《圣惠》论∶夫脾者，脏也；胃者，腑也。脾胃二气合为表里，胃受谷而脾磨之，二气平调则谷化而能食。
若虚实不等，水谷不消，故令腹胀或泄利不能饮食，谓脾胃气不和，不能饮食也。
《千金》治少小胃气不调，不嗜食，生肌肉。地黄丸方
干地黄 大黄（各一两六钱） 茯苓（十八铢） 杏仁（汤浸去皮） 柴胡 当归（各半两）
上六味末之，以蜜丸如麻子大。服五丸，日三服。
《圣惠》治小儿脾胃气不和，腹胁妨闷，不能饮食，四肢羸弱。人参散方
人参（去芦头） 黄 （锉） 甘草（炙微赤，锉） 丁香（各一分） 诃梨勒皮 陈橘皮（汤浸去白瓤，
焙。各半两）
上件药捣，粗罗为散。每服一钱，以水一小盏，入生姜少许，枣一枚，煎至五分，去滓，不计时候服。量
儿大小以意加减。
《圣惠》治小儿脾胃气不和，见食欲呕，心胸壅闷。前胡散方
前胡（去芦头） 芦根（锉，各三分） 桂心（一分） 人参（去芦头） 白术 赤茯苓 枇杷
叶（拭去毛，炙微黄） 甘草（炙微赤，锉） 浓朴（去粗皮，生姜汁涂，炙令香熟。各半两）
上件药捣，粗罗为散。每服一钱，以水一小盏，入生姜少许，煎至五分，去滓。不计时候，看儿大小，分
减温服。
《圣惠》治小儿冷伤脾胃，气不和，心腹痛，不欲饮食。高良姜散方
高良姜（锉） 草豆蔻（去皮） 当归（锉碎，微炒） 陈橘
皮（汤浸，去白瓤，焙） 桂心（各一分） 人参（去芦头，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，看儿大小，分减温服。
《圣惠》治小儿脾胃气不和，憎寒壮热，不纳乳食。白豆蔻散方
白豆蔻（去皮） 陈橘皮（汤浸，去白瓤，焙） 芎 （各一分） 黄 （锉） 干木
瓜甘草（炙微赤，锉） 枇杷叶（拭去毛，炙微黄） 人参（去芦头。各半两）
上件药捣，粗罗为散。每服一钱，以水一小盏，入生姜少许，枣一枚，煎至五分，去滓。不计时候，量儿
大小，分减温服。
《圣惠》治小儿脾胃气不和，时时腹胁虚胀，不欲乳食。诃梨散方
诃梨勒皮 干姜（炮裂，锉） 甘草（炙微赤，锉） 桂心 京三棱（微煨，
锉） 人参（去芦头） 浓朴（去粗皮，涂生姜汁，炙令香熟） 陈橘皮
（汤浸、去白瓤，焙。各半两）
上件药捣，细罗为散。不计时候，以温枣汤下半钱。量儿大小以意加减。
《婴孺》治三岁至七岁儿不能食，或呕，或头热，或下痢，或渴，或手脚热，有时冷。每日一剂并疗，便能
食方。
鳖甲（一两） 当归 甘草（炙） 升麻（各一分） 椒（五十粒）
上切，以水一升煮八合，为三服。每服相去如人行六、七里再服。觉身上润，衣盖取汗，微汗勿深。
张涣高良姜汤 温胃，思进饮食。
高良姜（一两） 陈橘皮（汤浸，去白，焙干） 桂心 当归（汤浸，焙。各半两） 草豆蔻
上件捣，罗为细末。每服一钱，水一小盏，煎至五分，去滓，温冷服。量儿大小加减。
张涣集香煎 治脾胃虚，不欲食，羸瘦。
藿香叶 浓朴（姜汁炙） 丁香 沉香 木香（各一分） 白茯苓 白豆蔻 白术（炮。各一两）
上件捣，罗为细末。入麝香一钱，拌匀。以水一升，蜜半斤，大枣三十枚，生姜二十片，于银、石器中慢
火熬成膏，去姜枣不用，通风处阴干。每服如皂角大，米饮化下，乳前。
《九 卫生》神曲丸方 疗小儿不食。
神曲（一钱、炒） 黄丹（三钱、炒） 肉豆蔻（一个） 草乌头（三个大者，一个生用，一个烧灰，一个炮制）
上同为细末。烧粟饭和丸如粟米大。神曲汤下七丸至十丸。
《刘氏家传》观音散 补虚调气，进食去风，养道，肥孩儿。常服甚妙。
人参 甘草（炙） 甘草（炮。各一钱） 白茯苓（一钱半） 白扁豆（一分，米炒） 神曲（二两，炒）
上为细末。每服婴儿一字，二、三岁半钱，四、五岁一钱。水少半盏，姜一片同煎十余沸，温服。
长沙医者郑愈传治脾虚弱，可思饮食。调中散
枳壳（二钱，煮过） 陈皮 半夏 人参（各一两）
上件为末。每服一钱，水一盏，姜枣同煎六分。
The *Shenghui Fang* discusses: The spleen is a zang organ; the stomach is a fu organ. The qi of the spleen and stomach are exterior-interior counterparts. The stomach receives grain, and the spleen grinds it. When the qi of both is balanced and harmonious, grain is transformed and one can eat.
