论曰小儿病腹大颈小黄瘦者，名曰丁奚。此由哺食过度，脾胃气弱，不能消化。内成痼
滞，故令津液减损，不能荣其气血，丰其肌体，久而不瘥，变谷坚之病。
治小儿骨中微热腹内不调，食不为肌，或苦寒热，丁奚腹大。鸡骨丸方
雄鸡骨（一具炙黄） 赤茯苓（去黑皮） 石膏（捣末研） 芍药 大黄（锉炒） 紫
菀（去苗
土） 陈橘皮（汤浸去白焙） 矾石（烧令汁尽研） 细辛（去苗叶） 附子（炮裂去皮脐
各半两）
黄芩（去黑心） 桂（去粗皮） 葶苈子（炒各三分）
上一十三味，捣罗为末。炼蜜丸如麻子大。每服五丸，米饮下，早晨日午夜卧各一服，
更量大小加减。
治小儿新生，客忤所中。惊痫发热，哺乳不消。中风掣缩，蹙口吐舌，猝注面青。目上
摇，腹满丁奚羸瘦胫交。三岁不能行。麝香紫霜丸方
麝香（研） 牛黄（研） 雄黄（研） 丹砂（研各一两） 黄连（去须） 桂（去粗
皮） 乌贼鱼
骨（各半两） 特生 石（炼成者一分） 赤足蜈蚣（半枚炙） 附子（炮裂去皮脐一两） 巴
豆（三十枚去皮心绢袋贮灰汁煮半日别捣如泥）
上一十一味，并捣研为末。炼蜜和成剂。密器盛，勿令泄气，每用旋丸，儿生十日至三
十日，服如黍米大二丸，乳汁下，四十日至百日，服如麻子大三丸。米饮下，一岁至三岁，
以意增之，儿虽小而宿实甚者，亦当增丸数。
治小儿丁奚坚癖，黄瘦发脱。代赭丸方
代赭（碎） 大黄（锉炒） 丹砂（研各一两） 鳖甲（醋炙黄去裙 三分） 芍药 木
香杏
仁（汤浸去皮尖炒黄别捣如膏） 知母（焙） 巴豆（去皮心研纸裹出油七遍各一两）
上九味，捣研为末。炼蜜为丸，百日儿，如绿豆大一丸，二百日儿，二丸。二岁儿三丸
，米饮下，以溏利为度。
治小儿丁奚腹大，疳气羸瘦。黄连丸方
黄连（去须） 桂（去粗皮） 代赭（碎各一两） 木香 杏仁（汤浸去皮尖双仁麸炒
别研）
肉豆蔻（去壳各半两） 丹砂（研） 麝香（研各一分） 巴豆（去皮心膜出油尽一钱别研）
上九味，捣研为末令匀，炼蜜和丸。如麻子大，每服粥饮下三丸，量儿大小加减服之。
治小儿食不生肌肉，丁奚腹大，饮食不消。芍药丸方
芍药（炒三两） 大黄（锉炒） 桂（去粗皮） 赤茯苓（去黑皮） 柴胡（去苗各二
两）
上五味，捣罗为末，炼蜜和丸，一岁儿如麻子大二丸，煎蜜汤下，早晚各一服，更量儿
大小加减。
治小儿丁奚腹大，羸瘦骨立。疳气水谷不消。诃黎勒丸方
诃黎勒（煨去核三分） 肉豆蔻（一枚去壳） 青黛（研） 麝香（研） 芦荟（研） 熊
胆（研） 丹砂（研各一分）
上七味，捣研为末。粟米饭和丸，如黍粒大，每服七丸，粥饮下，日二服，量儿大小增
减。
治小儿腹大羸瘦，疳气胀满，腹痛减食。使君子丸方
使君子（一两） 木香 胡黄连 麝香（研） 芦荟（研各半两） 蟾头（一枚炙令焦）
墨（
捣研） 青黛（研） 雄黄（研） 熊胆（研各半两）
上十一味，捣研为细末。炼蜜和丸，如绿豆大，每服以粥饮下十丸，量儿大小增减。
治小儿伤食，失衣当风。湿冷水浴，腹大丁奚，时下痢，寒热如疟，不欲饮食，虽食不
充肌肉，又不能消化。羸瘦不耐。人参丸方
人参 麦门冬（去心焙） 半夏（汤浸十遍去滑） 黄 （锉） 大黄（锉炒） 苦参
（锉） 矾
石（烧汁尽研） 甘草（炙锉） 远志（去心） 黄芩（去黑心各三分） 硝石（研） 芎
（各半两）
上一十二味，捣研为末。炼蜜为丸，如麻子大，一二岁儿，每服三丸，米饮下，四五岁
儿，五丸，早晚各一服，量儿大小加减。
治小儿坚痞面黄，羸瘦丁奚，不欲食，食不充肌，心中躁闷，时发寒热，五脏虚胀，腹
中痛。蜀漆丸方
蜀漆 细辛（去苗叶） 龙胆 附子（炮裂去皮脐各半两） 干姜（炮） 牡丹皮 虻
虫（微
