（吐泻泄黄，伤热乳也，玉露散主之）
玉露散（兼治暑月吐泻，身热烦渴）
石膏 寒水石（并 ，各五钱） 生甘草（一钱）
为末，米饮调下。
此方与辰砂益元散相似，随材所有用之可也。暑月则生脉散和此方服之为妙。
如吐泻泄青，伤冷乳也，益元散主之。（方见上保元汤下注）
如吐泻，昏睡露睛者，胃虚热也，钱氏白术散主之。
如昏睡不露睛者，胃实热也，辰砂益元散主之。
辰砂益元散
滑石（六钱） 辰砂 甘草（炙，各一钱） 砂仁（炒，一钱）
煎汤和服，此方尤妙。
如吐骤或泻完谷者，伤风甚也（风木侵脾土故也）。益元散加柴胡、防风各七分，青皮三分服之。（方见上保元汤
下注）
烧针丸（治吐泻不止，危甚。兼治或吐或泻）
黄丹 朱砂 枯矾
等分为末，枣肉作丸，芡实大。每一丸串针头烧灯焰存性作末，米饮调下。此方清镇，专主吐泻，极妙。
如经年吐乳，眼慢，粪秽有筋膜者，乃父母交感时吃乳所致，名曰交情吐奶，益黄散主之。（方见保元汤条）
余孙儿生七岁，多吃紫桃数升许，腹饱如鼓，未几大吐，即吃白粥半器。又尽吐之数升，食顷之间，大吐五、六
次，面色青黑，手足搐搦，状如将发慢惊者然。急煎人参一钱和牛黄一分饮之，入口即吐，吐即又饮之，合服人参一两
二钱，牛黄一钱，然后仅仅止吐，遂连饮参茶，渐得回苏，因以完复。今既长成，若非参、黄之力何能保其生耶？养幼
之家，不可不预备参、黄，以济非命之夭也。
如早为直坐，胃弱气陷，泄痢频数，保元汤加黄连（酒炒）、砂仁（炒）各七分，升麻三分服之。
如便色青白黄沫，变易无常者，乃疳痢也。至圣丸主之，或作汤温服亦可。
至圣丸
使君子（面煨） 陈皮 木香 浓朴（姜炒） 肉豆蔻（泡煨去油） 丁香皮（各一钱）
神曲糊丸。
如赤痢脓血，腹痛，黄芩、白芍药（酒炒）各一钱半，甘草一钱。
如虚滑，固肠丸主之，樗根白皮（焙干为末），粥丸梧子大。
一方∶久远泄痢，陈曲末和清，早朝空心服。（血痢尤效）
如白痢，益元散主之。虚弱之儿，人参茶调服。
如赤白痢交杂，或下脓血如烂肉汁，黄连阿胶丸主之。
黄连（酒炒）、阿胶珠、山栀子（姜炒）、黄柏（酒炒）各一钱，桂心五分。
如诸泄痢，滑石、硫黄为末，蜜水调服，立效。
如兼吐，加砂仁（碎炒）、藿香（酒洗）各三、四分。
如头热呕吐而足冷，或头热泄泻而足冷者，脾风之候也，补脾益真汤主之。
大抵吐泻，总作虚热治之，必以参、 为主材可也。暑痢、暑泄，粘米半生半熟，黄土水入地龙十余个，烂烹去滓
饮之尤妙。和清亦可。
小儿泄泻大甚，阅月不止，肉脱难救，脱壳田螺炙而服之，则泻止。生服治泻肉脱，儿之神方。
小儿及壮老赤白泄痢，海衣细末和清服之。
泄痢忍冬藤（炒去皮），长二寸许二握及枣七枚，浓煎和清服之。
久泄不止，木通汤使乳母服之。木通（去节）三钱，白茯苓二钱半，山栀子（研、炒黑）二钱，泽泻、车前子（炒
研）各一钱，肉桂五分，甘梢三分。病儿则木通一钱，白茯苓七分，山栀子、泽泻各五分，车前子三分服之，渗利小便
则泻自止矣。
赤白痢，狗头髓及生梨汁，生清和服为妙。
（吐泻物色黄，是伤热乳所致，以玉露散为主治方剂）
玉露散（兼治暑月期间的吐泻，伴有身体发热、心烦口渴症状）
石膏 寒水石（各五钱） 生甘草（一钱）
研为细末，用米汤调服。
此方与辰砂益元散相似，可根据手头现有的药材使用即可。暑月期间，将生脉散与此方配合服用效果更佳。
如果吐泻物色青，是伤冷乳所致，以益元散为主治方剂。（方剂见上文保元汤下的注释）
如果出现吐泻，且昏睡时眼睛半睁半闭（露睛），这是胃虚热所致，以钱氏白术散为主治方剂。
如果昏睡时眼睛紧闭不露睛，这是胃实热所致，以辰砂益元散为主治方剂。
