论曰小儿胎寒之病，本于在胎时，禀受不足。或犯寒冷，既生之后，腑脏又怯，乳哺不
化，或胀或利，颜色青葩，甚则邪冷与正气相搏，令儿腹痛 张蹙气而啼，是为胎寒之病。
治小儿胎寒 啼，腹中痛，舌上青黑。蜀椒丸方
蜀椒（去目及闭口者炒出汗一分） 当归（切焙半两） 吴茱萸（汤浸焙干炒半分） 野狼
毒（
锉炒一分） 细辛（去苗叶三分） 干姜（炮一分） 巴豆（十枚去心膜研细纸裹出油尽） 豉
（炒
二合） 附子（炮裂去皮脐三分）
上九味，将八味捣罗为末，以巴豆一处同研令匀，炼蜜和丸，一月儿，服如黍米大一丸
，早晨晚后各一服，一岁儿两丸，三岁至五岁儿，服五丸，并用米饮下，更量儿大小加减。
治小儿胎寒，腹中 痛。黄 汤方
黄 （切焙） 人参 芍药（各一两半） 当归（切焙） 甘草（炙） 芎 （各一两）
上六味，粗捣筛。每二钱匕，以水一小盏，生姜二片，煎至五分，去滓分温三服，早晨
日午近晚各一。
治小儿胎寒腹痛， 啼下利。理中丸方
人参 干姜（炮） 白术 甘草（炙等分）
上四味，捣罗为末，炼蜜为丸，如弹丸大，每一丸水一盏，入大枣一枚擘破，同煎至半
盏，分温三服，或以姜枣汤化下。
治小儿胎寒，聚唾弄舌 啼，反张怒惊。当归散方
当归（切焙） 黄 （锉） 细辛（去苗叶） 黄芩（去黑心） 龙骨（烧） 桂（去
粗皮） 芍药
（各一两）
上七味，捣罗为散，每服一字匕，或半钱匕，乳汁调下，早晨日午近晚各一，量儿大小
加减。
治小儿胎寒 啼，温中止痛。逐痛丸方
雀屎（一分炒） 牛黄（别研） 芍药 芎 （各半两） 当归（切焙一两）
上五味，捣罗为末。炼蜜和丸，麻子大。百日儿，每服一丸，乳汁下，早晨日午近晚各
一，量儿大小加减。
治小儿胎寒， 啼惊痫，虚胀不嗜食，大便青或夹脓，并治诸痫证。当归丸方
当归（切焙半两） 蜀椒（去目及闭口者炒出汗一分） 附子（一枚炮裂去皮脐） 杏
仁（十
二枚汤浸去皮尖双仁麸炒） 野狼毒（锉炒半分） 巴豆（二十枚去皮心研烂出油尽） 豉（微
炒）
细辛（去苗叶各一分）
上八味，捣罗为末。炼蜜和杵，以瓷器盛之，每用旋丸，未满百日儿，服如麻子大一丸
，温水下，一二岁儿二丸，早晨只一服，更量儿大小加减。以利为度。
治小儿胎寒大便青，不欲食。芍药丸方
芍药 当归（切焙） 芎 人参（各三分） 甘草（炙一两）
上五味，捣罗为末。炼蜜和丸，如麻子大。每服一丸，以乳汁下，早晨日午近晚各一，
量儿大小加减。
治小儿胎寒，腹痛 啼。芎 汤方
芎 当归（切焙） 黄 （锉焙各二两） 干姜（炮） 甘草（炙） 黄芩（去黑心各半两）
上六味，粗捣筛。每一钱匕，以水一小盏，煎至五分，去滓分温二服，早晨日晚各一，
量儿大小加减。
治小儿胎寒腹痛，大便青。芎 丸方
芎 黄 （各三分） 牛黄（研一分） 虫（炙半两） 麝香（研一钱） 当归（切
焙） 芍
药（各半两）
上七味，捣罗为末，炼蜜和丸，如麻子大，每服两丸至三丸，米饮下，早晨晚间各一，
量儿大小加减。
治小儿五十日以来，胎寒腹痛微热，聚唾弄舌， 啼上视。当归酒方
当归（切焙粗捣一分） 猪肉（一两薄切小片）
上二味相和，以清酒一碗，煮至七分去滓，每服取半呷许，令儿咽之，日三夜一，量儿
大小加减。
治小儿胎寒，腹痛汗出，衣中白鱼摩方
衣中白鱼（二七枚）
上一味，以薄熟绢包裹，于儿腹上，回转摩之。
论述说：小儿胎寒这一病症，根源在于胎儿在母体内时禀受的气血不足。或者受到寒冷侵袭，出生后脏腑又虚弱，乳食无法消化，出现腹胀或腹泻，面色青紫且有花纹，严重时寒邪与正气相搏结，导致婴儿腹痛、身体蜷缩、气逆啼哭，这就是胎寒病。
治疗小儿胎寒引起的啼哭，腹中疼痛，舌苔呈现青黑色。蜀椒丸方
蜀椒（去除椒目及闭口者，炒至出油一分） 当归（切碎焙干半两） 吴茱萸（用汤浸泡后焙干炒半分） 野狼毒（锉碎炒制一分） 细辛（去苗叶三分） 干姜（炮制一分） 巴豆（十枚，去心膜，研细后用纸包裹榨尽油） 豉（炒二合） 附子（炮裂去皮脐三分）
以上九味药，将除巴豆外的八味药捣碎过筛成粉末，把巴豆放在一起共同研磨均匀，用炼蜜调和做成丸剂。一个月大的婴儿，服用如黍米大一丸的药丸，早晨和晚上各服一次；一岁的婴儿服两丸；三至五岁的婴儿服五丸，均用米汤送下，并根据婴儿的大小酌情增减剂量。
治疗小儿胎寒，腹中疼痛。黄芪汤方
黄芪（切碎焙干） 人参 芍药（各一两半） 当归（切碎焙干） 甘草（炙） 川芎（各一两）
