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A monk suffered from dysphagia (obstruction of the esophagus). On his deathbed, he told his disciple: "There is a foreign object blocking my chest." After his death, the disciple dissected the body and removed a bone. By chance, goose blood was dripped onto the bone, which immediately dissolved. Later, the disciple also contracted dysphagia; after drinking goose blood, he recovered. This was tried repeatedly with miraculous efficacy. Investigation revealed that in this condition, two small bones in the chest gradually converge, leading to an inability to eat and subsequent death. Fresh goose blood should be taken and poured hot against the lesion while warm; the bone will naturally dissolve, allowing food intake. Consumption of goose and beef must be strictly prohibited forever.

200. Worm Dysphagia: A person suffers from dysphagia with worms residing in the lung tube. The worms extend and retract periodically; when extended, food and drink are difficult to ingest, or vomiting occurs shortly after eating. This is caused by the presence of worms. Crush indigo leaves to extract juice; if leaves are unavailable, use indigo powder. Mix with light wine and drink for immediate recovery. This formula is extremely effective.

201. Food Dysphagia: A person suffers from food dysphagia (difficulty swallowing food). Use 2 fen of fecal ginger and 1 li of musk, mixed with boiling water and taken orally. Avoid meat, fish, salt, and soy sauce for fifty days to prevent recurrence. This formula is exceptionally effective. Preparation method: Take any amount of fresh ginger, place it in a cloth bag on the fifth day of the fifth lunar month, and soak it in a manure pit shielded from sunlight for forty-nine days. Remove, wash thoroughly with running water, hang up to dry completely, and grind into powder. For patients ill for two years, use 3 fen of ginger powder; for those ill for one year, use 2 fen. Cultivate kindness, and merit will be boundless.

202. Vomiting and Diarrhea: A patient experienced abdominal pain, vomiting, and diarrhea. Liuhe Tang, Zhengqi San, and Pingwei Lizhong Tang were ineffective. Recalling the *Shanghan Lun* (Treatise on Cold Damage): "Heat in the chest causes vomiting; cold in the stomach causes abdominal pain." Use Coptis Rhizoma (Huanglian) and Evodia Fruit (Wuzhuyu) stir-fried with water, Scutellaria Root (Huangqin), raw Paeonia Lactiflora Root (Baishao), Licorice Root (Gancao), Codonopsis Root (Dangshen), Dried Ginger (Ganjiang), Processed Pinellia Tuber (Banxia), Tangerine Peel (Chenpi), and Poria (Fuling) in equal parts. Decoct and take for cure.

203. Kidney Deficiency Reversing Stomach: A patient vomits food eaten in the morning by evening, and food eaten in the evening by morning. The physician diagnosed kidney deficiency. Formula: Rehmannia Root (Shudihuang) 2 liang, Cornus Fruit (Shanzhuyu) 3 liang, decocted in five bowls of water until one bowl remains. Add Cinnamon Bark (Rougui) 1 qian, ground into powder, and mix. Take on an empty stomach, one dose daily. Recovery expected within ten days. After recovery, take six doses of Liuwei Dihuang Wan to eradicate the root cause.

204. Hunger Vomiting: When hungry, larvae often ascend to the stomach, causing inevitable vomiting upon eating. If anti-reversal stomach medicines are mistakenly used, vomiting worsens. Boil Sichuan Pepper (Chuanjiao) in water and drink for relief.

205. Gastric Sac: A patient vomits once every one to two days, or every three to five days. Food intake feels insufficient, and vomitus is undigested. This is called Gastric Sac Syndrome, located beside the stomach, shaped like a sac. All food enters this sac; even after feeling full, hunger persists because the object blocks the upper passage, preventing food from entering the abdomen. Initially, vomiting occurs every one to two days; vomitus has no odor, meat digests but rice does not. Over time, vomiting occurs every three to four days. If it progresses to every five to six days, it is incurable. Formula: Processed Aconite Root (Zhi Fuzi) 5 qian, Poria 1 liang. Decoct and take twice daily. After three doses, vomitus changes odor; after another three doses, vomiting reduces by half; after three more doses, vomiting stops. Once vomiting ceases, use Liuwei Dihuang Tang plus Angelica Sinensis (Danggui) and Hemp Seed (Huomaren), refined honey to make pills. Take 5 qian in the morning and 5 qian of sesame seeds at night. After several days, the gastric sac will pass through stool. Severe cases resemble cowhide; mild cases resemble paper. Patients are usually unaware, and this is not recorded in standard texts. This is a celestial transmission, precious beyond measure. Treasure it.

