夫腹痛者，多因邪正交攻，与脏气相击而作也。挟热而痛者，必面赤或壮热四肢烦，手足心热见之。挟冷而痛者，
必面色或白或青，手足冷者见之。冷甚而变症，则面黯唇口俱黑，爪甲皆青矣。热症四顺清凉饮加青皮、枳壳，冷症七
气汤加辣桂，调苏合香丸，若邪正交攻，冷热不调，桔梗枳壳汤加青皮、陈皮、木香、当归为妙，若内吊等症则钩藤饮，
其余则芍药甘草汤为要药也。实痛有热者，大柴胡汤主之，心腹痛甚有实热者，大承气汤下之，腹痛桂枝加芍药，
痛甚桂枝加大黄也。
四顺清凉饮 治小儿血脉壅实，脏腑生热，颊赤多渴，五心烦躁，睡卧不安，四肢惊掣，及因乳哺不时，寒温
失度，令儿血气不顺，肠胃不调，小便少，大便涩，或温壮连滞，欲成伏热，或壮热不歇，欲发惊痫。又治风热结核，
头面疮疖，目赤咽痛，疮疹毒，一切壅滞，并宜服之。治挟热泻不止，加木香、大黄。
赤芍药 当归 甘草 大黄（各等分）
上锉散，三岁以上，每服二钱，水一盏，煎至七分，作两服。欲利小便，用赤芍药，虚热加甘草，不利减大黄，冒
风邪，加去节麻黄，中风体强，眼睛上视，加独活，量儿大小虚实加减，微溏利为度，可加荆芥。更四十问内有加味清
凉饮子，可详症通用。
七气汤 治七气所伤，痰涎结聚，心腹亦痛，不能饮食。
半夏（制、五两） 人参 辣桂（各二两） 甘草（半两）
上锉细，每服三钱，水大盏，姜五片，枣一枚，煎六分，食前服。
指迷七气汤 治七情相干，阴阳不升降，气道壅滞，攻冲作疼。
青皮 陈皮 桔梗 莪术 辣桂 益智仁（各一两） 香附子（一两半） 甘草 半夏（制、各七钱半）
上锉细，每服三钱，水一盏，姜四片，枣一枚，煎至七分，不拘时服。
异香散 治小儿诸般吊症，角弓反张，胸高脐凸。
用透明没药一味为末，姜汤调下一钱匕。
桔梗枳壳汤 治诸气，痞结满闷，腹胁疼痛。
枳壳（炒） 桔梗（各二两） 甘草（半两、炙）
上锉散，每服四钱，水一盏，姜五片，煎至半盏服。
钩藤饮 见第二十一问。
芍药甘草汤 治出疹，肚疼腹满，小便不通。
芍药（一两） 甘草（二钱半）
上锉散，每服三钱，水一盏，煎至七分，不拘时服。
大柴胡汤 治伤寒十余日，邪气结在里，往来寒热，大便秘涩。腹满胀痛谵语，心中痞硬，饮食不下，或不大
便五六日，绕脐刺痛，时发烦躁。及汗后如疟，日晚发热，兼脏腑实，脉有力者可服。
柴胡（去芦、八钱） 黄芩 赤芍药（各三钱） 枳实（去瓤、麸炒一钱） 半夏（汤泡七次、切片焙干、一钱半）
上锉散，姜三片，枣二枚，水一盏，煎七分，加减服之。欲下加大黄半两。
桂枝加芍药汤 见第五十三问。
大承气汤 见第二十九问。
桂枝加大黄汤 见第五十三问。
腹痛，多因邪气与正气相互交攻，并与脏腑之气相搏击而引发。伴有热象的腹痛，必然出现面色发红或高热、四肢烦扰不适，手心脚心发热的症状。伴有寒象的腹痛，必然出现面色苍白或青灰，手足冰冷的症状。若寒邪极盛并发生变证，则见面色晦暗、嘴唇和口唇发黑，指甲全部发青。对于热证，使用四顺清凉饮加青皮、枳壳；对于冷证，使用七气汤加辣桂（肉桂），并调服苏合香丸。如果邪正交攻，冷热不调，使用桔梗枳壳汤加青皮、陈皮、木香、当归最为巧妙。如果是内吊等病症，则使用钩藤饮。其余情况，芍药甘草汤是主要药物。实证且有热象的腹痛，以大柴胡汤主治；心腹疼痛剧烈且有实热者，用大承气汤攻下。腹痛可用桂枝加芍药汤，疼痛剧烈者用桂枝加大黄汤。
四顺清凉饮：治疗小儿血脉壅滞实证，脏腑产生热邪，脸颊发红且多口渴，五心烦热烦躁，睡眠卧不安稳，四肢惊厥抽搐。以及因哺乳喂养不定时，寒温失度，导致小儿气血不顺，肠胃不调，小便量少，大便涩滞，或者温热壮热连绵不断，欲形成伏热，或者壮热不停歇，欲发作惊痫。又治疗风热引起的结核，头面部疮疖，眼睛红赤咽喉疼痛，疮疹毒邪，一切壅滞症状，都适宜服用。治疗伴有热象的腹泻不止，加木香、大黄。
药材：赤芍药、当归、甘草、大黄（各等分）。
制法用法：切碎成散剂，三岁以上儿童，每次服用二钱，用水一盏，煎至七分，分两次服用。想要通利小便，用赤芍药；虚热加甘草；不利小便则减少大黄；冒受风邪，加去节麻黄；中风身体强直，眼睛上视，加独活。根据儿童大小虚实加减用量，以轻微溏泄为限度，可加荆芥。另外第四十问内有加味清凉饮子，可根据具体症状通用。
七气汤：治疗七情之气所伤，痰涎结聚，心腹部疼痛，不能饮食。
药材：半夏（制、五两）、人参、辣桂（各二两）、甘草（半两）。
制法用法：切碎细末，每次服用三钱，用水一大盏，生姜五片，大枣一枚，煎至六分，饭前服用。
指迷七气汤：治疗七情相互干扰，阴阳升降失常，气道壅滞，攻冲作痛。
药材：青皮、陈皮、桔梗、莪术、辣桂、益智仁（各一两）、香附子（一两半）、甘草、半夏（制、各七钱半）。
制法用法：切碎细末，每次服用三钱，用水一盏，生姜四片，大枣一枚，煎至七分，不拘时间服用。
异香散：治疗小儿各种内吊病症，角弓反张，胸部高耸肚脐凸起。
用法：只用透明没药一味研为粉末，姜汤调服一钱匕。