炒） 桂（去粗皮） 曾青（研各三分）
上九味，捣罗为末。炼蜜和丸，如绿豆大，空心五丸，米饮下，量儿大小加减。
治小儿丁奚腹大项细，贪食不充肌肉黄瘁，又名无辜。黄芩丸方
黄芩（去黑心） 黄连（去须各半量） 附子（炮裂去皮脐一枚半两者）
上三味，捣罗为末。用黄雌鸡肥嫩者一只。去毛勿令着水，腹上开一小窍子，取去肠肚
，纳药末，于饭上蒸软。即取出曝干。不用鸡，为末软饭丸如绿豆大，量儿大小，十丸至十
五丸二十丸，米饮下，不拘时候，日三。
论述说：小儿患病腹部胀大、颈部细小、身体黄瘦的，称为“丁奚”。这是由于喂养过度，导致脾胃之气虚弱，无法消化食物。体内形成顽固的积滞，致使津液亏损，不能滋养气血，丰润肌体，日久不愈，演变为谷道坚硬的病症。
治疗小儿骨骼中微热、腹内不调、饮食不能转化为肌肉，或者苦于寒热交替、腹部胀大呈丁奚状的方剂：鸡骨丸方
雄鸡骨（一只，炙至黄色） 赤茯苓（去除黑皮） 石膏（捣碎研末） 芍药 大黄（锉碎炒制） 紫菀（去除苗和泥土） 陈橘皮（用汤浸泡后去除白瓤焙干） 矾石（烧至汁液流尽后研细） 细辛（去除苗叶） 附子（炮裂后去皮脐，各半两） 黄芩（去除黑心） 桂枝（去除粗皮） 葶苈子（炒制，各三分）
以上十三味药，捣碎过筛制成粉末。用炼蜜制成如麻子大小的丸剂。每次服用五丸，米汤送服，早晨日初出时和午夜睡觉前各服一次，并根据患儿年龄大小酌情增减剂量。
治疗新生儿因客忤邪气所中。惊痫发热，哺乳后不消化。中风引起的抽搐拘挛，皱眉张口吐舌，突然面色发青。眼球上翻，腹部胀满、丁奚羸瘦、小腿交叉不能站立。三岁还不能行走的方剂：麝香紫霜丸方
麝香（研细） 牛黄（研细） 雄黄（研细） 丹砂（研细，各一两） 黄连（去除须根） 桂枝（去除粗皮） 乌贼鱼骨（各半两） 特生石（经炼制过的，一分） 赤足蜈蚣（半条，炙制） 附子（炮裂后去皮脐，一两） 巴豆（三十枚，去皮心后用绢袋装好，在灰汁中煮半天，另捣成泥状）
以上十一味药，一起捣碎研细成粉末。用炼蜜调和成药剂。装入密封容器中，防止漏气。每次现搓丸药，出生十日至三十日的婴儿，服用如黍米大小的两丸，乳汁送服；四十日至一百日的婴儿，服用如麻子大小的三丸，米汤送服；一至三岁的幼儿，根据情况增加剂量，虽然幼儿年幼但宿食积滞严重的，也应当增加丸数。
治疗小儿丁奚症形成的坚硬痞块，面色黄瘦、头发脱落。代赭丸方
代赭石（打碎） 大黄（锉碎炒制） 丹砂（研细，各一两） 鳖甲（醋炙至黄色，去除裙边，三分） 芍药 木香 杏仁（用汤浸泡后去皮尖，炒至黄色，另捣如膏状） 知母（焙干） 巴豆（去皮心，研细后用纸包裹挤出油七遍，各一两）
以上九味药，捣碎研细成粉末。用炼蜜制成丸剂，百日大的婴儿，服用如绿豆大小的一丸；二百日大的婴儿，服用两丸；两岁的幼儿服用三丸，米汤送服，以大便稀溏为度。
治疗小儿丁奚腹部胀大，疳气导致的羸瘦。黄连丸方
黄连（去除须根） 桂枝（去除粗皮） 代赭石（打碎，各一两） 木香 杏仁（用汤浸泡后去皮尖，双仁者用麸皮炒后另研） 肉豆蔻（去壳，各半两） 丹砂（研细） 麝香（研细，各一分） 巴豆（去皮心膜，榨尽油，一钱另研）
以上九味药，捣碎研细成均匀粉末，用炼蜜和丸。制成如麻子大小的丸剂，每次服用三丸，粥饮送服，根据幼儿大小调整剂量。
治疗小儿进食后不长肌肉，丁奚腹部胀大，饮食不消化。芍药丸方
芍药（炒制，三两） 大黄（锉碎炒制） 桂枝（去除粗皮） 赤茯苓（去除黑皮） 柴胡（去除苗，各二两）
以上五味药，捣碎过筛成粉末，用炼蜜和丸。一岁大的幼儿，服用如麻子大小的两丸，煎制的蜜汤送服，早晚各服一次，并根据幼儿大小调整剂量。
