〔汤〕哺露者，因乳哺不消，脾胃衰弱，渐不能食，血气减损，肌肉不荣，柴骨羸露，吸吸苦热，谓之哺
露也，宜麝香进食丸。（方见本条。）
〔汤〕小儿积症∶面黄肿，肚胀，面合卧地，小便如油，多呕，眼睛黄，腹内虚鸣，多睡眼白黄，赤白痢
下，发黄，眼赤，多泻。
凡有积滞，须辨虚实，况孩儿虚瘦，长短黑白，南北古今不同，不可一概论也。予今之法，实者可服进食
丸，虚而微白及疳瘦者，宜服肥儿丸。（肥儿丸方见疳门心疳条为丸如黍米大，儿一岁十丸，饭饮下。）
〔钱〕小儿腹中有癖，不食，但饮乳是也，当渐用白饼子送下。
白饼子
滑石 轻粉 半夏（汤洗，焙干） 南星（各一钱，为末） 巴豆（二十四个，去皮膜，水一升，煮水尽为度）
上研匀，巴豆后入众药，以糯米饭为丸如小绿豆大。捏作饼子，儿三岁以上三五饼，四岁以下一二饼，葱
白汤下，临卧服。
〔《局》〕进食丸 治乳食不化，心胸胀满，疳积肚疼。
木香（炮） 枳壳（去白，炒） 当归 代赭石 朱砂（另研，三钱） 巴豆（去油膜，一钱） 麝香（另研，五
分）
上为细末，面糊为丸如黍米大，一岁二丸，量儿大小加减，米饮送下。
〔《活》〕双圣丸 治小儿身热头痛，饮食不消，心腹胀疼痛，大小便不利，或下重数起。未瘥，可再服。
巴豆（六十个，去皮心膜，研去油） 甘遂 麦门冬（去心，三两五钱） 甘草（炙，一两） 朱砂（另研，一钱）
牡蛎（二两） 蕤核（取仁，四两半，另研）
上麦门冬、甘草、甘遂、牡蛎四味为细末，入巴豆、朱砂、蕤仁，合和捣二千杵，更入少蜜捣和极熟旋丸。
儿半岁服如苏子大，儿一岁服如麻子大，分为二丸。儿二岁服如麻子大一丸，儿三四岁服如麻子大二丸，五
六岁服如麻子大三丸。儿七八岁服小豆大二丸，儿十岁微大如小豆大三丸，以鸡鸣时分服之。如至日出不下
者，热粥饮数合，投之即下，丸药皆双出也。若利甚，浓煎冷粥数合与之即止。
〔钱〕珍珠丸 治小儿一切积聚，惊涎，宿食，乳癖，大小便涩滞，疗腹胀，行滞气。
巴豆仁（十四个，水浸一宿，细研） 木香 白丁香 丁香（各五分） 滑石（二钱） 轻粉（五分，留少许
为衣）
上为末，研匀，湿纸裹，烧粟米饭为丸如麻子大。一岁儿一丸，八九岁至十五岁服八丸，枣子煎汤，放冷
下。如挟风热难动者，先服凉药一帖。乳癖者，临卧服数丸。
〔《本》〕消积丸 治小儿食积气、湿气，面黄白多肿，大便黄赤酸臭。
砂仁（十二个） 丁香（九粒） 乌梅肉（三个） 巴豆（去油，三粒）
上细末，糊丸如粟米大。三岁以上五六丸，以下二三丸，用温水下，无时服。大凡小儿身温壮热，非变蒸
之候，大便白而酸臭，为胃有蓄冷，宜此药消下，后服温胃药。若身温壮热，大便赤而酸臭，为胃有蓄热，
宜此药下，后服凉胃药，无不愈。（一方有使君子七枚。）
〔丹〕丁香化癖散 治乳癖。
白丁香 密陀僧 硫黄（以上各二钱） 砂（五分） 轻粉（少许）
上研细末，每一岁儿服五分，男病女乳调，女病男乳调，出下黑粪为度，后用通膈丸泄之。
〔世〕二丁丸 治小儿乳癖。
白丁香（半两） 丁香 密陀僧（各一两） 韶粉（一钱） 硫黄（三钱）
上细末，糊丸如小豆大。三岁儿十丸，日晡时米饮下。饮乳者，乳汁下。次日当取下恶物，热即随退。加
黄莺屎一钱，尤妙。
〔钱〕紫霜丸
代赭石（细研，水飞，二钱） 杏仁（二十一个，去皮尖） 巴豆（二十一粒，去油心皮膜）
上为细末，饭丸如粟米大。每服三五丸至十丸，皂荚子汤下，无时。海藏云∶五色加减，并见治法。
〔汤〕惊癖，须用礞石药方可治之。
上七方治癖皆峻剂。若稍涉虚者，必用四君子及益黄散之类兼服之。
〔《秘录》〕治小儿气癖。取三棱针作羹粥，以米面为之，与乳母食。每日取一枣大与儿吃，亦得作粥与
羹热食之。治小儿十岁以下及新生百日，无问痫热无辜 癖等，皆理之，妙不可言者。
