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For weaned infants, if the five zang organs are harmonious and the Ying (Nutritive) and Wei (Defensive) qi flow smoothly, body fluids will circulate freely. Even if they drink large amounts of water or gruel, it will not cause pain. However, if care is improper, leading to obstruction in the Sanjiao (Triple Burner), the stomach and intestines cannot transport and transform effectively. Consequently, ingested fluids stagnate and fail to disperse. If this is compounded by cold pathogenic factors, the cold and stagnation interact and condense to form Pi (masses). Pi refers to masses located obliquely between the two hypochondria, which may cause intermittent pain.

Formula for treating Pi qi stagnation in the abdomen of children, characterized by emaciation, frequent irritability, anorexia, vomiting after eating, or constipation: Daizhe Shi (Hematitum, 0.5 liang, finely ground), Zhusha (Cinnabar, 0.5 liang, finely ground and washed with water), Xijiao Xie (Rhinocerotis Cornu, 0.5 liang), Shexiang (Moschus, 1 fen, finely ground), Xingren (Armeniacae Semen Amarum, 0.5 liang, soaked in water, skin and tips removed, double-kernel bran-fried until slightly yellow), Danggui (Angelicae Sinensis Radix, 3 qian, sliced and slightly fried), Niuhuang (Bovaris Calculus, 1 fen, finely ground), Chuan Dahuang (Rhei Radix et Rhizoma, 3 qian, sliced and slightly fried). The above herbs are crushed, sifted into powder, mixed with the already-ground ingredients, and further pulverized uniformly. Honey is refined and used to bind the powder; the mixture is pounded three to two hundred times to form pills the size of hemp seeds. Each dose is taken with gruel broth.

Qianhu Wan Formula for treating abdominal pain caused by Pi qi in children: Qianhu (Peucedani Radix, 0.5 liang, radix removed), Chi Shaoyao (Paeoniae Radix Rubra, 0.5 liang), Jiegeng (Platycodonis Radix, 0.5 liang, radix removed), Chi Fuling (Poria Cocos with Red Wood, 0.5 liang), Biejia (Testudinis Carapax et Plastrum, 1 liang, coated with vinegar, roasted until yellow, skirt edges removed). The above herbs are crushed, sifted into powder, and bound with refined honey to form pills the size of mung beans. For a three-year-old child, take five pills dissolved in gruel broth on an empty stomach. Adjust dosage according to the child's age.

Biejia Wan Formula for treating abdominal nodules, hypochondriac Pi masses, and heat sensation in the hands and feet of children: Biejia (Testudinis Carapax et Plastrum, 1 liang, coated with vinegar, roasted until yellow, skirt edges removed), Chuan Dahuang (Rhei Radix et Rhizoma, 0.5 liang, sliced and slightly fried), Chi Fuling (Poria Cocos with Red Wood, 0.5 liang), Qilao (Melandryi Larva, 10 pieces, dried, slightly fried). The above herbs are crushed, sifted into powder, and bound with refined honey to form pills the size of hemp seeds. For children aged two to three, take three pills on an empty stomach with gruel broth, three times daily. Adjust dosage according to the child's age.

Fangkui Wan Formula for treating persistent Pi qi in children: Fangkui (Aristolochiae Radix, 1 liang), Renshen (Ginseng Radix, 0.5 liang), Helile Pi (Pericarpium Terminaliae Chebulae, 0.5 liang), Chuan Dahuang (Rhei Radix et Rhizoma, 3 qian, sliced and slightly fried), Sangyin (likely a typo for Sangbaipi or similar, translated as Mulberry Root Bark ingredient, 0.5 liang), Yuliren (Pruni Semen, 3 qian, soaked in water, skin and tips removed, slightly fried). The above herbs are crushed, sifted into powder, and bound with refined honey to form pills the size of hemp seeds. Each dose consists of five pills taken with warm wine, twice daily. Adjust dosage according to the child's age.

Zishuang Wan Formula for treating undigested food accumulating into Pi qi, causing hypochondriac fullness, shortness of breath, inability to eat, and abdominal distension with hardness: Daizhe Shi (Hematitum, 1 liang, finely ground), Dansha (Cinnabar, 0.5 liang, finely ground and washed with water), Chuan Dahuang (Rhei Radix et Rhizoma, 1 liang, sliced and slightly fried), Muxiang (Aucklandiae Radix, 0.5 liang), Xijiao Xie (Rhinocerotis Cornu, 0.5 liang), Zhishi (Aurantii Fructus Immaturus, 0.5 liang, bran-fried until slightly yellow, pith removed), Qingpi (Citri Reticulatae Pericarpium Viride, 0.5 liang, white pith removed, baked dry). [Note: Original text contains ambiguous terms "paper" and incomplete insect names; translated literally based on source]. The above herbs are crushed, sifted into powder, mixed with pre-ground ingredients, and pulverized uniformly. Bound with refined honey to form pills the size of mung beans. For children over three years old, take on an empty stomach with gruel broth.

Biejia Wan Formula for treating Pi qi with heat in the palms and soles, sallow complexion, anorexia, and progressive emaciation: Biejia (Testudinis Carapax et Plastrum, 1 liang, coated with vinegar, roasted until yellow, skirt edges removed), Chuan Dahuang (Rhei Radix et Rhizoma, 1 liang, sliced and slightly fried), Renshen (Ginseng Radix, 1 fen, radix removed), Chi Fuling (Poria Cocos with Red Wood, 1 fen), Jing Sanleng (Sparganii Rhizoma, 0.5 liang, lightly roasted and sliced). The above herbs are crushed, sifted into powder, and bound with refined honey to form pills the size of mung beans. For a three-year-old child, take five pills dissolved in gruel broth on an empty stomach. Adjust dosage according to the child's age.

