夫小儿痰实。由水饮停滞在胸膈间。结聚为痰也。小儿饮乳。因冷热不调。停积胸膈之
间。
治小儿痰实壮热。心胸壅闷。不欲乳食。前胡散方。
前胡（半两去芦头） 枳壳（一分麸炒微黄去瓤） 赤茯苓（一分） 川大黄（一分锉
碎微炒）
甘
上件药。捣粗罗为散。每服一钱。以水一小盏。
煎至五分。去滓。温服。日三四服。更量儿大小。加减服之。
治小儿痰气结实。烦壅。半夏散方。
半夏（一分汤洗七遍去滑） 前胡（半两去芦头） 川大黄（一分锉碎微炒） 甘草（一
分炙
微赤
上件药。捣粗罗为散。每服一钱。以水一小盏。入生姜少许。
煎至五分。去滓。温温日三四服。量儿大小。以意加减。
治小儿痰壅结实。时欲呕吐。陈橘皮散方。
陈橘皮（半两汤浸去白瓤焙） 川升麻（一分） 桑根白皮（半两锉） 麦门冬（半两
去心焙）
前
上件药。捣粗罗为散。每服一钱。以水一小盏。
煎至五分。去滓。不计时候温服。更量儿大小。以意加减。
治小儿五六岁。痰实不散。宜服此方。
前胡（一分去芦头） 川大黄（一分锉碎微炒） 枳壳（一分麸炒微黄去瓤） 甘草（一
分炙
微赤
上件药。捣粗罗为散。每服一钱。以水一中盏。入生姜莲子大。
煎至六分。去滓。量儿大小。分减温服。
治小儿痰实壅闷。时复呕吐。不欲乳食。赤茯苓散方。
赤茯苓（半两） 甘草（一分炙微赤锉） 陈橘皮（一分汤浸去白瓤焙） 川朴硝（半
两） 旋
复花
上件药。捣粗罗为散。每服二钱。以水一小盏。入生姜如莲子大。
煎至五分。去滓。量儿大小。分减温服。
治小儿痰实。心胸不利。多欲呕吐。前胡散方。
前胡（半两去芦头） 贝母（一分煨令黄） 白术（一分） 桑根白皮（一分锉） 人
参（一分
去芦
上件药。捣粗罗为散。每服一钱。以水一小盏。
煎至五分。去滓。不计时候温服。量儿大小。加减服之。
治小儿痰实。往来寒热。不欲饮食。肌体羸瘦。芒硝丸方。
川芒硝（半两） 川大黄（半两锉碎微炒） 半夏（一分汤洗七遍去滑） 代赭（半两）
甘遂
（一
上件药。捣罗为末。炼蜜和丸。如绿豆大。空心以温水下两丸。量儿大小。加减服之。
Pediatric phlegm-excess syndrome arises from the stagnation of fluid retention in the chest and diaphragm, which condenses and gathers to form phlegm. When infants drink milk, due to improper regulation of cold and heat, the milk stagnates and accumulates between the chest and diaphragm.
To treat pediatric phlegm-excess presenting with high fever (Zhuang Re), chest and heart oppression/stuffiness, and anorexia for milk and food, use Qianhu San Formula.
Qian Hu (Peucedani Radix, half liang, remove the rhizome head) Zhi Ke (Aurantii Fructus, one fen, stir-fry with bran until slightly yellow, remove the pith) Chi Fu Ling (Polyporus with Red Bark, one fen) Chuan Da Huang (Rhei Radix et Rhizoma, one fen, cut into pieces, stir-fry slightly)
Gan Cao (Glycyrrhizae Radix et Rhizoma, one fen, honey-fry until slightly red)
The above herbs are coarsely ground and sieved into a powder. Each dose is one qian, decocted in one small cup of water until reduced to five fen. Strain the dregs and take warm. Administer three to four times daily, adjusting the dosage according to the child's age and size.
To treat pediatric phlegm-qi excess-solidity presenting with irritability and chest stuffiness, use Banxia San Formula.
