茅先生小儿有中冷泻候∶腹中虚鸣，身微冷，腹肚胀满，此候因冷食所伤至此。所治者，先用乳香散（方见一
切泄泻门中、）调中饮与吃即愈（方见胃气不和门中）。
《婴童宝鉴》小儿冷泻，为脾胃虚冷，不消五谷，粪不结实，腹胀而泻，泻而气酸，乃有积也。
《颅囟经》治孩子水泻痢并脾冷，食乳不消，吃奶频吐。温脾散方
附子 干姜 甘草（各半两。炮） 白术（一两）
上为末，空心米饮调半钱。忌鲜鱼毒物。
《千金》治少小泄清痢藜芦丸方
藜芦（二分） 黄连（三分） 附子（一分，炮裂，去皮脐）
上三味末之，蜜丸如麻子大。以粥饮服二丸，立验。
《千金》泽漆茱萸汤 治小儿夏月暴寒，寒入胃则暴下如水，四肢被寒所折则壮热，经日热不除，经月许日变
通身虚满腹痛，其脉微细。服此汤一剂后，得渐安神方。
泽漆 海藻 青木香（各二分） 吴茱萸 茯苓 白术（炮） 桔梗 芍药 当归（各三分） 大黄（一分）
上十味 咀，以水四升煮取一升半。二百日至一岁儿，一服二合半∶一岁以上至二岁一服四合。
《千金》温中汤 治小儿夏月积冷，洗浴过度，及乳母亦冷洗浴，以冷乳饮儿；壮热，忽值豪雨凉加之。儿下
如水，胃虚弱，则面青肉冷，眼陷干呕者，宜先与此调其胃气，下即止方。
干姜（炮） 浓朴（姜制。各一分） 甘草（炙） 当归 桂心（各三分） 茯苓 人参 白术（炮） 桔梗（各
二分）
上九味 咀，以水二升，煮取九合。六十日至百日儿服二合半，余皆随儿大小。
《子母秘录》治小儿水泻，形羸不胜，大汤药方。
上用白石脂半两研如粉，和白粥，空肚与食。
谭氏治小儿水泻椒红丸及人年五十以上患泻者方
上用椒二两，醋二升，煮醋尽，慢火焙干，为末，瓷器贮之。每服二钱匕，酒或米饮下之。
《婴孺》治小儿冷下大良方。自五岁至百日以上一、二岁儿以意增减水药。
人参 甘草（炙） 干姜 浓朴（炙） 半夏（洗） 赤石脂（各四两） 黄连 龙骨（各六分）枣（十五个）
上切，以水五升，煮取一升半，为五服，一日尽。
钱乙温中丸 治小儿胃寒，泻白，腹痛，肠鸣，吐酸水，不思食，及霍乱吐泻方。
人参（切，去须，焙） 甘草（锉，炒） 白术（各为末。一两）
上姜汁面糊丸绿豆大。米饮下一、二十丸，无时。
张涣川椒丹方 小儿夏伤湿冷，入于肠胃，泄泻不止方。
川椒（一两，去闭目双者并黑子，拣净，慢火炒香熟为度） 肉豆蔻（半两）
上件捣罗为细末，粳米饭和丸如黍米大。每服十粒，米饮下。量儿大小加减。
张涣助胃丹方 治泄注不止，手足逆冷。
附子（一枚，重半两，炮制，去皮脐） 舶上硫黄 干姜（炮） 肉豆蔻 肉桂 白术（炮。各半两）
上件捣罗为细末，白面煮糊和丸如黍米大。每服十粒，米饮下，食前。
张涣粟煎汤方 治肠胃受风冷，泄注不止，身体壮热。
白术（炮） 当归（洗，焙干） 川芎 人参（去芦头） 肉桂 芍药（各一两）
上件捣罗为细末。每服一钱，水一小盏，入生姜三片、粟米一匙头许，煎至五分，粟米熟，去滓，放温服。
张涣诃黎豆蔻丹方 治泄利不止。
诃黎勒皮 草豆蔻仁（各一两） 白术 干姜（各炮） 川黄连 当归（洗，焙干。各半两）
上件捣罗为细末，粟米饭和丸如黍米大。每服十粒，米饮下。量儿大小加减。
《婴童宝鉴》治小儿冷泻补脾丸方
龙骨（烧末） 乳香 芜荑（各末） 麝香（各一钱匕） 肉豆蔻（一个，炮末）
上件和匀，研饭为丸如萝卜子大。一岁三丸，饭饮下。
《张氏家传》治小儿伤冷，水泻白色，或脏滑不止者，诃子散方
诃子（炮过，去核） 龙骨好者（碎） 丁香（略焙。各一分） 甘草（半分，炮，切）
上件同捣罗为细末。每服三岁以上半钱，三岁以下一字，用陈米饮调下。
《孔氏家传》治小儿脏寒，大便痛，奶瓣不消方。
没石子（一个） 乳香（皂皂大）
上研匀，用枣肉为丸如粟米大。乳汁下二丸，无时服。
《孔氏家传》又方
上用肉豆蔻一枚，用面裹，慢火炮，候面熟取出，研极细，面糊丸如粟米大。乳汁下一、二丸，无时。
《孔氏家传》治小儿脏腑不调，大便青色方。
白术 人参 茯苓（各一钱） 甘草（炙，半钱）
