浓朴温中汤 治胃寒心腹胀。
紫浓朴（一钱五分） 真广皮（一钱） 黑姜炭（一钱） 白云苓（一钱） 草蔻仁（五分） 南木香（五分）
炙甘草（五分）
虚兼寒者，加熟附子五分、青化桂五分。生姜三片。
塌气丸 治寒气郁结，肚腹虚胀。
胡椒仁（一两） 全蝎尾（五钱，拣去钩子，洗净，炒干）
上以胡椒略去皮，取净一两，炒过，和蝎尾研末，面糊丸极小。每服一二钱，陈皮汤送下。
集成沆瀣丹 方见卷二胎疾门。
集成三仙丹 方见卷二类搐门。
异功散 方见卷二伤食门。
荆防败毒散 治疮疥毒瓦斯内陷，肚腹作肿。
荆芥穗 北防风 净连翘 陈枳壳 绿升麻 南薄荷 川羌活 川独活 粉干葛 川木通 金银花 片黄芩
正川芎 黑栀仁 炙甘草（以上每味各一钱）
上身肿，加葱三茎；下体肿，加灯芯十茎，水煎服。
治气胀、水胀，用羯鸡粪干者一升，炒焦黄色，出火毒，研细末，以百沸汤三升淋汁，每服一盏，调木香、
槟榔末各五分。此中满蛊毒胀有一无二之方也。
治食胀、气胀，用萝卜子一两，研细末，水调滤汁，用砂仁一两，以萝卜子汁浸一宿，炒干，又浸又炒，
共七次，为末。每服一钱，米饮调下。
经曰∶身痛而色微黄，齿垢黄，爪甲上黄，黄胆也。又曰∶溺黄赤安卧者，黄胆。已食如饥者，胃疽。夫黄
疸之证，古人多言为湿热，及有五疸之分，皆未足以尽之。予谓黄之大要，亦惟有二∶曰阳黄，曰阴黄。而
寒热虚实，总括二者之中，无余义矣。
一、阳黄证，因湿多成热，热则生黄。此则所谓湿热证也。其证必身热烦渴，或躁扰不宁，或消谷善饥，或
小便热痛，或大便秘结，其脉实而有力。此证不拘外感风湿，内伤食饮，皆能致之。但察儿之元气尚强，脾胃无
损，而湿热果盛者，直宜清火邪、利小便，茵陈五苓散最稳，胃苓汤加茵陈亦佳；若大便秘结热甚者，集成沆
瀣丹。
一、阴黄证，全非湿热，而总由气血之败。盖气不生血，所以血败，血不华色，所以色败。凡病黄而绝无
阳证阳脉者，便是阴黄，或因大病之后，或脾胃久亏，故脾土之色自现于外。其证喜静恶动，喜暗畏明，神
思困倦，言语轻微，畏寒少食，四肢无力，或大便不实，小水如膏。此皆阳虚之候，与湿热发黄者反如冰炭，
使非速救元气，大补脾胃，终无复元之理。且此证最多，而昧者不察，遂云黄胆同是湿热，而用茵陈、栀子清
火利水，则无有不随药而毙者。如四君子、五君煎、温胃饮，是其宜也。
凡小儿脾胃素弱，常有积滞，面色多带黄白，不可消积，惟以集成肥儿丸多服。使脾胃健，食自消，灌溉
脏腑，流行荣卫，自然五色修明，何黄之有？
小儿黄病，昧者一概呼为湿热，无非除湿利水，清热退黄，除此之外，无别法矣。岂知湿热发黄者少，脾虚
发黄者多。盖脾土强者，足以捍御湿热，必不生黄，惟其脾虚不运，所以湿热乘之。治此者，无非暂去湿热，
茵陈五苓散亦佳；黄稍退，即速健脾，不得
屡用消耗，而谓有是病用是药也。
若面目俱黄而带虚浮，唇白舌淡，口不渴，身不热，夜无烦热，小便不涩，不可认为湿热而分利之，速救脾
胃。四君子六君是其宜也。
凡服分利之药，黄久不退，以致口淡心慌，四肢软弱，憎寒发热，小便带浊，皆为虚甚。宜四君子煎送八
味地黄丸，不可再行分利，以致脾败肾绝而死矣。
浓朴温中汤：治疗胃寒引起的心腹胀满。
紫浓朴（一钱五分） 真广皮（一钱） 黑姜炭（一钱） 白云苓（一钱） 草蔻仁（五分） 南木香（五分）
炙甘草（五分）
若兼有虚证且伴有寒象，加熟附子五分、青化桂五分。生姜三片。
塌气丸：治疗寒气郁结导致的肚腹虚胀。
胡椒仁（一两） 全蝎尾（五钱，拣去钩子，洗净，炒干）
以上药材将胡椒略去皮，取净重一两，炒过后，与蝎尾一起研成细末，用面糊制成极小的丸药。每次服用一二钱，用陈皮汤送服。
集成沆瀣丹：方剂见卷二“胎疾门”。
集成三仙丹：方剂见卷二“类搐门”。
