〔汤〕小儿腹痛曲腰，干哭无泪，面青白，唇黑，肢冷，为盘肠内吊。凡有此证，急煎葱汤淋洗其
腹揉之，葱熨脐腹间。良久，尿自痛中出，其疼立止。续次服药。
乳香 没药（各少许透明者，细研）
上件，木香一块，于乳钵内磨，水一分，滚数沸，调乳、没末。
此药只一服效。
〔钱〕钩藤膏 治小儿腹中极痛，干啼后偃，名盘肠内吊。
乳香（研） 没药（研） 木香 姜黄（各四钱） 木鳖子仁（二十一个）
上先将后三味同为细末，次研入上二味，炼蜜和成剂，收贮。每一岁儿可服半皂子大，余以意加减。
煎钩藤汤化下，无时。次用魏香散。
魏香散
蓬术（半两） 阿魏（一钱）
上先用温水化阿魏，浸蓬术一昼夜，培干为末，每服一字或半钱，煎紫苏米饮，空心调下。
〔无〕蒜乳丸 治冷证腹痛夜啼。
大蒜（一棵，慢火煨香熟，研烂） 乳香（另研，五分）
上研，为丸如芥菜子大。每服七粒，乳汁送下。
上四方，治寒腹痛，属盘肠内吊，其候曲腰干哭是也。
〔钱〕胃虚冷，面 白色，腹痛不思食，当补脾，益黄散主之。若不下利者，调中丸主之。（益黄
散治下利而痛也，调中丸治不利而痛也。）
调中丸
白术 人参 甘草（炒。各半两） 干姜（炮，四钱）
上为细末，蜜丸如绿豆大。每服五七丸至十五丸，食前，温水下。（海藏云∶仲景理中例也。）
当归散 凡小儿夜啼者，脏寒而腹痛，面青手冷，不吐乳是也，宜此方。服之效。
当归（去芦头） 白芍药 人参（各一钱） 甘草（炙，五分） 桔梗 陈皮（各一钱）
上 咀，煎五分，时时少服愈。
上三方，治寒腹痛，属胃虚，其候不思食是也。
热痛亦啼叫不止，夜发，面赤唇焦，小便赤黄，与三黄丸、人参汤下。（三黄丸方见发热法。）
〔丹〕腹痛夜啼。服牛黄丸如豆大，乳化吃之，于脐下书田字，立安。（《圣惠方》）
〔钱〕积痛，口中气温，面黄白，目无精光，或白睛多，及多睡畏食，或大便酸臭者，当磨积，
宜消积丸。甚者白饼子下之。后和胃，用白术散。（消积丸、白饼子方见癖。白术散方见消渴。）
〔丹〕食积腹痛硬。必用紫苏、萝卜子之类。
〔世〕小儿好吃粽成腹痛。用黄连、白酒药等分，为丸服。
〔汤〕三棱散 治积气肚痛。
砂仁 甘草 益智（炒，去壳） 三棱 蓬术 青皮（炒，各等分） 为末，白汤点下。
虫痛，面 白，心腹痛。口中沫及清水出，发痛有时，安虫散主之。小儿本怯者，多此病。
（田氏云∶虫痛，啼哭俯仰，坐卧不安，自按心腹，时时大叫，面无正色，或青或黄，唇白。又目无精色，
口吐涎沫，此为虫痛。）
〔钱〕安虫散 治小儿虫痛。
胡粉（炒黄） 鹤虱（炒黄） 川楝子（去皮核） 白矾（枯，二钱半）
上为细末，每服一字，大者五分，米饮调下，痛时服。
〔汤〕治虫动，痛极不可忍。用干漆半两，槟榔一枚生用，窑老一块，再 细研，三件一处为末，
空心热酒调，良久，取下虫，立愈，验。（窑老，恐窑中 过泥物也。）
又方 用干漆一两，捣碎，炒令烟尽出，用新汲水入生麻油，空心调下。
〔钱〕安虫丸 治上中二焦虚，或胃寒虫动及痛。
干漆（炒烟尽，二分） 雄黄（一分） 巴豆霜（一钱）
上为细末，糊丸如黍米大，量儿大小服之。取东引石榴根煎汤下，或苦楝根，或芜荑汤下五七丸至
二三十丸，发时服。
芜荑散 主治同前。凡小儿痛时，便高声啼叫，人中上鼻头唇口一时黑色，脉法当沉弱而弦，今
反脉大，是虫
症也。
白芜荑 干漆（炒。各等分）
上为细末，每服一字或五分，或一钱，米饮调下，发时服。
〔丹〕蛔虫。用苦楝根为君，佐以二陈汤煎下。
〔钱〕积痛，食痛，虚痛，大同小异。惟虫痛者当口淡而沫自出，治之随其症用药。虫与痫相似，小儿本
怯故胃虚冷，则虫动而心痛，与痫症略相似，但目不斜，手不搐也，安虫散主之。
辛氏女子五岁，病虫痛。诸医以巴豆、干漆、 砂之属治之，不效。至五日外，多哭而俯仰，睡卧不安，
自按心腹，时大叫，面无正色，或青或黄，或白或黑，目无光而慢，唇白吐沫。至六日，胸高而卧转不安。召
