夫癖块者。婴儿饮食失调。三焦关格。以致停滞肠胃。不得宣通。初得为积。久则气血
与
痰裹积。塞于腹胁。及疟家纵饮生冷浆水。亦能成之。其症作痛。有时面黄肌瘦。倦怠无力
或生潮热寒热是也。治先除去寒热。次用消坚散结。和脾益胃之剂理之。更用灸法贴药
久之自然收效。
一论小儿腹中癖块。发热憎寒。口干小便赤。或大便稀溏。或腹胀肿满。或痰嗽喘热。
不思饮食。面黄肌瘦。四肢困倦等症。
净府汤
柴胡（一钱） 黄芩（八分） 半夏（姜炒八分） 人参（三分） 白术（去芦炒八分） 白茯苓
（去
皮二钱） 猪苓（五分） 泽泻（二钱） 三棱（煨七分） 莪术（煨七分） 山楂肉（一钱） 胡黄
连（三分） 甘草（三分）
上锉一剂。生姜三片。枣二枚。水煎。温服。
一论小儿癖积。日久不消。元气虚弱。脾胃亏损。肌肉消削。肚大青筋。发热口干。肚
腹胀满。
抑肝扶脾散
人参（五分） 白术（六分） 茯苓（八分） 陈皮（六分） 青皮（僵蚕炒六分） 龙胆草（酒
洗八
分） 白芥子（炒八分） 柴胡（三分） 山楂（八分） 神曲（炒六分） 黄连（姜炒一钱） 胡黄
连（三分） 甘草（三分）
上锉一剂。生姜三片。枣一枚。水煎。温服。
黄龙丸 扶沟刘小亭传。
雄黄（一钱半） 蜈蚣（两条砂锅内炒去头足） 芦荟（三分） 阿魏（三分） 牛黄（一分）
天竺黄（三分）
上为末。化黄蜡一两为丸。如绿豆大。先服七丸则热退。次服九丸则块消。三服十一丸
则病根除。每用黄蜡煎鸡子清入药。用黄酒下。
肥儿丸（方见诸疳） 治癖疾如神。
一专贴癖积气块。身体发热。口内生疳。此药用狗皮摊贴患处。每个重七钱。贴三日止
热。七日觉腹微痛。十日大便下脓血为验。大有神效。忌生冷腥腻发物百日。
神仙化癖膏
真香油（二斤四两） 秦艽（五钱） 三棱（五钱） 黄丹（一斤二两水飞过炒紫色） 黄柏（
五钱）
穿山甲（十四片） 当归（三钱） 莪术（五钱） 全蝎（十四个） 大黄（三钱） 蜈蚣（五钱）
木鳖子（七个）
上将药入油内。煎黄色为度。滤去渣。捣烂待用。油冷时。下黄丹。用文武火熬。槐柳
条不
住手搅。出黑烟气。滴水成珠。手试软硬。方可离火。次下五味细药。并入捣烂粗渣于内。
真阿魏（二两） 乳香（五钱） 没药（五钱） 麝（一钱） 皮硝（三钱风化为末）
调匀。以瓷器内盛之。如用。坐水中熔开。不可火上化。如有马刀 子疮。加琥珀一两
在内。无有不效验者也。
将军百战百胜膏 贴癖如神。
大黄 白芷（各二两） 三棱 莪术（各一两） 木鳖子（十个） 蜈蚣（十条） 穿山甲（十
五片
）巴豆（一百五十粒） 蓖麻子（一百五十个） 栀子（五个） 黄连（五钱） 槐柳条（三百寸）
香油二斤。入药。熬黑色。去渣滤净。再加黄丹一斤。熬。点水成珠。再加血竭五钱。
芦荟五钱。天竺黄五钱。轻粉五钱。阿魏五钱。麝香五分。黄连二钱。硼砂二钱。为末。下
油为妙。
一治小儿发热癖疾之甚。及眼蒙方。
明目化癖丹
牛黄（一分） 片脑（一分） 熊胆（一分） 麝香（三厘） 乳香（三厘）
上共为细末。先将乳汁于铜勺内。炭火上滚黄色。下前药。急取出搅匀。于油单纸上。
丸如
米粒大。男左女右。卧时点入大眼角内。合眼自化。头上汗出至胸前。第二丸汗至脐上。第
三丸汗至脐下。再点二三丸。腹痛下脓血。自愈。妙不可言。
化癖金丹 内阁秘传。
蟾酥（水泡） 黄蜡（各二钱） 羚羊角 牛黄（各五分） 麝香（三分） 巴豆肉（一钱）
砂冰片（各二分）
上为末。丸如菜子大。每用一粒。用扁头针在患处刺破皮入之。用膏药粘贴。一伏时揭
起。其癖化脓血出尽。服调理脾胃之药而愈。
一论小儿患癖。年深不愈。诸医以攻克杀伐之剂。屡投不愈。以致元气耗惫。脾胃损伤
血
气干涸。肢体羸瘦。面色痿黄。肚大青筋。身热自汗。喘急气促。泄泻腹胀浮肿。不思饮食
遂以补中益气汤久服而愈。
<Pi> masses (masses formed by stagnation of qi and blood) are often caused by irregular diet in infants, leading to obstruction of the Sanjiao (Triple Burner, a concept referring to the upper, middle, and lower sections of the torso and their functions), resulting in food stagnation in the intestines and stomach that cannot be dispersed and unblocked. Initially, it is called "Ji" (accumulation). Over time, qi and blood become entangled with phlegm and accumulate, blocking the abdomen and hypochondrium. Additionally, patients with malaria who indulge in cold raw foods and drinks can also develop this condition. Its symptoms include paroxysmal pain, sallow complexion, emaciation, fatigue, or tidal fever and alternating chills and heat. Treatment should first eliminate chills and heat, then use formulas that dissolve hardness and dissipate nodules, harmonize the spleen, and benefit the stomach. Combined with moxibustion and external applications, efficacy will naturally be achieved over time.
