夫小儿瘿气之状。颈下皮宽。内结突起垒垒然。亦渐长大。气结所成也。小儿啼未止。
因
以乳饮之。令气息喘逆。不得消散。故结聚成瘿也。
治小儿瘿气。胸膈噎塞咽粗。商陆散方。
商陆（一两微炙） 昆布（一两洗去咸味） 牛蒡子（三分） 射干 木通（锉） 海
藻（洗去
咸味）
上件药。捣粗罗为散。每服一钱。以水一小盏。入生姜少许。煎至五分。去滓。不计时
候。
治小儿瘿气。心胸壅闷。咽喉噎塞。木通散方。
木通（锉） 海藻（洗去咸味） 昆布（洗去咸味） 松萝 桂心 白蔹（以上各半两）
蛤蚧
（一
上件药。捣细罗为散。每服。以牛蒡子煎汤。调下半钱。不计时候。量儿大小。以意加
减
治小儿瘿气肿闷。宜服昆布散方。
昆布（洗去咸味） 黄 （锉） 麦门冬（去心焙） 川大黄（锉微炒） 陈橘皮（汤
浸去白瓤
焙以
上件药。捣粗罗为散。每服一钱。以水一小盏。煎至五分。去滓。量儿大小。不计时候。
加
治小儿瘿气。肿结渐大。海藻散方。
海藻（洗去咸味） 海带 海蛤 昆布（洗去咸味） 木香（以上各半两） 金箔（三
十片）
羊
上件药。捣细罗为散。每服。以温酒调下半钱。量儿大小。以意加减。日三四服。
治小儿瘿气。心胸烦闷。半夏散方。
半夏（汤洗七遍去滑） 海藻（洗去咸味） 龙胆（去芦头） 昆布（洗去咸味） 土
瓜根 射
干
上件药。捣细罗为散。每服。以生姜酒调下半钱。日三四服。量儿大小。以意加减。
治小儿瘿气。咽喉肿塞妨闷。木通丸方。
木通（锉） 昆布（洗去咸味） 干姜（炮裂锉） 甜葶苈（隔纸炒令紫色以上各半两）
羚羊
角屑
上件药。捣罗为末。炼蜜和丸。如麻子大。不计时候。以温酒下十丸。量儿大小。以意
加减
治小儿瘿气。咽喉噎塞。陈橘皮丸方。
陈橘皮（汤浸去白瓤焙） 麦门冬（去心焙） 赤茯苓 连翘 海藻（洗去咸味） 商
陆（干
者以
上件药。捣罗为末。炼蜜和丸。如绿豆大。二三岁以温水下七丸。儿大者。绵裹一丸。
如皂
又方。
羚羊角屑 昆布（洗去咸味） 桂心 木通（锉以上各半两） 川大黄（一两锉微炒）
上件药。捣罗为末。炼蜜和丸。如麻子大。不计时候。以粥饮下七丸。量儿大小。临时
加减
又方。
昆布（洗去咸味） 海藻（洗去咸味） 诃黎勒皮 川大黄（锉微炒以上各半两） 枳
壳（一
分麸
上件药。捣罗为末。炼蜜和丸。如麻子大。不计时候。以温酒下七丸。量儿大小。以意
加减。
又方。
槟榔（一两） 海藻（半两洗去咸味） 昆布（半两洗去咸味）
上件药。捣罗为末。炼蜜和丸。如麻子大。不计时候。以温酒下七丸。量儿大小。加减
服之
又方。
羊 （半两炙令黄） 青橘皮（半两汤浸去白瓤焙） 烧银砂埚（半两）
上件药。捣罗为末。用糯米饭和丸。如绿豆大。不计时候。以温酒下五丸。量儿大小。
加减
小儿瘿气的症状表现为颈部下方皮肤松弛，内部结块突起，呈颗粒状堆积，并逐渐增大，这是由气机郁结所形成的。如果小儿啼哭不止时，立即用乳汁喂养，会导致气息喘逆，无法消散，因此结聚形成瘿气。
治疗小儿瘿气，伴有胸膈噎塞、咽喉粗涩的症状，使用商陆散方。
药材：商陆（一两，微炙）、昆布（一两，洗去咸味）、牛蒡子（三分）、射干、木通（锉碎）、海藻（洗去咸味）。
制法与用法：将上述药物捣碎过粗筛制成散剂。每次服用一钱，加水一小盏，放入少许生姜，煎至剩余五分药液，滤去药渣。不限时间服用。
治疗小儿瘿气，伴有心胸壅闷、咽喉噎塞的症状，使用木通散方。
药材：木通（锉碎）、海藻（洗去咸味）、昆布（洗去咸味）、松萝、桂心、白蔹（以上各半两）、蛤蚧（一对，去头足及鳞片，酥炙黄）。
制法与用法：将上述药物捣细过筛制成散剂。每次服用，用牛蒡子煎汤调服半钱。不限时间服用，根据患儿年龄大小，酌情增减剂量。
治疗小儿瘿气，伴有肿胀闷痛的症状，宜服用昆布散方。