Ban Xia (Pinelliae Tuber, one fen, wash seven times in hot water to remove acridity) Qian Hu (Peucedani Radix, half liang, remove the rhizome head) Chuan Da Huang (Rhei Radix et Rhizoma, one fen, cut into pieces, stir-fry slightly) Gan Cao (Glycyrrhizae Radix et Rhizoma, one fen, honey-fry until slightly red)
The above herbs are coarsely ground and sieved into a powder. Each dose is one qian, decocted in one small cup of water with a small amount of fresh ginger until reduced to five fen. Strain the dregs and take warm, divided into three or four doses daily. Adjust the dosage according to the child's age and size as appropriate.
To treat pediatric phlegm-stagnation solidity presenting with frequent desire to vomit, use Chen Ju Pi San Formula.
Chen Ju Pi (Citri Reticulatae Pericarpium, half liang, soak in hot water, remove the white pith, bake dry) Chuan Sheng Ma (Bupleuri Radix, one fen) Sang Gen Bai Pi (Mori Cortex, half liang, cut into pieces) Mai Men Dong (Ophiopogonis Tuber, half liang, remove the heart, bake dry)
The above herbs are coarsely ground and sieved into a powder. Each dose is one qian, decocted in one small cup of water until reduced to five fen. Strain the dregs and take warm at any time. Adjust the dosage according to the child's age and size as appropriate.
For children aged five or six years with persistent phlegm-excess, this formula is suitable.
Qian Hu (Peucedani Radix, one fen, remove the rhizome head) Chuan Da Huang (Rhei Radix et Rhizoma, one fen, cut into pieces, stir-fry slightly) Zhi Ke (Aurantii Fructus, one fen, stir-fry with bran until slightly yellow, remove the pith) Gan Cao (Glycyrrhizae Radix et Rhizoma, one fen, honey-fry until slightly red)
The above herbs are coarsely ground and sieved into a powder. Each dose is one qian, decocted in one medium cup of water with ginger the size of a lotus seed until reduced to six fen. Strain the dregs and take warm in divided doses, adjusting according to the child's age and size.
To treat pediatric phlegm-excess causing chest stuffiness, frequent vomiting, and anorexia for milk and food, use Chi Fu Ling San Formula.
Chi Fu Ling (Polyporus with Red Bark, half liang) Gan Cao (Glycyrrhizae Radix et Rhizoma, one fen, honey-fry until slightly red, cut into pieces) Chen Ju Pi (Citri Reticulatae Pericarpium, one fen, soak in hot water, remove the white pith, bake dry) Chuan Po Xiao (Natrii Sulfas, half liang) Xuan Fu Hua (Inulae Flos, one fen)
The above herbs are coarsely ground and sieved into a powder. Each dose is two qian, decocted in one small cup of water with ginger the size of a lotus seed until reduced to five fen. Strain the dregs and take warm in divided doses, adjusting according to the child's age and size.
To treat pediatric phlegm-excess causing chest and heart discomfort and frequent vomiting, use Qianhu San Formula.
Qian Hu (Peucedani Radix, half liang, remove the rhizome head) Bei Mu (Fritillariae Bulbus, one fen, roast until yellow) Bai Zhu (Atractylodis Macrocephalae Rhizoma, one fen) Sang Gen Bai Pi (Mori Cortex, one fen, cut into pieces) Ren Shen (Ginseng Radix, one fen, remove the rhizome head)
The above herbs are coarsely ground and sieved into a powder. Each dose is one qian, decocted in one small cup of water until reduced to five fen. Strain the dregs and take warm at any time. Adjust the dosage according to the child's age and size.
To treat pediatric phlegm-excess presenting with alternating chills and fever, anorexia, and emaciation, use Mangxiao Wan Formula.
Chuan Mang Xiao (Natrii Sulfas, half liang) Chuan Da Huang (Rhei Radix et Rhizoma, half liang, cut into pieces, stir-fry slightly) Ban Xia (Pinelliae Tuber, one fen, wash seven times in hot water to remove acridity) Dai Zhe (Hematitum, half liang) Gan Sui (Kansui Radix, one fen)
The above herbs are ground into fine powder, mixed with refined honey, and formed into pills the size of mung beans. Take two pills on an empty stomach with warm water, adjusting the dosage according to the child's age and size.