以上六味药，粗捣筛过。每次取二钱匕的药量，用水一小盏，生姜两片，煎煮至五分水量，去掉药渣，分三次温服，分别在早晨、中午、傍晚接近时服用。
治疗小儿胎寒腹痛，啼哭并伴有腹泻。理中丸方
人参 干姜（炮制） 白术 甘草（炙，等分）
以上四味药，捣碎过筛成粉末，用炼蜜做成丸剂，大小如弹丸。每一丸用水一盏，加入一枚掰开的大枣，共同煎煮至半盏水量，分三次温服，或者用姜枣汤化开服用。
治疗小儿胎寒，口水多弄舌头、啼哭，角弓反张、惊恐发怒。当归散方
当归（切碎焙干） 黄芪（锉碎） 细辛（去苗叶） 黄芩（去黑心） 龙骨（烧制） 桂枝（去粗皮） 芍药（各一两）
以上七味药，捣碎过筛成散剂。每次服用一字匕或半钱匕的量，用乳汁调服，分别在早晨、中午、傍晚接近时服用，根据婴儿大小酌情增减。
治疗小儿胎寒啼哭，温中止痛。逐痛丸方
雀屎（一分炒制） 牛黄（单独研磨） 芍药 川芎（各半两） 当归（切碎焙干一两）
以上五味药，捣碎过筛成粉末。用炼蜜调和做成丸剂，大小如麻子。一百天大的婴儿，每次服一丸，用乳汁送下，分别在早晨、中午、傍晚接近时服用，根据婴儿大小酌情增减。
治疗小儿胎寒，啼哭惊痫，腹部虚胀不想吃东西，大便青色或夹杂脓液，并治疗各种痫证。当归丸方
当归（切碎焙干半两） 蜀椒（去除椒目及闭口者，炒至出油一分） 附子（一枚，炮裂去皮脐） 杏仁（十二枚，汤浸泡去皮尖双仁，麸炒） 野狼毒（锉碎炒半分） 巴豆（二十枚，去皮心研烂榨尽油） 豉（微炒） 细辛（去苗叶各一分）
以上八味药，捣碎过筛成粉末。用炼蜜调和捣杵，用瓷器盛装。每次现做丸剂，未满百天的婴儿，服用如麻子大一丸，温水送下；一至两岁的婴儿服两丸，早晨只服一次，并根据婴儿大小酌情增减。以腹泻为见效标准。
治疗小儿胎寒大便青色，不想吃东西。芍药丸方
芍药 当归（切碎焙干） 川芎 人参（各三分） 甘草（炙一两）
以上五味药，捣碎过筛成粉末。用炼蜜做成丸剂，大小如麻子。每次服一丸，用乳汁送下，分别在早晨、中午、傍晚接近时服用，根据婴儿大小酌情增减。
治疗小儿胎寒腹痛，啼哭。川芎汤方
川芎 当归（切碎焙干） 黄芪（锉碎焙干各二两） 干姜（炮制） 甘草（炙） 黄芩（去黑心各半两）
以上六味药，粗捣筛过。每次取一钱匕的药量，用水一小盏，煎煮至五分水量，去掉药渣，分两次温服，分别在早晨和晚上服用，根据婴儿大小酌情增减。
治疗小儿胎寒腹痛，大便青色。川芎丸方
川芎 黄芪（各三分） 牛黄（研一分） 䗪虫（炙半两） 麝香（研一钱） 当归（切碎焙干） 芍药（各半两）
以上七味药，捣碎过筛成粉末，用炼蜜做成丸剂，大小如麻子。每次服两丸至三丸，用米汤送下，分别在早晨和晚上服用，根据婴儿大小酌情增减。
治疗小儿出生五十天以来，胎寒腹痛微热，口水多弄舌头，啼哭且眼睛上视。当归酒方
当归（切碎焙干粗捣一分） 猪肉（一两，薄切小片）
以上两味药混合，用清酒一碗，煮至七分水量，去掉药渣。每次取半呷许的量，让婴儿咽下，每天三次夜间一次，根据婴儿大小酌情增减。
Discourse states: The disease of fetal cold in infants originates from insufficient endowment received during the fetal stage. It may be caused by exposure to cold, and after birth, the zang-fu organs remain weak, leading to indigestion of milk and food, manifesting as abdominal distension or diarrhea. The complexion appears cyanotic with mottled patterns. In severe cases, pathogenic cold clashes with healthy qi, causing infantile abdominal pain, curling up, Qi rebellion with crying, which constitutes the disease of fetal cold.
