《良方》妙香丸 治小儿虚中积，潮发寒热，心腹胀满疼痛。
辰砂（一两） 牛黄 生龙脑 麝香（各二钱半） 金箔（十四片） 粉霜 腻粉（各一钱） 黄蜡（二两）
巴豆（肥者，一百二十粒）
上，丸如弹子大。量虚实加减，龙脑浆水下，夜半后服。脏虚即以龙脑米饮下，
每服三丸如小豆，欲药势缓，即按令扁。疾坚者加至十丸，皆以针刺作数孔，以
行药力。小儿取积，丸如绿豆，治小儿吐逆尤效。此药最下胸中烦及虚积。
《婴孺》治小儿自下后得寒热，血结成癖气在左胁下，或寒饮，或冷食积聚气动，胸
心留热，不下食饮，暗瘦。宜先服少饮子散气下食，后服紫双丸去宿积，自充溢
也。
饮子方
柴胡 茯苓 人参 白术 鳖甲（醋涂，炙香熟。各半两）
上，切如豆大，水二升，煮五合。空心分温三四服。相去如人行一二里久再服，食粥将息。
茅先生论小儿生下五个月日上至七岁，有结癖在腹成块，如梅核大来去，或似
卵大，常叫疼痛者。亦分数类，在左胁下痛者名 气，在右胁下痛者名癖气，下蓬
莪术散、夹建脾饮（不乳食）与服即愈，如见面黑，眼直视，泻黑血，鼻口冷，手足冷，不
进食者死。钱氏论小儿病癖，由乳食不消，伏在腹中，乍凉乍热，饮水或喘嗽，与
潮热相类，不早治，必成疳。以其有癖，故令儿不食，致脾胃虚而热发，故引饮过
多，即荡涤肠胃，亡失津液，胃不能传化水谷，其脉沉细，益不食，脾胃虚衰，四
肢不举，诸邪遂生，鲜不瘦而成疳矣。论癖为潮热云∶曹宣德子三岁，面黄时发寒
热，不欲食，而饮水及乳不止。众医以为潮热，用牛黄丸、麝香丸不愈，及以止
渴干葛散服之反吐。钱曰当下白饼子（见前），后补脾，乃以消积丸磨之（见前），此乃癖也，
后果愈。何以故？不食但饮水者，食伏于管内不能消，致令发寒。服止渴药吐者，
以药冲脾故也，下之即愈。仁斋曰∶癖者，血膜包水，侧僻于胁旁，时时作痛也。
惟癖，为能发潮，为能生寒热，故疟家中脘，多蓄黄水，日久而复结癖，寒热不已，
有是疾者以此。小儿脏腑和平，荣卫调畅，则津液自然流通，纵使多饮水浆，不能
为病，惟乳哺失调，三焦关隔，以致水饮停滞肠胃，不能宣通，如冷气搏之，则结
聚而成癖，轻者用积滞木香丸。重者用取癖丸。曾氏曰∶婴儿始生，禀赋未完，失
于襁褓之不谨，乳哺之不节，外为六淫侵袭，内因五脏气虚，冷积久停于脾，不能
克化，结成癖，鬼突于胁下，或左或右，俗曰龟KT ，其疾皆因积滞蕴作，致有寒热，
或腹肚疼痛，或昼凉夜热。治疗之法，气实者，亦须温正胃气，后用乌犀丸或水晶
丹下之，如过二三次，即以稀粥略止，候所作形证消尽，方投补益之剂。气虚者，
先与调脾胃，固真元，神色稍正，饮食进多，如前法下之。若太虚甚，用三棱散、
化癖丸、渐消之，顺适阴阳，以平为期。然先补后泻，行迎夺之法，则取去陈寒冷
积，若面黄唇白，发竖肌瘦，乃为虚极，不可轻下，但徐徐用药消化调理为上。若
儿小者，更令乳母常服藿香饮，使药从乳过，亦少助也。
〔茅先生〕蓬莪术散 主小儿 气，一切气疾。
蓬莪术 青橘皮 益智（各半两） 木香（二钱半） 糯米（一两）
上为末。每服一大钱，用陈米饮调下，日进四服。
《圣惠》鳖甲散
用鳖甲（一枚，涂醋炙令黄，去裙 ）
上捣，细罗为末。每服一钱，以童子小便一小盏煎至五分，量儿大小，分减服
之，日三服，神效。
化癖丸（曾氏） 主癖结气块在胁之间，日久不化，乍寒乍热，腑脏不调，米谷不消，哽
气喘促，胸腹满闷。及理丁奚哺露。
南木香 陈皮（去白） 莪术（炮，锉） 三棱（炮，锉） 青皮（巴豆九粒、去皮膜心，微炒，去巴豆） 枳壳
（去穣，麸炒） 槟榔（七味各半两） 白术 丁香（二味各二钱） 细辛（烧，存性，四钱）
上除木香、槟榔、丁香不过火，余七味焙，同前三味为末，曲糊丸作麻仁
大。每服十五丸至二十一丸，清米汤、空心下。有寒热往来，以柴胡饮间服，忌
油腻生冷。
木香丸 治吐乳泻乳，其气酸臭，由啼叫不已，以乳与儿，停滞不化，是为乳积。
肚硬热渴吐泻，由饮食无度，过饱即睡，是为食积。腹痛啼叫，利如蟹渤，由触
忤其气，荣卫不和，淹延日久，是为气积，疟后肚内结癖成块。
木香 蓬术 砂仁 青皮（去白） 朱砂（研细） 代赭石（研。各二钱） 大丁香 川巴豆肉（纸
压去油。各一钱）
上为细末，和匀，飞白面糊为丸，麻子大。每服二三丸，乳伤，乳汁下，食伤，米饮下。
取癖丸 峻剂，非实积危甚不用。
甘遂（微炒） 芫花（炒） 牵牛（半炒半生，研取末） 辣桂 蓬术 青皮（去穣） 木香 桃仁（浸，去
