（奶脾是附）
《圣惠》∶夫小儿乳癖者，由乳母食饮无常，醉饱过度，便即乳儿，不知KT 节。小儿脾胃虚嫩，不能消化，
或乳母偏卧一向，乳儿不能回转，儿亦睡着，乳滞偏于胁下，因兹结聚成块而痛者是也。其候面色青黄，发歇
壮热，吐乳多睡，口内生疮，渐渐黄瘦，腹内结块不散，故名乳癖也。
茅先生∶小儿生下，中遍身忽发寒候，遍身黄肿，小便赤黄，体微蒸热。此候本因胎热，又因哭后母爱惜，
将奶与吃，不消化，遂为奶积。所治者，先用牛黄膏（方见膈热门中）、天竺黄散（方见实热门中）、调中饮（方
见胃气不和门中），三个药与服即愈。如见黄色入睛，眼目视，气喘鱼口，手握拳，恶候不治。
钱乙论∶腹中有癖，不食，但饮乳是也。当渐用白饼子下之。
《婴童宝鉴》∶小儿奶癖者，谓小儿未会吃食，唯饮其乳，其乳拥猛。或其母当烦之次，便乳其子，子饮乳
拥结不消，又夹顽涎结成痞块在腹内，或动不动，有时腹痛是也。
《玉诀》小儿奶癖积伤候歌∶
奶脾痞结积因伤，腹胀筋青面色黄，热发有时或渴饮，疳伤脾热口生疮。
此患先解利，后取积，次调胃气无误矣。
又一本云∶先用惺惺丸取，次银白散调气。（二方并见本门。）
《圣惠》治小儿乳癖结实，或有滞恶停积不散，令儿日渐羸瘦，面色痿黄，春夏多发，不欲饮食，京三棱散方
京三棱（微煨，锉） 川大黄（锉碎，微炒） 槟榔 鳖甲（涂醋炙令黄，去裙 ） 赤
茯苓（各半两） 枳壳（一分，麸炒微黄，去瓤）
上件药捣，罗为散。每服一钱，以水一小盏煎至五分，去滓，分为二服，日三、四服，逐下恶物为效。
《圣惠》治小儿乳癖，壮热体瘦，宜服朱砂丸方
朱砂（半两，细研，水飞过） 雄黄（细研，一钱半） 寒水石 龙脑（各细研） 腻
粉槟榔（末。各一钱）
上件药都研令匀，炼蜜和丸如绿豆大。三、二岁儿以生姜汤下三丸，日再服。量儿大小以意加减。
《圣惠》治小儿乳癖，手脚心热，面色青黄，不下乳食，日渐羸瘦。人参丸方
人参（去芦头） 生姜（切，干炒） 桂心 赤茯苓 白术 枳壳（麸炒微黄，去瓤） 木香 当归（锉，
微炒） 槟榔 京三棱（微煨，锉） 鳖甲（涂醋炙令黄，去裙 ） 川大黄（锉碎，微炒。各半两）
上件药捣，罗为末，炼蜜和丸如绿豆大。每一岁儿以粥饮化下三丸，日三服。量儿大小以意加减。
《圣惠》治小儿乳癖，呕吐，腹胀，寒热，枳壳丸方
枳壳（麸炒微黄，去瓤） 木香 赤茯苓（各半两） 人参（去芦头） 柴胡（去苗。各三分） 桂
心（一分） 川大黄（一两，锉碎，微炒）
上件药捣，罗为末，炼蜜和丸如绿豆大。每服以温水化破三丸服之，日三服。量儿大小加减服之。
《圣惠》治小儿乳癖，面色黄悴，食乳微细，日渐羸瘦。鳖甲丸方
鳖甲（涂醋炙令黄，去裙 ） 京三棱（微煨，锉） 槟榔（各半两） 人参（去芦
头） 赤茯苓 白术 枳壳（麸炒微黄，去瓤） 木香 当归（锉，
微炒） 桂心（各一分） 川大黄（一两，锉碎，微炒）
上件药捣，罗为末，炼蜜和丸如绿豆大。每服以粥饮研下三丸，日再服，以利为度。更量儿大小以意加减。
《圣惠》治小儿乳癖，胁下坚硬，大便难，小便赤。大黄丸方
川大黄（锉碎，微炒） 诃梨勒皮（各半两） 乌梅肉（微炒） 陈橘皮（汤浸，去白瓤，
焙） 木香（各一分） 郁李仁（汤浸，去皮，微炒） 川朴硝（各三分） 桔梗（一分，去芦头）
上件药捣，罗为末，炼蜜为丸如绿豆大。一岁儿每服以粥饮研下五丸，晚后再服。更量儿大小以意加减。
《圣惠》治小儿乳癖结块，久不消化，诸药无效。宜服化癖丸方
巴豆霜（半两） 腻粉 朱砂（细研。各一钱） 黄鹰粪（一分） 砂 雄雀粪（各一字）
上件药都研如粉，用糯米饮和丸如黍米粒大。一岁儿每服空心煎皂荚仁汤下二丸，取下恶物为度。
《圣惠》治小儿乳癖不消，心腹胀满。木香丸方
木香 京三棱（微煨，锉） 槟榔 人参（去芦头） 青橘皮（汤浸，去白瓤，焙） 赤茯
苓（各一分） 牵牛子（微炒） 草豆蔻（去皮。各半两） 郁李仁（一两，汤浸，去皮，微炒）
上药捣，罗为末，以醋煮面糊为丸如麻子大。每服以粥饮下三丸。量儿大小加减服之。
《圣惠》治小儿乳癖，胁下结块不消。腻粉丸方
腻粉（一钱） 雄雀粪（一分，微炒）
上件药都研令匀，以枣瓤和丸如粟米大。以新汲水下一丸，取下粘滞恶物为效。量儿虚实、大小以意加减。
《谭氏殊圣》治奶癖。
诃子（五个，磨去两尖） 密陀僧（三钱） 硫黄 轻粉 白丁香 黑丁香 粉霜 硼砂（各一钱）
上件八味为末。每服半钱，男儿患，用女儿奶汁化服；女儿患，用男儿乳汁化下。
《谭氏殊圣》治月里孩儿奶癖方。
紫河车 人参
上各等分为末。用好醋调，拍成饼子如大钱子大。如左畔有奶脾者，药贴左畔脚心，用绯帛子扎，干后见
效。左右一般使药。
《谭氏殊圣》治小儿奶癖方。
白丁香 黑丁香（各十二个） 石燕子 舶上硫黄 寒水石 密陀僧（各三钱） 腻粉（两个）
上件为末。每服一钱，用第二遍米泔水调下，服即取下病来，如末，更一服。
《谭氏殊圣》又方
密陀僧 诃子 丁香 草蔻 木香（等分）
上研，罗为细末，入腻粉少许再研。每服一钱半，米饮下。如不动，来日再服立效。
《谭氏殊圣》又方。
黑丁香（二十个） 舶上硫黄 密陀僧（各半两） 白丁香（五个）
上生用，为细末。如一岁者，只一字，临卧服；如三、两岁者，便服半钱，用奶汁下。
《养生必用》治小儿奶癖，羸瘦危困，胁下硬有形即是。
青礞石（末，半两） 汞粉（半钱） 寒食面（一钱半）
上研令匀，以乳汁和，分为二十饼子，熨斗上以慢火爆干。一饼子分为四处，随饮食化服四分之一，隔日
