《巢氏病源》∶小儿 瘕癖结候∶五脏不和，三焦不调，有寒冷之气客之，则令乳哺不消化，结聚成 癖也。
其状按之不动，有形段者， 也；推之浮沉者，瘕也；其弦急牵强，或在左或在右者，癖也。皆由冷气、痰水、
食饮结聚所成，故云 瘕癖结也。
《圣惠》论∶夫小儿寒温失调，饮食不化，与脏气相搏，结聚不动，名为 也。其食结在腹，喜寒，四肢洒洒
如霍，不能饮食，常自隐隐而痛，此则食 也。
《婴童宝鉴》∶小儿瘕者，在腹中疼痛 ，不痛定一处者，瘕也。
翰林待诏杨大邺问∶小儿结 成块者为何？答曰∶小儿不慎 味，尝吃粘滑、腻肥、腥 、瓜果，胃口不
和，结实难化， 痞于胸膈之间，攻冲荣卫，则呕逆频频，喘粗眼涩，更加频渴。或归于下部则泄泻频并，两
胁虚胀，便只和脾胃，或更疏泻。或则饮食不化，渐次成 。大约诸般，皆妇人体息，须凭救疗，使早暮痊除。
不寻根源，久而为薨。
《五关贯珍珠囊》小儿 瘕候∶凡应 瘕癖结，并是抚养乖理，哺喂不时，致乳食结聚而不化，故成此疾。
《惠眼观证》∶凡小儿生下有瘕癖气；有疳虫攒心气；有胎惊疝气；有抱心吊气。瘕气者，发时横来左右，
胁下筑痛，或多吐逆，急下 汤丸通利，（方见急慢惊风门中。）后以匀气散服之（见胃气不和门中。）疳虫攒心气者，其
候伏面，服虫药。如渴水未住，便下塌气散（方见肿满门中）夹黄连饮子服之（方见本门）。胎惊疳气者，生下多夜啼，
或吊上肾，乃以
宽气药参苓散治之，（方见胃气不和门中。）又用葱涎膏贴外肾。（方见初生不大小便门中。）醒后汗出，又渴水无时，乃
以槐角丸（方见腹痛
门中）及宽气药调理二、三日，亦已通利与匀气。生下未周岁至两岁，一见阴肿者，此胎中大受极热，或父之传受。
先用牛黄丸疗之，（方见风热门中。）后匀气。始用芸苔子为末，冷水调贴之。如未退，却用寒水石、白缮土、酸醋调涂。
乃常吃郁金、甘草、牙硝，三味为末，蜂糖熟水调下。
《婴童宝鉴》小儿 瘕歌∶
三焦不调顺，胸中寒气极。痞满喘还粗，噫出酸气息。乳哺不能消，结聚成 癖。有形名曰 ，浮动当为
积。弦强癖之源，分明记胸臆。
《外台》∶《广济》疗少小及大人腹中宿食，积成 癖，两胁妨满，气息喘急，不能食，面黄，日渐瘦，腹大胀硬，
除百病。紫双丸方。《圣惠》名代赭丸
代赭 丹砂（各研） 大黄（各八分） 青木香（五分。《圣惠》用二两） 当归（五分。《圣惠》用一两） 桂心
（四分。《圣惠》用二两） 犀角屑（三
分。《圣惠》用二两） 巴豆（六分，去心皮，别捣。《圣惠》用半两）
上八味捣筛，蜜和丸如桐子。大人小儿量之，十岁儿服大豆许二丸；六岁者小豆许二丸。以下临时斟酌，
要泻病出为度。久疾日一丸，以溏泻而已，不在猛泻。忌如常法。
姚和众方 治小儿 瘕。
上用煮老鼠肉汁，煮粥为食。
《圣惠》治小儿 瘕，壮热头痛，呕逆腹痛，寒热，头发作穗，及食癖、乳癖气。鳖甲散方
鳖甲（一两，涂醋炙令黄，去裙 ） 枳壳（麸炒微黄，去瓤） 木香 川大黄（锉，微炒） 京三棱（微
煨，锉） 槟榔（各半两） 人参（去芦头） 赤
茯苓 柴胡（去苗。各三分） 桂心（一分）
上件药捣，粗罗为散。每服一钱，以水一小盏，煎至五分，去滓温服，日三服。量儿大小以意加减。
《圣惠》治小儿 瘕羸瘦鼠肉煎方
鼠肉（五两，生用） 鳖甲（三分，生用） 甘遂（一分、末） 陈橘皮（半两，汤浸，去白瓤，焙）
上件药，除甘遂末外并锉，以水二大盏，煎至五分，去滓，下甘遂末匀搅。一、二百日儿奶癖，一日与服
之尽半合；二、三岁儿，一日服尽一合；四、五岁儿，一日服尽二合。如利多即少服，看儿虚实与服之。如
是利不止，煮大麦面汤解；煮鼠肉汁作粥服之亦佳。
《圣惠》治小儿 瘕，胁下坚硬如石，四肢黄瘦，不欲乳食。甘遂丸方
甘遂（煨令微黄） 蕤仁（汤浸去皮，研入。各一分） 雄黄（细研） 丹砂 石膏（各细研，水飞） 牡
蛎（烧为粉。各半两） 麝香（半分，细研） 巴豆（半分，去皮、心，绢囊盛，于淳酒中煮半日，取出焙干）
上件药捣，罗为末，与巴豆都研令匀，炼蜜和丸如黍米大。每服以粥饮下一丸，日二服。量儿大小加减服
之。
《圣惠》治小儿 瘕羸弱，不能乳食。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） 槟
榔郁李仁（各半两，汤浸，去皮，微炒） 木香 青橘皮（汤浸，
去白瓤，焙） 肉桂（去皴皮） 柴胡（去苗） 人参 桔梗（各去芦头） 防葵（各一分）
