惊 疳 吐 泻 生下不肯食乳 初生脐汁不干 肚脐突出
小儿病，惊、疳、吐、泻尽之矣。然而惊、疳、吐、泻，不可不分别言之也。世人动曰惊风，
谁知小儿惊则有之，而风则无。小儿纯阳之体，不宜有风之入，而状若有风者，盖小儿阳旺则内热，
热极则生风，是风非外来之风，乃内出之风也。内风何可作外风治之，故治风则死矣。法当内清其火。
而外治其惊，不可用风药以表散之也。吾今特传奇方，名为清火散惊汤，方用白术三分，茯苓二钱，
陈皮一分，甘草一分，栀子三分，白芍一钱，半夏一分，柴胡三分，水煎三分服。此方健脾平肝之
圣药，肝平则火散，脾健则惊止，又加去火散痰之品，自然药下喉而惊风定也。
疳症乃脾热也，然亦固心热而脾火旺极，遂至口中流涎。若不平其心火，则脾火更旺，而湿热上
蒸，口涎正不能遽止。治法不可徒清脾火，而当先散心火。方用止疳散。芦荟一钱，黄连三分，薄荷三
分，茯苓二钱，甘草一分，桑白皮一钱，半夏三分，水煎服三分。此方心脾两清之圣药，不专清脾。
引水下行，则湿热自去，湿热去，疳病自愈也。
吐症，虽胃气之弱，亦因脾气之虚。盖小儿恣意饱餐，逐至食而不化，久而停积于脾中，又久之而
上冲于胃口，又
久之而大吐矣，故治吐必先治胃，而治胃尤先治脾。吾有奇方，止吐速效，方名定吐汤。人参一
钱，砂仁一粒，白术五分，茯苓二钱，陈皮二分，半夏一分，干姜一分，麦芽五分，山楂三粒，水煎
服。夏月加黄连三分，冬月加干姜一分，无不愈者。此方即六君子之变方，乃治脾胃之圣药。脾
胃安而化导速，自然下行，不至上吐。沉方中加减得宜，消积有法，有不奏功如神者乎。
泻症，则专责之脾矣，论理亦用煎汤，可以取效，然而泻有不同，有火泻，有寒泻，不可不
分。火泻者，小儿必然身如火热，口渴舌燥，喜冷冻饮料而不喜热汤，若亦以前方投之，则益苦矣。予另
有奇方，名为泻火止泻汤。方用车前子二钱，茯苓一钱，白芍一钱，黄连三分，泽泻五分，猪苓
三分，麦芽一钱，枳壳二分，水煎服。一剂即止泻。车前、茯苓、泽泻，猪苓，皆止泻分水之圣药，白芍
以平肝，使不来克脾，黄连清心火，不来助脾之热，而麦芽、枳壳消滞气以通水道，不必止泻，泻自
止也。寒泻者，腹痛而喜手按摩，口不干而舌滑，喜热汤不喜冷冻饮料，又不可用泻火之汤，五苓散可也，
然而五苓尚欠补也。盏小儿致于寒泻，未有不大伤脾气者，脾气既伤，非人参不能救，五苓散无人参，
仅能止泻，元气未能顿复。我今传一奇方，名为散寒止泻汤。方用人参一钱，白术一钱，茯苓二钱，
肉桂二分，甘草一分，干姜二分，砂仁一粒，神曲五分，水煎服。此方参、苓、白术乃健脾补气
之神品，分湿利水之圣药也，又加肉桂、干姜以祛寒，砂仁、甘草、神曲以调和之，则寒风自然越出，
而泄泻立止矣。
雷公真君曰∶小儿惊症，皆本于气虚，一作风治，未有不死者。或治风而兼补虚，可以苟全性命，要
之断断不可作
风治也。我今特传奇方，名压惊汤。人参五分，白术五分，甘草三分，茯神一钱，半夏三分，神曲
五分，砂仁一粒，陈皮一分，丹砂三分，水煎服。此即六君子之变方也。小儿止有脾病，治脾而惊
自定。故用六君子以健脾，少加压惊之品奏功如神耳。
小儿吐泻，伤食之故也。盖饮食饱餐，自难一时消化，不上吐，必下泻矣，亦用前方六君子汤。但
吐者去甘草加砂仁，泻者加车前子治之，自能奏功于俄顷。倘不知补脾，而惟图消克，非救儿生，
乃送儿死矣。愿人敬听吾言，共登儿龄于百岁也。
小儿生下不肯食乳者，乃心热也。葱煎乳汁，令小儿服之亦妙。终不若用黄连三分，煎汤一分，
灌小儿数匙，即食乳矣，神效。
小儿初生，脐汁不干，用车前子炒焦，为细末，敷之即干，神效。
小儿肚脐突出半寸许，此气旺不收也。若不急安之，往往变为角弓反张。方用茯苓一钱，车前
子一钱，甘草二分，陈皮三分，通草三分，如无通草，灯心一圆，共煎汤灌之。一剂即安，神方也。
