《汉东王先生家宝》治小儿疳气灌入阴，黄亮色。
乌金膏
通草 黄皮 大黄（各二钱半，烧）
上各烧存性，为末，每用一钱， 猪胆调成膏，于阴上涂。如未退，煎蛇
床子汤洗后，再调涂之。
母气不足，则羸瘦肉极。巢氏论小儿羸瘦，不生肌肤，皆为脾胃不和，不能
饮食，故血气衰弱，不能荣于肌肤也。挟热者，即温壮，身热，肌肉微黄。其挟冷
者，实时时下利，唇口青白。小儿经诸大病，或惊痫，或伤寒，或温壮，而服药或
吐利发汗，病瘥之后，气血尚虚，脾胃犹弱，不能传化谷气，以荣身体，故虚羸也。
钱氏，虚羸冷者，木香丸主之，夏月不可服，如有证，则少服之。热者，胡黄连丸
主之，冬月不可服，如有证，则少服之（虚羸与疳，同治也。木香丸、胡黄连丸见疳条。）薛氏云∶
更当审其形色，察其见证，如面赤多啼，心之虚羸也。面青目札，肝之虚羸也。耳
前后或耳下结核，肝经虚火也。颈间肉里结核，食积虚热也。面黄痞满，脾之虚羸
也。面白气喘，肺之虚羸也。目睛多白，肾之虚羸也。仍审相胜而药之。又，寒热
二证，不可不辨，若腹痛泻利清白，不渴喜热，此属寒证，虽在夏月，宜木香丸。
身热烦躁，泻利焦黄，作渴喜冷，此属热证，虽在冬月，宜胡黄连丸。皆舍时从证
之治法也。钱氏，论用药识证云∶郑人齐郎中者，家好收药散施人，其子忽脏热，
齐自取青金膏，三服并一服而饵之，服毕，至三更泻五行。其子因睡，齐言子睡多
亦惊，又与青金膏一服，又泻二行。加口干而身热，齐言尚有微热未尽，又与青金
膏。其妻曰用药十余行未安，莫生病否？召钱氏，曰已成虚羸，先多煎白术散时时
服之，后用香瓜丸，十三日愈（白术散见渴，木瓜丸见汗。）薛氏治一小儿十三岁，面赤惊
悸发热，形体羸瘦，不时面白，嗳气下气，时常停食，服保和丸及清热等药。余曰
面赤惊悸，心神怯也。面白嗳气，心火虚也。大便下气，脾气虚也。此皆禀心火虚，
不能生脾土之危证，前药在所当禁者。不信，又服枳术丸、镇惊等药，而诸证益
甚，大便频数，小腹重坠脱肛，痰涎饮食日少。余先用六君子汤为主，佐以补心丸，
月余，饮食少进，痰涎少止，又用补中益气汤送四神而愈。毕姻后，病复作坠，时
至仲冬，面白或黧色，手足冷，喜食胡椒姜物，腹中不热，脉浮按之微细，两尺微
甚。乃用八味丸，元气复而形气渐充。年至二十，苦畏风寒，面目赤色，发热吐痰，
唇舌赤裂，食椒、姜之物，唇口即破，痰热愈甚，腹中却不热，诊其脉或如无，或
欲绝。此寒气逼阳于外，内真寒而外假热也。仍用八味丸而诸证顿愈。一小儿八
岁，面常青色，或时色亦，日间目札，夜睡切牙，二年余矣，服清肝降火之药益甚，
形气日羸，求治于余。曰肝主五色，入心则赤，自入则青，盖肝属木而生风，故肝
气为阳为火，肝血为阴为水，此禀肝肾精血不足，虚火内动，阴血益虚，虚而生风，
风自火出，故变面赤目札等证耳，非外风也，遂用地黄丸以滋肾水，生肝木，两月，
目札、切牙悉止。又三月许，诸证寻愈而元气亦充矣。凡肝经之证，若肝木实热
生风而自病，或肺金实热而克木者，宜用清肝降火之剂，以泻其邪气。若肝经风热
而目直等证，用柴胡栀子散以清肝火，加味四物汤以养肝血。若肾虚而切牙诸证，
用六君子汤以健脾土，六味地黄丸以滋肾水则愈。一小儿脾气虚弱，饮食停滞，发
热作渴，服泻黄散不时下痢。余先用保和丸二服而愈，但不食恶心，面青手冷，又
用六君、柴胡、升麻四剂，面色痿黄，食进手温，惟形体羸甚，倦怠发热，小腹
重坠，肛门脱出，用补中益气汤加半夏、肉豆蔻二剂而安。凡脾胃之证，若发热
作渴，饮食喜冷，或泄泻色黄，睡不露睛者，属形病俱实，宜用泻黄散疏导之。若
发热口干，恶冷或泄泻色白，睡而露睛，属形病俱虚，宜用异功散调补之。若脾气
下陷者补中益气汤。寒水侮土者益黄散。肝木克脾者六君加柴胡。若目睛微动，潮
热抽搐，吐泻不食，宜用秘旨保脾汤。凡小儿诸病，先当调补脾胃，使根本坚固，
则诸病自退，非药所能尽祛也。一小儿五岁，形气虚羸，睡中切牙，夜间遗尿，日
间频数。余以为禀肾气不足，用补中益气汤、加补骨脂，地黄丸、加鹿茸，以补脾
肾而痊。毕姻后，小便频数，作渴发热，日晡益甚，恪服黄柏、知母等药，以滋
阴降火，后患肾痿，卧床年许。余因考绩北上，仍用前药，喜其慎疾，半载而痊。
一小儿年十一岁，面白或赤，足软不能久行。用地黄丸加鹿茸，年许而瘥。毕姻后，
两目羞明，两足仍软，用前丸及补中益气汤而痊。后病复发，增口渴足热，头囟觉
开，视物觉大，此肾虚瞳人散大而然也。服前药，远房事则愈，因不自保，终患肾
痿而殁。仲阳先生云，此证属脑髓不足，不能荣养，宜用地黄丸补之，有至七八岁，
