陈飞霞曰∶小儿夜啼有数症，有脏寒，有心热，有神不安，有拗哭。此中寒热不同，切宜详辨。脏寒者，
阴盛于夜，至夜则阴极发燥，寒甚腹痛，以手按其腹则啼止，起手又啼。外症面青手冷，口不吮乳，夜啼不止，
加减当归散。心热烦啼者，面红舌赤，或舌苔白涩，无灯则啼稍息，见灯则啼愈甚。宜导赤散加麦冬灯心；甚
则加川连、龙胆草。神不安而啼者，睡中惊悸，抱母大哭，面色紫黑。盖神虚惊悸，宜安神丸定其心志。有吐
泻后及大病后啼，亦由心血不足，治同上。
《集成》当归散
当归（一钱） 吴萸（一钱） 肉桂（五分） 川芎（三分） 黑姜炭（三分） 广木香（三分） 小茴香
（一钱） 炙甘草（一钱）
导赤散
栀子（一钱） 当归（一钱） 甘草（一钱）
《集成》十味安神丸
党参（一钱） 茯苓（一钱） 寸冬（一钱） 山药（一钱） 龙齿（七分） 辰砂（一钱） 寒水石（五分）
粉草（一钱） 梅花片（三分） 赤金箔（五分）
上共为细末，炼蜜为丸，芡实大，每服一丸。
涂蔚生曰∶夜属阴，故寒痛至夜甚，又安能阴极发燥。然欲知小儿寒痛，哭而眉头皱折者是也。
经云∶邪客于足厥阴之络，令人卒疝暴痛。又曰∶病在小腹痛，不得大小便，病名曰疝，得之寒。陈飞霞曰∶
故疝气者，寒邪结聚而成也。内则脐腹绞痛，外则卵丸肿大，专属肝经，与肾无涉。盖肝主怒，小儿性急，多叫
哭而得之者。此气动于内，谓之气疝。应行气开郁，初宜柴苓汤升散之，次宜加减二陈汤，或木香内消丸。如因
久坐湿地得之者，此冷气入腹，谓之寒疝。宜温中散寒，加减当归散，茱萸内消丸。有肿而不痛，由中湿所致。
卵虽肿而无热，腹不痛，宜行湿消肿，加减守病丸。小儿素有疝气，或一年半年发者，发则有形，外连睾丸，内
贯小腹，肿硬一条如小杵，约长五六寸，大小便不通，当归木香汤。小儿外肾肿大不痛，连年不消者，不早治，
便为终身痼疾。宜茱萸内消丸，加牵牛子，半生半炒，取头末用。更灸脐旁章门穴，大效。取穴法∶以本儿手掌
第五指本节横纹，对脐心中（《针灸大成》云∶宜季胁肋端 ，脐上二寸，两旁六寸，侧卧屈上足，伸下足，举
臂取之。又曰肘尽处是穴）。小儿湿地上坐，或有蚯蚓吹其卵，肿大而垂者。以盐汤浸洗之，盖盐能杀蚯蚓毒也；
或以苍术煎汤，加盐少许，洗之即效。小儿阴囊生疮溃烂者，谓之脱囊。用紫苏叶研末敷之，以荷叶包之，或用
生荷叶火烘令软包之。虽囊丸露出，亦可
治也。
外肾臊臭，时复湿痒，柴胡龙胆汤。痒甚不可止者，胡椒煎汤洗之。
柴苓汤 （见前伤湿方内）
治少阳胆经有邪而病疝用之。
加味二陈汤 治性急多哭，卵肿，痛连小腹，谓之疝气用之。
陈皮（一钱） 半夏（一钱） 茯苓（一钱） 小茴（一钱） 川芎（六分） 肉桂（五分） 炙甘草（一钱）
生姜（一钱）水煎热服。
《集成》木香内消丸
木香（一钱） 三棱（煨一钱） 猪苓（一钱） 泽泻（一钱） 川楝肉（一钱） 陈皮（一钱，酒炒）
香附（酒炒，一钱） 青皮（醋炒，一钱）
上共为细末，酒煮，米糊为丸，每服一二钱，空心盐汤下。
《集成》加味当归散 治受寒湿之气，小腹绞痛，外肾红肿，并腹痛啼哭等证用之。
当归身（一钱） 吴茱萸（一钱） 青化桂（五分） 川芎（五分） 黑姜炭（五分） 广木香（五分）
小茴香（一钱） 炙草（一钱）
水煎，临服加盐七分，空心温服。
《集成》茱萸内消丸 治寒湿所袭，留伏作痛， 疝偏坠用。
吴茱萸（醋浸一宿，焙干炒过） 大茴香（盐炒） 肉桂（去粗皮） 枣仁（去皮核） 延胡索（醋炒）
青皮（醋炒） 橘红（以上各一两） 桃仁（五钱） 白蒺藜（炒） 广木香（各五钱）
上共为细末，酒煮面糊为丸龙眼大，每服一丸，淡盐汤下。
《集成》加减守病丸 治卵肿不痛，此湿气也，又名木肾。用∶
漂苍术 制南星 白芷 山楂肉 川芎 橘该 半夏 神曲 吴茱萸
以上等分，共为细末，酒煮面糊为丸龙眼大。每服一丸，小茴香煎汤下。
《集成》当归木香汤 治小儿久疝不愈用。
橘核（一钱） 全当归（一钱） 正川芎（七分） 木通（一钱） 小茴香（一钱） 川楝肉（一钱）
青皮（一钱） 猪苓（一钱） 泽泻（一钱） 广木香（五分） 黑栀仁（一钱）
《集成》龙胆汤 治小儿外肾燥臭，时复湿痒。
柴胡（一钱） 泽泻（一钱） 车前子（一钱） 木通（一钱） 生地（一钱） 当归（一钱） 龙胆草
（一钱）
Chen Feixia stated: Infantile night crying presents with several syndromes, including those caused by cold in the Zang organs (Zang organs), heat in the Heart, unsettled Shen (Spirit/Mind), and obstinate crying. The cold and heat patterns differ among them, requiring careful differentiation. In cases of cold in the Zang organs, Yin is predominant at night; when night arrives, extreme Yin generates dryness/heat, while severe cold causes abdominal pain. Crying stops when the abdomen