论曰哺露之病，与伤饱丁奚之病本同。皆本于乳哺不调，伤于脾胃，致气血减损，不荣
肌肉，故柴辟羸露，谓之哺露，甚则腑脏之气不宜， 苦热，是其候也。
治小儿哺露，化肠胃食滞，疳气腹满发热。破积丸方
木香（一两） 青橘皮（汤浸去白焙一两） 桂（去粗皮一两） 吴茱萸（汤洗焙干炒
三两）
砂（醋熬成霜研末抄一钱匕） 巴豆霜（抄半钱匕）
上六味，捣罗前四味为末。与 砂巴豆霜同拌研匀，醋煮面糊为丸，如绿豆大。每服三
丸，加至五丸。早晚食后临寝服，大便溏为度，量儿大小虚实，以意加减。
治小儿哺露，伤饱烦热羸瘦。鸡骨丸方
鸡骨（煮熟黄雌鸡左右肋骨一两炙黄） 赤芍药（半两） 川大黄（半两锉微炒） 紫
菀（半
两洗去苗土） 赤茯苓（半两） 细辛（一分） 黄芩（一分） 桂心（一分） 柴胡（半
两去苗）
上九味，捣罗为末。炼蜜丸如绿豆大，每服温水下五丸，早晚各一服，量儿大小加减。
治小儿哺露，失衣当风水浴，腹大时痢，寒热如疟，不欲饮食，纵食难消化，四肢羸瘦
。人参黄 丸方
人参（去芦头） 黄 （锉） 麦门冬（去心焙） 半夏（汤洗七遍去滑） 川大黄（锉
碎微炒） 白茯苓 柴胡（去苗） 黄芩（以上各三分） 诃黎勒（一两煨用皮） 甘草（半
两炙微赤锉）
鳖甲（一两涂醋炙令黄去裙 ） 芎 （半两）
上一十二味，捣罗为细末。炼蜜为丸。麻子大，每服三丸，温粥饮下，五岁服五丸，量
儿大小加减。
治小儿寒热久不解，仍不能食饮。若食不消，哺露坚痞腹大，下痢不止，芍药丸方
芍药（三分） 桂（去粗皮半两） 柴胡（去苗） 大黄（锉炒各一两） 赤茯苓（去
黑皮） 鳖
甲（去裙 醋炙半两）
上六味，捣罗为末。炼蜜丸如麻子大。一岁以上，每服三丸，米饮下，早晨日午夜卧各
一。
治小儿哺露，胁下痞坚，腹满虚胀，手足烦热，往来无时。大黄丸方
大黄（锉炒二两） 干姜（炮半两） 人参（二两） 丹参（去芦头） 沙参 苦参 防
风（去
叉各一两） 桂（去粗皮半两） 玄参（一两半） 虫（炙焦八枚） 附子（炮裂去脐皮
半两）
白术 赤茯苓（去黑皮各一两） 葶苈（纸上炒半两） 杏仁（去皮尖双仁麸炒研） 蜀椒
（去目
并闭口者炒出汗各一分） 巴豆（十枚去皮膜研出油尽）
上一十七味，捣罗十五味为末。与巴豆杏仁同研，炼蜜丸如麻子大，每服二丸至三丸。
米饮下，量儿大小加减。
治小儿哺露，腹胀身热，下痢不止。鳖甲丸方
鳖甲（去裙 醋炙） 常山（锉） 肉苁蓉（酒浸切焙各一分）
上三味，捣罗为末。炼蜜丸如麻子大，一二岁每服三丸，三五岁五丸，米饮下，空心午
后各一服，更量儿大小加减。
治小儿哺露，腹胀体瘦。诃黎勒丸方
诃黎勒皮（三分） 肉豆蔻（去壳一枚） 青黛（研） 麝香（研） 芦荟（研） 熊
胆（研） 丹
砂（研各一分）
上七味，捣研为末和匀，酒煮粳米饭。丸如黍米大，每服三丸，粥饮下，日二，更量儿
大小加减。
治小儿哺露，腹胀体瘦。代赭丸方
代赭（研） 赤石脂 丹砂（研各一分） 巴豆（十粒去皮心研纸压去油尽） 杏仁（二
七粒
针穿灯上燎作声为度）
上五味，先别研细。再合研匀，烂饭丸如粟米大，每服一丸，乳汁或粥饮下，更量儿大
小加减。
治小儿哺露，腹胀体瘦。槟榔丸方
槟榔（锉） 丹砂（研） 阿魏（面裹煨面熟为度去面） 代赭（捣研） 乳香（研） 木
香五
灵脂 麝香（研） 肉豆蔻（去壳各一分） 蟾头（一枚炙焦） 巴豆（七粒去皮心膜纸压
去油尽
研）
上一十一味，捣研为末。面糊丸如黍米大，每服二丸，温生姜汤下，更量儿大小加减。
Commentary states: The disease of "Bu Lu" (infantile malnutrition with emaciation) shares the same root cause as the diseases of "Shang Bao" (injury from overeating) and "Ding Xi" (infantile malnutrition). Both originate from irregular breastfeeding or feeding, which injures the Spleen and Stomach, leading to a depletion of Qi and Blood. This failure to nourish the muscles results in a lean, emaciated, and wasted appearance, termed "Bu Lu." In severe cases, the Qi of the Zang-Fu organs becomes obstructed, manifesting as irritability and heat; this is the characteristic presentation.
