〔薛〕经曰∶胃为水谷之海，六腑之大源也，人身气血腑脏，俱由胃气而生，故东垣之法，一以脾胃为主，
所谓补肾不若补脾，正此意也。在小儿虽得乳食，水谷之气未全，尤仗胃气，胃气一虚，则四脏俱失所养矣，
故丹溪谓小儿多肝脾之疾也。若面色 白，目无晴光，口中气冷，不食吐水，肌瘦腹痛，此胃气虚寒之证，用五
味异功散或六君子汤主之。若大便不实，兼脾虚也，加干姜温之。中满不利，脾不运也，加木香开之。喜冷
便秘，胃实热也，用泻黄散凉之。命门火衰，不能生土者，用八味丸补之。禀赋胃气不足，亦用此丸。盖下焦真
阳充盛，则上生脾元，自能温蒸水谷矣。
平胃散 治脾胃不和，不思饮食，心腹胀痛，口苦短气，恶心嗳气吞酸，面黄体瘦，嗜卧体痛，霍乱
吐泻等证。
浓朴（姜汁，五两） 陈皮 甘草（炙。各一两） 苍术（米泔浸，焙，八两）
上为末。每服二钱，姜枣水煎，沸汤点服亦得。常服调气暖胃，化宿食，消痰饮，辟四时不正之气。
愚按∶前证，若乳食停滞，嗳腐吞酸，呕哕恶心者，宜服是方。若饮食既消，
脾胃虚弱，呕吐恶心者，则宜四君子汤。
调中丸 治脾胃虚寒。
白术 人参 甘草（炒。各五分）
八味地黄丸 即六味地黄丸加肉桂、附子、各一两，治禀赋命门火衰，不能生土，以致脾土虚寒，或饮
食少思，及食而不化，腹脐疼痛，夜多漩溺等证，《内经》谓∶益火之源以消阴翳。正此药也。
钱氏益黄散（一名补脾散） 治脾胃虚冷吐泻。（方见前）
愚按∶前方若脾土虚寒，或寒水侮土，而呕吐泄泻，手足并冷，或痰涎上涌，睡而露睛，不思乳食者，宜
用此方。若脾土虚弱吐泻者，用六君柴胡。如不应或手足俱冷者，属虚寒，加木香炮姜。若因乳母脾虚肝侮，亦
治以前药。若乳母郁怒，致儿患前症者，其母、兼服加味归脾汤。
参苓白术散 主脾胃虚弱，饮食不进，多困少气，中满痞噫呕吐逆，此药不寒不热，
性味和平，常服调脾悦色，顺正去邪。
人参（去芦） 白茯苓（去皮） 粉草 白术 白扁豆（炒，去壳） 山药（去黑皮） 缩砂仁 薏苡
仁桔梗（锉、炒。九味各一两） 莲子肉（去心）
上，锉焙为末。每服半钱至一钱，用枣汤空心调服，或温米汤亦可。
健脾饮 建脾养胃，理呕吐，治泻痢，及诸病后气色虚弱，有痰恶心，腹中微痛，饮食减，精神慢，并宜服之。
浓朴（去粗皮，锉碎，姜汁浸一宿，慢火炒干，再入醇醋、淬透，仍以慢火炒） 人参（去芦。各一两
）白茯苓（去皮） 肉豆蔻 半夏（汤者透滤，仍锉、焙干） 益智仁 净香附 良姜（锉片，东壁土炒） 诃子
肉（各二钱半） 甘草（炙，五钱）
上锉。每服二钱，水一盏，姜二片，枣一枚，煎七分，无时服。
藿香饮 理虚化痰，及治脾胃不和，饮食少进，正气除邪。
人参（去芦） 半夏（汤煮透滤，锉片、焙干） 赤茯苓（去皮） 甘草（炙。各一两） 苍术（去粗皮，米泔水
浸一宿，滤干，锉片，用火炒至微黄色，二两） 陈皮（去白） 藿香（去梗。各七钱半） 浓朴（去粗皮，制，一
两半）
上件 咀。每服二钱，水一盏，姜二片，枣一枚，煎七分，空心温服，或入烧盐同煎。
治小儿脾胃虚弱，饮食少进。
用人参、白术、茯苓、甘草等分，为末。每服一钱，盐汤点服。一方，加陈皮、缩砂。
治胃虚气逆，吮乳不食。
用人参一钱，丁香、藿香叶、各半钱，水半盏煎熟，入乳汁少许煎服。
治胃弱吐逆，手足心热，不进乳食。
用陈红曲三钱半，白术一钱半麸炒，甘草炙一钱，为末。每服半钱，枣汤米饮下。
治脾胃不和，呕逆恶心，乳食不进。
用浓朴姜制一钱，白术半钱，干姜炮、甘草炙各三分，水一盏，姜二片煎，空心热服。
治宿食伤脾，消食快膈。
用缩砂仁、橘皮、三棱、莪术、神曲、麦 各半两，香附子一两，各炒，
为末，面糊、丸如麻子大。食后白汤下。随大小加减丸数。
〔茅先生〕匀气散
桔梗（五两） 甘草（炙，二两） 白姜（一分） 缩砂仁 陈橘皮 茴香（洗。各一两）
为末。半钱或一钱，霜木瓜煎汤调服，紫苏盐汤亦得。（《宝童》多浓朴、苍术、良姜、桂、
乌梅，名养脾汤。）
调理众病醒脾散
木香 白术（并湿纸、裹煨） 人参 茯苓 草果子 甘草（炙） 陈橘皮 浓朴（纲砂水煮
）紫苏子
上等分，为末。一钱，水六分，姜一片，枣半个，煎四分，通口服。
健脾散 治小儿胃气。
白茯苓（去皮） 人参（各一两） 浓朴（三两，用姜汁炙） 苍术（米泔浸一宿，四两）
陈橘皮（去白，五两） 甘草（二两，半生半熟） 草果子（去皮，二两）
上件为末。每服一钱，姜枣同煎，随大小分减服。
调中饮子 治小儿诸疾。
肉豆蔻 白术（炮） 人参 陈橘皮（去白） 诃子（炮，去核） 茴香 甘草（炙） 缩砂仁（各半两
）藿香 桂心 槟榔（各三钱）
上为末。每服半钱一钱，用姜枣煎水，随儿大小五分四分煎，通口服。
《宝童》壮脾去积进食。
京三棱 蓬莪术（醋，纸裹煨） 益智（去皮。各四两） 甘草（炙，四两半） 陈皮 青皮（各二两）
上为末。汤点一钱，不时服。姜枣煎亦得。
治患后脾胃虚弱，烦热恍惚，睡中多惊，气急烦乱，温养脾胃，消进奶食，匀气清神，调和脏腑神术散
白术 人参 茯苓 石莲肉（去心） 莺粟米 白扁豆 藿香 甘草（炙）
等分，细末。半小钱，枣汤调，空心、日午服。（汉东观音散，少白术粟米、多神曲白芷木香黄 ）
《圣惠》治脾胃不和，见食欲呕，心胸壅闷。前胡散
前胡 芦根（各三分） 桂心（一分） 人参 白术 赤茯苓 枇杷叶（去毛，炙） 甘草（炙） 浓
朴（姜炙，各半两）
粗罗。一钱，水一小盏，姜少许，煎五分，不时，量温服。
〔张涣〕集香煎 治脾胃虚，不欲食，羸瘦。
藿香叶 浓朴（姜制） 丁香 沉香 木香（各一两） 白茯苓 白豆蔻 白术（炮。各半两）
