论
《内经》曰∶诸呕吐酸，暴注下迫，皆属于热。又曰∶湿胜则濡泄。夫小儿之吐泻，皆由乳食过度，传化失常。盖
食郁则成热，热郁则有酸，酸而成吐成泻，此必然之理也。又曰∶食滞于胃口者为吐，食滞于大小肠者为泻。有生下而
遂吐不休者，胞胎中移恶流于肠胃而为吐也。丹溪曰∶钱氏五补五泻之法，俱可选用。谨遵而根据法具录如下∶
脉法
（并见前总章。）
方法
钱氏曰∶小儿初生下吐，盖拭掠儿口中移恶不尽，咽入喉中故吐，木瓜丸主之（凡生子于未发声之先，急宜取口中
恶血，以绵拭令净尽，以黄连、甘草二味，等分煎汁，灌一、二匙，则无以上等病，出痘疹亦稀少。若啼声一发，则咽
下矣，亦当用黄连、甘草汁饮之，不可忽也）。
木瓜丸
木瓜末 木香末 麝香（末） 腻粉（即轻粉） 槟榔末（各一字）
上再研匀，面糊为丸，如黍米大，每服三、二丸，甘草汤送下。
初生三日内，吐泻壮热，不思乳食，大便乳食不消，或白色，知
是伤食，当下之而后和胃，下用白饼子，和胃用益黄散。（上二方俱见前。）
初生三日以上至十日，吐泻身不热，或乍热乍凉，不思乳食，大便青白色，乳食不消，此上实下虚也。更有五脏兼
见证宜详∶肺病则睡闷露睛喘气，心则惊悸饮水，脾则困倦饶睡，肝则呵欠烦闷，肾则不语畏明。当先见貌兼脏，补脾
益黄散主之。盖此二证，多病于夏秋也。（当先见貌兼脏，其义未详，恐有脱简，以俟知者正之。）
五月二十五日以后（夏至后十日也），吐泻身壮热，此热乃脏腑中，
十分中九分热也。或因伤热乳食，吐乳不消，泻深黄色，玉露散主之。
玉露散（一名甘露散）
石膏 寒水石（各五钱） 生甘草（二钱五分）
上为细末，每服一字或半钱，温水调下。
六月十五日以后（大暑节后），吐泻，身温似热，脏腑六分热四分
冷也，呕吐乳食不消，泻黄白色，似渴，或食乳或不食，食前少服益黄散，食后多服玉露散。
按∶丹溪用去桂五苓散，倍白术，加苍术，甚者二术炒用，或入益元散和匀，米汤调下，甚效。
七月七日以后（立秋后七日也），吐泻身温凉，三分热也，七分冷，
不能食乳，多似睡闷乱，哽气长出气，睡露睛，唇白多哕，欲大便不渴，食前多服益黄散，食后少服玉露散。
八月十五日以后（秋分后也），吐泻身冷，无阳也，不能食乳，干
哕，泻青褐水，当补脾，益黄散主之，不可下也。
吐泻泄黄，伤热乳也，吐泻泄青，伤冷乳也，皆当下，白饼子主
也。伤热乳者甘露散，伤冷乳者益黄散、温中丸，并于下后服之。亦有不须下，但服此药愈者。
温中丸
人参 甘草（炙） 白术（各一两）
上为细末，姜汁面糊为丸，如绿豆大，每服一、二十丸，粳米饮下。
虚弱，脾胃不和，不能食乳，致肌肉消瘦，亦有因大病后或吐泻
后，脾胃尚弱，不能传化谷气也。有冷者，时时下利，唇口青白。有
热者，身温壮热，肌肉微黄。此冷热虚羸也。冷者木香丸（夏月不可
服，如有证，亦须少服之），热者胡黄连丸（冬月不宜服，有证，须少服）。木香丸、胡黄连丸二方并见前。
吐泻调脾，平胃散入熟蜜，和苏合香丸，名万安膏，米饮调服。
一方 治吐泻黄胆。
三棱 莪术 青皮 陈皮 神曲（炒） 麦 面（炒） 黄连 甘草（炙） 白术 茯苓（各等分）
上为细末，温水调服。伤乳食吐泻，加山楂。时气吐泻，加滑石。发热，加薄荷。
夏月吐泻，用益元散极效，当表而出之。
附证
愚按∶小方脉科，惟急慢惊风与夫痘疹等证最为酷疾，以其吉凶反掌、生死须臾故也。次则五疳吐泻，为证不一，
亦不可以易而治也。以上四证，各立篇目，辨论详明外，其余一切小疾，繁琐多端，一一不能详尽，故各附于吐泻之后，
以备检阅参用云尔。
一腹胀，二腹痛，三夜啼，四痰热，五解颅，六吃泥，七脱囊，八脱肛，九赤瘤，十脐汁出，十一头疮，十二尾骨
痛，十三弄舌，十四龟胸龟背，十五重舌木舌，十六鹅口口疮，十七走马牙疳，十八脐风撮口。
腹胀论∶
夫腹胀，由脾胃虚气攻作也。亦有实者，必闷乱喘满，可下之，宜用紫霜丸、白饼子。不喘满者，虚也，不可下。
若误下，致脾虚气上附肺而行，肺与脾子母皆虚。肺主目胞腮之类，脾主四肢。母气虚甚，则目胞腮肿也。色黄者，属
脾也。治用 气丸渐消之，未愈，渐加丸数。不可以丁香、木香、桂皮、豆蔻、大温散药治之。盖脾虚气未出，腹胀而
不喘者，可以温散药治，使上下分消其气，则愈也。若虚气已出，附肺而行，则脾胃内弱，每生虚气，入于四肢面目矣。
小儿易为虚实，脾虚不受寒温，服寒则生冷证，服温则生热证，当识此，不可忽也。胃久虚热多生疸病，或引饮不止，
脾虚不能胜湿，随肺之气上行于四肢，若水状，湿气浸浮于肺，则大喘也，此当服 气丸而愈。
气丸 治小儿虚胀。如腹大者，加萝卜子，名褐丸子。
胡椒（一两） 蝎尾（去毒，五钱，一方，二味各四十九个）
上为细末，面糊为丸，如粟米大，每服五、七丸至一二十丸，陈米汤下。一方有木香一钱。
治小儿腹虚胀，先服 气丸。不愈，腹中有食积结粪，小便黄，微喘，脉伏而实，时欲饮水，能食者，可下之，宜
消积丸、紫霜丸。盖脾初虚而后结，有积所治，宜先补脾而后下之，后又补脾则愈也。不可补肺，恐生虚气。
一方 腹胀。
萝卜子 紫苏梗 干葛 陈皮（各等分） 甘草（少许）
上细切，水煎服。食少者，加白术。
腹痛多是饮食所伤。
白术（一钱五分） 陈皮（去白） 青皮（去穣，各七分） 山楂（去核） 神曲（炒） 麦芽（炒） 砂仁（各
一钱） 甘草（炙，五分）
有热加黄芩，有寒加藿香、吴茱萸。
上为细末，每服一钱七分，清米饮或白汤调下。
腹痛，口中气温，面黄色，目无精彩，或白睛多，及多睡畏食，或
大便酸臭者，当磨积，宜消积丸。甚者，用白饼子下之，后和胃，用白术散。
白饼子（方见发搐条下。）
白术散（方见惊风门。）
消积丸
丁香（九粒） 砂仁（十二个） 巴豆（二个，去皮心膜及油）
上为细末，面糊为丸，如黍米大，三岁以上三、五丸，以下一、二丸，温水下。
心腹痛，面 白，口中沃沫及清水出，发痛有时，当作蛔虫治。又曰∶凡积痛、食痛、虫痛、寒痛大同小异，惟虫
痛者，当口淡而沫自出，小儿本怯，故胃寒冷则虫动、而心头痛，与痫略相似，但目不斜而手不搐耳，安虫散主之。
安虫散 《宝鉴》用米糊为丸，名安虫丸。
胡粉（炒黄色） 槟榔 川楝子（去核） 鹤虱（各二两） 白矾（二钱五分，火枯）
上为细末，每服一字，大者五分或一钱，温米饮下，临痛时服。
集效丸 治虫痛。
木香 鹤虱（炒） 槟榔 诃子（煨去核） 芜荑 附子（去皮脐，炮） 干姜（各二两） 大黄（半两） 乌梅
（去核，二钱五分）
上为细末，炼蜜为丸，陈皮汤下，或醋汤下。一方加黄芩、黄连。
一方 治虫。
用鸡子炒白蜡尘，酒糊丸服。一云治寸白虫。
一方 治蛔虫作痛。
用二陈汤加苦楝根，煎服。或只以苦楝根向东南生不出土者，刮去粗皮，取白皮细切，浓煎汁一盏，徐徐饮之，不
可饮多。先以糖蜜或炒肉食之，引虫头向上，然后服之。看儿大小，斟酌与之。
