张景岳治胡氏子，三岁，因饮食不调，幼科以清火化痰等剂，损其胃气，反致呕吐溏泄，复与清利，遂致
吐蛔。初止数条，渐至数十条，细如灯草，甚至成团搅结而出，早晚不绝，所下者亦如之，羸困已极。因与温
胃饮二三剂，其虫如故，不知其从何来，而生化之速，一至于此。其家谓先逐虫，盖虫吐尽，则病日甚，其能
生乎？弗听，但以前药倍人参加附子，二三剂而呕吐渐稀，泻亦随止。乃以理阴煎、温胃饮，出入间用，十余
日虫渐少，月余而饮食进，肌肉生，复元如故。大凡逐虫之药，多伤胃气，向使胃气再伤，非惟虫不能逐，病
必不起。今使胃气日强，则拔去化虫之源而愈矣。
世俗以甘蔗宜小儿，虽痘食之无禁，群医相争。一曰性热，所以发疹。一曰性寒，所以解毒。一曰性温平，
所以无害。及退，余捡方书则曰∶蔗能节蛔虫，多者减之，少者益之，蛔适其中，则儿无病，所以儿宜也。岂
在寒热温平间哉？群医不可漫猜，殊可哂也。（李日华《紫桃轩又缀》雄按∶此说未可信也。余四妹幼时，曾
以多啖至疾。）
月埠张氏儿十岁，自幼心痛，得于母气，不时发。发时饮食不进，呻吟，反复三四日。仲淳疏方，药入口
即止。槟榔、黑丑各一钱，木香五分，使君子、橘红、白芍、旋复花各二钱，茯苓三钱，猪苓钱半。（《广笔记》。）
蒋仲芳治魏交让子，年十岁，患小腹痛三四年矣，诸医不效。诊之，脉来沉迟，二便如常，按之无块，此
必肾家虚寒也。六味地黄丸加炮姜、肉桂、青皮、香附、车前、牛膝而愈。（雄按∶炮姜不若用橘核或茴香，
否则易以当归。）
张景岳治疗胡家的儿子，年仅三岁。因为饮食不规律，儿科医生使用清火化痰的药物，损伤了孩子的胃气，反而导致呕吐和腹泻。随后又使用了清热利湿的药物，最终导致孩子吐出蛔虫。起初只吐出几条，逐渐增加到几十条，虫体细如灯草，甚至结成团块搅动而出，早晚不停，排出的粪便中也同样有虫，孩子极度消瘦虚弱。于是给予温胃饮（一种温补胃气的方剂）二三剂，但虫子依然如故，不知道它们从何而来，且繁殖速度竟快到了这种地步。家属主张先驱虫，认为把虫子吐尽后病情会加重，虫子怎么可能凭空产生呢？张景岳没有听从他们的意见，只是将前药中的人参加倍，并加入附子（一种温里回阳的药材），服用二三剂后，呕吐逐渐减少，腹泻也随之停止。接着交替使用理阴煎（一种滋阴温阳的方剂）和温胃饮，十余日后虫子逐渐减少，一个月左右孩子开始进食，肌肉生长，恢复如初。大凡驱虫的药物，大多会损伤胃气，假如胃气再次受损，不仅不能驱虫，病情必定无法挽回。如今让胃气日渐强健，则拔除了化生虫子的根源，病就好了。
世俗认为甘蔗适合小儿食用，即使是出痘期间食用也没有禁忌，但众医对此争论不休。有人说性热，所以会导致疹子发出；有人说性寒，所以能解毒；有人说性温平，所以无害。等到退疹后，我查阅医书，上面说：“甘蔗能节制蛔虫，多的减少，少的增加，蛔虫适中，孩子就没有病，所以适合儿童。”这哪里在于寒热温平的争论呢？众医不可随意猜测，实在可笑。（李日华《紫桃轩又缀》按语：这种说法不可信。我的四妹小时候，曾因多吃甘蔗而生病。）
月埠张家的儿子十岁，从小心痛，遗传自母亲的气息，不时发作。发作时不进饮食，呻吟，反复三四天。薛己（字仲淳）开具处方，药物入口即止住病痛。处方为：槟榔、黑丑各一钱，木香五分，使君子、橘红、白芍、旋复花各二钱，茯苓三钱，猪苓钱半。（出自《广笔记》。）
蒋仲芳治疗魏交让的儿子，年十岁，患小腹痛已有三四年，其他医生治疗无效。诊察发现，脉象沉迟，大小便正常，按压腹部没有肿块，这一定是肾脏虚寒所致。使用六味地黄丸（滋补肾阴的基础方）加入炮姜、肉桂、青皮、香附、车前子、牛膝而痊愈。（按语：炮姜不如用橘核或小茴香，否则可以改用当归。）
Zhang Jingyue treated the son of the Hu family, who was only three years old. Due to irregular diet, pediatricians administered formulas for clearing fire and resolving phlegm, which damaged his Stomach Qi (Stomach energy), leading to vomiting and loose stools. Subsequently, cooling and draining agents were used, resulting in the expulsion of Ascaris lumbricoides (roundworms). Initially, only a few worms were expelled, but this gradually increased to dozens. The worms were as thin as rushlights, sometimes forming clumps that twisted and emerged continuously day and night; similar worms were also found in the feces. The child was extremely emaciated and weak. Therefore, Wenyin Decoction (Warming Stomach Decoction) was prescribed for two or three doses, but the worms remained unchanged. It was unclear where they came from, nor how their reproduction could be so rapid. The family suggested expelling the worms first, arguing that if the worms were expelled, the condition would worsen, implying that worms cannot generate spontaneously. Zhang Jingyue did not heed this advice but instead doubled the dosage of Renshen (Ginseng Root) in the previous formula and added Fuzi (Prepared Aconite Lateral Root). After two or three doses, vomiting gradually decreased, and diarrhea ceased. Thereafter, Liyin