夫小儿脚瘃者。是小儿肉嫩。外风冷中于足掌中涌泉穴也。是儿脚上皮肉间。血气与风
邪相
治小儿脚瘃。肿硬疼痛。宜用淋蘸方。
川椒（二两） 盐（一两）
上以清油五升。煎取三升。频频蘸之。候冷即住。其药重暖三五七度用之。
又方。
附子（一两） 干姜（二两）
上件药捣罗为末。入于绵中。装袜与儿着之。
又方。
上用猪脂。日三二度涂之。
夫小儿诸淋者。由肾与膀胱热也。膀胱与肾为表里。俱主于水。水入小肠。下于脬。行
于阴
流于
利。
热
淋
治小儿诸淋。脐下妨闷。心神烦热。石燕丸方。
石燕（细研） 蘧麦 栀子仁 滑石（细研） 木通（锉） 葵子 海蛤（细研以上各
半两）
上件药。捣罗为末。炼蜜和丸。如绿豆大。每服。以葱白汤下七丸。日三四服。量儿大
小。
治小儿诸淋涩。水道中痛。脐下痞满。石苇散方。
石苇（去毛） 葵子 木通（锉） 赤茯苓 车前子 蘧麦 榆白皮（锉以上各半两） 滑
石
（一
上件药。捣粗罗为散。每服一钱。以水一小盏。入葱白五寸。煎至六分。去滓。分为三
（二）
治小儿诸淋涩不通。车前子散方。
车前子 滑石（以上各半两）
上件药。捣细罗为散。每服。以清粥饮调下半钱。日三四服。量儿大小。加减服之。
治小儿诸淋涩。每尿之时。叫啼不出。滑石散方。
滑石（半两） 甘草（一分炙微赤锉） 川朴硝（三分）
上件药。捣细罗为散。每服。以葱白汤调下半钱。日三四服。量儿大小。以意加减。
治小儿诸淋及热结。赤涩不通。木通散方。
木通（一分锉） 桑根白皮（一分锉） 滑石（半两） 冬葵子（一分） 川芒硝（一
分）
上件药。捣细罗为散。每服。以葱白汤调下半钱。日三四服。量儿大小。以意加减。
治小儿诸淋。涩痛不利。石苇散方。
石苇（去毛） 赤芍药 川大黄（锉微炒） 麦门冬（去心焙） 甘草（炙微赤锉） 川
升麻
川朴
上件药。捣粗罗为散。每服一钱。以水一小盏。煎至六分。去滓。不计时候。量儿大小。
分
治小儿诸淋涩。脐下连两膀胱妨闷。及大肠气壅。牵牛子丸方
牵牛子（微炒） 川大黄（锉微炒） 川升麻 郁李仁（汤浸去皮微炒研入） 川朴硝
（以上
各半
上件药。捣罗为末。炼蜜和丸。如绿豆大。每服。以温水研下七丸。日三四服。量儿大
小。
治小儿诸淋涩。心烦闷乱。车前子散方。
车前子 石燕 麦门冬（去心以上各半两）
上件药。捣粗罗为散。每服一钱。以水一小盏。煎至五分。去滓。不计时候。量儿大小。
分
又方。
冬葵子（一两） 蘧麦（半两）
上件药。捣罗为散。每服一钱。以水一小盏。煎至六分。去滓。不计时候。量儿大小。
分减
又方。
露蜂房 乱发（以上各一两）
上件药。都烧为灰。细研为散。每服。以温水调下半钱。日三四服。量儿大小。以意加
减。
又方。
小麦（一合） 葱白（两茎切）
上件药。都以水一大盏。煮取五分。去滓。不计时候。量儿大小。分减温服。
治小儿诸淋。水道中涩痛。榆白皮散方。
榆白皮（锉） 蘧麦（以上各一两）
上件药。捣粗罗为散。每服一钱。以水一小盏。煎至五分。去滓。不计时候。量儿大小。
分
又方。
车前子（一两）
上件药。捣细罗为散。每服一钱。以水一小盏。煎至五分。去滓。不计时候。量儿大小。
分
又方。
冬葵子（一两）
上捣粗罗为散。每服一钱。以水一小盏。煎至五分。去滓。不计时候。量儿大小。分减
温服
又方。
上取腊月猪脂。炼过去滓。每服一栗壳大。用暖酒一合。研搅令匀。空心午间各一服。
更量
又方。\x
上取小豆叶。捣绞取汁。每服一合。量儿大小分减服。
小儿脚瘃（足部冻疮），是因为小儿肌肤娇嫩，外感风寒之邪侵袭足底的涌泉穴所致。病位在脚背皮肤与肌肉之间，气血运行受阻，与风邪相互搏结。治疗小儿脚瘃，若见局部肿胀、坚硬、疼痛，宜使用淋蘸方。
川椒（二两） 盐（一两）
以上药材用清油五升，煎煮至剩余三升。频繁蘸涂患处，待药液冷却即停止。此药性重而温暖，可重复使用三五次或七次。
又一方：
附子（一两） 干姜（二两）
将上述药物捣碎过筛成粉末，装入棉布袋中，做成袜子给患儿穿上。
小儿各类淋证（小便频数短涩、滴沥刺痛、欲出未尽、小腹拘急引痛的一类病证），是由于肾与膀胱有热所致。膀胱与肾互为表里，共同主管水液代谢。水液进入小肠后，下行进入膀胱（脬），在阴器处流动排泄。
治疗小儿各类淋证，症见脐下胀闷不适，心神烦热，宜用石燕丸方。
石燕（细研） 蘧麦 栀子仁 滑石（细研） 木通（锉碎） 葵子 海蛤（细研，以上各半两）
将上述药物捣碎过筛成粉末，用炼蜜调和制成丸药，大小如绿豆。每次服用七丸，用葱白汤送服，每日三四次，根据患儿年龄大小调整剂量。