上件药捣，罗为末，炼蜜和丸如绿豆大。五、六岁儿，空心以粥饮下七丸，晚后再服。更随儿大小以意加
减。
《圣惠》治小儿 瘕、腹痛、黄瘦。大黄丸方
川大黄（三分，锉碎，微炒） 知母 牡蛎（烧为粉） 枳壳（麸炒微黄，去瓤） 当归（各半
两。锉，微炒） 鳖甲（一两，涂醋炙令黄，去裙 ）
上件药捣，罗为末，炼蜜和丸如绿豆大。三、四岁儿，每服空心以粥饮下五丸，晚后再服。更量儿大小以
意加减。
《圣惠》治小儿 瘕百病，疳痼，腹胀，黄瘦，发歇不常，客忤疳痢，及吐逆不定，心腹多痛，及惊风天 等。
牛黄丸方
牛黄（细研） 犀角（屑） 木香 当归（各微炒。各半两） 人参（去芦头） 川大黄（锉碎，
微炒） 光明砂（细研，水飞过） 槟榔（各三分） 麝香
（细研，一分） 鳖甲（一两，涂醋炙令黄，去裙 ） 巴豆（以淡浆水一碗大煮，尽去皮，出油，别
研。各一分） 代赭（二分） 肉豆蔻（二枚，去壳） 杏仁（二十枚，汤浸，去皮尖、双仁，麸炒微黄）
上件药捣，罗为末，都研令匀，炼蜜和丸如绿豆大。百日以下儿，乳汁下一丸、二、三岁儿，空心粥饮下
二丸。胸膈有病，吐出；在脏腑有病，即利出恶物为验。后又得吃浆水粥一日，其利自止。五日至十日吃一
服，永无滞结。更量儿大小加减服之。
《圣惠》又方
朱砂（细研） 杏仁（各一分，汤浸，去皮尖、双仁，别研如膏） 巴豆霜（半分） 鳖
甲（涂醋炙令黄，去裙 ） 犀角（屑，各半两）
上件药捣，罗为末。入巴豆、杏仁都研令匀，炼蜜和丸如黄米大。百日儿乳汁下一丸；三、四岁儿薄荷汤
下三丸。随儿大小加减服之。
《圣惠》》治小儿食 ，或时寒热，四肢黄瘦，不欲饮食。礞石丸方
礞石 干姜（炮裂，为末） 杏仁（汤浸，去皮尖、双仁，麸炒微黄。各一分） 巴豆（去心、皮，
纸裹，压去油） 砂（各半两）
以上五味，研令细，以米醋一茶碗，煎如膏，次用∶
京三棱（微煨，锉） 皂荚（去皮，涂酥炙令黄，去子） 蓬莪术（各一分）
上件药捣，罗为末，以所煎膏和丸如绿豆大。三岁儿每服以茶清下一丸；儿稍大，临时以意加之。（张涣方三棱
煎，同治脾虚挟积。
《圣惠》治小儿食 ，寒热羸瘦，不能饮食。宜服防葵丸方
防葵 京三棱（微煨，锉。各半两） 肉豆蔻（去壳） 木香 枳壳（麸炒微黄，去瓤） 麝
香（各一分，细研） 川大黄（锉碎，微炒） 鳖甲（各一两，涂醋炙令黄，去裙 ）
上件药捣，罗为末，炼蜜和丸如绿豆大。三岁儿每服以粥饮下五丸，日二、三服。更量儿大小以意临时加
减。
《圣惠》治小儿食 久不消代赭丸方
代赭（细研） 巴豆（去皮、心，研，纸裹压去油） 丁香（各半两） 黄连（去须） 五灵
脂桂心（各一分） 麝香（细研） 腻粉（各一钱） 芦荟（二钱，细研）
上件药捣，罗为末，都研令匀，炼蜜和丸如绿豆大。三岁儿空心以粥饮下二丸。量儿大小以意加减，当取
下一切恶物为效。
《圣惠》治小儿食 ，吃食不得，四肢消瘦。宜服木香丸方
木香 槟榔 京三棱（微煨，锉） 杏仁（汤浸，去皮尖、双仁，麸炒微黄） 当归（锉，
微炒） 犀角（屑。各一分） 鳖甲（涂醋炙令黄，去裙 ） 朱砂（细研，水飞过） 代赭（各半两，细研） 巴豆
（半分，去心，研，纸裹压去油）
上件药捣，罗为末，都研令匀，炼蜜和丸如黍米大。三岁儿空心以暖水下三丸，晚再服。量儿大小临时加
减。
《圣惠》治小儿食 ，大肠涩，心腹妨闷。大黄丸方
川大黄（锉碎，微炒） 赤芍药 大麻仁 鳖甲（各三分。涂醋炙令黄，去裙 ） 防葵 法
曲（炒微黄） 白术 青橘皮（各一分，汤浸，去白瓤，焙）
上件药捣，罗为末，炼蜜和丸如绿豆大。三岁儿每早晨以温水下五丸。晚后更量儿大小，以意加减。
《圣惠》又方
京三棱（煨，锉为末） 五灵脂（各半两） 巴豆霜（半分）
上件药都研令匀，以醋煮面糊和丸如绿豆大。每服空心茶清下二丸。量儿大小加减服之。
《圣惠》又方
菖蒲（末，半两） 巴豆（二十枚，去皮研烂，以头醋一中盏熬成膏）
上件药入巴豆膏，和丸如绿豆大。每服空心以茶清下一丸。量儿大小加减。
《圣惠》又方
腻粉（一钱） 干胭脂（一分） 巴豆霜（半分） 朱砂（半两，细研，水飞过）
上件药都研令匀，以醋煮面糊和丸如绿豆大。每服空心，煎橘皮汤下二丸。量儿大小加减服之。
《圣惠》治小儿积年厌食，并治血气及 块。 砂丸方
砂（半两，细研） 青礞石（细研） 穿山甲（炙令黄焦） 磁石（烧，醋淬七遍，捣碎研如粉） 京
三棱（微煨，锉） 干漆（捣碎，炒令烟出 赤石
