小儿腹胀。有虚有实。（或因吐泻。或因乳食）动于脾胃。致脾胃虚而气攻所作也。实者闷乱喘满。治可
下之。钱乙用紫霜丸白饼子。虚者不喘。治不可下。又不可以丁香木香橘皮豆蔻大温药治之。以脾胃虚。气未
出。故虽腹胀而不喘。只好用药。使上下分消其气则愈。钱乙用塌气丸。若误下之。则脾虚。气上附肺而行。脾
肺子母皆虚也，肺主目胞腮之类。脾主四肢。色黄虚甚。则目胞腮颊四肢黄色而肿。钱乙用塌气丸。若虚气已
出。附肺而行。即脾胃内弱。每生虚气。入于四肢面目矣。小儿易为虚实。脾虚则不受寒温。服寒则生冷。服温
则生热。当识此勿误也。胃久虚热。多生疸病。或引饮不止。脾虚不能胜肾。随肺气上行于四肢。面目肿若水
状。肾气浸浮于肺。即大喘也。钱乙亦用塌气丸。未愈渐加丸数。病愈后面未红者。虚衰未复故也。若治虚腹
胀。塌气丸未愈。腹中有食积法。粪小便黄。时微喘。脉伏而实。饮水能食者。亦可不。盖脾初虚而后有积法
也。所治宜先补脾。后与下之。下后又复补脾。即愈也。若不先补而便下之。则大虚矣。又不可补肺。恐生虚喘
也。钱乙所用方。本集载之外。叙诸方于后。
家宝塌气丸
治小儿啼哭未定。或气息未调。遽以乳饮。或寒冷相干。腹胀气急。乳食不化。
巴豆（十片） 胡椒（十粒） 丁香（十个） 青皮（十个汤浸一宿令软去穣）
上将青皮每个入巴豆一片。胡椒一粒。丁香一个。裹了。以麻线缠定。都裹十个毕。顿锅内。入酽醋一碗。
煮至醋干。取出细切。同诸药焙干为末。粟米糊和丸粟米大。每三岁下儿二三丸。上者五丸。五岁儿七丸。七岁
儿十丸。米饮汤下。无时。
褊银丸
治痰涎气壅。膈实上热。乳食停滞。腹胀喘急。
巴豆（去壳半两取霜） 好墨（八钱研） 麝香（半钱研） 水银（半两用铅二钱半结沙子）
上将巴豆霜与墨再研匀。次入沙子麝香。又拌研至细匀。以陈米粥和丸绿豆大。捻褊。一岁儿一丸。二三岁
三丸。煎薄荷汤放冷送下。不得化破。食后服。
浓朴丸
治风冷。寒邪客于脏腑。腹胀满闷。气不宣通。
浓朴（去粗皮一两姜制） 丁香（一两） 木香（一两） 白术（一两） 青皮（去穣半两） 牵牛子（一钱炒）
上为细末。炼蜜和丸黍米大。每服十丸。煎陈皮汤下。无时。
分气丸
治腹胀腹痛。
巴豆（十个去壳皮膜出油尽） 木香（一钱） 附子（一个重半两炮去皮脐尖）
上为细末。面糊和丸麻子大。每服三二丸。熟水送下。
又方 治腹胀。（又名塌气丸）
蝎（半两） 胡椒（一两） 木香（半两） 巴豆（一分去壳皮膜出油尽）
上为细末。面糊和丸黍米大。每服三五丸。葱白汤下。无时。
胡粉盐
治腹胀。以胡粉盐炒色变。以摩腹上。或以车毂中脂和轮下土作丸。吞之。
韭根汁
治如前。杵韭根汁。和猪脂煎服。或烧父母指甲灰。乳头上饮。
半夏丸
治腹胀。及暴腹胀欲死。以半夏随多少。火炮为细末。酒和丸粟米大。每服三五丸。儿小者乳汁下。大者生
姜汤或米汤下。未瘥加之。日二服。只用末贴脐。亦佳。
又方 治心腹胁肋胀满。烦闷欲死。以鸡子壳烧末。酒服一钱或半钱。
塌气丸
治脾胃气虚。腹胀满闷。
全蝎（一钱） 黑牵牛（四钱一半炒熟一半生用） 萝卜子（四钱一半炒熟一半生用） 陈皮（二钱去白）
青皮（去穣二钱） 京三棱（二钱炮锉） 蓬莪术（二钱炮锉一方生用）
上为细末。面糊和丸萝卜子大。每服一二十丸。生姜汤下。无时。
塌气丸
治腹胀气满如肿。
胡椒（半两） 甘遂（一分） 黑牵牛（一两炒） 木香（一钱）
上为细末。面糊丸绿豆大。每服五七丸。姜汤送下。无时。
塌气丸
治脾虚腹胀。或面目四肢发肿。（此方便是钱乙集中方也）
胡椒（一两） 蝎尾（半两去毒）
上为细末。面糊和丸粟米大。每服五七丸。至一二十丸。陈米饮下。无时。量大小加减。一方有木香一钱。
一方全蝎一枚。胡椒十粒。同为末。一剜耳。米饮调下。
五百丸
治气虚腹胀。
郁李仁（别研） 胡椒 丁香 黑牵牛 萝卜子（各一百粒）
上为细末。葱汁和丸绿豆大。每服三五丸。儿大加之。煎葱汤下。无时。
白术膏
治脾胃不和。腹胀气痞。小便不利。
白术（半两） 白茯苓（去黑皮一分） 人参（去芦一分） 滑石（一分） 泽泻（半两）
上为末。炼蜜和丸。每用皂子大。米饮化下。无时。
豆蔻散
治腹胀烦渴。小便少而吐泻。
硫黄（一分） 白滑石（三分） 丁香（半分） 肉豆蔻（面裹煨半分）
上为细末。每服一字或半钱。米饮调下。无时。
托养丸
治阴阳气痞不通。腹胀膨闷。呕吐烦渴。手足时厥。
硫黄 水银（各半两同研不见星） 附子（炮去皮脐） 木香 当归（去芦洗焙各半两） 大黄（一两湿纸
裹慢火煨熟）
上为末拌匀。炼蜜和丸樱桃大。每服一丸，生姜汤化下。无时。
木香丸
治小儿气胀。腹满不下食。能去恶气。木香诃黎勒煨去核。等分为末。以沙糖水煮糊和丸绿豆大。每服一二
十丸。米饮下。无时。
葛根汁
治小儿热气。痞满腹胀。以生葛根杵烂。绞汁饮下。
桂心丸
治小儿饮杂果。腹胀气急。以桂心为末。饭和丸绿豆大。熟水下五丸。未瘥再服。不拘时候。
治小婴腹中胀满。或未能服药者。 以晚桑叶不拘多少。浓煎汤。熏下部。通手时淋洗肚腹。
治小儿腹胀满急。不能服药。 以生姜煨热，绵裹内下部。冷即易。
赚气丸
治小儿腹胀。
丁香（一钱） 萝卜子（半两用巴豆一分拍破同炒至黑色去巴豆不用）
上为末。水浸蒸饼心和丸绿豆大。每服五丸。橘皮汤下。无时。
治小儿上热痞闷。气壅胀满。以葛根捣汁。量大小轻重与服。
