凡初生婴儿，七日之内，大小便有血出者，此由胎气热盛之所致也。因母食酒面炙爆热毒等物，
流入心肺，儿在胎内受之。热毒传入心肺，且女子热入心，故小便有之；男子热入于肺，故大便有
之。治法，以生地黄取自汁，入蜜少许和匀，温服，男女皆效，或甘露饮兼服尤妙。
甘露饮 治小儿胃中客热，牙宣口臭、齿龈肿烂、时出脓血、饥烦不欲饮食及目赤肿痛、
不任凉药，口舌生疮、咽喉肿痛及身面皆黄、肢体微肿、大便不调、小便赤涩并治。
熟地黄 生地黄（酒洗） 天门冬（去心） 麦门冬（去心） 枳壳（酒炒） 茵陈 黄芩（酒炒）
枇杷叶 石斛 甘草（各等分）
上锉一剂，水煎，食后临卧服。
一方 用生蒲黄、油头发烧灰，各一钱，为末，生地黄
汁，或米饮、乳汁调，同服。
下淋者，膀胱郁热也。
五淋散 治膀胱有热，水道不通，淋沥不出，或尿如豆汁，或如沙石，或冷淋如膏，或热拂便热。
赤茯苓（六钱） 赤芍药 山栀仁（各二钱） 条黄芩（三钱） 当归 甘草（各五分）
上锉一剂，每服三钱，灯芯一团，水煎服。
一方 用生地黄、泽泻、木通、滑石、车前各二钱。
吐血者，荣卫气逆也。
黄金丸 治小儿吐血、衄血、下血。
黄芩不拘多少为末，炼蜜为丸，如鸡头实大。三岁儿，每一丸，盐汤化下。
柏枝散 治小儿衄血、吐血。
柏枝（晒干） 藕节（晒干） 各等分为末。三岁者，服半钱，藕汁和蜜一匙调白汤下。
一方 用山栀子炒黑，每用三钱，生姜煎。
又方 治咯血、吐血、衄血。
用白芍药为末，磨犀角汁调服愈。
秘方 治小儿吐血不止。
用黄连末一钱、豆豉二十粒，水煎温服。
小便不通者，膀胱火也。
通神散 治小便紧急不通，或去血。
小便闭塞不堪言，唯用儿茶末一钱；
蓄煎汤来送下，霎时溲便涌如泉。
五苓散
猪苓 泽泻 茯苓 白术（各等分） 官桂（减半）
上锉一剂，水煎，食前服。加车前子、灯草尤效。
大便不通者，脏腑热也。
万亿丸治大便不通如神。（方见通治。）
没药散 治小儿风与热滞留蓄上焦，胸膈高起、大便不通。
没药 大黄 枳壳（炒） 桔梗（各二钱） 木香 甘草（各一钱，炙。）
上锉，每剂一钱，姜三片，水煎服。
治新生小儿二三日不大小便，用葱汁、人乳各半，调匀，抹在口中同乳带下即通。
掩脐法 治小儿大小便不通。
取连根葱白一茎、生姜一块、淡豆豉二十粒、盐一小匙，同研烂、捏作饼子，贴脐中。烘热贴之，
用绢帛扎定。良久，气透自通。不通，再易一饼。
二妙散 治小儿大小便不通。
六七月间，寻牛粪中有蜣螂，不拘多少，用线串起阴干收贮。用时，取一个，要全者，放净砖上，
四面以炭火烘干，以刀从腰切断。如大便闭，用上半截；小便闭，用下半截；二便俱闭，全用。为细
末，新汲水调服。
水肿者，土亏水旺也。
加味五皮饮 治小儿四肢肿满，阳水阴水皆可服。
五加皮 地骨皮 生姜皮 大腹皮 茯苓皮（各一钱） 加姜黄 木瓜（各一钱）
上锉一剂，水煎服。一方去五加皮，加陈皮、桑白皮。
牵牛散 治小儿诸般肿胀。
黑牵牛（半生半炒） 取头细末，每服一二匙，桑白皮煎汤，磨木香汁调服。
黄胆者，脾胃湿热也。
茯苓渗湿汤 治小儿黄胆，寒热呕吐而渴欲饮冷水、身体面目俱黄、小水不利、不得安卧、不
思饮食。
茯苓 茵陈 山栀 黄连 黄芩 防己 白术 苍术 陈皮 青皮
枳壳 猪苓（各一钱） 泽泻（三分）
上锉，水煎，徐徐温服。如小便不通加木通；如伤食不思食加砂仁、神曲（炒）、麦芽（炒）。
汗者，阴阳偏胜也。
团参汤 治小儿虚汗，或心血液盛亦发为汗。此药收敛心气。
新罗人参 川当归（各三钱）
上细锉，用雄猪心一个，切二片。每服二钱，猪心一片，井水一盏半煎，食前作两次服。
止汗散 治小儿肿而自汗。
故蒲扇灰（如无扇，只将旧蒲烧灰） 为末，温酒调服。
牡蛎散 治小儿盗汗，因食生冷之物过度，或热水淘饭，大能损土，为水之所伤，不能制
其津液，故汗自出也。
牡蛎（ ，二钱） 黄 （蜜炙） 生地黄（各一两）
上锉一剂，水煎服。
斑者，阴阳毒瓦斯也。
治小儿身常发热风斑，及脚指常红肿，此脾经风热也。用防风通圣散去硝黄，
加鼠粘子、酒炒黄连，为末，亦用防
风、白芷、薄荷、黄连、黄芩、黄 、黄柏煎汤浴之，宜避风。
解颅鹤节者，胎元不全也。
解颅宜八物汤。有热加酒炒黄连、黄 、甘草，水煎服。外绢帛紧束，及以白芨末敷之。
人参地黄丸 治小儿颅囟开解、头缝不合，此乃肾气不成。胝主肾髓而脑髓海，肾气不盛，所以
脑髓不足，故不能食。
人参（二钱） 怀熟地（四钱） 嫩鹿茸 干山药 白茯苓（去皮） 牡丹皮 山茱萸（去核。各二钱）
上为细末，炼蜜为丸，如芡实大。用人参煎汤研化，食远服。
鹤节宜
当归地黄丸 治小儿血气不充，故肌瘦薄、骨节呈露如鹤之膝。
怀熟地（酒蒸，八钱） 山茱萸（酒蒸，去核） 山药（蒸） 泽泻（去毛） 牡丹皮（去梗）
