论曰小儿腑脏怯弱，气血未定。风冷客之，搏于正气，升降不调。故令儿心腹胀满，遇
胃气虚则食不消，肠虚则为注泄矣。
治小儿腹虚胀，脾气不调。理中茯苓汤方
赤茯苓（去黑皮） 犀角（镑） 赤石脂 黄连（去须） 龙骨 浓朴（去粗皮生姜汁
炙） 陈
橘皮（汤去白焙） 人参 干姜（炮各一两） 桂（去粗皮） 甘草（炙各二两）
上一十一味，粗捣筛。五六岁儿，每服一钱匕，水一盏，煎至四分，去滓温服，量儿大
小加减。一方、去龙骨，加麦门冬一两。
治小儿腹胀虚热，不能食。白术汤方
白术 人参 甘草（炙） 枳壳（去瓤麸炒） 当归（切焙各一两） 牡蛎（熬半两）
上六味，粗捣筛。一二岁儿，每服一钱匕，水七分，煎至四分，去滓分温二服，更量儿
大小加减。
治小儿胸膈痞塞，心腹胀满。木香丸方
木香（二两） 黑牵牛（二十四两炒香别捣取末一十二两） 补骨脂（炒） 荜澄茄 槟
榔（
酸粟米饭裹湿纸裹煨熟去饭各四两）
上五味，捣四味为末。与牵牛末和匀，渐滴清水和丸，如绿豆大，每服三丸或五丸，食
后茶汤熟水任下，更量儿加减。
治小儿心腹胀满，下利干呕不止。人参汤方
人参 陈橘皮（去白焙各一分） 甘草（炙半两）
上三味，粗捣筛。五六岁儿，每服一钱匕，水七分，生姜二片，煎至四分，去滓温服，
日再，更量儿大小加减。
治小儿腹胀。通气散方
青橘皮（汤去白焙） 木香 槟榔（各一分）
上三味细锉，用巴豆三十粒，同炒令赤色为度，不用巴豆。只捣三味为细散，每服半
钱匕，煎紫苏木瓜汤调下，更量儿大小加减。
治小儿腹胀。胡椒丸方
胡椒 蝎梢（炒） 甘遂（炒）
上三味等分，捣罗为末，用烧饭丸如黍米大，每服二丸，陈米饮下，乳食前服，并理脾
积气，更量儿大小加减。
治小儿心腹气胀，喘粗不下食。款气汤方
牵牛子（炒熟一两） 马兜铃（一两） 木香（半两）
上三味，粗捣筛。每服一钱匕，水七分，煎至四分，去滓温服，更量儿大小加减，不拘
时候。
治小儿腹胀。消气丸方
续随子（去壳研） 胡椒（各五十粒） 丁香（二十一枚） 木香（一钱） 蝎梢（十
四枚炒）
阿魏（一字研）
上六味，捣罗四味为末。入研药合研匀，烧粟米饭，丸如麻子大，淡醋汤下五丸，至七
丸。
治小儿胃虚腹胀。豆蔻散方
肉豆蔻（一枚去壳） 青橘皮（汤去白焙半分） 木香（一分） 陈粟米（一合）
上四味，将陈粟米同巴豆三七枚炒，巴豆每枚刺作窍子，候色焦。去巴豆不用，将粟米
并余药为细散，每服半钱匕，生姜汤下，更量儿大小加减。
治小儿发歇寒热，心腹胀满。调中丸方
人参 赤茯苓（去黑皮各一两） 桂（去粗皮三分） 柴胡（去苗） 大黄（锉炒各二
两） 枳
壳（麸炒去瓤） 木香（各半两）
上七味，细捣罗为末，炼蜜丸绿豆大。一二岁每服二丸至三丸。温熟水下，更量大小加
减。
治小儿胃虚腹胀硬。橘红丸方
陈橘皮（汤去白焙半两） 胡椒 黑牵牛（各一百粒） 巴豆（三十粒去皮通前三味同
炒令
焦去巴豆不用） 木香（一分）
上五味，除巴豆外，为细末。用葱白汁丸绿豆大，每服三丸至五丸，莱菔子汤下，乳食
后临卧服，更量儿大小加减。
治小儿腹胀硬。款气丸方
巴豆（十五枚灯上烧成灰细研） 丁香（二钱） 木香（一分） 麝香（半钱）
上四味为细末，面糊丸粟米大，每服三丸，煎莱菔子汤下，乳食后服，更量儿大小加减。
治小儿腹胀，手足渐细，精神昏冒，不欲乳食。缩沙散方
缩砂仁 木香 丁香 牵牛（炒一半熟一半生用各一两） 腻粉（一分）
上五味，捣罗为散，每服一字匕，酒调下。
治小儿气胀，胸膈腹满。丁香汤方
丁香 甘草（炙） 人参（各一分）
上三味，粗捣筛。周岁内儿，每服半钱匕，水半盏，煎至三分，去滓温服，日三，三四
岁儿，渐加至一钱匕。
治小儿腹胀，冷气结块疼痛。黄连饮方
黄连（去须炒一两） 人参 黄芩（去黑心） 当归（炙锉） 桂（去粗皮） 高良姜
（各半两）
上六味，细锉如麻豆大，每服一钱匕，以水七分，煎取四分，去滓温服。
治小儿腹胀欲死。方
上取半夏，不拘多少，汤洗去滑，炮熟切，酒服如米粒大五块，一日三服。
又方
上捣薤根，以猪脂为膏煎服之。
