《圣惠》论∶小儿 气者，由饮食不调，生冷过度，与脏气相搏，结聚之所成也。其状脐胁两旁上下有物弦
直，大者如臂，小者如指旋起急痛，故名 气也。
茅先生论∶小儿生下五个月日，上至七岁，有结癖在腹成块，如梅核大，来去或似卵大，常叫疼痛不住者，
亦分数类。在左胁下痛者为 气，下蓬莪术散（方见本门中）夹健脾散，（方见胃气不和门中。）与服即愈。如见
面黑眼视，泻黑血，鼻口冷，手足冷，不进食，死。
《圣惠》治小儿 气急痛京三棱散方
京三棱（微煨，锉） 枳壳（麸炒微黄，去瓤） 大腹子 鳖甲（涂醋炙令黄，去裙 ） 神
曲（微炒） 诃梨勒皮 蓬莪术 麦 （炒令微黄）
浓朴（去粗皮，涂生姜汁炙令香熟） 青橘皮（汤浸，去白瓤，焙。各一分） 黑三棱（半两，锉）
上件药捣，细罗为散。每服以粥饮调下半钱，日三服。更量儿大小加减服之。
《圣惠》治小儿 气，发即紧痛，不欲饮食，大黄散方
川大黄（锉碎，微炒） 鳖甲（各一两。涂醋炙令黄，去裙 ） 麝香（细研） 木
香（各一分） 京三棱（微煨，锉） 槟榔 甘草（炙微赤，锉。各半两）
上件药捣，细罗为散，都研令匀。每服以粥饮调下半钱，日三、四服。更量儿大小以意加减。
《圣惠》治小儿 气，两胁下紧痛，羸瘦。鳖甲丸方
鳖甲（涂醋炙令黄，去裙 ） 京三棱（微煨，锉） 川大黄（锉碎，微炒。各一两） 人
参（去芦头） 干姜（炮裂，锉） 白术 枳壳（麸炒微黄，去瓤）
柴胡（去苗） 当归（锉，微炒） 赤芍药 陈橘皮（汤浸，去白瓤，焙） 浓朴（去粗皮，涂生姜汁炙香
熟。各半两）
上件药捣，罗为末，炼蜜和丸如绿豆大。每服以生姜汤下七丸，日三服。更量儿大小加减服之。
《圣惠》治小儿 气，不能下食，肌体瘦，防葵丸方
防葵 当归（去芦头） 桂心 诃梨勒皮 陈橘皮（汤浸去白瓤，焙） 川大黄（锉碎，微炒） 鳖
甲（涂醋炙令黄，去裙 ） 桔梗（去芦头。各
半两） 杏仁（二十枚，汤浸，去皮尖、双仁，麸炒微黄） 附子（炮裂，去皮脐） 吴茱
萸（汤浸七遍，焙干，炒。各一分）
上件药捣，罗为末，炼蜜和丸如麻子大。每服以粥饮下五丸，晚后再服。更量儿大小以意加减。
《圣惠》治小儿 气，食不消化，四肢瘦弱，宜服此方。
鳖甲（涂醋炙令黄，去裙 ） 川大黄（锉碎，微炒） 京三棱（微煨，锉。各半两） 枳壳
（麸炒微黄，去瓤） 芎 桔梗（去芦头） 赤茯苓 赤
芍药 干姜（炮裂，锉） 桂心（各一分）
上件药捣，罗为末，炼蜜和丸如麻子大。每服以粥饮下五丸，日三服。更量儿大小增减服之。
《圣惠》又方
京三棱（一两。微煨，锉） 鳖甲（三分。涂醋炙令黄，去裙 ） 川大黄（锉碎，微炒，二两）
上件药捣，粗罗为散。每服一钱，以水一小盏，煎至五分，去滓，分温二服，晚后再服。更量儿大小以意加减。
《圣惠》又方
鳖甲（一枚。涂醋炙令黄，去裙 ）
上捣，细罗为末。每服一钱，以童子小便一小盏，煎至五分。量儿大小分减服之，日三服。神效。
茅先生小儿 气，一切气疾。蓬莪术散
蓬莪术 青橘皮（去白瓤） 益智（各半两） 木香（一分） 糯米（一两）
上为末，每服一大钱。用陈米饮调下，日进四服。
The *Shenghui Fang* discusses: Infantile *gan qi* (accumulation disorder) arises from irregular diet and excessive intake of cold and raw foods, which clash with the Qi of the internal organs, leading to condensation and accumulation. The clinical presentation involves cord-like hard masses appearing above and below on both sides of the umbilicus and hypochondrium; these masses may be as large as an arm or as small as a finger, protruding and accompanied by acute pain, hence the name *gan qi*.