上末一钱，水一小盏，煎七分，温服。
《王氏手集》肉豆蔻丸 治饮冷过多，脾胃受湿，泄泻频并，时发腹痛，减食困倦，肌瘦腹大方。
肉豆蔻（一两） 黑附子（半两，炮裂）
上为细末，面糊为丸绿豆大。每服五、七丸至十丸、十五丸，乳食前，煎萝卜橘皮汤下。
《吉氏家传》治久患冷泻，大肠虚滑，万安散方
白术（姜浸，煮三、五沸） 甘草（炮赤。各一钱） 乌头（半两，火炮裂） 干姜（一分） 草果子（一个，面
裹煨，同面用）
上末，用生姜煎一钱。如泻，便用紫苏木瓜汤调异攻散三服。（异攻散方在胃气不和门中。）
《吉氏家传》治久泻虚冷醒脾散方
天南星 冬瓜子（去壳） 雄黄（各一钱）
上末。每服一字，冬瓜肉煎汤下，一日三服，仍一面服异攻散（方见同前）。
《吉氏家传》治水泻方。
上用川乌头大者，生，去皮尖，为细末，以滴井水为丸如小绿豆大。每服十丸，小儿细丸，加减与服，并
用井花水下。
长沙医者易忠信传治小儿脏寒滑泄，下痢不禁，牡蛎丸方
牡蛎（一两，别研） 硫黄（半两，别研）
上件药用砂锅子一个，先入牡蛎，中留一窍，安硫黄在中心，以瓦子盖口，用赤石脂固缝，盐泥固济，白
炭火三斤， 令火尽为度，取出，糯米糊为丸如麻子大。每服三、二十粒，米饮吞下。
Mr. Mao pointed out the symptoms of middle-jiao deficiency-cold diarrhea in children: weak rumbling in the abdomen, slight coldness of the body, and abdominal distension. This condition arises from injury caused by consuming raw or cold food. For treatment, administer Xurong San (Cinnamon Twig and Frankincense Powder; see section on "All Diarrhea Types") and Tiaozhong Yin (Regulate Middle Decoction) until recovery is achieved (see section on "Stomach Qi Disharmony").
*Yingtong Baojian* records that pediatric cold diarrhea results from deficiency-cold of the Spleen and Stomach, leading to an inability to digest the five grains. The stool is unformed, accompanied by abdominal distension and diarrhea, with acidic-smelling gas due to internal accumulation.
*Culun Jing* prescribes Wenpi San (Warm the Spleen Powder) for treating infants and young children with watery diarrhea, dysentery, spleen cold, indigestion of milk, and frequent vomiting.
Ingredients: Fuzi (Prepared Aconite Lateralis Radix), Ganjiang (Dried Ginger), Gancao (Prepared Licorice Root) (each 0.5 liang, processed); Baizhu (Atractylodis Rhizoma) (1 liang).