It is stated that infants and young children have weak fu-organs (hollow organs) and their Qi and Blood are not yet stabilized. When wind-cold pathogens invade, they contend with the healthy Qi, leading to dysfunction in the ascending and descending movements of Qi. Consequently, this causes distension and fullness in the heart and abdomen. If the Stomach Qi is deficient, food will not digest; if the Intestines are deficient, it leads to diarrhea.
Formula for Treating Infantile Abdominal Deficient Distension and Spleen Qi Disharmony: Lizhong Fuling Decoction
Chifuling (Poria with Black Skin Removed), Xijiao (Rhinoceros Horn), Chishizhi (Red Halloysite), Huanglian (Coptis Rhizome, Mustards Removed), Longgu (Fossilized Bones), Nongpou (Magnolia Bark, Coarse Skin Removed, Stir-fried with Ginger Juice), Chenjupi (Aged Tangerine Peel, White Pith Removed after Blanching, Roasted), Renshen (Ginseng Root), Ganjiang (Dried Ginger, Processed, each 1 liang), Gui (Cinnamon Twig, Coarse Skin Removed), Gancao (Licorice Root, Honey-fried, each 2 liang).
Crush and sieve the above eleven ingredients coarsely. For children aged five or six, administer one qianbi (approx. 3-5g) per dose. Add one zhan (approx. 200ml) of water, decoct until four parts remain, remove dregs, and take warm. Adjust dosage according to the child's size. Another prescription: Remove Longgu, add Maimendong (Ophiopogon Tuber) 1 liang.
Formula for Treating Infantile Abdominal Distension with Deficient Heat and Anorexia: Baizhu Decoction
Baizhu (Atractylodes Macrocephala Rhizome), Renshen (Ginseng Root), Gancao (Licorice Root, Honey-fried), Zhike (Bitter Orange Fruit, Pulp Removed, Bran-fried), Danggui (Angelica Sinensis Root, Sliced and Roasted, each 1 liang), Muli (Oyster Shell, Calcined, 0.5 liang).
Crush and sieve the above six ingredients coarsely. For children aged one or two, administer one qianbi per dose. Add seven parts water, decoct until four parts remain, remove dregs, and divide into two warm doses. Adjust dosage according to the child's size.