或十四五岁，气血既盛，而自合，若纵恣色欲，戕贼真阴，亦不能尽其寿矣。一小
儿形瘦，不时咳嗽，自用参苏饮一剂，更加喘急惊搐，面白或黄，余谓此禀脾肺不
足，而形气虚羸，因前剂峻利，外邪虽去，而肺气益虚，肺虚则宜补脾，先用异功
散加桔梗、钓藤钩、一剂，痰喘顿定，乃去桔梗，加半夏、当归，再剂惊搐亦去，
又加酸枣仁治之而安。年十五岁，发热痰盛，作渴面赤，形体羸瘦，用地黄丸加五
味子，及补中益气汤各百余剂而形气渐壮。若认为阴火，用黄柏、知母等药，复
伤生化之源，其亦不治者矣。一小儿五岁尚饮乳，耳前后颈间至缺盆，以手推寻，
其筋结小核如贯珠，隐于肌肉之间，小便不调，面色青黄，形气羸瘦。此禀母之肝
火为患。用九味芦荟丸、五味异功散加山栀、柴胡，与儿饮之，又以加味逍遥散与
母服之，寻愈。一小儿患虚羸，耳出秽水，左手尺关洪数而无力。余为清肝补肾，
耳中虽愈，脉未全敛，毕姻后患瘵证，误服黄柏、知母之类，复伤元气，不胜寒
暑劳役，无日不病，几至危殆，余大补脾肾，滋养元气而愈。一小儿患证如前，肢
体消瘦，面色痿黄，大便酸臭。此脾虚食积。用四味肥儿丸、五味异功散治之而
愈。一小儿九岁，吞酸恶食，肌体消瘦，腹中作痛。余谓食积虚羸也。用保和丸而
愈。后腹中数痛，皆服保和丸。余曰此因脾胃虚而饮食所伤也，当调补脾土以杜后
患。不信，后腹痛喜按，余用五味异功散二剂，因未应，自用平胃散等药，腹胀作
痛，余仍以异功散加木香四剂而愈。若屡用攻伐之剂，阴损元气，多致虚羸，慎之。
参苓白术散（方见不乳食）。
地黄丸（加肉桂一两，名加减八味丸）治小儿肝经虚热血燥，或风客淫气而患瘰 结核，或四肢
发搐，眼目抽动，痰涎上涌。又治肾疳脑热消瘦，手足如冷，寒热往来，滑泻肚
胀，口臭干渴，齿龈溃烂，爪黑面黧，遍身两耳生疮，或两耳出水，或发热自汗
盗汗，便血诸血失喑等证，其功不可尽述。（即六味地黄丸，方见肾脏）
补中益气汤 治中气虚弱，体疲食少，或发热烦渴等证。
人参 黄 （各一钱） 白术 甘草 陈皮（各五分） 升麻 柴胡（各二分） 当归（八分）
上姜枣水煎。空心午前服。
愚按∶前方，若因药克伐元气虚损，恶寒发热，肢体倦怠，饮食少思，或兼
饮食劳倦，头痛身热，烦躁作渴，脉洪大弦虚，或微细软弱，右寸关独甚者宜用
之。凡久病，或过服克伐之剂，亏损元气，而虚证悉具者，最宜。前汤，若母有
脾胃不足之证，或阴虚内热致儿为患者，尤宜用之。
八珍汤（四物四君合用）
钱氏异功散 治脾胃饮食少思，吐泻不食，凡虚冷证，先与数服，以正胃气。（即五味异功散，见吐泻。）
愚按∶前方治脾胃虚弱，吐泻不食。或惊搐痰盛。或睡而露睛，手足指冷。
或脾肺虚弱，咳嗽吐痰。或虚热上攻，口舌生疮，弄舌流涎。若母脾胃虚，儿患
此证，亦当服之。
《外台·短剧》疗四五岁儿因食及在胎中宿热，乳母饮食粗恶，辛苦乳汁不起，儿哺
不为肌肤，心腹痞满，痿黄瘦瘠，四肢痿 缭戾，服之令充悦方
芍药（十分，炙令黄） 黄 鳖甲（炙） 人参（各四分） 柴胡（八分） 茯苓（六分） 甘草（炙） 干姜
（各二
分，如热以枳实代）
上八味捣筛，蜜和为丸，如大豆。服五丸，日二服。忌如常法。《千金》有大黄
无黄 ，云服一丸，一岁以上乳服三丸，七岁儿服十丸，日二。
《圣惠》黄 丸 治小儿羸瘦体热，面色痿黄，不欲乳食。
黄 （锉） 赤芍药 人参（去芦头） 甘草（炙微赤，锉） 胡黄连（各半两） 麦门冬（去心，焙） 鳖甲
（涂醋炙微黄，去裙 。各一两） 柴胡（去苗，三分）
上件药捣，罗为末，炼蜜和丸如麻子大。不计时候，以粥饮下五丸，量儿大小，
以意加减。
秦艽丸 治小儿羸瘦体热，心神烦闷，小便赤黄。
秦艽（去苗） 桑根白皮（锉） 枳壳（麸炒微黄，去瓤） 地骨皮 黄 （锉） 人参（去芦头） 赤茯苓
甘草（炙微赤，锉） 犀角（屑。各半两） 龙胆（去芦头，一分） 柴胡（三分，去苗）
上件药捣，罗为末，炼蜜和丸，如绿豆大。不计时候，用粥饮下五丸，更随儿大小增减。
麦门冬丸 治小儿虽食不着肌肤，羸瘦骨热，小便赤黄。
麦门冬（去心焙，一两） 人参（去芦头） 黄 （锉） 青蒿子 黄连（去须） 桑根白皮（锉）
枳壳（麸炒微黄，去穣） 地骨皮（各半两） 柴胡（去苗，三分）
上件药捣，罗为末，炼蜜和丸，如绿豆大。不计时候，以熟水研五丸服，量儿大小，以意加减。
烧黄瓜丸 治小儿羸瘦体热，乳食全少。
黄瓜（大者，一枚） 陈橘皮（汤浸，去白瓤，焙） 黄连（去须。各半两） 鳖甲（童子小便浸三宿，炙微黄，
去裙 ） 胡黄连 柴胡（去苗，各一两）
上件药捣，细罗为散，以黄瓜切开头，去瓤，内药末令满，以切下盖子盖之，
