（食不知饱时附）
《巢氏病源》小儿伤饱候∶小儿食不可过饱，饱则伤脾，脾伤不能磨消食也，令小儿四肢沉重，身体苦热，
面黄腹大是也。又小儿食不知饱候∶小儿有嗜食，食已仍不知饱足，又不生肌肉，其亦腹大，其大便数而多泄，
亦呼为豁泄，此肠胃不守故也。
《圣惠》论∶夫小儿气血不调，肠胃虚嫩，凡于乳哺，须是合宜。若乳食过多，脾胃胀满，不能消化，故谓
之伤饱也。
《仙人水鉴》小儿吃食太多伤脾，即不食呕逆方。
半夏（二分。生） 黄葵子 防风 远志 款冬花 桂心 前胡 干姜（各一两）
上并捣为散。空心米饮下一钱，服之立效。乳母不可服。
《圣惠》治小儿伤饱太过，脾气稍壅，面色赤黄，手足俱热，心腹胀闷。槟榔散方
槟榔 枳壳（麸炒微黄，去瓤） 人参（去芦头） 川大黄（锉碎微炒。各半两） 赤茯苓 神曲（
炒微黄） 陈皮（汤浸，去白瓤，焙） 甘草（炙微赤，锉） 麦 （炒微黄。各一分）
上件药捣，粗罗为散。每服一钱，以水一小盏，入生姜少许，葱白二寸，煎至五分，去滓温服，日三、四
服。更量儿大小，以意加减服之。
《圣惠》治小儿伤饱，心腹滞闷，不能乳哺。宜服前胡散方
前胡（去芦头） 槟榔 川大黄（锉碎，微炒） 枳壳（麸炒微黄，去瓤） 赤茯苓 沉
香（各半两） 诃梨勒皮（三分） 木香 甘草（炙微赤，锉。各一分）
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，去滓温服，日三、四服。更量儿
大小以意加减。
《圣惠》治小儿乳食过度，腹中胀满。木香散方
木香 鳖甲（涂醋炙令黄，去裙 ） 牵牛子（微炒） 川大黄（锉碎，微炒。各半两） 赤茯苓（一分）
上件药捣，细罗为散。每服以温浆水调下半钱，晚后再服。更看儿大小，以意增减服之。
《圣惠》治小儿伤饱，心腹妨闷，胁下或痛。宜服赤芍药丸方
赤芍药 柴胡（去苗） 赤茯苓 诃梨勒皮 槟榔（各半两） 川大黄（锉碎，微炒） 鳖
甲（涂醋炙令黄，去裙 。各三分） 桂心 木香（各一分）
上件药捣，罗为末，炼蜜和丸如绿豆大。每服以粥饮下五丸，日三、四服。更量儿大小以意加减。
《婴孺》治伤饱羸瘦，不生肌肉，乳食不化。芍药丸方
芍药（七分，炙） 柴胡（四分） 大黄（三分） 桂心（一分） 茯苓 干姜 鳖甲
（炙。各二分）
上为末，蜜为丸。一岁儿先哺乳，吞小豆大三丸，日三服。
《婴孺》治少小伤食苦饱，卧失衣当风，居温地，其为病∶腹大膨 ，时泄，困甚，如寒热状，又如霍乱，动作
时利，腹出脓血。大黄丸方
大黄 苦参 人参 桔梗 杏仁（去皮尖） 芎（各三分） 半夏（洗） 黄芩（
各二分） 葶苈（四分。炒）
上为末，蜜为丸小豆大。一丸，日进三服。
《千金》附方治小儿食不知饥饱方。
上用鼠屎二、七枚，烧为末服之。
（食不知饱时附）
《巢氏病源》小儿伤饱候：小儿饮食不可过饱，过饱则损伤脾脏，脾脏受损后无法磨化消化食物，导致小儿四肢沉重，身体烦热，面色发黄、腹部胀大就是这种症状。另外关于小儿食不知饱的证候：小儿有嗜食的表现，吃完后仍不知道饱足，而且不长肌肉，同样会出现腹部胀大，大便次数多且容易腹泻，也称为豁泄，这是由于肠胃功能不固守所致。
《圣惠方》论述：小儿气血不调，肠胃虚弱娇嫩，在哺乳喂养方面，必须合乎适宜。如果乳食过多，导致脾胃胀满，不能消化，这就称为伤饱。
《仙人水鉴》治疗小儿吃食太多损伤脾脏，以致不想进食并呕吐逆气的方剂。
半夏（二分，生用） 黄葵子 防风 远志 款冬花 桂心 前胡 干姜（各一两）
以上药物一起捣碎成散剂。空腹时用米汤送服一钱，服用后立即见效。乳母不可服用此药。
《圣惠方》治疗小儿伤饱太过，脾气稍微壅滞，面色赤黄，手足都发热，心胸腹胀闷痛。槟榔散方
槟榔 枳壳（麸炒至微黄，去掉瓤） 人参（去掉芦头） 川大黄（锉碎微炒。各半两） 赤茯苓 神曲（炒至微黄） 陈皮（开水浸泡，去掉白色内瓤，焙干） 甘草（炙至微红，锉碎） 麦 （炒至微黄。各一分）