Master Mao states: Between five months and seven years of age, infants and children may develop abdominal accumulations (*ji*) forming lumps, varying in size from a plum pit to an egg. If accompanied by constant crying and pain, it is classified into several types. Pain located under the left hypochondrium indicates *gan qi*, which can be cured by administering Peng'e Zhu San (Curcuma Longa Powder) combined with Jian Pi San (Spleen-Strengthening Powder). However, if the child presents with a dark complexion, dull eyes, passage of black blood in stool, coldness of the nose and mouth, cold extremities, and inability to eat, the prognosis is fatal.
*Shenghui Fang* formula Jing San Leng San for treating infantile *gan qi* with acute pain:
Jing San Leng (Rhizoma Sparganii, lightly roasted and sliced), Zhi Ke (Fructus Aurantii, bran-fried until slightly yellow, pith removed), Da Fu Zi (Semen Arecae), Bie Jia (Carapax et Plastrum Testudinis, vinegar-processed until yellow, skirted edge removed), Shen Qu (Massa Medicata Fermentata, lightly fried), He Li Le Pi (Pericarpium Chebulae), Peng E Zhu (Rhizoma Curcumae Longae), Mai (Triticum aestivum, fried until slightly yellow), Hou Po (Cortex Magnoliae Officinalis, bark removed, processed with ginger juice until fragrant), Qing Ju Pi (Pericarpium Citri Reticulatae, soaked in water, white pith removed, dried). Each ingredient weighs one fen. Hei San Leng (Rhizoma Sparganii, half liang, sliced).
Crush the above herbs, sift finely to make a powder. Administer half a qian per dose, mixed with rice broth, three times daily. Adjust dosage according to the child's age and size.
*Shenghui Fang* formula Da Huang San for treating infantile *gan qi* characterized by tight pain upon onset and loss of appetite:
Chuan Da Huang (Radix et Rhizoma Rhei, crushed, lightly fried), Bie Jia (Carapax et Plastrum Testudinis, each 1 liang, vinegar-processed until yellow, skirted edge removed), She Xiang (Moschus, finely ground), Mu Xiang (Radix Aucklandiae, each 1 fen), Jing San Leng (Rhizoma Sparganii, lightly roasted and sliced), Bing Lang (Semen Arecae), Gan Cao (Radix Glycyrrhizae, honey-fried until slightly red, crushed, each half liang).
Crush the above herbs, sift finely to make a powder, and mix thoroughly. Administer half a qian per dose, mixed with rice broth, three to four times daily. Adjust dosage according to the child's age and size.
*Shenghui Fang* formula Bie Jia Wan for treating infantile *gan qi* with tight pain under both hypochondria and emaciation:
Bie Jia (Carapax et Plastrum Testudinis, vinegar-processed until yellow, skirted edge removed), Jing San Leng (Rhizoma Sparganii, lightly roasted and sliced), Chuan Da Huang (Radix et Rhizoma Rhei, crushed, lightly fried, each 1 liang), Ren Shen (Radix Ginseng, rhizome removed), Gan Jiang (Rhizoma Zingiberis, processed until cracked, crushed), Bai Zhu (Rhizoma Atractylodis Macrocephalae), Zhi Ke (Fructus Aurantii, bran-fried until slightly yellow, pith removed), Chai Hu (Radix Bupleuri, sprouts removed), Dang Gui (Radix Angelicae Sinensis, crushed, lightly fried), Chi Shao Yao (Radix Paeoniae Rubra), Chen Pi (Pericarpium Citri Reticulatae, soaked in water, white pith removed, dried), Hou Po (Cortex Magnoliae Officinalis, bark removed, processed with ginger juice until fragrant, each half liang).
