〔钱〕小儿初生三日内吐泻，壮热不思乳食，大便乳食不消，或白色，是伤寒，当下之并和胃。下
用白饼子，和胃用益黄散主之。
儿生三日以上至十日，吐泻，身温凉，不思乳食，大便青白色，乳食不消，此上实下虚也，更有五脏
兼见证∶肺，睡露睛，喘气；心，惊悸，饮水；脾，困倦，饶睡；肝，呵欠，烦闷；肾，不语，畏明。当先
视儿兼脏症，先泻其所实者，而补其虚。如脾虚益黄散主之。此二症，多病于秋夏也。
五月夏至后吐泻，身壮热者，此热也，盖小儿脏腑十分中九分热也。或因伤热，乳食不消，泻深
黄色，玉露散主之。
玉露散 一名甘露散。
寒水石（半两，软而微青黑中有细纹者） 生甘草（一钱） 石膏（半两，坚白而有墙壁，手不可折者。
如无，以方解石代之，坚白似石膏，敲之段段皆方者是）
上同为细末，每服一字，或五分、一钱，食后温汤调下。（海藏云∶非肾热相火大盛者，不宜服此。）
六月大暑后吐泻，身大温而似热，脏腑中六分热四分冷也。吐呕，乳食不消，泻黄白色，似渴，或食乳，
或不食乳，食前少服益黄散，食后多服玉露散。广亲宫五太尉病吐泻不止，米谷不化。众医用温药，一日而
加喘，吐不定。钱氏曰∶当以凉药治之。所以然者，谓伤热在内也。用石膏汤三服，并服之。众医皆言吐泻多
而米谷又不化，当补脾，何以用凉药？王信众医，皆用补脾，丁香散三服。钱医后至，曰∶不可服此。三日后
必腹满身热，饮水吐逆。三日外果如所言。所以然者，谓六月热甚，伏入腹中，而令引饮，热伤脾胃，即大吐
泻也。医又行温药，使上焦亦热，故喘而引饮，三日当甚。众师不能治，复召钱至。见其热证，以白虎汤三服，
更以白饼子下之。一日减药二分。二日三日又与白虎汤各二服。四日用石膏汤一服，及旋合麦门冬、黄芩、脑
子、牛黄、天竺黄、茯苓，以朱砂为衣，服五丸，竹叶汤化下，热退而安。
七月立秋后吐泻，身温，脏腑中三分热，七分冷也。不能食乳，多似睡，闷乱哽气，长出气，睡露睛，唇
白多哕，欲大便，不渴。食前，多服益黄散；食后，少服玉露散。广亲宫七太尉七岁，病吐泻，是时七月，其
症全不食而昏睡，睡觉而闷乱，哽气干呕，大便或有或无，不渴。众医作惊治之，疑睡故也。钱曰∶先补脾，
后退热。与使君子丸补脾，石膏汤退热。次日又以水银硫黄末研和，以生姜水调下一字。钱曰∶凡吐泻五月内
九分下而一分补，八月内九分补而一分下。此者是脾虚泻，医妄治之至于虚损，下之即死。即当补脾，若以使
君子丸恐缓，已，又留温胃益脾药治之。医者李生曰∶何食而哕？钱曰∶脾虚津少即呕逆。曰∶何泻青褐水？
曰∶肠胃至虚冷极故也。钱治而愈。
八月秋分后吐泻身冷，无阳也。不能食乳，干呕哕，泻青褐水，当补脾，益黄散主之，不可下也。
〔田〕凡小儿盛暑吐泻，邪热在下焦则泻，在上焦则吐，亡津必渴，用玉露散。虽吐时时与啜之，
过三日必愈。如身热脉大，小便黄，用五苓、益元各半，热汤调，温服之。如身凉脉细，小便青，早晨
益黄散，午后玉露散。如过四五日困弱，宜异功散、和中丸、开胃丸。
〔洁〕如有风而泻，用防风、羌活。（谓吐泻兼肝病，风搐拘急也。）有热而泻，用黄连、黄芩、大黄。
（谓吐泻兼心病身热也。）有寒而泻，用附子。（谓吐泻兼肾病，身冷或足胫寒而逆也。）有湿而泻，
用白术、茯苓。（谓吐泻兼本脏脾病，多睡体重昏倦也。）有肺病而泻，
用芍药、桂心；定喘，麦冬、人参，甚者多槟榔；大便不通，加大黄。（谓吐泻兼肺病喘嗽也。）更详看病
新旧。新则止之，久则有肠风之患，宜推陈致新。法当宣风散，导过后用入脏君臣药调之，宜益黄散。
〔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，更有五脏兼见症，
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。）
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。
〔钱〕玉露散（方见上。）
和中散 和胃止吐泻，定烦渴，治腹痛。
人参 茯苓 白术 甘草（炙） 干葛 黄 （炙） 白扁豆（炒） 藿香（各等分）
上为细末，每服三钱，水一盏半，枣二枚去核，生姜五片，煎八分，食前温服。（海藏云∶和中散，四君
子汤加减法。）
〔丹〕小儿周岁吐乳腹泻。
滑石（ ，二钱） 白术（炒，三钱） 干葛（一钱） 陈皮（炙，三分）
上为粗末，煎饮之。
吐泻身热，泻黄多渴，钱氏作热病治。在夏秋用玉露散，兼益黄散，相间服；在春冬用白术散、
大青膏，亦相间服。
〔丹〕万安膏（方见吐门。）
〔海〕吐利，四肢胀满，脑门低陷。四君子加藿香、丁香、芍药等分，煎服。
钱氏益黄散。（方见小儿大法条。）
〔世〕和胃丸 治吐泻不止，欲生慢惊。
丁香 白术（各一两） 半夏（五钱） 藿香 蝎尾（各一钱）
上为末，姜汁打糊为丸如小豆大。三岁儿三十丸，姜汤下。
〔阎〕理中丸治吐利不歇，米谷不化，手足厥冷。（方见伤寒。）
金液丹 治吐利日久，脾胃虚损，手足厥冷，精神昏塞，多睡露睛，口鼻气凉，欲成慢惊风。又治大人
阳虚阴盛，身冷脉微，自汗吐利，小便不禁。
舶上硫黄（十两，先飞，拣去砂石，杵研为末。用砂盒子盛令八分满，水和赤石脂盐泥固封，晒干。
露地先埋一水罐盛水满，坐盒子在上，又以泥固济讫。常以三斤火养三日三夜足，加顶火一斤， 成冷取药）
上以柳木槌乳钵，研为末，每服二钱，生姜米饮调下，多服取效。大人药末一两，蒸饼一两，水浸，去水，
饼和丸桐子大，晒干，每服五十丸至百丸，米饮空心下。
阎氏云∶吐泻虚极，当速生胃气，宜与理中丸。并研金液丹末，煎生姜米饮调灌之，惟多服乃效。俟胃气
已生，手足渐热，然犹螈 ，即减金液丹一二分，增青州白丸子一二分，同研，如上服。兼用异功散、
羌活膏、温白丸、钩藤饮子之类，仍频与粥，虽至危者，往往死中得生，十救八九。沈存中论金液丹，
