巢氏云∶小儿魃病者，妇人怀妊时，有鬼神触胎所致。其状微利，寒热往来，毛发争宁，情
思不悦。宜服龙胆汤。又小儿未断乳，母复有胎，儿饮其乳，羸瘦骨立，发黄壮热，大便不
调，名 病，又名魃病也，用紫霜丸下之，益黄散补之，令儿断乳，仍服消乳丸、异功散。
有妊而抱他儿，亦致此症。海藏云∶魃病者，因母有妊，儿饮其乳，致病如疟痢，腹大或瘥或
发，他人相近，亦能致之。北人有取伯劳鸟羽带之，云可愈者。窃谓∶前症因邪气所触而患
，故用紫霜丸下之，若元气被伤吐泻诸症者，当随各症治之。
益黄散（方见脾脏）
消乳丸（方见调护法）
异功散
六君子汤（二方见内钓）
紫霜丸
龙胆汤（二方见噤风撮口）
补中益气汤（方见虚羸）
汤氏云∶冷泻者，乃脾胃虚寒，水谷不化而泄。钱仲阳云∶小儿不能食乳，泻褐色身冷无阳
也，当用益黄散加减治之。大便清白，口不烦渴，冷积泻也，理中汤主之。若口鼻吸风寒之
气，脾胃受生冷之食而作者，先用理中汤，后用异功散。命门火衰，不能温蒸中州之气，故
脾胃虚寒者，用益黄散及八味丸。脾胃虚弱者，五味异功散。脾气下陷者，补中益气汤。脾
气虚寒者，
治者审之。
治验
一小儿泻利青白，手冷面青，或时吃逆，余用人参理中汤，更加腹痛。仍以前汤加木香、干
姜二剂稍缓。又以五味异功加木香渐愈，又用五味异功散加升麻调理而痊。
一小儿腹痛作泻，饮食不化，小腹重坠。用补中益气汤加干姜为末，每服钱许，米饮调，日
二三服，旬余稍愈；又以五味异功散为末，米饮调服，旬余渐愈；又以四君子汤而痊。
一小儿泄泻腹痛，手足并冷，唇青额黑，余谓寒水侮土，用益黄散痛止；再用六君、干姜、
漏芦，子母服之顿止；又用人参理中汤而痊。
一小儿久泻，兼脘肛小腹重坠，四肢浮肿，面色痿黄，时或兼青，诸药到口即呕吐。审乳母
忧郁伤脾，大便不实，先用补中益气汤、五味异功散及四神丸，调治其母，不两月，子母并
愈。
一小儿患泻，乳食不化，手足指冷，服消乳丸，食乳即泻，余用五味异功散加木香，母子服
之而愈。后时搐唇口抽动，用异功散加木香、钩藤钩，补脾平肝而痊。
一小儿泄泻，手足发搐，痰涎上涌，手足指冷，额黑唇青，用五味异功散加木香、炮姜，补
心火救脾土而愈。
一小儿年十四，患泄泻，小腹重坠，饮食甚少，先用六君子汤送四神丸数剂，泻渐止，饮食
稍进；又用补中益气汤数剂，下坠渐愈。后因劳发热，自脐而起，饥则热甚，用六君、炮姜
治之稍安，又用加味归脾、补中益气二汤而痊。
人参理中汤
人参 白术（炒） 干姜（炮） 甘草（炙。各等分）
上每服一二钱，水煎蜜丸，即人参理中丸，加附子即附子理中汤。
益黄散（方见脾脏）
理中汤（方见咳嗽）
四君子汤
六君子汤
五味异功散（三方并见内钓）
补中益气汤（方见虚羸）
八味丸（方见肾脏，即六味丸加肉桂、五味子）
四神丸（方见惊泻）
巢元方说：小儿魃病，是由于妇女怀孕时，受到鬼神惊扰胎气所致。其症状表现为轻微腹泻，寒热交替发作，毛发竖立不安，情绪低落不悦。适宜服用龙胆汤。另外，小儿尚未断奶，母亲再次怀孕，婴儿饮用了这种乳汁，导致身体消瘦、骨骼显露，面色发黄、高热，大便不调，这种病症称为“儿”病，也称为魃病。治疗应用紫霜丸攻下积滞，再用益黄散补益脾胃，同时让婴儿断奶，并继续服用消乳丸和异功散。如果孕妇怀抱他人的孩子，也会导致此症。张元素（海藏）说：魃病是因为母亲怀孕，婴儿饮用其乳汁，致病情况类似疟疾或痢疾，腹部胀大，病情时好时发，与他人接触也可能导致发病。北方有人取伯劳鸟的羽毛佩戴在身上，声称可以治愈。我认为：前述病症是因邪气侵扰而患病，所以用紫霜丸攻下；若元气受损出现呕吐、腹泻等症状，则应当根据具体症状进行治疗。
益黄散（方剂见脾脏章节）
消乳丸（方剂见调护法章节）
异功散
六君子汤（两个方剂见内钓章节）
紫霜丸
龙胆汤（两个方剂见噤风撮口章节）
补中益气汤（方剂见虚羸章节）
汤氏说：冷泻，是由于脾胃虚寒，水谷不能消化而导致的泄泻。钱乙（钱仲阳）说：小儿不能吃奶，排出褐色粪便，身体寒冷无阳气，应当使用益黄散加减治疗。大便颜色清白，口中不烦渴，属于冷积泻，主方用理中汤。如果是因口鼻吸入风寒之气，或脾胃食用生冷食物所致，先用理中汤，后用异功散。命门火衰，不能温煦蒸腾中焦之气，导致脾胃虚寒者，用益黄散及八味丸。脾胃虚弱者，用五味异功散。脾气下陷者，用补中益气汤。脾气虚寒者，（此处原文似有缺漏，意指需辨证施治），医者应仔细审察。
医案实录
一个小孩腹泻，大便青白色，手脚冰冷，面色发青，有时打嗝，我用人参理中汤治疗，后来更加腹痛。仍然用前方加入木香、干姜，服用两剂后症状稍缓。又用五味异功散加入木香，逐渐痊愈，最后用五味异功散加入升麻调理而康复。
