夫绝乳小儿。五脏调和。荣卫气理。则津液通流。虽复多饮水浆。不能为痛。若调养乖
方。三焦否隔。则肠胃不能宣行。因饮水浆。便令停滞不散。更遇寒气相搏。结聚而成癖。
癖者谓僻侧在两胁之间。有时痛也。
治小儿腹中癖气不散。肌肉瘦瘁。或多心烦。不能饮食。食即吐逆。或大小便秘涩
。及天
代赭(半两细研) 朱砂(半两细研水飞过) 犀角屑(半两) 麝香(一分细研) 杏
仁(半
两汤浸去皮尖双仁麸炒微黄) 当归(三分锉微炒) 牛黄(一分细研) 川大黄(三分锉
碎微
炒)
上件药。捣罗为末。入研了药。更研令匀。炼蜜和捣三二百杵。丸如麻子大。每服。以
粥饮
治小儿癖气腹痛。前胡丸方。
前胡(半两去芦头) 赤芍药(半两) 桔梗(半两去芦头) 赤茯苓(半两) 鳖甲
(一两涂
醋炙
汤浸去
皮微
上件药。捣罗为末。炼蜜和丸。如绿豆大。三岁儿。每服空心。以粥饮化破五丸服。量
儿大
治小儿腹中结聚。胁下有癖。手足烦热。鳖甲丸方。
鳖甲(一两涂醋炙令黄去裙 ) 川大黄(半两锉碎微炒) 赤茯苓(半两) 蛴螬(十
枚干
者微
上件药。捣罗为末。炼蜜和丸。如麻子大。二三岁儿。空腹以粥饮下三丸。日三服。量
儿大
治小儿癖气。久不消散。防葵丸方。
防葵(一两) 人参(半两) 诃黎勒皮(半两) 川大黄(三分锉碎微炒) 桑茵(半
两) 郁
李仁
上件药。捣罗为末。炼蜜和丸。如麻子大。每服。以温酒下五丸。日二服。量儿大小。
加减
治小儿宿食不化。积成癖气。两肋妨闷。气急不能下食。腹大胀硬。小紫双丸方。
代赭(一两细研) 丹砂(半两细研水飞过) 川大黄(一两锉碎微炒) 木香(半两)
犀角
屑(
皮心研
纸
上件药。捣罗为末。入研了药。更研令匀。炼蜜和丸。如绿豆大。三岁以上。每服空心。
以
治小儿癖气。手脚心热。面色萎黄。不思饮食。日渐羸瘦。鳖甲丸方。
鳖甲(一两涂醋炙令黄去裙 ) 川大黄(一两锉碎微炒) 人参(一分去芦头) 赤
茯苓
(一分)
棱(半两微
煨锉)
上件药。捣罗为末。炼蜜和丸。如绿豆大。三岁儿。空心以粥饮研下五丸。更量儿大小。
以
治小儿癖气。手脚心热。脾胃虚弱。不下饮食。面色萎黄。渐加羸瘦。京三棱丸方
。
京三棱(半两微煨锉) 防葵(半两) 木香(半两) 人参(半两去芦头) 枳壳(半
两麸炒
微黄去
李仁(三
分汤浸
上件药。捣罗为末。炼蜜和丸。如小豆大。以粥饮下随年丸数。日三服。儿稍大。即以
酒下
治小儿羸瘦。腹内有癖气。胁下坚满。时有腹痛。虽食不成肌肉。鸡骨丸方。
乌鸡骨(一具汤浸炙令微黄) 川大黄(一两锉碎微炒) 枳实(半两麸炒微黄) 鳖
甲(一
两涂醋炙令黄去裙 ) 泽泻(一两) 柴胡(一两去苗) 桔梗(一两去芦头) 人参(一
两去芦
头) 赤芍药(一两) 黄芩(一两) 防葵(三分) 虫(五枚微炒令黄) 杏仁(三
分汤浸去
皮尖
上件药。捣罗为末。炼蜜和丸。如绿豆大。四五岁儿。以粥饮下十丸。日二服。看儿大
小。
治小儿癖气。胁下妨闷。手足微肿。宜服枳壳丸方。
枳壳(半两麸炒微黄去瓤) 川大黄(三分锉碎微炒) 牡丹(一分) 黄柏(半两锉)
桂心
(一
上件药。捣罗为末。炼蜜和丸。如绿豆大。每服。以温水研破二丸服之。日再服。看儿
大小
治小儿癖气不消。四肢黄瘦。时有腹痛。大黄丸方。
川大黄(三分锉碎微炒) 鳖甲(三分涂醋炙令黄去裙 ) 赤芍药(三分) 大麻仁
(三分
研入)
上件药。捣罗为末。炼蜜和丸。如绿豆大。每服。以温水化五丸服之。日二服。量儿大
小。
治小儿癖气。壮热瘦瘁。不欲乳食。诃黎勒丸方。
诃黎勒皮(半两) 大麦 (一分炒令微黄) 柴胡(半两去苗) 芎 〔一两(分)〕
川大
黄(半两锉碎微炒) 赤茯苓(一分) 鳖甲(半两涂醋炙令黄去裙 ) 枳壳(一分麸炒
微黄去
瓤) 桂心(一分) 赤芍药(半两) 干姜(一分炮裂锉) 浓朴(半两去粗皮涂生姜汁
炙令香
熟)
上件药。捣罗为末。炼蜜和丸。如绿豆大。每服。以粥饮下五丸。日三服。量儿大小。
以意
治小儿癖气坚硬。瘦瘁不欲饮食。芫花丸方。\x
芫花(半两醋拌炒令干) 雄黄(一分细研) 川大黄(半两锉碎微炒) 鳖甲(半两
涂醋炙
令黄
上件药。捣罗为末。炼蜜和丸。如粟米大。三岁儿。每服空心。以生姜汤下三丸。量儿
大小