皮，炒） 五灵脂（各二钱）
上为细末，入去油巴豆一钱研和，十分细飞面糊丸麻子大。每服一二丸，姜
蜜煎汤灌下，泄后，冷粥补，仍和胃。
挨癖丸 治乳癖谷 ，腹中块痛。
木香 青皮（去穣） 蓬术 代赭石（火 ，醋淬，细研） 生地黄（各三钱） 巴豆（压，去油尽，一钱）
上为细末，醋面糊丸麻子大。每服二丸，食后，擦姜泡汤下。
《外台·必效》疗大人小儿癖方
上，取车下李仁，微汤退去皮及双仁，与干面相半，捣之为饼，如犹干，和淡
水如常搜面，大小一如病患手掌，为两饼，微炙使黄，勿令至熟。空肚食一枚，
当快利，如不利，更食一枚，或饮热粥汁即利，以快利为度。至午后利不止，即
以醋饭止之。利后当虚，病未尽者，量力一二日更尽一服，以病尽为限。小儿亦
以意量之。不得食酪及牛马肉，无不效。但病重者，李仁与面相半。轻者，以意
减之。后服者，亦任量力。频试瘥，神效。
《圣惠》前胡丸 治小儿癖气，腹痛。
前胡 桔梗（各去芦） 赤芍药 赤茯苓 枳壳 川大黄 当归 郁李仁（去皮，微炒。各
半两） 鳖甲（一两，炙令黄）
上件捣，罗为末，炼蜜和丸，如绿豆大。三岁儿，每服空心以粥饮化破五丸服，
量儿大小加减。
《婴孺》治小儿闪癖，身体壮热，频服冷药，冷气漫心成癖，下焦又冷，肠结大便难方
茯苓 川芎 鳖甲（炙） 枳壳（炙） 芍药（各二分） 柴胡（四分）
上锉，以水一大升三合。煎至三合。空心为二服，去如人行五六里再服。忌苋子。
〔朱氏〕知母丸 治小儿腹痛不调，兼癖气。
知母（六分） 鳖甲（炙，四分） 牡蛎 枳壳（麸炒。各三分） 大黄（十二分，纸裹，煨熟）
上件为末，蜜丸如绿豆大。米饮下五丸，大人以意分减服。
治七八岁儿多睡或时壮热，日加羸瘦，身虽不痛，有时痢脓，呕逆不食，是癖气之
候，其疾似疟疾，人多不识此患方
柴胡 黄芩（各一分） 枳壳（炒，两片） 甘草 知母 芍药（各二分） 大诃梨勒（煨，取皮，一个，
小者用二个）
上件为末，水一盏，煎服。
《良方》中的妙香丸，用于治疗小儿因虚损导致的积滞，表现为定时发作的寒热交替、心腹部胀满疼痛。
配方：辰砂（一两）、牛黄、生龙脑、麝香（各二钱半）、金箔（十四片）、粉霜、腻粉（各一钱）、黄蜡（二两）、巴豆（选用肥大的，一百二十粒）。
制作与服用方法：将上述药物制成如弹子大小的药丸。根据患儿虚实情况调整剂量，用龙脑浆水送服，在半夜之后服用。若脏腑虚弱，则用龙脑米饮送服。每次服用三颗如小豆大小的药丸；若希望药效缓和，可将药丸按扁。病情顽固者可增加至十丸，均需用针刺出若干孔洞，以利于药力散发。用于小儿消除积滞时，药丸做成绿豆大小，治疗小儿呕吐逆气尤为有效。此药最能清除胸中烦闷及虚性积滞。
《婴孺集》记载：治疗小儿在泻下之后出现寒热症状，因血结形成癖气位于左胁下，或因寒饮、冷食积聚导致气机动荡，胸心部位残留热邪，无法进食饮水，身体消瘦暗哑。适宜先服用少量饮子散以行气消食，随后服用紫双丸以去除宿积，使身体逐渐充盈恢复。
饮子方配方：柴胡、茯苓、人参、白术、鳖甲（用醋涂抹后炙烤至香熟，各半两）。
制作与服用方法：将药物切碎如豆大，加水二升，煮取五合。空腹时分三四次温服。两次服药间隔时间约为行人走一二里路所需的时间，服药后喝粥调养。
茅先生论述：小儿从出生五个月到七岁期间，腹部有结癖成块，大小如梅核般来去不定，或似卵大，经常呼叫疼痛。这也分为几类，在左胁下疼痛的名为“气”，在右胁下疼痛的名为“癖气”。可服用蓬莪术散、夹建脾饮（针对不吃奶食的），服用后即愈。如果出现面色发黑、眼睛直视、泻下黑血、鼻口寒冷、手足冰冷、不能进食的情况，则为死证。
钱乙论述：小儿患癖病，是由于乳食不消化，潜伏在腹中，时而发凉时而发热，喝水或出现喘咳，症状类似潮热。若不早期治疗，必然发展为疳积。因为有癖积，所以导致孩子不想吃东西，致使脾胃虚弱而热气内生，因此引水过多，进而荡涤肠胃，流失津液，胃无法传导化生水谷，脉象沉细，更加不吃东西，脾胃虚衰，四肢无力抬举，各种邪气随之产生，很少有不瘦弱而成疳积的。关于癖病与潮热的论述说：曹宣德的儿子三岁，面色发黄，时常发作寒热，不想吃东西，却不停地喝水和吃奶。众医生认为是潮热，使用牛黄丸、麝香丸无效，后来服用止渴干葛散反而引起呕吐。钱乙认为应当先用白饼子（见前文）攻下，然后补脾，再用消积丸磨除积滞（见前文），这实际上是癖病，后果然痊愈。为什么这样呢？不吃东西只喝水，是因为食物伏留于胃肠内无法消化，导致发寒。服用止渴药引起呕吐，是因为药物冲激脾胃的缘故，攻下后即可痊愈。
