小儿心腹痛者。由脏腑虚而寒冷之气所干。邪气与藏气相搏。上下冲击。上则为心痛。下则为腹痛。上下俱
作。心腹皆痛。更有一证。发则腹中撮痛。干啼无泪。腰曲背弓。上唇干。额上有汗。此名盘肠内吊之痛。亦由
冷气入脏所为也。今叙诸方于后。
木香丸
治心腹痛及脾痛。
木香（一分） 肉桂（一分） 茯苓（去黑皮半两） 槟榔（半两） 当归（去芦一分醋浸一宿炙令黄焦）
上为细末。酒糊丸黍米大。每服五七丸。柳枝汤下。不拘时候。
蓬莪术散
治气刺心腹痛。
上以蓬莪术炮熟透。锉杵，罗为细末。每服一钱。热酒调下。无时。
宽中汤
治心腹疼痛不可忍。闷乱啼哭不止。
良姜 木香（各半两） 丁香 桔梗（去芦） 青皮（去穣炒黄） 甘草（炙各一分）
上为细末。每服半钱。温酒调下。无时。
当归木香丸
治如前。
当归（去芦一两） 蓬莪术（一两炮锉） 木香（半两） 人参（去芦半两） 桂心（半两不见火） 黑牵
牛（一钱炒微黄）
上为细末。面糊和丸黍米大。每服十丸。生姜汤下。无时。
当归丸
治肠胃冷袭而痛。啼哭不休。当归去芦芍药等分。为细末。
面糊和丸绿豆大。米饮汤下。不拘时候。
乳香汤
治如前。
木香 五灵脂（去砂石） 乳香（各一钱别研） 天南星（取中心末一钱）
上为细末同研匀。每服半钱。水半钟。生姜一片。煎至三分。去滓温服。无时。
温胃丸
治腹痛哭不止。
人参（去芦一两） 白术（一两） 木香（一两） 良姜（半两） 五味子（半两） 当归（半两）
上为细末。面糊和丸黍米大。每服十丸。米饮汤下。无时。
橘香丸
治如前。
青皮（去穣一两炒） 吴茱萸（拣净一两） 木香（一两） 当归（去芦一两） 干姜（半两） 丁香（半
两）
上为末。每服一钱。水八分。生姜二片。煎至五分。去滓稍热服。无时。
乌药散
治乳母冷热不调。败坏乳汁。因以饲儿。致儿心腹疼痛。或时下痢。但令乳母服药。调和乳汁哺儿。
香附子（炒去毛） 良姜 赤芍药 乌药（各等分）
上为细末。每用一大钱。酒水各半盏。煎至六分。去滓温服。无时。儿能服药者。兼与之。
鲤鱼肠
治肠胃中有疮。而作疼痛。以鲤鱼肠煮食之。
钩藤膏
治盘肠内吊腹痛。
好乳香（研） 没药（研） 木香 姜黄（各四钱） 木鳖子仁（二十个）
上为细末。炼蜜为剂收之。一岁儿半皂角子大。煎钩藤汤化下。无时。量大小加减。次用魏香散。
魏香散
以温水化阿魏一钱。去砂石。浸蓬莪术半两。一昼夜取出。焙干为细末。每服半钱。煎米饮紫苏汤调下。空
心服。
阿魏丸
治盘肠吊痛。日夜叫啼不止。以阿魏为末。用大蒜半瓣。火炮熟。研烂和末。丸麻子大。每服五六丸。煎艾
汤送下。无时。
乳香蝎梢丸
治盘肠内吊。痛不可忍。
乳香（一钱半别研） 蝎梢（十四个） 没药（半钱） 沉香（一钱半）
上为细末。炼蜜和丸黍米大。婴孩三丸，一岁儿五丸。三岁儿七
丸。乳香汤下。不拘时候。
桃符丸
治如前。
银朱（一钱研） 乳香（一钱研） 大蒜（一瓣煨熟研烂为膏）
上前二味和匀。入蒜膏再研。硬软得所。丸绿豆大。每婴孩三丸。半岁五丸。一岁七九。二三岁九丸。薄荷
汤下。无时。
小儿心腹痛，是由于脏腑虚弱，受到寒冷之邪的侵袭所致。邪气与脏腑之气相互搏结，上下冲击，向上冲击则表现为心痛，向下冲击则表现为腹痛，若上下同时发作，则心腹皆痛。此外还有一种证候，发作时腹中拘急绞痛，患儿干哭无泪，腰部弯曲背部弓起，上唇干燥，额头出汗，这称为“盘肠内吊”之痛，也是由冷气侵入脏腑所导致的。现将治疗的各种方剂叙述如下：
木香丸
主治心腹痛及脾痛。
药材包括：木香（一分）、肉桂（一分）、茯苓（去除黑色外皮半两）、槟榔（半两）、当归（去除芦头一分，用醋浸泡一夜，炙烤至黄焦色）。
将上述药物研成细末，用酒调糊制成如黍米大小的丸剂。每次服用五到七丸，用柳枝煎汤送服，不限定具体时间。
蓬莪术散
主治气滞刺痛引起的心腹痛。
取蓬莪术炮制熟透，切碎捣碎，过筛成为细末。每次服用一钱，用热酒调服，不限时间。
宽中汤
主治心腹疼痛剧烈难以忍受，烦闷混乱啼哭不止。
药材包括：良姜、木香（各半两）、丁香、桔梗（去除芦头）、青皮（去除瓤部炒至黄色）、甘草（炙，各一分）。
将上述药物研成细末。每次服用半钱，用温酒调服，不限时间。
当归木香丸
主治症状同前。
药材包括：当归（去除芦头一两）、蓬莪术（一两，炮制后切碎）、木香（半两）、人参（去除芦头半两）、桂心（半两，不经过火烤）、黑牵牛（一钱，炒至微黄）。
将上述药物研成细末，用面糊调和制成如黍米大小的丸剂。每次服用十丸，用生姜汤送服，不限时间。
当归丸
主治肠胃受冷袭击而疼痛，啼哭不休。
药材为：当归（去芦头）与芍药等分。
