《圣惠》论∶夫绝乳小儿，五脏调和，荣卫气理，则津液流通，虽复多饮水浆，不能为病。若调养乖方，三
焦痞隔，则肠胃不能宣行。因饮水浆，便令停滞不散，更遇寒气相搏，结聚而成癖。癖者谓僻侧，在两胁之间
有时痛也。
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。在右胁下痛者为癖气，下蓬莪术散（方见 气门中）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，不进食者死。
钱乙论小儿病癖，由乳食不消，伏在腹中，乍凉乍热，饮水或喘嗽，与潮热相类，不早治必成疳。以其有
癖则令儿不食，致脾胃虚而热发，故引饮水过多，即荡涤肠胃，亡失津液，胃不能传化水谷。其脉沉细。益不
食，脾胃虚衰，四肢不举，诸邪遂生，鲜不瘦而成疳矣。
钱乙论癖为潮热云∶曹宣德子三岁，面黄，时发寒热，不欲食而饮水及乳不止。众医以为潮热，用牛黄丸、
麝香丸不愈，及以止渴干葛散服之，反吐。钱乙曰∶当下白饼子主之（方见搐搦门中），后补脾，乃以消积丸磨
之（方见积聚
门中），此乃癖也，后果愈。何以故？不食但饮水者，食伏于管内不能消，至令发寒。服止渴药吐者，药冲脾故也，
下之即愈。
《婴童宝鉴》∶小儿食癖者，是小时失乳，或母无乳暴将食哺之，或动或不动，食在于脾，儿不能消化，结
聚成块。其腹内左右不定，或如梨栗，覆杯之状是也。
《婴童宝鉴》∶滞寒不流，又夹痰涎成癖，自然有声。
《婴童宝鉴》∶小儿癖者，于腹中来往不常者是也。
《千金》牛黄鳖甲丸 治少小癖实，壮热、食不消化，中恶忤气方
牛黄 浓朴（姜制） 茯苓 桂心 芍药 干姜（炮。各半两） 鳖甲（醋炙香熟） 麦面 柴
胡大黄 枳实（麸炒） 芎 （各一两）
上十二味末之，蜜丸如小豆大。日三服，以意量之。
《千金》治小儿宿食癖气、痰饮，往来寒热，不欲食，消瘦。芒硝紫丸方
芒硝 大黄（各四两） 半夏（汤浸七遍） 甘遂（各二两） 代赭（一两） 巴豆（二百枚，去皮膜） 杏
仁（汤去皮尖，一百二十枚）
上七味末之，别捣巴豆、杏仁治如膏，旋内药末，捣三千杵，令相和合。强者内少蜜。百日儿服如胡豆一
丸，过百日至一岁服二丸，随儿大小以意节度。当候儿大便中药出为愈，若不出，更服如初。王氏名保童丸，
治伏积，寒热，吐泻，大便久不调，诸惊疳，伏涎，温壮等皆疗之。庞医云∶人家有此药者，可保小儿无误。
《外台》∶《古今录验》还魂丸疗大人、小儿伤寒四、五日及数年，诸癖结坚心下，饮食不消，目眩，四肢疼，咽
喉不利，壮热，脾胃逆满，肠鸣，两胁里急，飞尸、鬼疰、邪气。或为惊恐，伤瘦背痛，手足不仁，口苦舌
燥，天行发作有时，风温不能久住，吐恶水方。
巴豆（去心、皮，熬） 甘草（炙） 朱砂 芍药（各一两） 麦门冬（二两，去心）
上五味各捣、下筛，合和以蜜，捣三千下，丸如梧桐子大。每服两丸，葱枣汤下。小儿二岁以上服如麻子
大二丸，日二服。忌海藻、菘菜、野猪肉、芦笋、生血物。
《外台》∶《广济》疗老小腹中癖气方。
牛膝 枳实（炙） 鳖甲（炙） 茯苓（各八分） 桔梗 芍药 白术 人参 浓
朴大黄 桂心 槟榔（各六分）
上十二味捣、筛，蜜和丸。空肚温酒服如梧子二十丸，日二服，渐加至三十丸。老、小减丸，微利。忌生
冷、油腻、小豆、粘食、苋菜、桃、李、雀肉、大醋、生葱、猪肉。
《外台》∶《必效》疗大人、小儿癖方。
上取车下李仁，微汤退去皮及并仁，与干面相半捣之为饼。如犹干，和淡水，如常搜面，大小一如病患手
掌。为二饼微炙便黄，勿令至熟，空肚食一枚，当快利。如不利，更食一枚，或饮热粥汁即利，以快利为度。
至午后利止，即以醋饭止之，利后当虚。病未尽者，量力一、二日更进一服，以病尽为限。小儿亦以意量之。
不得食酪及牛、马肉，无不效。但病重者，李仁与面相半，轻者以意减之。后服者，亦任量力频试差。神效。
《外台》∶急救小儿闪癖，治之方。
青葙苗（六月六日采） 知母 黄连（去毛） 大黄 栀子仁 栝蒌 常山 葳
蕤（各八分） 苦参皮（十二分） 甘草（炙） 蜀漆（洗。
各五分）
上十一味捣、筛，蜜和为丸如梧子大。饮服五丸，渐加至十五丸，日再，以知为度。因至利，小儿减丸量
度服。忌猪肉、热面、葱蒜、生菜、海藻、菘菜。
《外台》∶《广济》疗小儿 癖发，腹痛不食，黄瘦。鳖甲丸方
鳖甲（炙） 郁李仁（各八分） 防葵 人参（各五分） 诃梨勒皮（七颗） 大黄（四分） 桑菌（三分）
上七味捣、筛，蜜丸。大小量之，以酒饮乳服五丸至十丸。《圣惠》独治 气发动，但鳖甲、防葵、大黄、
郁李仁各半两，人参、桑菌各六分，诃梨勒三分。
《外台》∶刘氏疗小儿冷癖、 癖气，不下食，瘦，时时肋下痛方。
防葵 当归 枳实（炙） 浓朴（炙） 楮实 人参 黄 茯神 诃梨勒皮 白术（各八分） 牛膝 郁李仁（去
皮） 柴胡 大麻仁 芍药 橘皮 防风 紫菀（去土、洗） 薏苡仁（各六分） 鳖甲（炙） 三棱根（各十二分） 桂