One discussion on pediatric abdominal Pi masses mentions symptoms such as fever, aversion to cold, dry mouth, reddish urine, loose stools, abdominal distension and swelling, cough with phlegm, asthma, fever, anorexia, sallow complexion, emaciation, and limb fatigue.
Jingfu Tang (Pure Palace Decoction)
Chai Hu (Bupleuri Radix, 1 qian) Huang Qin (Scutellariae Radix, 8 fen) Ban Xia (Pinelliae Rhizoma Preparatum, fried with ginger, 8 fen) Ren Shen (Ginseng Radix et Rhizoma, 3 fen) Bai Zhu (Atractylodis Macrocephalae Rhizoma, de-rhizome tip and fried, 8 fen) Bai Fu Ling (Poria, peeled, 2 qian) Zhu Ling (Polyporus, 5 fen) Ze Xie (Alismatis Rhizoma, 2 qian) San Leng (Sparganii Rhizoma, roasted, 7 fen) E Zhu (Curcumae Rhizoma, roasted, 7 fen) Shan Zha Rou (Crataegi Fructus, 1 qian) Hu Huang Lian (Coptidis Rhizoma alternative/Huanglian substitute, 3 fen) Gan Cao (Glycyrrhizae Radix et Rhizoma, 3 fen)
Grind these herbs into one dose. Add three slices of fresh ginger and two jujubes. Decoct in water and take warm.
Another discussion on pediatric Pi accumulation states that if the condition persists for a long time without resolving, primordial qi becomes weak, the spleen and stomach are damaged, muscles waste away, the abdomen enlarges with visible blue veins, fever and dry mouth occur, and abdominal distension is present.
Yi Gan Fu Pi San (Liver-Suppressing and Spleen-Supporting Powder)
Ren Shen (Ginseng Radix et Rhizoma, 5 fen) Bai Zhu (Atractylodis Macrocephalae Rhizoma, 6 fen) Fu Ling (Poria, 8 fen) Chen Pi (Citri Reticulatae Pericarpium, 6 fen) Qing Pi (Citri Reticulatae Pericarpium Viride, fried with Cang Zhu, 6 fen) Long Dan Cao (Gentianae Radix, wine-washed, 8 fen) Bai Jie Zi (Sinapis Semen, fried, 8 fen) Chai Hu (Bupleuri Radix, 3 fen) Shan Zha (Crataegi Fructus, 8 fen) Shen Qu (Massa Medicata Fermentata, fried, 6 fen) Huang Lian (Coptidis Rhizoma, fried with ginger, 1 qian) Hu Huang Lian (Coptidis Rhizoma alternative, 3 fen) Gan Cao (Glycyrrhizae Radix et Rhizoma, 3 fen)
Grind these herbs into one dose. Add three slices of fresh ginger and one jujube. Decoct in water and take warm.
Huanglong Wan (Yellow Dragon Pill) Transmitted by Liu Xiaoting from Fugou.
Xiong Huang (Realgar, 1.5 qian) Wu Gong (Scolopendra, two pieces, fried in a clay pot, heads and feet removed) Lu Hui (Aloe, 3 fen) A Wei (Ferulae Resina, 3 fen) Niu Huang (Calculus Bovis, 1 fen) Tian Zhu Huang (Bambusae Caulis in Taenia, 3 fen)
Grind into fine powder. Melt one liang of yellow beeswax to form pills the size of mung beans. Take seven pills first to reduce fever; then nine pills to dissipate masses; then eleven pills to eradicate the root of the disease. For each administration, boil yellow beeswax with egg white and mix with the medicine. Take with yellow wine.
Fei Er Wan (Flesh-Nourishing Pill) (Formula see section on various malnutrition syndromes) Treats Pi diseases with miraculous effect.
One specific method for external application to treat Pi accumulation gas masses, body fever, and oral malnutrition sores: Apply this medicine spread on dog skin to the affected area. Each patch weighs seven qian. Apply for three days to stop fever; after seven days, feel slight abdominal pain; after ten days, discharge pus and blood in stool indicates effectiveness. Great miracle. Avoid cold, raw, greasy, and stimulating foods for one hundred days.
