夫小儿痞者。塞也。小儿胸膈热实。腹内有留饮。致令荣卫痞塞。腑脏之气不得宣通。
其痛。腹内气结胀满。或时壮热是也。
治小儿腹内痞结。壮热羸瘦。多啼。宜服前胡散方。
前胡（三分去芦头） 赤茯苓（半两） 犀角屑（半两） 川大黄（三分锉碎微炒） 枳
壳（半
两麸
上件药。捣粗罗为散。每服一钱。以水一小盏。煎至五分。去滓。看儿大小。分减温服。
微
治小儿腹内痞结。身体壮热。中焦壅闷。肠胃不利。柴胡散方。
柴胡（半两去苗） 赤茯苓（半两） 芎 （半两） 鳖甲（半两涂醋炙令黄去裙 ） 枳
壳
（半两麸炒微黄去瓤） 赤芍药（半两） 槟榔（半两） 甘草（一分炙微赤锉） 桃仁（半
两汤浸
去皮
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。更量
儿大
治小儿腹内痞结。壮热憎寒。大小便不利。大腹皮散方。
大腹皮（三分锉） 桔梗（三分去芦头） 陈橘皮（三分汤浸去白瓤焙） 人参（半两
去芦头）
赤
） 甘
草
上件药。捣粗罗为散。每服一钱。以水一小盏。煎至五分。去滓。看儿大小。分减温服
之。
治小儿腹内痞结。壮热不能乳食。心胸烦壅。宜服槟榔散方。
槟榔（半两） 枳壳（一分麸炒微黄去瓤） 赤芍药（一分） 柴胡（一分去芦头） 知
母（一
分）
微炒）
上件药。捣粗罗为散。每服一钱。以水一小盏。煎至五分。去滓。放温。量儿大小。分
减服
治小儿腹内痞结。虽服汤得利。而滞实不去。心下坚满。按之辄啼。内有伏热诸候
。集成此
甘遂（一分煨令微黄） 青橘皮（半两汤浸去瓤锉焙） 黄芩（半两） 川大黄（半两
锉碎微
炒）
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。分减温服。
以
治小儿腹内痞结。多惊。牛黄丸方。
牛黄（一分细研） 麝香（一分细研） 川芒硝（半两） 甘遂（一分煨令微黄） 雄
黄（半两
细研）
椒（一
分去
上件药。捣罗为末。都研令匀。用炼成蜜一合。入白蜡一两。合煎令熔。和丸如麻子大。
每
治小儿腹内痞结。妨闷。硝石丸方。
硝石（半两） 柴胡（半两去苗） 细辛（一分洗去苗土） 当归（一分锉微炒） 川
大黄（半
两锉
香（一
分）
上件药。捣罗为末。都研令匀。炼蜜和丸。如绿豆大。每服。一岁儿一丸。二岁二丸。
三岁
量儿
治小儿腹内痞结。乳食不消。心腹刺痛。甘遂丸方。
甘遂（一分煨令微黄） 赤芍药（半两） 黄芩（半两） 真珠末（一分） 杏仁（半
两汤浸去
皮尖
上件药。捣罗为末。入杏仁巴豆霜。同研令匀。炼蜜和丸。如麻子大。二三岁儿。空腹
以温
治小儿腹内痞结。胁肋妨闷。四肢羸瘦。鳖头丸方。\x
鳖头（一枚炙令微黄） 虻虫（三枚去翅足微炒） 虫（三分微炒） 川大黄（三分
锉碎微
炒）
上件药。捣罗为末。炼蜜和丸。如绿豆大。每服。以温水下三丸。日二服。以瘥为度。
量儿
小儿痞证，是指气机阻塞不通。小儿胸膈间热邪壅盛且实证，腹内有停饮（水液代谢障碍形成的病理产物），导致营卫之气痞塞阻滞，脏腑之气不能宣通。
其疼痛表现为腹部气结胀满，有时伴有高热，这就是痞证的症状。
治疗小儿腹内痞结，伴有壮热、身体消瘦、多啼哭者，适宜服用前胡散方。
前胡（三分，去芦头） 赤茯苓（半两） 犀角屑（半两） 川大黄（三分，锉碎后微炒） 枳壳（半两，麸炒微黄，去瓤）
以上药物，捣碎并粗筛为散剂。每次服用一钱，用水一小盏，煎至五分，去药渣。根据患儿年龄大小，酌情减量，温服。
治疗小儿腹内痞结，身体壮热，中焦气机壅闷，肠胃不利者，服用柴胡散方。
柴胡（半两，去苗） 赤茯苓（半两） 川芎（半两） 鳖甲（半两，涂醋炙至黄色，去裙边） 枳壳（半两，麸炒微黄，去瓤） 赤芍药（半两） 槟榔（半两） 甘草（一分，炙至微红，锉碎） 桃仁（半两，汤浸去皮尖及双仁，麸炒微黄）
