小儿肿病有二。一者气肿。因脾胃虚而气攻腹。腹胀误行转药下之。致虚气上附于肺。行入四肢面目而作
肿也。疳气亦然。二者水肿。因上焦烦渴。饮水无度。脾胃虚而不能约制其水。肾反乘脾。土随水行。上附于
肺。肺主皮肤。脾主四肢。故水流走于四肢皮肤而作肿也。甚则肾水浸浮于肺。则生大喘
。为难治也。
款肺散
治小儿风痰。咳嗽喘气逆呕吐。面目浮肿。
白僵蚕（五两汤洗去灰丝并头足焙干） 玄胡索（去皮三两生）
上为细末。每服一字或半钱。煎淡齑汁放温调下。如婴孩。乳汁调半字。不拘时候。
熊胆丸
治小儿疳气。体瘦肚肿吃水。
熊胆 雄黄（研水飞） 佛头青（各半两入麝香少许同研细） 桂心 人参（去芦各一钱为末）
上拌研匀。糯米粥和丸绿豆大。每服五七丸。米饮下。食后。
槟榔丸
治小儿疳气腹胀。四肢肿满。气急喘闷。小便不利。
槟榔 木香（各二钱） 青皮 姜黄（各一两） 萝卜子（炒） 牵牛子（各取末七钱半）
上为末。糊丸黍米大。生姜汤下。二三十丸。食后。
绯绶丸
治小儿疳气。黄瘦肚大。手脚浮肿。饮水不休。
川楝子（去核） 川芎（各二钱） 橘皮（四两去穣） 龙胆（去芦二两） 巴豆（十四个去皮膜将陈皮龙
胆同巴豆炒焦黑时去巴豆不用）
上四味为末。糊丸麻子大。朱砂为衣。每服十五丸或三十丸。米饮下。腹胀陈皮汤下。食后。
治小儿手足身体浮肿 以小便温暖渍之。大良。
又方 治如前。以巴豆五十个，去皮心。水三升。煮取一升。绵蘸拭病上。随手即消。
治小儿浑身头面及阴囊虚肿 以使君子一两。去壳。用蜜半两。炙尽为细末。每服一钱。米饮调下。食后。只三
服效。
内消丸
治小儿头面手脚虚肿。
青皮（五个汤泡去穣） 巴豆（七个去壳） 木香（一钱炮） 防己（一钱半） 丁香（十四个）
上先以青皮巴豆铫内同炒。至巴豆苍黑。去巴豆不用。将青皮诸药为细末。蒸饼和丸麻子大。每服三五丸。
量大小加减。男孩儿煎陈米汤下。女孩儿煎艾叶汤下。七八岁者十丸。不拘时候。
红粉散
治浑身虚肿。气喘不食。
朱砂（一钱） 槟榔（一钱） 轻粉（半钱）
上为末。每服一字或半钱。薄荷煎汤调下。一服利。止后服。用家宝观音散。或人参散调补。忌生冷坚硬之
物。
通草散
治一身黄肿透明。
通草（蜜涂炙干为末） 木猪苓（去黑皮为末各等分）
上为细末。再入研细。去土地龙麝香少许。每服半钱或一钱。米饮调下。神效。亦治肾肿。
圣饼子
治气肿。大戟子半两。甘遂末一分。牵牛末一两。共拌匀。每用半钱。以白面半钱。水和作饼子。
如钱大。煮令熟。放冷细嚼。姜汤下。小者一饼。大者二饼。食前。
金华散
治水气肿满。通身明亮。
大黄末（四钱） 牵牛末（三钱） 朴硝（研末八钱） 巴豆肉（五个研）
上同拌匀。每服一字。生姜蜜水调下。（此方猛烈。斟酌所宜）
葶苈丸
治水气腹肿。小便涩滞。以葶苈子半两微炒。杵如泥、入枣肉再杵。和丸绿豆大。每服五丸。枣汤下。空心
晚后。
郁李仁丹
治一切诸肿。
郁李仁（半两汤浸去皮微炒） 槟榔（半两） 牵牛子（一钱炒）
上为细末。滴水和丸。每服十粒。煎葱白汤下。空心服。
海蛤散
治身体肿满。大小便不利。
海蛤 桑白皮（各一两） 汉防己（半两） 赤茯苓（去黑皮半两） 白术（半两） 甜葶苈（纸衬炒紫）
川朴硝 木猪苓（去黑皮各一分）
上为细末。每服一钱。水一盏。煎至五分。去滓温服。乳食后。
杏仁膏
治小儿卒然面目浮肿。杵杏仁膏敷之。
治小儿浑身虚肿。及头面阴囊并肿。
木香（一钱） 槟榔（一枚锉以茱萸炒去茱萸） 青皮（一钱以巴豆七个去皮炒去巴豆）
上同为末。每服半钱或一钱。陈米饮调下。食前。
治小儿因泻痢后。身体虚肿。硫黄一两。焰硝三钱同研细。蒸饼和丸萝卜子大。蚌粉为衣。每服十丸。米
饮下。量儿加减。食前。
Pediatric edema is categorized into two types. The first is Qi edema, caused by Spleen and Stomach deficiency leading to Qi attacking the abdomen. If abdominal distension is mistakenly treated with purgatives, deficient Qi rises and attaches to the Lung, flowing into the four limbs and face, resulting in swelling. This mechanism also applies to swelling caused by Gan Qi (nutritional deficiency syndrome). The second type is Water edema, caused by excessive thirst in the Upper Jiao and uncontrolled water intake. Due to Spleen and Stomach deficiency, water cannot be regulated; Kidney Water overacts on Spleen Earth, causing Earth to follow Water upward and attach to the Lung. Since the Lung governs the skin and the Spleen governs the four limbs, water flows through the limbs and skin, causing swelling. In severe cases, Kidney Water floods the Lung, causing severe asthma, which is difficult to treat.