凡是断奶后的婴幼儿,如果五脏功能调和,营卫之气运行通畅,津液就能正常流通。即使喝很多水浆,也不会引起疼痛。如果调养不当,导致三焦气机阻滞,肠胃不能正常运化,此时饮水浆就会停滞不散。如果再遇到寒气侵袭,寒邪与停饮相互搏结,凝聚而形成癖病。所谓癖,是指病邪偏侧积聚在两胁之间,有时会引起疼痛。
治疗小儿腹中癖气不散,肌肉消瘦憔悴,或者经常心烦,不能进食,一吃就呕吐逆气,或者大小便干涩不通的方剂:代赭石(半两,细研)、朱砂(半两,细研,用水飞法处理)、犀角屑(半两)、麝香(一分,细研)、杏仁(半两,汤浸去皮尖及双仁,麸炒至微黄)、当归(三分,锉碎,微炒)、牛黄(一分,细研)、川大黄(三分,锉碎,微炒)。以上药物,捣碎过筛成粉末,加入已研好的药粉,再次研磨均匀。用炼蜜调和,捣击三二百下,制成如麻子大小的丸剂。每次服用,用米粥汤送服。
治疗小儿癖气引起腹痛的前胡丸方:前胡(半两,去芦头)、赤芍药(半两)、桔梗(半两,去芦头)、赤茯苓(半两)、鳖甲(一两,涂醋炙令黄色,去裙边)。以上药物,捣碎过筛成粉末,用炼蜜调和制成丸剂,如绿豆大小。三岁儿童,每次空腹时,用米粥汤将五丸化开服用。根据孩子年龄大小调整剂量。
治疗小儿腹中结聚,胁下有癖块,手足烦热的鳖甲丸方:鳖甲(一两,涂醋炙令黄色,去裙边)、川大黄(半两,锉碎,微炒)、赤茯苓(半两)、蛴螬(十枚,干燥者,微炒)。以上药物,捣碎过筛成粉末,用炼蜜调和制成丸剂,如麻子大小。二至三岁儿童,空腹时用米粥汤送服三丸,每日三次。根据孩子年龄大小调整剂量。
治疗小儿癖气,长久不消散的防葵丸方:防葵(一两)、人参(半两)、诃黎勒皮(半两)、川大黄(三分,锉碎,微炒)、桑茵(半两)、郁李仁(三分,汤浸去皮尖,微炒)。以上药物,捣碎过筛成粉末,用炼蜜调和制成丸剂,如麻子大小。每次服用,用温酒送服五丸,每日两次。根据孩子年龄大小,酌情加减剂量。
治疗小儿宿食不消化,积滞形成癖气,两肋胀闷不适,气急不能进食,腹部大且胀硬的紫双丸方:代赭石(一两,细研)、丹砂(半两,细研,用水飞法处理)、川大黄(一两,锉碎,微炒)、木香(半两)、犀角屑(半两)、枳实(半两,麸炒微黄,去瓤)、青皮(半两,去白,焙干)、纸(此处原文可能有误,通常指某种辅料或载体,暂译作纸张/载体,但结合语境可能是“枳壳”或其他药材之误,依原文直译)、虫(此处原文残缺,推测为某种虫类药,依原文直译)。以上药物,捣碎过筛成粉末,加入已研好的药粉,再次研磨均匀。用炼蜜调和制成丸剂,如绿豆大小。三岁以上儿童,每次空腹时,用米粥汤送服。
治疗小儿癖气,手脚心发热,面色萎黄,不思饮食,日渐消瘦的鳖甲丸方:鳖甲(一两,涂醋炙令黄色,去裙边)、川大黄(一两,锉碎,微炒)、人参(一分,去芦头)、赤茯苓(一分)、京三棱(半两,微煨后锉碎)。以上药物,捣碎过筛成粉末,用炼蜜调和制成丸剂,如绿豆大小。三岁儿童,空腹时用米粥汤研碎送服五丸。再根据孩子年龄大小调整剂量。
治疗小儿癖气,手脚心发热,脾胃虚弱,不下饮食,面色萎黄,逐渐消瘦的京三棱丸方:京三棱(半两,微煨后锉碎)、防葵(半两)、木香(半两)、人参(半两,去芦头)、枳壳(半两,麸炒微黄,去瓤)、郁李仁(三分,汤浸去皮尖,微炒)。以上药物,捣碎过筛成粉末,用炼蜜调和制成丸剂,如小豆大小。用米粥汤送服,剂量随年龄而定,每日三次。孩子稍大一些,可以用酒送服。
治疗小儿身体消瘦,腹内有癖气,胁下坚硬胀满,时常腹痛,虽然能吃饭但不能长肉的鸡骨丸方:乌鸡骨(一具,汤浸炙至微黄)、川大黄(一两,锉碎,微炒)、枳实(半两,麸炒微黄)、鳖甲(一两,涂醋炙令黄色,去裙边)、泽泻(一两)、柴胡(一两,去苗)、桔梗(一两,去芦头)、人参(一两,去芦头)、赤芍药(一两)、黄芩(一两)、防葵(三分)、䗪虫(五枚,微炒至黄色)、杏仁(三分,汤浸去皮尖)。以上药物,捣碎过筛成粉末,用炼蜜调和制成丸剂,如绿豆大小。四至五岁儿童,用米粥汤送服十丸,每日两次。观察孩子大小调整剂量。
治疗小儿癖气,胁下胀闷不适,手足轻微肿胀,宜服用的枳壳丸方:枳壳(半两,麸炒微黄,去瓤)、川大黄(三分,锉碎,微炒)、牡丹皮(一分)、黄柏(半两,锉碎)、桂心(一分)。以上药物,捣碎过筛成粉末,用炼蜜调和制成丸剂,如绿豆大小。每次服用,用温水研碎两丸服用,每日两次。根据孩子年龄大小调整剂量。