治疗小儿各类淋证涩滞，尿道中疼痛，脐下痞满，宜用石苇散方。
石苇（去毛） 葵子 木通（锉碎） 赤茯苓 车前子 蘧麦 榆白皮（锉碎，以上各半两） 滑石（一两）
将上述药物捣粗罗成散剂。每次服用一钱，用水一小盏，加入葱白五寸，煎煮至剩余六分，去渣，分三次温服。
治疗小儿各类淋证涩滞不通，宜用车前子散方。
车前子 滑石（以上各半两）
将上述药物捣细罗成散剂。每次服用半钱，用清粥饮调服，每日三四次，根据患儿年龄大小加减服用。
治疗小儿各类淋证涩滞，每次排尿时，因疼痛叫喊却发不出声音，宜用滑石散方。
滑石（半两） 甘草（一分，炙微赤，锉碎） 川朴硝（三分）
将上述药物捣细罗成散剂。每次服用半钱，用葱白汤调服，每日三四次，根据患儿年龄大小，酌情加减。
治疗小儿各类淋证及热结，小便红赤涩滞不通，宜用木通散方。
木通（一分，锉碎） 桑根白皮（一分，锉碎） 滑石（半两） 冬葵子（一分） 川芒硝（一分）
将上述药物捣细罗成散剂。每次服用半钱，用葱白汤调服，每日三四次，根据患儿年龄大小，酌情加减。
治疗小儿各类淋证，涩痛不利，宜用石苇散方。
石苇（去毛） 赤芍药 川大黄（锉碎，微炒） 麦门冬（去心焙干） 甘草（炙微赤，锉碎） 川升麻 川朴硝
将上述药物捣粗罗成散剂。每次服用一钱，用水一小盏，煎煮至剩余六分，去渣，不拘时候服用，根据患儿年龄大小分次服用。
治疗小儿各类淋证涩滞，脐下牵连两侧膀胱胀闷不适，以及大肠气机壅滞，宜用牵牛子丸方。
牵牛子（微炒） 川大黄（锉碎，微炒） 川升麻 郁李仁（汤浸去皮，微炒，研入） 川朴硝（以上各半两）
将上述药物捣碎过筛成粉末，用炼蜜调和制成丸药，大小如绿豆。每次服用七丸，用温水化开送服，每日三四次，根据患儿年龄大小调整剂量。
治疗小儿各类淋证涩滞，心烦闷乱，宜用车前子散方。
车前子 石燕 麦门冬（去心，以上各半两）
将上述药物捣粗罗成散剂。每次服用一钱，用水一小盏，煎煮至剩余五分，去渣，不拘时候服用，根据患儿年龄大小分次服用。
又一方：
冬葵子（一两） 蘧麦（半两）
将上述药物捣碎过筛成散剂。每次服用一钱，用水一小盏，煎煮至剩余六分，去渣，不拘时候服用，根据患儿年龄大小分次减量服用。
又一方：
露蜂房 乱发（以上各一两）
将上述药物全部烧成灰，细研成散剂。每次服用半钱，用温水调服，每日三四次，根据患儿年龄大小，酌情加减。
又一方：
小麦（一合） 葱白（两茎，切碎）
将上述药物都用水一大盏，煮取剩余五分，去渣，不拘时候服用，根据患儿年龄大小分次温服。
治疗小儿各类淋证，尿道中涩痛，宜用榆白皮散方。
榆白皮（锉碎） 蘧麦（以上各一两）
将上述药物捣粗罗成散剂。每次服用一钱，用水一小盏，煎煮至剩余五分，去渣，不拘时候服用，根据患儿年龄大小分次服用。
又一方：
车前子（一两）
将上述药物捣细罗成散剂。每次服用一钱，用水一小盏，煎煮至剩余五分，去渣，不拘时候服用，根据患儿年龄大小分次服用。
又一方：
冬葵子（一两）
将上述药物捣粗罗成散剂。每次服用一钱，用水一小盏，煎煮至剩余五分，去渣，不拘时候服用，根据患儿年龄大小分次减量温服。
又一方：
取腊月猪脂，炼制去渣。每次服用栗子壳大小一块，用暖酒一合，研磨搅匀。空腹及午间各服一次，再根据情况调整。
又一方：
取小豆叶，捣碎绞取汁液。每次服用一合，根据患儿年龄大小分次减量服用。
Pediatric frostbite of the feet (Jiaozhe) is caused by the child's tender skin and flesh, where external wind-cold pathogens invade the Yongquan acupoint (KI1, Springing Well) on the sole of the foot. The pathology lies between the skin and muscles of the dorsal foot, where blood and qi stagnate and interact with wind pathogens. To treat pediatric frostbite of the feet characterized by swelling, hardness, and pain, the Linzhan Decoction (Linzhan Fang) should be used.