仁斋论述：癖病，是血膜包裹着水液，偏侧停聚在胁旁，时时发作疼痛。只有癖病，能引发潮热，能产生寒热，所以疟疾患者中脘部常蓄积黄水，日久又结成癖病，寒热不止，患有这种疾病的可用此法。小儿脏腑平和，营卫调畅，则津液自然流通，即使多喝饮料，也不会致病。只有乳哺失调，三焦关隔不通，导致水饮停滞在肠胃，不能宣通，如遇冷气搏结，则聚集而成癖病。轻者用积滞木香丸，重者用取癖丸。
曾世荣论述：婴儿刚出生，禀赋尚未完善，如果在襁褓护理上不谨慎，乳哺没有节制，外受六淫侵袭，内因五脏气虚，冷积长久停留在脾脏，不能克化，结成癖病，鬼气突于胁下，或在左或在右，俗称龟疰，这些疾病都是因为积滞蕴结发作，导致寒热，或腹肚疼痛，或白天凉晚上热。治疗方法：气实者，也必须先温正胃气，然后用乌犀丸或水晶丹攻下，如果经过两三次，就用稀粥稍微停止攻伐，等到所形成的证候完全消除，才投用补益药剂。气虚者，先调理脾胃，固护真元，神色稍正，饮食进量增多，再像前面那样攻下。如果太虚严重，用三棱散、化癖丸，逐渐消除，顺应阴阳，以平衡为准则。然而先补后泻，实行迎夺之法，可以去除陈旧的寒冷积滞。如果面色黄、嘴唇白、头发竖起、肌肉消瘦，这是极度虚弱的表现，不可轻易攻下，慢慢用药消化调理为上策。如果孩子较小，更应让乳母常服藿香饮，使药力通过乳汁传递，也有一点帮助。
〔茅先生〕蓬莪术散：主治小儿气癖，一切气疾。
配方：蓬莪术、青橘皮、益智（各半两）、木香（二钱半）、糯米（一两）。
制作与服用方法：研为末。每次服用一大钱，用陈米饮调服，每天进服四次。
《圣惠方》鳖甲散：
使用鳖甲（一枚，涂醋炙令黄色，去掉裙边）。
制作与服用方法：捣碎，过细筛为末。每次服用一钱，用童子小便一小盏煎至五分，根据孩子大小，分次减量服用，每天三次，效果神奇。
化癖丸（曾氏）：主治癖结气块在胁肋之间，日久不化，忽冷忽热，脏腑不调，米谷不消化，哽噎气喘急促，胸腹满闷。以及治疗丁奚哺露证。
配方：南木香、陈皮（去白）、莪术（炮制，锉碎）、三棱（炮制，锉碎）、青皮（用九粒巴豆，去皮膜心，微炒，去掉巴豆）、枳壳（去瓤，麸炒）、槟榔（以上七味各半两）、白术、丁香（以上两味各二钱）、细辛（烧存性，四钱）。
制作与服用方法：除了木香、槟榔、丁香不过火外，其余七味焙干，同前三味研为末，用曲糊制成麻仁大小的药丸。每次服用十五丸至二十一丸，空腹用清米汤送服。若有寒热往来，用柴胡饮间隔服用，忌油腻生冷。
木香丸：治疗吐乳泻乳，气味酸臭，由啼叫不止，强行喂奶，停滞不化，这是乳积。肚子硬、热、渴、吐泻，由饮食无度，过饱即睡，这是食积。腹痛啼叫，大便如蟹渤状，由触忤其气，营卫不和，拖延日久，这是气积，疟疾后肚内结癖成块。
配方：木香、蓬术、砂仁、青皮（去白）、朱砂（研细）、代赭石（研，各二钱）、大丁香、川巴豆肉（纸压去油，各一钱）。
制作与服用方法：研为细末，和匀，用飞白面糊制成麻子大小的药丸。每次服用二三丸，乳伤用乳汁送服，食伤用米饮送服。
取癖丸：峻猛之剂，若非实证积滞危重者不用。
配方：甘遂（微炒）、芫花（炒）、牵牛（半炒半生，研取末）、辣桂、蓬术、青皮（去穣）、木香、桃仁（浸泡，去皮，炒）、五灵脂（各二钱）。
制作与服用方法：研为细末，加入去油巴豆一钱研和，用十分细的飞面糊制成麻子大小的药丸。每次服用一二丸，姜蜜煎汤灌下，泄后喝冷粥补益，仍调和胃气。
挨癖丸：治疗乳癖谷瘕，腹中块痛。
配方：木香、青皮（去穣）、蓬术、代赭石（火煅，醋淬，细研）、生地黄（各三钱）、巴豆（压，去油尽，一钱）。
制作与服用方法：研为细末，醋面糊制成麻子大小的药丸。每次服用二丸，饭后，擦姜泡汤送服。
《外台秘要·必效方》治疗大人小儿癖病的方子：
取车下李仁，用热水退去皮及双仁，与干面粉各半，捣成饼，如果太干，加淡水像平常揉面一样，大小如同病患手掌，做成两个饼，微烤使其变黄，不要烤熟。空腹吃一个，应当痛快腹泻，如果不腹泻，再吃一个，或者喝热粥汁即可腹泻，以痛快腹泻为度。到了午后腹泻不止，就用醋饭停止。腹泻后身体会虚，病未除尽的，量力在两三天后再服完一次，以病除尽为限。小儿也酌情衡量。不能吃酪及牛马肉，无不有效。但病重的，李仁与面粉各半。轻的，酌情减少。后续服用，也任随力量衡量。频繁尝试治愈，效果神奇。