〔田〕小儿癖气久不瘥者。灸中脘一穴、章门二穴各七壮。章门在大横外直脐季胁肋端，侧卧，曲上足，
伸下足，举臂取之。中脘在上脘下一寸，脐上四寸，居心蔽骨与脐之中，从 HT 下取病患四指定穴，
并灸脐后脊骨中二七壮，无不验。
【汤】哺露，是因为乳食不能消化，脾胃虚弱，逐渐导致食欲不振，气血亏损，肌肉失去滋养，身体消瘦如柴、骨骼显露，伴有持续的苦热感，这称为哺露，适宜服用麝香进食丸。（方剂见本条。）
【汤】小儿积症：面色黄而浮肿，腹部胀大，面部贴地趴卧，小便浑浊如油，频繁呕吐，眼睛发黄，腹内发出虚鸣声，嗜睡且眼白部分发黄，下痢赤白相间，皮肤发黄，眼睛发红，腹泻次数多。
凡是存在积滞的情况，必须辨别虚实，况且孩童体质虚弱消瘦，身高、肤色各异，南北地域及古今时代不同，不可一概而论。我目前的方法是，实证者可服用进食丸，虚证且面色微白及形体瘦弱（疳瘦）者，适宜服用肥儿丸。（肥儿丸方剂见疳门心疳条，制成如黍米大小的丸剂，一岁的儿童每次十丸，用饭饮送服。）
【钱】小儿腹中有癖，表现为不进食，只喝乳汁，应当逐渐使用白饼子送服。
白饼子
滑石 轻粉 半夏（开水烫洗，焙干） 南星（各一钱，研为粉末） 巴豆（二十四个，去皮膜，用水一升，煮至水尽为止）
以上药物研磨均匀，巴豆最后加入其他药末中，用糯米饭做成如小绿豆大小的丸剂。捏成饼状，三岁以上儿童每次三五饼，四岁以下儿童每次一二饼，用葱白汤送服，临睡前服用。
【《局》】进食丸 治疗乳食不化，心胸胀满，疳积腹痛。
木香（炮制） 枳壳（去白瓤，炒） 当归 代赭石 朱砂（单独研磨，三钱） 巴豆（去油膜，一钱） 麝香（单独研磨，五分）
以上药物研为细末，用面糊做成如黍米大小的丸剂，一岁的儿童每次二丸，根据儿童大小酌情加减，用米饮送服。
【《活》】双圣丸 治疗小儿身体发热头痛，饮食不消化，心腹胀痛，大小便不通利，或里急后重频频起解。病未痊愈，可再次服用。
巴豆（六十个，去皮心膜，研磨去油） 甘遂 麦门冬（去心，三两五钱） 甘草（炙，一两） 朱砂（单独研磨，一钱）
牡蛎（二两） 蕤核（取仁，四两半，单独研磨）
以上将麦门冬、甘草、甘遂、牡蛎四味药研为细末，加入巴豆、朱砂、蕤仁，混合捣击两千杵，再加入少量蜂蜜捣和至极熟，随即制成丸剂。半岁的儿童服用如苏子大小的剂量，一岁的儿童服用如麻子大小的剂量，分为两丸。两岁的儿童服用如麻子大小的一丸，三四岁的儿童服用如麻子大小的两丸，五六岁的儿童服用如麻子大小的三丸。七八岁的儿童服用如小豆大小的两丸，十岁的儿童服用略大于小豆的三丸，在鸡鸣时分（凌晨3-5点）服用。如果到日出时仍未排便，饮用几合热粥，服药后即可排出，丸药通常会全部排出。如果腹泻严重，浓煎冷粥几合给予服用即可止泻。
【钱】珍珠丸 治疗小儿各种积聚，惊涎，宿食，乳癖，大小便涩滞，治疗腹胀，行气导滞。
巴豆仁（十四个，水泡一夜，细研） 木香 白丁香 丁香（各五分） 滑石（二钱） 轻粉（五分，留少许作为包衣）
以上研为粉末，研磨均匀，用湿纸包裹，烧粟米饭做成如麻子大小的丸剂。一岁的儿童服用一丸，八九岁至十五岁的儿童服用八丸，用枣子煎汤，放凉后送服。如果夹杂风热难以推动者，先服用一帖凉药。乳癖者，临睡前服用数丸。
【《本》】消积丸 治疗小儿食积气、湿气，面色黄白且多浮肿，大便黄赤酸臭。
砂仁（十二个） 丁香（九粒） 乌梅肉（三个） 巴豆（去油，三粒）
以上研为细末，用糊做成如粟米大小的丸剂。三岁以上的儿童每次五六丸，以下的每次二三丸，用温水送服，不拘时候服用。大凡小儿身体温热壮热，如果不是变蒸的现象，大便白而酸臭，这是胃中有蓄积的寒气，适宜用此药消导攻下，之后服用温胃药。如果身体温热壮热，大便赤而酸臭，这是胃中有蓄积的热邪，适宜用此药攻下，之后服用凉胃药，没有不愈的。（另一配方有使君子七枚。）
