夫小儿腹痛者。多由冷热不调。冷热之气与脏气相击。故为痛也。其热痛者则面赤。或
壮热
治小儿腹痛不忍。鳖甲丸方。
鳖甲（涂醋炙令黄去裙 ） 防葵 诃黎勒（煨用皮） 川大黄（锉微炒） 人参（去
芦头）
郁李
上件药。捣罗为末。炼蜜和丸。如绿豆大。不计时候。以粥饮下五丸。得微利瘥。量儿
大小
治小儿冷热不调。腹内多痛。当归散方。
当归（锉微炒） 枳壳（麸炒微黄去瓤） 赤芍药 川大黄（锉微炒以上各半两）
上件药。捣粗罗为散。每服一钱。以水一小盏。
煎至五分。去滓。放温。量儿大小。分减服之。
治小儿卒壮下。腹痛不止。人参散方。
人参（半两去芦头） 当归（半两锉微炒） 甘草（一分炙微赤锉） 干姜（一分炮裂
锉） 黄
（
上件药。捣粗罗为散。每服一钱。以水一小盏。
煎至五分。去滓。稍热服。量儿大小。以意加减频服。
治小儿伤冷腹痛。青橘皮散方。
青橘皮（汤浸去白瓤焙） 桔梗（去芦头） 赤芍药（以上各半两）
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。量儿大小。分减温服。
又方。
木香 高良姜 白术 人参（去芦头以上各一分） 浓朴（半两去粗皮涂生姜汁炙令香
熟）
上件药。捣细罗为散。不计时候。以粥饮调下半钱。量儿大小。以意加减。
Abdominal pain in children is mostly caused by the imbalance of cold and heat. The qi of cold and heat clashes with the qi of the zang-fu organs, thus causing pain. In cases of heat pain, the face may turn red or there may be high fever.
Formula for treating unbearable abdominal pain in children: Biejia Wan (Softshell Turtle Shell Pill).
Biejia (Softshell Turtle Shell) [Trionycis Carapax et Plastrum] (coated with vinegar, roasted until yellow, remove the skirt edges), Fangkui (Radix Glehniae), Helile (Fructus Chebulae) (roasted, use the skin), Chuan Dahuang (Radix et Rhizoma Rhei) (crushed, slightly stir-fried), Ren Shen (Radix Ginseng) (remove the radicle), Yuliren (Semen Pruni Armeniacae).
The above herbs are crushed, sieved into powder, mixed with refined honey to form pills the size of mung beans. Take five pills at any time with porridge water. Mild laxation indicates recovery. Adjust dosage according to the child's age and size.
Formula for treating abdominal pain due to cold-heat imbalance in children: Danggui San (Angelica Sinensis Powder).
Danggui (Radix Angelicae Sinensis) (crushed, slightly stir-fried), Zhike (Fructus Aurantii) (bran-roasted until slightly yellow, remove the pulp), Chi Shaoyao (Radix Paeoniae Rubra), Chuan Dahuang (Radix et Rhizoma Rhei) (crushed, slightly stir-fried; each half liang).
The above herbs are coarsely ground into a powder. Take one qian per dose. Add one small cup of water, decoct until reduced to half a cup, strain, and let cool to warm temperature. Divide the dose and reduce the amount according to the child's size.
Formula for treating sudden high fever and continuous abdominal pain in children: Renshen San (Ginseng Powder).
Renshen (Radix Ginseng) (half liang, remove radicle), Danggui (Radix Angelicae Sinensis) (half liang, crushed, slightly stir-fried), Gancao (Radix Glycyrrhizae uralensis) (one fen, roasted until slightly red, crushed), Ganjiang (Rhizoma Zingiberis Officinalis Preparatum) (one fen, processed until cracked, crushed), Huangqin (Radix Scutellariae) (half liang, crushed, slightly stir-fried).
The above herbs are coarsely ground into a powder. Take one qian per dose. Add one small cup of water, decoct until reduced to half a cup, strain, and take while slightly warm. Adjust frequency and dosage according to the child's size.
Formula for treating cold-induced abdominal pain in children: Qingjupi San (Green Tangerine Peel Powder).
Qingjupi (Pericarpium Citri Reticulatae Viride) (soaked in hot water, remove white pith, dried), Jiegeng (Radix Platycodonis), Chi Shaoyao (Radix Paeoniae Rubra) (each half liang).
The above herbs are coarsely ground into a powder. Take one qian per dose. Add one small cup of water, decoct until reduced to half a cup, strain. Take at any time, warm, divided into doses and reduced according to the child's size.
Another formula:
Muxiang (Radix Aucklandiae), Gaoliangjiang (Rhizoma Alpiniae Officinarum), Baizhu (Rhizoma Atractylodis Macrocephalae), Renshen (Radix Ginseng) (remove radicle; each one fen), Houpo (Cortex Magnoliae Officinalis) (half liang, remove rough bark, coat with fresh ginger juice, roast until fragrant).
The above herbs are finely ground into a powder. Take half a qian mixed with porridge water at any time. Adjust dosage according to the child's size.