《汉东王先生家宝》治小儿疳气灌入阴，黄亮色。
乌金膏
通草 黄皮 大黄（各二钱半，烧）
上各烧存性，为末，每用一钱， 猪胆调成膏，于阴上涂。如未退，煎蛇
床子汤洗后，再调涂之。
母气不足，则羸瘦肉极。巢氏论小儿羸瘦，不生肌肤，皆为脾胃不和，不能
饮食，故血气衰弱，不能荣于肌肤也。挟热者，即温壮，身热，肌肉微黄。其挟冷
者，实时时下利，唇口青白。小儿经诸大病，或惊痫，或伤寒，或温壮，而服药或
吐利发汗，病瘥之后，气血尚虚，脾胃犹弱，不能传化谷气，以荣身体，故虚羸也。
钱氏，虚羸冷者，木香丸主之，夏月不可服，如有证，则少服之。热者，胡黄连丸
主之，冬月不可服，如有证，则少服之（虚羸与疳，同治也。木香丸、胡黄连丸见疳条。）薛氏云∶
更当审其形色，察其见证，如面赤多啼，心之虚羸也。面青目札，肝之虚羸也。耳
前后或耳下结核，肝经虚火也。颈间肉里结核，食积虚热也。面黄痞满，脾之虚羸
也。面白气喘，肺之虚羸也。目睛多白，肾之虚羸也。仍审相胜而药之。又，寒热
二证，不可不辨，若腹痛泻利清白，不渴喜热，此属寒证，虽在夏月，宜木香丸。
身热烦躁，泻利焦黄，作渴喜冷，此属热证，虽在冬月，宜胡黄连丸。皆舍时从证
之治法也。钱氏，论用药识证云∶郑人齐郎中者，家好收药散施人，其子忽脏热，
齐自取青金膏，三服并一服而饵之，服毕，至三更泻五行。其子因睡，齐言子睡多
亦惊，又与青金膏一服，又泻二行。加口干而身热，齐言尚有微热未尽，又与青金
膏。其妻曰用药十余行未安，莫生病否？召钱氏，曰已成虚羸，先多煎白术散时时
服之，后用香瓜丸，十三日愈（白术散见渴，木瓜丸见汗。）薛氏治一小儿十三岁，面赤惊
悸发热，形体羸瘦，不时面白，嗳气下气，时常停食，服保和丸及清热等药。余曰
面赤惊悸，心神怯也。面白嗳气，心火虚也。大便下气，脾气虚也。此皆禀心火虚，
不能生脾土之危证，前药在所当禁者。不信，又服枳术丸、镇惊等药，而诸证益
甚，大便频数，小腹重坠脱肛，痰涎饮食日少。余先用六君子汤为主，佐以补心丸，
月余，饮食少进，痰涎少止，又用补中益气汤送四神而愈。毕姻后，病复作坠，时
至仲冬，面白或黧色，手足冷，喜食胡椒姜物，腹中不热，脉浮按之微细，两尺微
甚。乃用八味丸，元气复而形气渐充。年至二十，苦畏风寒，面目赤色，发热吐痰，
唇舌赤裂，食椒、姜之物，唇口即破，痰热愈甚，腹中却不热，诊其脉或如无，或
欲绝。此寒气逼阳于外，内真寒而外假热也。仍用八味丸而诸证顿愈。一小儿八
岁，面常青色，或时色亦，日间目札，夜睡切牙，二年余矣，服清肝降火之药益甚，
形气日羸，求治于余。曰肝主五色，入心则赤，自入则青，盖肝属木而生风，故肝
气为阳为火，肝血为阴为水，此禀肝肾精血不足，虚火内动，阴血益虚，虚而生风，
风自火出，故变面赤目札等证耳，非外风也，遂用地黄丸以滋肾水，生肝木，两月，
目札、切牙悉止。又三月许，诸证寻愈而元气亦充矣。凡肝经之证，若肝木实热
生风而自病，或肺金实热而克木者，宜用清肝降火之剂，以泻其邪气。若肝经风热
而目直等证，用柴胡栀子散以清肝火，加味四物汤以养肝血。若肾虚而切牙诸证，
用六君子汤以健脾土，六味地黄丸以滋肾水则愈。一小儿脾气虚弱，饮食停滞，发
热作渴，服泻黄散不时下痢。余先用保和丸二服而愈，但不食恶心，面青手冷，又
用六君、柴胡、升麻四剂，面色痿黄，食进手温，惟形体羸甚，倦怠发热，小腹
重坠，肛门脱出，用补中益气汤加半夏、肉豆蔻二剂而安。凡脾胃之证，若发热
作渴，饮食喜冷，或泄泻色黄，睡不露睛者，属形病俱实，宜用泻黄散疏导之。若
发热口干，恶冷或泄泻色白，睡而露睛，属形病俱虚，宜用异功散调补之。若脾气
下陷者补中益气汤。寒水侮土者益黄散。肝木克脾者六君加柴胡。若目睛微动，潮
热抽搐，吐泻不食，宜用秘旨保脾汤。凡小儿诸病，先当调补脾胃，使根本坚固，
则诸病自退，非药所能尽祛也。一小儿五岁，形气虚羸，睡中切牙，夜间遗尿，日
间频数。余以为禀肾气不足，用补中益气汤、加补骨脂，地黄丸、加鹿茸，以补脾
肾而痊。毕姻后，小便频数，作渴发热，日晡益甚，恪服黄柏、知母等药，以滋
阴降火，后患肾痿，卧床年许。余因考绩北上，仍用前药，喜其慎疾，半载而痊。
一小儿年十一岁，面白或赤，足软不能久行。用地黄丸加鹿茸，年许而瘥。毕姻后，
