《巢氏病源》小儿胸胁满痛候∶看养小儿，有失节度而为寒热所伤。寒气入腹内，乘虚停积，后因乳哺，冷
热不调，触于宿寒，与气相击不散，在于胸膈之间，故令满痛也。
《五关贯真珠囊》小儿气痛候∶因生冷所伤而成。只在脐上下、左右痛，是气。宜木香散治之（方见本门。）
《千金》治少小胁下有气内痛，喘逆，气息难，往来寒热，羸瘦不食。马通粟丸方
马通中粟（十八铢） 杏仁（汤浸、去皮） 紫菀 细辛（各半两） 石膏 秦
艽半夏（汤浸七遍） 茯苓 五味子（各六铢）
上九味末之，蜜丸如小豆、十丸，日三服。不知，加至二十丸。
《五关贯真珠囊》木香散 顺气宽中。治胸胁痞塞，心腹刺痛，胁肋胀满，饮食减少，吞酸，呕逆，噎闷。一切
气疾，并皆治之。
木香 青橘皮（各三两） 姜黄 麦 （去土炒。各五两） 蓬莪术（四两） 甘草（锉炒） 盐（炒。各十一两）
上为末。每服一钱，沸汤点服，不计时候。
《外台》∶《甲乙经》灸法∶劳宫一名五里，在掌中动脉，灸二壮。主热病发热，满而欲呕哕，三日以往不得
汗，怵惕，胸胁痛不可反侧，咳满，溺赤，大便血，衄下，吐呕，吐血，气逆，噫不止，嗌中痛，食不下，
善渴，口中烂，掌中热，风热善怒，中心善悲，累呕嘘唏，善笑不休。烦心，咳，寒热，善哕，少腹积聚，小
儿口中腥臭，胸胁支满，黄胆黄目。
《诸病源候论》中关于小儿胸胁满痛的证候：抚养小儿时，若起居饮食失去节制，就会受到寒热邪气的伤害。寒气侵入腹内，趁着正气虚弱而停留积聚；之后因哺乳喂养，冷热不调，触动了体内的宿寒，与气机相互搏击而不能消散，停留在胸膈之间，从而导致胸胁满闷疼痛。
《五关贯真珠囊》中关于小儿气痛的证候：这是由于食用生冷食物受伤所致。疼痛部位仅在肚脐的上下、左右，属于气痛。适宜用木香散治疗（方剂见本门）。
《千金方》治疗幼小儿童胁下有气积滞导致内部疼痛，气喘逆上，呼吸艰难，忽冷忽热，身体消瘦且食欲不振的马通粟丸方：
马通中粟（十八铢） 杏仁（热水浸泡、去皮） 紫菀 细辛（各半两） 石膏 秦艽 半夏（热水浸泡七遍） 茯苓 五味子（各六铢）
以上九味药研成粉末，用蜂蜜制成如小豆大小的丸剂，每次服用十丸，每日三次。如果效果不明显，可增加到每次二十丸。
《五关贯真珠囊》中的木香散：具有顺气宽中的作用。治疗胸胁痞塞不通，心腹部刺痛，胁肋胀满，饮食减少，吞酸，呕吐逆气，噎闷不适。所有的气机疾病，都能治疗。
木香 青橘皮（各三两） 姜黄 麦（去土炒制。各五两） 蓬莪术（四两） 甘草（锉碎炒制） 盐（炒制。各十一两）
以上药物研成粉末。每次服用一钱，用沸水冲服，不限定时间。
《外台秘要》引用《甲乙经》的灸法：劳宫穴又名五里穴，位于手掌中心的动脉处，艾灸二壮。主治热病发热，胸满想呕吐呃逆，三天以后仍不出汗，惊恐不安，胸胁疼痛不能翻身侧卧，咳嗽胸满，小便赤黄，大便出血，鼻衄下血，呕吐吐血，气逆上冲，打嗝不止，咽喉疼痛，进食困难，容易口渴，口腔溃烂，掌心发热，风热引起的易怒，心中悲伤，频繁呕吐叹息，无故大笑不止。心烦，咳嗽，寒热往来，频繁呃逆，少腹部有积块，小儿口中腥臭，胸胁支撑胀满，黄疸目黄。
According to *Chushi Bingyuan* (Source of Diseases in Children) regarding the syndrome of chest and hypochondriac fullness and pain in children: When raising infants, if care is not regulated properly, they may be injured by cold and heat pathogens. Cold qi enters the abdomen and accumulates due to deficiency; subsequently, improper feeding with milk, combined with disharmony of cold and heat, triggers latent cold, which clashes with qi and fails to dissipate. Located between the chest and diaphragm, this causes fullness and pain.
According to *Wuguan Guanzhenzhunang* regarding the syndrome of infantile qi pain: This results from injury caused by raw and cold foods. The pain is located only above, below, to the left, or right of the umbilicus, indicating it is qi-related. It should be treated with *Muxiang San* (Aucklandia Powder) (see formula in this section).
*Qianjin Fang* (Prescriptions Worth a Thousand Gold) treats internal pain due to qi accumulation under the ribs in young children, accompanied by wheezing and counterflow qi, difficult breathing, alternating chills and fever, emaciation, and anorexia. Formula for *Matong Su Wan* (Horse Dung Millet Pill):
*Matong Zhongsu* (Millet from horse dung, 18 zhu), *Xingren* (Apricot Seed, soaked in water and peeled), *Ziwan* (Aster Root), *Xixin* (Asarum, each half liang), *Shigao* (Gypsum Fibrosum), *Qinjiao* (Gentiana Macrophylla Root), *Banxia* (Pinellia Tuber, soaked in water seven times), *Fuling* (Poria), *Wuweizi* (Schisandra Fruit, each 6 zhu).
Grind the above nine ingredients into powder, mix with honey to form pills the size of small beans. Take ten pills three times daily. If ineffective, increase to twenty pills per dose.
*Muxiang San* (Aucklandia Powder) from *Wuguan Guanzhenzhunang*: Promotes qi movement and relaxes the middle jiao. Treats chest and hypochondriac stuffiness, stabbing pain in the heart and abdomen, distension and fullness of the hypochondrium, reduced appetite, acid regurgitation, vomiting and counterflow qi, dysphagia and oppression. It treats all types of qi disorders.
*Muxiang* (Aucklandiae Radix), *Qingjupi* (Green Tangerine Peel, each 3 liang), *Jianghuang* (Curcumae Longae Rhizoma), *Mai* (Wheat, dehusked and stir-fried, each 5 liang), *Peng'ezhu* (Curcumae Phaeocaulis Rhizoma, 4 liang), *Gancao* (Licorice Root, sliced and stir-fried), *Yan* (Salt, stir-fried, each 11 liang).
Grind the above into powder. Take one qian per dose, mixed with boiling water, at any time.
*Waitai Miyao* (Essential Prescriptions of the External Library) cites the moxibustion method from *Jiayi Jing*: Laogong (EX-2, also known as Wuli) is located at the arterial pulse in the center of the palm. Moxa two cones. It indicates febrile diseases with fever, fullness with desire to vomit or hiccup, no sweating after three days, palpitations and fear, chest and hypochondriac pain preventing turning over, cough with fullness, dark urine, blood in stool, epistaxis, vomiting blood, counterflow qi, incessant belching, throat pain, inability to eat, excessive thirst, oral ulcers, hot palms, irritability due to wind-heat, sadness due to internal injury, frequent vomiting and sighing, uncontrollable laughter, vexation, cough, alternating chills and fever, frequent hiccups, abdominal masses, fetid breath in children, chest and hypochondriac distension, jaundice with yellow eyes.