If there is an imbalance of deficiency and excess, water and grain cannot be digested, thus causing abdominal distension or diarrhea/dysentery with inability to eat. This is called disharmony of spleen and stomach qi, leading to inability to eat.
The *Qianjin Fang* treats pediatric stomach qi disharmony, lack of appetite, and promotes muscle growth. Dihuang Wan (Rehmannia Pill) Formula
Gan Dihuang (Prepared Rehmanniae Radix), Dahuang (Rhei Radix et Rhizoma) (each 1 liang 6 qian), Fuling (Poria), Xingren (Apricot Seed, soaked in hot water and peeled), Chaihu (Bupleuri Radix), Danggui (Angelicae Sinensis Radix) (each 0.5 liang).
Grind the above six herbs into powder, mix with honey, and make pills the size of hemp seeds. Take 5 pills each time, three times a day.
The *Shenghui Fang* treats pediatric spleen and stomach qi disharmony, abdominal and hypochondriac fullness/stuffiness, inability to eat, and emaciation/weakness of the four limbs. Renshen San (Ginseng Powder) Formula
Renshen (Panacis Ginseng Radix, remove rhizome), Huangqi (Astragali Radix, sliced), Gancao (Licorice Root, honey-fried until slightly red, sliced), Dingxiang (Caryophylli Flos) (each 1 fen), Helilepi (Pericarpium Terminaliae Chebulae), Chenjupi (Citri Reticulatae Pericarpium, soaked in hot water, remove white pith, dried) (each 0.5 liang).
Pound the above medicines, sieve coarsely to make a powder. Take 1 qian each time, with one small cup of water, add a little fresh ginger, one jujube, decoct until reduced to 0.5 cup, filter dregs, take at any time. Adjust dosage according to the child's age and size.
The *Shenghui Fang* treats pediatric spleen and stomach qi disharmony, nausea upon seeing food, chest and heart stuffiness/oppression. Qianhu San (Peucedani Radix Powder) Formula
Qianhu (Peucedani Radix, remove rhizome), Lugeng (Phragmitis Rhizoma, sliced) (each 3 fen), Guixin (Cinnamomi Ramulus), Renshen (Panacis Ginseng Radix, remove rhizome), Baizhu (Atractylodis Macrocephalae Rhizoma), Chi Fuling (Poria with Red Core), Pipaye (Eriobotryae Folium, wipe off hairs, fry until slightly yellow), Gancao (Licorice Root, honey-fried until slightly red, sliced), Houpo (Magnoliae Officinalis Cortex, remove rough bark, coat with fresh ginger juice, fry until fragrant and cooked) (each 0.5 liang).
Pound the above medicines, sieve coarsely to make a powder. Take 1 qian each time, with one small cup of water, add a little fresh ginger, decoct until reduced to 0.5 cup, filter dregs. Take at any time, warm, adjust dose according to the child's age and size.
The *Shenghui Fang* treats pediatric cold injury to spleen and stomach, qi disharmony, heart and abdominal pain, and lack of desire for food. Gaoliangjiang San (Galangal Powder) Formula
Gaoliangjiang (Alpiniae Officinarum Rhizoma, sliced), Caodoukou (Cardamomi Fructus, remove skin), Danggui (Angelicae Sinensis Radix, sliced and slightly fried), Chenjupi (Citri Reticulatae Pericarpium, soaked in hot water, remove white pith, dried), Guixin (Cinnamomi Ramulus) (each 1 fen), Renshen (Panacis Ginseng Radix, remove rhizome, 0.5 liang).
Pound the above medicines, sieve coarsely to make a powder. Take 1 qian each time, with one small cup of water, decoct until reduced to 0.5 cup, filter dregs. Take at any time, warm, adjust dose according to the child's age and size.
The *Shenghui Fang* treats pediatric spleen and stomach qi disharmony, aversion to cold with high fever, and refusal of milk/food. Baidoukou San (White Cardamom Powder) Formula
Baidoukou (Cardamomi Fructus, remove skin), Chenjupi (Citri Reticulatae Pericarpium, soaked in hot water, remove white pith, dried), Xiong (Ligustici Chuanxiong Rhizoma) (each 1 fen), Huangqi (Astragali Radix, sliced), Gan Mugua (Chaenomelis Fructus), Gancao (Licorice Root, honey-fried until slightly red, sliced), Pipaye (Eriobotryae Folium, wipe off hairs, fry until slightly yellow), Renshen (Panacis Ginseng Radix, remove rhizome) (each 0.5 liang).
Pound the above medicines, sieve coarsely to make a powder. Take 1 qian each time, with one small cup of water, add a little fresh ginger, one jujube, decoct until reduced to 0.5 cup, filter dregs. Take at any time, warm, adjust dose according to the child's age and size.
