(医书谓之水谷泻)
〔钱〕食不消,脾胃冷,故不能消化,当补脾益黄散主之。〔洁〕乳食不消,初病忽然气出冷,四肢
亦冷,面白无光泽,精神不定,此乃胃气不和,可以大温药治之,使君子丸、益黄散主之。若病泄泻日久不
瘥,乳食不化,是脾胃有风冷,先服益黄散二服,后用宣风散导之,胃宜再补宜参大科飧泄门用之。
《圣惠》浓朴散 治小儿水谷利,羸瘦面黄,不欲饮食。
浓朴(去粗皮,涂生姜汁,炙令香熟) 龙骨 黄连(去须,微炒。各半两) 丁香 当归(锉,
微炒) 木香
白术 肉豆蔻(各一分)
上件药捣,细罗为散。每服以粥饮调下半钱,日三四服。量儿大小加减。
地榆散 治水谷利,日夜不止。
地榆(微炙,锉) 浓朴(去粗皮,涂生姜汁,炙令香熟。各三分) 黄连(一两,去须,微炒) 阿
胶(半两,捣碎,炒令黄色)
上件药捣,细罗为散。不计时候,以粥饮调下半钱。量大小加减。
《医局》胃风汤 治风冷乘虚入客肠胃,水谷不化,泄泻注下,腹胁满,肠鸣 痛。
及肠胃湿毒下如豆汁,或下瘀血,日夜无度,并宜服之。
人参(去芦头) 白茯苓(去皮) 芎 桂皮(去粗皮) 当归(去苗) 白芍药 白术(各等分)
上为粗散。每服二钱,以水一大盏,入粟米百粒,同煎七分,去滓稍热服,空心食前,小儿量减。
小儿大便青瓣飧泄,脉大手足寒,难已,脉小手足温,易已。
(Referred to as "Water and Grain Diarrhea" in medical texts)
[Qian Yi] Indigestion of food is due to cold deficiency of the Spleen and Stomach, hence the inability to digest. It should be primarily treated with Bupi Yihuang San (Spleen-Nourishing Yellow-Improving Powder). [Zhang Congzheng] Indigestion of milk and food, initially presenting with sudden cold breath and cold limbs, pale lusterless complexion, and unsettled spirit, indicates disharmony of Stomach Qi. It can be treated with strongly warming medicines, using Shijunzi Wan (Quince Seed Pill) or Yihuang San (Yellow-Improving Powder) as primary treatments. If diarrhea persists for a long time without improvement, and milk/food remains undigested, it indicates Wind-Cold in the Spleen and Stomach. First, take two doses of Yihuang San, then use Xuanfeng San (Wind-Releasing Powder) to guide/drain. The Stomach Qi should be tonified again; refer to the "Sun Xie Section" of Da Ke for application.
Shenghui Fang's Nongpu San treats pediatric Water and Grain Dysentery/Diarrhea, emaciation, yellowish complexion, and anorexia.
Nongpu (Magnoliae Officinalis Cortex, remove coarse bark, coat with fresh ginger juice, roast until fragrant and cooked) Longgu (Fossi Mastodi et Plastronis Carapax et Squama) Huanglian (Coptidis Rhizoma, remove stamens, lightly stir-fry. Each half liang) Dingxiang (Caryophylli Flos) Danggui (Angelicae Sinensis Radix, chop, lightly stir-fry) Muxiang (Aucklandiae Radix) Baizhu (Atractylodis Macrocephalae Rhizoma) Roudoukou (Myristicae Semen, each one fen).
The above herbs are pounded, finely sifted into powder. Each dose: mix half qian with rice water, taken orally. Three to four times daily. Adjust dosage according to the child's age and size.
Diyu San treats Water and Grain Diarrhea that does not cease day or night.
Diyu (Sanguisorbae Radix, lightly roasted, chopped) Nongpu (Magnoliae Officinalis Cortex, remove coarse bark, coat with fresh ginger juice, roast until fragrant and cooked. Each three fen) Huanglian (Coptidis Rhizoma, one liang, remove stamens, lightly stir-fry) Ejiao (Colla Corii Asini, half liang, crush, stir-fry until yellow).
The above herbs are pounded, finely sifted into powder. Take at any time, mix half qian with rice water. Adjust dosage according to the child's size.
Yiju Fang's Weifeng Tang treats Wind-Cold invading the intestines and stomach due to deficiency, causing indigestion of water and grain, profuse watery diarrhea, abdominal and hypochondriac fullness, borborygmus, and pain.
It is also suitable for cases where damp-toxin from the intestines and stomach discharges downward like bean curd residue, or dark blood, occurring day and night without restraint.
Renshen (Ginseng Radix et Rhizoma, remove rhizome head) Baifuling (Poria, remove skin) Xiong (Ligustici Chuanxiong Rhizoma) Guipi (Cinnamomi Cortex, remove coarse bark) Danggui (Angelicae Sinensis Radix, remove sprouts) Baishaoyao (Paeoniae Radix Alba) Baizhu (Atractylodis Macrocephalae Rhizoma, all equal parts).
Make into a coarse powder. Each dose: two qian, decoct with one large cup of water and one hundred grains of millet until reduced to seven-tenths. Strain and drink slightly warm. Take on an empty stomach before meals. Reduce dosage for children.
Pediatric stool appearing as green clumps in Sun Xie (undigested food diarrhea), with a large pulse and cold hands and feet, is difficult to cure; with a small pulse and warm hands and feet, it is easy to cure.