异功散：方剂见卷二“伤食门”。
荆防败毒散：治疗疮疥毒素内陷，导致肚腹肿胀。
荆芥穗 北防风 净连翘 陈枳壳 绿升麻 南薄荷 川羌活 川独活 粉干葛 川木通 金银花 片黄芩
正川芎 黑栀仁 炙甘草（以上每味各一钱）
上身肿胀，加葱三根；下体肿胀，加灯芯十根，水煎服。
治疗气胀、水胀，使用羯鸡粪干燥者一升，炒至焦黄色，去除火毒，研成细末，用三升沸水淋滤取汁，每次服用一盏，调入木香、槟榔细末各五分。这是治疗中满蛊毒胀满独一无二的方法。
治疗食积胀、气胀，使用萝卜子一两，研成细末，用水调匀过滤取汁，用砂仁一两，以萝卜子汁浸泡一夜，炒干，再浸泡再炒，共进行七次，最后研成细末。每次服用一钱，用米饮调服。
《内经》说：身体疼痛而面色微黄，牙齿垢腻发黄，指甲上发黄，这是黄疸病。又说：小便黄赤且嗜睡的是黄疸。吃完东西却像饥饿一样的是胃疽。对于黄疸这一病症，古人多认为是湿热所致，并将其分为五种黄疸，但这些说法都不足以完全概括其机理。我认为黄疸的大要，只有两类：即阳黄和阴黄。而寒热虚实，都包含在这两者之中，没有其他的含义了。
第一、阳黄证，是因为湿气多转化为热，热则产生黄色。这就是所谓的湿热证。其症状必定是身体发热、烦躁口渴，或者躁动不安、不得宁静，或者消化食物快、容易饥饿，或者小便热痛，或者大便秘结，脉象实而有力。此证不论是由于外感风湿，还是内伤饮食，都能导致。只要观察患儿元气尚强，脾胃未受损，且湿热确实旺盛的，直接适宜清泻火邪、通利小便，茵陈五苓散最为稳妥，胃苓汤加入茵陈也很好；如果大便秘结且热势严重的，使用集成沆瀣丹。
第二、阴黄证，完全不是湿热，而是总由气血衰败引起。因为气不生血，所以血败；血不能荣华于色，所以面色败坏。凡是患病发黄而完全没有阳证、阳脉表现的，就是阴黄，这可能是因为大病之后，或者脾胃长期亏损，导致脾土的颜色自然显露于外部。其症状是喜欢安静、厌恶活动，喜欢昏暗、畏惧光亮，神思困倦，言语声音轻微，畏寒、食欲减少，四肢无力，或者大便不成形，小便如膏脂状。这些都是阳虚的表现，与湿热发黄的情况截然相反，如果不是迅速挽救元气，大补脾胃，终究没有恢复健康的道理。而且此证最多，但无知的人不加考察，就说黄疸都是湿热，从而使用茵陈、栀子来清火利水，那么没有不随着服药而死亡的。如四君子汤、五君煎、温胃饮，才是适宜的治疗方案。
凡是小儿脾胃素来虚弱，常有积滞，面色多带黄白色，不可单纯消积，只宜多服用集成肥儿丸。使脾胃健运，食物自然消化，灌溉脏腑，流行营卫之气，自然五色鲜明，哪里还会有黄疸呢？
小儿患黄病，无知的人一概称之为湿热，无非是用除湿利水、清热退黄的方法，除此之外，没有其他办法了。哪里知道湿热发黄的少，脾虚发黄的居多。因为脾土强健，足以抵御湿热，必然不会发生黄疸，只有脾虚不能运化，所以湿热趁机侵袭。治疗这种情况，无非是暂时去除湿热，茵陈五苓散也很好；黄疸稍退，就立即健脾，不得屡次使用消耗正气的药物，而认为有病就用对应的药。
如果面目都黄且带有虚浮之象，嘴唇白、舌质淡，口不渴，身体不热，夜间没有烦热，小便不涩滞，不可认为是湿热而分利小便，应迅速挽救脾胃。四君子汤或六君子汤是适宜的选择。
凡是服用分利药物的患者，黄疸久不退去，以致口淡、心慌，四肢软弱，憎寒发热，小便浑浊，这都是正气极度虚弱的表现。适宜用四君子煎送服八味地黄丸，不可再进行分利，以免导致脾败肾绝而死。
Nanpu Wenzhong Decoction (Magnolia Bark Decoction to Warm the Middle): Treats epigastric and abdominal distension caused by Stomach Cold.