Pediatric abdominal distension may be of deficiency or excess type. (It may arise from vomiting and diarrhea, or from milk and food retention) affecting the Spleen and Stomach, causing Spleen-Stomach deficiency with Qi attacking and generating the condition. Excess type presents with chest oppression, restlessness, wheezing, and fullness; treatment can involve purgation. Qian Yi used Zishuang Wan (Purple Frost Pill) or Baibing Zi (White Cake Pellet). Deficiency type does not present with wheezing; treatment should not involve purgation, nor should it use strongly warming herbs such as Dingxiang (Clove), Muxiang (Aucklandia Root), Chuanpiao (Tangerine Peel), and Doukou (Cardamom). Because the Spleen and Stomach are deficient and Qi has not yet emerged, although there is abdominal distension, there is no wheezing. It is best to use medication to disperse Qi upward and downward, leading to recovery. Qian Yi used Taqi Wan (Collapse Qi Pill). If mistakenly treated with purgation, Spleen deficiency occurs, and Qi rises to attach to the Lung and move along it. As mother and child organs, both Spleen and Lung become deficient. The Lung governs the eyelids and cheeks; the Spleen governs the limbs. If yellow color appears indicating severe deficiency, the eyelids, cheeks, and limbs will appear yellow and swollen. Qian Yi used Taqi Wan. If deficiency Qi has already risen and attached to the Lung, internal weakness of the Spleen and Stomach ensues, frequently generating deficiency Qi that enters the limbs and face. Children are prone to deficiency-excess patterns; when the Spleen is deficient, it cannot tolerate cold or heat. Administering cold herbs generates cold pathogens, while administering warm herbs generates heat pathogens. One must recognize this to avoid errors. Chronic Stomach deficiency-heat often leads to jaundice or excessive thirst. Spleen deficiency fails to control Kidney Qi, which ascends with Lung Qi to the limbs, causing facial and ocular edema resembling water accumulation. Kidney Qi infiltrating and floating up to the Lung results in severe wheezing. Qian Yi also used Taqi Wan; if not cured, gradually increase the number of pills. After cure, if the face remains pale, it is because deficiency and weakness have not yet recovered. For treating deficiency-type abdominal distension, if Taqi Wan is ineffective and there is food stagnation in the abdomen, with yellow stool and urine, occasional mild wheezing, a deep and solid pulse, and ability to drink and eat, purgation may also be considered. This is because the Spleen was initially deficient and later developed stagnation. Treatment should first tonify the Spleen, then administer purgation. After purgation, tonify the Spleen again for recovery. If purgation is administered without prior tonification, extreme deficiency will result. Furthermore, one should not tonify the Lung, lest it generate deficiency wheezing. The formulas used by Qian Yi are recorded in this collection; other formulas are listed below:
Jiabao Taqi Wan (Family Treasure Collapse Qi Pill)
Treats infants crying unsettled or breathing irregular, hastily given milk or drinks, or affected by cold, resulting in abdominal distension, urgent Qi, and indigestion.
Bdous (10 pieces), Hu Jiao (Pepper, 10 grains), Ding Xiang (Clove, 10 pieces), Qing Pi (Green Tangerine Peel, 10 pieces soaked in decoction overnight until soft, pith removed).
Place one piece of Bdous, one grain of Hu Jiao, and one Ding Xiang inside each piece of Qing Pi, wrap them, and secure with hemp thread. After wrapping all ten, place them in a pot with one bowl of strong vinegar, boil until vinegar is dry. Remove, finely chop, and bake with other herbs to powder. Mix with millet paste to form pills the size of millet seeds. For a three-year-old, administer 2-3 pills; for older children, 5 pills; for five-year-olds, 7 pills; for seven-year-olds, 10 pills. Take with rice water, at any time.
Pian Yin Wan (Flat Silver Pill)
Treats phlegm-saliva Qi obstruction, upper jiao excess heat, milk/food stagnation, abdominal distension, and urgent wheezing.
Bdous Frost (half tael, shelled and processed to frost), Hao Mo (Good Ink Stick, 8 qian, ground), She Xiang (Musk, half qian, ground), Shui Yin (Mercury, half tael combined with 2.5 qian Lead to form cinnabar-like grains).
First grind Bdous Frost with Ink evenly. Then add the Mercury-Lead grains and Musk, mixing and grinding until extremely fine and uniform. Mix with aged rice porridge to form pills the size of mung beans, flattened. For one-year-olds, one pill; for two-to-three-year-olds, three pills. Send down with cooled mint decoction after meals. Do not crush the pill.
Nong Po Wan (Magnolia Bark Pill)
Treats wind-cold, cold pathogen lodging in zang-fu organs, abdominal distension and fullness, and obstructed Qi flow.
Nong Po (Magnolia Bark, 1 tael, coarse skin removed, ginger-processed), Ding Xiang (Clove, 1 tael), Mu Xiang (Aucklandia Root, 1 tael), Bai Zhu (Atractylodes Macrocephala, 1 tael), Qing Pi (Green Tangerine Peel, half tael, pith removed), Qian Niu Zi (Morning Glory Seed, 1 qian, stir-fried).
Grind all into fine powder. Mix with refined honey to form pills the size of millet seeds. Take 10 pills per dose with Chenpi Decoction (Tangerine Peel Decoction), at any time.
