小儿发痧。有阴有阳。阴痧则腹痛而手足冷。阳痧则腹痛而手足温。
或其症似寒非寒。似热非热。四肢懈怠。饮食不思。容颜惨楚。为症不一。俗呼为痧病。
非痧也。多由感冒风寒而耍水伤湿得之。其治之法。宜用热水蘸搭臂膊。将苎麻频频刮之。
候红色出为度。甚者宜以针刺十指背。近其爪处一分许。可先将儿两手自臂捋下。血聚指头
方
血气通畅而已矣。
一论小儿搅肠痧。心腹腰诸痛。用
火龙丹
雄黄 焰硝（各二钱）
共研细末。每用簪挑些点眼角尖。男左女右。立愈。
神仙万亿丸
朱砂 巴豆（去壳） 寒食面
上先将朱砂研烂。即将巴豆同研极细。却以寒食面好酒打成糕。入药中。仍同研百余下
再揉和为丸。如黍米大。所服不过三五七丸而已。看虚实加减。照后引下。
一感冒风寒。姜葱汤下。出汗。一内伤饮食。清茶下。
一心痛。艾叶煎汤。入醋少许送下。一伏暑热。冷水送下。
一心膨气胀。淡姜汤送下。一霍乱吐泻。姜汤下。
一痢疾。空心。茶清下。一肚腹痛。热茶送下。
一疟疾。姜汤下。一急慢惊。薄荷汤送下。
一切杂症。茶清下。
太乙混元丹
紫河车（晒干三钱） 白梅花（三钱） 辰砂（一两甘草一两水煮半日去甘草） 滑石（六两
用牡
丹皮二两水煎去丹皮煮水干为度） 香附米（一两蜜水煮透） 粉草（二两） 甘松（四钱） 莪
术（火 三钱） 砂仁（去皮三钱） 益智（去壳六钱） 山药（姜汁炒二钱半） 人参（去芦一钱）
黄 （蜜炙一钱） 白茯苓（三钱） 白茯神（去皮木二钱半） 远志（甘草泡去心一钱半） 桔
梗（去芦一钱） 木香（一钱） 麝香（三分） 牛黄（二分） 天竺黄（一钱） 一方。无混元衣、
梅花。
上共为细末。炼蜜为丸。如龙眼大。金箔为衣。每服量大小加减。小儿大人妇女诸病。
并皆治之。
一中风痰厥。不省人事。姜汤研下。一伤寒夹惊发热。姜葱汤研下。宜出汗。
一停食呕吐腹胀。大便酸臭。姜汤下。一霍乱。紫苏、木瓜汤下。泄泻。米汤下。
一赤白痢。陈仓米汤下。一咳嗽喘急。麻黄、杏仁汤下。
一积聚腹痛。姜汤下。一虫痛。苦楝根汤下。
一疝气偏坠。大小茴香汤下。一夜啼不止。灯草灰汤下。
一急惊搐搦。薄荷汤下。一慢惊。人参、白术汤下
一大便下血。槐花、陈仓米汤下。
一小便不通。车前子汤下。
一夜出盗汗。浮小麦汤下。一发热。金钱薄荷汤下。
一痘疹不出。升麻汤下。一中暑烦渴。灯心汤下。
一疳热身瘦肚大。手足细。或淋或泻。或肿或胀。或喘或嗽。陈仓米汤下。
一论小儿诸病。有余壮盛者。宜服万亿丸。小儿诸病不足虚弱者。宜服
雄黄解毒丸
雄黄（二钱半） 郁金（二钱半） 巴豆（二十四个去油）
上为末。醋煮糊为丸。如绿豆大。每服七丸。热茶清吞下。
一中风卒然倒仆。牙关紧急。弓角反张。不省人事。茶清吞下。
一小儿急惊风痰热等症。加牛黄五分。硼砂一钱。水糊丸。薄荷汤下。
一缠喉风。急喉闭。每七丸。研化。以热水研白梅花调下。或热茶下。即苏。热则流通
之意。缠喉风卒死。心头犹温者。灌下即苏。
一疟疾中有癖。用沉香磨水。泄下黑血如泥。极臭。立效。一诸积下利。煎五苓散下之
一疔疮。加全蝎一钱。皂角一钱。麝香少许。滴水丸。每服二十丸。茶下。若始不觉是
疔疮
不曾发汗。过数日方知。则寒热体痛皆罢。毒瓦斯入里。须用利药。使内中毒瓦斯下泄。此药
主之。
一瘰 疮。加斑蝥七个。去翅足。糯米炒。冷茶下。一切热毒壅盛。又能取积消食下
热。茶下。
小儿发痧，有阴证和阳证之分。阴痧表现为腹痛且手足冰冷；阳痧表现为腹痛且手足温暖。
有的症状看似寒证而非寒证，看似热证而非热证，四肢倦怠无力，不想饮食，面色凄惨痛苦，病症表现不一，俗称为痧病。
其实并非真正的痧病，多由感冒风寒以及玩水受湿所致。治疗的方法，宜用热水浸湿布巾搭在手臂上，用苎麻频繁地刮拭皮肤。
等到皮肤出现红色痧点为止。病情严重的，适宜用针刺十指手背，靠近指甲边缘约一分处。可以先将孩子的手臂从肘部向手部捋顺，使血液聚集到指尖，这样气血就能通畅了。
关于小儿绞肠痧（心腹腰部剧烈疼痛），使用火龙丹。
配方：雄黄、焰硝（各二钱）。