治疗小儿丁奚腹部胀大，羸瘦得皮包骨头。疳气导致水谷不消化。诃黎勒丸方
诃黎勒（煨制后去核，三分） 肉豆蔻（一枚，去壳） 青黛（研细） 麝香（研细） 芦荟（研细） 熊胆（研细） 丹砂（研细，各一分）
以上七味药，捣碎研细成粉末。用粟米饭和丸，制成如黍粒大小的丸剂，每次服用七丸，粥饮送服，每日两次，根据幼儿大小增减剂量。
治疗小儿腹部胀大、羸瘦，疳气导致的胀满、腹痛、食欲减退。使君子丸方
使君子（一两） 木香 胡黄连 麝香（研细） 芦荟（研细，各半两） 蟾头（一个，炙至焦黄） 墨（捣碎研细） 青黛（研细） 雄黄（研细） 熊胆（研细，各半两）
以上十一味药，捣碎研成细末。用炼蜜和丸，制成如绿豆大小的丸剂，每次服用十丸，以粥饮送服，根据幼儿大小增减剂量。
治疗小儿伤食，穿衣单薄受风。洗冷水澡或冷水浴后，腹部胀大呈丁奚状，时常下痢，寒热往来如疟疾，不想饮食，即使吃了也不能长肌肉，且不能消化。身体羸瘦不耐受。人参丸方
人参 麦门冬（去心焙干） 半夏（用汤浸泡十遍去除滑腻感） 黄芪（锉碎） 大黄（锉碎炒制） 苦参（锉碎） 矾石（烧至汁液流尽后研细） 甘草（炙制锉碎） 远志（去心） 黄芩（去除黑心，各三分） 硝石（研细） 川芎（各半两）
以上十二味药，捣碎研细成粉末。用炼蜜制成丸剂，如麻子大小。一至两岁的幼儿，每次服用三丸，米汤送服；四至五岁的幼儿，服用五丸，早晚各服一次，根据幼儿大小调整剂量。
治疗小儿坚硬痞块、面色黄、羸瘦呈丁奚状，不想吃东西，吃了不能长肌肉，心中烦躁闷乱，时常发作寒热，五脏虚胀，腹部疼痛。蜀漆丸方
蜀漆 细辛（去除苗叶） 龙胆 附子（炮裂后去皮脐，各半两） 干姜（炮制） 牡丹皮 虻虫（微炒） 桂枝（去除粗皮） 曾青（研细，各三分）
以上九味药，捣碎过筛成粉末。用炼蜜和丸，制成如绿豆大小的丸剂，空腹时服用五丸，米汤送服，根据幼儿大小调整剂量。
治疗小儿丁奚腹部胀大、项部细小，贪吃但不能长肌肉、面色憔悴，又名无辜病。黄芩丸方
黄芩（去除黑心） 黄连（去除须根，各半两） 附子（炮裂后去皮脐，一枚半两者）
以上三味药，捣碎过筛成粉末。取一只肥嫩的雌黄鸡，去毛但不要沾水，在腹部开一个小口，取出肠肚，将药末填入鸡腹内，放在饭上蒸熟。取出后晒干。如果不使用鸡，则将药末与软饭混合制成如绿豆大小的丸剂，根据幼儿大小，每次服用十丸至十五丸或二十丸，米汤送服，不限时候，每日三次。
Commentary states: When infants suffer from abdominal distension, a thin neck, and sallow emaciation, the condition is named Dingxi (丁奚). This arises from overfeeding, which weakens the Qi of the Spleen and Stomach, impairing digestion. Internal stubborn stagnation forms, causing a depletion of body fluids, preventing them from nourishing the Qi and Blood, and failing to plump the musculature. If prolonged without recovery, it transforms into a disease characterized by hardened grain accumulation in the gut.
