〔钱〕伤寒吐泻，身温乍凉乍热，睡多气粗，大便黄白色，呕吐乳食不消，时咳嗽，更有五脏兼见证，当煎入
脏君臣药，先服大青膏，后服益黄散。如先曾下，或无下证慎不可下，此乃脾肺受寒，不能入脾也。（洁古云，身温
吐泻咳嗽，是风木入于脾，母虚，其子亦弱，法当煎槟榔豆蔻汤下大青膏，后服益黄散。）
伤风吐泻，身热多睡，能食乳，饮水不止，吐痰，大便黄水，此为胃虚热渴吐泻也，当生胃中津液，以止其
渴，止后，用发散药。止渴多服白术散，发散大青膏主之。（洁古云，吐泻身热而渴、小便少者，五苓散主之，
身热而呕者，当服白术散，后煎槟榔木香汤下大青膏。）
伤风吐泻，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，发散大青膏主之。此二证多病于春冬也。（洁古云，身凉吐泻，
不渴者、则知为寒，煎附子桂枝汤、下大青膏）
大青膏
天麻（末，一分） 白附子（末，生，一钱半） 蝎尾（去毒，生，半钱） 朱砂（研，一字匕） 青黛（一钱，
研） 麝香（一字匕） 乌蛇稍肉（酒浸，焙干，取末，半钱） 天竺黄（一字匕，研）
上，同再研细，生蜜和成膏。每服半皂子大至一皂子大，月中儿粳米大，同牛黄膏、温薄荷水，化一处服之，
五岁以上，同甘露散服之。
小儿伤于风冷，病吐泻，医谓脾虚，以温补之，不已，复以凉药治之，又不能散，谓之本伤风，医者乱攻之，
因脾气积虚，内不能散，外不能解，至十余日，其证多睡露睛身温，风在脾胃，故大便不聚而为泻，当去脾间风，
风退则痢止，宣风散主之。后用使君子丸补其胃。亦有诸吐痢久不瘥者，则脾虚生风，而成慢惊矣。
〔海〕吐泻过多，脾胃虚乏，欲生风候者。四君子加白附子减半，生姜煎服。
守胃散 治阴阳不和，吐泻不止，预防风证，常调脾胃，进饮食。
人参（去芦） 白术 白茯苓（去皮） 山药（去黑皮） 干葛 扁豆（炒，去壳） 南星（锉碎，瓦器盛，东壁
土同酷煮少时，滤干，切片，焙）甘草 藿香（去梗） 防风（去芦） 天麻（各半两）
上锉。每服二钱，水一钟，姜二片，冬瓜子仁五十粒掐碎，煎七分，空心温服。
如泻不止，入沉香、白豆蔻同煎。
钓藤饮 治吐利，脾胃气虚生风。
钓藤钩（二钱） 蝉壳 天麻 防风 蝎尾（去毒） 人参（各半两） 麻黄 僵蚕（炒） 甘草（
炙） 川芎（各二钱五分） 麝香（五分）
上为末。水煎服。虚寒，加附子一钱。
[Qian Yi] For vomiting and diarrhea caused by cold damage (Shanghan), with body temperature fluctuating between warm and cool, excessive sleepiness, coarse breathing, yellowish-white stool, vomiting of undigested milk and food, occasional coughing, and concurrent symptoms involving the five zang organs, one should decoct and add "Zang Jun Chen" herbs. Administer Daqing Gao first, followed by Yihuang San. If purgatives have been used previously, or if there are no indications for purgation, absolutely avoid using purgatives. This condition arises from cold invading the spleen and lungs, impairing the spleen's ability to transform and transport. (Jiegu stated: Warm body, vomiting, diarrhea, and cough indicate wind-wood invading the spleen-earth. Since the mother organ is deficient, the child organ is also weak. The treatment method involves decocting Binglang Doukou Tang to administer Daqing Gao, followed by Yihuang San.)
For vomiting and diarrhea caused by wind-cold injury (Shangfeng), with fever, excessive sleepiness, ability to suckle, incessant drinking, vomiting of phlegm, and yellow watery stool, this is due to stomach deficiency heat causing thirst, vomiting, and diarrhea. One should generate fluids in the stomach to relieve thirst. After the thirst is relieved, use dispersing agents. Baizhu San is often taken to relieve thirst, while Daqing Gao is the primary formula for dispersing pathogenic factors. (Jiegu stated: For vomiting and diarrhea with fever, thirst, and scanty urine, Wuling San is indicated. For fever with vomiting, Baizhu San should be taken, followed by Binglang Muxiang Tang administered with Daqing Gao.)