药材：昆布（洗去咸味）、黄芪（锉碎）、麦门冬（去心，焙干）、川大黄（锉碎，微炒）、陈橘皮（热水浸泡，去白瓤，焙干）（以上各半两）。
制法与用法：将上述药物捣碎过粗筛制成散剂。每次服用一钱，加水一小盏，煎至剩余五分药液，滤去药渣。根据患儿年龄大小，不限时间服用，酌情增减剂量。
治疗小儿瘿气，肿块结聚逐渐增大的症状，使用海藻散方。
药材：海藻（洗去咸味）、海带、海蛤、昆布（洗去咸味）、木香（以上各半两）、金箔（三十片）、羊靥（一个，炙黄）。
制法与用法：将上述药物捣细过筛制成散剂。每次服用，用温酒调服半钱。根据患儿年龄大小，酌情增减剂量。每日服用三到四次。
治疗小儿瘿气，伴有心胸烦闷的症状，使用半夏散方。
药材：半夏（热水清洗七遍以去除滑腻感）、海藻（洗去咸味）、龙胆（去芦头）、昆布（洗去咸味）、土瓜根、射干（以上各半两）。
制法与用法：将上述药物捣细过筛制成散剂。每次服用，用生姜酒调服半钱。每日服用三到四次。根据患儿年龄大小，酌情增减剂量。
治疗小儿瘿气，伴有咽喉肿胀堵塞、妨碍闷痛的症状，使用木通丸方。
药材：木通（锉碎）、昆布（洗去咸味）、干姜（炮裂后锉碎）、甜葶苈（隔纸炒至紫色）、羚羊角屑（以上各半两）。
制法与用法：将上述药物捣罗成粉末，炼蜜调和制成丸剂，大小如麻子。不限时间服用，每次用温酒送服十丸。根据患儿年龄大小，酌情增减剂量。
治疗小儿瘿气，伴有咽喉噎塞的症状，使用陈橘皮丸方。
药材：陈橘皮（热水浸泡，去白瓤，焙干）、麦门冬（去心，焙干）、赤茯苓、连翘、海藻（洗去咸味）、商陆（干燥者，切片）（以上各半两）。
制法与用法：将上述药物捣罗成粉末，炼蜜调和制成丸剂，大小如绿豆。二三岁的儿童用温水送服七丸；年龄较大的儿童，用棉布包裹一丸含化。不限时间服用，根据病情加减。
又一方。
药材：羚羊角屑、昆布（洗去咸味）、桂心、木通（锉碎）（以上各半两）、川大黄（一两，锉碎，微炒）。
制法与用法：将上述药物捣罗成粉末，炼蜜调和制成丸剂，大小如麻子。不限时间服用，每次用米汤送服七丸。根据患儿年龄大小，临时酌情增减。
又一方。
药材：昆布（洗去咸味）、海藻（洗去咸味）、诃黎勒皮、川大黄（锉碎，微炒）（以上各半两）、枳壳（一分，麸炒）。
制法与用法：将上述药物捣罗成粉末，炼蜜调和制成丸剂，大小如麻子。不限时间服用，每次用温酒送服七丸。根据患儿年龄大小，酌情增减剂量。
又一方。
药材：槟榔（一两）、海藻（半两，洗去咸味）、昆布（半两，洗去咸味）。
制法与用法：将上述药物捣罗成粉末，炼蜜调和制成丸剂，大小如麻子。不限时间服用，每次用温酒送服七丸。根据患儿年龄大小，酌情增减剂量服用。
又一方。
药材：羊靥（半两，炙至黄色）、青橘皮（半两，热水浸泡，去白瓤，焙干）、烧银砂埚（半两）。
制法与用法：将上述药物捣罗成粉末，用糯米饭调和制成丸剂，大小如绿豆。不限时间服用，每次用温酒送服五丸。根据患儿年龄大小，酌情增减剂量。
The manifestation of pediatric goiter (Yi Qi) involves loose skin below the neck, with internal nodules protruding in a lumpy manner, gradually increasing in size; this is formed by the stagnation of Qi. If an infant continues to cry and is immediately fed milk, it causes panting and counterflow of Qi, preventing dispersion, thus leading to the formation of goiter due to accumulation.