两目羞明，两足仍软，用前丸及补中益气汤而痊。后病复发，增口渴足热，头囟觉
开，视物觉大，此肾虚瞳人散大而然也。服前药，远房事则愈，因不自保，终患肾
痿而殁。仲阳先生云，此证属脑髓不足，不能荣养，宜用地黄丸补之，有至七八岁，
或十四五岁，气血既盛，而自合，若纵恣色欲，戕贼真阴，亦不能尽其寿矣。一小
儿形瘦，不时咳嗽，自用参苏饮一剂，更加喘急惊搐，面白或黄，余谓此禀脾肺不
足，而形气虚羸，因前剂峻利，外邪虽去，而肺气益虚，肺虚则宜补脾，先用异功
散加桔梗、钓藤钩、一剂，痰喘顿定，乃去桔梗，加半夏、当归，再剂惊搐亦去，
又加酸枣仁治之而安。年十五岁，发热痰盛，作渴面赤，形体羸瘦，用地黄丸加五
味子，及补中益气汤各百余剂而形气渐壮。若认为阴火，用黄柏、知母等药，复
伤生化之源，其亦不治者矣。一小儿五岁尚饮乳，耳前后颈间至缺盆，以手推寻，
其筋结小核如贯珠，隐于肌肉之间，小便不调，面色青黄，形气羸瘦。此禀母之肝
火为患。用九味芦荟丸、五味异功散加山栀、柴胡，与儿饮之，又以加味逍遥散与
母服之，寻愈。一小儿患虚羸，耳出秽水，左手尺关洪数而无力。余为清肝补肾，
耳中虽愈，脉未全敛，毕姻后患瘵证，误服黄柏、知母之类，复伤元气，不胜寒
暑劳役，无日不病，几至危殆，余大补脾肾，滋养元气而愈。一小儿患证如前，肢
体消瘦，面色痿黄，大便酸臭。此脾虚食积。用四味肥儿丸、五味异功散治之而
愈。一小儿九岁，吞酸恶食，肌体消瘦，腹中作痛。余谓食积虚羸也。用保和丸而
愈。后腹中数痛，皆服保和丸。余曰此因脾胃虚而饮食所伤也，当调补脾土以杜后
患。不信，后腹痛喜按，余用五味异功散二剂，因未应，自用平胃散等药，腹胀作
痛，余仍以异功散加木香四剂而愈。若屡用攻伐之剂，阴损元气，多致虚羸，慎之。
参苓白术散（方见不乳食）。
地黄丸（加肉桂一两，名加减八味丸）治小儿肝经虚热血燥，或风客淫气而患瘰 结核，或四肢
发搐，眼目抽动，痰涎上涌。又治肾疳脑热消瘦，手足如冷，寒热往来，滑泻肚
胀，口臭干渴，齿龈溃烂，爪黑面黧，遍身两耳生疮，或两耳出水，或发热自汗
盗汗，便血诸血失喑等证，其功不可尽述。（即六味地黄丸，方见肾脏）
补中益气汤 治中气虚弱，体疲食少，或发热烦渴等证。
人参 黄 （各一钱） 白术 甘草 陈皮（各五分） 升麻 柴胡（各二分） 当归（八分）
上姜枣水煎。空心午前服。
愚按∶前方，若因药克伐元气虚损，恶寒发热，肢体倦怠，饮食少思，或兼
饮食劳倦，头痛身热，烦躁作渴，脉洪大弦虚，或微细软弱，右寸关独甚者宜用
之。凡久病，或过服克伐之剂，亏损元气，而虚证悉具者，最宜。前汤，若母有
脾胃不足之证，或阴虚内热致儿为患者，尤宜用之。
八珍汤（四物四君合用）
钱氏异功散 治脾胃饮食少思，吐泻不食，凡虚冷证，先与数服，以正胃气。（即五味异功散，见吐泻。）
愚按∶前方治脾胃虚弱，吐泻不食。或惊搐痰盛。或睡而露睛，手足指冷。
或脾肺虚弱，咳嗽吐痰。或虚热上攻，口舌生疮，弄舌流涎。若母脾胃虚，儿患
此证，亦当服之。
《外台·短剧》疗四五岁儿因食及在胎中宿热，乳母饮食粗恶，辛苦乳汁不起，儿哺
不为肌肤，心腹痞满，痿黄瘦瘠，四肢痿 缭戾，服之令充悦方
芍药（十分，炙令黄） 黄 鳖甲（炙） 人参（各四分） 柴胡（八分） 茯苓（六分） 甘草（炙） 干姜
（各二
分，如热以枳实代）
上八味捣筛，蜜和为丸，如大豆。服五丸，日二服。忌如常法。《千金》有大黄
无黄 ，云服一丸，一岁以上乳服三丸，七岁儿服十丸，日二。
《圣惠》黄 丸 治小儿羸瘦体热，面色痿黄，不欲乳食。
黄 （锉） 赤芍药 人参（去芦头） 甘草（炙微赤，锉） 胡黄连（各半两） 麦门冬（去心，焙） 鳖甲
（涂醋炙微黄，去裙 。各一两） 柴胡（去苗，三分）
上件药捣，罗为末，炼蜜和丸如麻子大。不计时候，以粥饮下五丸，量儿大小，
以意加减。
秦艽丸 治小儿羸瘦体热，心神烦闷，小便赤黄。
秦艽（去苗） 桑根白皮（锉） 枳壳（麸炒微黄，去瓤） 地骨皮 黄 （锉） 人参（去芦头） 赤茯苓
甘草（炙微赤，锉） 犀角（屑。各半两） 龙胆（去芦头，一分） 柴胡（三分，去苗）
上件药捣，罗为末，炼蜜和丸，如绿豆大。不计时候，用粥饮下五丸，更随儿大小增减。