见小儿吐利剧，气已绝，服之得活者数人，须多服方验。
〔钱〕豆蔻散 治吐泻烦渴，腹胀，小便少。
舶上硫黄（一钱） 滑石（五分） 丁香 豆蔻（各半分）
上为细末，每服一字至半钱，米饮调下无时。
豆蔻散治虚寒而渴。（方见本条） 白术散治虚热而渴。（方见下吐条。）
吐泻身温，泻黄白，似渴，钱氏作寒热杂合病治。在夏秋用玉露散、益黄散相间服，在冬春用益
黄散、大青膏相间服之。
〔钱〕异功散 温中和气，治吐泻不思乳食，凡小儿虚冷病，先与数服以正其气。（一方加木香。）
人参 茯苓 白术 甘草 陈皮（各等分）
上为细末，每服二钱，水一盏，生姜五片，枣二枚，同煎。（海藏云∶此方四君子汤、补脾汤加
减法也。）
温中丸 治小儿泻白，胃寒故也，腹痛肠鸣，吐酸水，不思饮食，霍乱吐泻。
人参 白术 甘草（各等分）
上为末，姜汁面糊丸如绿豆大。米饮下二三十丸，无时。
吐泻昏睡露睛者，胃虚热。吐泻昏睡不露睛者，胃实热。
胃虚热治法，钱氏白术散、和中散是也。胃实热治法，钱氏玉露散、河间益元散是也。
半粟散 治小儿脾胃虚寒吐泻等疾，及治寒痰。
半夏（汤浸，切，焙，一两） 陈粟米（陈粳米亦得，用三分）
上 咀，每服三钱，水一大盏半，生姜十片，同煎至八分，食前温服。
〔世〕白附丸（方见上脾主湿条。） 钱氏吐泻乳不化，伤食也，宜下之。
冯承务子五岁，吐泻，壮热不思食饮，钱氏见儿目中黑睛少而白睛多，面色 白，曰∶此子必多病。
面色 白者，神怯也。黑睛少者，肾虚也。黑睛属水，本怯而虚，故多病也。纵长成，必肌肤不壮，不耐
寒暑，易
虚易实，脾胃亦怯，更不可纵恣酒欲，若不保养，不过壮年也。面上常无精神光泽者，如妇人之失血也。今吐
利不食，壮热者，伤食也。又虚怯不可下，下之虚，入肺则嗽，入心则惊，入脾则泻，入肾则益虚。但宜以消
积丸磨化之，为微有食也。如伤甚，则可下。不下，则成癖也。若实食在内，亦可下也。下毕补脾，必愈。随
其虚实，无不效者。
〔丹〕小儿吐泻黄胆。
三棱 蓬术 陈皮 青皮 神曲 麦芽 黄连 甘草 白术 茯苓
上为细末，生姜灯心汤调服。伤乳食吐泻加山楂，时气吐泻加滑石，发热加薄荷。
【钱乙】小儿出生三日内出现吐泻，高热，不想吃奶和食物，大便中有未消化的乳食，或者大便呈白色，这是伤寒病，应当用攻下法治疗并调和胃气。攻下使用白饼子，调和胃气使用益黄散为主方。
小儿出生三天以上至十天，出现吐泻，身体温度温和或偏凉，不想吃奶和食物，大便呈青白色，乳食不消化，这是上实下虚的证候，同时伴有五脏兼见症状：肺脏受邪，表现为睡眠时眼睛半睁（睡露睛），气喘；心脏受邪，表现为惊悸，想喝水；脾脏受邪，表现为困倦，嗜睡；肝脏受邪，表现为打哈欠，烦躁闷乱；肾脏受邪，表现为不说话，怕光。应当先观察小儿兼有的脏腑症状，先泻其有余（实邪），再补其不足（虚损）。如脾虚，使用益黄散为主方。这两种病症，多在秋夏季节发生。
五月夏至后出现吐泻，身体高热的，这是热证，因为小儿脏腑中十分之九是热的。如果是因为伤热，导致乳食不消化，泻下深黄色粪便，使用玉露散为主方。
玉露散，又名甘露散。
寒水石（半两，质地柔软且微青黑，中间有细纹的） 生甘草（一钱） 石膏（半两，坚硬洁白且有纹理，手不可折断的。如果没有，可以用方解石代替，方解石坚硬洁白类似石膏，敲击时断面呈方块状的是）
以上药物共同研为细末，每次服用一字，或五分、一钱，饭后用温开水调服。（张元素海藏云：如果不是肾热相火大盛的情况，不宜服用此药。）
六月大暑后出现吐泻，身体大温而似有热感，脏腑中六分热四分冷。呕吐，乳食不消化，泻下黄白色粪便，似口渴，有时吃奶，有时不吃奶。饭前少量服用益黄散，饭后大量服用玉露散。广亲宫五太尉患吐泻不止，米谷不化。众医生用温药治疗，一天后喘息加重，呕吐不止。钱乙说：应当用凉药治疗。之所以这样，是因为内伤热邪。使用石膏汤服用三次，并配合服用。众医生都说吐泻多且米谷不化，应当补脾，为什么用凉药？王信等众医都主张补脾，服用丁香散三次。钱乙的医生后来到达，说：不可以服用这个药。三天后必然腹部胀满，身体发热，想喝水并呕吐逆气。三天后果然如所言。之所以这样，是因为六月热气甚盛，伏入腹中，导致引饮，热邪损伤脾胃，即发生大吐泻。医生又用温药，使上焦也热，所以喘息并引饮，三天后会加重。众老师无法治疗，再次召请钱乙。见他呈现热证，用白虎汤服用三次，再用白饼子攻下。每天减少药量二分。第二、三天又给予白虎汤各两次。第四天用石膏汤一次，以及临时配制麦门冬、黄芩、脑子（冰片）、牛黄、天竺黄、茯苓，以朱砂为衣，服用五丸，用竹叶汤送下，热退而安。
七月立秋后出现吐泻，身体温和，脏腑中三分热七分冷。不能进食乳食，多似睡觉，烦闷扰乱，呃逆叹气，长出气，睡眠时眼睛半睁，嘴唇白，多呃逆，想大便，不渴。饭前，多服益黄散；饭后，少服玉露散。广亲宫七太尉七岁，患吐泻，当时是七月，症状是完全不进食且昏睡，醒来后烦闷扰乱，呃逆干呕，大便或有或无，不渴。众医生当作惊风治疗，怀疑是睡觉的缘故。钱乙说：先补脾，后退热。给予使君子丸补脾，石膏汤退热。第二天又以水银硫黄末研和，用生姜水调下一字。钱乙说：凡是吐泻，五月内十分之九用攻下，十分之一用补益；八月内十分之九用补益，十分之一用攻下。这个是脾虚泻，医生误治导致虚损，攻下就会死亡。就应当补脾，如果使用使君子丸恐怕见效慢，已经之后，又留下温胃益脾的药来治疗。医者李生问：为什么吃东西会呃逆？钱乙说：脾虚津液少就会呕吐逆气。问：为什么泻青褐色水？回答说：肠胃极度虚冷的缘故。钱乙治疗后痊愈。
八月秋分后出现吐泻身体发冷，没有阳气。不能进食乳食，干呕呃逆，泻青褐色水，应当补脾，使用益黄散为主方，不可攻下。
