钱乙论∶肾怯、失音相似。病吐泻及大病后，虽有声而不能言，又能咽药，此非失音，为肾怯。不能上接
于阳故也。当补肾，地黄丸主之。（方见虚寒门中。）失音，卒病耳。（《吉氏家传》小儿患后声不出方。）
酸枣仁（去壳，一钱） 白茯苓（半钱） 朱砂（二钱）
上件为末，丸如○大。每服一丸，人参汤下。
《圣惠》治小儿诸病后六、七岁不能语。鸡头丸方
雄鸡头（一个，烧灰） 蝉（三枚，微炒） 甘草（炙微赤，锉） 远志（去
心） 木通（锉。各半两） 麦门冬（去心，焙） 人参（去芦头。各一两） 当归
（锉，微炒） 黄 （锉） 芎 （各三分）
上件药捣，罗为末。炼蜜和丸如绿豆大。每服以粥饮下五丸。量儿大小加减，不计时候服之。钱乙附方同。
云∶久服取效。鸡、蝉二物，宜求死者用之。不可旋杀。孙真人所谓杀生求生，去生更远，不可不知也。
茅先生∶小儿有奶积候。但是吐下奶来有臭酸气，此候因儿叫未住，母将奶与吃，致不消化，日久停滞，
胃冷而至此。所治者，先用丁香散（方见泻痢门中）调胃，后下实积，牛黄丸。（方见实热门
中。）取下奶积后，下匀气散补（方见胃气
不和门中。）常服健脾散（方见胃气不和门中）即愈。
茅先生∶小儿有食积候。夜间肚微微作热，或呕或泻，此因饮食伤饱而更睡至此。所治者，下实积，牛黄
丸通下；后用匀气散补气。（二方并见同前。）常服万灵丸（方见本门）即愈。
茅先生∶小儿有气积候。面黄白，不进食，肚微痛，夭矫啼叫。此因患诸般气候，久而不安，传归气积至
此。所治者，用万灵丸、匀气散、醒脾散（有二方∶一方见胃气不和门中，一方见慢脾风
门中、）健脾散相夹调理即愈。（余方见同前。）
茅先生∶小儿有中脾积候。面黄如土色，或带黄而面带虚，脐上微痛，肚皮热，饮食减少，才食便言脐上
及肚中痛，所食不化，头微热。此因先食硬物，不然冷物所伤在脾。所治者，先下青金丹（方见本门中）取下脾中积，
后用匀气散、醒脾散补。常服健脾散、万灵丸即愈。（余方并方同前。）
茅先生∶小儿有虚中积候。浑身微热，不思饮食，渴，日多昏 ，抱着一似睡未觉，此候因多端，久泄泻
不止而虚得。此候所治者，先下青金丹，通尽肚中积；后用匀气、醒脾散调理。常服万灵丸、保童丸（方见一切疳门
中）调理即愈。（余方并见同前。）
茅先生∶小儿有实积候。大便不通，风毒疮疖，喉闭胙腮，喉中涎响。此因儿子生来饥猛，饮食无度，至
有前件候。所治者，先用夺命散（方见急慢惊风门中）吐下热涎，后匀气散、醒脾散
调理（二方见同前。）常服牛黄膏（方见膈热门中）、
镇心丸（方见一切惊门中）、天竺黄散（方见实热门中）与服即愈。其前项诸般积气候，各说
分明，下药各有等降。若然前积，调
理不退，如变面黑，久泻不止，腹肚胀满，手心自生疮，气出粗，泻黑色，瘦弱不能坐立，眼视，鼻口燥黑，
死候不治。
汉东王先生《家宝》∶小儿积病可医者九∶
面上虚肿是积。积者，是脾之所系。脾主身之肌肉，故应面，故知是脾积。其脾系土，土无正形，故早晚
浮肿不定，多则早浮，其睡则脾不磨，上面作肿。若病后有此证，则是虚中积。宜用调脾、消积、行气等药。
面合地卧是积。何以合地？其受积在脾，是冷积，何以知之？其脾好土，故知之在脾。其冷者属阴，故知
伤冷、硬食得之。宜下热积气药耳。
腹胀是积，其积在肺。何以知之？其肺主于气，才当受积，其气便冷，腹胀满，气急，故知之在肺。如腹
胀，先宜调气后转，转后更宜调气。
小便如油是积，其积在小肠。何以知之？其积受于脾，脾当转心，心不受触，则入小肠。小肠是心之腑，
故知在小肠。则节其水道，小便如米泔、油相似也。
发黄是积、是积伤心气。心主血脉，荫遍身毛发，被积气所干则发黄，故知是积伤心，宜下空心散（方未见），
及取积药。此人必时复发热也。
赤白痢是积。其积在肺，受传大肠，及有外伤冷而得。何以知之？其肺主西方庚辛金，其色白，后赤则是
外邪。故知肺传大肠，则为赤白痢也，宜取后调气。
两眼黄赤、睛青是积，其积在肝。何以知之？肝主东方甲乙木，色青，却被积气所干，即黄赤。睛青者，
眼属五脏，肝是其主，肝若受积，故令眼睛青。是肝受积，若传胆、其人口苦，不要吃物，宜凉药退之。
遍身虚肿是积，其积不在脏只在腑。何以知之？为其积曾取后，被药发动，即不在脏，故出皮肤之间为肿
也。只宜下，取虚中积药，然后补之耳。
多泻白粪是积，是受冷，积在脾。何以知之？脾主化，受冷积在脾，冷滑而泻白粪，故知在脾。宜先转，
