黄（二两，去节） 牡蛎（六分， 赤）
上为末，蜜丸相子大。饮下五丸，日进三服。加至二十丸，老小半之。小儿以意加减。
《婴孺》防葵丸 治老小 癖，不食，羸瘦神验方。
防葵 当归 旋复花 橘皮 诃梨勒皮 吴茱萸 桂心 桔梗（各四分） 杏
仁（六十个，炒） 大附子（一个，炮） 大黄（十二分） 鳖甲（六分）
上为末，蜜丸梧子大。每服十五丸，日再服。
《婴孺》治小儿 癖方。
质汗（出西蕃，如凝血。蕃人煎甘草、松泪、柽乳、地黄并热血成之）
上取半匕，以水半盏，研如稀糊，更研朱砂调令匀。若五岁以下，空心只作一服。服之得利，恶物出，如
不利，随粪出瘥，三、五日大愈。量儿大小与之。
《婴孺》治小儿闪癖，身体壮热，频服冷药，冷气漫心成癖。下焦又冷，肠结，大便难方。
茯苓 芎 鳖甲（炙） 枳壳（炙） 芍药（各二分） 柴胡（四分）
上切，以水一大升三合，煎至三合。空心为二服，去五、六里再服。忌苋子。
《婴孺》治小儿羸瘦，腹中有癖，两胁坚满，时痛，食不生肌。鸡骨鳖甲丸方
宿乌鸡（胸膈骨一具，酒浸一宿，炙黄） 鳖甲（炙） 蜀漆 柴胡 桔梗 人参（各
四分） 芍药 大黄 黄芩 杏仁（各五分） 枳实
（一分半，炒） 防葵（切） 白术（各三分） 虫（五个，炙）
上为末，蜜丸豆大。四、五岁儿服二丸，日再服佳。
《婴孺》治小儿水癖黑丸子方
当归（四分） 细辛 附子（炮） 干姜 胡椒（汗。各三分） 盐豉（二合） 巴
豆（十枚，去皮，炒） 野狼毒（炙，一分） 杏仁（去皮，炒。十个）
上为末，蜜丸胡豆大。饮服三丸，日一服。
《吉氏家传》治腹肚不调，并癖气久不愈方。
知母 牡蛎 枳实（各六分） 鳖甲（醋煮，炙） 甘草（各四分） 大黄（三分）
上末，蜜丸如绿豆大，粥饮下五丸。
《朱氏家传》治小儿腹痛不调，兼癖气。知母丸方
知母（六分） 鳖甲（四分，炙） 牡蛎 枳壳（各三分，炒去壳） 大黄（十二分，纸裹煨熟）
上件为末，蜜丸如绿豆大，饮下五丸。大人以意下服。
长沙医者丁时发传治七、八岁儿多睡，或时壮热，日加羸瘦，身虽不痛，有时痢脓，呕逆不食，是癖气之候。
其状似疟疾，人多不识此患方。
柴胡 黄芩（各一分） 枳壳（二片，炒） 甘草（炙） 知母 芍药（各二分） 大
诃梨勒（一个，大者，煨，取皮。小者二个）
上件为末，水一盏煎服。
长沙医者丁时发传大戟饼子 治小儿食癖，胁下有一块，饮食不生肌肉方。
大戟（半两，匀切作片子，以好醋浸一宿，取出焙干为末，用药末一钱） 好面（一钱）
上滴水和丸，捻作饼子如小钱大，浓三分。 上 熟。米饮嚼下一饼，儿小减服。
长沙医者郑愈传治诸癖肠结，不思饮食，或时吐逆。练香丸散方
青皮 白僵蚕 甘草 诃子（各二钱，并煨过存性，研为末） 没药 乳香 巴豆
霜（各一钱，别研）
上和匀，为末。呕逆兼泻不止每服二字，米饮调下。如要思食、消癖，却入巴豆，以稀面糊为丸，每服五、
七丸，薄荷汤吞下，日进三、两服。量虚实加减用之。
长沙医者王兑传二丁散 治小儿诸癖，久不消，腹痛，乍寒乍热，泄泻无时，多渴黄瘦，或下痢，腹胁有块如
掌，癖侧石硬方。
拣丁香 白丁香 没石子（各二钱） 硫黄 密陀僧（各三钱）
上为细末，研匀。每服一字至半钱。白汤调下，空心临卧日二服。以消为度。
《千金》灸法∶小儿癖，灸两乳下一寸，各三壮。
Huang Qin (Scutellariae Radix, two liang, remove the woody core) and Mu Li (Ostreae Concha, six fen, red variety).
Grind the above herbs into powder, mix with honey to form pills the size of Sophora japonica seeds. Take five pills per dose with water, three times a day. The dosage can be increased up to twenty pills; for the elderly and children, reduce the dosage by half. For pediatric patients, adjust the dosage according to clinical judgment.
Fang Kui Wan (Aristolochiae Radix Pill) from *Ying Ru Ji*: Treats pi syndrome (abdominal masses) in adults and children, characterized by anorexia and emaciation; it is a highly effective prescription.
