小儿疔奚病者，由哺食过度，而脾胃尚弱，不能磨消故也。哺食不消，则水谷之精
减损，无以荣其气血，致肌肉消瘠。其病腹大颈小，黄瘦是也。若久不瘥，则变成谷症。
伤饱，一名哺露，一名疔奚，三种大体相似，轻重立名也。
春伤于风，夏为洞泄。小儿有春时解脱衣服，为风冷所伤，藏在肌肉，至夏因饮食居处
不调，又被风冷入于肠胃，先后重沓，为风邪所乘，则下痢也。其冷气盛，痢甚为洞泄，洞
泄不止，为注下也。凡注下不止者，多变惊痫。所以然者，本挟风邪，因痢脏虚，风邪乘之
故也。亦变眼痛生障，下焦偏冷，热结上焦，熏于肝故也。
肠胃虚弱，受风冷则下痢。利断之后，脾胃尚虚，谷气犹少，不能荣血气，故虚羸也。
小儿体本挟热，忽为寒所折，气血不调，大肠虚弱者，则冷热俱乘之。热搏血，渗肠间
，其利则赤；冷搏肠，津液凝，其痢则白。冷热相交，血滞相杂，肠虚者泄，故为赤白滞下
小儿有挟客热，客热入于经络，而血得热则流散，渗入大肠，肠虚则泄，故为赤痢也。
小儿本挟虚热，而为风所乘，风热俱入于大肠，而痢为热。是水谷痢而色黄者，为热痢
小儿肠胃虚，或解脱遇冷，或饮食伤冷，冷气入于肠胃而痢，其色白，是为冷痢也。冷
小儿先因饮食，有冷气在肠胃之间，而复为热气所伤，而肠胃宿虚，故受于热；冷热相
交，而变下痢，乍黄乍白，或水或谷，是为冷热痢也。
小儿疳积病，是由于喂养过度，而脾胃功能尚弱，不能消化食物所致。食物不消化，则水谷的精微物质减少，无法滋养气血，导致肌肉消瘦。其病症表现为腹部胀大、颈部细小、面色萎黄且身体瘦弱。如果久治不愈，就会演变成谷疸（一种因饮食停滞引起的黄疸或积聚病）。伤食饱胀，又名哺露，又名疳积，这三种情况大体相似，只是根据轻重程度不同而命名不同。
春季感受风邪，到了夏季就会发生洞泄（指腹泻如水注下、势急量多的严重泄泻）。小儿在春季时脱去衣物，被风冷之邪所伤，邪气潜伏在肌肉之间，到了夏季因为饮食起居不调，又受风冷侵入肠胃，内外邪气叠加，风邪乘虚而入，就会导致下痢。如果冷气盛极，痢疾严重发展为洞泄；洞泄不止，则称为注下（指泄泻无度、如注如下的重症）。凡是注下不止的，多会转变为惊痫（小儿惊风抽搐等症）。之所以这样，是因为原本挟带风邪，又因痢疾导致脏腑虚弱，风邪趁机侵袭的缘故。也可能转变为眼痛生障，下焦偏寒，热邪结聚于上焦，熏蒸肝脏所致。
肠胃虚弱，受到风冷侵袭就会下痢。痢疾停止之后，脾胃仍然虚弱，谷气依然不足，不能荣养气血，所以身体虚弱羸瘦。
小儿体质本多挟有内热，突然被寒邪遏制，导致气血不调，大肠虚弱时，冷邪和热邪都会乘虚侵袭。热邪搏结血液，渗入肠间，大便就呈红色；冷邪搏结肠道，津液凝结，大便就呈白色。冷热邪气相互交争，血行滞涩混杂，肠道虚弱则泄泻，所以出现赤白相间的滞下（即痢疾）。
小儿若挟带客热（外来的热邪），客热侵入经络，血液受热则流动散乱，渗入大肠，肠道虚弱则泄泻，所以出现赤痢（红痢）。
小儿本自挟有虚热，又被风邪侵袭，风热共同侵入大肠，痢疾表现为热象。这是水谷痢而颜色发黄的，属于热痢。
小儿肠胃虚弱，或者脱衣受凉，或者饮食损伤生冷，冷气侵入肠胃导致痢疾，大便颜色发白，这就是冷痢。
小儿先前因为饮食不当，肠胃间留有冷气，后来又受到热气侵袭，加上肠胃素来虚弱，所以承受了热邪；冷热邪气相互交争，从而变生下痢，大便颜色忽黄忽白，或为水样，或为未消化食物，这就是冷热痢。
The disease of infantile malnutrition (Ganji) in children arises from overfeeding, while the spleen and stomach are still weak and unable to digest and transform food. When food is not digested, the essence derived from water and grain diminishes, failing to nourish Qi and Blood, leading to emaciation of muscles. The clinical manifestations include a distended abdomen, a thin neck, sallow complexion, and general emaciation. If left untreated for a long time, it may evolve into Gu Dan (a condition of jaundice or accumulation caused by food stagnation). Shang Bao (food injury from overeating), also known as Bu Lu (nourishment leakage) and Ding Xi (malnutrition), are three terms that describe similar conditions, differentiated merely by their severity.
Wind pathogen acquired in spring leads to Dong Xie (profuse watery diarrhea) in summer. Children who remove clothing in spring may be injured by wind-cold, which hides within the muscles. In summer, due to irregular diet and lifestyle, wind-cold enters the intestines and stomach. The sequential accumulation of pathogens allows the wind pathogen to take advantage of the deficiency, resulting in