后热药补之。
汉东王先生《家宝》∶小儿积病不可医者六∶
喘急是肺积。肺主气，其喘急则肺绝，其人当面白，全无血色，故不可医也。
面黑是肾积。其人面黑者是肾绝也，人当不辨好恶，眼直无光，只得一日而死也。
吐热气是荣积。其不医者，是血绝不可治也。血主心，心不能管，故出热气不止耳。
手脚心生疮是卫积。卫者气也，胃气不生，故手足生疮。若卫绝则气不回，只得半日而死也。
恶心、吐、干呕是胃积，何以不医？胃主化食，其胃绝则恶吐，故不治。其人必食乳不化，不食亦干吐呕，
面色青黄，无血色也。
泻久住又泻，是积咬脾烂。何以知其脾烂？其人当泻白粪，为食不消，住了，却放粪赤黑而死，即知脾烂
不可治。
钱乙论∶积病口中气温，面黄白，目无精光，或白睛多，及多睡畏食，或大便酸臭者，当磨积，宜消积丸
（方见本门），甚者当白饼子下之（方见搐弱门中），后和胃。
《婴童宝鉴》论∶小儿五积为脏气不行，蓄积一处不动，故曰积。夫心为伏梁在脐上。上攻其心，下攻胃口；
脾为痞气，在胃口上横之；肝为肥气，在脐之左边；肺为息贲，在脐之右畔；肾为贲屯，在脐之下。各有变动，
非食之所成，乃气积也。脏属阴，故在一处而不动也。
《婴童宝鉴》∶小儿有聚，谓六腑之气留聚也。腑属阳，阳气运转不停，故其聚不定一处，发而腹痛。积聚
之候，皆面黄瘦劣， ，不生肌肉，发立或肌体浮肿，腹急多困，多为水气。
《五关贯珍珠囊》辨小儿积候∶面虚肿，腹肚胀，多睡、小便如油，泻痢，眼黄，头发疏黄，腹内虚鸣，吐
逆。
《五关贯珍珠囊》论虚中积候∶凡惊中虚积者，谓因惊取，复惊发动是也。所下粪青秽。凡虚中有积者，因
伤食而泻又吐，如此渐虚，其病未瘥，故曰虚积也。又虚中之积，有积而频频取转，却取转不着，致其积尚伏，
故亦曰虚中积。若惊积取下、则粪随惊青。如是食积，即粪成块子。凡疳中虚积者，因疳病转泻，虚而疳不退，
故虚中尔。所取下粪裹白色也。
《小儿形证论》八种疾病。杨玄操云∶多吐、多泻、多困、多热是也。
面肿、手脚肿，是虚中有积。腹胀不思饮食，是胃中有积。合面吃土炭，痢痛，大腹中有积。面多黑，困
不眼开，脾脏中有积。小便似油，脚手肿，肾脏中有积。渴，泻不止，膀胱中有积。腹内虚鸣，小便赤黄，小
肠中有积。多吐逆，不吃食，上膈中有积。
《惠眼观证》脏腑积候∶浑身虚肿者，脾之有积，久取不下，号曰虚中积。先塌气，后取之。肚腹肿，四
肢黄色者，受水气，须取之。小便如米泔，肝脏受积，此候用取之。头发黄者，疳劳候欲发，此背之积，用
取之。眼睛黄，鼻出水者，肝肺有积，曰风疳之候，当取之。赤白滞痢者，此脏腑内又积，用取之。肠内虚
鸣者，此气虫之候，用取之。多吐逆，或日近及气酸臭可取。若已又不可遽取，恐作慢脾，且调理。合地而卧，
此虫攒心，用取之。
《保生》论小儿积病脉∶（其脉沉实。）积者，小儿恣餐，毒食瓜桃李果、肥滑粘腻之
物，蕴成积聚。其形候面色黄白，
头发焦立，腹胀虚鸣，面仆地卧，小便如油，频频多滑，久患赤白痢，以上皆是积病。若小儿肥实，宜与葱汤
丸取，（方见惊积门与吉氏同。）次银白散补。（方见乳癖门中。《玉诀》同。）
《保生》论小儿积病死候∶其脉洪大，下黑血，形瘦不行，坐久患积。腹急如鼓，项软，四肢冷，口噤都不
食。以上并是死候，不可用药医救。
茅先生小儿初受诸积歌∶
小儿诸积病，还因乳哺成。先从腹肚胀，次及面虚盈。多睡面合地，小便似油清。发黄兼滑泻。吐逆肚虚
鸣。白痢更并赤，眼黄因得名。
茅先生小儿又受积歌∶
小儿因受诸般积，面肿腹胀因伤食。腹内虚鸣合地卧，多渴发黄并痢疾。眼黄吐逆并多睡，尿色如泔疳积极。
茅先生又小儿积病不治歌∶
候得小儿诸积病，百个难医一个命。胃积多生手掌疮，疳劳吐泻应难整。孩儿生下五色恶，瘦弱伶仃无瘥
日。久泻止来又忽泻，口中热气奔奔突。手足生疮朝暮热，不用苦药多是卒。
茅先生小儿六般积不治歌∶
小儿六件积为凶，面黑瘦恶药难冲。久泻多方止不住，手脚心痛命须终。颊红热极并惊久，口中热气命还
穷。
《玉诀》小儿积伤候歌∶
积伤腹痛 饶啼，喘促痰高乳食稀。泻痢无常频发热，面黄虚肿本伤脾。
此患看虚实与下，次调胃气即妙。又一本云∶此看虚实先取葱汤丸（方见惊积门中，与吉氏同），
次银白散补（方见乳癖
门中。）
《千金》治小儿结实，乳食不消，心腹痛。牛黄双丸方