小儿吃粽腹痛，用白芍药加黄连末合研，汤调服之，即愈。
一方 治小儿腹痛。
甘草（炙） 干姜（各二钱） 伏龙胆（一两） 人参 茯苓 百草霜 白术（各五钱）
上为细末，粥丸梧桐子大，每服三、五十丸，陈皮汤下。
小儿夜啼，作心经有热有虚治。
人参 黄连（姜汁炒，各一钱五分） 甘草（五分） 竹叶（二十片）
上为细切，分作二帖，每帖加生姜一片，水煎服。一本无人参。
钱氏曰∶小儿夜啼者，脾脏冷而痛也，当以温中之药，宜益黄散，……花火膏之类。
愚按∶上二说不同，一曰心热，一主脾寒，当审外证而区别之。如面青白，手腹俱冷，不思乳食者，寒也。盖夜属
阴，阴盛则脾脏之寒愈盛，脾为至阴，喜温而恶寒，寒则腹中作痛，曲腰而啼。如面赤，手腹俱暖，口中气热者，热也。
盖火属心，见灯则烦热内生，两阳相搏，故仰身而啼。外有面色白，黑睛少，肾气不足，至夜阴虚而啼也。
花火膏
灯花（三颗）
以乳汁调抹儿口，或抹母乳上，令儿吮之。
治惊啼，邪热乘心也，安神丸主之。（方见前。）
小儿风痰壅盛，用∶
南星（五钱，切片以白矾汤泡晒干） 白附子（二两）
上二件，共为末，面糊为丸，如芡实大，每服一丸，姜、蜜、薄荷汤化下。
小儿痰热骨蒸，用∶
二陈汤（五钱） 加∶升麻（二钱） 葛根 白芍药（各一钱五分） 人参（一钱） 五味子（三十粒）
上细切，分三帖，加姜、枣，水煎服。
又方 治前证，用∶
胡黄连 槟榔（各一钱） 陈皮 雷丸（各一钱五分） 神曲 半夏曲 使君子 白花蓼（各二钱）
上为细末，面糊为丸，如黍米大，每服三、五十丸，白汤下。
小儿解颅（头缝不合也），因母气虚与热多也。钱氏曰∶生下而颅不合，肾气未成也，虽长必少笑。更有目白睛多，
面白色，瘦者，多愁少喜也。丹溪用四君子汤合四物汤，有热加黄连酒炒煎服。更以帛紧束，及以白蔹末敷之。
小儿吃泥，胃气热也，用软石膏、黄芩、陈皮、茯苓、白术煎服。
小儿脱囊（阴囊肿大坠下而不收也，亦有囊皮脱烂者），木通、甘草、黄连、当归、黄芩、煎服。囊烂者，以野紫苏
叶（面青背红者是）为末，香油调敷。皮脱两丸露者，外以青荷叶包之，敷药后自生皮。
脱肛（肛门大肠头脱下也），用东壁土泡汤，先熏后洗。
又方 治前证。
用五倍子为细末敷而频托入之。
又方 治前证。
用鳖头烧存性，香油调敷。（一方以此物烧烟熏之，良久自收。）
小儿赤瘤（俗名赤游风也），此盖热毒瓦斯客于腠理，搏于血气，发于皮外，赤如丹也。用
生地黄 木通 荆芥（一本有芍药、桃仁）
苦寒带表之药，外以芒硝泡汤洗之，又以芭蕉油涂之，钱氏用白五散敷之，皆效。
白玉散
白垩（音恶，白色土也，五钱） 寒水石（一两）
上为细末，米醋或新汲水调。
小儿脐中汁出并痛，用白矾，火 枯，干敷。或用黄柏末敷之。
癞头，用通圣散酒拌，除大黄另用酒炒，共为末，再以酒拌，焙干，每服一钱，水煎服。外以白炭烧红，淬入水中，
乘热洗之。更以胡荽子、伏龙肝、悬龙尾、黄连、白矾为末，油调敷之。
又方 治癞头。
以松树浓皮（烧存性，二两） 黄丹（火飞，一两） 白矾（火枯） 黄连
大黄（各五钱） 白胶香（火飞，倾石上，一两） 轻粉（四录） 共为末，熟香油调敷。
丹溪治一小儿，二岁，满头生疮，一日疮忽自平，遂患痰喘，知
其为胎毒也。询其母，孕时多食辛热物。遂以人参、连翘、黄连、甘草、陈皮、川芎、芍药、木通浓煎，入竹沥与之，
数日而安。
尾骨痛，属阴虚、有痰。
阴虚，用四物汤加炒黄柏、酒知母，少用桂为引，或以前胡、木
香为引。如痛不止，加乳香、没药。痰用二陈汤加知母、黄柏、泽
泻，必用前胡、木香为引，盖阴虚故痰盛也。如痛不止，亦加乳香、
没药。二法必先以玉烛散或通经散痰小胃丹大下后用之，或神 丸、十枣汤皆可，与治带同。
小儿弄舌，因脾脏有微热，令舌络微紧，时时虚舌舐之，勿用冷
药及下之，少与泻黄散徐徐服之。有欲饮水者，非热也，脾胃中津液少也，不可下。若大病后弄舌者，凶。
泻黄散
藿香叶（七分） 栀子（一钱） 石膏（五分） 甘草（七分半） 防风（去芦，四分）
上细切，作一服，用蜜、酒炒香熟，以水一盏，煎至半盏，去渣，时时与之。
龟胸乃肺热胀满，攻于胸膈，即成龟胸，又乳母多食五辛热物，亦成此证，宜泻白散加黄芩。
泻白散
桑白皮（蜜水拌，炒黄色，一钱） 地骨皮（一钱） 甘草（炙，五分） 加黄芩
（一钱）
上作一服，水煎。
龟背、儿生下，客风入脊，逐于骨髓，即成龟背，治之以龟尿点
骨节，即平。取龟尿法∶用莲叶，置龟于上，尿自出。
重舌木舌，乃小儿舌下生舌也。
用三棱针，于舌下紫脉刺之，出恶血即愈。
又方 用竹沥调蒲黄末，敷舌上，神效。
又方 治小儿木舌塞口欲满者。
用紫雪二钱，竹沥半合，细研和匀，频敷口，即愈。
治小儿口疮，用
盐白梅（烧存性） 红枣（连核烧存性） 铅丹（火飞） 人中白（火飞） 龙脑（少许）
共为细末，敷之神效。
治小儿鹅口疮，因白屑满舌及两吻，故名鹅口。
论
《黄帝内经》说：各种呕吐酸水，突然腹泻且肛门紧迫，都属于热证。又说：湿气偏胜就会导致大便稀溏的泄泻。小儿的呕吐和泄泻，都是因为吃奶或进食过量，导致脾胃运化功能失常。大概是因为食物停滞郁结而产生热，热邪郁结则产生酸味，酸味上逆成为呕吐，下注成为泄泻，这是必然的道理。又说：食物停滞在胃脘部的表现为呕吐，食物停滞在大肠和小肠的表现为泄泻。有出生后随即呕吐不止的，这是因为胎毒恶血从母体移入婴儿肠胃所致。朱丹溪说：钱乙的五补五泻之法，都可以选用。我谨遵循并依据这些方法详细记录如下：
脉法
（均见前文总章。）
治疗方法
钱乙说：小儿刚出生时呕吐，是因为擦拭清理婴儿口中残留的恶露不干净，咽入喉中所以引起呕吐，主治用木瓜丸。（凡是婴儿在尚未啼哭之前出生，急需用丝绵擦拭口腔内的恶血，务必擦净，然后用黄连、甘草两味药，等量煎汁，灌服一、二匙，就不会得上面提到的严重疾病，出痘疹也会稀少。如果一旦啼哭出声，就会咽下恶血，也应当喂服黄连、甘草汁，不可疏忽。）
木瓜丸
木瓜末 木香末 麝香（末） 腻粉（即轻粉） 槟榔末（各一字）
以上药物再次研匀，用面糊做成丸子，大小如黍米，每次服用三、二丸，用甘草汤送服。
初生三天内，出现呕吐、泄泻、高热，不想吃奶，大便中有未消化的乳食，或者大便呈白色，知道是伤食，应当先攻下然后调和胃气，攻下用白饼子，调和胃气用益黄散。（以上两个方剂均见前文。）
初生三天以上至十天，呕吐、泄泻但身体不发热，或者忽冷忽热，不想吃奶，大便呈青白色，乳食不消化，这是上实下虚的证候。更有五脏兼夹的症状应当详细辨别：肺病则睡眠憋闷、眼睛半睁半闭、气喘；心病则惊悸、想喝水；脾病则困倦嗜睡；肝病则打哈欠、烦躁郁闷；肾病则不说话、怕光。应当先观察面色兼察脏腑，用补脾的益黄散主治。大概这两种证候，多在夏秋季节发病。（“当先见貌兼脏”这句话的含义不详，恐怕有脱漏的文句，等待懂的人来校正。）