【丹】丁香化癖散 治疗乳癖。
白丁香 密陀僧 硫黄（以上各二钱） 砂（五分） 轻粉（少许）
以上研为细末，每岁儿童服用五分，男孩患病用女乳调服，女孩患病用男乳调服，以下出黑粪为度，之后用通膈丸泄之。
【世】二丁丸 治疗小儿乳癖。
白丁香（半两） 丁香 密陀僧（各一两） 韶粉（一钱） 硫黄（三钱）
以上研为细末，用糊做成如小豆大小的丸剂。三岁的儿童每次十丸，傍晚时分用米饮送服。吃奶的儿童，用乳汁送服。次日应当排出恶物，发热随即消退。加入黄莺屎一钱，效果更佳。
【钱】紫霜丸
代赭石（细研，水飞，二钱） 杏仁（二十一个，去皮尖） 巴豆（二十一粒，去油心皮膜）
以上研为细末，用饭做成如粟米大小的丸剂。每次服用三五丸至十丸，用皂荚子汤送服，不拘时候。海藏说：五色加减法，并见治疗方法。
【汤】惊癖，必须使用礞石类药物才可以治疗。
以上七个方剂治疗癖证都属于峻猛之剂。如果稍微涉及虚证，必须配合服用四君子汤及益黄散之类的药物。
【《秘录》】治疗小儿气癖。取三棱针制作羹粥，以米面为之，让乳母食用。每天取大枣大小给儿童吃，也可以做成粥与羹热食。治疗十岁以下及出生百日的新生儿，无论痫热、无辜癖等，都能调理，妙不可言。
【田】小儿癖气长久不愈者。灸中脘穴一穴、章门穴二穴，各七壮。章门穴在大横穴外侧直对脐部季胁肋端，侧卧，屈上肢足，伸下肢足，举臂取穴。中脘穴在上脘穴下一寸，脐上四寸，位于心蔽骨与脐的中部，从手太阴肺经（HT）下方取病患四指宽定穴，并灸脐后脊骨正中二七壮，无不灵验。
[Tang] Bulu (Bulu Syndrome) is caused by the inability to digest milk and food, leading to spleen and stomach weakness. Gradually, appetite diminishes, qi and blood are depleted, muscles lose nourishment, resulting in emaciation with exposed bones. It is accompanied by a persistent sensation of bitter heat, hence called Bulu. The appropriate treatment is Muxiang Jinshi Wan (Musk Appetite-Enhancing Pill). (Formula see this section.)
[Tang] Pediatric Ji Syndrome (Accumulation Syndrome): The face is yellow and swollen, the abdomen is distended, the child lies prone with the face pressed to the ground, urine is turbid like oil, frequent vomiting occurs, eyes are yellow, there is empty rumbling in the abdomen, excessive sleepiness with yellowish whites of the eyes, dysentery with red and white discharge, jaundice, red eyes, and frequent diarrhea.
