《巢氏病源》小儿大腹丁奚候∶小儿丁奚病者，由哺食过度，而脾胃尚弱不能磨消故也。哺食不消则水谷之
精减损，无以荣其气血，致肌肉消瘠。其病腹大颈小，黄瘦是也。若久不瘥则变成谷症。伤饱名哺露病，一名
丁奚。三种大体相似，轻重立名也。
《五关贯珍珠囊》∶小儿丁奚，谓之鼓槌、鹤膝候。凡小儿或因吐而泻久不瘥，或病退不能行，膝大、肠
红，号曰丁奚。七岁以下号鼓槌风，十五以下名鹤膝风。盖此并是风冷伤于肾所致，肾主骨故也。
《庄氏家传》疳肚、丁奚辨证云∶小儿腹大如有青筋见，即曰疳肚也，如无青筋乃名丁奚。是因过饱伤食而得之。
《婴童宝鉴》小儿丁奚歌∶
腹高颈细体痿蕤，精彩全无只爱啼，久病谷症脾胃裹，小儿如此号丁奚。
《葛氏肘后》若患疳气，大腹瘦弱方。
上捣生薤根，以猪脂煎，稍稍服之。
葛氏又方
上用熟炙鼠肉，若伏翼肉哺之。《本草》亦治哺露。
《葛氏肘后》∶小儿丁奚、 癖、黄瘦、发脱等病方。
代赭（研） 大黄 朱砂（研。各四分） 龟甲（炙，三分） 芍药 青木香 杏仁
（去皮，熬，别研） 巴豆（去心、皮，别研，熬） 知母（各二分）
上捣、筛，蜜丸。百日儿服如胡豆大；二百日儿服如小豆大；三百日儿如大豆；四百日儿如梧桐子。每服
微下为限。大效。
《千金》仙人玉壶丸 治小儿羸瘦、丁奚，不能食，食不能化方。
雄黄 藜芦 丹砂 石（一方用矾石） 巴豆（去皮、膜。各二两。《万全方》止用各一两） 八
角附子（炮裂、去皮脐二两。《万全方》却用三两）
上六味先捣巴豆三千杵，次用 石又捣三千杵，次内藜芦三千杵，次内附子三千杵，次内雄黄三千杵，次
内丹砂三千杵，内蜜又捣万杵佳。若不用丹砂者，内真珠四两。每内药辄治五百杵，内少蜜恐药飞扬。治药
用王相吉日良时，童子斋戒为良。天晴明日无云雾，白昼药成，密器中封之，勿泄气，着清洁处。小儿百病，
惊痫痞塞及有热，百日、半岁者以一丸如黍米，小儿乳头与服之。一岁以上如麻子一丸，日三，以饮服。小
儿大腹及中热恶毒，食物不化，结成积聚，服一丸。小儿寒热头痛，身热及吐 ，服一丸如麻子大。小儿羸
瘦，丁奚，不能食，食不化，浆水服二丸，日三。又苦酒和如梧子，敷腹上良。
《圣惠》治小儿丁奚，骨中微热，腹内不调，食不为肌肤或苦寒热，腹大。鸡骨丸方
雄鸡骨（一具，炙令黄） 赤芍药（半两） 赤茯苓（半两。《婴孺》用一两） 石膏
（细研，水飞过） 川大黄（锉碎，微炒） 紫菀（洗去苗土。各半两。《婴
孺》各用五分） 陈橘皮（半两，汤浸、去白瓤。《婴孺》用三分） 白矾（烧灰） 细辛（洗去苗
土） 附子（炮裂，去皮脐。各半两） 黄芩 甜葶苈（隔纸炒令香。各三分） 桂心（三分。《婴孺》用二分）
上件药捣，罗为末，炼蜜和丸如麻子大。每服以粥饮下五丸，日三服。更量儿大小以意加减。（《婴孺》方同，但
分两殊。仍云《康氏方》。）
《圣惠》治小儿丁奚、 癖，黄瘦发脱。代赭丸方
代赭（细研） 川大黄（锉碎，微炒） 朱砂（细研，水飞过。各半两） 鳖甲（半两，涂醋炙令黄，去裙
。《婴孺》用三钱三字） 巴豆霜（半分，《婴孺》
用一分） 赤芍药 木香 知母 杏仁（汤浸，去皮尖、双仁，麸炒微黄。各一分）
上件药捣，罗为末，都研令匀，炼蜜和丸如麻子大。每服以粥饮下二丸。更量儿大小加减服之。日一、二
服，以溏利为度。（《婴孺》方同，专治 癖。）
《圣惠》治小儿丁奚，虽食不生肌肉，腹大，食不消化。宜服赤芍药丸方
赤芍药 川大黄（锉碎，微炒） 鳖甲（涂醋炙令黄，去裙 。各三分） 桂心 赤茯苓 柴胡（去苗。各半两）
上件药捣，罗为末，炼蜜和丸如麻子大。每服煎蜜汤下五丸，日三服。
《圣惠》治小儿丁奚肚大，青脉起，不生脂肉，四肢干瘦，头大发黄。麝香丸方
麝香（细研） 肉豆蔻（去壳） 干蟾（涂醋炙令黄） 夜明砂 地龙（并微炒。各一分） 朱砂（细研，水
飞过） 五灵脂（各半两） 白矾（灰。一分） 蜣螂（三枚，去翅、足，炙令熟）
上件药捣，罗为末，都研令匀，炼蜜和丸如绿豆大。每日空心以温水下五丸，晚再服。量儿大小以意加减。
《圣惠》治小儿丁奚，腹胀，干瘦，毛发焦黄。宜服二圣丸方
大虾蟆（一枚。端午日收，眼赤者佳） 臭黄（二两。为末）
上净取却虾蟆肠肚，然后满腹着臭黄末，以纸裹上以泥封，令干，更泥，如此可三遍。待泥干，即于大火
中烧令烟尽，捣、罗为末，用粟米饮和丸如粟米大。儿一岁以粥饮下一丸。服药后以生、熟水浴儿，拭干，
以青衣覆之令睡，良久有虫出即效。
《圣惠》治小儿丁奚肚大，四肢瘦弱。野鼠丸方
野鼠（一枚。去皮、脏，炙令焦） 干姜（炮裂，锉） 浓朴（去皮，涂姜汁，炙令香熟用之） 桂心 甘草（炙
赤，锉。各一分）
上件药捣，罗为末，以枣肉和丸如绿豆大。三岁儿每服用生姜汤下七丸，日三服。量儿大小以意加减。
《圣惠》治小儿丁奚腹胀，头大颈细，手脚心热，唯吃冷水。此是脉藏内疳。大黄丸方
川大黄（一分。锉碎，微炒） 蛇蜕皮（二条。烧灰） 蝉壳（三七枚） 巴豆霜（一字） 铅霜（半钱，细研） 干
虾蟆（一枚。涂酥炙黄） 皮巾子（灰，有孔子处取半钱）
上件药捣，罗为末，都研令匀，炼蜜和丸如绿豆大。三岁儿每服空心以浆水粥饮下三丸，后以桃、柳汤洗，
拭干。以青衣盖，良久有虫出为妙。量儿大小以意加减服之。