用香麦面和搜固济，可浓三分，于 灰火内，烧令面焦黄为度，取出去面，放冷，
入麝香一钱，都研和丸如绿豆大。每服，食前米饮下七丸，更量儿大小，以意加减。
大黄丸 治小儿胃气不调，不嗜食，不生肌肉。
大黄 干地黄 茯苓 当归 柴胡 杏仁（各三分）
上为末，蜜丸麻子大。饮下五丸，日进三服。
猪肚丸 解小儿肌热，时或泄泻，及有积滞，不思饮食，肌肉消瘦。
鳖甲（一两，同童子小便并醋共一升，热浸，炙尽为度） 白术 薯蓣（各一两） 胡黄连 人参（去芦头）
青橘皮 紫菀（去土） 桃仁（汤浸，去皮尖双仁） 木香 甘草（炙。各半两） 柴胡（去芦头，一两一分）
上件药捣，罗为末，入在净猪肚内系定，煮令极烂为度，出与药同杵令粘，丸
如梧桐子大。每服二十丸，不计时候，温水饮下。
香甲丸 治男子妇人，童男室女，气血虚疏，肌肤消瘦，百节疼潮作温五心烦
热，四肢逆冷，不思饮食，中满气滞，妇人经血凝涩，建脾胃，畅神气，充肌肤，泽颜色。
柴胡 生干地黄 京三棱（各三分） 鳖甲（醋煮黄） 神曲 杏仁 熟干地黄 麦 （炒。各
一两） 牛膝 木香 姜黄 当归（各半两） 白术 川芎（各一分）
上为细末，白面糊丸如梧桐子大。每服十丸，空心茶清下，或米饮亦得。
上八方，挟热者宜之。
《圣惠》诃梨勒散 治小儿羸瘦，脾胃气弱，挟于宿食，不欲乳食，四肢不和。
诃梨勒皮 陈橘皮（汤浸，去白瓤，焙。各半两） 黄 （锉） 人参（去芦头） 白术 藿香 桂心
白茯苓（各一分） 甘草（炙微赤，锉，半分）
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，日三四服，量儿大小，以意加减。
温脾散 治小儿脾气不和，食少无力，肌肤羸瘦。
诃梨勒皮 人参（去芦头。各三分） 白术 木香 黄 （锉） 白茯苓 藿香 陈橘皮（汤浸，
去白瓤，焙） 桔梗（去芦头。各半两） 甘草（炙微赤，锉，一分）
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，不计时候，量儿大小增减温服。
五香煎 治小儿脾胃久虚，吃食减少，四肢羸瘦。
丁香 沉香 木香 藿香 白术（各一两） 麝香（三钱，细研入） 白茯苓 陈橘皮（汤浸，去白
瓤，焙） 黄 （锉。各一两） 诃梨勒皮 甘草（炙微赤，锉。各半两）
上件药捣，筛为散，以水五升，慢火煎至一升，以布绞汁，却入锅内煎麝香及
蜜三合、生姜汁半合、枣肉二十枚，慢火熬成煎，每服，以粥饮调下半茶匙，量儿大小，以意加减。
上三方，挟冷者宜之。
Detailed examination of the entry "Tian Zhu Dao" (Inverted Heavenly Pillar) in the Kidney section.
"Han Dong Wang Shi Jia Bao" treats pediatric Gan Qi (malnutrition syndrome due to spleen deficiency) pouring into the scrotum, presenting with a yellow and shiny appearance.
Wu Jin Gao (Black Gold Ointment)
Tong Cao (Tetrapanacis Medulla), Huang Pi (Cortex Moutan or similar bark, contextually likely referring to a specific bark used here, literally Yellow Skin/Bark), Da Huang (Rhei Radix et Rhizoma) (each 2.5 qian, calcined).
Each of the above is calcined to retain its properties, ground into fine powder. Use 1 qian each time, mix with Pig Bile (Suis Fel) to form an ointment, and apply to the scrotum. If symptoms do not subside, wash with She Chuang Zi Tang (Cnidium Decoction) first, then reapply the mixed ointment.