Formula for Treating Infantile Chest and Diaphragm Obstruction with Heart and Abdominal Distension: Muxiang Pill
Muxiang (Costus Root, 2 liang), Heiqianniu (Black Morning Glory Seed, 24 liang, stir-fried until fragrant, separately pounded to obtain 12 liang of powder), Buguzhi (Psoralea Fruit, stir-fried), Bichengqie (Schinus Fructus), Binglang (Areca Seed, wrapped in sour millet rice, moist paper, baked until cooked, rice removed, each 4 liang).
Pound the four ingredients (excluding Qiniu) into powder. Mix evenly with the Qiniu powder. Gradually add clear water to form pills the size of mung beans. Administer three to five pills after meals, washed down with tea soup or boiled water. Adjust dosage according to the child's size.
Formula for Treating Infantile Heart and Abdominal Distension with Diarrhea and Incessant Dry Heaving: Renshen Decoction
Renshen (Ginseng Root), Chenjupi (Aged Tangerine Peel, White Pith Removed, Roasted, each 1 fen), Gancao (Licorice Root, Honey-fried, 0.5 liang).
Crush and sieve the above three ingredients coarsely. For children aged five or six, administer one qianbi per dose. Add seven parts water and two slices of fresh ginger. Decoct until four parts remain, remove dregs, and take warm. Take twice daily. Adjust dosage according to the child's size.
Powder for Treating Infantile Abdominal Distension: Tongqi Powder
Qingjupi (Green Tangerine Peel, White Pith Removed after Blanching, Roasted), Muxiang (Costus Root), Binglang (Areca Seed, each 1 fen).
Finely chop the above three ingredients. Stir-fry together with thirty Baidu (Croton Seed) grains until red. Discard the Baidu. Pound the three ingredients into a fine powder. Administer half a qianbi per dose, mixed with Perilla and Papaya Soup. Adjust dosage according to the child's size.
Formula for Treating Infantile Abdominal Distension: Hujiao Pill
Hujiao (Black Pepper), Xeshao (Scorpion Tail Tip, stir-fried), Gansui (Kansui Root, stir-fried).
Mix equal parts of the above three ingredients, pound into powder. Use steamed rice to form pills the size of millet seeds. Administer two pills per dose, washed down with aged rice drink. Take before milk or food. This also treats Spleen accumulation and Qi stagnation. Adjust dosage according to the child's size.
Decoction for Treating Infantile Heart and Abdominal Qi Distension, Rapid Breathing, and Inability to Eat: Kuanqi Decoction
Qiniu (Morning Glory Seed, stir-fried until cooked, 1 liang), Madangling (Aristolochia Root), Muxiang (Costus Root, 0.5 liang).
Crush and sieve the above three ingredients coarsely. Administer one qianbi per dose. Add seven parts water, decoct until four parts remain, remove dregs, and take warm. No specific timing required. Adjust dosage according to the child's size.
Formula for Treating Infantile Abdominal Distension: Xiaoqi Pill
Xuisui (Croton Seed, Shelled and Ground), Hujiao (Black Pepper, each 50 grains), Dingxiang (Clove Bud, 21 pieces), Muxiang (Costus Root, 1 qian), Xeshao (Scorpion Tail Tip, 14 pieces, stir-fried), Awèi (Asafoetida, one character amount, ground).
Pound the four ingredients (excluding Asafoetida) into powder. Mix thoroughly with the ground Asafoetida. Use steamed millet rice to form pills the size of sesame seeds. Administer five to seven pills, washed down with light vinegar water.
Powder for Treating Infantile Stomach Deficiency and Abdominal Distension: Doukou Powder
Roudoukou (Nutmeg, one piece, shelled), Qingjupi (Green Tangerine Peel, White Pith Removed after Blanching, Roasted, 0.5 fen), Muxiang (Costus Root, 1 fen), Chensumi (Old Millet, one he).
Stir-fry the old millet together with three to seven Baidu (Croton Seeds). Pierce each Baidu seed with a hole. Stir-fry until scorched. Discard the Baidu. Pound the millet and remaining herbs into a fine powder. Administer half a qianbi per dose, washed down with Ginger Decoction. Adjust dosage according to the child's size.