一个小孩腹痛伴随腹泻，饮食不化，小腹沉重下坠。用补中益气汤加入干姜研成粉末，每次服用一钱左右，米汤调服，每天二三次，十几天后稍有好转；又用五味异功散研成粉末，米汤调服，十几天后逐渐痊愈；最后用四君子汤而康复。
一个小孩泄泻腹痛，手足都冷，嘴唇发青，额头发黑，我认为这是寒水侮土（肾水反侮脾土），用益黄散使疼痛停止；再用六君子汤、干姜、漏芦，母子同服，顿止；又用人参理中汤而康复。
一个小孩久泻，兼有胃脘、肛门和小腹沉重下坠感，四肢浮肿，面色萎黄，有时兼带青色，各种药物入口即呕吐。诊察发现乳母忧郁伤脾，大便不成形，先用补中益气汤、五味异功散及四神丸，调理乳母，不到两个月，母子同时痊愈。
一个小孩患腹泻，乳食不化，手指脚趾冷，服用消乳丸后，吃奶就泻，我用五味异功散加入木香，母子同服而痊愈。后来偶尔出现抽搐、嘴唇口角抽动，用异功散加入木香、钩藤，补脾平肝而康复。
一个小孩泄泻，手足抽搐，痰涎上涌，手指脚趾冷，额头黑嘴唇青，用五味异功散加入木香、炮姜，补心火救脾土而痊愈。
一个十四岁的小孩患泄泻，小腹沉重下坠，饮食很少，先用六君子汤送服四神丸几剂，腹泻逐渐停止，饮食稍进；又用补中益气汤几剂，下坠感逐渐减轻。后来因劳累发热，热气从肚脐升起，饥饿时热势更甚，用六君子汤、炮姜治疗稍安，又用加味归脾汤、补中益气汤两个方剂而康复。
人参理中汤
人参 白术（炒） 干姜（炮） 甘草（炙。各等分）
以上每服一二钱，水煎蜜丸，即为人参理中丸，加入附子即为附子理中汤。
益黄散（方剂见脾脏章节）
理中汤（方剂见咳嗽章节）
四君子汤
六君子汤
五味异功散（三个方剂并见内钓章节）
补中益气汤（方剂见虚羸章节）
八味丸（方剂见肾脏章节，即六味丸加肉桂、五味子）
四神丸（方剂见惊泻章节）
Chao Yuanfang stated: Pediatric *Ba* disease (a historical term for a specific type of infantile illness often associated with maternal factors or supernatural beliefs in ancient texts) is caused by spiritual disturbances affecting the fetus during pregnancy. The symptoms include mild diarrhea, alternating chills and fever, hair standing on end with restlessness, and low mood. Longdan Tang (Gentian Decoction) is appropriate. Additionally, if an infant who has not yet been weaned drinks milk from a mother who is pregnant again, the child may become emaciated with visible bones, develop yellowish complexion and high fever, and experience irregular bowel movements. This condition is named "Er" disease (infant disease related to maternal pregnancy), also known as *Ba* disease. It should be treated with Zishuang Wan (Purple Frost Pill) to purge accumulation, followed by Yihuang San (Yellow-Protecting Powder) to tonify the spleen and stomach. The infant should be weaned and continue taking Xiaorou Wan (Digestive Milk Pill) and Yigong San (Extraordinary Efficacy Powder). If a pregnant woman holds another person's child, it can also cause this syndrome. Zhang Yuansu (Haihang) stated: *Ba* disease occurs when a mother is pregnant and the infant drinks her milk, resulting in symptoms similar to malaria or dysentery, abdominal distension, and fluctuating severity. Proximity to others may also induce it. In the north, people wear feathers from the Lark bird (*Bolao*), claiming it cures the disease. I believe: The aforementioned conditions are caused by pathogenic invasion, so Zishuang Wan is used to purge; if vital qi is damaged leading to vomiting and diarrhea, treatment should follow the specific symptoms.
Yihuang San (See Spleen Chapter for formula)
Xiaorou Wan (See Nursing Care Chapter for formula)
Yigong San
Liu Junzi Tang (Six Gentlemen Decoction) (See Internal Hook Chapter for formulas)
Zishuang Wan
Longdan Tang (See Jin Feng Nuo Kou Chapter for formulas)
Buzhong Yiqi Tang (Tonify the Middle and Augment the Qi Decoction) (See Emaciation Chapter for formula)
Ms. Tang stated: Cold diarrhea results from deficiency-cold of the spleen and stomach, leading to failure to digest water and grain. Qian Yi (Qian Zhongyang) stated: If an infant cannot take milk, passes brown stool, and has a cold body lacking yang, treat with modified Yihuang San. If the stool is clear and white, and there is no thirst or irritability, it is cold accumulation diarrhea, primarily treated with Lizhong Tang. If caused by inhaling wind-cold through the mouth and nose, or consuming raw/cold foods damaging the spleen and stomach, first use Lizhong Tang, then Yigong San. If Mingmen Fire (Fire of the Gate of Life) is deficient and fails to warm and steam the middle jiao, causing spleen-stomach deficiency-cold, use Yihuang San and Bawei Wan (Eight-Ingredient Pill). For spleen-stomach weakness, use Wuwei Yigong San (Five-Ingredient Extraordinary Efficacy Powder). For sinking of spleen qi, use Buzhong Yiqi Tang. For deficiency-cold of spleen qi, (treatment varies), physicians should examine carefully.