Insufficient maternal Qi and Blood leads to extreme emaciation of muscles. Chao Yuanfang discusses that pediatric emaciation and failure to develop flesh are all due to disharmony of the Spleen and Stomach, inability to eat properly, thus causing decline in Qi and Blood, which cannot nourish the skin and muscles. Those complicated by Heat will present with elevated temperature, body fever, and slightly yellow muscles. Those complicated by Cold will immediately present with intermittent diarrhea, and blue-white lips and mouth. After children suffer from various severe diseases, such as Jing Xian (convulsive disorders), Shang Han (cold damage), or Wen Zhuang (warm febrile disease), and after taking medicine that induces vomiting, diarrhea, or sweating, even if the illness has resolved, the Qi and Blood remain deficient, and the Spleen and Stomach remain weak, unable to transform grain Qi to nourish the body, hence resulting in Xu Lei (deficiency emaciation). Qian Yi states that for Xu Lei of the Cold type, Mu Xiang Wan (Aucklandia Pill) is the primary treatment; it should not be taken in summer, but if indicated, take a small dose. For the Heat type, Hu Huang Lian Wan (Coptis Pill) is the primary treatment; it should not be taken in winter, but if indicated, take a small dose (Xu Lei and Gan Ji have the same treatment principles. See Mu Xiang Wan and Hu Huang Lian Wan under the Gan Ji entry). Xue Ji says:
One must further examine the facial color and morphology, and observe the manifestations. For example, red face with frequent crying indicates Heart Xu Lei. Blue face with eye deviation indicates Liver Xu Lei. Tubercles behind or in front of the ears or below the ear indicate Liver Meridian Deficient Fire. Tubercles within the flesh of the neck indicate Deficient Heat from Food Stagnation. Yellow face with fullness and distension indicates Spleen Xu Lei. Pale face with panting indicates Lung Xu Lei. Eyes with excessive white sclera indicate Kidney Xu Lei. One must still examine the mutual overcoming relationships (Five Elements) to prescribe medication. Furthermore, one must distinguish between Cold and Heat syndromes. If there is abdominal pain, clear diarrhea, no thirst, and preference for warmth, this belongs to a Cold syndrome; even in summer, Mu Xiang Wan is suitable. If there is body fever, irritability, dark yellow diarrhea, thirst, and preference for cold, this belongs to a Heat syndrome; even in winter, Hu Huang Lian Wan is suitable. These are treatment methods that set aside the season to follow the syndrome. Qian Yi, discussing medication identification, said: A gentleman named Qi from Zheng, whose family liked to collect medicinal powders to distribute to others, had a son who suddenly developed internal organ heat. Qi took Qing Jin Gao (Blue Gold Ointment) himself, administered three doses at once. After finishing, by the third watch, the son had five stools. Because the son was sleeping, Qi said that sleeping too much can also cause fright, and gave another dose of Qing Jin Gao, resulting in two more stools. This was followed by dry mouth and body heat. Qi said there was still residual mild heat, and gave another dose of Qing Jin Gao. His wife said, "Medication has been given over ten times without peace, could it be causing illness?" They summoned Qian Yi. Qian Yi said, "It has already become Xu Lei. First, decoct Bai Zhu San (Atractylodes Macrocephala Powder) frequently. Later, use Xiang Gua Wan (Melon Pill). It healed in thirteen days." (Bai Zhu San is seen under Thirst; Gua Lou/Meluan pills are seen under Sweating). Xue Ji treated a thirteen-year-old child with a red face, fright palpitations, and fever, emaciated body, occasional pale face, belching and flatulence, frequent food stagnation, who had taken Bao He Wan (Preserve Harmony Pill) and heat-clearing medicines. I said: Red face and fright palpitations indicate timidity of the Heart Spirit. Pale face and belching indicate deficiency of Heart Fire. Flatulence indicates deficiency of Spleen Qi. All these are critical conditions where innate Heart Fire is deficient and cannot generate Spleen Earth; the previous medicines should be prohibited. Disbelieving, they took Zhi Zhu Wan (Immature Bitter Orange and Atractylodes Pill) and calming fright medicines, and the symptoms worsened: frequent bowel movements, heavy bearing sensation in the lower abdomen with rectal prolapse, decreasing phlegm-saliva and food intake. I first used Liu Jun Zi Tang (Six Gentlemen Decoction) as the main formula, assisted by Bu Xin Wan (Tonify Heart Pill). After more than a month, food intake increased slightly, phlegm-saliva decreased slightly. Then I used Bu Zhong Yi Qi Tang (Tonify the Middle and Augment the Qi Decoction) delivered with Si Shen Wan (Four Spirits Pill), and the patient recovered. After marriage, the illness relapsed with prolapse. In mid-winter, the face was pale or sallow-dark, hands and feet were cold, preferring pepper and ginger, abdomen felt not hot, pulse was floating but faint and thin upon pressure, especially faint in both Chi positions. Thus, I used Ba Wei Wan (Eight-Ingredient Pill). Vital Qi recovered, and physical Qi gradually filled up. By age twenty, suffering from aversion to wind and cold, red face and eyes, fever with expectoration, red and cracked lips and tongue, eating pepper and