钱至，钱详视之。用芜荑散三服，见目不除青色。大惊曰∶此病大困，若更加泻，则为逆也。至次日，辛见钱
曰∶夜来三更果泻。钱于泻盆中看，如药汁，以杖搅之，见有丸药。钱曰∶此子肌浓，当气实，今证反虚，不
可治也。辛曰∶何以然？钱曰∶脾虚胃冷则虫动，而今反目青，此肝乘脾。又更加泻，知其气极虚也。
而丸药随粪下，即脾胃已脱，兼形病不相应，故知死病。后五日昏笃，七日而死。
〔汤〕小儿腹痛，身体弯曲腰部，干哭无泪，面色青白，嘴唇发黑，四肢冰冷，这被称为“盘肠内吊”。凡是出现这种证候，应立即煎煮葱汤淋洗并揉按腹部，用葱熨烫脐部及腹部。过一段时间后，小便自然从疼痛中排出，疼痛立即停止。随后再服用药物。
乳香、没药（各取少许透明者，细细研磨）
以上药材，取一块木香，在乳钵中磨碎，加入一分水，煮沸数滚，调和乳香、没药的药末。
此药只需服用一次即可见效。
〔钱〕钩藤膏：治疗小儿腹中剧烈疼痛，干啼后身体仰卧，名为“盘肠内吊”。
乳香（研）、没药（研）、木香、姜黄（各四钱）、木鳖子仁（二十一个）
先将后三味药共同研成细末，然后调入前两种药末，用炼蜜和成药剂，收藏保存。每岁儿童可服用半颗皂荚子大小的药量，其余根据情况酌情加减。
用钩藤汤煎服化开送下，不限时间。之后再用魏香散。
魏香散
蓬术（半两）、阿魏（一钱）
先用温水化开阿魏，浸泡蓬术一整夜，焙干后研为粉末。每次服用一字或半钱，用紫苏米饮煎好，空腹调服。
〔无〕蒜乳丸：治疗冷证腹痛引起的夜啼。
大蒜（一棵，慢火煨至香熟，研烂）、乳香（另研，五分）
将上述药物研磨，制成如芥菜子大小的丸药。每次服用七粒，用乳汁送下。
以上四方，均用于治疗寒性腹痛，属于“盘肠内吊”，其表现为弯腰干哭。
〔钱〕胃虚寒冷，面色㿠白，腹痛不想进食，应当补脾，以益黄散为主治方。（益黄散治疗伴有腹泻的腹痛，调中丸治疗不伴腹泻的腹痛。）
调中丸
白术、人参、甘草（炒，各半两）、干姜（炮制，四钱）
以上药物研为细末，蜂蜜和丸如绿豆大小。每次服用五至七丸至十五丸，饭前用温水送下。（海藏说：这是遵循仲景理中汤的法则。）
当归散：凡是小儿夜啼，都是因脏寒而腹痛，面色青，手脚冷，不吐奶，适宜使用此方。服用后有效。
当归（去芦头）、白芍药、人参（各一钱）、甘草（炙，五分）、桔梗、陈皮（各一钱）
以上药物切碎，煎取五分药液，时时少量服用，病愈即止。
以上三方，用于治疗寒性腹痛，属于胃虚，其表现为不想进食。
热痛也会啼叫不止，夜间发作，面色红赤，嘴唇焦裂，小便赤黄，给予三黄丸，用人参汤送下。（三黄丸方见发热法章节。）
〔丹〕腹痛夜啼。服用牛黄丸，大小如豆，乳化后喂服，并在脐下写个“田”字，疼痛立止。（出自《圣惠方》）
〔钱〕积滞疼痛，口中气息温热，面色黄白，眼神无光彩，或者眼白多，以及嗜睡畏食，或者大便酸臭的，应当消积，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、白饼子方见癖块章节。白术散方见消渴章节。）
〔丹〕食积导致的腹痛且腹部硬满。必须使用紫苏、萝卜子之类的药物。
〔世〕小儿喜欢吃粽子导致腹痛。用黄连、白酒药等分，制成丸药服用。
〔汤〕三棱散：治疗积气引起的肚痛。
砂仁、甘草、益智（炒，去壳）、三棱、蓬术、青皮（炒，各等分）
研为粉末，用白开水冲服。
虫痛，面色㿠白，心腹疼痛。口中流出唾液及清水，疼痛发作有定时，以安虫散为主治方。小儿体质本怯弱的，多患此病。
（田氏说：虫痛，啼哭时身体俯仰，坐卧不安，自己按压心腹，不时大叫，面色不正，或青或黄，嘴唇白。另外眼神无光彩，口吐涎沫，这就是虫痛。）
〔钱〕安虫散：治疗小儿虫痛。
胡粉（炒黄）、鹤虱（炒黄）、川楝子（去皮核）、白矾（枯，二钱半）
以上药物研为细末，每次服用一字，年长者五分，用米饮调服，疼痛时服用。
〔汤〕治疗虫动，疼痛极度难以忍受。用干漆半两，槟榔一枚生用，窑老一块，再次细细研磨，将三件东西一处研为粉末，空腹用热酒调服，过一会儿，排出虫子，立刻痊愈，很灵验。（窑老，恐怕是窑中烧过的泥物。）
