《巢氏病源》小儿腹痛候∶小儿腹痛，多由冷热之气，与脏气相击，故痛也。其热而痛者则面赤，或壮热，
四肢烦，手足心热是也。冷而痛者，面色或青或白，甚者，乃至面黑，唇、口、爪皆青是也。
茅先生小儿有中热痛诗∶
非时面赤色，壮热四肢烦，手足心多热，心中热痛难。
茅先生小儿有中冷痛诗∶
面青面白由自可，黑色同青爪一同，此是腹心生冷痛，须将温药里头攻。
《婴童宝鉴》小儿腹痛胁满不食等歌∶
腹内元由冷，仍为痛所因。实加邪热盛，胁满少精神。大小便因涩，腹中结实停。脾家先有冷，闻食不开
唇。肥肉因斯瘦，荣衰气不匀。若逢如此患，莫遣久沉沦。
《婴童宝鉴》小儿腹坚歌∶
妊娠先须忌数般，莫令风冷致胎寒。儿生 哇翻嫌乳，肚痛频生腹亦坚。
《葛氏肘后》隐居效方 小儿夜啼，惊不安，此腹痛故也，至夜辄剧，状如鬼祸。五味汤
五味子 当归 术（各四分） 甘草（炙） 桂心（各三分）
上五物切，以水二升，煮取一升，分为三服，大良。
《葛氏肘后》徐王神效方 治未满百日儿患腹痛。
豚子卵（一枚） 当归（一分）
上水三升，煮取七合，涂之乳头，令小儿饮，以意量之佳。
《图经》徐王效验方 主小儿腹痛，大汗出，名寒疝。
上浓煮梨叶，取七合，以意消息，可作三四服。饮之大良。
《圣惠》治小儿腹痛不可忍。鳖甲丸方
鳖甲（涂醋炙，令黄，去裙 ） 防葵 诃梨勒（煨，用皮） 川大黄（锉，微炒） 人参（去
芦头） 郁李仁（汤浸去皮尖，微炒，别研入） 当归（锉，微炒。各半两）
上件药捣，罗为末，炼蜜和丸如绿豆大。不计时候，以粥饮下五丸，得微利瘥。量儿大小以意加减。
《圣惠》治小儿冷热不调，腹内多痛。当归散方
当归（锉，微炒） 枳壳（麸炒微黄，去瓤） 赤芍药 川大黄（锉，微炒。以上各半两）
上件药捣，粗罗为散。每服一钱，以水一小盏，煎至五分，去滓放温。量儿大小分减服之。
《圣惠》治小儿卒吐下，腹痛不止。人参散方
人参（去芦头） 当归（锉，微炒。各半两） 甘草（炙微赤） 干姜（炮裂，锉） 黄 （锉。
各一分） 细辛（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，稍热服。量儿大小以意加减，频服。
《圣惠》治小儿伤冷腹痛。青橘皮散方
青橘皮（汤浸、去白瓤，焙） 桔梗 赤芍药（以上各半两）
上件药捣，粗罗为散。每服一钱，以水一小盏，煎至五分，去滓。不计时候，量儿大小，分减与服。
《圣惠》又方
木香 高良姜 白术 人参（去芦头。各一分） 浓朴（半两，去粗皮，涂生姜汁炙令香熟）
上件药捣，细罗为散。不计时候，以粥饮调下半钱。量儿大小以意加减。
《博济方》治小儿脾痛，兼和气止泻，及腹肋刺痛，起止疼痛，不思饮食。香朴散
浓朴（一两） 木香 麦 （炒） 神曲（炒） 青橘皮（去白） 陈橘皮（去白。各一分）
上为末，每服半钱，温水调下。
《谭氏殊圣方》∶小儿虚胀不消磨，喘息饶粗不奈何。心腹满疼难可忍，才过一月变沉 。急须求取还元散，白
术苍龙除结多。更入水银知母捣，当归止痛便平和。
败毒散
白术（炮） 龙齿 知母 当归（各一分） 水银（一分，以银箔结砂，后入余药）
上为末，每服半钱，橘皮汤下。
《婴孺》治小儿腹痛夭纠，不能哺乳。茯苓丸方
茯苓 黄连（各一两）
上为末，用蜜为丸如大豆大。饮下量加。
《婴孺》治小儿腹痛夜啼方。
牡丹（去心） 代赭石 芍药（各二分）
上为末，蜜为丸。二小豆大，饮下，稍加之。
钱乙附方和中散 和胃气，止吐泻，定烦渴，治腹痛，思食。
人参（切去头，焙） 白茯苓 白术 甘草（锉炒） 干葛（锉） 黄 白扁豆（炒） 藿香叶（各等分）
上为细末。每服三钱，水一盏，干枣二个，去核，姜五片，煎至八分。食前温服。
张涣宽中汤方 治心腹疼痛不可忍者。
高良姜 木香（各半两） 丁香 青橘皮（炒黄） 桔梗 甘草（炙。各一分）
上件捣，罗为细末。每服半钱，温酒调下。
张涣又方蓬莪术丹
蓬莪术（炮裂，乘热锉碎） 当归（洗，焙干。各一两） 木香 人参 桂心（各半两） 黑牵牛（炒微黄）
上件捣，罗为末，细白面糊为丸如黍米大。每服十粒，煎生姜汤下。量儿大小加减。
张涣温胃丹 治腹痛，啼哭不止。
人参（去芦头） 白术 五味子 当归（炒，焙干） 高良姜（各半两） 木香（一两）
上件捣为细末，白面糊和丸，如黍米大。每服十粒，米饮下。
张涣又方橘香散
青橘皮（炒） 吴茱萸 木香 当归（洗、焙干。各一两） 干姜 丁香（各半两）
上件捣，罗为末。每服一钱，水八分一盏，入生姜二片，煎五分，去滓。放温热服，食前。
《婴童宝鉴》治小儿泻，不思食，腹中痛。温脾丸方
草豆蔻（二个，掰开，内乳香一皂角大于中，用面裹煨熟） 甘草（五寸，猪胆浸，炙黄色） 朱砂末 麝（各一
钱匕）
上件为末，研饭为丸如萝卜子大，饭饮下十丸。
《惠眼观证》槐角丸 治气疾腹内常痛及消积滞。
槐角末（先以蜜炙，为末，炒一钱用） 胡椒（四十粒） 巴豆（二粒，不出油，研烂，入诸末再研） 丁香（二
十粒）