研成细末，用面糊调和制成如绿豆大小的丸剂。用米饮汤送服，不限定具体时间。
乳香汤
主治症状同前。
药材包括：木香、五灵脂（去除砂石）、乳香（各一钱，单独研磨）、天南星（取中心部分粉末一钱）。
将上述药物共同研匀成细末。每次服用半钱，加水半钟，生姜一片，煎煮至剩余三分之一的药液，滤去药渣，温服，不限时间。
温胃丸
主治腹痛且哭闹不止。
药材包括：人参（去除芦头一两）、白术（一两）、木香（一两）、良姜（半两）、五味子（半两）、当归（半两）。
将上述药物研成细末，用面糊调和制成如黍米大小的丸剂。每次服用十丸，用米饮汤送服，不限时间。
橘香丸
主治症状同前。
药材包括：青皮（去瓤一两，炒制）、吴茱萸（拣选干净一两）、木香（一两）、当归（去芦头一两）、干姜（半两）、丁香（半两）。
将上述药物研成细末。每次服用一钱，加水八分，生姜二片，煎煮至剩余五分，滤去药渣，稍热时服用，不限时间。
乌药散
主治乳母饮食冷热不调，导致乳汁败坏，婴儿食用后引起心腹疼痛，有时伴有腹泻。只需让乳母服药，调和乳汁后再喂养婴儿。
药材包括：香附子（炒去毛）、良姜、赤芍药、乌药（各等分）。
将上述药物研成细末。每次取一大钱，用酒和水各半盏，煎煮至剩余六分，滤去药渣温服，不限时间。如果婴儿能服药，也可一并给予。
钩藤膏
主治盘肠内吊引起的腹痛。
药材包括：优质乳香（研磨）、没药（研磨）、木香、姜黄（各四钱）、木鳖子仁（二十个）。
将上述药物研成细末，用炼蜜制成膏剂保存。一岁的婴儿服用半颗皂角子大小的量，用钩藤煎汤化开送服，不限时间。根据年龄大小增减剂量。之后使用魏香散。
魏香散
用温水化开阿魏一钱，去除砂石，浸泡蓬莪术半两，经过一昼夜后取出，焙干研成细末。每次服用半钱，用米饮紫苏煎汤调服，空腹服用。
阿魏丸
主治盘肠吊痛，日夜叫哭不止。以阿魏为末，用大蒜半瓣，经火炮熟后，研磨烂并与药末混合，制成如麻子大小的丸剂。每次服用五六丸，用艾叶煎汤送服，不限时间。
乳香蝎梢丸
主治盘肠内吊，疼痛难以忍受。
药材包括：乳香（一钱半，单独研磨）、蝎梢（十四个）、没药（半钱）、沉香（一钱半）。
将上述药物研成细末，用炼蜜调和制成如黍米大小的丸剂。婴儿服用三丸，一岁幼儿五丸，三岁幼儿七丸。用乳香汤送服，不限时间。
桃符丸
主治症状同前。
药材包括：银朱（一钱，研磨）、乳香（一钱，研磨）、大蒜（一瓣，煨熟后研磨成膏）。
将前两种药物混合均匀，加入蒜膏再次研磨，软硬适中，制成如绿豆大小的丸剂。每个婴儿服用三丸，半岁五丸，一岁七至九丸，二三岁九丸。用薄荷汤送服，不限时间。
Abdominal and cardiac pain in infants arises from deficiency of the Zang-Fu organs, allowing cold pathogenic qi to invade. The pathogenic qi contends with the organ qi, striking up and down; upward striking manifests as cardiac pain, downward striking as abdominal pain, and simultaneous striking results in pain in both the heart and abdomen. Additionally, there is a syndrome characterized by sudden, cramping abdominal pain upon onset, dry crying without tears, curvature of the waist and bowing of the back, dryness of the upper lip, and sweating on the forehead. This is named "Pan Chang Nei Diao" (Coiled Intestine Internal Torsion) pain, also caused by cold qi entering the Zang organs. The following formulas are presented for treatment:
Muxiang Wan (Costus Root Pill)
Indicated for cardiac and abdominal pain, as well as spleen pain.