To treat pediatric goiter accompanied by chest and diaphragm obstruction and coarse throat, use Shanglu San Formula.
Ingredients: Phytolaccae Radix (Shanglu, 1 liang, slightly roasted), Sargassum Herba (Kunbu, 1 liang, washed to remove saltiness), Arctii Fructus (Niubangzi, 3 fen), Belamcandae Rhizoma (Shegan), Akebiae Caulis (Mutong, sliced), and Laminaria Thallus (Haizao, washed to remove saltiness).
Preparation and Administration: The above ingredients are coarsely ground into powder. Take 1 qian per dose, add one small cup of water and a little fresh ginger, decoct until five-fen remains, filter out the dregs. Administer at any time.
To treat pediatric goiter accompanied by chest stuffiness and throat obstruction, use Mutong San Formula.
Ingredients: Akebiae Caulis (Mutong, sliced), Laminaria Thallus (Haizao, washed to remove saltiness), Sargassum Herba (Kunbu, washed to remove saltiness), Usnea (Songluo), Cinnamomi Cortex (Guixin), Ampelopsis Radix (Bailian) (each half liang), and Gecko (Gejie, one pair, cleaned and roasted).
Preparation and Administration: The above ingredients are finely ground into powder. For each dose, mix half a qian with decoction of Arctii Fructus (Niubangzi). Administer at any time, adjusting the dosage according to the child's age.
For pediatric goeter with swelling and oppression, Kunbu San Formula is suitable.
Ingredients: Sargassum Herba (Kunbu, washed to remove saltiness), Astragali Radix (Huangqi, sliced), Ophiopogonis Tuber (Mendong, de-core and dried), Rheum Palmatum Root (Dahuang, sliced and slightly fried), and Citri Reticulatae Pericarpium (Chenpi, soaked in hot water, white pith removed, dried) (each half liang).
Preparation and Administration: The above ingredients are coarsely ground into powder. Take 1 qian per dose, add one small cup of water, decoct until five-fen remains, filter out the dregs. Administer at any time, adjusting the dosage according to the child's age.
To treat pediatric goiter where the swelling and nodules gradually increase, use Haizao San Formula.
Ingredients: Laminaria Thallus (Haizao, washed to remove saltiness), Eckloniae Stipe (Haidai), Concha Meretricis (Haige), Sargassum Herba (Kunbu, washed to remove saltiness), and Aucklandiae Radix (Muxiang) (each half liang), Gold Leaf (Jinpo, 30 pieces), and Thyroid Gland of Sheep (Yangye, one piece, roasted until yellow).
Preparation and Administration: The above ingredients are finely ground into powder. For each dose, mix half a qian with warm wine. Adjust the dosage according to the child's age. Administer three to four times daily.
To treat pediatric goiter accompanied by mental restlessness and chest oppression, use Banxia San Formula.
