牛黄镇惊丸 治惊后调理，安心神、养气血、和平预防之剂。
天竺黄（另研） 麦门冬（去心） 当归身（酒洗） 生地黄（酒洗） 赤芍药（煨） 薄荷 木通（去皮）
黄连（姜汁炒） 山栀仁（炒） 辰砂（另研，水飞） 牛黄（另研） 龙骨（火 。各二钱） 青黛（另研，
一钱）
上为末，炼蜜为丸；如绿豆大。每服二三十丸，淡姜汤送下。
一小儿五岁。因看会，见妆鬼脸被惊吓。两眼黑睛翻向里，白睛翻向外，视物微觉一线。诸医不能治，求
治于余。
余曰∶此子曾出痘疹否？对曰∶未。俟出痘疹可治。逾月，痘疹盛行，其子发热，似有将出之几，其家果召余
治。以绵胭脂将水泡出汁，慢火熬成膏，涂儿两眼泡上下。一日涂两次，直至痘疹收靥后，其眼复旧。
夫小儿疳病，由乳母寒热失理、动止乖违、饮食无节、甘肥过度、喜怒气乱、醉饱劳伤使乳儿者，故成疳
病。又因久吐之后、久泻之后、久痢之后，以致久渴、久汗、久热、久疟、久嗽、下血、久疮之后，皆能亡失
津液，并成疳病。钱氏云∶疳皆脾胃伤、亡津液之所作也。
凡养小儿宜戒敬，酒肉油腻偏生病；生冷硬物凉水浆，不与自无疳癖病。
消疳汤 治小儿大便色疳白，小便混浊，或澄之如米泔，此疳病也。
山楂肉 白芍（炒） 黄连（姜汁炒） 白茯苓（去皮） 白术（去芦） 泽泻（各一钱） 青皮（四分）
甘草（生，三分）
上锉一剂，姜枣水煎。
消疳丸 治五疳皮黄肌瘦，发直尿白，肚大青筋，好食泥、炭、茶、米之物，或吐或泻，腹内积块，
诸虫作痛。
苍术（米泔浸炒） 陈皮 浓朴（姜汁炒） 枳壳（面炒） 槟榔 神曲（炒） 山楂（去子）
麦芽（炒） 三棱（煨） 莪术（煨） 砂仁 茯苓（去皮） 黄连（炒） 胡黄连 芜荑仁 芦荟 使君子
（去壳）
上各等分为末，使君子壳煎汤，泡蒸饼为丸，如弹子大。每服一丸，清米汤化下。
肥儿丸 消疳化积，磨癖清热，伐肝补脾，进食杀虫，润肌肤、养元气。
人参（三钱半） 白术（去芦） 茯苓（各三钱） 黄连（姜炒，三钱半） 胡黄连（五钱） 使君子
（去壳，四钱） 神曲（炒） 麦芽（炒） 山楂肉（各三钱半） 甘草（炙，二钱） 芦荟（三钱半，碗盛，
泥封固，置坑中，四面煨透用）
上为末，黄米糊为丸，米汤化下。或作丸，黍米大。每服二三十丸，米汤下。看儿大小加减。
快活丸 治小儿下痢疳病，皮肤瘦削、骨露如柴、肚大青筋、小便浊、睡卧躁乱、神气昏沉。常服，
健脾化积、进食肥肌，其效如神。
蒸饼 面一斤，作饼子十六个，每一个重一两，予开一窍，取出饼屑，入青矾五分，仍以饼屑填紧，外以
湿纸包固，炭火内 ，透干取出，候冷用之。
上为细末，别以肥小枣用米泔水浸，经一宿，饭上蒸熟，去核、皮，烂杵如糊，同前饼末杵匀为丸，如黍
子大。每服三五十丸，不拘时，清米汤送下；或研化，米汤调服亦可。
芦连消疳丸 治小儿生疳、痞块发热、肚胀，壮脾胃、消饮食、清肝火、磨积块。
芦荟 胡黄连 宣黄连（酒炒。各五钱） 白术（米泔浸，焙） 白茯苓（去皮） 当归（全身用酒洗。
各一两） 白芍（酒炒，八钱） 人参 神曲（炒。各六钱） 使君子（去壳晒干） 山楂肉（各七钱） 芜
荑（炒） 槟榔（各五钱） 大甘草节（去粗皮，主用四两）
上为细末，汤泡蒸饼打糊为丸，绿豆大。每服五六十丸，临晚米汤送下。或炼蜜为丸，如龙眼大。每晚噙
化一丸，或米汤下，或酒亦可。
一小儿肝疳、白膜遮睛；筋疳泻血；肾疳，身瘦疮疳；骨疳，喜卧冷地。又治胃怯不言，解颅并年长不能
行者。用六味丸各等分，炼蜜丸，久服神效。（方见补益。）
一小儿，四肢消瘦、肚腹胀大、行步不能，颇能饮食、
作渴发热、去后臭秽，此脾脏伤也。用异功散（方见补益）、肥儿丸调理而安。
一小儿，面色痿黄、眼泡微肿、作渴腹胀、饮食少思、腹中一块或移动、小便澄白、大便不实，此脾疳之
患。用四君子（方见补益） 加山栀、芜荑、肥儿丸而愈。
一小儿，尿浊如米泔。余以江南做酒小曲炒为末，酒调下。三服愈。
