婴儿乳滞睡不安，多啼口热吐惊烦，肚胀腹热便酸臭，慎攻宜用消乳丸。
【注】乳滞之儿，其候睡卧不宁，不时啼叫，口中气热，频吐乳片，肚胀腹热，大便
酸臭也。但脏腑娇嫩，不可过攻。惟宜调和脾胃为上，以消乳丸消导之。
消乳丸（方见伤乳吐）
小儿食滞任意餐，头温腹热便脓酸，嗳气恶食烦作渴，大安承气审宜先。
【注】小儿恣意肥甘生冷，不能运化，则肠胃积滞矣。其证头温，腹热，大便酸臭，暖
气，恶食，烦不安眠，口干作渴。滞轻者，宜木香大安丸消导之；滞重便秘者，宜小承气汤攻下之。
木香大安丸
木香 黄连 陈皮 白术（土炒） 枳实（麸炒） 山楂肉（各三钱） 连翘（去心，二钱） 神
曲（炒） 麦芽（炒，各三钱） 砂仁 莱菔子（焙，各二钱）
上为细末，神曲糊为丸，每服一钱，陈仓米汤下。
小承气汤（方见食痛）
癖疾过食肠胃满，浊液外溢被寒凝，潮热饮冷肌削瘦，腹满硬块面青黄。
【注】癖疾一证，皆因饮食过节，肠胃填满，浊汁外溢，复感寒气凝结而成。每生于
左胁之下，始如鸡卵，坚硬成块，渐如覆盆之形，越脐则难治矣。其候身体潮热，喜饮
凉水，肌肤削瘦，面色青黄也，治者宜详察之。
癖疾潮热渴饮冷，肚大青筋坚硬疼，内服消癖木香效，外贴红花膏最灵。
【注】癖疾之始作也，午后潮热，口渴饮冷，肚大青筋，渐至坚硬成块，不时作痛。内
以《千金》消癖丸治之，外贴红花膏。内外兼治，其癖自消。若无热渴者，先以木香丸
治之，外亦以红花膏贴之。
千金消癖丸
芦荟 阿魏（另为糊） 青黛 木香 浓朴（姜炒） 槟榔 陈皮 甘草（生，各一钱） 使君
子（去壳） 胡黄连 山楂肉 香附（醋炒） 三棱（醋炒） 莪术（醋炒，各二钱） 水红花子 神曲（炒） 麦
芽（炒，各四钱） 人参 白术（土炒） 茯苓（各三钱）
上为细末，将阿魏一钱，白水和面，打糊为丸，绿豆大，米饮下，量儿大小服之。
木香丸
木香 蓬莪术 缩砂仁 青皮 朱砂（研细各二钱）
共为细末和匀，飞白面糊和丸，麻子大，每服二、三丸，乳伤乳饮下，食伤以所伤物熬汤下。
红花膏
没药（五钱） 血竭 麝香 阿魏（各三钱） 当归 赤芍（各一线） 水红花料（一捆煎汁去渣熬
膏一碗）。
共为细末，入膏内搅匀，以青布摊贴患处。
Infants suffering from milk stagnation experience restless sleep, frequent crying, heat in the mouth, and vomiting accompanied by signs of fright and vexation. Their bellies are distended and hot, and their stools are sour and foul-smelling. One should be cautious about using purgatives; instead, it is appropriate to use Xiaoru Wan (Milk Stagnation Pill).
[Note] Infants with milk stagnation present with restlessness during sleep, intermittent crying, hot breath, frequent regurgitation of undigested milk curds, abdominal distension and heat, and sour, foul-smelling stools. However, because their zang-fu organs are delicate, excessive purging must be avoided. The best approach is to harmonize the Spleen and Stomach, using Xiaoru Wan (Milk Stagnation Pill) to resolve food stagnation.
Xiaoru Wan (Formula see "Vomiting due to Damaged Milk")
Children with food stagnation who eat indiscriminately may exhibit warmth in the head, abdominal heat, pus-like sour stools, belching, anorexia, irritability, and thirst. One must carefully determine whether to first use Dexiao Anren Wan or Chengqi Tang.
[Note] When children indulge in rich, sweet, greasy, and raw/cold foods that they cannot transform and transport, accumulation and stagnation occur in the intestines and stomach. Symptoms include warmth in the head, abdominal heat, sour and foul-smelling stools, belching, aversion to food, irritability and insomnia, and dry mouth with thirst. For mild stagnation, Muxiang Da'an Wan (Aucklandia Great Peace Pill) is suitable for resolving stagnation; for severe stagnation with constipation, Xiao Chengqi Tang (Minor Order the Qi Decoction) is used to purge downwards.