治疗小儿癖气不消,四肢黄瘦,时常腹痛的大黄丸方:川大黄(三分,锉碎,微炒)、鳖甲(三分,涂醋炙令黄色,去裙边)、赤芍药(三分)、大麻仁(三分,研入)。以上药物,捣碎过筛成粉末,用炼蜜调和制成丸剂,如绿豆大小。每次服用,用温水化开五丸服用,每日两次。根据孩子年龄大小调整剂量。
治疗小儿癖气,高热消瘦,不想吃奶和食物的诃黎勒丸方:诃黎勒皮(半两)、大麦(一分,炒至微黄)、柴胡(半两,去苗)、川芎(一两)、川大黄(半两,锉碎,微炒)、赤茯苓(一分)、鳖甲(半两,涂醋炙令黄色,去裙边)、枳壳(一分,麸炒微黄,去瓤)、桂心(一分)、赤芍药(半两)、干姜(一分,炮裂后锉碎)、浓朴(半两,去粗皮,涂生姜汁炙至香熟)。以上药物,捣碎过筛成粉末,用炼蜜调和制成丸剂,如绿豆大小。每次服用,用米粥汤送服五丸,每日三次。根据孩子年龄大小,酌情调整。
治疗小儿癖气坚硬,消瘦不想吃东西的芫花丸方:芫花(半两,醋拌炒至干)、雄黄(一分,细研)、川大黄(半两,锉碎,微炒)、鳖甲(半两,涂醋炙令黄色,去裙边)。以上药物,捣碎过筛成粉末,用炼蜜调和制成丸剂,如粟米大小。三岁儿童,每次空腹时,用生姜汤送服三丸。根据孩子年龄大小调整剂量。
For weaned infants, if the five zang organs are harmonious and the Ying (Nutritive) and Wei (Defensive) qi flow smoothly, body fluids will circulate freely. Even if they drink large amounts of water or gruel, it will not cause pain. However, if care is improper, leading to obstruction in the Sanjiao (Triple Burner), the stomach and intestines cannot transport and transform effectively. Consequently, ingested fluids stagnate and fail to disperse. If this is compounded by cold pathogenic factors, the cold and stagnation interact and condense to form Pi (masses). Pi refers to masses located obliquely between the two hypochondria, which may cause intermittent pain.
Formula for treating Pi qi stagnation in the abdomen of children, characterized by emaciation, frequent irritability, anorexia, vomiting after eating, or constipation: Daizhe Shi (Hematitum, 0.5 liang, finely ground), Zhusha (Cinnabar, 0.5 liang, finely ground and washed with water), Xijiao Xie (Rhinocerotis Cornu, 0.5 liang), Shexiang (Moschus, 1 fen, finely ground), Xingren (Armeniacae Semen Amarum, 0.5 liang, soaked in water, skin and tips removed, double-kernel bran-fried until slightly yellow), Danggui (Angelicae Sinensis Radix, 3 qian, sliced and slightly