辰砂益元散
滑石（六钱） 辰砂 甘草（炙，各一钱） 砂仁（炒，一钱）
煎汤混合服用，此方尤为巧妙。
如果呕吐突然剧烈或泻下完谷不化，是风邪侵袭严重所致（因为风木之气侵犯脾土）。在益元散中加入柴胡、防风各七分，青皮三分服用。（方剂见上文保元汤下的注释）
烧针丸（治疗吐泻不止，病情危重。兼治或吐或泻的情况）
黄丹 朱砂 枯矾
等分研为细末，用枣肉制作成丸，大小如芡实。每一丸串在针头上，在灯焰中烧至存性后研成粉末，用米汤调服。此方具有清镇作用，专门主治吐泻，极为巧妙。
如果常年吐乳，眼睑下垂，粪便污秽且有筋膜，这是由于父母交感受孕时吃乳所致，名为“交情吐奶”，以益黄散为主治方剂。（方剂见保元汤条目）
我的孙子七岁时，多吃了数升紫桃，腹部胀满如鼓，不久后剧烈呕吐，随即吃了半碗白粥。结果又将几升食物全部吐出，在短时间内，大吐五六次，面色青黑，手足抽搐，状似即将发作慢惊风的样子。紧急煎煮人参一钱，混合牛黄一分喂服，入口即吐，吐后继续喂服，共服用人参一两二钱，牛黄一钱，然后才勉强止住呕吐，接着连续饮用参茶，逐渐苏醒恢复，因此得以痊愈。如今已经长成，如果不是人参、牛黄的功劳，怎么能保全他的生命呢？养育幼儿的家庭，不可不预备人参、牛黄，以救济非正常死亡的夭折。
如果过早让孩子直立坐起，导致胃弱气陷，泄痢频繁，在保元汤中加入黄连（酒炒）、砂仁（炒）各七分，升麻三分服用。
如果大便颜色青白黄沫混杂，变化无常，这是疳痢。以至圣丸为主治方剂，也可以制成汤剂温服。
至圣丸
使君子（面煨） 陈皮 木香 浓朴（姜炒） 肉豆蔻（泡煨去油） 丁香皮（各一钱）
用神曲糊制作成丸。
如果是赤痢脓血，腹痛，用黄芩、白芍药（酒炒）各一钱半，甘草一钱。
如果是虚滑不禁，以固肠丸为主治方剂，樗根白皮（焙干为末），用粥制作成梧桐子大小的丸剂。
另一方法：对于久远的泄痢，用陈年曲末调和清水，早晨空腹服用。（对血痢尤其有效）
如果是白痢，以益元散为主治方剂。体弱的幼儿，用人参茶调服。
如果是赤白痢交杂，或者下脓血如烂肉汁，以黄连阿胶丸为主治方剂。
黄连（酒炒）、阿胶珠、山栀子（姜炒）、黄柏（酒炒）各一钱，桂心五分。
对于各种泄痢，用滑石、硫黄研为细末，蜜水调服，立即见效。
如果兼有呕吐，加入砂仁（碎炒）、藿香（酒洗）各三、四分。
如果头热呕吐而脚冷，或者头热泄泻而脚冷，这是脾风的征候，以补脾益真汤为主治方剂。
大抵吐泻，总按虚热来治疗，必须以人参、黄芪为主要药材才可以。暑痢、暑泄，用粘米半生半熟，黄土水加入地龙十余条，烂煮后去渣饮服尤为巧妙。调和清水服用也可以。
小儿泄泻非常严重，持续一个月不止，肌肉消瘦难以救治，将脱壳田螺炙烤后服用，则腹泻停止。生服可治疗泻痢导致的肌肉消瘦，是幼儿的神效方剂。
小儿及壮年老人患赤白泄痢，用海衣细末调和清水服用。
泄痢用忍冬藤（炒去皮），长约二寸的两把及大枣七枚，浓煎后调和清水服用。
久泄不止，让乳母服用木通汤。木通（去节）三钱，白茯苓二钱半，山栀子（研、炒黑）二钱，泽泻、车前子（炒研）各一钱，肉桂五分，甘梢三分。患病幼儿则服用木通一钱，白茯苓七分，山栀子、泽泻各五分，车前子三分，通过渗利小便则腹泻自然停止。
赤白痢，用狗头髓及生梨汁，生地和服为妙。
(Stools that are yellow during vomiting and diarrhea indicate injury from hot milk; Yu Lu San (Jade Dew Powder) is the primary formula.)