Kuan Fei San (Lung-Calming Powder)
Indicated for pediatric wind-phlegm causing cough, asthma, rebellious Qi with vomiting, and facial swelling.
Bai Jiang Can (Bombyx Batryticatus, five liang, washed with decoction to remove ash, silk threads, head, and feet, then dried by roasting) Xuan Hu Suo (Corydalis Rhizome, three liang, peeled, raw)
Grind the above ingredients into a fine powder. Take one zi or half a qian per dose, mixed with warm, weak mustard juice. For infants, mix half a zi with breast milk. Administer at any time.
Xiong Dan Wan (Bear Bile Pill)
Indicated for pediatric Gan Qi, characterized by emaciation, abdominal swelling, and craving for cold water.
Xiong Dan (Ursi Fel, bear bile) Xiong Huang (Realgar, processed by levigation with water) Fo Tou Qing (Fritillariae Thunbergii Bulbus, half a liang each, mixed with a small amount of She Xiang/Musk and ground finely) Gui Xin (Cinnamomi Cortex, inner bark) Ren Shen (Ginseng Radix et Rhizoma, de-stalked, one qian each, ground into powder)
Mix and grind uniformly. Form pills the size of mung beans using glutinous rice porridge as a binder. Take five to seven pills per dose, administered after meals with millet drink.
Bing Lang Wan (Areca Seed Pill)
Indicated for pediatric Gan Qi with abdominal distension, fullness and swelling of the four limbs, rapid breathing with chest oppression, and dysuria.
Bing Lang (Arecae Semen) Mu Xiang (Aucklandiae Radix, two qian each) Qing Pi (Citri Reticulatae Pericarpium Viride) Jiang Huang (Curcumae Longae Rhizoma, one liang each) Luo Bo Zi (Brassicae Semium, stir-fried) Qian Niu Zi (Pharbitidis Semen, take seven and a half qian of powder each)
Grind into powder. Form pills the size of millet grains using paste as a binder. Take twenty to thirty pills per dose, administered after meals with ginger decoction.
Fei Shou Wan (Crimson Ribbon Pill)
Indicated for pediatric Gan Qi, characterized by sallow emaciation, large abdomen, swollen hands and feet, and incessant drinking.
Chuan Lian Zi (Toosendan Fructus, pitted) Chuan Xiong (Ligustici Chuanxiong Rhizoma, two qian each) Ju Pi (Citri Reticulatae Pericarpium, four liang, pulp removed) Long Dan (Gentianae Radix et Rhizoma, de-stalked, two liang) Ba Dou (Crotonis Fructus, fourteen seeds, husk and membrane removed; stir-fry Ju Pi and Long Dan together with Ba Dou until scorched black, then discard Ba Dou)
Grind the remaining four ingredients into powder. Form pills the size of hemp seeds using paste as a binder, coated with Cinnabar. Take fifteen or thirty pills per dose, administered after meals with millet drink. If abdominal distension occurs, administer with Chen Pi decoction.
For pediatric swelling of hands, feet, and body: Soak the affected areas in warm urine. This method is highly effective.
Another prescription: Treat as above. Use fifty Ba Dou seeds, remove husk and heart. Add three sheng of water, boil down to one sheng. Dip cotton wool in the liquid and wipe the affected area; swelling subsides immediately.
For pediatric generalized, facial, and scrotal vacuous swelling: Use one liang of Shi Jun Zi (Quisqualis Fructus), remove shell. Mix with half a liang of honey, roast until dry, and grind into fine powder. Take one qian per dose, mixed with millet drink, after meals. Effect is seen after only three doses.
Nei Xiao Wan (Internal-Resolving Pill)
Indicated for pediatric vacuous swelling of the head, face, hands, and feet.
Qing Pi (Citri Reticulatae Pericarpium Viride, five pieces, soaked in hot water to remove pulp) Ba Dou (Crotonis Fructus, seven seeds, husked) Mu Xiang (Aucklandiae Radix, one qian, processed) Fang Ji (Stephaniae Tetrandrae Radix, one and a half qian) Ding Xiang (Caryophylli Flos, fourteen pieces)
First, stir-fry Qing Pi and Ba Dou together in a pot until Ba Dou turns dark gray/black, then discard Ba Dou. Grind Qing Pi and other medicines into fine powder. Form pills the size of hemp seeds using steamed dough as a binder. Take three to five pills per dose, adjusting according to age and size. For boys, administer with aged rice decoction; for girls, with mugwort leaf decoction. Children aged seven to eight take ten pills. Administer at any time.