Muxiang Da'an Wan (Aucklandia Great Peace Pill)
Muxiang (Costus Root), Huanglian (Coptis Rhizome), Chenpi (Tangerine Peel), Baizhu (Atractylodes Macrocephala Rhizome, stir-fried with soil), Zhishi (Immature Bitter Orange Fruit, stir-fried with bran), Shanzha Rou (Hawthorn Flesh) (each 3 qian), Lianqiao (Forsythia Fruit, heart removed, 2 qian), Shenqu (Medicated Leaven, stir-fried), Maiya (Barley Sprout, stir-fried) (each 3 qian), Sharen (Amomum Fruit), Laifuzi (Radish Seed, roasted) (each 2 qian).
Grind all ingredients into a fine powder. Use Shenqu paste to form pills. Take 1 qian per dose, administered with decoction of aged rice water.
Xiao Chengqi Tang (Minor Order the Qi Decoction) (Formula see "Abdominal Pain due to Food")
Pi Ji (Mass Disease) results from overeating causing fullness in the intestines and stomach, where turbid fluids overflow and congeal due to cold invasion. Symptoms include tidal fever, preference for drinking cold water, emaciation, abdominal distension with hard masses, and a bluish-yellow complexion.
[Note] This syndrome of Pi Ji (Mass Disease) arises from unregulated diet leading to intestinal and gastric fullness, overflow of turbid juices, and subsequent condensation due to cold pathogenic factors. It typically occurs below the left hypochondrium, initially resembling an egg, becoming hard and mass-like, gradually taking the shape of an inverted basin. If it extends beyond the umbilicus, it becomes difficult to treat. Clinical manifestations include tidal fever, desire to drink cold water, emaciated skin, and a bluish-yellow facial complexion. Physicians should examine these details carefully.
Pi Ji (Mass Disease) presenting with tidal fever, thirst for cold drinks, large abdomen with visible blue veins, and hard, painful masses can be effectively treated internally with Xiaopi Muxiang Wan and externally with Honghua Gao.
[Note] At the onset of Pi Ji (Mass Disease), there is afternoon tidal fever, thirst with desire for cold drinks, abdominal distension with prominent subcutaneous veins, gradual formation of hard masses, and intermittent pain. Internally, Qianjin Xiaopi Wan (Preserve the Golden Age Mass-Resolving Pill) is used, and externally, Honghua Gao (Safflower Ointment) is applied. Treating both internally and externally allows the mass to dissipate naturally. If there is no heat or thirst, treat first with Muxiang Wan (Costus Pill) and apply Honghua Gao externally.
Qianjin Xiaopi Wan (Preserve the Golden Age Mass-Resolving Pill)
Luhui (Aloe), Awei (Ferula Resin, prepared separately as paste), Qingdai (Indigo Naturalis), Muxiang (Costus Root), Nongpo (Magnolia Bark, stir-fried with ginger juice), Binglang (Areca Seed), Chenpi (Tangerine Peel), Gancao (Licorice Root, raw) (each 1 qian), Shijunzi (Quinine Seed, shelled), Huhuanglian (Picrorhiza Rhizome), Shanzha Rou (Hawthorn Flesh), Xiangfu (Cyperus Rhizome, vinegar-fried), Sanleng (Sparganium Rhizome, vinegar-fried), Ezhu (Curcuma Rhizome, vinegar-fried) (each 2 qian), Shuihonghuazi (Alternanthera Philoxeroides Seed), Shenqu (Medicated Leaven, stir-fried), Maiya (Barley Sprout, stir-fried) (each 4 qian), Renshen (Ginseng Root), Baizhu (Atractylodes Macrocephala Rhizome, stir-fried with soil), Fuling (Poria) (each 3 qian).
Grind all ingredients into a fine powder. Take 1 qian of Awei (Ferula Resin), mix with water and flour to make a paste, and form pills the size of mung beans. Administer with rice water, adjusting the dose according to the child's age and size.
Muxiang Wan (Costus Pill)
Muxiang (Costus Root), Peng'ezhu (Curcuma Phaeocaulis Rhizome), Suosharen (Amomum Fruit), Qingpi (Green Tangerine Peel), Zhusha (Cinnabar, finely ground) (each 2 qian).
Grind together into a fine powder and mix evenly. Use refined white flour paste to form pills the size of hemp seeds. Take 2-3 pills per dose. For milk injury, administer with breast milk; for food injury, administer with decoction made from the offending food.
Honghua Gao (Safflower Ointment)
Moyao (Myrrh) (5 qian), Xuexie (Dragon's Blood), Shexiang (Musk), Awei (Ferula Resin) (each 3 qian), Danggui (Angelica Sinensis Root), Chishao (Red Peony Root) (each 1 xian), Shuihonghua liao (Alternanthera Philoxeroides material, one bundle boiled to extract juice, then reduced to one bowl of paste).
Grind all ingredients into a fine powder, incorporate into the paste, mix well, spread onto green cloth, and apply to the affected area.