白茯苓（去皮） 当归（酒洗。各三钱） 一方加鹿茸（酥炙）、牛膝（酒洗。各四钱，去芦。）
上为细末，炼蜜丸，如芡实大。每用热水研化，食前服。仍以大南星炮去皮脐，研细末，入米醋调，
敷绢帛上，烘热贴之，亦良法也。
行迟发迟者，血气不充也。
行迟宜
调元散 治小儿禀受元气不足，颅囟开解、肌肉消瘦、腹大而胀、语迟行迟、手足如筒、神
色昏慢、齿生迟。
干山药（五钱） 白芍（炒） 茯苓（去皮） 茯神（去皮木。各二钱） 白术（二钱半）
石菖蒲（一钱） 人参（去芦） 熟地 当归 川芎 黄 （蜜炙。各二钱半） 甘草（炙，一钱半）
上锉生姜三片、枣一枚同煎，不拘时服。婴儿、乳母同服。
钱氏地黄丸 治肝肾虚弱、骨髓不充、不能行。根据本方加酒炙鹿茸、牛膝、五加皮同服，自然髓生
而骨强，即能渐渐行也。
语迟者，邪乘心也。
菖蒲丸 治小儿语迟。
石菖蒲 人参 麦门冬（炒去心） 川芎 乳香 当归 远志（甘草水泡去心） 朱砂
上为末，炼蜜丸，黍米大。每服十丸，食远，粳米汤饮下。
齿迟者，肾不足也。
芎归散 治小儿齿迟。
川芎 干山药 当归 白芍（炒） 甘草（炙。各二钱半）
上为细末，每服二钱，白汤调下，食后服。将此干药末擦牙龈即生。
龟胸者，肺热胀满也。
龟胸丸 治小儿龟胸，高如覆掌。
川大黄（煨，六钱） 天门冬（去心） 百合 杏仁（去皮尖，麸炒） 木通（去节）
枳壳（麸炒） 桑白皮（蜜炙） 甜葶苈（隔纸炒） 软石膏（各一钱）
上为细末，炼蜜为丸，如绿豆大。每服五丸，温水化下，
食后临卧服。仍宜灸两乳前各一寸半，上两行三骨间，六处各灸三壮。春夏从下灸起，秋冬从上灸起。
根据法灸之。
龟背者，风邪入脊也。
龟背丸 治小儿龟背。
枳壳（麸炒） 防风（去芦） 独活 大黄（煨） 前胡（去芦） 当归 麻黄（去节。各三钱。）
上为细末，面糊丸，黍米大。每服十五六丸，看儿大小，以米饮下，食后服。仍灸肺俞穴，
在三椎下两旁各一寸半；心俞穴，在五椎下各一寸半；膈俞穴，在七椎下两旁各一寸。六处
穴各灸三壮。以小儿中指节为一寸。艾炷以小麦大，但灸三壮而已。
小儿行迟、齿迟、解颅、囟填、五软、鹤膝、肾疳、齿豁、睛白、多愁，凡此，皆因禀受肾气不足，
当以六味丸加鹿茸补之。若因精气未满而御女以通，多致头目眩晕、口渴吐痰，或发热足热、腰腿酸软，
或自汗盗汗、二便涩痛，变生诸疾，难以名状。余常用六味、八味二丸及补中益气之剂，加减用之，
无不奏效。（方见补益。）
小儿五岁不能言，咸以为废人也。但其形色悉属肺肾不足，遂用六味丸加鹿茸及补中益气汤加五味，
两月余，形气渐健；将五月半载，能发一二言；至年许，始声音明白。（方见补益。）
凡是刚出生的婴儿，在出生七天之内，大小便中有血液排出的，这是由于胎内热气过盛所导致的。因为母亲食用了酒、面食、烧烤及热毒等食物，这些热毒流入心肺，胎儿在母体内受到感染。热毒传入心肺，且女子热邪入心，所以表现为小便出血；男子热邪入肺，所以表现为大便出血。治疗方法，用生地黄榨取汁液，加入少许蜂蜜调和均匀，温服，男女皆有效，或者配合服用甘露饮效果更佳。
甘露饮：治疗小儿胃中客热，牙龈肿痛口臭、齿龈肿胀溃烂、时常流出脓血、饥饿烦躁不想饮食以及眼睛红肿疼痛、不耐受凉药、口舌生疮、咽喉肿痛以及全身面目发黄、肢体轻微浮肿、大便不调、小便赤涩等症状一并治疗。
处方组成：熟地黄、生地黄（用酒清洗）、天门冬（去心）、麦门冬（去心）、枳壳（用酒炒）、茵陈、黄芩（用酒炒）、枇杷叶、石斛、甘草（以上药材各等分）。
制法用法：将上述药材切碎为一剂，用水煎煮，饭后临睡前服用。
另一方案：使用生蒲黄、油头发烧成灰，各一钱，研为细末，用生地黄汁，或米汤、乳汁调匀，一同服用。
下淋症（排尿不畅伴疼痛），是膀胱郁热所致。
五淋散：治疗膀胱有热，水道不通，淋漓不出，或者尿液像豆汁一样，或者像沙石一样，或者冷淋像膏脂一样，或者热淋时感觉发热。
处方组成：赤茯苓（六钱）、赤芍药、山栀仁（各二钱）、条黄芩（三钱）、当归、甘草（各五分）。
制法用法：将上述药材切碎为一剂，每次服用三钱，加灯芯一团，用水煎煮服用。
另一方案：使用生地黄、泽泻、木通、滑石、车前子各二钱。
吐血症，是营卫之气逆乱所致。
黄金丸：治疗小儿吐血、鼻衄（流鼻血）、下血。
处方组成：黄芩不拘多少，研为细末，用炼蜜制成丸药，大小如鸡头实。三岁儿童，每次服用一丸，用盐汤化开送下。
柏枝散：治疗小儿鼻衄、吐血。
处方组成：柏枝（晒干）、藕节（晒干），各等分研为细末。三岁儿童，服用半钱，用藕汁和一匙蜂蜜调和白开水送下。
另一方案：使用山栀子炒黑，每次用三钱，生姜煎煮。
又一方：治疗咯血、吐血、鼻衄。
使用白芍药研为细末，磨犀角汁调匀服用可愈。