Whenever there is accumulation, one must differentiate between excess and deficiency. Moreover, children have weak and thin constitutions; their height, skin color, and regional or temporal contexts vary greatly, so they cannot be generalized. My current method is: for excess patterns, Shijin Wan (Appetite-Enhancing Pill) can be taken; for deficiency patterns with slightly pale complexion and emaciation (Gan emaciation), Fei'er Wan (Flesh-Nourishing Pill) is suitable. (Fei'er Wan formula see Gan Gate Heart Gan section, made into pills the size of millet seeds. For a one-year-old child, ten pills per dose, taken with rice drink.)
[Qian] When a child has Pi (masses) in the abdomen, manifested by refusal to eat but willingness to drink milk, it should gradually be treated with Baixing Zi (White Cake Pills).
Baixing Zi
Talcum (Huashi), Calomel (Qingfen), Pinellia Tuber (Banxia - washed in boiling water, dried by baking), Arisaema Rhizome (Nanxing) (each 1 qian, powdered), Croton Seed (Badou - 24 seeds, peeled and membrane removed, boiled in one sheng of water until water is exhausted).
Grind all ingredients uniformly. Add Badou last to the other powders. Form pills the size of small mung beans using glutinous rice paste. Shape into cakes. For children over three years old, 3-5 cakes per dose; for children under four years old, 1-2 cakes per dose. Take with scallion white decoction at bedtime.
[Jufang] Shijin Wan (Appetite-Enhancing Pill) treats indigestion of milk and food, chest and epigastric fullness/distension, Gan accumulation abdominal pain.
Costus Root (Muxiang - processed), Bitter Orange Pericarp (Zhiqiao - white pith removed, stir-fried), Angelica Sinensis Radix (Danggui), Hematite (Daizheshi), Cinnabar (Zhusha - separately ground, 3 qian), Croton Seed (Badou - oil and membrane removed, 1 qian), Musk (Muxiang - separately ground, 5 fen).
Grind into fine powder. Form pills the size of millet seeds using wheat paste. For a one-year-old child, two pills per dose, adjust according to the child's size. Take with rice drink.
[Huo'an] Shuangsheng Wan (Double Sage Pill) treats pediatric fever and headache, indigestion, epigastric and abdominal distension and pain, difficulty in urination and defecation, or tenesmus with frequent urges. If not cured, it may be taken again.
Croton Seed (Badou - 60 seeds, peel and remove heart/membrane, grind and remove oil), Kansui Root (Gansui), Ophiopogon Tuber (Maidong - heart removed, 3 liang 5 qian), Licorice Root (Gancao - honey-fried, 1 liang), Cinnabar (Zhusha - separately ground, 1 qian), Oyster Shell (Muli - 2 liang), Prunus Persica Kernel/Rui He Ren (Ruihe - take kernel, 4.5 liang, separately ground).
Grind Maidong, Gancao, Gansui, and Muli into fine powder. Add Badou, Zhusha, and Rui Ren. Mix and pound for two thousand strokes. Add a little honey and pound until very well incorporated, then form pills. For a half-year-old, dose size of perilla seed; for a one-year-old, dose size of sesame seed, divided into two pills. For a two-year-old, one pill size of sesame seed. For 3-4 year olds, two pills size of sesame seed. For 5-6 year olds, three pills size of sesame seed. For 7-8 year olds, two pills size of adzuki bean. For a ten-year-old, three pills slightly larger than adzuki bean. Take during the chicken-crowing period (3-5 AM). If stool does not pass by sunrise, drink several he of hot porridge; the medicine will act immediately, and the pills usually pass completely. If diarrhea is severe, give several he of thick, cold porridge decoction to stop it.
[Qian] Zhenzhu Wan (Pearl Pill) treats various accumulations in children, fright-phlegm, retained food, Ru Pi (milk masses), difficult urination and defecation, abdominal distension, and promotes qi movement.
Croton Kernel (Badou Ren - 14 seeds, soaked in water overnight, finely ground), Costus Root (Muxiang), White Stork Dropping (Baidingxiang), Clove Bud (Dingxiang) (each 5 fen), Talcum (Huashi - 2 qian), Calomel (Qingfen - 5 fen, reserve some for coating).
