（第十六）
小儿阴肿者，足少阴为肾之经，其气下通于阴，或有少阴之经虚而受风邪者，气冲于阴，
气与血搏结则阴肿也。然儿有大小、壮弱，起止中节可也。苟肾气虚，或坐石不起，冷气凝之，
或近地经久，风邪湿气伤之，不为阴肿几希矣。间有啼叫，怒气闭击于下，结聚不散，加以水
窦不行，亦能发为此疾。
小儿外肾肿大宜牡蛎，不拘多少，研极细，以津唾涂肿处，敷蛎于其上，或鸡子清调涂
亦佳。又有疝气，名偏坠肿大，盖小儿生下如此者，不疼痛，不须攻击，不治自愈。若肿痛甚
则急服药，宜五苓散、青木香丸并疏气药服之。《济生方》用牡丹皮、防风为末，酒调服极效
。五苓散内加防风、牡丹皮亦效。热者三黄丸服。
匀气散 治婴儿调补通利后及冷疝腹痛，气滞不和。
桔梗（一两炒） 陈皮（去白，半两） 砂仁 茴香（各二钱） 白姜（炮，钱半） 甘草（炙，二钱）
上为细末，滚白汤调下，冷疝腹痛，烧盐汤下，食前服。
乌梅散 治婴儿腹痛，初生脐下冷痛，疝气。
乌梅（一个，去核） 延胡索 甘草（半生半炙。各二钱半） 乳香 没药 钩藤（各一钱半）
上咀水煎，食前服。
金茱丸 治婴儿冷疝气痛，及脬囊浮肿。
金铃子肉（半两） 吴茱萸（二钱半）
上末，酒煮糊丸，黍米大。食前盐汤下二七丸。
青木香丸宽中快膈，腹痛，心下坚痞，肠中水声及阴肿。
黑豆（炒，一两半） 木香 破故纸（炒） 荜澄茄 槟榔（各四钱）
上先将槟榔、粟饭包湿纸包裹，煨焦，去饭，用槟榔同前药为末，滴水丸，绿豆大。每
服十丸，空心白汤下。
敷药方 治小儿外肾肿大光明。
牡蛎灰（二钱） 干地龙（一钱）
为末，津唾调涂，热者，鸡子清调。
蝉蜕散 治小儿阴肿或坐湿地，或风寒，或虫蚓吹者。用蝉蜕半两，水二碗，煎汤洗肿处
则消，再温再洗。又服五苓灯芯汤则愈。又方，用葱、园内蚓泥、甘草汤调敷肿上，亦消肿
止痛。
地龙膏 治小儿疝气肿痛及阴疮。先以葱椒汤洗，次用地龙末、鸡子清调敷。又方，研桃
仁泥唾调敷。
（第十六）
小儿阴部肿胀，是因为足少阴肾经是肾脏的经脉，其气下行连通于阴部。如果少阴经气虚弱而遭受风邪侵袭，气机冲逆至阴部，气与血相互搏结，就会导致阴部肿胀。然而儿童有大小、强弱之分，治疗时应把握适度原则。假如肾气虚弱，或者久坐石上不起，寒气凝结；或者长时间靠近地面，被风邪湿气所伤，不出现阴肿的情况就很少见了。偶尔有啼哭叫喊，怒气郁结阻滞于下焦，气血结聚不散，加上水道不通利，也能引发此病。
小儿外生殖器肿大适宜使用牡蛎，数量不限，研磨成极细粉末，用唾液涂抹在肿胀处，将牡蛎粉敷在上面，或者用蛋清调和涂抹也很好。又有疝气，名为偏坠肿大，这有些是小儿出生时就有的，不疼痛，不需要攻伐治疗，不治也能自愈。如果肿痛严重，则应立即服药，适宜服用五苓散、青木香丸以及疏理气机的药物。《济生方》中使用牡丹皮、防风研为末，用酒调服效果极佳。在五苓散中加入防风、牡丹皮也有效。属于热证的服用三黄丸。
匀气散：治疗婴儿在调理补益、通利之后，以及冷疝引起的腹痛，气机滞涩不和。
桔梗（一两，炒制） 陈皮（去白，半两） 砂仁 茴香（各二钱） 白姜（炮制，一钱半） 甘草（炙，二钱）
以上药材研为细末，用滚开的白开水调服。若是冷疝腹痛，用烧盐汤送服，饭前服用。
乌梅散：治疗婴儿腹痛，初生时脐下冷痛，疝气。
乌梅（一个，去核） 延胡索 甘草（一半生用一半炙用，各二钱半） 乳香 没药 钩藤（各一钱半）
以上药材切碎，加水煎煮，饭前服用。
金茱丸：治疗婴儿冷疝气痛，以及膀胱囊袋浮肿。
金铃子肉（半两） 吴茱萸（二钱半）
以上药材研为末，用酒煮糊制作成丸，如黍米大小。饭前用盐汤送服十四丸。
青木香丸：宽中快膈，治疗腹痛，心下部坚硬痞块，肠中有水声以及阴部肿胀。
黑豆（炒制，一两半） 木香 破故纸（炒制） 荜澄茄 槟榔（各四钱）
先将槟榔和粟米饭一起用湿纸包裹，煨烤至焦黑，去掉米饭，取槟榔同上述药物研为末，滴水泛丸，如绿豆大小。每次服用十丸，空腹时用白开水送服。
敷药方：治疗小儿外生殖器肿大。
牡蛎灰（二钱） 干地龙（一钱）
研为细末，用唾液调和涂抹。若属热证，用蛋清调和。
蝉蜕散：治疗小儿阴肿，或因坐湿地，或因风寒，或因虫蚁吹袭所致。用蝉蜕半两，水两碗，煎汤清洗肿胀处即可消退，待稍温后再洗。另外内服五苓灯芯汤则可痊愈。又一方，用葱、菜园里的蚯蚓泥、甘草汤调和敷于肿胀处，也能消肿止痛。
(XVI)
In infants, swelling of the yin (genital area) occurs because the Foot-Shaoyin Kidney Meridian is the channel of the Kidneys, and its qi descends to connect with the yin. If the Qi of the Shaoyin Meridian is deficient and subjected to Wind pathogenic factors, the Qi rushes to the yin, and when Qi and Blood clash and knot together, swelling of the yin results. However, children vary in size and strength; treatment should be moderate. If Kidney Qi is deficient, or if the child sits on stone for a long time without rising, causing Cold Qi to coagulate; or if the child stays close to the ground for an extended period, injured by Wind and Dampness pathogenic factors, it would be rare not to develop swelling of the yin. Occasionally, crying and shouting cause anger to stagnate and block the lower jiao, leading to knotting and accumulation that does not disperse. Coupled with dysfunction of the water passages, this can also trigger this disease.