脂（细研。各一分） 虻虫（炒微黄，去翅足） 水蛭（炒令微黄。各五十枚） 巴豆（十五
枚，去皮、心，研，纸裹压去油）
上件捣，罗为末，入巴豆都研令匀，用软饭和丸如小豆大。每服三丸，小儿一丸。以烧蒸饼灰汤下，一复
时后，取下恶物。若是血气块，当归酒下，不过五服瘥。
《博济方》∶消 瘕积聚，血结刺痛。木香 砂煎丸
木香 大黄（炮） 荆三棱（生用） 巴豆（去皮膜，不出油用，细研之） 官桂（
去皮） 筒子漆（炒） 青橘皮（去白） 蓬莪术（炮） 附子（炮，去皮
脐） 干姜（炮。各一分） 香墨（一指节大，细研） 砂（半两，以好醋一盏浸一宿，去砂石）
上将大黄末、荆三棱末、巴豆等三味，同于银石器内，以好醋一升，煎一、两沸；次入 砂同熬成膏，次
入诸药末和匀，再入臼，杵千百下为丸如绿豆大。每服五丸。伤冷食、冷酒、冷水，结聚腹内，气块痛，用
干姜汤或橘皮汤下；夹食伤寒，白汤下亦得；粘食不消成气块，即用煮面汤下；食牛、羊、鱼、鳖肉成气块
不散，用所伤汁下；宿酒不消，酒下；血气，当归酒下；妊娠不服要转，淡茶下；加至七丸。小儿三丸，常
服一、两丸。
张涣大腹子汤 治症癖腹满，小便不利方。
大腹皮（一两，锉） 槟榔 枳壳（麸炒，去瓤） 赤芍药 人参（去芦头） 知
母陈橘皮（汤浸，去白。各半两） 甘遂（一分，慢火煨令黄）
上件捣，罗为细末。每服一钱，水一小盏，煎至五分，去滓温服。量儿大小加减。
张涣圣效丹 治癖结、诸病久不瘥方。
当归（洗、焙干） 木香 好朱砂（细研，水飞） 桂心（各一两） 甘遂（慢火煨令黄） 京三棱（炮，乘热
锉） 鳖甲（各半两。涂酥炙黄，去裙 。以
上捣，罗为细末次用） 麝香 蕤仁（各一分，汤浸，去皮，别研） 巴豆（三七个，去皮心、
膜，绢袋盛，用好酒煮一宿，取出别研）
上件都拌匀，都研细，用黄蜡六两慢火熔，同诸药搅成膏，如黍米大。每服，未周 小儿一粒；二、三岁
二粒；四、五岁三粒；六、七岁五粒；十岁以上七粒，温米饮下，乳食后。量儿大小加减。
《惠眼观证》双参饮子（本名胡黄连饮子）
人参 胡黄连 枇杷叶（拭去毛） 干葛 甘草 元参 麦门冬
上各等分，为末。每服一大钱，水半盏，煎两、三沸，去滓，旋旋与吃。
Chao Shi Bing Yuan (Source of Diseases by Chao): The syndrome of pediatric zheng, pi, and jie (abdominal masses) arises from the disharmony of the five zang organs and the dysfunction of the san jiao (Triple Burner). When cold qi invades as an external pathogen, it causes milk and food to fail to digest, leading to condensation and aggregation, forming pi (fixed abdominal masses).
The manifestations are as follows: Masses that remain fixed upon palpation with distinct boundaries are called zheng (solid masses); masses that shift position when pushed, appearing floating or sinking, are called jia (mobile masses); masses that feel tense, tight, and pulling, located on either the left or right side, are called pi. All these conditions result from the condensation and aggregation of cold qi, phlegm-fluids, water-dampness, and dietary stagnation; hence they are collectively termed "zheng, pi, and jie."