上为细末。入麝香一钱，水一升，蜜半斤，大枣三十枚，姜二十片，银石器中慢火熬成膏，去姜枣，
通风处阴干，每皂子大，乳前米饮下。
调中散 治小儿冷热不调，致脾胃不和。
木香（锉） 人参（去芦头） 青橘皮（汤浸、去白，焙干，各一两） 丁香 白术 白茯苓 大
腹皮（锉） 甘草
上件，捣罗为细末。每服一钱，水一小盏，入生姜三片，煎五分，去滓温服。
益胃丹 调冷热，和脾胃。
当归（洗，焙干） 木香 白术 沉香（各一两） 白芍药 人参（去芦头） 蓬莪术 缩砂仁（各半两）
上件，捣罗为细末，白面糊和，如黍米大。每服十粒至十五粒，点麝香汤下。
量儿大小加减。
丁香黄 散 治小儿脾胃虚弱，不能饮食，已渐伤损荣卫，致令肌体羸瘦，时时下痢，面色青白。
丁香 绵黄 （锉） 人参（去芦头） 白术 当归（洗、焙干） 鳖甲（涂酥炙黄，去裙裥。各一两
）胡黄连 甘草（炙。各半两）
上件，捣罗为细末。每服一钱，水一盏，入生姜二片，枣二枚，同煎至五分，去滓温服，食前。
《千金》地黄丸 治胃气不调，不嗜食生肌肉。
干地黄 大黄（各两六铢） 茯苓（十八铢） 杏仁 柴胡 当归（各半两）
上为末，蜜丸如麻子。每服五丸，日三。
《婴孺》治三七岁儿不食，或呕，或头热，或下利，或渴，或手脚热，有时冷。每日一剂，便能食。
鳖甲（一两） 当归 甘草（炙） 升麻（各二钱半） 椒（五十粒，汗）
上切，水一升，煮八合，为三服，相去人行六七里，再服，觉身上润，衣盖取汗，微汗勿深。
【薛己按语】《内经》说：胃是受纳水谷的仓库，也是六腑化生精微物质的源头。人体气血和脏腑的功能活动，都依赖胃气来生成。所以李东垣的学术思想，始终以调理脾胃为核心，所谓“补肾不如补脾”，正是这个意思。对于小儿来说，虽然摄取了乳食，但水谷的精微之气尚未完全充实，尤其依赖胃气的支持。一旦胃气虚弱，其他四脏（心、肝、肺、肾）都会失去滋养。因此朱丹溪说小儿多患肝脾方面的疾病。
如果患儿面色苍白，眼神无光彩，口中气息寒冷，不吃东西且呕吐清水，肌肉消瘦并伴有腹痛，这是胃气虚寒的证候，使用五味异功散或六君子汤为主进行治疗。如果大便稀溏不成形，兼有脾虚症状，加入干姜以温中散寒。如果脘腹胀满且排便不畅，是脾失健运所致，加入木香以行气开郁。如果喜饮冷水且大便秘结，是胃中有实热，使用泻黄散以清热凉之。如果是命门火衰，不能温煦脾土的情况，使用八味丸以温补命门。如果是先天禀赋导致胃气不足，也使用此丸。因为下焦真阳充盛，就能向上滋生脾元，自然能够温蒸腐熟水谷。
平胃散：治疗脾胃不和，不想吃东西，心胸腹部胀满疼痛，口苦短气，恶心嗳气吞酸，面色萎黄身体消瘦，嗜睡肢体疼痛，霍乱吐泻等证候。
配方：浓朴（用姜汁制，五两）、陈皮、甘草（炙，各一两）、苍术（用米泔水浸泡，焙干，八两）。
制法与用法：以上药物研为细末。每次服用二钱，用生姜、大枣煎汤送服，或者用沸水冲服也可以。经常服用可以调畅气机、温暖胃腑，化解积滞的食物，消除痰饮，抵御四季不正之气。
我按语：上述证候，如果是乳食停滞，嗳气有腐臭味、吞酸、呕吐恶心者，适宜服用此方。如果饮食已经消化，但脾胃依然虚弱，出现呕吐恶心者，则适宜使用四君子汤。
调中丸：治疗脾胃虚寒。
配方：白术、人参、甘草（炒，各五分）。
八味地黄丸：即六味地黄丸加上肉桂、附子各一两。治疗先天禀赋命门火衰，不能温煦脾土，导致脾土虚寒，或者食欲减退，以及吃了东西不消化，肚脐周围疼痛，夜间小便频多等证候。《内经》所说的“益火之源，以消阴翳”，指的就是这种药的作用。
钱氏益黄散（又名补脾散）：治疗脾胃虚冷引起的呕吐泄泻。（方剂见前文）
我按语：前面的方剂，如果是脾土虚寒，或者寒水反侮脾土，导致呕吐泄泻，手脚发冷，或者痰涎上涌，睡觉时眼睛半睁（露睛），不想吃乳食者，适宜使用此方。如果是脾土虚弱导致的吐泻，使用六君子汤加柴胡。如果无效或者手脚全部冰冷，属于虚寒证，加入木香和炮姜。如果是由于乳母脾虚导致肝气乘侮小儿，也用前面的药物治疗。如果是因为乳母抑郁愤怒，导致小儿患上前述病症的，母亲兼服加味归脾汤。
参苓白术散：主治脾胃虚弱，饮食不进，疲倦乏力少气，脘腹胀满痞塞、嗳气呕吐逆气。此药性质不寒不热，性味平和，经常服用可以调和脾胃、悦泽面色，顺应正气、祛除邪气。
配方：人参（去芦头）、白茯苓（去皮）、粉草（甘草）、白术、白扁豆（炒，去壳）、山药（去黑皮）、缩砂仁、薏苡仁、桔梗（锉碎、炒，以上九味各一两）、莲子肉（去心）。
制法与用法：以上药物切碎焙干后研为细末。每次服用半钱至一钱，用枣汤在空腹时调服，或者用温热的米汤送服也可以。
健脾饮：建立脾胃功能、养护胃气，理气止呕，治疗泻痢，以及大病之后气色虚弱，有痰恶心，腹中轻微疼痛，饮食减少，精神倦怠，都适宜服用。
配方：浓朴（去掉粗皮，锉碎，用姜汁浸泡一夜，慢火炒干，再加入纯醋淬透，仍以慢火炒干）、人参（去芦头，各一两）、白茯苓（去皮）、肉豆蔻、半夏（用水煮透滤过，再锉碎、焙干）、益智仁、净香附、良姜（锉成片，用东壁土炒）、诃子肉（各二钱半）、甘草（炙，五钱）。
制法与用法：以上药物切碎。每次服用二钱，用水一盏，生姜两片，大枣一枚，煎至七分，随时服用。
藿香饮：调理虚损、化痰，以及治疗脾胃不和，饮食摄入减少，扶助正气、祛除邪气。
配方：人参（去芦头）、半夏（用水煮透滤过，锉片、焙干）、赤茯苓（去皮）、甘草（炙，各一两）、苍术（去掉粗皮，用米泔水浸泡一夜，滤干，锉片，用火炒至微黄色，二两）、陈皮（去白）、藿香（去梗，各七钱半）、浓朴（去掉粗皮，制过，一两半）。
制法与用法：以上药物切碎。每次服用二钱，用水一盏，生姜两片，大枣一枚，煎至七分，空腹温服，或者加入烧过的盐一同煎服。
