《汉东王先生家宝》小儿积病，可医者九。面上虚肿是积。积者是脾之所系，
脾主身之肌肉，故应面，故知是脾积，其脾系土，土无正形，故早晚浮肿不定，多
则早浮，其睡则脾不磨，上面作肿，若病后，此证则是虚中积，宜用调脾消积行气
等药。面合地卧是积。何以合地，其受积在脾，是冷积，何以知之，其脾好土，故
知在脾，其冷者属阴，故知伤冷硬食得之，宜下热积气药耳。腹胀是积。其积在
肺，何以知之，其肺主于气，才当受积，其气便冷，腹胀满气急，故知在肺，如腹
胀，先宜调气后转，转后更宜调气。小便如油是积。其积在小肠，何以知之，其积
受于脾，脾当传心，心不受触，则入小肠，小肠是心之府，故知在小肠，则节其水
道，小便如米泔油相似也。发黄是积。是积气伤心，心主血脉，荫遍身毛发，被积
气所干，则发黄，故知是积伤心，宜下空心散及取积药，此人必时复发热也。赤白
痢是积。其积在肺，受传大肠，及有外伤冷而得，何以知之，其肺主西方庚辛金，
其色白，后赤则是外邪，故知肺传大肠，则为赤白痢也，宜取后调气。两眼黄赤、
睛青、是积。其积在肝，何以知之，肝主东方甲乙木，色青，却被积气所干，即黄
赤，睛青者，眼属五脏，肝是其主，肝若受积，故令眼睛青，是肝受积。若传
胆，其人口苦，不要吃物，宜凉药退之。遍身虚肿是积。其积不在脏，只在腑，何
以知之，为其积曾取，后被药发动，即不在脏，故出皮肤之间为肿也，只宜下取虚
中积药，然后补之。多泻白粪是积。是受冷积在脾，何以知之，脾主化，受冷积在
脾，冷滑而泻白粪，故知在脾，宜先转，后热药补之。积病不可医者六。喘急是
肺积，肺主气，其喘急则肺绝，其人当面白，全无血色，故不可医也。面黑是肾
积，其人面黑者，是肾绝也，人当不辨好恶，眼直无光，只得一日而死也。吐热气
是荣积，其不医者，是血绝不可治也，血主心，心不能管，故出热气不止耳。手脚
心生疮是卫积，卫者气也，胃气不生，故手足生疮，若卫绝，则气不回，只得半日
也。恶心吐干呕是胃积，何以不医，胃主化食，其胃热则恶吐，故不治，其人必食
乳不化，不食亦干吐呕，面色青黄无血色也。泻久住又泻是积，咬脾烂。何以知
其脾烂，其人当泻白粪，为食不消，住了，却放粪赤黑而死，即知脾烂不可治。
《宝鉴》论小儿五积，为脏气不行，蓄积一处不动，故曰积。夫心为伏梁，在脐
上，上攻其心，下攻胃口。脾为痞气，在胃口上横之。肝为肥气，在脐之左边。肺
为息贲，在脐之右畔。肾为贲豚，在脐下。各有变动，非食之所成，乃气积也，脏
属阴，故在一处而不动也。聚谓六腑之气留聚也，腑属阳，阳气运转不停，故其聚
不定一处，发而腹痛。积聚之候，皆面黄瘦劣， 不生肌肉，发立或肌体浮肿，
腹急多困，多为水气。
《真珠囊》虚中积候，凡惊中虚积者，谓因惊取，复惊发动是也，所下粪青秽。
凡虚中有积者，因伤食而泻又吐，如此渐虚，其病未瘥，故曰虚积也。又虚中之
积，有积而频频取转，却取转不着，致其积尚伏，故亦曰虚中积。若惊积取下，则
粪随惊青。如是食积，即粪成块子。凡疳中虚积者，因疳病转泻，虚而疳不退，故
虚中尔，所取下粪里白色也。
〔曾〕凡婴孩所患积证，皆因乳哺不节，过餐生冷坚硬之物，脾胃不能克化，积
停中脘，外为风寒所袭。或因夜卧失盖。致头疼面黄身热，眼胞微肿，腹痛膨胀，
足冷肚热，喜睡神昏，饮食不思，或呕或哕，口噫酸气，大便 臭，此为陈积所伤。
如觉一二日，先以百伤饮（外感）发表，次当归散（潮热）水姜煎服，温动积滞，方下乌犀丸、
六圣丸，重与宽利，后用匀气散（疝）调补。〔汤〕凡有积滞，须辨虚实，况孩儿虚瘦
长短黑白，南北古今不同，不可一概论也。予今之法，实者，可服进食丸。虚而微
白芨疳瘦者，宜服肥儿丸（即三因肥儿丸见腹胀条）。〔薛〕初患元气未损之时，或腹胀作痛，
大小便不利者，先用白饼子或木香槟榔丸下之。下后以白术散或五味异功散和之，
渴加干葛，吐加半夏。下而热不退，或作呕作泻，饮食不思，此脾胃俱伤也，用六
君子汤。手足指冷，喜饮热汤，此脾胃虚寒也，前方加炮姜、木香。面色黄白，目
无精光，脾肺俱虚也，用四君子加柴胡、升麻。腹痛泄利下垂，或小便不利者，用
四逆散。发热晡热，或泻未已，脾气下陷也；潮热口渴，大便不调，欲变疳证也；
并用补中益气汤，佐以肥儿丸。经云∶邪之所凑，其气必虚，留而不去，其病乃实。
必以调脾为主，而以消导佐之。古人所谓养正积自除。正此意也。
《千金》紫双丸 治小儿身热头痛，食饮不消，腹中胀满。或小腹绞痛，大小便不
利。或重下数起，小儿无异疾，惟饮食过度，不知自止，哺乳失节。或惊悸寒热。
惟此丸治之，不瘥，更可重服。小儿欲下，是其蒸候，哺食减少，气息不快，夜
啼不眠，是腹内不调，悉宜用此丸，不用他药，数用神验，千金不传方。（臣亿等详
序例中凡云服紫丸者，即前变蒸篇中四味者是也，云服紫丸不下者，服赤丸，赤丸瘥驶，病重当用之，方中并无赤丸，
而此用朱砂者，又力紧于紫丸，疑此即赤丸也。）
巴豆（去皮） 蕤核仁（去皮。各十八铢） 甘草（炙，五铢） 牡蛎（火 赤） 黄蜡（各八铢） 甘遂 朱砂
（各二铢） 麦门冬（去心，十铢）
上八味，以汤熟洗巴豆，研，新布绞去油，别捣甘草、甘遂、牡蛎、麦门冬，
下筛讫。研蕤核仁令极熟，乃内散，更捣二千杵，药燥不能相丸，更入少蜜足之。
半岁儿服如荏子一双，一岁二岁儿服如半麻子一双，三四岁者服如麻子二丸，五
六岁者服如麻子大二丸，七岁八岁服如小豆二丸，九岁十岁微大于小豆二丸，常
以鸡鸣时服之。至日出时不下者，投粥饮数合即下。丸皆双出也。下甚者，饮以
冷粥即止。
〔茅先生〕青金丹 小儿诸积病悉主之。
滑石（末） 白丁香（罗过） 天南星（各二钱匕） 青黛（罗过，平钱满挑二钱） 轻粉（重二钱） 水银（秤
二钱，先以锡二钱于铜铫内熔化，便下水银拌和匀，倾出于地，冷用） 川巴豆（去皮心膜，七十二个，无缺损者，井
华水浸
一宿，悬当风处，吹干，烂研）
上前件药同拌合，用软饭为丸，如小绿豆大。巴豆不出油。根据形证用汤使下。
伤寒后取积，淡煎葱汤吞下。取疳虫，用牛肉炙汁下。惊风肚中紧硬，面青黑，
金银薄荷葱汤吞下。因伤，看肚中及腹皮上微热肚胀，夜间作热，似疳又不是疳，
面青黄色，眼微黄，此腹中有积，用皂角子二七粒，灰火煨过，用水一盏、煎至
半盏下。有积作泻，鱼 汤下。气积炒 香汤下。凡下此药，周岁十四丸，三岁
