《庄氏家传》小儿未能语，啼哭不能辨者，当以手候其腹，如有实硬处，即是腹
痛。治之方，研生姜取汁，暖令温，调面成糊，涂纸上，贴脐心，立定。
〔钱〕腹胀，由脾胃虚气攻作也，实者闷乱喘满，可下之，用紫霜丸、白饼子（此言未下而喘者，为实，
故可下，若误下而喘者，为虚气附肺，不可下也。紫霜丸、白饼子二方见癖）。不喘者，虚也，不可下，若误下
之，则脾虚气上，附肺而行。肺与脾子母皆虚，肺主目胞、腮之类，脾主四肢，母气虚甚，即目胞腮肿，
四肢黄色。治之用塌气丸渐消之，未愈，渐加丸数，不可以丁香、木香、橘皮、豆蔻大温散药治之，何以然？
脾虚气未出，故虽腹胀而不喘，可以温散药治之，使上下分消其气，则愈矣。若气虚已出，附肺而行，即脾胃内
弱，每生虚气入于四肢面目矣，小儿易为虚实，脾虚则不受寒温，服寒则生冷，服温则生热，当识此勿误
也。胃久虚热，多生疸病，或引饮不止。脾
虚不能胜肾，随肺气上行于四肢而目肿若水状，肾气漫浮于肺，即大喘也。此当用塌气丸，病愈后面未红者，虚衰未
复故也（此下后喘，故宜塌气丸，若未下而喘，宜下之）。治腹胀者，譬如行兵战冠于林，寇未出林，以兵攻
之，必可获，寇若出林，不可急攻，攻则必有失，当以意渐收之，即顺也（寇未出林，谓虚气未出而不喘，不目胞腮
肿，故可用丁香、木香大温散药上下分消其气而愈也，寇已出林，谓虚气已出，为喘、为目腮肿，须用塌气九渐消之）。
治小儿虚腹胀，先服塌气丸，不愈，腹中有食积结粪，小便黄，时微喘，脉伏而实，时饮水能食者，可下之。
盖脾初虚而后有积，所治宜先补脾，然后下之，后又补脾，即愈也。不可补肺，恐生虚喘。
〔洁古〕腹胀虚实凡久病吐泻之后，虚则其脉微细，肺主目胞及腮，脾主四肢，若色淡黄，目胞腮虚肿，手足
冷，先服塌气丸，后服异功散、和中丸、四君子汤、益黄散之类，用诸温药养真气（异功散、和中丸、四君子汤三方，
并见吐泻）。实则脉洪实，不因吐泻久病后，亦不因痢下，腹胀而喘急闷乱，更有痰有热，及有宿食不化而腹胀者，
宜服白饼子、大黄丸、解毒丸下之，兼须详认大小便，如都不通，先利小便，后利大便。（白饼子方见癖，解毒丸方见喉
痹，
大黄丸方见伤寒）。云岐云∶小儿热结于内，腹胀壮热，
大便赤黄，躁闷烦乱者宜泻青丸。
〔薛〕东垣云∶寒胀多，热胀少，皆主于脾胃。虚者宜用六君子汤。若喘而气短者，脾肺气虚也，用异
功散补之。若服克伐之类而喘胀益甚者，脾肺之气复伤也，用前汤加半夏、升麻。若既下而不喘，则邪气
去而肺气宁也，不必用药。或病久小便不利，或四肢浮肿者，脾肺之气虚，不能通调水道也，用金匮加减肾气
丸主之。或手足逆冷，睡而露睛，脾胃虚寒也，用六君子加炮姜。手足不冷，睡而露睛，脾胃虚弱也，用六
君子汤。若面色青，木克土也，用六君、木香、柴胡，更当调治乳母，节其饮食，恐药饵过剂，复伤胃气
故也。一小儿腹胀，面赤痰喘，大便秘，壮热饮冷。此形病俱实。用紫霜丸一服，诸证益甚，面色顿白，饮
汤不绝。余以为邪气退而真气复伤，故面白而喜汤，用白术散大剂煎汤，令恣饮，良久而睡，翌日顿
安。一小儿伤食腹胀，胸满有痰。余治以异功散而痊。后复伤食腹胀，兼痛，或用药下之，痛胀益甚，而加气
喘。此脾胃伤而致肺虚也。用六君子加桔梗调补而痊。一小儿腹胀恶食，发热恶心，证类外感。余曰此饮食
停滞也。用保和丸一服，诸证
顿退，惟腹胀，用异功散而痊。一小儿伤食腹胀，服克伐之剂，小便涩滞，又服五苓散之类，饮食渐减，小
便不通，四肢顿肿。余朝用《余匮》肾气丸去附子，夕用补中益气汤而安。一小儿腹胀，大便青白，腹左一块，
面色痿黄，齿龈赤烂，食少滞颐。余用异功散调补中气为主，佐以大芜荑汤清疳治热，月余诸证稍愈，仍服异
功散及蚵蟆丸，外贴阿魏膏，两月块消，左胁微痛，用四君子汤、九味芦荟丸、而愈。《百问》云，有疳胀，
气胀，症积胀，锁肚胀，脘膈胀，食膨胀，蛔胀，虚冷积胀。其疳气积胀，宜先与保童兼塌气以去之。其痞癖
气胀、症积胀，宜三棱以消痞。其锁肚胀，宜与珍珠天麻丸以通之。其上膈中脘食伤膨胀，宜三棱、塌气、大
茱连丸以消磨之。其蛔胀，宜下虫丸以化之。其虚冷积胀，宜沉香煎以温之。以上诸证，宜调和胃气，消磨
通利，肿胀必然平复矣。如有热者，必以葶苈、牵牛等辈以治之，推气丸剂亦可用。
按∶《百问》分证虽详，而偏于攻下，若无钱张活法，薛氏补法以主之，鲜不杀人，慎之。
塌气丸
胡椒（一两） 蝎尾（半两）
上为末。糊丸如粟米大。每服五七丸至一二十丸，陈米饮下，无时。一方，有木香一钱。
钱氏、洁古所用塌气丸，乃此二味，不可误用后有牵牛者，慎之。
《本事》调中丸 治小儿久伤脾胃，腹胀。
干姜 橘红 白术 茯苓 木香 砂仁 官桂 良姜（各等分）
上细末，糊丸如麻子大。每服二三十丸，食后，熟水下。
《圣惠》治小儿脾虚腹胀不能乳食。诃梨勒丸
诃梨勒（煨，用皮） 浓朴（去粗皮，涂生姜汁、炙令香熟） 陈橘皮（汤浸，去白，焙。各半两）
干姜（炮裂，锉） 甘草（炙微赤，锉） 木香 白术 人参（去芦头。各一分）
上件药捣，罗为末。炼蜜和丸，如麻子大。每服以粥饮下五丸，日三四服，量儿大小，加减服之。
（张氏）温脾散 治脾胃亏损，腹胁虚胀，乳食不进，困倦无力。
诃子肉 人参（各七钱） 白术 木香 桔梗 茯苓 藿香 陈皮 黄 （各五钱） 甘
草（炙，二钱半）
上，每服二三钱，姜枣水煎。
沉香煎 治脾气冷积。
乳香 沉香 丁香 杏仁（炒） 百草霜 木香（各一钱） 肉豆蔻（一个，煨） 巴豆（十四粒，
出油如霜）
上为末，酒煮蜡和丸，绿豆大。每服三五丸，淡生姜汤送下。应患肚痛不止，服之效。常服，以通为度。
《三因》肥儿丸 治小儿病多因缺乳，吃食太早所致，或因久患脏腑胃虚虫动，日渐
羸瘦，腹大不能行，发竖，发热，无精神。
黄连 神曲（各一两） 麦芽（炒，半两） 木香（二钱） 槟榔（三个，不见火） 使君子肉 豆蔻（面
裹煨。各半两）
上为末，糊为丸，如桐子大。每服三二十丸，量儿加减，熟水吞下。
六神丸 治如前证。
丁香 木香 肉豆蔻（用面裹煨。各五钱） 诃子（煨，去核，半两） 使君子 芦荟（研。各一两）
上为末，以枣肉和丸，如麻子大。每服五丸至七丸，温米饮下，食前。
治小儿疳病或腹大
胡黄连（二钱，去果积） 阿魏（一两半，去肉积） 神曲（二钱，去食积） 黄连（二钱，去热积）
麝香（四粒，通窍）
上为末。每服十二粒，白术汤下。
褐丸子 治疳肿胀。
萝卜子（一两，微炒） 陈皮 青皮 槟榔 五灵脂 蓬术（煨） 黑牵牛（取净末，半生半炒） 赤
茯苓（各半两） 木香（二钱半）
上为末，面糊丸，绿豆大。每服十五丸，紫苏叶或白汤下。
五疳保童丸 治五种疳疾。
五倍子（生） 青黛 夜明砂（布裹洗） 苦楝根皮 芦荟 熊胆（研入） 黄连（去毛） 龙胆草（
生用） 干蟾（酥炙，去皮骨） 麝香（研入） 芜荑（取仁） 蝉蜕（去土。各等分）
