小儿秋夏伏暑，多有热吐，其吐黄涎，头额温，五心热，小便或赤而少，乃热吐也，或干呕而无物，宜香薷饮。
〔薛〕小儿热吐者，因多食甘甜炙爆之物，或乳母膏粱浓味，胃经积热，或夏间暑气内伏于胃所致。若肌肉 动，
烦热作渴者，暑伤胃气也，先用香薷散，次用竹茹汤。若吐乳色黄，不能受纳者，胃经有热也，先用泻黄
散，次用人参安胃散。若吐出酸秽者，乳食内停也，用保和丸。吐乳不消者，胃气弱也，用异功散。吐而少食，
腹痛欲按者，脾气虚也，用六君子加木香。凡诸证，
当验其手指热则胃热，冷则胃寒，热用泻黄散，寒用理中汤，不热不寒，异功散调之。
〔钱氏〕玉露散（方见吐泻）
香薷散 治寒温不适，饮食失调，或外因风寒暑邪，致吐利心腹疼痛，霍乱气逆，
发热头痛，或转筋拘急，或疼痛呕哕，四肢逆冷。
香薷（一两） 茯苓 白扁豆（炒） 浓朴（姜汁制。各五钱）
上，每服二三钱，水煎，加酒半杯冷服，立效。
竹茹汤 治胃受邪热，心烦喜冷，呕吐不止。
葛根（七钱半） 半夏（炮，半两） 甘草（炙，三钱）
上，每服一二钱，入竹茹枣许大，姜水煎取清汁，微冷，细细服。加茯苓三钱尤妙。
〔钱氏〕藿香散 治脾胃虚，有热面赤，呕吐涎嗽，及转过度者，宜服。
麦门冬（去心，焙） 半夏曲（炒） 甘草（炙。各半两） 藿香（一两用叶） 石膏（半两）
上为末。每服五分至一钱，水一盏半，煎七分，食前温服。
《本事》麦门冬散 治小儿呕吐，脉数有热。
麦门冬 半夏 人参 茯苓（各二钱） 甘草（一钱）
上为末。每服二钱，水一盏，姜三片，煎至五分，去滓温服，日二三服。
〔汤氏〕清膈饮子 治小儿伏暑呕吐。
香薷 淡竹叶（各一两） 白茯苓 人参 半夏 檀香 甘草（炙。各半两） 白粳米（一合）
上 咀。姜煎，温服。大小加减。
《圣惠》麦门冬散 治呕吐不止，心神烦热。
麦门冬（焙） 淡竹茹（各半两） 甘草（炙） 人参 茅根 陈皮（去白、焙，各一分）
上为粗末。每服一钱，水一小盏，姜少许，煎五分，稍热频服。量大小加减。
治呕吐心烦热芦根粥
生芦根（二两） 粟米（一合）
上，用水二大盏，煎至一半，去滓，投米作粥，姜蜜少许食。
大顺饮 解冒暑毒烦渴，吐泻腹痛，发热神昏，或衄血、咯血，及大腑下血，小
便黄少，口干汗多。
细面（二十两） 生姜（十六两） 赤茯苓（去皮） 粉草（各五两）
上，先以生姜方切如绿豆样，石钵内杵烂，入面再杵匀，摊作薄片，烈日中曝干，赤茯苓、粉草二味细锉，
同前姜面片或晒或焙，合研为末。每服二钱，新汲井水，无时调服。或温熟汤。
绿豆饮 解误服剂热之毒，烦躁闷乱，或作吐，或狂渴，宜先投下，次服对证药剂。
绿豆粉（一两） 净黄连 干葛 甘草（各半两）
上，除绿豆粉外，余三味共为细末，入乳钵同绿豆粉杵匀。每服半钱至一钱，温豉汤调服。
益元散 治热吐面赤气粗，小水短少，伤暑作吐尤佳。
滑石（六钱） 甘草（一钱）
上为细末。姜汁调，灯心汤下。吐甚者，井花水下。
《济生》竹茹汤 治热吐，口渴烦躁。
橘红 干葛 甘草 麦门冬 竹茹 生姜
上，水煎服。热甚者，加姜连。
Pediatric patients in autumn and summer often suffer from heat-induced vomiting (Re Tu) due to latent summerheat (Fu Shu). They may vomit yellow saliva, have a warm forehead, experience heat in the five centers (Wu Xin Re - heat sensation in palms, soles, and chest), and have scanty, reddish urine. This constitutes heat-induced vomiting. Alternatively, they may present with dry retching without expulsion of matter, for which Xiangru Yin (Elsholtzia Decoction) is indicated.
