小儿水泻，皆因脾胃湿盛，以致清浊不分，变成此证，其候小
便短涩，懒食，溏泻色黄，古法主胃苓汤以除湿（如炒苍术、陈皮、浓朴、炒白术、茯苓、炙甘草、肉桂、泽泻、
猪苓，引用生姜、红枣）。
若泻久不止，则用升阳除湿汤（如苍术、陈皮、防风、炒神曲、炒麦芽、泽泻、炙甘草、升麻、羌活、柴胡、
猪苓，引用生姜）。
〔真按〕小儿水泻，不厘清浊，宜用燥湿兼分利之法，方以川萆 一钱，米泔浸炒苍术六分，制金钱术二钱，
炒猪苓二钱，炒泽泻二钱，炒扁豆一钱，炒麦芽八分，引用煨姜一片，上肉桂一分，研末，冲服。
《经》曰∶新积痛可移者，易已也。积不痛，难已也。小儿所资以养生者，惟乳与食，乳为血液，饮之类也，
谷为糟粕，食之类也。乳贵有时，食贵有节，若父母过爱，乳食无度，虽曰爱之，其实害之。脾虚不运，气不流
行，而积滞成矣。伤热乳热食者，则为热积。伤冷乳冷食者，则为冷积。五谷之类为食积，禽畜之类为肉积，菜
果之类为冷积。饮食之积，必用消导。消者散其积也，导者行其气也。轻则和解常剂，重则峻下汤丸。盖浊阴
不降，则清阳不升，客垢不除，则真元不复。譬如戡定祸乱，然后可以致太平。或消补并行，或补多消少，或先
补后消，洁古所谓养正而积自除。故前人破滞消坚之药，必假参术以赞助成功。经曰∶无攻邪，无失正。此之谓
也。因作积滞解。
小儿水泻，都是由于脾胃湿气过盛，导致清浊之气不分，从而形成这种病证。其表现为小便短少涩滞、食欲不振、大便稀溏且颜色发黄。古法主张使用胃苓汤来祛除湿邪（方药包括：炒苍术、陈皮、浓朴、炒白术、茯苓、炙甘草、肉桂、泽泻、猪苓，煎服时加入生姜、红枣作为引药）。
如果腹泻日久不止，则改用升阳除湿汤（方药包括：苍术、陈皮、防风、炒神曲、炒麦芽、泽泻、炙甘草、升麻、羌活、柴胡、猪苓，煎服时加入生姜作为引药）。
〔陈守真按语〕治疗小儿水泻，若不厘清清浊关系，适宜采用燥湿兼分利小便的方法。处方用川萆一钱，米泔水浸泡后炒制的苍术六分，制金钱术二钱，炒猪苓二钱，炒泽泻二钱，炒扁豆一钱，炒麦芽八分，以煨姜一片为引药，上肉桂一分，将上述药物研成细末，冲服。
《黄帝内经》说：“新形成的积滞伴有疼痛且痛处可移动的，容易治愈；积滞不痛或痛处固定的，难以治愈。”小儿赖以生存的营养来源，只有乳汁和食物。乳汁属于血液一类，是饮品的范畴；谷物残渣属于糟粕一类，是食物的范畴。哺乳贵在按时，进食贵在节制。如果父母过分溺爱，让乳食无度，虽然说是爱护孩子，实际上却是伤害孩子。脾虚不能运化，气机运行不畅，于是形成了积滞。损伤于热乳或热食，就形成热积；损伤于冷乳或冷食，就形成冷积。五谷类造成的称为食积，禽畜肉类造成的称为肉积，菜果类造成的称为冷积（注：此处原文逻辑可能有误，通常菜果易致食积或寒积，依原文直译）。饮食之积，必须使用消导法治疗。“消”是指消散积滞，“导”是指行气通畅。病情轻的，使用和解的常规方剂；病情重的，使用峻猛的泻下汤剂或丸剂。因为浊阴之气不下降，清阳之气就无法上升；客邪污垢不除去，真气元气就无法恢复。这就像平定祸乱之后，才能达成太平盛世一样。或者消法与补法并行，或者补多于消，或者先补后消，正如李东垣（洁古）所说的“养护正气而积滞自然消除”。所以前人使用破滞消坚的药物时，必定借助人参、白术等补气健脾药来辅助成功。《内经》说：“不要攻伐邪气而损伤正气。”说的就是这个道理。因此撰写了这篇关于解除积滞的文章。
Infantile watery diarrhea is caused by excessive dampness in the Spleen and Stomach, leading to the failure of separating the clear from the turbid, resulting in this syndrome. The manifestations include scanty and difficult urination, anorexia, loose yellow stools. Ancient methods advocate using Weiling Tang (Guizhi Decoction modified with Poria) to dispel dampness (ingredients: processed Atractylodis Rhizoma [Cangzhu], Citri Reticulatae Pericarpium [Chenpi], Magnoliae Officinalis Cortex [Houpo], processed Atractylodis Macrocephalae Rhizoma [Baizhu], Poria [Fuling], prepared Licorice Root [Gancao], Cinnamon Twig [Rougui], Alisma Rhizome [Zexie], Polyporus [Zhuling], with fresh Ginger and Red Date as guides).
