(小儿腹痛,多是乳食所伤,盖有积则气不宣通而痛也)
消食散(治食积腹痛)
白术(陈壁土炒,二钱半) 麦芽(炒) 缩砂(炒研) 山楂肉(炒,各一钱) 橘红(无则代入陈皮) 香附
米(便炒) 神曲(姜炒) 青皮(各七分) 甘草(五分)
如气不足,加人参三分。
如夹热,加白芍药(炒)一钱,黄连(炒)五分。
如夹痰,加贝母(去心,姜炒)一钱。
如夹冷,加肉豆蔻(炮去油)五分,干姜(炮)三分。
如冷热食积未分,服苏合丸降气则即愈。
六神散(此剂通治寒腹痛。小儿下夜半曲腰而啼者,寒腹痛。其症面青白,口有冷气,手足冷,腹亦冷)
白茯苓 白扁豆(炒,各二钱) 人参 白术 山药(炒,各一钱) 甘草(炙,七分) 姜三 枣三
此方加香附子(便炒)七分,行气尤妙。
如夹痰,加茴香(酒炒)、川楝肉(炒)、山栀子(炒黑)、没药各七分。
如夹湿,加木通(去节)一钱,泽泻五分。
如夹蛔,加苦楝根一钱,槟榔五分。
导赤散(此剂通治热腹痛。小儿上夜半仰身有汗而啼
者,热腹痛。其症面赤,小便赤,口中热,腹亦暖)
生地(姜炒) 木通(去节) 软芩(酒炒) 甘草(各七分) 竹叶(三片)
多是心热传小肠,加麦门冬、山栀仁(碎炒)各七分,效尤捷。
一方∶腹热宜温散,人参、白芍药(酒炒)、甘草(炙)香附米(便炒)各四、五分,干姜(炒)少许,煎服亦效。
苦楝根汤(小儿虫腹痛,十居八、九。其症心腹痛,叫哭,倒身扑手,呕吐清水涎沫,面色青黄,时止时作,
口唇紫黑者,蛔厥)
苦楝根 使君子(各一钱) 白矾(半生半枯) 槟榔(各五分)
一方,芥子蜜丸,黍米大,空心吞下。
一方∶榧子留内皮烂捣,和清,望前连服。
一方∶蚯蚓粪烧 浸水,去滓,温服,止痛。
寸白虫、苦楝根亦主之。一方,服榧子(服法上同)。
乳香散(小儿曲腰乱啼无泪,面青白,唇黑股冷,或大便色青不实,盘肠内吊为□)
乳香、没药各少许,油研。另取木香一块,于乳钵内磨水。
一方∶滚数沸调乳、没末服之,立效。
一方∶急煎葱白,淋洗腹部。又葱熨脐腹,良久尿出痛止。
如上下腹痛,川楝肉(炒)一、二钱煎服。
如环腹痛,酸枣仁(去皮尖,炒研)一、二钱煎服。
如小儿有 疝,下焦触冷,疝气上升而腹痛,川楝肉
(炒)、茴香(猪胆汁炒)各一钱,干姜(炒黑)三分煎服,奇效。
疝,睾子浮火,碧梧桐叶浓煎温洗,极验。
石膏平胃散(小儿饮乳后即发痛者,盖乳母胃热之致,令乳母宜服此剂)
苍术 陈皮 浓朴(姜炒,各一钱) 石膏( 、炒,三钱) 草龙胆(酒洗,一钱) 甘草(炙,七分)
如乳母过食鱼肉油腻之物,加前胡一钱,黄柏(酒炒)七分。
如乳母过食生冷,去石膏、龙胆草,加干姜(炮)一钱,砂仁(碎炒)七分。
(小儿腹痛,大多是由乳食损伤所致,因为体内有积滞则气机不能宣通而引发疼痛。)
消食散(治疗食积引起的腹痛)
白术(用陈壁土炒制,二钱半)、麦芽(炒制)、缩砂(炒后研碎)、山楂肉(炒制,以上各一钱)、橘红(若无可用陈皮代替)、香附米(用小便炒制)、神曲(姜汁炒制)、青皮(以上各七分)、甘草(五分)。
如果气虚不足,加人参三分。
如果夹杂热邪,加白芍药(炒制)一钱,黄连(炒制)五分。
如果夹杂痰湿,加贝母(去心,姜汁炒制)一钱。
如果夹杂寒邪,加肉豆蔻(炮制去油)五分,干姜(炮制)三分。
如果冷热食积无法区分,服用苏合丸以降气,即可痊愈。
六神散(此方通用治疗寒性腹痛。小儿在半夜蜷缩腰部啼哭的,是寒性腹痛。其症状表现为面色青白,口中有冷气,手足冰冷,腹部也冷。)
白茯苓、白扁豆(炒制,以上各二钱)、人参、白术、山药(炒制,以上各一钱)、甘草(炙制,七分)、生姜三片、大枣三枚。
此方加入香附子(用小便炒制)七分,行气效果尤其奇妙。
如果夹杂痰湿,加小茴香(酒炒制)、川楝肉(炒制)、山栀子(炒黑)、没药各七分。
如果夹杂湿气,加木通(去节)一钱,泽泻五分。
如果夹杂蛔虫,加苦楝根一钱,槟榔五分。
导赤散(此方通用治疗热性腹痛。小儿在半夜仰卧身体且有汗液并啼哭的,是热性腹痛。其症状表现为面色发红,小便颜色深黄,口中发热,腹部也温暖。)
生地(姜汁炒制)、木通(去节)、黄芩(酒炒制,以上各七分)、甘草(七分)、竹叶(三片)。
这大多是因为心热传移至小肠,加麦门冬、山栀仁(捣碎炒制)各七分,疗效尤为迅速。
另一方法:腹部发热适宜用温散法,用人参、白芍药(酒炒制)、甘草(炙制)、香附米(用小便炒制)各四、五分,干姜(炒制)少许,煎服也有效。
苦楝根汤(小儿因虫积引起的腹痛,占十分之八九。其症状为心腹疼痛,叫喊哭泣,身体倒向一侧拍打手部,呕吐清水涎沫,面色青黄,疼痛时断时续,口唇紫黑的,称为蛔厥。)
苦楝根、使君子(以上各一钱)、白矾(一半生用一半枯烧)、槟榔(以上各五分)。