共同研磨成细末。每次用簪子挑取少许药末点涂在眼角尖端，男性左眼，女性右眼，立即痊愈。
神仙万亿丸
配方：朱砂、巴豆（去壳）、寒食面。
先将朱砂研磨烂，再将巴豆与朱砂一同研磨至极细。然后用寒食面和好酒调制成糕状，加入药粉中，继续研磨一百多次。
再揉合制成丸剂，大小如黍米。服用量不过三五七粒即可。根据患者虚实情况加减剂量，并参照以下引经药送服。
若因感冒风寒引起，用姜葱汤送服，以出汗为度。
若因内伤饮食引起，用清茶送服。
若有心痛，用艾叶煎汤，加少许醋送服。
若有伏暑热邪，用冷水送服。
若有心膨气胀，用淡姜汤送服。
若有霍乱吐泻，用姜汤送服。
若有痢疾，空腹时，用清茶送服。
若有肚腹痛，用热茶送服。
若有疟疾，用姜汤送服。
若有急慢惊风，用薄荷汤送服。
若有一切杂症，用清茶送服。
太乙混元丹
配方：紫河车（晒干三钱）、白梅花（三钱）、辰砂（一两，用甘草一两水煮半日，去甘草）、滑石（六两，用牡丹皮二两水煎至丹皮煮干为度，去丹皮）、香附米（一两，蜜水煮透）、粉草（二两）、甘松（四钱）、莪术（火煨三钱）、砂仁（去皮三钱）、益智（去壳六钱）、山药（姜汁炒二钱半）、人参（去芦头一钱）、黄芪（蜜炙一钱）、白茯苓（三钱）、白茯神（去皮木二钱半）、远志（甘草水泡去心一钱半）、桔梗（去芦头一钱）、木香（一钱）、麝香（三分）、牛黄（二分）、天竺黄（一钱）。另一版本方无混元衣、梅花。
以上药物共同研磨成细末，用炼蜜制成丸剂，大小如龙眼核，外用金箔包裹作为衣层。每次服用量根据年龄大小加减。小儿、成人、妇女的各种疾病，均可治疗。
若患中风痰厥，人事不省，用姜汤研化后送服。
若患伤寒夹惊发热，用姜葱汤研化后送服，宜令其出汗。
若有停食呕吐腹胀，大便酸臭，用姜汤送服。
若有霍乱，用紫苏、木瓜汤送服；若有泄泻，用米汤送服。
若有赤白痢，用陈仓米汤送服。
若有咳嗽喘急，用麻黄、杏仁汤送服。
若有积聚腹痛，用姜汤送服。
若有虫痛，用苦楝根汤送服。
若有疝气偏坠，用大小茴香汤送服。
若有一夜啼哭不止，用灯草灰汤送服。
若有急惊搐搦，用薄荷汤送服。
若有慢惊，用人参、白术汤送服。
若有大便下血，用槐花、陈仓米汤送服。
若有小便不通，用车前子汤送服。
若有夜间盗汗，用浮小麦汤送服。
若有发热，用金钱薄荷汤送服。
若有痘疹不出，用升麻汤送服。
若有中署烦渴，用灯心汤送服。
若有疳热身瘦肚大，手足细小，或淋沥或泄泻，或肿胀或气胀，或气喘或咳嗽，用陈仓米汤送服。
论述小儿各种疾病，体质有余壮盛者，适宜服用万亿丸。小儿各种疾病体质不足虚弱者，适宜服用雄黄解毒丸。
配方：雄黄（二钱半）、郁金（二钱半）、巴豆（二十四个，去油）。
以上药物研成粉末，用醋煮糊制成丸剂，大小如绿豆。每次服用七丸，用热茶清吞服。
若患中风突然倒仆，牙关紧急，身体角弓反张，人事不省，用茶清吞服。
若患小儿急惊风痰热等症，加牛黄五分、硼砂一钱，用水糊制成丸剂，用薄荷汤送服。
若患缠喉风、急喉闭，每次七丸，研化后用热水调和白梅花送下，或用热茶送下，即刻苏醒。这是利用热则流通的道理。若患缠喉风猝死，但心头尚温者，灌服此药即刻苏醒。
若患疟疾中有癖块，用沉香磨水送服，可排出黑血如泥，气味极臭，立即见效。
若患诸积下利，煎五苓散送服。
若患疔疮，加全蝎一钱、皂角一钱、麝香少许，滴水制成丸剂。每次服用二十丸，用茶送服。如果起初未察觉是疔疮，未曾发汗，过了数天才知道，此时寒热体痛都已停止，毒瓦斯入里，必须使用通利药物，使体内中毒瓦斯排泄出去，此药主治此症。
若患瘰疬疮，加斑蝥七个，去翅足，用糯米炒制，用冷茶送服。对于一切热毒壅盛之症，又能消积食、降热气，用茶送服。
Pediatric Sha Syndrome presents in Yin and Yang types. Yin Sha manifests as abdominal pain with cold hands and feet; Yang Sha manifests as abdominal pain with warm hands and feet.