《婴孺》治小儿羸瘦，不生肌，食饮不多，腹大，面目痿黄，不长。主百病。鳖甲丸方
鳖甲（炙） 桂心（各三分） 大黄（五分） 人参 前胡 茯苓 干地黄 芍药 干姜（
各二分） 黄芩（一分半） 虫（十枚。炙）
上为末，蜜丸小豆大。三丸，日进三服。量与之佳。
《婴孺》芍药丸 治小儿百病，有寒热，大腹，食不消化，不生肌肉，痿痹方。
芍药 茯苓 大黄（各五分） 柴胡（四分） 鳖甲（三分，炙） 桂心（二分） 人参（一分，一方二分）
上为末，蜜丸。三岁以下服三小豆大，不知加之；七、八岁三桐子大，不知加之。若腹坚大者，加鳖甲一
分；渴者，加栝蒌二分。病甚者服二十日效。已试大良。一方有杏仁二两，人参三分。
《婴孺》治新生少小儿客忤所中，惊痫发热，哺乳不消，中风反掣，口吐舌，卒疰逢忤，面青，目上摇，腹满丁
奚，羸瘦颈交，三岁不能行。麝香紫双丸方
麝香 黄连 丹砂 乌贼鱼骨 桂心（各一两） 雄黄 附子（炮，去皮脐） 牛
黄（各二两） 特生 石（半两。烧） 赤足蜈蚣（一条。炙） 巴豆（六十粒。去皮、心，入绢袋子，内灰，煮半日）
上为末，蜜和，杵三千下， 合密收，勿令燥泄。儿生十日、二十日、三十日服二黍大；四十日至百日服
二麻子大；一岁、三岁以意增之，大其丸子。儿虽小而宿实甚者，当加丸子，不必根据此例也。巴豆别研入药
内。
《婴孺》治小儿不生肌肉，丁奚大腹，食不消。芍药丸方
芍药 大黄（各一两） 桂心（二两） 茯苓 柴胡（各四两）
上为末，蜜和杵熟。一岁，大豆许二丸，不知稍加之，食后服。炼蜜须三、五沸用。
《婴孺》治小儿伤食，失衣当风，温冷水浴，苦腹大丁奚，时利，寒热如疟，不欲饮食，不生肌及消羸不欲动摇方。
人参 麦门冬（去心） 大黄 黄 苦参（炒） 芎 石（ ） 甘草（炙。各三
分） 半夏（洗） 远志（去心） 黄芩（各二分） 硝石（四分）
上为末，蜜丸黑豆大。先食服三丸，四岁桐子大三丸，量与之。
《婴孺》治腹中有热满，不思饮食；及大小便不利，若苦腹痛，癖便脓血、下重，丁奚大腹痛，脱肛，胁下有痞方。
野狼毒（二分） 附子（一个，炮） 川椒（汁） 巴豆（去皮。各四分）
上为末，以饴丸茱萸大。茶饮下一丸，天明及日一再服一丸，数服消痞下食，日进三服。
《婴孺》治小儿坚痞，面黄羸瘦，丁奚，不欲食，食不生肌肤，心中 烦闷，发时时寒热，五脏虚胀，腹中
痛，常若下痢。八痞丸方
蜀漆（七分） 细辛（四分） 龙胆（五分） 干姜（二分） 附子（四分。炮） 牡
丹虻虫（疑是 虫非虻虫） 头（酒浸，炙黄） 曾青（无曾青，空青代之） 桂心（各三分）
上为末，蜜丸桐子大。饮下二丸，日进三服，以知为度。忌猪、鱼、生菜等物。
张涣大麝香丹方 治小儿羸瘦，腹大见青筋及丁奚等病方。
麝香 粉霜（各研） 朱砂（细研，水飞） 白矾（灰。各半两） 五灵脂 肉豆蔻仁 干蟾
（涂酥炙。各一两） 干地龙（一分，炒） 夜明砂（半两） 干蜣螂（七枚。去翅，炙黄熟）
上件捣，罗为末，与朱砂等同研匀细，炼蜜和丸黍米大。每服三粒至五粒，温水下。量儿大小加减服之。
《庄氏家传》治小儿疳气，腹大，气急，不思饮食。塌气丸方
青橘皮（不拘多少，用汤浸开） 巴豆（每青橘皮一个，用巴豆一个，使麻线系合，热麸中
炒熟，去巴豆不用）
上捣，罗为末，面糊为丸如绿豆大。三岁以上每服五丸或七丸，米饮下，不计时候。
《巢氏病源》小儿大腹丁奚候：小儿患丁奚病，是因为喂养过度，而脾胃尚且虚弱，无法磨碎消化食物所致。食物不能消化，则水谷的精微物质减少损耗，没有足够的营养来滋养气血，导致肌肉消瘦萎缩。这种病的特征是腹部胀大、颈部细小，面色萎黄瘦弱。如果长久不愈，就会演变成谷症（因长期饮食积滞导致的严重疳积）。因伤食饱胀引起的称为哺露病，又名丁奚。这三种病症大体相似，只是根据轻重程度不同而命名。
《五关贯珍珠囊》：小儿丁奚，被称为鼓槌风、鹤膝风候。凡是小儿或因呕吐腹泻长久不愈，或病后体虚不能行走，膝盖肿大、肛门发红，称为丁奚。七岁以下称为鼓槌风，十五岁以下称为鹤膝风。这主要是因为风冷之邪损伤肾脏所致，因为肾主骨的缘故。
《庄氏家传》疳肚、丁奚辨证说：小儿腹部胀大如有青色筋脉显露，就叫做疳肚；如果没有青色筋脉，就叫做丁奚。这是因过饱伤食而得的病。
《婴童宝鉴》小儿丁奚歌诀：
腹部高突、颈部细瘦、身体痿软无力，精神萎靡全无光彩只爱啼哭，久病转为谷症脾胃受损，小儿如此状况称为丁奚。
《葛氏肘后》治疗疳气、大腹瘦弱的方子。
将生薤根捣烂，用猪脂煎煮，少量服用。
葛氏另一个方子：
用熟炙鼠肉，或者蝙蝠肉喂食患儿。《本草》中也记载可治疗哺露病。
《葛氏肘后》治疗小儿丁奚、癖块、面色萎黄瘦弱、脱发等病的方子。
代赭石（研末） 大黄 朱砂（研末。各四分） 龟甲（炙，三分） 芍药 青木香 杏仁（去皮，炒制，另研） 巴豆（去心、皮，另研，炒制） 知母（各二分）
以上药物捣碎、筛成粉末，用蜂蜜制成丸剂。一百天的婴儿服用如胡豆大小；二百天的婴儿服用如小豆大小；三百天的婴儿服用如大豆大小；四百天的婴儿服用如梧桐子大小。每次服用以轻微腹泻为限度。效果显著。
《千金方》仙人玉壶丸，治疗小儿羸瘦、丁奚，不能进食，吃了不能消化的方子。