秘方：治疗小儿吐血不止。
使用黄连末一钱、豆豉二十粒，用水煎煮温服。
小便不通，是膀胱火盛所致。
通神散：治疗小便紧急不通，或者伴有出血。
方歌：小便闭塞不堪言，唯用儿茶末一钱；蓄煎汤来送下，霎时溲便涌如泉。
五苓散：
处方组成：猪苓、泽泻、茯苓、白术（各等分）、官桂（减半）。
制法用法：将上述药材切碎为一剂，用水煎煮，饭前服用。加入车前子、灯草效果更佳。
大便不通，是脏腑热盛所致。
万亿丸：治疗大便不通，效如神。（方剂见通治章节。）
没药散：治疗小儿风与热滞留蓄积在上焦，胸膈高起、大便不通。
处方组成：没药、大黄、枳壳（炒）、桔梗（各二钱）、木香、甘草（各一钱，炙）。
制法用法：将上述药材切碎，每剂一钱，加姜三片，用水煎煮服用。
治疗新生儿两三天不大便，用葱汁、人乳各一半，调匀，涂抹在口中，随同乳汁吞下即可通畅。
掩脐法：治疗小儿大小便不通。
取带根的葱白一根、生姜一块、淡豆豉二十粒、盐一小匙，一同捣烂，捏成饼状，贴在肚脐上。加热后贴上，用绢帛扎紧。过了一会儿，气机通畅自然排便。若不通，再换一张饼。
二妙散：治疗小儿大小便不通。
在六七月间，寻找牛粪中的屎壳郎（蜣螂），数量不限，用线串起来阴干收藏。使用时，取一个完整的，放在干净的砖上，四周用炭火烘干，用刀从腰部切断。如果大便闭结，用上半截；小便闭结，用下半截；二便俱闭，全用。研为细末，用新汲水调服。
水肿者，是土虚水旺所致。
加味五皮饮：治疗小儿四肢肿满，阳水和阴水皆可服用。
处方组成：五加皮、地骨皮、生姜皮、大腹皮、茯苓皮（各一钱）；加姜黄、木瓜（各一钱）。
制法用法：将上述药材切碎为一剂，用水煎煮服用。另一方案去掉五加皮，加陈皮、桑白皮。
牵牛散：治疗小儿各种肿胀。
处方组成：黑牵牛（半生半炒），取头细末，每次服用一二匙，用桑白皮煎汤，磨木香汁调匀服用。
黄疸者，是脾胃湿热所致。
茯苓渗湿汤：治疗小儿黄疸，寒热呕吐而口渴想喝冷水、身体面目都发黄、小便不利、不能安卧、不想饮食。
处方组成：茯苓、茵陈、山栀、黄连、黄芩、防己、白术、苍术、陈皮、青皮、枳壳、猪苓（各一钱）、泽泻（三分）。
制法用法：将上述药材切碎，用水煎煮，慢慢温服。如果小便不通加木通；如果伤食不想吃饭加砂仁、神曲（炒）、麦芽（炒）。
汗症，是阴阳偏胜所致。
团参汤：治疗小儿虚汗，或者心血旺盛也会引发出汗。此药能收敛心气。
处方组成：新罗人参、川当归（各三钱）。
制法用法：将药材细切，用一个雄猪心，切成两片。每次服用二钱，加一片猪心，井水一盏半煎煮，饭前分两次服用。
止汗散：治疗小儿浮肿且自汗。
处方组成：旧蒲扇灰（如果没有扇子，只将旧蒲草烧成灰），研为细末，用温酒调服。
牡蛎散：治疗小儿盗汗，因过度食用生冷之物，或用热水淘饭，严重损伤脾土，被水湿所伤，不能制约津液，所以汗自出。
处方组成：牡蛎（煅，二钱）、黄芪（蜜炙）、生地黄（各一两）。
制法用法：将上述药材切碎为一剂，用水煎煮服用。
斑疹者，是阴阳毒瓦斯所致。
治疗小儿身体经常发热出现风斑，以及脚趾经常红肿，这是脾经风热所致。使用防风通圣散去掉芒硝和大黄，加牛蒡子、酒炒黄连，研为细末。也可以用防风、白芷、薄荷、黄连、黄芩、黄芪、黄柏煎汤洗澡，宜避风。
解颅鹤膝者，是胎元不全所致。
解颅适宜用八物汤。有热象加酒炒黄连、黄芪、甘草，用水煎煮服用。外用绢帛紧紧束住头部，并用白芨末外敷。
人参地黄丸：治疗小儿囟门开解、头缝不合，这是肾气不成。肾主骨髓而脑为髓海，肾气不盛，所以脑髓不足，因此不能进食。
处方组成：人参（二钱）、怀熟地（四钱）、嫩鹿茸、干山药、白茯苓（去皮）、牡丹皮、山茱萸（去核，各二钱）。
制法用法：将上述药材研为细末，用炼蜜制成丸药，大小如芡实。用人参煎汤研化丸药，饭后服用。
鹤膝适宜用当归地黄丸：治疗小儿气血不充，所以肌肉消瘦、骨节显露像鹤的膝盖。
处方组成：怀熟地（酒蒸，八钱）、山茱萸（酒蒸，去核）、山药（蒸）、泽泻（去毛）、牡丹皮（去梗）、白茯苓（去皮）、当归（酒洗，各三钱）。另一方案加鹿茸（酥炙）、牛膝（酒洗，各四钱，去芦）。
制法用法：将上述药材研为细末，用炼蜜制成丸药，大小如芡实。每次用热水研化丸药，饭前服用。仍需用大南星炮制去皮脐，研为细末，用米醋调匀，敷在绢帛上，加热后贴敷，也是好方法。
行走迟缓、语言迟缓者，是气血不充所致。
行走迟缓适宜用调元散：治疗小儿禀受元气不足，囟门开解、肌肉消瘦、腹部大而胀、说话迟、行走迟、手足像筒子一样无力、神色昏沉缓慢、牙齿生长迟。
处方组成：干山药（五钱）、白芍（炒）、茯苓（去皮）、茯神（去皮木，各二钱）、白术（二钱半）、石菖蒲（一钱）、人参（去芦）、熟地、当归、川芎、黄芪（蜜炙，各二钱半）、甘草（炙，一钱半）。