Formula for treating infants with slight heat in the bones, internal disharmony, food failing to transform into muscle, or suffering from alternating chills and fever, abdominal distension presenting as Dingxi: Jigu Wan (Chicken Bone Pill)
Os Galli (one piece, roasted until yellow) Poria Cocos (black skin removed) Gypsum Fibrosum (crushed and ground) Radix Paeoniae Albae Radix et Rhizoma Rhei (cut and stir-fried) Herba Perillae Caulis (roots and soil removed) Pericarpium Citri Reticulatae (soaked in water, white pith removed, dried) Alumen (burned until liquid evaporates, then ground) Radix Asari (roots and leaves removed) Radix Aconiti Lateralis Preparata (cracked by fire, skin and umbilicus removed, each half tael) Radix Scutellariae (black heart removed) Ramulus Cinnamomi (rough bark removed) Semen Lepidii et Descurainiae (stir-fried, each three qian)
The above thirteen ingredients are crushed, sifted into powder. Honey is refined and used to form pills the size of hemp seeds. Each dose consists of five pills, taken with rice drink, once at dawn and once at midnight. Dosage should be adjusted according to the child's age and size.
Formula for treating newborns struck by external pathogenic factors (Ke Wu), manifesting as convulsions, fever, and indigestion of breast milk; wind-stroke with spasms and contractures, grimacing with tongue protrusion, sudden cyanosis of the face, upward rolling of eyes, abdominal fullness, Dingxi emaciation, crossed legs unable to stand, and inability to walk by age three: Shexiang Zishuang Wan (Musk Purple Frost Pill)
Moschus (ground) Calculus Bovis (ground) Realgar (ground) Cinnabaris (ground, each one tael) Radix Coptidis (rhizomes removed) Ramulus Cinnamomi (rough bark removed) Sepiae Endoconcha (each half tael) Te Sheng Shi (refined, one fen) Centipeda (half a piece, roasted) Radix Aconiti Lateralis Preparata (cracked by fire, skin and umbilicus removed, one tael) Fructus Crotonis Tiglii (thirty seeds, husks and hearts removed, stored in silk bag, boiled in ash lye for half a day, separately pounded into paste)
The above eleven ingredients are all crushed and ground into powder. Refined honey is used to bind the mixture into a mass. Stored in a sealed vessel to prevent leakage. Pills are freshly made as needed. For infants aged 10 to 30 days, administer two pills the size of millet grains with breast milk. For infants aged 40 to 100 days, administer three pills the size of hemp seeds with rice drink. For children aged one to three years, increase dosage as appropriate. Even if the child is young but has severe accumulated excess, the number of pills should be increased.
Formula for treating hard masses in Dingxi syndrome in infants, sallow emaciation, and hair loss: Daizhe Wan (Hematite Pill)
Haematitum (crushed) Radix et Rhizoma Rhei (cut and stir-fried) Cinnabaris (ground, each one tael) Testudo Carapax et Plastrum (vinegar-roasted until yellow, fringed edges removed, three qian) Radix Paeoniae Albae Aucklandiae Radix (Semen Armeniacae Amarum soaked in water, skin and tips removed, stir-fried until yellow, separately pounded into paste) Radix Anemarrhenae (dried by heat) Fructus Crotonis Tiglii (husks and hearts removed, ground, wrapped in paper, oil extracted seven times, each one tael)
The above nine ingredients are crushed and ground into fine powder. Refined honey is used to form pills. For infants under 100 days old, one pill the size of a mung bean; for infants under 200 days old, two pills; for two-year-old children, three pills. Administer with rice drink. Stop when loose stools occur.
Formula for treating infant Dingxi with abdominal distension and emaciation due to Gan Qi (childhood malnutrition syndrome): Huanglian Wan (Coptis Pill)
Radix Coptidis (rhizomes removed) Ramulus Cinnamomi (rough bark removed) Haematitum (crushed, each one tael) Aucklandiae Radix (Semen Armeniacae Amarum soaked in water, skin and tips removed, double-kernelled, bran-roasted, separately ground) Myristicae Semen (shelled, each half tael) Cinnabaris (ground) Moschus (ground, each one fen) Fructus Crotonis Tiglii (husks, hearts, and membranes removed, oil fully extracted, one qian, separately ground)
The above nine ingredients are crushed and ground into uniform powder. Refined honey is used to form pills the size of hemp seeds. Each dose is three pills, taken with gruel drink. Adjust dosage according to the child's size.
