小儿病久，肺胃大虚，无根之火上浮，满口生疮烂腐，面黄身肿，或肿如馒口。流涎
者可治，无涎者难治。（以六味汤加肉桂，方见后。）
妇女有满腹串痛者，有痛在一处不移者。有寒留胃脘作痛者，宜温散中焦。有虫扰腹
痛者，宜安其蛔。有肝气闭塞痛者，宜平肝和胃。有气裹水，腹中漉漉，有声而痛者，宜
导吐痰涎，或行针灸。有血瘀气滞，腹内生癖痛者，宜理气逐瘀，加以针灸数次。有胃
汁枯槁痛者，宜甘润胃阴。有中气虚损，不运而痛者，宜补中气。有脏气欲绝，痛无止
时，服药不应者，不治。
寒湿与痰液，阻滞经络，随处可注为痰块。先在肿硬处，宜细火针烙之，宣通其气
即消去者。有消此处而串彼处者，有针孔略流清水仍肿者，内进阳和汤（方见后）。若患上
红，此由湿火所聚，外宜敷清凉药，内以清利法，不可行火针。此症轻者一二月，重
者半载一年，有溃后难敛成废疾者。有此症，并搭背，因肿痛伤胃，致气血虚，不能鼓动
肌肉，托毒外出，忽软陷不痛，亦少脓血，当温补扶助正气。服药后不高起化脓，与不生
肌者难治。有误进苦寒败胃阳而成者，急宜温中醒胃。
有一日发注痰十数块，或发二十余块，（亦有数日内发二十多处。）若是者，乃气虚不能
运血流贯经络，故随注随肿。甚至不知疼。如针刺及投药不应者不治。
有因注痰，服泻痰物致虚者，宜服温脾汤（方见后）。有壮实之体生痰块，初以芫花末三
钱，整大枣三枚去核，为丸，服下泻稀痰而消者。有此症，溃脓日久，脾胃已败，极难
收功。今定药粉方（方见后），补中开胃，则内肉渐生而敛，徐徐而效。
有小儿颈项生注痰若串，至喉立死，若一日浑身发一二十块者不治。
有小儿身有隐痛，未能自言，其故延至月久，忽见脓溃，终难完口，惟久服八仙粉
（方见后）可效。倘入冷水，则三阴经即受湿气，一犯房欲，则肾精耗而肌肉肿，在旧患上即
作痛，溃脓水，虽治寡效，每因此成劳而死者。
有虚体欲后易受风寒，壅于隧道，初知隐痛，渐肿成注痰，治难速效。
小儿患病日久，肺胃之气极度虚弱，无根之火上浮，导致满口生疮、溃烂腐坏，面色萎黄、身体浮肿，或者肿胀如同馒头一般。如果此时流涎水，说明尚有生机，可以治疗；如果不流涎水，则难以治愈。（可用六味汤加入肉桂，方剂见后文。）
妇女腹部疼痛，有的表现为全腹窜痛，有的表现为疼痛固定在一处不移。如果是寒邪滞留于胃脘引起的疼痛，适宜用温散中焦寒邪的方法治疗。如果是虫扰引起的腹痛，适宜安抚蛔虫。如果是肝气闭塞导致的疼痛，适宜平抑肝气、调和胃气。如果是气裹挟水湿，腹中漉漉有声且伴有疼痛，适宜通过催吐排出痰涎，或者进行针灸治疗。如果是血瘀气滞，腹内生癖块引起疼痛，适宜理气逐瘀，并配合数次针灸。如果是胃阴枯竭引起的疼痛，适宜用甘润之品滋养胃阴。如果是中气虚损、运化无力引起的疼痛，适宜补益中气。如果是脏气即将衰竭，疼痛无止息之时，服药无效者，属于不治之症。
寒湿与痰液阻滞经络，随处停留可形成痰块。对于先在肿硬处的痰块，适宜用细火针烙烫，宣通其气血即可消散。有的痰块消除了一处又串连到另一处，有的针孔略流清水但依然肿胀的，内服阳和汤（方剂见后）。如果患处发红，这是由于湿火聚集所致，外敷清凉药物，内服清利湿热的方法，不可使用火针。此症轻者一两个月，重者半年至一年，有的溃破后难以愈合而留下残疾。有此症，并伴有搭背疽，因肿痛损伤胃气，导致气血虚弱，不能鼓动肌肉托毒外出，突然变得软陷不痛，脓血也少，应当温补以扶助正气。服药后若不高起化脓，且不生肌长肉者，难以治愈。有的是误服苦寒药物败伤胃阳而形成的，急需温中醒胃。
有一日发作注痰十数块，或二十余块的（也有几天内发作二十多处的），这种情况是因为气虚不能推动血液贯通经络，所以随注随肿。甚至感觉不到疼痛。如果用针刺及投药均无效者，属于不治之症。
有的因为患注痰，服用泻痰药物导致身体虚弱的，适宜服用温脾汤（方剂见后）。有的体质壮实之人生成痰块，初起时用芫花末三钱，整枚大枣三枚去核，制成丸药，服用后泻下稀痰而消退的。有此症，若溃脓日久，脾胃已经衰败，极难取得疗效。现制定药粉方（方剂见后），补益中气、开胃健脾，则内部肌肉逐渐生长而收敛，慢慢见效。
有的小儿颈部生出注痰，若蔓延至喉部，立即致死；若一日浑身发作一二十块者，亦属不治。
有的小儿身上有隐痛，无法自己诉说，病情拖延至数月之久，忽然见脓溃破，最终伤口难以愈合，只有长期服用八仙粉（方剂见后）才可能见效。倘若接触冷水，则三阴经即受湿气侵袭；一旦房事过度，则肾精耗损而肌肉肿胀，在旧患注痰处即作痛，流出脓水，虽然治疗也很少见效，往往因此成为劳损而死。
In children who have been ill for a long time, the Lung and Stomach are severely deficient. Rootless fire floats upward, causing sores and ulceration throughout the mouth, with a sallow complexion and bodily edema, or swelling resembling steamed buns. If salivation is present, it is treatable; if there is no salivation, it is difficult to treat. (Use Liuwei Tang [Six-Ingredient Decoction] added with Rougui [Cinnamon Bark], formula see later.)