To treat infantile Bu Lu, resolving gastrointestinal food stagnation, Gan Qi (childhood malnutrition syndrome) causing abdominal distension and fever. Po Ji Wan (Break Accumulation Pill) Formula:
Mu Xiang (Aucklandiae Radix, 1 liang) Qing Ju Pi (Green Tangerine Peel, soaked in water, white pith removed, dried, 1 liang) Gui Zhi (Cinnamomi Ramulus, coarse bark removed, 1 liang) Wu Zhu Yu (Evodiae Fructus, washed in water, dried, stir-fried, 3 liang)
Nao Sha (Sal Ammoniac, boiled with vinegar until frost forms, ground to powder, 1 qian bi) Ba Dou Shuang (Crotonis Fructus Frost, 0.5 qian bi)
The above six herbs: Pound and sieve the first four herbs into powder. Mix evenly with Nao Sha and Ba Dou Shuang. Use vinegar-cooked wheat paste as a binder to form pills, sized like mung beans. Administer 3 pills per dose, increasing up to 5 pills. Take morning and evening after meals and before sleep. Stop when stools become loose. Adjust dosage according to the child's age and deficiency/excess condition.
To treat infantile Bu Lu caused by overeating leading to irritability, heat, and emaciation. Ji Gu Wan (Chicken Bone Pill) Formula:
Ji Gu (Chicken Rib, from a cooked yellow hen, left and right ribs, 1 liang, roasted until yellow) Chi Shao Yao (Paeoniae Radix Rubra, 0.5 liang) Chuan Da Huang (Rhei Radix et Rhizoma, 0.5 liang, sliced and lightly stir-fried) Zi Wan (Astagi Herba, 0.5 liang, washed to remove roots and soil) Chi Fu Ling (Poria cum Radio, 0.5 liang) Xi Xin (Asari Radix et Rhizoma, 1 fen) Huang Qin (Scutellariae Radix, 1 fen) Gui Xin (Cinnamomi Cortex, 1 fen) Chai Hu (Bupleuri Radix, 0.5 liang, stems removed)
The above nine herbs: Pound and sieve into powder. Use refined honey to form pills, sized like mung beans. Administer 5 pills per dose with warm water, morning and evening. Adjust dosage according to the child's size.
To treat infantile Bu Lu caused by exposure to wind due to inadequate clothing or bathing, resulting in abdominal distension, frequent diarrhea, alternating chills and fever resembling malaria, anorexia, difficulty digesting food even if eaten, and emaciated limbs. Ren Shen Huang Qi Wan (Ginseng and Astragalus Pill) Formula:
Ren Shen (Ginseng Radix, rhizome removed) Huang Qi (Astragali Radix, sliced) Mai Men Dong (Ophiopogonis Tuber, heart removed, dried) Ban Xia (Pinelliae Rhizoma, washed seven times in water to remove slipperiness) Chuan Da Huang (Rhei Radix et Rhizoma, sliced and lightly stir-fried) Bai Fu Ling (Poria, 3 fen each) Chai Hu (Bupleuri Radix, stems removed) Huang Qin (Scutellariae Radix, 3 fen each) He Li Le (Terminalia Chebulae Fructus, 1 liang, roasted, use peel only) Gan Cao (Glycyrrhizae Radix et Rhizoma, 0.5 liang, roasted until slightly red, sliced)
Bie Jia (Testudinis Carapax et Plastrum, 1 liang, coated with vinegar, roasted until yellow, skirt edges removed) Xiong Qiong (Ligustici Chuanxiong Rhizoma, 0.5 liang)
The above twelve herbs: Pound and sieve into fine powder. Use refined honey to form pills, sized like hemp seeds. Administer 3 pills per dose with warm gruel. For five-year-olds, administer 5 pills. Adjust dosage according to the child's size.
To treat prolonged unresolved chills and fever in children, inability to eat or drink. If food is not digested, leading to firm epigastric masses, abdominal distension, and persistent diarrhea, Shao Yao Wan (Peony Pill) Formula:
Shao Yao (Paeoniae Radix, 3 fen) Gui Zhi (Cinnamomi Ramulus, coarse bark removed, 0.5 liang) Chai Hu (Bupleuri Radix, stems removed) Da Huang (Rhei Radix et Rhizoma, sliced and stir-fried, 1 liang each) Chi Fu Ling (Poria cum Radio, black skin removed) Bie Jia (Testudinis Carapax et Plastrum, skirt edges removed, vinegar-roasted, 0.5 liang)
The above six herbs: Pound and sieve into powder. Use refined honey to form pills, sized like hemp seeds. For children over one year old, administer 3 pills per dose with rice water. Take once at morning, noon, midnight, and bedtime.