心（七分） 大附子（二枚，炮） 干姜（末，二分） 甘草（炙） 干地黄 大黄（各十分） 五味子（四分） 槟
榔仁（四颗） 仙鼠（二枚，如无，以粪二合代）
上三十味捣、筛，蜜和丸如梧子。大小增减，以意量之。须饮服之良。
《子母秘录》治小儿气癖方。
上用三棱汁作羹粥，以米面为之，与奶母食。每日取一枣大与小儿吃，亦得作粥与痫热食之。治小儿十岁
以下及新生百日，无问痫热、无辜 癖等，皆理之。秘妙不可，具言大效。
《子母秘录》治小儿闪癖，头发竖黄，瘰 羸瘦方。
上用林檎杵末，以和醋敷上，癖移处就敷之。
刘禹锡治小儿闪癖方。
上用蝤 煮食之。
陈藏器治小儿闪癖，大腹痞满方。
上用鹳脚骨及嘴，并煮汁服之；亦烧为黑灰饮服。
陈藏器治小儿闪癖方。
上用苦瓠取未破者，煮令热解开，熨小儿闪癖。
《圣惠》治小儿腹中癖气不散，肌肉瘦瘁，或多心烦，不能饮食，食即吐逆，或大小便秘涩，及天 、惊风并宜
服。大紫霜丸方
代赭（细研） 朱砂（细研，水飞过） 犀角 杏仁（汤浸，去皮尖、双仁、麸炒微
黄。各半两） 麝香 牛黄（各研细） 巴豆（各一分，去皮心，研，
纸裹压去油） 当归 川大黄（各锉，微炒） 鳖甲（各三分，涂醋炙令黄，去裙 ）
上件捣，罗为末，入研了药，更研令匀，炼蜜和捣三、二百杵，丸如麻子大。每服粥饮下二丸。惊风、天
，荆芥、薄荷汤下。更量儿大小加减服之。以利下恶物为效。
《圣惠》治小儿癖气腹痛。前胡丸方
前胡 桔梗（各去芦头） 赤芍药 赤茯苓 枳壳（麸炒，去壳） 川大黄（
锉碎，微炒） 当归（锉，微炒） 郁李仁（各半两，汤浸去皮，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。三岁儿每服空心以粥饮化破五丸服。量儿大小加减服之。
《圣惠》治小儿腹中结聚，胁下有癖，手足烦热。鳖甲丸方
鳖甲（一两，涂醋炙令黄，去裙 。《婴孺》用五分） 川大黄（半两，锉碎炒。
《婴孺》用五分） 柴胡（去苗） 赤茯苓（各半两，《婴孺》各用一两） 干姜
（一分，炮裂，锉。《婴孺》用一两） 桂心（半两） 蛴螬（十枚，干者微炒。《婴孺》用
二十个） 虫（二十枚，微炙）
上件药捣，罗为末，炼蜜和丸如麻子大。二、三岁儿空腹以粥饮下三丸，日三服。量儿大小以意加减。
《圣惠》治小儿癖气，久不消散。防葵丸方
防葵（一两） 川大黄（三分，锉碎，微炒） 人参 诃梨勒皮 桑菌 郁李仁（各半两，汤浸去皮尖，微炒）
上件药捣，罗为末，炼蜜和丸如麻子大。每服以温酒下五丸，日二服。量儿大小加减服之。
《圣惠》治小儿宿食不化，积成癖气，两胁妨闷，气急，不能下食，腹大胀硬。小紫双丸方
代赭（细研） 川大黄（各一两，锉碎，微炒） 丹砂（细研，水飞过） 木香 犀角（屑） 杏
仁（汤浸去皮尖，麦麸炒微黄） 当归（各半两，锉，炒） 巴豆（一分，去皮、心，研细，纸裹压去油用）
上件药捣，罗为末，入研了药，更研令匀，炼蜜和丸如绿豆大。三岁以上，每服空心以温水下二丸。更量
儿大小以意加减，取下恶物为效。
《圣惠》治小儿癖气，手脚心热，面色痿黄，不思饮食，日渐羸瘦。鳖甲丸方
鳖甲（涂醋炙令黄，去裙 ） 川大黄（各一两，锉碎微炒） 柴胡（三分，去苗） 人
参（去芦头） 赤茯苓 当归（锉，微炒。各一分） 桂心 白
术木香（各一分） 槟榔 京三棱（微煨，锉） 生姜（各半两，切作片子，焙干）
上件药捣，罗为末，炼蜜和丸如绿豆大。三岁儿空心以粥饮研下五丸。更量儿大小以意加减，当下诸恶物为效。
《圣惠》治小儿癖气，手脚心热，脾胃虚弱，不下饮食，面色痿黄，渐加羸瘦。京三棱丸方
京三棱（微煨，锉） 防葵 木香 枳壳（麸炒微黄，去瓤） 人参（去芦头） 赤茯
苓白术 桂心（各半两） 郁李仁（三分，汤浸去皮，
微炒） 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，炼蜜和丸如小豆大。以粥饮下，随年丸数，日三服。儿稍大，即以酒下之。
《圣惠》治小儿羸瘦，腹内有癖气，胁下坚满，时有腹痛，虽食不成肌肉。鸡骨丸方
乌鸡骨（一具。酒浸炙令黄） 川大黄（锉碎，微炒） 鳖甲（涂醋炙令黄，去裙 ） 黄
芩泽泻 柴胡（去苗） 桔梗 人参（各去芦头） 赤
芍药（各一两） 枳实（半两，麸炒微黄） 杏仁（汤浸，去皮尖、双仁，麸炒微黄） 防葵（各
三分） 虫（五枚，微炒令黄）
上件药捣，罗为末，炼蜜和丸如绿豆大。四、五岁儿以粥饮下七丸，日二服。看儿大小临时加减服之。
《圣惠》治小儿癖气，胁下妨闷，手足微肿，并宜服枳壳丸方
枳壳（麸炒微黄，去瓤） 牵牛子（生用） 黄柏（锉。各半两） 川大黄（锉碎，微炒，三
分） 牡丹 甘遂（煨令微黄） 桂心（各一分）
上件药捣，罗为末，炼蜜和丸如绿豆大。每服以温水研破二丸服之，日再服。看儿大小以意临时加减。
《圣惠》治小儿癖气不消，四肢黄瘦，时有腹痛。大黄丸方
川大黄（锉碎，微炒） 鳖甲（涂醋炙令黄，去裙 ） 大麻仁（研入） 赤芍药（各三分） 防