Hong Fen San (Red Powder)
Indicated for generalized vacuous swelling, asthma, and anorexia.
Zhu Sha (Cinnabar, one qian) Bing Lang (Arecae Semen, one qian) Qing Fen (Calomel, half a qian)
Grind into powder. Take one zi or half a qian per dose, mixed with mint decoction. After one dose inducing diarrhea, stop subsequent doses. Follow up with Jia Bao Guan Yin San or Ren Shen San for regulation and tonification. Avoid raw, cold, and hard foods.
Tong Cao San (Tetrapanacis Medulla Powder)
Indicated for generalized yellow edema with translucent skin.
Tong Cao (Tetrapanacis Medulla, coated with honey and roasted to dryness, ground) Mu Zhu Ling (Polypori Umbellati Sclerotium, black skin removed, ground, equal parts to Tong Cao)
Grind into fine powder, then add Di Long (Pheretima) and She Xiang (Musk) in small amounts, grinding again. Take half a qian or one qian per dose, mixed with millet drink. Highly effective. Also treats Kidney swelling.
Sheng Bing Zi (Holy Cake)
Indicated for Qi edema. Da Ji Zi (Euphorbiae Lathyridis Semen, half a liang), Gan Sui (Kansui Radix, one fen), Qian Niu Zi (Pharbitidis Semen, one liang). Mix evenly. Take half a qian of powder, mix with half a qian of white flour, form into cakes the size of a coin using water. Boil until cooked, cool, chew thoroughly, and swallow with ginger tea. Younger children take one cake; older children take two. Take before meals.
Jin Hua San (Golden Flower Powder)
Indicated for water qi edema with fullness and bright, shiny swelling of the whole body.
Da Huang (Rhei Radix et Rhizoma, powder, four qian) Qian Niu Zi (Pharbitidis Semen, powder, three qian) Po Xiao (Natrii Sulfas, powdered, eight qian) Ba Dou Rou (Crotonis Fructus flesh, five seeds, ground)
Mix evenly. Take one zi per dose, mixed with ginger and honey water. (This formula is potent; adjust dosage appropriately.)
Ting Li Wan (Descurainiae Seed Pill)
Indicated for water qi abdominal swelling and scanty, difficult urination. Take Ting Li Zi (Descurainiae Semen seu Lepidii Semen, half a liang), lightly stir-fry, pound into paste, mix with jujube flesh, and pound again. Form pills the size of mung beans. Take five pills per dose, administered on an empty stomach and in the evening with jujube decoction.
Yu Li Ren Dan (Prunus Mume Seed Pill)
Indicated for all types of swelling.
Yu Li Ren (Pruni Mume Semen, half a liang, soaked in water, husked, lightly stir-fried) Bing Lang (Arecae Semen, half a liang) Qian Niu Zi (Pharbitidis Semen, one qian, stir-fried)
Grind into powder. Add drops of water to form pills. Take ten pills per dose, administered on an empty stomach with scallion white decoction.
Hai Ge San (Seashell Powder)
Indicated for bodily swelling and fullness, with difficulty in urination and defecation.
Hai Ge (Concha Meretricis et Cyclinae) Sang Bai Pi (Mori Cortex, one liang each) Han Fang Ji (Stephaniae Tetrandrae Radix, half a liang) Chi Fu Ling (Poria cum Ligno Rubrum, black skin removed, half a liang) Bai Zhu (Atractylodis Macrocephalae Rhizoma, half a liang) Tian Ting Li (Descurainiae Semen seu Lepidii Semen, stir-fried on paper until purple) Chuan Po Xiao (Natrii Sulfas) Mu Zhu Ling (Polypori Umbellati Sclerotium, black skin removed, one fen each)
Grind into powder. Take one qian per dose, add one zhan of water, boil down to five fen, strain, and take warm after milk or food.
Xing Ren Gao (Apricot Kernel Paste)
Indicated for sudden facial and eye swelling in children; apply pounded apricot kernel paste topically.
Also indicated for generalized vacuous swelling, including swelling of the head, face, and scrotum.
Mu Xiang (Aucklandiae Radix, one qian) Bing Lang (Arecae Semen, one piece, sliced and stir-fried with Yu Zhu, discard Yu Zhu) Qing Pi (Citri Reticulatae Pericarpium Viride, one qian, stir-fried with seven husked Ba Dou seeds, discard Ba Dou)
Grind together into powder. Take half a qian or one qian per dose, mixed with aged rice drink, before meals.
For pediatric generalized vacuous swelling following diarrhea and dysentery: Shi Huang (Sulfur, one liang) and Yan Xiao (Saltpeter, three qian) are ground finely together. Form pills the size of radish seeds using steamed dough, coated with Bang Fen (Trionycis Carapax et Plastrum). Take ten pills per dose, administered before meals with millet drink, adjusting dosage according to the child's condition.