《巢氏病源》小儿腹胀候∶腹胀，是冷气客于脏故也。小儿腑脏嫩弱，有风冷邪气客之，搏于脏气则令腹胀。
若脾虚冷移入于胃，食则不消；若肠虚，冷气乘之，则变下利。
钱乙论腹胀，由脾胃虚气攻作也。实者闷乱满喘，可下之，用紫霜丸、白饼子，（紫霜丸见积聚门中，白饼子方见搐
搦门中。）不喘者，是虚也，不可下。若误下，则脾虚气上，附肺而行，肺与脾子母皆虚。肺主目胞、腮之类，脾主四
肢，母气虚甚，即目胞腮肿也。色黄者，属脾也。治之用塌气丸渐消（方见胃气不和门中），未愈，渐加丸数。不可以丁
香、木香、橘皮、豆蔻散大温散药治之。何以然？脾虚气未出，腹胀而不喘，可以散药治之，使上下分消其气，
即愈矣。若虚气已出，附肺而行，即脾胃内弱，每生虚气，入于四肢面目矣。小儿易为虚实，脾虚不受寒温，
服寒则生冷，服温则生热。当识此，勿误也。胃气虚热，多生疸病。或引饮不止。脾虚不能胜肾，随肺之气，
上行于四肢若水状，肾气侵浮于肺即大喘也。此当服塌气丸。（方见同前。）病愈后面未红者，虚衰未复故也。
治腹胀者，譬如行兵战寇于林，寇未出其林，以兵攻之，必可获寇；若出林，不可急攻，攻必有失，当以
意渐收之即顺也。
治虚腹胀，先服塌气丸（方见同前，）不愈，腹中有食积结粪，小便黄，时微喘，脉伏而实，时饮水，不能食者，
可下之。盖脾初虚而后结有积，所治宜先补脾，后下之。下后又补脾，即愈也。补肺恐生虚喘。
《婴童宝鉴》∶小儿腹胀，为脾胃虚冷气不顺，故腹胀也。
《婴童宝鉴》小儿腹胀歌∶
风冷结在脏，因成为腹胀，冷极气相并，泄泻定须成。
《葛氏肘后》小儿腹暴病满欲死方。
半夏（随多少，炮）
上下筛，酒和之，服如粟粒大五丸，日三，立瘥。
《千金》治少小腹胀满方。
上烧父母指甲灰，乳头上饮之。
《千金》又方
上以韭根和汁，猪脂煎，细细服之。
《千金》又方
上以车毂中脂和轮下土如弹丸，吞之立愈。
《千金》又方
上用米粉、盐等分，炒变色，腹上摩之。
《仙人水鉴》分气丸 治大人、小儿一切冷气攻刺四肢，心腹胀满，宿患气块，破腹泄痢；妇人产前产后，室
女一切不恻之疾方
拣丁香（一分） 白芷（三两，洗、焙） 木香（半两，不见火） 陈橘皮（汤洗
净，取二两） 甘草（一两，炙） 缩砂仁（一百个） 生姜（一斤，连皮切作
钱子，用盐一两拌匀，淹一宿，银石器中炒令干，每用一两）
上七味，丁香、木香别捣，余为末合研。用真阿魏一弹大，汤化去滓，飞罗面两匙，煮糊搜木臼中，杵丸
如鸡头大。一切气，每服一丸，细嚼，空心，盐汤、盐酒任下。心腹胀满宿患，生姜橘皮汤下。妇人一切病
患，炒姜酒下。脚膝少力，阿魏煎酒下。破腹泻痢，姜盐粥饮下。室女一切不恻疾患，当归酒或红花酒嚼下。
早晨一丸，能消瘴疠。小儿腹胀，汤化服半丸。
《外台》∶刘氏疗小儿肚胀渐瘦，不食，四肢热不调方。
甘草（炙） 鳖甲（炙） 柴胡 茯神 子芩（各六分） 诃
梨勒皮（一分） 槟榔（三钱） 芍药 橘皮（各三分） 生姜 当归（各四分） 知母（五分） 大黄（八分）
上十三味切，以水一升半，煎取七合。分为数服，得泻病瘥。
《外台》∶《广济》疗小儿心腹满，吃不下。地黄饮子方
生地黄汁（三合） 生姜汁（三合） 白蜜（一匙） 诃梨勒末（用皮四分）
上四味相合，调匀，分温服之，微利尤良。
《子母秘录》治小儿腹胀。
上用胡粉，盐熬色变，以摩腹上。兼治腹皮青，若不理，须臾死。
《子母秘录》治小儿心腹、胸胁烦满，欲死者方。
上用鸡子壳烧末，酒调服方寸匕。
《经验后方》治大人、小儿吃杂生果多，腹胀气急。
上以肉桂碾末，饭丸如绿豆大。小儿熟水下五丸，大人十丸。未痊再服。
《圣惠》治小儿脾虚腹胀，不能乳食。诃梨勒丸方
诃梨勒（煨用皮） 浓朴（去粗皮，涂生姜汁，炙令香气） 陈橘皮（汤浸，去白瓤，