206. Vomiting: A patient vomits all ingested food after one to two days, with sour odor, unresponsive to various medicines. Render 10 liang of pork back fat, remove dregs. Refine 8 liang of white honey. Combine both in a copper pot and boil briefly. Add 3 liang of fresh ginger juice, mix well to form a paste. Apply as needed and let melt in the mouth. Vomiting may persist after the first dose; continue for three doses for cure.

207. Dry Heaving: A patient experiences dry heaving without expulsion, a severe symptom. Mix sugarcane juice with fresh ginger juice, warm, and take. For post-alcohol dry heaving, drink sugarcane juice alone multiple times for excellent effect.

208. Sanjiao Vomiting: A patient feels the urge to vomit but cannot, with red face and tearing eyes. This is Sanjiao Vomiting. Formula: Raw Lotus Root Juice, Milk, Dried Persimmon Calyx, and Phoenix Shell. Decoct for miraculous effect.

209. Bladder Meridian Vomiting: A patient foams at the mouth, feels the urge to vomit but cannot. This is Bladder Meridian Vomiting. Formula: Green Bean, Glutinous Rice, and a pinch of salt, stir-fried together, pounded, mixed with brown sugar, decocted, and taken for recovery.

210. Vomiting due to Medication Error: A patient took excessive cooling medicines, gradually developing vomiting. After ten days, anything ingested was vomited immediately. No solid food or liquid could be retained for seven days. The physician found the pulse disordered but still possessing spirit. Due to cold-cooling obstruction causing dysphagia, constipation, and scanty urine, use Processed Rhubarb (Zhi Dahuang) and Aurantium Fructus (Zhike) 1 qian each, decocted and taken. Vomiting ceased, and appetite returned. The next day, another dose was taken; after an hour, bowel movements and urination became smooth, and hunger appeared. Indeed, correct medication yields such efficacy.

211. Hematemesis: A patient suffered hematemesis for over a year with no response to medicines. A Daoist priest instructed this formula, curing him in ten days. Formula: Soak fine white rice for one day, grind finely, sun-dry by day and dew-expose by night until very dry. Stir-fry in a copper pot until yellow, not too dark. Form into pieces the size of a finger using boiling water, cook thoroughly, and eat with the soup. Do not add salt or other ingredients. Take whenever coughing occurs, five to six times daily. Do not take other medicines. Avoid tea, alcohol, fish, and spicy foods for one month; abstain from sexual activity for half a year to prevent recurrence.

212. Delayed Speech: A five-year-old child can only call out names but cannot speak. Grind true Adzuki Beans (Chixiaodou) into powder, mix with wine, and apply under the tongue two or three times. Speech ability returns immediately.

213. Skin Shedding: A child sheds skin all over the body. This condition arises from wind exposure at birth, causing layers of skin flakes to fall off sequentially, named Skin Shedding. Treating it as Erysipelas or Fire Rash would be erroneous. Use Akebia Caulis (Mutong), Agastache Herb (Huoxiang), and Scutellaria Root (Huangqin) 6 fen each, Ophiopogon Tuber (Maidong) 1.5 qian, plus Juncus Effusus (Dengxincao). Decoct and take.

214. Neonatal Redness: A newborn has reddish skin all over, caused by fetal heat-toxin, named Neonatal Redness. Use Rehmannia Root (Shengdi), Panax Notoginseng Root (Huafen), Licorice Root (Gancao), and Forsythia Fruit (Lianqiao) 1 qian each, decocted and taken. Externally, crush Water Fern (Fuping) and moss, squeeze juice, mix with Mirabilite (Puxiao) and Hematite (Zhesi), and apply.

215. Neonatal Jaundice: A newborn has yellowish skin all over, caused by fetal damp-heat, named Neonatal Jaundice. Use Rehmannia Root (Shengdi), Panax Notoginseng Root (Huafen), and Artemisia Capillaris (Yinchen) 1 qian each, decocted and taken.