[Xue Ji] Heat-induced vomiting in children arises from excessive consumption of sweet, fried, or roasted foods, or from the nursing mother consuming rich and greasy foods, leading to accumulated heat in the Stomach Meridian. It may also result from summerheat pathogens lying latent within the Stomach during summer. If muscle twitching occurs accompanied by irritability, fever, and thirst, this indicates summerheat damaging Stomach Qi; treat first with Xiangru San (Elsholtia Powder), followed by Zhuru Tang (Bamboo Shavings Decoction). If vomited milk appears yellow and the child cannot tolerate nourishment, this indicates heat in the Stomach Meridian; treat first with Xiehuang San (Drain the Yellow Powder), followed by Renshen Anwei San (Ginseng Stomach-Calming Powder). If sour and foul matter is vomited, this indicates retention of milk and food within; use Baohe Wan (Preserve Harmony Pill). If undigested milk is vomited, this indicates weak Stomach Qi; use Yigong San (Extraordinary Skill Powder). If vomiting is accompanied by poor appetite, abdominal pain relieved by pressure, this indicates Spleen Qi Deficiency; use Liujunzi Tang (Six Gentlemen Decoction) added with Muxiang (Aucklandiae Radix). For all such syndromes, examine the temperature of the fingers: if hot, it indicates Stomach Heat, treated with Xiehuang San; if cold, it indicates Stomach Cold, treated with Lizhong Tang (Regulate the Middle Decoction); if neither hot nor cold, regulate with Yigong San.
[Qian Yi] Yulu San (Jade Dew Powder) [Formula see Vomiting and Diarrhea chapter].
Xiangru San (Elsholtia Powder) Treats discomfort from cold/heat imbalance, dietary irregularities, or external invasion of Wind-Cold-Summerheat pathogens, causing vomiting, diarrhea, heart and abdominal pain, Huoluan (Cholera-like syndrome) with rebellious Qi, fever, headache, tendon spasms, painful vomiting/hiccup, and cold extremities.
Ingredients: Xiangru (Herba Elsholtziae, 1 liang), Fuling (Poria, 5 qian), Baibiandou (Semen Phaseoli Volubilis, stir-fried, 5 qian), Houpo (Cortex Magnoliae Officinalis, processed with ginger juice, 5 qian).
Preparation: Take 2-3 qian per dose, decoct in water, add half cup of wine, and take cold. Effect is immediate.
Zhuru Tang (Bamboo Shavings Decoction) Treats pathogenic heat affecting the Stomach, irritability, preference for cold, and persistent vomiting.
Ingredients: Gegen (Radix Puerariae Lobatae, 7.5 qian), Banxia (Rhizoma Pinelliae Preparatum, processed, 0.5 liang), Gancao (Radix Glycyrrhizae Preparata, honey-fried, 3 qian).
Preparation: Take 1-2 qian per dose, add a piece of Zhuru (Bamboo Shavings) the size of a jujube, decoct with ginger water to extract clear liquid, cool slightly, and sip slowly. Adding Fuling (Poria, 3 qian) is especially beneficial.
[Qian Yi] Huoxiang San (Agastache Powder) Treats Spleen-Stomach deficiency with heat manifesting as facial redness, vomiting of saliva/phlegm, cough, and hyperventilation.
Ingredients: Maimendong (Radix Ophiopogonis, de-heartened, baked), Banxiaqu (Massa Medicata Fermentata Baked, stir-fried), Gancao (Radix Glycyrrhizae Preparata, honey-fried, 0.5 liang each), Huoxiang (Herba Agastaches, leaves only, 1 liang), Shigao (Gypsum Fibrosum, 0.5 liang).
Preparation: Grind into powder. Take 0.5-1 qian per dose, decoct in 1.5 cups of water until reduced to 0.7 cups, take warm before meals.
*Ben Shi Fang* (Formulas of Great Importance) Maimendong San (Ophiopogon Powder) Treats pediatric vomiting with rapid pulse and heat signs.
Ingredients: Maimendong (Radix Ophiopogonis), Banxia (Rhizoma Pinelliae Preparatum), Renshen (Radix Ginseng), Fuling (Poria, 2 qian each), Gancao (Radix Glycyrrhizae Preparata, 1 qian).
Preparation: Grind into powder. Take 2 qian per dose, decoct in 1 cup of water with 3 slices of ginger until reduced to 0.5 cups, strain, and take warm. Administer 2-3 times daily.
[Tang Shi] Qingge Yinzi (Clear Diaphragm Infusion) Treats pediatric vomiting due to latent summerheat.