ginger caused lip and mouth sores, phlegm-heat became worse, yet the abdomen felt not hot. The pulse was either absent or nearly imperceptible. This is Cold forcing Yang outward, true Cold inside and false Heat outside. Still using Ba Wei Wan, all symptoms instantly resolved. An eight-year-old child often had a blue face, sometimes reddish, eye deviation during the day, teeth grinding at night, for over two years. Taking Liver-clearing and fire-descending medicines made it worse, with daily decline in physical Qi. Seeking treatment from me, I said: The Liver governs the five colors; entering the Heart makes it red, entering itself makes it blue. Since the Liver belongs to Wood and generates Wind, Liver Qi is Yang and Fire, while Liver Blood is Yin and Water. This is insufficient innate essence and blood of the Liver and Kidney, causing Deficient Fire to move internally, Yin Blood becoming increasingly deficient, deficiency generating Wind, Wind arising from Fire, thus manifesting as red face and eye deviation, etc., not external Wind. Therefore, I used Di Huang Wan (Rehmannia Pill) to nourish Kidney Water and generate Liver Wood. In two months, eye deviation and teeth grinding ceased. After about three months, all symptoms healed and Vital Qi was replenished. For all Liver Meridian syndromes, if Liver Wood Excess Heat generates Wind and causes self-disease, or Lung Metal Excess Heat overcomes Wood, one should use Liver-clearing and fire-descending agents to drain the pathogenic factor. If Liver Meridian Wind-Heat causes straight eyes, etc., use Chai Hu Zhi Zi San (Bupleurum and Gardenia Powder) to clear Liver Fire, and Jia Wei Si Wu Tang (Modified Four Substances Decoction) to nourish Liver Blood. If Kidney deficiency causes teeth grinding, etc., use Liu Jun Zi Tang to strengthen Spleen Earth, and Liu Wei Di Huang Wan (Six-Ingredient Rehmannia Pill) to nourish Kidney Water, and it will heal. A child with weak Spleen Qi, food stagnation, fever, and thirst, took Xie Huang San (Drain Yellow Powder) and suffered frequent diarrhea. I first used Bao He Wan for two doses, and it healed, but the child refused food, felt nauseous, had a blue face and cold hands. I then used Liu Jun Zi, Chai Hu, and Sheng Ma for four doses. The complexion became sallow-yellow, appetite improved, hands warmed, but the body remained extremely emaciated, with fatigue, fever, heavy bearing in the lower abdomen, and anal prolapse. I used Bu Zhong Yi Qi Tang plus Ban Xia (Pinellia) and Rou Dou Kou (Nutmeg) for two doses, and the patient stabilized. For all Spleen-Stomach syndromes, if there is fever, thirst, preference for cold drinks, or yellow diarrhea, and eyes closed during sleep, it belongs to Excess in both Form and Disease; use Xie Huang San to guide and drain. If there is fever, dry mouth, aversion to cold, or white diarrhea, and eyes open during sleep, it belongs to Deficiency in both Form and Disease; use Yi Gong San (Yi Palace Powder) to regulate and tonify. If Spleen Qi sinks, use Bu Zhong Yi Qi Tang. If Cold Water insults Earth, use Yi Huang San. If Liver Wood insults Spleen, use Liu Jun Zi Tang plus Chai Hu. If eyes twitch slightly, tidal fever, convulsions, vomiting, diarrhea, and refusal to eat occur, use Mi Zhi Bao Pi Tang (Secret Instruction Spleen-Protecting Decoction). For all pediatric illnesses, one must first regulate and tonify the Spleen and Stomach, making the root firm, so that other illnesses will recede naturally; they cannot all be dispelled by medicine alone. A five-year-old child with deficient and emaciated Qi, teeth grinding in sleep, nocturnal enuresis, and frequent daytime urination. I considered this insufficient innate Kidney Qi, and used Bu Zhong Yi Qi Tang plus Gu Zhi (Psoralea), Di Huang Wan plus Lu Rong (Deer Antler), to tonify Spleen and Kidney, resulting in recovery. After marriage, frequent urination, thirst, and fever occurred, worsening in the afternoon. Strictly taking Huang Bo (Phellodendron) and Zhi Mu (Anemarrhena) to nourish Yin and descend Fire, the patient later suffered Kidney Atrophy, bedridden for over a year. As I went north for performance review, I continued using the previous medicines. Glad that he was cautious about illness, he recovered in half a year. An eleven-year-old child with a pale or red face, weak legs unable to walk long. Used Di Huang Wan plus Lu Rong, recovered after about a year. After marriage, photophobia in both eyes, weakness in both legs persisted. Used the previous pill and Bu Zhong Yi Qi Tang, and recovered. Later, the illness relapsed, increasing thirst and foot heat, fontanelle felt open, objects appeared larger. This is due to Kidney deficiency causing pupil dilation. Taking the previous medicines and avoiding sexual activity would lead to recovery. Due to lack of self-restraint, he ultimately suffered Kidney Atrophy and died. Mr. Zhongyang said, this syndrome belongs to insufficient brain marrow, unable to nourish. It is suitable to use Di Huang Wan to tonify. Some recover spontaneously at ages seven or eight, or fourteen or fifteen, when Qi and Blood are abundant. If one indulges in lust, damaging True Yin, one cannot live out one's natural lifespan. A child with emaciation and occasional cough, self-administered one dose of Shen Su Yin (Ginseng and Perilla Drink), leading to increased wheezing, urgency, and