凡小儿饮食停滞中焦不化而发热者必恶食也，或暖气作酸，或恶闻食味，或欲吐不吐，或吐之不尽，或恶心，或气
短痞闷，或胃口作疼，或心下痞满、按之则痛，此皆停食之候也。若感寒邪者，则左手人迎（左关）气口（右关）俱大。
外症头痛恶寒拘急，中脘痞满、或吐或呕或痛者，以藿香正气散或人参养胃汤，或木香砂仁之类。若肉食不化，必加棠
子（即山楂肉）末；面食不化者加神曲、麦芽；生冷肉食不化者加草果、砂仁、枳实、青皮主之。如食在胃口上，未
入于胃，乃可吐之，不吐则消导之，待食下胃变化糟粕，外症已解乃可下其食也，宜三黄枳实丸。热多者大柴胡汤，如
无外感，但只伤食者方可下之。凡治夹食伤寒不可先攻其食，且先发散寒邪，次可消导之也。
〔附方〕
消积丸 白术 陈皮 青皮 益智 神曲 三棱 丁香 茴香
辰砂膏 硼砂 辰砂 真珠 全蝎 马牙硝（各一钱） 麝香（一匙）
青龙丸 青黛 茯神 芦荟 南星 麝香 轻粉 全蝎 朱砂为衣，薄荷汤下。
藿香正气散 藿香 浓朴 白芷 半夏 桔梗 茯苓 紫苏 白术 陈皮 大腹皮 甘草
人参养胃汤 人参 半夏 陈皮 茯苓 苍术 浓朴 藿香 肉果
三黄枳实丸 枳实 黄连 大黄 陈皮 白术 黄芩 草豆蔻
大柴胡汤 见疟疾症内。
凡是小儿因饮食停滞在中焦（脾胃）无法消化而导致发热的，必定会出现厌恶进食的情况。有的嗳气带有酸味，有的厌恶闻到食物的气味，有的想吐却吐不出来，有的呕吐不彻底，有的感到恶心，有的气息短促、胸脘痞塞闷胀，有的胃脘部疼痛，有的心窝下痞塞胀满、按压时疼痛，这些都是食积停滞的症状表现。如果是因为感受了寒邪，那么左手的人迎穴脉象（对应左关脉）和右手的寸口脉象（对应右关脉）都会呈现盛大之象。外在症状表现为头痛、恶寒、身体拘急不舒，中脘部位痞塞胀满，或者出现呕吐、干呕或疼痛的，使用藿香正气散或人参养胃汤，或者木香、砂仁之类的药物。如果是肉食消化不良，必须加入棠子（即山楂肉）的粉末；面食消化不良的，加入神曲、麦芽；生冷食物和肉食消化不良的，加入草果、砂仁、枳实、青皮来主治。如果食物停留在胃口上方，尚未进入胃中，可以采取催吐的方法；如果不适合催吐，则采用消食导滞的方法；等到食物进入胃中转化为糟粕，且外在症状已经解除后，才可以采用攻下法来排出积食，适宜使用三黄枳实丸。热象较重的，使用大柴胡汤；如果没有外感病邪，仅仅是伤食的，才可以采用攻下法。凡是治疗夹带食积的伤寒病，不可以先攻逐食积，而应当先发散寒邪，之后才可以进行消食导滞。
〔附方〕
消积丸：白术、陈皮、青皮、益智、神曲、三棱、丁香、茴香。
辰砂膏：硼砂、辰砂、真珠、全蝎、马牙硝（各一钱）、麝香（一匙）。
青龙丸：青黛、茯神、芦荟、南星、麝香、轻粉、全蝎，用朱砂为衣，薄荷汤送服。
藿香正气散：藿香、浓朴、白芷、半夏、桔梗、茯苓、紫苏、白术、陈皮、大腹皮、甘草。
人参养胃汤：人参、半夏、陈皮、茯苓、苍术、浓朴、藿香、肉果。
三黄枳实丸：枳实、黄连、大黄、陈皮、白术、黄芩、草豆蔻。
大柴胡汤：见疟疾症内。
Whenever a child develops fever due to food stagnation in the Middle Jiao (Middle Burner, referring to the Spleen and Stomach) that fails to digest, there will inevitably be an aversion to food. Some may experience belching with a sour taste, some may dislike the smell of food, some may feel the urge to vomit but cannot, some may vomit incompletely, some may feel nauseous, some may suffer from shortness of breath and epigastric fullness and oppression, some may have pain in the stomach region, and some may have fullness and distension below the heart that is painful upon pressure. These are all signs of food retention. If caused by cold pathogenic factors, the pulse at Renying (corresponding to the Left Guan position) on the left hand and the pulse at Cunkou (corresponding to the Right Guan position) on the right hand will both appear large. External symptoms include headache, aversion to cold, and physical stiffness; internal symptoms include epigastric fullness, vomiting, retching, or pain. In such cases, Huoxiang Zhengqi San (Agastache Powder for Rectifying the Qi) or Renshen Yangwei Tang (Ginseng Decoction for Nourishing the Stomach), or herbs such as Muxiang (Aucklandiae Radix) and Sharen (Amomi Fructus), should be used. If meat digestion is impaired, powder of Tangzi (i.e., Crataegi Fructus, Hawthorn) must be added; if flour-based food digestion is impaired, Shenqu (Medicated Leaven) and Maiya (Hordei Fructus Germinatus, Barley Sprout) should be added; if raw/cold foods and meat digestion are impaired, Caoguo (Tsaoko Fructus), Sharen, Zhishi (Aurantii Fructus Immaturus), and