小儿患小肠气一证，其受病与疝气等，亦因湿气在内，而寒气又束于外，发时少腹胀控，睾丸引腰脊，上冲
心痛，而不肿是也。治宜分别形状，如引腰而痛者，古法主加味香苏散以温散之（如苍术、陈皮、川楝肉、甘草、
苏叶、醋炒香附，引用连须葱白，水酒兑煎服）。
〔真按〕可服此散，但小儿不必兑酒煎之。
痛而冲心气者，古法主加味失笑散（如五灵脂、醋炒延胡索、醋炒蒲黄等分，每服一二钱，水酒调下）。
〔真按〕此散每次用一钱，加入肉桂心细末少许，以白滚水调服尤效。
如少腹中有形如卵，上下往来，痛不可忍者，古法主胡芦巴丸〔如炒胡芦巴、川楝子（去皮核焙）各四钱，
川乌（去皮脐）、巴戟肉各钱半，茴香三钱，吴茱萸（半酒半醋浸一宿焙）二钱半，炒牵牛二钱，共为细末，酒
面糊为丸，每服数丸，空心温酒下〕。
〔真按〕此证但用荔枝核四十九个，炒焦留白陈皮九钱，炒大茴香五钱，炒小茴香四钱，真黑沉香末一钱，
酒打面糊为丸，如绿豆大，遇痛时，空心淡盐汤研送九丸，良久再进一服，不过三服全安。
小儿淋证，与成人迥不相侔，治之较易，揆厥原因，或因风寒袭入，或因湿热下移，乘入膀胱，以致水道
涩滞，欲出不出，淋漓不断，甚至窒塞其间，令其作痛，然必辨其为寒、为热、为石、为血，分别施治，总不外
宣通水道，则治小儿诸淋证无余事矣。
小儿患小肠气这一病证，其发病原因与疝气相同，也是由于体内有湿气，而外部寒气束缚所致。发作时表现为少腹胀痛并牵引至睾丸，疼痛向上牵连腰脊，甚至上冲导致心痛，但患处不肿胀。治疗应当根据症状形状进行区分：如果是疼痛牵引腰部者，古法主张使用加味香苏散来温散寒湿（方药组成如苍术、陈皮、川楝肉、甘草、苏叶、醋炒香附，以连须葱白为引，用水和酒混合煎服）。
〔陈守真按语〕可以服用此散剂，但小儿不必用酒混合煎煮。
如果是疼痛且气机上冲心胸者，古法主张使用加味失笑散（方药组成如五灵脂、醋炒延胡索、醋炒蒲黄各等分，每次服用一二钱，用水和酒调服）。
〔陈守真按语〕此散剂每次用量为一钱，加入少许肉桂心细末，用白开水调服效果更佳。
如果少腹中有形似卵块的肿物，上下移动，疼痛剧烈难以忍受，古法主张使用胡芦巴丸（方药组成如炒胡芦巴、去皮核焙干的川楝子各四钱，去皮脐的川乌、巴戟肉各一钱半，茴香三钱，吴茱萸用半酒半醋浸泡一夜后焙干二钱半，炒牵牛子二钱，共研为细末，用酒和面糊制成丸药，每次服用数丸，空腹时用温酒送下）。
〔陈守真按语〕此证只需使用荔枝核四十九个，炒焦保留白色部分；陈皮九钱，炒制；大茴香五钱，炒制；小茴香四钱，炒制；真黑沉香末一钱，用酒打面糊制成丸药，大小如绿豆。遇到疼痛时，空腹用淡盐汤研磨送服九丸，过一段时间后再次服用一次，不超过三次即可痊愈。
小儿淋证，与成人截然不同，治疗起来相对容易。推究其原因，或是因为风寒侵袭入体，或是因为湿热下注，侵入膀胱，导致水道涩滞不通，想排尿却排不出，淋漓不断，甚至阻塞其中，引起疼痛。然而必须辨别是寒证、热证、石淋还是血淋，分别施治，总原则不外乎宣通水道，这样治疗小儿各种淋证就没有什么困难了。
Pediatric cases of *Xiaochangqi* (Hernia/Intestinal Qi disorder) share the same etiology as *Shanqi* (Hernia), arising from dampness retained internally and cold pathogen constraining externally. Upon onset, symptoms include distension and pain in the lower abdomen radiating to the testicles, pain extending up to the lumbar spine, and upward rushing pain affecting the heart region, without visible swelling. Treatment should be differentiated based on symptom presentation. For cases where pain radiates to the waist, ancient methods recommend *Jiawei Xiangsu San* (Modified Fragrant Perilla Powder) to warm and disperse [pathogens] (ingredients include *Cangzhu* (Atractylodis Rhizoma), *Chenpi* (Citri Reticulatae Pericarpium), *Chuanlianyu* (Toosendan Fructus), *Gancao* (Glycyrrhizae Radix et Rhizoma), *Suye* (Perillae Folium), and vinegar-processed *Xiangfu* (Cyperi Rhizoma); use scallion whites with roots as a guiding drug, decocted with water and wine).