一次服，八服取效。未吃得饮食，化如糊，抿在儿口内。
张涣三棱散 治小儿乳癖结实不瘥方。
京三棱（炮，锉碎） 赤茯苓 当归（洗，焙干） 鳖甲（涂醋炙令黄，去裙 。各一两） 白
术枳壳（麸炒，去瓤） 木香（各半两）
上件捣，罗为细散。每服一钱，水一盏，入生姜七片，煎五分，去滓。放温，时时与服。
《婴童宝鉴》治小儿奶癖软银丸方
水银（结成砂子） 白丁香（末） 腻粉（各一钱） 鹰条（末。各一钱匕） 巴豆（二十一个，去膜研，
略去油） 续随子（四十九个，去壳）
上件同研匀，枣肉为丸如绿豆大。一岁一丸，温水下。
《玉诀》惺惺丸 治小儿虚积，及实积乳癖方。
阳起石（一分） 黄鹰条（秤二钱） 白丁香 朱砂（各一钱） 轻粉（一钱半） 麝（
少许，末之） 砂（一字，醋化） 石燕子（五个，醋淬， 七次）
黄连（七钱） 续随子（一百个，去壳，去油）
上浸蒸饼，丸黍米大。每服三十丸，大小儿加减。炮皂子并葱煎汤，临睡吞下。
《玉诀》银白散 生胃气，取下后宜服此方。
人参 茯苓 甘草（炙） 白术（麦面炒） 白扁豆（去皮） 藿香叶
上各等分，末一钱，紫苏汤调下。
《张氏家传》治小儿奶脾方。
上用芫花一两（醋浸三日，净洗），大黄半两，为末，入蒜一斤研，同药末研烂匀。男左女右，用药涂在乳母手心，
熨擦癖上。时闻患人口中，如闻得药气，实时取了，立效。
《董氏家传》治小儿奶癖、脾极效方。
紫河车（二两） 寒食面（三两）
上同为细末。每服一匙许，水调涂足心，病在左涂左；病在右涂右。涂于红帛上缚之良久，其病大便中下去，
救人甚多矣。大便尽洗去。
《庄氏家传》治小儿奶脾，疳瘦尽，青皮丸方
上用青皮不计多少，去白，干用，为细末，猪胆丸如绿豆大。每服五丸、七丸任意，汤下，日进三服。
《孔氏家传》治小儿奶脾方。
上用密陀僧不拘多少，研极细。以大蒜自然汁调，稀稠得所，涂于有奶脾处。据其大小周遍，又不可涂之
太过。须臾，候儿口中有蒜气息，即是药透。仔细以手揉之，觉奶脾似消及五、六分，即便用温浆水洗去。
切须则度，不可令消尽，恐药毒损气也。如未消，药先干，即别使温水润之。
《王氏手集》治小儿奶癖方。
白芥子 芸苔子（各等分）
上二味为末，水调摊纸上，贴奶癖。又用醋面饼子盖之立效。少顷急去，如不去即成疮。
《赵氏家传》治小儿奶癖，发寒热，肌瘦，可思饮食，渐渐黄瘦，欲成疳气。如圣丸方
大丁香（二十一个） 密陀僧（半两） 粉霜（一字半） 舶上硫黄（二钱半） 砂（一
钱） 白丁香（四十个全者）
上为末。每服半钱，冷面汤调下，日一服，正午时见效。三岁以上每服半钱，三岁以下每服一字。
《吉氏家传》治奶癖积热，发疳，水银丸方
水银（结砂，一钱） 砂 白丁香（各半钱） 轻粉 脑子（各少许） 香墨 鹰条 巴豆（醋煮令干） 青
黛（罗过） 黄明胶（用蚌粉炒黄色） 百草霜（各一钱）
上末，滴水丸如绿豆大。用薄荷汤下三、五丸，看儿大小加减妙。
长沙医者郑愈传治小儿奶癖方。
上用紫河车不以多少，为末。每用一钱，冷水调贴癖痛硬处。
《庄氏集》俞穴灸法∶乳癖，用粗线两条，各量两乳头中间阔狭，于两乳头上垂下，照令端直方停，对两乳
于左右肋上各灸七壮，炷如麦粒大。
（“奶脾”即指此病，附于后文）
《圣惠方》论述：所谓小儿乳癖，是因为乳母饮食没有规律，醉酒或饱食过度后立即哺乳，不懂得节制。小儿脾胃虚弱娇嫩，无法消化乳汁；或者乳母偏卧一侧喂奶，婴儿无法翻身，导致婴儿睡着，乳汁停滞在胁下，因此结聚成块并产生疼痛，这就是乳癖。其症状表现为面色青黄，间歇性高热，吐乳且嗜睡，口腔内生疮，逐渐变得面黄肌瘦，腹内结块不散，所以称为乳癖。
茅先生论述：小儿出生后，全身突然发冷，全身黄肿，小便赤黄，身体微有蒸热。这种病症本因胎热，又因哭闹后母亲怜惜，立即喂奶，导致消化不良，遂形成奶积。治疗时，先用牛黄膏（方剂见膈热门中）、天竺黄散（方剂见实热门中）、调中饮（方剂见胃气不和门中），服用这三种药即可痊愈。如果见到黄色进入眼珠，眼睛直视，气喘如鱼口状，手握拳，这些是恶候，难以治愈。
钱乙论述：腹中有癖块，不进食，只喝乳汁。应当逐渐使用白饼子攻下。
《婴童宝鉴》论述：小儿奶癖，是指小儿还不会吃饭，只喝乳汁，乳汁壅盛猛烈。或者母亲在烦躁之时便给儿子喂奶，儿子饮用后乳汁拥结不消，又夹杂顽痰结成痞块在腹内，有时腹痛不定，这就是奶癖。
《玉诀》小儿奶癖积伤候歌诀：
奶脾痞结积因伤，腹胀筋青面色黄，热发有时或渴饮，疳伤脾热口生疮。
此患应先解利，后取积，再调理胃气，就不会有误了。
另一版本说：先用惺惺丸攻取，再用银白散调理气机。（两个方剂均见本门。）
《圣惠方》治疗小儿乳癖结实，或有滞恶停积不散，使小儿日渐消瘦，面色萎黄，春夏季节多发，不想饮食，京三棱散方：
京三棱（微煨，锉碎） 川大黄（锉碎，微炒） 槟榔 鳖甲（涂醋炙令黄，去裙边） 赤茯苓（各半两） 枳壳（一分，麸炒微黄，去瓤）
以上药物捣碎，过筛为散。每次服一钱，用水一小盏煎至五分，去渣，分两次服，每日三、四次，以下出恶物为有效。
《圣惠方》治疗小儿乳癖，壮热体瘦，宜服朱砂丸方：
朱砂（半两，细研，水飞） 雄黄（细研，一钱半） 寒水石 龙脑（各细研） 腻粉 槟榔（末。各一钱）
以上药物都研磨均匀，炼蜜和丸如绿豆大。二、三岁幼儿用生姜汤送下三丸，每日两次。根据幼儿大小酌情加减。
《圣惠方》治疗小儿乳癖，手脚心热，面色青黄，不下乳食，日渐消瘦。人参丸方：