《圣惠方》前胡丸：治疗小儿癖气，腹痛。
配方：前胡、桔梗（各去芦）、赤芍药、赤茯苓、枳壳、川大黄、当归、郁李仁（去皮，微炒，各半两）、鳖甲（一两，炙令黄色）。
制作与服用方法：捣碎，过筛为末，炼蜜和丸，如绿豆大小。三岁儿童，每次空腹用粥饮化开五丸服用，根据孩子大小加减。
《婴孺集》治疗小儿闪癖，身体壮热，频繁服用冷药，冷气漫心成癖，下焦又冷，肠结大便难方：
配方：茯苓、川芎、鳖甲（炙）、枳壳（炙）、芍药（各二分）、柴胡（四分）。
制作与服用方法：锉碎，用水一大升三合。煎至三合。空腹分两次服，间隔约行人走五六里的时间再服。忌苋子。
〔朱氏〕知母丸：治疗小儿腹痛不调，兼治癖气。
配方：知母（六分）、鳖甲（炙，四分）、牡蛎、枳壳（麸炒，各三分）、大黄（十二分，纸裹，煨熟）。
制作与服用方法：研为末，蜜丸如绿豆大小。米饮送服五丸，成人酌情减量服用。
治疗七八岁儿多睡或有时壮热，日渐消瘦，身体虽不痛，有时痢脓，呕逆不食，这是癖气的征候，此疾类似疟疾，人们多不识此患。方子：
配方：柴胡、黄芩（各一分）、枳壳（炒，两片）、甘草、知母、芍药（各二分）、大诃梨勒（煨，取皮，一个，小的用二个）。
制作与服用方法：研为末，水一盏，煎服。
Miaoxiang Wan from *Liangfang* treats pediatric deficiency-type accumulation, characterized by tidal chills and fever (alternating chills and fever occurring at regular intervals), abdominal distension, fullness, and pain.
Ingredients: Cinnabar (Shachen, 1 liang), Calculus Bovis (Niuhuang), Borneolum Syntheticum (Sheng Longnao), Moschus (Shexiang) (each 2.5 qian), Folium Aureum (Jinbo, 14 pieces), Fen Shuang, Nifen (each 1 qian), Beeswax (Huangla, 2 liang), Fructus Crotonis Tiglii (Badou, selecting plump ones, 120 grains).
Preparation and Administration: Grind the above ingredients and make pills the size of a bullet. Adjust dosage according to the child's deficiency or excess condition. Administer with Borneol solution water, taking it after midnight. If the internal organs are deficient, administer with Borneol rice drink. Take three pills the size of a small bean per dose; to缓 (huan, slow/milden) the drug's effect, press the pill flat. For stubborn diseases, increase to ten pills. Puncture each pill with a needle to create several holes to facilitate the release of medicinal power. For removing accumulation in children, make pills the size of mung beans; this is especially effective for treating pediatric vomiting and reflux. This medicine is most effective in clearing chest烦 (fan, vexation/restlessness) and deficiency accumulation.