雄黄 藜芦 丹砂 礬石（一方用矾石） 巴豆（去皮、膜。各二两。《万全方》只用各一两） 八角附子（炮裂、去皮脐二两。《万全方》却用三两）
以上六味药，先捣巴豆三千杵，再用礬石捣三千杵，接着加入藜芦捣三千杵，再加入附子捣三千杵，再加入雄黄捣三千杵，最后加入丹砂捣三千杵，加入蜂蜜再捣一万杵为佳。如果不用丹砂，可加入真珠四两。每加入一种药就要捣五百杵，加入少许蜂蜜以防药粉飞扬。制药要选择王相吉日良时，由童子斋戒后制作最佳。天气晴朗无云雾，白昼制药完成，装入密封容器中封存，不要漏气，放在清洁处。小儿百病，惊痫痞塞及有热证，百日、半岁的婴儿用一丸如黍米大小，含在小儿乳头处喂服。一岁以上用如麻子大一丸，每日三次，用水送服。小儿大腹及中热恶毒，食物不化，结成积聚，服用一丸。小儿寒热头痛，身热及呕吐，服用如麻子大一丸。小儿羸瘦，丁奚，不能进食，食不化，用浆水送服二丸，每日三次。又可用醋调和如梧子大小，敷在腹部上很好。
《圣惠方》治疗小儿丁奚，骨中微热，腹内不调，饮食不能化为肌肤或苦于寒热，腹部胀大。鸡骨丸方
雄鸡骨（一具，炙至黄色） 赤芍药（半两） 赤茯苓（半两。《婴孺》用一两） 石膏（细研，水飞） 川大黄（锉碎，微炒） 紫菀（洗去苗土。各半两。《婴孺》各用五分） 陈橘皮（半两，汤浸、去白瓤。《婴孺》用三分） 白矾（烧成灰） 细辛（洗去苗土） 附子（炮裂，去皮脐。各半两） 黄芩 甜葶苈（隔纸炒令香。各三分） 桂心（三分。《婴孺》用二分）
以上药物捣碎，罗筛成粉末，炼蜜和丸如麻子大小。每次用粥饮送下五丸，每日三次。更需根据孩子的大小酌情加减。（《婴孺》方相同，但分量不同。仍注明出自《康氏方》。）
《圣惠方》治疗小儿丁奚、癖块，面色萎黄瘦弱、脱发。代赭丸方
代赭石（细研） 川大黄（锉碎，微炒） 朱砂（细研，水飞。各半两） 鳖甲（半两，涂醋炙至黄色，去裙边。《婴孺》用三钱三字） 巴豆霜（半分，《婴孺》用一分） 赤芍药 木香 知母 杏仁（汤浸，去皮尖、双仁，麸炒微黄。各一分）
以上药物捣碎，罗筛成粉末，一起研磨均匀，炼蜜和丸如麻子大小。每次用粥饮送下二丸。更需根据孩子的大小加减服用。每日一至二次，以大便溏利为度。（《婴孺》方相同，专治癖块。）
《圣惠方》治疗小儿丁奚，虽然进食但不能长肌肉，腹部胀大，食物不消化。宜服赤芍药丸方
赤芍药 川大黄（锉碎，微炒） 鳖甲（涂醋炙至黄色，去裙边。各三分） 桂心 赤茯苓 柴胡（去苗。各半两）
以上药物捣碎，罗筛成粉末，炼蜜和丸如麻子大小。每次煎蜜汤送下五丸，每日三次。
《圣惠方》治疗小儿丁奚肚大，青色脉络突起，不长脂肉，四肢干瘦，头发枯黄。麝香丸方
麝香（细研） 肉豆蔻（去壳） 干蟾（涂醋炙至黄色） 夜明砂 地龙（并微炒。各一分） 朱砂（细研，水飞） 五灵脂（各半两） 白矾（灰。一分） 蜣螂（三枚，去翅、足，炙熟）
以上药物捣碎，罗筛成粉末，一起研磨均匀，炼蜜和丸如绿豆大小。每天空腹用温水送下五丸，晚上再服一次。根据孩子的大小酌情加减。
《圣惠方》治疗小儿丁奚，腹胀，干瘦，毛发焦黄。宜服二圣丸方
大虾蟆（一枚。端午日采集，眼睛红色的为佳） 臭黄（二两。研成末）
以上净取去掉肠肚的虾蟆，然后填满臭黄末，用纸包裹后用泥封住，晾干，再涂泥，如此重复三遍。待泥干后，在大火中烧至烟尽，捣碎、罗筛成粉末，用粟米饮和丸如粟米大小。一岁的婴儿用粥饮送下一丸。服药后用生水和熟水给婴儿洗澡，擦干，用青衣覆盖让其睡觉，很久后有虫排出即见效。
《圣惠方》治疗小儿丁奚肚大，四肢瘦弱。野鼠丸方
野鼠（一枚。去皮、内脏，炙至焦黄） 干姜（炮裂，锉碎） 浓朴（去皮，涂姜汁，炙至香熟使用） 桂心 甘草（炙赤，锉碎。各一分）
以上药物捣碎，罗筛成粉末，用枣肉和丸如绿豆大小。三岁婴儿每次用生姜汤送下七丸，每日三次。根据孩子的大小酌情加减。
《圣惠方》治疗小儿丁奚腹胀，头大颈细，手脚心热，只吃冷水。这是脉藏内疳。大黄丸方
川大黄（一分。锉碎，微炒） 蛇蜕皮（二条。烧成灰） 蝉壳（三七枚） 巴豆霜（一字） 铅霜（半钱，细研） 干虾蟆（一枚。涂酥炙黄） 皮巾子（灰，有孔子处取半钱）
以上药物捣碎，罗筛成粉末，一起研磨均匀，炼蜜和丸如绿豆大小。三岁婴儿每次空腹用浆水粥饮送下三丸，之后用桃、柳汤清洗，擦干。用青衣覆盖，很久后有虫排出为妙。根据孩子的大小酌情加减服用。
《婴孺书》治疗小儿羸瘦，不长肌肉，饮食不多，腹部胀大，面目萎黄，不长个。主治百病。鳖甲丸方
鳖甲（炙） 桂心（各三分） 大黄（五分） 人参 前胡 茯苓 干地黄 芍药 干姜（各二分） 黄芩（一分半） 䗪虫（十枚。炙）
以上研成粉末，蜂蜜和丸如小豆大小。每次三丸，每日进服三次。根据情况给予较好。
《婴孺书》芍药丸，治疗小儿百病，有寒热，大腹，食物不消化，不长肌肉，痿痹方。
芍药 茯苓 大黄（各五分） 柴胡（四分） 鳖甲（三分，炙） 桂心（二分） 人参（一分，一方二分）
以上研成粉末，蜂蜜和丸。三岁以下服用三颗小豆大小的药丸，无效则增加剂量；七、八岁服用三颗梧桐子大小的药丸，无效则增加剂量。如果腹部坚硬胀大，加鳖甲一分；口渴者，加栝蒌二分。病重者服用二十天见效。已经试用，效果很好。一方有两杏仁二两，人参三分。