又一方：用干漆一两，捣碎，炒至烟尽冒出，用新汲生水加入生麻油，空腹调服。
〔钱〕安虫丸：治疗上中二焦虚弱，或胃寒虫动及疼痛。
干漆（炒至烟尽，二分）、雄黄（一分）、巴豆霜（一钱）
以上药物研为细末，糊丸如黍米大小，根据儿童大小服用。取东引石榴根煎汤送下，或用苦楝根，或用芜荑汤送下五至七丸至二三十丸，疼痛发作时服用。
芜荑散：主治同前。凡是小儿疼痛时，就高声啼叫，人中、鼻头、唇口一时变黑，脉法应当沉弱而弦，现在反而脉大，这是虫症。
白芜荑、干漆（炒，各等分）
以上药物研为细末，每次服用一字或五分，或一钱，用米饮调服，疼痛发作时服用。
〔钱〕积痛、食痛、虚痛，大同小异。只有虫痛是口淡且口水自出，治疗时随其症状用药。虫痛与痫证相似，小儿本怯弱所以胃虚冷，则虫动而心痛，与痫证略微相似，只是眼睛不斜视，手不抽搐，以安虫散为主治方。
辛氏女子五岁，患虫痛。众医生用巴豆、干漆、硇砂之类治疗，无效。到了第五天以后，多哭且身体俯仰，睡卧不安，自己按压心腹，时常大叫，面色不定，或青或黄，或白或黑，眼神无光且迟缓，嘴唇白吐沫。到了第六天，胸部高耸而卧转不安稳。召请钱乙前来，钱乙仔细查看。用了三服芜荑散，见到眼睛青色未除。大惊说：此病非常危重，如果再加腹泻，就是逆证了。到了第二天，辛氏对钱乙说：昨晚三更果然腹泻。钱乙在泻盆中看，像药汁一样，用棍子搅拌，看见有丸药。钱乙说：这孩子肌肉丰厚，应当气实，现在证候反而虚，不可治了。辛氏问：为什么这样说？钱乙说：脾虚胃冷则虫动，而现在反而目青，这是肝乘脾。又加上腹泻，知道其气极虚。而且丸药随粪便排出，说明脾胃已脱，兼形体与病证不相符合，所以知道是死证。五天后病情昏重，七天后死亡。
[Tang] When a child suffers from abdominal pain, bends the waist, cries dryly without tears, has a cyan and pale complexion, black lips, and cold limbs, this is termed "Coiling Intestine Internal Hanging" (Panchang Neidiao). For any such presentation, immediately decoct green onion soup to wash and rub the abdomen, and apply moxibustion or hot compress with green onions to the umbilicus and abdomen. After some time, urine will naturally discharge amidst the pain, and the pain will cease immediately. Subsequently, administer oral medication.
Frankincense (Ruxiang) and Myrrh (Moyao) (take a small amount of transparent pieces of each, grind finely).
Take a piece of Costus Root (Muxiang), grind it in a mortar, add one fen of water, boil for several boils, and mix with the powders of Frankincense and Myrrh.
This medicine takes effect after a single dose.