Sheng Hui Fang (Prescriptions of the Holy Grace) discusses: When infants and children fail to regulate their exposure to cold and heat properly, and food fails to digest, it clashes with the qi of the internal organs, condensing and aggregating without moving, which is named zheng. If food stagnates in the abdomen, the child prefers cold environments, experiences chills in the four limbs resembling huoluan (cholera-like spasms), cannot eat, and often suffers from dull pain; this is classified as shi zheng (food zheng).
Ying Tong Bao Jian (Precious Mirror for Infants and Children) states: In pediatric jia syndrome, there is abdominal pain, but the location of the pain is not fixed; this is jia.
Yang Daye, Attendant Scholar Hanlin, asked: What causes lumps to form in a child's abdomen? The answer was: If children are careless with their diet, frequently consuming sticky, slippery, greasy, rich, fishy foods, and fruits, it leads to stomach qi disharmony. Food becomes solidified and difficult to digest, causing obstruction in the chest and diaphragm, attacking the ying (nutritive) and wei (defensive) qi. This results in frequent vomiting and regurgitation, coarse wheezing, dry eyes, and excessive thirst. If the pathogen descends to the lower part, it causes frequent diarrhea and distension in the hypochondrium. Treatment involves harmonizing the spleen and stomach, or using mild purgatives. If food fails to digest and gradually forms accumulation, generally, these disorders stem from improper maternal feeding. Medical intervention is required to ensure recovery morning and night. Failure to address the root cause will lead to death over time.
Wu Guan Guan Zhen Zhu Nang (Five Passages Piercing the Pearl Pouch) records the pediatric zheng, jia, and pi syndrome: Any occurrence of zheng, jia, pi, or aggregation is due to negligent care and irregular feeding, causing milk and food to condense and fail to digest, thus creating this disease.
Hui Yan Guan Zheng (Observations through the Wise Eye) notes: Some infants are born with zheng pi qi (pathogenic qi of masses); gan chong cuan xin qi (qi of intestinal parasites gathering at the heart); tai jing shan qi (fetal fright hernia qi); or bao xin diao qi (hugging-heart hanging qi). Zheng qi manifests as lateral movement across the body during attacks, severe pain under the ribs, and frequent vomiting. Urgent administration of decoctions or pills to promote bowel movement is needed (see formulas in the Acute/Chronic Convulsions section), followed by Yun Qi San (Qi-Harmonizing Powder) (see Disharmony of Stomach Qi section). Gan chong cuan xin qi presents with a dark, sallow complexion; administer vermifuge drugs. If thirst persists, administer Ta Qi San (Qi-Sinking Powder) (see Distension and Edema section) combined with Huang Lian Yin Zi (Coptis Decoction) (see same section). Tai jing gan qi presents with frequent night crying after birth or upward movement of kidney qi; treat with Kuan Qi Yao Shen Ling San (Qi-Relaxing Ginseng and Atractylodes Macrocephala Powder) (see Disharmony of Stomach Qi section), and apply Cong Xian Gao (Scallion Saliva Plaster) to the external genitalia (see Newborn Urination/Defecation Obstruction section). After waking, if sweating occurs and thirst is constant, use Huai Jiao Wan (Sophora Fruit Pill) (see Abdominal Pain section) and Kuan Qi Yao for two to three days to achieve bowel regularity and qi harmony. For infants under one year to two years old presenting with scrotal swelling immediately after birth, this indicates extreme heat received in the womb or paternal transmission. Treat first with Niu Huang Wan (Calculus Bovis Pill) (see Wind-Heat section), then harmonize qi. Initially apply You Mai Zi (Rapeseed Seed) powder mixed with cold water as a plaster. If unresolved, use Han Shui Shi (Halloysitum Rubrum), Bai Chan Tu (Kaolin), and sour vinegar for topical application. Long-term maintenance involves taking Yu Jin (Curcuma Radix), Gan Cao (Glycyrrhizae Radix et Rhizoma), and Ya Xiao (Natrii Sulfas) powdered and taken with honey water.
Ying Tong Bao Jian Pediatric Zheng Jia Song:
San jiao qi moves unsmoothly, cold qi accumulates severely in the chest. Distension, fullness, and coarse breathing occur; belching releases sour odors. Milk and food fail to digest, condensing into pi. Tangible masses are named zheng; floating ones are called ji (accumulation). Tense and rigid origins define pi; remember this clearly in your mind.
Wai Tai Mi Yao (Essential Prescriptions from the Imperial Library) cites Guang Ji Fang treating residual food in the abdomen of young children and adults, accumulating into zheng pi, causing hypochondriac fullness, rapid breathing, anorexia, sallow complexion, emaciation, and abdominal distension with hardness. It eliminates hundred diseases. Zi Shuang Wan (Purple Double Pill) formula (named Dai Zhe Wan in Sheng Hui Fang):
Dai Zhe Shi (Hematitum), Dan Sha (Cinnabaris) (each ground separately), Da Huang (Rhei Radix et Rhizoma) (each 8 fen), Qing Mu Xiang (Aucklandiae Radix) (5 fen, 2 liang in Sheng Hui Fang), Dang Gui (Angelicae Sinensis Radix) (5 fen, 1 liang in Sheng Hui Fang), Gui Xin (Cinnamomi Cortex), Xi Jiao Xie (Rhino Ceratoss Hornis) (3 fen, 2 liang in Sheng Hui Fang), Ba Dou (Crotonis Fructus) (6 fen, remove heart/skin, pound separately).