麦门冬丸 治小儿虽食不着肌肤，羸瘦骨热，小便赤黄。
麦门冬（去心焙，一两） 人参（去芦头） 黄 （锉） 青蒿子 黄连（去须） 桑根白皮（锉）
枳壳（麸炒微黄，去穣） 地骨皮（各半两） 柴胡（去苗，三分）
上件药捣，罗为末，炼蜜和丸，如绿豆大。不计时候，以熟水研五丸服，量儿大小，以意加减。
烧黄瓜丸 治小儿羸瘦体热，乳食全少。
黄瓜（大者，一枚） 陈橘皮（汤浸，去白瓤，焙） 黄连（去须。各半两） 鳖甲（童子小便浸三宿，炙微黄，
去裙 ） 胡黄连 柴胡（去苗，各一两）
上件药捣，细罗为散，以黄瓜切开头，去瓤，内药末令满，以切下盖子盖之，
用香麦面和搜固济，可浓三分，于 灰火内，烧令面焦黄为度，取出去面，放冷，
入麝香一钱，都研和丸如绿豆大。每服，食前米饮下七丸，更量儿大小，以意加减。
大黄丸 治小儿胃气不调，不嗜食，不生肌肉。
大黄 干地黄 茯苓 当归 柴胡 杏仁（各三分）
上为末，蜜丸麻子大。饮下五丸，日进三服。
猪肚丸 解小儿肌热，时或泄泻，及有积滞，不思饮食，肌肉消瘦。
鳖甲（一两，同童子小便并醋共一升，热浸，炙尽为度） 白术 薯蓣（各一两） 胡黄连 人参（去芦头）
青橘皮 紫菀（去土） 桃仁（汤浸，去皮尖双仁） 木香 甘草（炙。各半两） 柴胡（去芦头，一两一分）
上件药捣，罗为末，入在净猪肚内系定，煮令极烂为度，出与药同杵令粘，丸
如梧桐子大。每服二十丸，不计时候，温水饮下。
香甲丸 治男子妇人，童男室女，气血虚疏，肌肤消瘦，百节疼潮作温五心烦
热，四肢逆冷，不思饮食，中满气滞，妇人经血凝涩，建脾胃，畅神气，充肌肤，泽颜色。
柴胡 生干地黄 京三棱（各三分） 鳖甲（醋煮黄） 神曲 杏仁 熟干地黄 麦 （炒。各
一两） 牛膝 木香 姜黄 当归（各半两） 白术 川芎（各一分）
上为细末，白面糊丸如梧桐子大。每服十丸，空心茶清下，或米饮亦得。
上八方，挟热者宜之。
《圣惠》诃梨勒散 治小儿羸瘦，脾胃气弱，挟于宿食，不欲乳食，四肢不和。
诃梨勒皮 陈橘皮（汤浸，去白瓤，焙。各半两） 黄 （锉） 人参（去芦头） 白术 藿香 桂心
白茯苓（各一分） 甘草（炙微赤，锉，半分）
上件药捣，粗罗为散。每服一钱，以水一小盏，入生姜少许，枣一枚，煎至五
分，去滓温服，日三四服，量儿大小，以意加减。
温脾散 治小儿脾气不和，食少无力，肌肤羸瘦。
诃梨勒皮 人参（去芦头。各三分） 白术 木香 黄 （锉） 白茯苓 藿香 陈橘皮（汤浸，
去白瓤，焙） 桔梗（去芦头。各半两） 甘草（炙微赤，锉，一分）
上件药捣，粗罗为散。每服一钱，以水一小盏，入生姜少许，枣一枚，煎至五
分，去滓，不计时候，量儿大小增减温服。
五香煎 治小儿脾胃久虚，吃食减少，四肢羸瘦。
丁香 沉香 木香 藿香 白术（各一两） 麝香（三钱，细研入） 白茯苓 陈橘皮（汤浸，去白
瓤，焙） 黄 （锉。各一两） 诃梨勒皮 甘草（炙微赤，锉。各半两）
上件药捣，筛为散，以水五升，慢火煎至一升，以布绞汁，却入锅内煎麝香及
蜜三合、生姜汁半合、枣肉二十枚，慢火熬成煎，每服，以粥饮调下半茶匙，量儿大小，以意加减。
上三方，挟冷者宜之。
Detailed examination of the entry "Tian Zhu Dao" (Collapse of the Heavenly Pillar) in the Kidney section.
"Han Dong Wang Shi Jia Bao" treats pediatric Gan syndrome (chronic malnutrition syndrome) where Qi invades the yin region, presenting with a bright yellow luster.
Wu Jin Gao (Black Gold Ointment)
Tongcao (Tetrapanacis Medulla), Huangpi (Cortex Phellodendri), Dahuang (Rhei Radix et Rhizoma) (each 2.5 qian, calcined).