For swelling of the external genitalia in infants, Oyster Shell (Muli) is suitable. The amount is unrestricted; grind it into an extremely fine powder, apply saliva to the swollen area, and sprinkle the oyster shell powder on top. Alternatively, mixing it with egg white for application is also excellent. There is also hernia, known as unilateral scrotal swelling. In some cases, this is present from birth, causes no pain, requires no aggressive treatment, and heals spontaneously. If pain and swelling are severe, medication should be administered immediately. It is appropriate to take Wuling San (Five-Ingredient Poria Decoction), Qingmuxiang Wan (Blue Magnolia Pill), and Qi-regulating herbs. *Jisheng Fang* uses Cortex Moutan Radicis (Mudanpi) and Saposhnikoviae Radix (Fangfeng) ground into powder, taken with wine for excellent effect. Adding Saposhnikoviae Radix (Fangfeng) and Cortex Moutan Radicis (Mudanpi) to Wuling San is also effective. For heat patterns, Sanhuang Wan (Three-Yellow Pill) is taken.
Yunqi San: Treats infants after regulation, tonification, and unblocking, as well as abdominal pain caused by cold hernia and stagnant, disharmonious Qi.
Platycodonis Radix (Jiegeng) (1 liang, stir-fried), Citri Reticulatae Pericarpium (Chenpi) (peeled, 0.5 liang), Amomi Fructus (Sharen), Foeniculi Fructus (Huixiang) (each 2 qian), Zingiberis Rhizoma Praeparatum (Baijiang) (processed, 1.5 qian), Glycyrrhizae Radix et Rhizoma (Gancao) (honey-fried, 2 qian).
Grind the above into a fine powder. Mix with boiling plain water for administration. For cold hernia abdominal pain, administer with salted broth. Take before meals.
Wumei San: Treats infant abdominal pain, cold pain below the umbilicus upon birth, and hernia.
Mume Fructus (Wumei) (one fruit, pitted), Corydalis Rhizoma (Yanhusuo), Glycyrrhizae Radix et Rhizoma (Gancao) (half raw, half honey-fried, each 2.5 qian), Boswelliae Resina (Ruxiang), Myrrha (Moyao), Uncariae Ramulus cum Uncis (Gouteng) (each 1.5 qian).
Cut the herbs, decoct in water, and take before meals.
Jinzhu Wan: Treats infant cold hernia pain and edema of the bladder sac.
Semen Meliae (Jinlingzi Rou) (0.5 liang), Evodiae Fructus (Wuzhuyu) (2.5 qian).
Grind into powder, make pills using wine-boiled paste, sized like millet seeds. Take fourteen pills before meals with salted broth.
Qingmuxiang Wan: Widens the middle and relieves the diaphragm; treats abdominal pain, hardness and fullness in the epigastrium, borborygmus in the intestines, and swelling of the yin.
Sojae Semen Preparatum (Heidou) (stir-fried, 1.5 liang), Aucklandiae Radix (Muxiang), Psoraleae Fructus (Poguzhi) (stir-fried), Piperis Kadsurae Fructus (Bichengqie), Arecae Semen (Binglang) (each 4 qian).
First, wrap Binglang with millet rice in wet paper and roast until charred. Remove the rice, take the Binglang, and mix with the other herbs into powder. Add drops of water to form pills, sized like mung beans. Take ten pills at empty stomach with plain water.
External Application Formula: Treats swelling of the external genitalia in infants.
Oyster Shell Ash (Muli Hui) (2 qian), Earthworm (Dilong) (1 qian).
Grind into powder, mix with saliva for topical application. For heat patterns, mix with egg white.
Chantui San: Treats infant yin swelling caused by sitting on damp ground, Wind-Cold, or insect bites/blows. Use 0.5 liang of Cicada Slough (Chantui), two bowls of water, decoct to make a soup for washing the swollen area until it subsides. Wash again while warm. Additionally, internal administration of Wuling Dengxin Tang (Five-Ingredient Poria with Juncus Decoction) leads to recovery. Another formula: mix Scallion Stem (Congbai), garden earthworm mud, and Licorice Decoction for topical application to reduce swelling and relieve pain.
Dilong Gao: Treats infant hernia pain/swelling and yin sores. First wash with Scallion and Pepper Soup, then apply Earthworm Powder mixed with egg white. Another method: grind Peach Kernel (Taoren) into a paste, mix with saliva for application.