夫小儿 气者。由饮食不调。生冷过度。与脏气相搏。结聚之所成也。其状。脐胁两旁
上下。有物弦直。大者如臂。小者如指。 起急痛。故名 气也。
治小儿 气急痛。京三棱散方。
京三棱（一分微煨锉） 鳖甲（一分涂醋炙令黄去裙 ） 枳壳（一分麸炒微黄去瓤） 大
腹
子（
黄） 青橘
皮
上件药。捣细罗为散。每服。以粥饮调下半钱。日三服。更量儿大小。加减服之。
治小儿 气发。即紧缩痛不欲食。大黄散方。
川大黄（一两锉碎微炒） 鳖甲（一两涂醋炙令黄去裙 ） 京三棱（半两微煨锉） 木
香
（一分）
上件药。捣细罗为散。都研令匀。每服。以粥饮调下半钱。日三四服。更量儿大小。以
意加
治小儿 气。两胁下紧痛。羸瘦。鳖甲丸方。
鳖甲（一两涂醋炙令黄去裙 ） 人参（半两去芦头） 干姜（半两炮裂锉） 白术（半
两）
枳壳（半两麸炒微黄去瓤） 柴胡（半两去苗） 当归（半两锉微炒） 赤芍药（半两） 陈
橘皮
（半两
粗皮涂
生姜汁
上件药。捣罗为末。炼蜜和丸。如绿豆大。每服。以生姜汤下七丸。日三服。更量儿大
小。
治小儿 气。不能下食。肌体瘦。防葵丸方。
防葵（半两） 当归（半两锉微炒） 桔梗（半两去芦头） 桂心（半两） 诃黎勒皮
（半两）
附子
萸（一
分汤
麸
炒微
上件药。捣罗为末。炼蜜和丸。如麻子大。每服。以粥饮下五丸。晚后再服。更量儿大
小。
治小儿 气。食不消化。四肢瘦弱。宜服此方。
鳖甲（半两涂醋炙令黄去裙 ） 枳壳（一分麸炒微黄去瓤） 川大黄（半两锉碎微炒）
京
三棱
分） 干姜
（一
上件药。捣罗为末。炼蜜和丸。如麻子大。每服。以粥饮下五丸。日三服。更量儿大小。
增
治小儿 气。发即腹痛。不食黄瘦。宜服此方。
诃黎勒皮（三分） 鳖甲（半两涂醋炙令黄去裙 ） 郁李仁（半两汤浸去皮微炒） 防
葵
（半两）
上件药。捣罗为末。炼蜜和丸。如麻子大。每服。以温酒下五丸。日三服。更随儿大小。
以意加减。
又方。
京三棱（一分微煨锉） 鳖甲（三分涂醋炙令黄去裙 ） 川大黄（二两锉碎微炒）
上件药。捣粗罗为散。每服一钱。以水一小盏。煎至五分。去滓。分温二服。晚后再服。
更
又方。
鳖甲（一枚涂醋炙令黄去裙 ）
上捣细罗为末。每服一钱。以童子小便一小盏。煎至五分。量儿大小。分减服之。日三
服神
小儿疳气病，是由于饮食不调，生冷食物摄入过多，与脏腑之气相互搏结，积聚而成的。其症状表现为脐部和胁肋两旁上下部位，有条索状硬物，大的如手臂粗，小的如手指粗，发作时急迫疼痛，因此称为“疳气”。
治疗小儿疳气急痛，用京三棱散方：
京三棱（一分，微火煨后锉碎）、鳖甲（一分，涂醋炙至黄色，去裙边）、枳壳（一分，麸炒至微黄，去瓤）、大腹子（半两，麸炒至微黄）、青橘皮（半两，去白）。
以上药物，捣碎过细罗成为散剂。每次服用半钱，用米汤调服，每日三次。并根据患儿年龄大小，酌情增减剂量。
治疗小儿疳气发作，即腹部紧缩疼痛、不想进食，用大黄散方：
川大黄（一两，锉碎微炒）、鳖甲（一两，涂醋炙至黄色，去裙边）、京三棱（半两，微火煨后锉碎）、木香（一分）。
以上药物，捣碎过细罗成为散剂，充分研匀。每次服用半钱，用米汤调服，每日三四次。并根据患儿年龄大小，酌情增减剂量。
治疗小儿疳气，两胁下紧痛、身体消瘦，用鳖甲丸方：
鳖甲（一两，涂醋炙至黄色，去裙边）、人参（半两，去芦头）、干姜（半两，炮裂后锉碎）、白术（半两）、枳壳（半两，麸炒至微黄，去瓤）、柴胡（半两，去苗）、当归（半两，锉碎微炒）、赤芍药（半两）、陈橘皮（半两，去白，涂生姜汁炙）、厚朴（半两，去皮，涂生姜汁炙）。
以上药物，捣碎过筛成为末，炼蜜和丸，如绿豆大小。每次服用七丸，用生姜汤送服，每日三次。并根据患儿年龄大小，酌情增减剂量。
治疗小儿疳气，不能进食、肌肉消瘦，用防葵丸方：
防葵（半两）、当归（半两，锉碎微炒）、桔梗（半两，去芦头）、桂心（半两）、诃黎勒皮（半两）、附子（半两，炮裂去皮脐）、山茱萸（一分，汤浸，麸炒至微黄）。
以上药物，捣碎过筛成为末，炼蜜和丸，如麻子大小。每次服用五丸，用米汤送服，晚上再服一次。并根据患儿年龄大小，酌情增减剂量。
治疗小儿疳气，食物不消化、四肢瘦弱，宜服用此方：
鳖甲（半两，涂醋炙至黄色，去裙边）、枳壳（一分，麸炒至微黄，去瓤）、川大黄（半两，锉碎微炒）、京三棱（半两，微火煨后锉碎）、干姜（一分，炮裂）。
以上药物，捣碎过筛成为末，炼蜜和丸，如麻子大小。每次服用五丸，用米汤送服，每日三次。并根据患儿年龄大小，酌情增减剂量。
治疗小儿疳气，发作时腹痛、不食、面色萎黄，宜服用此方：
诃黎勒皮（三分）、鳖甲（半两，涂醋炙至黄色，去裙边）、郁李仁（半两，水浸去皮微炒）、防葵（半两）。
以上药物，捣碎过筛成为末，炼蜜和丸，如麻子大小。每次服用五丸，用温酒送服，每日三次。并根据患儿年龄大小，酌情增减剂量。