Formula for Treating Infantile Alternating Chills and Fever with Heart and Abdominal Distension: Tiaozhong Pill
Renshen (Ginseng Root), Chifuling (Poria with Black Skin Removed, each 1 liang), Gui (Cinnamon Twig, Coarse Skin Removed, 3 fen), Chaihu (Bupleurum Root, Sprouts Removed), Dahuang (Rhubarb Root, Cut and Stir-fried, each 2 liang), Zhike (Bitter Orange Fruit, Bran-fried, Pulp Removed), Muxiang (Costus Root, each 0.5 liang).
Fine-powder the above seven ingredients. Form pills using refined honey, sized like mung beans. For children aged one or two, administer two to three pills per dose, washed down with warm boiled water. Adjust dosage according to size.
Formula for Treating Infantile Stomach Deficiency with Hard Abdominal Distension: Juhong Pill
Chenjupi (Aged Tangerine Peel, White Pith Removed after Blanching, Roasted, 0.5 liang), Hujiao (Black Pepper), Heiqianniu (Black Morning Glory Seed, each 100 grains), Baidu (Croton Seed, 30 grains, peeled, stir-fried with the previous three until scorched, discard Baidu), Muxiang (Costus Root, 1 fen).
Except for Baidu, pound the remaining five ingredients into a fine powder. Use green onion white juice to form pills the size of mung beans. Administer three to five pills per dose, washed down with Radish Seed Soup. Take after milk/food and before sleep. Adjust dosage according to the child's size.
Formula for Treating Infantile Hard Abdominal Distension: Kuanqi Pill
Baidu (Croton Seed, 15 pieces, burnt over lamp to ash, finely ground), Dingxiang (Clove Bud, 2 qian), Muxiang (Costus Root, 1 fen), Shexiang (Musk, 0.5 qian).
Pound the above four ingredients into a fine powder. Form pills using wheat paste, sized like millet grains. Administer three pills per dose, washed down with Radish Seed Decoction. Take after milk/food. Adjust dosage according to the child's size.
Powder for Treating Infantile Abdominal Distension with Thin Limbs, Mental Confusion, and Refusal to Feed: Suosha Powder
Suosharen (Amomum Fruit), Muxiang (Costus Root), Dingxiang (Clove Bud), Qiniu (Morning Glory Seed, stir-fried, half cooked half raw, each 1 liang), Nifen (Calomel, 1 fen).
Pound the above five ingredients into a powder. Administer one "zi" (approx. 1-2g) per dose, mixed with wine.
Decoction for Treating Infantile Qi Distension with Chest and Abdominal Fullness: Dingxiang Decoction
Dingxiang (Clove Bud), Gancao (Licorice Root, Honey-fried), Renshen (Ginseng Root, each 1 fen).
Crush and sieve the above three ingredients coarsely. For infants under one year, administer half a qianbi per dose. Add half a zhan of water, decoct until three parts remain, remove dregs, and take warm. Three times daily. For children aged three to four, gradually increase to one qianbi per dose.
Decoction for Treating Infantile Abdominal Distension with Cold Qi Accumulation and Pain: Huanglian Drink
Huanglian (Coptis Rhizome, Mustards Removed, Stir-fried, 1 liang), Renshen (Ginseng Root), Huangqin (Scutellaria Root, Black Center Removed), Danggui (Angelica Sinensis Root, Honey-fried and Cut), Gui (Cinnamon Twig, Coarse Skin Removed), Gaoliangjiang (Galangal Root, each 0.5 liang).
Finely chop the above six ingredients to the size of hemp seeds. Administer one qianbi per dose. Add seven parts water, decoct until four parts remain, remove dregs, and take warm.
Formula for Treating Severe Infantile Abdominal Distension:
Take Banxia (Pinellia Tuber), quantity unspecified. Wash with water to remove slipperiness, process until cooked, and cut. Take five pieces the size of rice grains with wine, three times a day.
Another Formula:
Pound Xiegen (Allium Macrostemon Root), boil in Pig Fat (Suet) to make an ointment, and take orally.