牛黄镇惊丸：用于治疗受惊后的调理，具有安定心神、滋养气血、平和预防的功效。
天竺黄（单独研磨） 麦门冬（去除心部） 当归身（用酒清洗） 生地黄（用酒清洗） 赤芍药（煨制） 薄荷 木通（去除外皮）
黄连（用姜汁炒制） 山栀仁（炒制） 辰砂（单独研磨，用水飞法处理） 牛黄（单独研磨） 龙骨（火煅）。各二钱） 青黛（单独研磨，一钱）
以上药物研为细末，用炼蜜制成丸剂；大小如绿豆。每次服用二三十丸，用淡姜汤送服。
有一个五岁的小儿。因为观看庙会，看到化妆的鬼脸受到惊吓。两眼黑眼球向内翻转，白眼球向外翻转，视物时只能勉强看到一线光亮。多位医生无法治愈，请求我诊治。
我说：“这个孩子曾经出过痘疹吗？”对方回答说：“没有。”“等出过痘疹后就可以治疗了。”过了一个月，痘疹盛行，那个孩子发热，似乎有即将出痘的迹象，他的家人果然召我去诊治。我用绵胭脂将水泡出汁液，用慢火熬成膏状，涂抹在孩子双眼眼皮上下。一天涂抹两次，直到痘疹结痂脱落之后，眼睛才恢复原状。
小儿疳病，是由于乳母寒热失调、行为举止违背常理、饮食没有节制、甘肥食物摄入过度、喜怒情绪导致气机紊乱、醉酒饱食或劳累损伤乳汁供给者所致，从而形成疳病。又因为久吐之后、久泻之后、久痢之后，以致久渴、久汗、久热、久疟、久嗽、下血、久疮之后，都会导致津液耗失，进而形成疳病。钱乙说：“疳病都是由于脾胃受伤、津液亡失所导致的。”
凡是抚养小儿应当戒除敬慎（此处指过度溺爱或不当护理），酒肉油腻容易偏生病症；生冷硬物和凉水浆，不给吃自然就没有疳癖病。
消疳汤：治疗小儿大便颜色呈疳白色，小便混浊，或者沉淀后像米泔水一样，这是疳病。
山楂肉 白芍（炒制） 黄连（用姜汁炒制） 白茯苓（去除外皮） 白术（去除芦头） 泽泻（各一钱） 青皮（四分）
甘草（生用，三分）
以上药材锉碎为一剂，用姜枣水煎煮。
消疳丸：治疗五种疳病引起的皮肤发黄肌肉消瘦，头发干枯直立，尿液发白，肚子大且腹部青筋暴露，喜欢吃泥土、炭块、茶叶、米粒等异物，或者呕吐或者腹泻，腹内有积块，各种虫类作痛。
苍术（用米泔水浸泡后炒制） 陈皮 浓朴（用姜汁炒制） 枳壳（用面粉炒制） 槟榔 神曲（炒制） 山楂（去除果核）
麦芽（炒制） 三棱（煨制） 莪术（煨制） 砂仁 茯苓（去除外皮） 黄连（炒制） 胡黄连 芜荑仁 芦荟 使君子
（去除外壳）
以上各药等分研为细末，用使君子壳煎汤，浸泡蒸饼后捣烂制成丸剂，大小如弹子。每次服用一丸，用清米汤化开送服。
肥儿丸：消除疳积、化解积滞，磨散痞块、清除热邪，疏伐肝气、补益脾气，增进食欲、杀灭寄生虫，滋润肌肤、滋养元气。
人参（三钱半） 白术（去除芦头） 茯苓（各三钱） 黄连（用姜炒，三钱半） 胡黄连（五钱） 使君子
（去除外壳，四钱） 神曲（炒制） 麦芽（炒制） 山楂肉（各三钱半） 甘草（炙制，二钱） 芦荟（三钱半，用碗盛装，用泥封固，埋在坑中，四面用火煨透后使用）
以上研为细末，用黄米糊制成丸剂，用米汤化开送服。或者做成丸剂，大小如黍米。每次服用二三十丸，用米汤送服。根据孩子的大小增减剂量。
快活丸：治疗小儿下痢疳病，皮肤瘦削、骨骼显露如柴、肚子大且腹部青筋暴露、小便浑浊、睡眠躁动不安、精神昏沉。经常服用，可以健脾化积、增进食欲、使肌肉丰满，效果神奇。
蒸饼：面粉一斤，做成十六个饼子，每一个重一两，在中间挖一个孔，取出饼屑，放入青矾五分，仍然用饼屑填紧，外面用湿纸包裹牢固，在炭火中煨烤，透干后取出，冷却后使用。
以上研为细末，另外取肥大红枣用米泔水浸泡，经过一夜，在饭上蒸熟，去掉核和皮，捣烂如糊状，与前边的饼末一起捣匀制成丸剂，大小如黍子。每次服用三五十丸，不限时间，用清米汤送服；或者研碎化开，用米汤调服也可以。
芦连消疳丸：治疗小儿初生疳病、痞块发热、肚子胀，壮健脾胃、消化饮食、清除肝火、磨散积块。