上末，用粟米糊为丸，麻子大。一岁儿二十丸，饭饮下，二三服。
幼科有丁奚、哺露、无辜等名，其证腹大、颈小、黄瘦，皆疳胀之异名也，轻
则为此，重则为彼耳。今仍旧别立门于疳后。
杨氏塌气散 治小儿腹胀，气喘、体肿、面浮。
陈米（一合，炒黄） 青皮（去穣，巴豆二十一粒，炒黄色，去巴豆） 甘草（炙。各半两） 黑牵牛（
二钱半，半生半炒） 肉豆蔻（二个，煨香）
上末半钱，米饮调下。加槟榔一个。
塌气丸 治小儿疳气腹胀，喘急并面浮肿。
丁香 胡椒（炒。各五钱） 萝卜子（炒） 白牵牛（各七钱半）
上为末，面糊丸，小豆大。三岁三十丸，米汤下。
塌气散 治小儿腹胀气粗，并疳疾相攻，面目浮肿。
木香（一钱） 青皮（半两） 巴豆（三十粒，同炒豆黄色，去巴豆）
上为末。三岁，半钱，米汤下，食前连进，即效。
分气饮 治小儿肿胀作喘，气短而急。
桔梗 赤茯苓 陈皮 桑白皮（锉） 大腹皮 枳壳（炒） 半夏（曲） 真苏子（微炒） 紫苏
甘草（炙。各二钱） 草果仁（一钱）
上锉散。每服一钱半，姜枣煎服。
三棱煎丸 治婴孩食伤生冷、甜腻、毒热等物，脾胃积滞，久不克化，令儿肚热脚冷，痞癖寒热。及疗
瘕中脘不和，膨胀上膈，气壅心腹，不得宣通，所以作疾。此药温良，但是诸积滞食不化，并宜与服。
京三棱（成块煮） 蓬术（并炮。各半两） 芫花（二钱半，醋浸、炒） 鳖甲（去裙，米醋炙焦，半两） 淡
豆豉（二钱） 巴豆（二十一粒，去壳） 川当归（半两） 杏仁（去皮尖，二钱半，炒令赤）
上，前四味一处以米醋一碗煮令干，仍用炒，起更细锉，焙为末，次入当归末、
杏仁、巴豆、淡豆豉和匀，水煮面糊、为丸麻子大。每服二十丸，姜汤下，大小加减服之。
三棱丸 治小儿停积，腹胁胀满，干哕恶心，全不入食。
三棱（煨） 木香 神曲（炒） 陈皮（去白） 半夏（姜汁制。各一两） 丁香 官桂（各半两）
上为末，曲糊丸，如黄米大。二十丸，乳食后温生姜汤下。
阿魏丸 治小儿食积，腹如蜘蛛状，肚痛，小便白浊。
阿魏（醋浸一宿，研如泥） 黄连（炒） 连翘（各半两） 花碱（研如粉，三钱） 山楂肉（一两） 半夏
（皂角水，浸一宿，一两）
上为末，炒神曲糊丸，如卜子大。每服二十丸，空心米饮下。吃果子多者加胡黄连。米食多者加神曲、
山楂。肉食多者加阿魏。
又阿魏丸
阿魏（一两） 黄连（酒煮，六两）
上为末，醋浸阿魏一宿，研如泥，汤浸蒸饼丸。如元气不足，加人参。
小阿魏丸
山楂肉（三两） 石碱（三钱） 半夏（一两）
上为末，阿魏半两醋浸，糊丸，白汤下。
真珠天麻丸 治急惊风请量用之，以通为度。此方仍治吊肠、锁肚、撮口至妙。丸如麻子大，初生
患者三日三丸，五日五丸，七日七丸。加青黛，名青黛丸。
天南星（炮） 天麻 白附子（炮。各二钱半） 腻粉（半钱） 巴霜（一字） 芜荑（炒） 全蝎 滑石
（各一钱半）
上为末，煮细面糊丸，如麻子大。每服一岁五丸，二岁十丸，大小加减，薄荷汤点茶清送下。
大茱连丸 治小儿饮食过度，胸膈膨胀，上下气不宣通，郁滞迷闷，情思少乐，大则作喘，饮食不
化，作渴烦躁，坐卧不任，肢体倦怠，腹胁疼痛。
蓬术 京三棱（各二钱半，醋煮） 干姜（炮） 青皮 陈皮（去白） 木香 丁香（各三钱） 巴豆（二十
一粒，去膜心出油） 绿细小茱萸（二钱）
上为末，醋糊丸，麻子大。每服七丸至十丸，大者加服，生姜枣子汤下。
下虫丸 治蛔疳诸虫。
苦楝根皮（酒浸，焙） 绿色贯众 木香 桃仁（浸，去皮，焙） 芜荑（焙） 鸡心槟榔（各一钱） 鹤
虱（炒） 轻粉（各半钱） 干虾蟆（炙焦，三钱） 使君子（五十个，煨，取肉用）
上为末，飞面糊丸，麻子大。每服二十丸，天明清肉汁下。内加当归、川连、各二钱半，治脊疳兼疳劳。
遇仙丹 治诸虫，取诸积。
牵牛（三斤） 大腹子（二斤） 锡灰（炙干，为末） 大黄（四两） 雷丸（四两） 青木香 鹤虱 干漆
（各二两） 皂角（四条）
上，后三味煎水，用粟米煮粥，初用牵牛末，次用大腹末，三用锡灰，四用
大黄，五用雷丸，六用青木香和剂，丸如梧桐子大。每服五七九丸，用姜汤熟水送下。此药专治男子妇人
积虫气块，五劳七伤，赤白痢疾，便血注下，皮黄水肿，十般气，十一般恶虫。又进饮食除病，悦颜色，不与
他药相反，四季可服。细末三四钱，量大小加减，服时不吃晚饭，三更用茶清下，次早桶子内虫积及粒
米尽，方可洗面，温粥补之，伤寒孕妇，不可服。
东垣治胀，不犯上下二焦，用《素问》中满者写之于内之法。实者，分气消积。虚者，升阳滋血。治者
当师其意而活用之，胜前所用排击诸方远矣。
中满分消丸
黄连 枳实 浓朴（各五钱） 干姜 姜黄 猪苓 砂仁 泽泻 茯苓（各三分） 陈皮
白术（各一分） 半夏（四分） 黄芩（一两二钱） 甘草（一分）
上为细末，蒸饼为丸，如黍米大。每服三十丸，温酒送下。
消痞丸 快利之剂。
黄连（半两） 枳实 黄芩 甘草 人参（各三钱） 浓朴（七分） 干姜（四分） 橘皮（一钱） 姜黄（五分）
《庄氏家传》记载：小儿尚不能说话，啼哭时无法分辨原因，应当用手触摸其腹部，如果有坚硬的地方，就是腹痛。治疗的方法，是将生姜研碎取汁，加热至温热，调和面粉成糊状，涂在纸上，贴在肚脐上，疼痛立刻停止。
〔钱乙〕腹胀，是由于脾胃虚弱，气机逆乱攻冲所致。实证表现为胸闷烦乱、气喘胀满，可以用泻下法，使用紫霜丸、白饼子（这里说的是尚未泻下就出现喘证的，属于实证，所以可以泻下；如果误用泻下法后出现喘证，属于虚气附肺，不可再泻。紫霜丸、白饼子两方见“癖积”条）。不喘的，属于虚证，不可泻下，如果误用泻下法，则脾虚之气上逆，附着于肺而行。肺与脾母子皆虚，肺主眼睑、面颊等部位，脾主四肢，母气（脾气）极度虚弱，就会出现眼睑、面颊肿胀，四肢发黄。治疗时用塌气丸逐渐消除，病情未愈，逐渐增加丸药数量，不可以用丁香、木香、橘皮、豆蔻等大温散的药物来治疗，为什么这样说呢？因为脾虚之气尚未外越，所以虽然腹胀但不喘，此时可以用温散药治疗，使上下分消其气，病就好了。如果气虚已经外越，附着于肺而行，即脾胃内部虚弱，经常产生虚气进入四肢面目了，小儿容易虚实夹杂，脾虚则不耐寒温，服寒凉药则生生冷之邪，服温热药则生热邪，应当认清这一点以免误治。胃久虚热，多生黄疸病，或者引水饮不止。脾虚不能制约肾气，随肺气上行于四肢而眼睑浮肿如水状，肾气漫溢浮于肺，即大喘。这应当用塌气丸，病愈后面色未红润的，是因为虚衰尚未恢复（这是泻下后的喘证，所以宜用塌气丸；如果是未泻下前的喘证，宜用泻下法）。治疗腹胀，譬如行兵作战，贼寇尚未出林，以兵力攻打它，必定能获胜；贼寇若已出林，不可急攻，急攻则必有损失，应当用心思慢慢收服它，这就顺理成章了（贼寇未出林，指虚气未外越而不喘，不眼睑腮肿，所以可用丁香、木香等大温散药上下分消其气而愈；贼寇已出林，指虚气已外越，出现喘证、眼睑腮肿，须用塌气丸逐渐消除）。治疗小儿虚性腹胀，先服用塌气丸，若未愈，腹中有食积结粪，小便黄，时常微喘，脉象沉伏而实，时常饮水能进食的，可以泻下。因为脾初虚而后有积滞，所治宜先补脾，然后泻下，之后再补脾，病就好了。不可补肺，恐怕生虚喘。