葵神曲（微炒） 白术 木香（各一分）
上件药捣，罗为末，炼蜜和丸如绿豆大。每服以温水化五丸服之，日二服。量儿大小以意加减。
《圣惠》治小儿癖气，壮热瘦瘁，不欲乳食。诃梨勒丸方
诃梨勒皮 柴胡（去苗） 川大黄（锉碎，微炒） 赤芍药 鳖甲（涂醋炙令黄，去裙 ） 浓
朴（各半两，去粗皮，涂生姜汁炙令香熟） 大麦
（炒令微黄） 芎 赤茯苓 枳壳（麸炒微黄，去瓤） 干姜（炮制） 桂心（各一分）
上件药捣，罗为末，炼蜜和丸如绿豆大。每服以粥饮下五丸，日三服。量儿大小以意加减。
《圣惠》治小儿癖气坚硬，瘦瘁，不欲食。芫花丸方
芫花（醋拌，炒令干） 鳖甲（涂醋炙令黄，去裙 川大黄（锉碎，微炒） 桃仁（汤浸，去皮尖、双
仁，麸炒微黄。各半两） 京三棱（微煨，锉） 雄黄（细研。各一分）
上件药捣，罗为末，炼蜜和丸如粟米大。三岁儿每服空心以生姜汤下三丸。量儿大小以意增减服之。
《博济方》治小儿诸癖，每至午后时作寒热，微有咳嗽，胁肋癖硬。烧青丸
轻粉（二钱） 元精石 粉霜 砂（各一分） 白面（三钱）
上件五味同细研，滴水和为饼子，以文武火烧熟为度，再研，滴水和为丸如黄米大。每服七丸，浆水下。
三岁以下服五丸。
《婴孺》知母丸 治少小、大人胁下有疾，心下癖症，头中苦痛，微眩，面黄，小便赤色，往来寒热，手足厥
冷，不能饮食，夏秋转甚，令人淋沥。或苦手足烦躁，或疟病之后，余疹不除，朝瘥夕增，乍寒乍热，心胸下有
疹结，及连疟后疾不止。或者温疫，或欲作疟，头项苦强，或胸膈间痰热癖饮。小儿痞疹，胁下症坚，及伤
寒后七、八日结热，痰积不除，久则寒热头痛，逆害食饮，胃中烦躁，夜卧苦烦，朝瘥夕甚，有如温疟，此
是热结不去。此方能除热消饮，治寒热，和胃气，利小便。胸膈间痰热留饮，面黄，小儿壮热，诸癖症并主
之，又不令吐下方。
知母 大黄（各三两） 黄芩 杏仁（炒） 常山（各二分） 蜀漆 甘草（各一两） 麻
The *Shenghui Fang* discusses: For weaned infants, if the five zang organs are harmonious and the Ying (Nutritive) and Wei (Defensive) qi flow smoothly, body fluids circulate normally. Even if they drink large amounts of water, it will not cause disease. However, if care is improper, leading to obstruction in the Sanjiao (Triple Burner), the stomach and intestines fail to transport and transform. Drinking water then causes stagnation. If this is combined with cold pathogenic factors, they bind together to form Pi (masses). "Pi" refers to lesions located on one side, between the two hypochondria, causing intermittent pain.
Master Mao discusses: From five months after birth up to seven years of age, if a child has masses forming Pi in the abdomen, sized like a plum pit or resembling an egg, accompanied by constant crying and pain, these can be classified into several types. Pain under the right hypochondrium is diagnosed as Pi Qi. Taking Peng Ezhu San (see Men's Diseases section) combined with Jianpi San (see Stomach Qi Disharmony section) leads to recovery. If the complexion turns black, eyes gaze abnormally, black blood is passed in stool, nose and mouth feel cold, hands and feet are cold, and the child refuses food, this is a death sign.