桔梗枳壳汤：治疗各种气机阻滞，痞结满闷，腹胁疼痛。
药材：枳壳（炒）、桔梗（各二两）、甘草（半两、炙）。
制法用法：切碎成散剂，每次服用四钱，用水一盏，生姜五片，煎至半盏服用。
钩藤饮：见第二十一问。
芍药甘草汤：治疗出疹期间，肚子疼腹部胀满，小便不通。
药材：芍药（一两）、甘草（二钱半）。
制法用法：切碎成散剂，每次服用三钱，用水一盏，煎至七分，不拘时间服用。
大柴胡汤：治疗伤寒十余日，邪气结在体内，往来寒热，大便秘涩。腹部胀满疼痛谵语，心中痞硬，饮食不下，或者五六天不大便，绕脐刺痛，时常发作烦躁。以及发汗后像疟疾一样，傍晚发热，兼有脏腑实证，脉有力者可服用。
药材：柴胡（去芦、八钱）、黄芩、赤芍药（各三钱）、枳实（去瓤、麸炒一钱）、半夏（汤泡七次、切片焙干、一钱半）。
制法用法：切碎成散剂，生姜三片，大枣二枚，用水一盏，煎至七分，加减服用。想要攻下加大黄半两。
桂枝加芍药汤：见第五十三问。
大承气汤：见第二十九问。
桂枝加大黄汤：见第五十三问。
Abdominal pain is mostly caused by the mutual conflict between pathogenic factors and healthy qi, and the striking against the qi of the zang-fu organs. Abdominal pain accompanied by heat must present with a red face or high fever, restlessness in the four limbs, and heat in the palms and soles. Abdominal pain accompanied by cold must present with a pale or bluish complexion, and cold hands and feet. If the cold is severe and transforms into other symptoms, the face becomes dark, lips and mouth turn black, and all fingernails become blue. For heat syndromes, Sishun Qingliang Yin (Four-Compliance Cooling Decoction) added with Qingpi (Green Tangerine Peel) and Zhike (Bitter Orange) is used; for cold syndromes, Qiqi Tang (Seven-Qi Decoction) added with Lagui (Cinnamon Twig) is used, along with Suhe Xiang Wan (Styrax Pill). If pathogenic factors and healthy qi conflict, and cold and heat are unbalanced, Jiegeng Zhike Tang (Platycodon and Bitter Orange Decoction) added with Qingpi, Chenpi (Aged Tangerine Peel), Muxiang (Aucklandia Root), and Danggui (Angelica Sinensis) is most effective. For internal suspension syndromes, Gouteng Yin (Uncaria Decoction) is used. For other cases, Shaoyao Gancao Tang (Peony and Licorice Decoction) is the essential medicine. For excess pain with heat, Dachaihu Tang (Major Bupleurum Decoction) is the primary treatment. For severe heart and abdominal pain with excess heat, Dachengqi Tang (Major Order the Qi Decoction) is used to purge. For abdominal pain, Guizhi Ji Shaoyao Tang (Cinnamon Twig Decoction Modified with Peony) is used; for severe pain, Guizhi Jia Dahuang Tang (Cinnamon Twig Decoction Added with Rhubarb) is used.