For vomiting and diarrhea caused by wind-cold injury, with a cool body, foaming at the mouth, green or white stool, chest stuffiness, restlessness, absence of thirst, hiccups accompanied by long sighs, and eyes half-open during sleep, this results from prolonged wind-cold invasion leading to weakness and deficiency, thereby causing vomiting and diarrhea. The treatment should first tonify the spleen, then disperse the exterior. Yihuang San is used to tonify the spleen, and Daqing Gao is used to disperse the exterior. These two conditions commonly occur in spring and winter. (Jiegu stated: A cool body with vomiting, diarrhea, and absence of thirst indicates cold. Decoct Fuzi Guizhi Tang to administer Daqing Gao.)
Daqing Gao
Tianma (Gastrodiae Rhizoma, ground into powder, 1 fen)
Baifuzi (Aconiti Kusnezoffii Radix Praeparata, raw, ground into powder, 1.5 qian)
Xiewei (Scorpio, venom removed, raw, 0.5 qian)
Zhusha (Cinnabaris, ground, amount equivalent to one character spoonful)
Qingdai (Indigo Naturalis, 1 qian, ground)
Shexiang (Moschus, amount equivalent to one character spoonful)
Wushe Shao Rou (Deinagkistrodon acutus meat, soaked in wine, dried over fire, ground into powder, 0.5 qian)
Tianzhuhuang (Bambusae Concretio Silicea, amount equivalent to one character spoonful, ground)
Grind all ingredients together finely again. Mix with raw honey to form a paste. Each dose should be the size of half to one soap pod. Infants around one month old should receive a dose the size of a rice grain. Mix with Niuhuang Gao and dissolve in warm Mentha water before administration. Children over five years old should take it mixed with Ganlu San.
When infants are injured by wind-cold, resulting in vomiting and diarrhea, physicians may attribute it to spleen deficiency and treat with warming and tonifying methods. If ineffective, they may switch to cooling drugs, which fail to disperse the pathogen. This is termed "original wind-cold." Physicians' indiscriminate attacking treatments lead to accumulated spleen qi deficiency. Internally unable to dissipate, externally unable to resolve, after more than ten days, symptoms include excessive sleepiness, eyes half-open, and warm body. Wind resides in the spleen and stomach, causing loose stools. One must eliminate wind from the spleen; once wind recedes, dysentery stops. Xuanfeng San is indicated. Subsequently, Shijunzi Wan is used to tonify the stomach. In cases where various vomiting and dysentery persist without recovery, spleen deficiency generates wind, leading to slow convulsions (Man Jing).
[Hai Zang] Excessive vomiting and diarrhea lead to spleen and stomach deficiency and exhaustion, with a tendency to develop wind syndromes. Use Sijunzi Tang plus Baifuzi (at half dosage), decocted with fresh ginger.
Shouwei San Treats disharmony of yin and yang, incessant vomiting and diarrhea, prevents wind syndromes, regularly regulates the spleen and stomach, and promotes appetite.
Renshen (Panax ginseng, remove rhizome)
Baizhu (Atractylodis Macrocephalae Rhizoma)
Baifuling (Poria, remove skin)
Shanyao (Dioscoreae Rhizoma, remove black skin)
Gange (Puerariae Radix)
Biandou (Dolichoris Semen, stir-fry, remove shell)
Nanxing (Pinelliae Rhizoma Praeparatum, chop, place in earthenware vessel, boil briefly with earth from east wall and vinegar, filter, dry, slice, bake)
Gancao (Glycyrrhizae Radix et Rhizoma)
Huoxiang (Agastaches Herba, remove stems)
Fangfeng (Saposhnikoviae Radix, remove rhizome)
Tianma (Gastrodiae Rhizoma) (Each 0.5 liang)
Chop the herbs. Each dose: 2 qian. Add 1 zhong of water, 2 slices of fresh ginger, and 50 crushed Benincasae Semen. Decoct until 0.7 zhong remains. Take warm on an empty stomach.
If diarrhea persists, add Chenxiang (Aquilariae Lignum Resinatum) and Baidoukou (Amomi Fructus Rotundus) and decoct together.
Diaoteng Yin Treats vomiting and diarrhea due to spleen and stomach qi deficiency generating wind.
Diaotenggou (Uncariae Ramulus cum Uncis, 2 qian)
Chanqiao (Cicadae Periostracum)
Tianma (Gastrodiae Rhizoma)
Fangfeng (Saposhnikoviae Radix)
Xiewei (Scorpio, venom removed)
Renshen (Panax ginseng) (Each 0.5 liang)
Mahuang (Ephedrae Herba)
Jiangcan (Bombyx Batryticatus, stir-fry)
Gancao (Glycyrrhizae Radix et Rhizoma, honey-fried)
Chuanxiong (Ligusticum Chuanxiong Rhizoma) (Each 2.5 qian)
Shexiang (Moschus, 0.5 fen)
Grind into powder. Decoct in water and take orally. For deficiency-cold patterns, add Fuzi (Aconiti Lateralis Radix Praeparata, 1 qian).