Crush the above herbs, sift into powder, and mix with refined honey to form pills the size of mung beans. Administer seven pills per dose with ginger decoction, three times daily. Adjust dosage according to the child's age and size.
*Shenghui Fang* formula Fang Kui Wan for treating infantile *gan qi* with inability to eat and emaciation:
Fang Kui (Radix Adenophorae or Radix Glehniae), Dang Gui (Radix Angelicae Sinensis, rhizome removed), Gui Xin (Cortex Cinnamomi), He Li Le Pi (Pericarpium Chebulae), Chen Pi (Pericarpium Citri Reticulatae, soaked in water, white pith removed, dried), Chuan Da Huang (Radix et Rhizoma Rhei, crushed, lightly fried), Bie Jia (Carapax et Plastrum Testudinis, vinegar-processed until yellow, skirted edge removed), Jie Geng (Radix Platycodonis, rhizome removed, each half liang), Xing Ren (Semen Pruni Armeniacae, twenty seeds, soaked in water, skin and tips removed, bran-fried until slightly yellow), Fu Zi (Radix Aconiti Lateralis Preparata, processed until cracked, skin and navel removed), Wu Zhu Yu (Fructus Evodiae, soaked in water seven times, dried, fried, each 1 fen).
Crush the above herbs, sift into powder, and mix with refined honey to form pills the size of sesame seeds. Administer five pills per dose with rice broth, taken again in the evening. Adjust dosage according to the child's age and size.
*Shenghui Fang* another formula for treating infantile *gan qi* with indigestion and emaciated limbs:
Bie Jia (Carapax et Plastrum Testudinis, vinegar-processed until yellow, skirted edge removed), Chuan Da Huang (Radix et Rhizoma Rhei, crushed, lightly fried), Jing San Leng (Rhizoma Sparganii, lightly roasted and sliced, each half liang), Zhi Ke (Fructus Aurantii, bran-fried until slightly yellow, pith removed), Xiong Huang (Rhizoma Chuanxiong), Jie Geng (Radix Platycodonis, rhizome removed), Chi Fu Ling (Poria with Red Hosta Root), Chi Shao Yao (Radix Paeoniae Rubra), Gan Jiang (Rhizoma Zingiberis, processed until cracked, crushed), Gui Xin (Cortex Cinnamomi, each 1 fen).
Crush the above herbs, sift into powder, and mix with refined honey to form pills the size of sesame seeds. Administer five pills per dose with rice broth, three times daily. Adjust dosage according to the child's age and size.
*Shenghui Fang* another prescription:
Jing San Leng (Rhizoma Sparganii, 1 liang, lightly roasted and sliced), Bie Jia (Carapax et Plastrum Testudinis, 3 fen, vinegar-processed until yellow, skirted edge removed), Chuan Da Huang (Radix et Rhizoma Rhei, crushed, lightly fried, 2 liang).
Crush the above herbs, coarsely sift to make a powder. Administer 1 qian per dose, decoct in one small cup of water until reduced to half a cup, strain, and divide into two warm doses, with an additional dose in the evening. Adjust dosage according to the child's age and size.
*Shenghui Fang* another prescription:
Bie Jia (Carapax et Plastrum Testudinis, one piece, vinegar-processed until yellow, skirted edge removed).
Crush and sift finely into powder. Administer 1 qian per dose, decoct in one small cup of urine from an uncircumcised boy until reduced to half a cup. Divide the dose according to the child's age and size, administered three times daily. This yields miraculous effects.
Master Mao's Peng'e Zhu San for treating infantile *gan qi* and all Qi disorders:
Peng E Zhu (Rhizoma Curcumae Longae), Qing Ju Pi (Pericarpium Citri Reticulatae, white pith removed), Yi Zhi Ren (Fructus Alpiniae Oxyphyllae, each half liang), Mu Xiang (Radix Aucklandiae, 1 fen), Nuo Mi (Oryza sativa var. glutinosa, 1 liang).
Grind into powder. Administer one large qian per dose, mixed with aged rice broth, four times daily.