芦荟 胡黄连 宣黄连（用酒炒制。各五钱） 白术（用米泔水浸泡，焙干） 白茯苓（去除外皮） 当归（全株用酒清洗。各一两） 白芍（用酒炒制，八钱） 人参 神曲（炒制。各六钱） 使君子（去除外壳晒干） 山楂肉（各七钱） 芜荑（炒制） 槟榔（各五钱） 大甘草节（去除粗皮，主要使用四两）
以上研为细末，用开水泡蒸饼打糊制成丸剂，大小如绿豆。每次服用五六十丸，傍晚时用米汤送服。或者用炼蜜制成丸剂，大小如龙眼。每晚含化一丸，或者用米汤送服，或者用酒送服也可以。
有一个小儿患肝疳，白膜遮盖眼睛；患筋疳，便血；患肾疳，身体消瘦患疮疳；患骨疳，喜欢躺在冷地上。又治疗胃气虚弱不言语，解颅以及年长后不能行走的情况。使用六味丸各等分，炼蜜制成丸剂，长期服用效果神奇。（方剂见补益篇。）
有一个小儿，四肢消瘦、肚子腹胀大、行走困难，颇能饮食、口渴发热、排泄物臭秽，这是脾脏受伤的表现。使用异功散（方剂见补益篇）、肥儿丸进行调理而痊愈。
有一个小儿，面色萎黄、眼泡微肿、口渴腹胀、饮食减少思虑、腹中有一块或移动、小便澄清发白、大便不成形，这是脾疳的病患。使用四君子汤（方剂见补益篇）加上山栀、芜荑、肥儿丸而痊愈。
有一个小儿，尿液浑浊像米泔水。我用江南酿酒用的小曲炒成细末，用酒调服。服用三次后痊愈。
Niu Huang Zhen Jing Wan (Calculus Bovis Calming Fright Pill): Used for conditioning after fright, with the functions of calming the mind and spirit, nourishing qi and blood, and providing mild prevention.
Tian Zhu Huang (Bambusae Concretio Silicea, processed separately) Mai Men Dong (Ophiopogonis Radix, heart removed) Dang Gui Shen (Angelicae Sinensis Radix body, washed with wine) Sheng Di Huang (Rehmanniae Radix, washed with wine) Chi Shao Yao (Paeoniae Radix Rubra, stir-baked with hot sand or bran) Bo He (Menthae Haplocalycis Herba) Mu Tong (Akebiae Caulis, bark removed)
Huang Lian (Coptidis Rhizoma, stir-fried with ginger juice) Shan Zhi Ren (Gardeniae Fructus seed, stir-fried) Chen Sha (Cinnabaris, processed separately by water levigation) Niu Huang (Calculus Bovis, processed separately) Long Gu (Fossilia Ossis Mastodi et Scapulae, calcined). Each 2 qian) Qing Dai (Indigo Naturalis, processed separately, 1 qian)
The above herbs are ground into fine powder, mixed with refined honey to form pills; size like mung beans. Take 20-30 pills each time, swallowed with light ginger soup.
