《巢氏病源》小儿躯啼候∶小儿在胎时，其母将养伤于风冷，邪气入胞，伤儿脏腑。故儿生之后，邪犹在儿
腹内，邪动与正气相搏则腹痛，故儿躯张蹙气而啼。
《婴童宝鉴》小儿躯啼歌∶
小儿胎里受风寒，生下啼呼不得安，腹痛躯张常蹙气，良工明候细寻看。
《千金》治小儿胎寒躯啼，腹中痛，舌上黑，青涎下。当归丸，一名黑丸方。
当归 野狼毒（各九铢） 吴茱萸（一作杏仁） 蜀椒（各半两） 细辛 干姜（炮） 附子（
炮，去皮脐。各十八铢） 豉（七合） 巴豆（去皮膜，十枚）
上九味捣七种，下筛，秤药末令足，研巴、豉如膏，稍稍内末捣，令相密和，桑 盛，蒸五升米饭下出，捣
一千杵。一月儿服如黍米一丸，日一夜二，不知稍加，以知为度。亦治水癖。
《千金》马齿矾丸 治小儿胎寒，躯啼惊痫，腹胀不嗜食，大便青黄，并大人虚冷、内冷，或有实不可吐下方。
马齿矾一斤，烧半日，以枣膏和。大人服如梧子二丸，日三。小儿意减之，以腹内温为度，有实实去，为妙。
《千金》治小儿忽患腹痛，夭矫汗出，名曰胎寒方。
煮梨叶浓汁七合，可三、四度饮之。
《外台》∶《千金》小儿因宿乳不消，腹痛躯啼。牛黄丸方
大附子（二枚，炮去皮） 牛黄（三铢） 巴豆（去心皮，熬） 杏仁（去皮尖，熬，别捣） 真珠（各一两，研）
上五味捣附子、真珠下筛，别捣巴豆、杏仁令如膏，内附子及牛黄捣一千二百杵，若干，入少蜜成之。百
日儿服如粟米一丸，三岁儿服如麻子一丸，五、六岁儿服如胡豆一丸，日二，先乳哺了服之。膈上下悉当微转，
药全出者病愈，散出者更服。
《圣惠》治小儿躯啼，腹胀胸满。牡蛎散方
牡蛎（烧为粉） 伏龙肝（细研） 甘草（炙令微赤） 苍术（锉，炒熟。各一分） 麝香（半分，细研）
上件药于木臼内捣，细罗为散。每服半钱，研陈米泔澄清，煎竹茹汤调服。量儿大小增减服之。
《圣惠》治小儿躯啼不止。牛黄丸方
牛黄（一分，细研） 代赭石 牡丹（各三分） 麝香（一钱，细研）
上件药捣，罗为末，都研令匀，炼蜜和丸如绿豆大。每服以温水下两丸。
《圣惠》又方
烧猪粪，以沸汤淋取汁，看冷暖浴儿，并与少许服之。
《圣惠》又方
上以新马粪一块，绞取汁与服之。
《圣惠》治小儿胎寒躯啼，温中止痛。雀粪丸方
雄雀粪（一分） 牛黄（细研） 赤芍药 芎 （各半两） 当归（一两，锉，微炒）
上件药捣，罗为末，炼蜜和丸如麻子大。百日儿每服以乳汁下一丸，日三服。量儿大小以意加减服之。
《圣惠》治小儿胎寒，虚胀满，不嗜食，大便青夹白脓及欲发痫。宜服调中丸方
当归（半两，锉，微炒） 细辛 川椒（去目及闭口者，微炒去汗。各一分） 附子（
一枚，炮裂，去皮脐） 野狼毒（半分，炒黄） 巴豆（二十枚，去皮心，
出油尽） 杏仁（十二枚，汤浸，去皮尖，炒微黄） 豉（四合，炒微焦）
上件药捣，罗为末，炼蜜和捣三、五百杵，以器盛之。未满百日儿以温水下一丸如麻子大。一、二岁儿服
两丸。量儿大小以意加减服之，以利为度。
《圣惠》治小儿五十日以来胎寒腹痛，微热而惊，聚唾弄舌，躯啼上视。此痫之候，宜服此方。
猪肾（一具，薄切，去脂膜） 当归（一两，锉，微炒）
上只当归一味粗捣，二味相和，以清酒一升，煮至七合，去滓。每服取如杏仁大令儿咽之，日三服，夜一
服。量儿大小以意加减良。
《圣惠》又方
衣中白鱼（二七枚）
上以薄熟绢包裹，于儿腹上回转摩之，以瘥为度。
《婴孺》治少小胎寒，腹痛躯啼。黄 散方
黄 当归 芎 干姜（各四分） 甘草（三分） 黄芩（六铢）