上以烂饭为丸，如此○大。每服五丸，生姜汤下，空心服之。
《刘氏家传》∶小儿腹痛疳疾。
上用水磨乌药，煎服效。
《庄氏家传》∶小儿未能语，啼啼哭不能辩者，当以手候其腹，如有实硬处，即是腹痛。治之方∶
上研生姜取汁，暖令温，调面成糊涂纸上，贴脐心立效。
《吉氏家传》治脾疼，胁胀，和气，止渴及腹内刺痛，不思饮食。香朴散
浓朴（一两，去粗皮，生制一宿，炙） 麦 神曲 青皮（各炒） 木香（以上各一分）
上件末。每服一钱或半钱，熟水调下。
According to "Chao Shi Bing Yuan" (Source of Diseases by Chao): Infantile abdominal pain is mostly caused by cold or heat pathogenic qi clashing with the internal organ qi, resulting in pain. In cases of heat-induced pain, the face turns red, or there is high fever, restlessness of the four limbs, and heat in the palms and soles; this is heat pain. In cases of cold-induced pain, the complexion may be green or white, and in severe cases, even black, with the lips, mouth, and nails turning blue; this is cold pain.
Master Mao's poem on infantile middle-heat pain:
Redness of the face at inappropriate times, high fever and limb restlessness,
Heat predominates in the palms and soles, burning pain in the heart is hard to bear.
Master Mao's poem on infantile middle-cold pain:
A green or white complexion is acceptable, but if it is black and the nails are also green,
This is cold pain arising from the abdomen; one must use warm medicines to attack it from within.
From "Ying Tong Bao Jian", a song regarding infantile abdominal pain, hypochondriac fullness, and anorexia:
The root cause in the abdomen is originally cold, which leads to pain.
If excess pathogens combine with flourishing heat, there is hypochondriac fullness and low spirit.
Urination and defecation become obstructed, and solid matter stagnates in the abdomen.
The spleen has pre-existing cold, causing the child to refuse food upon smelling it.
Flesh wastes away due to this, with nutritive qi declining and uneven distribution.
If such a condition occurs, do not let it linger long.
From "Ying Tong Bao Jian", a song on infantile abdominal hardness:
During pregnancy, several taboos must be observed first,
Do not allow wind and cold to cause fetal coldness.
After birth, the infant vomits and rejects milk,
Frequent abdominal pain results in a hard abdomen.