牛黄 太山甘遂（各半两） 珍珠（六铢） 杏仁（浸去皮尖） 芍药 黄芩（各一两） 巴豆（去皮膜，十八铢）
上七味末之，蜜丸。一岁儿饮服如麻子二丸，但随儿大小加减之。
《千金》紫双丸 治小儿身热头痛，食饮不消，腹中胀满。或小腹绞痛，大小便不利，或重下数起。小儿无异
疾，
惟饮食过度，不知自止，哺乳失节，或惊悸寒热，惟此丸治之。不瘥更可重服。小儿欲下，是其蒸候，哺食
减少，气息不快，夜啼不眠，是腹内不调。悉宜用此丸，不用他药，数用神验。千金不传方。（臣亿等详序例中，凡
云∶服紫丸者，即前变蒸篇中十四味者是也。云服紫丸不下者，服赤丸，赤丸差驶病重者，当用之。
方中并无赤丸，而比用朱砂又力紧于紫丸，疑此即赤丸也。）
巴豆（去皮，十八铢） 麦门冬（去心，十铢） 甘草（炙，五铢） 甘遂 朱砂（各二铢） 蜡（八铢） 蕤
核仁（汤浸，去皮，十八铢） 牡蛎（火 令赤，八铢）
上八味，以汤熟，洗巴豆研，新布绞去油。别捣甘草、甘遂、牡蛎、麦门冬，下筛讫。研蕤核仁令极熟，乃
内散，更捣二千杵。药燥不能相丸，更入少蜜足之。半岁儿服如荏子一双；一岁、二岁儿服如半麻子一双；
三、四岁者，服如麻子二丸；五、六岁者，服如大麻子二丸；七岁、八岁服如小豆二丸；九岁、十岁微大于
小豆二丸。常以鸡鸣时服，至日出时不下者，投粥、热饮数合即下。丸皆双下也，下甚者饮以冷粥即止。
《外台》曾青丸 疗大人、小儿久寒积聚，留饮宿食，天行伤寒者，服之二十愈。久服令人延年益寿。浩仲堪
云∶
扁鹊曾青丸，疗久癖积聚，留饮宿食，天行伤寒，咳逆消渴，随病所在，久病羸瘦，老少宜服，药或吐或下，
或汗出方。
曾青 朴硝（各二分） 茯苓 寒水石 大黄 附子（炮。各三分） 巴豆（二分，去心、皮，熬）
上七味各异捣，下筛。巴豆、硝石合捣六千杵，次内附子捣相得，次内茯苓捣相得，次内大黄捣相得，次
内曾青捣相得，次内寒水石捣相得，次内蜜和捣千杵。大人服如大豆二丸；小儿五岁以下如麻子大一丸；二、
三岁儿如黍米一丸。如服药，以饮薄粉粥清下，当覆卧，令汗出。吐下气发作，服二丸；霍乱服三丸，泄泻
不止服一丸，可至二丸。一方用曾青三分。忌猪肉、冷水、芦笋、大酢。崔氏同。
《外台》疗小儿痰实结聚宿癖，羸露瘦弱，不能饮食。真珠丸方
真珠（研，半两） 蕤仁（五十枚，一云二百枚） 麦门冬（去心，一两） 巴豆（七枚，去心、皮，熬。一云四
十枚）
上四味捣筛，蜜和丸。期岁儿服二丸小豆大；二百日儿服如麻子大二丸。渐增，以知为度。当下病赤黄白
黑葵汁，勿绝药，病尽下自止。久服令小儿肥白无病，已试验。《婴孺》方同，用丹砂不用真珠。
《博济方》∶消除积滞，化胃久伏积聚。丹砂丸
巴豆（一分，去皮，以米醋煮一二十沸，却入新水内，洗七遍净，去膜并心、皮。入乳钵内，一向研如粉，量出
油） 豆蔻（四个，为末） 木香 朱砂
（细研。各一分）
上件同研令细，以面糊和为丸如菘菜子大。每服三、五丸，小儿一丸。酒食所伤，盐汤下，温水亦得。小
儿疳气，肚胀，腹聚、米饮下。
《博济方》∶下虚中积久，曾取转不得者。抵圣丸
Qian Yi discussed: The aphonia caused by kidney deficiency resembles true aphonia. After vomiting, diarrhea, and severe illness, although the child has a voice but cannot speak, yet can swallow medicine, this is not aphonia, but kidney deficiency. This is because the kidney qi cannot connect upwards to the yang qi. Treatment should tonify the kidney, using Dihuang Wan (Cistanche Pill) (see the Deficiency-Cold section). Aphonia is usually an acute disease. (From "Ji Family Collection" regarding formulas for children's post-illness loss of voice.)
