《内经·举痛论》∶五脏卒然而痛者，何气使然？岐伯曰∶经脉流行不止，环周不休，
寒气入经则稽迟，泣（音涩）而不行，故卒然而痛。盖小儿腹痛，有藏寒痛，锁肚痛，盘肠
内吊痛，积痛， 瘕痛， 痛，癖痛、吊肾痛，偏坠气，寒疝痛，蛔（音回）虫动痛。诸痛不
同，其名亦异，故不可一概论之。藏寒痛议，附胎寒论后。锁肚痛，一月内婴孩，忽乳不
下咽，肚硬如石，赤如朱，撮口而哭，面青唇黑，手足口气俱冷，是也。始因断脐带不
紧，为风冷所乘，证亦危急，以白芍药汤、乌梅散、一字金投之。日久则难愈，更参考
脐风证内议论。盘肠内吊痛，议在夜啼论中。积痛，腹中阴阴而痛，面黄不食，儿大者口
吐酸馊气，先治积滞，后调脾胃，其痛自止。仍辨虚实和解治法，见前伤积论中。 瘕痛，
乃久积所致，亦能成疳，此皆荣卫俱虚，外则感受风寒，内则过伤乳食，停滞既久，不
能克化，故邪并于阴为症，阴则专静凝而不移，邪并于阳为瘕。假物象形，动而不息，盖
此二证，若久而不治，亦成脾疳积，或两胁间有块如石，按之则痛，不按则轻，或面黄
肌瘦，肚硬而胀，及有青筋，昼凉夜热，蒸潮无时，乳食减少，爱吃泥土，或大便酿泻，
痛则身冷如冰，法当调脾养胃，用醒脾散、参苓白术散，磨积理疳，用化癖丸、三棱散、木
香莪术丸。治酿泻，没石子丸、沉香槟榔丸。然此积滞之疾，非匕剂可疗，必须次第调理，
则日久自然平复。 痛者，始则腹内一小长块，其硬如臂，从腰缠转，或左或右，良久
痛甚，则见于皮下，不妨乳食。其证先因有疾，表解未尽，遽尔下之太过，气虚寒搏郁
结而成。法宜益气理虚，用参苓白术散、沉香槟榔丸、木香莪术丸为治。或间投白芍药
汤，加人参、茯苓。水、姜煎服。癖痛者， 瘕 癖四证，大同小异，各有治法，惟癖证
详论在前。吊肾偏坠痛，论在阴囊肿证内，当理肾和气。寒疝痛，即在疝证论中详备。蛔
虫动痛，口吐清水涎沫，或吐出虫，痛不堪忍，其疾因食甘肥荤腥太早而得，故胃寒虫
动作痛。其虫吐来，或生或死，儿小者此痛苦甚，亦致危难。先以理中汤加乌梅，水煎
服，使胃暖不逆，次芦荟丸、使君子丸化虫饮主之。有儿大者，面 白而间黄色，肉食
倍进，肌体消瘦，腹中时复作痛，此有血鳖蛔虫杂乎其间，以二圣丸下之。又有胃受极
寒极热，亦令虫动，或微痛，或不痛，遽然吐出，法当安虫为上。若以治虫，反伤胃气，
固不可也。因寒而动者，用理中汤加乌梅，水煎服，因热而动者，用 咀五苓散，亦加乌
梅，水姜煎投。
《黄帝内经·举痛论》记载：五脏突然发生疼痛，是什么气导致的？岐伯回答说：经脉中的气血运行不止，循环周身没有休止。寒气侵入经脉，就会使气血运行迟缓、凝滞（音同“涩”）而不能通行，所以会突然发生疼痛。大概小儿腹痛，有脏寒痛、锁肚痛、盘肠内吊痛、积痛、瘕痛、痃痛、癖痛、吊肾痛、偏坠气、寒疝痛、蛔虫动痛等。各种疼痛不同，名称也各异，所以不能一概而论。
关于脏寒痛的论述，附在胎寒论之后。锁肚痛，是指一个月内的婴儿，忽然乳汁不下咽，腹部坚硬如石头，皮肤发红如朱砂，口撮而哭，面色青唇黑，手足和口气都冷，这就是锁肚痛。起初是因为断脐带不紧，被风冷邪气侵袭所致，病情危急，可用白芍药汤、乌梅散、一字金来治疗。如果日久则难以治愈，更需参考脐风证内的议论。盘肠内吊痛，其论述在夜啼论中。
积痛，表现为腹部隐隐作痛，面色发黄不想吃东西，年龄较大的孩子口中吐出酸馊气味。治疗应先消除积滞，然后调理脾胃，疼痛自然停止。仍需辨别虚实采用和解治法，详见前文伤积论中。
瘕痛，是由长期积滞所致，也能发展成疳积。这都是因为营卫之气都虚弱，外感风寒邪气，内因乳食过度损伤，停滞时间长久，不能消化，所以邪气并入阴分形成症（zhēng，指腹内结块，固定不移），阴主静，凝结而不移动；邪气并入阳分形成瘕（jiǎ，指腹内结块，聚散无常）。假借物象命名，肿块活动不停息。大概这两种病症，如果长久不治疗，也会变成脾疳积，或者两胁间有像石头一样的硬块，按压则痛，不按则轻，或者面色黄肌肉消瘦，肚子坚硬且胀大，以及出现青色筋脉，白天凉晚上热，潮热无定时，乳食减少，爱吃泥土，或者大便稀溏泄泻，疼痛时身体冷如冰。治法应当调理脾胃，使用醒脾散、参苓白术散；磨积消疳，使用化癖丸、三棱散、木香莪术丸。治疗稀溏泄泻，用没石子丸、沉香槟榔丸。然而这种积滞的疾病，不是几剂药就能治愈的，必须按次序调理，时间久了自然平复。
痃痛，开始时是腹内有一小块长形硬块，硬度如手臂，从腰部缠绕转动，或左或右，许久后疼痛加剧，则在皮下显现，不影响吃奶进食。此证先是因为有病，表邪未解尽，就急于攻下太过，导致气虚寒邪搏结郁滞而成。治法适宜益气理虚，使用参苓白术散、沉香槟榔丸、木香莪术丸进行治疗。或者间歇投服白芍药汤，加入人参、茯苓。用水、生姜煎服。
癖痛，属于痃、瘕、癖四种证候大同小异，各有治疗方法，只有癖证的详细论述在前面。
吊肾偏坠痛，其论述在阴囊肿证内，应当调理肾脏、调和气机。寒疝痛，即在疝证论中详细完备。