治疗小儿脾胃虚弱，饮食摄入减少。
用人参、白术、茯苓、甘草等量，研为细末。每次服用一钱，用盐汤点服。另一方，加入陈皮、缩砂。
治疗胃虚气逆，吸吮乳汁但不进食。
用人参一钱，丁香、藿香叶各半钱，用水半盏煎熟，加入少许乳汁一起煎服。
治疗胃弱呕吐逆气，手足心发热，不进乳食。
用陈红曲三钱半，白术一钱半（麸炒），甘草炙一钱，研为细末。每次服用半钱，用枣汤或米饮送下。
治疗脾胃不和，呕吐逆气恶心，乳食不进。
用姜制的浓朴一钱，白术半钱，炮干姜、炙甘草各三分，用水一盏，生姜两片煎服，空腹热服。
治疗宿食损伤脾脏，消食快膈。
用缩砂仁、橘皮、三棱、莪术、神曲、麦芽各半两，香附子一两，分别炒过后，研为细末，用面糊做成如麻子大小的丸药。饭后用白开水送下。根据大小便情况加减丸数。
【茅先生】匀气散
配方：桔梗（五两）、甘草（炙，二两）、白姜（一分）、缩砂仁、陈橘皮、茴香（洗，各一两）。
制法与用法：研为细末。每次服用半钱或一钱，用霜木瓜煎汤调服，用紫苏盐汤也可以。（《宝童集》中多加浓朴、苍术、良姜、桂枝、乌梅，名为养脾汤。）
调理众病醒脾散
配方：木香、白术（并用湿纸包裹煨烤）、人参、茯苓、草果子、甘草（炙）、陈橘皮、浓朴（用砂仁水煮）、紫苏子。
制法与用法：以上药物等分，研为细末。每次服用一钱，用水六分，生姜一片，大枣半个，煎至四分，通口服下。
健脾散：治疗小儿胃气虚弱。
配方：白茯苓（去皮）、人参（各一两）、浓朴（三两，用姜汁炙）、苍术（米泔水浸泡一夜，四两）、陈橘皮（去白，五两）、甘草（二两，一半生用一半熟用）、草果子（去皮，二两）。
制法与用法：以上药物研为细末。每次服用一钱，用生姜、大枣同煎，根据年龄大小减量服用。
调中饮子：治疗小儿各种疾病。
配方：肉豆蔻、白术（炮）、人参、陈橘皮（去白）、诃子（炮，去核）、茴香、甘草（炙）、缩砂仁（各半两）、藿香、桂心、槟榔（各三钱）。
制法与用法：以上药物研为细末。每次服用半钱至一钱，用生姜、大枣煎水，根据儿童大小煎至五分或四分，通口服下。
《宝童集》壮脾去积进食方。
配方：京三棱、蓬莪术（醋制，用纸包裹煨烤）、益智仁（去皮，各四两）、甘草（炙，四两半）、陈皮、青皮（各二两）。
制法与用法：以上药物研为细末。用汤水点服一钱，随时服用。用姜枣煎汤送服也可以。
治患病后脾胃虚弱，烦热恍惚，睡中多惊，气急烦乱，温养脾胃，促进奶食摄入，匀气清神，调和脏腑的神术散。
配方：白术、人参、茯苓、石莲肉（去心）、罂粟米、白扁豆、藿香、甘草（炙）。
制法与用法：以上药物等分，研成细末。每次服用半小钱，用枣汤调服，空腹、日午时服用。（汉东观音散，少白术、罂粟米，多神曲、白芷、木香、黄芪。）
《圣惠方》治脾胃不和，看见食物想呕吐，心胸壅闷的前胡散。
配方：前胡、芦根（各三分）、桂心（一分）、人参、白术、赤茯苓、枇杷叶（去毛，炙）、甘草（炙）、浓朴（姜炙，各半两）。
制法与用法：粗筛。每次服用一钱，用水一小盏，少许生姜，煎至五分，随时，酌情温服。
【张涣】集香煎：治疗脾胃虚弱，不想吃东西，身体瘦弱。
配方：藿香叶、浓朴（姜制）、丁香、沉香、木香（各一两）、白茯苓、白豆蔻、白术（炮，各半两）。
制法与用法：以上药物研为细末。加入麝香一钱，水一升，蜂蜜半斤，大枣三十枚，生姜二十片，在银石器中用慢火熬成膏状，去掉姜枣，在通风处阴干。每次取皂荚子大小的药丸，喂奶前用米饮送下。
调中散：治疗小儿冷热不调，导致脾胃不和。
配方：木香（锉碎）、人参（去芦头）、青橘皮（汤浸、去白，焙干，各一两）、丁香、白术、白茯苓、大腹皮（锉碎）、甘草。
制法与用法：以上药物捣罗为细末。每次服用一钱，用水一小盏，加入生姜三片，煎至五分，去渣温服。
益胃丹：调节冷热，调和脾胃。
配方：当归（洗，焙干）、木香、白术、沉香（各一两）、白芍药、人参（去芦头）、蓬莪术、缩砂仁（各半两）。
制法与用法：以上药物捣罗为细末，用白面糊调和，做成如黍米大小的丸药。每次服用十粒至十五粒，用麝香汤送下。根据儿童大小加减剂量。
丁香黄散：治疗小儿脾胃虚弱，不能饮食，逐渐损伤营卫，导致身体瘦弱，时常下痢，面色青白。
配方：丁香、绵黄芪（锉碎）、人参（去芦头）、白术、当归（洗、焙干）、鳖甲（涂酥炙黄，去裙边，各一两）、胡黄连、甘草（炙，各半两）。
制法与用法：以上药物捣罗为细末。每次服用一钱，用水一盏，加入生姜两片，大枣二枚，同煎至五分，去渣温服，饭前服用。
《千金方》地黄丸：治疗胃气不调，不喜欢吃东西，不生肌肉。
配方：干地黄、大黄（各两六铢）、茯苓（十八铢）、杏仁、柴胡、当归（各半两）。
制法与用法：以上药物研为细末，蜜丸如麻子大小。每次服用五丸，每天三次。
《婴孺书》治三岁七岁儿童不吃饭，或者呕吐，或者头部发热，或者下利，或者口渴，或者手脚发热，有时发冷。每日一剂，便能进食。
配方：鳖甲（一两）、当归、甘草（炙）、升麻（各二钱半）、花椒（五十粒，出汗处理）。
制法与用法：以上药物切碎，用水一升，煮取八合，分为三次服用。两次服药间隔行人走六七里的时间。再次服药后，感觉身上湿润，盖衣被取汗，微汗即可，不要大汗淋漓。
