治癖积心腹，内结如拳，及脐腹痛不可忍∶用庄黄一两（酒蒸），炮姜五钱，附子五钱，
九肋鳖甲八钱，用好醋将鳖甲煮一时久取起，酥炙黄色为度，共为细末，用三年老米醋一升
熬至半升，和前末为丸，绿豆大，每服十丸，空心米汤下，取下积如鱼脑败血烂肉青泥即愈
。后用补脾调理。按∶此方药廉功大，比消癖丸力胜十倍，允称神妙。
小儿痞块肚大，肌瘦面黄∶白芙蓉阴干，研末，入鸡肝内扎合，饭上蒸熟食之，七八次
愈。
小儿好食茶叶成癖∶用鲜榧子一斤，空心、晌午、黄昏，每服十四粒，吃完即愈。榧子
，京果铺有卖。
小儿好食泥土及肚胀∶用好黄土，浓煎黄连，取清汁，和饼食，效。又，日与芝麻三钱
，加雄黄末二分，食之，白汤送下。
小儿食积结痞块∶用大红枣一斤，皮硝一两，同煮，以水干为度，晒干，每日食此枣，
徐徐服之自消。
小儿积久而成鳖腹内有形，摆头掉尾，大者如杯，小者如钱，上侵人喉，下蚀人肛，或
附胁脊，或隐肠腹∶用生硫黄，研极细末，每日老酒调服一钱，空心下，久服自化。硫黄须
色如初出鸭雏者，方可用。带青、带赤、带黑色者，皆不堪用。此物最平稳，多服无疑。
凡小儿肥甘过度，或糖食甜物太多，乃致湿热久停而成积，积久生虫，时发腹痛，以手
摸之，腹内有块，或一条梗起。外症唇红面白，六脉浮洪。其痛时作时止，痛止即能饮食者
，虫痛无疑。又有腹痛，一痛即死者，亦是虫痛。欲去此虫，用苦楝根皮，诚天下打虫第一
神方。其法于月初旬，虫头向上之时行之。先夜掘苦楝根，须取每年结子者，方是母树。其
根浮于土面者有毒，不可用。专取土中者，洗净泥土，以刀刮去红皮，只取白皮，四五钱。
儿大者，六七钱。切碎听用。次早以油煎鸡蛋，令儿嗅之，以引其虫头向上而求食。另于别
室，以水一盅，浓煎苦楝皮汤一小杯，不可使儿闻其药气，一闻其气，虫即潜伏矣。俟药熟
，以鸡蛋与儿食，即服药，半日不可饮食，俟虫下后方饮食之。服药后，儿似困顿，万万放
心，虫下后，精神如旧。仍当急为健脾，庶虫不复生，永无患矣。虫症，轻者以使君子肉二
钱，糖水炒，于初旬饥时服之三次，亦可打下虫。又方∶使君子（炒）、榧子（去壳）各十枚，
槟榔、甘草各一钱，为末，和饭捣为丸，如梧子大，于上旬日，每早空心服十丸，五日虫尽
下。凡去虫后，总宜服六君子汤加川椒八分、乌梅一个，数剂虫不更生。
治疗癖积在心腹部位，内部结块如拳头大小，以及脐腹部疼痛难以忍受的情况：使用庄黄一两（用酒蒸制），炮姜五钱，附子五钱，九肋鳖甲八钱。将鳖甲放入优质醋中煮较长时间后取出，用酥油炙烤至黄色为止。将上述药物共同研磨成细末，用三年陈老米醋一升熬至半升，与药粉混合制成丸剂，大小如绿豆。每次服用十丸，空腹时用米汤送服，排出像鱼脑、败血、烂肉或青泥一样的积滞物即可痊愈。之后再用补脾的方法进行调理。按语：此方药材廉价而功效巨大，比消癖丸的力量强十倍，确实称得上神妙。
小儿痞块导致肚子大，肌肉消瘦，面色发黄：取白芙蓉花阴干，研磨成末，填入鸡肝内扎紧，放在饭上蒸熟后食用，经过七八次治疗即可痊愈。
小儿喜欢吃茶叶形成癖积：使用鲜榧子一斤，分别在空腹时、中午和黄昏时分，每次服用十四粒，吃完后即可痊愈。榧子在京城的水果店有售卖。
小儿喜欢吃泥土并且腹胀：选用优质的黄土，用浓煎的黄连汁澄清后，调和成饼食用，有效。另外，每天给小儿服用三钱芝麻，加入二分雄黄末，一起食用，用白开水送下。
小儿食积结成痞块：使用大红枣一斤，皮硝一两，共同煮制，直到水分完全蒸发为止，晒干后，每天吃这种枣，慢慢服用自然会消除。
小儿积滞日久形成“鳖腹”，体内有形之物，摇头摆尾，大的如杯子，小的如铜钱，向上侵入咽喉，向下侵蚀肛门，或者附着在胁脊，或者隐藏在肠腹中：使用生硫黄，研磨成极细的粉末，每天用老酒调服一钱，空腹服用，长期服用自然化解。硫黄必须是颜色像刚出壳的小鸭子那样黄色的才可以服用。带有青色、红色或黑色的都不堪使用。此物性质最平稳，多服用没有疑虑。