以上药物捣碎，粗筛为散剂。每次服用一钱，用水一小盏，加入少许生姜、葱白二寸，煎煮至五分量，去渣温服，每日三到四次服用。还要根据孩子的大小，酌情加减服用。
《圣惠方》治疗小儿伤饱，心胸腹部痞闷滞塞，不能哺乳喂养。宜服前胡散方
前胡（去掉芦头） 槟榔 川大黄（锉碎，微炒） 枳壳（麸炒至微黄，去掉瓤） 赤茯苓 沉香（各半两） 诃梨勒皮（三分） 木香 甘草（炙至微红，锉碎。各一分）
以上药物捣碎，粗筛为散剂。每次服用一钱，用水一小盏，加入少许生姜，煎煮至五分量，去渣温服，每日三到四次服用。还要根据孩子的大小酌情加减。
《圣惠方》治疗小儿乳食过度，腹部胀满。木香散方
木香 鳖甲（涂醋炙至黄色，去掉裙边） 牵牛子（微炒） 川大黄（锉碎，微炒。各半两） 赤茯苓（一分）
以上药物捣碎，细筛为散剂。每次用温浆水调服半钱，晚上再服一次。还要看孩子的大小，酌情增减服用。
《圣惠方》治疗小儿伤饱，心胸腹部妨碍闷痛，胁下有时疼痛。宜服赤芍药丸方
赤芍药 柴胡（去掉苗） 赤茯苓 诃梨勒皮 槟榔（各半两） 川大黄（锉碎，微炒） 鳖甲（涂醋炙至黄色，去掉裙边。各三分） 桂心 木香（各一分）
以上药物捣碎，筛成粉末，用炼蜜调和制成如绿豆大小的丸剂。每次用粥饮送服五丸，每日三到四次服用。还要根据孩子的大小酌情加减。
《婴孺方》治疗伤饱导致的消瘦羸弱，不长肌肉，乳食不化。芍药丸方
芍药（七分，炙） 柴胡（四分） 大黄（三分） 桂心（一分） 茯苓 干姜 鳖甲（炙。各二分）
以上药物研成末，用蜂蜜做成丸剂。一岁的婴儿先吃母乳，然后吞服像小豆大小三丸的药丸，每日三次服用。
《婴孺方》治疗少小时期伤食苦于过饱，睡觉时失衣受风，居住在温暖之地，由此引发的病症：腹部胀大膨隆，时常腹泻，困倦严重，像寒热交替的样子，又像霍乱，活动时腹泻，腹部排出脓血。大黄丸方
大黄 苦参 人参 桔梗 杏仁（去皮尖） 芎 （各三分） 半夏（洗） 黄芩（各二分） 葶苈（四分。炒）
以上药物研成末，用蜂蜜做成像小豆大小的丸剂。每次一丸，每日进服三次。
《千金方》附方治疗小儿食不知饥饱的方剂。
以上用鼠屎二七枚（十四枚），烧成灰末服用。
(Attached to the section on eating without knowing satiety)
*Chao Shi Bing Yuan* (Source of Diseases by Chao): Syndrome of Infantile Injury from Overeating: Infants' food intake must not be excessive. Overeating damages the Spleen; when the Spleen is damaged, it cannot grind and digest food. This causes heaviness in the limbs, bodily heat, yellowish complexion, and abdominal distension. Regarding the syndrome of infants eating without knowing satiety: Some infants have a craving for food; after eating, they still do not feel full, yet they fail to gain muscle mass. They also present with abdominal distension, frequent stools with diarrhea, which is also called "Huoxie" (loose stool syndrome). This is due to the intestines and stomach failing to maintain their functions.