[Xue Ji's Commentary] The *Classic of Internal Medicine* states: "The Stomach is the sea of water and grain, and the great source of the six fu organs." The qi and blood of the human body, as well as the functions of the zang and fu organs, are all generated by Stomach Qi. Therefore, Li Dongyuan's medical approach focuses primarily on regulating the Spleen and Stomach. The saying "tonifying the Spleen is better than tonifying the Kidney" embodies this very principle. In infants and children, although they consume milk and food, the essence derived from water and grain is not yet fully established; they rely especially on Stomach Qi. If Stomach Qi becomes deficient, the other four zang organs (Heart, Liver, Lung, Kidney) will all lose their nourishment. Thus, Zhu Danxi stated that children often suffer from disorders of the Liver and Spleen.
If the child presents with a pale complexion, lackluster eyes, cold breath, refusal to eat accompanied by vomiting of clear fluid, emaciation, and abdominal pain, this is a syndrome of Deficiency-Cold of Stomach Qi. It should be treated primarily with Wuwei Yigong San or Liu Junzi Tang. If the stool is unformed, indicating concurrent Spleen deficiency, add Ganjiang (Dried Ginger) to warm the interior. If there is abdominal fullness and difficulty in defecation, it indicates failure of the Spleen to transport; add Muxiang (Aucklandia Root) to move qi and relieve obstruction. If the child prefers cold drinks and suffers from constipation, it indicates Excess-Heat in the Stomach; treat with Xiehuang San to clear heat and cool. If Mingmen Fire is deficient and unable to warm the Earth (Spleen), use Bawei Wan to tonify. For congenital insufficiency of Stomach Qi, this pill is also used. This is because when the True Yang of the lower jiao is abundant, it generates Yuan Qi of the Spleen upwards, naturally enabling the warming and steaming digestion of water and grain.
Pingwei San: Treats disharmony of the Spleen and Stomach, loss of appetite, distending pain in the chest and abdomen, bitter taste in the mouth, shortness of breath, nausea, belching, acid regurgitation, sallow complexion, emaciation, lethargy, body aches, and syndromes such as cholera-like vomiting and diarrhea.
Ingredients: Houpo (Magnolia Bark, processed with ginger juice, 5 liang), Chenpi (Tangerine Peel), Gancao (Licorice Root, honey-fried, 1 liang each), Cangzhu (Atractylodes Rhizome, soaked in rice wash water, dried, 8 liang).