Qian Yi discusses: Pediatric Pi arises from undigested milk and food lying latent in the abdomen. Symptoms include alternating chills and fever, drinking water, or wheezing and coughing, resembling tidal fever. If not treated early, it inevitably develops into Gan (malnutrition syndrome). Because Pi causes anorexia, the Spleen and Stomach become deficient and generate internal heat, leading to excessive water intake. This washes out the intestines and stomach, depleting body fluids, so the Stomach cannot transmit and digest food and water. The pulse is deep and fine. Continued anorexia further weakens the Spleen and Stomach, rendering the limbs immobile, allowing various pathogens to arise. Few escape becoming emaciated and developing Gan.
Qian Yi discusses Pi causing tidal fever: The son of Cao Xuande, aged three, had a yellow complexion, frequent chills and fever, anorexia, yet incessant drinking and nursing. Other physicians treated it as tidal fever using Niuhuang Wan (Calf Bezoar Pill) and Shexiang Wan (Musk Pill) without success. Using Zhike Gansan (Dry Scutellaria Decoction for Thirst) caused vomiting. Qian Yi stated: It should be purged with Baibingzi (White Cake Pill) (see Convulsions section), followed by Spleen tonification, and finally using Xiaoji Wan (Accumulation Elimination Pill) to grind down the accumulation (see Accumulations section). This was indeed Pi, and the child recovered. Why? Anorexia with only water intake indicates food stagnating in the gut unable to digest, causing chills. Vomiting after taking thirst-quenching medicine occurs because the medicine irritates the Spleen. Purging resolves it.
*Yingtong Baojian*: Pediatric Food Pi results from premature weaning, lack of maternal milk leading to sudden solid feeding, or irregular eating habits. Food remains in the Spleen, undigested by the child, forming masses. These masses move unpredictably within the abdomen, sometimes shaped like pears or chestnuts, or like inverted cups.
*Yingtong Baojian*: Cold stagnation failing to flow, combined with phlegm-fluids, forms Pi, naturally producing audible sounds.
*Yingtong Baojian*: Pediatric Pi refers to masses moving within the abdomen with changing locations.
*Qianjin Fang* Niuhuang Biejia Wan (Calf Bezoar and Softshell Turtle Pill): Treats pediatric solid Pi, high fever, indigestion, and evil Qi invasion.
Ingredients: Calf Bezoar (Niuhuang), Prepared Magnolia Bark (Nongpu, ginger-processed), Poria (Fuling), Cinnamon Heart (Guixin), White Peony Root (Shaoyao), Dried Ginger (Ganjiang, processed, each 0.5 liang), Vinegar-processed Softshell Turtle Shell (Biejia, until fragrant), Wheat Flour (Maimian), Bupleurum (Chaihu), Rhubarb (Dahuang), Immature Bitter Orange (Zhishi, bran-fried), Ligusticum Wallichii (Xiongqiong, each 1 liang).
Preparation: Grind the twelve ingredients into powder, mix with honey to make pills the size of small beans. Take three times daily, adjusting dosage as needed.
*Qianjin Fang* Mangxiao Ziwan (Mirabilite Purple Pill) for Pediatric Old Food Retention, Pi Qi, Phlegm-Fluids, Alternating Chills and Fever, Anorexia, and Emaciation.
Ingredients: Mirabilite (Mangxiao), Rhubarb (Dahuang, each 4 liang), Pinellia (Banxia, soaked in hot water seven times), Kansui (Gansui, each 2 liang), Hematite (Daizhe, 1 liang), Croton Seed (Badou, 200 seeds, peeled), Apricot Kernel (Xingren, 120 seeds, skin and tip removed).
Preparation: Grind the seven ingredients into powder. Separate from the main powder, pound Badou and Xingren into a paste. Mix the powder into the paste and pound 3,000 times until well combined. Use less honey for robust children. Infants under 100 days take one pill the size of a broad bean; those over 100 days to one year take two pills. Adjust according to the child's size. Recovery is indicated when the medicinal residue is expelled in stool. If not expelled, administer again as before. Wang Shi named this Baotong Wan (Child Protection Pill), treating latent accumulations, chills/fever, vomiting/diarrhea, chronic bowel irregularity, various convulsive Gan syndromes, latent phlegm, and warm fevers. Physician Pang stated: Having this medicine ensures no harm to children.
*Waitai Mi Yao*: *Gujin Luyan* Huanhun Wan (Soul Returning Pill): Treats adults and children with Shanghan (Cold Damage) for four to five days or several years, hard masses of Pi in the epigastrium, indigestion, dizziness, limb pain, throat discomfort, high fever, rebellious fullness of Spleen/Stomach, borborygmus, tension in both hypochondria, Feishi (Flying Corpse), Guizhu (Ghost Taint), and evil Qi. Also treats fright, emaciation, back pain, numbness of hands/feet, bitter taste, dry tongue, periodic epidemic fevers, Wind-Warmth that does not linger, and vomiting of foul water.
Ingredients: Croton Seed (Badou, heart and skin removed, roasted), Licorice Root (Gancao, roasted), Cinnabar (Zhusha), White Peony Root (Shaoyao, each 1 liang), Ophiopogon Tuber (Mendong, 2 liang, heart removed).