制法用法：将上述药材切碎，加生姜三片、枣一枚一同煎煮，不拘时间服用。婴儿和乳母同服。
钱氏地黄丸：治疗肝肾虚弱、骨髓不充、不能行走。根据本方加酒炙鹿茸、牛膝、五加皮同服，自然骨髓生成而骨骼强壮，就能渐渐行走了。
语言迟缓者，是邪气乘袭心脏所致。
菖蒲丸：治疗小儿语言迟缓。
处方组成：石菖蒲、人参、麦门冬（炒去心）、川芎、乳香、当归、远志（甘草水泡去心）、朱砂。
制法用法：将上述药材研为细末，用炼蜜制成丸药，大小如黍米。每次服用十丸，饭后，用粳米汤送下。
牙齿生长迟缓者，是肾气不足所致。
芎归散：治疗小儿牙齿生长迟缓。
处方组成：川芎、干山药、当归、白芍（炒）、甘草（炙，各二钱半）。
制法用法：将上述药材研为细末，每次服用二钱，用白开水调下，饭后服用。将此干药末擦拭牙龈即可促进牙齿生长。
龟胸者，是肺热胀满所致。
龟胸丸：治疗小儿龟胸，胸部高耸如倒扣的手掌。
处方组成：川大黄（煨，六钱）、天门冬（去心）、百合、杏仁（去皮尖，麸炒）、木通（去节）、枳壳（麸炒）、桑白皮（蜜炙）、甜葶苈（隔纸炒）、软石膏（各一钱）。
制法用法：将上述药材研为细末，用炼蜜制成丸药，大小如绿豆。每次服用五丸，温水化开，饭后临睡前服用。仍宜灸两侧乳头前方各一寸半，上行第三肋骨间，共六处，每处灸三壮。春夏从下往上灸，秋冬从上往下灸。按照这种方法施灸。
龟背者，是风邪侵入脊柱所致。
龟背丸：治疗小儿龟背。
处方组成：枳壳（麸炒）、防风（去芦）、独活、大黄（煨）、前胡（去芦）、当归、麻黄（去节，各三钱）。
制法用法：将上述药材研为细末，用面糊制成丸药，大小如黍米。每次服用十五六丸，视儿童大小，用米汤送下，饭后服用。仍宜灸肺俞穴，在第三椎下两旁各一寸半；心俞穴，在第五椎下各一寸半；膈俞穴，在第七椎下两旁各一寸。这六处穴位各灸三壮。以小儿中指第一节长度为一寸。艾炷如小麦大小，只需灸三壮即可。
小儿行走迟缓、牙齿迟缓、解颅、囟填、五软、鹤膝、肾疳、牙齿豁落、眼珠发白、多愁善感，凡此种种，都是因为禀受肾气不足，应当用六味丸加鹿茸补益。如果是因为精气未满而过早性生活，多导致头目眩晕、口渴吐痰，或者发热足热、腰腿酸软，或者自汗盗汗、二便涩痛，变生各种疾病，难以名状。我常用六味丸、八味丸以及补中益气之剂，加减使用，无不奏效。（方剂见补益章节。）
小儿五岁还不能说话，大家都认为是废人。但其形色都属于肺肾不足，于是用六味丸加鹿茸及补中益气汤加五味子，两个多月，形体气息逐渐健康；将近五个月，能说出一两个字；到一年左右，声音才清晰明白。（方剂见补益章节。）
In the case of newborn infants, if blood is discharged in stool or urine within seven days after birth, this is caused by excessive heat in the fetal qi. This occurs because the mother consumed alcohol, wheat products, roasted/fried foods, and other items with heat toxicity; these heat toxins enter the Heart and Lung meridians, and the fetus absorbs them while in the womb. When heat toxins transmit to the Heart and Lung: in girls, heat enters the Heart, resulting in hematuria (blood in urine); in boys, heat enters the Lung, resulting in hematochezia (blood in stool). The treatment method involves extracting fresh juice from Sheng Di Huang (Rehmanniae Radix), mixing it with a small amount of honey, and administering it warm; this is effective for both sexes. Alternatively, combining it with Gan Lu Yin (Sweet Dew Decoction) yields even better results.
