夫小儿五脏不和。三焦不调。有寒热之气客之。则令乳哺不消化。结聚成症瘕也。其状。
按
治小儿症瘕。壮热头痛。呕吐腹痛。寒热。头发作穗。及食癖乳癖气。鳖甲散方。
鳖甲（一两涂醋炙令黄去裙 ） 枳壳（半两麸炒微黄去瓤） 木香（半两） 人参（三
分去
芦头） 赤茯苓（三分） 柴胡（三分去苗） 桂心（一分） 川大黄（半两锉碎微炒） 槟
榔（半
两） 京
上件药。捣粗罗为散。每服一钱。以水一小盏。煎至五分。去滓温服。日三服。量儿大
小
治小儿症瘕羸瘦。鼠肉煎方。
鼠肉（五两生用） 鳖甲（三分生用） 陈橘皮（半两汤浸去白瓤焙） 甘遂（一分末）
上件药。除甘遂末外。并锉。以水二大盏。煎至五分。去滓。下甘遂末。匀搅。一二百
日儿
合。
如
治小儿症瘕。胁下坚硬如石。四肢黄瘦。不欲乳食。甘遂丸方。
甘遂（一分煨令微黄） 雄黄（半两细研） 石膏（半两细研水飞过） 牡蛎（半两烧
为粉）
巴豆
仁〔二
（
上件药。捣罗为末。与巴豆都研令匀。炼蜜和丸。如黍米大。每服。以粥饮下一丸。日
二服
治小儿症瘕。羸弱不能乳食。鳖甲丸方。
鳖甲（半两涂醋炙令黄去裙 ） 木香（一分） 青橘皮（一分汤浸去白瓤焙） 槟榔
（半两）
肉
大黄
（半
上件药。捣罗为末。炼蜜和丸。如绿豆大。五六岁儿。空心以粥饮下七丸。晚后再服。
更随
治小儿症瘕。体热瘦瘁。大便坚硬。不能乳食。代赭丸方。
代赭（半两细研） 朱砂（半两细碎水飞过） 川大黄（半两锉碎微炒） 木香（半两）
当归
（一
上件药。捣罗为末。入研了药及巴豆霜。更研令匀。炼蜜和丸。如绿豆大。三四岁儿。
每服
治小儿症瘕。腹痛黄瘦。大黄丸方。
川大黄（三分锉碎微炒） 知母（半两） 牡蛎（半两烧为粉） 当归（半两锉微炒） 枳
壳
（半两
上件药。捣罗为末。炼蜜和丸。如绿豆大。三四岁儿。每服空心。以粥饮下五丸。晚后
再服
治小儿症瘕。百病疳痼。腹胀黄瘦。发歇不恒。客忤疳痢。及吐逆不定。心腹多痛
。及惊风
牛黄（半两细研） 光明砂（三分细研水飞过） 犀角屑（半两） 麝香（一分细研） 木
香
（半两） 人参（三分去芦头） 代赭〔三（二）分〕 当归（半两锉微炒） 槟榔（三分）
肉豆蔻
（二枚去壳） 川大黄〔二（三）分锉碎微炒〕 鳖甲（一两涂醋炙令黄去裙 ） 杏仁（二
十枚
汤浸去
上件药。捣罗为末。都研令匀。炼蜜和丸。如绿豆大。百日以下儿。乳汁下一丸。二三
岁儿
日。
又方。\x
朱砂（一分细研） 犀角屑（半两） 巴豆霜（半分） 鳖甲（半两涂醋炙令黄去裙 ）
杏
仁（一
上件药。捣罗为末。入巴豆杏仁。都研令匀。炼蜜和丸。如黄米大。百日儿奶汁下一丸。
三
小儿五脏功能失调，三焦气机不畅，若有寒热邪气侵袭，就会导致乳食无法消化，结聚形成症瘕。其症状表现为：
治疗小儿症瘕，伴有壮热、头痛、呕吐、腹痛、寒热往来、头发结成穗状，以及食癖、乳癖等气滞症状的鳖甲散方：
鳖甲（一两，涂醋炙至黄色，去除裙边）、枳壳（半两，麸炒至微黄，去除瓤）、木香（半两）、人参（三分，去除芦头）、赤茯苓（三分）、柴胡（三分，去除苗）、桂心（一分）、川大黄（半两，锉碎后微炒）、槟榔（半两）。
以上药物，捣碎并过粗罗筛成散剂。每次服用一钱，用水一小盏，煎至五分，去渣温服。每日三次。根据患儿年龄大小调整剂量。
治疗小儿症瘕、身体消瘦羸弱的鼠肉煎方：
鼠肉（五两，生用）、鳖甲（三分，生用）、陈橘皮（半两，汤浸后去除白色瓤，焙干）、甘遂（一分，研末）。
以上药物，除甘遂末外，其余切碎，用水两大盏，煎至五分，去渣，加入甘遂末，搅拌均匀。一二岁患儿服用。
治疗小儿症瘕，胁下坚硬如石，四肢黄瘦，不想吃奶和食物，不欲饮食的甘遂丸方：