Suanzaoren (Ziziphi Spinosae Semen, dehusked, 1 qian), Baifuling (Poria, 0.5 qian), Zhusha (Cinnabar, 2 qian).
The above ingredients are ground into powder and formed into pills the size of a bullet. Take one pill each time, administered with Ginseng Decoction.
Shenghui Fang treats children who, after various illnesses, are six or seven years old and still unable to speak. Jitou Wan (Chicken Head Pill) formula:
Xiongjitou (Male chicken head, one, burnt to ash), Chan (Cicada slough, three pieces, slightly fried), Gancao (Licorice Root, roasted until slightly red, chopped), Yuanzhi (Polygalae Radix, dehearted), Mutong (Akebiae Caulis, chopped. Each 0.5 liang), Maimendong (Ophiopogonis Radix, dehearted, baked), Renshen (Ginseng Root, de-rhizome. Each 1 liang), Danggui (Angelicae Sinensis Radix, chopped, slightly fried), Huangqi (Astragali Radix, chopped), Xiongnu (Ligustici Chuanxiong Rhizoma, 0.3 fen each).
The above herbs are crushed, sifted into powder. Mixed with refined honey to form pills the size of mung beans. Take five pills each time with gruel water. Adjust dosage according to the child's age and size; administer at any time. Qian Yi's supplementary formula is the same.
It is said: Long-term use yields results. For chicken and cicada, it is advisable to use those that have died naturally. Do not kill them fresh. As Sun Simiao said, "Killing life to seek life moves further away from life," which must be known.
(Phlegm-Stagnation Accumulation-Mass sections) Ten sections in total.
Mao Xiansheng discusses: Children may have milk accumulation syndrome. Whenever vomited milk or excreted stool has a foul sour odor, this indicates the syndrome. This occurs when the infant cries incessantly and the mother feeds immediately, causing indigestion. Over time, stagnation occurs, leading to cold stomach and this condition. Treatment: First use Dingxiang San (Clove Powder) (see Diarrhea-Dysentery section) to regulate the stomach, then purge solid accumulation using Niuhuang Wan (Calculus Bovis Pill) (see Excess-Heat section). After removing milk accumulation, use Yunqi San (Harmonizing Qi Powder) to tonify (see Stomach Qi Disharmony section). Regularly服用 Jianpi San (Spleen-Tonifying Powder) (see Stomach Qi Disharmony section) leads to recovery.
Mao Xiansheng discusses: Children may have food accumulation syndrome. The abdomen feels slightly hot at night, accompanied by vomiting or diarrhea. This is due to overeating followed by sleep. Treatment: Purge solid accumulation using Niuhuang Wan (Calculus Bovis Pill) to unblock; afterwards use Yunqi San (Harmonizing Qi Powder) to tonify qi. (Both formulas see previous text). Regularly服用 Wanling Wan (Ten Thousand Efficacy Pill) (see this section) leads to recovery.
Mao Xiansheng discusses: Children may have qi accumulation syndrome. Complexion is yellowish-white, lack of appetite, slight abdominal pain, body twisting while crying. This is due to prolonged discomfort from various diseases, transmitting to form qi accumulation. Treatment: Use Wanling Wan (Ten Thousand Efficacy Pill), Yunqi San (Harmonizing Qi Powder), Xingpi San (Spleen-Awakening Powder) (two formulas: one see Stomach Qi Disharmony section, one see Slow Spleen Wind section), and Jianpi San (Spleen-Tonifying Powder) alternately for regulation leads to recovery. (Other formulas see previous text).