十八丸，七岁二十四丸，量大小加减。下须是四更初下，至天明通下。积来尽时，
可根据形证候，下药补之。临吃此药，恐先吐下些小涎来，亦不妨。
万灵丸 主小儿诸积，根据形证用之。
木香 黄连 蓬莪术（各半分） 陈橘皮 青橘皮（各去瓤，一分） 槟榔（一钱半重者一枚）
上为末，每匕药一钱，用巴豆一粒去心膜用醋煮，巴豆一枚煮药令巴豆紫色，
用杏仁一枚去皮尖灯火上 留性，二味都研，用醋面糊为丸，如小绿豆大。每服
五丸七丸十丸，薄荷姜汤吞下。
〔钱乙〕消积丸
丁香（九枚） 缩砂仁（十二枚） 乌梅肉（三个，焙） 巴豆（二枚，去皮油心膜）
上为细末，面糊丸，黍米大。三岁以上三五丸，以下三二丸，温水下，无时。
紫霜丸 消积聚。
巴豆（去油心膜） 杏仁（去皮尖。各二十一个） 代赭石（一钱，研细水飞）
上为细末，饭丸如粟米大。每服三五丸至十丸，煎皂角仁汤下，无时，儿小者减之。
真珠丸 取小儿虚中，一切积聚、惊涎、宿食、乳癖，治大小便涩滞，疗腹胀，行滞气。
木香 白丁香（真者） 丁香（末） 轻粉（各半钱，留少许为衣） 白滑石（末，二钱） 巴豆（十四粒，水浸
一宿，研极腻）
上为末，研匀，湿纸裹，烧粟米饭丸麻子大。一岁一丸，八九岁以上至十五
岁服八丸。炮皂子煎汤放冷下。挟风热难动者，先服凉药一服。乳癖者，减丸数，隔日、临卧一服。
消坚丸 消乳癖及下交奶，又治痰热膈实，取积。
砂（末） 巴豆霜 轻粉（各一钱） 黄明胶（末，五钱） 细墨（少许） 水银沙子（两皂子大）
上，同研细末，少入面糊为丸，如麻子大。倒流水下，一岁儿服一丸，食后。
白饼子 治小儿腹中有癖，不食，但饮乳是也。
滑石 轻粉 半夏（汤洗，焙干） 南星（各一钱，为末） 巴豆（二十四粒，去皮膜，水一升煮，水尽为度）
上研匀，巴豆后入，众药以糯米饭为丸，如小绿豆大，捏作饼子。儿三岁以上
三五饼，三岁以下一二饼，葱白汤下，临卧服。
〔张涣〕万灵丹 治小儿脾胃久不和，挟积，服温热药皆不效，此药神妙。
肉桂 川黄连 蓬莪术（各一两） 肉豆蔻仁 槟榔 陈橘皮（去白，焙干） 木香 丁香（各
半两。以上捣罗为细末，次用） 巴豆（去皮心膜） 杏仁（麸炒，去皮尖。二件并灯上烧灰存性。各二七个）
上件同再捣拌匀，滴水丸黍米大。每服，未周 一粒，二三岁二粒，三四岁三
粒，五七岁五粒，十岁以上七粒，用生姜汤放冷下，乳食后。久积或乳癖，并宜常服。
剪红丸 磨癖积，杀诸虫，进饮食，神效。男女老幼皆可服。孕妇勿服。
干漆（炒烟尽） 紫芫花（醋拌，炒。各一钱） 巴豆（七粒，去皮膜心，不去油） 斑蝥（七枚，去头足翅，炒，
研时、
塞两鼻孔）
上为丸，醋糊丸梧桐子大。用红砂包，红线缚定，剪切来每服一丸，同后药服之。
南木香 雷丸 三棱（生） 莪术（生） 百部（微炒。各半两） 贝母 槟榔 大黄（生。各一两） 使
君子肉（四十九枚，半生半炒） 牵牛（生半斤，取头末三两半）
为细末用 皂角十锭捶碎，山茵陈（一两），苦楝根皮（二两），水四五碗，砂锅内慢火
煎至一小碗，将前末搜为丸梧子大，日干。小儿粟米大。每服二钱半重。各随
后证，改汤使引下，五更初服。忌荤腥生硬油腻物，此方与诸方甚异，毋忽。小
儿 喘急咳嗽，桑白皮汤下。取寸白虫，煎石榴根汤下。香港脚肿不可行，木
瓜汤或蜜水下。取蛔虫苗虫，沙糖水下。小儿一切诸证，蜜水或沙糖水下。酒
痢酒积，百药煎汤下。妇人血脉不行，淡醋红花汤送下。妇人血蛊，葱白汤下。
肠风下血，煎山栀子汤下。大小便不通，淡醋汤下。食积气块诸证，用温蜜水、温茶汤下。
真方五色丸子 治小儿一切所伤，痰涎壅塞，胸膈不利，乳食不消，变生癖积，胁
肋片硬，按之疼痛，及治一切急慢惊风发搐，痰涎壅塞。
青丸子∶青黛（别研） 南星（姜制。各半两） 巴霜（半钱）
红丸子∶朱砂（水飞） 半夏（姜制。各半两） 巴霜（半钱）
黄丸子∶大黄（煨） 郁金（各半两） 巴霜（半钱）
白丸子∶白附子（生） 寒水石（ 。各半两） 巴霜（半钱）
黑丸子∶五灵脂（炒） 全蝎（炒。各半两） 巴霜（半钱）
上前五色药，各另研为细末，入巴霜半钱同匀，面糊丸粟米大。一岁服五丸，
乳汁送下，量大小加减。或姜汤下。急惊，金银薄荷汤。慢惊，生姜全蝎汤。
下积丸 治乳食伤积，心腹胀满，气粗壮热，或泻或呕。
丁香（二十粒） 缩砂仁（二十枚） 使君子肉（五枚） 乌梅 巴豆肉（不去油。各三枚）
上为末，烂饭丸麻子大。每服三丸，陈皮汤下。
五珍丸 治酒食积，通用。
青皮 干姜（烧，存性） 蓬术 五灵脂（各一两） 巴豆肉（去半油，一钱）
上为细末，粳米饭丸麻子大。每服三五丸，米汤下。
《局方》进食丸 治乳食不化，心胸胀满，疳积肚疼。
木香（炮） 枳壳（去白，炒） 当归 代赭石（各五钱） 朱砂（另研，三钱） 巴豆（去油膜，一钱） 麝香
（另研，五分）
上为细末，面糊丸，如黍米大。一岁二丸，量儿大小加减，米饮送下。
六圣丸（曾氏） 治诸积和胃，大能主气浓肠，消疳快膈。
莪术（炮，锉） 净黄连 陈皮（去白） 白姜（炮。各五钱） 南木香（二钱半）
上除木香不见火，余四味锉焙，同木香为末，每一钱重，巴豆三粒去壳膜心，
存油，碎切，入乳钵细研，同前药再研匀，醋煮面糊丸麻仁大。每服十五粒至
二十五粒或三十五粒，五更空心淡姜汤下。利三五行，匀气散止补（方见疝）。常服助
脾化积，进食消疳，临睡以净汤或汤酒下三粒及五粒。每次止丸药末三钱，净巴
豆九粒为则，不可多合，久则味散。