convulsions, pale or yellow face. I said this is innate insufficiency of Spleen and Lung, with deficient and emaciated Qi. Because the previous prescription was harsh and draining, although the external pathogen was removed, Lung Qi became more deficient. When Lung is deficient, it is suitable to tonify the Spleen. First, use Yi Gong San plus Jie Geng (Platycodon) and Gou Teng (Uncaria) for one dose, and phlegm-wheezing settled instantly. Then remove Jie Geng, add Ban Xia and Dang Gui. After two doses, convulsions ceased. Add Suan Zao Ren (Ziziphus Seed) to treat, and the patient stabilized. At age fifteen, fever with profuse phlegm, thirst, red face, and emaciation. Used Di Huang Wan plus Wu Wei Zi (Schisandra) and Bu Zhong Yi Qi Tang, each over a hundred doses, until physical Qi gradually strengthened. If mistaken for Yin Fire and treated with Huang Bo and Zhi Mu, the source of transformation and generation would be injured again, and it would be incurable. A five-year-old child still drinking breast milk, tubercles like strings of beads found in the muscles between the ears, neck, and collarbone upon pushing with hand, irregular urination, blue-yellow complexion, and emaciated Qi. This is caused by inheriting the mother's Liver Fire. Administered Jiu Wei Lu Hui Wan (Nine-Ingredient Aloe Pill) and Wu Wei Yi Gong San plus Shan Zhi (Gardenia) and Chai Hu (Bupleurum) for the child, and Jia Wei Xiao Yao San (Modified Free Wanderer Powder) for the mother, and recovered soon. A child suffering from Xu Lei, with foul-smelling discharge from the ears, left Cun-Guan pulse was surging, rapid, and powerless. I cleared Liver Heat and tonified Kidney. Although the ear condition healed, the pulse did not fully converge. After marriage, the child suffered from Zhai Syndrome (consumptive disease), mistakenly taking Huang Bo and Zhi Mu, injuring Vital Qi again, unable to withstand cold, heat, labor, and fatigue, sick every day, nearly reaching a critical state. I greatly tonified Spleen and Kidney, nourishing Vital Qi, and the patient recovered. A child with symptoms as before, emaciated limbs, sallow-yellow complexion, sour-smelling stool. This is Spleen deficiency with Food Stagnation. Treated with Si Wei Fei Er Wan (Four-Ingredient Fat-Toning Pill) and Wu Wei Yi Gong San, and recovered. A nine-year-old child with acid regurgitation, aversion to food, emaciated body, and abdominal pain. I said this is Food Stagnation causing Xu Lei. Treated with Bao He Wan, and recovered. Later, frequent abdominal pain, all treated with Bao He Wan. I said this is because of Spleen-Stomach deficiency damaged by diet; one should tonify Spleen Earth to prevent future issues. Disbelieving, later abdominal pain relieved by pressure. I used Wu Wei Yi Gong San for two doses. Because it did not respond, the patient self-administered Ping Wei San (Peaceful Stomach Powder) and other medicines, causing abdominal distension and pain. I still used Yi Gong San plus Mu Xiang for four doses, and the patient recovered. If one repeatedly uses attacking and reducing agents, Yin is damaged, and Vital Qi is harmed, often leading to Xu Lei. Be careful.
Shen Ling Bai Zhu San (Formula seen under Refusal to Nurse).
Di Huang Wan (Add 1 liang of Rou Gui, named Jia Jian Ba Wei Wan) treats pediatric Liver Meridian Deficient Heat and Blood Dryness, or Wind invading and turbid Qi causing Scrofula/Tubercles, or convulsions of the four limbs, eye twitching, rising phlegm-saliva. Also treats Kidney Gan Brain Heat with emaciation, cold-like hands and feet, alternating chills and fever, slippery diarrhea, abdominal distension, bad breath, dry mouth/thirst, gingival ulceration, black nails, sallow-dark face, sores on the whole body and ears, or water discharge from ears, or fever with spontaneous/night sweats, hematochezia, various bleeding, loss of voice, etc. Its merits cannot be fully described. (This is Liu Wei Di Huang Wan, see Kidney section).
Bu Zhong Yi Qi Tang treats Middle Qi deficiency, body fatigue, poor appetite, or fever with irritability and thirst.
Ren Shen (Ginseng), Huang Qi (Astragalus) (each 1 qian) Bai Zhu (Atractylodes Macrocephala), Gan Cao (Licorice), Chen Pi (Citrus Reticulata Peel) (each 0.5 qian) Sheng Ma (Cimicifuga), Chai Hu (Bupleurum) (each 0.2 qian) Dang Gui (Angelica Sinensis) (0.8 qian).
Decoct with Ginger and Jujube water. Take on an empty stomach before noon.
My commentary: The above formula is suitable if Qi and Blood are damaged by harsh medications, presenting with aversion to cold and fever, limb fatigue, poor appetite, or combined with dietary/labor fatigue, headache, body heat, irritability, thirst, surging-stringy-deficient pulse, or faint-weak pulse, especially prominent in the Right Cun-Guan positions. It is most suitable for chronic illnesses or those who have overused harsh medications, depleting Vital Qi, presenting with complete deficiency syndromes. The above decoction is particularly suitable if the mother has Spleen-Stomach insufficiency, or Yin deficiency with internal heat affecting the child.
Ba Zhen Tang (Combination of Si Wu and Si Jun Zi)
Qian Yi's Yi Gong San treats Spleen-Stomach poor appetite, vomiting/diarrhea with refusal to eat. For all deficiency-cold syndromes, give several doses first to rectify Stomach Qi. (This is Wu Wei Yi Gong San, see Vomiting/Diarrhea).