人参（去芦头） 生姜（切，干炒） 桂心 赤茯苓 白术 枳壳（麸炒微黄，去瓤） 木香 当归（锉，微炒） 槟榔 京三棱（微煨，锉） 鳖甲（涂醋炙令黄，去裙边） 川大黄（锉碎，微炒。各半两）
以上药物捣碎，过筛为末，炼蜜和丸如绿豆大。每岁幼儿用米粥饮化下三丸，每日三次。根据幼儿大小酌情加减。
《圣惠方》治疗小儿乳癖，呕吐，腹胀，寒热，枳壳丸方：
枳壳（麸炒微黄，去瓤） 木香 赤茯苓（各半两） 人参（去芦头） 柴胡（去苗。各三分） 桂心（一分） 川大黄（一两，锉碎，微炒）
以上药物捣碎，过筛为末，炼蜜和丸如绿豆大。每次用温水化开三丸服用，每日三次。根据幼儿大小加减服用。
《圣惠方》治疗小儿乳癖，面色黄悴，吃乳微弱，日渐消瘦。鳖甲丸方：
鳖甲（涂醋炙令黄，去裙边） 京三棱（微煨，锉） 槟榔（各半两） 人参（去芦头） 赤茯苓 白术 枳壳（麸炒微黄，去瓤） 木香 当归（锉，微炒） 桂心（各一分） 川大黄（一两，锉碎，微炒）
以上药物捣碎，过筛为末，炼蜜和丸如绿豆大。每次用米粥饮研下三丸，每日两次，以通利为度。更根据幼儿大小酌情加减。
《圣惠方》治疗小儿乳癖，胁下坚硬，大便难，小便赤。大黄丸方：
川大黄（锉碎，微炒） 诃梨勒皮（各半两） 乌梅肉（微炒） 陈橘皮（汤浸，去白瓤，焙） 木香（各一分） 郁李仁（汤浸，去皮，微炒） 川朴硝（各三分） 桔梗（一分，去芦头）
以上药物捣碎，过筛为末，炼蜜为丸如绿豆大。一岁幼儿每次用米粥饮研下五丸，晚间再服一次。更根据幼儿大小酌情加减。
《圣惠方》治疗小儿乳癖结块，久不消化，诸药无效。宜服化癖丸方：
巴豆霜（半两） 腻粉 朱砂（细研。各一钱） 黄鹰粪（一分） 砂 雄雀粪（各一字）
以上药物都研磨如粉，用糯米饮和丸如黍米粒大。一岁幼儿每次空腹煎皂荚仁汤送下二丸，以下出恶物为度。
《圣惠方》治疗小儿乳癖不消，心腹胀满。木香丸方：
木香 京三棱（微煨，锉） 槟榔 人参（去芦头） 青橘皮（汤浸，去白瓤，焙） 赤茯苓（各一分） 牵牛子（微炒） 草豆蔻（去皮。各半两） 郁李仁（一两，汤浸，去皮，微炒）
以上药物捣碎，过筛为末，以醋煮面糊为丸如麻子大。每次用米粥饮送下三丸。根据幼儿大小加减服用。
《圣惠方》治疗小儿乳癖，胁下结块不消。腻粉丸方：
腻粉（一钱） 雄雀粪（一分，微炒）
以上药物都研磨均匀，以枣瓤和丸如粟米大。用新汲水送下一丸，以下出粘滞恶物为效。根据幼儿虚实、大小酌情加减。
《谭氏殊圣》治疗奶癖。
诃子（五个，磨去两尖） 密陀僧（三钱） 硫黄 轻粉 白丁香 黑丁香 粉霜 硼砂（各一钱）
以上八味药为末。每次服半钱，男孩患病，用女孩奶汁化服；女孩患病，用男孩乳汁化下。
《谭氏殊圣》治疗月里孩儿奶癖方。
紫河车 人参
以上各等分为末。用好醋调，拍成饼子如大铜钱大。如果左侧有奶脾，药贴左侧脚心，用红布扎紧，干了见效。左右两侧用药相同。
《谭氏殊圣》治疗小儿奶癖方。
白丁香 黑丁香（各十二个） 石燕子 舶上硫黄 寒水石 密陀僧（各三钱） 腻粉（两个）
以上为末。每次服一钱，用第二遍米泔水调下，服后即取下病来，如未取下，再服一次。
《谭氏殊圣》又方
密陀僧 诃子 丁香 草蔻 木香（等分）
以上研，过筛为细末，入少许腻粉再研。每次服一钱半，米饮送下。如未动，次日再服立效。
《谭氏殊圣》又方。
黑丁香（二十个） 舶上硫黄 密陀僧（各半两） 白丁香（五个）
以上生用，为细末。如一岁的，只服一字，临睡前服；如两三岁的，就服半钱，用奶汁送下。
《养生必用》治疗小儿奶癖，羸瘦危困，胁下硬有形即是。
青礞石（末，半两） 汞粉（半钱） 寒食面（一钱半）
以上研令均匀，以乳汁和，分为二十饼子，熨斗上用慢火烤干。一饼子分为四处，随饮食化服四分之一，隔日一次服，八次取效。还未吃东西的，化成糊状，抿在幼儿口中。
张涣三棱散 治疗小儿乳癖结实不愈方。
京三棱（炮，锉碎） 赤茯苓 当归（洗，焙干） 鳖甲（涂醋炙令黄，去裙边。各一两） 白术 枳壳（麸炒，去瓤） 木香（各半两）
以上捣，过筛为细散。每次服一钱，水一盏，入生姜七片，煎至五分，去渣。放温，时时与服。
《婴童宝鉴》治疗小儿奶癖软银丸方
水银（结成砂子） 白丁香（末） 腻粉（各一钱） 鹰条（末。各一钱匕） 巴豆（二十一个，去膜研，略去油） 续随子（四十九个，去壳）
以上同研匀，枣肉为丸如绿豆大。一岁一丸，温水送下。
《玉诀》惺惺丸 治疗小儿虚积，及实积乳癖方。
阳起石（一分） 黄鹰条（秤二钱） 白丁香 朱砂（各一钱） 轻粉（一钱半） 麝（少许，末之） 砂（一字，醋化） 石燕子（五个，醋淬，七次）
黄连（七钱） 续随子（一百个，去壳，去油）
以上浸蒸饼，丸黍米大。每次服三十丸，大小儿加减。炮皂子并葱煎汤，临睡吞下。
《玉诀》银白散 生胃气，取下后宜服此方。
人参 茯苓 甘草（炙） 白术（麦面炒） 白扁豆（去皮） 藿香叶
以上各等分，末一钱，紫苏汤调下。
《张氏家传》治疗小儿奶脾方。
上面用芫花一两（醋浸三日，净洗），大黄半两，为末，入蒜一斤研，同药末研烂匀。男左女右，用药涂在乳母手心，熨擦癖处。时常闻患儿的口中，如闻得药气，实时取了，立效。
《董氏家传》治疗小儿奶癖、脾极效方。
紫河车（二两） 寒食面（三两）
以上同为细末。每次服一匙许，水调涂足心，病在左涂左；病在右涂右。涂于红帛上缚之良久，其病大便中下去，救人甚多矣。大便尽洗去。
《庄氏家传》治疗小儿奶脾，疳瘦尽，青皮丸方
