小儿吐泻,有身温者,有身热者,有身凉者,有吐泻成惊风者,有夏秋伤暑吐泻者,有初生三日内吐泻者。仲阳云∶
小儿初生三日内,吐泻壮热不思乳食,大便青白,乳食不消,或白色,是伤乳,当下之,后和胃,下用白饼子,和胃用
益黄散主之。三日以后至十日,吐泻,身温凉,不思乳食,大便青白色,乳食不消,此上实下虚也,用益黄散加减治之。
又伤风吐泻身温,乍凉乍热,气粗,大便黄白色,呕吐乳食不消,时时咳嗽,更有五脏兼见症,当服入脏君臣药,先大
青膏,后益黄散主之。又吐泻身热多睡能食乳,饮水不止,吐痰,大便黄水,皆为胃虚热渴吐泻也,当生胃中津液以止
其渴,止后用发散药,止渴多服白术散,发散大青膏、钩藤饮主之。又吐泻身凉吐沫,泻青白色,闷乱不渴,哽气长出
气,睡露睛,此伤风荏苒轻怯,因成吐泻,当补脾后发散,补脾益黄散,发散大青膏、钩藤饮。夏至后吐泻身壮热,热
症也,或因伤热,乳食呕吐不消,泻深黄色,玉露散主之,五苓散亦佳,香薷散、车前子散、可选而用之。若面色青黄,
知风热在脾,发直怕人,眼不合,是心中有毒液,更胃逆风搐。可服定命丹。
白饼子 见第十四问。
益黄散 见第八问。
大青膏 见第八问。
白术散 见第四十八问钱氏白术散。
钩藤散 见第十六问。
玉露散 见第五十三问。
五苓散 见第五十二问。
香薷散 见第六十问。
车前子散 治暑月伏热,霍乱吐泻,烦闷引饮不止,通利小便。
白茯苓 猪苓 香薷 车前子(各一两) 人参(五钱)
上末,每服一钱,灯心汤调下。肚痛加芍药,泻不止加石莲肉。
定命饮子 见第十六问。
理中汤 见第五十三问。
不换金正气散 治山岚障气,寒热往来,五膈气噎,霍乱吐泻,脏腑虚寒。
浓朴(去皮、姜汁炒) 藿香(去土) 陈皮(去白) 甘草(炙) 苍术(米泔浸、各一两) 半夏(皂荚、白
矾、姜汁同煮、一两)
上 咀,每服三钱,水一盏,生姜三片,大枣二枚,煎七分绞去滓,食前带热服。
二顺散 治伏热中暑,霍乱吐泻,烦闷躁渴,小便赤色,便血肚疼。
猪苓 泽泻 茯苓 白术 甘草(炙) 桂 干葛 杏仁(去皮尖,各一两)
上为末,每服半钱或一钱,新汲水调下。
又酿乳法 治胃虚吐泻,睡中吐舌摇头,吐乳作腥气,额上汗流,多惊啼哭面黄,凡有此疾,宜暂断乳,令胃
干饥甚用药,令乳母酿乳。
人参 木香 藿香 沉香 陈皮 神曲 麦芽(各一两) 丁香(半两)
上 咀,每服四钱,姜三片,紫苏十叶,枣三个煎,乳母食后捏去旧乳汁尽,方服半盏许,卧少时,却与儿乳。
Pediatric vomiting and diarrhea may present with a warm body, a hot body, or a cold body; some cases develop into convulsions (Jing Feng) due to vomiting and diarrhea; some occur in summer and autumn due to heatstroke (Shang Shu); and some occur within the first three days after birth.
Qian Yi (courtesy name Zhongyang) stated:
Within the first three days after birth, if an infant presents with vomiting, diarrhea, high fever, anorexia, greenish-white stools, indigestion of milk and food, or white vomitus, this is caused by milk injury. It should be treated with purgation, followed by harmonizing the stomach. For purgation, use Baibing Zi (White Pill), and for harmonizing the stomach, use Yihuang San (Golden Yellow Powder).
From the third day to the tenth day after birth, if vomiting and diarrhea occur with a normal or cool body temperature, anorexia, greenish-white stools, and indigestion of milk and food, this indicates excess in the upper jiao and deficiency in the lower jiao. It should be treated with modified Yihuang San (Golden Yellow Powder).
If vomiting and diarrhea are caused by wind-cold invasion, presenting with a warm body, alternating chills and fever, coarse breathing, yellowish-white stools, vomiting of undigested milk/food, frequent coughing, and concurrent symptoms of the five zang organs, one should administer herbs targeting the zang organs. First use Daqing Gao (Green Paste), followed by Yihuang San (Golden Yellow Powder).
Furthermore, if vomiting and diarrhea are accompanied by fever, lethargy yet ability to suckle, excessive thirst, vomiting of phlegm, and yellow watery stools, these are signs of stomach deficiency-heat leading to thirst and vomiting/diarrhea. One should generate fluids in the stomach to quench thirst, and subsequently use dispersing herbs. For quenching thirst, take Baizhu San (Atractylodes Macrocephala Powder); for dispersing, use Daqing Gao (Green Paste) and Gouteng Yin (Uncaria Decoction).