研。各半两） 干姜（炮裂，锉） 甘草（炙微赤，
锉） 木香 白术 人参（去芦头。各一分）
上件药捣，罗为末，炼蜜和丸如麻子大。每服以粥饮下五丸，日三、四服。量儿大小加减服之。
《圣惠》治小儿脾胃虚冷，腹胁胀满，四肢不和，乳食全少。丁香散方
丁香 桂心 白术 人参（去芦头。各一分） 浓朴（去粗皮，涂生姜汁，炙令香熟） 陈
橘皮（汤浸，去白瓤，焙。各半两）
上件药捣，粗罗为散。每服一钱，以水一小盏，入生姜少许，枣一枚，煎至五分，去滓温服，日三，四。
更量儿大小加减服之。
《圣惠》治小儿腹虚胀。木香散
木香 川大黄（锉，微炒） 麝香（细研。各一分） 桑根白皮（锉） 陈橘皮（汤浸，
去白瓤，焙） 益智（去皮） 草豆蔻（去皮。各半两）
上件药捣，粗罗为散。每服一钱，以水一小盏，入生姜少许，煎至五分，去滓。不计时候，量儿大小分减
服之。
《圣惠》治小儿腹气壅胀满，虚热不能饮食，大小肠气滞。赤茯苓散方
赤茯苓 木通（锉） 人参（去芦头） 甘草（炙微赤，锉） 枳实（麸炒微黄） 当
归（锉，微炒。各一分） 川大黄（半两，锉，微炒）
上件药捣，罗为散。每服一钱，以水一小盏，煎至五分，去滓。不计时候，温服。量儿大小以意加减。
《圣惠》又方
鳖甲（涂醋、炙微黄，去裙 ） 赤茯苓 青橘皮（汤浸，去白瓤，焙） 枳壳（
麸炒微黄，去瓤。各一分） 川大黄（锉，微炒） 川朴硝（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，温服。量儿大小以意加减。
《圣惠》治小儿心腹气胀，胸膈烦满。前胡散方
前胡（半两，去芦头） 丁香 甘草（炙微赤，锉） 人参（去芦头。各一分）
上件药捣，粗罗为散。每服一钱，以水一小盏，煎至五分，去滓。不计时候，温服。量儿大小以意加减。
《圣惠》治小儿心腹胀满，干呕不止。人参散方
人参（去芦头） 甘草（炙微赤，锉） 陈橘皮（汤浸，去白瓤，焙。各一两）
上件药捣，粗罗为散。每服一钱，以水一小盏，入生姜少许，煎至五分，去滓。不计时候，温服。量儿大
小以意加减。
《圣惠》治小儿心腹胀满，喘粗，不下食方。
牵牛子（微炒） 木香 马兜苓（各一分）
上件药捣，粗罗为散。每服一钱，以水一小盏，煎至五分，去滓。不计时候，量儿大小以意加减。
《圣惠》治小儿气不和，心腹胀满，不欲乳食。槟榔散方
槟榔 浓朴（去粗皮，涂生姜汁，炙令香熟。各半两） 丁香（一分）
上上件药捣，粗罗为散。每服一钱，以水一小盏，煎至五分，去滓。不计时候，温服。量儿大小以意加减。
《圣惠》治小儿肠内气壅，胀满，不下奶食方。
川大黄（半两，锉，炒） 青橘皮（汤浸、去白瓤，焙） 木香 槟榔（各一分）
上件药捣，粗罗为散。每服一钱，以水一小盏，煎至五分，去滓。不计时候，温服，以利为效。量儿大小
以意加减。
《婴孺》治小儿中气，心腹坚胀疼痛，颜色青黑，大便不通方。
桃仁（七个，碎） 桔梗 芍药（五分） 黄芩 柴胡 升麻（各五分） 大黄 杏仁（四
十个，去皮尖，碎） 鬼臼（四分） 甘草（二分，
炙） 麝香（四大豆大）
上以水四升，煮一升二合，为四服。量儿大小，增减水药。
《婴孺》大青汤 治少小服药，得大吐下后体壮热，精彩慢，或微气满而有结气方。
大青（二分） 麻黄（去节） 大黄 甘草（炙。各一分）
上以水三升煮麻黄，减三合，掠去沫，内药煮一升。为四服，日进三服，夜一服。
张涣治小儿腑脏怯弱，风冷邪气客之，令儿腹胀，气不宣通，甚者变为下痢。浓朴丹方
浓朴（去粗皮，涂生姜汁，炙令香熟） 丁香 木香 白术（炮。
各一两） 牵牛子（炒一分） 青橘皮（去白，半两）
上件捣，罗为细末，炼蜜捣成膏如黍米大。每服十粒，煎陈橘皮汤下。
张涣又方木沉散