上面用青皮不计多少，去白，干用，为细末，猪胆丸如绿豆大。每次服五丸、七丸任意，汤下，日进三服。
《孔氏家传》治疗小儿奶脾方。
上面用密陀僧不拘多少，研极细。以大蒜自然汁调，稀稠得所，涂于有奶脾处。据其大小周遍，又不可涂之太过。须臾，候儿口中有蒜气息，即是药透。仔细以手揉之，觉奶脾似消及五、六分，即便用温浆水洗去。切须则度，不可令消尽，恐药毒损气也。如未消，药先干，即别使温水润之。
《王氏手集》治疗小儿奶癖方。
白芥子 芸苔子（各等分）
以上二味为末，水调摊纸上，贴奶癖。又用醋面饼子盖之立效。少顷急去，如不去即成疮。
《赵氏家传》治疗小儿奶癖，发寒热，肌瘦，可思饮食，渐渐黄瘦，欲成疳气。如圣丸方
大丁香（二十一个） 密陀僧（半两） 粉霜（一字半） 舶上硫黄（二钱半） 砂（一钱） 白丁香（四十个全者）
以上为末。每次服半钱，冷面汤调下，日一服，正午时见效。三岁以上每服半钱，三岁以下每服一字。
《吉氏家传》治疗奶癖积热，发疳，水银丸方
水银（结砂，一钱） 砂 白丁香（各半钱） 轻粉 脑子（各少许） 香墨 鹰条 巴豆（醋煮令干） 青黛（罗过） 黄明胶（用蚌粉炒黄色） 百草霜（各一钱）
以上末，滴水丸如绿豆大。用薄荷汤下三、五丸，看儿大小加减妙。
长沙医者郑愈传治小儿奶癖方。
上面用紫河车不以多少，为末。每用一钱，冷水调贴癖痛硬处。
《庄氏集》俞穴灸法：乳癖，用粗线两条，各量两乳头中间阔狭，于两乳头上垂下，照令端直方停，对两乳于左右肋上各灸七壮，炷如麦粒大。
(Note: "Nai Pi" refers to this condition, attached below)
*Shenghui Fang* discusses: The so-called pediatric *Ru Pi* (Milk Lump), arises because the nursing mother has irregular eating and drinking habits, consumes alcohol or eats to excess and immediately nurses the infant without knowing moderation. The infant's spleen and stomach are weak and tender, unable to digest the milk; or if the mother lies on one side while nursing, the infant cannot turn over, causing the infant to fall asleep with milk stagnating in the hypochondrium. Consequently, it knots into a mass and causes pain; this is called *Ru Pi*. Its manifestations include a bluish-yellow complexion, intermittent high fever, vomiting of milk with excessive sleepiness, sores inside the mouth, gradual emaciation and yellowish skin, and an unresolving abdominal mass, hence the name *Ru Pi*.
Mr. Mao discusses: After birth, the infant suddenly presents with cold sensations throughout the body, generalized yellow edema, red-yellow urine, and slight steaming heat. This condition originates from fetal heat, compounded by the mother's affection after crying, leading to immediate feeding that causes indigestion, thus forming a milk accumulation. Treatment should first use *Niuhuang Gao* (Ointment containing Calculus Bovis, see section on Diaphragm Heat), *Tianzhuhuang San* (Powder of Calamus and Bamboo Resin, see section on Excess Heat), and *Tiaozhong Yin* (Decoction for Regulating the Middle, see section on Disharmony of Stomach Qi). Taking these three medicines will lead to recovery. If yellow color enters the eyes, the eyes stare fixedly, there is asthma-like breathing resembling a fish's mouth, and the hands are clenched, these are ominous signs indicating untreatability.