Pound the above eight ingredients, sieve, and mix with honey to make pills the size of paulownia seeds. Adults and children take according to age: 10-year-olds take two pills the size of soybeans; 6-year-olds take two pills the size of adzuki beans. Adjust for younger ages as needed. The goal is to expel the pathogen via stool. For chronic cases, take one pill daily until loose stools occur; do not aim for drastic purgation. Observe standard dietary restrictions.
Yao Hezhong Formula: Treats pediatric zheng jia.
Boil rat meat to make broth, then cook porridge with the broth for the child to eat.
Sheng Hui Fang treats pediatric zheng jia with high fever, headache, vomiting, abdominal pain, alternating chills and fever, hair clumping into tufts, as well as shi pi (food pi) and ru pi (milk pi). Bie Jia San (Softshell Turtle Shell Powder) formula:
Bie Jia (Testudinis Carapax et Plastrum) (1 liang, coat with vinegar, roast until yellow, remove skirt edges), Zhi Ke (Aurantii Fructus), Mu Xiang (Aucklandiae Radix), Chuan Da Huang (Rhei Radix et Rhizoma) (crushed, lightly stir-fried), Jing San Leng (Sparganii Rhizoma) (lightly roasted, crushed), Bing Lang (Arecae Semen) (each 0.5 liang), Ren Shen (Ginseng Radix et Rhizoma) (remove rhizome), Chi Fu Ling (Poria cum Risus), Chai Hu (Bupleuri Radix) (remove sprouts, each 3 fen), Gui Xin (Cinnamomi Cortex) (1 fen).
Pound the above herbs, sieve coarsely to make a powder. Take 1 qian per dose, decoct with one small cup of water until reduced to half a cup, strain, and take warm. Three times daily. Adjust dosage based on child's size.
Sheng Hui Fang treats pediatric zheng jia with emaciation using Mouse Meat Decoction:
Shu Rou (Rattus Muscle) (5 liang, raw), Bie Jia (Testudinis Carapax et Plastrum) (3 fen, raw), Gan Sui (Kansui Radix) (1 fen, powder), Chen Ju Pi (Citri Reticulatae Pericarpium) (0.5 liang, soak in hot water, remove white pith, dry-roast).
Chop all herbs except Gan Sui powder. Decoct with two large cups of water until reduced to half a cup. Strain, add Gan Sui powder, and mix well. For infants aged 100-200 days with milk pi, give half he (approx. 18ml) per day. For 2-3 year olds, give one he per day. For 4-5 year olds, give two he per day. If diarrhea is excessive, reduce dose; adjust based on deficiency/excess. If diarrhea persists, drink barley noodle soup to neutralize; eating mouse meat porridge is also beneficial.
Sheng Hui Fang treats pediatric zheng jia with hard hypochondrium like stone, sallow emaciated limbs, and anorexia. Gan Sui Wan (Kansui Pill) formula:
Gan Sui (Kansui Radix) (roasted until slightly yellow), Rui Ren (Pruni Armeniaci Semen) (soak in hot water, peel, grind, each 1 fen), Xiong Huang (Realgar), Dan Sha (Cinnabaris), Shi Gao (Gypsum Fibrosum) (each finely ground, washed with water), Mu Li (Ostreae Concha) (calcined to powder, each 0.5 liang), She Xiang (Moschus), Ba Dou (Crotonis Fructus) (0.5 fen, remove skin/heart, place in silk bag, boil in pure wine for half a day, remove and dry-roast).
Pound herbs, sieve to powder, mix thoroughly with Ba Dou. Combine with refined honey to make pills the size of millet seeds. Take one pill with gruel twice daily. Adjust based on age.
Sheng Hui Fang treats pediatric zheng jia with weakness and inability to feed. Bie Jia Wan (Softshell Turtle Shell Pill) formula:
Bie Jia (Testudinis Carapax et Plastrum) (coat with vinegar, roast yellow, remove skirt), Jing San Leng (Sparganii Rhizoma) (lightly roasted, crushed), Chuan Da Huang (Rhei Radix et Rhizoma) (crushed, lightly fried), Bing Lang (Arecae Semen), Yu Li Ren (Pruni Semen) (each 0.5 liang, soak in hot water, peel, lightly fried), Mu Xiang (Aucklandiae Radix), Qing Ju Pi (Citri Reticulatae Pericarpium) (soak, remove pith, dry), Rou Gui (Cinnamomi Cortex), Chai Hu (Bupleuri Radix) (remove sprouts), Ren Shen (Ginseng Radix et Rhizoma), Jie Geng (Platycodonis Radix) (remove rhizome, each 1 fen), Fang Kui (Peucedani Radix) (1 fen).
Pound, sieve, mix with honey to make pills the size of mung beans. For 5-6 year olds, take seven pills on an empty stomach with gruel, repeat in the evening. Adjust based on age.
