一论小儿下淋。乃膀胱有热。水道不通。淋沥不出。或尿如豆汁。或如沙石。或冷淋如
膏。或热淋如尿血。
五淋散
赤茯苓（去皮六分） 赤芍药（去皮二分） 山栀子（二分） 条芩（三分） 当归 甘草（各
五分）一方。加生地黄、泽泻、木通、滑石、车前子各三分。
上锉一剂。灯心一团。水煎。温服。
一论小儿吐血、衄血、下血。宜用
黄金丸
黄芩不拘多少。为末。炼蜜为丸。如芡实大。三岁儿每一丸。盐汤化下。
一治小儿吐血不止。黄连末一钱。淡豆豉三十个。水一盏。煎六分。去渣。温服。量儿
大小加减。
一治吐血、衄血。
柏枝散
柏枝晒干。藕节晒干。各等分为末。三岁儿每服半钱。藕汁和蜜一匙。白汤调下。
一小儿初生。大小便不通。腹胀欲死。急令人以温水漱口净。口吸咂小儿前后心。并脐
下。
手足心。共七处。每一处凡三五次。漱口吸咂。取红赤为度。须臾自通。不然则无生意。
一论小儿小便不通者。膀胱火盛也。
神通散
小便闭涩不堪言。为用儿茶末一钱。 蓄煎汤来送下。霎时溲便涌如泉。
一治小便不通。腹胀欲死。野地蒺藜子。不拘多少。焙黄色为末温酒服。立通。
又方。用火麻仁烧灰。酒调服。
一论小儿大便不通者。脏腑有毒也。小儿风与热滞。留蓄上焦。胸膈高起。大便不通。
没药散
没药 大黄 枳壳（炒） 桔梗（各二钱） 木香 甘草（炙各一钱）
上锉。每二钱。姜三片。水煎服。
一治新生小儿两三日不大小便。用葱汁、人乳各半调匀。抹在口中。同乳带下即通。
一掩脐法。治小儿大小便不通。取连根葱白一茎。生姜一块。淡豆豉二十粒。盐一小匙
同研烂捏作饼子。贴于脐中。烘热贴之。用绢帛托之。良久气透目通。不通再易一饼。
二妙散
六七月间。寻牛粪中有蜣螂。不拘多少。用线穿起。阴干收贮。用时取一个要全者。放
净砖
上。四面以灰火烘干。以刀从腰切断。如大便闭。用上半截。小便闭。用下半截。二便俱闭
全用。为细末。新汲水调服。
Discussion on pediatric stranguria (Lin syndrome). This condition arises from heat in the Bladder, causing obstruction of the water passages, resulting in dribbling urine that cannot be expelled. Symptoms may include urine resembling bean dregs, or sand-like stones, or cold stranguria (stranguria caused by cold pathogen) appearing like paste, or hot stranguria (stranguria caused by heat pathogen) resembling blood in urine.
Wu Lin San (Five Strangurias Powder)
Chi Fu Ling (Poria with Red Skin, peeled, 6 fen), Chi Shao Yao (Red Peony Root, peeled, 2 fen), Shan Zhi Zi (Gardenia Fruit, 2 fen), Tiao Qin (Scutellaria Baicalensis, 3 fen), Dang Gui (Angelica Sinensis), Gan Cao (Licorice Root, each 5 fen). Another prescription adds Sheng Di Huang (Rehmannia Root, fresh), Ze Xie (Alisma Rhizome), Mu Tong (Akebia Stem), Hua Shi (Talcum), and Che Qian Zi (Plantago Seed), each 3 fen.
Crush the above ingredients for one dose. Add a bundle of Jixin (Centella asiatica herb/stem). Decoct in water and take warm.
Discussion on pediatric hematemesis (vomiting blood), epistaxis (nosebleed), and lower bleeding (bleeding from lower orifices). It is appropriate to use:
Huang Jin Wan (Golden Pill)
Huang Qin (Scutellaria Baicalensis), quantity不拘 (unrestricted). Grind into powder. Form pills using refined honey, sized like Euryale seed (Qian Shi). For a three-year-old child, administer one pill per dose, dissolved and taken with salt water.