Gan Lu Yin (Sweet Dew Decoction): Treats guest-heat in the stomach of children, bad breath with swollen gums, swelling and ulceration of the gingiva, frequent discharge of pus and blood, irritability due to hunger without desire for food, red and swollen painful eyes, intolerance to cold medicines, mouth and tongue sores, sore throat, generalized jaundice of the body and face, slight edema of limbs, irregular bowel movements, and dark, scanty urination.
Ingredients: Shu Di Huang (Prepared Rehmanniae Radix), Sheng Di Huang (Fresh Rehmanniae Radix, washed with wine), Tian Men Dong (Asparagi Radix, heart removed), Mai Men Dong (Ophiopogonis Radix, heart removed), Zhi Qiao (Aurantii Fructus, stir-fried with wine), Yin Chen (Artemisiae Scopariae Herba), Huang Qin (Scutellariae Radix, stir-fried with wine), Pi Pa Ye (Loquat Leaf), Shi Hu (Dendrobii Caulis), Gan Cao (Licorice Root) — all in equal parts.
Preparation and Administration: Coarsely crush one dose, decoct in water, and take after meals before retiring.
Another prescription: Use Sheng Pu Huang (Polygoni Orientalis Pollen) and burnt human hair (oil-treated), each 1 qian, powdered. Mix with Sheng Di Huang juice, rice gruel, or breast milk, and take together.
Lin syndrome (dysuria with pain) is caused by stagnant heat in the Bladder.
Wu Lin San (Five Lin Syndrome Powder): Treats heat in the Bladder causing obstruction of the urinary pathway, dribbling inability to void, urine resembling bean dregs or sand/stones, cold lin resembling paste, or hot lin with sensation of heat during urination.
Ingredients: Chi Fu Ling (Poria with Red Cortex, 6 qian), Chi Shao Yao (Red Peony Root), Shan Zhi Ren (Gardeniae Semen, each 2 qian), Tiao Huang Qin (Scutellariae Radix, 3 qian), Dang Gui (Angelicae Sinensis Radix), Gan Cao (Licorice Root, each 0.5 qian).
Preparation and Administration: Coarsely crush one dose. Take 3 qian per serving, decoct with a bundle of Jixin (Centipedes' Herb/Thalia dealbata stem) in water.
Another prescription: Use Sheng Di Huang, Ze Xie (Alismatis Rhizoma), Mu Tong (Akebiae Caulis), Hua Shi (Talcum), Che Qian Zi (Plantaginis Semen), each 2 qian.
Hematemesis (vomiting blood) is caused by rebellion of Ying and Wei qi.
Huang Jin Wan (Golden Pill): Treats hematemesis, epistaxis (nosebleed), and lower bleeding in children.
Ingredients: Huang Qin (Scutellariae Radix), quantity unspecified, powdered. Form pills with refined honey, size of Cornus fruit (Ji Tou Shi). For a three-year-old child, administer one pill dissolved in salt water.
Bai Zhi San (Cypress Branch Powder): Treats epistaxis and hematemesis in children.
Ingredients: Bai Zhi (Cypress Branch, dried), Ou Jie (Nymphaeae Rhizomatis Node, dried) — equal parts, powdered. For a three-year-old, take 0.5 qian, mixed with Ou Jie juice and one spoonful of honey, taken with plain water.
Another prescription: Use Chao Hei Shan Zhi Zi (Stir-fried black Gardeniae Fructus), 3 qian per use, decocted with Sheng Jiang (Zingiberis Rhizoma Recens).
Another formula: Treats hemoptysis, hematemesis, and epistaxis.
Use Bai Shao Yao (White Peony Root) powdered, mixed with Xi Jiao (Rhinocerotis Cornu) juice for administration; this cures the condition.
Secret Recipe: Treats persistent hematemesis in children.
Use Huang Lian (Coptidis Rhizoma) powder 1 qian, Dou Chi (Sojae Semen Praeparatum) 20 grains, decoct in water and take warm.
Urinary retention is caused by fire in the Bladder.
Tong Shen San (Spirit-Unblocking Powder): Treats urgent urinary retention or bleeding.
Verse: "Urinary blockage is unbearable; only use 1 qian of Er Cha (Child's Tea/Catechu) powder; send it down with Xu Jian (Agastache/Patchouli) decoction, and urine will gush forth like a spring instantly."