Grind into powder, mix uniformly. Wrap in wet paper, roast with millet rice, and form pills size of sesame seeds. One-year-olds take one pill; children aged 8-15 take eight pills. Take with cooled jujube decoction. If complicated by wind-heat and difficult to move, first take one dose of cooling medicine. For Ru Pi, take several pills at bedtime.
[Bencao] Xiaoji Wan (Accumulation-Dissolving Pill) treats pediatric food stagnation qi and dampness, yellowish-white complexion with swelling, and yellow-red sour-smelling stool.
Amomum Fruit (Sharen - 12 fruits), Clove Bud (Dingxiang - 9 buds), Dried Plum Flesh (Wumei Rou - 3 pieces), Croton Seed (Badou - oil removed, 3 seeds).
Grind into fine powder. Form pills size of millet grains using paste. Children over three years old take 5-6 pills; younger ones take 2-3 pills. Take with warm water, anytime. Generally, if a child has warm-feverish heat and it is not Bianzheng (physiological growth fever), and the stool is white and sour-smelling, it indicates cold accumulation in the stomach; use this medicine to dissipate and purge, followed by warming stomach medicines. If the child has warm-feverish heat and the stool is red and sour-smelling, it indicates heat accumulation in the stomach; use this medicine to purge, followed by cooling stomach medicines. There will be no failure to heal. (Another prescription includes seven Semen Quisqualis [Shijunzi].)
[Dan] Dingxiang Huapi San (Clove Mass-Dissolving Powder) treats Ru Pi (milk masses).
White Stork Dropping (Baidingxiang), Litharge (Mituoseng), Sulfur (Liuhuang) (each 2 qian), Sand (Sha - 5 fen), Calomel (Qingfen - a little).
Grind into fine powder. Each year of age takes 5 fen. For boys, mix with female breast milk; for girls, mix with male breast milk. Continue until black stool is passed. Afterwards, use Tongge Wan to purge.
[Shishi] Erding Wan (Two Cloves Pill) treats pediatric Ru Pi.
White Stork Dropping (Baidingxiang - 0.5 liang), Clove Bud (Dingxiang), Litharge (Mituoseng) (each 1 liang), Lead Carbonate Powder (Shaofen - 1 qian), Sulfur (Liuhuang - 3 qian).
Grind into fine powder. Form pills size of adzuki beans using paste. Three-year-olds take ten pills. Take with rice drink at dusk (Shiwu time). For nursing infants, take with breast milk. On the next day, foul matter should be discharged, and fever will recede accordingly. Adding 1 qian of Oriole feces is especially effective.
[Qian] Zishuang Wan (Purple Frost Pill)
Hematite (Daizheshi - finely ground, water-flowered, 2 qian), Apricot Seed (Xingren - 21 seeds, peel and tip removed), Croton Seed (Badou - 21 seeds, oil, heart, peel, and membrane removed).
Grind into fine powder. Form pills size of millet grains using rice. Take 3-5 to 10 pills per dose. Take with Gleditsia Sinensis Pod Decoction, anytime. Haizang states: Five-color modification methods are seen in treatment principles.
[Tang] Jingpi (Fright Pi) must be treated with Mengshi (Lapis Lazuli) preparations.
The above seven formulas for treating Pi are all harsh/potent agents. If there is any involvement of deficiency, one must concurrently administer Sizijunzi Tang (Four Gentlemen Decoction) or Yihuang San (Yellow-Enriching Powder).
[Milu] Treating pediatric Qi Pi. Make a soup/porridge using a three-edged needle, prepared with rice and flour, and feed it to the lactating mother. Every day, give the child an amount the size of a jujube to eat. It can also be made into porridge or soup and eaten hot. This treats children under ten years old and newborns up to 100 days old, regardless of epilepsy, fever, Wugu Pi, etc. The effect is miraculous and indescribable.
[Tian] For pediatric Pi Qi that persists for a long time without healing: Moxibustion on Zhongwan (CV12) one point, Zhangmen (LR13) two points, each seven moxa cones. Zhangmen is located lateral to Dahan (SP15), directly opposite the umbilicus, at the end of the costal margin in the hypochondrium. Lie on the side, flex the upper leg, extend the lower leg, raise the arm to locate the point. Zhongwan is one cun below Shangwan, four cun above the umbilicus, midway between the xiphoid process and the umbilicus. Locate the point using the patient's four fingers below HT (Heart Meridian). Also moxa twenty-eight cones (two sets of seven) on the midline of the spine behind the umbilicus. No case fails.