Clinical Cases
A child presented with green-white diarrhea, cold hands and feet, blueish complexion, and occasional hiccups. I administered Renshen Lizhong Tang (Ginseng and Atractylodes Macrocephala Decoction). Abdominal pain worsened. I continued the previous formula adding Muxiang (Aucklandiae Radix) and Ganjiang (Dried Ginger). After two doses, symptoms eased slightly. Then, Wumei Yigong San (Five-Ingredient Extraordinary Efficacy Powder) with Muxiang was used, leading to gradual recovery. Finally, Wumei Yigong San with Shengma (Cimicifugae Rhizoma) was used for regulation until full recovery.
A child suffered from abdominal pain with diarrhea, undigested food in stool, and a heavy sensation in the lower abdomen. Buzhong Yiqi Tang with Ganjiang was ground into powder. One qian was taken each time, mixed with rice water, two to three times daily. After more than ten days, slight improvement occurred. Then, Wumei Yigong San powder mixed with rice water was taken, leading to gradual recovery over ten days. Finally, Sijunzi Tang (Four Gentlemen Decoction) completed the cure.
A child had diarrhea with abdominal pain, cold limbs, cyanotic lips, and a black forehead. I diagnosed this as Cold Water insulting Earth (Kidney Water overacting on Spleen Earth). Yihuang San stopped the pain. Then, Liu Junzi Tang with Ganjiang and Loulu (Asparagi Radix) were taken by both mother and child, stopping the symptoms immediately. Renshen Lizhong Tang completed the cure.
A child had chronic diarrhea accompanied by heaviness in the epigastrium, anus, and lower abdomen, edema of the four limbs, sallow complexion sometimes turning bluish, and vomiting upon taking any medicine. Examination revealed the wet nurse suffered from melancholy injuring the spleen, with loose stools. First, Buzhong Yiqi Tang, Wumei Yigong San, and Sishen Wan (Four Spirits Pill) were used to regulate the mother. Within two months, both mother and child recovered.
A child had diarrhea with undigested milk/food and cold fingers/toes. After taking Xiaorou Wan, diarrhea occurred immediately after feeding. I prescribed Wumei Yigong San with Muxiang, taken by both mother and child, resulting in recovery. Later, occasional twitching of the lips and mouth occurred. Yigong San with Muxiang and Goutenggou (Uncariae Ramulus cum Uncis) was used to tonify the spleen and calm the liver, leading to recovery.
A child had diarrhea with limb convulsions, surging phlegm-saliva, cold fingers/toes, black forehead, and cyanotic lips. Wumei Yigong San with Muxiang and Paojiang (Prepared Ginger) was used to tonify Heart Fire and rescue Spleen Earth, resulting in recovery.
A fourteen-year-old child had diarrhea, heavy lower abdomen, and poor appetite. Six Junzi Tang delivering Sishen Wan was given for several doses, gradually stopping diarrhea and improving appetite. Then, Buzhong Yiqi Tang was given for several doses, alleviating the downward dragging sensation. Later, fatigue-induced fever originated from the umbilicus, worsening with hunger. Six Junzi Tang with Paojiang provided slight relief. Finally, Jiawei Guipi Tang (Modified Restore the Spleen Decoction) and Buzhong Yiqi Tang completed the cure.
Renshen Lizhong Tang
Renshen (Panax Ginseng Radix et Rhizoma), Baizhu (Atractylodis Macrocephalae Rhizoma, stir-fried), Ganjiang (Zingiberis Rhizoma, processed), Gancao (Glycyrrhizae Radix et Rhizoma, honey-fried). Equal parts.
Take 1-2 qian per dose, decoct in water, and form honey pills. This is Renshen Lizhong Wan. Adding Fuzi (Aconiti Lateralis Radix Praeparata) creates Fuzi Lizhong Tang.
Yihuang San (See Spleen Chapter for formula)
Lizhong Tang (See Cough Chapter for formula)
Sijunzi Tang
Liu Junzi Tang
Wumei Yigong San (Three formulas see Internal Hook Chapter)
Buzhong Yiqi Tang (See Emaciation Chapter for formula)
Bawei Wan (See Kidney Chapter for formula, i.e., Liujun Wan plus Rougui and Wuweizi)
Sishen Wan (See Jing Xie Chapter for formula)