以及痰闭火闭气闭乍然卒死
一时无药,即以大指掐其人中穴,病轻者一掐即啼哭而醒,倘不应再掐合谷(穴在大指
二指合缝处),又不应掐中冲穴(穴在两中指端离甲外),若再不应,其病至重,则以艾丸如
萝卜子大,安于中冲穴灸之,火到即活。
名曰胎疟。每日冰糖五钱,煎汤饮之。虽隔两日发疟一次,十日必愈。或以蝉蜕二两包
好作枕,与儿睡之,其疟亦止,神效之至。
人家动土,冲犯土神,以致小儿气喘,人多不和,宜请人查明九宫,看太阳宫在何处,
取此处之土煎水服,仍须安谢土神,即愈。若不见效,则非冲犯,须请名医治之。
与脾胃及泄泻各门参看。小儿吐泻,其症不一,最宜详审。有因伤食吐泻者,有因感寒
停食而吐泻者,夏月则有因伏暑吐泻者。伤食吐泻者其吐有酸气,其泻粪状如糟粕,亦有酸
臭气者,宜消导之。感寒停食而吐泻者,或食后感冒风寒则其食停滞不化,或脾胃先受风寒
而后饮食,则其食亦停滞不化,或饮食后误食寒冷之物,则其食亦停滞不化,虽致病不同,
其为感寒停食则一也。此宜发散而兼消导。然此吐泻,或多胸腹刺痛,即霍乱吐泻是也。治
法亦同。伏暑吐泻者,小水必不利,必兼烦渴,当以暑治之。吐甚者煎香薷散调益元散,泻
甚者煎四苓散调益元散,须斟酌用之。然而吐泻交作,最是小儿危证。若其屡作不止,则不
论何因,皆当用参术等急救胃气,不惟伤食停食者当急救之,即伏暑者亦当急救之。盖其初
虽有暑气,而多吐多泻之后,则热气已散,而胃气骤虚。若不用温补急救,恐中气顿绝,则
虚痰上涌,须臾告变矣。且多吐之后,胃气大虚,气不归元,而阳浮于外,反有面赤头热、
身热、作渴而似热症者,俗医不知其理,误认为热而投以凉药,杀人如反掌,甚可畏也。故
治吐泻而药不中病者,与其失之寒凉,不若失之温补犹可救疗,失之寒凉,其祸甚速,多不
及救也。
加味平胃散∶治伤食吐泻。苍术(淘米水浸洗)、浓朴(去皮,姜法炒)、山楂肉各六分,
陈皮(去白)、青皮、麦芽、香附(米炒)、砂仁(研)、小川芎各四分,甘草炙二分,生姜
三片
藿香和中汤∶治感寒停食吐泻。藿香、紫苏、炒香附、制苍术、制浓朴、山楂肉、小川
芎各六分,羌活、砂仁、麦芽(炒)、白芷、陈皮(去白)各四分,炙甘草二分,生姜三片,
煎
香薷散∶以下三方伏暑吐泻用。大花香薷二钱,白扁豆(炒,去壳,打碎)、制浓朴各
一
四苓散∶赤苓(去皮)、猪苓、泽泻各一钱二分,白术八分,木通、车前(微炒)各五
分,
辰砂益元散∶滑石飞过六两,甘草末一两,辰砂飞过三钱,共和匀,每服小儿一钱,大
人二钱,灯心汤下。
钱氏白术散∶治吐泻已久,虚火作渴者。党参、白术、茯苓、炙草、干葛各五分,南木
香二分,姜三片,水煎温服。
参砂和胃散∶治虚寒呕吐不止。党参、砂仁(研细)、制半夏各四分,白术(土炒)、茯
苓
姜米汤∶吐多而胃气欲绝者,用此安胃。老生姜一块重一两多,煨熟去皮研烂,用水
一碗,陈米二撮,同入瓦罐煎好,候温缓缓与服,其呕即止。
凡呕吐交作者,止吐为急。吐而不泻者,均用生姜米汤最效。
烧针丸∶治吐泻如神。黄丹(水飞)、朱砂(水飞)、枯矾各等分,为末,红枣为丸黄豆
大
服
治
As well as cases of sudden death due to blockage by phlegm (Phlegm Obstruction), fire (Fire Obstruction), or qi (Qi Obstruction).