Calcine each herb to preserve its properties, grind into fine powder. Use 1 qian each time, mix with pig bile to form an ointment, and apply to the yin region. If symptoms do not subside, wash with Shechuangzi Tang (Cnidium Decoction) before reapplying the medicated paste.
Insufficient maternal Qi and Blood lead to extreme emaciation. Chao Yuanfang discussed pediatric emaciation, noting that failure to develop flesh and muscle is due to disharmony of the Spleen and Stomach, inability to digest food, resulting in weakened Qi and Blood that fail to nourish the skin and muscles. Cases complicated by Heat present as Wen Zhuang (low-grade fever), body heat, and slightly yellowish muscles. Cases complicated by Cold present immediately with diarrhea, bluish-white lips and mouth. After suffering from major illnesses, or convulsions (Jing Xian), or Shang Han (Cold Damage), or Wen Zhuang, and after medication induces vomiting, diarrhea, or sweating, the Qi and Blood remain deficient post-recovery. The Spleen and Stomach remain weak, unable to transform grain Qi to nourish the body, leading to Xu Lei (deficiency emaciation). Qian Yi stated that for Xu Lei with Cold, Muxiang Wan (Aucklandia Pill) is the primary treatment; it should not be taken in summer, but if indicated, take a small dose. For Heat, Huhuanglian Wan (Coptis Pill) is the primary treatment; it should not be taken in winter, but if indicated, take a small dose (Xu Lei and Gan are treated similarly. See Gan entries for Muxiang Wan and Huhuanglian Wan.) Xue Ji said:
One must further examine the complexion and morphology, and observe the manifestations. Red face with frequent crying indicates Heart Xu Lei. Blue face with squinting eyes indicates Liver Xu Lei. Tubercles behind or in front of the ears or below the ears indicate deficiency Fire of the Liver Meridian. Tubercles within the neck muscles indicate deficiency Heat from food stagnation. Yellow face with fullness indicates Spleen Xu Lei. Pale face with asthma indicates Lung Xu Lei. Excessive whiteness of the eyeballs indicates Kidney Xu Lei. One must still assess the mutual overcoming relationships (Five Elements) to prescribe medicine. Furthermore, one must distinguish between Cold and Heat syndromes. Abdominal pain with clear/white diarrhea, no thirst, preference for warmth indicates a Cold syndrome; even in summer, Muxiang Wan is appropriate. Body heat with irritability, dark yellow diarrhea, thirst with preference for cold drinks indicates a Heat syndrome; even in winter, Huhuanglian Wan is appropriate. These are treatments that set aside the season to follow the syndrome. Qian Yi, discussing medication and syndrome differentiation, said: A gentleman named Qi from Zheng, who liked to collect herbal powders to distribute to others, had a son whose internal organs suddenly became hot. Qi took Qingjin Gao (Blue Gold Ointment) himself, administering three doses at once. After finishing, by the third watch, the son had five bowel movements. Because the son was sleeping, Qi said that excessive sleep can also cause fright, and gave another dose of Qingjin Gao, resulting in two more bowel movements. Dry mouth and body heat followed. Qi said there was still residual mild heat and gave more Qingjin Gao. His wife said, "After more than ten doses, he is not at ease; has he fallen ill?" They summoned Qian Yi, who said, "He has developed Xu Lei. First, decoct Baizhu San (Atractylodes Macrocephala Powder) frequently. Later, use Xigua Wan (Melon Pill). He will recover in thirteen days." (See Thirst entry for Baizhu San, see Sweating entry for Mugua Wan.) Xue Ji treated a thirteen-year-old boy with a red face, fright palpitations, and fever, emaciated body, occasional pale face, belching and flatulence, frequent food stagnation. He had taken Baohe Wan (Harmonize the Stomach Pill) and heat-clearing medicines. I said: Red face and fright palpitations indicate timidity of the Heart Spirit. Pale face and belching indicate deficiency of Heart Fire. Flatulence indicates deficiency of Spleen Qi. This is a critical syndrome of congenital Heart Fire deficiency failing to generate Spleen Earth; the previous medicines were contraindicated. Disbelieving this, he took Zhizhu Wan (Immature Bitter Orange and Atractylodes Pill) and calming fright medicines, causing all symptoms to worsen: frequent stools, heavy sensation in the lower abdomen with rectal prolapse, decreasing phlegm-saliva and food intake. I first used Liujunzi Tang (Six Gentlemen Decoction) as the main formula, assisted by Buxin Wan (Tonify the Heart Pill). After over a month, food intake increased slightly, phlegm-saliva decreased slightly. Then I used Buzhong Yiqi Tang (Tonify the Middle and Augment the Qi Decoction) administered with Sishen Wan (Four Spirits Pill), and he recovered. After marriage, the illness relapsed with prolapse. It was mid-winter; his face was pale or sallow-dark, hands and feet were cold, he preferred eating pepper and ginger, felt no heat in the abdomen, pulse was floating but faint and thin upon pressure, and both Chi pulses were very faint. I then used Bawei Wan (Eight-Ingredient Pill). His Yuan Qi recovered and his physical Qi gradually filled out. By age twenty, he suffered from aversion to wind and cold, red face and eyes, fever with expectoration, red and cracked lips and tongue. Eating pepper or ginger caused his lips and mouth to break, and phlegm-heat worsened, yet