五月二十五日以后（夏至后十天），呕吐、泄泻且身体高热，这是因为脏腑中有十分之九的热。可能是因为吃了过热的乳食，吐出的乳汁不消化，泻下的粪便深黄色，主治用玉露散。
玉露散（又名甘露散）
石膏 寒水石（各五钱） 生甘草（二钱五分）
以上研成细末，每次服用一字或半钱，用温水调服。
六月十五日以后（大暑节后），呕吐、泄泻，身体温热似发热，脏腑是六分热四分冷，呕吐出的乳食不消化，泻下的粪便黄白色，好像口渴，有时吃奶有时不吃，饭前少服益黄散，饭后多服玉露散。
按语：朱丹溪使用去桂枝的五苓散，加倍白术，加入苍术，严重的将白术和苍术炒用，或者加入益元散混合均匀，用米汤调服，非常有效。
七月七日以后（立秋后七天），呕吐、泄泻身体温凉，三分热七分冷，不能喝奶，大多像睡觉时憋闷烦乱，叹气长呼吸，睡觉时眼睛半睁半闭，嘴唇发白经常呃逆，想大便但不渴，饭前多服益黄散，饭后少服玉露散。
八月十五日以后（秋分后），呕吐、泄泻身体发冷，这是阳气不足，不能喝奶，干呕，泻下青褐色水样便，应当补脾，用益黄散主治，不可攻下。
呕吐、泄泻粪便发黄，是伤了热性的乳；呕吐、泄泻粪便发青，是伤了冷性的乳，都应当攻下，主治用白饼子。伤了热性乳的，用甘露散；伤了冷性乳的，用益黄散、温中丸，都在攻下之后服用。也有不需要攻下，只服用这些药就痊愈的。
温中丸
人参 甘草（炙） 白术（各一两）
以上研成细末，用姜汁和面糊做成丸子，大小如绿豆，每次服用一、二十丸，用粳米饮送服。
体质虚弱，脾胃不和，不能喝奶，导致肌肉消瘦，也有因为大病后或者吐泻后，脾胃仍然虚弱，不能运化谷气的情况。有属寒的，时常下利，嘴唇口角青白。有属热的，身体温热或高热，肌肉微黄。这是冷热导致的虚损羸弱。属寒的用木香丸（夏季不可服用，如果有证候，也必须少量服用），属热的用胡黄连丸（冬季不宜服用，有证候必须少量服用）。木香丸、胡黄连丸两个方剂均见前文。
治疗吐泻调理脾胃，用平胃散加入熟蜜，配合苏合香丸，名叫万安膏，用米饮调服。
一方 治疗吐泻引起的黄疸。
三棱 莪术 青皮 陈皮 神曲（炒） 麦芽面（炒） 黄连 甘草（炙） 白术 茯苓（各等分）
以上研成细末，用温水调服。如果是伤乳食导致的吐泻，加山楂。如果是时气病导致的吐泻，加滑石。如果有发热，加薄荷。
附证
我认为：儿科中，只有急慢惊风和痘疹等证候最为凶险，因为它们吉凶变化迅速、生死只在顷刻之间。其次是五疳吐泻，证候不一，也不可以轻视而随便治疗。以上四种证候，各自设立篇目，辨证论述详尽明确，其余一切小毛病，繁琐繁多，一一无法详尽列举，所以分别附在吐泻之后，以备查阅参考。
一腹胀，二腹痛，三夜啼，四痰热，五解颅，六吃泥，七脱囊，八脱肛，九赤瘤，十脐汁出，十一头疮，十二尾骨痛，十三弄舌，十四龟胸龟背，十五重舌木舌，十六鹅口口疮，十七走马牙疳，十八脐风撮口。
腹胀论：
腹胀，是由于脾胃虚弱，气机攻冲发作所致。也有实证，必定伴有胸闷烦乱、喘满，可以攻下，宜用紫霜丸、白饼子。如果不喘满，则是虚证，不可攻下。如果误用攻下，导致脾气虚弱，气机上逆依附于肺而运行，肺与脾母子皆虚。肺主管眼睑腮部之类，脾主管四肢。母气（肺气）极度虚弱，则眼睑腮部肿胀。颜色黄的，属于脾。治疗用噫气丸逐渐消除它，未痊愈，逐渐增加丸药数量。不可以用丁香、木香、桂皮、豆蔻等大温散的药物来治疗。大概脾虚气未出，腹胀而不喘的，可以用温散药治疗，使上下分消其气，就能痊愈。如果虚气已经出来，依附肺而运行，则脾胃内部虚弱，每产生虚气，进入四肢面目了。小儿容易虚实夹杂，脾虚不耐受寒凉或温补，服寒药则生寒证，服温药则生热证，应当认识这一点，不可疏忽。胃久虚热多生黄疸病，或者引水不止，脾虚不能胜湿，随着肺的气上行于四肢，像水一样，湿气浸浮于肺，则大喘，这应当服用噫气丸而痊愈。
噫气丸 治疗小儿虚胀。如果腹部大的，加萝卜子，名叫褐丸子。
胡椒（一两） 蝎尾（去毒，五钱，一方，两味各四十九个）
以上研成细末，面糊做成丸子，大小如粟米，每次服用五、七丸至一二十丸，陈米汤送服。一方有一钱木香。
治疗小儿腹虚胀，先服噫气丸。未痊愈，腹中有食积结粪，小便黄，微喘，脉伏而实，时时想喝水，能吃饭的，可以攻下，宜用消积丸、紫霜丸。大概脾初虚而后结聚，有积滞需要治疗，宜先补脾然后攻下，之后再补脾就能痊愈。不可补肺，恐生虚气。
一方 治疗腹胀。
萝卜子 紫苏梗 干葛 陈皮（各等分） 甘草（少许）
以上细切，水煎服。吃得少的，加白术。
腹痛多是饮食所伤。
白术（一钱五分） 陈皮（去白） 青皮（去瓤，各七分） 山楂（去核） 神曲（炒） 麦芽（炒） 砂仁（各一钱） 甘草（炙，五分）
有热加黄芩，有寒加藿香、吴茱萸。
以上研成细末，每次服用一钱七分，用清米饮或白开水调服。
腹痛，口中气温，面色黄，眼神无光彩，或者眼白多，以及多睡畏食，或者大便酸臭的，应当磨积，宜用消积丸。严重的，用白饼子攻下，之后调和胃气，用白术散。
消积丸
丁香（九粒） 砂仁（十二个） 巴豆（二个，去皮心膜及油）
以上研成细末，面糊做成丸子，大小如黍米，三岁以上服用三、五丸，以下服用一、二丸，温水送服。
心腹痛，面色㿠白，口中流口水及清水，疼痛发作有定时，当作蛔虫治疗。又说：凡是积痛、食痛、虫痛、寒痛大同小异，只有虫痛者，口淡而口水自出，小儿本来胆怯，所以胃寒冷则虫动而导致心头痛，与痫证略相似，只是眼睛不斜视、手不抽搐罢了，主治用安虫散。
安虫散 《宝鉴》用米糊做丸，名叫安虫丸。
胡粉（炒黄色） 槟榔 川楝子（去核） 鹤虱（各二两） 白矾（二钱五分，火枯）
以上研成细末，每次服用一字，大的服用五分或一钱，温米饮送服，疼痛时服用。
集效丸 治疗虫痛。
木香 鹤虱（炒） 槟榔 诃子（煨去核） 芜荑 附子（去皮脐，炮） 干姜（各二两） 大黄（半两） 乌梅（去核，二钱五分）
以上研成细末，炼蜜做丸，陈皮汤送服，或者醋汤送服。一方加黄芩、黄连。
一方 治疗虫。
用鸡蛋炒出的白蜡尘，酒糊做丸服用。一说治疗寸白虫。
一方 治疗蛔虫作痛。
用二陈汤加苦楝根，煎服。或者只用东南方向生长未出土的苦楝根，刮去粗皮，取白皮细切，浓煎汁一盏，慢慢饮服，不可饮多。先用糖蜜或炒肉喂食，引导虫头向上，然后服药。看孩子大小，斟酌给予。
一方 治疗小儿腹痛。
甘草（炙） 干姜（各二钱） 伏龙胆（一两） 人参 茯苓 百草霜 白术（各五钱）
以上研成细末，粥做丸梧桐子大，每次服用三、五十丸，陈皮汤送服。
小儿夜啼，按心经有热或有虚来治疗。
人参 黄连（姜汁炒，各一钱五分） 甘草（五分） 竹叶（二十片）
以上细切，分作两份，每份加生姜一片，水煎服。另一版本无人参。
钱乙说：小儿夜啼，是脾脏冷而痛，应当用温中的药，宜用益黄散，……花火膏之类。