From "Ge Shi Zhou Hou", the recluse's effective prescription for infantile night crying, fright, and restlessness, which is caused by abdominal pain, worsening at night, resembling a ghostly affliction.
Wuwei Tang (Five-Flavor Decoction)
Ingredients: Wuweizi (Schisandrae Fructus), Danggui (Angelicae Sinensis Radix), Zhu (Atractylodis Rhizoma) (each 4 fen), Gancao (Licorice Root, honey-fried), Guixin (Cinnamomi Ramulus) (each 3 fen).
Preparation: Cut the five herbs, decoct in 2 sheng of water until 1 sheng remains, divide into three doses. Very effective.
From "Ge Shi Zhou Hou", Master Xu's Divine Effective Prescription for treating abdominal pain in infants under one hundred days old.
Ingredients: Tuzi Luan (Porcine Testis) (one piece), Danggui (Angelicae Sinensis Radix) (1 fen).
Preparation: Decoct in 3 sheng of water until 7 ge remains. Apply to the nipple for the infant to suckle. Use according to circumstances.
From "Tu Jing", Master Xu's Verified Effective Prescription for infantile abdominal pain with profuse sweating, named Hanshan (Cold Hernia).
Preparation: Decoct pear leaves strongly, obtain 7 ge of liquid. Adjust dosage as needed, divided into three or four doses. Drinking it is very beneficial.
From "Sheng Hui Fang", Biejia Wan (Softshell Turtle Pill) for treating unbearable infantile abdominal pain.
Ingredients: Biejia (Testudinis Carapax et Plastrum, vinegar-fried until yellow, remove skirt), Fangkui (Convolvuli Radix), Helile (Terminaliae Fructus, baked, use peel only), Chuan Dahuang (Rhei Radix et Rhizoma, crushed, slightly stir-fried), Ren Shen (Ginseng Radix, remove rhizome), Yuliren (Pruni Semen, soaked in hot water, remove skin and tip, slightly stir-fried, grind separately and add), Danggui (Angelicae Sinensis Radix, crushed, slightly stir-fried) (each 0.5 liang).
Preparation: Pound and sieve the herbs into powder. Mix with refined honey to form pills the size of mung beans. Take five pills with millet broth at any time. Recovery occurs with mild diarrhea. Adjust dosage based on the child's age.
From "Sheng Hui Fang", Danggui San (Angelica Powder) for treating infantile disharmony of cold and heat with frequent abdominal pain.
Ingredients: Danggui (Angelicae Sinensis Radix, crushed, slightly stir-fried), Zhike (Aurantii Fructus, bran-fried until slightly yellow, remove pith), Chi Shaoyao (Paeoniae Radix Rubra), Chuan Dahuang (Rhei Radix et Rhizoma, crushed, slightly stir-fried) (each 0.5 liang).
Preparation: Pound and coarsely sieve into powder. Take 1 qian per dose, decoct in one small cup of water until half remains. Strain and take warm. Adjust dosage based on the child's age.
From "Sheng Hui Fang", Renshen San (Ginseng Powder) for treating sudden vomiting and diarrhea in infants with unceasing abdominal pain.
Ingredients: Ren Shen (Ginseng Radix, remove rhizome), Danggui (Angelicae Sinensis Radix, crushed, slightly stir-fried) (each 0.5 liang), Gancao (Licorice Root, fried until slightly red), Ganjiang (Zingiberis Rhizoma, processed until cracked, crushed), Huangqi (Astragali Radix, crushed) (each 1 fen), Xixin (Asari Radix et Rhizoma) (1 fen).
Preparation: Pound and coarsely sieve into powder. Take 1 qian per dose, decoct in one small cup of water until half remains. Strain and take slightly warm. Adjust dosage based on the child's age, administer frequently.
From "Sheng Hui Fang", Qingjupi San (Green Tangerine Peel Powder) for treating infantile abdominal pain due to cold injury.
Ingredients: Qingjupi (Viridis Citri Reticulatae Pericarpium, soaked in hot water, remove white pith, dried), Jiegeng (Platycodonis Radix), Chi Shaoyao (Paeoniae Radix Rubra) (each 0.5 liang).
Preparation: Pound and coarsely sieve into powder. Take 1 qian per dose, decoct in one small cup of water until half remains. Strain. Take at any time, adjusting dosage based on the child's age.