Sishun Qingliang Yin (Four-Compliance Cooling Decoction): Treats pediatric blood vessel congestion and excess, heat generated in the zang-fu organs, red cheeks with excessive thirst, five-palm heat with irritability, restless sleep, and convulsions of the four limbs. It also treats conditions caused by irregular feeding and improper temperature regulation, leading to disordered blood and qi, unregulated intestines and stomach, scanty urination, and constipation. It addresses lingering warm-fever or continuous high fever that may lead to latent heat, or unremitting high fever that may develop into convulsive epilepsy. It also treats phlegm-heat nodules, boils on the head and face, red eyes and sore throat, toxic rashes, and all types of stagnation. For diarrhea with heat that does not stop, add Muxiang (Aucklandia Root) and Dahuang (Rhubarb).
Ingredients: Chishaoyao (Red Peony Root), Danggui (Angelica Sinensis), Gancao (Licorice Root), Dahuang (Rhubarb) (equal parts).
Preparation and Administration: Crush into a powder. For children over three years old, take 2 qian per dose, decoct with one cup of water until reduced to 0.7 cups, divided into two doses. To promote diuresis, use Chishaoyao; for deficiency-heat, add Gancao; if urination is difficult, reduce Dahuang; for wind-pathogen invasion, add Mahuang (Ephedra Stem) without joints; for wind-stroke with body stiffness and upward gaze, add Duhuo (Angelica Pubescens). Adjust dosage according to the child's age and deficiency/excess status, aiming for slight loose stools. Jingjie (Schizonepeta) can be added. Refer to the modified Qingliang Yinzi in Question 40 for general application based on symptoms.
Qiqi Tang (Seven-Qi Decoction): Treats injury from the seven emotions, accumulation of phlegm and saliva, pain in the heart and abdomen, and inability to eat.
Ingredients: Banxia (Pinellia Tuber, processed, 5 liang), Renshen (Ginseng Root), Lagui (Cinnamon Twig) (each 2 liang), Gancao (Licorice Root) (0.5 liang).