Grind into fine powder. Take half a qian mixed with rice water on an empty stomach. Avoid fresh fish and toxic foods.
*Qianjin Fang* prescribes Lilu Wan (Veratrum Pill) for treating infants and young children with clear loose stools and dysentery.
Ingredients: Lilu (Veratri Radix) (2 fen), Huanglian (Coptidis Rhizoma) (3 fen), Fuzi (Prepared Aconite Lateralis Radix) (1 fen, processed, skin and navel removed).
Grind these three ingredients into powder. Form pills the size of hemp seeds using honey. Take two pills with porridge water; effect is immediate.
*Qianjin Fang* Zeqi Zhuyu Tang (Euphorbia and Evodia Decoction): Treats sudden cold invasion in summer causing watery diarrhea as if pouring water; when limbs are chilled, high fever ensues. If fever persists for days and then transforms into generalized fullness, abdominal pain after about a month, with a faint and thin pulse. After one dose of this decoction, gradual calming of the mind can be expected.
Ingredients: Zeqi (Euphorbiae Thunbergianae Herba), Haizao (Sargassum), Qingmuxiang (Radix Aucklandiae), Wuzhuyu (Evodiae Fructus), Fuling (Poria), Baizhu (Processed Atractylodis Rhizoma), Jiegeng (Platycodonis Radix), Shaoyao (Paeoniae Radix), Danggui (Angelicae Sinensis Radix) (each 2 fen for the first three, 3 fen for the next five); Dahuang (Rhei Radix et Rhizoma) (1 fen).
Chop the ten ingredients. Boil in four sheng of water to reduce to one and a half sheng. For infants aged 200 days to one year, take 2.5 he per dose; for children aged one to two years, take 4 he per dose.
*Qianjin Fang* Wenzhong Tang (Warm the Middle Decoction): Treats accumulated cold in summer due to excessive bathing, or when the nursing mother bathes in cold water and feeds the infant cold milk. Symptoms include high fever, sudden exposure to cool rain, watery stools, weak stomach, cyanotic complexion, cold flesh, sunken eyes, and dry heaving. Administer this formula first to regulate Stomach Qi; diarrhea will stop.
Ingredients: Ganjiang (Processed Dried Ginger), Houpo (Magnoliae Officinalis Cortex, ginger-processed) (each 1 fen), Gancao (Honey-fried Licorice Root), Danggui (Angelicae Sinensis Radix), Guixin (Cinnamomi Ramulus) (each 3 fen), Fuling (Poria), Renshen (Ginseng Radix et Rhizoma), Baizhu (Processed Atractylodis Rhizoma), Jiegeng (Platycodonis Radix) (each 2 fen).
Chop the nine ingredients. Boil in two sheng of water to reduce to nine he. For infants aged 60 to 100 days, take 2.5 he; adjust dosage for other ages according to the child's size.
*Zimu Milu* prescribes a large decoction for pediatric watery diarrhea where the child is too emaciated to tolerate strong medicines:
Take Baiszhi (Halloysitum Rubrum) 0.5 liang, grind into powder, mix with white porridge, and feed on an empty stomach.
Tan Shi’s Jiaohong Wan (Pepper Red Pill) for pediatric watery diarrhea, and a formula for adults over fifty suffering from diarrhea:
Take Sichuan pepper (Zanthoxyli Pericarpium) 2 liang, vinegar 2 sheng. Boil until vinegar is consumed, dry slowly over low heat, grind into powder, and store in porcelain. Take 2 qianbi per dose with wine or rice water.
*Yingru Shu* prescribes a highly effective formula for pediatric cold diarrhea. Adjust water and dosage for children from five years down to over 100 days, and for one-to-two-year-olds.
Ingredients: Renshen (Ginseng Radix et Rhizoma), Gancao (Honey-fried Licorice Root), Ganjiang (Dried Ginger), Houpo (Fired Magnoliae Officinalis Cortex), Banxia (Pinelliae Rhizoma, washed), Chishizhi (Halloysitum Rubrum), Huanglian (Coptidis Rhizoma), Longgu (Fossilized Mammal Bones) (each 4 liang for the first six, 6 fen for Huanglian and Longgu), Jujubae Fructus (15 fruits).
