婴儿始生，禀赋未完，失于襁褓之不谨，乳哺之不节，外为六淫侵袭，内因五脏气虚，
冷积久停于脾，不能克化，结成癖块，突于胁下或左或右，俗曰龟痨。其疾皆因积滞蕴
作，致有寒热，或腹肚疼痛，或昼凉夜热。治疗之法，气实者，亦须温正胃气，后用乌犀
丸或水晶丹下之。如过二三次，即以稀粥略止，候所作形证消尽，方投补益之剂。气虚
者，先与调脾胃，固真元。神色稍正，饮食进多，如前法下之。若太虚甚，用三棱散、化
癖丸渐消之。顺适阴阳，以平为期。然先补后泻，行迎夺之法，则取去陈寒冷积。若面
黄唇白，发竖肌瘦，乃为虚极，不可轻下，但徐徐用药消化，调理为上。若儿小者，更令
乳母常服藿香饮，使药从乳过，亦少助也。
按《内经·大奇论》曰∶肾脉大急沉，肝脉大急沉，皆为疝证。心脉搏滑急为心疝，肺
脉沉搏为肺疝。盖疝者，寒气结聚之所为，故令脐腹绞痛者是也。又巢元方曰∶诸疝者，阴
气积于内，复为寒气所伤，荣卫不调，二气虚弱，风冷入腹而成。故《内经》云∶急者
紧也。紧则为寒、为实、为痛，血为寒泣（音涩）则为瘕，气为寒聚则为疝。皆因本藏气虚，外
感于寒湿，内伤于生冷，遂使脐腹绞刺激搏而痛，无有定处，仓卒之际，不堪忍者，谓
之疝也。并宜先用五苓散，沸汤调服和解。轻则但以白芍药汤、乌梅散、钩藤膏为治，重
者，金茱丸、散气丸，未有不愈也。
婴儿刚出生时，先天禀赋尚未完善，如果护理襁褓不够谨慎，哺乳喂养没有节制，外部受到六淫（风、寒、暑、湿、燥、火六种外感病邪）侵袭，内部因为五脏之气虚弱，寒气积聚长久停留在脾脏，不能运化消化，从而结成癖块，突起在胁下，或左或右，俗称龟痨。这种病症都是因为积滞蕴结发作，导致出现寒热往来，或者腹部肚脐周围疼痛，或者白天凉爽夜间发热。治疗的方法，对于气实（正气未虚而邪气盛）的患儿，也必须先温补胃气，之后用乌犀丸或水晶丹来攻下积滞。如果经过两三次攻下后，就用稀粥稍微停止攻伐，等待形成的证候完全消除，再给予补益的药物。对于气虚（正气不足）的患儿，先用调理脾胃、固护真元的方法。等到神色稍见正常，饮食摄入增多，再像前面所说的那样进行攻下。如果身体极度虚弱，使用三棱散、化癖丸慢慢消散积块。顺应并调节阴阳，以平衡为最终目的。然而，先补后泻，采用迎夺（即先扶正后祛邪）的方法，可以去除陈旧的寒冷积滞。如果面色发黄、嘴唇苍白、头发竖立、肌肉消瘦，这是极度虚弱的表现，不可轻易使用攻下法，只能慢慢地用药消化积滞，以调理为上策。如果患儿年龄很小，更应让乳母常服用藿香饮，使药力通过乳汁传递给孩子，这也是一种辅助手段。
根据《黄帝内经·大奇论》记载：肾脉大而急沉，肝脉大而急沉，都属于疝证。心脉搏动滑利而急，是心疝；肺脉沉而搏指，是肺疝。大概疝症，是由于寒气结聚所造成的，所以会导致脐腹剧烈绞痛。另外巢元方说：各种疝症，都是阴气积聚在体内，又受到寒气伤害，营卫不调，二气虚弱，风冷进入腹部而形成。所以《黄帝内经》说：急迫就是紧束的意思。紧束则代表寒、代表实、代表痛，血液因寒而凝涩不通则为瘕，气因寒而聚结则为疝。这都是因为本脏气虚，外部感受寒湿，内部损伤于生冷食物，于是使得脐腹绞刺激搏而疼痛，疼痛没有固定位置，在突然发作之际，痛苦不堪忍受，这就称为疝症。并且都适宜先用五苓散，用沸水调服以和解。轻症只用白芍药汤、乌梅散、钩藤膏来治疗，重症用金茱丸、散气丸，没有不痊愈的。
When infants are first born, their congenital endowment is not yet complete. If care in swaddling is negligent and breastfeeding is unregulated, they may be externally invaded by the Six Excesses (Wind, Cold, Summerheat, Dampness, Dryness, Fire) and internally suffer from deficiency of Qi in the Five Zang organs. Cold accumulation remains long-term in the Spleen, failing to transform and digest, forming Pi masses (accumulation masses). These protrude under the hypochondrium, either on the left or right, commonly known as "Gui Lao" (Turtle Consumption). This disease arises from stagnation and accumulation fermenting, leading to alternating chills and fever, abdominal pain, or coolness during the day and fever at night. The treatment method for cases with excess Qi requires first warming and regulating Stomach Qi, followed by administering Wu Xi Wan (Black Rhinoceros Horn Pill) or Shui Jing Dan (Crystal Pill) to purge the accumulation. After two or three purgations, stop temporarily with thin rice gruel, wait until the formed pathological manifestations disappear completely, and then administer tonifying agents. For cases with deficient Qi, first regulate the Spleen and Stomach