dysentery. If cold qi is excessive, the dysentery becomes severe, developing into Dong Xie; if Dong Xie persists without cessation, it is termed Zhu Xia (uncontrollable profuse diarrhea). Cases of persistent Zhu Xia often transform into Jing Xian (infantile convulsions and epilepsy). This occurs because the body originally harbored wind pathogen, and the deficiency of the zang-fu organs caused by dysentery allowed the wind pathogen to invade further. It may also manifest as eye pain with visual obstructions, coldness in the lower jiao, and heat binding in the upper jiao, which steams and harasses the Liver.
When the intestines and stomach are weak and invaded by wind-cold, diarrhea ensues. After the diarrhea ceases, the spleen and stomach remain deficient, and Gu Qi (grain qi) is still insufficient, failing to nourish Qi and Blood, resulting in physical debility and emaciation.
Children's constitutions often harbor internal heat. If suddenly restrained by cold, Qi and Blood become disordered. When the Large Intestine is weak, both cold and heat pathogens may invade. Heat combats blood, seeping into the intestinal space, causing red stool; cold combats the intestines, coagulating fluids, causing white stool. The interaction of cold and heat causes blood stasis and mixing. Due to intestinal weakness and diarrhea, this results in Chi Bai Zhi Xia (dysentery with mixed red and white discharge).
If a child harbors Ke Re (external heat pathogen), and this heat enters the meridians, the blood becomes fluid and scattered due to heat, seeping into the Large Intestine. With intestinal weakness leading to diarrhea, this manifests as Chi Li (red dysentery).
If a child inherently harbors deficiency heat and is invaded by wind, both wind and heat enter the Large Intestine, making the dysentery present heat characteristics. Water-grain dysentery with yellow color indicates Re Li (heat dysentery).
If a child has weak intestines and stomach, exposes themselves to cold by removing clothes, or injures themselves with cold food, cold qi enters the intestines and stomach causing dysentery with white-colored stool; this is Cold Li (cold dysentery).
If a child previously suffered from dietary indiscretion, leaving cold qi in the intestines and stomach, and is subsequently injured by heat qi, the chronically weak intestines and stomach accept the heat. The interaction of cold and heat transforms into dysentery, with stool varying between yellow and white, watery or undigested food; this is Leng Re Li (mixed cold and heat dysentery).