Qingpi (Citri Reticulatae Pericarpium Viride) should be added as the main treatment. If food remains above the stomach entrance and has not yet entered the stomach, emesis (vomiting) can be induced; if emesis is not suitable, digestive promotion methods should be used; once the food enters the stomach and transforms into waste, and external symptoms have resolved, purgation (downward draining) can be employed to expel the retained food, using Sanhuang Zhishi Wan (Three-Yellow Zhi Shi Pill). If heat predominates, Da Chaihu Tang (Major Bupleurum Decoction) is used; if there is no external contraction and it is merely food injury, purgation may be applied. When treating Shanghan (Cold Damage) complicated by food retention, one must not first attack the food; rather, one must first disperse the cold pathogen, and only then proceed with digestive promotion.
[Attached Formulas]
Xiaoji Wan (Accumulation-Resolving Pill): Baizhu (Atractylodis Macrocephalae Rhizoma), Chenpi (Citri Reticulatae Pericarpium), Qingpi (Citri Reticulatae Pericarpium Viride), Yizhi (Alpiniae Oxyphyllae Fructus), Shenqu (Medicated Leaven), Sanleng (Sparganii Rhizoma), Dingxiang (Caryophylli Flos), Huixiang (Foeniculi Fructus).
Chensha Gao (Cinnabar Paste): Pengsha (Borax), Chensha (Cinnabaris), Zhenzhu (Margarita), Quanxie (Scorpio), Mayaxiao (Natrii Sulfas), each 1 qian; Shexiang (Moschus), 1 spoon.
Qinglong Wan (Azure Dragon Pill): Qingdai (Indigo Naturalis), Fushen (Poria cum Radice et Mycelium), Lvhui (Aloe), Nanxing (Arisaematis Rhizoma Preparatum), Shexiang (Moschus), Qingfen (Calomelas), Quanxie (Scorpio); coated with Zhusha (Cinnabaris), taken with Bohe Tang (Menthae Haplocalycis Decoction).
Huoxiang Zhengqi San (Agastache Powder for Rectifying the Qi): Huoxiang (Agastaches Rugosi Herba), Nongpo (Magnoliae Officinalis Cortex), Baizhi (Angelicae Dahuricae Radix), Banxia (Pinelliae Rhizoma Preparatum), Jiegeng (Platycodonis Radix), Fuling (Poria), Zisu (Perillae Folium), Baizhu (Atractylodis Macrocephalae Rhizoma), Chenpi (Citri Reticulatae Pericarpium), Dafupi (Arecae Pericarpium), Gancao (Glycyrrhizae Radix et Rhizoma).
Renshen Yangwei Tang (Ginseng Decoction for Nourishing the Stomach): Renshen (Ginseng Radix et Rhizoma), Banxia (Pinelliae Rhizoma Preparatum), Chenpi (Citri Reticulatae Pericarpium), Fuling (Poria), Cangzhu (Atractylodis Rhizoma), Nongpo (Magnoliae Officinalis Cortex), Huoxiang (Agastaches Rugosi Herba), Rouguo (Myristicae Semen).
Sanhuang Zhishi Wan (Three-Yellow Zhi Shi Pill): Zhishi (Aurantii Fructus Immaturus), Huanglian (Coptidis Rhizoma), Dahuang (Rhei Radix et Rhizoma), Chenpi (Citri Reticulatae Pericarpium), Baizhu (Atractylodis Macrocephalae Rhizoma), Huangqin (Scutellariae Radix), Caodoukou (Cardamomi Rotundus Fructus).
Da Chaihu Tang (Major Bupleurum Decoction): See under Malaria symptoms.