肚硬而热于他处，或泻或呕，因饮食过饱，饱后即睡而得。茅先生用牛黄丸取
积，后用匀气散调理。常服万灵丸即愈。钱氏消积丸、真珠丸。（方见前）
快膈消食丸
砂仁 净陈皮 三棱 莪术 神曲 麦 （各半两） 净香附子（另炒一两）
为末，糊丸如麻子大。食后白汤下。看轻重，却用下积药，一方，加制枳壳。
其候面色黄白，不进食，腹痛，夭矫啼叫，利如蟹渤，此因荣卫不和，二气乖
忤，日久得之。茅先生用万灵丸、匀气散、醒脾散、建脾散相夹调理。
《秘录》治小儿气癖，取三棱汁作羹粥，以米面为之与乳母食，每日取一枣大与
儿吃亦得，作粥与羹热食之。治小儿十岁以下及新生百日，无问痫热、无辜、
癖等皆理之，妙不可言。
面黄如土色，或面带虚浮，脐上微痛，肚皮热，饮食减少，才食、便言脐上及
腹中痛，所食不化，头微热。此因先食硬物或冷物，所伤在脾，治之先下青金丸（见前）
取下脾中积，后用匀气散、醒脾散调理。常服健脾散、万灵丸即愈。
〔曾〕有时时泄清水如生米汁，是受伤而复有积，烦闷啾唧，常以生嗔，名为惊
积。先解惊，后理积，解惊五苓散或百解散，理积三棱散或乌犀丸及三解散，炒神
曲、生姜、煎汤调服醒脾散、沉香槟榔丸，宁惊化积，壮气和胃，仍节冷乳，自然平治。
〔庄氏〕紫金丸 治大人小儿，因惊积聚粘滑毒物在脾胃，累曾用药取不下，变成虚
中积。大人吃食吐逆，心腹胀满，夜有虚汗，日渐瘦恶，用姜枣汤下七丸。妇人
血气，米饮下五丸至七丸。小儿惊积，体热困重，目不开，用黄连、甘草、桃仁、
薄荷、汤化腻粉一字许下。一岁上三岁下三丸，小儿只可一丸二丸。
蝎梢（三七个） 犀角末 银末 朱砂（各一钱）
上研极细末，用水面糊为丸绿豆大。根据前汤使。
〔庄氏〕软金丸 治惊疳，下积聚。
青黛 腻粉 胡黄连 麝香（各二钱半） 寒食面（三钱） 使君子（三个） 天浆子（三七个）
上七味，研匀，滴水丸梧桐子大。每服一丸，用金银薄荷汤化下。
〔刘氏〕桃红散 治小儿惊积、疳积，常服进食，面如桃花。
马牙硝 朱砂 茯苓 人参（各等分）
上末之。二岁服二字，一岁一字，三岁亦二字，四五岁三字，新汲水入少蜜调
下。蜜水约盏内三分许。
汤氏云∶惊癖须用礞石药方可治之。
The abdomen is hard and hotter than other parts of the body, or accompanied by diarrhea or vomiting. This condition arises from overeating followed immediately by sleep. Master Mao used Niuhuang Wan (Calculus Bovis Pill) to purge the accumulation, followed by regulation with Yunqi San (Harmonizing Qi Powder). Regular intake of Wanling Wan (Myriad Efficacy Pill) leads to recovery. Qian Yi's Xiaoji Wan (Accumulation-Dissolving Pill) and Zhenzhu Wan (Pearl Pill) are also indicated. (Prescriptions see previous section)
Kuaige Xiaoshi Wan (Rapid Diaphragm Digestion Pill)
Amomi Fructus (Sharen), Purified Citri Reticulatae Pericarpium (Jing Chenpi), Sparganii Rhizoma (Sanleng), Curcumae Rhizoma (Ezhu), Mass Medicated Leaven (Shenqu), Triticum Aestivum (Mai) (each half liang), Purified Cyperi Rhizoma (Jing Xiangfuzi) (stir-fried separately, one liang).
Grind into fine powder, make pills with paste the size of hemp seeds. Take after meals with plain warm water. Depending on the severity, subsequently use purgative herbs for accumulation. Another formula adds processed Aurantii Fructus (Zhi Zhike).
The symptoms include a yellowish-white complexion, loss of appetite, abdominal pain, crying while twisting the body, and loose stools resembling crab roe. This results from disharmony between Ying (Nutrient) and Wei (Defensive) qi, and conflict between Yin and Yang energies, developing over time. Master Mao regulated the condition by alternating Wanling Wan (Myriad Efficacy Pill), Yunqi San (Harmonizing Qi Powder), Xingpi San (Spleen-Awakening Powder), and Jianpi San (Spleen-Strengthening Powder).