My commentary: The above formula treats Spleen-Stomach weakness, vomiting/diarrhea with refusal to eat. Or convulsions with profuse phlegm. Or sleeping with eyes open, cold fingers/toes. Or Spleen-Lung weakness, coughing with phlegm. Or Deficient Heat attacking upward, mouth/tongue sores, tongue playing, drooling. If the mother has Spleen-Stomach deficiency and the child suffers from this syndrome, she should also take it.
"Wai Tai Mi Ju · Duan Ju" treats 4-5 year old children due to food and residual heat in the womb, rough diet of the nursing mother, bitter milk failing to produce, feeding does not build flesh, heart/abdominal fullness, sallow emaciation, limb paralysis/curling. Formula to make them plump and joyful.
Shao Yao (Peony) (10 fen, stir-fry until yellow), Huang Qi (Astragalus), Bie Jia (Tartar Testudinis) (stir-fried), Ren Shen (Ginseng) (each 4 fen), Chai Hu (Bupleurum) (8 fen), Fu Ling (Poria) (6 fen), Gan Cao (Licorice) (stir-fried), Gan Jiang (Dried Ginger) (each 2 fen, replace with Zhi Shi if Heat).
The above eight ingredients are pounded and sifted, mixed with honey into pills the size of soybeans. Take 5 pills, twice daily. Avoidances as usual. "Qian Jin" has Da Huang instead of Huang Qi, saying take 1 pill, infants over 1 year take 3 pills with milk, 7-year-olds take 10 pills, twice daily.
"Sheng Hui" Huang Qi Wan treats pediatric emaciation with body heat, sallow-yellow complexion, reluctance to nurse/eat.
Huang Qi (Astragalus) (cut), Chi Shao Yao (Red Peony Root), Ren Shen (Ginseng) (remove rhizome), Gan Cao (Licorice) (stir-fry slightly red, cut), Hu Huang Lian (Coptis) (each 0.5 liang), Mai Men Dong (Ophiopogon) (remove heart, bake), Bie Jia (Tartar Testudinis) (coat with vinegar, stir-fry slightly yellow, remove skirt), Chai Hu (Bupleurum) (remove sprouts, 3 fen).
The above ingredients are pounded, sifted into powder, refined honey mixed into pills the size of sesame seeds. Take 5 pills with rice broth at any time, adjust dosage according to child's size.
Qin Jiao Wan treats pediatric emaciation with body heat, mental restlessness, red-yellow urine.
Qin Jiao (Gentiana Macrophylla), Sang Gen Bai Pi (Morus Alba Root Bark) (cut), Zhi Ke (Aurantii Fructus) (bran-fried slightly yellow, remove pith), Di Gu Pi (Lycium Cortex), Huang Qi (Astragalus) (cut), Ren Shen (Ginseng) (remove rhizome), Chi Fu Ling (Red Poria), Gan Cao (Licorice) (stir-fry slightly red, cut), Xi Jiao (Rhinoceros Horn) (powdered) (each 0.5 liang), Long Dan (Gentiana Scabra) (remove rhizome, 1 fen), Chai Hu (Bupleurum) (3 fen, remove sprouts).
The above ingredients are pounded, sifted into powder, refined honey mixed into pills the size of mung beans. Take 5 pills with rice broth at any time, adjust according to child's size.
Mai Men Dong Wan treats pediatric children who eat but do not gain flesh, emaciation with bone heat, red-yellow urine.
Mai Men Dong (Ophiopogon) (remove heart, bake, 1 liang), Ren Shen (Ginseng) (remove rhizome), Huang Qi (Astragalus) (cut), Qing Hao Zi (Artemisia Annua Seed), Huang Lian (Coptis) (remove whiskers), Sang Gen Bai Pi (Morus Alba Root Bark) (cut), Zhi Ke (Aurantii Fructus) (bran-fried slightly yellow, remove pith), Di Gu Pi (Lycium Cortex) (each 0.5 liang), Chai Hu (Bupleurum) (3 fen, remove sprouts).
The above ingredients are pounded, sifted into powder, refined honey mixed into pills the size of mung beans. Take 5 pills dissolved in warm water at any time, adjust dosage according to child's size.
Shao Huang Gua Wan treats pediatric emaciation with body heat, very little milk/food intake.
Huang Gua (Cucumis Melo Var. Flexuosus) (large, 1 piece), Chen Ju Pi (Aged Citrus Reticulata Peel) (soak in boiling water, remove white pith, bake), Huang Lian (Coptis) (remove whiskers) (each 0.5 liang), Bie Jia (Tartar Testudinis) (soak in boy's urine for 3 nights, stir-fry slightly yellow, remove skirt), Hu Huang Lian (Coptis), Chai Hu (Bupleurum) (remove sprouts) (each 1 liang).
The above ingredients are pounded, finely sifted into powder. Cut the top off the cucumber, remove pulp, fill with powder, cover with the cut top. Seal with wheat flour paste, thickness 3 fen. Roast in ash fire until the paste is scorched yellow. Remove paste, cool, add 1 qian of She Xiang (Musk), grind and mix into pills the size of mung beans. Take 7 pills with rice drink before meals, adjust dosage according to child's size.
Da Huang Wan treats pediatric Stomach Qi disharmony, dislike of food, failure to develop muscle.
Da Huang (Rhubarb), Gan Di Huang (Rehmannia), Fu Ling (Poria), Dang Gui (Angelica Sinensis), Chai Hu (Bupleurum), Xing Ren (Apricot Seed) (each 3 fen).
Grind into powder, mix with honey into pills the size of sesame seeds. Take 5 pills with water, three times daily.