木香 益智子（去皮） 沉香 草豆蔻（面裹煨，炮） 蓬莪术 白豆蔻（各半两）
上件捣，罗为细末。每服一钱，水八分一盏，入生姜三片，煎至五分，去滓温服。
《九 卫生》赚气丸 疗小儿腹胀气急。
萝卜子（半两，用巴豆肉一分拍破，同炒黑色，去巴豆不用） 木香（一分）
上同为细末，水浸，蒸饼心和丸如绿豆大。每服五丸，橘皮汤下。
《张氏家传》治小儿食伤，或病奶至冷，腹胀。紫霜丸
生姜（切成片子） 巴豆（去皮。各半两）
以上二味，用好醋一大碗煮干去姜，取巴豆研细。
雄黄 朱砂（各半钱，并研细）
上件一处为末研匀，用蒸饼糊为丸，如粟米大。小儿伤食三粒，肠胀、喘息分减大小。用食汤下，无时。
《庄氏家传》治泻，腹胀、腹瘦，又消又胀。塌气散子
浓朴（去皮，用生姜汁浸涂，炙烟尽为度） 地龙（净洗土，秤） 陈橘皮 马牙硝（各半两）
上件入乳钵内研，每服半钱，用冷米饮调下。
《庄氏家传》∶吃果子木胀。
上用黄牛涎以宿蒸饼，丸如豌豆大。桂心汤下五丸。
《赵氏家传》治小儿腹胀，哽气，散冷热气。褐丸子
蓬莪术 萝卜子（炒） 黑牵牛（炒。各半两） 胡椒（一分）
上为末，面糊丸如黄米大。食后萝卜汤下五、七丸。
《张氏家传》方同。亦治脾胃不和，饮食乍多乍少，大便忽稀忽止，面黄胸高，腹胀腿瘦。
《吉氏家传》治小儿腹胀气粗，乍寒乍热，时作泻痢。救真丸
巴豆（去壳） 雄黄（各半两） 朱砂（一大钱匕） 干姜（二块，用醋一升，同巴豆煮）
上同研匀，水浸，蒸饼为丸梧桐子大。煎芍药汤下两粒。
《吉氏家传》塌气散 治小儿疳虚腹胀。
甘草 茴香 白牵牛（各炒） 木香（各一钱）
上为末，每服半钱，紫苏汤下。
长沙医者丁时发温脾散 治小儿脾胃不和，腹胁虚胀，不欲乳食，精神困倦，或壮热憎寒。
人参 诃梨勒（各三分） 白术 木香 黄 茯苓 藿香 陈皮 桔梗（各半两） 甘
草（一分，炙） 没石子（一个）
上为末。每服一钱，水一盏，姜一片，枣一个，煎五分服。
长沙医者丁时发传木香丹 治小儿诸般伤冷，冷物作热及腹胀黄瘦。
木香（二钱） 川乌头（三个，炮裂） 皂角（七寸，去皮） 缩砂 巴豆（出油者，三、七粒）
上为细末，乌梅二、七个，蒸烂，入众药为丹，如○大。每服三、五粒，萝卜子、姜汤下。
长沙医者郑愈传治大人、小儿腹胀，并水鼓气病。
鸡子白（一个） 白面（一匙头） 轻粉（一钱匕）
上件和作饼子小钱大。每服一饼，慢火内烧熟，经纸上去火毒，细嚼，临卧服。
《外台》∶《甲乙经》灸法。悬钟，足三阳大络，在外踝上三寸动脉中按之。阳明脉绝，乃取之灸五壮。主肠
满，胃中有热不食，小儿虚满不能饮食。
Nash's *Bingyuan* (Source of Diseases) on the condition of pediatric abdominal distension: Abdominal distension is caused by cold qi invading the zang-fu organs. Children's zang-fu are tender and weak; if wind-cold pathogenic factors invade and contend with the organ qi, it leads to abdominal distension.
If spleen deficiency and cold shift into the stomach, food cannot be digested; if the intestines are deficient and cold qi takes advantage, it transforms into diarrhea.