[Qian] Gouteng Paste: Treats severe abdominal pain in children, dry crying followed by lying supine, named "Coiling Intestine Internal Hanging".
Frankincense (ground), Myrrh (ground), Costus Root (Muxiang), Turmeric Rhizome (Jianghuang) (each 4 qian), Semen Momordicae (Mubiezi Ren) (21 pieces).
First, grind the latter three ingredients into a fine powder, then incorporate the first two ingredients. Mix with refined honey to form a paste, and store. For each year of age, administer half the size of a soap pod; adjust the dosage according to circumstances.
Administer dissolved in Gouteng Decoction, at any time. Follow up with Weixiang San.
Weixiang San
Curcuma Zedoaria Rhizome (Pengzhu) (0.5 liang), Asafoetida (Awei) (1 qian).
First dissolve Asafoetida in warm water, soak Curcuma Zedoaria Rhizome for a day and night, dry it, and grind into powder. Take one zi or half a qian per dose, decoct Perilla Leaf (Zisu) and rice drink, and take mixed on an empty stomach.
[Wu] Suanru Wan: Treats night crying due to abdominal pain from cold syndrome.
Garlic (one clove, slow-roasted until fragrant and cooked, mashed), Frankincense (separately ground, 5 fen).
Grind together and make pills the size of mustard seeds. Take seven pills per dose, delivered with breast milk.
The above four formulas treat cold-type abdominal pain belonging to "Coiling Intestine Internal Hanging," characterized by bending the waist and dry crying.
[Qian] Stomach deficiency-cold presents with a sallow-white complexion, abdominal pain, and loss of appetite; tonify the spleen, primarily using Yihuang San. If there is no diarrhea, use Tiaozhong Wan. (Yihuang San treats painful diarrhea; Tiaozhong Wan treats pain without diarrhea.)
Tiaozhong Wan
Atractylodes Macrocephala Rhizome (Baizhu), Ginseng Radix (Renshen), Licorice Root (Gancao) (stir-baked, each 0.5 liang), Dried Ginger (Ganjiang) (processed, 4 qian).
Grind into fine powder, mix with honey to make pills the size of mung beans. Take five to seven pills up to fifteen pills before meals, with warm water. (Haicang says: This follows Zhongjing's Lizhong principle.)
Danggui San: Whenever children cry at night, it is due to internal cold causing abdominal pain, cyan complexion, cold hands, and refusal to suckle; this formula is suitable. It is effective.
Angelica Sinensis Radix (Danggui) (remove rhizome), White Peony Root (Baishao), Ginseng Radix (Renshen) (each 1 qian), Licorice Root (Gancao) (roasted, 5 fen), Platycodon Root (Jiegeng), Tangerine Peel (Chenpi) (each 1 qian).
Cut into pieces, decoct to obtain half a sheng of liquid, take small amounts frequently until cured.
The above three formulas treat cold-type abdominal pain due to stomach deficiency, characterized by loss of appetite.
Heat-type pain also causes incessant crying, occurring at night, with red face and scorched lips, and dark yellow urine; administer Sanhuang Wan, taken down with Renshen Tang. (Sanhuang Wan formula see Heat Fever methods.)
[Dan] Abdominal pain with night crying. Administer Niuhuang Wan the size of a bean, emulsified and fed; write the character "Tian" below the umbilicus, and relief is immediate. (From *Shenghui Fang*)
[Qian] Accumulation pain presents with warm breath, sallow-white complexion, lackluster eyes, excessive whites of the eyes, lethargy, aversion to food, or sour-smelling stool; eliminate accumulation, preferably using Xiaoji Wan. For severe cases, use Baibing Zi to purge. Afterwards, harmonize the stomach using Baizhu San. (Xiaoji Wan, Baibing Zi formulas see Pi masses. Baizhu San formula see Xiaoke.)
[Dan] Food stagnation causing abdominal pain and hardness. Must use Perilla Seed (Zisu) and Radish Seeds (Luobozhi) etc.
[Shi] Children who like eating zongzi may develop abdominal pain. Use Coptis Rhizome (Huanglian) and Fermented Rice Ball (Baijiuyao) in equal parts, make into pills and take.
[Tang] Sanleng San: Treats abdominal pain due to qi accumulation.
Amomum Fruit (Sharen), Licorice Root (Gancao), Alpinia Oxyphylla Fruit (Yizhi) (stir-baked, remove shell), Burreed Tuber (Sanleng), Curcuma Zedoaria Rhizome (Pengzhu), Green Tangerine Peel (Qingpi) (stir-baked, equal parts).
