小儿神气未充，一为邪恶所触，何能主持，自然神魂离舍，目闭面青，闷乱，不省人事，古法主内服苏合香丸，
除其邪（方见肛门内合），外以生皂角末开其窍，嚏出，则气通而苏矣。
〔真按〕小儿中恶，外以生半夏末，生皂角末等分，以少许吹鼻，先通关开窍，内以灯芯十茎，淡竹茹钱
半，煎浓汤，调抱龙丸细末五分，服之。
附∶抱龙丸方
制胆星（一钱） 天竺黄（八分） 雄黄末（五分） 镜朱砂（五分） 炒麦冬（二分） 共为末，水糊丸。
凡盘肠气痛，皆由寒邪所搏，肝肾居下，故痛则曲腰。古法主白豆蔻散（如白豆蔻、砂仁、青皮、陈皮、炙
甘草、香附米、
蓬莪术各等分，共为末，每服一钱），紫苏煎汤调下。
外用熨脐法（如淡豆豉、生姜各二钱。葱白五茎，食盐一两，同炒熟，置脐上熨之）。
〔真按〕小儿盘肠气，皆因胎气郁结，壅塞营卫，五脏六腑无一舒畅，其气不能升降。阻碍肠胃之间，抵心
而痛。其声辘辘，如猫吐恶，干啼口开，手足皆冷，宜疏气调中，方用杭青皮五分，广陈皮一钱，白蔻仁五分，
淡干姜五分，炙甘草五分，引用佛手片八分。
小儿腹中痞块，或生寒热，或时作痛，古法主挨痞丸（如醋赭石、小青皮、蓬莪术、南木香、青化桂、巴豆霜、
大黄，共为细末，醋煮面糊为丸），萝卜子大，每服五丸，淡姜汤送下。
〔真按〕小儿痞块，但用大红枣八两，皮硝五钱，同煮以水干为度，晒干，每日食此枣，徐徐服之，其痞自消。
小儿的神气尚未充盈，一旦受到邪恶之气的侵袭，身体怎能主持得住？自然会导致神魂离舍（精神意识涣散），出现眼睛闭合、面色发青、胸闷烦乱、不省人事的症状。古法主张内服苏合香丸（Suhexiang Wan, Ambergris Pill）以祛除邪气（该方剂见肛门内合章节），外用生皂角末吹入鼻腔以开通窍道，引发喷嚏，则气机通畅而苏醒。
〔陈守真按〕：小儿中恶（Zhong'e, sudden collapse due to evil qi），外用生半夏末与生皂角末等量混合，取少许吹入鼻中，先通关开窍；内服用灯芯草十茎、淡竹茹一钱半，煎煮成浓汤，调服抱龙丸（Baolong Wan, Bear-Claw Pill）细末五分。
附：抱龙丸方
制胆星（Zhi Danxing, Prepared Calculus Bovis, 一钱） 天竺黄（Tianzhu Huang, Bambusa Textilis Stalk Nodule, 八分） 雄黄末（Xionghuang Mo, Realgar Powder, 五分） 镜朱砂（Jing Zhusha, Polished Cinnabar, 五分） 炒麦冬（Chao Maidong, Stir-fried Ophiopogonis Radix, 二分）。以上共研为末，用水糊制作丸剂。
凡是盘肠气痛（Panchang Qitong, colic with abdominal distension），皆由寒邪搏结所致。肝肾位于下焦，所以疼痛时腰部弯曲。古法主张使用白豆蔻散（Baidoukou San, White Cardamom Powder，如白豆蔻、砂仁、青皮、陈皮、炙甘草、香附米、蓬莪术各等分，共研为末，每服一钱），用紫苏煎汤送服。
外用熨脐法（Yunqi Fa, umbilical moxibustion/warming therapy，如淡豆豉、生姜各二钱，葱白五茎，食盐一两，同炒熟后置于脐上熨烫）。
〔陈守真按〕：小儿盘肠气，皆因胎气郁结，壅塞营卫（Yingwei, Nutritive and Defensive Qi），导致五脏六腑没有一处舒畅，气机不能升降。阻滞于肠胃之间，抵冲心脏而致痛。患儿声音辘辘作响，如同猫吐恶物，干啼且口张开，手足皆冷。适宜疏理气机、调和脾胃，方用杭青皮五分，广陈皮一钱，白蔻仁五分，淡干姜五分，炙甘草五分，引用佛手片八分。
小儿腹中痞块（Pikuai, abdominal mass），或伴有寒热往来，或时常作痛。古法主张使用挨痞丸（Aipi Wan, Mass-Removing Pill，如醋赭石、小青皮、蓬莪术、南木香、青化桂、巴豆霜、大黄，共研为细末，醋煮面糊为丸），大小如萝卜子，每服五丸，用淡姜汤送下。
〔陈守真按〕：小儿痞块，仅用大红枣八两，皮硝（Pixiao, Mirabilite, 五钱），同煮至水干为度，晒干，每日食用此枣，徐徐服用，其痞块自消。
The child's Shen Qi (Spiritual Energy) is not yet fully developed. Once touched by evil Qi (pathogenic factors), the body cannot maintain control, naturally leading to the separation of Hun and Po (ethereal and corporeal souls), closed eyes, cyanotic complexion, chest oppression with restlessness, and unconsciousness. The ancient method advocates internal administration of Suhexiang Wan (Ambergris Pill) to expel the pathogen (formula see section on Anus Internal Combination), and externally applying raw Zaojiao powder (Gleditsiae Sinensis Fructus Spine) into the nasal cavity to open orifices; inducing sneezing will allow Qi flow to resume and restore consciousness.