Mao Xiansheng discusses: Children may have middle-spleen accumulation syndrome. Complexion is yellow like earth, or yellow with facial puffiness, slight pain above the umbilicus, warm belly, reduced diet, complaining of pain above the umbilicus and in the abdomen immediately after eating, undigested food, slight head heat. This is caused by first eating hard substances, or injury from cold substances affecting the spleen. Treatment: First use Qingjindan (Green Gold Pellet) (see this section) to purge spleen accumulation; afterwards use Yunqi San (Harmonizing Qi Powder) and Xingpi San (Spleen-Awakening Powder) to tonify. Regularly服用 Jianpi San (Spleen-Tonifying Powder) and Wanling Wan (Ten Thousand Efficacy Pill) leads to recovery. (Other formulas and sources same as before).
Mao Xiansheng discusses: Children may have deficiency-middle accumulation syndrome. Slight whole-body heat, no desire to eat, thirst, daytime lethargy, appearing asleep but not waking when held. This syndrome has multiple causes, resulting from prolonged diarrhea leading to deficiency. Treatment: First use Qingjindan (Green Gold Pellet) to clear all abdominal accumulation; afterwards use Yunqi San (Harmonizing Qi Powder) and Xingpi San (Spleen-Awakening Powder) for regulation. Regularly服用 Wanling Wan (Ten Thousand Efficacy Pill) and Bao Tong Wan (Child-Preserving Pill) (see All Malnutrition sections) for regulation leads to recovery. (Other formulas and sources same as before).
Mao Xiansheng discusses: Children may have excess accumulation syndrome. Constipation, wind-toxic sores and boils, throat closure with swollen cheeks, phlegm rattle in the throat. This is due to the child being inherently hungry and fierce, eating without limit, leading to the aforementioned syndromes. Treatment: First use Duoming San (Life-Retrieving Powder) (see Acute/Chronic Convulsion Wind section) to induce vomiting and purge hot phlegm; afterwards use Yunqi San (Harmonizing Qi Powder) and Xingpi San (Spleen-Awakening Powder) for regulation (two formulas see previous text). Regularly服用 Niuhuang Gao (Calculus Bovis Ointment) (see Diaphragm Heat section), Zhenxin Wan (Heart-Calming Pill) (see All Palpitation sections), and Tianzhuhuang San (Bambusae Resina Powder) (see Excess-Heat section) combined leads to recovery. The aforementioned various accumulation syndromes are described clearly, with descending grades of purgatives. If previous accumulation does not recede with regulation, such as blackening complexion, persistent diarrhea, abdominal distension, spontaneous sores on palms, coarse breathing, black stool, emaciation unable to sit or stand, fixed gaze, dry/black nose and mouth, these are death signs and untreatable.
Han Dong Wang Xiansheng's "Jiabao" discusses nine treatable pediatric accumulation diseases:
Facial puffiness is accumulation. Accumulation relates to the spleen. The spleen governs muscles, thus reflecting on the face, indicating spleen accumulation. Spleen belongs to Earth, which has no fixed shape, so swelling varies morning and evening, often worse in the morning; sleeping prevents spleen digestion, causing upper swelling. If this sign appears after illness, it is deficiency-middle accumulation. Suitable for spleen-regulating, accumulation-dispersing, qi-moving medicines.
Face lying flat on the ground is accumulation. Why? Because accumulation is in the spleen, it is cold accumulation. How to know? Spleen likes Earth, so knowing it is in the spleen. Cold belongs to Yin, so knowing it is caused by cold, hard food. Suitable for warming accumulation-dispersing qi medicines.
Abdominal distension is accumulation, located in the lung. How to know? Lung governs qi; upon receiving accumulation, qi becomes cold, causing distension and急促 breathing, indicating lung location. If abdominal distension, first regulate qi then move it; after moving, regulate qi again.
Urine like oil is accumulation, located in the small intestine. How to know? Accumulation receives from spleen, spleen transfers to heart; if heart is not touched, it enters small intestine. Small intestine is the fu organ of heart, so knowing it is in the small intestine. Regulate water passages, urine resembles rice washings or oil.
Jaundice is accumulation, damaging heart qi. Heart governs blood vessels, shading hair; affected by accumulation qi, it turns yellow, indicating heart damage. Suitable for Kongxin San (Empty Heart Powder) (formula not seen) taken on empty stomach, and accumulation-removing medicines. This person likely has intermittent fever.
Red and white dysentery is accumulation. Accumulation is in the lung, transmitted to large intestine, plus external cold injury. How to know? Lung governs West Geng-Xin Metal, color white; red posterior indicates external pathogen. Thus lung transmits to large intestine, causing red-white dysentery; suitable for post-treatment qi regulation.