216. Neonatal Peeling: A child develops sores and peeling skin on both legs, spreading from the thighs near the lower abdomen. If it spreads further to the abdomen, it is incurable. This is named Neonatal Peeling. Use Phellodendron Bark (Huangbai) roasted until charred, ground, and mixed with pig bile for application. Alternatively, use Longjing Earth (Fulonggan) mixed with saliva for application.

217. Neonatal Crust: A child's body resembles snake skin or scales, named Neonatal Crust, also called Snake Fetus. Use dried Bombyx Batryticatus (Bai Jiangcan) deheaded, ground into powder, decocted in water for washing. Alternatively, add ground snake shed skin.

218. Fish Bladder: A newborn's body resembles a fish bladder or crystal. If broken, fluid leaks out. Use Litharge (Miduoseng) ground into powder and applied.

219. Red Thread Tumor: A person died of a Red Thread Tumor at age one after having four children who suffered similarly. A physician stated this is latent fire and fetal toxin in the stomach. Boys were prescribed Zishen Wan, and girls Liuwei Dihuang Wan. Subsequent children did not suffer this affliction.

220. Fire Chicken: A child has lesions on the head and face resembling yaws, with ulcers and holes, named Fire Chicken. Collect condensation from a steamer basket, store in a dish, and apply. Ineffective against other medicines, this works miraculously. Internally, decoct White Imperata Rhizome (Baimaogen) for regular consumption.

221. Splayed Skull: A child has unclosed cranial sutures, named Splayed Skull. This indicates insufficient kidney qi. Use Dried Ginger 7 qian, Asarum Root (Xixin) 3 qian, and Cinnamon Bark 5 qian, ground into powder. Mix with ginger juice and apply to the skull. Recovery occurs when the child's face turns red. Additionally, use Biota Seed (Baiziren), Saposhnikovia Root (Fangfeng), and Arisaema Tuber (Nanxing) 4 liang each, ground into powder. Take 1 qian, mix with vinegar, spread on silk, and apply to the fontanelle.

222. Cranial Swelling: A child has a swollen fontanelle. Apply Phellodendron Bark (Huangbai) powder mixed with water to the soles of both feet for cure.

223. Mumps: Infants within the first month exhibit locked jaw, inability to suckle, difficulty crying, and swollen, hard cheeks with nodules, named Mantis Child or Mumps. First, puncture the swelling with a silver needle, squeeze out bad blood, and apply old ink. Delay leads to swelling extending to nose and throat, becoming incurable. External treatment: Mix Musk 1 qian, Cinnabar 5 qian, and seven snails, pound into paste, apply to the fontanelle until dry and falling off naturally. Do not peel. Another formula: Pound one slug and 1.5 qian of silver cinnabar, apply to swelling (avoid rubbing). Cure. Another formula: Grind green olive pits in good vinegar, squeeze juice, and apply.

224. Angular Cheilitis: A child has sores at the corners of the mouth. Burn rags to ash, mix with lard, and apply.

225. Dental Gangrene: Children develop oral swelling, mushroom-like growths on gums, and white blisters, named Running Horse Dental Gangrene. Unable to suckle, remove the head with a finger; if bleeding occurs, wipe with cotton. Mild cases: apply Beijing ink. Severe cases: use three de-stalked Silkworms (Jiangcan), 4 fen of Human Tooth Ash (Renzhongbai), and 1 fen of Borneol (Bingpian), grind finely, apply to lesion. Wait briefly, wipe clean with tea-soaked silk, reapply. Three times daily for self-healing. If unresolved, add Borax (Pengsha), Dragon's Blood (Xuexie), and Indigo Naturalis (Qingdai) 3 fen each, Camellia Seed (Ercha) 1.5 qian, and Medicinal Pearl (Yaozhu) 1 fen, grind finely, mix with previous medicine. Wash and apply three times daily for cure. For poor families, bake Purslane Root (Machixian) on tiles, add a little Realgar (Xionghuang), grind, and insufflate.