Preparation and Administration: Grind the above ingredients into fine powder. Take 2 qian per dose, decocted with fresh ginger and jujube, or it can be taken as a suspension in boiling water. Regular consumption regulates qi, warms the stomach, resolves retained food, eliminates phlegm-fluids, and wards off pathogenic factors of the four seasons.
My Note: For the aforementioned syndromes, if caused by retention of milk and food, characterized by belching with a putrid odor, acid regurgitation, vomiting, and nausea, this formula is appropriate. However, if the food has digested but the Spleen and Stomach remain weak, leading to vomiting and nausea, Sizijunzi Tang is more suitable.
Tiaozhong Wan: Treats Deficiency-Cold of the Spleen and Stomach.
Ingredients: Baizhu (Atractylodes Macrocephala Rhizome), Renshen (Ginseng Root), Gancao (Licorice Root, stir-fried, 5 fen each).
Bawei Dihuang Wan: Consists of Liudihuang Wan plus Rougui (Cinnamon Bark) and Fuzi (Aconite Lateral Root Processed), each 1 liang. It treats congenital deficiency of Mingmen Fire failing to warm the Earth, resulting in Cold-Deficiency of the Spleen Earth, poor appetite, indigestion, peri-umbilical pain, and frequent nocturia. As stated in the *Inner Canon*: "Benefit the source of fire to dissipate yin shadows." This medicine exemplifies that principle.
Qian Shi Yihuang San (also known as Bupi San): Treats vomiting and diarrhea due to Cold-Deficiency of the Spleen and Stomach. (Formula see previous section)
My Note: For the preceding formulas, if the syndrome involves Cold-Deficiency of Spleen Earth, or Water insulting Earth causing vomiting and diarrhea, cold hands and feet, surging phlegm-saliva, sleeping with eyes partially open (exposed pupils), and refusal of milk/food, this formula is indicated. For vomiting and diarrhea due to Spleen Earth weakness, use Liu Junzi Tang added with Chaihu (Bupleurum Root). If ineffective or if both hands and feet are cold, it belongs to Deficiency-Cold; add Muxiang and Paogjiang (Processed Dried Ginger). If the condition arises from the nursing mother's Spleen deficiency leading to Liver Qi invading the child, treat with the aforementioned medicines. If the nursing mother's depression and anger cause these symptoms in the child, the mother should concurrently take Jiaweigui Pi Tang.