Sheng Hui Fang treats pediatric zheng jia, abdominal pain, and sallow emaciation. Da Huang Wan (Rhubarb Pill) formula:
Chuan Da Huang (Rhei Radix et Rhizoma) (3 fen, crushed, lightly fried), Zhi Mu (Anemarrhenae Rhizoma), Mu Li (Ostreae Concha) (calcined to powder), Zhi Ke (Aurantii Fructus) (bran-roasted yellow, remove pith), Dang Gui (Angelicae Sinensis Radix) (each 0.5 liang, crushed, lightly fried), Bie Jia (Testudinis Carapax et Plastrum) (1 liang, coat with vinegar, roast yellow, remove skirt).
Pound, sieve, mix with honey to make pills the size of mung beans. For 3-4 year olds, take five pills on an empty stomach with gruel, repeat in the evening. Adjust based on age.
Sheng Hui Fang treats pediatric zheng jia, various diseases, gan gu (chronic malnutrition), abdominal distension, sallow emaciation, intermittent symptoms, ke wu gan li (guest fright gan dysentery), unpredictable vomiting, frequent heart/abdominal pain, and jing feng tian deng (convulsions/opisthotonos). Niu Huang Wan (Calculus Bovis Pill) formula:
Niu Huang (Calculus Bovis), Xi Jiao (Rhino Ceratoss Hornis), Mu Xiang (Aucklandiae Radix), Dang Gui (Angelicae Sinensis Radix) (lightly fried, each 0.5 liang), Ren Shen (Ginseng Radix et Rhizoma) (remove rhizome), Chuan Da Huang (Rhei Radix et Rhizoma) (crushed, lightly fried), Guang Ming Sha (Cinnabaris purified), Bing Lang (Arecae Semen) (each 3 fen), She Xiang (Moschus) (finely ground, 1 fen), Bie Jia (Testudinis Carapax et Plastrum) (1 liang, coat with vinegar, roast yellow, remove skirt), Ba Dou (Crotonis Fructus) (boil in light grain water until dry, remove skin/oil, grind separately, each 1 fen), Dai Zhe Shi (Hematitum) (2 fen), Rou Dou Kou (Myristicae Semen) (2 pieces, shell removed), Xing Ren (Armeniacae Semen Amarum) (20 pieces, soak, peel, remove tips/double kernels, bran-roast yellow).
Pound, sieve, mix thoroughly with honey to make pills the size of mung beans. For infants under 100 days, take one pill with breast milk; for 2-3 year olds, take two pills on an empty stomach with gruel. Pathogens in chest/diaphragm are expelled via vomiting; pathogens in zang-fu are expelled via stool (sign of efficacy). Resume drinking grain water porridge for one day to stop diarrhea. Take once every 5-10 days to prevent stagnation. Adjust based on age.
Sheng Hui Fang Another Formula:
Zhu Sha (Cinnabaris) (finely ground), Xing Ren (Armeniacae Semen Amarum) (each 1 fen, soak, peel, grind into paste), Ba Dou Shuang (Crotonis Fructus prepared powder) (0.5 fen), Bie Jia (Testudinis Carapax et Plastrum) (coat with vinegar, roast yellow, remove skirt), Xi Jiao (Rhino Ceratoss Hornis) (shavings, each 0.5 liang).
Pound, sieve, mix Ba Dou and Xing Ren thoroughly. Combine with honey to make pills the size of broomcorn millet. For 100-day infants, take one pill with milk; for 3-4 year olds, take three pills with mint decoction. Adjust based on age.
Sheng Hui Fang treats pediatric food accumulation with intermittent chills/fever, sallow emaciated limbs, and anorexia. Meng Shi Wan (Magnolia Bark Pill) formula:
Meng Shi (Magnoliae Cortex processed mineral), Gan Jiang (Zingiberis Rhizoma) (roasted to powder), Xing Ren (Armeniacae Semen Amarum) (soak, peel, roast, each 1 fen), Ba Dou (Crotonis Fructus) (remove heart/skin, press oil out), Nao Sha (Sal Ammoniac) (each 0.5 liang).
Grind the above five ingredients finely. Decoct in one tea bowl of rice vinegar until paste-like. Then add:
Jing San Leng (Sparganii Rhizoma) (lightly roasted, crushed), Zao Jia (Gleditsiae Fructus) (peel, coat with butter, roast yellow, remove seeds), Peng E Zhu (Curcumae Rhizoma) (each 1 fen).
Pound, sieve, mix with the prepared paste to make pills the size of mung beans. For 3-year-olds, take one pill with clear tea. For older children, increase dosage as appropriate. (Zhang Huan's San Leng Jian treats spleen deficiency with accumulation.)
Sheng Hui Fang treats pediatric food accumulation with chills/fever, emaciation, and anorexia. Recommend Fang Kui Wan (Peucedanum Pill) formula:
Fang Kui (Peucedani Radix), Jing San Leng (Sparganii Rhizoma) (lightly roasted, crushed, each 0.5 liang), Rou Dou Kou (Myristicae Semen) (shell removed), Mu Xiang (Aucklandiae Radix), Zhi Ke (Aurantii Fructus) (bran-roasted yellow, remove pith), She Xiang (Moschus) (each 1 fen, finely ground), Chuan Da Huang (Rhei Radix et Rhizoma) (crushed, lightly fried), Bie Jia (Testudinis Carapax et Plastrum) (each 1 liang, coat with vinegar, roast yellow, remove skirt).