以上药物，捣碎并粗筛为散剂。每次服用一钱，用水一小盏，煎至五分，去药渣，温服。每日三次。再根据患儿年龄大小酌情调整剂量。
治疗小儿腹内痞结，壮热伴憎寒（怕冷），大小便不利者，服用大腹皮散方。
大腹皮（三分，锉碎） 桔梗（三分，去芦头） 陈橘皮（三分，汤浸去白瓤，焙干） 人参（半两，去芦头） 赤茯苓（半两） 甘草（一分，炙微赤，锉）
以上药物，捣碎并粗筛为散剂。每次服用一钱，用水一小盏，煎至五分，去药渣。根据患儿年龄大小，酌情减量，温服。
治疗小儿腹内痞结，壮热导致无法进食乳食，心胸烦闷壅滞者，适宜服用槟榔散方。
槟榔（半两） 枳壳（一分，麸炒微黄，去瓤） 赤芍药（一分） 柴胡（一分，去芦头） 知母（一分，煨令微黄）
以上药物，捣碎并粗筛为散剂。每次服用一钱，用水一小盏，煎至五分，去药渣，放凉至温热。根据患儿年龄大小，酌情减量服用。
治疗小儿腹内痞结，虽然服用汤药后大便通畅，但积滞实邪仍未去除，心下坚硬胀满，按压时患儿哭闹，内有伏热等症状者，集成此方。
甘遂（一分，煨至微黄） 青橘皮（半两，汤浸去瓤，锉碎焙干） 黄芩（半两） 川大黄（半两，锉碎微炒）
以上药物，捣碎并粗筛为散剂。每次服用一钱，用水一小盏，煎至五分，去药渣。根据患儿年龄大小，酌情减量温服。
治疗小儿腹内痞结，易受惊吓者，服用牛黄丸方。
牛黄（一分，细研） 麝香（一分，细研） 川芒硝（半两） 甘遂（一分，煨至微黄） 雄黄（半两，细研） 蜀椒（一分，去目及闭口者，微炒出汗）
以上药物，捣罗为细末，混合研磨均匀。用炼成的蜂蜜一合，加入一两白蜡，共同煎熔，和药制成如麻子大小的丸剂。每次服用适量，温水送下。
治疗小儿腹内痞结，妨碍呼吸感到闷窒者，服用硝石丸方。
硝石（半两） 柴胡（半两，去苗） 细辛（一分，洗去苗土） 当归（一分，锉碎微炒） 川大黄（半两，锉碎微炒） 木香（一分）
以上药物，捣罗为细末，混合研磨均匀。用炼蜜和药制成如绿豆大小的丸剂。每次服用，一岁的患儿服一丸，两岁的服二丸，三岁的服三丸。根据患儿年龄大小酌情调整。
治疗小儿腹内痞结，乳食不消化，心腹刺痛者，服用甘遂丸方。
甘遂（一分，煨至微黄） 赤芍药（半两） 黄芩（半两） 真珠末（一分） 杏仁（半两，汤浸去皮尖及双仁，麸炒微黄） 巴豆（一分，去皮心，研如脂）
以上药物，捣罗为细末，加入杏仁和巴豆霜，共同研磨均匀。用炼蜜和药制成如麻子大小的丸剂。二三岁的患儿，空腹以温水送服。
治疗小儿腹内痞结，胁肋部妨碍闷窒，四肢消瘦者，服用鳖头丸方。
鳖头（一枚，炙至微黄） 虻虫（三枚，去翅足，微炒） 䗪虫（三分，微炒） 川大黄（三分，锉碎微炒）
以上药物，捣罗为细末。用炼蜜和药制成如绿豆大小的丸剂。每次服用，温水送下三丸，每日两次。以病愈为度。根据患儿年龄大小酌情调整剂量。
Pediatric Pi syndrome refers to the obstruction of Qi mechanism. It occurs when heat pathogens are excessive and excess in the chest and diaphragm, with retained fluids (pathological products formed by disorders of fluid metabolism) remaining in the abdomen. This leads to the stagnation of Ying (Nutrient) and Wei (Defensive) Qi, preventing the smooth circulation of Zang-Fu organ Qi.