甘遂（一分，煨至微黄）、雄黄（半两，细研）、石膏（半两，细研，水飞）、牡蛎（半两，烧成粉）、巴豆仁（二枚，去皮膜，另研）。
以上药物，捣罗成末，与巴豆一起研磨均匀，用炼蜜调和做成丸剂，如黍米大。每次服用，用米饮送下一丸，每日两次。
治疗小儿症瘕，身体虚弱不能进食乳食的鳖甲丸方：
鳖甲（半两，涂醋炙至黄色，去除裙边）、木香（一分）、青橘皮（一分，汤浸去除白色瓤，焙干）、槟榔（半两）、肉豆蔻（一枚，去壳）、大黄（半两）。
以上药物，捣罗成末，用炼蜜调和做成丸剂，如绿豆大。五六岁的患儿，空腹时以米饮送下七丸，晚上再服一次。更根据病情随证加减。
治疗小儿症瘕，身体发热消瘦，大便干燥坚硬，不能进食乳食的代赭丸方：
代赭石（半两，细研）、朱砂（半两，细碎，水飞）、川大黄（半两，锉碎微炒）、木香（半两）、当归（一两，锉微炒）。
以上药物，捣罗成末，加入已研好的药及巴豆霜，再次研磨均匀，用炼蜜调和做成丸剂，如绿豆大。三四岁的患儿，每次服用...（原文此处截断，推测为具体丸数）
治疗小儿症瘕，腹痛、面色黄瘦的大黄丸方：
川大黄（三分，锉碎微炒）、知母（半两）、牡蛎（半两，烧成粉）、当归（半两，锉微炒）、枳壳（半两，麸炒微黄，去瓤）。
以上药物，捣罗成末，用炼蜜调和做成丸剂，如绿豆大。三四岁的患儿，每次空腹时以米饮送下五丸，晚上再服一次。
治疗小儿症瘕，百病疳积顽固，腹胀黄瘦，发作无常，客忤疳痢，以及呕吐逆乱不定，心腹多痛，以及惊风抽搐的牛黄丸方：
牛黄（半两，细研）、光明砂（三分，细研，水飞）、犀角屑（半两）、麝香（一分，细研）、木香（半两）、人参（三分，去芦头）、代赭石（二或三分）、当归（半两，锉微炒）、槟榔（三分）、肉豆蔻（二枚，去壳）、川大黄（二或三分，锉碎微炒）、鳖甲（一两，涂醋炙至黄色，去除裙边）、杏仁（二十枚，汤浸去皮尖双仁，另研）。
以上药物，捣罗成末，全部研磨均匀，用炼蜜调和做成丸剂，如绿豆大。百日以下的患儿，用乳汁送下一丸；二三岁的患儿...（原文此处截断，推测为具体丸数和频次）。
又一方：
朱砂（一分，细研）、犀角屑（半两）、巴豆霜（半分）、鳖甲（半两，涂醋炙至黄色，去除裙边）、杏仁（一枚，汤浸去皮尖双仁，另研）。
以上药物，捣罗成末，加入巴豆、杏仁，全部研磨均匀，用炼蜜调和做成丸剂，如黄米大。百日大的患儿，用奶汁送下一丸。三岁...（原文此处截断）。
Pediatric Zang-Fu organs are in disharmony, and the San Jiao (Triple Burner) qi mechanism is unregulated. When cold-heat pathogens invade, it causes milk and food to fail to digest, aggregating to form Zheng-Jia (masses). The manifestations are as follows:
**Biejia Powder for Pediatric Zheng-Jia:**
Indicated for pediatric Zheng-Jia accompanied by high fever, headache, vomiting, abdominal pain, alternating chills and fever, hair matted into tufts, as well as Qi stagnation from Shi-Pi (food accumulation) and Ru-Pi (milk accumulation).