【田氏】凡是小儿盛暑期间吐泻，邪热在下焦则腹泻，在上焦则呕吐，亡失津液必然口渴，使用玉露散。即使呕吐也要时时喂服，过三天必定痊愈。如果身体发热脉大，小便黄，用五苓散、益元散各一半，用热汤调匀，温服。如果身体凉爽脉细，小便青，早晨益黄散，午后玉露散。如果过四五天困弱，适宜异功散、和中丸、开胃丸。
【张元素洁古】如果有风邪而腹泻，使用防风、羌活。（意思是吐泻兼肝病，风搐拘急。）有热邪而腹泻，使用黄连、黄芩、大黄。（意思是吐泻兼心病身热。）有寒邪而腹泻，使用附子。（意思是吐泻兼肾病，身冷或足胫寒冷逆冷。）有湿邪而腹泻，使用白术、茯苓。（意思是吐泻兼本脏脾病，多睡体重昏倦。）有肺病而腹泻，使用芍药、桂心；定喘，使用麦冬、人参，严重的多用槟榔；大便不通，加大黄。（意思是吐泻兼肺病喘嗽。）更详细查看病情新旧。新病则止之，久病则有肠风之患，宜推陈致新。方法应当用宣风散，导过后用入脏君臣药调理，适宜益黄散。
【钱乙】伤寒吐泻，身体温和，忽冷忽热，多睡气粗，大便黄白色，呕吐，乳食不消化，时常咳嗽，更有五脏兼见症状，应当煎煮入脏君臣药，先服大青膏，后服益黄散。如果先前已经攻下，或者没有攻下的指征，千万不可攻下。这是脾肺受寒，不能入脾。（张元素洁古云：身体温和吐泻咳嗽是风木入于脾，母虚其子亦弱，方法应当煎煮槟榔豆蔻汤，下大青膏，后服益黄散。）
伤风吐泻，身体发热多睡，能吃奶，喝水不止，吐痰，大便黄水，这是胃虚热渴吐泻。应当生胃中津液，以止其渴。止渴后用发散药。止渴，多服白术散；发散，大青膏为主方。（张元素洁古云：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，身体凉爽吐沫，泻青白色，烦闷扰乱不渴，呃逆叹气，长出气，睡眠时眼睛半睁，这是伤风迁延轻怯，因而成吐泻，应当补脾后发散。补脾，益黄散；发散，大青膏为主方。这两种证候，多在春冬季节发生。（张元素洁古云：身体凉爽吐泻不渴者，则知为寒，煎附子桂枝汤，下大青膏。）
小儿伤于风冷，病吐泻。医生说是脾虚，用温补法治疗，不好，又用凉药治疗，又不能散。称为本伤风，医生乱攻伐，因脾气积虚，内不能散，外不能解。到十余日，症状多睡露睛，身体温和，风在脾胃，所以大便不聚而为泻，应当去脾间风，风退则痢止，宣风散为主方。后用使君子丸补其胃。也有各种吐痢久不愈的，则脾虚生风而成慢惊风了。
【张元素海藏】吐泻过多，脾胃虚乏，欲生风候者，四君子汤加白附子减半，生姜煎服。
和中散 和胃止吐泻，定烦渴，治腹痛。
人参 茯苓 白术 甘草（炙） 干葛 黄 （炙） 白扁豆（炒） 藿香（各等分）
以上为细末，每次服用三钱，水一盏半，枣二枚去核，生姜五片，煎八分，食前温服。（张元素海藏云：和中散，四君子汤加减法。）
【朱丹溪】小儿周岁吐乳腹泻。
滑石（ ，二钱） 白术（炒，三钱） 干葛（一钱） 陈皮（炙，三分）
以上为粗末，煎饮之。
吐泻身热，泻黄多渴，钱乙作热病治。在夏秋用玉露散，兼益黄散，相间服；在春冬用白术散、大青膏，亦相间服。
【朱丹溪】万安膏（方见吐门。）
【张元素海藏】吐利，四肢胀满，脑门低陷。四君子汤加藿香、丁香、芍药等分，煎服。
钱乙益黄散。（方见小儿大法条。）
【世医】和胃丸 治吐泻不止，欲生慢惊。
丁香 白术（各一两） 半夏（五钱） 藿香 蝎尾（各一钱）
以上为末，姜汁打糊为丸如小豆大。三岁儿三十丸，姜汤下。
【阎孝忠】理中丸治吐利不歇，米谷不化，手足厥冷。（方见伤寒。）
金液丹 治吐利日久，脾胃虚损，手足厥冷，精神昏塞，多睡露睛，口鼻气凉，欲成慢惊风。又治大人阳虚阴盛，身冷脉微，自汗吐利，小便不禁。
舶上硫黄（十两，先飞，拣去砂石，杵研为末。用砂盒子盛令八分满，水和赤石脂盐泥固封，晒干。露地先埋一水罐盛水满，坐盒子在上，又以泥固济讫。常以三斤火养三日三夜足，加顶火一斤， 成冷取药）
以上以柳木槌乳钵，研为末，每次服用二钱，生姜米饮调下，多服取效。大人药末一两，蒸饼一两，水浸，去水，饼和丸桐子大，晒干，每次服用五十丸至百丸，米饮空心下。
阎氏云：吐泻虚极，当速生胃气，宜与理中丸。并研金液丹末，煎生姜米饮调灌之，惟多服乃效。俟胃气已生，手足渐热，然犹螈 ，即减金液丹一二分，增青州白丸子一二分，同研，如上服。兼用异功散、羌活膏、温白丸、钩藤饮子之类，仍频与粥，虽至危者，往往死中得生，十救八九。沈存中论金液丹，见小儿吐利剧，气已绝，服之得活者数人，须多服方验。
【钱乙】豆蔻散 治吐泻烦渴，腹胀，小便少。
舶上硫黄（一钱） 滑石（五分） 丁香 豆蔻（各半分）
以上为细末，每次服用一字至半钱，米饮调下无时。
豆蔻散治虚寒而渴。（方见本条） 白术散治虚热而渴。（方见下吐条。）
吐泻身温，泻黄白，似渴，钱乙作寒热杂合病治。在夏秋用玉露散、益黄散相间服，在冬春用益黄散、大青膏相间服之。
【钱乙】异功散 温中和气，治吐泻不思乳食，凡小儿虚冷病，先与数服以正其气。（一方加木香。）
人参 茯苓 白术 甘草 陈皮（各等分）
以上为细末，每次服用二钱，水一盏，生姜五片，枣二枚，同煎。（张元素海藏云：此方四君子汤、补脾汤加减法也。）
温中丸 治小儿泻白，胃寒故也，腹痛肠鸣，吐酸水，不思饮食，霍乱吐泻。
人参 白术 甘草（各等分）
以上为末，姜汁面糊丸如绿豆大。米饮下二三十丸，无时。
吐泻昏睡露睛者，胃虚热。吐泻昏睡不露睛者，胃实热。
胃虚热治法，钱乙白术散、和中散是也。胃实热治法，钱乙玉露散、河间益元散是也。
半粟散 治小儿脾胃虚寒吐泻等疾，及治寒痰。
半夏（汤浸，切，焙，一两） 陈粟米（陈粳米亦得，用三分）
以上 咀，每次服用三钱，水一大盏半，生姜十片，同煎至八分，食前温服。
【世医】白附丸（方见上脾主湿条。） 钱乙认为吐泻乳不化，伤食也，宜下之。