Formula for treating infants who fail to gain muscle after eating, presenting with Dingxi abdominal distension and indigestion: Shaoyao Wan (Peony Pill)
Radix Paeoniae Albae (stir-fried, three liang) Radix et Rhizoma Rhei (cut and stir-fried) Ramulus Cinnamomi (rough bark removed) Poria Cocos (black skin removed) Radix Bupleuri (roots removed, each two liang)
The above five ingredients are crushed, sifted into powder. Refined honey is used to form pills. For one-year-old children, two pills the size of hemp seeds, taken with boiled honey water, morning and evening. Adjust dosage according to the child's size.
Formula for treating infant Dingxi with abdominal distension and extreme emaciation (skin and bones); Gan Qi causing failure to digest food and fluids: Helile Wan (Chebula Pill)
Fructus Chebulae (roasted, pitted, three qian) Myristicae Semen (one piece, shelled) Indigo Naturalis (ground) Moschus (ground) Aloe (ground) Ursi Fel (ground) Cinnabaris (ground, each one fen)
The above seven ingredients are crushed and ground into powder. Mixed with millet rice flour to form pills the size of millet grains. Each dose is seven pills, taken with gruel drink, twice daily. Adjust dosage according to the child's size.
Formula for treating infant abdominal distension and emaciation, abdominal fullness and pain due to Gan Qi, and reduced appetite: Shijunzi Wan (Quince Seed Pill)
Fructus Quisqualis (one tael) Aucklandiae Radix Radix Coptidis Chinensis Moschus (ground) Aloe (ground, each half tael) Bufo Auritus (one piece, roasted until charred) Inkstone soot (pounded and ground) Indigo Naturalis (ground) Realgar (ground) Ursi Fel (ground, each half tael)
The above eleven ingredients are pounded and ground into fine powder. Refined honey is used to form pills the size of mung beans. Each dose is ten pills, taken with gruel drink. Adjust dosage according to the child's size.
Formula for treating infant food retention, exposure to wind due to inadequate clothing, or bathing in cold water, leading to Dingxi abdominal distension, frequent dysentery, alternating chills and fever resembling malaria, anorexia, inability to gain muscle despite eating, and poor digestion resulting in frailty and intolerance: Renshen Wan (Ginseng Pill)
Radix Ginseng Folium Ophiopogonis (heart removed, dried) Rhizoma Pinelliae (soaked in water ten times to remove acridity) Radix Astragali (cut) Radix et Rhizoma Rhei (cut and stir-fried) Radix Sophorae Tonkinensis (cut) Alumen (burned until liquid evaporates, then ground) Radix Glycyrrhizae Preparata (roasted and cut) Radix Polygalae (heart removed) Radix Scutellariae (black heart removed, each three qian) Natrii Nitras (ground) Radix Ligustici Chuanxiong (each half tael)
The above twelve ingredients are crushed and ground into powder. Refined honey is used to form pills the size of hemp seeds. For one- to two-year-old children, three pills per dose, taken with rice drink. For four- to five-year-old children, five pills per dose, morning and evening. Adjust dosage according to the child's size.
Formula for treating infant hard masses, sallow complexion, Dingxi emaciation, anorexia, food failing to nourish muscles, mental restlessness, intermittent chills and fever, visceral deficiency bloating, and abdominal pain: Shuqi Wan (Shuqi Pill)
Herba Tanacetii Parthenii Radix Asari Radix Gentianae Radix Aconiti Lateralis Preparata (cracked by fire, skin and umbilicus removed, each half tael) Rhizoma Zingiberis Preparatum Cortex Moutan Periplocae Semen (lightly stir-fried) Ramulus Cinnamomi (rough bark removed) Azurite (ground, each three qian)
The above nine ingredients are crushed, sifted into powder. Refined honey is used to form pills the size of mung beans. Take five pills on an empty stomach with rice drink. Adjust dosage according to the child's size.
Formula for treating infant Dingxi with abdominal distension and thin neck, excessive appetite failing to build muscle, sallow and withered complexion, also known as Wugu disease: Huangqin Wan (Scutellaria Pill)
Radix Scutellariae (black heart removed) Radix Coptidis (rhizomes removed, each half tael) Radix Aconiti Lateralis Preparata (cracked by fire, skin and umbilicus removed, one and a half pieces)
The above three ingredients are crushed, sifted into powder. Take one fat and tender female yellow chicken. Remove feathers without letting them get wet. Make a small incision on the abdomen, remove intestines and viscera, insert the powdered medicine into the cavity, and steam the chicken over rice until soft. Remove and dry in the sun. Alternatively, if not using chicken, mix the powder with soft rice to form pills the size of mung beans. For children, administer 10 to 15 or 20 pills with rice drink, at any time, three times daily.