小儿骤然腹痛，其症不同。有挟热而痛者，其痛多缓，或一日只痛数次，甚者或自下而
痛上，痛过一阵则有时不痛，良久又痛，宜用凉药加疏利药治之。有感寒挟湿而痛者，其痛
多急，连绵少有停止，甚者或如刀割，欲吐不吐，欲泻不泻，手足冷，面色青，宜用升发药
加消导药治之。外有虫痛者，闻煎炙食物香气则痛，宜用苦楝皮、使君肉等药以杀其虫，则
痛自止，查虫疾门斟酌治之。
枳实导滞汤∶治热痛。陈枳壳（去穣、炒）、黄连、山栀仁（炒黑色）各六分，赤芍、
前胡
觉热甚，
升消平胃散∶治感寒挟食痛。小川芎、炒香附、苍术、紫苏、姜汁、炒过浓朴各五分，
藿香、砂仁（研碎）、白芷、陈皮（去白）各三分，炙草二分，炒麦芽六分，山楂肉一钱，
加羌
方见肚腹部。
方与上同。
淡豆豉、生姜各二钱（切碎）、葱五茎，食盐一两，同炒热，置脐上熨之，效。
又方∶葱、姜煎浓汤洗肚腹。另用葱、姜捣烂炒热作饼，贴脐上，良久即愈。
又方∶枳壳一钱，槟榔一个，沉香、广香各一小点，煎水服。
又方∶乳香、没药各等分，共为细末，木香磨水，用滚水调服。
小儿月内脐突，光肿如吹，捻动微响，赤肿可畏，由断脐在前，洗浴在后，或束缚不紧
，风湿入内所致。用牡蛎（ ）、大黄各五钱，朴硝一钱，为末，多用田螺浸水调一二钱敷
脐
又方∶茯苓、车前子各一钱，甘草二分，陈皮三分，通草三分，共煎汤灌之，一剂即安
又方∶红饭豆、淡豆豉、南星（去皮脐）、白蔹各一钱，共为末，用巴蕉自然汁调敷脐
四
小儿突然发生腹痛，其症状表现各不相同。有的是因挟带热邪而疼痛，这种疼痛通常较缓和，或者一天只痛几次，严重的甚至疼痛从下腹向上蔓延，痛过一阵后有一段时间不痛，过了很久又再次发作，适宜使用凉性药物配合疏利药物进行治疗。有的是因感受寒邪并挟带湿邪而疼痛，这种疼痛通常很急迫，连绵不断少有停止的时候，严重的甚至像刀割一样，想吐吐不出来，想拉拉不出来，手脚冰冷，面色发青，适宜使用升发类药物配合消食导滞类药物进行治疗。还有的是因虫积引起的疼痛，闻到煎炸烤炙食物的香气就会引发疼痛，适宜使用苦楝皮、使君子肉等药物来杀灭寄生虫，疼痛自然就会停止，具体可参考“虫疾门”中的内容斟酌治疗。
枳实导滞汤：治疗热性腹痛。陈枳壳（去除瓤、炒制）、黄连、山栀仁（炒至黑色）各六分，赤芍、前胡[此处原文似有缺漏或排版错误，暂按原文翻译]觉热甚[此处原文似有缺漏或排版错误，暂按原文翻译]，[方剂组成未完，接下文]
升消平胃散：治疗感受寒邪并挟带饮食停滞引起的腹痛。小川芎、炒香的香附、苍术、紫苏、姜汁、炒过的厚朴各五分，藿香、砂仁（研碎）、白芷、陈皮（去除白色部分）各三分，炙甘草二分，炒麦芽六分，山楂肉一钱，加入羌活[此处原文似有缺漏，暂按原文翻译]
方见肚腹部[指此方详见书中“肚腹部”章节]。
方与上同[指此方组成与上方相同]。
淡豆豉、生姜各二钱（切碎）、葱五茎，食盐一两，一同炒热，放置在肚脐上熨烫，效果显著。
另一个方子：将葱、姜煎煮成浓汤清洗肚腹。另外取葱、姜捣烂炒热做成饼状，贴在肚脐上，过一段时间即可痊愈。
又一个方子：枳壳一钱，槟榔一个，沉香、广木香各一小点，煎水服用。
又一个方子：乳香、没药各等份，共同研磨成细末，用木屑磨成的水调服，或用滚开水调服。
小儿出生一个月内出现脐突，肚脐光亮肿胀如同吹起的气球，按压时有轻微响声，红肿令人畏惧，这是由于断脐在前、洗浴在后，或者包裹束缚不紧，导致风湿之邪侵入体内所致。使用牡蛎（煅）、大黄各五钱，朴硝一钱，研磨成粉末，多用田螺浸泡的水调和一二钱敷在肚脐上。
Pediatric sudden abdominal pain presents with varying symptoms. Some cases involve pain due to heat retention; the pain is usually mild, occurring only a few times a day. In severe cases, the pain may radiate upward from the lower abdomen. After an episode of pain, there may be a period of relief, followed by recurrence after a long interval. These cases are suitable for treatment with cooling herbs combined with herbs that promote free flow. Other cases involve pain due to cold invasion combined with dampness; the pain is usually urgent and continuous with little cessation. In severe cases, it feels like knife-cutting, accompanied by nausea without vomiting, urge to defecate without success, cold hands and feet, and a bluish complexion. These cases are suitable for treatment with dispersing and ascending herbs combined with digestion-promoting herbs. There are also cases of worm-induced pain, where pain is triggered by the aroma of fried or roasted foods. Treatment should use herbs such as *Meliae Cortex* (Kulianpi) and *Quisqualis Semen* (Shijunrou) to kill parasites, which will stop the pain naturally. For specific management, refer to the "Worm Diseases" section.