According to "Han Dong Wang Xiansheng Jiabao", there are nine types of pediatric accumulation (Ji, a condition characterized by the stagnation and accumulation of pathogenic factors or food) that can be cured. Facial edema indicates accumulation. Accumulation is related to the Spleen; since the Spleen governs the muscles of the body, it manifests on the face, thus indicating Spleen accumulation. The Spleen corresponds to Earth, which has no fixed shape, so morning and evening edema varies; typically, swelling is more pronounced in the morning. During sleep, the Spleen fails to transform and transport, leading to facial swelling. If this syndrome occurs after an illness, it is deficiency with accumulation, and medicines for regulating the Spleen, resolving accumulation, and moving Qi should be used. Lying flat with the face pressed against the ground indicates accumulation. Why pressed against the ground? Because the accumulation is in the Spleen and is cold accumulation. How do we know? The Spleen favors Earth nature, so the disease is in the Spleen; cold belongs to Yin, so it is known to be caused by injury from cold, hard foods. Medicines that purge cold accumulation and move Qi should be used. Abdominal distension indicates accumulation. The accumulation is in the Lung. How do we know? The Lung governs Qi; once affected by accumulation, the Qi becomes cold, causing abdominal fullness and shortness of breath, thus indicating the disease is in the Lung. For abdominal distension, first regulate Qi, and after Qi moves, continue to regulate Qi. Urine resembling oil indicates accumulation. The accumulation is in the Small Intestine. How do we know? Accumulation originates in the Spleen, transmits to the Heart, and if the Heart does not accept it, it enters the Small Intestine. The Small Intestine is the Fu organ of the Heart, so the disease is in the Small Intestine; water pathways should be regulated, and urine will resemble rice wash mixed with oil. Yellowing of the body indicates accumulation. This is accumulation Qi injuring the Heart. The Heart governs blood vessels and nourishes hair and skin throughout the body. When disturbed by accumulation Qi, yellowing occurs, indicating Heart injury by accumulation Qi. Hollow Powder (Kongxin San) and medicines to remove accumulation should be used; such patients likely experience intermittent fever. Red and white dysentery indicates accumulation. The accumulation is in the Lung, transmitted to the Large Intestine, and acquired through external cold injury. How do we know? The Lung governs Metal (Geng-Xin) in the West, whose color is white; red stool indicates external pathogens, so Lung transmission to the Large Intestine causes red and white dysentery. Purging and regulating Qi afterwards should be used. Yellow-red eyes with blue pupils indicate accumulation. The accumulation is in the Liver. How do we know? The Liver governs