〔张元素〕腹胀虚实，凡是久病吐泻之后，虚证则脉象微细，肺主眼睑及面颊，脾主四肢，若面色淡黄，眼睑面颊虚肿，手足冷，先服塌气丸，后服异功散、和中丸、四君子汤、益黄散之类，用各种温药养护真气（异功散、和中丸、四君子汤三方，并见“吐泻”条）。实证则脉象洪大有力，不因吐泻久病后，也不因痢疾下利，腹胀而喘急闷乱，更有痰热，以及有宿食不化而腹胀的，宜服白饼子、大黄丸、解毒丸泻下，同时必须详细辨认大小便情况，如都不通，先利小便，后利大便。（白饼子方见“癖积”，解毒丸方见“喉痹”，大黄丸方见“伤寒”）。云岐子说：小儿热结于内，腹胀壮热，大便赤黄，躁动烦闷的宜用泻青丸。
〔薛己〕李东垣说：寒胀多，热胀少，都主责于脾胃。虚证宜用六君子汤。若喘而气短的，是脾肺气虚，用异功散补益。若服用克伐类药物后喘胀更严重的，是脾肺之气再次受伤，用前方加半夏、升麻。若既经泻下而不喘，则邪气去而肺气安宁，不必用药。或病久小便不利，或四肢浮肿的，是脾肺之气虚，不能通调水道，用金匮加减肾气丸主治。或手足逆冷，睡觉时眼睛露睛的，是脾胃虚寒，用六君子汤加炮姜。手足不冷，睡觉时眼睛露睛的，是脾胃虚弱，用六君子汤。若面色青，是木克土，用六君子汤、木香、柴胡，更应当调治乳母，节制饮食，恐怕药饵过量，再次损伤胃气故也。一个患儿腹胀，面赤痰喘，大便秘结，壮热喜冷饮。这是形证俱实。用紫霜丸一服，诸证加重，面色顿白，不停喝热水。我认为这是邪气退而真气复伤，所以面白而喜热汤，用白术散大剂煎汤，令其恣意饮用，良久入睡，次日顿时安适。一个患儿伤食腹胀，胸满有痰。我用异功散治愈。后来再次伤食腹胀，兼痛，或用药物泻下，痛胀更甚，加上气喘。这是脾胃受伤导致肺虚。用六君子汤加桔梗调补而愈。一个患儿腹胀恶食，发热恶心，证候类似外感。我说这是饮食停滞。用保和丸一服，诸证顿退，惟独腹胀，用异功散而愈。一个患儿伤食腹胀，服用克伐之剂，小便涩滞，又服五苓散之类，饮食渐减，小便不通，四肢顿肿。我早晨用《金匮要略》肾气丸去附子，晚上用补中益气汤而安。一个患儿腹胀，大便青白，腹部左侧有一块，面色萎黄，齿龈赤烂，食少流涎。我用异功散调补中气为主，佐以大芜荑汤清疳治热，月余诸证稍愈，仍服异功散及蚵蟆丸，外贴阿魏膏，两月肿块消退，左胁微痛，用四君子汤、九味芦荟丸而愈。《百问》说，有疳胀，气胀，症积胀，锁肚胀，脘膈胀，食膨胀，蛔胀，虚冷积胀。其中疳气积胀，宜先用保童丸兼塌气丸以去除。其中痞癖气胀、症积胀，宜用三棱以消痞。其中锁肚胀，宜用珍珠天麻丸以通利。其上膈中脘食伤膨胀，宜用三棱、塌气丸、大茱连丸以消磨。其中蛔胀，宜用下虫丸以化除。其中虚冷积胀，宜用沉香煎以温之。以上诸证，宜调和胃气，消磨通利，肿胀必然平复。如有热的，必用葶苈、牵牛等辈来治疗，推气丸剂也可用。
按语：《百问》分证虽详细，但偏于攻下，若无钱乙、张元素活法，薛己补法作为主导，很少有不杀人的，慎重啊。
塌气丸
胡椒（一两） 蝎尾（半两）
以上为末。糊丸如粟米大。每服五七丸至一二十丸，陈米饮送下，不限时间。另一方法，加木香一钱。
钱乙、张元素所用的塌气丸，乃是此二味，不可误用后有牵牛子的版本，慎之。
《本事方》调中丸 治小儿久伤脾胃，腹胀。
干姜 橘红 白术 茯苓 木香 砂仁 官桂 良姜（各等分）
以上细末，糊丸如麻子大。每服二三十丸，食后，熟水送下。
《圣惠方》治小儿脾虚腹胀不能乳食。诃梨勒丸
诃梨勒（煨，用皮） 浓朴（去粗皮，涂生姜汁、炙令香熟） 陈橘皮（汤浸，去白，焙。各半两）
干姜（炮裂，锉） 甘草（炙微赤，锉） 木香 白术 人参（去芦头。各一分）
以上药材捣碎，筛为末。炼蜜和丸，如麻子大。每服以粥饮送下五丸，日三四服，根据儿大小，加减服用。
（张氏）温脾散 治脾胃亏损，腹胁虚胀，乳食不进，困倦无力。
诃子肉 人参（各七钱） 白术 木香 桔梗 茯苓 藿香 陈皮 黄芪（各五钱） 甘草（炙，二钱半）
以上，每服二三钱，姜枣水煎服。
沉香煎 治脾气冷积。
乳香 沉香 丁香 杏仁（炒） 百草霜 木香（各一钱） 肉豆蔻（一个，煨） 巴豆（十四粒，出油如霜）
以上为末，酒煮蜡和丸，绿豆大。每服三五丸，淡生姜汤送下。凡患肚痛不止，服之有效。常服，以通利为度。
《三因方》肥儿丸 治小儿病多因缺乳，吃食太早所致，或因久患脏腑胃虚虫动，日渐羸瘦，腹大不能行，发竖，发热，无精神。
黄连 神曲（各一两） 麦芽（炒，半两） 木香（二钱） 槟榔（三个，不见火） 使君子肉 豆蔻（面裹煨。各半两）
以上为末，糊为丸，如桐子大。每服三二十丸，根据儿量加减，熟水吞下。
六神丸 治如前证。
丁香 木香 肉豆蔻（用面裹煨。各五钱） 诃子（煨，去核，半两） 使君子 芦荟（研。各一两）
以上为末，以枣肉和丸，如麻子大。每服五丸至七丸，温米饮送下，食前。
治小儿疳病或腹大
胡黄连（二钱，去果积） 阿魏（一两半，去肉积） 神曲（二钱，去食积） 黄连（二钱，去热积）
麝香（四粒，通窍）
以上为末。每服十二粒，白术汤送下。
褐丸子 治疳肿胀。
萝卜子（一两，微炒） 陈皮 青皮 槟榔 五灵脂 蓬术（煨） 黑牵牛（取净末，半生半炒） 赤茯苓（各半两） 木香（二钱半）
以上为末，面糊丸，绿豆大。每服十五丸，紫苏叶或白汤送下。
五疳保童丸 治五种疳疾。
五倍子（生） 青黛 夜明砂（布裹洗） 苦楝根皮 芦荟 熊胆（研入） 黄连（去毛） 龙胆草（生用） 干蟾（酥炙，去皮骨） 麝香（研入） 芜荑（取仁） 蝉蜕（去土。各等分）
以上末，用粟米糊为丸，麻子大。一岁儿二十丸，饭饮送下，二三服。
幼科有丁奚、哺露、无辜等名，其证腹大、颈小、黄瘦，皆疳胀之异名也，轻则为此，重则为彼耳。今仍旧别立门于疳后。
杨氏塌气散 治小儿腹胀，气喘、体肿、面浮。
陈米（一合，炒黄） 青皮（去穣，巴豆二十一粒，炒黄色，去巴豆） 甘草（炙。各半两） 黑牵牛（二钱半，半生半炒） 肉豆蔻（二个，煨香）
以上末半钱，米饮调下。加槟榔一个。
塌气丸 治小儿疳气腹胀，喘急并面浮肿。
丁香 胡椒（炒。各五钱） 萝卜子（炒） 白牵牛（各七钱半）
以上为末，面糊丸，小豆大。三岁三十丸，米汤送下。
塌气散 治小儿腹胀气粗，并疳疾相攻，面目浮肿。
木香（一钱） 青皮（半两） 巴豆（三十粒，同炒豆黄色，去巴豆）
以上为末。三岁，半钱，米汤送下，食前连进，即效。
分气饮 治小儿肿胀作喘，气短而急。
桔梗 赤茯苓 陈皮 桑白皮（锉） 大腹皮 枳壳（炒） 半夏（曲） 真苏子（微炒） 紫苏 甘草（炙。各二钱） 草果仁（一钱）
以上锉散。每服一钱半，姜枣煎服。