Zhishi Daozhi Decoction: Treats heat-type abdominal pain. Chen Zhike (Immature Bitter Orange Fruit, pith removed, stir-fried), Huanglian (Coptis Rhizome), Zhizi Ren (Gardenia Seed, stir-fried until black) each 0.6 fen; Chishao (Red Peony Root), Qianhu [Text incomplete/error in source]; if heat is severe... [Text incomplete/error in source].
Shengxiao Pingwei San: Treats abdominal pain caused by cold invasion with food stagnation. Xiao Chuanxiong (Sichuan Lovage Rhizome), Chao Xiangfu (Cyperi Rhizoma, stir-fried with fragrance), Cangzhu (Atractylodis Rhizoma), Zisu (Perilla Leaf), Jiangzhi (Zingiberis Rhizoma Juice), Chao Houpo (Magnolia Bark, stir-fried) each 0.5 fen; Huoxiang (Pogostemonis Herba), Sharen (Amomi Fructus, crushed), Baizhi (Angelicae Dahuricae Radix), Chenpi (Citri Reticulatae Pericarpium, white pith removed) each 0.3 fen; Zhigancao (Licorice Root, honey-fried) 0.2 fen; Chaomaiya (Hordei Fructus Germinatus, stir-fried) 0.6 fen; Shanzha Rou (Crataegi Fructus flesh) 1 qian; add Qianghuo [Text incomplete].
See formula in the Abdomen section.
Formula is the same as above.
Dan Douchi (Fermented Soybean), Shengjiang (Fresh Ginger) each 2 qian (chopped); Congbai (Scallion Stem) 5 stalks; Yan (Salt) 1 liang. Stir-fry together until hot, place on the umbilicus for moxibustion-like warming (ironing). Effective.
Another prescription: Boil Cong (Scallion) and Jiang (Ginger) into a strong decoction to wash the abdomen. Separately, crush Cong and Jiang, stir-fry until hot, form into cakes, and apply to the umbilicus. Recovery occurs after some time.
Another prescription: Zhike (Immature Bitter Orange Fruit) 1 qian, Binglang (Areca Seed) 1 piece, Chenxiang (Aquilaria Lignum), Guangxiang (Agastaches Herba) each a small amount. Decoct in water and take orally.
Another prescription: Ruxiang (Olibanum), Moyao (Myrrha) in equal parts, ground into fine powder. Mix with water prepared by grinding Muxiang (Aucklandiae Radix) or boiling water, and take orally.
Infants within one month of age may present with umbilical herniation (Umbilical Protrusion), where the navel is shiny, swollen like an inflated balloon, making a slight sound when pressed, and appears red and swollen, which is alarming. This is caused by cutting the umbilical cord before bathing, or by loose binding, allowing wind-damp pathogens to enter internally. Use Musi (Ostreae Concha, calcined) and Dahuang (Rhei Radix et Rhizoma) each 5 qian, Puxiao (Natrii Sulfas) 1 qian, ground into powder. Mix with water infused from Snails (Tianluo) to make a paste of 1-2 qian, and apply to the umbilicus.
Another prescription: Fuling (Poria), Cheqianzi (Plantaginis Semen) each 1 qian, Gancao (Licorice Root) 0.2 fen, Chenpi (Citri Reticulatae Pericarpium) 0.3 fen, Tongcao (Tetrapanacis Medulla) 0.3 fen. Decoct in water and administer orally. One dose brings relief.
Another prescription: Hongfandou (Red Rice Bean), Dan Douchi (Fermented Soybean), Nanxing (Arisaematis Rhizoma, skin and navel removed), Bailian (Bletillae Rhizoma) each 1 qian. Ground into powder. Mix with natural juice of Banana Plant (Bajiao) and apply to the umbilicus.