小儿痢疾，由暑湿兼夹食滞，大约宜清消者多，温补者少。切忌大汗大分大下，致成变
症。但有红白里急之别，红者血热，白者寒积。红白者用槐花、干姜各二钱，水煎服。尽红
者用百草霜半茶杯、熟老米一杯，同研末，加红糖二两，水合成粑，分二三次食完。单白者
，用普茶水、糖、枳壳各二钱，水煎服。大便结者，服独黄丸。重者服∶
石室神丹 治血痢并红白积滞。
当归 黄连（各一钱） 枳壳 白芍（各二钱） 莱菔子（一钱） 木香 甘草（各五分） 水煎服。
一方苦参二两、木香五钱，每服二钱。
一方冬至日多收萝卜菜，铺草房上，日晒夜露，计一月，莫多一日，收回用篾篓贮好。
遇有痢疾，水煎服之。并治疫热咽喉肿痛。凡小儿大人皆可服。
一方红糖、白糖各四两，砂仁二两，荸荠三斤，桑子不拘多少，用罐子贮定，火酒三斤
泡好。遇有痢疾，令病患面东，小儿食荸荠一个，大人三个自愈。
小儿腹痛，皆有饮食失节，中气受伤，寒邪乘虚而入。阳虚亦有腹痛，或虫积等症。务
察部位，手按虚实，预观气色。关纹浮青风寒，沉青阴寒，淡红虚寒，沉涩食积。口唇内有
白坑点者寒虫，宜温；若红子粒者热虫，宜杀虫兼清。
中脘腹痛属太阴，服∶
理中汤 方见伤寒门。
脐腹痛属少阴，服∶
真武汤
白术 附子 茯苓 白芍（各二钱） 甘草（八分） 姜、枣引。
小腹痛属厥阴，服∶
当归四逆汤加吴萸 见伤寒门。
寒入阴分小腹痛，急用∶
小建中汤 方见伤寒门。
外感兼宿食而腹痛者，服∶
藿香正气散 方见霍乱门。
腹中绵绵而痛无增减，欲得热手按，及喜热饮者，服∶
理中汤加肉桂、砂仁，方见前。
腹中时痛时止，热手按而不减，唇热口干者热，也用∶
二陈汤
法夏 广皮 茯苓 甘草（各一钱） 紫朴 枳实 黄连 黄芩 栀子（各八分） 不用引，水
煎服。
饮食过伤腹痛饱胀，服∶
木香槟榔丸
木香 槟榔 陈皮 香附 熟军 黄柏（各一钱） 灯芯引。成人加莪术、牵牛，热重加黄
连一钱。
虫痛或痛或止，口吐清水，服∶
理中汤 方见前，加榧子、雷丸。
椒梅丸 治腹痛口渴，饮水吐酸。
花椒（一钱） 乌梅（三枚） 葱脑（三个） 槟榔（一钱）
上为细末，米糊为丸，开水服。
固土丸 治小儿腹虚腹痛，时常吐泻虫出。
条参 焦术 榧子 茯苓 槟榔 使君子 鹤虱 芜荑 雷丸（各一钱） 甘草（五分） 水煎
服。
打虫方
使君子（三钱，去壳） 槟榔 牵牛 大黄（各二钱） 水煎服。体虚者不宜。
一方，雷丸三钱，苍术一钱 共为细末，分为三次，每次用鸡蛋一个，调药煎黄，与小
儿食之神效。
小儿痢疾，多由暑湿之邪夹杂食积停滞所致，治疗上大多适宜清热消导，温补的方法较少使用。切忌使用大汗、大泻或峻下之法，以免导致病情发生变证。痢疾有红白之分且有里急后重的症状：红色者属血分热盛，白色者属寒性积滞。若红白相兼，可用槐花、干姜各二钱，水煎服用。若纯为红色，可用百草霜半茶杯、熟老米一杯，共同研成细末，加入红糖二两，用水调和做成饼状，分两到三次吃完。若纯为白色，可用普茶（普洱茶）、糖、枳壳各二钱，水煎服用。大便干结不通者，服用独黄丸。病情严重者服用石室神丹，此方主治血痢以及红白相间的积滞痢疾。
当归、黄连（各一钱）、枳壳、白芍（各二钱）、莱菔子（一钱）、木香、甘草（各五分），水煎服用。
另一偏方：苦参二两、木香五钱，每次服用二钱。
又一偏方：在冬至日多收集萝卜菜，铺在草房顶上，经过日晒夜露，共计一个月，不多不少一天，收回后用竹篓妥善保存。遇到痢疾时，用水煎服。此方也可治疗疫热引起的咽喉肿痛。无论小儿还是成人都可服用。
又一偏方：红糖、白糖各四两，砂仁二两，荸荠三斤，桑葚不拘多少，用罐子密封储存，倒入三斤火酒浸泡好。遇到痢疾时，让患者面向东方，小儿吃一个荸荠，成人吃三个，即可自愈。
小儿腹痛，大多是因为饮食不节制，损伤了中焦之气，寒邪趁虚而入。阳气虚弱也会引起腹痛，或者有虫积等症状。务必观察疼痛的部位，用手按压辨别虚实，预先观察面色和指纹。指纹浮而青色表示风寒，沉而青色表示阴寒，淡红色表示虚寒，沉涩表示食积。口唇内有白色坑点的是寒性虫积，适宜温法；若有红色颗粒状的是热性虫积，适宜杀虫并兼清热的治法。
中脘穴附近腹痛属于太阴病，服用理中汤（方剂见伤寒门）。
脐周腹痛属于少阴病，服用真武汤：白术、附子、茯苓、白芍（各二钱）、甘草（八分），以生姜、大枣为引，水煎服用。
小腹部疼痛属于厥阴病，服用当归四逆汤加吴茱萸（方剂见伤寒门）。
寒邪深入阴分引起的小腹痛，急需服用小建中汤（方剂见伤寒门）。
外感邪气兼有宿食停滞引起的腹痛，服用藿香正气散（方剂见霍乱门）。
腹中绵绵作痛且无增减，喜欢用热手按压，并且喜欢喝热饮的，服用理中汤加肉桂、砂仁（方剂见前文）。
腹中时而疼痛时而停止，用热手按压疼痛不减，嘴唇发热口干的是热证，也服用二陈汤加减：法半夏、广陈皮、茯苓、甘草（各一钱）、紫厚朴、枳实、黄连、黄芩、栀子（各八分），不加药引，水煎服用。
饮食过度损伤引起的腹痛饱胀，服用木香槟榔丸：木香、槟榔、陈皮、香附、熟大黄、黄柏（各一钱），以灯芯草为引。成人可加莪术、牵牛子，热重者加黄连一钱。
虫积引起的腹痛，时痛时止，口吐清水，服用理中汤（方剂见前文），加榧子、雷丸。
椒梅丸，治疗腹痛口渴，饮水后呕吐酸水。花椒（一钱）、乌梅（三枚）、葱脑（三个）、槟榔（一钱），以上药物研成细末，用米糊制作成丸剂，开水送服。
固土丸，治疗小儿腹部虚损引起的腹痛，时常呕吐腹泻并有虫体排出。党参（条参）、炒白术、榧子、茯苓、槟榔、使君子、鹤虱、芜荑、雷丸（各一钱）、甘草（五分），水煎服用。
打虫方：使君子（三钱，去壳）、槟榔、牵牛、大黄（各二钱），水煎服用。体质虚弱者不宜使用。
又一偏方：雷丸三钱，苍术一钱，共同研成细末，分为三次服用。每次用一个鸡蛋，将药调匀煎至微黄，给小儿服用，效果神奇。