Qian Yi discusses: There is a lump in the abdomen; the child does not eat solid food but only drinks milk. One should gradually use *Baibing Zi* (White Pill) to purge it.
*Yingtong Baojian* discusses: Pediatric *Nai Pi* (Milk Lump) refers to infants who have not yet learned to eat solid food and only drink milk, resulting in overwhelming milk flow. Or when the mother is irritated, she nurses her son immediately; the son drinks, the milk becomes congested and undigested, mixing with stubborn phlegm to form a痞块 (mass) in the abdomen, sometimes causing abdominal pain. This is *Nai Pi*.
*Yu Jue* Song for Pediatric Milk Lump Accumulation Injury Syndrome:
The milk spleen lump forms due to injury from accumulation;
Abdominal distension, blue veins, yellow complexion.
Fever comes at times, or thirst for drinking;
Malnutrition injures spleen heat, sores appear in the mouth.
This ailment should first be resolved with purgatives, then the accumulation removed, followed by regulating stomach qi, and no error will occur.
Another version states: First use *Xingxing Wan* (Wonderful Incense Pill) to purge, then use *Yinbai San* (Silver-White Powder) to regulate qi. (Both formulas are seen in this section.)
*Shenghui Fang* treats pediatric *Ru Pi* with firmness, or stagnant evil accumulation that does not dissipate, causing the child to become emaciated day by day, with a sallow complexion, frequent in spring and summer, loss of appetite. Formula for Jing Sanleng San:
Jing Sanleng (Spatholobi Caulis, lightly roasted and chopped) Chuan Dahuang (Rhei Radix et Rhizoma, chopped and lightly fried) Binglang (Arecae Semen) Biejia (Testudinis Carapax et Plastrum, coated with vinegar and roasted until yellow, skirt removed) Chi Fuling (Poria Cocos with Red Mycelium, each half liang) Zhike (Aurantii Fructus Immaturus, bran-roasted until slightly yellow, pith removed, one fen)
Crush the above herbs, sift into powder. Take one qian per dose, decoct with one small cup of water until five fen remains, remove dregs, divide into two doses, take three to four times daily. Effectiveness is indicated by the discharge of foul matter.