is pressed with the hand but resumes when the hand is removed. External symptoms include a cyan complexion, cold hands and feet, refusal to suckle milk, and incessant night crying. This is treated with Jiawei Danggui San (Modified Angelica Decoction). For crying due to Heart heat and restlessness, symptoms include a red face and red tongue, or a white and rough tongue coating. Crying subsides slightly without lamplight but worsens with it. Daochi San (Guide Out Red Powder) plus Maidong (Ophiopogon Tuber) and Dengxincao (Juncus Effusus) are indicated; for severe cases, add Huanglian (Coptis Rhizome) and Longdancao (Gentiana Root). For crying due to an unsettled Shen, symptoms include palpitations during sleep, loud crying while clinging to the mother, and a purplish-black complexion. This arises from Shen deficiency and palpitations; Anshen Wan (Calming Spirit Pill) is used to stabilize the mind. Night crying occurring after vomiting/diarrhea or major illness is also due to insufficiency of Heart Blood, treated similarly.
*Jicheng* Danggui San
Danggui (Angelica Sinensis Root) - 1 qian
Wuyu (Evodia Fruit) - 1 qian
Rougui (Cinnamon Bark) - 5 fen
Chuanxiong (Ligusticum Rhizome) - 3 fen
Heijiangtan (Charred Black Ginger) - 3 fen
Guangmuxiang (Costus Root) - 3 fen
Xiaohuixiang (Fennel Fruit) - 1 qian
Zhigancao (Honey-fried Licorice Root) - 1 qian
Daochi San
Zhizi (Gardenia Fruit) - 1 qian
Danggui (Angelica Sinensis Root) - 1 qian
Gancao (Licorice Root) - 1 qian
*Jicheng* Shiwei Anshen Wan (Ten-Ingredient Calming Spirit Pill)
Dangshen (Codonopsis Root) - 1 qian
Fuling (Poria) - 1 qian
Cundong (Ophiopogon Tuber) - 1 qian
Shanyao (Dioscorea Rhizome) - 1 qian
Longchi (Dragon Tooth/Fossilized Bones) - 7 fen
Chensha (Cinnabar) - 1 qian
Hanshuishi (Calcitum) - 5 fen
Fengcao (Licorice Root) - 1 qian
Meihuapian (Borneol) - 3 fen
Chijinbo (Gold Leaf) - 5 fen
Grind all into fine powder, mix with refined honey to form pills the size of Euryale Seed (Qianshi). Take one pill per dose.
Tu Weisheng stated: Night belongs to Yin, so cold pain intensifies at night; how could there be "extreme Yin generating dryness"? However, to identify cold pain in infants, observe if the eyebrows wrinkle during crying; this indicates cold pain.