惊、疳、吐、泻，小儿的疾病可以说已经概括无遗了。然而，对于惊、疳、吐、泻这四种病症，必须加以区分论述。世人动不动就说是“惊风”，但谁知道小儿确实有“惊”证，却并没有真正的“外风”侵袭。小儿属于纯阳之体，不宜有外风侵入；其表现出的类似风动的症状，是因为小儿阳气旺盛导致体内产生内热，热极则生风，这种风并非外来的风，而是由内而生的风。内风怎么能按照外风来治疗呢？如果按治外风的方法治疗，患儿就会死亡。正确的治法应当是内部清泻火热，外部安抚惊恐，不能使用祛风药来发散解表。我现在特别传授一个奇方，名为清火散惊汤。方中用药：白术三分，茯苓二钱，陈皮一分，甘草一分，栀子三分，白芍一钱，半夏一分，柴胡三分。水煎至三分量服用。此方是健脾平肝的圣药，肝气平和则火势消散，脾气健运则惊恐停止，再加上清热去痰的药物，药液自然入喉后惊风就能平息。
疳症（营养不良伴消化障碍）本质上是脾热，但也往往因为心火亢盛导致脾火极度旺盛，从而引起口中流涎。如果不平抑心火，脾火就会更加旺盛，湿热向上蒸腾，口中的涎液就无法迅速止住。治疗方法不能仅仅清泻脾火，而应当先疏散心火。方用止疳散。芦荟一钱，黄连三分，薄荷三分，茯苓二钱，甘草一分，桑白皮一钱，半夏三分。水煎服，取三分量。此方是心脾两清的圣药，并不专门只清脾火。引导水分下行，湿热自然去除，湿热一去，疳病自然痊愈。
呕吐症状，虽然源于胃气虚弱，但也因脾气虚损所致。因为小儿肆意饱餐，导致食物无法消化，久而久之停滞积聚在脾中，时间再久一些便向上冲撞胃口，再久一些就会发生剧烈呕吐。所以治疗呕吐必须先治胃，而治胃尤其要先治脾。我有一个奇方，止吐效果迅速，方名定吐汤。人参一钱，砂仁一粒，白术五分，茯苓二钱，陈皮二分，半夏一分，干姜一分，麦芽五分，山楂三粒。水煎服。夏季加黄连三分，冬季加干姜一分，没有不愈的。此方即是六君子汤的变方，是治疗脾胃疾病的圣药。脾胃安和则运化导滞迅速，食物自然下行，不会向上呕吐。只要在方剂中加减得当，消积食有法度，哪有不见神效的道理呢？
腹泻症状，则专门责之于脾。按理说也可以用煎汤取效，然而腹泻有不同的类型，有火泻，有寒泻，不可不区分。火泻的患者，小儿身体必然像火烧一样发热，口渴舌燥，喜欢冷饮而不喜欢热汤。如果也用前面的方子投喂，那就更痛苦了。我另有奇方，名为泻火止泻汤。方用车前子二钱，茯苓一钱，白芍一钱，黄连三分，泽泻五分，猪苓三分，麦芽一钱，枳壳二分。水煎服。一剂即可止泻。车前子、茯苓、泽泻、猪苓，都是止泻分利水湿的圣药；白芍用来平抑肝气，使肝木不来克制脾土；黄连清泻心火，不让心火助长脾热；麦芽、枳壳消除滞气以通调水道，不必刻意止泻，腹泻自然会停止。寒泻者，腹痛且喜欢用手按摩，口不干而舌苔滑润，喜欢热汤不喜欢冷饮，这种情况又不能用泻火的汤剂，五苓散可以使用，然而五苓散还欠缺补益作用。小儿导致寒泻，没有不严重损伤脾气的，脾气既然受伤，非人参不能挽救。五苓散如果没有人参，只能止泻，元气不能立刻恢复。我现在传授一个奇方，名为散寒止泻汤。方用人参一钱，白术一钱，茯苓二钱，肉桂二分，甘草一分，干姜二分，砂仁一粒，神曲五分。水煎服。此方中的人参、茯苓、白术是健脾补气的神品，也是分利湿气的水药；再加上肉桂、干姜来祛除寒气，砂仁、甘草、神曲来调和脾胃，那么寒风自然排出，泄泻立刻停止。
雷公真君说：小儿惊症，根本原因在于气虚，一旦当作风证治疗，没有不死亡的。或者在治疗风证的同时兼补虚损，可以勉强保全性命，总之绝对不能当作风证来治疗。我现在特别传授一个奇方，名为压惊汤。人参五分，白术五分，甘草三分，茯神一钱，半夏三分，神曲五分，砂仁一粒，陈皮一分，丹砂三分。水煎服。这也就是六君子汤的变方。小儿只有脾病，治好脾病而惊恐自然安定。所以使用六君子汤来健脾，稍加几味镇惊的药物，就能奏效如神。
小儿呕吐腹泻，是由于伤食造成的。因为饮食过饱，自然难以一时消化，不上吐，必定下泻，也使用前方的六君子汤。但是呕吐的去掉甘草加上砂仁，腹泻的加上车前子来治疗，自然能在短时间内奏效。如果不知道补脾，而只图消食攻伐，这不是救孩子的生命，而是送孩子去死。希望大家恭敬地听从我说的话，共同让孩子活到百岁高龄。
小儿出生后不肯吃奶的，是心热的缘故。用葱煮乳汁，让小儿服用也很奇妙。终究不如用黄连三分，煎成一分量的汤，灌给小儿喝几匙，马上就能吃奶了，神效。
小儿刚出生，脐带处的汁液不干，用车前子炒焦，研成细末，敷在患处即能干燥，神效。
小儿肚脐突出约半寸，这是气旺而不能收敛的表现。如果不紧急安抚它，往往会变成角弓反张（一种肌肉强直痉挛的症状）。方用茯苓一钱，车前子一钱，甘草二分，陈皮三分，通草三分。如果没有通草，用灯心草一团，共同煎汤灌服。一剂即可安宁，是神方。