*Shenghui Fang* treats pediatric *Ru Pi* with high fever and emaciation; suitable to take Zhusha Wan:
Zhusha (Cinnabaris, half liang, finely ground and washed with water) Xionghuang (Realgar, finely ground, one qian and half) Hanshuishi (Gypsum Fibrosum) Longnao (Borneolum Syntheticum, each finely ground) Nifen (Calomelas) Binglang (Arecae Semen, powdered, each one qian)
Grind all ingredients evenly, mix with refined honey to make pills the size of mung beans. For children aged two or three, administer three pills with ginger soup, twice daily. Adjust according to the child's size.
*Shenghui Fang* treats pediatric *Ru Pi* with hot palms and soles, bluish-yellow complexion, refusal of milk and food, gradual emaciation. Formula for Renshen Wan:
Renshen (Ginseng Radix et Rhizoma, remove rhizome) Shengjiang (Zingiberis Rhizoma Recens, sliced and dry-fried) Guixin (Cinnamomi Cortex) Chi Fuling (Poria Cocos with Red Mycelium) Baizhu (Atractylodis Macrocephalae Rhizoma) Zhike (Aurantii Fructus Immaturus, bran-roasted until slightly yellow, pith removed) Muxiang (Aucklandiae Radix) Danggui (Angelicae Sinensis Radix, chopped and lightly fried) Binglang (Arecae Semen) Jing Sanleng (Spatholobi Caulis, lightly roasted and chopped) Biejia (Testudinis Carapax et Plastrum, coated with vinegar and roasted until yellow, skirt removed) Chuan Dahuang (Rhei Radix et Rhizoma, chopped and lightly fried, each half liang)
Crush the above herbs, sift into powder, mix with refined honey to make pills the size of mung beans. For each year of age, dissolve three pills in rice gruel, three times daily. Adjust according to the child's size.
*Shenghui Fang* treats pediatric *Ru Pi* with vomiting, abdominal distension, alternating chills and fever. Formula for Zhike Wan:
Zhike (Aurantii Fructus Immaturus, bran-roasted until slightly yellow, pith removed) Muxiang (Aucklandiae Radix) Chi Fuling (Poria Cocos with Red Mycelium, each half liang) Renshen (Ginseng Radix et Rhizoma, remove rhizome) Chaihu (Bupleuri Radix, remove seedlings, each three fen) Guixin (Cinnamomi Cortex, one fen) Chuan Dahuang (Rhei Radix et Rhizoma, one liang, chopped and lightly fried)
Crush the above herbs, sift into powder, mix with refined honey to make pills the size of mung beans. Dissolve three pills in warm water per dose, three times daily. Adjust dosage according to the child's size.
*Shenghui Fang* treats pediatric *Ru Pi* with sallow and weary complexion, weak suckling, gradual emaciation. Formula for Biejia Wan:
Biejia (Testudinis Carapax et Plastrum, coated with vinegar and roasted until yellow, skirt removed) Jing Sanleng (Spatholobi Caulis, lightly roasted and chopped) Binglang (Arecae Semen, each half liang) Renshen (Ginseng Radix et Rhizoma, remove rhizome) Chi Fuling (Poria Cocos with Red Mycelium) Baizhu (Atractylodis Macrocephalae Rhizoma) Zhike (Aurantii Fructus Immaturus, bran-roasted until slightly yellow, pith removed) Muxiang (Aucklandiae Radix) Danggui (Angelicae Sinensis Radix, chopped and lightly fried) Guixin (Cinnamomi Cortex, each one fen) Chuan Dahuang (Rhei Radix et Rhizoma, one liang, chopped and lightly fried)
Crush the above herbs, sift into powder, mix with refined honey to make pills the size of mung beans. Dissolve three pills in rice gruel per dose, twice daily, stopping when bowel movement occurs. Adjust according to the child's size.
*Shenghui Fang* treats pediatric *Ru Pi* with hardness under the hypochondrium, difficult defecation, red urine. Formula for Dahuang Wan:
Chuan Dahuang (Rhei Radix et Rhizoma, chopped and lightly fried) Helilepi (Terminaliae Chebulae Pericarpium, each half liang) Wumei Rou (Mume Fructus, lightly fried) Chenjupi (Citri Reticulatae Pericarpium, soaked in water, white pith removed, dried) Muxiang (Aucklandiae Radix, each one fen) Yuziren (Pruni Semen, soaked in water, skin removed, lightly fried) Chuan Poxiao (Natrii Sulfas, each three fen) Jiegeng (Platycodonis Radix, one fen, remove rhizome)
Crush the above herbs, sift into powder, make pills with refined honey the size of mung beans. For a one-year-old, dissolve five pills in rice gruel per dose, take again in the evening. Adjust according to the child's size.
*Shenghui Fang* treats pediatric *Ru Pi* with lump formation, long-standing indigestion, ineffective with other medicines. Suitable to take Huapi Wan:
Badoushuang (Crotonis Fructus Frost) Nifen (Calomelas) Zhusha (Cinnabaris, finely ground, each one qian) Huangyingfen (Excrement of Yellow Hawk, one fen) Sha (Arsenicum Rubrum) Xiongquefen (Excrement of Male Sparrow, each one zi)
Grind all ingredients into powder, mix with glutinous rice beverage to make pills the size of millet grains. For a one-year-old, take two pills on an empty stomach with soap pod kernel decoction, stopping when foul matter is discharged.