我认为：上面两种说法不同，一种说是心热，一种主张脾寒，应当审察外证来区别。如面色青白，手脚腹部都冷，不想吃奶的，是寒证。大概夜晚属阴，阴盛则脾脏之寒更盛，脾为至阴，喜温而恶寒，寒则腹中作痛，弯腰啼哭。如面色红赤，手脚腹部都暖，口中气息热的，是热证。大概火属心，见到灯火则烦热内生，两阳相搏，所以仰身啼哭。外有面色白，黑睛少，肾气不足，到了夜晚阴虚而啼哭。
花火膏
灯花（三颗）
用乳汁调抹婴儿口中，或者抹在母乳上，令婴儿吮吸。
小儿风痰壅盛，用：
南星（五钱，切片以白矾汤泡晒干） 白附子（二两）
以上两件，共为细末，面糊做成丸子，大小如芡实，每次服用一丸，姜、蜜、薄荷汤化开送服。
小儿痰热骨蒸，用：
二陈汤（五钱） 加：升麻（二钱） 葛根 白芍药（各一钱五分） 人参（一钱） 五味子（三十粒）
以上细切，分三份，加姜、枣，水煎服。
又一方 治疗前证，用：
胡黄连 槟榔（各一钱） 陈皮 雷丸（各一钱五分） 神曲 半夏曲 使君子 白花蓼（各二钱）
以上研成细末，面糊做成丸子，大小如黍米，每次服用三、五十丸，白开水送服。
小儿解颅（头缝不合），是因为母体气虚与热多所致。钱乙说：生下后颅骨不合，是肾气未成，虽然长大但也少笑。更有眼白多，面色白，瘦弱的，多愁少喜。朱丹溪用四君子汤合四物汤，有热加黄连酒炒煎服。再用帛带紧束头部，并以白蔹末敷贴。
小儿脱囊（阴囊肿大坠下而不收，也有囊皮脱烂的），用木通、甘草、黄连、当归、黄芩煎服。囊烂的，用野紫苏叶（面青背红的是）为末，香油调敷。皮脱两颗睾丸外露的，外用青荷叶包之，敷药后自然生皮。
又一方 治疗前证。
用鳖头烧存性，香油调敷。（一方以此物烧烟熏之，很久自然收回。）
小儿赤瘤（俗名赤游风），这是热毒瓦斯客居腠理，搏结于血气，发于皮外，红得像丹砂一样。用
生地黄 木通 荆芥（一本有芍药、桃仁）
苦寒带有表散作用的药，外用芒硝泡汤清洗，又以芭蕉油涂之，钱乙用白玉散敷贴，都有效。
白玉散
白垩（音恶，白色土也，五钱） 寒水石（一两）
以上研成细末，米醋或新汲水调服。
癞头，用通圣散酒拌，除大黄另用酒炒，共为细末，再以酒拌，焙干，每次服用一钱，水煎服。外用白炭烧红，淬入水中，趁热洗之。再以胡荽子、伏龙肝、悬龙尾、黄连、白矾为末，油调敷之。
又一方 治疗癞头。
以松树浓皮（烧存性，二两） 黄丹（火飞，一两） 白矾（火枯） 黄连
大黄（各五钱） 白胶香（火飞，倾石上，一两） 轻粉（四录） 共为细末，熟香油调敷。
丹溪治疗一个两岁小儿，满头生疮，一天后疮忽然自平，随即患痰喘，知道是胎毒。询问其母，怀孕时多吃辛辣热物。遂用人参、连翘、黄连、甘草、陈皮、川芎、芍药、木通浓煎，加入竹沥与之，数日而安。
尾骨痛，属阴虚、有痰。
阴虚，用四物汤加炒黄柏、酒知母，少用桂为引，或以前胡、木香为引。如痛不止，加乳香、没药。痰用二陈汤加知母、黄柏、泽泻，必用前胡、木香为引，盖阴虚故痰盛也。如痛不止，亦加乳香、没药。二法必先以玉烛散或通经散痰小胃丹大下后用之，或神 丸、十枣汤皆可，与治带同。
小儿弄舌，因脾脏有微热，令舌络微紧，时时伸舌舔舐，勿用冷药及攻下，少与泻黄散徐徐服之。有想喝水的，不是热证，是脾胃中津液少，不可攻下。若大病后弄舌的，凶险。
泻黄散
藿香叶（七分） 栀子（一钱） 石膏（五分） 甘草（七分半） 防风（去芦，四分）
以上细切，作一服，用蜜、酒炒香熟，以水一盏，煎至半盏，去渣，时时与之。
龟胸乃肺热胀满，攻于胸膈，即成龟胸，又乳母多食五辛热物，亦成此证，宜泻白散加黄芩。
泻白散
桑白皮（蜜水拌，炒黄色，一钱） 地骨皮（一钱） 甘草（炙，五分） 加黄芩
（一钱）
以上作一服，水煎。
龟背、儿生下，客风入脊，逐于骨髓，即成龟背，治之以龟尿点骨节，即平。取龟尿法∶用莲叶，置龟于上，尿自出。
重舌木舌，乃小儿舌下生舌也。
用三棱针，于舌下紫脉刺之，出恶血即愈。
又方 治小儿木舌塞口欲满者。
用紫雪二钱，竹沥半合，细研和匀，频敷口，即愈。
Treatise
The *Huangdi Neijing* (Yellow Emperor's Inner Canon) states: "All vomiting and acid regurgitation, sudden diarrhea with tenesmus, belong to Heat." It also says: "When Dampness prevails, it leads to loose stools (Ru Xie)." The vomiting and diarrhea in infants are all caused by overfeeding of milk or food, leading to dysfunction in transportation and transformation. Generally, food stagnation and depression generate Heat; Heat depression generates acidity; acidity rising upward causes vomiting, and flowing downward causes diarrhea. This is an inevitable principle. It is further stated: Food stagnating in the stomach region manifests as vomiting; food stagnating in the large and small intestines manifests as diarrhea. Some infants vomit incessantly immediately after birth; this is due to fetal toxins and foul blood transferring from the mother into the infant's gastrointestinal tract. Zhu Danxi said: Qian Yi's methods of Five Tonifications and Five Purges can all be selected for use. I strictly follow and record these methods as follows:
Pulse Diagnosis
(All seen in the General Chapter above.)