Preparation: Pound each of the five ingredients separately, sieve, mix, and combine with honey. Pound 3,000 times to make pills the size of paulownia seeds. Take two pills per dose, washed down with Green Onion and Jujube Decoction. Children over two years old take two pills the size of hemp seeds, twice daily. Avoid Seaweed (Haizao), Chinese Cabbage (Songcai), Wild Boar Meat, Asparagus Shoots (Lusun), and raw blood products.
*Waitai Mi Yao*: *Guangji Fang* for Elderly Abdominal Pi Qi.
Ingredients: Achyranthes Root (Niuxi), Immature Bitter Orange (Zhishi, roasted), Softshell Turtle Shell (Biejia, roasted), Poria (Fuling, each 8 fen), Platycodon Root (Jiegeng), White Peony Root (Shaoyao), Atractylodes Macrocephala (Baizhu), Codonopsis Ginseng (Renshen), Magnolia Bark (Nongpu), Rhubarb (Dahuang), Cinnamon Heart (Guixin), Betel Nut (Binglang, each 6 fen).
Preparation: Pound and sieve the twelve ingredients. Mix with honey to make pills. Take twenty paulownia-seed-sized pills with warm wine on an empty stomach, twice daily. Gradually increase to thirty pills. Reduce dosage for elderly and young children; aim for mild laxation. Avoid raw/cold foods, greasy foods, Adzuki Beans, sticky foods, Amaranth, Peaches, Plums, Sparrow Meat, strong vinegar, raw Scallions, and Pork.
*Waitai Mi Yao*: *Bixiao Fang* for Adult and Pediatric Pi.
Take Li Ren (Plum Kernels) found under carts. Briefly scald to remove skins and inner membranes. Mix half Plum Kernels with half dry wheat flour. Pound into cakes. If too dry, add water and knead like dough. Shape cakes to the size of the patient's palm. Make two cakes. Lightly roast until yellow, do not cook thoroughly. Eat one cake on an empty stomach; rapid laxation should occur. If no laxation, eat another, or drink hot rice gruel juice to induce it. Stop laxation when rapid evacuation occurs. After noon, stop diarrhea by eating vinegar-rice. Post-diarrhea state is deficiency. If disease persists, retake one dose after one or two days based on tolerance, until cured. Adjust for children. Avoid dairy, Beef, and Horse Meat. Highly effective. For severe cases, use equal parts Plum Kernel and flour; for mild cases, reduce proportionally. Subsequent doses can be adjusted frequently until cure. Divine efficacy.
*Waitai Mi Yao*: Emergency Treatment for Pediatric Shan Pi (Flash Pi).
Ingredients: Celosia Sprouts (Qingxiang Miao, harvested June 6th), Anemarrhena Rhizome (Zhimu), Coptis Rhizome (Huanglian, hairs removed), Rhubarb (Dahuang), Gardenia Fruit (Zhizi Ren), Trichosanthes Fruit (Gualou), Oldenlandia Herb (Changshan), Polygonatum Rhizome (Weirui, each 8 fen), Sophora Root Bark (Kushen Pi, 12 fen), Licorice Root (Gancao, roasted), Artemisia Scoparia (Shuqi, washed, each 5 fen).
Preparation: Pound and sieve the eleven ingredients. Mix with honey to make pills the size of paulownia seeds. Take five pills with water, gradually increasing to fifteen pills, twice daily. Stop when effective. If it causes diarrhea, reduce dosage for children. Avoid Pork, Hot Noodles, Scallions/Garlic, Raw Vegetables, Seaweed, and Chinese Cabbage.
*Waitai Mi Yao*: *Guangji Fang* for Pediatric Pi Attack, Abdominal Pain, Anorexia, Yellow Emaciation. Biejia Wan (Softshell Turtle Pill).
Ingredients: Softshell Turtle Shell (Biejia, roasted), Bush Cherry Kernel (Yuli Ren, each 8 fen), Pandanus Root (Fangkui), Codonopsis Ginseng (Renshen, each 5 fen), Chebula Pericarp (Helile Pi, 7 pieces), Rhubarb (Dahuang, 4 fen), Mulberry Fungus (Sangjun, 3 fen).
Preparation: Pound and sieve the seven ingredients. Mix with honey to make pills. Dosage varies by size. Take five to ten pills with wine or milk. *Shenghui Fang* alone treats Pi Qi attacks using only Biejia, Fangkui, Dahuang, and Yuli Ren (each 0.5 liang), Renshen and Sangjun (each 6 fen), Helile (3 fen).
*Waitai Mi Yao*: Liu Shi’s Formula for Pediatric Cold Pi and Pi Qi, Anorexia, Emaciation, Intermittent Hypochondriac Pain.
Ingredients: Pandanus Root (Fangkui), Angelica Sinensis (Danggui), Immature Bitter Orange (Zhishi, roasted), Magnolia Bark (Nongpu, roasted), Eucommia Bark (Chushi), Codonopsis Ginseng (Renshen), Astragalus Root (Huangqi), Spirit of Poria (Fushen), Chebula Pericarp (Helile Pi), Atractylodes Macrocephala (Baizhu, each 8 fen), Achyranthes Root (Niuxi), Bush Cherry Kernel (Yuli Ren, peeled), Bupleurum (Chaihu), Hemp Seed (Dama Ren), White Peony Root (Shaoyao), Tangerine Peel (Chenpi), Saposhnikovia Root (Fangfeng), Aster Root (Ziwan, cleaned), Coix Seed (Yiyiren, each 6 fen), Softshell Turtle Shell (Biejia, roasted), Sparganium Rhizome (Sanleng Gen, each 12 fen), Cinnamon Heart (Guixin, 7 fen), Large Aconite Root (Dafuzi, 2 pieces, processed), Dried Ginger Powder (Ganjiang, 2 fen), Licorice Root (Gancao, roasted), Dried Rehmannia Root (Dihuang), Rhubarb (Dahuang, each 10 fen), Schisandra Berry (Wuweizi, 4 fen), Betel Nut (Binglang Ren, 4 pieces), Mouse (Xianshu, 2 pieces; substitute with feces 2 he if unavailable).