Jing (Fright), Gan (Infantile Malnutrition), Vomiting, and Diarrhea constitute the entirety of pediatric diseases. However, Jing, Gan, Vomiting, and Diarrhea must be discussed separately. People often casually refer to these conditions as "Wind-Stroke" (Jing Feng). Who knows that while children indeed suffer from Fright (Jing), they do not suffer from external Wind (Feng). Children possess a body of pure Yang (Chun Yang), which is unsuitable for the invasion of external wind. The symptoms resembling wind movement arise because excessive Yang in children generates internal heat; when heat reaches its extreme, it generates wind. This wind is not an external wind but an internal wind. How can internal wind be treated as external wind? If treated as such, the child will die. The correct method is to clear fire internally and calm fright externally, without using wind-dispelling herbs for superficial dispersal. I now specially transmit a miraculous formula named Qing Huo San Jing Tang (Clear Fire Scatter Fright Decoction). It consists of Bai Zhu (Atractylodis Rhizoma) 3 fen, Fu Ling (Poria) 2 qian, Chen Pi (Citri Reticulatae Pericarpium) 1 fen, Gan Cao (Glycyrrhizae Radix et Rhizoma) 1 fen, Zhi Zi (Gardeniae Fructus) 3 fen, Bai Shao (Paeoniae Radix Alba) 1 qian, Ban Xia (Pinelliae Rhizoma) 1 fen, Chai Hu (Bupleuri Radix) 3 fen. Decoct with water, take 3 fen volume. This formula is a holy medicine for invigorating the Spleen and soothing the Liver. When the Liver is soothed, fire dissipates; when the Spleen is strong, fright stops. Added are herbs that clear fire and scatter phlegm, so naturally, once the medicine enters the throat, the wind-stroke settles.