*Mi Lu* treats pediatric Qi Pi (Qi Stagnation Mass) by extracting juice from Sparganii Rhizoma (Sanleng) to make soup or porridge, mixed with rice flour, which the lactating mother consumes. Alternatively, give the infant an amount the size of a jujube daily. Consume hot as porridge or soup. It is effective for children under ten years old and newborns over one hundred days, regardless of whether they suffer from epilepsy-heat, Wugu (Innocuous) malnutrition, or Pi masses. The efficacy is miraculous.
The face appears yellow like earth or slightly puffy. There is mild pain above the umbilicus, heat in the abdominal wall, reduced food intake, and complaints of pain above the umbilicus and in the abdomen immediately after eating. Food is not digested, and there is slight heat in the head. This is caused by consuming hard or cold foods that injure the Spleen and Stomach. Treatment should first involve using Qingjin Wan (Blue Gold Pill) (see previous section) to purge the accumulation in the Spleen, followed by regulation with Yunqi San (Harmonizing Qi Powder) and Xingpi San (Spleen-Awakening Powder). Regular intake of Jianpi San (Spleen-Strengthening Powder) and Wanling Wan (Myriad Efficacy Pill) leads to recovery.
[Master Zeng] Sometimes clear liquid resembling raw rice juice is discharged frequently. This indicates injury compounded by accumulation, causing irritability and restlessness, often leading to anger. This is termed Jingji (Startle Accumulation). First resolve the Startle, then manage the Accumulation. To resolve Startle, use Wuling San (Five Ling Powder) or Baisan San (Hundred Dissolution Powder). To manage Accumulation, use Sanleng San (Sparganium Powder) or Wuxi Wan (Black Rhinoceros Horn Pill) and Sansan San (Three Dissolution Powder). Stir-fried Shenqu (Mass Medicated Leaven) and Shengjiang (Fresh Ginger Decoction) are used to mix and take Xingpi San (Spleen-Awakening Powder) and Chenxiang Binglang Wan (Agarwood and Betel Nut Pill). This calms the spirit, resolves accumulation, strengthens Qi and harmonizes the Stomach. Cold breast milk should be restricted; natural recovery will follow.
[Master Zhuang] Zijin Wan (Purple Gold Pill) treats adults and children where Startle has led to accumulation of sticky, slippery toxic substances in the Spleen and Stomach. Previous purgative attempts failed, resulting in deficiency-type accumulation. Adults experiencing postprandial vomiting, epigastric and abdominal distension, night sweats, and progressive emaciation should take seven pills with Ginger and Jujube Decoction. For women’s blood and Qi disorders, take five to seven pills with Rice Drink. For pediatric Jingji (Startle Accumulation) presenting with fever, heaviness, and inability to open eyes, dissolve a small amount of Nifen (Calomel) with Huanglian (Coptidis Rhizoma), Gancao (Licorice Root), Taoren (Peach Seed), and Bohe (Menthae Haplocalycis Herba) in decoction. Children aged one to three take three pills; younger infants take one or two pills.
Scorpion Tail (3-7 pieces), Powdered Cornu Bubali (Xijiao), Silver Powder, Cinnabar (Zhusha) (each one qian).
Grind all ingredients to an extremely fine powder. Make pills the size of mung beans using water and wheat paste. Administer according to the aforementioned decoction methods.
[Master Zhuang] Ruanjin Wan (Soft Gold Pill) treats Jinggan (Startle Malnutrition) and purges accumulations.
Qingdai (Indigo Naturalis), Nifen (Calomel), Picrorhizae Rhizoma (Huhuanglian), Moschus (Shexiang) (each two qian half), Hanshimian (Cold Food Flour), Macadamiae Semen (Shijunzi) (three pieces), Tianjiangzi (Aegle Fruit) (3-7 pieces).
Grind the seven ingredients uniformly. Make pills the size of paulownia seeds using drops of water. Take one pill per dose, dissolved in Gold-Silver Mint Decoction.
[Master Liu] Taohong San (Peach Red Powder) treats pediatric Jingji (Startle Accumulation) and Ganji (Malnutrition Accumulation). Regular consumption improves appetite and gives the face a peach-blossom-like ruddy color.
Natrii Sulfas (Mayaxiao), Cinnabar (Zhusha), Poria (Fuling), Ginseng Radix et Rhizoma (Renshen) (equal parts).
Grind into powder. Two-year-olds take "two characters" dosage, one-year-olds take "one character" dosage, three-year-olds take "two characters", and four-to-five-year-olds take "three characters". Mix with fresh well water and a little honey. Honey water should fill about one-third of the cup.
Master Tang stated: Jingpi (Startle Stagnation Mass) must be treated with Mengshi (Fluorite) preparations.