*Ingredients:* Bie Jia (Tartaric Testudinis Carapax et Plastrum, 1 liang, coated with vinegar and roasted until yellow, remove skirt), Zhi Ke (Aurantii Fructus Immaturus, 0.5 liang, stir-fried with bran until slightly yellow, remove pith), Mu Xiang (Aucklandiae Radix, 0.5 liang), Ren Shen (Ginseng Radix et Rhizoma, 3 fen, remove radicle), Chi Fu Ling (Poria Cocos with Pink Hosta Root, 3 fen), Chai Hu (Bupleuri Radix, 3 fen, remove sprouts), Gui Xin (Cinnamomi Cortex, 1 fen), Chuan Da Huang (Rhei Radix et Rhizoma, 0.5 liang, cut into small pieces and lightly stir-fried), Bing Lang (Arecae Semen, 0.5 liang).
*Preparation and Administration:* Crush the above herbs and sieve through a coarse mesh to make a powder. Take 1 qian per dose. Decoct with one small cup of water until reduced to half a cup. Strain and take warm. Three times daily. Adjust dosage according to the child's age and size.
**Shurou Decoction for Pediatric Zheng-Jia and Emaciation:**
Indicated for pediatric Zheng-Jia with emaciation and weakness.
*Ingredients:* Shu Rou (Rattus Norvegicus Meat, 5 liang, raw), Bie Jia (Tartaric Testudinis Carapax et Plastrum, 3 fen, raw), Chen Ju Pi (Citri Reticulatae Pericarpium, 0.5 liang, soaked in hot water, remove white pith, dried), Gan Sui (Kansui Radix, 1 fen, powdered).
*Preparation and Administration:* Except for the Gan Sui powder, chop the remaining ingredients. Decoct with two large cups of water until reduced to half a cup. Strain, add the Gan Sui powder, and mix evenly. For infants aged one to two years.
**Gansui Pill for Pediatric Zheng-Jia with Hard Hypochondriac Mass:**
Indicated for pediatric Zheng-Jia where the hypochondrium feels hard like stone, limbs are yellow and thin, and there is an aversion to nursing or eating.
*Ingredients:* Gan Sui (Kansui Radix, 1 fen, roasted until slightly yellow), Xiong Huang (Realgar, 0.5 liang, finely ground), Shi Gao (Gypsum Fibrosum, 0.5 liang, finely ground and water-flowered), Mu Li (Ostreae Concha, 0.5 liang, calcined to powder), Ba Dou Ren (Crotonis Fructus Seed, 2 kernels, skin and membrane removed, separately ground).
*Preparation and Administration:* Grind the herbs into powder, mix uniformly with the Ba Dou paste, and bind with refined honey to make pills the size of millet seeds. Administer one pill per dose with rice liquid, twice daily.
**Biejia Pill for Pediatric Zheng-Jia with Weakness and Anorexia:**
Indicated for pediatric Zheng-Jia with weakness, inability to nurse or eat.
*Ingredients:* Bie Jia (Tartaric Testudinis Carapax et Plastrum, 0.5 liang, coated with vinegar and roasted until yellow, remove skirt), Mu Xiang (Aucklandiae Radix, 1 fen), Qing Ju Pi (Citri Reticulatae Pericarpium Viride, 1 fen, soaked in hot water, remove white pith, dried), Bing Lang (Arecae Semen, 0.5 liang), Rou Dou Kou (Myristicae Semen, 1 kernel, shell removed), Da Huang (Rhei Radix et Rhizoma, 0.5 liang).
*Preparation and Administration:* Grind into powder, bind with refined honey to make pills the size of mung beans. For children aged five to six years, administer seven pills on an empty stomach with rice liquid, and repeat in the evening. Adjust further based on clinical presentation.
**Daizhe Pill for Pediatric Zheng-Jia with Fever, Emaciation, and Constipation:**
Indicated for pediatric Zheng-Jia with body heat, emaciation, hard stools, and inability to nurse or eat.