Pediatric dysentery is mostly caused by the combination of summerheat-dampness and food stagnation. Treatment generally favors clearing heat and resolving stagnation, with warming and tonifying methods being less common. One must strictly avoid excessive sweating, purging, or drastic downward-draining methods to prevent the onset of complicated syndromes. Dysentery presents with red or white discharge accompanied by tenesmus (urgency and pain in defecation). Red indicates blood-heat; white indicates cold accumulation. For mixed red and white cases, use Huaihua (Flores Sophorae Immaturis) and Ganjiang (Rhizoma Zingiberis Recens), each 2 qian, decocted in water and taken orally. For pure red cases, use Baicaoshuang (Fuligo Silicea) half a teacup and Shu Laomi (Rice, cooked), one cup, ground together into powder, mixed with 2 liang of Hongtang (Brown Sugar), formed into cakes with water, and consumed in two or three doses. For pure white cases, use Pu Cha (Pu'er Tea), Tang (Sugar), and Zhike (Fructus Aurantii), each 2 qian, decocted in water and taken orally. For constipation, take Duhuang Wan. For severe cases, take Shishi Shendan, which treats bloody dysentery and mixed red-white stagnation.
Danggui (Radix Angelicae Sinensis), Huanglian (Rhizoma Coptidis) (each 1 qian), Zhike (Fructus Aurantii), Baishao (Radix Paeoniae Alba) (each 2 qian), Laifuzi (Semen Raphani), 1 qian, Muxiang (Radix Aucklandiae), Gancao (Radix Glycyrrhizae) (each 5 fen), decocted in water and taken orally.
Another prescription: Kushen (Radix Sophorae Flavescentis) 2 liang, Muxiang (Radix Aucklandiae) 5 qian, take 2 qian per dose.
Another prescription: Collect radish greens abundantly on the Winter Solstice day, spread them on thatched roofs, expose them to sun during the day and dew at night for exactly one month (no more, no less). Store them well in bamboo baskets upon collection. When dysentery occurs, decoct in water and take. This also treats epidemic heat causing sore throat and swelling. It can be used by both children and adults.
Another prescription: Hongtang (Brown Sugar) and Baitang (White Sugar) 4 liang each, Sharen (Fructus Amomi), 2 liang, Qibi (Rhizoma Dioscoreae Hypoglaucae), 3 jin, Sangshen (Fructus Mori) as needed. Seal in a jar and soak in 3 jin of Huojiu (Baijiu/High-proof liquor). When dysentery occurs, have the patient face East. Children eat one Qibi, adults eat three, and they will heal spontaneously.