The *Classic of Acupuncture and Moxibustion* states: When pathogenic factors lodge in the collaterals of the Foot Jueyin (Liver) meridian, it causes sudden hernia and acute pain. It also states: Disease presenting as lower abdominal pain with inability to urinate or defecate is named Hernia, caused by Cold. Chen Feixia stated: Therefore, Qi Hernia is formed by the accumulation of Cold Pathogens. Internally, there is colicky pain around the umbilicus and abdomen; externally, the scrotal sacs swell. This belongs exclusively to the Liver Meridian and has no relation to the Kidney. Since the Liver governs anger, and children have irritable temperaments, they often contract this condition through excessive crying. This qi stagnation within is termed Qi Hernia. Treatment should promote Qi movement and resolve depression. Initially, Chai Ling Tang (Bupleurum and Poria Decoction) is used to disperse ascending pathogens; subsequently, Jiawei Erchen Tang (Modified Two-Aged Phlegm Decoction) or Muxiang Neixiao Wan (Costus Internal-Dissolving Pill) may be used. If contracted from sitting on damp ground for long periods, this is Cold Qi entering the abdomen, termed Han Hernia (Cold Hernia). Treatment should warm the middle and dispel cold, using Jiawei Danggui San or Zhuyu Neixiao Wan (Evodia Internal-Dissolving Pill). Cases with swelling but no pain are caused by Dampness. Although the testicles are swollen, there is no heat sensation, and the abdomen does not hurt; treatment should move Dampness and reduce swelling, using Jiawei Shoubing Wan (Modified Guarding Disease Pill). Infants with chronic Hernia who experience episodes every six months or year will present with visible swelling connecting externally to the testicles and internally to the lower abdomen, forming a hard, rod-like mass about five to six cun long, accompanied by obstruction of urination and defecation. This is treated with Danggui Muxiang Tang (Angelica and Costus Decoction). If the external genitalia are swollen and painless, persisting for years without resolution, early treatment is essential to prevent becoming a chronic incurable disease. Use Zhuyu Neixiao Wan added with Qianniuzi (Seed of Morning Glory), half raw and half stir-fried, using only the finest powder. Additionally, moxa the Zhangmen acupoint beside the umbilicus for significant effect. Acupoint location method: Align the transverse crease of the fifth finger's proximal interphalangeal joint of the child's palm with the center of the umbilicus (*Great Compendium of Acupuncture and Moxibustion* states: locate at the end of the costal margin, two cun above the umbilicus, six cun laterally; lie on side, flex upper leg, extend lower leg, raise arm to locate. Also states: the point is where the elbow ends). If a child sits on wet ground and earthworms blow air onto the scrotum causing swelling and垂ding, soak and wash with salt water, as salt kills earthworm toxins; or boil Cangzhu (Atractylodes Rhizome) in water with a little salt and wash, which is effective. If the infantile scrotum develops sores and ulceration, termed Tuonang (Sloughing Scrotum), apply powdered Ziye (Perilla Leaf) and wrap with Lotus Leaf, or use fresh Lotus Leaf warmed by fire and wrapped. Even if the testicles are exposed, it can still be cured.
If the external genitalia smell foul and are frequently moist and itchy, use Chaihu Longdan Tang (Bupleurum and Gentiana Decoction). For severe, unbearable itching, wash with decoction of Hujiao (Pepper).
Chai Ling Tang (See previous formula for Injury by Dampness)
Used for Hernia caused by pathogenic factors in the Shaoyang Gallbladder Meridian.
Jiawei Erchen Tang (Modified Two-Aged Phlegm Decoction)
Used for irritability, frequent crying, scrotal swelling, and pain radiating to the lower abdomen, termed Hernia.
Chenpi (Tangerine Peel) - 1 qian
Banxia (Pinellia Tuber) - 1 qian
Fuling (Poria) - 1 qian
Xiaohui (Fennel Fruit) - 1 qian
Chuanxiong (Ligusticum Rhizome) - 6 fen
Rougui (Cinnamon Bark) - 5 fen
Zhigancao (Honey-fried Licorice Root) - 1 qian
Shengjiang (Fresh Ginger) - 1 qian
Decoct in water and take hot.