226. Snow Mouth: Infants within one hundred days have countless white spots in the mouth. Wiping removes them temporarily, but they return quickly, covering the mouth and invading the throat. Crying day and night, unable to suckle, commonly known as Snow Mouth, also Goose Mouth or Oral Gangrene. Decoct Licorice Root (Gancao) and Coptis Rhizoma (Huanglian), wrap finger in silk, wipe away spots. Apply white juice from Mulberry Root Bark (Sangbaipi). Immediately follow with Chen Sha Yiyuan San mixed with Juncus Effusus (Dengxincao) decoction to prevent recurrence. Another formula: Char Betel Nut (Binglang) until black, grind, and apply for immediate effect. Externally, pound Hibiscus Flower or leaves until mushy, mix with two eggs, cook, cool, and apply to heart and navel, binding tightly. Miraculous for treating wooden tongue, double tongue, snake tongue, protruding tongue, inability to open mouth or suckle, swollen cheeks, or oral sores.

227. Feather Tongue: A child's tongue suddenly swells large and hard, causing immediate suffocation, named Feather Tongue. Use Alum (Zaofan) in any amount, calcine on a new tile until red, cool on ground, grind finely, and rub on tongue for immediate effect. Also treats wooden and double tongues.

228. Double Tongue and Wooden Tongue: A child has overlapping flesh at the tongue root, short and small like a tongue, named Double Tongue. Soak Phellodendron Bark (Huangbai) in bamboo sap overnight, extract juice, and apply. If the tongue tip swells, fills the mouth, becomes rigid like wood, and immobile, it is Wooden Tongue. Apply Polygonum Multiflorum Spore (Puhuang).

229. Protruding Tongue: Miracle formula for protruding tongue: Human Tooth Ash (Renzhongbai), Borneol (Bingpian), Realgar (Xionghuang), and Borax (Pengsha) ground into powder. Mix with milk, brush on tongue with goose feather. Also decoct Coptis Rhizoma (Chuanlian) 2 fen and take internally; tongue retracts naturally.

230. Snake Tongue: Tongue constantly curled towards the corners of the mouth is Snake Tongue. Apply Realgar (Xionghuang) powder to tongue several times. Internally, steam Coptis Rhizoma (Huanglian) in water and take. Adding Juncus Effusus (Dengxincao) soaked in water is better. Alternatively, use raw Cyperus Rhizome (Xiangfu) and raw Pinellia Tuber (Banxia) 3 qian each, mix with egg white to make cakes, apply to soles of feet for one week for cure. This is an empirical formula by Linwu Shanren to guide heat downward. Alternatively, mix Evodia Fruit (Wuzhuyu) with good vinegar and apply to soles of feet for effect.

231. Soft Neck: Infant neck weakness is due to liver and kidney deficiency with wind invasion. Use raw Aconite Root (Sheng Fuzi) peeled and de-navelled, and raw Arisaema Tuber (Sheng Nanxing) 2 qian each, ground into powder. Mix with ginger juice, spread, and apply to Tianzhu Bone (neck vertebrae) for great effect.

232. Phlegm Asthma: Infant phlegm asthma with audible sounds. Guanyin Mengshou San is excellent. Formula: Crush walnuts with shell, decoct malt, add rock sugar, and take. Asthma stops, phlegm dissipates, recovery achieved.

233. Hoarseness: Infant hoarse voice. Formula: Licorice Root (Gancao) and Mint (Bohe) 5 fen each, Platycodon Root (Jiegeng) and Ophiopogon Tuber (Maidong) 2 qian each, decocted and taken for immediate cure. Alternatively, extract frog gallbladder juice and apply to tongue for immediate cure.

234. Lack of Milk: Infant refuses all food due to lack of milk, no remedy available. Steam southern dates (pitted) on rice, feed to infant. After consuming over a jin, appetite returns. Survival possible even without breast milk. Large black dates can be used as substitute.

235. Spitting Milk: Infant spits milk. Burn seven grains of rice until black, decoct with half water and half milk until reduced to 5 fen, take for extreme efficacy.