Another prescription from "Sheng Hui Fang":
Ingredients: Muxiang (Aucklandiae Radix), Gaoliangjiang (Alpiniae Officinarum Rhizoma), Baizhu (Atractylodis Macrocephalae Rhizoma), Ren Shen (Ginseng Radix, remove rhizome) (each 1 fen), Houpo (Magnoliae Officinalis Cortex, 0.5 liang, remove rough bark, fry with ginger juice until fragrant).
Preparation: Pound and finely sieve into powder. Take half a qian mixed with millet broth at any time. Adjust dosage based on the child's age.
From "Bo Ji Fang", Xiangpo San (Aucklandia and Magnolia Powder) for treating infantile spleen pain, harmonizing qi, stopping diarrhea, stabbing pain in the abdomen and ribs, intermittent pain, and loss of appetite.
Ingredients: Houpo (Magnoliae Officinalis Cortex, 1 liang), Muxiang (Aucklandiae Radix), Maiya (Hordei Fructus Germinatus, fried), Shenqu (Massae Fermentatae Medicamentosa, fried), Qingjupi (Viridis Citri Reticulatae Pericarpium, remove white pith), Chenjupi (Citri Reticulatae Pericarpium, remove white pith) (each 1 fen).
Preparation: Make into powder. Take half a qian per dose, mix with warm water.
From "Tan Shi Shu Sheng Fang": Infantile deficiency bloating and indigestion, coarse breathing without remedy. Heart and abdominal fullness and pain are unbearable; after just one month, it becomes a chronic illness. Urgently seek Huanyuan San (Restore Origin Powder); Baizhu (Atractylodis Macrocephalae Rhizoma) and Canglong (Longan Arillus? Note: Text says Cang Long, likely referring to a specific preparation or herb alias, context suggests resolving accumulation) can remove much of the knotting. Add mercury and Zhimu (Anemarrhenae Rhizoma), pound together; Danggui (Angelicae Sinensis Radix) stops pain and brings peace.
Baidu San (Defeating Poison Powder)
Ingredients: Baizhu (Atractylodis Macrocephalae Rhizoma, processed), Longchi (Dinosaur Bone), Zhimu (Anemarrhenae Rhizoma), Danggui (Angelicae Sinensis Radix) (each 1 fen), Shuiyin (Mercurius, 1 fen, formed into sand using silver foil, added later with other herbs).
Preparation: Make into powder. Take half a qian per dose, swallow with tangerine peel decoction.
From "Ying Ru Fang", Fuling Wan (Poria Pill) for treating infantile abdominal pain that is persistent and prevents breastfeeding.
Ingredients: Fuling (Poria), Huanglian (Coptidis Rhizoma) (each 1 liang).
Preparation: Make into powder, form pills with honey the size of soybeans. Administer with water, increasing dosage as appropriate.
From "Ying Ru Fang", prescription for infantile abdominal pain and night crying.
Ingredients: Mudanpi (Moutan Cortex, remove heart), Daizheshi (Haematitum), Shaoyao (Paeoniae Radix) (each 2 fen).
Preparation: Make into powder, form pills with honey the size of small beans. Administer with water, increase slightly as needed.
Qian Yi's attached formula Hezhong San (Harmonize the Middle Powder): Harmonizes stomach qi, stops vomiting and diarrhea, calms irritability and thirst, treats abdominal pain, and promotes appetite.
Ingredients: Ren Shen (Ginseng Radix, cut head, dried), Bai Fuling (Poria with White Wood), Baizhu (Atractylodis Macrocephalae Rhizoma), Gancao (Licorice Root, crushed and fried), Gange (Puerariae Radix, crushed), Huangqi (Astragali Radix), Bai Biandou (Phaseoli Semen Album, fried), Huoxiang Ye (Agastachis Folium) (equal parts).
Preparation: Make into fine powder. Take 3 qian per dose, with one cup of water, two dried jujubes (pitted), and five slices of ginger. Decoct until 0.8 cup remains. Take warm before meals.
Zhang Huan's Kuanzhong Tang (Broaden the Middle Decoction) for treating unbearable heart and abdominal pain.
Ingredients: Gaoliangjiang (Alpiniae Officinarum Rhizoma), Muxiang (Aucklandiae Radix) (each 0.5 liang), Dingxiang (Caryophylli Flos), Qingjupi (Viridis Citri Reticulatae Pericarpium, stir-fried until yellow), Jiegeng (Platycodonis Radix), Gancao (Licorice Root, fried) (each 1 fen).
Preparation: Pound and sieve into fine powder. Take half a qian per dose, mix with warm wine.