《婴孺书》治疗新生儿受客忤所中，惊痫发热，哺乳不消，中风反掣，口吐舌，卒疰逢忤，面青，目上摇，腹部胀满丁奚，羸瘦颈交，三岁不能行走。麝香紫双丸方
麝香 黄连 丹砂 乌贼鱼骨 桂心（各一两） 雄黄 附子（炮，去皮脐） 牛黄（各二两） 特生 石（半两。烧） 赤足蜈蚣（一条。炙） 巴豆（六十粒。去皮、心，入绢袋子，放入灰中，煮半天）
以上研成粉末，蜂蜜调和，杵三千下，密封收藏，不要让干燥漏气。婴儿出生十日、二十日、三十日服用两颗黍米大小的药丸；四十日至百日服用两颗麻子大小的药丸；一岁、三岁酌情增大药丸。婴儿虽小但宿实严重者，应当加大药丸，不必拘泥于此例。巴豆另研入药内。
《婴孺书》治疗小儿不长肌肉，丁奚大腹，食物不消化。芍药丸方
芍药 大黄（各一两） 桂心（二两） 茯苓 柴胡（各四两）
以上研成粉末，蜂蜜调和杵熟。一岁的婴儿，大豆大小两丸，无效稍加剂量，饭后服用。炼蜜须煮沸三、五次使用。
《婴孺书》治疗小儿伤食，失衣当风，温冷水浴，苦于腹部胀大丁奚，时常腹泻，寒热如疟疾，不想饮食，不长肌肉及消瘦不想活动方。
人参 麦门冬（去心） 大黄 黄芪 苦参（炒） 川芎 礬石 甘草（炙。各三分） 半夏（洗） 远志（去心） 黄芩（各二分） 硝石（四分）
以上研成粉末，蜂蜜和丸如黑豆大小。饭前服用三丸，四岁服用梧桐子大小三丸，根据情况给予。
《婴孺书》治疗腹中有热满，不思饮食；以及大小便不利，若苦于腹痛，癖块便脓血、里急后重，丁奚大腹痛，脱肛，胁下有痞块方。
野狼毒（二分） 附子（一个，炮） 川椒（汁） 巴豆（去皮。各四分）
以上研成粉末，用饴糖和丸如茱萸大小。茶饮送下一丸，天明及白天各再服一丸，多次服用可消痞下食，每日进服三次。
《婴孺书》治疗小儿坚痞，面黄羸瘦，丁奚，不想进食，进食不长肌肤，心中烦闷，发时时寒热，五脏虚胀，腹中痛，常像下痢。八痞丸方
蜀漆（七分） 细辛（四分） 龙胆（五分） 干姜（二分） 附子（四分。炮） 牡丹虻虫（疑是䗪虫非虻虫） 头（酒浸，炙黄） 曾青（无曾青，空青代之） 桂心（各三分）
以上研成粉末，蜂蜜和丸如梧桐子大小。饮水送下二丸，每日进服三次，以见效为度。忌食猪、鱼、生菜等物。
张涣大麝香丹方，治疗小儿羸瘦，腹部胀大见青筋及丁奚等病方。
麝香 粉霜（各研） 朱砂（细研，水飞） 白矾（灰。各半两） 五灵脂 肉豆蔻仁 干蟾（涂酥炙。各一两） 干地龙（一分，炒） 夜明砂（半两） 干蜣螂（七枚。去翅，炙黄熟）
以上捣碎，罗筛成粉末，与朱砂等同研均匀细腻，炼蜜和丸如黍米大小。每次服用三粒至五粒，温水送下。根据孩子的大小加减服用。
《庄氏家传》治疗小儿疳气，腹部胀大，气急，不思饮食。塌气丸方
青橘皮（不拘多少，用汤浸开） 巴豆（每青橘皮一个，用巴豆一个，用麻线系合，热麸中炒熟，去巴豆不用）
以上捣碎，罗筛成粉末，面糊为丸如绿豆大小。三岁以上每次服用五丸或七丸，米饮送下，不计时候。
Chao Shi Bing Yuan (Source of Diseases in Chao's Work) - Infantile Abdominal Distension Ding Xi Syndrome: Infants suffering from Ding Xi disease do so because of overfeeding, while their spleen and stomach are still weak and unable to grind and digest food. When food is not digested, the essence of water and grain is reduced and depleted, leaving insufficient nourishment for Qi and Blood, resulting in emaciation and wasting of muscles. The characteristics of this disease are a distended abdomen and a thin neck, with sallow and emaciated complexion. If it persists for a long time without recovery, it transforms into Gu Syndrome (severe malnutrition due to long-term food stagnation). Caused by injury from fullness and satiety, it is called Bu Lu Disease, also known as Ding Xi. These three conditions are largely similar, named according to their severity.