Qian Yi discussed abdominal distension, attributing it to spleen and stomach deficiency with rebellious qi attacking. In excess patterns, there is chest oppression, restlessness, fullness, and wheezing; purgation can be used, employing Zishuang Wan (Purple Frost Pill) or Baibing Zi (White Cake). (Zishuang Wan is seen in the Accumulation and Mass section; Baibing Zi formula is seen in the Convulsion section.) If there is no wheezing, it is a deficiency pattern, and purgation should not be used. If mistakenly purged, spleen qi becomes deficient and rebels upward, attaching to the lung and traveling with it, causing both mother (spleen) and child (lung) organs to be deficient. The lung governs the eyelids and cheeks; the spleen governs the four limbs. When maternal qi is extremely deficient, eyelids and cheeks swell. Yellow complexion belongs to the spleen. Treatment uses Taqi Wan (Collapse Qi Pill) to gradually resolve symptoms (formula seen in the Stomach Qi Disharmony section); if not cured, gradually increase the number of pills. Do not treat with large warming and dispersing herbs such as Dingxiang (Clove), Muxiang (Aucklandia Root), Jupi (Tangerine Peel), and Doukou (Cardamom). Why? Because spleen deficiency qi has not yet exited, presenting as abdominal distension without wheezing; powder preparations can be used to disperse qi upwards and downwards, leading to recovery. If deficient qi has already exited and attaches to the lung, it indicates internal weakness of spleen and stomach, frequently generating deficient qi that enters the four limbs and face. Children easily shift between deficiency and excess; spleen deficiency cannot tolerate cold or warmth—taking cold generates raw/cold conditions, taking warmth generates heat. This must be understood to avoid error. Stomach qi deficiency with heat often generates jaundice disease. Or excessive thirst occurs. Spleen deficiency fails to control kidney qi, which follows lung qi upward to the four limbs like water; kidney qi invading and floating to the lung causes severe wheezing. This situation requires taking Taqi Wan. (Formula seen above.) After the illness resolves, if the face is not ruddy, it is because deficiency and decline have not yet recovered.
Treating abdominal distension is like fighting bandits in a forest; if the bandits have not left the forest, attacking with troops will surely capture them; if they have left the forest, do not attack hastily, for attack will result in loss; one should gradually subdue them with intent, which is compliant with the condition.
To treat deficiency-type abdominal distension, first take Taqi Wan (formula seen above); if not cured, and there is food accumulation and hardened stool in the abdomen, yellow urine, occasional mild wheezing, pulse is deep and excess, frequent desire to drink but inability to eat, purgation can be used. This is because the spleen was initially deficient and then accumulated stagnation; treatment should first tonify the spleen, then purge. After purging, tonify the spleen again, and it will heal. Tonifying the lung may generate deficient wheezing.
*Yingtong Baojian*: Pediatric abdominal distension is due to spleen and stomach deficiency-cold with unsmooth qi, thus causing abdominal distension.
*Yingtong Baojian* Song on Pediatric Abdominal Distension:
Wind-cold knots in the zang organs, thereby becoming abdominal distension; extreme cold causes qi to merge, diarrhea is certain to form.
*Ge Shi Zhou Hou* formula for sudden pediatric abdominal bloating and suffocation.
Banxia (Pinelliae Rhizoma, amount as needed, processed)
Sift through upper and lower sieves, mix with wine, administer five pills the size of millet grains, three times daily, immediate recovery.
*Qianjin Fang* formula for pediatric abdominal fullness.
Burn parental fingernails to ash, administer with breast milk.
*Qianjin Fang* another formula
Use Jiugen (Allii Tuberosi Radix) juice, decoct with Zhizhi (Suina Medulla), consume slowly.
*Qianjin Fang* another formula
Use grease from the wheel hub mixed with soil from under the wheel, formed into pill size of an egg, swallow for immediate cure.
*Qianjin Fang* another formula
Use rice flour and salt in equal parts, stir-fry until color changes, massage onto the abdomen.
*Xianren Shuijian* Fenqi Wan (Dividing Qi Pill) treats all cold qi attacking the four limbs in adults and children, heart and abdominal distension, chronic qi masses, dysentery; prenatal and postnatal women, and virgins with all discomforts.
Select Dingxiang (Caryophylli Flos, 1 fen) Baizhi (Angelicae Dahuricae Radix, 3 liang, washed and dried) Muxiang (Aucklandiae Radix, 0.5 liang, not roasted) Chenjupi (Citri Reticulatae Pericarpium, washed with hot water, take 2 liang) Gancao (Glycyrrhizae Radix et Rhizoma, 1 liang, honey-fried) Suosharen (Amomi Fructus Rotundus, 100 pieces) Shengjiang (Zingiberis Rhizoma Recens, 1 jin, sliced with skin into coin sizes, mixed with 1 liang salt, soaked overnight, fried dry in silver vessel, use 1 liang per dose)
The above seven herbs: Dingxiang and Muxiang pounded separately, others ground to powder and mixed. Use real Asafoetida (Asafetidae Resina) the size of a bullet, dissolve in water, remove dregs, add two spoons of refined wheat flour, cook into paste, knead in wooden mortar, pound into pills the size of a cocklebur. For all qi disorders, take one pill each time, chew finely, on an empty stomach, with salt water or salt wine. For chronic heart/abdominal distension, take with Shengjiang Chenpi Tang (Ginger and Tangerine Peel Decoction). For all women's diseases, take with fried ginger wine. For weak legs/knees, take with Asafoetida decocted wine. For dysentery, take with ginger-salt porridge drink. For virgin discomforts, take with Danggui wine or Honghua wine. One pill in the morning eliminates miasma. For pediatric abdominal distension, dissolve in water and take half a pill.