Treatment Methods
Qian Yi said: When infants vomit immediately after birth, it is because the residual foul blood in the mouth was not completely wiped away and swallowed into the throat. The primary treatment is Mugua Wan (Papaya Pill). (Whenever a baby is born before crying, one should urgently take the foul blood from the mouth, wipe it clean with silk, and then decoct equal parts of Huanglian (Coptis Rhizome) and Gancao (Licorice Root), administering one or two spoonfuls. This prevents the aforementioned severe diseases, and the occurrence of smallpox/rashes will also be rare. If the baby cries once, the blood is swallowed, so one should still administer Huanglian and Gancao juice. Do not neglect this.)
Mugua Wan (Papaya Pill)
Mugua powder, Muxiang powder, Shexiang (Musk) powder, Nifen (Calomel/Light Powder), Binglang powder (each 1 zi).
Grind these together evenly, bind with flour paste to make pills the size of millet seeds. Administer 2-3 pills per dose, taken down with Gancao (Licorice Root) decoction.
For infants within three days of birth presenting with vomiting, diarrhea, high fever, aversion to feeding, undigested milk/food in stool, or white stool: knowing this is Food Injury, one must first purge (downward draining) and then harmonize the Stomach. For purging, use Baibingzi (White Cake Pill); for harmonizing the Stomach, use Yihuang San (Yellow Harmonizing Powder). (Both formulas are seen above.)
For infants from three days to ten days old presenting with vomiting and diarrhea but no fever, or alternating hot and cold sensations, aversion to feeding, greenish-white undigested stool: this is Excess above and Deficiency below. One must carefully observe symptoms involving the Five Zang organs: Lung disease presents with stifled sleep, half-open eyes, and panting; Heart disease presents with palpitations and thirst; Spleen disease presents with fatigue and excessive sleep; Liver disease presents with yawning and irritability; Kidney disease presents with muteness and fear of light. One should first assess the facial appearance and involved Zang organs, and treat with Yihuang San (Yellow Harmonizing Powder) to tonify the Spleen. These two patterns often occur in summer and autumn. (The meaning of "first assess facial appearance and involved Zang organs" is unclear; there may be missing text, awaiting correction by experts.)
After May 25th (ten days after Summer Solstice), presenting with vomiting, diarrhea, and high body heat: this indicates nine-tenths Heat in the internal organs. It may be due to ingesting overly hot milk/food, resulting in undigested milk vomit and deep yellow diarrhea. Treat with Yulu San (Jade Dew Powder).
Yulu San (Jade Dew Powder) (Also known as Ganlu San / Sweet Dew Powder)
Shigao (Gypsum Fibrosum), Hanshuishi (Aqua Calcitae) (each 5 qian), Sheng Gancao (Raw Licorice Root) (2.5 qian).
Grind into fine powder. Administer 1 zi or half a qian per dose, mixed with warm water.
After June 15th (after Great Heat solar term), presenting with vomiting, diarrhea, and body warmth resembling fever: this indicates six-tenths Heat and four-tenths Cold in the internal organs. Vomited milk/food is undigested; stool is yellowish-white; there is apparent thirst; feeding may be intermittent. Take less Yihuang San (Yellow Harmonizing Powder) before meals, and more Yulu San (Jade Dew Powder) after meals.
Note: Zhu Danxi used Wuling San (Five Ling Powder) without Guizhi (Cinnamon Twig), doubled the amount of Baizhu (Atractylodes Macrocephala Rhizome), added Cangzhu (Atractylodes Lancea Rhizome), and for severe cases, stir-fried both Atractylodes roots. Alternatively, mix with Yi Yuan San (Benefit Origin Powder) and administer with rice gruel. This is very effective.
After July 7th (seven days after Start of Autumn), presenting with vomiting, diarrhea, and cool body temperature: this indicates three-tenths Heat and seven-tenths Cold. Inability to feed, often appearing stifled and confused during sleep, sighing deeply, sleeping with half-open eyes, white lips with frequent hiccups, desire to defecate but no thirst. Take more Yihuang San (Yellow Harmonizing Powder) before meals, and less Yulu San (Jade Dew Powder) after meals.
After August 15th (after Autumn Equinox), presenting with vomiting, diarrhea, and cold body: this is Yang Deficiency. Inability to feed, dry heaving, passage of dark green/brown watery stool. One must tonify the Spleen; treat with Yihuang San (Yellow Harmonizing Powder). Do not purge.
Vomiting/diarrhea with yellow stool indicates injury from Hot Milk; vomiting/diarrhea with green stool indicates injury from Cold Milk. Both require purging; treat with Baibingzi (White Cake Pill). For injury from Hot Milk, use Ganlu San (Sweet Dew Powder); for injury from Cold Milk, use Yihuang San (Yellow Harmonizing Powder) and Wenzhong Wan (Warm the Middle Pill), administered after purging. There are also cases that do not require purging and heal solely with these medicines.
Wenzhong Wan (Warm the Middle Pill)
Renshen (Ginseng Radix et Rhizoma), Zhigancao (Prepared Licorice Root), Baizhu (Atractylodes Macrocephala Rhizoma) (each 1 liang).
Grind into fine powder, bind with ginger juice and flour paste to make pills the size of mung beans. Administer 10-20 pills per dose, taken down with Jingmi Yin (Rice Decoction).
For those who are weak, have disharmony between Stomach and Spleen, cannot feed, leading to emaciation; or for those whose Spleen/Stomach remain weak after severe illness or vomiting/diarrhea, unable to transform grain qi: Those with Cold present with frequent loose stools and blue-white lips/mouth. Those with Heat present with warm body or high fever and slightly yellow muscles. This is Cold/Heat-induced wasting. For Cold, use Muxiang Wan (Aucklandia Pill) (Do not use in summer; if necessary, use sparingly). For Heat, use Huhuanglian Wan (Coptis Pill) (Not suitable in winter; if necessary, use sparingly). Both Muxiang Wan and Huhuanglian Wan are seen above.
