一论小儿诸病。因药攻伐。元气虚损。脾胃衰惫。恶寒发热。肢体倦怠。饮食少思。或
兼饮
食劳倦。头痛身热。烦躁作渴。脉洪大弦虚。或微细软弱。右关寸独甚。亦宜用之。大凡久
病或过服克伐之剂。亏损元气。而诸症悉具之。最宜此汤调补。
若无有前症之儿为患者。尤宜用之。
补中益气汤
黄 （蜜水炒） 参（各八分） 白术（去芦油炒） 当归身（酒洗各一钱） 陈皮 甘草（
炙各五分） 升麻 柴胡（各二分）
上锉。姜枣煎。空心。温服。
一论小儿脾胃虚弱。或因克伐之过。致饮食少思。或食而难化。或欲作呕。或大便不实
脾胃虚损。吐泻少食。宜用
四君子汤
人参 白术（去芦炒） 白茯苓（去皮） 甘草（炙各等分）
上锉。姜、枣煎服。
六君子汤 治脾胃虚弱。饮食少思。或大便不调。肢体消瘦。面色痿黄。即四君子汤加
陈皮、半夏。
一论小儿脾胃虚弱。吐泻不食。或惊搐痰盛。或睡而露睛。手足指冷。或脾肺虚弱。咳
嗽吐痰。或虚热上攻。口舌生疮。弄舌流涎。若母有疾。致儿患此。母亦当服之。
异功散
人参 白茯苓（去皮） 白术（去芦炒） 甘草（炙） 陈皮（各等分）
上用姜、枣煎服。
经云。脉滑者。有宿食也。虎口脉纹黄色。为脾家有积。小儿脉沉者。为乳不消。
夫小儿伤食。皆因乳哺不节。过食生冷坚硬之物。脾胃不能克化。积滞中脘。外为风寒
所搏
或因夜卧失盖。以致头痛身热。面黄目胞微肿。腹痛胁胀。足冷肚热。喜睡神昏。不思饮
食。或恶食。或恶心。或呕或哕。或口嗳酸气。或大便败卵臭。或气短痞闷。或胃口作痛。
或
心下痞满。按之则痛。此皆为陈积所伤也。宜以万亿丸利之。若内停于食。或外又感寒邪者
则人迎气口俱紧盛。头痛恶寒拘急兼前等症。宜以太和散佐之。葛氏曰。乳者奶也。哺者
食也。乳后不可与食。食后不可与乳。缘小儿脾胃怯弱。乳食易伤。难于消化。初则成积。
久则成癖成疳。变为百病。可不慎乎。
万亿丸（方见通治） 治伤食百病。
一论内伤乳食。肚腹胀痛。外感风寒。头痛发热。宜服
太和丸
紫苏 陈皮 香附 羌活 苍术 川芎 枳壳 山楂 神曲（炒） 麦芽（炒） 甘草（炙）
生姜三片。水煎。温服。
一治小儿食积。腹痛膨胀。肚硬青筋。
黑丑（半生半炒） 槟榔（各三钱） 木香（五分）
上为细末。每服五分。黑砂糖调入滚水服。立消。
一论小儿时常伤食。皮黄肌瘦。肚大腹胀。用此焦饼。令常食之。
消食饼
莲肉（去皮） 山药（炒） 白茯苓（去皮） 芡实（去壳炒） 神曲（炒） 麦芽（炒） 扁豆（
炒） 山楂（去子）
上各等分为末。每四两。入白面一斤。水同和。烙焦饼用。
一论此药消食止泄。止吐消疳。消黄消胀。定肚痛。益元气。健脾胃。
启脾丸
人参 白术（去芦炒） 白茯苓 山药 莲肉（去心皮各一两） 山楂肉 陈皮 泽泻 神
曲（炒各五钱）
上为末。炼蜜为丸。如绿豆大。每服三四十丸。空心。米汤送下。小儿常患伤食诸疾。
服之立愈。
一论小儿伤食。肚大腹胀。用做酒小曲一枚为末。打入鸡子一个。调匀。入盐少许。蒸
熟食之。每早服一次。可数次而愈。
一论健脾胃。进饮食。消积滞。杀疳虫。长肌肉。乃保婴第一方也。
保婴丸 临川徐培鸿试验。
人参（三钱） 白术（去芦五钱） 橘红（刮净五钱） 白茯苓（去皮四钱） 甘草（炙二钱）
青皮
（去穣三钱） 砂仁（二钱半） 木香（二钱五分） 山药（五钱） 莲肉（去皮与心三钱） 使君子
（去壳三钱） 山楂肉（三钱） 六神曲（炒三钱）
上共为细末。用生荷叶包粳米炒熟。去荷叶。将米杵烂。以青布扭出。更煮成糊为丸。
如麻仁大。第二十五丸。或三十五丸至五十丸。陈米炒熟煎汤。不拘时服。
一小儿食粽后。切牙欲吐。顷间腹胀昏 。鼻青黄赤。此脾土伤而肝气所动。食积发厥
也。先令鸡翎探吐出酸物。顿醒。节其饮食。勿药而愈。
一小儿好吃粽。忽腹胀痛。用白酒曲末。同黄连末为丸。服之愈。
一小儿因停食腹痛。服峻利之药。后患疟。日晡而作。此元气下陷。以补中益气汤治之
千金肥儿饼 小儿无病。日常食三五饼。可防患于未然。妙不可言。
婴儿恒缺乳。饮食不消停。脾胃一伤损。吐泻两相并。痰嗽加吭喘。热积致疳惊。面黄
肌瘦
削。腹胀肚青筋。赤子焦啼叫。慈母苦伤情。吾心怀幼切。家莲子茯苓。芡实干山药。扁豆
薏苡仁。以上各四两。神曲麦芽陈。人参使君子。山楂国老并。六味每二两。白糯米二升。
药米均为末。布裹甑内蒸。白糖二斤半。调和饼印成。每日二三饼。诸病即安宁。肥儿王道
药。价可拟千金。