Wu Guan Guan Zhen Zhu Nang: Infantile Ding Xi is referred to as Drumstick Wind or Crane Knee Wind syndrome. Whenever an infant suffers from prolonged vomiting and diarrhea that does not heal, or cannot walk after illness subsides, with swollen knees and red anus, it is called Ding Xi. Those under seven years old are called Drumstick Wind, and those under fifteen are called Crane Knee Wind. This is mainly caused by wind-cold injuring the Kidney, as the Kidney governs the bones.
Zhuang Family Collection - Differentiation of Gan Du and Ding Xi states: If an infant's abdomen is distended with visible blue veins, it is called Gan Du; if there are no blue veins, it is called Ding Xi. This is a condition acquired from overeating and food injury.
Ying Tong Bao Jian - Song on Infantile Ding Xi:
Abdomen high, neck thin, body flaccid and weak,
Spiritless, lacking luster, only loving to cry.
Long illness becomes Gu Syndrome, Spleen and Stomach wrapped,
Infant with such condition is called Ding Xi.
Ge Shi Zhou Hou - Formula for Gan Qi (Gan Qi Syndrome), large abdomen and emaciation.
Pound fresh Scallion Root, decoct with Lard, take small amounts.
Another formula by Ge Shi:
Feed the patient with roasted wild mouse meat, or bat meat. Ben Cao also records it treats Bu Lu disease.
Ge Shi Zhou Hou - Formulas for infantile Ding Xi, Pi masses, sallow emaciation, hair loss, etc.
Dai Zhe Shi (Hematitum, ground) Da Huang (Rhei Radix et Rhizoma) Zhu Sha (Cinnabaris, ground. Each 4 fen) Gui Jia (Testudinis Carapax et Plastrum, roasted, 3 fen) Shao Yao (Paeoniae Radix Rubra) Qing Mu Xiang (Aucklandiae Radix) Xing Ren (Armeniacae Semen Amarum, peeled, fried, ground separately) Ba Dou (Crotonis Fructus, heart and peel removed, ground separately, fried) Zhi Mu (Anemarrhenae Rhizoma. Each 2 fen)
Pound and sieve all ingredients into powder, mix with honey to make pills. For 100-day-old infants, size of a broad bean; for 200-day-olds, size of a mung bean; for 300-day-olds, size of a soybean; for 400-day-olds, size of a Sophora seed. Take each dose until mild diarrhea occurs. Highly effective.
Qian Jin Fang - Immortal Jade Pot Pill, treating infantile emaciation, Ding Xi, inability to eat, and indigestion.