上为末，二十日儿用乳汁和一胡豆大，日三夜一。五十日一小豆大，百日二小豆大。药温中无毒，若无黄
耆，可缺也。儿生便服，使寒气不得生，亦不吐，服之期年止服，妙。若寒气 痛，啼不可忍，以水煮饮之，
如服理中丸法。服药补益之，可数十倍，节度无苦。
《婴孺》治少小儿啼，夜不安欲惊，腹中风痛如中风，发有时，夜则甚，如有鬼祸方。
当归 芍药（各一两） 甘草（半两，炙） 桂心 白术（各二两）
上切，以水二升煮八合，服一合，日进三服，量与服之。一方无芍药，有五味子（二两。）
《婴孺》治少小躯啼，掣缩吐哺。当归丸方
当归 干姜 细辛 附子（各六铢） 野狼毒（二铢） 吴茱萸（半合） 豉（三合，炒） 杏仁（二十枚，去皮炒）
上为末，蜜丸黍米大。小儿一丸，日进三服。大儿二丸，量与之。亦治胎寒。
《婴孺》治小儿胎寒聚唾，弄舌躯啼，反张怒惊。当归散方
黄 细辛 当归 黄芩 龙骨 桂心（各二分） 芍药（四分）
上为末，乳汁调服一大豆许。日进三服，夜一服。
张涣∶婴儿在胎之时，其母将养，一切不如法；及取凉饮冷过度，冷气入儿腹胃，使胎气不强，致生下羸弱多
病，俯仰多啼，名曰躯啼。宜用养脏汤方
川当归（一两） 沉香 丁香 白术 桂心 川芎（各半两）
上件捣，罗为细末。每服一钱，水八分，入生姜二片，煎至四分，去滓，放温时时滴口中。
《刘氏家传》治小儿胎气弱，阴阳不调，昼夜躯啼不已。
好乳香（水中坐，乳钵研细，秤） 没药（别研） 木香 姜黄（各四钱） 木鳖子仁（二十枚）
上先将后三味同为细末，次研入上二味，炼蜜和成剂收之。每一岁儿可服半皂子大，余以意加减，煎钩藤
汤化下，无时，次用魏香散。
《刘氏家传》魏香散
蓬莪术（半两，湿纸裹煨） 真阿魏（一钱）
上先用温水化阿魏，浸蓬莪术一昼夜，切、焙干，为末。每服半钱，煎紫苏米饮空心调下。躯啼稍愈，服
开胃丸。
《刘氏家传》开胃丸方
白术 木香 蓬莪术 人参 当归（细锉，炒。各半两） 白芍药（一分）
上为细末，汤浸炊饼，为丸如黍米大。每服五、七丸，空心、食前，煎麝香汤下。
《王氏手集》白术当归煎丸方 治胎寒腹痛，遇夜啼叫。身体躯张，有如痫状。吐 不止，大便酸臭。乳食虽
多不生肌肤。
白术 当归 木香
上等分为细末，炼蜜为丸梧子大。每服一丸，煎木香汤化下。
According to *Chao Shi Bing Yuan* (Source of Diseases by Master Chao) regarding the syndrome of trunk crying in infants: When a child is in the womb, if the mother's care is impaired by wind-cold, pathogenic qi enters the uterus and damages the fetus's zang-fu organs. Therefore, after birth, the pathogenic qi remains in the abdomen; when the pathogenic qi moves and contends with the healthy qi, it causes abdominal pain. Consequently, the infant extends and contracts the body, breathes rapidly, and cries.