Women may experience abdominal pain that wanders across the entire abdomen, or pain fixed in one location without moving. If the pain is caused by cold lingering in the epigastrium, warming and dispersing the Middle Jiao is appropriate. If the pain is caused by parasites disturbing the abdomen, calming the Ascaris is appropriate. If the pain is caused by Liver Qi obstruction, soothing the Liver and harmonizing the Stomach is appropriate. If Qi wraps around fluid retention, causing gurgling sounds and pain in the abdomen, inducing vomiting to expel phlegm-saliva or using acupuncture/moxibustion is appropriate. If blood stasis and Qi stagnation cause masses and pain in the abdomen, regulating Qi and driving out blood stasis, combined with several sessions of acupuncture, is appropriate. If the pain is due to exhaustion of Stomach fluids, moistening the Stomach Yin with sweet and lubricating herbs is appropriate. If the pain is due to deficiency and impairment of Middle Qi leading to poor transportation, tonifying Middle Qi is appropriate. If Zang Qi is about to fail, with ceaseless pain unresponsive to medication, it is incurable.
Cold-dampness and phlegm obstruct the meridians and can deposit anywhere to form phlegm nodules (Zhu Tan). For nodules that are initially swollen and hard, fine-fire needle cauterization is appropriate; once Qi circulation is promoted, they will dissipate. Some nodules disappear from one area but appear in another; some show slight clear fluid discharge from the needle puncture but remain swollen; these should be treated internally with Yanghe Tang [Yang Harmony Decoction] (formula see later). If the affected area turns red, this is due to the accumulation of damp-heat; externally apply cooling medications, and internally use methods to clear and drain damp-heat. Fire needles must not be used. This condition lasts one to two months in mild cases, and half a year to one year in severe cases. Some fail to heal after ulceration, resulting in disability. When this condition occurs alongside Dabeijie [Back-Spreading Carbuncle], swelling and pain damage the Stomach Qi, leading to Qi and Blood deficiency. The body cannot mobilize muscles to push toxins outward, resulting in sudden softness, depression, lack of pain, and scant pus and blood. Warm tonification to support healthy Qi is required. If, after taking medicine, the lesion does not rise and suppurate, nor generate flesh, it is difficult to treat. Some cases arise from mistakenly administering bitter-cold herbs that damage Stomach Yang; urgent warm-tonification to revive the Stomach is needed.
Some patients develop dozens of Zhu Tan nodules in a single day, or more than twenty (or over twenty locations within a few days). This occurs because Qi deficiency fails to drive blood through the meridians, causing immediate swelling upon deposition. Pain sensation may even be lost. If acupuncture and medication are ineffective, it is incurable.
Some patients become deficient after taking phlegm-draining medicines for Zhu Tan; Wenpi Tang [Warm the Spleen Decoction] (formula see later) is appropriate. In robust individuals developing phlegm nodules, initially treating with Yuanhua [Kerria Flower] powder (3 qian) and three whole Jujube fruits [Ziziphi Jujubae Fructus] pitted, formed into pills, can resolve the condition by draining thin phlegm upon ingestion. If the condition has ulcerated for a long time and the Spleen and Stomach are already failing, recovery is extremely difficult. The prescribed powder formula (formula see later) tonifies the Middle and opens the appetite, allowing internal flesh to gradually grow and close the wound, yielding slow but effective results.
If a child develops Zhu Tan on the neck spreading to the throat, death follows immediately. If a child develops one to twenty nodules all over the body in a day, it is also incurable.
Some children suffer from hidden pain they cannot verbalize. The condition persists for months until pus suddenly erupts, yet the wound ultimately fails to heal. Long-term administration of Baxian Fen [Eight Immortals Powder] (formula see later) may be effective. If exposed to cold water, the Three Yin Meridians are invaded by dampness. If sexual activity is excessive, Kidney Essence is depleted, muscles swell, and old Zhu Tan sites become painful, discharging pus. Although treatment yields little effect, this often leads to consumption and death.
In patients with weak constitutions, post-illness susceptibility to Wind-Cold causes pathogens to congest the collaterals. Initially presenting as hidden pain, it gradually swells into Zhu Tan. Treatment rarely yields rapid results.