Ingredients: Pinelliae Tuber (Banxia, washed seven times with hot water to remove slipperiness), Laminaria Thallus (Haizao, washed to remove saltiness), Gentianae Radix (Longdan, de-rhizome), Sargassum Herba (Kunbu, washed to remove saltiness), Trichosanthes Radix (Tugua), and Belamcandae Rhizoma (Shegan) (each half liang).
Preparation and Administration: The above ingredients are finely ground into powder. For each dose, mix half a qian with ginger-infused wine. Administer three to four times daily. Adjust the dosage according to the child's age.
To treat pediatric goiter accompanied by swollen and obstructed throat causing discomfort, use Mutong Wan Formula.
Ingredients: Akebiae Caulis (Mutong, sliced), Sargassum Herba (Kunbu, washed to remove saltiness), Zingiberis Rhizoma (Ganjiang, roasted and sliced), Descurainiae Semen (Tingli, stir-fried between papers until purple), and Antelopis Cornu (Lingyangjiao, shaved) (each half liang).
Preparation and Administration: The above ingredients are ground into fine powder, mixed with refined honey to form pills the size of sesame seeds. Administer at any time, ten pills per dose with warm wine. Adjust the dosage according to the child's age.
To treat pediatric goiter accompanied by throat obstruction, use Chenpi Wan Formula.
Ingredients: Citri Reticulatae Pericarpium (Chenpi, soaked in hot water, white pith removed, dried), Ophiopogonis Tuber (Mendong, de-core and dried), Poria (Fuling, red), Forsythiae Fructus (Lianqiao), Laminaria Thallus (Haizao, washed to remove saltiness), and Phytolaccae Radix (Shanglu, dried slices) (each half liang).
Preparation and Administration: The above ingredients are ground into fine powder, mixed with refined honey to form pills the size of mung beans. Children aged two or three years take seven pills with warm water; older children may suck on one pill wrapped in cotton. Administer at any time, adjusting as needed.
Another prescription.
Ingredients: Antelopis Cornu (Lingyangjiao, shaved), Sargassum Herba (Kunbu, washed to remove saltiness), Cinnamomi Cortex (Guixin), and Akebiae Caulis (Mutong, sliced) (each half liang), Rheum Palmatum Root (Dahuang, 1 liang, sliced and slightly fried).
Preparation and Administration: The above ingredients are ground into fine powder, mixed with refined honey to form pills the size of sesame seeds. Administer at any time, seven pills per dose with rice gruel. Adjust the dosage temporarily according to the child's age.
Another prescription.
Ingredients: Sargassum Herba (Kunbu, washed to remove saltiness), Laminaria Thallus (Haizao, washed to remove saltiness), Terminalia Chebula Pericarpium (Helilepi), Rheum Palmatum Root (Dahuang, sliced and slightly fried) (each half liang), Aurantii Fructus Immaturus (Zhiqiao, 1 fen, bran-fried).
Preparation and Administration: The above ingredients are ground into fine powder, mixed with refined honey to form pills the size of sesame seeds. Administer at any time, seven pills per dose with warm wine. Adjust the dosage according to the child's age.
Another prescription.
Ingredients: Arecae Semen (Binglang, 1 liang), Laminaria Thallus (Haizao, half liang, washed to remove saltiness), Sargassum Herba (Kunbu, half liang, washed to remove saltiness).
Preparation and Administration: The above ingredients are ground into fine powder, mixed with refined honey to form pills the size of sesame seeds. Administer at any time, seven pills per dose with warm wine. Adjust the dosage according to the child's age.
Another prescription.
Ingredients: Thyroid Gland of Sheep (Yangye, half liang, roasted until yellow), Citri Reticulatae Pericarpium Viride (Qingpi, half liang, soaked in hot water, white pith removed, dried), and Burnt Silver Crucible Residue (Yinsha Guo, half liang).
Preparation and Administration: The above ingredients are ground into fine powder, mixed with glutinous rice paste to form pills the size of mung beans. Administer at any time, five pills per dose with warm wine. Adjust the dosage according to the child's age.