*Tingru Ji* records: Treating children who develop chills and fever after purgation, where blood coagulation forms Pi Qi (accumulation mass) in the left hypochondrium, or due to cold fluid retention or cold food accumulation causing qi movement, with residual heat in the chest and heart, inability to eat or drink, and emaciation with dark complexion. It is appropriate to first take a small amount of Yinzi San to move qi and descend food, then take Zishuang Wan to remove old accumulation, allowing the body to gradually fill out.
Yinzi Formula Ingredients: Radix Bupleuri (Chaihu), Poria (Fuling), Radix Ginseng (Renshen), Rhizoma Atractylodis Macrocephalae (Baizhu), Testudo Carapax et Plastrum (Biejia) (coated with vinegar, roasted until fragrant and cooked, each 0.5 liang).
Preparation and Administration: Cut into pieces the size of beans. Add two sheng of water, boil down to five he. Divide into three or four warm doses taken on an empty stomach. Re-administer after a time interval equivalent to walking one or two li. Consume congee for dietary care.
Mr. Mao discusses: From five months after birth up to seven years of age, children may have Jie Pi (knotting accumulation) forming lumps in the abdomen, coming and going like a plum pit or resembling an egg, often crying in pain. These are divided into categories: pain in the left hypochondrium is named "Qi," while pain in the right hypochondrium is named "Pi Qi." Administer Peng'ezhu San or Jia Jianpi Yin (for those refusing milk/food), which will lead to recovery. If the face turns black, eyes stare straight, stool contains black blood, nose and mouth feel cold, hands and feet are cold, and there is no intake of food, it is a death sign.