236. Umbilical Swelling: Within the first month, infant umbilicus swells brightly like blown-up, making slight noise when pressed, red and swollen, frightening. Caused by delayed bathing after cord cutting, loose binding, allowing wind-dampness invasion. Calcined Oyster Shell (Duan Muli) and Rhubarb (Dahuang) 5 qian each, Mirabilite (Puxiao) 1 qian, ground into powder. Mix 2 qian with water-soaked apple snail, apply to umbilicus. Swelling subsides via urination. If crying persists, decoct Taio Rhizome (Taiwuyao) in water and take to stop crying. Internally, decoct Poria (Fuling) and Plantago Seed (Cheqianzi) 1 qian each, Licorice Root (Gancao) 2 fen, Tangerine Peel (Chenpi) 3 fen, and Tetrapanax Pith (Tongcao) 3 fen, administer soup. One dose brings peace. If pus/blood persists, bake Purslane Root (Machixian) until dry, grind, and apply.

237. Neonatal Tetanus: Miracle formula for prevention. Calcined Alum (Kufan) and Borax (Pengsha) 3.5 qian each, Cinnabar (Zhusha) 2 fen, Borneol (Bingpian) 1 fen, ground into powder. After bathing the newborn, sprinkle powder on umbilicus once daily. Complete one course for permanent immunity. For onset, moxa fontanelle, glabella, Renzhong, Chengjiang, and Shaoshang acupoints (under thumb nails) with lamp wick dipped in sesame oil. Six moxas around umbilical ring and one at center, total thirteen moxas, capable of reviving the dead. This is Mr. Xia Yuzhu's neonatal tetanus moxibustion method.

238. Fetal Malaria: Infant's first malaria attack is named Fetal Malaria. Daily decoct 5 qian rock sugar in water and drink; cure within ten days. Alternatively, wrap 2 liang cicada sloughs as a pillow for the infant to sleep on; malaria stops miraculously.

239. Vomiting and Diarrhea: Infant vomiting and diarrhea require careful diagnosis of etiology for effective treatment. Jiawei Pingwei San treats food stagnation vomiting/diarrhea: Atractylodes Macrocephala Rhizome (Cangzhu), Magnolia Officinalis Bark (Houpo), Hawthorn Fruit (Shanzha) 6 fen each; Tangerine Peel (Chenpi), Green Tangerine Peel (Qingpi), Fried Barley Sprout (Maiya), Ground Amomum Fruit (Sharen), Ligusticum Chuanxiong Rhizome (Chuanxiong) 4 fen each; Roasted Licorice Root (Zhi Gancao) 2 fen, three slices of fresh ginger, Fried Cyperi Rhizome (Xiangfu) 4 fen. Decoct in water to 70%, divide into three doses, take slowly.

Huoxiang Hezhong Tang treats cold-induced food stagnation vomiting/diarrhea: Agastache Herb (Huoxiang), Perilla Leaf (Zisu), Fried Cyperi Rhizome (Xiangfu), Atractylodes Rhizome (Cangzhu), Magnolia Bark (Houpo), Hawthorn Fruit (Shanzha), Ligusticum Rhizome (Chuanxiong) 6 fen each; Notopterygium Rhizome (Qianghuo), Amomum Fruit (Sharen), Fried Barley Sprout (Maiya), Angelica Dahurica Root (Baizhi), Tangerine Peel (Chenpi) 4 fen each; Roasted Licorice (Zhi Cao) 2 fen, one slice ginger. Decoct and take.

Siling San treats summerheat vomiting/diarrhea. Alisma Rhizome (Zexie), Polyporus (Zhu Ling), Red Poria (Chi Ling) 1 qian each; Atractylodes Macrocephala Rhizome (Baizhu) 7 fen; Akebia Caulis (Mutong), Plantago Seed (Cheqianzi) 5 fen each. Mix with Chen Sha Yiyuan San, decoct with Juncus Effusus (Dengxincao) and take.

Qian Shi Baizhu San treats prolonged vomiting/diarrhea with deficiency-fire thirst. Codonopsis Root (Dangshen), Atractylodes Rhizome (Baizhu), Poria (Fuling), Roasted Licorice (Zhi Cao), Kudzu Root (Gegen) 5 fen each; Costus Root (Muxiang) 2 fen. Decoct and take.