Shenling Baizhu San: Primarily treats Spleen and Stomach weakness, refusal of food, fatigue, and shortness of breath, abdominal fullness, stagnation, belching, vomiting, and counterflow qi. This medicine is neither cold nor hot, with a balanced nature and flavor. Regular consumption harmonizes the Spleen, promotes a healthy complexion, supports righteous qi, and expels evil.
Ingredients: Renshen (Ginseng Root, remove rhizome), Baifuling (Poria, remove skin), Fencao (Licorice Root), Baizhu (Atractylodes Macrocephala Rhizome), Baibiandou (White Hyacinth Bean, stir-fried, remove shell), Shanyao (Chinese Yam, remove black skin), Suosharen (Amomum Fruit), Yiyiren (Coix Seed), Jiegeng (Platycodon Root, crushed and stir-fried; nine ingredients above, 1 liang each), Lianzirou (Lotus Seed Embryo, remove heart).
Preparation and Administration: Crush and dry the above ingredients, then grind into powder. Take 0.5 to 1 qian per dose, mixed with jujube decoction on an empty stomach, or warm rice soup may also be used.
Jianpi Yin: Establishes Spleen function, nourishes Stomach qi, regulates vomiting, treats dysentery and diarrhea, and is suitable for post-illness weakness, phlegm-induced nausea, mild abdominal pain, reduced diet, and mental sluggishness.
Ingredients: Houpo (Magnolia Bark, remove coarse bark, crush, soak overnight in ginger juice, slow-fire dry, then quench with pure vinegar, slow-fire dry again), Renshen (Ginseng Root, remove rhizome, 1 liang each), Baifuling (Poria, remove skin), Roudoukou (Nutmeg), Banxia (Pinellia Tuber, boil thoroughly, filter, crush, dry), Yizhiren (Alpinia Oxyphylla Fruit), Jing Xiangfu (Cyperi Rhizoma, cleaned), Liangjiang (Galangal Rhizome, slice, stir-fry with earth from the east wall), Hezierou (Chebula Fruit Flesh, 2.5 qian each), Gancao (Licorice Root, honey-fried, 5 qian).
Preparation and Administration: Crush the ingredients. Take 2 qian per dose, with one cup of water, two slices of ginger, and one jujube, decoct to 70%, and take at any time.
Huoxiang Yin: Regulates deficiency, transforms phlegm, treats disharmony of the Spleen and Stomach, reduced food intake, strengthens righteous qi, and expels pathogens.
Ingredients: Renshen (Ginseng Root, remove rhizome), Banxia (Pinellia Tuber, boil thoroughly, filter, slice, dry), Chifuling (Red Poria, remove skin), Gancao (Licorice Root, honey-fried, 1 liang each), Cangzhu (Atractylodes Rhizome, remove coarse bark, soak overnight in rice wash water, drain, slice, stir-fry until slightly yellow, 2 liang), Chenpi (Tangerine Peel, remove white pith), Huoxiang (Patchouli Herb, remove stem, 7.5 qian each), Houpo (Magnolia Bark, remove coarse bark, processed, 1.5 liang).
Preparation and Administration: Chop the above ingredients. Take 2 qian per dose, with one cup of water, two slices of ginger, and one jujube, decoct to 70%, take warm on an empty stomach, or add burnt salt and decoct together.
Treatment for pediatric Spleen and Stomach weakness with reduced food intake.
Use equal parts of Renshen (Ginseng Root), Baizhu (Atractylodes Macrocephala Rhizome), Fuling (Poria), and Gancao (Licorice Root), grind into powder. Take 1 qian per dose, administered with salt water. Another prescription adds Chenpi (Tangerine Peel) and Suosharen (Amomum Fruit).
Treatment for Stomach deficiency with rebellious qi, sucking milk but refusing solid food.
Use 1 qian of Renshen (Ginseng Root), 0.5 qian each of Dingxiang (Clove) and Huoxiangye (Patchouli Leaf), decoct with half a cup of water until cooked, add a small amount of breast milk, and decoct further before administration.
Treatment for weak Stomach with vomiting and counterflow qi, heat in palms and soles, and refusal of milk/food.
Use 3.5 qian of Chen Hongqu (Red Yeast Rice), 1.5 qian of Baizhu (Atractylodes Macrocephala Rhizome, bran-stir-fried), 1 qian of Gancao (Licorice Root, honey-fried), grind into powder. Take 0.5 qian per dose, washed down with jujube soup or rice drink.
Treatment for disharmony of Spleen and Stomach, vomiting, nausea, and refusal of milk/food.