Xiong Huang (Realgar) Li Lu (Veratri Radix) Dan Sha (Cinnabaris) Fan Shi (Alumen) Ba Dou (Crotonis Fructus, peeled and membrane removed. Each 2 liang. Wan Quan Fang uses only 1 liang each) Ba Jiao Fu Zi (Aconiti Lateralis Radix Praeparata, cracked by frying, peeled and navel removed, 2 liang. Wan Quan Fang uses 3 liang)
First pound Ba Dou 3000 times, then Fan Shi 3000 times, then add Li Lu and pound 3000 times, then add Fu Zi and pound 3000 times, then add Xiong Huang and pound 3000 times, then add Dan Sha and pound 3000 times. Add honey and pound another 10,000 times for best results. If Dan Sha is not used, add 4 liang of Pearl. Add each herb and pound 500 times; add a little honey to prevent powder from flying. Choose auspicious days and hours for King Phase to prepare medicine; fasting virgins are best. Prepare on clear sunny days without clouds/mist during daylight. Seal tightly in clean containers to prevent gas leakage. For infantile hundred diseases, Jing Xian (startle epilepsy), Pi Se (masses), and heat syndromes: for infants 100 days to half a year old, give one pill the size of a millet grain via the nipple. For over one year old, one pill the size of a hemp seed, three times daily with water. For large abdomen, internal heat/toxicity, indigestion forming accumulations: take one pill. For cold/heat headache, fever, vomiting: take one pill the size of a hemp seed. For emaciation, Ding Xi, inability to eat/digest: take two pills with Jiang Shui (fermented grain water), three times daily. Alternatively, mix with vinegar to the size of a Sophora seed and apply externally to the abdomen.
Sheng Hui Fang - Treating infantile Ding Xi, slight heat in bones, internal abdominal disharmony, food not transforming into flesh, or bitter cold/heat, abdominal distension. Ji Gu Wan (Chicken Bone Pill)
Xiong Ji Gu (Rooster Bone, one piece, roasted yellow) Chi Shao Yao (Red Peony Root, 0.5 liang. Ying Ru uses 1 liang) Chi Fu Ling (Red Poria, 0.5 liang) Shi Gao (Gypsum Fibrosum, finely ground, water-washed) Chuan Da Huang (Sichuan Rhubarb, crushed, lightly fried) Zi Wan (Asteris Radix, washed free of roots/soil. Each 0.5 liang. Ying Ru uses 5 fen each) Chen Ju Pi (Tangerine Peel, 0.5 liang, soaked in water, white pith removed. Ying Ru uses 3 fen) Bai Fan (Alumen, burnt to ash) Xi Xin (Asari Radix, washed free of roots/soil) Fu Zi (Prepared Aconite Root, cracked, peeled, navel removed. Each 0.5 liang) Huang Qin (Scutellariae Radix) Ting Li Zi (Lepidii Semen, fried through paper until fragrant. Each 3 fen) Gui Xin (Cinnamon Twig Heart, 3 fen. Ying Ru uses 2 fen)
Pound and sieve into powder, mix with refined honey to make pills the size of hemp seeds. Take five pills with porridge drink, three times daily. Adjust dosage based on child's size. (Ying Ru formula is same but differs in dosage; notes origin from Kang Shi Fang.)
Sheng Hui Fang - Treating infantile Ding Xi, Pi masses, sallow emaciation, hair loss. Dai Zhe Wan (Hematite Pill)
Dai Zhe Shi (Hematitum, finely ground) Chuan Da Huang (Sichuan Rhubarb, crushed, lightly fried) Zhu Sha (Cinnabaris, finely ground, water-washed. Each 0.5 liang) Bie Jia (Trionychis Carapax, 0.5 liang, coated with vinegar, roasted yellow, skirt edge removed. Ying Ru uses 3 qian 3 zi) Ba Dou Shuang (Crotonis Fructus Frost, 0.5 fen. Ying Ru uses 1 fen) Chi Shao Yao (Red Peony Root) Mu Xiang (Aucklandiae Radix) Zhi Mu (Anemarrhenae Rhizoma) Xing Ren (Armeniacae Semen Amarum, soaked in water, peeled tip/sharp end and double kernels removed, bran-fried light yellow. Each 1 fen)
Pound and sieve into powder, grind uniformly, mix with refined honey to make pills the size of hemp seeds. Take two pills with porridge drink. Adjust dosage based on child's size. One to two times daily, stop when loose stools occur. (Ying Ru formula is same, specifically for Pi masses.)
Sheng Hui Fang - Treating infantile Ding Xi, eating but not gaining muscle, abdominal distension, indigestion. Take Chi Shao Yao Wan (Red Peony Pill)
Chi Shao Yao (Red Peony Root) Chuan Da Huang (Sichuan Rhubarb, crushed, lightly fried) Bie Jia (Trionychis Carapax, coated with vinegar, roasted yellow, skirt edge removed. Each 3 fen) Gui Xin (Cinnamon Twig Heart) Chi Fu Ling (Red Poria) Chai Hu (Bupleuri Radix, remove roots. Each 0.5 liang)
Pound and sieve into powder, mix with refined honey to make pills the size of hemp seeds. Take five pills with boiled honey water, three times daily.
Sheng Hui Fang - Treating infantile Ding Xi with large abdomen, raised blue veins, lack of subcutaneous fat, dry thin limbs, yellowish hair. She Xiang Wan (Musk Pill)
She Xiang (Moschus, finely ground) Rou Dou Kou (Myristicae Semen, remove shell) Gan Chan (Dry Toad, coated with vinegar, roasted yellow) Ye Ming Sha (Vermis Lucidae) Di Long (Pheretima, both lightly fried. Each 1 fen) Zhu Sha (Cinnabaris, finely ground, water-washed) Wu Ling Zhi (Trogopteri Dung. Each 0.5 liang) Bai Fan (Alumen, ash. 1 fen) Qiang Lang (Scarabaeus, three pieces, remove wings/legs, roast熟)
Pound and sieve into powder, grind uniformly, mix with refined honey to make pills the size of mung beans. Take five pills on empty stomach with warm water daily, and again at night. Adjust dosage based on child's size.