fried), Niuhuang (Bovaris Calculus, 1 fen, finely ground), Chuan Dahuang (Rhei Radix et Rhizoma, 3 qian, sliced and slightly fried). The above herbs are crushed, sifted into powder, mixed with the already-ground ingredients, and further pulverized uniformly. Honey is refined and used to bind the powder; the mixture is pounded three to two hundred times to form pills the size of hemp seeds. Each dose is taken with gruel broth.
Qianhu Wan Formula for treating abdominal pain caused by Pi qi in children: Qianhu (Peucedani Radix, 0.5 liang, radix removed), Chi Shaoyao (Paeoniae Radix Rubra, 0.5 liang), Jiegeng (Platycodonis Radix, 0.5 liang, radix removed), Chi Fuling (Poria Cocos with Red Wood, 0.5 liang), Biejia (Testudinis Carapax et Plastrum, 1 liang, coated with vinegar, roasted until yellow, skirt edges removed). The above herbs are crushed, sifted into powder, and bound with refined honey to form pills the size of mung beans. For a three-year-old child, take five pills dissolved in gruel broth on an empty stomach. Adjust dosage according to the child's age.
Biejia Wan Formula for treating abdominal nodules, hypochondriac Pi masses, and heat sensation in the hands and feet of children: Biejia (Testudinis Carapax et Plastrum, 1 liang, coated with vinegar, roasted until yellow, skirt edges removed), Chuan Dahuang (Rhei Radix et Rhizoma, 0.5 liang, sliced and slightly fried), Chi Fuling (Poria Cocos with Red Wood, 0.5 liang), Qilao (Melandryi Larva, 10 pieces, dried, slightly fried). The above herbs are crushed, sifted into powder, and bound with refined honey to form pills the size of hemp seeds. For children aged two to three, take three pills on an empty stomach with gruel broth, three times daily. Adjust dosage according to the child's age.