*Waitai Mi Yao*: Liu's formula for pediatric belly distension, emaciation, anorexia, and uneven limb heat.
Gancao (Glycyrrhizae Radix et Rhizoma, honey-fried) Biejia (Testudinis Carapax et Plastrum, honey-fried) Chaihu (Bupleuri Radix) Fushen (Poria with Hostwood) Ziqin (Scutellariae Radix) (each 6 fen) Helilepi (Terminaliae Chebulae Pericarpium, 1 fen) Binglang (Arecae Semen, 3 qian) Shaoyao (Paeoniae Radix Alba) Jupi (Citri Reticulatae Pericarpium) (each 3 fen) Shengjiang (Zingiberis Rhizoma Recens) Danggui (Angelicae Sinensis Radix) (each 4 fen) Zhimu (Anemarrhenae Rhizoma, 5 fen) Dahuang (Rhei Radix et Rhizoma, 8 fen)
Cut the above thirteen herbs, decoct with 1.5 sheng of water to obtain 7 he. Divide into several doses; recover after defecation.
*Waitai Mi Yao*: *Guangji Fang* Dihuang Yinzi (Rehmannia Drink) for pediatric heart/abdominal fullness and inability to eat.
Shengdihuangzhi (Rehmanniae Radix Juice, 3 he) Shengjiangzhi (Zingiberis Rhizoma Recens Juice, 3 he) Baimi (Mel, 1 spoon) Helilemo (Terminaliae Chebulae Pericarpium Powder, peel 4 fen)
Mix the above four ingredients evenly, divide and take warm; slight laxative effect is better.
*Zimu Milu* for pediatric abdominal distension.
Use Hufen (Cerussa), fry with salt until color changes, massage onto abdomen. Also treats green abdominal skin; if untreated, death ensues shortly.
*Zimu Milu* for pediatric heart/abdomen, chest/hypochondriac irritability and fullness, near death.
Burn chicken eggshells to powder, mix with wine and take one cunbi.
*Jingyan Houfang* for adults/children eating too many raw fruits, causing abdominal distension and rapid breathing.
Grain Gui (Cinnamomi Cortex) into powder, make pills the size of mung beans with rice paste. Children take 5 pills with cooked water, adults 10 pills. Repeat if not cured.
*Shenghui Fang* for pediatric spleen deficiency abdominal distension, inability to nurse/eat. Helile Wan (Terminalia Pill)
Helile (Terminaliae Chebulae Pericarpium, baked, use peel) Houpo (Magnoliae Officinalis Cortex, remove rough bark, coat with ginger juice, bake until fragrant) Chenjupi (Citri Reticulatae Pericarpium, soak in water, remove white pith, grind. Each 0.5 liang) Ganjiang (Zingiberis Rhizoma, roasted, cut) Gancao (Glycyrrhizae Radix et Rhizoma, honey-fried slightly red, cut) Muxiang (Aucklandiae Radix) Baizhu (Atractylodis Macrocephalae Rhizoma) Renshen (Ginseng Radix, remove rhizome head. Each 1 fen)
Pound the above medicines, sieve into fine powder, mix with refined honey into pills the size of hemp seeds. Take 5 pills each time with porridge drink, three to four times daily. Adjust dosage according to child's age.
*Shenghui Fang* for pediatric spleen/stomach deficiency-cold, abdominal/hypochondriac distension, limb disharmony, little milk/food intake. Dingxiang San (Clove Powder)
Dingxiang (Caryophylli Flos) Guixin (Cinnamomi Ramulus) Baizhu (Atractylodis Macrocephalae Rhizoma) Renshen (Ginseng Radix, remove rhizome head. Each 1 fen) Houpo (Magnoliae Officinalis Cortex, remove rough bark, coat with ginger juice, bake until fragrant) Chenjupi (Citri Reticulatae Pericarpium, soak in water, remove white pith, dry. Each 0.5 liang)
Pound the above medicines, coarsely sieve into powder. Take 1 qian each time with a small cup of water, add a little ginger, one jujube, decoct to 0.5 portion, remove dregs, take warm, three to four times daily. Adjust dosage according to child's age.