Wood (Jia-Yi) in the East, whose color is green; when disturbed by accumulation Qi, it appears yellow-red. Blue pupils occur because eyes belong to the Five Zang organs, governed by the Liver; if the Liver suffers accumulation, the eyes turn blue, indicating Liver accumulation. If transmitted to the Gallbladder, the patient experiences bitter taste and loss of appetite, and cooling medicines should be used to resolve it. Generalized edema indicates accumulation. The accumulation is not in the Zang but in the Fu organs. How do we know? Because the accumulation was previously purged but later activated by medicine, it is no longer in the Zang but manifests as swelling between the skin. Only medicines to remove deficiency-type accumulation should be used, followed by tonification. Frequent passage of white feces indicates accumulation. This is cold accumulation in the Spleen. How do we know? The Spleen governs transformation; cold accumulation in the Spleen causes cold slipperiness and passage of white feces, indicating the disease is in the Spleen. Regulating Qi first, then using warming medicines for tonification is appropriate.
There are six types of accumulation that cannot be cured. Panting and urgency indicate Lung accumulation. The Lung governs Qi; panting urgency means Lung Qi exhaustion. The patient's face is pale without any blood color, so it is incurable. Black complexion indicates Kidney accumulation. A black face signifies Kidney Qi exhaustion. The patient cannot distinguish good from bad, stares straight with lifeless eyes, and will die within one day. Vomiting hot air indicates Ying (Nutritive) accumulation. It is incurable because Blood exhaustion is untreatable. Blood is governed by the Heart; if the Heart cannot control it, hot air flows out incessantly. Sores on the palms and soles indicate Wei (Defensive) accumulation. Wei is Qi; if Stomach Qi does not generate, sores appear on hands and feet. If Wei Qi exhausts, Qi cannot return, and death occurs within half a day. Nausea and dry retching indicate Stomach accumulation. Why is it incurable? The Stomach digests food; Stomach heat causes aversion to vomiting, so it is untreated. The patient definitely cannot digest milk, vomits dryly even without eating, and has a cyan-yellow complexion without blood color. Chronic diarrhea that stops and resumes indicates accumulation rotting the Spleen. How do we know the Spleen is rotten? The patient passes white feces due to undigested food; after stopping, they pass dark red-black feces and die, indicating rotten Spleen and incurability.