If no medicine is available at the moment, immediately pinch the Renzhong acupoint (GV26) with the thumb; for mild conditions, crying and waking will occur upon a single pinch. If there is no response, pinch the Hegu acupoint (LI4) (located in the web between the thumb and index finger); if still no response, pinch the Zhongchong acupoint (PC9) (located at the tip of the middle finger, outside the nail); if there is still no response, the condition is extremely severe. In this case, place an moxa cone the size of a radish seed on the Zhongchong acupoint (PC9) and apply moxibustion. The patient will revive once the heat reaches the area.
This condition is named fetal malaria (Tai Nue). Take five qian of rock sugar daily, decoct in water, and drink. Even if the malaria attacks once every two days, it will definitely be cured within ten days. Alternatively, wrap two liang of cicada slough (Chantui) to make a pillow for the child to sleep on; the malaria will also cease, which is extremely effective.
When earth-moving activities at home offend the Earth God, causing infantile asthma and discord among family members, one should invite someone to determine the Nine Palaces positions, identify where the Taiyang Palace is located, take soil from that location, decoct it in water, and administer it. One must also perform rituals to appease the Earth God, after which the patient will recover. If there is no effect, it is not due to offending the Earth God, and a renowned physician must be consulted for treatment.
Please refer to the sections on Spleen and Stomach and Diarrhea. Infantile vomiting and diarrhea present various symptoms and require careful examination. There are cases caused by food injury (Shang Shi), those caused by cold invasion leading to food stagnation, and in summer, those caused by latent summerheat (Fu Shu). For vomiting and diarrhea due to food injury, the vomit has a sour odor, and the stool resembles dregs, sometimes with a sour and foul smell; these should be treated with methods to promote digestion and guide out stagnation. For vomiting and diarrhea due to cold invasion and food stagnation, whether caused by catching wind-cold after eating, having the spleen and stomach first affected by wind-cold before eating, or consuming cold foods after meals, the result is food stagnation. Although the causes differ, they all fall under cold invasion and food stagnation. These should be treated with dispersing methods combined with promoting digestion. However, such vomiting and diarrhea often involve stabbing pain in the chest and abdomen, known as Huoluan vomiting and diarrhea. The treatment method is the same. For vomiting and diarrhea due to latent summerheat, urination is necessarily difficult, accompanied by irritability and thirst; these should be treated according to summerheat patterns. For severe vomiting, decoct Xiangru San (Elsholtzia Powder) mixed with Yi Yuan San (Benefit Origin Powder); for severe diarrhea, decoct Si Ling San (Four Porias Decoction) mixed with Yi Yuan San (Benefit Origin Powder); use these with discretion. However, alternating vomiting and diarrhea is the most critical condition in infants. If it occurs frequently and does not stop, regardless of the cause, Shen Qi (Ginseng Radix et Rhizoma) and Bai Zhu (Atractylodis Macrocephalae Rhizoma) etc. should be used to urgently rescue the Stomach Qi. This applies not only to food injury/stagnation but also to latent summerheat cases. Initially, although summerheat pathogen exists, after frequent vomiting and diarrhea, the heat dissipates, and Stomach Qi becomes suddenly deficient. If warm tonification is not used to urgently rescue, the Middle Qi may suddenly collapse, leading to floating deficiency-phlegm rising upward, and the condition may change drastically within moments. Furthermore, after frequent vomiting, Stomach Qi is greatly deficient, Qi fails to return to its root, and Yang floats externally, manifesting as red face, hot head, body heat, and thirst, resembling heat syndromes. Unskilled physicians, unaware of this principle, mistakenly diagnose it as heat and administer cooling medicines, killing patients as easily as turning a hand, which is truly terrifying. Therefore, when treating vomiting and diarrhea with ineffective medication, it is better to err on the side of warm tonification than on the side of cooling; errors of cooling lead to rapid disaster, often too late to save.
Jiawei Pingwei San (Modified Pingwei Powder): Treats vomiting and diarrhea due to food injury. Cang Zhu (Caulis Atractylodis Rhizoma, soaked and washed in rice water), Hou Po (Cortex Magnoliae Officinalis, peeled, stir-fried with ginger juice), Shan Zha Rou (Sarcocarpa Crataegi, 6 fen); Chen Pi (Pericarpium Citri Reticulatae, pith removed), Qing Pi (Pericarpium Citri Reticulatae Viride), Mai Ya (Frumentum Germinatum Hordeum, 4 fen); Xiang Fu (Rhizoma Cyperi, stir-fried with rice), Sha Ren (Fructus Amomi, crushed), Xiao Chuan Xiong (Radix Chuanxiong, 4 fen); Zhi Gan Cao (Radix Glycyrrhizae Preparata, 2 fen), Sheng Jiang (Rhizoma Zingiberis Recens, 3 slices).