Preparation: Pound and sieve the thirty ingredients. Mix with honey to make pills the size of paulownia seeds. Adjust dosage by size. Best taken with wine.
*Zimu Milu*: Formula for Pediatric Qi Pi.
Make soup/congee with Sanleng Juice and rice/flour. Feed to the wet nurse. Give the child a date-sized portion daily, or mix into congee for children with epilepsy/heat. Treats children under ten years and newborns over 100 days, regardless of epilepsy/heat or Wugu Pi. Secret and miraculous, truly effective.
*Zimu Milu*: Formula for Pediatric Shan Pi, Upright/Yellow Hair, Scrofula, and Emaciation.
Pound Malus domestica (Linping) into powder, mix with vinegar, and apply to the affected area. Apply where the Pi mass moves.
Liu Yuxi’s Formula for Pediatric Shan Pi.
Boil and eat Scylla serrata (Youxie).
Chen Cangqi’s Formula for Pediatric Shan Pi and Abdominal Fullness.
Boil Egret Foot Bones and Beak, drink the juice; or burn to ash and take with water.
Chen Cangqi’s Formula for Pediatric Shan Pi.
Take unbroken Ku Hu (Bitter Gourd/Vine), boil until hot, unwrap, and apply as a compress to the Shan Pi site.
*Shenghui Fang* Da Zishuang Wan (Large Purple Frost Pill): Treats Pediatric Pi Qi not dispersing, emaciation, mental restlessness, anorexia, vomiting upon eating, constipation, Tian Diao (Heavenly Hook/Convulsion), and Jing Feng (Wind Stroke/Convulsion).
Ingredients: Hematite (Daizhe, finely ground), Cinnabar (Zhusha, finely ground, water-washed), Rhinoceros Horn (Xijiao), Apricot Kernel (Xingren, soaked, peeled, double-kernel removed, bran-fried, each 0.5 liang), Musk (Shexiang), Calf Bezoar (Niuhuang, finely ground each), Croton Seed (Badou, 1 fen each, peeled, heart removed, pounded, oil pressed out via paper), Angelica Sinensis (Danggui), Sichuan Rhubarb (Chuan Dahuang, sliced, lightly fried, each 0.5 liang), Softshell Turtle Shell (Biejia, 3 fen each, vinegar-coated, roasted yellow, skirt removed).
Preparation: Pound all ingredients, sieve into powder. Add the already-ground medicines, mix evenly. Combine with refined honey and pound 300-200 times. Make pills the size of hemp seeds. Take two pills with rice gruel. For Convulsion/Tian Diao, take with Jingjie and Bohe Decoction. Adjust dosage by child's size. Efficacy indicated by expulsion of foul matter.
*Shenghui Fang* Qianhu Wan (Peucedanum Pill) for Pediatric Pi Qi Abdominal Pain.
Ingredients: Peucedanum Root (Qianhu), Platycodon Root (Jiegeng, rhizomes removed), Red Peony Root (Chishaoyao), Red Poria (Chifuling), Bitter Orange (Zhike, bran-fried, albedo removed), Sichuan Rhubarb (Chuan Dahuang, sliced, lightly fried), Angelica Sinensis (Danggui, sliced, lightly fried), Bush Cherry Kernel (Yuli Ren, each 0.5 liang, soaked, peeled, lightly fried), Softshell Turtle Shell (Biejia, 1 liang, vinegar-coated, roasted yellow, skirt removed).
Preparation: Pound and sieve. Mix with refined honey to make pills the size of mung beans. Three-year-olds take five pills dissolved in rice gruel on an empty stomach. Adjust dosage by size.
*Shenghui Fang* Biejia Wan (Softshell Turtle Pill) for Pediatric Abdominal Masses, Hypochondriac Pi, and Heat in Hands/Feet.
Ingredients: Softshell Turtle Shell (Biejia, 1 liang, vinegar-coated, roasted yellow, skirt removed. *Yingru* uses 5 fen), Sichuan Rhubarb (Chuan Dahuang, 0.5 liang, sliced, fried. *Yingru* uses 5 fen), Bupleurum (Chaihu, tips removed), Red Poria (Chifuling, each 0.5 liang. *Yingru* uses 1 liang each), Dried Ginger (Ganjiang, 1 fen, roasted, sliced. *Yingru* uses 1 liang), Cinnamon Heart (Guixin, 0.5 liang), Ground Beetle Larva (Qicao, 10 pieces, dried, lightly fried. *Yingru* uses 20), Blister Beetle (Mengchong, 20 pieces, lightly roasted).
Preparation: Pound and sieve. Mix with refined honey to make pills the size of hemp seeds. Two-to-three-year-olds take three pills with rice gruel on an empty stomach, three times daily. Adjust dosage by size.