"Baojian" discusses five types of pediatric accumulation: due to stagnant Zang Qi accumulating in one place and not moving, it is called accumulation. Heart forms Fuliang (Hidden Beam), above the umbilicus, attacking upwards to the Heart and downwards to the stomach opening. Spleen forms Piqi (Stagnant Qi), horizontally obstructing above the stomach opening. Liver forms Feiqi (Fat Qi), to the left of the umbilicus. Lung forms Xiben (Panting Accumulation), to the right side of the umbilicus. Kidney forms Bentun (Rushing Pig), below the umbilicus. Each has variations; these are not formed by food but by Qi accumulation. Zang organs belong to Yin, so they remain immobile in one place. Ju refers to the retention and aggregation of Qi in the Six Fu organs. Fu organs belong to Yang; Yang Qi rotates continuously, so its aggregation is not fixed in one place, manifesting as abdominal pain upon onset. Signs of accumulation and ju include sallow emaciation, lack of muscle growth, erect hair or swollen body, urgent abdomen with fatigue, often due to Water Qi.
"Zhenzhu Nang" describes signs of deficiency-with-accumulation. Panic-induced deficiency accumulation arises from initial fright causing accumulation, reactivated by further fright, resulting in green and foul stools. Deficiency-with-accumulation arises from food injury causing diarrhea and vomiting, gradually weakening until the disease persists, hence called deficiency accumulation. Another type of deficiency-with-accumulation involves frequent purging and turning that fails to dislodge the accumulation, leaving it latent, also called deficiency-with-accumulation. If panic accumulation is purged, stool turns green with fright. If food accumulation, stool forms clumps. Gan-induced deficiency accumulation arises from Gan disease turning into diarrhea; weakness persists while Gan remains, hence deficiency-with-accumulation, with white matter in the discharged stool.
[Zeng] All pediatric accumulation syndromes arise from irregular feeding, overconsumption of cold, raw, hard foods, inability of Spleen and Stomach to transform, accumulation stagnating in Zhongwan, and external attack by Wind-Cold. Or sleeping uncovered at night, causing headache, sallow face, fever, slightly swollen eyelids, abdominal pain and distension, cold feet with warm belly, drowsiness and confusion, loss of appetite, vomiting or hiccups, sour belching, and foul-smelling stool, all caused by old accumulation. If detected within one or two days, first use Baishang Yin (for external sensations) to release the exterior, then use Danggui San (for tidal fever) decocted with ginger to warm and move stagnation, then administer Wuxi Wan and Liusheng Wan with heavy laxative action, followed by Yunqi San (for hernia) for regulation and tonification. [Tang] For all stagnations, differentiate deficiency and excess. Children vary in constitution, size, color, and geography across time, so generalizations are invalid. My current method: for excess, administer Jinshi Wan. For deficiency with slight Baiji Gan emaciation, use Fei'er Wan (see Fei'er Wan of Sanyin for abdominal distension). [Xue] At the onset before Yuan Qi is damaged, or with abdominal distension/pain and difficulty urinating/defecating, first use Baibing Zi or Muxiang Binglang Wan to purge. After purging, harmonize with Baizhu San or Wuwei Yigong San; add Gegen for thirst, Banxia for vomiting. If fever persists after purging, or vomiting/diarrhea occurs with loss of appetite, this indicates dual Spleen-Stomach injury; use Liujunzi Tang. Cold fingers/toes and preference for hot drinks indicate Spleen-Stomach deficiency-cold; add Paojiang and Muxiang to the previous formula. Sallow-white complexion and dull eyes indicate dual Spleen-Lung deficiency; use Sijunzi plus Chaihu and Shengma. Abdominal pain, diarrhea with prolapse, or urinary difficulty use Sini San. Fever, afternoon tidal fever, or ongoing diarrhea indicate Spleen Qi sinking; tidal fever with thirst and irregular stool suggesting transformation into Gan syndrome both use Buzhong Yiqi Tang assisted by Fei'er Wan. The Classic says: Where evil gathers, Qi must be deficient; remaining and not departing makes the disease excess. Regulation of the Spleen must be primary, assisted by resolution and guidance. As ancients said, nourishing righteousness removes accumulation naturally. This is the meaning.
"Qianjin" Zishuang Wan treats pediatric fever, headache, indigestion, abdominal fullness, or lower abdominal colic with urinary/fecal difficulty. Or frequent defecation attempts without other illnesses, only due to overeating, unawareness of stopping, irregular nursing, or fright palpitations and chills-fever. Only this pill treats it; if ineffective, repeat dosage. Pediatric downward movement indicates steaming syndrome; reduced feeding, uncomfortable breathing, night crying and insomnia indicate internal disharmony; all suit this pill, no other medicines needed. Frequent use is miraculous. Qianjin secret formula. (Chen Yi et al. note in preface that any mention of taking Zishuang Wan refers to the four ingredients in the Bianzheng chapter; those who cannot take Zishuang Wan take Chi Wan. Chi Wan acts faster for severe diseases. There is no Chi Wan formula here, but this uses Cinnabar, stronger than Zishuang Wan, suspected to be Chi Wan.)