Some symptoms resemble cold but are not true cold, or resemble heat but are not true heat, accompanied by limb fatigue, loss of appetite, and a miserable facial expression. The manifestations vary, commonly referred to in folklore as Sha disease.
However, it is not true Sha disease; it is mostly caused by contracting wind-cold from exposure and dampness from playing in water. The treatment method involves applying hot water-soaked cloths to the arms and frequently scraping the skin with ramie fiber (Zhumá).
Scraping should continue until red petechiae appear on the skin. In severe cases, pricking the dorsal aspect of the ten fingers near the nail beds (approximately one fen) is appropriate. One may first stroke the child's arm from the elbow towards the hand to gather blood at the fingertips, thereby restoring the smooth flow of Qi and Blood.
Regarding Pediatric Intestinal Twisting Sha (severe pain in the heart, abdomen, and waist), use Huolong Dan (Fire Dragon Pill).
Ingredients: Xionghuang (Realgar), Yanxiao (Saltpeter/Niter) (each 2 qian).
Grind together into a fine powder. For each application, use a hairpin to pick up a small amount of powder and apply it to the inner canthus of the eye. For males, apply to the left eye; for females, to the right eye. Recovery is immediate.
Shenxian Wanli Wan (Immortal Ten Thousand Pill Pill)
Ingredients: Zhusha (Cinnabar), Badou (Croton Seed, husked), Hanshi Mian (Cold Food Flour).
First, grind Zhusha until smooth. Then grind Badou together with Zhusha until extremely fine. Next, mix Hanshi Mian with good wine to form a dough, incorporate the medicinal powder, and grind over a hundred times more.
Knead and roll into pills the size of millet seeds. The dosage is only three, five, or seven pills. Adjust according to deficiency or excess conditions, and use the following decoctions as guides for administration:
For contraction of wind-cold, administer with Ginger-Scallion Decoction to induce sweating.
For internal injury due to diet, administer with clear tea.
For heart pain, administer with Mugwort Decoction mixed with a little vinegar.
For latent summer-heat, administer with cold water.
For chest distension and qi stagnation, administer with light Ginger Decoction.
For cholera with vomiting and diarrhea, administer with Ginger Decoction.
For dysentery, administer on an empty stomach with clear tea.
For abdominal pain, administer with hot tea.
For malaria, administer with Ginger Decoction.
For acute or chronic convulsions (Jing Feng), administer with Mint Decoction.
For miscellaneous diseases, administer with clear tea.
Taiyi Hunyuan Dan (Great Unity Primordial Pill)
Ingredients: Ziheche (Placenta Humanum, dried, 3 qian), Baimihua (White Plum Blossom, 3 qian), Chensha (Vermilion Cinnabar, 1 liang, boiled with Licorice Root 1 liang for half a day, discard Licorice), Huashi (Talcum, 6 liang, boiled with Moutan Cortex 2 liang until the water evaporates and the bark is dry, discard Moutan), Xiangfumi (Cyperi Rhizoma, boiled through with honey, 1 liang), Fencǎo (Licorice Root, 2 liang), Gansong (Nardostachys Radix, 4 qian), Ezhu (Curcuma Zedoaria Rhizome, fire-roasted, 3 qian), Sharen (Amomi Fructus, peeled, 3 qian), Yizhi (Alpinia Oxyphylla Fruit, husked, 6 qian), Shanyao (Dioscoreae Rhizoma, stir-fried with ginger juice, 2.5 qian), Renshen (Ginseng Radix et Rhizoma, de-stumped, 1 qian), Huangqi (Astragali Radix, honey-fried, 1 qian), Baifuling (Poria, 3 qian), Baifushen (Poria with Pine Root, de-barked, 2.5 qian), Yuanzhi (Polygalae Radix, soaked in Licorice water, de-heart, 1.5 qian), Jiegeng (Platycodonis Radix, de-stumped, 1 qian), Muxiang (Aucklandiae Radix, 1 qian), Shexiang (Moschus, 3 fen), Niuhuang (Bovis Calculus, 2 fen), Tianzhuhuang (Sinarundinariae Nodulus, 1 qian). Another version lacks Hunyuan Yi (Gold Leaf Coating) and Meihua (Plum Blossom).