Ingredients: Xiangru (Herba Elsholtisiae), Danzhuyez (Folium Lophatheri, 1 liang each), Bai Fuling (Poria, 0.5 liang), Renshen (Radix Ginseng, 0.5 liang), Banxia (Rhizoma Pinelliae Preparatum, 0.5 liang), Tanxiang (Lignum Santali Rubrum, 0.5 liang), Gancao (Radix Glycyrrhizae Preparata, honey-fried, 0.5 liang), Bai Jingsmi (Oryza Sativa Indica, 1 he).
Preparation: Coarsely chop. Decoct with ginger, take warm. Adjust dosage according to age/size.
*Sheng Hui Fang* (Holy Relief Formulas) Maimendong San (Ophiopogon Powder) Treats persistent vomiting and mental irritability with heat.
Ingredients: Maimendong (Radix Ophiopogonis, baked), Dan Zhuru (Bamboo Shavings, 0.5 liang each), Gancao (Radix Glycyrrhizae Preparata, honey-fried), Renshen (Radix Ginseng), Maogen (Radix Imperatae), Chenpi (Pericarpium Citri Reticulatae, peeled, baked, 1 fen each).
Preparation: Grind into coarse powder. Take 1 qian per dose, decoct in a small cup of water with a little ginger until reduced to 0.5 cups, take frequently while slightly warm. Adjust dosage according to age/size.
Reed Root Porridge for Treating Vomiting with Mental Irritability and Heat
Ingredients: Sheng Lugeng (Rhizoma Phragmitis Communis, 2 liang), Sumi (Sorghum Vulgare, 1 he).
Preparation: Decoct Lugeng in two large cups of water until reduced by half, strain, add rice to make porridge, consume with a little ginger and honey.
Dashun Yin (Great Harmony Drink) Resolves toxicity from summerheat exposure causing irritability and thirst, vomiting/diarrhea with abdominal pain, fever with coma, epistaxis, hemoptysis, lower gastrointestinal bleeding, scanty yellow urine, dry mouth, and profuse sweating.
Ingredients: Fine Wheat Flour (20 liang), Fresh Ginger (Zingiberis Rhizoma Recens, 16 liang), Chi Fuling (Poria with Red Skin, peeled, 5 liang), Fencao (Radix Glycyrrhizae Preparata, 5 liang).
Preparation: Cut fresh ginger into mung-bean-sized cubes, pound thoroughly in a stone mortar, mix with flour and pound again until uniform. Spread into thin slices and dry in strong sunlight. Finely chop Chi Fuling and Fencao, combine with the ginger-flour slices, dry or bake, then grind into powder. Take 2 qian per dose, mixed with fresh well water at any time, or with warm cooked soup.
Mung Bean Drink Resolves toxicity from mistakenly ingesting hot/warm medicines, causing irritability, confusion, vomiting, or manic thirst. Administer this first, then treat with specific formulas.
Ingredients: Lüdoufen (Amylum Phaseoli Radiati, 1 liang), Jing Huanglian (Rhizoma Coptidis, cleaned, 0.5 liang), Gan Ge (Radix Puerariae Lobatae Dried, 0.5 liang), Gancao (Radix Glycyrrhizae Preparata, 0.5 liang).
Preparation: Grind the three herbs (excluding mung bean powder) into fine powder, mix with mung bean powder in a mortar. Take 0.5-1 qian per dose, mixed with warm Doujiang (Fermented Soybean Beverage).
Yiyuan San (Benefit Origin Powder) Treats heat-induced vomiting with facial redness, rough breathing, and scanty urination; particularly effective for vomiting caused by summerheat injury.
Ingredients: Huashi (Talcum, 6 qian), Gancao (Radix Glycyrrhizae Preparata, 1 qian).
Preparation: Grind into fine powder. Mix with ginger juice, take down with Dengxin Tang (Juncus Decoction). For severe vomiting, take down with well water.
*Ji Sheng Fang* (Formulas for Sustaining Life) Zhuru Tang (Bamboo Shavings Decoction) Treats heat-induced vomiting with thirst and irritability.
Ingredients: Juhong (Exocarpium Citri Grandis), Gan Ge (Radix Puerariae Lobatae Dried), Gancao (Radix Glycyrrhizae Preparata), Maimendong (Radix Ophiopogonis), Zhuru (Bamboo Shavings), Shengjiang (Zingiberis Rhizoma Recens).
Preparation: Decoct in water and take. For severe heat, add Jianglian (Ginger-processed Coptis).