Qian Yi discusses: Pediatric Pi disease arises from undigested milk and food lying dormant in the abdomen, presenting with alternating cold and heat, drinking water, or wheezing/coughing, similar to tidal fever. If not treated early, it will inevitably develop into Gan syndrome (infantile malnutrition). Because of the Pi accumulation, the child loses appetite, leading to Spleen and Stomach deficiency and internal heat generation, causing excessive thirst. This washes out the intestines and stomach, depleting body fluids. The Stomach cannot transport and transform food and fluids. The pulse is deep and fine. With further loss of appetite, Spleen and Stomach deficiency worsens, limbs become weak, and various pathogens arise. Few escape becoming emaciated and developing Gan syndrome. Regarding Pi and tidal fever: Cao Xuande's son, aged three, had a yellow face and intermittent chills and fever, refused food, but drank water and milk incessantly. Other physicians diagnosed tidal fever and used Niuhuang Wan and Shexiang Wan without success. Administering Zhike Gansan caused vomiting. Qian Yi stated that Baibing Zi (see previous text) should be used to purge, followed by Spleen tonification, and then Xiaoji Wan to grind away accumulation (see previous text). This was indeed Pi disease, and the child recovered. Why? Refusing food but drinking only water indicates food stagnating in the gut unable to digest, causing cold sensations. Vomiting after taking thirst-quenching medicines is due to the medicine irritating the Spleen. Purging resolves it.
Ren Zhai states: Pi disease involves blood membranes wrapping water, located laterally in the hypochondrium, causing intermittent pain. Only Pi disease can trigger tidal fever and generate chills and heat. Therefore, in malaria patients, yellow fluid often accumulates in the Middle Jiao, and over time, Pi forms, causing persistent chills and heat. Those with this condition should use this method. When a child's internal organs are harmonious and Ying-Wei (Nutritive and Defensive Qi) flow smoothly, body fluids circulate naturally. Even if they drink much liquid, it does not cause disease. However, improper breastfeeding leads to blockage in the Three Jiao, causing water and fluid stagnation in the intestines and stomach, unable to diffuse and communicate. If attacked by cold qi, it aggregates to form Pi. Mild cases use Jizhi Muxiang Wan; severe cases use Qu Pi Wan.
Zeng Shirong states: Infants are born with incomplete constitution. Negligence in swaddling and unregulated breastfeeding, combined with external invasion by the Six Excesses and internal deficiency of the Five Zang Qi, cause cold accumulation to linger in the Spleen, unable to transform. This forms Pi, with "ghost qi" protruding in the hypochondrium, either left or right, commonly called Gui Zhu. These diseases result from accumulation stagnation fermenting, causing chills and fever, abdominal pain, or coolness by day and heat by night. Treatment: For excess Qi, first warm and rectify Stomach Qi, then use Wuxi Wan or Shuijing Dan to purge. After two or three times, stop slightly with thin congee. Wait until the formed manifestations disappear before administering tonifying agents. For deficiency Qi, first regulate Spleen and Stomach, consolidate True Yuan. Once spirit/color improves and food intake increases, purge as previously described. If extremely deficient, use Sanleng San or Huapi Wan to gradually eliminate, adjusting Yin and Yang until balance is achieved. However, tonifying first then purging follows the method of "meeting and seizing," removing old cold accumulation. If the face is yellow, lips white, hair erect, and muscles emaciated, this is extreme deficiency; do not lightly purge. Slowly using medicine to digest and regulate is superior. For young children, have the wet nurse frequently consume Huoxiang Yin so the medicine passes through breast milk, providing slight assistance.
[Mr. Mao] Peng'ezhu San: Mainly treats pediatric Qi Pi and all Qi disorders.
Ingredients: Rhizoma Curcumae (Peng'ezhu), Pericarpium Citri Reticulatae Viride (Qingjupi), Fructus Alpiniae Oxyphyllae (Yizhi) (each 0.5 liang), Radix Aucklandiae (Muxiang, 2.5 qian), Glutinose Rice (Nuomi, 1 liang).
Preparation and Administration: Grind into powder. Take one large qian per dose, mixed with aged rice drink. Take four times daily.
*Shenghui Fang* Biejia San:
Use Testudo Carapax et Plastrum (Biejia) (one piece, coated with vinegar, roasted until yellow, remove skirt edge).