Wu Ling San (Five Ingredient Powder with Poria):
Ingredients: Zhu Ling (Polyporus), Ze Xie (Alismatis Rhizoma), Fu Ling (Poria), Bai Zhu (Atractylodis Macrocephalae Rhizoma) — equal parts; Guan Gui (Cinnamomi Cortex, half the amount).
Preparation and Administration: Coarsely crush one dose, decoct in water, take before meals. Adding Che Qian Zi and Deng Cao (Juncus Effusus) is especially effective.
Constipation is caused by heat in the Zang-Fu organs.
Wan Yi Wan (Ten Thousand Pill Pill): Treats constipation with miraculous effect. (Formula see General Treatment section.)
Mo Yao San (Myrrh Powder): Treats stagnation of wind and heat in the Upper Jiao in children, presenting as distension of the chest and diaphragm and constipation.
Ingredients: Mo Yao (Myrrha), Da Huang (Rhei Radix et Rhizoma), Zhi Qiao (Aurantii Fructus, stir-fried), Jie Geng (Platycodonis Radix) — each 2 qian; Mu Xiang (Aucklandiae Radix), Gan Cao (Licorice Root, honey-fried) — each 1 qian.
Preparation and Administration: Coarsely crush. Take 1 qian per dose, add 3 slices of Sheng Jiang, decoct in water.
For newborns not passing stool or urine for two to three days: Mix Cong Bai (Allii Fistulosi Bulbus) juice and Ren Ru (Human Milk) equally, apply to the mouth, and swallow with breast milk to promote passage.
Yan Qi Fa (Umbilical Covering Method): Treats constipation and urinary retention in children.
Take one stalk of Lian Gen Cong Bai (Green Onion White with roots), one piece of Sheng Jiang, 20 grains of Dan Dou Chi (Sojae Semen Praeparatum), and one teaspoon of Yan (Salt). Pound into a paste, shape into a cake, and apply to the umbilicus. Apply heat, secure with silk cloth. After some time, qi penetrates and passage occurs naturally. If no result, replace with another cake.
Er Miao San (Two Marvels Powder): Treats constipation and urinary retention in children.
Between June and July, collect Qiang Lang (Scarabaeus/Silphidae) from cow dung, string them, and dry in shade. To use, take one whole specimen, place on a clean brick, dry thoroughly with charcoal fire around all sides, and cut in half across the waist. For fecal impaction, use the upper half; for urinary retention, use the lower half; for both, use the whole. Powder finely, mix with fresh well water, and take.
Edema is caused by deficiency of Earth (Spleen) and excess of Water.
Jia Wei Wu Pi Yin (Modified Five Peel Decoction): Treats fullness and swelling of limbs in children; suitable for both Yang Edema and Yin Edema.
Ingredients: Wu Jia Pi (Acanthopanacis Cortex), Di Gu Pi (Lycii Cortex), Sheng Jiang Pi (Zingiberis Pericarpium), Da Fu Pi (Arecae Pericarpium), Fu Ling Pi (Poria Cum Cortice) — each 1 qian; plus Jiang Huang (Curcumae Longae Rhizoma), Mu Gua (Chaenomelis Fructus) — each 1 qian.
Preparation and Administration: Coarsely crush one dose, decoct in water. Another variation removes Wu Jia Pi and adds Chen Pi (Citri Reticulatae Pericarpium) and Sang Bai Pi (Mori Cortex).
Qian Niu San (Morning Glory Powder): Treats various types of swelling in children.
Ingredients: Hei Qian Niu (Pharbitidis Semen, half raw, half stir-fried). Take the finest powder, 1-2 spoons per dose, mixed with Mu Xiang juice using Sang Bai Pi decoction.
Jaundice is caused by damp-heat in the Spleen and Stomach.
Fu Ling Shen Shi Tang (Poria Damp-Draining Decoction): Treats jaundice in children with alternating chills and fever, vomiting, thirst for cold water, yellowing of body and face, difficult urination, restlessness, and anorexia.
Ingredients: Fu Ling (Poria), Yin Chen (Artemisiae Scopariae Herba), Shan Zhi (Gardeniae Fructus), Huang Lian (Coptidis Rhizoma), Huang Qin (Scutellariae Radix), Fang Ji (Stephaniae Tetrandrae Rhizoma), Bai Zhu (Atractylodis Macrocephalae Rhizoma), Cang Zhu (Atractylodis Rhizoma), Chen Pi (Citri Reticulatae Pericarpium), Qing Pi (Citri Reticulatae Pericarpium Viride), Zhi Qiao (Aurantii Fructus), Zhu Ling (Polyporus) — each 1 qian; Ze Xie (Alismatis Rhizoma) — 0.3 qian.
Preparation and Administration: Coarsely crush, decoct in water, take warm slowly. Add Mu Tong if urinary retention exists; add Sha Ren (Amomi Fructus), Shen Qu (Massa Medicata Fermentata, stir-fried), Mai Ya (Hordei Fructus Germinatus, stir-fried) if food stagnation causes anorexia.
Hyperhidrosis (sweating) is caused by imbalance of Yin and Yang.
Tuan Shen Tang (Cluster Ginseng Decoction): Treats deficient sweating in children, or sweating due to abundant Heart blood/qi. This herb收敛 (astringes) Heart qi.
Ingredients: Xin Luo Ren Shen (Korean Ginseng), Chuan Dang Gui (Angelicae Sinensis Radix) — each 3 qian.
