□乳之候非一端，伤乳停痰胃热寒，热宜和中清热饮，寒用温中止吐煎，
伤乳平胃散最妙，停痰二陈汤可痊，若是满而自溢者，常须节乳自能安。
[注]
小儿□乳，证非一端，有宿乳停痰胃寒胃热之分，不可一例而治，
如面色多赤，二便微秘，手足指热，此为热□也，宜和中清热饮主之，
面色青白，粪清多沫，手足指冷，此因寒而□也，宜温中止吐汤主之，
口热唇干，夜卧不宁，手足心热，此为伤乳而□也，宜平胃散主之，
胸膈膨满，呕吐痰涎，此因停痰而□也，宜枳桔二陈汤主之，
若吃乳过多，满而自溢者，不须服药，惟节乳则□自止矣。
(和中清热饮) 黄连姜炒 半夏姜制 陈皮 茯苓 藿香 砂仁 引用姜水煎服。
(方歌)
和中清热饮黄连，半夏陈皮茯苓攒，藿香砂仁合成剂，水煎徐服可安全。
(温中止吐汤) 白豆蔻研 茯苓 半夏姜制 生姜 水煎冲磨沈香汁服。
(方歌)
温中止吐白豆蔻，茯苓半夏共生姜，临服沈香汁加人，专治□乳自寒伤。
(平胃散) 苍术炒 陈皮 厚朴姜炒 甘草炙 麦芽炒 砂仁研 引用姜水煎服。
(方歌)
小儿伤乳多吐□，平胃调和功可见，苍陈厚朴甘草偕，加人麦砂姜一片。
(枳桔二陈汤) 枳壳麸炒 桔梗 陈皮 半夏姜制 茯苓 甘草炙 引用姜水煎服。
(方歌)
停痰□乳不能安，枳桔二陈汤最先，枳桔陈半苓甘草，生姜加入实时痊。
%
初生 门
乳积（婴儿因哺乳不当导致的乳食停滞）的症状表现有多种情况，包括伤乳、停痰、胃热和胃寒。对于胃热引起的乳积，适宜使用和中清热饮；对于胃寒引起的乳积，适宜使用温中止吐煎（汤）。若是伤乳所致，平胃散效果最佳；若是停痰所致，二陈汤可以治愈。如果是乳汁过多导致乳房胀满且自行溢出的情况，只需节制哺乳，身体自然能够安宁。
[注释]
小儿乳积，证候并非只有一种，有宿乳（残留乳汁）、停痰、胃寒、胃热之分，不能一概而论进行治疗。
例如面色多红赤，大小便轻微秘结，手指发热，这是热性乳积，宜用和中清热饮主治；
面色青白，粪便清稀多泡沫，手指发冷，这是因为寒邪导致的乳积，宜用温中止吐汤主治；
口热唇干，夜间睡眠不安宁，手心发热，这是伤乳导致的乳积，宜用平胃散主治；
胸膈部膨满胀痛，呕吐痰涎，这是因为停痰导致的乳积，宜用枳桔二陈汤主治；
如果吃奶过多，乳房胀满而自行溢出乳汁，不需要服药，只要节制哺乳，乳积症状自然就会停止。
(和中清热饮) 黄连（姜炒）、半夏（姜制）、陈皮、茯苓、藿香、砂仁，引用姜水煎服。
(方歌)
和中清热饮含黄连，半夏陈皮茯苓相攒聚，藿香砂仁合成此药剂，水煎徐徐服用可保安全。
(温中止吐汤) 白豆蔻（研末）、茯苓、半夏（姜制）、生姜，水煎后冲服磨好的沉香汁。
(方歌)
温中止吐用白豆蔻，茯苓半夏共配生姜，临服时加入沉香汁，专门治疗乳积因寒邪损伤。
(平胃散) 苍术（炒）、陈皮、厚朴（姜炒）、甘草（炙）、麦芽（炒）、砂仁（研末），引用姜水煎服。
(方歌)
小儿伤乳多呕吐，平胃散调和功效可见，苍术、陈皮、厚朴、甘草相随，再加入麦芽、砂仁和一片生姜。
(枳桔二陈汤) 枳壳（麸炒）、桔梗、陈皮、半夏（姜制）、茯苓、甘草（炙），引用姜水煎服。
(方歌)
停痰乳积不得安宁，枳桔二陈汤为首选，枳壳、桔梗、陈皮、半夏、茯苓、甘草，加入生姜实时痊愈。
**Accumulation of Milk in Infants**
The manifestations of milk accumulation (infantile food stagnation due to improper breastfeeding) are diverse, involving damage to the milk, retained phlegm, stomach heat, and stomach cold. For cases caused by stomach heat, Hezhong Qingre Yin (Harmonize the Middle and Clear Heat Decoction) is appropriate; for those caused by stomach cold, Wenzhong Zhi Ou Tang (Warm the Middle and Stop Vomiting Decoction) is appropriate. If caused by damage to the milk, Pingwei San (Calm the Stomach Powder) yields the best results; if caused by retained phlegm, Erchen Tang (Two-Aged Decoction) can cure it. In cases where excessive milk leads to breast distension and spontaneous leakage, medication is unnecessary; simply regulating breastfeeding will allow the body to return to tranquility.