Yellow-red eyes with blue pupils is accumulation, located in the liver. How to know? Liver governs East Jia-Yi Wood, color green; affected by accumulation qi, it becomes yellow-red. Blue pupils indicate eye belongs to five zang organs, liver is master; if liver receives accumulation, eyes turn blue. If liver accumulation transmits to gallbladder, bitter taste, anorexia, suitable for cooling medicines.
Whole-body puffiness is accumulation, not in zang but in fu. How to know? After previous treatment, medicine activation moves it out of zang to skin causing swelling. Only suitable for purging deficiency-middle accumulation medicines, then tonifying.
Frequent white stool is accumulation, caused by cold, located in spleen. How to know? Spleen governs transformation; cold accumulation in spleen causes slippery white stool, indicating spleen location. Suitable for first moving, then warming tonification.
Han Dong Wang Xiansheng's "Jiabao" discusses six untreatable pediatric accumulation diseases:
急促 breathing is lung accumulation. Lung governs qi;急促 breathing means lung qi exhaustion, face white, no blood color, untreatable.
Black face is kidney accumulation. Black face means kidney qi exhaustion, unable to distinguish good/bad, staring eyes without light, death within one day.
Vomiting hot qi is Ying (nutritive) accumulation. Untreatable because blood exhaustion is incurable. Blood governs heart; heart cannot control, thus hot qi continues.
Sores on hands and feet are Wei (defensive) accumulation. Wei is qi; stomach qi not generated, thus hand/foot sores. If wei exhaustion, qi does not return, death within half a day.
Nausea, vomiting, dry heaving is stomach accumulation. Why untreatable? Stomach governs food transformation; stomach exhaustion causes aversion/vomiting, untreatable. Person likely has undigested milk, dry heaving even without eating, cyan-yellow face, no blood color.
Diarrhea stops then resumes, accumulation bites spleen rotting. How to know spleen rot? Person passes white stool, undigested food, stops, then passes red-black stool and dies, indicating spleen rot untreatable.
Qian Yi discusses: Accumulation disease with warm breath, yellow-white face, dull eyes, excessive white sclera, excessive sleep, fear of eating, or sour-smelling stool, should grind accumulation, suitable Xiaojie Wan (Accumulation-Dissolving Pill) (see this section); severe cases use Baixingzi (White Cake Pill) to purge (see Convulsion Weakness section), then harmonize stomach.
"Tongying Baojian" discusses: Pediatric five accumulations are due to zang qi failing to circulate, accumulating in one place unmoving, hence called accumulation. Heart is Fuliang, above umbilicus; attacks heart upward, stomach downward; Spleen is Piqi, horizontal above stomach; Liver is Feiqi, left of umbilicus; Lung is Xiben, right side of umbilicus; Kidney is Bentun, below umbilicus. Each has changes, not formed by food, but qi accumulation. Zang belongs to Yin, thus stays in one place unmoving.
"Tongying Baojian": Pediatric Ju (Gathering) refers to fu qi lingering and gathering. Fu belongs to Yang, yang qi rotates constantly, thus gathering is not fixed in one place, attacking with abdominal pain. Accumulation-mass signs include yellow-thin complexion, sparse hair, lack of muscle growth, erect hair or edema, urgent abdomen with fatigue, mostly water qi.
"Wuguan Guan Zhenzhu Nang" distinguishes pediatric accumulation signs: Facial puffiness, abdominal distension, excessive sleep, urine like oil, diarrhea-dysentery, yellow eyes, sparse yellow hair, abdominal rumbling, vomiting.
"Wuguan Guan Zhenzhu Nang" discusses deficiency-middle accumulation: Any Jing (startle) deficiency-middle accumulation is caused by startle inducing, then re-startle activating. Stool passed is green and foul. Any deficiency-middle accumulation is caused by food injury leading to diarrhea and vomiting, gradually becoming weak, disease not cured, hence called deficiency accumulation. Also deficiency-middle accumulation, having accumulation but frequent purging/moving fails to remove it, leaving accumulation latent, hence also called deficiency-middle accumulation. If Jing accumulation is purged, stool follows startle turning green. If food accumulation, stool forms lumps. Any Gan (malnutrition) deficiency-middle accumulation is due to Gan disease turning to diarrhea, weakness with Gan not retreating, hence deficiency-middle. Passed stool wraps white.
"Xiao'er Xingzheng Lun" eight diseases. Yang Xuancuo says: Excessive vomiting, excessive diarrhea, excessive fatigue, excessive heat.
Facial swelling, hand/foot swelling is deficiency-middle accumulation. Abdominal distension, anorexia is stomach accumulation. Face down eating soil/charcoal, dysentery pain, large abdomen accumulation. Dark face, fatigue with closed eyes is spleen accumulation. Urine like oil, hand/foot swelling is kidney accumulation. Thirst, persistent diarrhea is bladder accumulation. Abdominal rumbling, red-yellow urine is small intestine accumulation. Excessive vomiting, anorexia is upper diaphragm accumulation.