*Jicheng* Muxiang Neixiao Wan (Costus Internal-Dissolving Pill)
Muxiang (Costus Root) - 1 qian
Sanleng (Sparganium Rhizome, roasted) - 1 qian
Zhuling (Polyporus) - 1 qian
Zexie (Alisma Rhizome) - 1 qian
Chuanlianrou (Toosendan Fruit Flesh) - 1 qian
Chenpi (Tangerine Peel, wine-fried) - 1 qian
Xiangfu (Cyperus Rhizome, wine-fried) - 1 qian
Qingpi (Green Tangerine Peel, vinegar-fried) - 1 qian
Grind all into fine powder, cook in wine, bind with rice paste to form pills. Take 1-2 qian per dose, with salt water on an empty stomach.
*Jicheng* Jiawei Danggui San (Modified Angelica Decoction)
Used for Cold-Damp invasion causing colicky lower abdominal pain, red/swollen external genitalia, and abdominal pain with crying.
Dangguishen (Body of Angelica Sinensis Root) - 1 qian
Wuzhuyu (Evodia Fruit) - 1 qian
Qinghuagui (Green Refined Cinnamon Bark) - 5 fen
Chuanxiong (Ligusticum Rhizome) - 5 fen
Heijiangtan (Charred Black Ginger) - 5 fen
Guangmuxiang (Costus Root) - 5 fen
Xiaohuixiang (Fennel Fruit) - 1 qian
Zhicao (Honey-fried Licorice Root) - 1 qian
Decoct in water, add 7 fen of salt before taking, drink warm on an empty stomach.
*Jicheng* Zhuyu Neixiao Wan (Evodia Internal-Dissolving Pill)
Used for Cold-Damp invasion causing lingering pain and unilateral Hernia descent.
Wuzhuyu (Evodia Fruit, soaked in vinegar overnight, dried, and stir-fried)
Dahuixiang (Star Anise) (salt-fried)
Rougui (Cinnamon Bark, remove coarse bark)
Zaoren (Jujube Seed) (remove skin and pit)
Yanhusuo (Corydalis Rhizome, vinegar-fried)
Qingpi (Green Tangerine Peel, vinegar-fried)
Juhong (Exocarpium Citri Reticulatae) (all above 1 liang)
Taoren (Peach Kernel) - 5 qian
Bajili (Tribulus Fruit, stir-fried)
Guangmuxiang (Costus Root) - 5 qian each
Grind all into fine powder, cook in wine and wheat paste to form pills the size of a longan. Take one pill per dose, with light salt water.
*Jicheng* Jiawei Shoubing Wan (Modified Guarding Disease Pill)
Used for scrotal swelling without pain, caused by Dampness, also known as Muren (Wood Testicle).
Piaocangzhu (Float-washed Atractylodes Rhizome)
Zhinanxing (Prepared Arisaema Rhizome)
Baizhi (Angelica Dahurica Root)
Shanzhaurou (Hawthorn Flesh)
Chuanxiong (Ligusticum Rhizome)
Juagai (Tangerine Peel - likely typo for Ju Hong or similar)
Banxia (Pinellia Tuber)
Shenqu (Medicated Leaven)
Wuzhuyu (Evodia Fruit)
All in equal parts, grind into fine powder, cook in wine and wheat paste to form pills the size of a longan. Take one pill per dose, with Xiaohuixiang (Fennel) decoction.
*Jicheng* Danggui Muxiang Tang (Angelica and Costus Decoction)
Used for chronic Hernia in infants that does not heal.
Juhe (Tangerine Seed) - 1 qian
Quandanggui (Whole Angelica Sinensis Root) - 1 qian
Zhengchuanxiong (Authentic Ligusticum Rhizome) - 7 fen
Mutong (Akebia Stem) - 1 qian
Xiaohuixiang (Fennel Fruit) - 1 qian
Chuanlianrou (Toosendan Fruit Flesh) - 1 qian
Qingpi (Green Tangerine Peel) - 1 qian
Zhuling (Polyporus) - 1 qian
Zexie (Alisma Rhizome) - 1 qian
Guangmuxiang (Costus Root) - 5 fen
Heizhiren (Black Gardenia Seed) - 1 qian
*Jicheng* Longdan Tang (Gentiana Decoction)
Used for dry, foul-smelling external genitalia with intermittent moisture and itching in infants.
Chaihu (Bupleurum Root) - 1 qian
Zexie (Alisma Rhizome) - 1 qian
Cheqianzi (Plantago Seed) - 1 qian
Mutong (Akebia Stem) - 1 qian
Shengdi (Rehmannia Root, raw) - 1 qian
Danggui (Angelica Sinensis Root) - 1 qian
Longdancao (Gentiana Root) - 1 qian