蛔虫动痛，表现为口吐清水涎沫，或者吐出虫子，疼痛难以忍受。这种病是因为过早食用甘甜肥腻荤腥食物而得，所以胃寒导致蛔虫扰动而疼痛。蛔虫吐出来，或生或死，年幼的孩子因此痛苦很深，也会导致危难。先用理中汤加乌梅，水煎服，使胃暖而不逆乱，再用芦荟丸、使君子丸化虫饮来主治。对于年龄较大的孩子，面色㿠白而间杂黄色，肉食加倍摄入，身体消瘦，腹中时常发作疼痛，这是有血鳖蛔虫混杂在其中，用二圣丸攻下它。又有因为胃受到极寒或极热的影响，也会导致蛔虫扰动，或者轻微疼痛，或者不痛，突然呕吐出来，治法应当以安蛔为上策。如果用杀虫的方法，反而伤害胃气，这是绝对不可以的。因寒而动的，用理中汤加乌梅，水煎服；因热而动的，用五苓散（此处原文似缺字，推测为某方名，依原文译），也加乌梅，用水、生姜煎服投喂。
*Neijing: Ju Tong Lun* (Treatise on Pain in the Yellow Emperor's Inner Canon) records: What qi causes sudden pain in the five zang organs? Qibo answered: The qi and blood in the meridians circulate endlessly, revolving around the body without rest. When cold pathogen enters the meridians, it causes stagnation and sluggishness (pronounced "se"), preventing smooth flow, thus resulting in sudden pain. Generally speaking, pediatric abdominal pain includes cold-viscera pain (*Zang Han Tong*), locked-belly pain (*Suo Du Tong*), coiled-intestine internal-hanging pain (*Pan Chang Nei Diao Tong*), accumulation pain (*Ji Tong*), *jia* mass pain (*Jia Tong*), *xuan* cord-like pain (*Xuan Tong*), *pi* lump pain (*Pi Tong*), hanging-kidney pain (*Diao Shen Tong*), unilateral scrotal swelling qi (*Pian Zhui Qi*), cold hernia pain (*Han Shan Tong*), and roundworm agitation pain (*Hui Chong Dong Tong*). These pains differ from one another, and their names are also distinct; therefore, they cannot be generalized.
The discussion on cold-viscera pain is attached after the treatise on fetal cold. Locked-belly pain refers to infants within one month of age who suddenly fail to swallow milk, have an abdomen hard as stone, skin red as cinnabar, mouth puckering while crying, cyanotic complexion with black lips, and cold extremities and breath. This is caused initially by umbilical cord ligation not being tight enough, allowing wind-cold pathogen to invade. The condition is critical and can be treated with *Baishao Yao Tang* (White Peony Decoction), *Wumei San* (Mume Powder), or *Yizi Jin*. If left for a long time, it becomes difficult to cure; further reference should be made to the discussions on neonatal tetanus (*Qi Feng*). The discussion on coiled-intestine internal-hanging pain is found in the treatise on night crying.