Sichuan Pepper (Chuanjiao, 2 liang), Salt (Yan, 1 liang).
Boil these ingredients in 5 sheng of clear oil until reduced to 3 sheng. Frequently dip or apply the warm oil to the affected area; stop when the medicine cools. This heavy and warming medicine can be reused three to five or seven times.
Another prescription:
Aconite Root (Fuzi, 1 liang), Dried Ginger (Ganjiang, 2 liang).
Pulverize the above herbs through a sieve, place them in a cotton bag, and fashion them into socks for the child to wear.
Another prescription:
Apply lard (Zhizhi) three to two times daily.
Various forms of strangury (Zhu Lin) in children are caused by heat in the Kidney and Bladder. The Bladder and Kidney are exterior-interior paired organs, both governing water metabolism. Water enters the Small Intestine, descends into the bladder (Paofang), and flows out through the genitalia.
To treat various forms of strangury in children presenting with oppression and stuffiness below the umbilicus, and mental restlessness with heat, use Shiyan Wan (Shiyan Pill).
Stone Swallow (Shiyan, finely ground), Buckwheat (Qumai), Gardenia Seed (Zhizi Ren), Talcum (Huashi, finely ground), Akebia Stem (Mutong, sliced), Okra Seeds (Kuizi), Clam Shell (Haige, finely ground; each 0.5 liang).
Pulverize the above herbs through a sieve, mix with refined honey to form pills the size of mung beans. Administer seven pills per dose, taken down with Scallion White Decoction (Congbai Tang), three to four times daily. Adjust dosage according to the child's age.
To treat pediatric strangury with dysuria, pain in the urinary tract, and fullness below the umbilicus, use Shiwei San (Shiwei Powder).
Leaves of Pyrus Malus (Shiwei, de-haired), Okra Seeds (Kuizi), Akebia Stem (Mutong, sliced), Red Poria (Chi Fuling), Plantago Seeds (Cheqianzi), Buckwheat (Qumai), Ulmus Bark (Yubai Pi, sliced; each 0.5 liang), Talcum (Huashi, 1 liang).
Coarsely pulverize the above herbs into a powder. Take one qian per dose, decocted with one small cup of water and five cun of Scallion White (Congbai) until reduced to six-tenths. Strain and divide into three doses.
To treat pediatric strangury with obstruction and difficulty in urination, use Cheqianzi San (Plantago Seed Powder).
Plantago Seeds (Cheqianzi), Talcum (Huashi; each 0.5 liang).
Finely pulverize the above herbs through a sieve. Take half a qian per dose, mixed with clear rice gruel drink, three to four times daily. Adjust dosage according to the child's age.
To treat pediatric strangury with dysuria, where the child cries out but cannot vocalize during urination due to pain, use Huashi San (Talcum Powder).
Talcum (Huashi, 0.5 liang), Licorice Root (Gancao, 1 fen, roasted until slightly red and sliced), Sichuan Mirabilite (Chuan Pu Xiao, 3 fen).
Finely pulverize the above herbs through a sieve. Take half a qian per dose, mixed with Scallion White Decoction (Congbai Tang), three to four times daily. Adjust dosage according to the child's age as appropriate.
To treat pediatric strangury and heat accumulation with red, scanty, and obstructed urination, use Mutong San (Akebia Stem Powder).