Preparation and Administration: Crush, sift finely into powder. Take one qian per dose, decoct with one small cup of urine from an uncircumcised boy until reduced to five fen. Adjust dosage based on the child's size, divide and take. Three times daily. Divine efficacy.
Huapi Wan (Zeng Shi): Mainly treats Pi-jie Qi Kuai (accumulated Qi masses) between the ribs, persisting for a long time without resolving, alternating chills and heat, organ dysfunction, indigestion of rice and grain, choking, wheezing, shortness of breath, chest and abdominal fullness. Also treats Dingxi Bulu syndrome.
Ingredients: Radix Aucklandiae (Nanmuxiang), Pericarpium Citri Reticulatae (Chenpi, remove white pith), Rhizoma Curcumae (Ezhu, processed, crushed), Rhizoma Sparganii (Sanleng, processed, crushed), Pericarpium Citri Reticulatae Qingpi (Qingpi, with 9 grains of Fructus Crotonis Tiglii, remove skin and membrane core, lightly stir-fry, remove Badou), Fructus Aurantii (Zhike, remove pulp, bran-fried), Semen Arecae (Binglang) (these seven ingredients, each 0.5 liang), Rhizoma Atractylodis Macrocephalae (Baizhu), Flos Caryophylli (Dingxiang) (these two ingredients, each 2 qian), Radix Asari (Xixin, burned to retain nature, 4 qian).
Preparation and Administration: Except for Nanmuxiang, Binglang, and Dingxiang which are not overheated, bake the other seven ingredients. Grind together with the first three into powder. Make pills with yeast paste the size of hemp seeds. Take 15 to 21 pills per dose on an empty stomach with clear rice soup. If there are alternating chills and fever, take intermittently with Chaihu Yin. Avoid greasy and raw/cold foods.
Muxiang Wan: Treats vomiting milk and diarrhea of milk, with sour/foul odor, caused by incessant crying and forced feeding, leading to stagnation and indigestion, known as Milk Accumulation. Hard abdomen, heat, thirst, vomiting/diarrhea, caused by uncontrolled eating, sleeping immediately after overeating, known as Food Accumulation. Abdominal pain and crying, stool like crab foam, caused by disturbing Qi, disharmony of Ying-Wei, prolonged duration, known as Qi Accumulation. Post-malaria, Pi masses form in the abdomen.
Ingredients: Radix Aucklandiae (Muxiang), Rhizoma Curcumae (Pengshu), Fructus Amomi (Sharen), Pericarpium Citri Reticulatae Qingpi (Qingpi, remove white pith), Cinnabar (Zhusha, finely ground), Haematitum (Daizheshi, ground, each 2 qian), Flos Caryophylli (Dadingxiang), Semen Crotonis Tiglii (Chuan Badou Rou, pressed on paper to remove oil, each 1 qian).
Preparation and Administration: Grind into fine powder, mix evenly. Use refined white flour paste to make pills the size of sesame seeds. Take 2-3 pills per dose. For milk injury, take with breast milk; for food injury, take with rice drink.
Qu Pi Wan: A harsh agent, not used unless for severe excess accumulation.
Ingredients: Radix Kansui (Gansui, lightly stir-fried), Flos Genkwa (Yuanhua, stir-fried), Semen Plantaginis (Qianniu, half stir-fried half raw, ground to take powder), Ramulus Cinnamomi (Lagui), Rhizoma Curcumae (Pengshu), Pericarpium Citri Reticulatae Qingpi (Qingpi, remove pulp), Radix Aucklandiae (Muxiang), Semen Persicae (Taoren, soaked, peeled, stir-fried), Resina Trogopterori (Wulingzhi) (each 2 qian).
Preparation and Administration: Grind into fine powder. Add 1 qian of oil-free Fructus Crotonis Tiglii and grind together. Make pills the size of sesame seeds with very fine refined flour paste. Take 1-2 pills per dose,灌 (guan, force-feed) with ginger-honey decoction. After diarrhea, replenish with cold congee to harmonize the Stomach.
Ai Pi Wan: Treats Ru Pi Gu Jia (milk/grain accumulation masses), abdominal lump pain.
Ingredients: Radix Aucklandiae (Muxiang), Pericarpium Citri Reticulatae Qingpi (Qingpi, remove pulp), Rhizoma Curcumae (Pengshu), Haematitum (Daizheshi, fired, quenched in vinegar, finely ground), Radix Rehmanniae Recens (Sheng Dihuang) (each 3 qian), Fructus Crotonis Tiglii (Badou, pressed, oil completely removed, 1 qian).