三棱煎丸 治婴孩食伤生冷、甜腻、毒热等物，脾胃积滞，久不克化，令儿肚热脚冷，痞癖寒热。及疗瘕中脘不和，膨胀上膈，气壅心腹，不得宣通，所以作疾。此药温良，但是诸积滞食不化，并宜与服。
京三棱（成块煮） 蓬术（并炮。各半两） 芫花（二钱半，醋浸、炒） 鳖甲（去裙，米醋炙焦，半两） 淡豆豉（二钱） 巴豆（二十一粒，去壳） 川当归（半两） 杏仁（去皮尖，二钱半，炒令赤）
以上，前四味一处以米醋一碗煮令干，仍用炒，起更细锉，焙为末，次入当归末、杏仁、巴豆、淡豆豉和匀，水煮面糊、为丸麻子大。每服二十丸，姜汤送下，大小加减服用。
三棱丸 治小儿停积，腹胁胀满，干哕恶心，全不入食。
三棱（煨） 木香 神曲（炒） 陈皮（去白） 半夏（姜汁制。各一两） 丁香 官桂（各半两）
以上为末，曲糊丸，如黄米大。二十丸，乳食后温生姜汤送下。
阿魏丸 治小儿食积，腹如蜘蛛状，肚痛，小便白浊。
阿魏（醋浸一宿，研如泥） 黄连（炒） 连翘（各半两） 花碱（研如粉，三钱） 山楂肉（一两） 半夏（皂角水，浸一宿，一两）
以上为末，炒神曲糊丸，如卜子大。每服二十丸，空心米饮送下。吃果子多者加胡黄连。米食多者加神曲、山楂。肉食多者加阿魏。
又阿魏丸
阿魏（一两） 黄连（酒煮，六两）
以上为末，醋浸阿魏一宿，研如泥，汤浸蒸饼丸。如元气不足，加人参。
小阿魏丸
山楂肉（三两） 石碱（三钱） 半夏（一两）
以上为末，阿魏半两醋浸，糊丸，白汤送下。
真珠天麻丸 治急惊风请量用之，以通为度。此方仍治吊肠、锁肚、撮口至妙。丸如麻子大，初生患者三日三丸，五日五丸，七日七丸。加青黛，名青黛丸。
天南星（炮） 天麻 白附子（炮。各二钱半） 腻粉（半钱） 巴霜（一字） 芜荑（炒） 全蝎 滑石（各一钱半）
以上为末，煮细面糊丸，如麻子大。每服一岁五丸，二岁十丸，大小加减，薄荷汤点茶清送下。
大茱连丸 治小儿饮食过度，胸膈膨胀，上下气不宣通，郁滞迷闷，情思少乐，大则作喘，饮食不化，作渴烦躁，坐卧不任，肢体倦怠，腹胁疼痛。
蓬术 京三棱（各二钱半，醋煮） 干姜（炮） 青皮 陈皮（去白） 木香 丁香（各三钱） 巴豆（二十一粒，去膜心出油） 绿细小茱萸（二钱）
以上为末，醋糊丸，麻子大。每服七丸至十丸，大者加服，生姜枣子汤送下。
下虫丸 治蛔疳诸虫。
苦楝根皮（酒浸，焙） 绿色贯众 木香 桃仁（浸，去皮，焙） 芜荑（焙） 鸡心槟榔（各一钱） 鹤虱（炒） 轻粉（各半钱） 干虾蟆（炙焦，三钱） 使君子（五十个，煨，取肉用）
以上为末，飞面糊丸，麻子大。每服二十丸，天明清肉汁送下。内加当归、川连、各二钱半，治脊疳兼疳劳。
遇仙丹 治诸虫，取诸积。
牵牛（三斤） 大腹子（二斤） 锡灰（炙干，为末） 大黄（四两） 雷丸（四两） 青木香 鹤虱 干漆（各二两） 皂角（四条）
以上，后三味煎水，用粟米煮粥，初用牵牛末，次用大腹末，三用锡灰，四用大黄，五用雷丸，六用青木香和剂，丸如梧桐子大。每服五七九丸，用姜汤熟水送下。此药专治男子妇人积虫气块，五劳七伤，赤白痢疾，便血注下，皮黄水肿，十般气，十一般恶虫。又进饮食除病，悦颜色，不与他药相反，四季可服。细末三四钱，量大小加减，服时不吃晚饭，三更用茶清送下，次早桶子内虫积及粒米尽，方可洗面，温粥补之，伤寒孕妇，不可服。
李东垣治胀，不犯上下二焦，用《素问》中满者写之于内之法。实证，分气消积。虚证，升阳滋血。治者当师其意而活用之，胜前所用排击诸方远矣。
中满分消丸
黄连 枳实 浓朴（各五钱） 干姜 姜黄 猪苓 砂仁 泽泻 茯苓（各三分） 陈皮 白术（各一分） 半夏（四分） 黄芩（一两二钱） 甘草（一分）
以上为细末，蒸饼为丸，如黍米大。每服三十丸，温酒送下。
消痞丸 快利之剂。
黄连（半两） 枳实 黄芩 甘草 人参（各三钱） 浓朴（七分） 干姜（四分） 橘皮（一钱） 姜黄（五分）
*Zhuang's Family Collection* records: When a child is unable to speak and cries without being able to distinguish the cause, one should palpate the abdomen with the hand. If there are hard areas, it indicates abdominal pain. The treatment method is to crush fresh ginger and extract the juice, warm it until lukewarm, mix with flour to form a paste, apply it on paper, and paste it onto the umbilicus (Shenque, CV8). The pain will stop immediately.
[Qian Yi] Abdominal distension is caused by deficiency of the Spleen and Stomach with rebellious Qi attacking. Excess patterns manifest as chest oppression, restlessness, wheezing, and fullness; purgation can be used, employing Zishuang Wan (Purple Frost Pill) or Baibing Zi (White Cake Pill) (This refers to wheezing before purgation, which indicates an excess pattern, hence purgation is suitable; if wheezing occurs after mistaken purgation, it indicates deficient Qi attaching to the Lung, and purgation is contraindicated. See "Pi Ji" for formulas). Non-wheezing cases indicate deficiency and should not be purged. Mistaken purgation causes Spleen-deficient Qi to rebel upwards and attach to the Lung. Since the Mother (Spleen) and Child (Lung) organs are both deficient, and the Lung governs the