Gan syndrome (Infantile Malnutrition) is essentially Spleen Heat, but it also arises because Heart Fire causes Spleen Fire to become extremely hyperactive, leading to drooling from the mouth. If one does not pacify Heart Fire, Spleen Fire will become even more hyperactive, causing damp-heat to steam upwards, making it impossible to stop the drooling quickly. The treatment should not merely clear Spleen Fire but should first disperse Heart Fire. Use Zhi Gan San (Stop Gan Powder). Lu Hui (Aloe) 1 qian, Huang Lian (Coptidis Rhizoma) 3 fen, Bo He (Menthae Haplocalycis Herba) 3 fen, Fu Ling (Poria) 2 qian, Gan Cao (Glycyrrhizae Radix et Rhizoma) 1 fen, Sang Bai Pi (Mori Cortex) 1 qian, Ban Xia (Pinelliae Rhizoma) 3 fen. Decoct with water, take 3 fen volume. This formula is a holy medicine for clearing both Heart and Spleen, not specifically only clearing the Spleen. By guiding water downwards, damp-heat is naturally removed; once damp-heat is gone, the Gan disease heals itself.
Vomiting symptoms, although stemming from weak Stomach Qi, are also due to deficient Spleen Qi. Because children eat indiscriminately and to excess, food fails to digest, stagnating in the Spleen over time. Later, it rushes upward to the stomach opening, and eventually leads to severe vomiting. Therefore, treating vomiting requires first treating the Stomach, and treating the Stomach particularly requires first treating the Spleen. I have a miraculous formula with rapid effect for stopping vomiting, named Ding Tu Tang (Stabilize Vomiting Decoction). Ren Shen (Ginseng Radix) 1 qian, Sha Ren (Amomi Fructus) 1 grain, Bai Zhu (Atractylodis Rhizoma) 5 fen, Fu Ling (Poria) 2 qian, Chen Pi (Citri Reticulatae Pericarpium) 2 fen, Ban Xia (Pinelliae Rhizoma) 1 fen, Gan Jiang (Zingiberis Rhizoma) 1 fen, Mai Ya (Hordei Fructus Germinatus) 5 fen, Shan Zha (Crataegi Fructus) 3 grains. Decoct with water. In summer, add Huang Lian (Coptidis Rhizoma) 3 fen; in winter, add Gan Jiang (Zingiberis Rhizoma) 1 fen. There is no case that does not heal. This formula is a variation of Liu Jun Zi Tang (Six Gentlemen Decoction), a holy medicine for treating the Spleen and Stomach. When the Spleen and Stomach are harmonious, transformation and transportation are rapid, and food naturally moves downward without vomiting upward. With appropriate modifications in the formula and methods for resolving accumulation, how could it fail to produce miraculous results?
Diarrhea symptoms are specifically attributed to the Spleen. Theoretically, decoctions can be effective, but diarrhea varies: there is Fire Diarrhea and Cold Diarrhea, which must be distinguished. In Fire Diarrhea, the child's body feels hot like fire, with thirst and dry tongue, preferring cold drinks and rejecting hot soups. If the previous formula is used, it will cause further suffering. I have another miraculous formula named Xie Huo Zhi Xie Tang (Drain Fire Stop Diarrhea Decoction). Che Qian Zi (Plantaginis Semen) 2 qian, Fu Ling (Poria) 1 qian, Bai Shao (Paeoniae Radix Alba) 1 qian, Huang Lian (Coptidis Rhizoma) 3 fen, Ze Xie (Alismatis Rhizoma) 5 fen, Zhu Ling (Polyporus) 3 fen, Mai Ya (Hordei Fructus Germinatus) 1 qian, Zhi Ke (Aurantii Fructus Immaturus) 2 fen. Decoct with water. One dose stops diarrhea. Che Qian Zi, Fu Ling, Ze Xie, and Zhu Ling are all holy medicines for stopping diarrhea by separating water. Bai Shao soothes the Liver to prevent Wood from overacting on Earth. Huang Lian clears Heart Fire to prevent it from assisting Spleen Heat. Mai Ya and Zhi Ke resolve stagnant Qi to unblock water passages. Without explicitly aiming to stop diarrhea, the diarrhea stops itself. In Cold Diarrhea, there is abdominal pain relieved by massage, no dryness in the mouth, a slippery tongue, preference for hot soup, and rejection of cold drinks. This condition cannot be treated with fire-draining decoctions. Wu Ling San (Five-Ingredient Powder with Poria) can be used, yet Wu Ling San lacks tonification. Children suffering from Cold Diarrhea inevitably severely injure Spleen Qi. Once Spleen Qi is injured, only Ren Shen (Ginseng Radix) can save it. Wu Ling San without Ren Shen can only stop diarrhea but cannot instantly restore Yuan Qi (Primordial Qi). I now transmit a miraculous formula named San Han Zhi Xie Tang (Dispel Cold Stop Diarrhea Decoction). Ren Shen (Ginseng Radix) 1 qian, Bai Zhu (Atractylodis Rhizoma) 1 qian, Fu Ling (Poria) 2 qian, Rou Gui (Cinnamomi Cortex) 2 fen, Gan Cao (Glycyrrhizae Radix et Rhizoma) 1 fen, Gan Jiang (Zingiberis Rhizoma) 2 fen, Sha Ren (Amomi Fructus) 1 grain, Shen Qu (Massa Medicata Fermentata) 5 fen. Decoct with water. Ren Shen, Fu Ling, and Bai Zhu in this formula are divine products for invigorating the Spleen and replenishing Qi, and holy medicines for separating dampness and promoting urination. Added are Rou Gui and Gan Jiang to dispel cold, and Sha Ren, Gan Cao, and Shen Qu to harmonize. Thus, cold wind naturally exits, and diarrhea stops immediately.