另一方法:芥子蜜丸,大小如黍米,空腹吞服。
另一方法:榧子保留内皮烂捣,调和清液,在农历每月十五日前连服。
另一方法:蚯蚓粪烧灰后浸水,去除渣滓,温服,可止痛。
寸白虫(绦虫)也可用苦楝根主治。另一方法,服用榧子(服用方法同上)。
乳香散(小儿蜷缩腰部胡乱啼哭且无眼泪,面色青白,嘴唇发黑,大腿冰冷,或者大便颜色青绿不成形,盘肠内吊为疝痛。)
乳香、没药各少许,用油研磨。另取一块木香,在乳钵中磨成水状。
另一方法:煮沸数次,调匀乳香、没药粉末服用,立即见效。
另一方法:急煎葱白,淋洗腹部。又用葱熨烫脐部及腹部,良久后尿液排出,疼痛停止。
如果是上下腹痛,用川楝肉(炒制)一、二钱煎服。
如果是环绕肚脐腹痛,用酸枣仁(去皮尖,炒制研碎)一、二钱煎服。
如果小儿患有疝气,下焦受冷,疝气上升导致腹痛,用川楝肉(炒制)、小茴香(猪胆汁炒制)各一钱,干姜(炒黑)三分煎服,奇效。
疝气,睾丸浮火,用碧梧桐叶浓煎后温洗,极验。
石膏平胃散(小儿吃奶后立即发生疼痛的,大概是由于乳母胃热导致的,令乳母宜服用此方。)
苍术、陈皮、厚朴(姜汁炒制,以上各一钱)、石膏(煅炒,三钱)、龙胆草(酒洗制,一钱)、甘草(炙制,七分)。
如果乳母过食鱼肉油腻之物,加前胡一钱,黄柏(酒炒制)七分。
如果乳母过食生冷食物,去掉石膏、龙胆草,加干姜(炮制)一钱,砂仁(捣碎炒制)七分。
(Xiao'er fu tong, duo shi ru shi suo shang, gai you ji ze qi bu xuan tong er tong ye)
(Pediatric abdominal pain is mostly caused by damage from milk and food, because the presence of accumulation prevents the smooth flow of Qi, leading to pain.)
Xiaoshi San (Cure Food Accumulation Abdominal Pain)
Baizhu (Stir-fried with soil from old walls, 2.5 qian), Maiya (Stir-fried), Suosha (Stir-fried and ground), Shanzha Rou (Stir-fried, each 1 qian), Juhong (If unavailable, substitute with Chenpi), Xiangfu Mi (Stir-fried with urine), Shenqu (Stir-fried with ginger juice), Qingpi (each 0.7 qian), Gancao (0.5 qian).
If there is insufficient Qi, add Renshen (3 fen).
If complicated by Heat, add Baishao Yao (Stir-fried, 1 qian), Huanglian (Stir-fried, 0.5 qian).
If complicated by Phlegm, add Beimu (Remove heart, stir-fried with ginger juice, 1 qian).
If complicated by Cold, add Roudoukou (Pao, remove oil, 0.5 qian), Ganjiang (Pao, 0.3 qian).
If cold and hot food accumulations cannot be distinguished, administer Suhewan (Suzhou Pill) to descend Qi, which will lead to recovery.
Liushen San (This formula generally treats Cold-type Abdominal Pain. Children who curl their waists and cry in the middle of the night suffer from Cold-type Abdominal Pain. Symptoms include a cyan-white complexion, cold breath, cold hands and feet, and a cold abdomen.)