Ingredients: Fang Kui (Aristolochiae Radix), Dang Gui (Angelicae Sinensis Radix), Xuan Fu Hua (Inulae Flos), Ju Pi (Citri Reticulatae Pericarpium), He Li Le Pi (Terminaliae Chebulae Pericarpium), Wu Zhu Yu (Evodiae Fructus), Gui Xin (Cinnamomi Ramulus), Jie Geng (Platycodonis Radix) (each four fen); Xing Ren (Armeniacae Semen Amarum, sixty kernels, stir-fried); Da Fu Zi (Aconiti Lateralis Radix Praeparata, one piece, processed); Da Huang (Rhei Radix et Rhizoma, twelve fen); Bie Jia (Testudinis et Chelonis Carapax et Plastrum, six fen).
Preparation and Administration: Grind the above herbs into powder, mix with honey to form pills the size of Sophora japonica seeds. Take fifteen pills per dose, twice daily.
Prescription for treating pediatric pi syndrome from *Ying Ru Ji*.
Ingredient: Zhi Han (a resinous substance from Western Regions, resembling coagulated blood; prepared by Tibetan people boiling Gan Cao [Licorice Root], Song Lei [Pine Resin], Cheng Ru [Tamarix Herba], Di Huang [Rehmanniae Radix] with hot blood).
Preparation and Administration: Take half a spoonful of Zhi Han, add half a cup of water, grind into a thin paste, then add Zhu Sha (Cinnabar) and mix evenly. For children under five years old, administer as a single dose on an empty stomach. If bowel movement occurs, foul matter will be discharged; if not, recovery will occur when expelled with feces. Significant improvement should be seen within three to five days. Adjust the dose according to the child's size.
Prescription from *Ying Ru Ji* for treating "Shan Pi" (flash pi) in children, characterized by high fever. Frequent use of cold medicines causes cold qi to permeate the heart and chest, forming pi syndrome. The lower jiao is cold, intestines are constricted, and defecation is difficult.
Ingredients: Fu Ling (Poria), Xiong Qiong (Ligusticum Chuanxiong Rhizome), Bie Jia (Testudinis et Chelonis Carapax et Plastrum, roasted), Zhi Ke (Aurantii Fructus Immaturus, roasted), Shao Yao (Paeoniae Radix Alba) (each two fen); Chai Hu (Bupleuri Radix, four fen).
Preparation and Administration: Cut the herbs, add one sheng and three he of water, decoct until three he remain. Divide into two doses taken on an empty stomach; take the second dose after walking five or six li. Avoid eating Amaranthus leaves.
Ji Gu Bie Jia Wan (Chicken Bone and Turtle Shell Pill) from *Ying Ru Ji*: Treats pediatric emaciation, abdominal pi syndrome, hardness and fullness in both hypochondria, intermittent pain, and inability of food to nourish muscles.
Ingredients: Su Wu Ji (Xion Ge Gu) (Breastbone of aged black chicken, one piece, soaked in wine overnight, roasted until yellow), Bie Jia (Testudinis et Chelonis Carapax et Plastrum, roasted), Shu Qi (Polygalae Radix), Chai Hu (Bupleuri Radix), Jie Geng (Platycodonis Radix), Ren Shen (Ginseng Radix) (each four fen); Shao Yao (Paeoniae Radix Alba), Da Huang (Rhei Radix et Rhizoma), Huang Qin (Scutellariae Radix), Xing Ren (Armeniacae Semen Amarum) (each five fen); Zhi Shi (Aurantii Fructus Immaturus, one and a half fen, stir-fried); Fang Kui (Aristolochiae Radix, sliced); Bai Zhu (Atractylodis Macrocephalae Rhizoma) (each three fen); E Chong (Eupolyphaga seu Steleophaga) (five pieces, roasted).
Preparation and Administration: Grind the above herbs into powder, mix with honey to form pills the size of soybeans. Children aged four to five years should take two pills per dose, twice daily, which is optimal.
Hei Wan Zi (Black Pill) from *Ying Ru Ji* for treating pediatric water pi syndrome.
Ingredients: Dang Gui (Angelicae Sinensis Radix, four fen), Xi Xin (Asari Radix et Rhizoma), Fu Zi (Aconiti Lateralis Radix Praeparata, processed), Gan Jiang (Zingiberis Rhizoma), Hu Jiao (Piperis Longi Fructus, dried) (each three fen); Yan Chi (Fermented Soybean Paste, two he); Ba Dou (Crotonis Fructus, ten kernels, skin removed, stir-fried); Ye Lang Du (Stellerae Radix, roasted, one fen); Xing Ren (Armeniacae Semen Amarum, skin removed, stir-fried, ten kernels).
Preparation and Administration: Grind the above herbs into powder, mix with honey to form pills the size of broad beans. Take three pills per dose with warm water, once daily.
Prescription from *Ji Shi Jia Chuan* for treating abdominal dysfunction and chronic pi syndrome that fails to heal.