Zhu Du Wan resolves pediatric muscle heat, occasional diarrhea, food stagnation, lack of appetite, muscle emaciation.
Bie Jia (Tartar Testudinis) (1 liang, soak in boiling boy's urine and vinegar totaling 1 sheng, stir-fry until done), Bai Zhu (Atractylodes Macrocephala), Shu Yu (Dioscorea) (each 1 liang), Hu Huang Lian (Coptis), Ren Shen (Ginseng) (remove rhizome), Qing Ju Pi (Green Citrus Reticulata Peel), Zi Wan (Aster), Tao Ren (Peach Seed) (soak in boiling water, remove skin/apiculus/double kernels), Mu Xiang (Aucklandia), Gan Cao (Licorice) (stir-fried) (each 0.5 liang), Chai Hu (Bupleurum) (remove rhizome, 1 liang 1 fen).
The above ingredients are pounded, sifted into powder, put into a clean pig stomach, tie securely, boil until extremely soft. Remove and pound together with the medicine until sticky, roll into pills the size of paulownia seeds. Take 20 pills at any time with warm water.
Xiang Jia Wan treats men, women, boys, and girls with deficient and sparse Qi and Blood, emaciated skin/muscles, joint pain, tidal fever, five-palm heat, cold extremities, poor appetite, middle fullness with Qi stagnation, stagnant menstrual blood in women. Strengthens Spleen/Stomach, unblocks Spirit Qi, fills skin/muscles, brightens complexion.
Chai Hu (Bupleurum), Sheng Gan Di Huang (Fresh Rehmannia), Jing San Leng (Burret) (each 3 fen), Bie Jia (Tartar Testudinis) (vinegar-boiled yellow), Shen Qu (Massa Medicata Fermentata), Xing Ren (Apricot Seed), Shu Gan Di Huang (Prepared Rehmannia), Mai Ya (Barley Sprout) (stir-fried) (each 1 liang), Niu Xi (Achyranthes), Mu Xiang (Aucklandia), Jiang Huang (Turmeric), Dang Gui (Angelica Sinensis) (each 0.5 liang), Bai Zhu (Atractylodes Macrocephala), Chuan Xiong (Ligusticum) (each 1 fen).
Grind into fine powder, mix with white flour paste into pills the size of paulownia seeds. Take 10 pills with clear tea on an empty stomach, or rice drink is also acceptable.
The above eight formulas are suitable for cases complicated by Heat.
"Sheng Hui" He Li Le San treats pediatric emaciation, weak Spleen-Stomach Qi, complicated by retained food, reluctance to nurse/eat, limb disharmony.
He Li Le Pi (Terminalia Chebula Peel), Chen Ju Pi (Aged Citrus Reticulata Peel) (soak in boiling water, remove white pith, bake) (each 0.5 liang), Huang Qi (Astragalus) (cut), Ren Shen (Ginseng) (remove rhizome), Bai Zhu (Atractylodes Macrocephala), Huo Xiang (Pogostemon), Gui Xin (Cinnamon Heart), Bai Fu Ling (White Poria) (each 1 fen), Gan Cao (Licorice) (stir-fry slightly red, cut, 0.5 fen).
The above ingredients are pounded, coarsely sifted into powder. Take 1 qian, with one small cup of water, add a little ginger, one jujube, decoct to half portion, strain, take warm. Three to four times daily, adjust dosage according to child's size.
Wen Pi San treats pediatric Spleen-Stomach disharmony, poor appetite, weakness, emaciated skin/muscles.
He Li Le Pi (Terminalia Chebula Peel), Ren Shen (Ginseng) (remove rhizome) (each 3 fen), Bai Zhu (Atractylodes Macrocephala), Mu Xiang (Aucklandia), Huang Qi (Astragalus) (cut), Bai Fu Ling (White Poria), Huo Xiang (Pogostemon), Chen Ju Pi (Aged Citrus Reticulata Peel) (soak in boiling water, remove white pith, bake), Jie Geng (Platycodon) (remove rhizome) (each 0.5 liang), Gan Cao (Licorice) (stir-fry slightly red, cut, 1 fen).
The above ingredients are pounded, coarsely sifted into powder. Take 1 qian, with one small cup of water, add a little ginger, one jujube, decoct to half portion, strain, take warm at any time, adjust dosage according to child's size.
Wu Xiang Jian treats pediatric long-term Spleen-Stomach deficiency, reduced food intake, emaciated limbs.
Ding Xiang (Clove), Chen Xiang (Aquilaria), Mu Xiang (Aucklandia), Huo Xiang (Pogostemon), Bai Zhu (Atractylodes Macrocephala) (each 1 liang), She Xiang (Musk) (3 qian, finely ground and added), Bai Fu Ling (White Poria), Chen Ju Pi (Aged Citrus Reticulata Peel) (soak in boiling water, remove white pith, bake), Huang Qi (Astragalus) (cut) (each 1 liang), He Li Le Pi (Terminalia Chebula Peel), Gan Cao (Licorice) (stir-fry slightly red, cut) (each 0.5 liang).
The above ingredients are pounded, sifted into powder. With 5 sheng of water, slow-fire decoct to 1 sheng. Strain juice through cloth, return to pot, decoct Musk, 3 he of honey, 0.5 he of ginger juice, 20 jujube meats. Slow-fire simmer into a syrup. Take half a tea spoon mixed with rice broth per dose, adjust dosage according to child's size.
The above three formulas are suitable for cases complicated by Cold.