The pain manifests as abdominal Qi knotting and distension, sometimes accompanied by high fever; this is the symptomatology of Pi syndrome.
For pediatric abdominal Pi knotting accompanied by high fever, emaciation, and frequent crying, Qianhu San Decoction Powder is indicated.
Qian Hu (Peucedani Radix, 3 fen, remove rhizome head) Chi Fu Ling (Poria Cocos with Red Bark, 0.5 liang) Xi Jiao Xie (Rhinoceros Horn Chips, 0.5 liang) Chuan Da Huang (Rhei Radix et Rhizoma, 3 fen, cut into pieces and lightly stir-fried) Zhi Ke (Aurantii Fructus, 0.5 liang, stir-fried with bran until slightly yellow, remove pith)
Crush the above herbs and sieve them coarsely to make a powder. Take 1 qian per dose. Add one small cup of water, decoct until reduced to half a cup, strain off the dregs. Adjust the dosage according to the child's age and size, and take warm.
For pediatric abdominal Pi knotting accompanied by high fever, stagnation and oppression in the Middle Jiao, and intestinal-rectal dysfunction, Chai Hu San Decoction Powder is administered.
Chai Hu (Bupleuri Radix, 0.5 liang, remove seedlings) Chi Fu Ling (Poria Cocos with Red Bark, 0.5 liang) Xiong (Ligustici Chuanxiong Rhizoma, 0.5 liang) Bie Jia (Testudinis Carapax et Plastrum, 0.5 liang, coated with vinegar and roasted until yellow, remove skirt edges) Zhi Ke (Aurantii Fructus, 0.5 liang, stir-fried with bran until slightly yellow, remove pith) Chi Shao Yao (Paeoniae Radix Rubra, 0.5 liang) Bing Lang (Arecae Semen, 0.5 liang) Gan Cao (Glycyrrhizae Radix et Rhizoma, 1 fen, roasted until slightly red and cut) Tao Ren (Persicae Semen, 0.5 liang, soaked in water, skin and tips removed, stir-fried with bran until slightly yellow)
Crush the above herbs and sieve them coarsely to make a powder. Take 1 qian per dose. Add one small cup of water, decoct until reduced to half a cup, strain off the dregs, and take warm. Administer three times daily. Adjust the dosage further according to the child's age and size.
For pediatric abdominal Pi knotting accompanied by high fever with aversion to cold, and difficulty in urination and defecation, Dafupi San Decoction Powder is used.
Da Fu Pi (Arecae Pericarpium, 3 fen, cut into pieces) Jie Geng (Platycodonis Radix, 3 fen, remove rhizome head) Chen Ju Pi (Citri Reticulatae Pericarpium, 3 fen, soaked in water, white pith removed, dried) Ren Shen (Ginseng Radix, 0.5 liang, remove rhizome head) Chi Fu Ling (Poria Cocos with Red Bark, 0.5 liang) Gan Cao (Glycyrrhizae Radix et Rhizoma, 1 fen, roasted until slightly red and cut)
Crush the above herbs and sieve them coarsely to make a powder. Take 1 qian per dose. Add one small cup of water, decoct until reduced to half a cup, strain off the dregs. Adjust the dosage according to the child's age and size, and take warm.
For pediatric abdominal Pi knotting accompanied by high fever preventing feeding, and mental restlessness with chest oppression, Bing Lang San Decoction Powder is indicated.
Bing Lang (Arecae Semen, 0.5 liang) Zhi Ke (Aurantii Fructus, 1 fen, stir-fried with bran until slightly yellow, remove pith) Chi Shao Yao (Paeoniae Radix Rubra, 1 fen) Chai Hu (Bupleuri Radix, 1 fen, remove rhizome head) Zhi Mu (Anemarrhenae Rhizoma, 1 fen, roasted until slightly yellow)
Crush the above herbs and sieve them coarsely to make a powder. Take 1 qian per dose. Add one small cup of water, decoct until reduced to half a cup, strain off the dregs, let cool to warm temperature. Adjust the dosage according to the child's age and size, and administer.