eyelids and cheeks while the Spleen governs the limbs, extreme deficiency of the Mother Qi leads to swelling of the eyelids and cheeks, and yellowing of the limbs. Treatment involves using Taqi Wan (Collapse Qi Pill) to gradually resolve the condition. If not cured, gradually increase the dosage. Do not use strongly warming and dispersing herbs like Dingxiang (Caryophylli Flos), Muxiang (Aucklandiae Radix), Jupi (Citri Reticulatae Pericarpium), or Doukou (Cardamomi Fructus). Why? Because the Spleen-deficient Qi has not yet escaped outward; thus, although there is abdominal distension, there is no wheezing. In this case, warming and dispersing herbs can be used to distribute and eliminate Qi from above and below, leading to recovery. If the Qi deficiency has already escaped outward and attached to the Lung, indicating internal weakness of the Spleen and Stomach, deficient Qi frequently enters the limbs and face. Children are prone to mixed deficiency and excess; when the Spleen is deficient, it cannot tolerate cold or heat. Cold medicines generate cold pathogens, while warm medicines generate heat. One must recognize this to avoid errors. Long-term Stomach deficiency-heat often leads to jaundice or excessive thirst. Spleen deficiency fails to control Kidney Qi, which ascends with Lung Qi to the limbs, causing eyelid swelling resembling water retention. Kidney Qi floats diffusely into the Lung, causing severe wheezing. This requires Taqi Wan. If the face remains pale after cure, it is because deficiency has not yet recovered (This is wheezing after purgation, so Taqi Wan is appropriate; if wheezing precedes purgation, purgation is indicated). Treating abdominal distension is like warfare: if the enemy has not left the forest, attacking with troops will surely succeed; if the enemy has left the forest, do not attack hastily, as hasty attack leads to loss. One should gradually subdue them with strategy, which is favorable (Enemy not leaving the forest means deficient Qi has not escaped, no wheezing, no eyelid/cheek swelling, so strongly warming/dispersing herbs like Dingxiang and Muxiang can distribute Qi from above and below to cure; enemy leaving the forest means deficient Qi has escaped, presenting as wheezing and swelling, requiring gradual resolution with Taqi Wan). For pediatric deficiency-type abdominal distension, first administer Taqi Wan. If ineffective, and there is food accumulation and fecal impaction in the abdomen, yellow urine, occasional mild wheezing, deep and solid pulse, frequent thirst, and ability to eat, purgation may be used. Since the Spleen was initially deficient and then developed accumulation, treatment should first tonify the Spleen, then purge, then tonify the Spleen again for recovery. Do not tonify the Lung, lest it generate deficient wheezing.