"Huiyan Guanzheng" zang-fu accumulation signs: Whole-body puffiness is spleen accumulation, long-term purging fails, called deficiency-middle accumulation. First collapse qi, then purge. Abdominal swelling, yellow limbs receives water qi, must purge. Urine like rice washings, liver receives accumulation, this sign uses purging. Yellow hair indicates Gan-Lao syndrome about to emerge, back accumulation, uses purging. Yellow eyes, nasal discharge indicates liver-lung accumulation, called Feng-Gan syndrome, should purge. Red-white stagnant dysentery indicates internal zang-fu accumulation, uses purging. Intestinal rumbling indicates qi-worm syndrome, uses purging. Excessive vomiting, or recent acid-smelling breath can be purged. If already treated, do not hastily purge, fear slow spleen, just regulate. Face down lying indicates worms gathering in heart, uses purging.
"Bao Sheng" discusses pediatric accumulation pulse: (Pulse deep and solid.) Accumulation is children indulging in toxic foods like melons, plums, peaches, fruits, fatty, slippery, sticky substances, brewing into accumulation. Signs include yellow-white face, brittle erect hair, abdominal distension with rumbling, face lying on ground, urine like oil, frequent slippery movements, chronic red-white dysentery, all are accumulation diseases. If child is fat and solid, suitable Congtang Wan (Scallion Soup Pill) to purge (see Startle Accumulation section same as Ji Shi), then Yinbai San (Silver White Powder) to tonify (see Milk Lump section. "Yujue" same).
"Bao Sheng" discusses pediatric accumulation death signs: Pulse surging and large, passing black blood, emaciated unable to walk, sitting long suffering accumulation. Abdomen urgent like drum, neck soft, limbs cold, jaw locked not eating. All are death signs, cannot use medicine to save.
Mao Xiansheng Song for Children Initially Receiving Various Accumulations:
Pediatric various accumulation diseases, still due to nursing. First starts with abdominal distension, then facial puffiness. Excessive sleep face on ground, urine like clear oil. Jaundice plus slippery diarrhea. Vomiting abdominal rumbling. White dysentery plus red, named for yellow eyes.
Mao Xiansheng Song for Children Again Receiving Accumulations:
Children receiving various accumulations, facial swelling abdominal distension due to food injury. Abdominal rumbling face on ground, excessive thirst jaundice plus dysentery. Yellow eyes vomiting plus excessive sleep, urine like rice washings Gan active accumulation.
Mao Xiansheng Song for Untreatable Pediatric Accumulation Diseases:
Obtaining pediatric various accumulation diseases, hundred difficult to save one life. Stomach accumulation often generates palm sores, Gan-Lao vomiting/diarrhea should be hard to fix. Child born with five-colored evil, thin and lonely no recovery day. Long diarrhea stops then suddenly resumes, hot qi rushing from mouth. Hand/foot sores morning/evening heat, without bitter drugs mostly sudden death.
Mao Xiansheng Song for Six Untreatable Pediatric Accumulations:
Six pediatric accumulations are ominous, black face thin evil drugs hard to push. Long diarrhea many methods cannot stop, hand/foot heart pain life must end. Cheek red extreme heat plus long startle, hot qi from mouth life still exhausted.
"Yujue" Song for Pediatric Accumulation Injury Signs:
Accumulation injury abdominal pain frequent crying,急促 breathing high phlegm milk/food rare. Diarrhea-dysentery irregular frequent fever, yellow face puffiness originally spleen injury.
This illness look deficiency/excess and purge, then regulate stomach qi is excellent. Another version says: Look deficiency/excess first take Congtang Wan (see Startle Accumulation section same as Ji Shi), then Yinbai San (see Milk Lump section) to tonify.
"Qianjin Fang" treats pediatric solid accumulation, milk/food indigestion, heart-abdominal pain. Niuhuang Shuangwan (Double Calculus Bovis Pill) formula:
Niuhuang (Calculus Bovis), Taishan Gansui (Radix Kansui, each 0.5 liang), Zhenzhu (Pearl, 6 zhu), Xingren (Apricot Seed, soaked peeled tip), Shaoyao (Peony Root), Huangqin (Scutellaria Root, each 1 liang), Badou (Croton Seed, peeled membrane, 18 zhu).
Seven flavors powdered, honey pills. One-year-old drink服 like sesame seed two pills, adjust according to child size.
"Qianjin Fang" Zi Shuangwan (Purple Double Pill) treats pediatric body heat headache, food/drink indigestion, abdominal distension. Or lower abdominal cramping, urination/defecation difficulty, or repeated urgency. Children with no other illness, only overeating, not stopping self, nursing irregularity, or palpitations/cold-heat, only this pill treats. Not cured can服 again. Children wanting to purge is Zheng (evaporation) sign, feeding reduced, breath not fast, night crying insomnia, internal abdomen不调. All suitable use this pill, no other drugs, frequent use divine efficacy. Qianjin secret formula. (Chen Yi etc detailed preface,凡是 say服 Zi Wan, is former Zhengzheng chapter fourteen flavors. Say服 Zi Wan not down,服 Chi Wan, Chi Wan faster disease heavy, should use. Formula has no Chi Wan, but compared using Cinnabar force tighter than Purple Pill, suspect this is Chi Wan.)