Pound, sieve, mix with honey to make pills the size of mung beans. For 3-year-olds, take five pills with gruel, 2-3 times daily. Adjust based on age.
Sheng Hui Fang treats long-standing pediatric food accumulation. Dai Zhe Wan (Hematite Pill) formula:
Dai Zhe Shi (Hematitum) (finely ground), Ba Dou (Crotonis Fructus) (remove skin/heart, press oil out), Ding Xiang (Caryophylli Flos) (each 0.5 liang), Huang Lian (Coptidis Rhizoma) (remove roots), Wu Ling Zhi (Trogopterori Faeces), Gui Xin (Cinnamomi Cortex) (each 1 fen), She Xiang (Moschus) (finely ground), Ni Fen (Calomelas) (each 1 qian), Lu Hui (Aloe) (2 qian, finely ground).
Pound, sieve, mix thoroughly with honey to make pills the size of mung beans. For 3-year-olds, take two pills on an empty stomach with gruel. Adjust based on age. Efficacy is confirmed by expulsion of foul matter.
Sheng Hui Fang treats pediatric food accumulation with inability to eat and emaciated limbs. Mu Xiang Wan (Aucklandia Pill) formula:
Mu Xiang (Aucklandiae Radix), Bing Lang (Arecae Semen), Jing San Leng (Sparganii Rhizoma) (lightly roasted, crushed), Xing Ren (Armeniacae Semen Amarum) (soak, peel, roast), Dang Gui (Angelicae Sinensis Radix) (crushed, fried), Xi Jiao (Rhino Ceratoss Hornis) (shavings, each 1 fen), Bie Jia (Testudinis Carapax et Plastrum) (coat with vinegar, roast yellow, remove skirt), Zhu Sha (Cinnabaris) (finely ground, water-washed), Dai Zhe Shi (Hematitum) (each 0.5 liang, finely ground), Ba Dou (Crotonis Fructus) (0.5 fen, remove heart, press oil out).
Pound, sieve, mix thoroughly with honey to make pills the size of millet seeds. For 3-year-olds, take three pills on an empty stomach with warm water, repeat in evening. Adjust based on age.
Sheng Hui Fang treats pediatric food accumulation with large intestine stagnation and chest/abdominal oppression. Da Huang Wan (Rhubarb Pill) formula:
Chuan Da Huang (Rhei Radix et Rhizoma) (crushed, lightly fried), Chi Shao Yao (Paeoniae Radix Rubra), Da Ma Ren (Cannabis Fructus), Bie Jia (Testudinis Carapax et Plastrum) (each 3 fen, coat with vinegar, roast yellow, remove skirt), Fang Kui (Peucedani Radix), Fa Qu (Medicated Leaven) (lightly fried), Bai Zhu (Atractylodis Macrocephalae Rhizoma), Qing Ju Pi (Citri Reticulatae Pericarpium) (each 1 fen, soak, remove pith, dry).
Pound, sieve, mix with honey to make pills the size of mung beans. For 3-year-olds, take five pills with warm water in the morning. Adjust dosage in the evening based on age.
Sheng Hui Fang Another Formula:
Jing San Leng (Sparganii Rhizoma) (roasted, crushed to powder), Wu Ling Zhi (Trogopterori Faeces) (each 0.5 liang), Ba Dou Shuang (Crotonis Fructus prepared powder) (0.5 fen).
Mix thoroughly, bind with vinegar-boiled wheat paste to make pills the size of mung beans. Take two pills on an empty stomach with clear tea. Adjust based on age.
Sheng Hui Fang Another Formula:
Shi Chang Pu (Acori Tatarinowii Rhizoma) (powder, 0.5 liang), Ba Dou (Crotonis Fructus) (20 pieces, remove skin, pound to paste, simmer with first-quality vinegar in one medium cup until paste forms).
Mix Ba Dou paste with other ingredients to make pills the size of mung beans. Take one pill on an empty stomach with clear tea. Adjust based on age.
Sheng Hui Fang Another Formula:
Ni Fen (Calomelas) (1 qian), Gan Yan Zhi (Dry Carmine) (1 fen), Ba Dou Shuang (Crotonis Fructus prepared powder) (0.5 fen), Zhu Sha (Cinnabaris) (0.5 liang, finely ground, water-washed).
Mix thoroughly, bind with vinegar-boiled wheat paste to make pills the size of mung beans. Take two pills on an empty stomach with orange peel decoction. Adjust based on age.
Sheng Hui Fang treats chronic anorexia in children, blood/qi masses, and zheng lumps. Nao Sha Wan (Sal Ammoniac Pill) formula:
Nao Sha (Sal Ammoniac) (0.5 liang, finely ground), Qing Meng Shi (Magnesia Hydrocarbonas), Chuan Shan Jia (Manis Squama) (roasted yellow/burnt), Ci Shi (Magnetitum) (calcined, quenched in vinegar seven times, pounded to powder), Jing San Leng (Sparganii Rhizoma) (lightly roasted, crushed), Gan Qi (Dry Laccares Resina) (pounded, smoked until red), Chi Shi Zhi (Halloysitum Rubrum) (finely ground, each 1 fen), Meng Chong (Tabanus), Shui Zhi (Hirudo) (each 50 pieces, lightly fried), Ba Dou (Crotonis Fructus) (15 pieces, remove skin/heart, press oil out).