A five-year-old child was frightened after watching a temple fair and seeing painted ghost faces. The black part of both eyes rolled inward, and the white part rolled outward, with vision reduced to barely seeing a line. Several physicians could not cure him, so they sought my treatment.
I said: "Has this child ever had smallpox?" The reply was: "No." "It can be treated after the smallpox erupts." A month later, smallpox became prevalent. The child developed fever, showing signs of impending eruption, and his family indeed summoned me. I extracted juice from cotton rouge soaked in water, boiled it slowly into a paste, and applied it to the upper and lower eyelids of the child's eyes. Applied twice a day, until after the smallpox scabs fell off, the eyes returned to normal.
Infantile malnutrition (Gan disease) arises from the wet nurse's imbalance of cold and heat, improper conduct, unregulated diet, excessive intake of sweet and fatty foods, emotional disturbances causing qi chaos, or damage to milk supply due to drunkenness, overeating, or fatigue. It also results from prolonged vomiting, diarrhea, dysentery, thirst, sweating, fever, malaria, coughing, hematochezia, or chronic sores, all of which deplete body fluids and lead to Gan disease. Qian Yi stated: "Gan diseases are all caused by spleen and stomach injury and depletion of body fluids."
When raising children, one should avoid indulgence; alcohol, meat, and greasy foods easily cause illness; raw, cold, hard foods, and cold water should be avoided to prevent Gan and mass diseases naturally.
Xiao Gan Tang (Eliminate Malnutrition Decoction): Treats infantile malnutrition characterized by pale white stools, turbid urine, or sediment resembling rice wash water.
Shan Zha Rou (Crataegi Fructus flesh) Bai Shao (Paeoniae Radix Alba, stir-fried) Huang Lian (Coptidis Rhizoma, stir-fried with ginger juice) Bai Fu Ling (Poria, bark removed) Bai Zhu (Atractylodis Macrocephalae Rhizoma, rhizome head removed) Ze Xie (Alismatis Rhizoma, each 1 qian) Qing Pi (Citri Reticulatae Pericarpium Viride, 4 fen)
Gan Cao (Glycyrrhizae Radix et Rhizoma, raw, 3 fen)
The above herbs are cut into pieces for one dose, decocted with ginger and jujube water.
Xiao Gan Wan (Eliminate Malnutrition Pill): Treats the five types of Gan disease presenting with yellowish skin and emaciation, straight/dry hair, white urine, distended abdomen with visible veins, pica (eating mud, charcoal, tea, rice), vomiting or diarrhea, abdominal masses, and pain from parasites.
Cang Zhu (Atractylodis Rhizoma, soaked in rice water and stir-fried) Chen Pi (Citri Reticulatae Pericarpium) Hou Po (Magnoliae Officinalis Cortex, stir-fried with ginger juice) Zhi Ke (Aurantii Fructus, stir-fried with flour) Bing Lang (Arecae Semen) Shen Qu (Massae Fermentatae Medicamentosa, stir-fried) Shan Zha (Crataegi Fructus, seeds removed)
Mai Ya (Hordei Fructus Germinatus, stir-fried) San Leng (Sparganii Rhizoma, stir-baked with hot sand) E Zhu (Curcumae Rhizoma, stir-baked with hot sand) Sha Ren (Amomi Fructus) Fu Ling (Poria, bark removed) Huang Lian (Coptidis Rhizoma, stir-fried) Hu Huang Lian (Scutellariae Barbatae Radix) Wu Yi Ren (Alpiniae Katsumadai Semen) Lu Hui (Aloe) Shi Jun Zi (Quisqualis Fructus, shell removed)
All herbs are equal parts ground into powder. Use decoction from Shi Jun Zi shells to soak steamed dough cakes, then pound into pills the size of marbles. Take one pill each time, dissolved in clear rice soup.
Fei Er Wan (Fatten Child Pill): Eliminates Gan accumulation, resolves stagnation, dissipates masses, clears heat, soothes liver and tonifies spleen, promotes appetite, kills parasites, moistens skin, and nourishes yuan qi.