Treatment for infantile fetal cold presenting with crying, abdominal pain, and a bluish-black tongue coating. Shujiao Wan (Spicy Pepper Pill) Formula:
Shujiao (Zanthoxyli Fructus, remove seeds and closed-mouthed ones, stir-fry until oil exudes, 1 fen) Danggui (Angelicae Sinensis Radix, slice and bake, 0.5 liang) Wuzhuyu (Evodiae Fructus, soak in decoction, bake dry, stir-fry, 0.5 fen) Yelangdu (Stellerae Radix, chop and stir-fry, 1 fen) Xixin (Asari Radix et Rhizoma, remove seedlings and leaves, 3 fen) Ganjiang (Zingiberis Rhizoma Praeparatum, processed, 1 fen) Badou (Crotonis Fructus, 10 seeds, remove heart and membrane, grind finely, wrap in paper to extract all oil) Chishao (Sojae Semen Praeparatum, stir-fry, 2 he) Fuzi (Aconiti Lateralis Radix Praeparata, process until cracked, remove skin and navel, 3 fen).
The above nine ingredients: Grind the eight ingredients (excluding Badou) into powder. Mix with Badou and grind uniformly. Blend with refined honey to form pills. For one-month-old infants, administer one pill the size of a millet grain, once in the morning and once in the evening. For one-year-olds, two pills; for three- to five-year-olds, five pills. All should be taken with rice water, adjusting dosage according to the child's size.
Treatment for infantile fetal cold with abdominal pain. Huangqi Tang (Astragalus Decoction) Formula:
Huangqi (Astragali Radix, slice and bake) Renshen (Ginseng Radix) Shaoyao (Paeoniae Radix, each 1.5 liang) Danggui (Angelicae Sinensis Radix, slice and bake) Gancao (Glycyrrhizae Radix et Rhizoma, honey-fried) Xiong (Chuanxiong Rhizoma, each 1 liang).
The above six ingredients: Coarsely crush and sieve. Take two qianbi (approx. 6g) per dose, add one small cup of water and two slices of fresh ginger. Decoct until reduced to one-fifth volume. Remove dregs and divide into three warm doses, taken in the morning, at noon, and near evening.
Treatment for infantile fetal cold abdominal pain with crying and diarrhea. Lizhong Wan (Regulate the Middle Pill) Formula:
Renshen (Ginseng Radix) Ganjiang (Zingiberis Rhizoma Praeparatum, processed) Baizhu (Atractylodis Macrocephalae Rhizoma) Gancao (Glycyrrhizae Radix et Rhizoma, honey-fried, equal parts).
The above four ingredients: Grind into powder. Blend with refined honey to form pills the size of a bird's egg. For each pill, use one cup of water and one broken red date. Decoct together until half a cup remains. Divide into three warm doses, or dissolve in ginger-date decoction before administration.
Treatment for infantile fetal cold with excessive saliva, tongue protrusion, crying, opisthotonos, and fright/agitation. Danggui San (Angelica Powder) Formula:
Danggui (Angelicae Sinensis Radix, slice and bake) Huangqi (Astragali Radix, chop) Xixin (Asari Radix et Rhizoma, remove seedlings and leaves) Huangqin (Scutellariae Radix, remove black heart) Longgu (Fossilia Ossis Mastodi et Scapulae, calcined) Gui (Cinnamomi Ramulus, remove rough bark) Shaoyao (Paeoniae Radix, each 1 liang).
The above seven ingredients: Grind into powder. Take one zi bi or half qianbi per dose, mix with breast milk for administration. Take in the morning, at noon, and near evening, adjusting dosage according to the child's size.
Treatment for infantile fetal cold crying, warming the middle and relieving pain. Zhutong Wan (Expel Pain Pill) Formula:
Queshi (Passeris Faeces, 1 fen stir-fried) Niuhuang (Bovis Calculus, separately ground) Shaoyao (Paeoniae Radix) Xiong (Chuanxiong Rhizoma, each 0.5 liang) Danggui (Angelicae Sinensis Radix, slice and bake, 1 liang).