For pediatric abdominal Pi knotting where, although bowel movements occur after taking decoctions, the accumulation and excess pathogens remain, presenting with hardness and fullness below the heart, crying upon pressure, and latent heat internally, this integrated formula is used.
Gan Sui (Kansui Radix, 1 fen, roasted until slightly yellow) Qing Ju Pi (Citri Reticulatae Pericarpium Viride, 0.5 liang, soaked in water, pith removed, cut and dried) Huang Qin (Scutellariae Radix, 0.5 liang) Chuan Da Huang (Rhei Radix et Rhizoma, 0.5 liang, cut into pieces and lightly stir-fried)
Crush the above herbs and sieve them coarsely to make a powder. Take 1 qian per dose. Add one small cup of water, decoct until reduced to half a cup, strain off the dregs. Adjust the dosage according to the child's age and size, and take warm.
For pediatric abdominal Pi knotting accompanied by frequent fright, Niuhuang Wan Pills are administered.
Niu Huang (Calculus Bovis, 1 fen, finely ground) She Xiang (Moschus, 1 fen, finely ground) Chuan Mang Xiao (Natrii Sulfas, 0.5 liang) Gan Sui (Kansui Radix, 1 fen, roasted until slightly yellow) Xiong Huang (Realgar, 0.5 liang, finely ground) Shu Jiao (Zanthoxyli Pericarpium, 1 fen, remove eyes and closed ones, lightly stir-fried to release moisture)
Grind the above herbs into fine powder and mix thoroughly. Use one he of refined honey and one liang of white beeswax, melt together, and mix with the powder to form pills the size of hemp seeds. Administer an appropriate amount, washed down with warm water.
For pediatric abdominal Pi knotting causing breathing obstruction and stifling sensation, Xiaoshi Wan Pills are administered.
Xiao Shi (Nitrum, 0.5 liang) Chai Hu (Bupleuri Radix, 0.5 liang, remove seedlings) Xi Xin (Asari Radix et Rhizoma, 1 fen, wash to remove seedlings and soil) Dang Gui (Angelicae Sinensis Radix, 1 fen, cut and lightly stir-fried) Chuan Da Huang (Rhei Radix et Rhizoma, 0.5 liang, cut and lightly stir-fried) Mu Xiang (Aucklandiae Radix, 1 fen)
Grind the above herbs into fine powder and mix thoroughly. Mix with refined honey to form pills the size of mung beans. For each dose: one-year-old children take one pill, two-year-olds take two pills, three-year-olds take three pills. Adjust according to the child's age and size.
For pediatric abdominal Pi knotting with indigestion of milk and food, and stabbing pain in the heart and abdomen, Gansui Wan Pills are administered.
Gan Sui (Kansui Radix, 1 fen, roasted until slightly yellow) Chi Shao Yao (Paeoniae Radix Rubra, 0.5 liang) Huang Qin (Scutellariae Radix, 0.5 liang) Zhen Zhu Mo (Margarita, 1 fen) Xing Ren (Armeniacae Semen Amarum, 0.5 liang, soaked in water, skin and tips removed, lightly stir-fried with bran) Ba Dou (Crotonis Fructus, 1 fen, skin and core removed, ground into paste)
Grind the above herbs into fine powder, add Xing Ren and Ba Dou paste, and grind together until uniform. Mix with refined honey to form pills the size of hemp seeds. For children aged two or three, administer on an empty stomach with warm water.
For pediatric abdominal Pi knotting causing rib-side oppression and emaciation of the four limbs, Bietou Wan Pills are administered.
Bie Tou (Testudinis Caput, one piece, roasted until slightly yellow) Meng Chong (Blattidae Insect, three pieces, remove wings and feet, lightly stir-fried) Zhe Chong (Eupolyphaga Seu Steleophaga, 3 fen, lightly stir-fried) Chuan Da Huang (Rhei Radix et Rhizoma, 3 fen, cut into pieces and lightly stir-fried)
Grind the above herbs into fine powder. Mix with refined honey to form pills the size of mung beans. For each dose, wash down with warm water three pills, twice daily. Continue until recovery. Adjust dosage according to the child's age and size.