冯承务子五岁，吐泻，壮热不思食饮，钱乙见儿目中黑睛少而白睛多，面色 白，曰∶此子必多病。
面色 白者，神怯也。黑睛少者，肾虚也。黑睛属水，本怯而虚，故多病也。纵长成，必肌肤不壮，不耐寒暑，易
虚易实，脾胃亦怯，更不可纵恣酒欲，若不保养，不过壮年也。面上常无精神光泽者，如妇人之失血也。今吐
利不食，壮热者，伤食也。又虚怯不可下，下之虚，入肺则嗽，入心则惊，入脾则泻，入肾则益虚。但宜以消
积丸磨化之，为微有食也。如伤甚，则可下。不下，则成癖也。若实食在内，亦可下也。下毕补脾，必愈。随
其虚实，无不效者。
【朱丹溪】小儿吐泻黄胆。
三棱 蓬术 陈皮 青皮 神曲 麦芽 黄连 甘草 白术 茯苓
以上为细末，生姜灯心汤调服。伤乳食吐泻加山楂，时气吐泻加滑石，发热加薄荷。
[Qian Yi] If an infant experiences vomiting and diarrhea within three days after birth, accompanied by high fever, refusal of milk and food, undigested milk/food in stool, or white stool, this is a Cold Damage (Shanghan) disease. It should be treated with purgation to harmonize the Stomach Qi. For purgation, use Baibing Zi (White Pill); for harmonizing the Stomach, use Yihuang San (Yellow-Protecting Powder) as the main formula.
If an infant is between three days and ten days old and experiences vomiting and diarrhea, with a body temperature that is warm or cool, refusal of milk and food, and greenish-white undigested stool, this indicates Excess above and Deficiency below. There may also be concurrent symptoms involving the Five Zang organs: Lung involvement presents as sleeping with eyes half-open (sleepy eyes), panting; Heart involvement presents as palpitations and thirst; Spleen involvement presents as fatigue and excessive sleep; Liver involvement presents as yawning and irritability; Kidney involvement presents as muteness and photophobia. One must first observe the concurrent organ symptoms, first draining the excess and then tonifying the deficiency. For example, if the Spleen is deficient, use Yihuang San. These two conditions often occur in autumn and summer.
If vomiting and diarrhea occur after the Summer Solstice in May, accompanied by high fever, this is a Heat syndrome, because infants have nine parts heat to one part cold in their viscera. If caused by heat injury leading to indigestion and deep yellow diarrhea, use Yulu San (Jade Dew Decoction).
Yulu San, also known as Ganlu San (Sweet Dew Decoction).
Hanshuishi (Halloysitum, half tael, soft and slightly dark green-black with fine lines) Sheng Gancao (Raw Glycyrrhizae Radix et Rhizoma, one qian) Shigao (Gypsum Fibrosum, half tael, hard, white, and fibrous, unbreakable by hand. If unavailable, replace with Fangjiexie [Calcitum], which is hard, white like Gypsum, and breaks into square fragments.)