Zi Nanpu (Cortex Magnoliae Officinalis, 1.5 qian) Zhen Guangpi (Pericarpium Citri Reticulatae, 1 qian) Hei Jiangtan (Carbonized Rhizoma Zingiberis Recens, 1 qian) Bai Yunling (Poria, 1 qian) Cao Kouren (Semen Amomi Tsaoko, 0.5 qian) Nan Muxiang (Radix Aucklandiae, 0.5 qian)
Zhi Gancao (Radix Glycyrrhizae Preparata, 0.5 qian)
If deficiency with cold is present, add Shu Fuzi (Prepared Radix Aconiti Lateralis, 0.5 qian), Qing Huagui (Ramulus Cinnamomi Cassiae, 0.5 qian). Fresh Ginger (3 slices).
Taqi Pill (Deflating Qi Pill): Treats empty distension of the abdomen due to stagnation of Cold Qi.
Hujiaoren (Semen Piperis Nigris, 1 liang) Quan Xiewei (Tail of Scorpio, 5 qian, hooks removed, washed, stir-fried until dry)
Take the above herbs: slightly peel the black pepper, take 1 liang of the clean seeds, stir-fry, then grind together with the scorpion tails into powder. Form pills as small as possible using wheat paste. Take 1-2 qian per dose, delivered with Chenpi Tang (Tangerine Peel Decoction).
Jicheng Hangxie Dan: Formula see Volume 2, Section on Congenital Diseases.
Jicheng Sanxian Dan: Formula see Volume 2, Section on Convulsions.
Yigong San: Formula see Volume 2, Section on Food Injury.
Jingfang Baidu San (Schizonepeta and Saposhnikovia Powder to Overcome Toxins): Treats swelling of the abdomen and belly caused by toxins from sores and scabies sinking inward.
Jingjie Sui (Apex Schizonepetae, 1 qian each) Bei Fangfeng (Radix Saposhnikoviae, 1 qian each) Jing Lianqiao (Fructus Forsythiae, 1 qian each) Chen Zhike (Exocarpium Citri Grandis, 1 qian each) Lv Shengma (Rhizoma Cimicifugae, 1 qian each) Nan Bohe (Herba Menthae Haplocalycis, 1 qian each) Chuan Qianghuo (Rhizoma et Radix Notopterygii, 1 qian each) Chuan Duhuo (Radix Angelicae Pubescentis, 1 qian each) Fen Gange (Radix Puerariae Lobatae, 1 qian each) Chuan Mutong (Caulis Akebiae, 1 qian each) Jinyinhua (Flos Lonicerae Japonicae, 1 qian each) Pian Huangqin (Radix Scutellariae, 1 qian each)
Zheng Chuanxiong (Rhizoma Chuanxiong, 1 qian each) Hei Zhiren (Semen Brassicae Chinensis, 1 qian each) Zhi Gancao (Radix Glycyrrhizae Preparata, 1 qian each)
For swelling in the upper body, add 3 stalks of green onion; for swelling in the lower body, add 10 stalks of rush pith. Decoct in water and take orally.
To treat Qi Distension and Water Distension, use 1 sheng of dry dung from a castrated ram, stir-fry until scorched yellow, remove fire toxicity, grind into fine powder. Pour 3 sheng of boiling water over the powder to extract the juice. Take one cup per dose, mixed with 0.5 qian each of Muxiang powder (Radix Aucklandiae) and Binglang powder (Semen Arecae). This is the unique formula for treating fullness and Gu-toxin distension.
To treat Food Distension and Qi Distension, use 1 liang of Luobozzi (Semen Raphani, 1 liang), grind into fine powder, mix with water, filter to obtain juice. Take 1 liang of Sharen (Fructus Amomi Rotundus), soak overnight in the radish seed juice, stir-fry until dry, repeat soaking and frying seven times, then grind into powder. Take 1 qian per dose, taken with rice drink.