To regulate the Spleen for vomiting/diarrhea, use Pingwei San (Peace the Stomach Powder) mixed with cooked honey, combined with Suhexiang Wan (Liquid Amber Pill), named Wan'an Gao (Ten Thousand Safety Paste), administered with rice drink.
Another Prescription: Treats vomiting/diarrhea causing Jaundice.
Sanleng (Sparganii Rhizoma), Ezhu (Curcumae Rhizoma), Qingpi (Citri Reticulatae Pericarpium Viride), Chenpi (Citri Reticulatae Pericarpium), Shenqu (Massa Medicata Fermentata - stir-fried), Mai Mian (Tritici Farina - stir-fried), Huanglian (Coptidis Rhizoma), Zhigancao (Prepared Licorice Root), Baizhu (Atractylodis Macrocephalae Rhizoma), Fuling (Poria) (all equal parts).
Grind into fine powder, administer with warm water. For vomiting/diarrhea due to milk/food injury, add Shanzha (Crataegi Fructus). For epidemic vomiting/diarrhea, add Huashi (Talcum). For fever, add Bohe (Menthae Haplocalycis Herba).
In summer, Yi Yuan San (Benefit Origin Powder) is extremely effective for vomiting/diarrhea; it is listed here for reference.
Attached Conditions
I observe: In pediatrics, only acute/chronic convulsions and smallpox/rashes are the most cruel diseases, because their prognosis changes instantly and life/death hangs in the balance. Next are the five types of Kan (malnutrition) with vomiting/diarrhea; the presentations vary, and they should not be treated lightly. The above four conditions have dedicated chapters with detailed discussions. The remaining minor ailments are numerous and complex, so they are attached here after vomiting/diarrhea for reference.
1. Abdominal distension, 2. Abdominal pain, 3. Night crying, 4. Phlegm-Heat, 5. Jie Lu (separation of cranial sutures), 6. Eating mud, 7. Scrotal prolapse, 8. Rectal prolapse, 9. Chi Liu (red wandering rash), 10. Umbilical discharge, 11. Head sores, 12. Coccyx pain, 13. Tongue protrusion, 14. Turtle chest/back, 15. Double tongue/wooden tongue, 16. Goose-mouth sores, 17. Gangrenous teeth, 18. Umbilical wind/tetanus.
Treatise on Abdominal Distension:
Abdominal distension is caused by deficiency Qi attacking due to Spleen/Stomach weakness. There are also Excess cases, which must present with stifling, confusion, panting, and fullness; these can be purged using Zishuang Wan (Purple Frost Pill) or Baibingzi (White Cake Pill). If there is no panting/fullness, it is Deficiency, and purging is contraindicated. If mistakenly purged, Spleen Qi becomes deficient and rises to attach to the Lung. Since Lung and Spleen are Mother and Child organs, both become deficient. Lung governs eyelids and cheeks; Spleen governs limbs. Severe Mother Qi (Lung Qi) deficiency leads to swollen eyelids and cheeks. Yellow color belongs to the Spleen. Treatment uses Yi Qi Wan (Sighing Qi Pill) to gradually resolve it; if not cured, gradually increase the dosage. Do not treat with strong warming dispersants like Dingxiang (Caryophylli Flos), Muxiang (Aucklandiae Radix), Guipi (Cinnamomi Cortex), or Doukou (Amomi Fructus Rotundus). Generally, if Spleen deficiency Qi has not yet emerged, and there is distension without panting, warming dispersants can be used to distribute and eliminate Qi from above and below, leading to recovery. If the deficient Qi has already emerged and attaches to the Lung, the internal Spleen/Stomach are weak, generating deficient Qi that enters the limbs and face. Infants easily develop Excess/Deficiency patterns; Spleen Deficiency cannot tolerate Cold or Warm treatments; Cold drugs generate Cold patterns, Warm drugs generate Heat patterns. One must recognize this and not neglect it. Long-term Stomach deficiency Heat often generates Jaundice or unquenchable thirst. Spleen Deficiency fails to overcome Dampness; Dampness ascends with Lung Qi to the limbs, resembling water; Dampness floats in the Lung causing severe panting. This should be treated with Yi Qi Wan (Sighing Qi Pill) for recovery.
Yi Qi Wan (Sighing Qi Pill): Treats infantile deficiency distension. If the abdomen is large, add Luobozi (Raphani Semen), named He Wan Zi (Brown Pill).
Hujiao (Piperis Longi Fructus) (1 liang), Xiwei (Scorpio) (remove poison, 5 qian; another version: 49 each of both).
Grind into fine powder, bind with flour paste to make pills the size of millet seeds. Administer 5-7 to 10-20 pills per dose, taken down with aged rice soup. Another version adds 1 qian Muxiang (Aucklandiae Radix).
To treat infantile abdominal deficiency distension, first administer Yi Qi Wan (Sighing Qi Pill). If not cured, and there is food accumulation/fecal impaction in the abdomen, yellow urine, slight panting, hidden but solid pulse, frequent thirst, and ability to eat, purging is indicated. Use Xiaoji Wan (Eliminate Accumulation Pill) or Zishuang Wan (Purple Frost Pill). Generally, Spleen is initially deficient then becomes obstructed with accumulation. Treatment requires first tonifying the Spleen, then purging, then tonifying the Spleen again for recovery. Do not tonify the Lung, lest it generate deficient Qi.
Another Prescription: Abdominal distension.
Luobozi (Raphani Semen), Zisu Geng (Perillae Caulis), Gange (Puerariae Radix), Chenpi (Citri Reticulatae Pericarpium) (equal parts), Gancao (Licorice Root) (small amount).
Cut finely, decoct in water. For poor appetite, add Baizhu (Atractylodis Macrocephalae Rhizoma).
Abdominal pain is mostly caused by dietary injury.
Baizhu (Atractylodis Macrocephalae Rhizoma) (1.5 qian), Chenpi (Citri Reticulatae Pericarpium - remove white pith), Qingpi (Citri Reticulatae Pericarpium Viride - remove pith) (each 0.7 qian), Shanzha (Crataegi Fructus - remove seeds), Shenqu (Massa Medicata Fermentata - stir-fried), Maiya (Hordei Fructus Germinatus - stir-fried), Sharen (Amomi Fructus) (each 1 qian), Zhigancao (Prepared Licorice Root) (0.5 qian).
Add Huangqin (Scutellariae Radix) for Heat; add Huoxiang (Agastaches Herba) and Wuzhuyu (Evodiae Fructus) for Cold.
Grind into fine powder. Administer 1.7 qian per dose, mixed with clear rice drink or plain water.
For abdominal pain with warm breath, yellowish complexion, dull eyes, prominent whites of the eyes, lethargy, aversion to eating, or sour-smelling stool: one must grind away accumulation. Use Xiaoji Wan (Eliminate Accumulation Pill). For severe cases, use Baibingzi (White Cake Pill) to purge, then harmonize the Stomach with Baizhu San (Atractylodes Powder).
Baibingzi (White Cake Pill) (See Convulsion section).
Baizhu San (Atractylodes Powder) (See Convulsion Gate).
Xiaoji Wan (Eliminate Accumulation Pill)
Dingxiang (Caryophylli Flos) (9 grains), Sharen (Amomi Fructus) (12 grains), Badou (Crotonis Fructus) (2 grains, remove skin, heart, membrane, and oil).
Grind into fine powder, bind with flour paste to make pills the size of millet seeds. For children over three years, administer 3-5 pills; for younger, 1-2 pills, taken down with warm water.
For epigastric/cardiac pain, pale complexion, drooling/clear fluid from mouth, pain occurring at fixed times: treat as Roundworms. It is said: Accumulation pain, Food pain, Worm pain, and Cold pain are largely similar. Only Worm pain presents with bland taste and spontaneous drooling. Infants are naturally timid; when the Stomach is cold, worms move causing cardiac headache, somewhat similar to Epilepsy, but without eye deviation or hand convulsions. Treat with Anchong San (Settle Worms Powder).