Bai Fuling, Bai Biandou (Stir-fried, each 2 qian), Renshen, Baizhu, Shanyao (Stir-fried, each 1 qian), Gancao (Zhi/Stir-fried with honey, 0.7 qian), Jiang (Ginger, 3 slices), Zao (Jujube, 3 pieces).
Adding Xiangfuzi (Stir-fried with urine, 0.7 qian) to this formula enhances its Qi-moving effect remarkably.
If complicated by Phlegm, add Huixiang (Wine-stir-fried), Chuanli Rou (Stir-fried), Shanzhizi (Stir-fried until black), Moyao (each 0.7 qian).
If complicated by Dampness, add Mutong (Remove joints, 1 qian), Zexie (0.5 qian).
If complicated by Ascaris, add Kulgen (1 qian), Binglang (0.5 qian).
Daochi San (This formula generally treats Heat-type Abdominal Pain. Children who lie on their backs, sweat, and cry in the middle of the night suffer from Heat-type Abdominal Pain. Symptoms include a red complexion, dark red urine, heat in the mouth, and warmth in the abdomen.)
Shengdi (Stir-fried with ginger juice), Mutong (Remove joints), Ruan Qin (Wine-stir-fried), Gancao (each 0.7 qian), Zhuye (Bamboo leaves, 3 slices).
This is mostly due to Heart Heat transmitting to the Small Intestine; adding Maimendong and Shanzhiren (Crushed and stir-fried, each 0.7 qian) yields particularly rapid results.
Another method: For abdominal heat suitable for warm dispersion, use Renshen, Baishao Yao (Wine-stir-fried), Gancao (Zhi/Stir-fried with honey), Xiangfum (Stir-fried with urine) each 4-5 fen, and a small amount of Ganjiang (Stir-fried), decocted and taken orally, which is also effective.
Kulgen Tang (Pediatric worm-induced abdominal pain accounts for eight or nine out of ten cases. Symptoms include epigastric and abdominal pain, crying and screaming, body twisting and hitting hands, vomiting clear water and saliva, cyan-yellow complexion, intermittent pain, and purple-black lips, known as Hui Jue (Ascariasis Convulsion).)
Kulgen, Shijunzi (each 1 qian), Baifan (Half raw, half calcined), Binglang (each 0.5 qian).
Another method: Mustard seed honey pills, size of millet seeds, swallowed on an empty stomach.
Another method: Feizi (Torreya seeds) with inner skin retained, pounded into paste, mixed with clear liquid, taken continuously before the full moon.
Another method: Earthworm feces burned to ash, soaked in water, filtered, taken warm to relieve pain.
Cunbaichong (Tapeworm) can also be treated with Kulgen. Another method: Take Feizi (Administration method same as above).
Ruxiang San (Children curling their waists, crying randomly without tears, cyan-white face, black lips, cold thighs, or green loose stools, suffering from Pan Chang Nei Diao (Intestinal Colic/Torsion).)
Ruxiang (Frankincense), Moyao (Myrrh) each a small amount, ground with oil. Separately take a piece of Muxiang (Aucklandia root), grind it into water in a mortar.
Another method: Boil several times, mix with Ruxiang and Moyao powder, take orally, immediate effect.
Another method: Quickly decoct Congbai (White part of scallion), wash the abdomen. Alternatively, apply Cong (Scallion) moxibustion to the umbilicus and abdomen; after a while, urination occurs and pain stops.
For upper and lower abdominal pain, decoct Chuanli Rou (Stir-fried, 1-2 qian) and take.
For periumbilical abdominal pain, decoct Suanzaoren (Remove skin and tips, stir-fried and ground, 1-2 qian) and take.
If the child has Shan (Hernia), lower jiao touched by cold, causing Shan Qi to rise and abdominal pain, decoct Chuanli Rou (Stir-fried), Huixiang (Pig bile-stir-fried) each 1 qian, and Ganjiang (Stir-fried until black) 0.3 qian, which is miraculous.
For Shan with testicular floating fire, decoct Biwutong Ye (Firmiana simplex leaves) strongly, wash with warm liquid, extremely effective.
Shigao Pingwei San (Abdominal pain occurring immediately after infants drink milk, caused by the mother's Stomach Heat; the nursing mother should take this formula.)
Cangzhu, Chenpi, Nongpo (Stir-fried with ginger juice, each 1 qian), Shigao (Calcined and stir-fried, 3 qian), Caolongdan (Wine-washed, 1 qian), Gancao (Zhi/Stir-fried with honey, 0.7 qian).
If the nursing mother overconsumes fish, meat, and greasy foods, add Qianhu (1 qian), Huangbai (Wine-stir-fried, 0.7 qian).
If the nursing mother overconsumes cold and raw foods, remove Shigao and Longdancao, add Ganjiang (Pao, 1 qian), Sharen (Crushed and stir-fried, 0.7 qian).