治小儿患无辜疳三焦虚热饮水不歇下痢频并日夜无度烦躁干呕食入即吐如此恶症服常疳
药分
水谷止烦渴治下痢进饮食但无效者宜用此方治之随药取安一服虚热去两服烦渴止三服泻痢住
不过三服诸症悉应克效万一神圣秘蜜蚵 丸良方
蟾蜍一枚夏月取生活者乃是沟渠中腹肚大不能跳又不能鸣者身上多痱磊是也
上取粪虫一杓放桶中更以屎灌四维令干即留得其虫却将蟾蜍打杀顿在虫上任其虫咀食两
日间
用新布作袋包裹小麻绳系于急流中推一宿明日取上滓干瓦上焙为末入麝和匀汤浸蒸饼丸麻子
大每小者二十丸大者三十丸温饭饮下或用麦门冬子去心煎汤空心食煎日进二服功效如神宜
至诚修合
议小儿泄泻伤积而作泻者初以补药治不止之时须当下去其积推积才下其泻自止下之宜与
小沉
香煎丸理虚中积甚良多与服之或以小塌气丸又不下更与三陵煎服之切不可以宣转药恐成涤荡
矣积滞已下与服调胃温脾药及既济丹此乃理积泻夏月暴泻由其脏寒虚肠滑利泄速与契圣丹如
滑不禁进 肠散次与契圣既济丹若洞利其泻不常发作骇人速与 肠未子次与术附汤稍与迟缓
其候必更疗泻之理岂可相待病家无知医工当谨
治婴孩小儿肠胃虚寒脏腑久冷泄泻不止 肠散良方
真铅粉（半两炒） 白石脂（二钱） 白矾（ 二钱） 白龙骨（一钱）
上为末每服半钱匕大者一钱温饭饮调下薄糊作小丸多服效
【背景信息】
书名：活幼口议 作者：曾世荣 朝代：元 章节：蚵丸 / 泄泻症候方仪 / 肠散 类别：综合
治疗小儿患无辜疳（一种以形体消瘦、腹部胀大、发热为主要特征的慢性消耗性疾病）导致三焦虚热，表现为饮水不止、下痢频繁且日夜无节制、烦躁不安、干呕、进食后立即呕吐。面对如此严重的病症，如果服用常规治疗疳积的药物，虽然能使水谷停滞停止、烦渴缓解、下痢改善、饮食增加，但依然无效时，应当使用此方进行治疗。服药后病情会逐渐安定：服一剂后虚热消退，服两剂后烦渴停止，服三剂后泻痢止住。不超过三剂，各种症状都能消除见效。这万一之中的神圣秘密蜜制蚵丸良方。
蟾蜍一只，夏季取活体，即那些在沟渠中腹部肥大、不能跳跃、不能鸣叫、身上长满痱子状疙瘩的蟾蜍。
以上述方法获取粪虫一杓放入桶中，再用粪便浇灌四周使其干燥，从而留住这些虫子。接着将蟾蜍打死，放置在虫子上面，任由虫子啃食两天。
用新布做成袋子包裹好，用细麻绳系紧，挂在急流中浸泡一整夜。第二天取出残渣，放在瓦片上焙干，研成粉末，加入麝香混合均匀，用米汤浸湿蒸饼制作成如麻子大小的药丸。年幼者每次服二十丸，年长者每次服三十丸，用温热的饭饮送服；或者用麦门冬子去心煎汤，空腹服用煎好的药液，每日进服两次，功效神奇。应当以至诚之心配制。
论述：小儿泄泻因伤积而引发的，初期若用补药治疗仍不止泻时，必须当下去除积滞。只有推荡积滞排出，其腹泻自然停止。攻下积滞宜给予小沉香煎丸，能很好地调理虚寒中的积滞，让患儿多服用。或者用小塌气丸；如果仍然不通，再给予三棱煎剂服用。切记不可使用宣转药（指具有强烈通利作用的药物），恐怕会造成过度涤荡损伤正气。待积滞已下，再给予调理胃气、温补脾脏的药物以及既济丹。这是处理积滞性泄泻的方法。夏季暴发性泄泻，是由于脏腑寒冷、虚肠滑利导致排泄迅速，应给予契圣丹；如果滑脱不禁，则进阶使用肠散；随后再给予契圣丹和既济丹。如果是洞泄（严重的水样泻），其发作不规律且令人惊恐，应立即给予肠未子（此处疑为“肠散”或类似方剂的异写，依原文保留）；随后给予术附汤，稍加迟缓其病势，其预后必然好转。治疗泄泻的道理，岂可坐以待毙？病人家属无知，医者应当谨慎。
治疗婴儿小儿肠胃虚寒、脏腑久冷导致的泄泻不止，此为肠散良方。
真铅粉（半两，炒制）、白石脂（二钱）、白矾（二钱）、白龙骨（一钱）。
以上药材研成粉末。每服半钱匕（约1.5-2克），年长者一钱（约3克），用温热的饭饮调服；也可制成薄糊状的小丸，多服效果更佳。
Background Information:
Book Title: Huoyou Kouyi (Oral Discussions on Pediatric Care)
Author: Zeng Shirong
Dynasty: Yuan Dynasty
Chapter: E Wan / Xie Xie Zheng Hou Fang Yi / Chang San
Category: Comprehensive
Treatment for pediatric cases of Wugu Gan (a chronic consumptive disease characterized by emaciation, abdominal distension, and fever) resulting in deficiency heat of the Triple Burner (San Jiao), manifesting as incessant thirst, frequent dysentery without day or night restraint, restlessness, dry heaving, and immediate vomiting after eating. In such severe conditions, if conventional Ganji medicines fail to stop water and food stagnation, relieve thirst and irritability, improve dysentery, or restore appetite, this prescription should be used. With administration, the condition stabilizes: deficiency heat dissipates after one dose, thirst and irritability cease after two doses, and dysentery stops after three doses. Within three doses, all symptoms are expected to resolve effectively. This is the miraculous secret honey-coated E Wan prescription.
One toad, taken alive in summer; specifically those found in ditches with large bellies, unable to jump or croak, and covered in pimple-like growths.
Obtain a scoop of dung beetles and place them in a bucket. Pour feces around the edges to dry them out, thereby retaining the beetles. Then, kill the toad and place it atop the beetles, allowing the beetles to consume the toad over two days.