his abdomen felt no heat. His pulse was either imperceptible or nearly absent. This is Cold forcing Yang outward, true Cold inside and false Heat outside. Using Bawei Wan again, all symptoms instantly resolved. An eight-year-old boy had a constantly blue face, sometimes changing color, squinting eyes during the day, and grinding teeth at night, lasting over two years. Taking Liver-clearing and Fire-descending medicines made it worse, and his physical Qi continued to emaciate. Seeking treatment from me, I said: The Liver governs the five colors; entering the Heart makes it red, entering itself makes it blue. The Liver belongs to Wood and generates Wind, so Liver Qi is Yang/Fire, and Liver Blood is Yin/Water. This is a deficiency of congenital Liver-Kidney Essence and Blood, causing deficiency Fire to move internally. Yin Blood becomes increasingly deficient, deficiency generates Wind, Wind arises from Fire, thus manifesting as red face and squinting eyes, etc., which are not external Wind. I subsequently used Dihuang Wan (Rehmannia Pill) to nourish Kidney Water and generate Liver Wood. In two months, squinting and teeth-grinding ceased. After about three months, all symptoms gradually resolved and Yuan Qi was replenished. For all Liver Meridian syndromes, if Liver Wood excess Heat generates Wind causing self-disease, or Lung Metal excess Heat overcomes Wood, one should use Liver-clearing and Fire-descending agents to drain the pathogenic Qi. For Liver Meridian Wind-Heat causing straight eyes, etc., use Chaihu Zhizi San (Bupleurum and Gardenia Powder) to clear Liver Fire, and Jiawei Siwu Tang (Modified Four Substances Decoction) to nourish Liver Blood. For Kidney deficiency causing teeth-grinding, etc., use Liujunzi Tang to strengthen Spleen Earth, and Liuwei Dihuang Wan (Six-Ingredient Rehmannia Pill) to nourish Kidney Water, and recovery will occur. A boy with weak Spleen Qi and food stagnation presented with fever and thirst. Taking Xiehuang San (Drain the Yellow Powder) caused frequent diarrhea. I first used Baohe Wan for two doses, and he recovered, but he still had anorexia and nausea, blue face, and cold hands. I then used six Junzi, Chaihu, and Shengma for four doses. His complexion became sallow-yellow, he ate better and his hands warmed, but his body remained extremely emaciated, fatigued, febrile, with heavy lower abdomen and anal prolapse. I used Buzhong Yiqi Tang plus Banxia (Pinellia) and Roudoukou (Nutmeg) for two doses, and he stabilized. For all Spleen-Stomach syndromes, if fever and thirst, preference for cold food/drink, or yellow diarrhea with eyes closed during sleep occur, it belongs to Excess of Form and Disease; use Xiehuang San to guide and drain. If fever with dry mouth, aversion to cold, or white diarrhea with eyes open during sleep occur, it belongs to Deficiency of Form and Disease; use Yigong San (Extraordinary Efficacy Powder) to regulate and tonify. For Spleen Qi sinking, use Buzhong Yiqi Tang. For Cold Water insulting Earth, use Yihuang San. For Liver Wood insulting Spleen, use Liujunzi Tang plus Chaihu. For slight eye movement, tidal fever, convulsions, vomiting/diarrhea with anorexia, use Mizhi Baopi Tang (Secret Instruction Spleen-Preserving Decoction). For all pediatric diseases, one must first regulate and tonify the Spleen and Stomach to solidify the root; then all diseases will recede naturally. Medicine alone cannot eliminate them all. A five-year-old boy with deficient Qi and emaciation ground his teeth in sleep, had nocturnal enuresis, and frequent daytime urination. I considered this insufficient congenital Kidney Qi, and used Buzhong Yiqi Tang plus Buguzhi (Psoralea), Dihuang Wan plus Lurong (Deer Antler) to tonify Spleen and Kidney, resulting in recovery. After marriage, he had frequent urination, thirst, and fever, worsening in the afternoon. He strictly took Huangbai (Phellodendron) and Zhimu (Anemarrhena) to nourish Yin and descend Fire, later developing Kidney Wei (impotence/atrophy), bedridden for over a year. As I went north for an evaluation, I continued using the previous medicines. Fortunately, he was cautious with his health, and he recovered in half a year. An eleven-year-old boy had a pale or red face and weak legs unable to walk for long periods. I used Dihuang Wan plus Lurong. After about a year, he improved. After marriage, he had photophobia and weak legs. I used the previous pill and Buzhong Yiqi Tang, and he recovered. Later, the illness relapsed with increased thirst and foot heat, sensation of opening fontanelle, and macropsia (objects appearing larger). This was due to Kidney deficiency causing pupil dilation. Taking the previous medicines and avoiding sexual activity would have led to recovery. Due to lack of self-restraint, he ultimately died of Kidney Wei. Mr. Zhongyang (Qian Yi) said this syndrome belongs to insufficiency of brain marrow, failing to nourish. Dihuang Wan should be used to tonify. Some heal spontaneously by age seven or eight, or fourteen or fifteen, when Qi and Blood become abundant. If one indulges in lust and damages True Yin, one cannot live out one's natural lifespan. A thin boy with occasional cough took a dose of Rensu Yin (Ginseng and Perilla Drink) on his own, leading to increased wheezing, urgency, and convulsions. His face was pale or yellow. I said this is insufficient congenital Spleen-Lung Qi and deficient physical Qi. Because the previous prescription