Yu Lu San (Jade Dew Powder) (Also treats vomiting and diarrhea during summer heat, accompanied by fever, restlessness, and thirst.)
Shi Gao (Gypsum Fibrosum), Han Shui Shi (Calcitum) (each 5 qian), Sheng Gan Cao (Raw Glycyrrhizae Radix et Rhizoma) (1 qian).
Grind into fine powder, mix with rice water, and take orally.
This formula is similar to Chen Sha Yi Yuan San (Cinnabar Yi Yuan Powder); use according to available materials. During summer months, taking Sheng Mai San (Generate the Pulse Powder) together with this formula is excellent.
If the vomitus or stool is green, it indicates injury from cold milk; Yi Yuan San (Yi Yuan Powder) is the primary formula. (See notes under Bao Yuan Tang below for the formula.)
If there is vomiting and diarrhea accompanied by drowsiness with eyes half-open (exposing the eyeballs), this is due to deficiency-heat in the Stomach; Qian Shi Bai Zhu San (Child's Atractylodes Macrocephala Powder) is the primary formula.
If there is drowsiness with eyes tightly closed, this is due to excess-heat in the Stomach; Chen Sha Yi Yuan San (Cinnabar Yi Yuan Powder) is the primary formula.
Chen Sha Yi Yuan San (Cinnabar Yi Yuan Powder)
Hua Shi (Talcum) (6 qian), Chen Sha (Cinnabaris) (1 qian), Zhi Gan Cao (Prepared Glycyrrhizae Radix et Rhizoma) (1 qian), Sha Ren (Amomi Fructus) (stir-fried, 1 qian).
Decoct in water, mix, and take orally; this formula is particularly effective.
If vomiting is sudden and severe, or if diarrhea presents undigested food, it indicates severe wind invasion (as Wind-Wood invades Spleen-Earth). Add Chai Hu (Bupleuri Radix) and Fang Feng (Saposhnikoviae Radix) each 7 fen, and Qing Pi (Citri Reticulatae Pericarpium Viride) 3 fen to Yi Yuan San (Yi Yuan Powder) and take orally. (See notes under Bao Yuan Tang below for the formula.)
Shao Zhen Wan (Burned Needle Pill) (Treats persistent vomiting and diarrhea, critical condition. Also treats intermittent vomiting or diarrhea.)
Huang Dan (Minii Oxidum Rubrum), Zhu Sha (Cinnabaris), Ku Fan (Alumen Exsiccatum).
Grind into equal parts of fine powder, form pills with jujube flesh, size of Euryale Seed. Thread one pill onto a needle head, burn in lamp flame until carbonized (preserve nature), grind to powder, mix with rice water, and take orally. This formula has clearing and calming properties, specifically treating vomiting and diarrhea, extremely effective.
If there is chronic vomiting of milk, drooping eyelids, and foul stools containing membrane-like substances, this is caused by nursing during parental conception, named "Jiao Qing Tu Nai" (Intercourse-induced Milk Vomiting); Yi Huang San (Yellow Protection Powder) is the primary formula. (See Bao Yuan Tang entry for the formula.)
My grandson, at age seven, ate several sheng of purple peaches, causing abdominal distension like a drum. Soon after, he vomited violently, then drank half a bowl of white porridge. He vomited out several sheng again. Within a short time, he had major vomiting five or six times, his complexion turned dark blue-black, and his hands and feet convulsed, resembling impending slow convulsive disease. Urgently decocted 1 qian of Ren Shen (Ginseng Radix et Rhizoma) mixed with 1 fen of Niu Huang (Calculus Bovis) and administered. It was vomited immediately upon entering the mouth; we continued administering after each vomit. Total intake: 1 liang 2 qian of Ren Shen (Ginseng Radix et Rhizoma) and 1 qian of Niu Huang (Calculus Bovis), after which vomiting barely stopped. Subsequently, continuous drinking of Ginseng tea led to gradual recovery and revival. Thus, he was completely restored. Now grown up, without the power of Ginseng and Calves' Calculus, how could his life have been preserved? Families raising young children must prepare Ginseng and Calves' Calculus to rescue those dying prematurely.
If a child sits upright too early, leading to weak Stomach Qi sinking, resulting in frequent dysentery and diarrhea, add Huang Lian (Coptidis Rhizoma) (wine-fried) and Sha Ren (Amomi Fructus) (stir-fried) each 7 fen, and Sheng Ma (Cimicifugae Rhizoma) 3 fen to Bao Yuan Tang (Protect the Origin Decoction) and take orally.
If stool color varies between blue, white, and yellow froth unpredictably, this is Gan Li (Malnutrition Dysentery). Zhi Sheng Wan (Supreme Sage Pill) is the primary formula, or it can be made into a decoction taken warm.