论述小儿各种疾病。由于药物攻伐太过，导致元气虚损，脾胃衰败虚弱，出现恶寒发热、肢体倦怠、饮食减少且缺乏食欲等症状。或者兼有饮食停滞和劳倦内伤，表现为头痛身热、烦躁口渴，脉象洪大弦虚，或微细软弱，其中右关部和寸部脉象尤为明显。这种情况也适宜使用（补中益气汤）。大凡久病或者过度服用克伐性质的药剂，亏损了元气，而上述各种症状都具备的，最适宜用此汤剂进行调补。如果没有前述症状的小儿患病者，尤其适宜使用。
补中益气汤
黄芪（用蜜水炒） 人参（各八分） 白术（去除芦头及油，炒制） 当归身（酒洗，一钱） 陈皮 甘草（炙，各五分） 升麻 柴胡（各二分）
以上药材切碎，加生姜、大枣煎煮。空腹时温服。
论述小儿脾胃虚弱，或者因为过度克伐，导致饮食减少且缺乏食欲，或者吃了食物难以消化，或者想要呕吐，或者大便不成形。这是脾胃虚损，出现呕吐腹泻、进食少，适宜使用四君子汤。
四君子汤
人参 白术（去芦头，炒） 白茯苓（去皮） 甘草（炙，各等分）
以上药材切碎，加姜、枣煎服。
六君子汤：治疗脾胃虚弱，饮食减少且缺乏食欲，或者大便不调，肢体消瘦，面色萎黄。即四君子汤加上陈皮、半夏。
论述小儿脾胃虚弱，出现呕吐腹泻、不进食，或者惊厥抽搐、痰多，或者睡觉时眼睛半睁露睛，手足指头发冷。或者脾肺虚弱，咳嗽吐痰，或者虚热上攻，口舌生疮，弄舌头流口水。如果母亲有病，导致孩子患此病，母亲也应当服用此药。
异功散
人参 白茯苓（去皮） 白术（去芦头，炒） 甘草（炙） 陈皮（各等分）
以上用姜、枣煎服。
经书说：脉象滑利的，是有宿食（积滞的食物）。虎口脉纹呈黄色，是脾家有积滞。小儿脉象沉的，是因为乳食不消。
小儿伤食，都是因为哺乳喂养没有节制，过量食用生冷坚硬之物，脾胃不能运化消化，积滞在中脘。外部被风寒邪气所搏结，或者因为夜间睡觉没有盖好被子，以致出现头痛身热、面色发黄、眼睑微肿、腹痛胁肋胀满、脚冷肚子热、喜欢睡觉神志昏沉、不想饮食，或者厌恶食物，或者恶心，或者呕吐或干哕，或者口中嗳出酸气，或者大便像腐败的鸡蛋臭味，或者气短痞闷，或者胃口作痛，或者心下痞满，按压则疼痛。这些都是被陈旧的积滞所伤害。适宜用万亿丸来通利它。如果内部停积食物，或者外部又感受寒邪，那么人迎穴和气口穴的脉象都紧盛，伴有头痛恶寒拘急以及前述等症状，适宜用太和散辅助治疗。葛氏说：乳是奶，哺是食。喂奶后不可以立即给食，进食后不可以立即喂奶。因为小儿脾胃怯弱，乳食容易受伤，难以消化。起初形成积滞，久了形成癖块或疳证，演变成百病，能不谨慎吗？
论述内伤乳食，肚腹胀痛；外感风寒，头痛发热。适宜服用太和丸。
太和丸
紫苏 陈皮 香附 羌活 苍术 川芎 枳壳 山楂 神曲（炒） 麦芽（炒） 甘草（炙）
生姜三片，水煎，温服。
治疗小儿食积，腹痛膨胀，肚子硬且有青筋暴露。
黑丑（一半生用，一半炒用） 槟榔（各三钱） 木香（五分）
以上研为细末。每次服用五分，用黑砂糖调入滚开水送服，立刻消除。
论述小儿时常伤食，皮肤黄、肌肉瘦，肚子大且腹胀。用这个焦饼，让经常食用。
消食饼
莲子肉（去皮） 山药（炒） 白茯苓（去皮） 芡实（去壳炒） 神曲（炒） 麦芽（炒） 扁豆（炒） 山楂（去子）
以上各等分为末。每四两药粉，加入白面一斤，用水调和，烙成焦饼食用。
论述此药能消食止泻，止吐消疳，退黄消胀，定肚痛，益元气，健脾胃。
启脾丸
人参 白术（去芦头，炒） 白茯苓 山药 莲子肉（去心皮，各一两） 山楂肉 陈皮 泽泻 神曲（炒，各五钱）
以上研为末，炼蜜为丸，如绿豆大小。每次服用三四十丸，空腹时，用米汤送下。小儿常患伤食各种疾病，服用此药立刻痊愈。
论述小儿伤食，肚子大腹胀。用做酒的小曲一枚研为末，打入一个鸡蛋，调匀，加入少许盐，蒸熟食用。每天早晨服用一次，可以多次服用直至痊愈。
论述健脾胃，增进饮食，消积滞，杀疳虫，长肌肉，这是保婴的第一方。
保婴丸：由临川徐培鸿试验验证。
人参（三钱） 白术（去芦头，五钱） 橘红（刮净，五钱） 白茯苓（去皮，四钱） 甘草（炙，二钱） 青皮（去瓤，三钱） 砂仁（二钱半） 木香（二钱五分） 山药（五钱） 莲子肉（去皮与心，三钱） 使君子（去壳，三钱） 山楂肉（三钱） 六神曲（炒，三钱）
以上共研为细末，用生荷叶包裹粳米炒熟，去掉荷叶，将米捣烂，用青布扭出汁液，再煮成糊状制成丸药。如麻仁大小。每次二十五丸，或三十五丸至五十丸，用陈米炒熟煎汤，不拘时间服用。
一个小儿吃粽子后，切牙想吐，一会儿腹胀昏迷，鼻色青黄赤。这是脾土受伤而肝气扰动，食积导致的发厥。先令用鸡翎探喉吐出酸物，顿时清醒。节制饮食，不用药而愈。
一个小儿喜欢吃粽子，忽然腹胀痛。用白酒曲末，同黄连末做成丸药，服用后痊愈。
一个小儿因停食腹痛，服用峻烈的泻药，后来患疟疾，在傍晚时分发作。这是元气下陷，用补中益气汤治疗。