Shenxian Hua Pi Gao (Immortal Pi-Dissolving Ointment)
Zhen Xiang You (True Sesame Oil, 2 jin 4 liang) Qin Jiao (Gentianae Macrophyllae Radix, 5 qian) San Leng (Sparganii Rhizoma, 5 qian) Huang Dan (Lithargyrum, 1 jin 2 liang, washed with water and fried until purple) Huang Bo (Phellodendri Cortex, 5 qian) Chuan Shan Jia (Manis Squama, 14 pieces) Dang Gui (Angelicae Sinensis Radix, 3 qian) E Zhu (Curcumae Rhizoma, 5 qian) Quan Xie (Scorpio, 14 pieces) Da Huang (Rhei Radix et Rhizoma, 3 qian) Wu Gong (Scolopendra, 5 qian) Mu Bie Zi (Strychni Semen, 7 pieces)
First, put the herbs in oil and fry until yellow. Filter out the dregs and mash them for later use. When the oil cools, add Huang Dan. Simmer using alternating gentle and strong fire, stirring constantly with locust or willow branches until black smoke appears. Test by dropping oil into water; when it forms beads and has the right consistency when touched, remove from fire. Then add five fine medicines (Zhen A Wei, Ru Xiang, Mo Yao, She Xiang, Xiao Xiao) and the mashed coarse dregs. Mix well. Store in a porcelain vessel. To use, melt it sitting in water; do not melt directly over fire. If there are scrofula ulcers, add one liang of Hu Po (Amber); it will surely be effective.
Jiangjun Baizhan Baisheng Gao (General Hundred-Battles-Hundred-Victories Ointment) External application for Pi masses is miraculous.
Da Huang (Rhei Radix et Rhizoma), Bai Zhi (Angelicae Dahuricae Radix) (each 2 liang) San Leng (Sparganii Rhizoma), E Zhu (Curcumae Rhizoma) (each 1 liang) Mu Bie Zi (Strychni Semen, 10 pieces) Wu Gong (Scolopendra, 10 pieces) Chuan Shan Jia (Manis Squama, 15 pieces) Ba Dou (Crotonis Fructus, 150 seeds) Bi Ma Zi (Ricini Semen, 150 seeds) Zhi Zi (Gardeniae Fructus, 5 pieces) Huang Lian (Coptidis Rhizoma, 5 qian) Huai Liu Tiao (Locust and Willow Branches, 300 cun)
Two jin of sesame oil. Add herbs and simmer until black. Filter clean. Add one jin of Huang Dan and simmer until drops form beads in water. Then add Xue Jie (Dragon's Blood), Lu Hui (Aloe), Tian Zhu Huang (Bambusae Caulis in Taenia), Qing Fen (Calomelas), A Wei (Ferulae Resina), She Xiang (Moschus), Huang Lian (Coptidis Rhizoma), Peng Sha (Borax), all ground into powder, and mix into the oil.
One prescription for treating severe pediatric fever due to Pi disease and blurred vision.
Mingmu Hua Pi Dan (Vision-Clearing Pi-Dissolving Pill)
Niu Huang (Calculus Bovis, 1 fen) Pian Nao (Borneolum Syntheticum, 1 fen) Xiong Dan (Ursi Fel, 1 fen) She Xiang (Moschus, 3 li) Ru Xiang (Olibanum, 3 li)
Grind all into fine powder. First, boil breast milk in a copper spoon over charcoal fire until yellow. Add the above medicines, quickly remove, and stir evenly. Spread on oiled paper and form pills the size of rice grains. For males, apply to the left eye; for females, to the right eye. Before sleep, place one pill in the outer canthus. Close eyes and let it dissolve naturally. Sweating starts from head to chest with the first pill, reaches the navel with the second, and below the navel with the third. Apply two or three more pills; abdominal pain followed by discharge of pus and blood indicates self-healing. Miraculous.
Huapi Jin Dan (Pi-Dissolving Golden Pill) Secret transmission from the Grand Secretariat.
Chan Su (Toad Venom, soaked in water), Huang La (Yellow Beeswax) (each 2 qian) Ling Yang Jiao (Saiga Tataricae Cornu), Niu Huang (Calculus Bovis) (each 5 fen) She Xiang (Moschus, 3 fen) Ba Dou Rou (Crotonis Fructus flesh, 1 qian) Sha Bing Pian (Borneolum Syntheticum) (each 2 fen)
Grind into powder and form pills the size of rapeseed. Use one pill per application. Pierce the skin at the affected site with a flat-headed needle, insert the pill, and cover with a plaster. Remove after one shichen (two hours). The Pi mass will turn into pus and blood and discharge completely. Recover by taking medicines to regulate the spleen and stomach.
One discussion on pediatric Pi disease persisting for years without cure: Various physicians used attacking and draining remedies repeatedly without success, leading to depletion of primordial qi, damage to the spleen and stomach, dryness of blood and qi, emaciation, sallow complexion, enlarged abdomen with visible blue veins, fever with spontaneous sweating, rapid breathing, diarrhea, abdominal distension, edema, and anorexia. Finally, recovered by long-term use of Buzhong Yiqi Tang (Tonify the Middle and Augment the Qi Decoction).