Grind all ingredients into a fine powder. Take one zi (approx. 0.5-1g), or five fen or one qian, mixed with warm water after meals. (Zhang Yuansu Haicang said: This should not be taken unless there is severe Fire of the Ministerial Heat in the Kidney.)
If vomiting and diarrhea occur after the Great Heat in June, with the body feeling very warm but resembling heat, indicating six parts heat and four parts cold in the viscera. Symptoms include vomiting, indigestion, yellowish-white diarrhea, thirst, variable feeding. Take small amounts of Yihuang San before meals and large amounts of Yulu San after meals. The Fifth Taiwei of Guangqin Palace suffered from incessant vomiting and diarrhea with undigested rice and grain. Physicians used warming medicines, causing increased wheezing and uncontrollable vomiting after one day. Qian Yi said: Treat with cooling medicines. This is because internal heat injury exists. Use Shigao Tang (Gypsum Decoction) three times. Other physicians argued that due to heavy vomiting/diarrhea and undigested food, the Spleen should be tonified, questioning the use of cooling medicine. Wang Xin and others insisted on tonifying the Spleen with Dingxiang San (Clove Powder) three times. When Qian Yi's physician arrived later, he said: Do not take this. In three days, abdominal distension, fever, thirst, and vomiting will occur. Three days later, it happened as predicted. This is because the intense heat of June penetrates the abdomen, causing thirst; heat injures the Spleen and Stomach, leading to severe vomiting and diarrhea. The use of warming medicines further heated the Upper Jiao, causing wheezing and thirst, worsening in three days. Unable to treat, they summoned Qian Yi again. Seeing heat signs, he administered Baihu Tang (White Tiger Decoction) three times, followed by Baibing Zi to purge. Reduce dosage by two fen daily. On days two and three, give Baihu Tang twice each. On day four, give Shigao Tang once, plus freshly prepared Maidong (Ophiopogonis Radix), Huangqin (Scutellariae Radix), Bingpian (Borneolum Syntheticum), Niuhuang (Calculus Bovis), Tianzhuhuang (Spatholobi Caulis? No, Tianshuhuang/Hyacinth Bean? Context implies Tianshuhuang or similar cooling phlegm herb, likely Tianzhuhuang [Hyacinthis Semen]), and Fuling (Poria), coated with Zhusha (Cinnabaris). Take five pills, washed down with Zhuyetang (Bamboo Leaf Decoction). Fever subsided, and the patient recovered.