was harsh and draining, although the external pathogen was removed, Lung Qi became more deficient. When Lung is deficient, one should tonify the Spleen. I first used Yigong San plus Jiegeng (Platycodon) and Deng Teng Gou (Uncaria) for one dose, and phlegm-wheezing settled instantly. Then I removed Jiegeng, added Banxia and Danggui. After two doses, convulsions ceased. Adding Suanzaoren (Ziziphus Seed) brought peace. At age fifteen, he had fever, profuse phlegm, thirst, red face, and emaciation. I used Dihuang Wan plus Wuweizi (Schisandra) and Buzhong Yiqi Tang, each for over a hundred doses, and his physical Qi gradually strengthened. If one mistakes this for Yin Fire and uses Huangbai and Zhimu, damaging the source of transformation and generation, it becomes incurable. A five-year-old boy still drank breast milk. Pushing along the sides of the ears, neck, to the supraclavicular fossa revealed tendon knots and small nodules like beads hidden in the muscles. Urination was irregular, complexion greenish-yellow, and physical Qi emaciated. This was caused by inheriting the mother's Liver Fire. I used Jiuwei Lujian Wan (Nine-Ingredient Aloe Pill) and Wuyi Yigong San (Five-Ingredient Extraordinary Efficacy Powder) plus Zhizi (Gardenia) and Chaihu (Bupleurum) for the child, and Jiawei Xiaoyao San (Modified Free Wanderer Powder) for the mother. He soon recovered. A boy with Xu Lei had foul-smelling discharge from the ears. The Chi and Guan positions on the left hand were surging and rapid but powerless. I cleared the Liver and tonified the Kidney. Although the ear condition healed, the pulse did not fully收敛 (gather). After marriage, he developed Zhai Syndrome (consumption/TB-like disease). Mistakenly taking Huangbai and Zhimu damaged Yuan Qi further. Unable to withstand cold, heat, fatigue, and labor, he was ill every day, nearly dying. I greatly tonified the Spleen and Kidney and nourished Yuan Qi, and he recovered. A boy had symptoms as above: emaciated limbs, sallow-yellow complexion, sour-smelling stool. This was Spleen deficiency with food stagnation. I used Simei Fei'er Wan (Four-Ingredient Fattening Child Pill) and Wuyi Yigong San, and he recovered. A nine-year-old boy had acid regurgitation, aversion to food, emaciated body, and abdominal pain. I said this is food stagnation causing Xu Lei. I used Baohe Wan, and he recovered. Later, frequent abdominal pain occurred, all treated with Baohe Wan. I said: This is because the Spleen and Stomach are deficient and injured by diet. One should regulate and tonify Spleen Earth to prevent future issues. Disbelieving this, later abdominal pain relieved by pressure occurred. I used Wuyi Yigong San for two doses. As there was no response, he used Pingwei San (Calm the Stomach Powder) on his own, causing abdominal distension and pain. I still used Yigong San plus Muxiang (Aucklandia) for four doses, and he recovered. If one repeatedly uses attacking/draining agents, Yin is damaged and Yuan Qi is harmed, often leading to Xu Lei. Be careful.
Shenling Baizhu San (Formula seen in Non-nursing Food entry).
Dihuang Wan (Add 1 liang of Rougui [Cinnamon Bark], named Jiajian Bawei Wan [Modified Eight-Ingredient Pill]) treats pediatric Liver Meridian deficiency Heat with dry Blood, or Wind invading and turbid Qi causing Scrofula tubercles, or limb convulsions, eye twitching, surging phlegm-saliva. Also treats Kidney Gan brain heat with emaciation, cold feeling in hands and feet, alternating cold and heat, slippery diarrhea with abdominal distension, bad breath, dry thirst, gum ulceration, black nails, sallow-dark face, sores on the whole body and ears, or ear discharge, or fever with spontaneous or night sweats, hematochezia, various bleeding, loss of voice, etc. Its merits cannot be fully described. (This is Liuwei Dihuang Wan [Six-Ingredient Rehmannia Pill], formula seen in Kidney entry).
Buzhong Yiqi Tang (Tonify the Middle and Augment the Qi Decoction) treats Middle Qi deficiency, physical fatigue, poor appetite, or fever with irritability and thirst.
Renshen (Ginseng), Huangqi (Astragalus) (each 1 qian); Baizhu (Atractylodes Macrocephala), Gancao (Licorice), Chenpi (Tangerine Peel) (each 0.5 qian); Shengma (Cimicifuga), Chaihu (Bupleurum) (each 0.2 qian); Danggui (Angelica Sinensis) (0.8 qian).
Decoct with Ginger and Jujube water. Take on an empty stomach before noon.
My commentary: The above formula is suitable if Qi and Blood are damaged by harsh medications, presenting with aversion to cold and fever, limb fatigue, poor appetite, or combined with dietary/labor fatigue, headache, body heat, irritability, thirst, surging/changing/deficient pulse, or faint/weak pulse, especially prominent in the Right Cun and Guan positions. It is most suitable for chronic illnesses or those who have overused draining agents, depleting Yuan Qi and presenting with complete deficiency syndromes. It is particularly suitable if the mother has Spleen-Stomach deficiency or Yin deficiency with internal heat affecting the child.
Bazhen Tang (Eight Treasures Decoction - Combination of Siguo Tang and Six Gentlemen Decoction).
Qian Yi's Yigong San (Extraordinary Efficacy Powder) treats Spleen-Stomach poor appetite, vomiting/diarrhea with anorexia. For all deficiency-cold syndromes, give several doses first to rectify Stomach Qi. (This is Wuyi Yigong San [Five-Ingredient Extraordinary Efficacy Powder], seen in Vomiting/Diarrhea entry).