Use 1 qian of Houpo (Magnolia Bark, ginger-processed), 0.5 qian of Baizhu (Atractylodes Macrocephala Rhizome), 0.3 qian each of Ganjiang (Dried Ginger, processed) and Gancao (Licorice Root, honey-fried), decoct with one cup of water and two slices of ginger, take warm on an empty stomach.
Treatment for retained food damaging the Spleen, promoting digestion and relieving chest oppression.
Use 0.5 liang each of Suosharen (Amomum Fruit), Jupi (Orange Peel), Sanleng (Sparganium Rhizome), Ezhu (Curcuma Rhizome), Shenqu (Medicated Leaven), and Maiya (Barley Sprout), and 1 liang of Xiangfuzi (Cyperi Fructus), stir-fry each separately, grind into powder, bind with wheat paste into pills the size of sesame seeds. Take after meals with plain warm water. Adjust the number of pills according to bowel movements.
[Mao Xiansheng] Yunqi San
Ingredients: Jiegeng (Platycodon Root, 5 liang), Gancao (Licorice Root, honey-fried, 2 liang), Baijiang (White Ginger, 1 fen), Suosharen (Amomum Fruit), Chenjupi (Chen Orange Peel), Huixiang (Fennel Fruit, washed, 1 liang each).
Preparation and Administration: Grind into fine powder. Take 0.5 or 1 qian, mixed with decoction of Frost Papaya, or Purple Perilla Salt Soup is also acceptable. (*Baotongji* adds Houpo, Cangzhu, Liangjiang, Guizhi, Wumei, named Yangpi Tang.)
Tiaoli Zhongbing Xingpi San
Ingredients: Muxiang (Costus Root), Baizhu (Atractylodes Macrocephala Rhizome, wrapped in wet paper and baked), Renshen (Ginseng Root), Fuling (Poria), Caoguozhi (Black Cardamom), Gancao (Licorice Root, honey-fried), Chenjupi (Chen Orange Peel), Houpo (Magnolia Bark, boiled with Suosharen), Zisuzi (Perilla Seed).
Preparation and Administration: Equal parts, grind into powder. Take 1 qian, with 60% water, one slice of ginger, half a jujube, decoct to 40%, and take orally.
Jianpi San: Treats pediatric Stomach Qi deficiency.
Ingredients: Baifuling (Poria, remove skin), Renshen (Ginseng Root, 1 liang each), Houpo (Magnolia Bark, 3 liang, ginger-processed), Cangzhu (Atractylodes Rhizome, soaked in rice wash water overnight, 4 liang), Chenjupi (Chen Orange Peel, remove white pith, 5 liang), Gancao (Licorice Root, 2 liang, half raw half fried), Caoguozhi (Black Cardamom, peeled, 2 liang).
Preparation and Administration: Grind the above ingredients into powder. Take 1 qian per dose, decocted with ginger and jujube, adjust dosage according to age.
Tiaozhong Yinzi: Treats various pediatric diseases.
Ingredients: Roudoukou (Nutmeg), Baizhu (Atractylodes Macrocephala Rhizome, processed), Renshen (Ginseng Root), Chenjupi (Chen Orange Peel, remove white pith), Hezi (Chebula Fruit, processed, remove pit), Huixiang (Fennel Fruit), Gancao (Licorice Root, honey-fried), Suosharen (Amomum Fruit, 0.5 liang each), Huoxiang (Patchouli Herb), Guixin (Cinnamon Twig), Binglang (Areca Seed, 3 qian each).
Preparation and Administration: Grind into powder. Take 0.5 to 1 qian per dose, decoct with ginger and jujube water, adjust volume to 50% or 40% based on child's size, and take orally.
*Baotongji* Zhuangpi Quji Jishi (Strengthen Spleen, Remove Accumulation, Promote Appetite)
Ingredients: Jingsanleng (Kyongsanleng Rhizome), Peng'ezhu (Curcuma Rhizome, vinegar-processed, wrapped in paper and baked), Yizhi (Alpinia Oxyphylla Fruit, peeled, 4 liang each), Gancao (Licorice Root, honey-fried, 4.5 liang), Chenpi (Tangerine Peel), Qingpi (Green Tangerine Peel, 2 liang each).
Preparation and Administration: Grind into powder. Take 1 qian with water, administer as needed. Decocting with ginger and jujube is also acceptable.
Shenzhu San: Treats post-illness Spleen and Stomach weakness, irritability, confusion, frequent startle during sleep, rapid breathing, agitation, warms and nourishes Spleen and Stomach, promotes milk/food intake, harmonizes qi, clears spirit, and harmonizes zang-fu organs.
Ingredients: Baizhu (Atractylodes Macrocephala Rhizome), Renshen (Ginseng Root), Fuling (Poria), Shilianrou (Lotus Plumule, remove heart), Yingsumi (Poppy Seed), Baibiandou (White Hyacinth Bean), Huoxiang (Patchouli Herb), Gancao (Licorice Root, honey-fried).
Preparation and Administration: Equal parts, fine powder. Take half a small qian, mixed with jujube soup, take on an empty stomach and at noon. (Handong Guanyin San contains less Baizhu and Yingsumi, and more Shenqu, Baizhi, Muxiang, Huangqi.)
*Shenghui Fang* Qianhu San: Treats disharmony of Spleen and Stomach, aversion to food with urge to vomit, chest and heart oppression.