Preparation and Administration: Grind into fine powder. Make pills the size of sesame seeds with vinegar-flour paste. Take 2 pills per dose after meals, with ginger-rubbed decoction.
*Waitai Bi Xiao* prescription for adult and pediatric Pi:
Take Li Ren (Prunus salicina kernel) from under the cart, blanch slightly to remove skin and double kernels. Mix equally with dry wheat flour. Pound into cakes. If too dry, add plain water and knead like dough. Size should match the patient's palm. Make two cakes. Lightly roast until yellow, do not cook thoroughly. Eat one cake on an empty stomach. Should result in rapid diarrhea. If no diarrhea, eat another. Or drink hot congee juice to induce diarrhea. Stop when rapid diarrhea is achieved. If diarrhea continues past noon, stop with vinegar-cooked rice. After diarrhea, the body will be deficient. If the disease is not fully cleared, take another dose within one to two days according to strength, until the disease is gone. Children adjust accordingly. Do not consume dairy or beef/horse meat. Invariably effective. For severe disease, equal parts Li Ren and flour. For mild cases, reduce according to judgment. Subsequent doses also depend on strength. Frequent trials show divine efficacy.
*Shenghui Fang* Qianhu Wan: Treats pediatric Pi Qi, abdominal pain.
Ingredients: Radix Peucedani (Qianhu), Radix Platycodonis (Jiegeng) (remove rhizomes each), Radix Paeoniae Rubra (Chishaoyao), Polyporus (Chifuling), Fructus Aurantii (Zhike), Radix Rhei Palmati (Chuan Dahuang), Radix Angelicae Sinensis (Danggui), Semen Pruni Armeniacae (Yuli Ren, peel, lightly stir-fry, each 0.5 liang), Testudo Carapax et Plastrum (Biejia, 1 liang, roasted until yellow).
Preparation and Administration: Crush, sift into powder. Mix with refined honey to make pills the size of mung beans. For three-year-olds, take five pills dissolved in congee drink on an empty stomach. Adjust dosage based on child's size.
*Tingru Ji* prescription for pediatric Shan Pi, high fever, frequent use of cold medicines causing cold Qi to flood the Heart forming Pi, lower Jiao cold, intestinal constipation and difficult defecation:
Ingredients: Poria (Fuling), Radix Ligustici Chuanxiong (Chuanxiong), Testudo Carapax et Plastrum (Biejia, roasted), Fructus Aurantii (Zhike, roasted), Radix Paeoniae Alba (Shaoyao) (each 2 fen), Radix Bupleuri (Chaihu, 4 fen).
Preparation and Administration: Cut into pieces. Decoct in one da sheng and three he of water until reduced to three he. Divide into two doses on an empty stomach. Re-administer after a time interval equivalent to walking five or six li. Avoid Amaranth seeds.
[Zhu Shi] Zhimu Wan: Treats pediatric abdominal pain and irregularity, combined with Pi Qi.
Ingredients: Radix Anemarrhenae (Zhimu, 6 fen), Testudo Carapax et Plastrum (Biejia, roasted, 4 fen), Concha Ostreae (Muli), Fructus Aurantii (Zhike, bran-fried, each 3 fen), Radix Rhei Palmati (Dahuang, 12 fen, wrapped in paper, baked熟).
Preparation and Administration: Grind into powder. Mix with honey to make pills the size of mung beans. Take five pills with rice drink. Adults adjust dosage accordingly.
Treating seven-to-eight-year-old children who sleep excessively or have periodic high fever, progressively wasting away, body not painful, sometimes dysentery with pus, vomiting/reflux, refusal to eat. This is a sign of Pi Qi. The disease resembles malaria, often unrecognized by people. Prescription:
Ingredients: Radix Bupleuri (Chaihu), Radix Scutellariae (Huangqin) (each 1 fen), Fructus Aurantii (Zhike, stir-fried, two slices), Radix Glycyrrhizae (Gancao), Radix Anemarrhenae (Zhimu), Radix Paeoniae Alba (Shaoyao) (each 2 fen), Fructus Terminaliae Chebulae (Da Helile, baked, take peel, one piece; small ones use two).
Preparation and Administration: Grind into powder. Decoct in one zhan of water and take.