If the diarrhea persists for a long time, Shengyang Chushi Tang (Shengyang Damp-Dispersing Decoction) should be used (ingredients: Atractylodis Rhizoma [Cangzhu], Citri Reticulatae Pericarpium [Chenpi], Saposhnikoviae Radix [Fangfeng], processed Massao Fermentatus [Shenqu], processed Hordeum Vulgare Fructus [Maiya], Alisma Rhizome [Zexie], prepared Licorice Root [Gancao], Cimicifugae Rhizoma [Shengma], Notopterygii Rhizoma et Radix [Qianghuo], Bupleuri Radix [Chaihu], Polyporus [Zhuling], with fresh Ginger as a guide).
[Commentary by Chen Shouzhen] In treating infantile watery diarrhea, if the separation of clear and turbid is not clarified, it is appropriate to employ methods that dry dampness and promote diuresis. The prescription consists of Dioscoreae Hypoglaucae Rhizoma [Bifen] 1 qian, Atractylodis Rhizoma [Cangzhu] soaked in rice water and stir-fried 6 fen, processed Smilacis Glabrae Rhizoma [Jinqiancao/Jinqianshu] 2 qian, stir-fried Polyporus [Zhuling] 2 qian, stir-fried Alisma Rhizome [Zexie] 2 qian, stir-fried Dolichos Lablab Seed [Baidou] 1 qian, stir-fried Hordeum Vulgare Fructus [Maiya] 8 fen, with roasted Ginger 1 slice as a guide, and Cinnamon Bark [Rougui] 1 fen. These are ground into powder and taken with water.
The *Classic* states: "Newly formed accumulation accompanied by pain that can shift is easy to cure; accumulation without pain or with fixed pain is difficult to cure." The nourishment infants rely on for life consists only of milk and food. Milk belongs to blood and is categorized as drinks; grains belong to dregs and are categorized as solid foods. Nursing should be timed, and eating should be regulated. If parents show excessive affection, allowing unlimited intake of milk and food, although intended as love, it actually causes harm. Spleen deficiency leads to impaired transportation, and Qi stagnation results in accumulation. Injury from hot milk or hot food creates Heat Accumulation; injury from cold milk or cold food creates Cold Accumulation. Accumulation from grains is Food Accumulation; from poultry and livestock, it is Meat Accumulation; from vegetables and fruits, it is Cold Accumulation (Note: Textual logic may vary, translated literally). Dietary accumulations must be treated with resolving and guiding methods. "Resolving" means dispersing accumulation; "Guiding" means promoting Qi movement. For mild cases, harmonizing routine formulas are used; for severe cases, drastic purgative decoctions or pills are employed. Because if turbid Yin does not descend, Clear Yang cannot ascend; if pathogenic filth is not removed, true Yuan Qi cannot recover. This is like pacifying chaos before achieving peace. One may combine resolving and tonifying, use more tonifying than resolving, or tonify first then resolve, as Li Dongyuan (Jiegu) stated: "Nourish the righteous Qi, and the accumulation will naturally dissipate." Therefore, predecessors always relied on Ginseng and Atractylodes to assist in the success of drugs that break stagnation and soften hardness. The *Classic* says: "Do not attack the evil at the expense of the righteous." This is what is meant. Hence, this treatise on resolving accumulation was composed.