Preparation and Administration: Finely chop. Use one male pig heart, sliced into two pieces. Take 2 qian per dose with one slice of pig heart, decoct in 1.5 cups of well water. Take in two divided doses before meals.
Zhi Han San (Stop Sweat Powder): Treats edema with spontaneous sweating in children.
Ingredients: Gu Pu Shan Hui (Ash of old cattail fan; if unavailable, burn old cattail leaves to ash). Powder, mix with warm wine, and take.
Mu Li San (Oyster Shell Powder): Treats night sweats in children caused by excessive consumption of cold/raw foods or washing rice with hot water, which damages Spleen Earth, allowing Water/Dampness to injure the body's ability to control fluids, leading to spontaneous sweating.
Ingredients: Mu Li (Ostreae Concha, calcined, 2 qian), Huang Qi (Astragali Radix, honey-fried), Sheng Di Huang (Rehmanniae Radix) — each 1 liang.
Preparation and Administration: Coarsely crush one dose, decoct in water.
Macules/Rashes are caused by Yin-Yang toxic vapors.
To treat constant fever with wind-macules on the body and red/swollen toes in children (indicating Wind-Heat in the Spleen meridian): Use Fang Feng Tong Sheng San (Wind-Protecting Universal Rescue Powder) removing Xiao Ming Fan (Mirabilite) and Da Huang, adding Niu Bang Zi (Arctii Fructus) and Jiu Chao Huang Lian (Honey-stir-fried Coptidis Rhizoma), powdered. Also, bathe in a decoction of Fang Feng (Saposhnikoviae Radix), Bai Zhi (Angelicae Dahuricae Radix), Bo He (Menthae Haplocalycis Herba), Huang Lian, Huang Qin, Huang Qi, and Huang Bo (Phellodendri Cortex). Avoid wind.
Jie Chu (Split Skull) and He Jie (Crane Knee) are caused by incomplete fetal origin.
Jie Chu should be treated with Ba Wu Tang (Eight Substance Decoction). If heat is present, add Jiu Chao Huang Lian, Huang Qi, and Gan Cao, decoct in water. Bind the head tightly with silk externally and apply Bai Ji (Bletillae Rhizoma) powder topically.
Ren Shen Di Huang Wan (Ginseng and Rehmannia Pill): Treats open fontanelles and unclosed cranial sutures in children, caused by incomplete Kidney qi. The Kidney governs marrow, and the brain is the sea of marrow; weak Kidney qi leads to insufficient brain marrow, hence poor appetite.
Ingredients: Ren Shen (Ginseng Radix et Rhizoma, 2 qian), Huai Shu Di (Prepared Rehmanniae Radix, 4 qian), Nen Lu Rong (Young Deer Antler with Blood), Gan Shan Yao (Dioscoreae Rhizoma), Bai Fu Ling (Poria, peeled), Mu Dan Pi (Moutan Cortex), Shan Zhu Yu (Corni Fructus, pitted) — each 2 qian.
Preparation and Administration: Powder finely, form pills with refined honey, size of Euryale Seed (Qian Shi). Dissolve pills in Ren Shen decoction, take after meals.
He Jie (Crane Knee) should be treated with Dang Gui Di Huang Wan: Treats insufficient Qi and Blood in children, resulting in emaciation and exposed joints resembling a crane's knee.
Ingredients: Huai Shu Di (Prepared Rehmanniae Radix, wine-steamed, 8 qian), Shan Zhu Yu (Corni Fructus, wine-steamed, pitted), Shan Yao (Dioscoreae Rhizoma, steamed), Ze Xie (Alismatis Rhizoma, hairs removed), Mu Dan Pi (Moutan Cortex, stems removed), Bai Fu Ling (Poria, peeled), Dang Gui (Angelicae Sinensis Radix, wine-washed) — each 3 qian. Another variation adds Lu Rong (Deer Antler with Blood, butter-roasted) and Niu Xi (Achyranthis Bidentatae Radix, wine-washed) — each 4 qian, rhizome removed.
Preparation and Administration: Powder finely, form pills with refined honey, size of Euryale Seed. Dissolve in hot water per dose, take before meals. Additionally, use Pao Da Nan Xing (Prepared Arisaema Cum Bile) powder mixed with Rice Vinegar, applied on silk cloth with heat to the affected area; this is also an excellent method.
Delayed walking and delayed speech are caused by insufficient Qi and Blood.
Delayed walking should be treated with Diao Yuan San: Treats congenital insufficiency of Yuan Qi in children, presenting with open fontanelles, muscle wasting, distended abdomen, delayed speech and walking, weak limbs like tubes, dull expression, and delayed dentition.
Ingredients: Gan Shan Yao (Dioscoreae Rhizoma, 5 qian), Bai Shao (White Peony Root, stir-fried), Fu Ling (Poria, peeled), Fu Shen (Poria with Pine Root, wood removed) — each 2 qian, Bai Zhu (Atractylodis Macrocephalae Rhizoma, 2.5 qian), Shi Chang Pu (Acori Tatarinowii Rhizoma, 1 qian), Ren Shen (Ginseng Radix et Rhizoma, rhizome removed), Shu Di (Prepared Rehmanniae Radix), Dang Gui (Angelicae Sinensis Radix), Chuan Xiong (Ligustici Chuanxiong Rhizoma), Huang Qi (Astragali Radix, honey-fried) — each 2.5 qian, Gan Cao (Licorice Root, honey-fried, 1.5 qian).
Preparation and Administration: Coarsely chop, decoct with 3 slices of Sheng Jiang and one Jujube. Take at any time. Infants and nursing mothers should take it together.
