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When infants are first born, their congenital endowment is not yet complete. If care in swaddling is negligent and breastfeeding is unregulated, they may be externally invaded by the Six Excesses (Wind, Cold, Summerheat, Dampness, Dryness, Fire) and internally suffer from deficiency of Qi in the Five Zang organs. Cold accumulation remains long-term in the Spleen, failing to transform and digest, forming Pi masses (accumulation masses). These protrude under the hypochondrium, either on the left or right, commonly known as "Gui Lao" (Turtle Consumption). This disease arises from stagnation and accumulation fermenting, leading to alternating chills and fever, abdominal pain, or coolness during the day and fever at night. The treatment method for cases with excess Qi requires first warming and regulating Stomach Qi, followed by administering Wu Xi Wan (Black Rhinoceros Horn Pill) or Shui Jing Dan (Crystal Pill) to purge the accumulation. After two or three purgations, stop temporarily with thin rice gruel, wait until the formed pathological manifestations disappear completely, and then administer tonifying agents. For cases with deficient Qi, first regulate the Spleen and Stomach and consolidate the True Yuan (Original Qi). Once the spirit and complexion slightly normalize and food intake increases, proceed with purgation as described above. If the deficiency is extreme, use San Leng San (Burreed Powder) or Hua Pi Wan (Resolve Pi Pill) to gradually dissipate the masses. Adapt to Yin and Yang, aiming for balance. However, tonifying first and purging later, employing the method of "Ying Duo" (welcoming and seizing), removes old cold accumulations. If the face is yellow, lips white, hair erect, and muscles emaciated, this indicates extreme deficiency; gentle purgation should not be used lightly. Instead, slowly use medication to digest the accumulation, prioritizing regulation. For very young children, it is advisable for the nursing mother to frequently consume Huo Xiang Yin (Agastache Drink), allowing medicinal properties to pass through breast milk, providing slight assistance.

According to the *Da Qi Lun* (Great Strange Discussions) chapter of the *Nei Jing* (Inner Canon): A Kidney pulse that is large, urgent, and deep, and a Liver pulse that is large, urgent, and deep, both indicate Shan syndrome (Hernia/Colic). A Heart pulse that is slippery and urgent indicates Xin Shan (Heart Hernia); a Lung pulse that is deep and forceful indicates Fei Shan (Lung Hernia). Generally, Shan syndromes are caused by the aggregation of Cold pathogen, resulting in severe colicky pain in the umbilical and abdominal regions. Furthermore, Chao Yuanfang stated: Various Shan syndromes occur when Yin Qi accumulates internally, compounded by injury from Cold, leading to disharmony of Ying (Nutritive) and Wei (Defensive) Qi, weakness of these two Qi types, and invasion of Wind-Cold into the abdomen. Thus, the *Nei Jing* states: "Urgent" implies tightness. Tightness signifies Cold, Excess, and Pain. Blood congealing due to Cold becomes Jia (masses), while Qi aggregating due to Cold becomes Shan. All result from deficiency of the organ's own Qi, external contraction of Cold-Damp, and internal injury from raw/cold foods, causing sudden, intense, shifting colicky pain in the abdomen that is unbearable in acute episodes, termed Shan syndrome. Initially, all such cases should be treated with Wu Ling San (Five-Ingredient Poria Powder), mixed with boiling water for harmonization. Mild cases are treated with Bai Shao Yao Tang (White Peony Decoction), Wu Mei San (Mume Powder), or Gou Teng Gao (Uncaria Paste). Severe cases are treated with Jin Zhu Wan (Gold Dogwood Pill) or San Qi Wan (Disperse Qi Pill), without exception in achieving recovery.