Grind all ingredients into a fine powder. Bind with refined honey into pills the size of longan seeds. Coat with gold leaf. Dosage varies by age. This formula treats various diseases in children, adults, and women.
For wind-stroke with phlegm syncope and unconsciousness, dissolve and administer with Ginger Decoction.
For cold damage complicated by fright and fever, dissolve and administer with Ginger-Scallion Decoction; induce sweating.
For food stagnation with vomiting, abdominal distension, and sour-smelling stool, administer with Ginger Decoction.
For cholera, administer with Perilla and Papaya Decoction; for diarrhea, administer with Rice Decoction.
For red-and-white dysentery, administer with aged rice decoction.
For cough and asthma, administer with Ephedra and Apricot Kernel Decoction.
For accumulation and abdominal pain, administer with Ginger Decoction.
For worm pain, administer with Toosendan Root Decoction.
For hernia with unilateral testicular swelling, administer with Small and Large Fennel Decoction.
For incessant night crying, administer with Rush Ash Decoction.
For acute convulsions and spasms, administer with Mint Decoction.
For chronic convulsions, administer with Ginseng and Atractylodes Macrocephala Decoction.
For hematochezia (blood in stool), administer with Sophora Flower and aged rice decoction.
For urinary retention, administer with Plantago Seed Decoction.
For nocturnal spontaneous sweating, administer with Floating Wheat Decoction.
For fever, administer with Golden Coin Mint Decoction.
For measles/rubella that fail to erupt, administer with Cimicifuga Decoction.
For heatstroke with irritability and thirst, administer with Centella Decoction.
For infantile malnutrition (Gan syndrome) with emaciation, large abdomen, thin limbs, or dribbling, diarrhea, swelling, distension, asthma, or cough, administer with aged rice decoction.
Discussion on pediatric diseases: For children with surplus strength and robust constitution, Wanli Pill is suitable. For children with deficiency and weak constitution, Xionghuang Jiedu Wan (Realgar Detoxification Pill) is suitable.
Ingredients: Xionghuang (Realgar, 2.5 qian), Yujin (Curcumae Longae Radix, 2.5 qian), Badou (Croton Seed, 24 kernels, oil removed).
Grind into powder. Bind with vinegar paste into pills the size of mung beans. Take seven pills per dose, swallowed with hot clear tea.
For sudden wind-stroke with collapse, locked jaw, opisthotonos, and unconsciousness, swallow with clear tea.
For pediatric acute wind-stroke with phlegm-heat, add Bovis Calculus (0.5 fen) and Borax (1 qian), bind with water paste, and administer with Mint Decoction.
For strangling throat wind (acute laryngeal obstruction), take seven pills, dissolve them, and administer mixed with white plum blossom using hot water, or with hot tea. Awakening occurs immediately. This utilizes the principle that heat promotes circulation. If death occurs suddenly from strangling throat wind but the heart remains warm,灌服 (force-feed) this medicine to restore consciousness.
For malaria with palpable masses (pi), administer with ground Agarwood water. Black blood like mud, extremely foul-smelling, will be expelled. Effect is immediate.
For various accumulations with diarrhea, administer with Wu Ling San (Five-Ingredient Powder with Poria) decoction.
For carbuncles/boils (Ding Chuang), add Scorpion (1 qian), Gleditsia Sinensis Fruit (1 qian), and Moschus (a little). Bind with drops of water into pills. Take twenty pills per dose with tea. If initially unrecognized as Ding Chuang and no sweating was induced, and after several days it is realized that chills, fever, and body pain have ceased, indicating toxins have entered the interior, purgatives must be used to drain internal toxins. This pill treats such cases.
For scrofula/ulcers, add Seven Blister Beetles (Banmao), wings and feet removed, stir-fried with glutinous rice. Administer with cold tea. It clears all heat-toxin congestion, resolves accumulations, aids digestion, and clears heat. Administer with tea.