Wrap the mixture in a new cloth bag, tie it securely with thin hemp rope, and suspend it in a fast-flowing stream overnight. The next day, retrieve the residue, dry it on tiles, grind it into powder, mix uniformly with musk, and form pills the size of hemp seeds using steamed dough moistened with rice decoction. For younger children, administer twenty pills per dose; for older children, thirty pills. Take with warm rice wine or decoct Ophiopogon japonicus seeds (with hearts removed) and take the decoction on an empty stomach. Administer twice daily. The efficacy is divine. Preparation should be done with utmost sincerity.
Discussion: When pediatric diarrhea is caused by food accumulation, if initial treatment with tonifying herbs fails to stop the diarrhea, it is necessary to purge the accumulation. Only after the accumulation is expelled will the diarrhea naturally cease. For purging, Xiao Chenxiang Jian Wan (Minor Amber Decoction Pills) is suitable to regulate accumulation within deficiency-cold; it should be administered frequently. Alternatively, use Xiao Taqi Wan (Minor Qi-Sinking Pills); if there is still no relief, administer Sanling Jian (Three Rhizomes Decoction). Strictly avoid using Xuanzhuan Yao (strong purgative/laxative agents), lest they cause excessive scouring and damage healthy qi. Once the accumulation has been cleared, administer drugs that harmonize the Stomach and warm the Spleen, such as Ji Ji Dan. This is the method for treating accumulation-type diarrhea. Sudden onset diarrhea in summer is due to coldness of the viscera and slippery, deficient intestines leading to rapid evacuation; Qisheng Dan should be given. If incontinence persists, proceed to Chang San (Intestine Powder); subsequently, administer both Qisheng Dan and Ji Ji Dan. For Dongli (profuse watery diarrhea) with irregular, alarming attacks, immediately administer Chang Weizi (Intestine Un-Child Pill - *note: likely a variant name or typo in source, retained as is*); subsequently, administer Zhufu Tang (Aconite and Atractylodes Decoction) to slightly slow the progression of the pathology, ensuring a favorable prognosis. The principles of treating diarrhea cannot be ignored while waiting; laypersons may lack knowledge, but physicians must exercise caution.
For infants and young children suffering from persistent diarrhea due to deficiency-cold of the intestines and stomach and long-standing coldness of the viscera, this is the effective prescription for Chang San (Intestine Powder).
Zhen Qianfen (Lead Carbonate, half liang, stir-fried), Baishi Zhi (White Halloysite, two qian), Bai Fan (Alum, two qian), Bai Longgu (White Fossilized Bone, one qian).
Grind all ingredients into powder. Each dose is half a qianbi (approx. 1.5-2g); for adults/older children, one qian (approx. 3g). Mix with warm rice wine for ingestion. Alternatively, form small pills using a thin paste; frequent administration yields better results.