*Sheng Hui Fang* (Beneficent Prescriptions of the Holy Era): Discussion: Infants have unregulated Qi and Blood, and their intestines and stomachs are weak and tender. Nursing and feeding must be appropriate. If milk and food are taken in excess, the Spleen and Stomach become distended and unable to digest, which is termed "injury from overeating."
*Xian Ren Shui Jian* (Water Mirror of the Immortal): Prescription for treating spleen injury caused by excessive eating in infants, leading to anorexia and vomiting/regurgitation.
Ban Xia (Pinelliae Rhizoma, 2 fen, raw) Huang Kui Zi (Abelmoschi Semen) Fang Feng (Saposhnikoviae Radix) Yuan Zhi (Polygalae Radix) Kuan Dong Hua (Farfarae Flos) Gui Xin (Cinnamomi Ramulus) Qian Hu (Peucedani Radix) Gan Jiang (Zingiberis Rhizoma Recens, each 1 liang).
All ingredients are pounded into a powder. Take 1 qian with rice water on an empty stomach; efficacy is immediate. The nursing mother must not take this medicine.
*Sheng Hui Fang*: Treatment for infantile injury from excessive overeating, where Spleen Qi is slightly obstructed, presenting with reddish-yellow complexion, heat in both hands and feet, and chest/abdominal fullness and oppression. Bing Lang San (Areca Seed Powder) Formula.
Bing Lang (Arecae Semen) Zhi Ke (Aurantii Fructus, bran-fried until slightly yellow, pith removed) Ren Shen (Ginseng Radix et Rhizoma, radix removed) Chuan Da Huang (Rhei Radix et Rhizoma, crushed and slightly fried, each 0.5 liang) Chi Fu Ling (Poria with Red Coating) Shen Qu (Massa Medicata Fermentata, fried until slightly yellow) Chen Pi (Citri Reticulatae Pericarpium, soaked in water, white pith removed, dried) Gan Cao (Glycyrrhizae Radix et Rhizoma, honey-fried until slightly red, crushed) Mai Ya (Hordei Fructus Germinatus, fried until slightly yellow, each 1 fen).
The above medicines are pounded and coarsely sifted into a powder. Each dose is 1 qian, decocted with one small cup of water, a little fresh ginger, and two cun of scallion white, until reduced to half a cup. Strain and take warm, three to four times daily. Adjust the dosage according to the child's size.
*Sheng Hui Fang*: Treatment for infantile injury from overeating, causing stagnation and oppression in the heart and abdomen, preventing nursing. Qian Hu San (Peucedani Radix Powder) Formula.
Qian Hu (Peucedani Radix, radix removed) Bing Lang (Arecae Semen) Chuan Da Huang (Rhei Radix et Rhizoma, crushed and slightly fried) Zhi Ke (Aurantii Fructus, bran-fried until slightly yellow, pith removed) Chi Fu Ling (Poria with Red Coating) Chen Xiang (Aquilariae Lignum Resinatum, each 0.5 liang) He Li Le Pi (Terminaliae Chebulae Pericarpium, 3 fen) Mu Xiang (Aucklandiae Radix) Gan Cao (Glycyrrhizae Radix et Rhizoma, honey-fried until slightly red, crushed, each 1 fen).