Badou (Croton Seed, peeled, 18 zhu), Maimendong (Ophiopogonis Radix, dehearted, 10 zhu), Gancao (Licorice Root, roasted, 5 zhu), Gansui (Radix Kansui), Zhusha (Cinnabar, each 2 zhu), La (Beeswax, 8 zhu), Ruhe Ren (Prunus Persica Kernel?, soup soaked peeled, 18 zhu), Muli (Ostrea Shell, fire calcined red, 8 zhu).
Eight flavors, with soup cooked, wash Badou grind, new cloth squeeze oil. Separate grind Gancao, Gansui, Muli, Maimendong, sieve. Grind Ruhe Ren very fine, then add powder, grind two thousand pestles. Medicine dry cannot pill, add little honey sufficient. Half-year-old服 like radish seed pair; one/two-year-old服 like half sesame seed pair; three/four-year-old服 like sesame seed two pills; five/six-year-old服 like large sesame seed two pills; seven/eight-year-old服 like small bean two pills; nine/ten-year-old slightly larger than small bean two pills. Usually服 at cockcrow, until sunrise not down,投 gruel/hot drink several合 then down. Pills both down, down severe drink cold gruel then stop.
"Waitai Mi Yao" Zengqing Wan treats adult/child long-cold accumulation, retained fluid leftover food, epidemic cold-heat,服 twenty cured. Long服 makes people prolong life benefit longevity. Hao Zhongkan says:
Bianque Zengqing Wan, treats long-fixed accumulation, retained fluid leftover food, epidemic cold-heat, cough/reverse thirst, follow disease location, long disease emaciated, old/young suitable服, medicine either vomit or purge, or sweat method.
Zengqing (Azurite), Puxiao (Mirabilite, each 2 fen), Fuling (Poria), Hanshuishi (Calcitum), Dahuang (Rhubarb Root), Fuzi (Prepared Aconite Root, each 3 fen), Badou (Croton Seed, 2 fen, dehearted/peeled, roasted).
Seven flavors separate grind, sieve. Badou, Xiaoshi combine grind six thousand pestles, next add Fuzi grind together, next add Fuling grind together, next add Dahuang grind together, next add Zengqing grind together, next add Hanshuishi grind together, next add honey mix grind thousand pestles. Adult服 like soybean two pills; child under five like sesame seed one pill; two/three-year-old like millet grain one pill. If服 medicine, with drink thin flour gruel clear down, should cover lie, let sweat out. Vomit/purge qi attack,服 two pills; Cholera服 three pills, diarrhea not stop服 one pill, can up to two pills. One formula uses Zengqing 3 fen. Avoid pork, cold water, reeds, strong vinegar. Cui Shi same.
"Waitai Mi Yao" treats pediatric phlegm-solid knot gathering leftover fixed mass, emaciated thin weak, unable to eat. Zhenzhu Wan (True Pearl Pill) formula:
Zhenzhu (True Pearl, ground, 0.5 liang), Ruiren (Buckthorn Seed, fifty pieces, one says two hundred), Maimendong (Ophiopogonis Radix, dehearted, 1 liang), Badou (Croton Seed, seven pieces, dehearted/peeled, roasted. One says forty pieces).
Four flavors grind sieve, honey mix pill. One-year-old服 two pills small bean size; two-hundred-day-old服 like sesame seed two pills. Gradually increase, until effect as limit. Should down disease red/yellow/white/black hibiscus juice, do not stop medicine, disease尽 down self stop. Long服 makes child fat white no disease, already tested. "Yingru" formula same, uses Dansha (Cinnabar) not Zhenzhu.
"Boji Fang": Eliminate stagnation, transform stomach long-hidden accumulation. Dansha Wan (Cinnabar Pill)
Badou (Croton Seed, 1 fen, peeled, boil in rice vinegar twenty-boils, then enter new water, wash seven times clean, remove membrane and heart/peel. Enter mortar, always grind like powder, measure out oil), Doukou (Cardamom, four pieces, powdered), Muxiang (Costus Root), Zhusha (Cinnabar, finely ground. Each 1 fen).
Above mix grind fine, with flour paste mix pill like cabbage seed size. Each服 three/five pills, child one pill. Wine/food injury, salt water down, warm water also get. Child Gan qi, abdominal distension, abdominal gathering, rice drink down.
"Boji Fang": Down deficiency-middle accumulation long,曾取转不得者. Disheng Wan (Reach Sage Pill)