Ingredients: Muxiang (Costi Radix, 1 fen), Rougui (Cinnamomi Cortex, 1 fen), Fuling (Poria, half liang, black skin removed), Binglang (Arecae Semen, half liang), Danggui (Angelicae Sinensis Radix, 1 fen, radix removed, soaked in vinegar overnight, roasted until yellow and scorched).
Grind the above ingredients into fine powder. Mix with wine paste to form pills the size of millet seeds. Administer 5–7 pills per dose, taken with Liu Zhi Tang (Willow Branch Decoction), at any time.
Peng'ezhu San (Curcuma Powder)
Indicated for stabbing pain in the heart and abdomen due to Qi stagnation.
Take Peng'ezhu (Curcumae Rhizoma), roast thoroughly until cooked through, chop, pound, and sieve into fine powder. Administer 1 qian per dose, mixed with hot wine, at any time.
Kuanzhong Tang (Widening the Middle Decoction)
Indicated for unbearable cardiac and abdominal pain, accompanied by restlessness and incessant crying.
Ingredients: Liangjiang (Alpiniae Officinarum Rhizoma), Muxiang (Costi Radix) (each half liang), Dingxiang (Caryophylli Flos), Jiegeng (Platycodonis Radix) (radix removed), Qingpi (Citri Reticulatae Pericarpium Rubrum) (pith removed, roasted yellow), Gancao (Glycyrrhizae Radix et Rhizoma) (roasted, each 1 fen).
Grind the above ingredients into fine powder. Administer half a qian per dose, mixed with warm wine, at any time.
Danggui Muxiang Wan (Angelica Costus Pill)
Indicated for symptoms as described above.
Ingredients: Danggui (Angelicae Sinensis Radix, 1 liang, radix removed), Peng'ezhu (Curcumae Rhizoma, 1 liang, roasted and chopped), Muxiang (Costi Radix, half liang), Renshen (Ginseng Radix, half liang, radix removed), Guixin (Cinnamomi Ramulus, half liang, not exposed to fire), Hei Qianniu (Pharbitidis Semen Nigrum, 1 qian, roasted until slightly yellow).
Grind the above ingredients into fine powder. Mix with flour paste to form pills the size of millet seeds. Administer 10 pills per dose, taken with Shengjiang Tang (Fresh Ginger Decoction), at any time.
Danggui Wan (Angelica Pill)
Indicated for pain caused by cold attacking the intestines and stomach, with incessant crying.
Ingredients: Danggui (Angelicae Sinensis Radix, radix removed) and Shaoyao (Paeoniae Radix) in equal proportions.
Grind into fine powder. Mix with flour paste to form pills the size of mung beans. Administer with Mi Yin Tang (Rice Drink Decoction), at any time.
Ruxiang Tang (Frankincense Decoction)
Indicated for symptoms as described above.
Ingredients: Muxiang (Costi Radix), Wulingzhi (Trogopterori Faeces) (sand and stones removed), Ruxiang (Boswelliae Resina) (each 1 qian, separately ground), Tian Nanxing (Arisaematis Rhizoma) (center powder, 1 qian).
Grind the above ingredients together into a uniform fine powder. Administer half a qian per dose with half a zhong of water and one slice of fresh ginger. Decoct until one-third remains, strain, and take warm, at any time.
Wenwei Wan (Warming the Stomach Pill)
Indicated for abdominal pain with incessant crying.
Ingredients: Renshen (Ginseng Radix, 1 liang, radix removed), Baizhu (Atractylodis Macrocephalae Rhizoma, 1 liang), Muxiang (Costi Radix, 1 liang), Liangjiang (Alpiniae Officinarum Rhizoma, half liang), Wuweizi (Schisandrae Chinensis Fructus, half liang), Danggui (Angelicae Sinensis Radix, half liang).