千金肥儿饼：小儿无病时，日常食用三五饼，可防患于未然，妙不可言。
婴儿常常缺乳，饮食不消化停顿。脾胃一旦受损，呕吐腹泻同时发生。痰嗽加上气喘，热积导致疳惊。面色黄，肌肉消瘦削薄，腹胀肚子有青筋。婴儿焦急啼叫，慈母痛苦伤情。我心中关切幼儿，家藏莲子茯苓，芡实干山药，扁豆薏苡仁。以上各四两，神曲麦芽陈，人参使君子，山楂国老并。六味药每味二两，白糯米二升。药米均研为末，布裹在甑内蒸。白糖二斤半，调和饼印成。每日吃二三饼，诸病即安宁。肥儿王道药，价值可比千金。
Discusses various diseases in children. Due to excessive attack by medicinal drugs, the Yuan Qi (Original Qi) is damaged and deficient, and the Spleen and Stomach are weak and exhausted. Symptoms include aversion to cold and fever, fatigue of the limbs, decreased appetite, and lack of desire for food. Or it may be accompanied by dietary stagnation and fatigue-induced internal injury, manifesting as headache, body heat, irritability, and thirst. The pulse is surging, large, wiry, and deficient, or minute, fine, weak, and soft, with the Right Guan (Cun-Guan) and Cun positions being particularly prominent. This condition is also suitable for treatment with [Buzhong Yiqi Tang] (Tonify the Middle and Augment the Qi Decoction). Generally, for prolonged illnesses or overuse of harsh attacking agents that damage the Yuan Qi, presenting with all the aforementioned symptoms, this decoction is most suitable for regulation and tonification. For children without the aforementioned symptoms who fall ill, it is especially suitable.
[Buzhong Yiqi Tang] (Tonify the Middle and Augment the Qi Decoction)
Huangqi (Astragali Radix, stir-fried with honey) and Renshen (Ginseng Radix et Rhizoma), each 8 fen; Baizhu (Atractylodis Macrocephalae Rhizoma, remove rhizome and oil, stir-fry); Dangguishen (Angelicae Sinensis Radix, wine-washed), 1 qian; Chenpi (Citri Reticulatae Pericarpium); Gancao (Glycyrrhizae Radix et Rhizoma, honey-fried), each 5 fen; Shengma (Cimicifugae Rhizoma); Chaihu (Bupleuri Radix), each 2 fen.
Crush the herbs. Decoct with fresh ginger and jujube. Take warm on an empty stomach.