Pediatric abdominal pain is mostly due to irregular diet injuring the Middle Qi, allowing Cold pathogens to enter via deficiency. Yang deficiency can also cause abdominal pain, along with conditions like worm accumulation. One must carefully observe the location of pain, palpate to distinguish deficiency and excess, and pre-examine the complexion and fingerprint. A floating cyan fingerprint indicates Wind-Cold; a deep cyan fingerprint indicates Yin-Cold; a pale red fingerprint indicates Deficiency-Cold; a deep and choppy fingerprint indicates Food Stagnation. White pits or spots inside the lips indicate Cold-Worms, suitable for warming treatment; red granules indicate Heat-Worms, suitable for expelling worms combined with clearing heat.
Abdominal pain at the Zhongwan point belongs to the Taiyin syndrome; take Lizhong Tang (see Shanghan Men).
Abdominal pain around the umbilicus belongs to the Shaoyin syndrome; take Zhenwu Tang: Baizhu (Radix Atractylodis Macrocephalae), Fuzi (Radix Aconiti Lateralis Preparata), Fuling (Poria), Baishao (Radix Paeoniae Alba) (each 2 qian), Gancao (Radix Glycyrrhizae) (8 fen), with Jiang (Zingiberis Rhizoma) and Zao (Fructus Jujubae) as guides, decocted in water and taken orally.
Lower abdominal pain belongs to the Jueyin syndrome; take Danggui Sini Tang plus Wuyu (Fructus Evodiae) (see Shanghan Men).
For lower abdominal pain caused by Cold entering the Yin aspect, urgently take Xiaojianzhong Tang (see Shanghan Men).
For abdominal pain caused by external contraction combined with retained food, take Huoxiang Zhengqi San (see Huoluan Men).
For continuous, mild abdominal pain without fluctuation, relieved by hot pressure and preference for hot drinks, take Lizhong Tang plus Rougui (Cortex Cinnamomi) and Sharen (Fructus Amomi) (see previous text).
For intermittent abdominal pain not relieved by hot pressure, accompanied by hot lips and dry mouth indicating Heat, also take Erchen Tang modified: Faxia (Pinelliae Rhizoma Preparatum), Guangpi (Pericarpium Citri Reticulatae), Fuling (Poria), Gancao (Radix Glycyrrhizae) (each 1 qian), Zipu (Cortex Magnoliae Officinalis), Zhishi (Fructus Aurantii Immaturus), Huanglian (Rhizoma Coptidis), Huangqin (Scutellariae Radix), Zhizi (Fructus Gardeniae) (each 8 fen). No guide herb, decocted in water and taken orally.
For abdominal pain and fullness due to overeating, take Muxiang Binglang Wan: Muxiang (Radix Aucklandiae), Binglang (Semen Arecae), Chenpi (Pericarpium Citri Reticulatae), Xiangfu (Rhizoma Cyperi), Shujun (Rhei Radix et Rhizoma Preparated), Huangbai (Cortex Phellodendri) (each 1 qian), with Dengxin (Medulla Junci) as a guide. Adults add Ezhu (Rhizoma Curcumae) and Qianniu (Semen Pharbitidis); if heat is severe, add Huanglian (Rhizoma Coptidis) 1 qian.
For worm-induced pain, intermittent, with spitting clear saliva, take Lizhong Tang (see previous), plus Feizi (Semen Persicae) and Leiwan (Polyporus Umbellatus).
Jiaomei Wan treats abdominal pain with thirst and vomiting sour fluid after drinking. Huajiao (Pericarpium Zanthoxyli) (1 qian), Wumei (Fructus Mume) (3 pieces), Congnao (Allii Cepae Bulbus juice/paste) (3 units), Binglang (Semen Arecae) (1 qian). Grind into fine powder, form pills with rice paste, take with boiled water.
Gutu Wan treats pediatric abdominal deficiency pain with frequent vomiting, diarrhea, and expulsion of worms. Tianshen (Codonopsis Radix), Jiaozhu (Atractylodis Macrocephalae Rhizoma Fried), Feizi (Semen Persicae), Fuling (Poria), Binglang (Semen Arecae), Shijunzi (Fructus Quisqualis), Heshi (Semen Arisaematis), Wuyi (Anthelminticum), Leiwan (Polyporus Umbellatus) (each 1 qian), Gancao (Radix Glycyrrhizae) (5 fen), decocted in water and taken orally.
Deworming Formula: Shijunzi (Fructus Quisqualis) (3 qian, shelled), Binglang (Semen Arecae), Qianniu (Semen Pharbitidis), Dahuang (Rhei Radix et Rhizoma) (each 2 qian), decocted in water and taken orally. Not suitable for those with weak constitution.
Another prescription: Leiwan (Polyporus Umbellatus) 3 qian, Cangzhu (Rhizoma Atractylodis) 1 qian. Grind into fine powder, divide into three doses. Each time, mix with one egg, fry until slightly yellow, and feed to the child. Highly effective.