[Zhang Yuansu] Regarding excess and deficiency in abdominal distension, especially after prolonged vomiting and diarrhea: Deficiency presents with fine and weak pulses. The Lung governs eyelids and cheeks; the Spleen governs limbs. Pale yellow complexion, flaccid swelling of eyelids and cheeks, and cold hands and feet indicate the need to first take Taqi Wan, followed by Yigong San (Extra Efficacy Powder), Hezhong Wan (Harmonize Middle Pill), Sijunzi Tang (Four Gentlemen Decoction), Yihuang San (Yellow Benefit Powder), etc., using various warming medicines to nourish True Qi (See "Vomiting and Diarrhea" for these three formulas). Excess patterns present with surging and solid pulses, not necessarily following prolonged vomiting/diarrhea or dysentery. Abdominal distension with urgent wheezing, oppression, restlessness, phlegm-heat, or undigested food causing distension require purgation with Baibing Zi, Dahuang Wan (Rhubarb Pill), or Jiedu Wan (Detoxification Pill). Carefully examine urination and defecation; if both are blocked, promote urination first, then defecation. (See "Pi Ji" for Baibing Zi, "Sore Throat" for Jiedu Wan, "Cold Damage" for Dahuang Wan). Yun Qingzi stated: For children with internal heat binding, abdominal distension, high fever, red-yellow stools, and restless agitation, Xieqing Wan (Drain Green Pill) is suitable.
[Xue Ji] Li Dongyuan said: Cold distension is common; heat distension is rare. Both are governed by the Spleen and Stomach. Deficiency should use Liujunzi Tang (Six Gentlemen Decoction). Wheezing with shortness of breath indicates Spleen-Lung Qi deficiency, treated with Yigong San. If wheezing and distension worsen after using draining/harsh medicines, it indicates further injury to Spleen-Lung Qi; add Banxia (Pinelliae Rhizoma) and Shengma (Cimicifugae Rhizoma) to the previous formula. If purged and no longer wheezing, pathogenic Qi is gone and Lung Qi is calm; no medicine is needed. Prolonged illness with difficulty urinating or limb edema indicates Spleen-Lung Qi deficiency failing to regulate water passages; treat with Jin Gui Ji Jian Shenqi Wan (Modified Kidney Qi Pill from Golden Cabinet). Cold extremities and sleeping with eyes open indicate Spleen-Stomach deficiency-cold; use Liujunzi Tang with Paojiang (Prepared Ginger). Warm extremities but sleeping with eyes open indicate Spleen-Stomach weakness; use Liujunzi Tang. Cyan complexion indicates Wood overacting on Earth; use Liujunzi Tang, Muxiang, and Chaihu (Bupleuri Radix). Also, regulate the nursing mother's diet to prevent excessive medication from injuring Stomach Qi. A child with abdominal distension, red face, phlegm-wheezing, constipation, high fever, and preference for cold drinks presented with excess syndrome. One dose of Zishuang Wan aggravated symptoms, turning the face white and increasing desire for hot drinks. I reasoned that pathogenic Qi receded but True Qi was injured, hence whiteness and preference for hot drinks. Large doses of Baizhu San (Atractylodis Macrocephalae Powder) were decocted and allowed to drink freely; sleep ensued, and recovery occurred next day. Another child with food-stagnation distension and chest fullness/phlegm was cured with Yigong San. Recurrent food-stagnation distension with pain, treated with purgatives, worsened pain/distension and added wheezing. This indicated Spleen-Stomach injury leading to Lung deficiency. Cured with Liujunzi Tang plus Jiegeng (Platycodonis Radix). A child with distension, aversion to food, fever, nausea, mimicking exterior syndrome, was diagnosed with food stagnation. Cured with Baohe Wan (Preserve Harmony Pill) for distension relief, followed by Yigong San. A child with food-stagnation distension treated with harsh drugs developed scanty urination; subsequent Wuling San (Five Ling Powder) reduced intake but caused anuria and limb edema. Treated morning with Shenqi Wan (Kidney Qi Pill) from *Jin Gui* minus Fuzi (Aconiti Lateralis Radix Preparata), evening with Buzhong Yiqi Tang (Middle-Boosting and Qi-Invigorating Decoction), resulting in peace. A child with distension, green-white stools, left abdominal mass, sallow complexion, red/rotten gums, and drooling was treated primarily with Yigong San to harmonize Middle Qi, assisted by Dayuwang Tang (Greater Wormwood Decoction) to clear Gi and heat. After a month, symptoms improved; continued Yigong San and Hemawang Wan (Toad Pill), external Awei Gao (Styrax Plaster). Mass resolved in two months; residual left hypochondriac pain cured with Sijunzi Tang and Jiwei Luhui Wan (Nine-Ingredient Aloe Pill). *Baiwen* states: Gi distension, Qi distension, Zhengji distension, Suodu distension, Wuige distension, Food distension, Roundworm distension, Deficiency-cold accumulation distension. For Gi-Qi accumulation distension, use Baotong Wan and Taqi Wan first. For Pi Pi Qi distension and Zhengji distension, use Sanleng (Sparganii Rhizoma) to dissipate masses. For Suodu distension, use Zhenzhu Tianma Wan (Pearl Gastrodia Pill) to unblock. For upper epigastric food-injury distension, use Sanleng, Taqi Wan, and Dajulian Wan (Major Zanthoxyli-Coptis Pill) to digest. For roundworm distension, use Xiachong Wan (Expel Parasite Pill) to dissolve. For deficiency-cold accumulation distension, use Chenxiang Jian (Agarwood Decoction) to warm. All conditions require harmonizing Stomach Qi, digesting, and promoting unblocking; swelling will resolve. Heat cases require Tingli (Descurainiae Semen) and Qianniu (Pharbitidis Semen). Tuiqi Wan (Push Qi Pill) is also usable.
Note: *Baiwen*'s differentiation is detailed but biased towards purgation. Without Qian Yi/Zhang Yuansu's flexible methods and Xue Ji's tonifying approaches, few avoid fatal errors. Be cautious.
Taqi Wan
Hujiao (Piperis Longi Fructus, 1 liang) Xiewei (Scorpio, 0.5 liang)
Grind to powder. Form pills with paste, size of millet seeds. Dosage: 5-7 to 10-20 pills, taken with aged rice wash, anytime. Another formula adds Muxiang (1 qian). The Taqi Wan used by Qian Yi and Zhang Yuansu contains only these two ingredients; beware of versions containing Qianniu.
*Benshi Fang* Tiaozhong Wan treats prolonged Spleen-Stomach injury in children causing abdominal distension.
Ganjiang (Dried Ginger), Juhong (Citri Reticulatae Pericarpium Rubrum), Baizhu (Atractylodis Macrocephalae Rhizoma), Fuling (Poria), Muxiang, Sharen (Amomi Fructus), Guangui (Cinnamomi Cortex), Liangjiang (Alpiniae Officinarum Rhizoma) (Equal parts)
Grind to fine powder. Form pills with paste, size of hemp seeds. Dosage: 20-30 pills, after meals, with cooked water.
*Shenghui Fang* Heleli Wan treats pediatric Spleen deficiency distension preventing suckling.