If vomiting and diarrhea occur after Start of Autumn in July, with a warm body, indicating three parts heat and seven parts cold in the viscera. Inability to feed, excessive sleepiness, irritability, hiccups, sighing, sleepy eyes, white lips, frequent hiccups, desire to defecate but no thirst. Take more Yihuang San before meals and less Yulu San after meals. The Seventh Taiwei of Guangqin Palace, aged seven, suffered from vomiting and diarrhea in July. Symptoms included complete anorexia, lethargy, irritability upon waking, hiccups and dry retching, irregular stools, and no thirst. Physicians treated it as Wind-Convulsion, suspecting lethargy. Qian Yi said: Tonify the Spleen first, then clear heat. Give Shijunzi Wan (Quisqualis Pill) to tonify the Spleen and Shigao Tang to clear heat. The next day, mix Mercury and Liuhuang (Sulfur) powder, taken with ginger water. Qian Yi stated: For vomiting/diarrhea in May, use nine parts purgation and one part tonification; in August, use nine parts tonification and one part purgation. This was Spleen-deficiency diarrhea; improper treatment led to deficiency. Purgation would cause death. Tonify the Spleen; if Shijunzi Wan is too slow, use warming Stomach and benefiting Spleen herbs. Physician Li asked: Why hiccups after eating? Qian Yi: Spleen deficiency and scant fluids cause vomiting/hiccups. Asked: Why green-brown watery stool? Answer: Extreme cold and deficiency of intestines/stomach. Qian Yi cured him.
If vomiting and diarrhea occur after Autumn Equinox in August, with a cold body, indicating Yang deficiency. Inability to feed, dry retching/hiccups, green-brown watery stool. Tonify the Spleen with Yihuang San; do not purge.
[Tian Shi] For infant vomiting/diarrhea during intense summer heat: if pathogenic heat is in Lower Jiao, it causes diarrhea; if in Upper Jiao, vomiting. Fluid loss causes thirst; use Yulu San. Even if vomiting, administer frequently; recovery expected within three days. If fever and large pulse with yellow urine, use Wuling San (Five-Ingredient Powder with Poria) and Yi Yuan San (Benefiting Origin Powder) equally, mixed in hot water, taken warm. If cool body and fine pulse with blue-green urine, take Yihuang San in morning and Yulu San in afternoon. If weak after four-five days, use Yigong San (Extraordinary Efficacy Powder), Hezhong Wan (Harmonize Middle Pill), or Kaiwei Wan (Open Appetite Pill).
[Zhang Yuansu Jiegu] For wind-induced diarrhea, use Fangfeng (Saposhnikoviae Radix) and Qianghuo (Notopterygii Rhizoma et Radix). (Indicates Liver involvement with wind convulsions/spasms.) For heat-induced diarrhea, use Huanglian (Coptidis Rhizoma), Huangqin (Scutellariae Radix), and Dahuang (Rhei Radix et Rhizoma). (Indicates Heart involvement with fever.) For cold-induced diarrhea, use Fuzi (Aconiti Lateralis Radix Praeparata). (Indicates Kidney involvement with cold limbs.) For damp-induced diarrhea, use Baizhu (Atractylodis Macrocephalae Rhizoma) and Fuling (Poria). (Indicates Spleen involvement with somnolence/heaviness.) For Lung disease causing diarrhea, use Shaoyao (Paeoniae Radix) and Guixin (Cinnamomi Ramulus); for wheezing, use Maidong (Ophiopogonis Radix) and Renshen (Ginseng Radix et Rhizoma); severe cases add Binglang (Arecae Semen); if constipation, add Dahuang. (Indicates Lung involvement with cough/wheezing.) Assess chronicity. Acute cases stop discharge; chronic cases risk Changfeng (Intestinal Wind), requiring elimination of stale matter and promotion of new growth. Use Xuanfeng San (Dispel Wind Powder), follow with organ-specific Jun-Chen drugs, preferably Yihuang San.
[Qian Yi] For Cold Damage vomiting/diarrhea with warm body, alternating chills/fever, somnolence, coarse breathing, yellow-white stool, vomiting, indigestion, occasional cough, and concurrent organ symptoms: decoct organ-specific Jun-Chen drugs, take Daqing Gao (Great Cyan Paste) first, then Yihuang San. If previously purged or no indication for purging, absolutely avoid purgation. This is Cold damaging Spleen/Lung, preventing entry into Spleen. (Jiegu notes: Warm body/vomit/diarrhea/cough indicates Wind-Wood invading Spleen; Mother deficiency leads to Son weakness. Decoct Binglang Doukou Tang, take Daqing Gao, then Yihuang San.)