Ingredients: Qianhu (Peucedani Radix), Lugeng (Reed Rhizome, 3 fen each), Guixin (Cinnamon Twig, 1 fen), Renshen (Ginseng Root), Baizhu (Atractylodes Macrocephala Rhizome), Chifuling (Red Poria), Pipaye (Loquat Leaf, remove hairs, honey-fried), Gancao (Licorice Root, honey-fried), Houpo (Magnolia Bark, ginger-processed, 0.5 liang each).
Preparation and Administration: Coarsely sieve. Take 1 qian, with one small cup of water and a little ginger, decoct to 50%, take warm as needed.
[Zhang Huan] Jixiang Jian: Treats Spleen and Stomach deficiency, loss of appetite, emaciation.
Ingredients: Huoxiangye (Patchouli Leaf), Houpo (Magnolia Bark, ginger-processed), Dingxiang (Clove), Chenxiang (Agarwood), Muxiang (Costus Root, 1 liang each), Baifuling (Poria), Baidoukou (White Cardamom), Baizhu (Atractylodes Macrocephala Rhizome, processed, 0.5 liang each).
Preparation and Administration: Grind into fine powder. Add 1 qian of Shexiang (Musk), 1 sheng of water, 0.5 jin of honey, 30 jujubes, and 20 slices of ginger. Slowly simmer in a silver or ceramic vessel into an ointment. Remove ginger and jujube, dry in a ventilated place. Take a pill the size of a soap bean before feeding with rice drink.
Tiaozhong San: Treats pediatric imbalance of cold and heat leading to disharmony of Spleen and Stomach.
Ingredients: Muxiang (Costus Root, crushed), Renshen (Ginseng Root, remove rhizome), Qingjupi (Green Tangerine Peel, soaked in water, remove white pith, dry, 1 liang each), Dingxiang (Clove), Baizhu (Atractylodes Macrocephala Rhizome), Baifuling (Poria), Dafupifu (Areca Peel, crushed), Gancao (Licorice Root).
Preparation and Administration: Pound and sieve into fine powder. Take 1 qian per dose, with one small cup of water and three slices of fresh ginger, decoct to 50%, strain, and take warm.
Yiwei Dan: Regulates cold and heat, harmonizes Spleen and Stomach.
Ingredients: Danggui (Angelica Sinensis Root, wash, dry), Muxiang (Costus Root), Baizhu (Atractylodes Macrocephala Rhizome), Chenxiang (Agarwood, 1 liang each), Baishao (White Peony Root), Renshen (Ginseng Root, remove rhizome), Peng'ezhu (Curcuma Rhizome), Suosharen (Amomum Fruit, 0.5 liang each).
Preparation and Administration: Pound and sieve into fine powder, mix with white flour paste into pills the size of millet seeds. Take 10 to 15 pills per dose, washed down with Shexiang Tang (Musk Decoction). Adjust dosage according to child's size.
Dingxiang Huangsan: Treats pediatric Spleen and Stomach weakness, inability to eat, gradual damage to Ying and Wei, leading to emaciation, frequent dysentery, and bluish-white complexion.
Ingredients: Dingxiang (Clove), Mian Huangqi (Astragalus Root, crushed), Renshen (Ginseng Root, remove rhizome), Baizhu (Atractylodes Macrocephala Rhizome), Danggui (Angelica Sinensis Root, wash, dry), Biejia (Turtle Shell, coat with butter, fry until yellow, remove skirt, 1 liang each), Huhuanglian (Coptidis Rhizoma alternative, Scutellaria Barbadensis Root), Gancao (Licorice Root, honey-fried, 0.5 liang each).
Preparation and Administration: Pound and sieve into fine powder. Take 1 qian per dose, with one cup of water, two slices of ginger, and two jujubes, decoct to 50%, strain, and take warm before meals.
*Qianjin Fang* Dihuang Wan: Treats irregular Stomach Qi, dislike of eating, failure to gain flesh.
Ingredients: Ganhuidi (Rehmannia Root, dried), Dahuang (Rhubarb Root, 2 liang 6 zhu each), Fuling (Poria, 18 zhu), Xingren (Apricot Seed), Chaihu (Bupleurum Root), Danggui (Angelica Sinensis Root, 0.5 liang each).
Preparation and Administration: Grind into powder, make honey pills the size of sesame seeds. Take 5 pills per dose, three times daily.
*Yingru Shu* Treatment for 3-to-7-year-old children refusing food, or vomiting, or head heat, or diarrhea, or thirst, or heat in hands and feet, sometimes cold. One dose daily restores appetite.
Ingredients: Biejia (Turtle Shell, 1 liang), Danggui (Angelica Sinensis Root), Gancao (Licorice Root, honey-fried), Shengma (Cimicifuga Rhizome, 2.5 qian each), Jiao (Sichuan Pepper, 50 grains, sweat out moisture).
Preparation and Administration: Cut the ingredients, decoct with 1 sheng of water to obtain 0.8 sheng. Divide into three doses. Administer the next dose after the patient has walked for the distance a person covers in 6-7 li. After taking the second dose, if the body feels moist, cover with clothes to induce sweating. Mild sweating is sufficient; do not induce profuse sweating.