stomach, presenting with vomiting, diarrhea, and lack of appetite, use the He Zhong Tang (Middle-Harmonizing Decoction).
Herbs: Ren Shen (Panax ginseng Radix et Rhizoma, 1.5 liang), Bai Zhu (Atractylodis Macrocephalae Rhizoma), Bai Fu Ling (Poria, black skin removed, 1 liang each), Gan Cao (Licorice Root, honey-fried, crushed), Hou Po (Magnoliae Officinalis Cortex, coarse bark removed, ginger-juice fried, 3 fen each).
The above five herbs are coarsely pounded and sieved. For children aged three to four years, take one qian bi per dose, add half a zhan (cup) of water, and decoct together until three parts remain. Remove the dregs and serve while hot; up to three doses may be taken by night, adjusting according to the child's age.
To treat pediatric cases of irregular Spleen and Stomach Qi, presenting with poor appetite for food and drink, use the Gan Di Huang Wan (Dried Rehmannia Pill).
Herbs: Sheng Gan Di Huang (Rehmanniae Radix Praeparata, dried, 0.5 liang), Da Huang (Rhei Radix et Rhizoma, crushed, stir-fried until fragrant, 0.5 liang), Bai Fu Ling (Poria, black skin removed, 1 fen), Dang Gui (Angelicae Sinensis Radix, honey-fried dry, 0.5 liang), Chai Hu (Bupleuri Radix, sprouts removed, 0.5 liang), Xing Ren (Armeniacae Semen Amarum, soaked in hot water, skin and pointed end removed, bran-fried until yellow, 0.5 liang).
The above six herbs are pounded and sifted into powder. Form pills using refined honey, sized like hemp seeds. Take five pills per dose, washed down with Sheng Jiang Tang (Ginger Decoction), three times daily. Adjust according to the child's age; no fixed time is required.
To treat pediatric cases of deficient-cold in the Spleen and Stomach with rebellious Qi causing inability to eat, use the Ju Pi Tang (Tangerine Peel Decoction).
Herbs: Chen Ju Pi (Citri Reticulatae Pericarpium, soaked in hot water, white pith removed, dried), Gui Zhi (Cinnamomi Ramulus, coarse bark removed, 1 liang each).
The above two herbs are crushed. Divide into three portions. For each portion, use three zhan (cups) of water, add five stalks of finely cut Xie Bai (Allii Macrostemonis Bulbus), and one he (unit of volume) of Shu Mi (Panicum miliaceum). Cook together into a thin porridge. After cooking, remove the medicinal residues, and divide into two doses.
To treat pediatric cases of cold injury, disharmony of Spleen and Stomach Qi, abdominal pain, and lack of desire to eat, use the Gao Liang Jiang Tang (Galangal Decoction).
Herbs: Gao Liang Jiang (Galangalis Rhizoma, crushed), Chen Ju Pi (Citri Reticulatae Pericarpium, soaked in hot water, white pith removed, dried), Cao Dou Kou (Amomi Fructus Rotundus, skin removed), Dang Gui (Angelicae Sinensis Radix, crushed, lightly stir-fried), Gui Zhi (Cinnamomi Ramulus, coarse bark removed, 1 fen each), Ren Shen (Panax ginseng Radix et Rhizoma, 0.5 liang).
The above six herbs are coarsely pounded and sieved. For each dose, take one qian bi, add seven parts water, and decoct until four parts remain. Remove the dregs and serve warm at any time, adjusting the dosage according to the child's age.
To treat pediatric cases of Spleen and Stomach Qi deficiency where undigested milk causes abdominal distension, use the Bai Zhu Tang (Atractylodes Decoction).
Herbs: Bai Zhu (Atractylodis Macrocephalae Rhizoma), Ren Shen (Panax ginseng Radix et Rhizoma), Hou Po (Magnoliae Officinalis Cortex, coarse bark removed, ginger-juice fried, 1 fen each).
The above three herbs are coarsely pounded and sieved. For children aged one to two years, take one qian bi per dose, add half a zhan (cup) of water, and decoct until three parts remain. Remove the dregs and serve warm; administer three doses by evening, adjusting according to the child's age.