For Wind-Cold vomiting/diarrhea with fever, somnolence, ability to feed, incessant drinking, phlegm vomiting, yellow watery stool: this is Stomach deficiency-heat causing thirst/vomiting/diarrhea. Generate Stomach fluids to stop thirst, then use dispersing herbs. For thirst, use Baizhu San (Atractylodes Macrocephala Powder); for dispersing, use Daqing Gao. (Jiegu notes: Thirst/scanty urine -> Wuling San. Fever/vomiting -> Baizhu San, then Binglang Muxiang Tang + Daqing Gao.)
For Wind-Cold vomiting/diarrhea with cool body, frothy vomit, green-white stool, irritability without thirst, hiccups/sighing, sleepy eyes: this is lingering mild Wind-Cold causing vomiting/diarrhea. Tonify Spleen then disperse. Tonify Spleen with Yihuang San; disperse with Daqing Gao. Common in Spring/Winter. (Jiegu notes: Cool body/no thirst -> Cold. Decoct Fuzi Guizhi Tang, take Daqing Gao.)
Infants injured by Wind-Cold with vomiting/diarrhea: if doctors treat Spleen deficiency with warming tonics without success, then switch to cooling herbs without resolving exterior, it becomes "Original Wind Injury." Improper aggressive treatment depletes Spleen Qi, unable to resolve internally or externally. After ten+ days, symptoms include sleepy eyes, warm body, wind in Spleen/Stomach causing loose stools. Remove wind from Spleen with Xuanfeng San; when wind recedes, dysentery/diarrhea stops. Follow with Shijunzi Wan to tonify Stomach. Chronic vomiting/dysentery may lead to Spleen deficiency generating wind, resulting in Slow Convulsion.
[Zhang Yuansu Haicang] For excessive vomiting/diarrhea causing Spleen/Stomach deficiency and impending wind signs: use Sizijunzi Tang (Four Gentlemen Decoction) minus half dose of Baifuzi (Typhonii Rhizoma), decoct with Shengjiang (Zingiberis Rhizoma Recens).
[Qian Yi] Yulu San (See above).
Hezhong San (Harmonize Middle Powder) harmonizes Stomach, stops vomiting/diarrhea, calms irritability/thirst, treats abdominal pain.
Renshen (Ginseng Radix et Rhizoma) Fuling (Poria) Baizhu (Atractylodis Macrocephalae Rhizoma) Gancao (Glycyrrhizae Radix et Rhizoma, honey-fried) Gegen (Puerariae Lobatae Radix) Huangqi (Astragali Membranacei Radix, honey-fried) Baibiandou (Phaseoli Semen) Huoxiang (Agastaches Herba) (Equal parts)
Grind to fine powder. Take three qian, decoct with 1.5 cups water, two pitted Jujubae Fructus, five slices of Shengjiang. Reduce to 0.8 cup, take warm before meals. (Haicang notes: Modification of Sizijunzi Tang.)
[Zhu Danxi] Infant at one year old vomiting milk and diarrhea.
Huashi (Talcum, calcined?, two qian) Baizhu (Stir-fried, three qian) Gegen (One qian) Chenpi (Citri Reticulatae Pericarpium, honey-fried, three fen)
Grind to coarse powder, decoct and drink.
For vomiting/diarrhea with fever, yellow diarrhea, and thirst: Qian Yi treats as Heat Disease. In Summer/Autumn, alternate Yulu San and Yihuang San; in Spring/Winter, alternate Baizhu San and Daqing Gao.
[Zhu Danxi] Wan'an Gao (See Vomiting Section).
[Zhang Yuansu Haicang] For vomiting/diarrhea with fullness in limbs and sunken fontanelle: Sizijunzi Tang plus Huoxiang, Dingxiang, Shaoyao (equal parts), decoct.
Qian Yi's Yihuang San (See General Pediatric Rules).
[World Physicians] Hewei Wan (Harmonize Stomach Pill) treats incessant vomiting/diarrhea impending Slow Convulsion.
Dingxiang (Caryophylli Flos) Baizhu (One tael each) Banxia (Pinelliae Rhizoma, five qian) Huoxiang (One qian each) Xiewei (Scorpio Tail, one qian)
Grind to powder, make pills with Ginger Juice paste, size of mung bean. Three-year-old takes thirty pills with Ginger Decoction.
[Yan Xiaozhong] Lizhong Wan (Regulate Middle Pill) treats incessant vomiting/diarrhea, undigested food, cold extremities. (See Cold Damage.)
Jinye Dan (Golden Liquid Pill) treats chronic vomiting/diarrhea, Spleen/Stomach deficiency, cold extremities, mental clouding, sleepy eyes, cold breath, impending Slow Convulsion. Also treats adults with Yang deficiency/Yin excess, cold body, faint pulse, spontaneous sweating, vomiting/diarrhea, urinary incontinence.
Bo Shang Liuhuang (Imported Sulfur, ten taels, purified, ground to powder. Fill sand box 80%, seal with Chishizhi [Halloysitum Rubrum] and salt mud, dry. Bury water jar in open ground, place box on jar, seal mud. Fire for three days/nights with three jin fuel, add one jin top fire, cool to retrieve.)
Grind in wooden mortar with willow pestle. Take two qian with Ginger Rice Drink. Adults: one liang powder mixed with steamed dough pill, size of sesame seed. Take 50-100 pills on empty stomach with Rice Drink.