*Shenghui Fang* treats pediatric *Ru Pi* not resolving, with heart and abdominal fullness. Formula for Muxiang Wan:
Muxiang (Aucklandiae Radix) Jing Sanleng (Spatholobi Caulis, lightly roasted and chopped) Binglang (Arecae Semen) Renshen (Ginseng Radix et Rhizoma, remove rhizome) Qingju pi (Citri Reticulatae Pericarpium Viride, soaked in water, white pith removed, dried) Chi Fuling (Poria Cocos with Red Mycelium, each one fen) Qianniu zi (Pharbitidis Semen, lightly fried) Caodoukou (Amomi Fructus Rotundus, skin removed, each half liang) Yuziren (Pruni Semen, one liang, soaked in water, skin removed, lightly fried)
Crush the above herbs, sift into powder, make pills with vinegar-boiled wheat paste the size of hemp seeds. Take three pills with rice gruel per dose. Adjust dosage according to the child's size.
*Shenghui Fang* treats pediatric *Ru Pi* with lump under hypochondrium not resolving. Formula for Nifen Wan:
Nifen (Calomelas, one qian) Xiongquefen (Excrement of Male Sparrow, one fen, lightly fried)
Grind evenly, mix with date pulp to make pills the size of millet grains. Administer one pill with fresh well water, stopping when sticky foul matter is discharged. Adjust according to the child's deficiency/excess and size.
*Tan Shi Shu Sheng* treats *Nai Pi*.
Hezi (Terminaliae Chebulae Fructus, five pieces, grind off both tips) Mituoseng (Lithargyri Pulvis, three qian) Liuhuang (Sulfur) Qingfen (Calomelas) Bai Dingxiang (Excrement of White Sparrow) Hei Dingxiang (Excrement of Black Sparrow) Fenshuang (Sublimated Arsenic Trioxide) Pengsha (Borax, each one qian)
Grind the eight ingredients into powder. Take half a qian per dose. If the patient is male, dissolve in female breast milk; if female, dissolve in male breast milk.
*Tan Shi Shu Sheng* formula for monthly infants with *Nai Pi*.
Ziheche (Placenta Humana) Renshen (Ginseng Radix et Rhizoma)
Grind equal parts into powder. Mix with good vinegar, shape into cakes the size of large coins. If the lump is on the left, apply the medicine to the sole of the left foot, bind with red silk; effective when dry. Use the same medicine for both sides.
*Tan Shi Sheng* formula for pediatric *Nai Pi*.
Bai Dingxiang (Excrement of White Sparrow) Hei Dingxiang (Excrement of Black Sparrow, each twelve pieces) Shiyanzi (Hirundo Nidus) Bo Shang Liuhuang (Sulfur imported by ship) Hanshuishi (Gypsum Fibrosum) Mituoseng (Lithargyri Pulvis, each three qian) Nifen (Calomelas, two pieces)
Grind into powder. Take one qian per dose, mix with second-rice washing water. The disease will be discharged upon administration; if not, take another dose.
*Tan Shi Shu Sheng* another formula
Mituoseng (Lithargyri Pulvis) Hezi (Terminaliae Chebulae Fructus) Dingxiang (Caryophylli Flos) Cao Kou (Amomi Fructus Rotundus) Muxiang (Aucklandiae Radix, equal parts)
Grind, sift into fine powder, add a little Nifen and grind again. Take one qian and half per dose with rice drink. If no effect, take again the next day for immediate efficacy.
*Tan Shi Shu Sheng* another formula.
Hei Dingxiang (Excrement of Black Sparrow, twenty pieces) Bo Shang Liuhuang (Sulfur imported by ship) Mituoseng (Lithargyri Pulvis, each half liang) Bai Dingxiang (Excrement of White Sparrow, five pieces)
Use raw, grind into fine powder. For one year old, take one zi before bed; for two or three years old, take half a qian with breast milk.
*Yangsheng Biyong* treats pediatric *Nai Pi*, emaciated and critical, hardness under hypochondrium is evident.
Qingmengshi (Fluoritum) (powder, half liang) Mengfen (Calomelas) (half qian) Hanshi mian (Cold Food Flour) (one qian and half)
Grind evenly, mix with breast milk, divide into twenty cakes, dry slowly over a heating iron. Divide one cake into four parts, take one quarter dissolved with food, once every other day, eight doses for effect. For those not eating solids, melt into paste and apply to infant's mouth.
Zhang Huan's Sanleng San treats pediatric *Ru Pi* firmness not healing.
Jing Sanleng (Spatholobi Caulis, processed, chopped) Chi Fuling (Poria Cocos with Red Mycelium) Danggui (Angelicae Sinensis Radix, washed, dried) Biejia (Testudinis Carapax et Plastrum, coated with vinegar and roasted until yellow, skirt removed, each one liang) Baizhu (Atractylodis Macrocephalae Rhizoma) Zhike (Aurantii Fructus Immaturus, bran-roasted, pith removed) Muxiang (Aucklandiae Radix, each half liang)
Crush, sift into fine powder. Take one qian per dose, one cup of water, add seven slices of ginger, decoct to five fen, remove dregs. Warm and administer frequently.
*Yingtong Baojian* treats pediatric *Nai Pi* with Ruan Yin Wan:
Shuiyin (Hydrargyrum, formed into sand) Bai Dingxiang (Excrement of White Sparrow, powder) Nifen (Calomelas, each one qian) Ying Tiao (Excrement of Hawk, powder, each one qian bi) Badou (Crotonis Fructus, twenty-one pieces, remove membrane, grind, remove some oil) Xuisui zi (Euphorbiae Lathyridis Semen, forty-nine pieces, remove shell)
Grind together evenly, mix with date flesh to make pills the size of mung beans. One pill for one year old, taken with warm water.
*Yu Jue* Xingxing Wan treats pediatric deficiency accumulation and excess accumulation *Ru Pi*.