*Shenghui Fang* for pediatric abdominal deficiency distension. Muxiang San (Aucklandia Powder)
Muxiang (Aucklandiae Radix) Chuan Dahuang (Rhei Radix et Rhizoma, cut, lightly stir-fried) Shexiang (Moschus, finely ground. Each 1 fen) Sangbaipipi (Mori Cortex, cut) Chenjupi (Citri Reticulatae Pericarpium, soak in water, remove white pith, dry) Yizhi (Alpiniae Oxymataria Fructus, remove skin) Caodoukou (Kenpeiji Fructus, remove skin. Each 0.5 liang)
Pound the above medicines, coarsely sieve into powder. Take 1 qian each time with a small cup of water, add a little ginger, decoct to 0.5 portion, remove dregs. Take at any time, adjust dosage according to child's age.
*Shenghui Fang* for pediatric abdominal qi congestion/distension, deficient heat, inability to eat, large/small intestine qi stagnation. Chi Fuling San (Red Poria Powder)
Chi Fuling (Poria, red) Mutong (Akebiae Caulis, cut) Renshen (Ginseng Radix, remove rhizome head) Gancao (Glycyrrhizae Radix et Rhizoma, honey-fried slightly red, cut) Zhishi (Aurantii Fructus Immaturus, bran-fried slightly yellow) Danggui (Angelicae Sinensis Radix, cut, lightly stir-fried. Each 1 fen) Chuan Dahuang (Rhei Radix et Rhizoma, 0.5 liang, cut, lightly stir-fried)
Pound the above medicines, sieve into powder. Take 1 qian each time with a small cup of water, decoct to 0.5 portion, remove dregs. Take warm at any time. Adjust dosage according to child's age.
*Shenghui Fang* another formula
Biejia (Testudinis Carapax et Plastrum, coat with vinegar, bake slightly yellow, remove skirt) Chi Fuling (Poria, red) Qingjupi (Citri Reticulatae Pericarpium Viride, soak in water, remove white pith, dry) Zhike (Aurantii Fructus, bran-fried slightly yellow, remove pith. Each 1 fen) Chuan Dahuang (Rhei Radix et Rhizoma, cut, lightly stir-fried) Chuan Poxiao (Natrii Sulfas, each 0.5 liang)
Pound the above medicines, coarsely sieve into powder. Take 1 qian each time with a small cup of water, decoct to 0.5 portion, remove dregs. Take warm at any time. Adjust dosage according to child's age.
*Shenghui Fang* for pediatric heart/abdomen qi distension, chest/diaphragm irritability/fullness. Qianhu San (Peucedani Radix Powder)
Qianhu (Peucedani Radix, 0.5 liang, remove rhizome head) Dingxiang (Caryophylli Flos) Gancao (Glycyrrhizae Radix et Rhizoma, honey-fried slightly red, cut) Renshen (Ginseng Radix, remove rhizome head. Each 1 fen)
Pound the above medicines, coarsely sieve into powder. Take 1 qian each time with a small cup of water, decoct to 0.5 portion, remove dregs. Take warm at any time. Adjust dosage according to child's age.
*Shenghui Fang* for pediatric heart/abdomen distension, continuous dry retching. Renshen San (Ginseng Powder)
Renshen (Ginseng Radix, remove rhizome head) Gancao (Glycyrrhizae Radix et Rhizoma, honey-fried slightly red, cut) Chenjupi (Citri Reticulatae Pericarpium, soak in water, remove white pith, dry. Each 1 liang)
Pound the above medicines, coarsely sieve into powder. Take 1 qian each time with a small cup of water, add a little ginger, decoct to 0.5 portion, remove dregs. Take warm at any time. Adjust dosage according to child's age.
*Shenghui Fang* for pediatric heart/abdomen distension, coarse wheezing, inability to eat. Qianniuzi San (Pharbitidis Semen Powder)
Qianniuzi (Pharbitidis Semen, lightly stir-fried) Muxiang (Aucklandiae Radix) Madouling (Aristolochiae Radix. Each 1 fen)
Pound the above medicines, coarsely sieve into powder. Take 1 qian each time with a small cup of water, decoct to 0.5 portion, remove dregs. Take at any time, adjust dosage according to child's age.
*Shenghui Fang* for pediatric qi disharmony, heart/abdomen distension, reluctance to nurse/eat. Binglang San (Areca Seed Powder)
Binglang (Arecae Semen) Houpo (Magnoliae Officinalis Cortex, remove rough bark, coat with ginger juice, bake until fragrant. Each 0.5 liang) Dingxiang (Caryophylli Flos, 1 fen)
Pound the above medicines, coarsely sieve into powder. Take 1 qian each time with a small cup of water, decoct to 0.5 portion, remove dregs. Take warm at any time. Adjust dosage according to child's age.
*Shenghui Fang* for pediatric intestinal qi congestion, distension, inability to nurse/eat. Chuan Dahuang San (Chuan Rhubarb Powder)
Chuan Dahuang (Rhei Radix et Rhizoma, 0.5 liang, cut, stir-fried) Qingjupi (Citri Reticulatae Pericarpium Viride, soak in water, remove white pith, dry) Muxiang (Aucklandiae Radix) Binglang (Arecae Semen. Each 1 fen)
Pound the above medicines, coarsely sieve into powder. Take 1 qian each time with a small cup of water, decoct to 0.5 portion, remove dregs. Take warm at any time, efficacy indicated by bowel movement. Adjust dosage according to child's age.