Fen Qi Wan (Separate Qi Pill)
Treats abdominal distension and pain.
Bdous (10 pieces, shelled, membranes removed, oil expressed out), Mu Xiang (Aucklandia Root, 1 qian), Fu Zi (Prepared Aconite Root, one piece weighing half tael, prepared, skin and umbilicus removed, tip intact).
Grind into fine powder. Mix with wheat flour paste to form pills the size of sesame seeds. Take 2-3 pills per dose with boiled water.
Another Formula for Abdominal Distension (Also known as Taqi Wan)
Quan Xie (Scorpion, half tael), Hu Jiao (Pepper, 1 tael), Mu Xiang (Aucklandia Root, half tael), Bdous (1 fen, shelled, membranes removed, oil expressed out).
Grind into fine powder. Mix with wheat flour paste to form pills the size of millet seeds. Take 3-5 pills per dose with Scallion White Decoction, at any time.
Hu Fen Yan (Lead Carbonate Salt)
Treats abdominal distension. Stir-fry Hu Fen Yan until color changes, then rub on the abdomen. Alternatively, mix axle grease with soil from under wheels to form pills and swallow.
Jiu Gen Zhi (Chinese Chive Root Juice)
Same indication as above. Crush Chinese chive roots to extract juice, mix with lard, and decoct for oral administration. Alternatively, burn parental fingernails to ash, apply to nipple for infant to suckle.
Ban Xia Wan (Pinellia Pill)
Treats abdominal distension and sudden severe abdominal distension threatening life. Use appropriate amount of Ban Xia, stir-fry with salt, grind to fine powder. Mix with wine to form pills the size of millet seeds. Take 3-5 pills per dose. For small infants, take with breast milk; for larger children, take with fresh ginger decoction or rice water. Increase dosage if not cured. Administer twice daily. Applying powder to the navel is also effective.
Another Formula for Heart, Abdomen, Hypochondriac Fullness and Severe Restlessness
Burn chicken eggshells to powder. Take 1 qian or half qian with wine.
Taqi Wan (Collapse Qi Pill)
Treats Spleen-Stomach Qi deficiency, abdominal distension and fullness.
Quan Xie (Whole Scorpion, 1 qian), Hei Qian Niu (Black Morning Glory Seed, 4.5 qian, half stir-fried, half raw), Luo Bo Zi (Radish Seed, 4.5 qian, half stir-fried, half raw), Chen Pi (Aged Tangerine Peel, 2 qian, white pith removed), Qing Pi (Green Tangerine Peel, 2 qian, pith removed), Jing San Leng (Curcuma Kwangsiensis Rhizome, 2 qian, prepared and crushed), Peng E Zhu (Curcuma Phaeocaulis Rhizome, 2 qian, prepared and crushed; one formula uses raw).
Grind into fine powder. Mix with wheat flour paste to form pills the size of radish seeds. Take 10-20 pills per dose with Ginger Decoction, at any time.
Taqi Wan (Collapse Qi Pill)
Treats abdominal distension and Qi fullness resembling swelling.
Hu Jiao (Pepper, half tael), Gan Sui (Kansui Root, 1 fen), Hei Qian Niu (Black Morning Glory Seed, 1 tael, stir-fried), Mu Xiang (Aucklandia Root, 1 qian).
Grind into fine powder. Mix with wheat flour paste to form pills the size of mung beans. Take 5-7 pills per dose with Ginger Decoction, at any time.
Taqi Wan (Collapse Qi Pill)
Treats Spleen deficiency abdominal distension, or swelling of face, eyes, and limbs. (This formula is from Qian Yi's collection).
Hu Jiao (Pepper, 1 tael), Xie Wei (Scorpion Tail, half tael, toxicity removed).
Grind into fine powder. Mix with wheat flour paste to form pills the size of millet seeds. Take 5-7 pills, up to 10-20 pills per dose, with aged rice water, at any time. Adjust dosage according to age/size. Another variation adds Mu Xiang (Aucklandia Root, 1 qian). Another variation uses Quan Xie (Whole Scorpion, 1 piece) and Hu Jiao (Pepper, 10 grains), ground together, mixed with earwax, and taken with rice water.
Wubai Wan (Five Hundred Pills)
Treats Qi deficiency abdominal distension.