The song from *Ying Tong Bao Jian* (Precious Mirror for Infants and Children) on trunk crying in infants:
Infants contract wind-cold in the womb,
Crying and calling out, unable to find peace after birth.
Abdominal pain, body extension, often accompanied by rapid breathing;
A skilled physician must carefully observe and seek the cause.
*Qian Jin Fang* (Essential Prescriptions Worth a Thousand Gold) treats trunk crying caused by fetal cold, accompanied by abdominal pain, black coating on the tongue, and flow of green saliva. Use Dang Gui Wan (Angelica Sinensis Pill), also known as Hei Wan (Black Pill).
Ingredients: Dang Gui (Radix Angelicae Sinensis), Ye Lang Du (Radix Stellerae Chamaejasme) (each 9 zhu), Wu Zhu Yu (Fructus Evodiae), Xing Ren (Semen Armeniacae Amarum) (one version uses Xing Ren), Shu Jiao (Pericarpium Zanthoxyli), Xi Xin (Herba Asari), Gan Jiang (Rhizoma Zingiberis Preparatum) (prepared), Fu Zi (Radix Aconiti Lateralis Preparata) (prepared, skin and umbilicus removed, each 18 zhu), Chi Shao (not specified, likely Fermented Soybean paste or similar contextually, here translated as Dou Chi/Fermented Soybean), Dou Chi (Semen Sojae Preparatum) (7 he), Ba Dou (Semen Crotonis) (skin and membrane removed, 10 seeds).
Crush seven of the nine ingredients, sieve them, weigh the powder to ensure sufficient quantity. Grind Ba Dou and Dou Chi into a paste. Gradually add the powder and pound until thoroughly mixed. Wrap in mulberry leaves and steam under five sheng of rice. Remove and pound one thousand times. For a one-month-old infant, administer one pill the size of a millet seed twice day and night. If ineffective, slightly increase the dose until the desired effect is achieved. This formula also treats water retention (Shui Pi).
*Qian Jin Fang* Ma Chi Fan Wan (Purslane Alum Pill): Treats fetal cold causing trunk crying, convulsions, abdominal distension, poor appetite, green-yellow stools, as well as deficiency-cold in adults, internal cold, or excess conditions where vomiting is contraindicated.
Ingredient: Ma Chi Fan (Alumen) (1 jin), roasted for half a day, mixed with jujube paste. Adults take two pills the size of a wutong seed three times daily. Reduce dosage for children according to need, stopping when warmth is felt in the abdomen. It is excellent for expelling excess pathogens.
*Qian Jin Fang* treats sudden abdominal pain with body twisting and sweating in infants, named "Fetal Cold Formula".
Boil concentrated juice of pear leaves (Li Ye) to 7 he, drink in three to four doses.
*Wai Tai Mi Yao* (Prescriptions from the Outer Cabinet) records from *Qian Jin Fang*: Infants suffer from trunk crying and abdominal pain due to undigested retained milk. Use Niu Huang Wan (Calculus Bovis Pill).
Ingredients: Da Fu Zi (Radix Aconiti Lateralis Preparata) (2 pieces, prepared, skin removed), Niu Huang (Calculus Bovis) (3 zhu), Ba Dou (Semen Crotonis) (heart, skin, and membrane removed, roasted), Xing Ren (Semen Armeniacae Amarum) (skin and tip removed, roasted, pounded separately), Zhen Zhu (Margarita) (each 1 liang, ground).
Pound Fu Zi and Zhen Zhu and sieve. Pound Ba Dou and Xing Ren separately into a paste. Add Fu Zi and Niu Huang and pound 1,200 times. If too dry, add a little honey to form pills. For a hundred-day-old infant, administer one pill the size of a millet seed. For a three-year-old, one pill the size of a hemp seed. For five- to six-year-olds, one pill the size of a broad bean. Take twice daily after feeding. The medicine should cause slight movement above and below the diaphragm. If the medicine is fully expelled, the disease is cured; if dispersed, take again.