又一方：
京三棱（一分，微火煨后锉碎）、鳖甲（三分，涂醋炙至黄色，去裙边）、川大黄（二两，锉碎微炒）。
以上药物，捣成粗散。每次服用一钱，用水一小盏，煎至五分，去渣，分两次温服，晚上再服一次。并根据患儿年龄大小，酌情增减剂量。
又一方：
鳖甲（一枚，涂醋炙至黄色，去裙边）。
以上药物，捣碎过细罗成为末。每次服用一钱，用童子小便一小盏，煎至五分，根据患儿年龄大小，分次减量服用，每日三次，神效。
Infantile *gan* qi (accumulation disorder) arises from irregular diet and excessive intake of raw or cold foods, which clash with the internal Qi of the Zang-Fu organs, leading to stagnation and accumulation. The clinical presentation involves cord-like hard masses in the upper and lower regions around the umbilicus and hypochondrium; these masses may be as large as an arm or as small as a finger. Upon onset, they cause acute pain, hence the name "gan qi."
To treat infantile *gan* qi with acute pain, use Jing San Leng San:
Jing San Leng (Rhizoma Sparganii, 1 fen, lightly roasted and crushed), Bie Jia (Carapax et Plastrum Testudinis, 1 fen, vinegar-processed until yellow, remove skirt), Zhi Qiao (Fructus Aurantii, 1 fen, bran-fried until slightly yellow, remove pith), Da Fu Zi (Semen Arecae, 0.5 liang, bran-fried until slightly yellow), Qing Ju Pi (Pericarpium Citri Reticulatae Viride, 0.5 liang, albedo removed).
The above herbs are finely ground into powder. Each dose consists of half a qian, taken orally mixed with rice water, three times daily. Dosage should be adjusted according to the child's age and size.
To treat infantile *gan* qi characterized by abdominal tightening, pain, and loss of appetite, use Da Huang San:
Chuan Da Huang (Radix et Rhizoma Rhei, 1 liang, crushed and lightly roasted), Bie Jia (Carapax et Plastrum Testudinis, 1 liang, vinegar-processed until yellow, remove skirt), Jing San Leng (Rhizoma Sparganii, 0.5 liang, lightly roasted and crushed), Mu Xiang (Radix Aucklandiae, 1 fen).
The above herbs are finely ground into powder and thoroughly mixed. Each dose consists of half a qian, taken orally mixed with rice water, three to four times daily. Dosage should be adjusted according to the child's age and size.