凡是小儿肥甘厚味过度，或者糖果甜食太多，导致湿热长久停留而形成积滞，积滞久了生出虫体，时常发作腹痛，用手触摸，腹内有块状物，或者有一条梗起。外在症状表现为嘴唇红而面色白，六脉浮洪。疼痛时作时止，痛止后就能饮食的，无疑是虫痛。又有腹痛，一痛即死的，也是虫痛。想要去除这些虫，使用苦楝根皮，确实是天下驱虫第一神方。其方法是在月初旬，虫头向上的时候施行。前一天晚上挖掘苦楝根，必须选取每年结子的树，才是母树。根部浮于土面者有毒，不可使用。专门取土中的根，洗净泥土，用刀刮去红皮，只取白皮，四五钱。孩子大的，用六七钱。切碎备用。第二天早上煎鸡蛋让小儿闻气味，以引诱虫头向上寻找食物。另外在别的房间，用水一盅，浓煎苦楝皮汤一小杯，不要让小儿闻到药气，一闻到气味，虫就会潜伏了。等药煮好后，给小儿吃鸡蛋，随即服药，半天内不要饮食，等虫排出来后再饮食。服药后，小儿似乎困顿，千万不要担心，虫排出后精神如旧。仍然应当急忙健脾，这样虫就不会再生，永远没有祸患了。虫症，轻的用使君子肉二钱，糖水炒制，在初旬饥饿时服用三次，也可以打下虫。又一方：使君子（炒）、榧子（去壳）各十枚，槟榔、甘草各一钱，研成末，和饭捣成丸，如梧桐子大，在上旬日子，每天早上空腹服用十丸，五天虫全部排出。凡驱虫后，总宜服用六君子汤加川椒八分、乌梅一个，数剂后虫不再产生。
Treatment for *pi* accumulation (masses in the abdomen) in the heart and abdomen, with internal nodules like fists, and unbearable pain around the umbilicus: Use Zhuang Huang (a type of Rhubarb, 1 liang) steamed with wine, Pao Jiang (Prepared Ginger, 5 qian), Fu Zi (Prepared Aconite Root, 5 qian), and Jiu Lei Bie Jia (Nine-rib Turtle Shell, 8 qian). Boil the turtle shell in high-quality vinegar for a long time, remove it, and roast it with rendered animal fat until yellow. Grind all ingredients into fine powder. Take one sheng (approx. 200ml) of three-year-old aged rice vinegar, boil it down to half a sheng, and mix with the powder to form pills the size of mung beans. Take ten pills each time, swallowed with rice soup on an empty stomach. Recovery occurs when masses resembling fish brains, necrotic blood, rotting meat, or blue mud are expelled. Subsequently, regulate with spleen-tonifying methods. Note: This formula uses inexpensive herbs but has great efficacy, ten times stronger than Xiao Pi Wan (Eliminate Masses Pill), truly miraculous.