Chop ingredients. Boil in five sheng of water to reduce to one and a half sheng. Divide into five doses, taken within one day.
Qian Yi’s Wenzhong Wan (Warm the Middle Pill): Treats pediatric stomach cold, white stools, abdominal pain, borborygmus, sour regurgitation, loss of appetite, and cholera-like vomiting and diarrhea.
Ingredients: Renshen (Cut, de-whiskered, dried), Gancao (Crushed, fried), Baizhu (Each ground into powder, 1 liang).
Form pills the size of mung beans using ginger juice and wheat paste. Take 10-20 pills with rice water at any time.
Zhang Huan’s Chuanjiao Dan (Sichuan Pepper Elixir): Treats diarrhea caused by summer damp-cold invading the intestines and stomach.
Ingredients: Chuanjiao (Zanthoxyli Pericarpium, 1 liang, remove closed-eye double kernels and black seeds, clean, stir-fry over low heat until fragrant), Rou Doukou (Myristicae Semen) (0.5 liang).
Grind into fine powder. Mix with steamed glutinous rice to form pills the size of millet seeds. Take 10 pills with rice water. Adjust dosage based on age.
Zhang Huan’s Zhuwei Dan (Strengthen Stomach Elixir): Treats persistent diarrhea and cold extremities.
Ingredients: Fuzi (Processed Prepared Aconite Lateralis Radix, 1 piece weighing 0.5 liang, skin and navel removed), Boshang Liuhuang (Native Sulfur), Ganjiang (Processed Dried Ginger), Rou Doukou (Myristicae Semen), Rougui (Cinnamomi Cortex), Baizhu (Processed Atractylodis Rhizoma) (each 0.5 liang).
Grind into fine powder. Mix with boiled wheat flour paste to form pills the size of millet seeds. Take 10 pills before meals with rice water.
Zhang Huan’s Sujian Tang (Millet Decoction): Treats wind-cold invading the intestines and stomach, causing persistent diarrhea and high fever.
Ingredients: Baizhu (Processed Atractylodis Rhizoma), Danggui (Washed and dried Angelicae Sinensis Radix), Chuanxiong (Ligustici Chuanxiong Rhizoma), Renshen (Ginseng Radix et Rhizoma, de-radicle), Rougui (Cinnamomi Cortex), Shaoyao (Paeoniae Radix) (each 1 liang).
Grind into fine powder. Take 1 qian per dose with one small cup of water, add three slices of fresh ginger and a spoonful of millet. Boil until reduced to 0.5 cup and millet is cooked. Strain and take warm.
Zhang Huan’s Helidoukou Dan (Chebula and Cardamom Elixir): Treats persistent diarrhea.
Ingredients: Helile Pi (Pericarpium Chebulae), Caodoukou (Cardamomi Fructus) (each 1 liang), Baizhu (Atractylodis Rhizoma), Ganjiang (Processed Dried Ginger) (each processed), Chuanhuanglian (Coptidis Rhizoma), Danggui (Washed and dried Angelicae Sinensis Radix) (each 0.5 liang).
Grind into fine powder. Mix with millet rice to form pills the size of millet seeds. Take 10 pills with rice water. Adjust dosage based on age.
*Yingtong Baojian* prescribes Bipi Wan (Tonify Spleen Pill) for pediatric cold diarrhea.
Ingredients: Longgu (Burned and powdered Fossilized Mammal Bones), Xurong (Frankincense), Wuyi (Xanthoxylei Fructus) (each powdered), Shexiang (Moschus) (each 1 qianbi), Rou Doukou (Myristicae Semen, one piece, processed and powdered).
Mix evenly, grind with rice to form pills the size of radish seeds. For one-year-olds, take three pills with rice water.
*Zhangshi Jiazhan* prescribes Hezi San (Terminalia Powder) for pediatric cold injury, white watery diarrhea, or intestinal slipping with uncontrollable defecation.