Fangkui Wan Formula for treating persistent Pi qi in children: Fangkui (Aristolochiae Radix, 1 liang), Renshen (Ginseng Radix, 0.5 liang), Helile Pi (Pericarpium Terminaliae Chebulae, 0.5 liang), Chuan Dahuang (Rhei Radix et Rhizoma, 3 qian, sliced and slightly fried), Sangyin (likely a typo for Sangbaipi or similar, translated as Mulberry Root Bark ingredient, 0.5 liang), Yuliren (Pruni Semen, 3 qian, soaked in water, skin and tips removed, slightly fried). The above herbs are crushed, sifted into powder, and bound with refined honey to form pills the size of hemp seeds. Each dose consists of five pills taken with warm wine, twice daily. Adjust dosage according to the child's age.
Zishuang Wan Formula for treating undigested food accumulating into Pi qi, causing hypochondriac fullness, shortness of breath, inability to eat, and abdominal distension with hardness: Daizhe Shi (Hematitum, 1 liang, finely ground), Dansha (Cinnabar, 0.5 liang, finely ground and washed with water), Chuan Dahuang (Rhei Radix et Rhizoma, 1 liang, sliced and slightly fried), Muxiang (Aucklandiae Radix, 0.5 liang), Xijiao Xie (Rhinocerotis Cornu, 0.5 liang), Zhishi (Aurantii Fructus Immaturus, 0.5 liang, bran-fried until slightly yellow, pith removed), Qingpi (Citri Reticulatae Pericarpium Viride, 0.5 liang, white pith removed, baked dry). [Note: Original text contains ambiguous terms "paper" and incomplete insect names; translated literally based on source]. The above herbs are crushed, sifted into powder, mixed with pre-ground ingredients, and pulverized uniformly. Bound with refined honey to form pills the size of mung beans. For children over three years old, take on an empty stomach with gruel broth.
Biejia Wan Formula for treating Pi qi with heat in the palms and soles, sallow complexion, anorexia, and progressive emaciation: Biejia (Testudinis Carapax et Plastrum, 1 liang, coated with vinegar, roasted until yellow, skirt edges removed), Chuan Dahuang (Rhei Radix et Rhizoma, 1 liang, sliced and slightly fried), Renshen (Ginseng Radix, 1 fen, radix removed), Chi Fuling (Poria Cocos with Red Wood, 1 fen), Jing Sanleng (Sparganii Rhizoma, 0.5 liang, lightly roasted and sliced). The above herbs are crushed, sifted into powder, and bound with refined honey to form pills the size of mung beans. For a three-year-old child, take five pills dissolved in gruel broth on an empty stomach. Adjust dosage according to the child's age.
Jing Sanleng Wan Formula for treating Pi qi with heat in the palms and soles, spleen and stomach deficiency, anorexia, sallow complexion, and progressive emaciation: Jing Sanleng (Sparganii Rhizoma, 0.5 liang, lightly roasted and sliced), Fangkui (Aristolochiae Radix, 0.5 liang), Muxiang (Aucklandiae Radix, 0.5 liang), Renshen (Ginseng Radix, 0.5 liang, radix removed), Zhiqiao (Aurantii Fructus, 0.5 liang, bran-fried until slightly yellow, pith removed), Yuliren (Pruni Semen, 3 qian, soaked in water, skin and tips removed, slightly fried). The above herbs are crushed, sifted into powder, and bound with refined honey to form pills the size of adzuki beans. Take with gruel broth, dosage adjusted by age, three times daily. For older children, wine may be used for administration.