*Shenghui Fang* Fangkui Wan (Pandanus Root Pill) for Persistent Pediatric Pi Qi.
Ingredients: Pandanus Root (Fangkui, 1 liang), Sichuan Rhubarb (Chuan Dahuang, 3 fen, sliced, lightly fried), Codonopsis Ginseng (Renshen), Chebula Pericarp (Helile Pi), Mulberry Fungus (Sangjun), Bush Cherry Kernel (Yuli Ren, each 0.5 liang, soaked, peeled, lightly fried).
Preparation: Pound and sieve. Mix with refined honey to make pills the size of hemp seeds. Take five pills with warm wine, twice daily. Adjust dosage by size.
*Shenghui Fang* Xiao Zishuang Wan (Small Purple Double Pill) for Pediatric Indigestion Forming Pi Qi, Hypochondriac Oppression, Shortness of Breath, Anorexia, and Abdominal Distension/Hardness.
Ingredients: Hematite (Daizhe, finely ground), Sichuan Rhubarb (Chuan Dahuang, each 1 liang, sliced, lightly fried), Cinnabar (Dansha, finely ground, water-washed), Costus Root (Muxiang), Rhinoceros Horn (Xijiao, shaved), Apricot Kernel (Xingren, soaked, peeled, bran-fried), Angelica Sinensis (Danggui, each 0.5 liang, sliced, fried), Croton Seed (Badou, 1 fen, peeled, heart removed, finely pounded, oil pressed out).
Preparation: Pound and sieve. Add ground medicines, mix evenly. Combine with refined honey and pound to make mung-bean-sized pills. Children over three take two pills with warm water on an empty stomach. Adjust dosage by size. Efficacy indicated by expulsion of foul matter.
*Shenghui Fang* Biejia Wan (Softshell Turtle Pill) for Pediatric Pi Qi, Heat in Palms/Soles, Sallow Complexion, Anorexia, and Progressive Emaciation.
Ingredients: Softshell Turtle Shell (Biejia, vinegar-coated, roasted yellow, skirt removed), Sichuan Rhubarb (Chuan Dahuang, each 1 liang, sliced, lightly fried), Bupleurum (Chaihu, 3 fen, tips removed), Codonopsis Ginseng (Renshen, rhizomes removed), Red Poria (Chifuling), Angelica Sinensis (Danggui, sliced, lightly fried, each 1 fen), Cinnamon Heart (Guixin), Atractylodes Macrocephala (Baizhu), Costus Root (Muxiang, each 1 fen), Betel Nut (Binglang), Sparganium Rhizome (Jing Sanleng, lightly roasted, sliced), Fresh Ginger (Shengjiang, each 0.5 liang, sliced, dried).
Preparation: Pound and sieve. Mix with refined honey to make mung-bean-sized pills. Three-year-olds take five pills dissolved in rice gruel on an empty stomach. Adjust dosage by size. Efficacy indicated by expulsion of foul matter.
*Shenghui Fang* Jing Sanleng Wan (Sparganium Rhizome Pill) for Pediatric Pi Qi, Heat in Palms/Soles, Spleen/Stomach Deficiency, Anorexia, Sallow Complexion, and Progressive Emaciation.
Ingredients: Sparganium Rhizome (Jing Sanleng, lightly roasted, sliced), Pandanus Root (Fangkui), Costus Root (Muxiang), Bitter Orange (Zhike, bran-fried, albedo removed), Codonopsis Ginseng (Renshen, rhizomes removed), Red Poria (Chifuling), Atractylodes Macrocephala (Baizhu), Cinnamon Heart (Guixin, each 0.5 liang), Bush Cherry Kernel (Yuli Ren, 3 fen, soaked, peeled, lightly fried), Sichuan Rhubarb (Chuan Dahuang, sliced, lightly fried), Softshell Turtle Shell (Biejia, each 1 liang, vinegar-coated, roasted yellow, skirt removed).
Preparation: Pound and sieve. Mix with refined honey to make small-bean-sized pills. Take with rice gruel, number of pills corresponding to age, three times daily. Older children take with wine.
*Shenghui Fang* Jigu Wan (Chicken Bone Pill) for Pediatric Emaciation, Abdominal Pi Qi, Hard/Full Hypochondria, Intermittent Abdominal Pain, and Failure to Gain Muscle Despite Eating.
Ingredients: Black Chicken Bone (Wuji Gu, 1 set, wine-soaked, roasted yellow), Sichuan Rhubarb (Chuan Dahuang, sliced, lightly fried), Softshell Turtle Shell (Biejia, vinegar-coated, roasted yellow, skirt removed), Scutellaria Root (Huangqin), Alisma Rhizome (Zexie), Bupleurum (Chaihu, tips removed), Platycodon Root (Jiegeng), Codonopsis Ginseng (Renshen, rhizomes removed), Red Peony Root (Chishaoyao, each 1 liang), Immature Bitter Orange (Zhishi, 0.5 liang, bran-fried), Apricot Kernel (Xingren, soaked, peeled, double-kernel removed, bran-fried), Pandanus Root (Fangkui, each 3 fen), Blister Beetle (Mengchong, 5 pieces, lightly fried yellow).
Preparation: Pound and sieve. Mix with refined honey to make mung-bean-sized pills. Four-to-five-year-olds take seven pills with rice gruel, twice daily. Adjust dosage by size.
*Shenghui Fang* Zhike Wan (Bitter Orange Pill) for Pediatric Pi Qi, Hypochondriac Oppression, and Mild Edema of Hands/Feet.
