小儿食积、痰热伤乳为病。大概肝与脾病多。
小儿肝病多，及大人亦然。肝只是有余；肾只是不足。
三棱 莪术 陈皮 青皮 神曲 麦芽 甘草 白术 茯苓 黄连 上为末，水调服。
伤乳吐泻者加山楂。时气吐泻者加滑石。发热者加薄荷。
吐泻用益元散。钱氏五补五泻之药俱可用。
发热、口疮、手心伏热、痰热、痰喘、痰嗽。
并用通法；重则用瓜蒂散，轻则用苦参赤小豆末。须酸齑汁调服。吐之后，用通圣散蜜丸服之。
惊有二证∶一者热痰，主急惊，当直泻之；一者脾虚，乃为慢惊，所主多死，当养脾。
东垣云∶慢惊者，先实脾土，后散风邪。
急者，只用降火、下痰、养血。
慢者，只用朱砂安神丸，更于血药中求之。
黑龙丸
牛胆南星 礞石（各一两，焰硝等分 ） 天竺黄 青黛（各半两） 芦荟（二两半） 朱砂（三钱）
僵蚕（五分） 蜈蚣（二钱半，烧存性）
上为细末，煎甘草汤膏，丸如鸡头大。每服一丸或二丸。急惊薄荷汤下，慢惊桔梗、白术汤下。
神圣牛黄夺命散
槟榔（半两） 木香（三钱） 大黄（二两，面裹煨熟为末。） 白牵牛（一两，一半炒，一半生用）
黑牵牛（粗末，一半生用，一半炒用） 上为一处，研作细末，入轻粉少许。每服二钱，用蜜浆水调下。不拘
时候，微利为度。
Pediatric diseases caused by food stagnation and phlegm-heat damaging milk intake generally involve disorders of the Liver and Spleen.
Disorders of the Liver are common in children, as they are in adults. The Liver typically presents with excess (Shi syndrome); the Kidney typically presents with deficiency (Xu syndrome).
Sanleng (Rhizoma Sparganii), Ezhu (Rhizoma Curcumae), Chenpi (Pericarpium Citri Reticulatae), Qingpi (Pericarpium Citri Reticulatae Viride), Shenqu (Massa Medicata Fermentata), Maiya (Fructus Hordei Germinatus), Gancao (Radix Glycyrrhizae), Baizhu (Rhizoma Atractylodis Macrocephalae), Fuling (Poria), Huanglian (Rhizoma Coptidis). Grind the above herbs into fine powder and take with water.
For vomiting and diarrhea due to damaged milk intake, add Shanzha (Fructus Crataegi). For vomiting and diarrhea due to seasonal qi pathogens, add Huashi (Talcum). For fever, add Bohe (Herba Menthae).
For vomiting and diarrhea, Yiyuan San (Beneficial Prime Powder) can be used. The five tonifying and five purgative formulas of Qian Shi (Qian Yi) are all applicable.
Fever, mouth ulcers, latent heat in the palms, phlegm-heat, phlegmatic wheezing, phlegmatic cough.
All should be treated with the "Unblocking" method (methods to purge pathogenic factors via emesis or catharsis); for severe cases, Gouti San (Melon Stalk Powder) is used; for mild cases, a powder of Kushen (Radix Sophorae Flavescentis) and Chixiaodou (Semen Phaseoli) is used. It must be taken mixed with juice from pickled sour vegetables. After vomiting, Tongsheng San (Universal Salvation Powder) honey pills should be taken.
There are two types of convulsions: one is due to phlegm-heat, manifesting as acute convulsion (Ji Jing Feng), which should be directly purged and cleared; the other is due to Spleen deficiency, manifesting as chronic convulsion (Man Jing Feng), which has a poor prognosis and requires nourishing the Spleen.
Li Dongyuan stated: For chronic convulsion, first strengthen the Earth (Spleen), then disperse wind pathogens.
For acute cases, only use methods to descend fire, resolve phlegm, and nourish blood.
For chronic cases, only use Zhusha Anshen Wan (Cinnabar Calming Spirit Pill), seeking efficacy within blood-nourishing prescriptions.
Heilong Wan (Black Dragon Pill)
Niudan Nanting (Arisaema cum Bile Bovis), Mengshi (Lapis Lapidis), Tianzhuhuang (Calculus Boris), Qingdai (Indigo Naturalis) (each 1 liang, Yanxiao/Niter equal parts), Lvhua (Aloe) (2.5 liang), Zhusha (Cinnabar) (3 qian), Jiangcan (Bombyx Batryticatus) (5 fen), Wugong (Centipede) (2.5 qian, roasted until carbonized but retaining properties).
Grind the above into fine powder, decoct Gancao (Radix Glycyrrhizae) soup to make a paste, and form pills the size of a chestnut. Take one or two pills per dose. For acute convulsion, take with Bohe (Mint) decoction; for chronic convulsion, take with Jiegeng (Platycodon) and Baizhu (Atractylodes) decoction.
Shensheng Niuhuang Duoming San (Divine Cow-bezoar Life-Snatching Powder)
Bolang (Areca Seed), Muxiang (Radix Aucklandiae), Dahuang (Radix et Rhizoma Rhei) (2 liang, wrapped in flour, baked until cooked, then powdered), Bai Qianniu (Semen Pharbitidis) (1 liang, half stir-fried, half raw), Hei Qianniu (Semen Pharbitidis) (coarse powder, half raw, half stir-fried). Mix all together, grind into fine powder, add a small amount of Qingfen (Calomel). Take 2 qian per dose, mixed with honey-water. Take at any time, stopping when slight diarrhea occurs.