元贞乙未春，有王千户来自广西，安船河下。一子仅二周，患头痛，服药针灸不效，
召以诊视，色脉具好，惟额上微红，以手法验之，大哭泪下，其母怒而见 ，愚亦置之
勿论，但究心以病为事，再问当间得证之因，千户云∶初在静江，大风吹篷扑着便不快。予
曰∶此疾若令细揣头上，便知其证。彼诺之。遂遣家人出外探亲，其父自抱手揣之，果有
小篾签刺在囟上皮下，即篷签也以酥油润透，用摘镊取出，痛定即安。若初以匹妇饶舌而
退，则及幼之心不溥矣。后之医流，傥见婴孩色脉好而病者，用药不应，必有他故，宜
究心推原，切勿拘泥可也。
大德戊戌夏，因干出郭，至五里外，见有夫妇二人，抱子而哭于道旁，问之，答曰∶
入城探亲，三岁孩儿，忽得惊风，不省人事。观其面青黯色，目闭神昏诊之六脉全无，按
太冲脉，沉而微有。余顾曰∶毋虑此子可救，且左右竟无人家，遂于路侧拾得破碗半边，有
姜小块，细嚼捻汁碗中，用五苓散、苏合香丸、宽气饮，浇水调和灌下。十数次方觉气
回，声出目开，自此苏矣。漫附卷末，同志鉴之。
治吐泻痢后，将传慢惊慢脾，神昏脉弱，饮食不进，睡露扬睛，昼轻夜重，急宜投解。
北南星（一两，锉破，瓦器盛东壁土同醋煮少时，滤干，切片，焙） 人参（去芦） 冬瓜子仁
上件 咀，每服二钱，水一盏半，姜三片，慢火煎七分，候温无时少与缓服。投之急必吐。
此后应诸汤散丸剂，所述服药次序，不过言其大略。然煎煮调化，分数汤使下法，尤
在临时量儿大小，以意加减，或多或少，随病轻重用之，余皆仿此，再不繁引。
元贞乙未年春天，有一位王千户从广西来到此地，将船停靠在河边。他有一个刚满两周岁的儿子，患有头痛病，服用药物和针灸治疗都没有效果，于是请我前去诊治。我看孩子面色和脉象都正常，只有额头微微发红，用手法按压检查时，孩子大哭并流泪，他的母亲生气地瞪了我一眼，我也没有多说什么，只是专心研究病情，再次询问得知发病的原因。千户说：起初在静江时，大风吹动船篷拍打到了孩子身上，之后就不舒服了。我说：这个病如果仔细触摸头部，就能知道病症所在。他表示同意。于是我让家人出去探亲，父亲亲自抱着孩子用手触摸，果然发现有一根细小的竹签刺入囟门下的皮肤里，这就是被篷上的竹签扎伤所致。随即用酥油润湿患处，用镊子将其取出，疼痛停止后孩子就安静下来了。如果当初因为那个妇人的闲言碎语而退却，那么对幼童的关爱就不够广泛了。后来的医生，如果遇到婴幼儿面色脉象良好但用药无效的情况，必定有其他原因，应当用心探究根源，千万不要拘泥固执。
大德戊戌年夏天，因为外出办事，走到五里外，看见有一对夫妇抱着孩子在路边哭泣，询问他们，回答说：进城探亲，三岁的孩子突然得了惊风，不省人事。观察孩子面色青暗，眼睛紧闭，神志昏迷，诊察六部脉象全无，按摸太冲穴处的脉搏，沉细且微弱。我回头对他们说：不要担心，这个孩子可以救活，况且周围竟然没有人家，于是我在路边捡到一个破碗的半边，里面有一点姜块，细细嚼碎挤出汁液放入碗中，配合使用五苓散、苏合香丸、宽气饮，加水调和后灌服下去。经过十几次灌服，才觉得气息恢复，发出声音，睁开眼睛，从此苏醒过来。随意附记在卷末，希望志同道合者明鉴。
治疗呕吐、腹泻、痢疾之后，即将转为慢惊风或慢脾风，出现神志昏沉、脉象虚弱、饮食不进、睡眠中露睛（睡觉时眼睛半睁）、扬睛（眼球上翻），白天症状轻晚上重的情况，应当紧急投药治疗。制南星（一两，锉破，放在瓦器中，与东壁土一起加醋煮一会儿，滤干水分，切片，焙干） 人参（去掉芦头） 冬瓜子仁
以上药材切碎，每次服用二钱，用水一盏半，生姜三片，用慢火煎至七分，待温度适宜时随时少量缓慢服用。如果投药过急必然会引起呕吐。此后各种汤剂、散剂、丸剂的描述，所述服药顺序，不过是说明大概原则。然而煎煮调配、剂量汤剂服用方法，尤其需要根据当时患儿的大小，凭经验加减，或多或少，根据病情的轻重来使用，其余都仿照此例，不再繁琐引用。
In the spring of Yiwu (1295) during the Yuanzhen era, a Commander Wang arrived from Guangxi and moored his boat by the river. His son, only two weeks old in terms of lunar age (approx. 1-2 years), suffered from headache. Medication and acupuncture had proven ineffective, so he summoned me for consultation. The child's complexion and pulse were both good, except for a slight redness on the forehead. Upon applying manual pressure for examination, the child cried loudly with tears flowing. His mother glared at me angrily, but I disregarded her reaction and focused solely on investigating the illness. Upon further inquiry, I learned the cause: while in Jingjiang, a strong wind had blown the boat canopy, striking the child, after which he felt unwell. I stated, "If you carefully palpate the head, the nature of this condition will be revealed." He agreed. I then sent my attendants away to visit relatives, and the father held the child and palpated the head himself. Indeed, a small bamboo splinter was found embedded under the skin of the fontanelle (anterior fontanelle), likely from the canopy's splints. I moistened the area thoroughly with sesame oil and used tweezers to extract it. Once the pain subsided, the child calmed down. Had I retreated due to the woman's gossip, my compassion for infants would not have been extensive enough. Physicians in later times, when encountering infants with normal complexion and pulse but unresponsive to medication, should realize there must be another cause. They ought to investigate diligently and not be dogmatic.