To treat infantile Bu Lu with hard masses under the hypochondrium, abdominal distension and false fullness, vexatious heat in hands and feet, and irregular alternating chills and fever. Da Huang Wan (Rhubarb Pill) Formula:
Da Huang (Rhei Radix et Rhizoma, sliced and stir-fried, 2 liang) Gan Jiang (Zingiberis Rhizoma, processed, 0.5 liang) Ren Shen (Ginseng Radix, 2 liang) Dan Shen (Salviae Miltiorrhizae Radix et Rhizoma) Sha Shen (Glehniae Radix or Adenophorae Radix) Ku Shen (Sophorae Flavescentis Radix) Fang Feng (Saposhnikoviae Radix, forked parts removed, 1 liang each) Gui Zhi (Cinnamomi Ramulus, coarse bark removed, 0.5 liang) Xuan Shen (Scrophulariae Radix, 1.5 liang) E Chong (Echidnis, roasted until charred, 8 pieces) Fu Zi (Aconiti Lateralis Radix Praeparata, processed, umbilicus and skin removed, 0.5 liang)
Bai Zhu (Atractylodis Macrocephalae Rhizoma) Chi Fu Ling (Poria cum Radio, black skin removed, 1 liang each) Ting Li (Descurainiae Semen or Lepidii Semen, stir-fried on paper, 0.5 liang) Xing Ren (Armeniacae Semen Amarum, skin and tips removed, double-kernel, bran-roasted and ground) Shu Jiao (Zanthoxyli Pericarpium, eyes and closed-mouth ones removed, stir-fried until oil sweats out, 1 fen each) Ba Dou (Crotonis Fructus, 10 seeds, skin and membrane removed, ground until oil is completely extracted)
The above seventeen herbs: Pound and sieve fifteen herbs into powder. Grind together with Ba Dou and Xing Ren. Use refined honey to form pills, sized like hemp seeds. Administer 2 to 3 pills per dose. Take with rice water. Adjust dosage according to the child's size.
To treat infantile Bu Lu with abdominal distension, body heat, and persistent diarrhea. Bie Jia Wan (Turtle Shell Pill) Formula:
Bie Jia (Testudinis Carapax et Plastrum, skirt edges removed, vinegar-roasted) Chang Shan (Dichroae Radix, sliced) Rou Cong Rong (Cistanches Herba, soaked in wine, sliced, dried, 1 fen each)
The above three herbs: Pound and sieve into powder. Use refined honey to form pills, sized like hemp seeds. For one- to two-year-olds, administer 3 pills per dose; for three- to five-year-olds, administer 5 pills. Take with rice water, once on an empty stomach and once in the afternoon. Adjust dosage according to the child's size.
To treat infantile Bu Lu with abdominal distension and emaciation. He Li Le Wan (Chebula Pill) Formula:
He Li Le Pi (Terminalia Chebulae Fructus Peel, 3 fen) Rou Dou Kou (Myristicae Semen, shell removed, 1 seed) Qing Dai (Indigo Naturalis, ground) She Xiang (Moschus, ground) Lu Hui (Aloe, ground) Xiong Dan (Ursi Fel, ground) Dan Sha (Cinnabaris, ground, 1 fen each)
The above seven herbs: Pound and grind into powder, mix evenly. Cook glutinous rice with wine. Form pills, sized like broomcorn millet. Administer 3 pills per dose with gruel. Twice daily. Adjust dosage according to the child's size.
To treat infantile Bu Lu with abdominal distension and emaciation. Dai Zhe Wan (Hematite Pill) Formula:
Dai Zhe Shi (Haematitum, ground) Chi Shi Zhi (Kaolinitum) Dan Sha (Cinnabaris, ground, 1 fen each) Ba Dou (Crotonis Fructus, 10 grains, skin and heart removed, ground, pressed on paper to remove all oil) Xing Ren (Armeniacae Semen Amarum, 14 grains, pierced with needle, roasted over lamp flame until sizzling)
The above five herbs: First grind separately into fine powder. Then mix and grind uniformly. Form pills using soft rice, sized like millet seeds. Administer 1 pill per dose with milk or gruel. Adjust dosage according to the child's size.
To treat infantile Bu Lu with abdominal distension and emaciation. Bing Lang Wan (Areca Seed Pill) Formula:
Bing Lang (Arecae Semen, sliced) Dan Sha (Cinnabaris, ground) A Wei (Ferulae Resina, wrapped in dough, roasted until dough is cooked, dough removed) Dai Zhe Shi (Haematitum, pounded and ground) Ru Xiang (Olibanum, ground) Mu Xiang (Aucklandiae Radix) Wu Ling Zhi (Trogopterori Faeces) She Xiang (Moschus, ground) Rou Dou Kou (Myristicae Semen, shell removed, 1 fen each) Chan Tou (Bufo Venenum, 1 piece, roasted until charred) Ba Dou (Crotonis Fructus, 7 grains, skin, heart, and membrane removed, pressed on paper to remove all oil, ground)
The above eleven herbs: Pound and grind into powder. Form pills using wheat paste, sized like broomcorn millet. Administer 2 pills per dose with warm ginger decoction. Adjust dosage according to the child's size.