Croton Seed (Ba Dou, peeled) Prunus Kernel (Rui He Ren, peeled. 18 zhu each) Licorice Root (Gan Cao, roasted, 5 zhu) Oyster Shell (Mu Li, fired red) Beeswax (Huang La, 8 zhu each) Kansui (Gan Sui) Cinnabar (Zhu Sha, 2 zhu each) Ophiopogon Tuber (Mai Men Dong, heart removed, 10 zhu)
Eight ingredients. Wash Croton seeds in boiling water, grind, squeeze oil out with new cloth. Grind Licorice, Kansui, Oyster Shell, Ophiopogon separately, sieve. Grind Prunus kernels thoroughly, mix with powder, pound 2000 times. If too dry to form pills, add honey. Half-year-old infants take amount equal to two Sesame seeds; 1-2 year olds take amount equal to half two Sesame seeds; 3-4 year olds take two Sesame seed-sized pills; 5-6 year olds take two larger Sesame seed-sized pills; 7-8 year olds take two Adzuki bean-sized pills; 9-10 year olds take two slightly larger Adzuki bean-sized pills. Take at cockcrow. If not passed by sunrise, drink porridge water to induce passage. Pills pass in pairs. If purging is severe, drink cold porridge to stop.
[Mao Xiansheng] Qingjin Dan treats all pediatric accumulations.
Talcum Powder (Hua Shi, powdered) White Starling Droppings (Bai Dingxiang, sieved) Aconite Tuber (Tian Nan Xing, 2 qian bi each) Indigo Naturalis (Qing Dai, sieved, level coin scoop 2 qian) Calomel (Qing Fen, 2 qian) Mercury (Shui Yin, weighed 2 qian, melt Tin 2 qian in copper pot, add Mercury, mix well, pour on ground, cool) Sichuan Croton Seed (Chuan Ba Dou, peeled/cleaned, 72 whole seeds, soak overnight in well water, hang in wind to dry, grind paste)
Mix all ingredients, form pills with soft rice, size of small mung beans. Ensure Croton oil does not leak. Administer with decoction based on syndrome. Post-typhoid accumulation: swallow with light Scallion Decoction. Remove Gan parasites: swallow with beef roast juice. Fright-wind with tight/hard abdomen, cyan-black face: swallow with Gold/Silver Mint Scallion Decoction. Injury with slight warmth/distension on abdomen/skin, night fever, resembling Gan but not quite, cyan-yellow face, slightly yellow eyes: abdominal accumulation. Roast 14 Soap Bean seeds in ash fire, decoct in 1 cup water to 1/2 cup, administer. Accumulation with diarrhea: swallow with Fish Decoction. Qi accumulation: swallow with Stir-fried Fragrant Decoction. Dosage: 1 year old 14 pills, 3 years 18 pills, 7 years 24 pills, adjust by size. Administer at 4th watch, pass completely by dawn. When accumulation clears, tonify based on syndrome. May vomit saliva initially, which is acceptable.
Wanling Wan treats all pediatric accumulations, use based on syndrome.
Costus Root (Mu Xiang) Coptis Rhizome (Huang Lian) Curcuma Longa (Peng E Zhu, 0.5 fen each) Tangerine Peel (Chen Ju Pi) Green Tangerine Peel (Qing Ju Pi, pith removed, 1 fen each) Areca Nut (Bing Lang, 1 piece weighing 1.5 qian)
Grind to powder. For every 1 qian of powder, boil 1 Croton seed (heart/membrane removed) in vinegar until purple. Grind 1 Almond (skin/kernel removed, burnt on lamp to retain nature) with the Croton. Mix with vinegar-flour paste to form pills size of small mung beans. Take 5, 7, or 10 pills, swallow with Mint-Ginger Decoction.
[Qian Yi] Xiaoji Wan
Clove (Ding Xiang, 9 pieces) Amomum Fruit (Suo Sha Ren, 12 pieces) Smoked Plum Flesh (Wu Mei Rou, 3 pieces, roasted) Croton Seed (Ba Dou, 2 pieces, peeled/oiled/cleaned)
Grind to fine powder, form pills with flour paste, size of millet grains. Ages 3+: 3-5 pills; Under 3: 2-3 pills. Swallow with warm water, anytime.
Zishuang Wan resolves accumulation.
Croton Seed (Ba Dou, oil/heart/membrane removed) Almond (Xing Ren, skin/kernel removed. 21 each) Hematite (Dai Zhe Shi, 1 qian, finely ground/water floated)
Grind to fine powder, form pills with rice, size of millet grains. Take 3-5 to 10 pills, swallow with Soap Kernel Decoction, anytime. Reduce dose for smaller children.
Zhenzhu Wan treats pediatric deficiency-with-accumulation, all accumulations, fright-phlegm, retained food, milk lumps, treats difficult urination/defecation, cures abdominal distension, moves stagnant Qi.