The *Shenghui Fang* treats pediatric spleen and stomach qi disharmony, frequent empty distension of abdomen and hypochondrium, and lack of desire for milk/food. Helisan (Terminalia Powder) Formula
Helilepi (Pericarpium Terminaliae Chebulae), Ganjiang (Zingiberis Rhizoma, processed until cracked, sliced), Gancao (Licorice Root, honey-fried until slightly red, sliced), Guixin (Cinnamomi Ramulus), Jingsanleng (Curcumae Zedoariae Rhizoma, lightly roasted, sliced), Renshen (Panacis Ginseng Radix, remove rhizome), Houpo (Magnoliae Officinalis Cortex, remove rough bark, coat with fresh ginger juice, fry until fragrant and cooked), Chenjupi (Citri Reticulatae Pericarpium, soaked in hot water, remove white pith, dried) (each 0.5 liang).
Pound the above medicines, sieve finely to make a powder. Take half a qian at any time, swallowed with warm jujube soup. Adjust dosage according to the child's age and size.
The *Yingru Fang* treats children aged three to seven who cannot eat, or vomit, or have head heat, or dysentery, or thirst, or hot hands and feet, sometimes cold. One dose daily cures all, restoring appetite.
Biejia (Testudinis Carapax et Plastrum, 1 liang), Danggui (Angelicae Sinensis Radix), Gancao (Licorice Root, honey-fried), Shengma (Cimicifugae Rhizoma) (each 1 fen), Jiao (Zanthoxyli Fructus, 50 grains).
Cut the above, boil in one sheng of water until reduced to eight ge, divide into three doses. Take each dose after walking about six or seven li. When feeling moist on the body, cover with clothes to induce sweat; slight sweating is sufficient, do not sweat profusely.
Zhang Huan's Gaoliangjiang Tang (Galangal Decoction) Warms the stomach, stimulates desire for food.
Gaoliangjiang (Alpiniae Officinarum Rhizoma, 1 liang), Chenjupi (Citri Reticulatae Pericarpium, soaked in hot water, remove peel, dried), Guixin (Cinnamomi Ramulus), Danggui (Angelicae Sinensis Radix, soaked in hot water, dried) (each 0.5 liang), Caodoukou (Cardamomi Fructus).
Pound the above, sieve into fine powder. Take 1 qian each time, with one small cup of water, decoct until reduced to 0.5 cup, filter dregs, take warm or cool. Adjust dosage according to the child's age and size.
Zhang Huan's Jixiang Jian (Collected Aromatics Electrolyte) Treats spleen and stomach deficiency, lack of appetite, and emaciation.
Huoxiangye (Agastaches Herba), Houpo (Magnoliae Officinalis Cortex, fried with ginger juice), Dingxiang (Caryophylli Flos), Chenxiang (Aquilariae Lignum Resinatum), Muxiang (Aucklandiae Radix) (each 1 fen), Bai Fuling (Poria), Baidoukou (Cardamomi Fructus), Baizhu (Atractylodis Macrocephalae Rhizoma, processed) (each 1 liang).
Pound the above, sieve into fine powder. Add Shexiang (Moschus, 1 qian), mix well. With one sheng of water, half a jin of honey, thirty jujubes, twenty slices of fresh ginger, slowly simmer in silver or earthenware vessel until forming an electrolyte/paste, remove ginger and jujubes, dry in shade in a ventilated place. Take amount the size of a soap bean, dissolve in rice drink, before nursing.
The *Jiuweishengshu* Shenqu Wan (Medicated Leaven Pill) Treats pediatric anorexia.
Shenqu (Massa Medicata Fermentata, 1 qian, fried), Huandan (Minii Rubrum, 3 qian, fried), Roudoukou (Myristicae Semen), Caowutou (Aconiti Kusnezoffii Radix, three large ones: one raw, one burnt to ash, one processed).
Grind together into fine powder. Mix with millet rice paste to make pills the size of millet seeds. Take 7 to 10 pills with Shenqu decoction.
The *Liu Shi Jiachuan* Guanyin San (Guanyin Powder) Tonifies deficiency, regulates qi, promotes eating, dispels wind, nourishes the dao, and fattens children. Very effective for regular use.
Renshen (Panacis Ginseng Radix), Gancao (Licorice Root, honey-fried), Gancao (Licorice Root, processed) (each 1 qian), Bai Fuling (Poria, 1.5 qian), Bai Biandou (Dolichoris Semen, 1 fen, fried with rice), Shenqu (Massa Medicata Fermentata, 2 liang, fried).
Grind into fine powder. For infants, take one zi; for two to three years old, half a qian; for four to five years old, one qian. With half a small cup of water, one slice of ginger, decoct for ten boils, take warm.
Changsha physician Zheng Yu transmitted Tiaozhong San (Regulate Middle Powder) to treat spleen deficiency, stimulating desire for food.
Zhike (Aurantii Fructus, 2 qian, boiled), Chenpi (Citri Reticulatae Pericarpium), Banxia (Pinelliae Rhizoma), Renshen (Panacis Ginseng Radix) (each 1 liang).
Grind into powder. Take 1 qian each time, with one cup of water, decoct with ginger and jujube until reduced to 0.6 cup.