The above five ingredients: Grind into powder. Blend with refined honey to form pills the size of a hemp seed. For infants under 100 days old, administer one pill per dose with breast milk, taken in the morning, at noon, and near evening, adjusting dosage according to the child's size.
Treatment for infantile fetal cold with crying, convulsive epilepsy, abdominal distension due to deficiency, anorexia, green stool or stool mixed with pus, and various epilepsy syndromes. Danggui Wan (Angelica Pill) Formula:
Danggui (Angelicae Sinensis Radix, slice and bake, 0.5 liang) Shujiao (Zanthoxyli Fructus, remove seeds and closed-mouthed ones, stir-fry until oil exudes, 1 fen) Fuzi (Aconiti Lateralis Radix Praeparata, one piece, process until cracked, remove skin and navel) Xingren (Armeniacae Semen, 12 seeds, soak in water, remove skin and pointed ends, double-kernel, bran-fried) Yelangdu (Stellerae Radix, chop and stir-fry, 0.5 fen) Badou (Crotonis Fructus, 20 seeds, remove skin and heart, grind to paste, extract all oil) Chishao (Sojae Semen Praeparatum, lightly stir-fried) Xixin (Asari Radix et Rhizoma, remove seedlings and leaves, each 1 fen).
The above eight ingredients: Grind into powder. Blend with refined honey and pound. Store in a porcelain vessel. Form pills as needed. For infants under 100 days old, administer one pill the size of a hemp seed with warm water. For one- to two-year-olds, two pills. Take only once in the morning. Adjust dosage according to the child's size. Consider effective when diarrhea occurs.
Treatment for infantile fetal cold with green stool and anorexia. Shaoyao Wan (Peony Pill) Formula:
Shaoyao (Paeoniae Radix) Danggui (Angelicae Sinensis Radix, slice and bake) Xiong (Chuanxiong Rhizoma) Renshen (Ginseng Radix, each 3 fen) Gancao (Glycyrrhizae Radix et Rhizoma, honey-fried, 1 liang).
The above five ingredients: Grind into powder. Blend with refined honey to form pills the size of a hemp seed. Administer one pill per dose with breast milk, taken in the morning, at noon, and near evening, adjusting dosage according to the child's size.
Treatment for infantile fetal cold abdominal pain and crying. Xiong Tang (Chuanxiong Decoction) Formula:
Xiong (Chuanxiong Rhizoma) Danggui (Angelicae Sinensis Radix, slice and bake) Huangqi (Astragali Radix, chop and bake, each 2 liang) Ganjiang (Zingiberis Rhizoma Praeparatum, processed) Gancao (Glycyrrhizae Radix et Rhizoma, honey-fried) Huangqin (Scutellariae Radix, remove black heart, each 0.5 liang).
The above six ingredients: Coarsely crush and sieve. Take one qianbi per dose, add one small cup of water. Decoct until reduced to one-fifth volume. Remove dregs and divide into two warm doses, taken in the morning and evening, adjusting dosage according to the child's size.
Treatment for infantile fetal cold abdominal pain and green stool. Xiong Wan (Chuanxiong Pill) Formula:
Xiong (Chuanxiong Rhizoma) Huangqi (Astragali Radix, each 3 fen) Niuhuang (Bovis Calculus, ground, 1 fen) Chong (Eupolyphaga seu Steleophaga, honey-fried, 0.5 liang) Shexiang (Moschus, ground, 1 qian) Danggui (Angelicae Sinensis Radix, slice and bake) Shaoyao (Paeoniae Radix, each 0.5 liang).
The above seven ingredients: Grind into powder. Blend with refined honey to form pills the size of a hemp seed. Administer two to three pills per dose with rice water, taken in the morning and evening, adjusting dosage according to the child's size.
Treatment for infants over fifty days old with fetal cold abdominal pain, slight fever, excessive saliva, tongue protrusion, crying, and upward gaze. Danggui Jiu (Angelica Wine) Formula:
Danggui (Angelicae Sinensis Radix, slice, bake, coarsely crush, 1 fen) Zhu Rou (Porcis Carnis, 1 liang, thinly sliced).
Mix the two ingredients. Boil in one bowl of clear wine until reduced to seven-tenths volume. Remove dregs. Administer approximately half a sip per dose for the infant to swallow. Give three times daily and once at night, adjusting dosage according to the child's size.
Treatment for infantile fetal cold with abdominal pain and sweating. Yizhong Baiyu Massage Formula:
Yizhong Baiyu (Thermobia domestica, 14 pieces).
Wrap the single ingredient in thin, cooked silk gauze. Rub it back and forth on the infant's abdomen.