Helile (Chebulae Fructus, baked, peel used), Nongpu (Magnoliae Officinalis Cortex, scraped, brushed with ginger juice, roasted fragrant), Chenjupi (Aged Tangerine Peel, soaked in water, pith removed, dried) (0.5 liang each)
Ganjiang (Roasted, chopped), Gancao (Licorice Root, roasted slightly red, chopped), Muxiang, Baizhu, Ren Shen (Ginseng Radix et Rhizoma, radicles removed) (1 fen each)
Pound and sieve to powder. Mix with refined honey to form pills, size of hemp seeds. Dosage: 5 pills with gruel wash, 3-4 times daily, adjusted by age.
(Zhang Shi) Wenpi San treats Spleen-Stomach damage, false distension of abdomen/flanks, poor feeding, fatigue.
Hezi Rou (Terminalia Chebula Retardata Flesh), Ren Shen (7 qian each)
Baizhu, Muxiang, Jiegeng, Fuling, Huoxiang (Patchouli Herb), Chenpi, Huangqi (Astragali Radix) (5 qian each)
Gancao (Roasted, 2.5 qian)
Dosage: 2-3 qian, decocted with ginger and jujube.
Chenxiang Jian treats Spleen Qi cold accumulation.
Ruxiang (Frankincense), Chenxiang (Aquilariae Lignum Resinatum), Dingxiang, Xingren (Apricot Seed, fried), Baicaoshuang (Burnt Grass Ash), Muxiang (1 qian each)
Rudoukou (Nutmeg, one, baked), Badou (Crotonis Fructus, 14 grains, oil expressed like frost)
Grind to powder. Mix with wine-boiled wax to form pills, size of mung beans. Dosage: 3-5 pills, with light ginger soup. Effective for persistent abdominal pain. Regular use aims at unblocking.
*Sanyin Fang* Fei'er Wan treats pediatric diseases due to milk shortage, early weaning, or chronic organ/Stomach deficiency with parasites, leading to emaciation, large abdomen, inability to walk, erect hair, fever, and lethargy.
Huanglian (Coptidis Rhizoma), Shenqu (Medicated Leaven) (1 liang each)
Maiya (Barley Sprout, fried, 0.5 liang), Muxiang (2 qian)
Bolang (Arecae Semen, three, not exposed to fire), Shijunzi Rou (Quassiae Semen Endocarp), Doukou (Cardamomi Fructus, wrapped in dough and baked) (0.5 liang each)
Grind to powder. Form pills with paste, size of paulownia seeds. Dosage: 30-20 pills, adjusted by age, swallowed with cooked water.
Liushen Wan treats conditions as above.
Dingxiang, Muxiang, Roudoukou (Wrapped in dough and baked) (5 qian each)
Hezi (Baked, pitted, 0.5 liang)
Shijunzi, Luhui (Aloe) (Ground, 1 liang each)
Grind to powder. Mix with date flesh to form pills, size of hemp seeds. Dosage: 5-7 pills, with warm rice wash, before meals.
Treating Pediatric Gi Disease or Abdominal Distension
Huhuanglian (Picrorhizae Rhizoma, 2 qian, removes fruit accumulation)
Awei (Styrax, 1.5 liang, removes meat accumulation)
Shenqu (2 qian, removes food accumulation)
Huanglian (2 qian, removes heat accumulation)
Shexiang (Musk, 4 grains, opens orifices)
Grind to powder. Dosage: 12 pills, with Baizhu decoction.
He Wan treats Gi edema/swelling.
Luoboz (Radish Seed, 1 liang, lightly fried)
Chenpi, Qingpi (Green Tangerine Peel), Banglang, Wulingzhi (Trogopterori Faeces), Pengzhu (Curcumae Rhizoma, baked), Hei Qianniu (Black Pharbitis Seed, pure powder, half raw half fried), Chi Fuling (Red Poria) (0.5 liang each)
Muxiang (2.5 qian)
Grind to powder. Form pills with flour paste, size of mung beans. Dosage: 15 pills, with perilla leaf infusion or plain water.
Wugan Baotong Wan treats five types of Gi disease.
Wubeizi (Chinese Gall, raw), Qingdai (Indigo Naturalis), Yeming Sha (Night-soil Sand, washed in cloth), Kulian Genpi (Meliae Cortex), Luhui, Xiongdan (Bear Bile, ground), Huanglian (De-haired), Longdan Cao (Gentian Root, raw), Ganchan (Dry Toad, fried in butter, skin/bone removed), Shexiang (Musk, ground), Wuyi (Myrobalan Kernel), Chantui (Cicada Slough, cleaned) (Equal parts)
Grind to powder. Form pills with millet paste, size of hemp seeds. Dosage for 1-year-old: 20 pills, with rice water, 2-3 doses.
Pediatrics names such as Dingxi, Bulu, Wugu refer to Gi distension variants characterized by large abdomen, thin neck, yellow emaciation. Mild cases present as one, severe as another. Listed separately under Gi.
Yang Shi Taqi San treats pediatric abdominal distension, wheezing, body swelling, facial edema.
Chenmi (Aged Rice, 1 he, fried yellow)
Qingpi (Pith removed, fried with 21 Badou grains until yellow, remove Badou), Gancao (Roasted) (0.5 liang each)
Hei Qianniu (2.5 qian, half raw half fried), Roudoukou (Two, baked fragrant)
Grind to powder. Dosage: 0.5 qian, mixed with rice wash. Add one Banglang.
Taqi Wan treats pediatric Gi-Qi abdominal distension, urgent wheezing, and facial edema.
Dingxiang, Hujiao (Fried) (5 qian each)
Luoboz (Fried), Bai Qianniu (White Pharbitis Seed) (7.5 qian each)
Grind to powder. Form pills with flour paste, size of small beans. Dosage for 3-year-old: 30 pills, with rice soup.
Taqi San treats pediatric abdominal distension with coarse breathing, Gi disease attack, facial/ocular edema.
Muxiang (1 qian)
Qingpi (0.5 liang)
Badou (30 grains, fried together until bean-yellow, remove Badou)
Grind to powder. Dosage for 3-year-old: 0.5 qian, with rice wash, before meals, continuous administration yields effect.
Fenqi Yin treats pediatric swelling with wheezing, shortness of breath, urgency.
Jiegeng, Chi Fuling, Chenpi, Sangbaipi (Mulberry Root Bark, chopped), Dafupi (Arecae Pericarpium), Zhike (Bitter Orange, fried), Banxia (Pinellia, fermented), Zhen Suzi (Perilla Seed, lightly fried), Zisu (Perilla Leaf), Gancao (Roasted) (2 qian each)
Caoguoren (Tsaoko Cardamom Seed, 1 qian)
Cut into pieces. Dosage: 1.5 qian, decocted with ginger and jujube.
Sanleng Jian Wan treats infants ingesting cold/raw/sweet/greasy/toxic-hot foods, causing Spleen-Stomach stagnation, indigestion, warm belly/cold feet, Pi Pi alternating cold/heat, epigastric disharmony, upper diaphragm distension, Qi obstruction in heart/abdomen. This mild/warm formula is suitable for all stagnant food indigestion.