[Chen Shouzhen's Note]: For pediatric Zhong'e (sudden collapse due to evil Qi), externally apply equal parts of raw Banxia powder (Pinelliae Rhizoma) and raw Zaojiao powder, insufflating a small amount into the nose to first unblock orifices. Internally, decoct ten stalks of Dengxincao (Junci Medulla) and one qian half of Danzhuru (Bambusa Textilis Stalk Nodule) into a concentrated decoction, then mix with five fen of Baolong Wan (Bear-Claw Pill) fine powder for oral administration.
Appendix: Formula for Baolong Wan
Zhi Danxing (Prepared Calculus Bovis, 1 qian) Tianzhu Huang (Bambusa Textilis Stalk Nodule, 8 fen) Xionghuang Mo (Realgar Powder, 5 fen) Jing Zhusha (Polished Cinnabar, 5 fen) Chao Maidong (Stir-fried Ophiopogonis Radix, 2 fen). Grind all into powder, bind with water paste to form pills.
All cases of Panchang Qitong (colic with abdominal distension) are caused by the binding of cold pathogens. Since Liver and Kidney reside in the lower Jiao, pain causes the waist to curl. The ancient method advocates using Baidoukou San (White Cardamom Powder, e.g., equal parts of Baidoukou, Sharen, Qingpi, Chenpi, Zhi Gancao, Xiangfum, Peng'ezhu, ground into powder, take 1 qian per dose), taken with Zi Su decoction.
Externally, apply Yunqi Fa (umbilical warming therapy, e.g., 2 qian each of Danshaodouchi and Shengjiang, five stalks of Congbai, 1 liang of Yanpan, stir-fry together until cooked, place on the navel and warm).
[Chen Shouzhen's Note]: Pediatric Panchang Qi is caused by the stagnation of fetal Qi, obstructing Ying and Wei (Nutritive and Defensive Qi), resulting in no organ being free from constraint, and Qi failing to ascend and descend. It blocks between the intestines and stomach, pressing against the heart causing pain. The sound is rumbling, like a cat vomiting foul matter, with dry crying, open mouth, and cold extremities. It is suitable to regulate Qi and harmonize the Middle Jiao, using Hang Qingpi (5 fen), Guang Chenpi (1 qian), Baokouren (5 fen), Dan Jiang (5 fen), Zhi Gancao (5 fen), with Foshoupian (8 fen) as the guide drug.
Abdominal Pikuai (masses) in children may present with alternating chills and fever or intermittent pain. The ancient method advocates Aipi Wan (Mass-Removing Pill, e.g., Vinegar-treated Hematites, Xiao Qingpi, Peng'ezhu, Nanmuxiang, Qing Huagui, Badoushuang, Dahuang, ground into fine powder, bound with vinegar-boiled wheat paste), sized like radish seeds, taking five pills per dose, washed down with light ginger soup.
[Chen Shouzhen's Note]: For pediatric Pikuai, simply use eight liang of large red dates and five qian of Pixiao (Mirabilite), boil together until the water is dry, sun-dry, and consume these dates daily in slow succession; the masses will gradually dissipate.