[Author's Note] This powder may be administered, but wine is not necessary for pediatric decoction.
For cases where pain is accompanied by qi rushing to the chest and heart, ancient methods recommend *Jiawei Shixiao San* (Modified Heartbreak Powder) (ingredients include *Wulingzhi* (Trogopteri Dung), vinegar-processed *Yanhusuo* (Corydalis Rhizoma), and vinegar-processed *Puhuang* (Typhae Pollen) in equal parts; take 1–2 qian each time, mixed with water and wine).
[Author's Note] For this powder, use 1 qian per dose, add a small amount of fine powder from *Rouguixin* (Cinnamomi Cortex interior), and mix with plain boiled water for administration, which yields superior efficacy.
If there is a palpable mass resembling an egg in the lower abdomen that moves up and down, causing unbearable pain, ancient methods recommend *Huluba Wan* (Fenugreek Pill) (ingredients include fried *Huluba* (Trigonellae Semen), *Chuanlianzi* (Toosendan Fructus) peeled and baked, each 4 qian; *Chuanwu* (Aconiti Radix) peeled and de-navelled, *Bajirou* (Morindae Officinalis Radix et Cortex) each 1.5 qian; *Huixiang* (Foeniculi Fructus) 3 qian; *Wuzhuyu* (Evodiae Fructus) soaked overnight in half wine and half vinegar then baked 2.5 qian; fried *Qianniu* (Pharbitidis Semen) 2 qian; all ground into fine powder, formed into pills using wine and wheat paste; take several pills each time, swallowed with warm wine on an empty stomach).
[Author's Note] For this condition, simply use 49 *Lizhihe* (Litchi Seed), stir-fried until charred but retaining white interior; *Chenpi* (Citri Reticulatae Pericarpium) 9 qian, stir-fried; *Dahuixiang* (Foeniculi Fructus) 5 qian, stir-fried; *Xiaohuixiang* (Foeniculi Fructus) 4 qian, stir-fried; *Zhenheichenxiang* (Aquilariae Lignum Resinatum) fine powder 1 qian; form into pills the size of mung beans using wine and wheat paste. When pain occurs, grind nine pills in light salt water and administer on an empty stomach; after some time, administer another dose. Recovery is typically achieved within three doses.
Pediatric *Linzheng* (Strangury/Dysuria) differs significantly from adult presentations and is relatively easier to treat. Investigating the etiology, it may result from wind-cold invasion or damp-heat descending into the Bladder, causing obstruction and stagnation of the water passages. Symptoms include difficulty urinating, dribbling continuously, and even complete blockage causing pain. However, differentiation must be made between cold-type, heat-type, stone-type, and blood-type strangury, with treatment tailored accordingly. The general principle is to unblock and promote the flow of water passages; mastering this approach suffices for treating all types of pediatric strangury.