My commentary: The above formula treats Spleen-Stomach weakness with vomiting/diarrhea/anorexia. Or convulsions with profuse phlegm. Or sleeping with eyes open, cold fingers/toes. Or Spleen-Lung weakness with cough and expectoration. Or deficiency Heat attacking upward causing mouth/tongue ulcers, tongue playing, drooling. If the mother has Spleen-Stomach deficiency and the child suffers these syndromes, she should also take it.
"Waitai Jianyuan" (External Cabinet Essentials) treats children aged four or five who, due to diet or retained heat in the womb, have mothers eating coarse food, producing scanty/bitter milk, resulting in infants failing to gain flesh/muscle, epigastric fullness, sallow emaciation, limb flaccidity/curling. This formula causes them to become plump and joyful.
Shaoyao (Peony Root) (10 fen, stir-fry until yellow); Huangqi (Astragalus), Biejia (Softshell Turtle Shell) (stir-fried); Renshen (Ginseng) (each 4 fen); Chaihu (Bupleurum) (8 fen); Fuling (Poria) (6 fen); Gancao (Licorice) (stir-fried); Ganjiang (Dried Ginger) (each 2 fen, replace with Zhishi [Immature Bitter Orange] if Heat).
Grind the above eight ingredients, sieve, mix with honey to make pills the size of soybeans. Take 5 pills, twice daily. Avoidances as usual. "Qianjin Fang" has Dahuang instead of Huangqi, stating: take 1 pill; for children over one year nursing, take 3 pills; for seven-year-olds, take 10 pills, twice daily.
"Taiping Shenghui Fang" Huangqi Wan (Astragalus Pill) treats pediatric emaciation with body heat, sallow-yellow complexion, reluctance to nurse/eat.
Huangqi (Astragalus) (cut); Chishaoyao (Red Peony Root), Renshen (Ginseng) (remove rhizome); Gancao (Licorice) (stir-fry until slightly red, cut); Huhuanglian (Coptis) (each 0.5 liang); Maidong (Ophiopogon) (remove heart, bake); Biejia (Softshell Turtle Shell) (coat with vinegar, stir-fry until slightly yellow, remove skirt); Chaihu (Bupleurum) (remove seedlings, 3 fen).
Grind the above herbs, sieve into powder, mix with refined honey to make pills the size of hemp seeds. Take at any time, five pills with gruel drink, adjust dosage according to child's size.
Qinjiao Wan (Gentian Pill) treats pediatric emaciation with body heat, mental restlessness, red/yellow urine.
Qinjiao (Gentiana Macrophylla) (remove seedlings); Sangbaipi (Mulberry Root Bark) (cut); Zhike (Aurantium Immaturum) (bran-fry until slightly yellow, remove pith); Digupi (Lycium Bark); Huangqi (Astragalus) (cut); Renshen (Ginseng) (remove rhizome); Chifuling (Red Poria); Gancao (Licorice) (stir-fry until slightly red, cut); Xijiao (Rhino Horn) (powdered) (each 0.5 liang); Longdan (Gentian Root) (remove rhizome, 1 fen); Chaihu (Bupleurum) (3 fen, remove seedlings).
Grind the above herbs, sieve into powder, mix with refined honey to make pills the size of mung beans. Take at any time, five pills with gruel drink, adjust according to child's size.
Maidong Wan (Ophiopogon Pill) treats pediatric inability to gain flesh despite eating, emaciation with bone heat, red/yellow urine.
Maidong (Ophiopogon) (remove heart, bake, 1 liang); Renshen (Ginseng) (remove rhizome); Huangqi (Astragalus) (cut); Qinghaosui (Artemisia Annua Seeds); Huanglian (Coptis) (remove whiskers); Sangbaipi (Mulberry Root Bark) (cut); Zhike (Aurantium Immaturum) (bran-fry until slightly yellow, remove pith); Digupi (Lycium Bark) (each 0.5 liang); Chaihu (Bupleurum) (3 fen, remove seedlings).
Grind the above herbs, sieve into powder, mix with refined honey to make pills the size of mung beans. Take at any time, dissolve five pills in warm water, adjust dosage according to child's size.
Shao Huanggua Wan (Burnt Cucumber Pill) treats pediatric emaciation with body heat, minimal milk/food intake.
Huanggua (Cucumber) (large, one); Chenjupi (Aged Tangerine Peel) (soak in boiling water, remove white pith, bake); Huanglian (Coptis) (remove whiskers) (each 0.5 liang); Biejia (Softshell Turtle Shell) (soak in child's urine for three nights, stir-fry until slightly yellow, remove skirt); Huhuanglian (Coptis), Chaihu (Bupleurum) (remove seedlings) (each 1 liang).
Grind the above herbs into fine powder. Cut the top off the cucumber, remove pulp, fill with powder, replace lid. Seal with wheat flour dough, thickness about 3 fen. Roast in ash fire until dough is scorched yellow. Remove dough, cool, add 1 qian of Shexiang (Musk), grind and mix to make pills the size of mung beans. Take seven pills before meals with rice drink, adjust dosage according to child's size.
Dahuang Wan (Rhubarb Pill) treats pediatric Stomach Qi dysregulation, anorexia, failure to develop muscle.
Dahuang (Rhubarb), Dihuang (Rehmannia), Fuling (Poria), Danggui (Angelica), Chaihu (Bupleurum), Xingren (Apricot Seed) (each 3 fen).