To treat infantile *gan* qi presenting with tightness and pain in both hypochondria and emaciation, use Bie Jia Wan:
Bie Jia (Carapax et Plastrum Testudinis, 1 liang, vinegar-processed until yellow, remove skirt), Ren Shen (Radix Ginseng, 0.5 liang, radix tip removed), Gan Jiang (Rhizoma Zingiberis, 0.5 liang, processed until cracked and crushed), Bai Zhu (Rhizoma Atractylodis Macrocephalae, 0.5 liang), Zhi Qiao (Fructus Aurantii, 0.5 liang, bran-fried until slightly yellow, remove pith), Chai Hu (Radix Bupleuri, 0.5 liang, radix tip removed), Dang Gui (Radix Angelicae Sinensis, 0.5 liang, crushed and lightly roasted), Chi Shao Yao (Radix Paeoniae Rubra, 0.5 liang), Chen Pi (Pericarpium Citri Reticulatae, 0.5 liang, albedo removed, processed with ginger juice), Hou Po (Cortex Magnoliae Officinalis, 0.5 liang, bark removed, processed with ginger juice).
The above herbs are ground into fine powder, mixed with refined honey, and formed into pills the size of mung beans. Each dose consists of seven pills, taken orally with ginger decoction, three times daily. Dosage should be adjusted according to the child's age and size.
To treat infantile *gan* qi characterized by inability to eat and muscular emaciation, use Fang Kui Wan:
Fang Kui (Radix Adenophorae seu Codonopsidis, 0.5 liang), Dang Gui (Radix Angelicae Sinensis, 0.5 liang, crushed and lightly roasted), Jie Geng (Radix Platycodonis, 0.5 liang, radix tip removed), Gui Xin (Cortex Cinnamomi, 0.5 liang), He Li Le Pi (Pericarpium Chebulae, 0.5 liang), Fu Zi (Lateral Radix Aconiti Preparata, 0.5 liang, processed, skin and placenta removed), Shan Yu Rou (Fructus Corni, 1 fen, soaked in water, bran-fried until slightly yellow).
The above herbs are ground into fine powder, mixed with refined honey, and formed into pills the size of sesame seeds. Each dose consists of five pills, taken orally with rice water, with an additional dose in the evening. Dosage should be adjusted according to the child's age and size.
For infantile *gan* qi where food is not digested and limbs are thin and weak, this formula is suitable:
Bie Jia (Carapax et Plastrum Testudinis, 0.5 liang, vinegar-processed until yellow, remove skirt), Zhi Qiao (Fructus Aurantii, 1 fen, bran-fried until slightly yellow, remove pith), Chuan Da Huang (Radix et Rhizoma Rhei, 0.5 liang, crushed and lightly roasted), Jing San Leng (Rhizoma Sparganii, 0.5 liang, lightly roasted and crushed), Gan Jiang (Rhizoma Zingiberis, 1 fen, processed).
The above herbs are ground into fine powder, mixed with refined honey, and formed into pills the size of sesame seeds. Each dose consists of five pills, taken orally with rice water, three times daily. Dosage should be adjusted according to the child's age and size.
For infantile *gan* qi manifesting as abdominal pain upon onset, anorexia, and sallow complexion, this formula is suitable:
He Li Le Pi (Pericarpium Chebulae, 3 fen), Bie Jia (Carapax et Plastrum Testudinis, 0.5 liang, vinegar-processed until yellow, remove skirt), Yu Li Ren (Semen Pruni, 0.5 liang, soaked in water, skin removed, lightly roasted), Fang Kui (Radix Adenophorae seu Codonopsidis, 0.5 liang).
The above herbs are ground into fine powder, mixed with refined honey, and formed into pills the size of sesame seeds. Each dose consists of five pills, taken orally with warm wine, three times daily. Dosage should be adjusted according to the child's age and size.
Another prescription:
Jing San Leng (Rhizoma Sparganii, 1 fen, lightly roasted and crushed), Bie Jia (Carapax et Plastrum Testudinis, 3 fen, vinegar-processed until yellow, remove skirt), Chuan Da Huang (Radix et Rhizoma Rhei, 2 liang, crushed and lightly roasted).
The above herbs are coarsely ground into powder. Each dose consists of one qian, boiled in one small cup of water until reduced to half a cup. Strain the dregs and divide into two warm doses, with an additional dose in the evening. Dosage should be adjusted according to the child's age and size.
Another prescription:
Bie Jia (Carapax et Plastrum Testudinis, one piece, vinegar-processed until yellow, remove skirt).
The above herb is finely ground into powder. Each dose consists of one qian, boiled in one small cup of urine from an uncircumcised boy until reduced to half a cup. Divide into reduced doses according to the child's age and size, three times daily. This yields miraculous results.