Ren Shen (Panax Ginseng Radix et Rhizoma, 3.5 qian) Bai Zhu (Atractylodis Macrocephalae Rhizoma, rhizome head removed) Fu Ling (Poria, each 3 qian) Huang Lian (Coptidis Rhizoma, stir-fried with ginger, 3.5 qian) Hu Huang Lian (Scutellariae Barbatae Radix, 5 qian) Shi Jun Zi (Quisqualis Fructus, shell removed, 4 qian) Shen Qu (Massae Fermentatae Medicamentosa, stir-fried) Mai Ya (Hordei Fructus Germinatus, stir-fried) Shan Zha Rou (Crataegi Fructus flesh, each 3.5 qian) Gan Cao (Glycyrrhizae Radix et Rhizoma, honey-fried, 2 qian) Lu Hui (Aloe, 3.5 qian, sealed in clay in a pit and roasted thoroughly)
Ground into powder, formed into pills with yellow millet paste, taken with rice soup. Or made into pills the size of broomcorn millet. Take 20-30 pills each time with rice soup. Adjust dosage according to the child's age and size.
Kuai Huo Wan (Happy Life Pill): Treats infantile dysentery and Gan disease, presenting with emaciated skin, bony protrusions, distended abdomen with visible veins, turbid urine, restless sleep, and lethargy. Regular use strengthens the spleen, resolves accumulation, improves appetite, builds muscle, and is remarkably effective.
Zheng Bing (Steamed Dough Cake): 1 jin of flour, made into 16 cakes, each weighing 1 liang. Make a hole in the center, remove some crumbs, add 5 fen of Qing Fan (Vitriolum), refill with crumbs, wrap tightly in wet paper, roast in charcoal fire until dry, cool before use.
Ground into fine powder. Soak large dates in rice water overnight, steam until cooked, remove pits and skins, pound into paste. Mix evenly with the cake powder to form pills the size of broomcorn millet. Take 30-50 pills at any time with clear rice soup; or crush and mix with rice soup.
Lu Lian Xiao Gan Wan (Aloe and Coptis Eliminate Malnutrition Pill): Treats early-onset Gan disease, masses with fever, abdominal distension; strengthens spleen and stomach, aids digestion, clears liver fire, and dissipates accumulations.
Lu Hui (Aloe) Hu Huang Lian (Scutellariae Barbatae Radix) Xuan Huang Lian (Coptidis Rhizoma, wine-stir-fried. Each 5 qian) Bai Zhu (Atractylodis Macrocephalae Rhizoma, soaked in rice water and dried) Bai Fu Ling (Poria, bark removed) Dang Gui (Angelicae Sinensis Radix whole, wine-washed. Each 1 liang) Bai Shao (Paeoniae Radix Alba, wine-stir-fried, 8 qian) Ren Shen (Panax Ginseng Radix et Rhizoma) Shen Qu (Massae Fermentatae Medicamentosa, stir-fried. Each 6 qian) Shi Jun Zi (Quisqualis Fructus, shelled and sun-dried) Shan Zha Rou (Crataegi Fructus flesh, each 7 qian) Wu Yi (Alpiniae Katsumadai Semen, stir-fried) Bing Lang (Arecae Semen, each 5 qian) Da Gan Cao Jie (Glycyrrhizae Radix et Rhizoma node, coarse bark removed, main ingredient 4 liang)
Ground into fine powder, mixed with paste made from steamed dough cakes soaked in water, formed into pills the size of mung beans. Take 50-60 pills each time, with rice soup in the evening. Or made into pills with refined honey, the size of longan. Suck one pill every night, or take with rice soup or wine.
One child suffered from Liver Gan with white membrane covering the eyes; Sinew Gan with bloody stool; Kidney Gan with emaciation and sores; Bone Gan preferring to lie on cold ground. Also treats Stomach deficiency with muteness, fontanelle bulging (Jie Lu), and inability to walk in older children. Use Liu Wei Wan (Six-Ingredient Pill with Rehmannia) in equal parts, formed into honey pills. Long-term use yields miraculous effects. (Formula see Tonification section.)
One child presented with emaciated limbs, distended abdomen, inability to walk, good appetite, thirst, fever, and foul-smelling excrement. This indicates Spleen injury. Use Yi Gong San (Extraordinary Power Powder) (see Tonification section) and Fei Er Wan for conditioning until recovery.
One child presented with sallow complexion, slightly swollen eyelids, thirst, abdominal distension, poor appetite, movable abdominal mass, clear white urine, and loose stools. This is Spleen Gan. Use Si Jun Zi Tang (Four Gentlemen Decoction) (see Tonification section) plus Shan Zhi, Wu Yi, and Fei Er Wan for cure.
One child had turbid urine resembling rice wash water. I used fermented starter from Jiangnan wine-making, stir-fried into powder, mixed with wine and administered. Cured after three doses.