Grind the above ingredients into fine powder. Mix with flour paste to form pills the size of millet seeds. Administer 10 pills per dose, taken with Mi Yin Tang (Rice Drink Decoction), at any time.
Juxiang Wan (Citrus Aromatics Pill)
Indicated for symptoms as described above.
Ingredients: Qingpi (Citri Reticulatae Pericarpium Rubrum) (pith removed, 1 liang, roasted), Wuzhuyu (Evodiae Fructus) (picked clean, 1 liang), Muxiang (Costi Radix, 1 liang), Danggui (Angelicae Sinensis Radix, 1 liang, radix removed), Ganjiang (Zingiberis Rhizoma, half liang), Dingxiang (Caryophylli Flos, half liang).
Grind into fine powder. Administer 1 qian per dose with eight parts water and two slices of fresh ginger. Decoct until five parts remain, strain, and take when slightly warm, at any time.
Wuyao San (Lindera Powder)
Indicated for maternal dietary imbalance of cold and heat, leading to spoiled breast milk, which causes infant cardiac and abdominal pain or occasional diarrhea after feeding. The mother should take the medicine to harmonize the milk before feeding the infant.
Ingredients: Xiangfuzi (Cyperi Rhizoma) (roasted, hairs removed), Liangjiang (Alpiniae Officinarum Rhizoma), Chishaoyao (Paeoniae Radix Rubra), Wuyao (Linderae Radix) (equal proportions).
Grind into fine powder. Take one large qian per dose with half a zhan of wine and half a zhan of water. Decoct until six parts remain, strain, and take warm, at any time. If the infant can take medicine, administer it simultaneously.
Li Yu Chang (Carp Intestine)
Indicated for pain caused by sores in the intestines and stomach. Boil and eat carp intestines.
Gouteng Gao (Uncaria Ointment)
Indicated for abdominal pain due to Pan Chang Nei Diao (Coiled Intestine Internal Torsion).
Ingredients: Hao Ruxiang (Boswelliae Resina) (ground), Moyao (Commiphora Resina) (ground), Muxiang (Costi Radix), Jianghuang (Curcumae Longae Rhizoma) (each 4 qian), Muganzi Ren (Strychni Semen, 20 kernels).
Grind into fine powder. Preserve using refined honey as an ointment base. For a one-year-old infant, administer an amount the size of half a soap bean, dissolved in Gouteng Tang (Uncaria Decoction), at any time. Adjust dosage according to age and size. Subsequently use Weixiang San.
Weixiang San (Asafoetida Powder)
Dissolve 1 qian of Asafoetida (Asafoetida Resina) in warm water, remove sand and stones. Soak Peng'ezhu (Curcumae Rhizoma, half liang) for one day and night, then remove, dry-roast, and grind into fine powder. Administer half a qian per dose, mixed with Mi Yin Zi Su Tang (Rice Drink Perilla Decoction), taken on an empty stomach.
Asafoetida Wan (Asafoetida Pill)
Indicated for Pan Chang Diao Tong (Coiled Intestine Torsion Pain) with incessant day and night crying. Grind Asafoetida into powder. Use half a clove of garlic, roast over fire until cooked, mash, and mix with the powder to form pills the size of sesame seeds. Administer 5–6 pills per dose, taken with Ai Ye Tang (Mugwort Leaf Decoction), at any time.
Ruxiang Xieshao Wan (Frankincense Scorpion Tail Pill)
Indicated for Pan Chang Nei Diao (Coiled Intestine Internal Torsion) with unbearable pain.
Ingredients: Ruxiang (Boswelliae Resina, 1.5 qian, separately ground), Xieshao (Scorpio, 14 tails), Moyao (Commiphora Resina, half qian), Chenxiang (Aquilariae Lignum Resinatum, 1.5 qian).
Grind into fine powder. Mix with refined honey to form pills the size of millet seeds. Infants take 3 pills, one-year-olds take 5 pills, three-year-olds take 7 pills. Administer with Ruxiang Tang (Frankincense Decoction), at any time.
Taofu Wan (Peach Charm Pill)
Indicated for symptoms as described above.
Ingredients: Yinzhu (Realgar, 1 qian, ground), Ruxiang (Boswelliae Resina, 1 qian, ground), Dasuan (Allii Sativi Bulbus, 1 clove, baked until cooked and mashed into paste).
Mix the first two ingredients evenly, add the garlic paste, and grind again until the consistency is appropriate. Form pills the size of mung beans. Infants take 3 pills, half-year-olds take 5 pills, one-year-olds take 7–9 pills, two-to-three-year-olds take 9 pills. Administer with Bohe Tang (Mint Decoction), at any time.