Jingsanleng (Boiled block), Pengzhu (Fried) (0.5 liang each)
Yuanhua (Daphne Flower, 2.5 qian, vinegar-soaked, fried), Biejia (Tartar Testudinis Carapax, skirt removed, roasted with rice vinegar until charred, 0.5 liang)
Danshichidou (Light Fermented Soybean, 2 qian), Badou (21 grains, shelled), Chuanguidang (Angelica Sinensis, 0.5 liang), Xingren (Apricot Kernel, peeled/trimmed, fried red, 2.5 qian)
Simmer first four ingredients in one bowl of rice vinegar until dry. Stir-fry, chop finely, dry to powder. Mix with Danggui powder, Xingren, Badou, Danshichidou. Boil water with flour paste to form pills, size of hemp seeds. Dosage: 20 pills, with ginger soup, adjusted by age.
Sanleng Wan treats pediatric stagnation, abdominal/flank distension, dry retching, nausea, total anorexia.
Sanleng (Baked), Muxiang, Shenqu (Fried), Chenpi (Pith removed), Banxia (Ginger juice processed) (1 liang each)
Dingxiang, Guangui (0.5 liang each)
Grind to powder. Form pills with leaven paste, size of yellow millet. Dosage: 20 pills, with warm ginger soup after milk/food.
Awei Wan treats pediatric food accumulation, spider-like abdomen, abdominal pain, cloudy white urine.
Awei (Soaked in vinegar overnight, ground to paste), Huanglian (Fried), Lianqiao (Forsythia Fruit) (0.5 liang each)
Huajian (Flower Alkali, ground to powder, 3 qian), Shanzha Rou (Hawthorn Flesh, 1 liang), Banxia (Soaked in soapberry water overnight, 1 liang)
Grind to powder. Form pills with fried Shenqu paste, size of radish seed. Dosage: 20 pills, fasting with rice wash. Increase Huhuanglian for high fruit intake; add Shenqu/Shanzha for high rice intake; add Awei for high meat intake.
Another Awei Wan
Awei (1 liang), Huanglian (Wine-boiled, 6 liang)
Grind to powder. Soak Awei in vinegar overnight, grind to paste. Form pills with steamed bread dough soaked in water. Add Ren Shen if Yuan Qi is insufficient.
Xiao Awei Wan
Shanzha Rou (3 liang), Shijian (Stone Alkali, 3 qian), Banxia (1 liang)
Grind to powder. Soak 0.5 liang Awei in vinegar, form pills with paste, take with plain water.
Zhenzhu Tianma Wan treats acute convulsive wind; use according to severity, aiming for unblocking. Also excellent for diaochang (intussusception?), suodu (umbilical hernia/congenital defect?), cuokou (tetanus/trismus). Pills size of hemp seeds. Newborn: 3 pills on day 3, 5 on day 5, 7 on day 7. Add Qingdai to name Qingdai Wan.
Tiannanxing (Arisaematis Rhizoma, prepared), Tianma (Gastrodiae Rhizoma), Baifuzi (Typhonii Rhizoma, prepared) (2.5 qian each)
Nifen (Calomel, 0.5 qian), Bashuang (Croton Oil Pill, one character), Wuyi (Fried), Quanxie (Scorpion), Huashi (Talcum) (1.5 qian each)
Grind to powder. Form pills with boiled fine flour paste, size of hemp seeds. Dosage: 5 pills for 1 year old, 10 for 2 years old, adjusted by age. Take with mint soup and tea rinse.
Dajulian Wan treats pediatric overeating, chest/diaphragm distension, obstructed Qi flow, depression/confusion, lack of joy, severe wheezing, indigestion, thirst/restlessness, inability to sit/lie comfortably, limb fatigue, abdominal/flank pain.
Pengzhu, Jingsanleng (2.5 qian each, vinegar-boiled)
Ganjiang (Roasted), Qingpi, Chenpi (Pith removed), Muxiang, Dingxiang (3 qian each)
Badou (21 grains, membrane/core removed, oil expressed), Lvxi Xiao Zhuyu (Small Green Zanthoxylum, 2 qian)
Grind to powder. Form pills with vinegar paste, size of hemp seeds. Dosage: 7-10 pills, more for adults, with ginger-jujube soup.
Xiachong Wan treats roundworm Gi and various parasites.
Kulian Genpi (Melia Bark, wine-soaked, dried), Lvse Guanzhong (Cyathulae Radix, green), Muxiang, Taoren (Peach Kernel, soaked, peeled, dried), Wuyi (Baked), Jixin Banglang (Chicken-heart Areca Nut) (1 qian each)
Heshi (Chrysanthemi Indici Herba, fried), Qingfen (Calomel, 0.5 qian each)
Gan Xama (Dried Toad, roasted charred, 3 qian), Shijunzi (50 nuts, baked, endocarp used)
Grind to powder. Form pills with sifted flour paste, size of hemp seeds. Dosage: 20 pills, with clear meat juice in the morning. Add Danggui and Chuanlian (Coptidis Rhizoma) 2.5 qian each to treat spinal Gi and Gi consumption.
Yuxian Dan treats various parasites and accumulations.
Qianniu (Pharbitis Seed, 3 jin), Dafuzi (Areca Seed, 2 jin)
Xihui (Tin Ash, roasted dry, powdered), Dahuang (Rhubarb Root, 4 liang), Leiwan (Polyporus Umbellatus, 4 liang)
Qingmuxiang (Pogostemonis Patchouli Folium), Heshi, Ganqi (Dried Lac, 2 liang each)
Zaojiao (Gleditsiae Sinensis Fructus, 4 strips)
Decoct last three ingredients in water. Cook millet porridge. Add sequentially: Qianniu powder, Dafu powder, Tin ash, Dahuang, Leiwan, Qingmuxiang. Mix and form pills, size of wutong seeds. Dosage: 5-7-9 pills, with ginger soup/cooked water. Specifically treats adult/child parasitic masses, five labors/seven injuries, bloody/dysenteric stool, hematochezia, yellow skin/edema, ten types of Qi disorders, ten types of evil worms. Promotes appetite, removes disease, improves complexion. Compatible with other medicines, safe for all seasons. Fine powder 3-4 qian, adjusted by age. Skip dinner, take at midnight with tea rinse. Next morning, check bucket for expelled worms/rice grains; wash face only after complete expulsion. Supplement with warm congee. Contraindicated in cold damage and pregnancy.
Li Dongyuan’s treatment of distension avoids Upper and Lower Jiaos, applying *Suwen* principle: "Fullness in the center, drain from within." Excess: Distribute Qi and dissipate accumulation. Deficiency: Raise Yang and nourish Blood. Practitioners should adapt this spirit, surpassing previous aggressive formulas.
Zhongman Fenxiao Wan
Huanglian, Zhishi (Immature Bitter Orange), Nongpu (Magnolia Bark) (5 qian each)
Ganjiang, Jianghuang (Turmeric Rhizome), Zhuling (Polyporus), Sharen, Zexie (Alisma Rhizome), Fuling (3 fen each)
Chenpi, Baizhu (1 fen each)
Banxia (4 fen), Huangqin (Scutellaria Root, 1 liang 2 qian), Gancao (1 fen)
Grind to fine powder. Form pills with steamed bread dough, size of broomcorn millet. Dosage: 30 pills, with warm wine.
Xopi Wan is a rapid purgative agent.
Huanglian (0.5 liang), Zhishi, Huangqin, Gancao, Ren Shen (3 qian each)
Nongpu (7 fen), Ganjiang (4 fen), Juapi (Tangerine Peel, 1 qian), Jianghuang (5 fen)