Zhi Sheng Wan (Supreme Sage Pill)
Shi Jun Zi (Quisqualis Fructus) (baked in flour), Chen Pi (Citri Reticulatae Pericarpium), Mu Xiang (Aucklandiae Radix), Hou Po (Magnoliae Officinalis Cortex) (ginger-fried), Rou Dou Kou (Myristicae Semen) (soaked, baked, oil removed), Ding Xi Pi (Syzygii Arillatus Pericarpium) (each 1 qian).
Form pills using Shen Qu (Medicated Leaven paste).
For red dysentery with pus and blood, abdominal pain, use Huang Qin (Scutellariae Radix) and Bai Shao Yao (Paeoniae Radix Alba) (wine-fried) each 1.5 qian, Gan Cao (Glycyrrhizae Radix et Rhizoma) 1 qian.
For deficiency-type slippery incontinence, Gu Chang Wan (Intestine Consolidating Pill) is the primary formula. Chu Gen Bai Pi (Stemonae Radix Bark) (baked dry, powdered), form pills with congee, size of Cannabis Seed.
Another method: For chronic long-standing diarrhea/dysentery, mix aged Medicated Leaven powder with clear water, take on an empty stomach in the morning. (Especially effective for bloody dysentery.)
For white dysentery, Yi Yuan San (Yi Yuan Powder) is the primary formula. For weak children, take mixed with Ginseng tea.
For mixed red and white dysentery, or passage of pus and blood resembling rotten meat juice, Huang Lian E Jiao Wan (Coptis and Gelatin Pill) is the primary formula.
Huang Lian (Coptidis Rhizoma) (wine-fried), E Jiao Zhu (Colla Corii Asini Bead), Shan Zhi Zi (Gardeniae Fructus) (ginger-fried), Huang Bo (Phellodendri Cortex) (wine-fried) each 1 qian, Gui Xin (Cinnamomi Cortex Heartwood) 5 fen.
For various types of diarrhea and dysentery, Hua Shi (Talcum) and Liu Huang (Sulfur) ground into powder, mixed with honey water, taken orally, yields immediate effect.
If accompanied by vomiting, add Sha Ren (Amomi Fructus) (crushed, stir-fried) and Huo Xiang (Agastaches Herba) (wine-washed) each 3-4 fen.
If there is heat in the head with vomiting but cold feet, or heat in the head with diarrhea but cold feet, this is a sign of Spleen Wind; Bu Pi Yi Zhen Tang (Tonify Spleen and Benefit True Decoction) is the primary formula.
Generally, vomiting and diarrhea should be treated as deficiency-heat, primarily using Ren Shen (Ginseng Radix et Rhizoma) and Huang Qi (Astragali Radix) as main ingredients. For summer dysentery and summer diarrhea, use glutinous rice half raw and half cooked, add more than ten Di Long (Pheretima) to Huang Tu Water (yellow earth water), boil thoroughly, strain, and drink; this is excellent. Mixing with clear water is also acceptable.
When pediatric diarrhea is severe and persists for over a month, with muscle wasting making it difficult to save, roast a de-shelled river snail and administer it; the diarrhea will stop. Taking it raw treats diarrhea-induced muscle wasting; it is a divine prescription for infants.
For infants, adults, and the elderly suffering from red and white dysentery/diarrhea, Hai Yi (Cypraea Tigris Shell) fine powder mixed with clear water is effective.
For diarrhea/dysentery, use Ren Dong Teng (Lonicerae Japonicae Caulis) (stir-fried, skin removed), two handfuls approximately 2 cun long, plus seven jujubes. Decoct strongly, mix with clear water, and take orally.
For chronic persistent diarrhea, let the lactating mother take Mu Tong Decoction. Mu Tong (Akebiae Caulis) (remove joints) 3 qian, Bai Fu Ling (Poria) 2.5 qian, Shan Zhi Zi (Gardeniae Fructus) (ground, blackened by stir-frying) 2 qian, Ze Xie (Alismatis Rhizoma) and Che Qian Zi (Plantaginis Semen) (stir-fried, ground) each 1 qian, Rou Gui (Cinnamomi Cortex) 5 fen, Gan Shao (Licorice tip) 3 fen. The sick infant takes Mu Tong (Akebiae Caulis) 1 qian, Bai Fu Ling (Poria) 7 fen, Shan Zhi Zi (Gardeniae Fructus) and Ze Xie (Alismatis Rhizoma) each 5 fen, Che Qian Zi (Plantaginis Semen) 3 fen. By promoting diuresis to leach out dampness, the diarrhea stops naturally.
For red and white dysentery, Dog Head Marrow (Canis Cranium Medulla) and fresh pear juice, mixed raw and taken with clear water, is excellent.