Grind into powder, mix with honey to make pills the size of hemp seeds. Take five pills with water, three times daily.
Zhudu Wan (Pig Stomach Pill) resolves pediatric muscle heat, occasional diarrhea, food stagnation, anorexia, muscle emaciation.
Biejia (Softshell Turtle Shell) (1 liang, soak in child's urine and vinegar totaling 1 sheng, heat soak, roast until done); Baizhu (Atractylodes Macrocephala), Shanyao (Dioscorea) (each 1 liang); Huhuanglian (Coptis), Renshen (Ginseng) (remove rhizome); Qingjupi (Green Tangerine Peel), Ziwan (Periploca Root); Taoren (Peach Seed) (soak in boiling water, remove skin/apical double kernels); Muxiang (Aucklandia), Gancao (Licorice) (stir-fried) (each 0.5 liang); Chaihu (Bupleurum) (remove rhizome, 1.1 liang).
Grind the above herbs, sieve into powder. Place in a clean pig stomach, tie securely, boil until extremely soft. Remove, pound with the medicine until sticky, make pills the size of paulownia seeds. Take twenty pills at any time with warm water.
Xiangjia Wan (Aucklandia and Turtle Shell Pill) treats men, women, boys, and girls with deficient/spacious Qi and Blood, emaciated skin/muscle, joint pain with tidal fever, five-palm heat, cold extremities, anorexia, middle fullness with Qi stagnation, stagnant menstruation in women. It establishes Spleen/Stomach, unblocks Spirit/Qi, fills skin/muscle, beautifies complexion.
Chaihu (Bupleurum), Sheng Dihuang (Raw Rehmannia), Jingsanleng (Curcuma Zedoaria) (each 3 fen); Biejia (Softshell Turtle Shell) (vinegar-boil until yellow); Shenqu (Medicated Leaven), Xingren (Apricot Seed), Shu Dihuang (Prepared Rehmannia), Maiya (Barley Sprout) (stir-fry) (each 1 liang); Niuxi (Achyranthes), Muxiang (Aucklandia), Jianghuang (Turmeric), Danggui (Angelica) (each 0.5 liang); Baizhu (Atractylodes Macrocephala), Chuanxiong (Ligusticum) (each 1 fen).
Grind into fine powder, use white flour paste to make pills the size of paulownia seeds. Take ten pills on an empty stomach with tea liquor, or rice drink is also acceptable.
The above eight formulas are suitable for cases complicated by Heat.
"Taiping Shenghui Fang" Helile San (Terminalia Powder) treats pediatric emaciation, weak Spleen-Stomach Qi, complicated by retained food, reluctance to nurse/eat, limb disharmony.
Helile Pi (Terminalia Cortex), Chenjupi (Aged Tangerine Peel) (soak in boiling water, remove white pith, bake) (each 0.5 liang); Huangqi (Astragalus) (cut); Renshen (Ginseng) (remove rhizome); Baizhu (Atractylodes Macrocephala), Huoxiang (Patchouli), Guixin (Cinnamon Twig), Baifuling (White Poria) (each 1 fen); Gancao (Licorice) (stir-fry until slightly red, cut, 0.5 fen).
Grind the above herbs, coarsely sieve into powder. Take 1 qian, with one small cup of water, add a little Ginger, one Jujube, decoct to half portion, strain, take warm. Three to four times daily, adjust dosage according to child's size.
Wenpi San (Warm Spleen Powder) treats pediatric Spleen Qi disharmony, poor appetite, weakness, emaciated skin/muscle.
Helile Pi (Terminalia Cortex), Renshen (Ginseng) (remove rhizome) (each 3 fen); Baizhu (Atractylodes Macrocephala), Muxiang (Aucklandia), Huangqi (Astragalus) (cut), Baifuling (White Poria), Huoxiang (Patchouli), Chenjupi (Aged Tangerine Peel) (soak in boiling water, remove white pith, bake); Jiegeng (Platycodon) (remove rhizome) (each 0.5 liang); Gancao (Licorice) (stir-fry until slightly red, cut, 1 fen).
Grind the above herbs, coarsely sieve into powder. Take 1 qian, with one small cup of water, add a little Ginger, one Jujube, decoct to half portion, strain. Take warm at any time, adjust dosage according to child's size.
Wuxiang Jian (Five Fragrances Decoction) treats pediatric chronic Spleen-Stomach deficiency, reduced food intake, emaciated limbs.
Dingxiang (Clove), Chenxiang (Agarwood), Muxiang (Aucklandia), Huoxiang (Patchouli), Baizhu (Atractylodes Macrocephala) (each 1 liang); Shexiang (Musk) (3 qian, finely ground and added); Baifuling (White Poria), Chenjupi (Aged Tangerine Peel) (soak in boiling water, remove white pith, bake); Huangqi (Astragalus) (cut) (each 1 liang); Helile Pi (Terminalia Cortex), Gancao (Licorice) (stir-fry until slightly red, cut) (each 0.5 liang).
Grind the above herbs, sieve into powder. With 5 sheng of water, simmer slowly to 1 sheng. Strain juice through cloth, return to pot, simmer Musk, 3 he of Honey, 0.5 he of Ginger Juice, and 20 Jujube meats. Simmer slowly into a thick syrup. Take half a tea spoon mixed with gruel drink per dose, adjust dosage according to child's size.
The above three formulas are suitable for cases complicated by Cold.