The Classics state: "Body pain with slightly yellow complexion, yellow dental plaque, and yellow nails indicate Jaundice." It also states: "Yellow urine, preference for lying down, indicates Jaundice. Feeling hungry after eating indicates Gastric Ju." Regarding the syndrome of Jaundice, ancient physicians mostly attributed it to Damp-Heat and divided it into five types of Jaundice, which is insufficient to cover all aspects. I believe the essence of Jaundice lies in only two categories: Yang Jaundice and Yin Jaundice. Cold, Heat, Deficiency, and Excess are all encompassed within these two, leaving no other meanings.
First, Yang Jaundice Syndrome arises when Dampness transforms into Heat, and Heat generates Yellow. This is what is called the Damp-Heat Syndrome. Symptoms must include fever, irritability, and thirst, or restlessness and inability to calm down, or rapid digestion with easy hunger, or hot and painful urination, or constipation. The pulse is excess and forceful. This syndrome can be caused by external contraction of Wind-Damp or internal injury from food and drink. Provided the child's Yuan Qi (Original Qi) is still strong, the Spleen and Stomach are not damaged, and Damp-Heat is indeed abundant, direct treatment should clear Fire Evil and promote urination. Yichen Wuling San (Artemisiae Scopariae Five-Ingredient Powder) is most stable; Weiling Tang (Stomach and Five-Ingredient Decoction) added with Yichen (Herba Artemisiae Scopariae) is also good. If there is severe constipation and heat, use Jicheng Hangxie Dan.
Second, Yin Jaundice Syndrome is entirely not Damp-Heat, but results from the failure of Qi and Blood. Since Qi fails to generate Blood, Blood fails; since Blood fails to nourish the complexion, the color fails. Any case of yellowing without any Yang symptoms or Yang pulses is Yin Jaundice. This may occur after a major illness or due to long-term Spleen-Stomach deficiency, causing the color of Spleen Earth to manifest externally. Symptoms include preferring quietness and disliking movement, preferring darkness and fearing light, mental fatigue, weak speech, aversion to cold, reduced appetite, weakness in the four limbs, loose stools, or urine resembling gruel. These are all signs of Yang Deficiency, contrary to those with Damp-Heat jaundice. Unless Yuan Qi is rapidly rescued and the Spleen and Stomach are greatly tonified, recovery is impossible. This syndrome is very common, yet ignorant practitioners fail to observe it, claiming that Jaundice is always Damp-Heat and using Yichen (Herba Artemisiae Scopariae) and Zhizi (Fructus Gardeniae) to clear fire and promote urination, leading inevitably to death upon taking the medicine. Suitable formulas include Sijunzi Tang (Four Gentlemen Decoction), Wu Jun Jian (Five Gentlemen Decoction), and Wenwei Yin (Warming the Stomach Drink).
Whenever children have inherently weak Spleen and Stomach and often have accumulations, their complexion is often yellowish-white. Do not simply reduce accumulation; instead, administer much Jicheng Feier Wan (Integrate and Enrich Child Pill). This strengthens the Spleen and Stomach, allowing food to digest naturally, nourishing the Zang-Fu organs, and circulating Ying and Wei (Nutritive and Defensive) Qi. Naturally, the five colors will become bright, and where would Jaundice come from?
Regarding pediatric jaundice, ignorant people generally call it Damp-Heat, employing only methods to drain dampness, promote urination, clear heat, and resolve jaundice, with no other methods known. They do not realize that few cases are caused by Damp-Heat, while many are caused by Spleen Deficiency. When Spleen Earth is strong, it can defend against Damp-Heat, preventing jaundice. Only when Spleen Deficiency fails to transport does Damp-Heat take advantage. Treatment involves temporarily removing Damp-Heat; Yichen Wuling San is good. Once the jaundice recedes slightly, immediately strengthen the Spleen. Do not repeatedly use draining drugs under the guise of "treating the disease with specific medicines."
If the face and eyes are both yellow with a puffy appearance, lips are white, tongue is pale, mouth is not thirsty, body is not hot, there is no nighttime irritability/heat, and urination is not obstructed, do not diagnose as Damp-Heat and promote urination. Instead, rapidly rescue the Spleen and Stomach. Sijunzi Tang (Four Gentlemen Decoction) or Liujunzi Tang (Six Gentlemen Decoction) are suitable.
For those who have taken draining/diuretic medicines, if jaundice persists for a long time, resulting in bland taste, palpitations, weakness in the four limbs, aversion to cold with fever, and turbid urine, this indicates extreme deficiency. Use Sijunzi Decoction to deliver Bawei Dihuang Wan (Eight-Ingredient Rehmannia Pill). Do not continue draining, lest it lead to Spleen failure and Kidney exhaustion, resulting in death.