夫小儿乳癖者。由乳母食饮无恒。醉饱过度。便即乳儿。不知撙节。小儿脾胃虚嫩。不
能消
者是
名乳
治小儿乳癖结实。或有滞恶。停积不散。令儿日渐羸瘦。面色萎黄。春夏多发。
不欲乳食。
京三棱（半两微煨锉） 枳壳（一分麸炒微黄去瓤） 川大黄（半两锉碎微炒） 鳖甲
（半两
涂醋
上件药。捣粗罗为散。每服一钱。以水一小盏。煎至五分。去滓。分为二服。日三四服。
逐
治小儿乳癖。壮热体瘦。宜服朱砂丸方。
朱砂（半两细研水飞过） 龙脑（一钱细研） 雄黄（一钱半细研） 寒水石（一钱细
研） 腻
粉（
上件药。都研令匀。炼蜜和丸。如绿豆大。二三岁儿。以生姜汤下三丸。日再服。量儿
大小
治小儿乳癖。手脚心热。面色青黄。不下乳食。日渐羸瘦。人参丸方。
人参（半两去芦头） 生姜（半两切炒干） 桂心（半两） 赤茯苓（半两） 白术（半
两） 枳
壳（半两麸炒微黄去瓤） 木香（半两） 当归（半两锉微炒） 槟榔（半两） 京三棱（半
两微煨
锉）
上件药。捣罗为末。炼蜜和丸。如绿豆大。每一岁儿。以粥饮化下三丸。日三服。看儿
大小。以意加减。
治小儿乳癖。呕吐。腹胀实热。枳壳丸方。
枳壳（半两麸炒微黄去瓤） 木香（半两） 人参（三分去芦头） 赤茯苓（半两） 川
大黄
（一两
上件药。捣罗为末。炼蜜和丸。如绿豆大。每服。以温水化破三丸服之。日三服。量儿
大小
治小儿乳癖。面色黄瘁。食乳微细。日渐羸瘦。鳖甲丸方。
鳖甲（半两涂醋炙令黄去裙 ） 川大黄（一两锉碎微炒） 人参（一分去芦头） 槟
榔（一
两）
归（一
分锉
上件药。捣罗为末。炼蜜和丸。如绿豆大。每服。以粥饮研下三丸。日再服。以利为度。
更
治小儿乳癖。胁下坚硬。大便难。小便赤。大黄丸方。
川大黄（半两锉碎微炒） 诃黎勒皮（半两） 桔梗（一分去芦头） 乌梅肉〔一分微
研
（炒）〕
汤浸去皮
微炒）
上件药。捣罗为末。炼蜜和丸。如绿豆大。一岁儿。每服以粥饮研下五丸。晚后再服。
更量
治小儿乳癖。结块久不消化。诸药无效。宜服化癖丸方。
巴豆霜（半两） 腻粉（一钱） 砂（一字） 雄雀粪（一分） 黄鹰粪（一分） 朱
砂（一钱
细研）
上件药。都研如粉。用糯米饭和丸。如黍米粒大。一岁儿。每服空心。煎皂荚仁汤下二
丸。
治小儿乳癖不消。心腹胀满。木香丸方。
木香（一分） 京三棱〔一分微炒（煨）锉〕 牵牛子（半两微炒） 人参（一分去芦
头） 青
橘皮
仁（一两
汤浸去
上件药。捣罗为末。以醋煮面糊和丸。如麻子大。每服。以粥饮下三丸。量儿大小。加
减服
治小儿乳癖。胁下结块不消。腻粉丸方。\x
腻粉（一钱） 雄雀粪（一分微炒）
上件药。都研令匀。以枣瓤和丸。如粟米大。每服。以新汲水下一丸。取下粘滞恶物为
效。
Pediatric *ru pi* (lactation-induced mass) is caused by the wet nurse's irregular diet, excessive drinking or overeating followed immediately by breastfeeding, without knowing moderation. The infant's spleen and stomach are weak and delicate, unable to digest the milk; this is called *ru pi*.
To treat pediatric *ru pi* with solid masses, stagnation of foul matter, accumulation that does not disperse, leading to gradual emaciation, sallow complexion, frequent occurrence in spring and summer, and aversion to milk and food:
Sanleng Rhizoma (Banliang, slightly roasted and crushed), Zhike Pericarpium Citri Reticulatae (Yifen, bran-fried until slightly yellow, pith removed), Dahuang Radix et Rhizoma Rhei (Banliang, crushed, slightly fried).
The above medicines are coarsely ground into a powder. Each dose is one qian, decocted in one small cup of water until reduced to five fen, filtered, and divided into two doses. Taken three to four times daily.
To treat pediatric *ru pi* with high fever and emaciation, the Zhusha Wan formula is suitable:
Zhusha Cinnabar (Banliang, finely ground, washed with water), Longnao Borneolum Syntheticum (Yiqian, finely ground), Xionghuang Realgar (Yiqianban, finely ground), Hanshuishi Gypsum Fibrosum (Yiqian, finely ground), Nifen Calomel (small amount).