In the summer of Wuxu (1318) during the Dade era, while traveling outside the city walls, about five li away, I saw a couple crying by the roadside while holding their child. Upon asking, they replied that they had gone into the city to visit relatives, and their three-year-old child suddenly developed convulsions (Jing Feng) and lost consciousness. Observing the child's dark cyanotic facial color, closed eyes, and coma, I examined the six pulses and found none. However, palpating the Taichong acupoint (LR3), the pulse was deep and faintly perceptible. I told them, "Do not worry; this child can be saved." Since there were no houses nearby, I picked up half of a broken bowl by the road, chewed a small piece of ginger finely, squeezed the juice into the bowl, and mixed it with Wu Ling San (Five-Ingredient Powder with Poria), Su He Xiang Wan (Styrax Pill), and Kuan Qi Yin (Broad-Qi Decoction). I added water to create a mixture and administered it orally. After more than ten administrations, the child's breath returned, sounds emerged, and eyes opened, leading to full recovery. I append this case here for the reference of like-minded practitioners.
For conditions following vomiting, diarrhea, or dysentery, where slow convulsions (Man Jing) or slow spleen wind (Man Pi) are about to develop, characterized by mental confusion, weak pulse, inability to eat, sleeping with eyes partially open (sleeping with exposed eyes), upward rolling of the eyes, and symptoms that are lighter during the day and heavier at night, urgent treatment is required. Prepared Arisaema Rhizome (Beinanxing, *Arisaema cum Bile*) (one tael, crushed, boiled briefly with earth from the east wall of a kiln in vinegar in a ceramic vessel, drained, sliced, and dried) Ginseng Root (Renshen, *Panax ginseng*) (rhizome removed) Winter Melon Seed (Dongguazi Ren, *Benincasa hispida* seed)
Crush the above ingredients. For each dose, take two qian. Add one dan of water and three slices of fresh ginger. Simmer slowly until reduced to seven-tenths of the original volume. When warm, administer small amounts slowly at any time. If administered too hastily, it may induce vomiting. The subsequent descriptions of various decoctions, powders, and pills merely outline general principles regarding the sequence of administration. However, the methods of decoction, preparation, dosage, and administration must be adjusted according to the child's size and the severity of the illness at the time, varying the amount as appropriate. Other cases follow this pattern and are not repeated extensively.