Shensha Hewei San treats persistent vomiting due to deficiency-cold. Codonopsis (Dangshen), Amomum Fruit (Sharen), Pinellia Tuber (Banxia) 4 qian each; Earth-fried Atractylodes (Tu Chao Zhu), Poria (Fuling) 5 fen each; Agastache (Huoxiang), Tangerine Peel (Chenpi) 3 fen each; Roasted Licorice (Zhi Cao) 2 fen, two slices baked ginger. Decoct and take.

Jiangmi Tang treats excessive vomiting with impending stomach qi collapse. Very effective for calming stomach and stopping vomiting. Old ginger 1 liang, baked thoroughly, peeled, pounded. Decoct with one bowl water and two scoops aged rice in clay pot. Cool slightly, take slowly.

Summerwater Diarrhea with red/scanty urine: Polyporus (Zhu Ling), Red Poria (Chi Ling), Alisma (Zexie) 1 qian each; Quince (Mugua) 5 fen; Atractylodes (Baizhu) 6 fen; Akebia (Mutong) 8 fen; Fried Plantago (Cheqianzi) 4 fen; Juncus (Dengxin) one bundle. Decoct in water, add pinch of salt, take when hungry. Urination clears, diarrhea stops.

240. Childhood Malnutrition (Gan Disease): Infant malnutrition presents with sallow thin complexion, visible blue veins, distended abdomen, persistent diarrhea, deep lethargy, blue eye rims, drooping head, thirst, polyphagia without satiety, pica (eating dirt/miscellaneous items). Causes include lack of milk, food injury, and intestinal parasites. Named Gan Disease. Must use vermifuge drugs for efficacy. Recently obtained two external treatments to eradicate root cause without damage. Secret miracle formula. Inflate sheep urinary bladder, dry in shade, fill with 1-2 liang of Fenjiu (or high-quality liquor). Tie tightly, hang between infant's heart and epigastrium. For severe cases, alcohol vapor dissipates in hours; replace several times until vapor no longer dissipates. Disease cured.

Another formula: Scallion white (approx. 1 cun long), bitter almond, raw Gardenia (Zhizi), red dates (each 7), Mirabilite (Puxiao) 3 qian, first-distillation wine lees 1 liang, lime flour 3 qian. Pound seven ingredients into paste in stone mortar. Spread on two 5-cun wide white cloth strips to make plasters. Apply front to umbilicus, back to spine opposite umbilicus. Bind tightly, leave for three days. Skin turning green indicates healing. If not green, replace once. Universal cure.

Xiaogan Wuji San: Calcined Concha Heterodon (Shijueming) 1.5 liang, Calamine (Luganshi) soaked in child's urine for one day/night, calcined until floating in water is best. Talcum (Huashi) 5 qian, Realgar (Xionghuang) 2 qian, Cinnabar (Zhusha) 1 qian, Borneol (Bingpian) 5 fen, Cuttlebone (Haipiaoxiao) 5 qian. Grind finely. Dosage based on child's size (3-6 fen). Cut open a non-water-dipping chicken liver longitudinally, insert powder, tie with thread. Cook in rice wash water until done, eat liver and soup entirely. Even blindness from gan accumulation can reverse miraculously.

141. Slow Convulsion: Slow convulsion often follows infant vomiting/diarrhea, prolonged malaria/dysentery, post-smallpox, or misuse of cooling medicines. Excessive purgatives for acute convulsion without proper care also lead to this. Symptoms: coma, panting, persistent high fever, eyes open with惊搐 (startling/twitching), alternating chills/fever, dimming of three yang meridians, pale/blue-yellow complexion, clear urine/stool, cracked lips with bleeding, cold breath, diarrhea with cold sweat, undigested food, cold limbs, abdominal rumbling, phlegm rattling in throat, opisthotonos, dim vision. This is deficiency syndrome, also critical. Commonly named Tiandiao Feng, Xu Feng Man Jing Feng, Man Pi Feng. Pathogenesis: yin deficiency with yang hyperactivity, rootless yuan qi, extreme deficiency-cold. Treatment: first use pungent-hot herbs, then warm-tonify to cultivate yuan, save root, guide fire back to source. This is the correct method. Two empirical formulas listed below for modification based on symptoms.