Jigu Wan Formula for treating emaciation, abdominal Pi qi, hard and full hypochondria, occasional abdominal pain, and failure to gain muscle mass despite eating: Wuji Gu (Gallus Gallus Domesticus Os, 1 piece, soaked in water and roasted until slightly yellow), Chuan Dahuang (Rhei Radix et Rhizoma, 1 liang, sliced and slightly fried), Zhishi (Aurantii Fructus Immaturus, 0.5 liang, bran-fried until slightly yellow), Biejia (Testudinis Carapax et Plastrum, 1 liang, coated with vinegar, roasted until yellow, skirt edges removed), Zexie (Alismatis Rhizoma, 1 liang), Chaihu (Bupleuri Radix, 1 liang, apices removed), Jiegeng (Platycodonis Radix, 1 liang, radix removed), Renshen (Ginseng Radix, 1 liang, radix removed), Chi Shaoyao (Paeoniae Radix Rubra, 1 liang), Huangqin (Scutellariae Radix, 1 liang), Fangkui (Aristolochiae Radix, 3 qian), E chong (Eupolyphaga Seu Steleophaga, 5 pieces, slightly fried until yellow), Xingren (Armeniacae Semen Amarum, 3 qian, soaked in water, skin and tips removed). The above herbs are crushed, sifted into powder, and bound with refined honey to form pills the size of mung beans. For children aged four to five, take ten pills with gruel broth, twice daily. Adjust dosage according to the child's size.
Zhike Wan Formula for treating Pi qi with hypochondriac fullness and mild edema of the hands and feet: Zhike (Aurantii Fructus, 0.5 liang, bran-fried until slightly yellow, pith removed), Chuan Dahuang (Rhei Radix et Rhizoma, 3 qian, sliced and slightly fried), Mudan Pi (Moutan Cortex, 1 fen), Huangbai (Phellodendri Cortex, 0.5 liang, sliced), Guixin (Cinnamomi Ramulus, 1 fen). The above herbs are crushed, sifted into powder, and bound with refined honey to form pills the size of mung beans. Each dose consists of two pills dissolved in warm water, twice daily. Adjust dosage according to the child's age.
Dahuang Wan Formula for treating persistent Pi qi with yellow and thin limbs and occasional abdominal pain: Chuan Dahuang (Rhei Radix et Rhizoma, 3 qian, sliced and slightly fried), Biejia (Testudinis Carapax et Plastrum, 3 qian, coated with vinegar, roasted until yellow, skirt edges removed), Chi Shaoyao (Paeoniae Radix Rubra, 3 qian), Dama Ren (Cannabis Fructus, 3 qian, ground and added). The above herbs are crushed, sifted into powder, and bound with refined honey to form pills the size of mung beans. Each dose consists of five pills dissolved in warm water, twice daily. Adjust dosage according to the child's age.
Helile Wan Formula for treating Pi qi with high fever, emaciation, and refusal of milk and food: Helile Pi (Pericarpium Terminaliae Chebulae, 0.5 liang), Damai (Hordei Fructus Germinatus, 1 fen, roasted until slightly yellow), Chaihu (Bupleuri Radix, 0.5 liang, apices removed), Chuanxiong (Ligustici Chuanxiong Rhizoma, 1 liang), Chuan Dahuang (Rhei Radix et Rhizoma, 0.5 liang, sliced and slightly fried), Chi Fuling (Poria Cocos with Red Wood, 1 fen), Biejia (Testudinis Carapax et Plastrum, 0.5 liang, coated with vinegar, roasted until yellow, skirt edges removed), Zhiqiao (Aurantii Fructus, 1 fen, bran-fried until slightly yellow, pith removed), Guixin (Cinnamomi Ramulus, 1 fen), Chi Shaoyao (Paeoniae Radix Rubra, 0.5 liang), Ganjiang (Zingiberis Rhizoma, 1 fen, processed and sliced), Houpo (Magnoliae Officinalis Cortex, 0.5 liang, coarse bark removed, roasted with ginger juice until fragrant). The above herbs are crushed, sifted into powder, and bound with refined honey to form pills the size of mung beans. Each dose consists of five pills taken with gruel broth, three times daily. Adjust dosage according to the child's age.
Yuanhua Wan Formula for treating hard Pi qi, emaciation, and anorexia: Yuanhua (Genkwa Flos, 0.5 liang, mixed with vinegar and roasted until dry), Xionghuang (Realgar, 1 fen, finely ground), Chuan Dahuang (Rhei Radix et Rhizoma, 0.5 liang, sliced and slightly fried), Biejia (Testudinis Carapax et Plastrum, 0.5 liang, coated with vinegar, roasted until yellow, skirt edges removed). The above herbs are crushed, sifted into powder, and bound with refined honey to form pills the size of millet grains. For a three-year-old child, take three pills with ginger decoction on an empty stomach. Adjust dosage according to the child's age.