Sheng Hui Fang - Treating infantile Ding Xi with abdominal distension, dry emaciation, scorched yellow hair. Take Er Sheng Wan (Two Sages Pill)
Da Xia Wa (Large Toad, one piece. Collected on Dragon Boat Festival, red-eyed ones are best) Chou Huang (Orpiment, 2 liang, ground to powder)
Cleanly remove intestines/stomach from toad, fill cavity with Chou Huang powder, wrap in paper, seal with mud, let dry, re-mud, repeat three times. Once mud is dry, burn in high fire until smoke ceases, pound and sieve into powder. Mix with millet drink to make pills the size of millet grains. One-year-old takes one pill with porridge drink. After medication, bathe infant with raw and cooked water, dry off, cover with green clothes to sleep. Effect seen when worms are expelled after some time.
Sheng Hui Fang - Treating infantile Ding Xi with large abdomen, thin weak limbs. Ye Shu Wan (Wild Mouse Pill)
Ye Shu (Wild Mouse, one piece, skin/organs removed, roasted charred) Gan Jiang (Dried Ginger, cracked/fried, crushed) Hou Po (Magnolia Bark, peeled, coated with ginger juice, roasted fragrant) Gui Xin (Cinnamon Twig Heart) Gan Cao (Licorice Root, roasted red, crushed. Each 1 fen)
Pound and sieve into powder, mix with jujube paste to make pills the size of mung beans. Three-year-old takes seven pills with ginger water each time, three times daily. Adjust dosage based on child's size.
Sheng Hui Fang - Treating infantile Ding Xi with abdominal distension, large head/thin neck, hot palms/soles, craving only cold water. This is Mai Cang Internal Gan (Hidden Gan in Pulse Storehouse). Da Huang Wan (Rhubarb Pill)
Chuan Da Huang (Sichuan Rhubarb, 1 fen, crushed, lightly fried) She Tui Pi (Snake Slough, two strips, burnt to ash) Chan Ke (Cicada Slough, 3-7 pieces) Ba Dou Shuang (Crotonis Fructus Frost, 1 zi) Qian Shuang (Plumbum Subacetatum, 0.5 qian, finely ground) Gan Xia Wa (Dried Toad, coated with butter, roasted yellow) Pi Jin Zi (Cloth Strip Ash, taken from place with Confucius image, 0.5 qian)
Pound and sieve into powder, grind uniformly, mix with refined honey to make pills the size of mung beans. Three-year-old takes three pills on empty stomach with fermented grain porridge drink, then wash with peach/willow water, dry off. Cover with green clothes; effect seen when worms are expelled after some time. Adjust dosage based on child's size.
Ying Ru Shu - Treating infantile emaciation, lack of muscle growth, low appetite, abdominal distension, sallow face/head, stunted growth. Mainly for hundred diseases. Bie Jia Wan (Softshell Turtle Pill)
Bie Jia (Trionychis Carapax, roasted) Gui Xin (Cinnamon Twig Heart. Each 3 fen) Da Huang (Rhei Radix et Rhizoma, 5 fen) Ren Shen (Ginseng Radix) Qian Hu (Peucedani Radix) Fu Ling (Poria) Gan Di Huang (Rehmanniae Radix Preparata) Shao Yao (Paeoniae Radix) Gan Jiang (Dried Ginger. Each 2 fen) Huang Qin (Scutellariae Radix, 1.5 fen) E Chong (Eupolyphaga Seu Steleophaga, ten pieces, roasted)
Grind to powder, mix with honey to make pills the size of small beans. Three pills, three times daily. Best given according to need.
Ying Ru Shu - Shao Yao Wan (Peony Pill), treating infantile hundred diseases, cold/heat, large abdomen, indigestion, lack of muscle growth, flaccidity/numbness.
Shao Yao (Paeoniae Radix) Fu Ling (Poria) Da Huang (Rhei Radix et Rhizoma. Each 5 fen) Chai Hu (Bupleuri Radix, 4 fen) Bie Jia (Trionychis Carapax, 3 fen, roasted) Gui Xin (Cinnamon Twig Heart, 2 fen) Ren Shen (Ginseng Radix, 1 fen, one prescription 2 fen)
Grind to powder, mix with honey to make pills. Under three years old: three small bean-sized pills, increase if ineffective; 7-8 years old: three Sophora seed-sized pills, increase if ineffective. If abdomen is hard/distended, add 1 fen Bie Jia; if thirsty, add 2 fen Gua Lou. Severe cases show effect after 20 days. Tested and highly effective. One prescription has 2 liang Xing Ren, 3 fen Ren Shen.