Akebia Stem (Mutong, 1 fen, sliced), Mulberry Root Bark (Sanggen Baipi, 1 fen, sliced), Talcum (Huashi, 0.5 liang), Winter Okra Seeds (Dong Kuizi, 1 fen), Sichuan Glauber Salt (Chuan Mang Xiao, 1 fen).
Finely pulverize the above herbs through a sieve. Take half a qian per dose, mixed with Scallion White Decoction (Congbai Tang), three to four times daily. Adjust dosage according to the child's age as appropriate.
To treat pediatric strangury with dysuria and difficult urination, use Shiwei San (Shiwei Powder).
Leaves of Pyrus Malus (Shiwei, de-haired), Red Peony Root (Chi Shaoyao), Rhubarb (Chuan Dahuang, sliced and lightly stir-fried), Ophiopogon Tuber (Maidong, heart removed and baked), Licorice Root (Gancao, roasted until slightly red and sliced), Cimicifuga Rhizome (Chuan Shengma), Sichuan Mirabilite (Chuan Pu Xiao).
Coarsely pulverize the above herbs into a powder. Take one qian per dose, decocted with one small cup of water until reduced to six-tenths. Strain and take at any time, dividing the dose according to the child's age.
To treat pediatric strangury with dysuria, oppression below the umbilicus extending to both sides of the bladder, and qi stagnation in the Large Intestine, use Qianniuzi Wan (Qianniu Pill).
Pharbitis Seeds (Qianniuzi, lightly stir-fried), Rhubarb (Chuan Dahuang, sliced and lightly stir-fried), Cimicifuga Rhizome (Chuan Shengma), Prunus Semen (Yuli Ren, soaked in water, skin removed, lightly stir-fried and pounded), Sichuan Mirabilite (Chuan Pu Xiao; each 0.5 liang).
Pulverize the above herbs through a sieve, mix with refined honey to form pills the size of mung beans. Administer seven pills per dose, dissolved in warm water, three to four times daily. Adjust dosage according to the child's age.
To treat pediatric strangury with dysuria, mental restlessness and confusion, use Cheqianzi San (Plantago Seed Powder).
Plantago Seeds (Cheqianzi), Stone Swallow (Shiyan), Ophiopogon Tuber (Maidong, heart removed; each 0.5 liang).
Coarsely pulverize the above herbs into a powder. Take one qian per dose, decocted with one small cup of water until reduced to five-tenths. Strain and take at any time, dividing the dose according to the child's age.
Another prescription:
Winter Okra Seeds (Dong Kuizi, 1 liang), Buckwheat (Qumai, 0.5 liang).
Pulverize the above herbs through a sieve. Take one qian per dose, decocted with one small cup of water until reduced to six-tenths. Strain and take at any time, reducing the dose according to the child's age.
Another prescription:
Honeycomb (Lufengfang), Tangled Hair (Luansha; each 1 liang).
Burn the above herbs to ash, grind finely into a powder. Take half a qian per dose, mixed with warm water, three to four times daily. Adjust dosage according to the child's age as appropriate.
Another prescription:
Wheat (Xiaomai, 1 he), Scallion White (Congbai, two stalks, chopped).
Decoct the above ingredients in one large cup of water until reduced to five-tenths. Strain and take warm at any time, dividing the dose according to the child's age.
To treat pediatric strangury with dysuria and pain in the urinary tract, use Yubai Pi San (Ulmus Bark Powder).
Ulmus Bark (Yubai Pi, sliced), Buckwheat (Qumai; each 1 liang).
Coarsely pulverize the above herbs into a powder. Take one qian per dose, decocted with one small cup of water until reduced to five-tenths. Strain and take at any time, dividing the dose according to the child's age.
Another prescription:
Plantago Seeds (Cheqianzi, 1 liang).
Finely pulverize the above herbs through a sieve. Take one qian per dose, decocted with one small cup of water until reduced to five-tenths. Strain and take at any time, dividing the dose according to the child's age.
Another prescription:
Winter Okra Seeds (Dong Kuizi, 1 liang).
Coarsely pulverize the above herbs into a powder. Take one qian per dose, decocted with one small cup of water until reduced to five-tenths. Strain and take warm at any time, reducing the dose according to the child's age.
Another prescription:
Take lard from the twelfth lunar month, refine and strain. Take an amount the size of a walnut shell per dose, dissolve in one he of warm wine, stirring well. Take once on an empty stomach and once at noon, adjusting as necessary.
Another prescription:
Take leaves of Vigna angularis (Xiaodou Ye), crush and squeeze to extract juice. Take one he per dose, reducing the amount according to the child's age.