Discusses pediatric Spleen-Stomach deficiency. It may result from excessive use of harsh attacking medicines, leading to decreased appetite, difficulty digesting food after eating, a sensation of nausea, or loose stools. This indicates Spleen-Stomach deficiency and damage, with vomiting, diarrhea, and poor intake. [Sijunzi Tang] (Four Gentlemen Decoction) is suitable.
[Sijunzi Tang] (Four Gentlemen Decoction)
Renshen (Ginseng Radix et Rhizoma); Baizhu (Atractylodis Macrocephalae Rhizoma, remove rhizome, stir-fry); Baifuling (Poria, remove skin); Gancao (Glycyrrhizae Radix et Rhizoma, honey-fried), equal parts.
Crush the herbs. Decoct with ginger and jujube.
[Liu Junzi Tang] (Six Gentlemen Decoction): Treats Spleen-Stomach weakness, decreased appetite, irregular bowel movements, emaciation of limbs, and sallow complexion. It is [Sijunzi Tang] plus Chenpi (Citri Reticulatae Pericarpium) and Banxia (Pinelliae Rhizoma).
Discusses pediatric Spleen-Stomach weakness, presenting with vomiting, diarrhea, and refusal to eat; or convulsions and copious phlegm; or sleeping with eyes partially open; or coldness in the fingers and toes. Or Spleen-Lung deficiency, with coughing and expectoration; or deficiency heat attacking upward, causing mouth and tongue ulcers, tongue protrusion, and drooling. If the mother is ill, causing the child to suffer from these conditions, the mother should also take the medicine.
[Yigong San] (Extraordinary Power Powder)
Renshen (Ginseng Radix et Rhizoma); Baifuling (Poria, remove skin); Baizhu (Atractylodis Macrocephalae Rhizoma, remove rhizome, stir-fry); Gancao (Glycyrrhizae Radix et Rhizoma, honey-fried); Chenpi (Citri Reticulatae Pericarpium), equal parts.
Decoct with ginger and jujube.
The Classics state: A slippery pulse indicates retained food (Su Shi). A yellow vein pattern at the Tiger's Mouth indicates accumulation in the Spleen house. A deep pulse in children indicates undigested milk or food.