Jing Sanleng Wan Formula for treating Pi qi with heat in the palms and soles, spleen and stomach deficiency, anorexia, sallow complexion, and progressive emaciation: Jing Sanleng (Sparganii Rhizoma, 0.5 liang, lightly roasted and sliced), Fangkui (Aristolochiae Radix, 0.5 liang), Muxiang (Aucklandiae Radix, 0.5 liang), Renshen (Ginseng Radix, 0.5 liang, radix removed), Zhiqiao (Aurantii Fructus, 0.5 liang, bran-fried until slightly yellow, pith removed), Yuliren (Pruni Semen, 3 qian, soaked in water, skin and tips removed, slightly fried). The above herbs are crushed, sifted into powder, and bound with refined honey to form pills the size of adzuki beans. Take with gruel broth, dosage adjusted by age, three times daily. For older children, wine may be used for administration.

Jigu Wan Formula for treating emaciation, abdominal Pi qi, hard and full hypochondria, occasional abdominal pain, and failure to gain muscle mass despite eating: Wuji Gu (Gallus Gallus Domesticus Os, 1 piece, soaked in water and roasted until slightly yellow), Chuan Dahuang (Rhei Radix et Rhizoma, 1 liang, sliced and slightly fried), Zhishi (Aurantii Fructus Immaturus, 0.5 liang, bran-fried until slightly yellow), Biejia (Testudinis Carapax et Plastrum, 1 liang, coated with vinegar, roasted until yellow, skirt edges removed), Zexie (Alismatis Rhizoma, 1 liang), Chaihu (Bupleuri Radix, 1 liang, apices removed), Jiegeng (Platycodonis Radix, 1 liang, radix removed), Renshen (Ginseng Radix, 1 liang, radix removed), Chi Shaoyao (Paeoniae Radix Rubra, 1 liang), Huangqin (Scutellariae Radix, 1 liang), Fangkui (Aristolochiae Radix, 3 qian), E chong (Eupolyphaga Seu Steleophaga, 5 pieces, slightly fried until yellow), Xingren (Armeniacae Semen Amarum, 3 qian, soaked in water, skin and tips removed). The above herbs are crushed, sifted into powder, and bound with refined honey to form pills the size of mung beans. For children aged four to five, take ten pills with gruel broth, twice daily. Adjust dosage according to the child's size.

Zhike Wan Formula for treating Pi qi with hypochondriac fullness and mild edema of the hands and feet: Zhike (Aurantii Fructus, 0.5 liang, bran-fried until slightly yellow, pith removed), Chuan Dahuang (Rhei Radix et Rhizoma, 3 qian, sliced and slightly fried), Mudan Pi (Moutan Cortex, 1 fen), Huangbai (Phellodendri Cortex, 0.5 liang, sliced), Guixin (Cinnamomi Ramulus, 1 fen). The above herbs are crushed, sifted into powder, and bound with refined honey to form pills the size of mung beans. Each dose consists of two pills dissolved in warm water, twice daily. Adjust dosage according to the child's age.

Dahuang Wan Formula for treating persistent Pi qi with yellow and thin limbs and occasional abdominal pain: Chuan Dahuang (Rhei Radix et Rhizoma, 3 qian, sliced and slightly fried), Biejia (Testudinis Carapax et Plastrum, 3 qian, coated with vinegar, roasted until yellow, skirt edges removed), Chi Shaoyao (Paeoniae Radix Rubra, 3 qian), Dama Ren (Cannabis Fructus, 3 qian, ground and added). The above herbs are crushed, sifted into powder, and bound with refined honey to form pills the size of mung beans. Each dose consists of five pills dissolved in warm water, twice daily. Adjust dosage according to the child's age.

Helile Wan Formula for treating Pi qi with high fever, emaciation, and refusal of milk and food: Helile Pi (Pericarpium Terminaliae Chebulae, 0.5 liang), Damai (Hordei Fructus Germinatus, 1 fen, roasted until slightly yellow), Chaihu (Bupleuri Radix, 0.5 liang, apices removed), Chuanxiong (Ligustici Chuanxiong Rhizoma, 1 liang), Chuan Dahuang (Rhei Radix et Rhizoma, 0.5 liang, sliced and slightly fried), Chi Fuling (Poria Cocos with Red Wood, 1 fen), Biejia (Testudinis Carapax et Plastrum, 0.5 liang, coated with vinegar, roasted until yellow, skirt edges removed), Zhiqiao (Aurantii Fructus, 1 fen, bran-fried until slightly yellow, pith removed), Guixin (Cinnamomi Ramulus, 1 fen), Chi Shaoyao (Paeoniae Radix Rubra, 0.5 liang), Ganjiang (Zingiberis Rhizoma, 1 fen, processed and sliced), Houpo (Magnoliae Officinalis Cortex, 0.5 liang, coarse bark removed, roasted with ginger juice until fragrant). The above herbs are crushed, sifted into powder, and bound with refined honey to form pills the size of mung beans. Each dose consists of five pills taken with gruel broth, three times daily. Adjust dosage according to the child's age.

Yuanhua Wan Formula for treating hard Pi qi, emaciation, and anorexia: Yuanhua (Genkwa Flos, 0.5 liang, mixed with vinegar and roasted until dry), Xionghuang (Realgar, 1 fen, finely ground), Chuan Dahuang (Rhei Radix et Rhizoma, 0.5 liang, sliced and slightly fried), Biejia (Testudinis Carapax et Plastrum, 0.5 liang, coated with vinegar, roasted until yellow, skirt edges removed). The above herbs are crushed, sifted into powder, and bound with refined honey to form pills the size of millet grains. For a three-year-old child, take three pills with ginger decoction on an empty stomach. Adjust dosage according to the child's age.