*Yingru Fang* for pediatric middle qi, hard/distended/painful heart/abdomen, blue-black complexion, constipation.
Taoren (Pruni Semen, 7 pieces, crushed) Jiegeng (Platycodonis Radix) Shaoyao (Paeoniae Radix Alba, 5 fen) Huangqin (Scutellariae Radix) Chaihu (Bupleuri Radix) Shengma (Cimicifugae Rhizoma. Each 5 fen) Dahuang (Rhei Radix et Rhizoma) Xingren (Armeniacae Semen Amarum, 40 pieces, remove skin/spikes, crush) Jiubai (Podophylli Rhizoma et Radix, 4 fen) Gancao (Glycyrrhizae Radix et Rhizoma, 2 fen, honey-fried) Shexiang (Moschus, size of four soybeans)
Decoct with 4 sheng of water to obtain 1.2 sheng, divide into four doses. Adjust water and medicine amounts according to child's age.
*Yingru Fang* Daqing Tang (Isatidis Decoction) for infants/children after heavy vomiting/purging, resulting in high fever, sluggish spirit, or mild fullness with qi knot.
Daqing (Isatidis Folium, 2 fen) Mahuang (Ephedrae Herba, remove joints) Dahuang (Rhei Radix et Rhizoma) Gancao (Glycyrrhizae Radix et Rhizoma, honey-fried. Each 1 fen)
Decoct Mahuang with 3 sheng of water, reduce by 3 he, skim off foam, add other herbs, decoct to 1 sheng. Divide into four doses, take three times daily, once at night.
Zhang Huan treats pediatric fragile zang-fu invaded by wind-cold, causing abdominal distension, blocked qi, severely transforming into diarrhea. Houpo Dan (Magnolia Pill)
Houpo (Magnoliae Officinalis Cortex, remove rough bark, coat with ginger juice, bake until fragrant) Dingxiang (Caryophylli Flos) Muxiang (Aucklandiae Radix) Baizhu (Atractylodis Macrocephalae Rhizoma, roasted. Each 1 liang) Qianniuzi (Pharbitidis Semen, stir-fried 1 fen) Qingjupi (Citri Reticulatae Pericarpium Viride, remove white pith, 0.5 liang)
Pound the above, sieve into fine powder, mix with refined honey into paste, form into pills the size of millet seeds. Take ten pills each time with decocted Chenjupi Tang (Tangerine Peel Decoction).
Zhang Huan another formula Muchen San (Aucklandia and Agarwood Powder)
Muxiang (Aucklandiae Radix) Yizhizi (Alpiniae Oxymataria Fructus, remove skin) Chenxiang (Aquilariae Lignum Resinatum) Caodoukou (Kenpeiji Fructus, wrapped in flour, baked, roasted) Peng'ezhu (Curcumae Longae Rhizoma) Baodoukou (Amomi Fructus Rotundus. Each 0.5 liang)
Pound the above, sieve into fine powder. Take 1 qian each time with 0.8 cup of water, add three slices of ginger, decoct to 0.5 portion, remove dregs, take warm.
*Jiu Weisheng* Zhuanqi Wan (Capture Qi Pill) for pediatric abdominal distension and rapid breathing.
Luobozhongzi (Brassicae Semen, 0.5 liang, use 1 fen Bastard Bean flesh, smashed, stir-fry together until black, discard Bastard Bean) Muxiang (Aucklandiae Radix, 1 fen)
Grind together into fine powder, soak in water, mix with steamed bread dough into pills the size of mung beans. Take five pills each time with Chenpi Tang (Tangerine Peel Decoction).
*Zhang Shi Jia Chuan* for pediatric food injury, or cold milk causing abdominal distension. Zishuang Wan (Purple Frost Pill)
Shengjiang (Zingiberis Rhizoma Recens, sliced) Badou (Crotonis Fructus, peeled. Each 0.5 liang)
Boil the above two in a large bowl of good vinegar until dry, remove ginger, grind Badou finely.
Xionghuang (Realgar) Zhusha (Cinnabar. Each 0.5 qian, grind finely)
Mix all into uniform powder, use steamed bread paste to form pills the size of millet grains. For pediatric food injury, three pills; for intestinal distension/wheezing, adjust size. Take with food soup, anytime.