The above medicines are thoroughly ground and mixed evenly, then combined with refined honey to form pills the size of mung beans. For children aged two to three years, administer three pills with ginger soup, twice daily, adjusting dosage according to the child's size.
To treat pediatric *ru pi with heat in the palms and soles, greenish-yellow complexion, refusal of milk and food, and gradual emaciation, the Renshen Wan formula:
Renshen Ginseng Radix (Banliang, radix removed), Shengjiang Zingiberis Rhizoma Recens (Banliang, sliced and dried by frying), Guixin Cortex Cinnamomi (Banliang), Chifuling Poria Cum Ramo et Ligno Rubrum (Banliang), Baizhu Atractylodis Macrocephalae Rhizoma (Banliang), Zhike Pericarpium Citri Reticulatae (Banliang, bran-fried until slightly yellow, pith removed), Muxiang Aucklandiae Radix (Banliang), Danggui Angelicae Sinensis Radix (Banliang, crushed, slightly fried), Binglang Arecae Semen (Banliang), Sanleng Rhizoma (Banliang, slightly roasted and crushed).
The above medicines are ground into fine powder, combined with refined honey to form pills the size of mung beans. For each year of age, administer three pills dissolved in rice broth, three times daily, adjusting based on the child's condition.
To treat pediatric *ru pi* with vomiting, abdominal distension, and excess heat, the Zhike Wan formula:
Zhike Pericarpium Citri Reticulatae (Banliang, bran-fried until slightly yellow, pith removed), Muxiang Aucklandiae Radix (Banliang), Renshen Ginseng Radix (Sanfen, radix removed), Chifuling Poria Cum Ramo et Ligno Rubrum (Banliang), Dahuang Radix et Rhizoma Rhei (Liang, crushed, slightly fried).
The above medicines are ground into fine powder, combined with refined honey to form pills the size of mung beans. Each dose consists of three pills dissolved in warm water, taken three times daily, adjusted according to the child's size.
To treat pediatric *ru pi* with sallow and withered complexion, weak suckling, and gradual emaciation, the Biejia Wan formula:
Biejia Carapax et Plastrum Testudinis (Banliang, coated with vinegar, roasted until yellow, fringed edges removed), Dahuang Radix et Rhizoma Rhei (Liang, crushed, slightly fried), Renshen Ginseng Radix (Yifen, radix removed), Binglang Arecae Semen (Liang), Danggui Angelicae Sinensis Radix (Yifen, crushed).
The above medicines are ground into fine powder, combined with refined honey to form pills the size of mung beans. Each dose consists of three pills dissolved in rice broth, taken twice daily, stopping when bowel movement becomes loose, with further observation required.
To treat pediatric *ru pi* with hardness under the hypochondrium, difficult defecation, and red urine, the Dahuang Wan formula:
Dahuang Radix et Rhizoma Rhei (Banliang, crushed, slightly fried), Helilepi Pericarpium Terminaliae Chebulae (Banliang), Jiegeng Platycodonis Radix (Yifen, radix removed), Wumei Fructus Mume Carnis (Yifen, slightly ground, fried)... [Text fragmentary].
The above medicines are ground into fine powder, combined with refined honey to form pills the size of mung beans. For one-year-old children, administer five pills dissolved in rice broth, taken again in the evening, with adjustments as needed.
To treat pediatric *ru pi* where masses persist for a long time without digestion and other medicines are ineffective, the Huapi Wan formula is suitable:
Badoushuang Semen Crotonis Fructus (Banliang), Nifen Calomel (Yiqian), Sha Borax (Yizi), Xiongquefen Excrement Passeris Domestici Masculini (Yifen), Huangyingfen Excrement Accipiter Gentilis (Yifen), Zhusha Cinnabar (Yiqian, finely ground).
The above medicines are thoroughly ground into powder, combined with glutinous rice paste to form pills the size of millet grains. For one-year-old children, take two pills on an empty stomach with decoction of Gengren Semen Phaseoli Sojae Preparatum.
To treat pediatric *ru pi* not resolving, with abdominal fullness and distension, the Muxiang Wan formula:
Muxiang Aucklandiae Radix (Yifen), Sanleng Rhizoma (Yifen, slightly fried/roasted and crushed), Qianniuizi Semen Pharbitidis (Banliang, slightly fried), Renshen Ginseng Radix (Yifen, radix removed), Qingjupe Pericarpium Citri Reticulatae Viride... [Text fragmentary].
The above medicines are ground into fine powder, combined with flour paste boiled in vinegar to form pills the size of hemp seeds. Each dose consists of three pills taken with rice broth, adjusted according to the child's size.
To treat pediatric *ru pi* with unresolved masses under the hypochondrium, the Nifen Wan formula:
Nifen Calomel (Yiqian), Xiongquefen Excrement Passeris Domestici Masculini (Yifen, slightly fried).
The above medicines are thoroughly ground and mixed evenly, combined with date pulp to form pills the size of millet grains. Each dose consists of one pill taken with fresh cold water, effective when sticky and foul matter is discharged.