Anchong San (Settle Worms Powder): *Baojian* uses rice paste to make pills, named Anchong Wan (Settle Worm Pill).
Hufen (Cerussa) (stir-fry until yellow), Binglang (Arecae Semen), Chuanlianzi (Toosendan Fructus - remove seeds), Deshe (Chrysanthemi Indici Flos) (each 2 liang), Baifan (Alumen) (2.5 qian, calcined).
Grind into fine powder. Administer 1 zi per dose; for larger children, 0.5 qian or 1 qian, taken down with warm rice drink, administered during pain.
Jixiao Wan (Collect Efficacy Pill): Treats worm pain.
Muxiang (Aucklandiae Radix), Deshe (Chrysanthemi Indici Flos - stir-fried), Binglang (Arecae Semen), Hezi (Myrobalani Fructus - baked, remove seed), Wuyi (Myroxylon Residue), Fuzi (Aconiti Lateralis Radix Praeparata - remove skin and navel, processed), Ganjiang (Zingiberis Rhizoma) (each 2 liang), Dahuang (Rhei Radix et Rhizoma) (0.5 liang), Wumei (Mume Fructus - remove seed, 2.5 qian).
Grind into fine powder, bind with refined honey to make pills. Take down with Chenpi (Citri Reticulatae Pericarpium) decoction or vinegar decoction. Another version adds Huangqin (Scutellariae Radix) and Huanglian (Coptidis Rhizoma).
Another Prescription: Treats worms.
Use egg white wax dust (from frying eggs), bind with wine paste and administer. Said to treat Tapeworms.
Another Prescription: Treats Ascaris pain.
Use Erchen Tang (Two Aged Decoction) plus Kudigen (Meliae Radix), decoct and drink. Or use only Kudigen (Meliae Radix) grown facing southeast and not emerging from soil. Scrape off coarse bark, take the white inner bark, cut finely, decoct strongly to obtain one cup of juice. Drink slowly; do not drink too much. First feed sugar/honey or fried meat to attract the worm head upward, then administer the medicine. Adjust dosage according to the child's size.
For infantile abdominal pain after eating zongzi (sticky rice dumplings), use Baishao Yao (Paeoniae Radix Alba) mixed with Huanglian (Coptidis Rhizoma) powder, administered with water decoction. Cure.
Another Prescription: Treats infantile abdominal pain.
Zhigancao (Prepared Licorice Root), Ganjiang (Zingiberis Rhizoma) (each 2 qian), Fulongdan (Dragon's House Earth) (1 liang), Renshen (Ginseng Radix et Rhizoma), Fuling (Poria), Baicaoshuang (Carbonized Bamboo Residue), Baizhu (Atractylodis Macrocephalae Rhizoma) (each 5 qian).
Grind into fine powder, bind with congee to make pills the size of wutong seeds. Administer 30-50 pills per dose, taken down with Chenpi (Citri Reticulatae Pericarpium) decoction.
Infantile night crying is treated based on Heart Heat or Deficiency.
Renshen (Ginseng Radix et Rhizoma), Huanglian (Coptidis Rhizoma - stir-fried with ginger juice) (each 1.5 qian), Gancao (Licorice Root) (0.5 qian), Zhuye (Phyllostachys Folium) (20 leaves).
Cut finely, divide into two doses. Add one slice of fresh ginger to each dose, decoct in water, and drink. Another version omits Renshen (Ginseng Radix et Rhizoma).
Qian Yi said: Infantile night crying is due to Cold Pain in the Spleen organ. Use warming middle herbs, such as Yihuang San (Yellow Harmonizing Powder)... and Huahuo Gao (Flower Fire Paste).
I observe: The above two theories differ; one attributes it to Heart Heat, the other to Spleen Cold. One must examine external signs to distinguish. If the face is blue-white, hands and abdomen are cold, and there is aversion to feeding: it is Cold. Night belongs to Yin; Yin excess makes Spleen Cold worse. Spleen is the Ultimate Yin, preferring Warmth and disliking Cold. Cold causes abdominal pain, leading to curling up and crying. If the face is red, hands and abdomen are warm, and breath is hot: it is Heat. Fire belongs to Heart; seeing lamps generates internal irritability; two Yangs clash, causing the infant to arch back and cry. Externally, if the face is white, black pupils are few, and Kidney Qi is insufficient, Yin Deficiency at night causes crying.
Huahuo Gao (Flower Fire Paste)
Denghua (Oleae Flower) (3 pieces).
Mix with breast milk, apply to infant's mouth, or apply to mother's nipple for the infant to suck.
For treating startled crying due to Evil Heat invading the Heart, treat with Anshen Wan (Calm Spirit Pill). (Formula seen above.)
For infantile Wind-Phlegm congestion, use:
Nanxing (Arisaematis Rhizoma Preparatum) (5 qian, sliced and soaked in Alumen decoction, then dried), Baifuzi (Gastrodiae Rhizoma) (2 liang).
Grind these two into powder, bind with flour paste to make pills the size of euryale seeds. Administer one pill per dose, dissolved in Ginger, Honey, and Mint decoction.
For infantile Phlegm-Heat bone-steaming fever, use:
Erchen Tang (Two Aged Decoction) (5 qian) plus Shengma (Cimicifugae Rhizoma) (2 qian), Gegen (Puerariae Radix), Baishao Yao (Paeoniae Radix Alba) (each 1.5 qian), Renshen (Ginseng Radix et Rhizoma) (1 qian), Wuweizi (Schisandrae Chinensis Fructus) (30 berries).
Cut finely, divide into three doses. Add Ginger and Jujube, decoct in water, and drink.
Another Prescription: Treats the above condition, use:
Huhuanglian (Coptidis Rhizoma), Binglang (Arecae Semen) (each 1 qian), Chenpi (Citri Reticulatae Pericarpium), Leiwan (Pseudolaricis Semen), Shenqu (Massa Medicata Fermentata), Banxia Qu (Pinelliae Massa Fermentata), Shijunzi (Quisqualis Fructus), Baihua Liao (Polygoni Bistortae Herba) (each 2 qian).
Grind into fine powder, bind with flour paste to make pills the size of millet seeds. Administer 30-50 pills per dose, taken down with plain water.
Infantile Jie Lu (separation of cranial sutures): Caused by maternal Qi deficiency and excess Heat. Qian Yi said: Cranial sutures not closing at birth indicate incomplete Kidney Qi; even when grown, they will smile little. Others present with prominent whites of the eyes, white complexion, and thinness, indicating melancholy rather than joy. Zhu Danxi used Sijunzi Tang (Four Gentlemen Decoction) combined with Siwu Tang (Four Substances Decoction). For Heat, add Huanglian (Coptidis Rhizoma) stir-fried with wine, decoct and drink. Additionally, bind the head tightly with cloth and apply Bailian (Ampelopsis Radix) powder externally.
Infantile geophagia (eating mud): Due to Stomach Heat. Use Ruang Shigao (Prepared Gypsum Fibrosum), Huangqin (Scutellariae Radix), Chenpi (Citri Reticulatae Pericarpium), Fuling (Poria), Baizhu (Atractylodis Macrocephalae Rhizoma), decoct and drink.
Infantile Tuonang (scrotal prolapse/swelling): Scrotum swells and hangs down without retracting; sometimes the scrotal skin decays. Use Mutong (Akebiae Caulis), Gancao (Licorice Root), Huanglian (Coptidis Rhizoma), Danggui (Angelicae Sinensis Radix), Huangqin (Scutellariae Radix), decoct and drink. For decayed skin, use Ye Zisu (Perillae Folium - green front, red back) ground into powder, mixed with sesame oil for application. If skin is lost exposing the testes, wrap externally with green lotus leaves; skin will regenerate after medication.