Yangqishi (Leucogynii Concretio) (one fen) Huang Ying Tiao (Excrement of Yellow Hawk, weighed two qian) Bai Dingxiang (Excrement of White Sparrow) Zhusha (Cinnabaris, each one qian) Qingfen (Calomelas) (one qian and half) She Xiang (Moschus) (a little, powdered) Sha (Arsenicum Rubrum) (one zi, dissolved in vinegar) Shiyanzi (Hirundo Nidus) (five pieces, quenched in vinegar seven times)
Huanglian (Coptidis Rhizoma) (seven qian) Xuisui zi (Euphorbiae Lathyridis Semen) (one hundred pieces, remove shell and oil)
Soak in steamed bread dough, make pills the size of millet grains. Take thirty pills per dose, adjust for older/younger children. Decoct processed soap pods and scallions in water, swallow before bed.
*Yu Jue* Yinbai San generates stomach qi, suitable to take after purging.
Renshen (Ginseng Radix et Rhizoma) Fuling (Poria Cocos) Gancao (Licorice Root, roasted) Baizhu (Atractylodis Macrocephalae Rhizoma, stir-fried with wheat flour) Baibian dou (Dolichoris Semen, skin removed) Huoxiang ye (Agastaches Herba)
Equal parts, one qian powder, mixed with Perilla decoction.
*Zhang Shi Jia Chuan* treats pediatric *Nai Pi*.
Take Yuanhua (Kadsurae Caulis) one liang (soaked in vinegar for three days, washed clean), Dahuang (Rhei Radix et Rhizoma) half liang, grind into powder, add one jin of garlic, grind together until smooth. Apply to the nursing mother's palm (left for males, right for females), rub over the lump. When the infant smells the medicine through their mouth, the lump resolves immediately.
*Dong Shi Jia Chuan* highly effective formula for pediatric *Nai Pi* and spleen issues.
Ziheche (Placenta Humana) (two liang) Hanshi mian (Cold Food Flour) (three liang)
Grind together into fine powder. Take about one spoonful per dose, mix with water, apply to the sole of the foot; apply to left if disease is on left, right if on right. Bind with red silk for a long time; the disease passes through stool, saving many lives. Wash thoroughly after stool.
*Zhuang Shi Jia Chuan* treats pediatric *Nai Pi*, severe malnutrition, Qingpi Wan:
Take Qingpi (Citri Reticulatae Pericarpium Viride) as needed, remove white pith, use dry, grind into fine powder, make pills with pig bile the size of mung beans. Take five or seven pills arbitrarily with water decoction, three times daily.
*Kong Shi Jia Chuan* treats pediatric *Nai Pi*.
Take Mituoseng (Lithargyri Pulvis) as needed, grind extremely fine. Mix with natural garlic juice to appropriate consistency, apply to the area with *Nai Pi*. Cover the entire circumference according to size, do not apply excessively. Soon, when the infant smells garlic breath, the medicine has penetrated. Carefully rub with hand; when the lump seems reduced by five or six parts, immediately wash off with warm sour rice water. Must control carefully, do not let it disappear completely, lest the medicine's toxicity damage qi. If not disappeared and medicine dries first, moisten with warm water.
*Wang Shi Shou Ji* treats pediatric *Nai Pi*.
Baijiezi (Sinapis Albi Semen) Yuntaizi (Brassicae Napus Semen) (equal parts)
Grind into powder, mix with water, spread on paper, apply to *Nai Pi*. Cover with vinegar-dough cake for immediate effect. Remove quickly; if left too long, it causes sores.
*Zhao Shi Jia Chuan* treats pediatric *Nai Pi*, with chills and fever, emaciation, desire for food, gradual yellowing and thinning, approaching malnutrition syndrome. Rusheng Wan:
Da Dingxiang (Caryophylli Flos) (twenty-one pieces) Mituoseng (Lithargyri Pulvis) (half liang) Fenshuang (Sublimated Arsenic Trioxide) (one zi and half) Bo Shang Liuhuang (Sulfur imported by ship) (two qian and half) Sha (Arsenicum Rubrum) (one qian) Bai Dingxiang (Excrement of White Sparrow) (forty whole pieces)
Grind into powder. Take half a qian per dose, mixed with cold noodle water, once daily, effective at noon. Over three years old take half a qian, under three years old take one zi.
*Ji Shi Jia Chuan* treats *Nai Pi* with accumulated heat, developing malnutrition, Shuiyin Wan:
Shuiyin (Hydrargyrum, formed into sand, one qian) Sha (Arsenicum Rubrum) Bai Dingxiang (Excrement of White Sparrow, each half qian) Qingfen (Calomelas) Naohzi (Borneolum Syntheticum) (each a little) Xiangmo (Incense Ink) Ying Tiao (Excrement of Hawk) Badou (Crotonis Fructus, boiled in vinegar until dry) Qingdai (Indici Folium, sifted) Huangming jiao (Colla Corii Corvi, fried with clam powder until yellow) Baicao shuang (Carbo Vegetabilis, each one qian)
Grind into powder, drop water to make pills the size of mung beans. Take three to five pills with mint decoction, adjust according to child's size.
Zheng Yu, a physician from Changsha, transmits formula for pediatric *Nai Pi*:
Take Ziheche (Placenta Humana) as needed, grind into powder. Take one qian per dose, mix with cold water, apply to the painful hard area of the lump.
*Zhuang Shi Ji* Acupuncture and Moxibustion Method: For *Ru Pi*, use two thick threads, measure the width between the two nipples, hang down from the nipples ensuring they are straight, align with the nipples, and moxa seven moxibustion cones on the left and right ribs opposite the nipples, cone size like a wheat grain.