Pound, sieve, mix with Ba Dou. Bind with soft rice to make pills the size of small beans. Take three pills for adults, one for children. Administer with ash-water from steamed buns. After one shi (two hours), foul matter is expelled. For blood/qi masses, take with Dang Gui wine; cure within five doses.
Bo Ji Fang: Dissolves zheng, jia, accumulation, and blood-stasis stabbing pain. Mu Xiang Nao Sha Jian Wan (Aucklandia and Sal Ammoniac Decoction Pill):
Mu Xiang (Aucklandiae Radix), Da Huang (Rhei Radix et Rhizoma) (processed), Jing San Leng (Sparganii Rhizoma) (raw), Ba Dou (Crotonis Fructus) (remove skin/membrane, keep oil, grind finely), Guan Gui (Cinnamomi Cortex) (remove bark), Tong Zi Qi (Laccares Resina) (fried), Qing Ju Pi (Citri Reticulatae Pericarpium) (remove pith), Peng E Zhu (Curcumae Rhizoma) (processed), Fu Zi (Aconiti Lateralis Radix Praeparata) (processed, remove skin/navel), Gan Jiang (Zingiberis Rhizoma) (processed, each 1 fen), Xiang Mo (Ink Stick) (size of finger joint, finely ground), Nao Sha (Sal Ammoniac) (0.5 liang, soak in good vinegar overnight, remove sand).
Take Da Huang powder, Jing San Leng powder, and Ba Dou. Place in silver/copper vessel, add one sheng of good vinegar, boil one or two times. Add Nao Sha, simmer to paste. Add remaining herb powders, mix well. Pound in mortar thousands of times to make pills the size of mung beans. Take five pills per dose. For cold food/wine/water accumulation causing qi-mass pain, take with Gan Jiang or Ju Pi decoction. For food-complicated cold damage, take with plain water. For sticky food causing qi-mass, take with noodle soup. For beef/mutton/fish/turtle meat causing persistent qi-mass, take with juice of the offending food. For undigested alcohol, take with wine. For blood/qi issues, take with Dang Gui wine. For pregnancy requiring abortion, take with weak tea (increase to seven pills). For children, take three pills; for maintenance, take one or two pills.
Zhang Huan Da Fu Zi Tang: Treats zheng pi abdominal fullness and difficult urination.
Da Fu Pi (Arecae Pericarpium) (1 liang, crushed), Bing Lang (Arecae Semen), Zhi Ke (Aurantii Fructus) (bran-roasted, remove pith), Chi Shao Yao (Paeoniae Radix Rubra), Ren Shen (Ginseng Radix et Rhizoma) (remove rhizome), Zhi Mu (Anemarrhenae Rhizoma), Chen Ju Pi (Citri Reticulatae Pericarpium) (soak, remove pith, each 0.5 liang), Gan Sui (Kansui Radix) (1 fen, slow-roast until yellow).
Pound, sieve to fine powder. Take 1 qian per dose, decoct with one small cup of water until reduced to half a cup. Strain, take warm. Adjust based on age.
Zhang Huan Sheng Xiao Dan: Treats pi aggregation and chronic refractory diseases.
Dang Gui (Angelicae Sinensis Radix) (wash, dry-roast), Mu Xiang (Aucklandiae Radix), Hao Zhu Sha (Cinnabaris) (finely ground, water-washed), Gui Xin (Cinnamomi Cortex) (each 1 liang), Gan Sui (Kansui Radix) (slow-roast until yellow), Jing San Leng (Sparganii Rhizoma) (processed, crush while hot), Bie Jia (Testudinis Carapax et Plastrum) (each 0.5 liang, coat with butter, roast yellow, remove skirt - prepare powder separately), She Xiang (Moschus), Rui Ren (Pruni Armeniaci Semen) (each 1 fen, soak, peel, grind separately), Ba Dou (Crotonis Fructus) (3-7 pieces, remove skin/heart/membrane, place in silk bag, boil in good wine overnight, remove and grind separately).
Mix all ingredients, grind finely. Melt 6 liang of yellow wax over low heat, mix with herbs to form a paste. Make pills the size of millet seeds. Dosage: Under 1 year: 1 pill; 2-3 years: 2 pills; 4-5 years: 3 pills; 6-7 years: 5 pills; Over 10 years: 7 pills. Take with warm rice gruel after meals. Adjust based on age.
Hui Yan Guan Zheng Shuang Shen Yin Zi (Originally named Hu Huang Lian Yin Zi):
Ren Shen (Ginseng Radix et Rhizoma), Hu Huang Lian (Coptidis Rhizoma), Pi Pa Ye (Loquat Leaf) (brush off hairs), Gan Ge (Puerariae Radix), Gan Cao (Glycyrrhizae Radix et Rhizoma), Yuan Shen (Scrophulariae Radix), Mai Men Dong (Ophiopogonis Tuber).
Equal parts, grind to powder. Take 1 da qian per dose, decoct with half a cup of water for 2-3 boils. Strain, feed slowly.