One prescription for persistent hematemesis in children: Huang Lian (Coptis Rhizome) powder, 1 qian; Dan Dou Chi (Prepared Soybean), 30 pieces. Decoct in one cup of water until reduced to 0.6 cups. Remove dregs and take warm. Adjust dosage according to the child's age and size.
One prescription for hematemesis and epistaxis:
Bai Zhi San (Cypress Branch Powder)
Dry Cypress branches and dry Lotus rhizome nodes (Ou Jie), equal parts, ground into powder. For a three-year-old child, administer 0.5 qian per dose. Mix with one spoonful of Lotus node juice and honey, and take with plain boiled water.
Case: A newborn infant presents with complete retention of both urine and feces, abdominal distension so severe it feels like death. Urgently, have someone rinse their mouth thoroughly with warm water, then use suction (cupping-like oral suction) on seven areas of the infant: anterior and posterior chest/back, below the umbilicus, and palms and soles of hands and feet. Suck each area 3-5 times, rinsing the mouth between sucks, until the skin turns red. The bowels and bladder will open spontaneously shortly thereafter; otherwise, there is no hope of survival.
Discussion on urinary retention in children: This is due to excessive fire in the Bladder.
Shen Tong San (Divine Unblocking Powder)
For unbearable urinary obstruction and涩 (astringency/difficulty): Use Er Cha (Child's Tea/Catechu) powder, 1 qian, delivered with decoction of Bian Xu (Polygonum Aviculare Herb). Within moments, urine will gush forth like a spring.
One prescription for urinary retention with severe abdominal distension: Ye Di Ji Li Zi (Wild Tribulus Seeds), quantity unrestricted. Roast until yellow, grind into powder, and take with warm wine. Immediate relief occurs.
Another method: Burn Huo Ma Ren (Hemp Seed) to ash, mix with wine, and take orally.
Discussion on constipation in children: This is due to toxicity in the Zang-Fu organs. Wind and heat pathogens stagnate in the Upper Jiao (Upper Burner), causing chest and diaphragm elevation/distension and constipation.
Mo Yao San (Myrrh Powder)
Mo Yao (Myrrha), Da Huang (Rhubarb Rhizome), Zhi Ke (Bitter Orange, stir-fried), Jie Geng (Platycodon Root), each 2 qian; Mu Xiang (Aucklandia Root), Zhi Gan Cao (Honey-fried Licorice Root), each 1 qian.
Crush the ingredients. Take 2 qian per dose, add 3 slices of Ginger, decoct in water, and take orally.
One prescription for newborns who have not passed stool or urine for two to three days: Mix Cong Jiang (Green Onion Juice) and Ren Ru (Human Milk) in equal halves. Apply to the mouth and allow the infant to swallow along with breast milk. Bowel movement will ensue.
An Umbilical Application Method for treating pediatric urinary and fecal retention: Take one stalk of Lian Gen Bai Cong (Green Onion White with roots), one piece of Sheng Jiang (Fresh Ginger), 20 grains of Dan Dou Chi (Prepared Soybean), and one small spoonful of Salt. Grind together into a paste, form into a cake, and apply to the umbilicus. Warm it before application and secure with silk cloth. After some time, Qi will penetrate and excretion will occur. If ineffective, replace with another cake.
Er Miao San (Two Wonders Powder)
In the sixth and seventh lunar months, search for Qiang Lang (Scarab Beetle/Dung Beetle) in cow dung. Quantity unrestricted. String them up and dry in the shade for storage. When needed, take one whole beetle, place it on a clean brick, and dry thoroughly around all sides using ash fire. Cut horizontally through the waist with a knife. For constipation, use the upper half; for urinary retention, use the lower half; for both, use the whole beetle. Grind into fine powder and take mixed with freshly drawn water.