Jian (Nourishing Yin Decoction) and Wenyin Decoction were alternated. After more than ten days, the number of worms gradually diminished. Within a month, the child resumed eating, muscles grew, and he recovered completely. Generally, vermifuge drugs tend to damage Stomach Qi. Had the Stomach Qi been further injured, not only would the worms not have been expelled, but the illness would likely have become incurable. By strengthening the Stomach Qi daily, the source of worm generation was eliminated, leading to recovery.
It is commonly believed that sugarcane is suitable for children, even during smallpox, with no contraindications. However, physicians argued vehemently. Some claimed it has a hot nature, causing rashes to erupt; others said it is cold, thus detoxifying; still others stated it is warm and neutral, posing no harm. Later, upon reviewing medical texts, I found: "Sugarcane can regulate Ascaris lumbricoides; if there are many, it reduces them; if few, it increases them. When the worms are balanced, the child is healthy, hence it is suitable for children." This transcends the debate on cold, hot, warm, and neutral properties. Physicians should not speculate rashly; such arguments are indeed laughable. (Li Rihua, *Zitao Xuan Youzhui*: Commentary: This theory is unreliable. My fourth sister, when young, fell ill after consuming excessive amounts of sugarcane.)
The ten-year-old son of the Zhang family from Yuebu suffered from heart pain since childhood, inherited from his mother's constitution, occurring intermittently. During attacks, he refused food, groaned, and the episodes lasted three to four days. Xue Ji (courtesy name Zhongchun) prescribed a formula that stopped the pain immediately upon ingestion. The prescription consisted of: Binglang (Areca Seed) and Heiqiu (Black Morning Glory Seed) each 1 qian, Muxiang (Costus Root) 0.5 fen, Shijunzi (Quince Fruit), Juhong (Aged Tangerine Peel), Baishao (White Peony Root), and Xuanjinhua (Inula Flower) each 2 qian, Fuling (Poria) 3 qian, and Zhuling (Polyporus) 1.5 qian. (From *Guang Biji*.)
Jiang Zhongfang treated the son of Wei Jiaorang, aged ten, who had suffered from lower abdominal pain for three or four years without effect from other physicians. Pulse diagnosis revealed a deep and slow pulse, normal urination and defecation, and no palpable masses upon pressure. This indicated deficiency-cold of the Kidney system. The patient was cured using Liuwei Dihuang Wan (Six-Ingredient Pill with Rehmannia) supplemented with Paojiang (Roasted Ginger), Rougui (Cinnamon Bark), Qingpi (Green Tangerine Peel), Xiangfu (Cyperus Rhizome), Cheqian (Plantago Seed), and Niuxi (Achyranthes Root). (Commentary: Paojiang is inferior to Juhe (Tangerine Seed) or Huixiang (Fennel); alternatively, Danggui (Angelica Sinensis) may be substituted.)