*Sheng Hui Fang* (Prescriptions of Holy Grace) treats trunk crying with abdominal distension and chest fullness. Use Mu Li San (Oyster Shell Powder).
Ingredients: Mu Li (Concha Ostreae) (calcined to powder), Fu Long Gan (Terra Rubra) (finely ground), Gan Cao (Radix Glycyrrhizae Preparata) (roasted until slightly red), Cang Zhu (Rhizoma Atractylodis Lanceae) (cut, roasted熟, each 1 fen), She Xiang (Moschus) (0.5 fen, finely ground).
Pound the ingredients in a wooden mortar, sieve finely to make a powder. Take 0.5 qian per dose, clarify old rice wash water, decoct Zhu Ru (Caulis Bambusae in Taeniam) soup, and mix to take. Adjust dosage based on the infant's size.
*Sheng Hui Fang* treats incessant trunk crying in infants. Use Niu Huang Wan (Calculus Bovis Pill).
Ingredients: Niu Huang (Calculus Bovis) (1 fen, finely ground), Dai Zhe Shi (Haematitum), Mu Dan Pi (Cortex Moutan) (each 3 fen), She Xiang (Moschus) (1 qian, finely ground).
Pound the ingredients, sieve to powder, mix evenly, and bind with refined honey into pills the size of mung beans. Take two pills with warm water per dose.
Another formula from *Sheng Hui Fang*:
Burn pig manure, pour boiling water over it to extract the juice. Check the temperature and bathe the infant. Also give a small amount orally.
Another formula from *Sheng Hui Fang*:
Take a piece of fresh horse manure, squeeze out the juice, and administer orally.
*Sheng Hui Fang* treats fetal cold causing trunk crying, warming the middle and relieving pain. Use Que Fen Wan (Sparrow Dropping Pill).
Ingredients: Xiong Que Fen (Excrement Passeriformis) (1 fen), Niu Huang (Calculus Bovis) (finely ground), Chi Shao Yao (Radix Paeoniae Rubra), Xiong Qiong (Radix Ligustici Chuanxiong) (each 0.5 liang), Dang Gui (Radix Angelicae Sinensis) (1 liang, cut, lightly roasted).
Pound the ingredients, sieve to powder, bind with refined honey into pills the size of hemp seeds. For a hundred-day-old infant, administer one pill with milk three times daily. Adjust dosage based on the infant's size.
*Sheng Hui Fang* treats fetal cold causing deficiency distension, poor appetite, green stools with white pus, and impending convulsions. Use Tiao Zhong Wan (Regulate Middle Pill).
Ingredients: Dang Gui (Radix Angelicae Sinensis) (0.5 liang, cut, lightly roasted), Xi Xin (Herba Asari), Chuan Jiao (Pericarpium Zanthoxyli) (remove eyes and closed-mouth ones, lightly roast to remove moisture, each 1 fen), Fu Zi (Radix Aconiti Lateralis Preparata) (1 piece, cracked by roasting, skin and umbilicus removed), Ye Lang Du (Radix Stellerae Chamaejasme) (0.5 fen, roasted yellow), Ba Dou (Semen Crotonis) (20 seeds, skin and heart removed, oil expressed completely), Xing Ren (Semen Armeniacae Amarum) (12 seeds, soaked in water, skin and tip removed, roasted until slightly yellow), Dou Chi (Semen Sojae Preparatum) (4 he, roasted until slightly scorched).
Pound the ingredients, sieve to powder, bind with refined honey and pound 300-500 times. Store in a container. For infants under 100 days, administer one pill the size of a hemp seed with warm water. For 1-2 year olds, administer two pills. Adjust dosage based on size, stopping when diarrhea occurs.
*Sheng Hui Fang* treats fetal cold abdominal pain starting from 50 days post-birth, with slight fever and fright, pooling saliva, playing with the tongue, trunk crying, and upward gaze. This is a sign of epilepsy (Xian). Use this formula.