If vomiting and diarrhea present with a cold body, salivation, greenish-white stools, restlessness without thirst, belching with long sighs, and sleeping with eyes partially open, this is mild weakness resulting from prolonged wind-cold invasion causing vomiting and diarrhea. One should tonify the spleen first, then disperse pathogens. Use Yihuang San (Golden Yellow Powder) to tonify the spleen, and Daqing Gao (Green Paste) with Gouteng Yin (Uncaria Decoction) to disperse.
Vomiting and diarrhea occurring after the Summer Solstice with high fever belong to heat syndromes, possibly due to heat injury. If milk and food are vomited undigested and stools are deep yellow, use Yulu San (Jade Dew Powder). Wuling San (Five-Ling Powder) is also excellent; Xiangru San (Elsholtzia Powder) and Cheqianzi San (Plantago Seed Powder) can be selected as appropriate.
If the complexion is greenish-yellow, it indicates wind-heat in the spleen. Straightened hair, fear of people, and eyes failing to close suggest toxic fluid in the heart, compounded by stomach rebellion and wind convulsions. Dingming Dan (Life-Stabilizing Pill) can be administered.
Baibing Zi (White Pill) See Question 14.
Yihuang San (Golden Yellow Powder) See Question 8.
Daqing Gao (Green Paste) See Question 8.
Baizhu San (Atractylodes Macrocephala Powder) See Question 48 Qian's Baizhu San.
Gouteng San (Uncaria Powder) See Question 16.
Yulu San (Jade Dew Powder) See Question 53.
Wuling San (Five-Ling Powder) See Question 52.
Xiangru San (Elsholtzia Powder) See Question 60.
Cheqianzi San (Plantago Seed Powder) Treats latent heat in summer months, cholera-like vomiting and diarrhea, irritability with incessant drinking, and promotes urination.
Ingredients: Bai Fuling (Poria), Zhu Ling (Polyporus), Xiang Ru (Elsholtzia), Che Qian Zi (Plantago Seed) (each 1 liang), Ren Shen (Ginseng) (5 qian).
Preparation and Administration: Grind into powder. Take 1 qian per dose, mixed with Deng Xin Tang (Juncus Decoction). Add Shao Yao (Peony) for abdominal pain; add Shi Lian Rou (Nelumbo Seed Flesh) if diarrhea persists.
Dingming Yinzi (Life-Stabilizing Decoction) See Question 16.
Lizhong Tang (Regulate the Middle Decoction) See Question 53.
Buhuanjin Zhengqi San (Unchanging Metal Upright Qi Powder) Treats mountain miasma, alternating chills and fever, qi obstruction in the five diaphragms, cholera-like vomiting and diarrhea, and deficiency-cold of the zang-fu organs.
Ingredients: Hou Po (Magnolia Bark, peeled, stir-fried with ginger juice), Huo Xiang (Patchouli, cleaned), Chen Pi (Tangerine Peel, pith removed), Gan Cao (Licorice, honey-fried), Cang Zhu (Atractylodes Rhizome, soaked in rice water, each 1 liang), Ban Xia (Pinellia Tuber, boiled with Gleditsia Sinensis, alum, and ginger juice, 1 liang).
Preparation and Administration: Coarsely crush. Take 3 qian per dose, with 1 cup of water, 3 slices of fresh ginger, and 2 dates. Decoct until reduced to 70%, strain, and take warm before meals.
Ershun San (Two-Harmonies Powder) Treats latent heat and summerheat stroke, cholera-like vomiting and diarrhea, irritability and restless thirst, dark urine, hematochezia, and abdominal pain.
Ingredients: Zhu Ling (Polyporus), Ze Xie (Alisma), Fu Ling (Poria), Bai Zhu (Atractylodes Macrocephala), Gan Cao (Licorice, honey-fried), Gui (Cinnamon Twig), Gan Ge (Kudzu Root), Xing Ren (Apricot Seed, skin and tip removed, each 1 liang).
Preparation and Administration: Grind into powder. Take 0.5 qian or 1 qian per dose, mixed with fresh well-water.
Additionally, the "Nurturing Milk Method": Treats vomiting and diarrhea due to stomach deficiency, tongue protrusion and head shaking during sleep, foul-smitting vomited milk, sweating on the forehead, frequent fright crying, and sallow complexion. For such conditions, temporarily stop breastfeeding. Allow the infant's stomach to empty and become very hungry, then administer medicine to the nursing mother to "nurture" the milk.
Ingredients: Ren Shen (Ginseng), Mu Xiang (Aucklandia), Huo Xiang (Patchouli), Chen Xiang (Aquilaria Wood), Chen Pi (Tangerine Peel), Shen Qu (Medicated Leaven), Mai Ya (Barley Sprout) (each 1 liang), Ding Xiang (Clove) (0.5 liang).
Preparation and Administration: Coarsely crush. Take 4 qian per dose, decocted with 3 slices of ginger, 10 leaves of Zi Su (Perilla), and 3 dates. After the nursing mother eats, she should express and discard all old breast milk, then drink approximately half a cup of the decoction. After lying down for a short while, she may then breastfeed the infant.