The above medicines are pounded and coarsely sifted into a powder. Each dose is 1 qian, decocted with one small cup of water and a little fresh ginger, until reduced to half a cup. Strain and take warm, three to four times daily. Adjust according to the child's size.
*Sheng Hui Fang*: Treatment for infantile excessive milk/food intake causing abdominal distension. Mu Xiang San (Aucklandiae Radix Powder) Formula.
Mu Xiang (Aucklandiae Radix) Bie Jia (Testudinis Carapax et Plastrum, coated with vinegar and fried until yellow, skirt removed) Qian Niu Zi (Pharbitidis Semen, slightly fried) Chuan Da Huang (Rhei Radix et Rhizoma, crushed and slightly fried, each 0.5 liang) Chi Fu Ling (Poria with Red Coating, 1 fen).
The above medicines are pounded and finely sifted into a powder. Each dose is half a qian, mixed with warm sour rice water, taken again in the evening. Adjust the dosage according to the child's size.
*Sheng Hui Fang*: Treatment for infantile injury from overeating, causing obstruction and oppression in the heart and abdomen, with occasional pain in the hypochondrium. Chi Shao Yao Wan (Red Peony Root Pill) Formula.
Chi Shao Yao (Paeoniae Radix Rubra) Chai Hu (Bupleuri Radix, radix removed) Chi Fu Ling (Poria with Red Coating) He Li Le Pi (Terminaliae Chebulae Pericarpium) Bing Lang (Arecae Semen, each 0.5 liang) Chuan Da Huang (Rhei Radix et Rhizoma, crushed and slightly fried) Bie Jia (Testudinis Carapax et Plastrum, coated with vinegar and fried until yellow, skirt removed, each 3 fen) Gui Xin (Cinnamomi Ramulus) Mu Xiang (Aucklandiae Radix, each 1 fen).
The above medicines are pounded and sifted into powder, mixed with refined honey to form pills the size of mung beans. Each dose is five pills, taken with gruel drink, three to four times daily. Adjust according to the child's size.
*Ying Ru Fang*: Treatment for emaciation and failure to gain muscle due to injury from overeating, with indigestion of milk and food. Shao Yao Wan (Peony Root Pill) Formula.
Shao Yao (Paeoniae Radix, 7 fen, honey-fried) Chai Hu (Bupleuri Radix, 4 fen) Da Huang (Rhei Radix et Rhizoma, 3 fen) Gui Xin (Cinnamomi Ramulus, 1 fen) Fu Ling (Poria) Gan Jiang (Zingiberis Rhizoma Recens) Bie Jia (Testudinis Carapax et Plastrum, fried, each 2 fen).
The above are powdered and made into pills with honey. For a one-year-old infant, after breastfeeding, swallow three pills the size of a small bean, three times daily.
*Ying Ru Fang*: Treatment for young children suffering from overeating, sleeping uncovered and exposed to wind, or residing in warm places, resulting in symptoms such as abdominal distension and bloating, frequent diarrhea, extreme fatigue, alternating chills and fever resembling malaria, or symptoms like Huoluan (cholera-like disorder), with diarrhea occurring during movement, and pus/blood in the stool. Da Huang Wan (Rhubarb Pill) Formula.
Da Huang (Rhei Radix et Rhizoma) Ku Shen (Sophorae Flavescentis Radix) Ren Shen (Ginseng Radix et Rhizoma) Jie Geng (Platycodonis Radix) Xing Ren (Armeniacae Semen Amarum, skin and tip removed) Xiong (Ligustici Chuanxiong Rhizoma, each 3 fen) Ban Xia (Pinelliae Rhizoma, washed) Huang Qin (Scutellariae Radix, each 2 fen) Ting Li (Lepidii Semen, 4 fen, fried).
The above are powdered and made into small bean-sized pills with honey. One pill per dose, administered three times daily.
*Qian Jin Fang* (Essential Prescriptions Worth a Thousand Gold): Attached formula for treating infants who do not know hunger or satiety.
Use fourteen rat droppings, burn them to ash, and take the powder.