Lei Gong Zhen Jun said: Pediatric Jing (Fright) syndromes are fundamentally based on Qi Deficiency. If treated as Wind, death is inevitable. If Wind is treated while simultaneously tonifying deficiency, life may barely be preserved, but it is absolutely forbidden to treat it as Wind. I now specially transmit a miraculous formula named Ya Jing Tang (Suppress Fright Decoction). Ren Shen (Ginseng Radix) 5 fen, Bai Zhu (Atractylodis Rhizoma) 5 fen, Gan Cao (Glycyrrhizae Radix et Rhizoma) 3 fen, Fu Shen (Poria with Hostwood) 1 qian, Ban Xia (Pinelliae Rhizoma) 3 fen, Shen Qu (Massa Medicata Fermentata) 5 fen, Sha Ren (Amomi Fructus) 1 grain, Chen Pi (Citri Reticulatae Pericarpium) 1 fen, Dan Sha (Cinnabaris) 3 fen. Decoct with water. This is also a variation of Liu Jun Zi Tang (Six Gentlemen Decoction). Children only have Spleen disease; treating the Spleen naturally stabilizes the Fright. Therefore, Liu Jun Zi Tang is used to invigorate the Spleen, with a few added ingredients to suppress fright, producing miraculous results.
Pediatric vomiting and diarrhea are caused by food injury. Indiscriminate overeating makes digestion difficult; if not vomited up, it must be diarrheated. Also use the previous formula, Liu Jun Zi Tang (Six Gentlemen Decoction). For vomiting, remove Gan Cao (Glycyrrhizae Radix et Rhizoma) and add Sha Ren (Amomi Fructus); for diarrhea, add Che Qian Zi (Plantaginis Semen). Miraculous results will occur shortly. If one does not know to tonify the Spleen but only seeks to digest and purge, this is not saving the child's life but sending them to death. I wish everyone to listen respectfully to my words and jointly help children reach a hundred years of age.
When a newborn refuses to suckle milk, it is due to Heart Heat. Boiling milk with Cong Bai (Allii Macrostemonis Bulbus) for the child to drink is also wonderful. However, it is not as effective as using Huang Lian (Coptidis Rhizoma) 3 fen, decocting into 1 fen volume of liquid, and administering several spoonfuls to the child, after which they will immediately suckle milk. This is a miraculous effect.
For a newborn whose umbilical fluid does not dry, stir-fry Che Qian Zi (Plantaginis Semen) until charred, grind into fine powder, and apply topically. It dries immediately. This is a miraculous effect.
If a child's umbilicus protrudes by about half a cun, this is due to vigorous Qi failing to retract. If not urgently stabilized, it often transforms into Opisthotonos (Jiao Gong Fan Zhang). Use Fu Ling (Poria) 1 qian, Che Qian Zi (Plantaginis Semen) 1 qian, Gan Cao (Glycyrrhizae Radix et Rhizoma) 2 fen, Chen Pi (Citri Reticulatae Pericarpium) 3 fen, Tong Cao (Tetrapanacis Medulla) 3 fen. If Tong Cao is unavailable, use Deng Xin Cao (Junci Medulla) as a ball. Decoct together and administer orally. One dose brings peace. This is a miraculous formula.