Costus Root (Mu Xiang) White Starling Droppings (Bai Dingxiang, authentic) Clove (Ding Xiang, powdered) Calomel (Qing Fen, 0.5 qian each, reserve some for coating) White Talcum (Bai Hua Shi, powdered, 2 qian) Croton Seed (Ba Dou, 14 grains, soaked overnight, ground very smooth)
Grind to powder, mix evenly, wrap in wet paper, bake with millet rice to form pills size of sesame seeds. 1 year old: 1 pill; 8-9 to 15 years old: 8 pills. Swallow with cooled decoction of roasted soap pods. For cases complicated by Wind-Heat difficult to move, take cooling medicine first. For milk lumps, reduce pill count, take every other day before bed.
Xiaojian Wan resolves milk lumps and lowers breast milk, also treats Phlegm-Heat chest fullness, removes accumulation.
Arsenic (Sha, powdered) Croton Frost (Ba Dou Shuang) Calomel (Qing Fen, 1 qian each) Yellow Gelatin (Huang Ming Jiao, powdered, 5 qian) Fine Ink Stick (Xi Mo, small amount) Mercury Sand (Shui Yin Sha, size of two soap pods)
Grind together finely, add little flour paste to form pills size of sesame seeds. Swallow with inverted flowing water. 1 year old: 1 pill after meal.
Baibing Zi treats pediatric abdominal masses (Pi), refusal to eat, only drinking milk.
Talcum (Hua Shi) Calomel (Qing Fen) Pinellia Tuber (Ban Xia, washed in water, dried) Arisaema (Nan Xing, 1 qian each, powdered) Croton Seed (Ba Dou, 24 grains, peeled/membrane removed, boiled in 1 sheng water until dry)
Grind evenly, add Croton last. Form pills with glutinous rice, size of small mung beans, shaped like cakes. Ages 3+: 3-5 cakes; Under 3: 1-2 cakes. Swallow with Scallion White Decoction, before bed.
[Zhang Huan] Wanling Dan treats long-term Spleen-Stomach disharmony in children with accumulation, where warm/hot medicines fail. This medicine is miraculous.
Cinnamon Bark (Rou Gui) Sichuan Coptis (Chuan Huang Lian) Curcuma Longa (Peng E Zhu, 1 liang each) Nutmeg Kernel (Rou Dou Kou Ren) Areca Nut (Bing Lang) Tangerine Peel (Chen Ju Pi, white removed, roasted) Costus Root (Mu Xiang) Clove (Ding Xiang, 0.5 liang each. Grind above to fine powder, next use) Croton Seed (Ba Dou, peeled/cleaned) Almond (Xing Ren, bran-roasted, skin/kernel removed. Burn both to ash retaining nature. 27 each)
Pound and mix again, drop-water pills size of millet grains. Dosage: Under 1 year: 1 pill; 2-3 years: 2 pills; 3-4 years: 3 pills; 5-7 years: 5 pills; Over 10 years: 7 pills. Swallow with cooled Ginger Decoction after milk/food. For chronic accumulation or milk lumps, take regularly.
Jianhong Wan grinds masses/accumulation, kills parasites, promotes appetite, miraculous effect. Suitable for men, women, young, old. Pregnant women avoid.
Dry Lacquer (Gan Qi, stir-fry until smoke ends) Purple Genkwa Flower (Zi Yuan Hua, vinegar-mixed, stir-fried. 1 qian each) Croton Seed (Ba Dou, 7 grains, peeled/membrane/heart removed, keep oil) Blister Beetle (Ban Mao, 7 pieces, remove head/legs/wings, stir-fry, plug nostrils during grinding)
Form pills with vinegar-flour paste, size of wutong seeds. Wrap in red sand, tie with red thread, cut slices. Take 1 pill with following medicines.
Southern Costus (Nan Mu Xiang) Polyporus (Lei Wan) Burreed Tuber (San Leng, raw) Curcuma Zedoaria (E Zhu, raw) Stemona Root (Bai Bu, lightly roasted. 0.5 liang each) Fritillaria (Bei Mu) Areca Nut (Bing Lang) Rhubarb (Da Huang, raw. 1 liang each) Quince Seed Meat (Shi Jun Zi Rou, 49 pieces, half raw half roasted) Morning Glory Seed (Qian Niu, raw 0.5 jin, take top powder 3.5 liang)
Grind to fine powder. Crush 10 Soap Bean sticks, add Mountain Wormwood (Shan Yin Chen, 1 liang), Chinaberry Root Bark (Ku Lian Gen Pi, 2 liang), 4-5 bowls water. Slow boil in clay pot to 1 bowl. Mix powder into paste, form pills size of wutong seeds, sun-dry. Children: size of millet grains. Dosage: 2.5 qian weight. Follow subsequent symptoms, change decoction carrier, take at early 5th watch. Avoid meat, raw, hard, greasy foods. This formula differs greatly from others, do not neglect. Pediatric panting/cough: swallow with Mulberry Leaf Decoction. Remove Tapeworm: swallow with Pomegranate Root Decoction. Podagra/swollen walking impossible: swallow with Papaya Decoction or Honey Water. Remove Roundworm larvae: swallow with Sugar Water. All pediatric syndromes: swallow with Honey Water or Sugar Water. Wine Dysentery/Wine Accumulation: swallow with Baiyao Jian Decoction. Women with blocked blood vessels: send down with light Vinegar Safflower Decoction. Women with Blood Gu: send down with Scallion White Decoction. Intestinal Wind bleeding: send down with Gardenia Decoction. Constipation/Dysuria: send down with light Vinegar Decoction. Food Accumulation/Qi Masses: send down with warm Honey Water or warm Tea Decoction.