Pediatric food retention is caused by unregulated breastfeeding and feeding, overconsumption of raw, cold, hard, or tough foods, which the Spleen and Stomach cannot transform and transport. Stagnation accumulates in the Zhongwan (Middle Jiao). Externally, it is constrained by Wind-Cold pathogens, or due to uncovered sleeping at night, leading to headache, body heat, sallow complexion, slightly swollen eyelids, abdominal pain, hypochondriac distension, cold feet but hot abdomen, lethargy and confusion, loss of appetite, food aversion, nausea, vomiting or hiccups, sour belching, foul-smelling stools resembling rotten eggs, shortness of breath and chest fullness, epigastric pain, subcostal fullness that hurts upon pressure. These are all injuries caused by old accumulations. [Wanyi Wan] (Ten Thousand Billion Pill) is suitable to promote their discharge. If there is internal food retention combined with external Cold pathogen invasion, the Renying (Carotid artery point) and Qikou (Radial artery point) pulses will both be tight and vigorous, accompanied by headache, aversion to cold, stiffness, and the aforementioned symptoms. [Taihe San] (Great Harmony Powder) is suitable as an adjunctive treatment. Ge Shi said: "Ru" refers to milk, and "Bu" refers to solid food. One should not give solid food immediately after milk, nor milk immediately after solid food. Because children have weak Spleen and Stomach, milk and food easily injure them and are difficult to digest. Initially, it forms accumulation; over time, it becomes a mass (Pi) or malnutrition syndrome (Gan), evolving into hundreds of diseases. How can one not be cautious?
[Wanyi Wan] (Ten Thousand Billion Pill) (Formula see General Treatment section): Treats various diseases caused by food retention.
Discusses internal injury from milk and food, causing abdominal distension and pain; external contraction of Wind-Cold, causing headache and fever. [Taihe Wan] (Great Harmony Pill) is suitable.
[Taihe Wan] (Great Harmony Pill)
Zisu (Perillae Folium); Chenpi (Citri Reticulatae Pericarpium); Xiangfu (Cyperi Rhizoma); Qianghuo (Notopterygii Rhizoma et Radix); Cangzhu (Atractylodis Rhizoma); Chuanxiong (Ligustici Chuanxiong Rhizoma); Zhiqiao (Aurantii Fructus); Shanzha (Crataegi Fructus); Shenqu (Massae Fermentatae Medicinalis, stir-fried); Maiya (Hordei Fructus Germinatus, stir-fried); Gancao (Glycyrrhizae Radix et Rhizoma, honey-fried).
Add three slices of fresh ginger. Decoct with water. Take warm.
Treats pediatric food stagnation, abdominal pain and distension, hard abdomen with visible blue veins.
Heiqiu (Cucurbitae Semen, half raw, half stir-fried) and Binglang (Arecae Semen), each 3 qian; Muxiang (Aucklandiae Radix), 5 fen.
Grind into fine powder. Take 5 fen per dose, mixed with black sugar rock and boiled water. It dissipates immediately.
Discusses pediatric frequent food retention, with yellow skin, emaciated muscles, large and distended abdomen. Use this scorched cake for regular consumption.
[Xiaoshi Bing] (Digestion-Relieving Cake)
Lianrou (Nelumbinis Semen, remove skin); Shanyao (Dioscoreae Rhizoma, stir-fry); Baifuling (Poria, remove skin); Qianshi (Euryales Semen, remove shell and stir-fry); Shenqu (Massae Fermentatae Medicinalis, stir-fried); Maiya (Hordei Fructus Germinatus, stir-fried); Biandou (Phaseoli Cordati Semen, stir-fry); Shanzha (Crataegi Fructum, remove seeds).
Equal parts ground into powder. For every 4 liang of powder, add 1 jin of white flour. Mix with water and bake into scorched cakes.
This medicine digests food, stops diarrhea, stops vomiting, eliminates Gan syndrome, reduces jaundice and distension, relieves abdominal pain, benefits Yuan Qi, and strengthens the Spleen and Stomach.