Yan says: For extreme deficiency from vomiting/diarrhea, quickly generate Stomach Qi with Lizhong Wan. Mix Jinye Dan powder with Ginger Rice Drink. Must take large doses. Once Stomach Qi returns and limbs warm, if spasms persist, reduce Jinye Dan by 1-2 fen, increase Qingzhou Baiwanzi (Qingzhou White Pills) by 1-2 fen, mix and take as above. Combine with Yigong San, Qianghuo Gao, Wenbai Wan, Gouteng Yinzi, etc., frequent congee. Even critical cases often survive (8-9 out of 10). Shen Cunzhong noted Jinye Dan saved several infants with severe vomiting/diarrhea and absent qi; large doses are effective.
[Qian Yi] Doukou San (Cardamom Powder) treats vomiting/diarrhea with irritability/thirst, abdominal distension, scant urine.
Bo Shang Liuhuang (One qian) Huashi (Five fen) Dingxiang (Half fen each) Doukou (Cardamomi Rotundus Fructus, Half fen each)
Grind to fine powder. Take one zi to half qian with Rice Drink anytime.
Doukou San treats deficiency-cold with thirst. Baizhu San treats deficiency-heat with thirst.
For vomiting/diarrhea with warm body, yellow-white stool, apparent thirst: Qian Yi treats as Mixed Cold-Heat Disease. Summer/Autumn: alternate Yulu San and Yihuang San. Winter/Spring: alternate Yihuang San and Daqing Gao.
[Qian Yi] Yigong San (Extraordinary Efficacy Powder) warms middle, harmonizes Qi, treats vomiting/diarrhea/anorexia. For pediatric cold-deficiency diseases, give initially to rectify Qi. (One variation adds Muxiang.)
Renshen Fuling Baizhu Gancao Chenpi (Equal parts)
Grind to powder. Take two qian, decoct with one cup water, five slices Shengjiang, two Jujubae Fructus. (Haicang notes: Modification of Sizijunzi Tang/Bupi Tang.)
Wenzhong Wan (Warm Middle Pill) treats white diarrhea in infants due to Stomach cold, abdominal pain, borborygmus, acid regurgitation, anorexia, cholera-like vomiting/diarrhea.
Renshen Baizhu Gancao (Equal parts)
Grind to powder, make pills with Ginger Juice and flour paste, size of mung bean. Take 20-30 pills with Rice Drink anytime.
Vomiting/diarrhea with lethargy and sleepy eyes indicates Stomach Deficiency-Heat. Vomiting/diarrhea with lethargy and closed eyes indicates Stomach Excess-Heat.
Treatment for Stomach Deficiency-Heat: Qian Yi's Baizhu San, Hezhong San. Treatment for Stomach Excess-Heat: Qian Yi's Yulu San, Hejian's Yi Yuan San.
Bansu San (Half-Millet Powder) treats pediatric Spleen/Stomach deficiency-cold vomiting/diarrhea and cold-phlegm.
Banxia (Pinelliae Rhizoma, soaked in water, sliced, dried, one liang) Chen Sumi (Aged Millet, or aged Jingmi/Japonica Rice, three fen)
Chop ingredients. Take three qian, decoct with 1.5 cups water, ten slices Shengjiang. Reduce to 0.8 cup, take warm before meals.
[World Physicians] Baifu Wan (See Spleen-Damp Section). Qian Yi states: Undigested milk in vomiting/diarrhea is Food Injury; purgation is indicated.
Son of Feng Chengwu, age five, vomiting/diarrhea, high fever, anorexia. Qian Yi observed less black iris, more white sclera, pale complexion, saying: This child will be sickly. Pale complexion indicates Spirit timidity; small black iris indicates Kidney deficiency. Black iris belongs to Water; inherent timidity/deficiency leads to frequent illness. Even if growing up, muscles will be weak, intolerant to cold/heat, prone to deficiency/excess fluctuations, Spleen/Stomach weak. Avoid indulgence; without care, lifespan won't reach prime. Lackluster face resembles blood loss in women. Current vomiting/diarrhea/anorexia/high fever is Food Injury. Timid/deficient children should not be purged; purging deficiency harms organs: Lung->cough, Heart->palpitations/fright, Spleen->diarrhea, Kidney->worsening deficiency. Use Xiaoji Wan (Eliminate Accumulation Pill) to gently digest slight food retention. If severe injury, purgation is allowed. Without purgation, masses form. If solid food stagnation, purgation is appropriate. Purge then tonify Spleen for cure. Adjust based on deficiency/excess; always effective.
[Zhu Danxi] Pediatric vomiting/diarrhea with Jaundice.
Sanleng (Sparganii Rhizoma) Pengze (Curcumae Rhizoma) Chenpi Qingpi (Citri Reticulatae Pericarpium Viride) Shenqu (Massae Fermentatae Medicinalis) Maiya (Hordei Fructus Germinatus) Huanglian Coptidis Rhizoma) Gancao Baizhu Fuling
Grind to powder, take with Ginger and Dengxinca (Junci Medullae) Decoction. Add Shanzha (Crataegi Fructus) for milk/food injury; add Huashi for seasonal epidemic vomiting/diarrhea; add Bohe (Menthae Haplocalycis Herba) for fever.