Ingredients: Zhu Shen (Renis Porci) (1 pair, thinly sliced, fat membrane removed), Dang Gui (Radix Angelicae Sinensis) (1 liang, cut, lightly roasted).
Coarsely crush Dang Gui alone, mix with Zhu Shen. Decoct in 1 sheng of clear wine until reduced to 7 he. Strain. Administer an amount the size of an apricot kernel for the infant to swallow, three times daily and once at night. Adjust dosage based on size for best results.
Another formula from *Sheng Hui Fang*:
Yi Zhong Bai Yu (Lepisma saccharina) (14 pieces).
Wrap in thin cooked silk and rub back and forth on the infant's abdomen until healed.
*Ying Ru Shu* treats fetal cold in young infants causing abdominal pain and trunk crying. Use Huang Qi San (Astragalus Powder).
Ingredients: Huang Qi (Radix Astragali Membranacei), Dang Gui (Radix Angelicae Sinensis), Xiong Qiong (Radix Ligustici Chuanxiong), Gan Jiang (Rhizoma Zingiberis Preparatum) (each 4 fen), Gan Cao (Radix Glycyrrhizae Uralensis) (3 fen), Huang Qin (Radix Scutellariae Baicalensis) (6 zhu).
Make into powder. For a 20-day-old infant, mix with milk to the size of a broad bean, three times daily and once at night. For a 50-day-old, the size of a small bean. For a 100-day-old, two small beans. The medicine warms the middle and is non-toxic. If Huang Qi is unavailable, it may be omitted. Administer from birth to prevent cold qi from arising; it prevents vomiting. Take for one year then stop for optimal results. If cold pain is unbearable, decoct in water and drink, similar to using Li Zhong Wan. The tonifying effect is dozens of times greater, with no hardship in regulation.
*Ying Ru Shu* treats young infants crying, restless at night with fear, abdominal wind-pain resembling stroke, occurring at specific times, worse at night, as if haunted.
Ingredients: Dang Gui (Radix Angelicae Sinensis), Shao Yao (Radix Paeoniae Alba/Rubra) (each 1 liang), Gan Cao (Radix Glycyrrhizae Uralensis) (0.5 liang, roasted), Gui Xin (Cortex Cinnamomi), Bai Zhu (Rhizoma Atractylodis Macrocephalae) (each 2 liang).
Cut into pieces, decoct in 2 sheng of water until reduced to 8 he. Take 1 he, three times daily, adjusted to the infant's needs. Another version excludes Shao Yao but includes Wu Wei Zi (Fructus Schisandrae Chinensis) (2 liang).
*Ying Ru Shu* treats trunk crying, twitching, retraction, and regurgitation in young infants. Use Dang Gui Wan (Angelica Sinensis Pill).
Ingredients: Dang Gui (Radix Angelicae Sinensis), Gan Jiang (Rhizoma Zingiberis Preparatum), Xi Xin (Herba Asari), Fu Zi (Radix Aconiti Lateralis Preparata) (each 6 zhu), Ye Lang Du (Radix Stellerae Chamaejasme) (2 zhu), Wu Zhu Yu (Fructus Evodiae) (0.5 he), Dou Chi (Semen Sojae Preparatum) (3 he, roasted), Xing Ren (Semen Armeniacae Amarum) (20 seeds, skin removed, roasted).
Make into powder, bind with honey into pills the size of millet seeds. One pill per dose for infants, three times daily. Two pills for older children, adjusted as needed. Also treats fetal cold.
*Ying Ru Shu* treats fetal cold causing pooling saliva, tongue playing, trunk crying, opisthotonos, anger, and fright. Use Dang Gui San (Angelica Sinensis Powder).
Ingredients: Huang Qi (Radix Astragali Membranacei), Xi Xin (Herba Asari), Dang Gui (Radix Angelicae Sinensis), Huang Qin (Radix Scutellariae Baicalensis), Long Gu (Os Draconis), Gui Xin (Cortex Cinnamomi) (each 2 fen), Shao Yao (Radix Paeoniae Alba/Rubra) (4 fen).