Ingredients: Hezi (Processed Terminalia chebula, pitted), Hao Longgu (Crushed high-quality Fossilized Mammal Bones), Dingxiang (Caryophylli Flos, lightly roasted) (each 1 fen), Gancao (Half a fen, processed and cut).
Grind together into fine powder. For children over three years, take half a qian; for under three years, take one zi. Mix with aged rice water and take.
*Kongshi Jiazhan* treats pediatric organ cold, painful bowel movements, and undigested milk curds.
Ingredients: Meishi Zi (Terebinthiae Fructus, one piece), Xurong (Frankincense, size of a soap pod).
Grind evenly. Form pills the size of millet seeds using jujube pulp. Take two pills with breast milk at any time.
*Kongshi Jiazhan* Another Formula:
Take one Rou Doukou (Myristicae Semen), wrap in flour, roast slowly over fire until flour is cooked. Remove, grind extremely fine, and form pills the size of millet seeds using flour paste. Take one or two pills with breast milk at any time.
*Kongshi Jiazhan* treats pediatric organ dysfunction resulting in green stools.
Ingredients: Baizhu (Atractylodis Rhizoma), Renshen (Ginseng Radix et Rhizoma), Fuling (Poria) (each 1 qian), Gancao (Honey-fried Licorice Root) (half a qian).
Grind into powder. Take 1 qian, boil in one small cup of water until reduced to 0.7 cup. Take warm.
*Wangshi Shouji* Rudoukou Wan (Nutmeg Pill): Treats excessive cold drink consumption causing dampness in Spleen and Stomach, frequent diarrhea, intermittent abdominal pain, reduced appetite, fatigue, emaciation, and abdominal distension.
Ingredients: Rudoukou (Myristicae Semen, 1 liang), Hei Fuzi (Black Processed Aconite Lateralis Radix, 0.5 liang, cracked).
Grind into fine powder. Form pills the size of mung beans using flour paste. Take 5-7 to 10-15 pills before milk/food, with decocted radish and tangerine peel soup.
*Jishi Jiazhan* Wan'an San (Ten Thousand Peace Powder) for long-term cold diarrhea and large intestine deficiency-slippage.
Ingredients: Baizhu (Soaked in ginger, boiled 3-5 times), Gancao (Roasted red) (each 1 qian), Wutou (Aconiti Radix, 0.5 liang, fire-roasted cracked), Ganjiang (Dried Ginger) (1 fen), Cao Guo (Tsaoko Fructus, one piece, wrapped in flour and baked with flour).
Grind into powder. Decoct 1 qian with fresh ginger. If diarrhea occurs, immediately take Yigong San (Extraordinary Attack Powder) mixed with Zisu Mugua Tang (Perilla and Papaya Decoction) for three doses. (See *Yigong San* in "Stomach Qi Disharmony" section).
*Jishi Jiazhan* Xingpi San (Awaken Spleen Powder) for chronic diarrhea and deficiency-cold.
Ingredients: Tiannanxing (Arisaematis Rhizoma), Donggua Zi (Benincasae Semen, shelled), Xionghuang (Realgar) (each 1 qian).
Grind into powder. Take one zi per dose with decocted winter melon flesh. Take three times daily. Continue taking Yigong San simultaneously.
*Jishi Jiazhan* Formula for watery diarrhea:
Take large raw Chuanwutou (Aconiti Radix), remove skin and tip, grind into fine powder. Form pills the size of small mung beans using well water. Take 10 pills per dose (reduce pill size for infants). Adjust dosage as needed. Take with spring well water.
Yi Zhongxin, a physician from Changsha, transmits Musi Wan (Oyster Shell Pill) for pediatric organ cold, slippery diarrhea, and uncontrollable dysentery.
Ingredients: Muli (Ostreae Concha, 1 liang, separately ground), Liuhuang (Sulfur, 0.5 liang, separately ground).
Place one clay pot. Put Muli inside, leave a hole in the center, place Liuhuang in the hole. Cover with tile, seal seams with Chishizhi (Halloysitum Rubrum) and salt mud. Roast with three jin of white charcoal until fire burns out. Remove, form pills the size of hemp seeds using glutinous rice paste. Take 3-20 pills swallowed with rice water.