Ying Ru Shu - Treating newborns struck by Ke Wu (alien influence), startle epilepsy with fever, undigested milk, wind-stroke with spasms, tongue protrusion, sudden Zhu Feng Wu (possession/influence), cyanotic face, upward rolling eyes, abdominal distension/Ding Xi, emaciation with crossed neck, inability to walk at three years. She Xiang Zi Shuang Wan (Musk Purple Double Pill)
She Xiang (Moschus) Huang Lian (Coptidis Rhizoma) Dan Sha (Cinnabaris) Ou Hai Gu (Sepiae Endoconcha) Gui Xin (Cinnamon Twig Heart. Each 1 liang) Xiong Huang (Realgar) Fu Zi (Prepared Aconite Root, fried, peeled/navel removed) Niu Huang (Bovis Calculus. Each 2 liang) Te Sheng Shi (Special Born Stone, 0.5 liang, burnt) Chi Zu Wu Gong (Red-footed Centipede, one piece, roasted) Ba Dou (Crotonis Fructus, 60 grains, peeled/heart removed, put in silk bag, buried in ash, boiled half day)
Grind to powder, mix with honey, pound 3000 times, seal tightly, keep from drying/leaking. 10, 20, 30-day-old infants: two millet-grain sized pills; 40 days to 100 days: two hemp-seed sized pills; 1-3 years: increase size as needed. Even if infant is small, if excess pathogen is severe, increase pill size, do not strictly follow this example. Ba Dou should be ground separately and added.
Ying Ru Shu - Treating infantile lack of muscle growth, Ding Xi with large abdomen, indigestion. Shao Yao Wan (Peony Pill)
Shao Yao (Paeoniae Radix) Da Huang (Rhei Radix et Rhizoma. Each 1 liang) Gui Xin (Cinnamon Twig Heart, 2 liang) Fu Ling (Poria) Chai Hu (Bupleuri Radix. Each 4 liang)
Grind to powder, mix with honey and pound熟. One-year-old: two soybean-sized pills, increase slightly if ineffective, take after meals. Refined honey must be boiled 3-5 times before use.
Ying Ru Shu - Treating infantile food injury, exposure to wind due to inadequate clothing, bathing in warm/cold water, suffering from large abdominal Ding Xi, frequent diarrhea, cold/heat like malaria, anorexia, lack of muscle growth/emaciation, reluctance to move.
Ren Shen (Ginseng Radix) Mai Men Dong (Ophiopogonis Tuber, remove heart) Da Huang (Rhei Radix et Rhizoma) Huang Qi (Astragali Radix) Ku Shen (Sophorae Flavescentis Radix, fried) Xiong (Ligustici Chuanxiong Rhizoma) Fan Shi (Alumen) Gan Cao (Licorice Root, fried. Each 3 fen) Ban Xia (Pinelliae Tuber, washed) Yuan Zhi (Polygalae Radix, remove heart) Huang Qin (Scutellariae Radix. Each 2 fen) Xiao Shi (Nitrums Recrudatio, 4 fen)
Grind to powder, mix with honey to make pills the size of black beans. Take three pills before meals; four-year-old takes three Sophora seed-sized pills, adjust as needed.
Ying Ru Shu - Treating internal abdominal heat/fullness, loss of appetite; difficulty with urination/defecation; bitter abdominal pain, Pi masses with pus/blood in stool, tenesmus, Ding Xi with large abdominal pain, rectal prolapse, hypochondriac masses.
Ye Lang Du (Stellerae Radix, 2 fen) Fu Zi (Prepared Aconite Root, one piece, fried) Chuan Jiao (Sichuan Pepper, juice) Ba Dou (Crotonis Fructus, peeled. Each 4 fen)
Grind to powder, mix with maltose to make pills the size of Evodia fruits. Take one pill with tea drink, one pill at dawn and once during day, multiple doses reduce masses/food stagnation. Take three times daily.
Ying Ru Shu - Treating infantile hard masses, sallow emaciation, Ding Xi, anorexia, food not building flesh, mental restlessness, intermittent cold/heat, five-zang deficiency bloating, abdominal pain, constant dysentery-like symptoms. Ba Pi Wan (Eight Masses Pill)
Shu Qi (Perillae Folium, 7 fen) Xi Xin (Asari Radix, 4 fen) Long Dan (Gentianae Radix, 5 fen) Gan Jiang (Dried Ginger, 2 fen) Fu Zi (Prepared Aconite Root, 4 fen, fried) Mu Dan E Chong (Paeoniae Cortex & Eupolyphaga, suspected E Chong not Meng Chong) Tou (Head, wine-soaked, roasted yellow) Zeng Qing (Azurite, substitute Kong Qing if unavailable) Gui Xin (Cinnamon Twig Heart. Each 3 fen)
Grind to powder, mix with honey to make pills the size of Sophora seeds. Take two pills with water, three times daily, stop when effective. Avoid pork, fish, raw vegetables.
Zhang Huan Da She Xiang Dan Formula - Treating infantile emaciation, abdominal distension with visible blue veins, and Ding Xi.
She Xiang (Moschus) Fen Shuang (Calomel, each ground) Zhu Sha (Cinnabaris, finely ground, water-washed) Bai Fan (Alumen, ash. Each 0.5 liang) Wu Ling Zhi (Trogopteri Dung) Rou Dou Kou Ren (Myristicae Semen Kernel) Gan Chan (Dry Toad, coated with butter, roasted. Each 1 liang) Gan Di Long (Pheretima, 1 fen, fried) Ye Ming Sha (Vermis Lucidae, 0.5 liang) Gan Qiang Lang (Scarabaeus, seven pieces, remove wings, roast熟熟)
Pound and sieve into powder, grind uniformly with Zhu Sha, mix with refined honey to make pills the size of millet grains. Take 3-5 pills with warm water. Adjust dosage based on child's size.
Zhuang Family Collection - Treating infantile Gan Qi, abdominal distension, rapid breathing, anorexia. Ta Qi Wan (Collapse Qi Pill)
Qing Ju Pi (Green Tangerine Peel, any amount, soak in water to open) Ba Dou (Crotonis Fructus, one Ba Dou per one Qing Ju Pi, tie together with hemp thread, stir-fry in hot bran until cooked, remove Ba Dou, do not use)
Pound and sieve into powder, make pills with flour paste the size of mung beans. Over three years old: take 5-7 pills with rice drink, anytime.