[Annotation]
Infantile milk accumulation presents with various syndromes, distinguished by residual milk, retained phlegm, stomach cold, and stomach heat. Treatment cannot be uniform.
For instance, if the complexion is predominantly red, bowel movements and urination are slightly constipated, and the fingers are warm, this indicates heat-type milk accumulation, which should be treated primarily with Hezhong Qingre Yin (Harmonize the Middle and Clear Heat Decoction).
If the complexion is cyanotic and pale, stool is clear and frothy, and the fingers are cold, this is milk accumulation due to cold, which should be treated primarily with Wenzhong Zhi Ou Tang (Warm the Middle and Stop Vomiting Decoction).
If there is oral heat, dry lips, restless sleep at night, and warmth in the palms, this is milk accumulation due to damaged milk, which should be treated primarily with Pingwei San (Calm the Stomach Powder).
If there is distension and fullness in the chest and diaphragm, with vomiting of phlegm and saliva, this is milk accumulation due to retained phlegm, which should be treated primarily with Zhijie Erchen Tang (Aurantii Fructus and Platycodon Two-Aged Decoction).
If the infant feeds excessively, leading to breast distension and spontaneous milk leakage, no medication is required; merely regulating breastfeeding will cause the symptoms to cease spontaneously.
**(Hezhong Qingre Yin / Harmonize the Middle and Clear Heat Decoction)**
Coptidis Rhizoma (stir-fried with ginger), Pinelliae Tuber (prepared with ginger), Citri Reticulatae Pericarpium, Poria, Agastaches Herba, Amomi Fructus. Decoct with ginger water for administration.
**(Prescription Song)**
Hezhong Qingre Yin contains Coptis,
Pinellia, Citrus peel, and Poria gather together,
Agastache and Amomum combine to form this remedy,
Decocted in water and taken slowly ensures safety.
**(Wenzhong Zhi Ou Tang / Warm the Middle and Stop Vomiting Decoction)**
Cardamomi Fructus (ground), Poria, Pinelliae Tuber (prepared with ginger), Zingiberis Rhizoma Recens. Decoct in water and mix with freshly ground Aquilariae Lignum Resinatum juice before administration.
**(Prescription Song)**
Wenzhong Zhi Ou uses Cardamom,
Poria and Pinellia share with Fresh Ginger,
Add Aquilariae Lignum Resinatum juice just before taking,
Specially treating milk accumulation injured by cold.
**(Pingwei San / Calm the Stomach Powder)**
Atractylodis Macrocephalae Rhizoma (stir-fried), Citri Reticulatae Pericarpium, Magnoliae Officinalis Cortex (stir-fried with ginger), Glycyrrhizae Radix et Rhizoma (roasted), Malto (stir-fried), Amomi Fructus (ground). Decoct with ginger water for administration.
**(Prescription Song)**
Infants with damaged milk often vomit,
Pingwei San harmonizes with visible efficacy,
Atractylodes, Citrus, Magnolia, and Licorice accompany,
Add Malt, Amomum, and a slice of Ginger.
**(Zhijie Erchen Tang / Aurantii Fructus and Platycodon Two-Aged Decoction)**
Aurantii Fructus (bran-stir-fried), Platycodonis Radix, Citri Reticulatae Pericarpium, Pinelliae Tuber (prepared with ginger), Poria, Glycyrrhizae Radix et Rhizoma (roasted). Decoct with ginger water for administration.
**(Prescription Song)**
Retained phlegm and milk accumulation disturb peace,
Zhijie Erchen Tang is the first choice,
Aurantii, Platycodon, Citrus, Pinellia, Poria, and Licorice,
Adding Fresh Ginger brings immediate recovery.