Ingredients: Bitter Orange (Zhike, bran-fried, albedo removed), Morning Glory Seed (Qianniu Zi, raw), Phellodendron Bark (Huangbai, sliced, each 0.5 liang), Sichuan Rhubarb (Chuan Dahuang, sliced, lightly fried, 3 fen), Moutan Cortex (Mudan), Kansui (Gansui, roasted light yellow), Cinnamon Heart (Guixin, each 1 fen).
Preparation: Pound and sieve. Mix with refined honey to make mung-bean-sized pills. Dissolve two pills in warm water per dose, twice daily. Adjust dosage by size.
*Shenghui Fang* Dahuang Wan (Rhubarb Pill) for Persistent Pediatric Pi Qi, Yellow/Emaciated Limbs, and Intermittent Abdominal Pain.
Ingredients: Sichuan Rhubarb (Chuan Dahuang, sliced, lightly fried), Softshell Turtle Shell (Biejia, vinegar-coated, roasted yellow, skirt removed), Hemp Seed (Dama Ren, pounded), Red Peony Root (Chishaoyao, each 3 fen), Pandanus Root (Fangkui), Medicated Leaven (Shenqu, lightly fried), Atractylodes Macrocephala (Baizhu), Costus Root (Muxiang, each 1 fen).
Preparation: Pound and sieve. Mix with refined honey to make mung-bean-sized pills. Dissolve five pills in warm water per dose, twice daily. Adjust dosage by size.
*Shenghui Fang* Helile Wan (Chebula Pill) for Pediatric Pi Qi, High Fever, Emaciation, and Anorexia.
Ingredients: Chebula Pericarp (Helile Pi), Bupleurum (Chaihu, tips removed), Sichuan Rhubarb (Chuan Dahuang, sliced, lightly fried), Red Peony Root (Chishaoyao), Softshell Turtle Shell (Biejia, vinegar-coated, roasted yellow, skirt removed), Magnolia Bark (Nongpu, each 0.5 liang, bark removed, coated with ginger juice, roasted fragrant), Barley (Damai, lightly fried), Ligusticum Wallichii (Xiongqiong), Red Poria (Chifuling), Bitter Orange (Zhike, bran-fried, albedo removed), Dried Ginger (Ganjiang, processed), Cinnamon Heart (Guixin, each 1 fen).
Preparation: Pound and sieve. Mix with refined honey to make mung-bean-sized pills. Take five pills with rice gruel, three times daily. Adjust dosage by size.
*Shenghui Fang* Yuanhua Wan (Genkwa Pill) for Hard Pediatric Pi Qi, Emaciation, and Anorexia.
Ingredients: Genkwa Flower (Yuanhua, mixed with vinegar, roasted dry), Softshell Turtle Shell (Biejia, vinegar-coated, roasted yellow, skirt removed), Sichuan Rhubarb (Chuan Dahuang, sliced, lightly fried), Peach Kernel (Taoren, soaked, peeled, double-kernel removed, bran-fried, each 0.5 liang), Sparganium Rhizome (Jing Sanleng, lightly roasted, sliced), Realgar (Xionghuang, finely ground, each 1 fen).
Preparation: Pound and sieve. Mix with refined honey to make millet-sized pills. Three-year-olds take three pills with Ginger Decoction on an empty stomach. Adjust dosage by size.
*Boji Fang* Shaoqing Wan (Burnt Blue Pill) for Various Pediatric Pi, Afternoon Chills/Fever, Mild Cough, and Hard Hypochondriac Masses.
Ingredients: Calomel (Qingfen, 2 qian), Yuanying Stone (Yuanyingshi), Lead Oxide Powder (Fenshuang), Cinnabar (Zhusha, each 1 fen), Wheat Flour (Baimian, 3 qian).
Preparation: Finely grind the five ingredients. Add drops of water to form cakes. Roast over medium-low heat until cooked. Grind again, add water to make yellow-millet-sized pills. Take seven pills with sour liquid. Children under three take five pills.
*Yingru Fang* Zhimu Wan (Anemarrhena Pill): Treats hypochondriac disorders in children/adults, epigastric Pi masses, head pain, slight dizziness, yellow complexion, red urine, alternating chills/fever, cold extremities, anorexia, worsening in Summer/Autumn, urinary dribbling. Also treats restless limbs, residual rashes after malaria, morning improvement/evening worsening, fluctuating chills/fever, chest masses, persistent post-malaria illness, epidemics, impending malaria, stiff neck/chest, phlegm-heat in chest/diaphragm, pediatric pi rash, hard hypochondriac masses, heat binding after Shanghan (7-8 days), persistent phlegm accumulation, chronic chills/headache, digestive disturbance, gastric restlessness, night sleep disturbance, morning improvement/evening worsening (resembling Warm Malaria), indicating persistent heat binding. This formula clears heat, resolves fluids, treats chills/fever, harmonizes Stomach Qi, promotes urination. Treats phlegm-heat retention, yellow complexion, pediatric high fever, and various Pi masses. Does not induce vomiting or purging.
Ingredients: Anemarrhena Rhizome (Zhimu), Rhubarb (Dahuang, each 3 liang), Scutellaria Root (Huangqin), Apricot Kernel (Xingren, fried), Oldenlandia Herb (Changshan, each 2 fen), Artemisia Scoparia (Shuqi), Licorice Root (Gancao, each 1 liang), Ephedra Stem (Mahuang)