（添加）
【歌】小儿食积因成痢，初起必当先导滞。赤属热而白属寒，红而散者从伤治。下如五色定难医，久病脱
肛宜补气。若还身热不加餐，从来患此终须毙。
【论】小儿痢疾，不问新、久，皆以食积治。新者必用消导，久者必兼调补，挟热治热，挟寒治寒，挟伤
治伤。白者为寒，赤者为热，深黄者亦热，红而散者为伤。治痢以伤，痢或寻愈，治伤以痢，未有愈者。（详
载第四卷，宜参看。）
初痢宜消导
槟榔 枳实 蓬术 大黄 牵牛（等分）
为细末，白滚汤送下，每服三钱。逐去积滞，徐徐调补。
赤痢宜消化兼凉。
当归 黄连 滑石 赤曲 芍药 神曲 陈皮（各一钱） 甘草（四分）
煎服。
白痢宜消化兼温。
白术 茯苓 神曲 麦芽（各一钱） 肉桂 木香 甘草（各三分）
煎服。
纯血痢兼伤治。
当归 红花 赤曲 滑石 山楂 麦芽（各一钱） 甘草（三分）
煎服。
【歌】积病原因乳哺成，审其虚实察其形。更看惊积与气积，面黄肚热得其情。
【论】小儿有乳积、食积、气积、惊积、虚积、实积、积块之不同。惟夜间有热，肚热面黄者，伤积之
明验也。乳积者，因儿啼叫未住，即便乳儿，致伤胃脘，吐、下酸臭是也。食积者，乳食过饱，饱即困睡，肚
胀吐泻是也。气积者，因母怒气不散，即便乳儿，儿食气乳，停滞不化，腹痛多啼，痢如蟹渤是也。惊积者，
受惊而后有积，时泄青菜汁是也，虚积者，或曾伤食吐泻，或曾取转致虚，其积尚伏，故曰虚积，面与手、足
俱肿是也。实积者，壮热屎硬，口渴引饮，善食是也，和脾化积汤加减治之。积块者，丹溪云∶气不能成块，
乃痰与食积死血也。凡治积块，不可专用下药，徒损真气，病亦不去。当消导行血开痰为主，块去，须大补。
钱孔纯云∶癖块游走不定，攻则痛闷，日渐枯瘦，急用化癖法贴之，内服消积化聚丸，以除痼疾。若脸黑颊青，
不治。详载第四卷，宜参看。
和脾化积汤
治小儿一切诸积，后备加减法。
山楂 枳实 蓬术 浓朴 白芍 甘草 陈皮
乳积加砂仁、香附。气积加木香、苏梗。惊积加茯神、远志。虚积加白术、茯苓。实积加槟榔、牵牛。
表有热加柴胡、黄芩。里有热加黄连、木通。小便不利加滑石、泽泻。大便不通加大黄、枳壳。寒月，加益智、草豆蔻。
消积化聚丸
治五积六聚、痞癖攻痛。
三棱 白术（炒） 茯苓 黄连 干漆（炒去烟） 木香 砂 益智（炒） 归尾（酒洗） 麦芽（微炒，
各三两） 红花 砂仁（炒） 门冬 枳壳（炒） 穿山甲（烧灰） 青皮 柴胡 神曲（炒，各二两） 蓬术（煨）
槟榔（炙） 桃仁 香附（姜汁拌，炒） 鳖甲（醋炙，各四两）
上末，蜜丸，重三钱，空心陈米汤化下。
琥珀膏
大黄 朴硝（各一两）
为末，以大蒜捣膏贴之。
[Song] Infantile dysentery arises from food stagnation; in the initial stage, one must first guide out the stagnation. Red stool indicates heat, while white stool indicates cold; if the blood is scattered, treat it as an injury. Stool presenting five colors is definitely difficult to cure; for chronic cases with rectal prolapse, tonifying Qi is appropriate. If fever persists and appetite is lost, patients suffering from this condition will ultimately perish.
[Discussion] For infantile dysentery, whether acute or chronic, treatment should focus on food stagnation. Acute cases require resolving and guiding out stagnation; chronic cases require regulating and tonifying. Treat heat if accompanied by heat, cold if accompanied by cold, and injury if accompanied by injury. White dysentery is cold, red dysentery is heat, deep yellow is also heat, and scattered red blood indicates injury. Treating dysentery as an injury may lead to recovery; treating injury as dysentery rarely leads to recovery. (Detailed in Volume 4, please refer to it.)
Initial dysentery is suitable for resolving and guiding out stagnation.
Areca Seed (Binglang), Immature Bitter Orange (Zhishi), Curcuma Zedoaria (Pengzhu), Rhubarb (Dahuang), Morning Glory Seed (Qianniu) (equal parts)
Grind into fine powder, take with boiled water, three qian per dose. This expels stagnation, followed by gradual regulation and tonification.
Red dysentery is suitable for digestion combined with cooling.
Angelica Sinensis (Danggui), Coptis Chinensis (Huanglian), Talcum (Huashi), Red Yeast Rice (Chiqu), Peony Root (Shaoyao), Medicated Leaven (Shenqu), Tangerine Peel (Chenpi) (each one qian), Licorice Root (Gancao) (four fen)
Decoct and take orally.
White dysentery is suitable for digestion combined with warming.
Atractylodes Macrocephala (Baizhu), Poria (Fuling), Medicated Leaven (Shenqu), Malt (Maiya) (each one qian), Cinnamon Twig (Rougui), Aucklandia (Muxiang), Licorice Root (Gancao) (each three fen)
Decoct and take orally.