Tuogang (Rectal Prolapse): Use earth from the east wall of a house, soak in water. Fumigate first, then wash.
Another Prescription: Treats the above condition.
Use Wubeizi (Galla Chinensis) ground into fine powder for application, frequently pushing it back in.
Another Prescription: Treats the above condition.
Use Bie Tou (Testudinis Carapax et Plastrum - turtle head) calcined, mixed with sesame oil for application. (Another version: smoke with this object; it will retract after a while.)
Infantile Chil Liu (red wandering rash): Also known as Chi You Feng (Red Wandering Wind). This is Heat-Toxin lodging in the interstices, clashing with Blood-Qi, manifesting on the skin, red like cinnabar. Use Sheng Dihuang (Rehmanniae Radix), Mutong (Akebiae Caulis), Jingjie (Schizonepetae Herba) (another version adds Baishao Yao and Taoren). Use bitter-cold herbs with exterior-releasing properties. Externally, wash with Mangxiao (Natrii Sulfas) decoction, and apply Bajiao You (Musa Sapientis Oil). Qian Yi used Baiwu San (White Earth Powder) for application; all are effective.
Baiwu San (White Earth Powder)
Bai'e (Kaolin) (sound 'e', white earth, 5 qian), Hanshuishi (Aqua Calcitae) (1 liang).
Grind into fine powder, mix with rice vinegar or fresh well water.
Infantile umbilical discharge and pain: Use Baifan (Alumen), calcined, applied dry. Or use Huangbai (Phellodendri Cortex) powder for application.
Laitou (Ringworm of the scalp): Use Tongsheng San (Universal Salvation Powder) moistened with wine. Remove Dahuang (Rhei Radix et Rhizoma), stir-fry separately with wine. Grind all into powder, moisten with wine again, dry, and bake. Administer 1 qian per dose, decoct in water. Externally, burn white charcoal red-hot, quench in water, and wash while hot. Also, use Hucizi (Coriandri Fructus), Fulongdan (Dragon's House Earth), Xuanlongwei (Hydrophylli Herba), Huanglian (Coptidis Rhizoma), Baifan (Alumen) ground into powder, mixed with oil for application.
Another Prescription: Treats Laitou (Ringworm of the scalp).
Songshu Nongpi (Thick Pine Bark - calcined, 2 liang), Huangdan (Minii Arsenitas) (calcined, 1 liang), Baifan (Alumen - calcined), Huanglian (Coptidis Rhizoma), Dahuang (Rhei Radix et Rhizoma) (each 5 qian), Baijiaoxiang (Colophonium) (calcined, poured on stone, 1 liang), Qingfen (Calomel) (4 lu). Grind into powder, mix with cooked sesame oil for application.
Danxi treated a two-year-old infant with sores all over the head. Suddenly the sores flattened, followed by Phlegm-Wheeze. Knowing it was Fetal Toxin, he asked the mother, who admitted eating spicy/hot foods during pregnancy. He prescribed Renshen (Ginseng Radix et Rhizoma), Lianqiao (Forsythiae Fructus), Huanglian (Coptidis Rhizoma), Gancao (Licorice Root), Chenpi (Citri Reticulatae Pericarpium), Chuanxiong (Ligustici Chuanxiong Rhizoma), Shaoyao (Paeoniae Radix), Mutong (Akebiae Caulis), decocted strongly, added Zhuli (Bambusae Caulis in Taenia), and administered. The infant recovered in a few days.
Weigu Tong (Coccyx Pain): Belongs to Yin Deficiency and Phlegm.
For Yin Deficiency, use Siwu Tang (Four Substances Decoction) plus Chao Huangbai (Stir-fried Phellodendri Cortex), Jiu Zhimu (Wine-processed Anemarrhenae Rhizoma), with a small amount of Guizhi (Cinnamon Twig) as a guide, or Qianhu (Peucedani Radix), Muxiang (Aucklandiae Radix) as guides. If pain persists, add Rushiang (Olibanum) and Moyao (Myrrha). For Phlegm, use Erchen Tang (Two Aged Decoction) plus Zhimu (Anemarrhenae Rhizoma), Huangbai (Phellodendri Cortex), Zexie (Alismatis Rhizoma), must use Qianhu (Peucedani Radix), Muxiang (Aucklandiae Radix) as guides, because Yin Deficiency leads to Phlegm excess. If pain persists, also add Rushiang (Olibanum) and Moyao (Myrrha). Both methods must be preceded by heavy purging with Yuzhu San (Jade Candle Powder), Tongjing San (Unblock Meridians Powder), Tan Xiaowei Dan (Reduce Stomach Phlegm Pill), or Shen Wan, Shizao Tang (Ten Date Decoction), same as treating Leukorrhea.
Infantile tongue protrusion: Due to slight Heat in the Spleen organ, causing slight tension in tongue collaterals, leading to frequent licking. Do not use Cold drugs or purgatives. Slowly administer Xiehuang San (Drain Yellow Powder). If desiring water, it is not Heat, but lack of fluids in Spleen/Stomach; do not purge. If tongue protrusion occurs after severe illness, it is ominous.
Xiehuang San (Drain Yellow Powder)
Huoxiang Ye (Agastaches Folium) (0.7 qian), Zhizi (Gardeniae Fructus) (1 qian), Shigao (Gypsum Fibrosum) (0.5 qian), Gancao (Licorice Root) (0.75 qian), Fangfeng (Saposhnikoviae Radix - remove radix) (0.4 qian).
Cut finely, prepare as one dose. Stir-fry with honey and wine until fragrant. Add one cup of water, decoct to half a cup, strain, and administer frequently.
Guixiong (Turtle Chest): Due to Lung Heat and fullness attacking the chest/diaphragm. Also caused by nursing mothers consuming excessive Five Pungents and Hot foods. Treat with Xiebai San (Drain White Powder) plus Huangqin (Scutellariae Radix).
Xiebai San (Drain White Powder)
Sangbaipi (Mori Cortex - mixed with honey water, stir-fry until yellow, 1 qian), Digupi (Lygodii Radix) (1 qian), Zhigancao (Prepared Licorice Root) (0.5 qian). Add Huangqin (Scutellariae Radix) (1 qian).
Prepare as one dose, decoct in water.
Guibei (Turtle Back): After birth, External Wind enters the spine, driving into the marrow, forming Turtle Back. Treat by applying Turtle Urine to the joints to flatten it. Method to collect Turtle Urine: Place a lotus leaf, put the turtle on it, and the urine will flow out.
Chongshe Mushe (Double Tongue/Wooden Tongue): An extra tongue growing under the infant's tongue.
Use a three-edged needle to puncture the purple vessels under the tongue; releasing foul blood cures it.
Another Prescription: Mix Zhuli (Bambusae Caulis in Taenia) with Puhuang (Typhae Pollen) powder, apply to the tongue. Miraculous effect.
Another Prescription: Treats infantile wooden tongue blocking the mouth.
Use Zixue (Purple Snow) 2 qian, Zhuli (Bambusae Caulis in Taenia) half he, grind finely and mix evenly. Apply frequently to the mouth. Cure.
Treat infantile mouth sores using:
Yan Bai Mei (Salted White Plum - calcined), Hongzao (Jujubae Fructus - calcined with seeds), Qiandan (Minii Oxidum Rubrum - calcined), Renzhongbai (Urinae Humanis Depuratum - calcined), Longnao (Borneolum Syntheticum) (small amount).
Grind into fine powder, apply. Miraculous effect.
Treat infantile Goose-Mouth Sores: Named so because white debris covers the tongue and corners of the mouth.