Huoxiang Hezhong Tang (Agastache Harmonizing the Middle Decoction): Treats vomiting and diarrhea due to cold invasion and food stagnation. Huo Xiang (Herba Agastaches), Zi Su, Chao Xiang Fu (Stir-fried Rhizoma Cyperi), Zhi Cang Zhu (Processed Caulis Atractylodis Rhizoma), Zhi Hou Po (Processed Cortex Magnoliae Officinalis), Shan Zha Rou (Sarcocarpa Crataegi), Xiao Chuan Xiong (Radix Chuanxiong, 6 fen); Qiang Huo (Rhizoma Notopterygii), Sha Ren (Fructus Amomi), Chao Mai Ya (Stir-fried Frumentum Germinatum Hordeum), Bai Zhi (Radix Angelicae Dahuricae), Chen Pi (Pericarpium Citri Reticulatae, pith removed, 4 fen); Zhi Gan Cao (Radix Glycyrrhizae Preparata, 2 fen), Sheng Jiang (Rhizoma Zingiberis Recens, 3 slices), decoct and take.
Xiangru San (Elsholtzia Powder): The following three formulas are used for vomiting and diarrhea due to latent summerheat. Da Hua Xiang Ru (Herba Elsholtziae, 2 qian), Chao Bai Bian Dou (Stir-fried Semen Phaseoli Umbellati, shelled and crushed), Zhi Hou Po (Processed Cortex Magnoliae Officinalis, 1 qian).
Si Ling San (Four Poria Decoction): Chi Ling (Poria, peeled), Zhu Ling (Polyporus, 1.2 qian); Bai Zhu (Atractylodis Macrocephalae Rhizoma, 8 fen), Mu Tong (Caulis Akebiae), Chao Che Qian Zi (Stir-fried Semen Plantaginis, 5 fen).
Chensha Yi Yuan San (Cinnabar Benefit Origin Powder): Fei Hua Shi (Flown Talcum, 6 liang), Gan Cao Mo (Powdered Radix Glycyrrhizae, 1 liang), Fei Chensha (Flown Cinnabaris, 3 qian). Mix evenly. Infants take 1 qian per dose, adults take 2 qian per dose, taken with Deng Xin Tang (Junci Medullae Decoction).
Qian Shi Baizhu San (Dr. Qian's Atractylodes Powder): Treats prolonged vomiting and diarrhea with deficiency-fire causing thirst. Dang Shen (Codonopsis Radix), Bai Zhu (Atractylodis Macrocephalae Rhizoma), Fu Ling (Poria), Zhi Cao (Prepared Radix Glycyrrhizae), Gan Ge (Radix Puerariae, 5 fen); Nan Mu Xiang (Radix Aucklandoniae, 2 fen), Jiang (Zingiberis Rhizoma, 3 slices). Decoct in water and take warm.
Shensha Hewei San (Ginseng and Amomi Harmonizing Stomach Powder): Treats incessant vomiting due to deficiency-cold. Dang Shen (Codonopsis Radix), Sha Ren (Fructus Amomi, crushed), Zhi Ban Xia (Processed Rhizoma Pinelliae, 4 fen); Tu Chao Bai Zhu (Earth-stir-fried Atractylodis Macrocephalae Rhizoma), Fu Ling (Poria)... [Note: Original text appears truncated here regarding dosage/other ingredients for this formula].
Jiang Mi Tang (Ginger and Rice Decoction): For frequent vomiting with impending collapse of Stomach Qi, use this to calm the Stomach. Lao Sheng Jiang (Old Rhizoma Zingiberis Recens, over 1 liang), baked until cooked, peeled, and mashed. Use one bowl of water and two scoops of Chen Mi (aged rice). Simmer together in a clay pot. When warm, administer slowly; vomiting will stop.
In cases of alternating vomiting and diarrhea, stopping vomiting is urgent. For vomiting without diarrhea, Jiang Sheng Mi Tang (Fresh Ginger and Rice Decoction) is most effective.
Shao Zhen Wan (Moxa Needle Pill): Treats vomiting and diarrhea miraculously. Huang Dan (Lithargyri, water-triturated), Zhu Sha (Cinnabaris, water-triturated), Ku Fan (Alumen Exsiccatum) in equal parts. Grind into powder, form pills with Hong Zao (Fructus Jujubae), size of soybeans. Take orally.