顾姓七月婴孩。患暑秽食积。泄泻身热。用鲜藿香、鲜荷叶、西洋参、木香、川连、条芩、谷芽、花粉、鸡内金、
泽泻。益元散、
五谷虫等出入为方。调理而愈。凡夏秋之间、小儿之患泄泻者甚多、由于暑秽食积者十居七八。余悉主是法。莫
不应手取效。如脾虚而伤于生冷瓜果者。则又不当以此为例也。
武林吉祥巷陈维和四岁小儿。仲秋患泄泻。已近一月。粒米不进。盖五六日矣。腹痛口渴。泄泻无度。身热咳嗽。
将成慢脾暑瘵。病已垂危。乃召余诊。方用清暑化积之品。以鲜荷叶、鲜芦根、黄连、黄芩、木香汁、甘草、橘红、莱
菔子、鸡内金、车前子、益元散等。服两剂而诸症大减。一日仅泻两三次。胃得安谷。嬉笑遂尔如常。惟食后犹患完谷
不化。遂改用通补脾胃之方。如西洋参、荷叶蒂、茯苓、焦甘草、橘皮、木香、冬术、炒扁豆、石斛、谷芽、泽泻、五
谷虫等。养胃阴
而升脾阳。调理数剂。诸症悉愈。越数日又重感暑邪。泄泻复作。身复发热。咳嗽气促。乃专清暑邪。以荷叶、芦根、
扁豆花、香连、谷芽、泽泻、益元散、绿豆皮等。调理数剂即愈。
定海西门外某。从沪上来。感受暑邪。热毒蕴结。身热如炽。大渴引饮。脉象洪数实大。舌苔黄浓浊腻。泄泻日百
余次。粒米不进。症已垂危。就诊于余。余谓暑热毒邪。结于阳明。幸而大泻。邪有出路。不然肠腐胃烂。早已死矣。
症虽
危而无妨。但不可用止截之药。乃遵喻氏通因通用之法。方用黄连五钱。黄芩四钱。生甘草三钱。银花五钱、鲜竹
叶一握。鲜荷叶一片。生大黄五钱。元明粉三钱。花粉四钱。作地浆水煎服。一剂而泻大减。次日仅泻数次。热势亦
缓。再进原方。减去大黄、元明粉。如此危症。止两剂而热退泻止。后以糜粥自养。不劳余药而瘳。
The seven-month-old infant surnamed Gu suffered from summer-heat turbidity and food stagnation, presenting with diarrhea and fever. A formula was prescribed using fresh Huoxiang (Agastache Herba), fresh Heye (Nelumbinis Folium), Xiyangshen (Ginseng Radix et Rhizoma Rubra), Muxiang (Aucklandiae Radix), Chuanlian (Coptidis Rhizoma), Tiaohuangqin (Scutellariae Radix), Guya (Hordei Fructus Germinatus), Huafen (Trichosanthis Radix), Jineijin (Galli Gigerii Endothelium Corneum), Zexie (Alismatis Rhizoma), Yiyuan San (Yi Yuan Powder), Wugu Chong (Bombyx Batryticatus), etc., modified as needed. The condition resolved after regulation. During summer and autumn, many children suffer from diarrhea, ten out of ten cases being due to summer-heat turbidity and food stagnation. I generally apply this method, achieving immediate efficacy in all cases. However, if the cause is spleen deficiency injured by raw or cold fruits and vegetables, this method should not be used as a standard example.