Zhang Huan's another formula Peng'ezhu Dan (Curcuma Pill):
Ingredients: Peng'ezhu (Curcumae Rhizoma, processed, crushed while hot), Danggui (Angelicae Sinensis Radix, washed, dried) (each 1 liang), Muxiang (Aucklandiae Radix), Ren Shen (Ginseng Radix), Guixin (Cinnamomi Ramulus) (each 0.5 liang), Qeiniu (Pharbitidis Semen, stir-fried until slightly yellow).
Preparation: Pound and sieve into powder. Form pills with fine white flour paste the size of millet seeds. Take ten pills per dose, swallow with ginger decoction. Adjust based on the child's age.
Zhang Huan's Weiyi Dan (Warm Stomach Pill) for treating abdominal pain and incessant crying.
Ingredients: Ren Shen (Ginseng Radix, remove rhizome), Baizhu (Atractylodis Macrocephalae Rhizoma), Wuweizi (Schisandrae Fructus), Danggui (Angelicae Sinensis Radix, fried, dried), Gaoliangjiang (Alpiniae Officinarum Rhizoma) (each 0.5 liang), Muxiang (Aucklandiae Radix) (1 liang).
Preparation: Pound into fine powder. Form pills with white flour paste the size of millet seeds. Take ten pills per dose, swallow with rice drink.
Zhang Huan's another formula Juzhi San (Tangerine and Costus Powder):
Ingredients: Qingjupi (Viridis Citri Reticulatae Pericarpium, fried), Wuzhuyu (Evodiae Fructus), Muxiang (Aucklandiae Radix), Danggui (Angelicae Sinensis Radix, washed, dried) (each 1 liang), Ganjiang (Zingiberis Rhizoma), Dingxiang (Caryophylli Flos) (each 0.5 liang).
Preparation: Pound and sieve into powder. Take 1 qian per dose, with 0.8 cup of water, add two slices of ginger. Decoct until 0.5 cup remains. Strain. Take warm before meals.
From "Ying Tong Bao Jian", Wenpi Wan (Warm Spleen Pill) for treating infantile diarrhea, anorexia, and abdominal pain.
Ingredients: Caodoukou (Cardamomi Fructus Rotundus, two pieces, split open, insert frankincense larger than a soap bean inside, wrap in flour and bake熟), Gancao (Licorice Root, 5 cun, soak in pig bile, fry until yellow), Zhusha (Cinnabar powder), Shexiang (Moschus) (each 1 qian bi).
Preparation: Make into powder. Grind cooked rice to form pills the size of radish seeds. Take ten pills with rice drink.
From "Hui Yan Guan Zheng", Huaijiao Wan (Sophora Fruit Pill) for treating qi disorders with frequent abdominal pain and eliminating stagnation.
Ingredients: Huaijiao Mo (Sophorae Fructus powder, first honey-fried, then stir-fried, use 1 qian), Hujiao (Piperis Nigris Fructus) (40 grains), Badou (Crotonis Fructus, two grains, do not release oil, grind thoroughly, add to other powders and grind again), Dingxiang (Caryophylli Flos) (20 grains).
Preparation: Form pills with mashed rice, size ○. Take five pills per dose, swallow with ginger decoction on an empty stomach.
From "Liu Shi Jia Chuan": Infantile abdominal pain and gan disease.
Preparation: Grind Wuyao (Linderae Radix) with water, decoct and take. Effective.
From "Zhuang Shi Jia Chuan": For infants who cannot speak and cry without being understood, palpate the abdomen with hand; if there is a solid hard area, it is abdominal pain. Treatment prescription:
Preparation: Grind fresh ginger to extract juice, warm it, mix with flour to make a paste, apply to paper, and stick on the umbilicus. Immediate effect.
From "Ji Shi Jia Chuan", Xiangpo San (Aucklandia and Magnolia Powder) for treating spleen pain, hypochondriac distension, harmonizing qi, stopping thirst, stabbing abdominal pain, and anorexia.
Ingredients: Houpo (Magnoliae Officinalis Cortex, 1 liang, remove rough bark, process raw overnight, fry), Maiya (Hordei Fructus Germinatus), Shenqu (Massae Fermentatae Medicamentosa), Qingpi (Citri Reticulatae Pericarpium Viride, all stir-fried), Muxiang (Aucklandiae Radix) (each 1 fen).
Preparation: Make into powder. Take 1 qian or half a qian per dose, mix with boiled water.