Preparation and Administration: Cut finely. Take 3 qian per dose, decoct with one large cup of water, 5 slices of Shengjiang (Fresh Ginger), and one Zao (Jujube Fruit) until reduced to 0.6 cups. Take before meals.
Zhimí Qiqi Tang (Enlightening Seven-Qi Decoction): Treats interference among the seven emotions, failure of yin and yang to ascend and descend, obstruction of the qi pathway, and attacking pain.
Ingredients: Qingpi (Green Tangerine Peel), Chenpi (Aged Tangerine Peel), Jiegeng (Platycodon Root), Ezhu (Curcuma Rhizome), Lagui (Cinnamon Twig), Yizhiren (Alpinia Oxyphylla Fruit) (each 1 liang), Xiangfuzi (Cyperus Rhizome) (1.5 liang), Gancao (Licorice Root), Banxia (Pinellia Tuber, processed) (each 0.75 qian).
Preparation and Administration: Cut finely. Take 3 qian per dose, decoct with one cup of water, 4 slices of Shengjiang (Fresh Ginger), and one Zao (Jujube Fruit) until reduced to 0.7 cups. Take at any time.
Yixiang San (Fragrant Powder): Treats various pediatric internal suspension syndromes, opisthotonos, chest elevation, and umbilical protrusion.
Usage: Use only Touming Moyao (Transparent Myrrh), grind into powder, and mix with 1 qian bi using ginger soup for administration.
Jiegeng Zhike Tang (Platycodon and Bitter Orange Decoction): Treats various qi disorders,痞结 (plugging and knotting), fullness and oppression, and abdominal and hypochondriac pain.
Ingredients: Zhike (Bitter Orange, stir-fried), Jiegeng (Platycodon Root) (each 2 liang), Gancao (Licorice Root, honey-fried) (0.5 liang).
Preparation and Administration: Crush into a powder. Take 4 qian per dose, decoct with one cup of water and 5 slices of Shengjiang (Fresh Ginger) until reduced to half a cup. Take as directed.
Gouteng Yin (Uncaria Decoction): See Question 21.
Shaoyao Gancao Tang (Peony and Licorice Decoction): Treats abdominal pain and distension during rash eruption, and urinary retention.
Ingredients: Shaoyao (Peony Root) (1 liang), Gancao (Licorice Root) (0.25 qian).
Preparation and Administration: Crush into a powder. Take 3 qian per dose, decoct with one cup of water until reduced to 0.7 cups. Take at any time.
Dachaihu Tang (Major Bupleurum Decoction): Treats cold damage after ten-plus days where pathogenic factors are bound internally, alternating chills and fever, and dry stool. It addresses abdominal fullness and pain with delirium, epigastric plugging and hardness, inability to eat, or constipation for five to six days with stabbing pain around the navel and occasional irritability. It is also suitable for post-sweating malaria-like symptoms, evening fever, combined with zang-fu excess and a forceful pulse.
Ingredients: Chaihu (Bupleurum Root, remove radicles, 8 qian), Huangqin (Scutellaria Root), Chishaoyao (Red Peony Root) (each 3 qian), Zhishi (Immature Bitter Orange, remove pith, bran-fried, 1 qian), Banxia (Pinellia Tuber, soaked in boiling water seven times, sliced and dried, 1.5 qian).
Preparation and Administration: Crush into a powder. Add 3 slices of Shengjiang (Fresh Ginger) and 2 Zao (Jujube Fruit), decoct with one cup of water until reduced to 0.7 cups. Modify and take as needed. To purge, add Dahuang (Rhubarb) 0.5 liang.
Guizhi Jia Shaoyao Tang (Cinnamon Twig Decoction Modified with Peony): See Question 53.
Dachengqi Tang (Major Order the Qi Decoction): See Question 29.
Guizhi Jia Dahuang Tang (Cinnamon Twig Decoction Added with Rhubarb): See Question 53.