The four-year-old son of Chen Weihe from Jixiang Alley in Hangzhou suffered from diarrhea in mid-autumn, lasting nearly a month. He had not taken any grain for five or six days. Symptoms included abdominal pain, thirst, uncontrolled diarrhea, fever, and coughing, progressing towards Manpi Feng (Slow Spleen Wind) or Shu Zhai (summer-heat consumptive disease). The condition was critical. Upon consultation, I prescribed herbs to clear summer-heat and resolve stagnation: fresh Heye (Nelumbinis Folium), fresh Lugen (Phragmitis Rhizoma), Huanglian (Coptidis Rhizoma), Huangqin (Scutellariae Radix), Muxiang juice, Gancao (Glycyrrhizae Radix et Rhizoma), Juhong (Citri Reticulatae Pericarpium Rubrum), Laifuzi (Raphani Semen), Jineijin (Galli Gigerii Endothelium Corneum), Cheqianzi (Plantaginis Semen), and Yiyuan San (Yi Yuan Powder). After two doses, symptoms greatly subsided; diarrhea occurred only two to three times a day, stomach function recovered allowing food intake, and playful behavior returned to normal. However, undigested food remained in stool after meals. Thus, a formula to tonify and regulate the spleen and stomach was adopted, including Xiyangshen (Ginseng Radix et Rhizoma Rubra), Heti (Nelumbinis Petiolus), Fuling (Poria), Jiao Gancao (Carbonized Glycyrrhizae Radix et Rhizoma), Jupi (Citri Reticulatae Pericarpium), Muxiang (Aucklandiae Radix), Dongzhu (Atractylodis Macrocephalae Rhizoma), Chao Biandou (Vigna Radiata Seed Prepared by Stir-frying), Shihu (Dendrobii Caulis), Guya (Hordei Fructus Germinatus), Zexie (Alismatis Rhizoma), and Wugu Chong (Bombyx Batryticatus). This aimed to nourish stomach yin and raise spleen yang. After several doses, all symptoms resolved. Several days later, re-exposure to summer-heat caused recurrence of diarrhea, fever, cough, and shortness of breath. Treatment focused solely on clearing summer-heat using Heye (Nelumbinis Folium), Lugen (Phragmitis Rhizoma), Bianduanhua (Faba Flos), Xianglian (Coptidis Rhizoma with Aucklandiae Radix), Guya (Hordei Fructus Germinatus), Zexie (Alismatis Rhizoma), Yiyuan San (Yi Yuan Powder), and Lüdoupi (Phaseoli Volubilis Testa). After several doses, the patient recovered.
A certain person from outside West Gate of Dinghai, arriving from Shanghai, contracted summer-heat. Heat toxin accumulated internally, causing intense fever, extreme thirst with desire to drink, pulse appearing surging, rapid, full, and large. Tongue coating was thick, yellow, turbid, and greasy. Diarrhea occurred over one hundred times daily, with no food intake. The condition was critical. I stated that summer-heat toxic pathogenic factors were bound in the Yangming channel. Fortunately, the severe diarrhea provided an exit for the pathogens; otherwise, intestinal rotting and gastric corruption would have led to death earlier. Although critical, there was no danger, but astringent or antidiarrheal drugs must not be used. Following Yu Jia Yan’s principle of "treating obstruction with purgatives" (Tong Yin Tong Yong), I prescribed Huanglian (Coptidis Rhizoma) 5 qian, Huangqin (Scutellariae Radix) 4 qian, Sheng Gancao (Raw Glycyrrhizae Radix et Rhizoma) 3 qian, Yinhua (Lonicerae Japonicae Flos) 5 qian, fresh Zhuye (Bambusae Folium) one handful, fresh Heye (Nelumbinis Folium) one leaf, Sheng Dahuang (Rhei Radix et Rhizoma) 5 qian, Yuanmingfen (Natrii Sulfas) 3 qian, and Huafen (Trichosanthis Radix) 4 qian. Decocted in Dijiang water (earth slurry water). After one dose, diarrhea significantly decreased. The next day, it occurred only a few times, and fever subsided. The original formula was administered again, removing Dahuang (Rhei Radix et Rhizoma) and Yuanmingfen (Natrii Sulfas). Such a critical condition was cured in just two doses, with fever receding and diarrhea stopping. Subsequently, the patient recovered through self-nourishment with millet porridge without further medication.