Accumulation pain presents as dull pain in the abdomen, yellowish complexion, and anorexia. Older children may vomit sour-smelling gas. Treatment should first focus on resolving food stagnation, followed by regulating the spleen and stomach, after which the pain will cease naturally. One must distinguish between deficiency and excess and apply harmonizing methods, as detailed in the previous treatise on injury and accumulation.
*Jia* mass pain results from long-standing accumulation and can develop into infantile malnutrition (*Gan Ji*). This occurs when both Ying (nutritive) and Wei (defensive) qi are deficient, external wind-cold pathogens are contracted, and internal damage to milk and food intake leads to prolonged stagnation and indigestion. Consequently, pathogenic factors merge into the Yin aspect to form *Zheng* masses (fixed, non-moving lumps); Yin governs stillness, so these remain stationary. Pathogens merging into the Yang aspect form *Jia* masses (migratory lumps). Named after resembling objects, these masses move incessantly. If these two conditions are untreated for a long time, they may become spleen-related *Gan* accumulation, or present as stone-hard lumps between the hypochondrium that hurt upon pressure but feel light otherwise, accompanied by sallow complexion, emaciation, distended and hard abdomen, visible blue veins, daytime coolness with nighttime fever, irregular tidal fever, reduced milk intake, pica (eating dirt), or loose stools. During pain episodes, the body feels cold as ice. The treatment method should regulate the spleen and nourish the stomach using *Xing Pi San* (Awaken Spleen Powder) and *Shen Ling Bai Zhu San* (Ginseng, Poria, and Atractylodes Macrocephala Powder). To grind down accumulations and resolve *Gan*, use *Hua Pi Wan* (Resolve Lumps Pill), *San Leng San* (Curcuma Zedoaria Powder), or *Muxiang Ezhu Wan* (Aucklandia and Curcuma Pill). For loose stools, use *Mei Shi Zi Wan* (Myrobalan Pill) or *Chenxiang Binglang Wan* (Agarwood and Areca Seed Pill). However, such accumulation diseases cannot be cured with just a few doses; sequential regulation is required, and recovery will occur naturally over time.
*Xuan* pain begins with a small, elongated, arm-hard lump inside the abdomen, wrapping around the waist, shifting left or right. After a while, pain intensifies, and the lump becomes visible subcutaneously, without affecting feeding. This condition arises because, after an initial illness where exterior pathogens were not fully resolved, excessive purgation was applied too hastily, leading to qi deficiency, cold pathogen binding, and郁结 (stagnant knotting). The appropriate method is to tonify qi and address deficiency, using *Shen Ling Bai Zhu San*, *Chenxiang Binglang Wan*, and *Muxiang Ezhu Wan*. Alternatively, administer *Baishao Yao Tang* intermittently, adding *Renshen* (Ginseng) and *Fuling* (Poria), decocted with water and ginger.
*Pi* pain belongs to the four syndromes of *Xuan*, *Jia*, and *Pi*, which are largely similar with minor differences, each having specific treatments. The detailed discussion on *Pi* syndrome is provided earlier.
Hanging-kidney unilateral scrotal swelling pain is discussed under the treatise on scrotal swelling syndromes; treatment should regulate the kidney and harmonize qi. Cold hernia pain is detailed in the hernia treatise.
Roundworm agitation pain presents with vomiting clear saliva or worms, unbearable pain. This disease results from consuming sweet, fatty, and meaty foods too early, causing stomach cold and worm agitation. The expelled worms may be alive or dead. In young infants, this causes severe suffering and danger. Initially, use *Lizhong Tang* (Regulate the Middle Decoction) with added *Wumei* (Mume Fruit), decocted in water, to warm the stomach and prevent rebellion. Subsequently, use *Lushui Wan* (Aloe Pill) or *Shijunzi Wan* (Quisqualis Pill) combined with *Huachong Yin* (Expel Worm Drink) as the main treatment. For older children presenting with pale complexion interspersed with yellow, increased meat consumption, emaciation, and recurrent abdominal pain, this indicates mixed blood flukes and roundworms; treat with *Ersheng Wan* (Two Sages Pill) to purge them. Additionally, extreme cold or heat in the stomach can cause worm agitation, resulting in mild or no pain, followed by sudden vomiting. The treatment principle should prioritize calming the worms. Using vermifuges directly would damage stomach qi, which is inadvisable. For cases triggered by cold, use *Lizhong Tang* with *Wumei*, decocted in water. For cases triggered by heat, use *Wu Ling San* (Five-Ingredient Powder with Poria) with *Wumei*, decocted with water and ginger.