Make into powder, mix with milk to the size of a large soybean. Take three times daily and once at night.
Zhang Huan: During gestation, if the mother's care is improper, or if she excessively consumes cold foods and drinks, cold qi enters the infant's abdomen and stomach, weakening fetal qi. This leads to weakness, frequent illness, and excessive crying upon birth, named "Trunk Crying". Use Yang Zang Tang (Nourish Viscera Decoction).
Ingredients: Chuan Dang Gui (Radix Angelicae Sinensis) (1 liang), Chen Xiang (Lignum Aquilariae Resinatum), Ding Xiang (Flos Caryophylli), Bai Zhu (Rhizoma Atractylodis Macrocephalae), Gui Xin (Cortex Cinnamomi), Chuan Xiong (Radix Ligustici Chuanxiong) (each 0.5 liang).
Pound and sieve into fine powder. Take 1 qian per dose, with 0.8 sheng of water and 2 slices of Sheng Jiang (Rhizoma Zingiberis Recens). Decoct until reduced to 0.4 sheng. Strain, let cool to warm, and drip into the mouth occasionally.
*Liu Shi Jia Chuan* treats weak fetal qi, yin-yang imbalance, and incessant day-and-night trunk crying.
Ingredients: Hao Ru Xiang (Resina Olibani) (soaked in water, ground fine in a mortar, weighed), Mo Yao (Resina Myrrhae) (ground separately), Mu Xiang (Radix Aucklandiae), Jiang Huang (Rhizoma Curcumae Longae) (each 4 qian), Mu Bie Zi Ren (Semen Momordicae) (20 kernels).
First grind the latter three ingredients into fine powder. Then incorporate the first two ingredients. Bind with refined honey into a mass. For a one-year-old, administer half the size of a soap nut. Adjust others accordingly. Decoct Gou Teng (Ramulus Uncariae cum Uncis) soup to dissolve the medicine. Afterwards, use Wei Xiang San.
*Wei Xiang San* from *Liu Shi Jia Chuan*:
Ingredients: Peng E Zhu (Rhizoma Curcumae Phaeocaulis) (0.5 liang, wrapped in wet paper and baked), Zhen A Wei (Resina Asafoetidae) (1 qian).
Dissolve A Wei in warm water first, soak Peng E Zhu for a day and night. Slice, bake dry, and grind to powder. Take 0.5 qian, decoct Zi Su Mi Yin (Perilla Seed Drink) and take on an empty stomach. When trunk crying improves, take Kai Wei Wan.
*Kai Wei Wan* (Open Stomach Pill) from *Liu Shi Jia Chuan*:
Ingredients: Bai Zhu (Rhizoma Atractylodis Macrocephalae), Mu Xiang (Radix Aucklandiae), Peng E Zhu (Rhizoma Curcumae Phaeocaulis), Ren Shen (Radix Ginseng), Dang Gui (Radix Angelicae Sinensis) (fine cut, roasted, each 0.5 liang), Bai Shao Yao (Radix Paeoniae Alba) (1 fen).
Grind into fine powder. Soak steamed bread dough in water, form pills the size of millet seeds. Take 5-7 pills on an empty stomach and before meals, taken down with She Xiang (Moschus) soup.
*Bai Zhu Dang Gui Jian Wan* (Atractylodes and Angelica Decoction Pill) from *Wang Shi Shou Ji*: Treats fetal cold abdominal pain, crying at night. Body extension resembling epilepsy. Incessant vomiting, sour-smelling stools. Despite abundant milk intake, the infant fails to gain flesh.
Ingredients: Bai Zhu (Rhizoma Atractylodis Macrocephalae), Dang Gui (Radix Angelicae Sinensis), Mu Xiang (Radix Aucklandiae).
Mix equally into fine powder, bind with refined honey into pills the size of wutong seeds. Take one pill per dose, dissolved in Mu Xiang (Radix Aucklandiae) soup.