For children with abdominal distension due to痞块 (masses), emaciation, and sallow complexion: Dry Bai Fu Rong (White Hibiscus Flower) in the shade, grind into powder, stuff into chicken liver, tie securely, steam over rice, and eat. Seven or eight treatments will cure.
For children who develop a habit of eating tea leaves leading to accumulation: Use one jin (approx. 500g) of fresh Fei Zi (Torreya Seed). Take fourteen seeds each time on an empty stomach, at noon, and at dusk. Consumption of the entire amount cures the condition. Fei Zi is available in capital city fruit shops.
For children who crave eating soil and have abdominal distension: Use high-quality loess soil. Decoct Huang Lian (Coptis Rhizome) strongly, take the clear juice, mix with soil to make cakes, and eat. Effective. Alternatively, give San qian (approx. 15g) of sesame seeds daily mixed with two fen (approx. 1g) of Xiong Huang (Realgar) powder, taken with plain boiled water.
For pediatric food stagnation forming masses: Boil one jin (approx. 500g) of large red dates with one liang (approx. 50g) of Pi Xiao (Mirabilite/Sodium Sulfate) until the water evaporates completely. Sun-dry and eat these dates daily; gradual consumption resolves the mass.
For chronic accumulation transforming into "turtle belly" where internal entities move, shaking heads and tails, large as cups, small as coins, invading upwards to the throat, eroding downwards to the anus, attaching to ribs/spine, or hiding in intestines/abdomen: Use Sheng Liu Huang (Raw Sulfur) ground into extremely fine powder. Take one qian (approx. 3.75g) daily mixed with old wine, on an empty stomach. Long-term use dissolves the entity naturally. Only use sulfur that is yellow like a newly hatched duckling. Those with green, red, or black hues are unusable. This substance is very stable; excessive use is not a concern.
Whenever children consume excessive rich, sweet, or sugary foods, damp-heat lingers long-term causing accumulation. Long-standing accumulation breeds parasites, causing intermittent abdominal pain. Palpation reveals masses or cord-like structures in the abdomen. External signs include red lips, pale face, and floating, forceful pulses throughout the six positions. Pain comes and goes; if the child can eat after pain subsides, it is undoubtedly parasitic pain. Another severe case involves death immediately upon pain onset, also caused by parasites. To expel these parasites, use Ku Lian Gen Pi (Bark of the Chinaberry Root), the premier divine formula for deworming globally. The method should be performed in the early days of the lunar month when parasite heads point upward. Dig up Chinaberry roots the night before; select trees that bear fruit annually, as these are mother trees. Roots floating near the surface are toxic and unusable. Specifically take roots from deep soil, wash clean, scrape off the red bark, retaining only the white bark. Use four to five qian for younger children, six to seven qian for older ones. Chop and set aside. The next morning, fry eggs and let the child smell them to lure parasite heads upward seeking food. In a separate room, decoct a small cup of strong Chinaberry bark tea using one cup of water. Ensure the child does not smell the medicine, as scent causes parasites to hide. Once ready, feed the egg to the child, then administer the medicine. Withhold food for half a day; resume eating only after parasites are expelled. Post-medication, the child may appear lethargic; do not worry. Spirit returns to normal after expulsion. Urgently tonify the spleen thereafter to prevent recurrence and ensure permanent safety. For mild cases, use Er Qian (Areca Seed Kernel) two qian, stir-fried with sugar water, taken three times during hunger in the early lunar month, which can also expel parasites. Another formula: Shi Jun Zi (Areca Seed, fried) and Fei Zi (Torreya Seed, shelled) ten pieces each, Bing Lang (Betel Nut) and Gan Cao (Licorice Root) one qian each. Grind to powder, mix with rice dough, and form pills the size of wu zi (wuju tree seeds). On early lunar month days, take ten pills on an empty stomach every morning. Parasites will be fully expelled in five days. After deworming, always administer Liu Jun Zi Tang (Six Gentlemen Decoction) with added Chuan Jiao (Sichuan Pepper) eight fen and Wu Mei (Mume Fruit) one piece. Several doses prevent regrowth.