*Ingredients:* Dai Zhe Shi (Haematitum, 0.5 liang, finely ground), Zhu Sha (Cinnabar, 0.5 liang, finely crushed and water-flowered), Chuan Da Huang (Rhei Radix et Rhizoma, 0.5 liang, cut into small pieces and lightly stir-fried), Mu Xiang (Aucklandiae Radix, 0.5 liang), Dang Gui (Angelicae Sinensis Radix, 1 liang, cut and lightly stir-fried).
*Preparation and Administration:* Grind into powder, add the already ground herbs and Ba Dou Frost, grind uniformly again, and bind with refined honey to make pills the size of mung beans. For children aged three to four years... [text cuts off].
**Dahuang Pill for Pediatric Zheng-Jia with Abdominal Pain and Yellow Complexion:**
Indicated for pediatric Zheng-Jia with abdominal pain, yellow complexion.
*Ingredients:* Chuan Da Huang (Rhei Radix et Rhizoma, 3 fen, cut into small pieces and lightly stir-fried), Zhi Mu (Anemarrhenae Rhizoma, 0.5 liang), Mu Li (Ostreae Concha, 0.5 liang, calcined to powder), Dang Gui (Angelicae Sinensis Radix, 0.5 liang, cut and lightly stir-fried), Zhi Ke (Aurantii Fructus Immaturus, 0.5 liang, stir-fried with bran until slightly yellow, remove pith).
*Preparation and Administration:* Grind into powder, bind with refined honey to make pills the size of mung beans. For children aged three to four years, administer five pills on an empty stomach with rice liquid, and repeat in the evening.
**Niuhuang Pill for Pediatric Zheng-Jia, Intractable Gan Syndrome, and Convulsions:**
Indicated for pediatric Zheng-Jia, intractable Gan syndrome (malnutrition/parasites), abdominal distension, yellow complexion, irregular onset, Ke Wu Gan Li (guest antagonism gan dysentery), unpredictable vomiting and regurgitation, frequent heart and abdominal pain, and convulsions due to wind.
*Ingredients:* Niu Huang (Bovis Calculus, 0.5 liang, finely ground), Guang Ming Sha (Cinnabar, 3 fen, finely ground and water-flowered), Xi Jiao Xiao (Rhinocerotis Cornu, 0.5 liang), She Xiang (Moschus, 1 fen, finely ground), Mu Xiang (Aucklandiae Radix, 0.5 liang), Ren Shen (Ginseng Radix et Rhizoma, 3 fen, remove radicle), Dai Zhe Shi (Haematitum, 2 or 3 fen), Dang Gui (Angelicae Sinensis Radix, 0.5 liang, cut and lightly stir-fried), Bing Lang (Arecae Semen, 3 fen), Rou Dou Kou (Myristicae Semen, 2 kernels, shell removed), Chuan Da Huang (Rhei Radix et Rhizoma, 2 or 3 fen, cut into small pieces and lightly stir-fried), Bie Jia (Tartaric Testudinis Carapax et Plastrum, 1 liang, coated with vinegar and roasted until yellow, remove skirt), Xing Ren (Armeniacae Semen Amarum, 20 kernels, soaked in hot water, remove skin and tip, separately ground).
*Preparation and Administration:* Grind into powder, mix uniformly, bind with refined honey to make pills the size of mung beans. For infants under one hundred days, administer one pill with breast milk; for children aged two to three years... [text cuts off].
**Another Prescription:**
*Ingredients:* Zhu Sha (Cinnabar, 1 fen, finely ground), Xi Jiao Xiao (Rhinocerotis Cornu, 0.5 liang), Ba Dou Shuang (Crotonis Fructus Frost, 0.5 fen), Bie Jia (Tartaric Testudinis Carapax et Plastrum, 0.5 liang, coated with vinegar and roasted until yellow, remove skirt), Xing Ren (Armeniacae Semen Amarum, 1 kernel, soaked in hot water, remove skin and tip, separately ground).
*Preparation and Administration:* Grind into powder, add Ba Dou Frost and Xing Ren, mix uniformly, bind with refined honey to make pills the size of broomcorn millet. For infants aged one hundred days, administer one pill with milk. For children aged three... [text cuts off].