and consolidate the True Yuan (Original Qi). Once the spirit and complexion slightly normalize and food intake increases, proceed with purgation as described above. If the deficiency is extreme, use San Leng San (Burreed Powder) or Hua Pi Wan (Resolve Pi Pill) to gradually dissipate the masses. Adapt to Yin and Yang, aiming for balance. However, tonifying first and purging later, employing the method of "Ying Duo" (welcoming and seizing), removes old cold accumulations. If the face is yellow, lips white, hair erect, and muscles emaciated, this indicates extreme deficiency; gentle purgation should not be used lightly. Instead, slowly use medication to digest the accumulation, prioritizing regulation. For very young children, it is advisable for the nursing mother to frequently consume Huo Xiang Yin (Agastache Drink), allowing medicinal properties to pass through breast milk, providing slight assistance.
According to the *Da Qi Lun* (Great Strange Discussions) chapter of the *Nei Jing* (Inner Canon): A Kidney pulse that is large, urgent, and deep, and a Liver pulse that is large, urgent, and deep, both indicate Shan syndrome (Hernia/Colic). A Heart pulse that is slippery and urgent indicates Xin Shan (Heart Hernia); a Lung pulse that is deep and forceful indicates Fei Shan (Lung Hernia). Generally, Shan syndromes are caused by the aggregation of Cold pathogen, resulting in severe colicky pain in the umbilical and abdominal regions. Furthermore, Chao Yuanfang stated: Various Shan syndromes occur when Yin Qi accumulates internally, compounded by injury from Cold, leading to disharmony of Ying (Nutritive) and Wei (Defensive) Qi, weakness of these two Qi types, and invasion of Wind-Cold into the abdomen. Thus, the *Nei Jing* states: "Urgent" implies tightness. Tightness signifies Cold, Excess, and Pain. Blood congealing due to Cold becomes Jia (masses), while Qi aggregating due to Cold becomes Shan. All result from deficiency of the organ's own Qi, external contraction of Cold-Damp, and internal injury from raw/cold foods, causing sudden, intense, shifting colicky pain in the abdomen that is unbearable in acute episodes, termed Shan syndrome. Initially, all such cases should be treated with Wu Ling San (Five-Ingredient Poria Powder), mixed with boiling water for harmonization. Mild cases are treated with Bai Shao Yao Tang (White Peony Decoction), Wu Mei San (Mume Powder), or Gou Teng Gao (Uncaria Paste). Severe cases are treated with Jin Zhu Wan (Gold Dogwood Pill) or San Qi Wan (Disperse Qi Pill), without exception in achieving recovery.