*Zhuang Shi Jia Chuan* for diarrhea, abdominal distension/emaciation, alternating reduction/expansion. Taqi Sanzi (Collapse Qi Powder)
Houpo (Magnoliae Officinalis Cortex, remove skin, soak/coat with ginger juice, bake until smoke ceases) Dilong (Pheretima, clean wash soil, weigh) Chenjupi (Citri Reticulatae Pericarpium) Mayaxiao (Natrii Sulfas Prismaticus. Each 0.5 liang)
Grind in mortar, take 0.5 qian each time, mix with cold rice drink.
*Zhuang Shi Jia Chuan*: Fruit-induced wood distension.
Use yellow ox saliva with leftover steamed bread, form pills the size of pea seeds. Take five pills with Guixin Tang (Cinnamon Twig Decoction).
*Zhao Shi Jia Chuan* for pediatric abdominal distension, choking qi, dispersing cold/heat qi. He Wan (Brown Pill)
Peng'ezhu (Curcumae Longae Rhizoma) Luobozhongzi (Brassicae Semen, stir-fried) Hei Qianniuzi (Pharbitidis Semen Nigricans, stir-fried. Each 0.5 liang) Hujiao (Piperis Longi Fructus, 1 fen)
Grind into powder, form pills the size of millet grains with flour paste. Take five to seven pills after meals with radish soup.
*Zhang Shi Jia Chuan* formula is the same. Also treats spleen/stomach disharmony, fluctuating food intake, alternating loose/constipated stools, yellow face, high chest, abdominal distension, thin legs.
*Ji Shi Jia Chuan* for pediatric abdominal distension with coarse breathing, alternating chills/fever, intermittent dysentery. Jiuzhen Wan (Save Truth Pill)
Badou (Crotonis Fructus, remove shell) Xionghuang (Realgar. Each 0.5 liang) Zhusha (Cinnabar, one large qian bi) Ganjiang (Zingiberis Rhizoma, two pieces, boil with Badou in 1 sheng vinegar)
Grind uniformly, soak in water, form pills the size of paulownia seeds with steamed bread. Take two pills with Shaoyao Tang (Peony Decoction).
*Ji Shi Jia Chuan* Taqi San (Collapse Qi Powder) for pediatric kan deficiency abdominal distension.
Gancao (Glycyrrhizae Radix et Rhizoma) Huixiang (Foeniculi Fructus) Bai Qianniuzi (Pharbitidis Semen Album, stir-fried) Muxiang (Aucklandiae Radix. Each 1 qian)
Grind into powder, take 0.5 qian each time with Zisu Tang (Perilla Leaf Decoction).
Changsha physician Ding Shifa Wenpi San (Warm Spleen Powder) for pediatric spleen/stomach disharmony, abdominal/hypochondriac deficiency distension, reluctance to nurse/eat, mental fatigue, or high fever with aversion to cold.
Renshen (Ginseng Radix) Helile (Terminaliae Chebulae Pericarpium. Each 3 fen) Baizhu (Atractylodis Macrocephalae Rhizoma) Muxiang (Aucklandiae Radix) Huangqi (Astragali Radix) Fuling (Poria) Huoxiang (Agastaches Herba) Chenpi (Citri Reticulatae Pericarpium) Jiegeng (Platycodonis Radix. Each 0.5 liang) Gancao (Glycyrrhizae Radix et Rhizoma, 1 fen, honey-fried) Meishizi (Myrobalani Fructus, one piece)
Grind into powder. Take 1 qian each time with one cup of water, one slice of ginger, one jujube, decoct to 0.5 portion and take.
Changsha physician Ding Shifa transmitted Muxiang Dan (Aucklandia Pill) for various pediatric cold injuries, cold items turning to heat, and abdominal distension with yellow emaciation.
Muxiang (Aucklandiae Radix, 2 qian) Chuan Wutou (Aconiti Radix Preparata, three pieces, roasted cracked) Zaojiao (Gleditsiae Sinensis Fructus, 7 cun, remove skin) Suosha (Amomi Fructus Rotundus) Badou (Crotonis Fructus, oil-extracted, 3-7 grains)
Grind into fine powder, steam 2-7 Wumei (Mume Fructus) until soft, mix with herbs into pills, size ○. Take 3-5 pills each time with radish seed and ginger soup.
Changsha physician Zheng Yu transmitted treatment for adult/pediatric abdominal distension and ascites/qi disease.
Jizi Bai (Album Ovi Galli, one piece) Baifan (Tritici Farina, one spoon) Qingfen (Calomelas, one qian bi)
Mix into small coin-sized cakes. Take one cake each time, roast slowly over fire until cooked, remove fire toxicity with paper, chew finely, take before bed.
*Waitai Mi Yao*: *Jia Yi Jing* moxibustion method. Xuanzhong (Gallbladder 39), great collateral of Foot Three Yang, located three cun above lateral malleolus in arterial pulse. When Yangming pulse is absent, take this point and moxa five Zhuang. Mainly treats intestinal fullness, heat in stomach with anorexia, pediatric deficiency fullness unable to eat.