Grind into powder, take with plain boiled water.
Worm pain presents with a sallow-white complexion, heart and abdominal pain. Saliva and clear fluid flow from the mouth, pain occurs at fixed times; treat primarily with Anchong San. Children with innate timidity often suffer from this.
(Tian says: Worm pain involves crying while bending and straightening, restlessness in sitting and lying, self-pressing of the heart and abdomen, frequent loud crying, abnormal facial color, either cyan or yellow, white lips. Also lackluster eyes and spitting saliva; this is worm pain.)
[Qian] Anchong San: Treats pediatric worm pain.
Lead Carbonate (Hufen) (stir-baked yellow), Chrysanthemum Carancas Seed (Heshi) (stir-baked yellow), Toosendan Fruit (Chuanlianzi) (remove peel and seed), Alum (Bai fan) (calcined, 2.5 qian).
Grind into fine powder. Take one zi per dose, or five fen for older children, mixed with rice drink, taken during pain.
[Tang] Treating moving worms with unbearable pain. Use Dry Resin of Toxicodendron (Ganqi) 0.5 liang, Areca Seed (Binglang) one piece (raw), Yaolao one piece, grind finely again. Mix the three items into powder, take with hot wine on an empty stomach. After a while, expel the worms, and cure immediately. (Yaolao is likely mud objects burned in kilns.)
Another prescription: Use Dry Resin of Toxicodendron (Ganqi) one liang, crush, stir-fry until smoke ceases. Mix with fresh well water and raw sesame oil, take on an empty stomach.
[Qian] Anchong Wan: Treats deficiency of upper and middle jiao, or stomach cold causing worm movement and pain.
Dry Resin of Toxicendron (Ganqi) (stir-fry until smoke ceases, 2 fen), Realgar (Xionghuang) (1 fen), Croton Seed Frost (Badou Shuang) (1 qian).
Grind into fine powder, make pills with paste the size of millet seeds. Dosage depends on the child's size. Take down with decoction of East-growing Pomegranate Root, or Vitex Root, or Xuyi Tang, five to seven pills up to twenty to thirty pills, taken when pain occurs.
Xuyi San: Main indications same as above. Whenever children cry loudly during pain, and the philtrum, nose tip, lips, and mouth turn black simultaneously, pulse diagnosis should be deep, weak, and wiry; now the pulse is large instead, indicating worm syndrome.
White Xuyi (Bai Wuyi), Dry Resin of Toxicodendron (Ganqi) (stir-baked, equal parts).
Grind into fine powder. Take one zi or five fen, or one qian, mixed with rice drink, taken when pain occurs.
[Dan] Ascariasis. Use Vitex Root (Kuliu Gen) as the chief herb, assisted by Erchen Tang decoction.
[Qian] Accumulation pain, food pain, and deficiency pain are largely similar. Only worm pain presents with bland taste and spontaneous saliva flow; treat according to symptoms. Worm pain resembles epilepsy; because children are innately timid, stomach deficiency-cold causes worm movement and heart pain, slightly resembling epilepsy, but without eye deviation or hand convulsions; treat primarily with Anchong San.
Ms. Xin's five-year-old daughter suffered from worm pain. Various physicians treated her with Croton Seed (Badou), Dry Resin of Toxicodendron (Ganqi), Nardostachys (Naxiao) etc., without effect. By the fifth day, she cried much, bent and straightened, slept restlessly, pressed her heart and abdomen herself, cried loudly at times, had varying facial colors (cyan, yellow, white, black), lackluster and slow eyes, white lips, and spitting saliva. On the sixth day, her chest was elevated and she lay restlessly. Qian Yi was summoned and examined carefully. After three doses of Xuyi San, the cyan color in the eyes remained. Qian Yi was greatly alarmed, saying: "This disease is critical; if diarrhea ensues, it is a adverse sign." The next day, Ms. Xin told Qian Yi: "Indeed, there was diarrhea at midnight." Qian Yi looked into the chamber pot, seeing liquid like medicine juice, stirred it with a stick, and saw pill fragments. Qian Yi said: "This child has thick flesh, implying robust Qi, yet the presentation is deficient; it is untreatable." Ms. Xin asked: "Why?" Qian Yi said: "Spleen deficiency and stomach cold cause worm movement; now the eyes are cyan, indicating Liver overacting on Spleen. Plus the diarrhea indicates extreme Qi deficiency. The pills passing with feces indicate Spleen and Stomach collapse. Combined with the mismatch between form and disease, I know it is fatal." Five days later, the condition became comatose, and she died on the seventh day.