Yu Li Ren (Prunus japonica Kernel, separately ground), Hu Jiao (Pepper), Ding Xiang (Clove), Hei Qian Niu (Black Morning Glory Seed), Luo Bo Zi (Radish Seed) (each 100 grains).
Grind into fine powder. Mix with scallion juice to form pills the size of mung beans. Take 3-5 pills per dose; increase for older/larger children. Take with Scallion Decoction, at any time.
Bai Zhu Gao (Atractylodes Macrocephala Paste/Pill)
Treats Spleen-Stomach disharmony, abdominal distension and Qi痞 (obstruction), and difficult urination.
Bai Zhu (Atractylodes Macrocephala, half tael), Bai Fu Ling (Poria Cocos, half tael, black skin removed), Ren Shen (Ginseng Root, 1 fen, rhizome removed), Hua Shi (Talcum, 1 fen), Ze Xie (Alisma Rhizome, half tael).
Grind into powder. Mix with refined honey to form pills. Take an amount the size of a soapberry seed per dose, dissolve in rice water, at any time.
Dou Kou San (Cardamom Powder)
Treats abdominal distension, vexation, thirst, scanty urination, vomiting, and diarrhea.
Liu Huang (Sulfur, 1 fen), Bai Hua Shi (White Talcum, 3 fen), Ding Xiang (Clove, half fen), Rou Dou Kou (Nutmeg, wrapped in flour and baked, half fen).
Grind into fine powder. Take 1 zi (approx. 0.5-1g) or half qian per dose, mixed with rice water, at any time.
Tuo Yang Wan (Support and Nourish Pill)
Treats Yin-Yang Qi obstruction and blockage, abdominal distension and bloating, vomiting, vexation, thirst, and intermittent cold extremities.
Liu Huang (Sulfur), Shui Yin (Mercury) (each half tael, ground together until no shiny spots remain), Fu Zi (Prepared Aconite Root, prepared, skin and umbilicus removed), Mu Xiang (Aucklandia Root), Dang Gui (Angelica Sinensis Root, washed, dried, half tael), Da Huang (Rhubarb Root, 1 tael, wrapped in wet paper and slow-roasted until cooked).
Grind into powder and mix well. Mix with refined honey to form pills the size of cherries. Take one pill per dose, dissolve in Ginger Decoction, at any time.
Mu Xiang Wan (Aucklandia Root Pill)
Treats pediatric Qi distension, abdominal fullness, loss of appetite. Removes foul Qi. Mu Xiang (Aucklandia Root) and He Li Le (Chebula Fruit) are baked, pitted, and ground in equal parts. Mix with rock sugar water and paste to form pills the size of mung beans. Take 10-20 pills per dose with rice water, at any time.
Ge Gen Zhi (Kudzu Root Juice)
Treats pediatric heat Qi, oppression, fullness, and abdominal distension. Crush fresh Ge Gen (Kudzu Root), squeeze out juice, and drink.
Gui Xin Wan (Cinnamon Heart Pill)
Treats pediatric abdominal distension and urgent Qi caused by eating miscellaneous fruits. Grind Gui Xin (Cinnamon Heart) to powder. Mix with rice to form pills the size of mung beans. Take 5 pills with warm water. Repeat if not cured. No specific timing required.
For infants with abdominal distension who cannot take oral medication:
Use late-season Mulberry Leaves (Wan Sang Ye) in sufficient quantity. Decoct strongly. Steam the lower body area. When temperature is suitable, wash the abdomen.
For pediatric severe abdominal distension where oral medication is impossible:
Roast fresh ginger until hot. Wrap in cotton cloth and insert into the anus. Replace when cool.
Zhuan Qi Wan (Earn/Attract Qi Pill)
Treats pediatric abdominal distension.
Ding Xiang (Clove, 1 qian), Luo Bo Zi (Radish Seed, half tael, with 1 fen Bdous smashed and stir-fried together until black, remove Bdous).
Grind into powder. Soak steamed bread dough, mix to form pills the size of mung beans. Take 5 pills per dose with Tangerine Peel Decoction, at any time.
For pediatric upper heat oppression, Qi congestion, and distension:
Crush Ge Gen (Kudzu Root) to extract juice. Administer according to age and severity.