Qian Shi Di Huang Wan (Qian's Rehmannia Pill): Treats Liver-Kidney deficiency and insufficient marrow preventing walking. By adding Jiu Zhi Lu Rong, Niu Xi, and Wu Jia Pi to this base formula, marrow generates naturally and bones strengthen, allowing gradual walking.
Delayed speech is caused by pathogenic factors invading the Heart.
Chang Pu Wan (Acorus Pill): Treats delayed speech in children.
Ingredients: Shi Chang Pu (Acori Tatarinowii Rhizoma), Ren Shen (Ginseng Radix et Rhizoma), Mai Men Dong (Ophiopogonis Radix, stir-fried, heart removed), Chuan Xiong (Ligustici Chuanxiong Rhizoma), Ru Xiang (Olibanum), Dang Gui (Angelicae Sinensis Radix), Yuan Zhi (Polygalae Radix, soaked in Licorice water, heart removed), Zhu Sha (Cinnabar).
Preparation and Administration: Powder finely, form pills with refined honey, size of Millet Seed. Take 10 pills per dose after meals, washed down with Jing Mi Tang (Rice Decoction).
Delayed dentition is caused by Kidney insufficiency.
Xiong Gui San (Ligusticum and Angelica Powder): Treats delayed dentition in children.
Ingredients: Chuan Xiong (Ligustici Chuanxiong Rhizoma), Gan Shan Yao (Dioscoreae Rhizoma), Dang Gui (Angelicae Sinensis Radix), Bai Shao (White Peony Root, stir-fried), Gan Cao (Licorice Root, honey-fried) — each 2.5 qian.
Preparation and Administration: Powder finely. Take 2 qian per dose with plain water, after meals. Rubbing this dry powder onto the gums promotes tooth eruption.
Tortoise Chest is caused by Lung heat and distension.
Gui Xiong Wan (Tortoise Chest Pill): Treats tortoise chest in children, where the chest is elevated like an inverted palm.
Ingredients: Chuan Da Huang (Rhei Radix et Rhizoma, baked, 6 qian), Tian Men Dong (Asparagi Radix, heart removed), Bai He (Lilii Bulbus), Xing Ren (Prunus Armeniacae Semen, peel and tip removed, bran-fried), Mu Tong (Akebiae Caulis, nodes removed), Zhi Qiao (Aurantii Fructus, bran-fried), Sang Bai Pi (Mori Cortex, honey-fried), Tian Ting Li (Descurainiae Semen Lepidii seu Lepidii Semen, paper-coated fried), Ruan Shi Gao (Gypsum Fibrosum) — each 1 qian.
Preparation and Administration: Powder finely, form pills with refined honey, size of Mung Bean. Take 5 pills per dose, dissolved in warm water, after meals before retiring. Moxibustion is also recommended on six points: 1.5 cun anterior to both nipples, between the upper two rows of ribs. Moxa 3 cones per point. In Spring/Summer, moxa from bottom up; in Autumn/Winter, from top down. Follow this method.
Tortoise Back is caused by Wind-Evil invading the spine.
Gui Bei Wan (Tortoise Back Pill): Treats tortoise back in children.
Ingredients: Zhi Qiao (Aurantii Fructus, bran-fried), Fang Feng (Saposhnikoviae Radix, rhizome removed), Du Huo (Angelicae Pubescentis Radix), Da Huang (Rhei Radix et Rhizoma, baked), Qian Hu (Peucedani Radix, rhizome removed), Dang Gui (Angelicae Sinensis Radix), Ma Huang (Ephedrae Herba, nodes removed) — each 3 qian.
Preparation and Administration: Powder finely, form pills with flour paste, size of Millet Seed. Take 15-16 pills per dose according to age, washed down with rice gruel, after meals. Moxibustion is also recommended on Fei Shu (BL13), located 1.5 cun lateral to the spinous process of the 3rd thoracic vertebra; Xin Shu (BL15), 1.5 cun lateral to the 5th thoracic vertebra; Ge Shu (BL17), 1 cun lateral to the 7th thoracic vertebra. Moxa 3 cones per point. Use 1 segment of the child's middle finger as 1 cun. Moxa cones should be wheat-sized; only 3 cones per point.
Delayed walking, delayed dentition, split skull, bulging fontanelle, five softnesses, crane knee, Kidney-type malnutrition, loose teeth, white pupils, and melancholy in children are all due to congenital insufficiency of Kidney qi. They should be supplemented with Liu Wei Wan (Six-Ingredient Pill) plus Lu Rong (Deer Antler). If premature sexual activity occurs before essence and qi are fully developed, it often leads to dizziness, thirst with phlegm, fever in feet, soreness/weakness of waist and legs, spontaneous/night sweats, and painful/difficult urination, generating various diseases that are hard to name. I commonly use Liu Wei Wan, Ba Wei Wan (Eight-Ingredient Pill), and Bu Zhong Yi Qi Tang (Tonify the Middle and Augment the Qi Decoction), modified as needed, with consistent efficacy. (Formulas see Tonification section.)
Children who cannot speak by age five are often considered disabled. However, their physical appearance indicates Lung and Kidney insufficiency. Using Liu Wei Wan plus Lu Rong and Bu Zhong Yi Qi Tang plus Wu Wei Zi (Schisandrae Fructus), over two months, their constitution and qi gradually strengthened; by nearly five months, they could utter one or two words; by one year, their speech became clear. (Formulas see Tonification section.)