Pure blood dysentery is treated combining injury management.
Angelica Sinensis (Danggui), Safflower (Honghua), Red Yeast Rice (Chiqu), Talcum (Huashi), Hawthorn Fruit (Shanzha), Malt (Maiya) (each one qian), Licorice Root (Gancao) (three fen)
Decoct and take orally.
[Song] The cause of accumulation diseases often stems from nursing; examine deficiency and excess, and observe the physique. Further distinguish between fright accumulation and qi accumulation; sallow complexion and abdominal heat reveal the true condition.
[Discussion] Infants suffer from different types of accumulation: milk accumulation, food accumulation, qi accumulation, fright accumulation, deficiency accumulation, excess accumulation, and mass accumulation. Nighttime fever, abdominal heat, and sallow complexion are clear signs of injury accumulation. Milk accumulation occurs when breastfeeding immediately after prolonged crying, damaging the stomach and epigastrium, resulting in vomiting and sour-smelling diarrhea. Food accumulation results from overeating, leading to drowsiness, abdominal distension, vomiting, and diarrhea. Qi accumulation occurs when a mother breastfeeds while still angry; the infant ingests "qi milk," causing stagnation, abdominal pain, excessive crying, and dysentery resembling crab foam. Fright accumulation arises after fright, characterized by frequent passage of greenish watery stools. Deficiency accumulation occurs after previous food injury with vomiting/diarrhea or after purgative treatment causing weakness, with latent accumulation, manifesting as swelling of the face, hands, and feet. Excess accumulation presents with high fever, hard stools, thirst with desire to drink, and good appetite; it is treated with Harmonize Spleen and Resolve Accumulation Decoction with modifications. Mass accumulation: Danxi stated that qi alone cannot form masses; they result from phlegm, food stagnation, and dead blood (blood stasis). When treating masses, do not solely use purgatives, as this only depletes true Qi without removing the disease. Focus on resolving, moving blood, and resolving phlegm; after the mass resolves, strongly tonify. Qian Yi stated: Pi masses move unpredictably; attacking them causes pain and distress, leading to emaciation. Urgently apply the Pi-resolving method externally, and internally administer Eliminate Accumulation and Dissipate Aggregation Pills to remove stubborn diseases. If the face is black and cheeks are blue, it is incurable. (Detailed in Volume 4, please refer to it.)
Harmonize Spleen and Resolve Accumulation Decoction
Treats all types of infantile accumulations; see modification methods below.
Hawthorn Fruit (Shanzha), Immature Bitter Orange (Zhishi), Curcuma Zedoaria (Pengzhu), Magnolia Bark (Nongpu), White Peony Root (Baishao), Licorice Root (Gancao), Tangerine Peel (Chenpi)
For milk accumulation, add Amomum (Sharen) and Cyperus (Xiangfu). For qi accumulation, add Aucklandia (Muxiang) and Perilla Stem (Sugeng). For fright accumulation, add Poria (Fushen) and Polygala (Yuanzhi). For deficiency accumulation, add Atractylodes Macrocephala (Baizhu) and Poria (Fuling). For excess accumulation, add Areca Seed (Binglang) and Morning Glory Seed (Qianniu).
For exterior heat, add Bupleurum (Chaihu) and Scutellaria (Huangqin). For interior heat, add Coptis (Huanglian) and Akebia (Mutong). For difficult urination, add Talcum (Huashi) and Alisma (Zexie). For constipation, add Rhubarb (Dahuang) and Apricot Kernel (Zhike - *Note: Text says Zhike/Apricot Kernel but context implies Immature Bitter Orange or similar; strictly translating text as Zhike*). In cold months, add Alpinia Oxyphylla (Yizhi) and Black Cardamom (Caodoukou).
Eliminate Accumulation and Dissipate Aggregation Pills
Treats five accumulations and six aggregations, pi masses, and attacking pain.
Sparganium (Sanleng), Atractylodes Macrocephala (Baizhu, stir-fried), Poria (Fuling), Coptis Chinensis (Huanglian), Drynaria Rhizome? No, Drynaria is Gujiben, Ganqi is Drynaria? No, Ganqi is Drynaria? Wait, Ganqi (干漆) is Lacquer Tree Resin. So: Lacquer Tree Resin (Ganqi, stir-fried until smoke disappears), Aucklandia (Muxiang), Amomum (Sharen), Alpinia Oxyphylla (Yizhi, stir-fried), Angelica Sinensis Tail (Guiwei, wine-washed), Malt (Maiya, lightly stir-fried, each 3 liang), Safflower (Honghua), Amomum (Sharen, stir-fried), Ophiopogon (Mendong), Immature Bitter Orange (Zhike, stir-fried), Pangolin Scales (Chuanshanjia, burnt to ash), Green Tangerine Peel (Qingpi), Bupleurum (Chaihu), Medicated Leaven (Shenqu, stir-fried, each 2 liang), Curcuma Zedoaria (Pengzhu, baked), Areca Seed (Binglang, roasted), Peach Kernel (Taoren), Cyperus (Xiangfu, mixed with ginger juice, stir-fried), Turtle Shell (Biejia, vinegar-roasted, each 4 liang)
Grind into powder, make honey pills, each weighing 3 qian. Take on an empty stomach, dissolved in aged rice soup.
Amber Paste
Rhubarb (Dahuang), Mirabilite (Piaoxiao) (each 1 liang)
Grind into powder, mix with mashed garlic to form a paste, and apply externally.