[Qipi Wan] (Strengthen the Spleen Pill)
Renshen (Ginseng Radix et Rhizoma); Baizhu (Atractylodis Macrocephalae Rhizoma, remove rhizome, stir-fry); Baifuling (Poria); Shanyao (Dioscoreae Rhizoma); Lianrou (Nelumbinis Semen, remove heart and skin, each 1 liang); Shanzharou (Crataegi Fructus flesh); Chenpi (Citri Reticulatae Pericarpium); Zexie (Alismatis Rhizoma); Shenqu (Massae Fermentatae Medicinalis, stir-fried, each 5 qian).
Grind into powder. Make pills with refined honey, size of mung beans. Take 30-40 pills per dose on an empty stomach, washed down with rice soup. Children frequently suffering from food retention diseases will recover immediately upon taking this.
For pediatric food retention with large, distended abdomen: Take one piece of small yeast used for brewing wine, grind into powder. Crack one egg into it, mix well. Add a little salt. Steam and cook. Take once every morning. Can be taken multiple times until cured.
To strengthen the Spleen and Stomach, promote appetite, eliminate stagnation, kill parasites, and build muscle, this is the primary formula for infant protection.
[Baoying Wan] (Infant Protection Pill): Tested by Xu Peihong of Linchuan.
Renshen (Ginseng Radix et Rhizoma, 3 qian); Baizhu (Atractylodis Macrocephalae Rhizoma, remove rhizome, 5 qian); Juhong (Citri Reticulatae Pericarpium Rubrum, scraped clean, 5 qian); Baifuling (Poria, remove skin, 4 qian); Gancao (Glycyrrhizae Radix et Rhizoma, honey-fried, 2 qian); Qingpi (Citri Reticulatae Pericarpium Viride, remove pith, 3 qian); Sharen (Amomi Fructus, 2.5 qian); Muxiang (Aucklandiae Radix, 2.5 qian); Shanyao (Dioscoreae Rhizoma, 5 qian); Lianrou (Nelumbinis Semen, remove skin and heart, 3 qian); Shijunzi (Quisqualis Fructus, remove shell, 3 qian); Shanzharou (Crataegi Fructus flesh, 3 qian); Liushenqu (Six Spirits Massae Fermentatae Medicinalis, stir-fried, 3 qian).
Grind all into fine powder. Wrap glutinous rice in fresh lotus leaves and stir-fry until cooked. Remove leaves. Pound the rice until paste-like. Extract juice using a blue cloth. Boil into a paste to form pills, size of hemp seeds. Take 25 to 50 pills. Wash down with decoction of stir-fried aged rice. Take at any time.
A child ate zongzi (sticky rice dumplings) and began grinding teeth and wanting to vomit. Shortly after, abdominal distension and coma occurred, with nasal discoloration of green, yellow, and red. This is Spleen Earth injury stimulating Liver Qi, causing syncope due to food stagnation. First, induce vomiting of sour matter using a chicken feather probe. The child woke up instantly. Regulate diet. Recovered without medication.
A child who loves eating zongzi suddenly developed abdominal pain and distension. Treated with pills made from white wine yeast powder and Coptidis Rhizoma powder. Recovered.
A child suffered abdominal pain due to food retention. After taking harsh purgatives, malaria developed, occurring in the late afternoon. This is sinking of Yuan Qi. Treated with [Buzhong Yiqi Tang] (Tonify the Middle and Augment the Qi Decoction).
[Qianjin Fei'er Bing] (Thousand Gold Fat Baby Cake): When children are healthy, eating 3-5 cakes daily can prevent disease before it arises. The effect is miraculous.
Infants often lack milk, food digestion halts. Once Spleen and Stomach are damaged, vomiting and diarrhea occur together. Phlegm-cough adds to wheezing, heat accumulation causes Gan and fright. Sallow face, emaciated body, abdominal distension with blue veins. Infants cry anxiously, mothers suffer sorrowfully. My heart cares deeply for the young. Home stocks Lotus Seed, Poria, Euryale Seed, dried Yam, Coix Seed. Above each four taels. Fermented Dough, Barley Sprout, aged Ginseng, Quisqualis Fruit, Hawthorn, and Licorice combine. Six flavors, two taels each. White glutinous rice, two sheng. Medicine and rice ground together, steamed in cloth within a steamer. Two and a half catties of white sugar, mixed to form cake prints. Two or three cakes daily, all diseases calm. The royal way of fat baby medicine, worth a thousand gold.