Zhenfang Wuse Wanzi treats all pediatric injuries, Phlegm-Saliva obstruction, chest diaphragm discomfort, indigestion, transformation into mass accumulation, hard hypochondriac areas, painful on pressure, and all acute/chronic Fright-Wind convulsions with Phlegm-Saliva obstruction.
Green Pill: Indigo Naturalis (Qing Dai, separate grind) Arisaema (Nan Xing, Ginger-treated. 0.5 liang each) Croton Frost (Ba Shuang, 0.5 qian)
Red Pill: Cinnabar (Zhu Sha, water-floated) Pinellia (Ban Xia, Ginger-treated. 0.5 liang each) Croton Frost (Ba Shuang, 0.5 qian)
Yellow Pill: Rhubarb (Da Huang, baked) Turmeric Tuber (Yu Jin. 0.5 liang each) Croton Frost (Ba Shuang, 0.5 qian)
White Pill: Typhonium Rhizome (Bai Fu Zi, raw) Calcite (Han Shui Shi, calcined. 0.5 liang each) Croton Frost (Ba Shuang, 0.5 qian)
Black Pill: Trogopterus Dung (Wu Ling Zhi, stir-fried) Whole Scorpion (Quan Xie, stir-fried. 0.5 liang each) Croton Frost (Ba Shuang, 0.5 qian)
Grind each of the five colors separately to fine powder, mix with 0.5 qian Croton Frost uniformly, form pills with flour paste size of millet grains. 1 year old: 5 pills, send down with milk, adjust by size. Or send down with Ginger Decoction. Acute Fright: Gold/Silver Mint Decoction. Chronic Fright: Ginger/Whole Scorpion Decoction.
Xiaji Wan treats milk/food injury accumulation, heart/abdominal fullness, thick Qi with heat, or diarrhea/vomiting.
Clove (Ding Xiang, 20 grains) Amomum (Suo Sha Ren, 20 pieces) Quince Seed Meat (Shi Jun Zi Rou, 5 pieces) Smoked Plum (Wu Mei) Croton Meat (Ba Dou Rou, keep oil. 3 each)
Grind to powder, form pills with mushy rice size of sesame seeds. Take 3 pills, send down with Tangerine Peel Decoction.
Wuzhen Wan treats wine/food accumulation, general use.
Green Tangerine Peel (Qing Pi) Dried Ginger (Gan Jiang, burnt retaining nature) Curcuma (Peng Zhu) Trogopterus Dung (Wu Ling Zhi. 1 liang each) Croton Meat (Ba Dou Rou, remove half oil, 1 qian)
Grind to fine powder, form pills with Japonica Rice size of sesame seeds. Take 3-5 pills, send down with Rice Decoction.
"Ju Fang" Jinshi Wan treats milk/food indigestion, chest/heart fullness, Gan accumulation abdominal pain.
Costus Root (Mu Xiang, roasted) Aurantium Fruit (Zhi Ke, white removed, stir-fried) Angelica Root (Dang Gui) Hematite (Dai Zhe Shi. 5 qian each) Cinnabar (Zhu Sha, separate grind, 3 qian) Croton Seed (Ba Dou, oil/membrane removed, 1 qian) Musk (She Xiang, separate grind, 0.5 fen)
Grind to fine powder, form pills with flour paste size of millet grains. 1 year old: 2 pills, adjust by size, send down with Rice Drink.
Liusheng Wan (Zeng Shi) treats various accumulations harmonizing Stomach, strongly governing Qi, thickening intestines, resolving Gan, refreshing diaphragm.
Curcuma Longa (E Zhu, roasted/crushed) Pure Coptis (Jing Huang Lian) Tangerine Peel (Chen Pi, white removed) White Ginger (Bai Jiang, roasted. 5 qian each) Southern Costus (Nan Mu Xiang, 2.5 qian)
Except Costus (do not expose to fire), chop and roast remaining four, mix with Costus powder. For every 1 qian weight, take 3 Croton seeds (shell/membrane/heart removed, keep oil), crush/cut, grind in mortar, mix with previous powder uniformly, boil vinegar-flour paste to form pills size of hemp seeds. Take 15 to 25 or 35 pills, swallow with light Ginger Decoction on empty stomach at early 5th watch. After 3-5 loose stools, stop with Yunqi San and tonify (formula see Hernia). Regular use aids Spleen, transforms accumulation, promotes food, resolves Gan. Before sleep, take 3 or 5 pills with clean water or wine-water. Limit pill powder to 3 qian per dose, pure Croton 9 grains as standard, do not mix too much, flavor dissipates over time.