Ingredients: Zhi Mu (Anemarrhenae Rhizoma), Mu Li (Ostreae Concha), Zhi Shi (Aurantii Fructus Immaturus) (each six fen); Bie Jia (Testudinis et Chelonis Carapax et Plastrum, boiled in vinegar then roasted); Gan Cao (Glycyrrhizae Radix et Rhizoma) (each four fen); Da Huang (Rhei Radix et Rhizoma, three fen).
Preparation and Administration: Grind into powder, mix with honey to form pills the size of mung beans. Take five pills with rice gruel broth.
Zhi Mu Wan (Anemarrhena Pill) from *Zhu Shi Jia Chuan* for treating pediatric abdominal pain and dysfunction accompanied by pi syndrome.
Ingredients: Zhi Mu (Anemarrhenae Rhizoma, six fen); Bie Jia (Testudinis et Chelonis Carapax et Plastrum, four fen, roasted); Mu Li (Ostreae Concha); Zhi Ke (Aurantii Fructus Immaturus) (each three fen, stir-fried and husked); Da Huang (Rhei Radix et Rhizoma, twelve fen, wrapped in paper and baked until cooked).
Preparation and Administration: Grind the above ingredients into powder, mix with honey to form pills the size of mung beans. Take five pills with water. Adults should adjust the dosage according to their condition.
Transmission by Doctor Ding Shifa from Changsha: Treats seven- or eight-year-old children who sleep excessively, have intermittent high fever, become progressively emaciated, do not experience body pain but may have dysentery with pus, vomiting, and anorexia. These are signs of pi syndrome. The presentation resembles malaria, yet many fail to recognize this condition.
Ingredients: Chai Hu (Bupleuri Radix), Huang Qin (Scutellariae Radix) (each one fen); Zhi Ke (Aurantii Fructus Immaturus, two slices, stir-fried); Gan Cao (Glycyrrhizae Radix et Rhizoma, roasted); Zhi Mu (Anemarrhenae Rhizoma); Shao Yao (Paeoniae Radix Alba) (each two fen); Da He Li Le (Terminaliae Chebulae Fructus, one large piece, baked to extract the peel; or two small pieces).
Preparation and Administration: Grind the above ingredients into powder, decoct with one cup of water, and take orally.
Da Ji Bing Zi (Kerria Cake) transmitted by Doctor Ding Shifa from Changsha: Treats pediatric food pi syndrome, characterized by a mass under the hypochondrium and failure of diet to generate muscle.
Ingredients: Da Ji (Euphorbiae Pekinensis Radix, half liang, evenly sliced, soaked in good vinegar overnight, taken out, dried, and ground into powder; use one qian of this powder); Hao Mian (Good Wheat Flour, one qian).
Preparation and Administration: Add water dropwise to form dough, shape into cakes the size of small coins and three fen thick. Steam until cooked. Chew and swallow one cake with rice gruel; reduce the dose for smaller children.
Lian Xiang Wan San (Refined Fragrance Pill Powder) transmitted by Doctor Zheng Yu from Changsha: Treats various pi syndromes causing intestinal constriction, anorexia, and occasional vomiting.
Ingredients: Qing Pi (Citri Reticulatae Pericarpium Viride), Bai Jiang Can (Bombyx Batryticatus), Gan Cao (Glycyrrhizae Radix et Rhizoma), He Zi (Terminaliae Chebulae Fructus) (each two qian, all baked to retain efficacy, then ground into powder); Mo Yao (Myrrha), Ru Xiang (Olibanum), Ba Dou Shuang (Crotonis Fructus Frost) (each one qian, separately ground fine).
Preparation and Administration: Mix evenly and grind into powder. For vomiting, regurgitation, and persistent diarrhea, take two zhe liang per dose, mixed with rice gruel. To stimulate appetite and resolve pi syndrome, add Ba Dou, bind with thin flour paste to form pills. Take five to seven pills per dose, swallowed with mint tea, three to two times daily. Adjust based on deficiency or excess patterns.
Er Ding San (Two Clove Powder) transmitted by Doctor Wang Dui from Changsha: Treats various pediatric pi syndromes that persist for a long time without resolving, accompanied by abdominal pain, alternating chills and fever, unregulated diarrhea, excessive thirst, sallow complexion, dysentery, or palm-sized masses in the abdomen and hypochondria, with hard, stone-like pi masses.
Ingredients: Jian Ding Xiang (Selected Clove), Bai Ding Xiang (White Clove), Mei Shi Zi (Myrobalan Nut) (each two qian); Liu Huang (Sulfur), Mi Duo Seng (Lithargyrum) (each three qian).
Preparation and Administration: Grind into a fine powder and mix evenly. Take one zi liang to half a qian per dose, mixed with white water. Take twice daily on an empty stomach and before bed. Continue until the pi mass dissipates.
Moxibustion method from *Qian Jin Fang*: For pediatric pi syndrome, moxa three burns at each point located one cun below both nipples.