乳食过伤泻酸脓,噫臭腹热胀满疼,口渴恶食溺赤涩,保安平胃奏神功。
[注]
伤乳食泻者,因乳食过饱,损伤脾胃,乳食不化,
故频泻酸脓也,噫臭腹热,胀满疼痛,口渴恶食,小便赤涩,
须用保安丸消其滞,次用平胃散和其脾,庶积消而泻止矣。
(保安丸) 香附醋炒 缩砂仁各一两 白姜炮 青皮醋炒 陈皮 三棱
莪术 炙甘草各五钱
以上为细末,麴糊为丸,量儿大小与之,白汤化下。
(平胃散) 方见□乳。
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泻证门
过食生冷中寒泻,肠呜胀痛泄澄清,面白肢冷懒饮食,理中诃子散堪行。
[注]
中寒泻者,因过食生冷,以致寒邪凝结,肠鸣腹胀,时复疼痛,
所泻皆澄澈清冷,面色淡白,四肢厥冷,饮食懒进也,
温中理中汤主之,止泻诃子散主之。
(理中汤) 方见不乳。
(诃子散) 诃子麸炒 肉豆蔻面煨 白术土炒 人参 茯苓 木香各二两煨
陈皮 炙甘草各五钱 以上为细末 每服一钱姜汤调服
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泻证门
火泻内热或伤暑,暴注下迫腹痛疼,烦渴泻黄小便赤,玉露四苓可收功。
[注]
火泻者,皆因脏腑积热,或外伤暑气,
故泻时暴注下迫,肚腹疼痛,心烦口渴,泻多黄水,小便赤色也,
先用玉露散清其热,再用四苓汤利其水,庶得其要矣。
(玉露散) 寒水石 石膏各一两 甘草三钱 以上为细末,量儿大小,温汤无时调服。
(四苓汤) 茯苓 白术土炒 猪苓 泽泻 引用灯心水煎服。
(方歌)
火泻小便不利通,利水除湿用四苓,茯苓白术猪苓泽,灯心为引共煎成。
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泻证门
乳食过度损伤导致的腹泻,表现为大便酸臭如脓,嗳气有臭味,腹部发热、胀满且疼痛,口渴、厌恶进食,小便短赤涩痛,使用保安丸和平胃散可取得神奇疗效。
[注]
所谓伤乳食泻,是因为乳汁和食物吃得过多,损伤了脾胃功能,导致乳食无法消化,因此频繁排出酸臭如脓的大便;伴有嗳气有臭味、腹部发热、胀满疼痛、口渴、厌恶进食、小便短赤涩痛等症状,必须先用保安丸消除积滞,再用平胃散调和脾胃,这样积滞才能消除,腹泻才能停止。
(保安丸) 香附(用醋炒)一两,缩砂仁一两,炮姜五钱,青皮(用醋炒)五钱,陈皮五钱,三棱五钱,莪术五钱,炙甘草五钱。
以上药材研成细末,用神曲糊制作成丸剂,根据患儿年龄大小给予服用,用白开水化开送服。
(平胃散) 方剂见前文“不乳”条下。
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泻证门
过量食用生冷食物导致的中寒泻,表现为肠鸣、腹胀疼痛、排泄物清澈稀薄,面色苍白、四肢发冷、食欲不振,理中汤合诃子散可以治疗。
[注]
所谓中寒泻,是因为过量食用生冷食物,导致寒邪凝结在体内,出现肠鸣、腹胀,时常疼痛,所排出的大便清澈寒冷,面色淡白,四肢厥冷,不想吃东西,应当用温中的理中汤为主治,止泻的诃子散为主治。
(理中汤) 方剂见前文“不乳”条下。
(诃子散) 诃子(麸炒)二两,肉豆蔻(面煨)二两,白术(土炒)二两,人参二两,茯苓二两,木香(煨)二两,陈皮五钱,炙甘草五钱。以上药材研成细末,每次服用一钱,用姜汤调服。
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泻证门
火泻由内热或中暑引起,表现为突然剧烈腹泻、肛门急迫坠痛、腹痛、心烦口渴、大便呈黄色、小便短赤,玉露散配合四苓汤可以收效。
[注]
所谓火泻,都是因为脏腑内有积热,或者外感暑气,因此在腹泻时表现为突然剧烈如水注下、肛门急迫坠痛、肚腹疼痛、心烦口渴、大便多为黄水、小便颜色深红,应当先用玉露散清除内热,再用四苓汤利水渗湿,这样才能抓住治疗的关键。
(玉露散) 寒水石一两,石膏一两,甘草三钱。以上药材研成细末,根据患儿年龄大小,随时用温开水调服。
(四苓汤) 茯苓,白术(土炒),猪苓,泽泻。引用灯心草水煎服。
(方歌)
火泻导致小便不通利,利水除湿应使用四苓汤,茯苓、白术、猪苓、泽泻,以灯心草为引共同煎煮而成。
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泻证门
Diarrhea caused by excessive intake of milk and food is characterized by sour, pus-like stools, foul-smelling belching, abdominal heat, distension, and pain, thirst, aversion to food, and scanty, dark, and painful urination. Bao'an Wan (Baby Security Pill) and Pingwei San (Peace the Stomach Powder) can achieve miraculous results.
[Note]
Diarrhea due to injury from milk and food occurs because overeating damages the Spleen and Stomach, leading to indigestion of milk and food, thus causing frequent passage of sour, pus-like stools. Accompanied by foul-smelling belching, abdominal heat, distension, pain, thirst, aversion to food, and scanty, dark, and painful urination, one must first use Bao'an Wan (Baby Security Pill) to resolve stagnation, followed by Pingwei San (Peace the Stomach Powder) to harmonize the Spleen, so that accumulation dissipates and diarrhea stops.
(Bao'an Wan) Cyperi Rhizoma (Xiangfu), processed with vinegar, 1 liang; Amomi Fructus Rotundus (Suosharen), 1 liang; Zingiberis Rhizoma Preparatum (Jiang), roasted, 5 qian; Citri Reticulatae Pericarpium Viride (Qingpi), processed with vinegar, 5 qian; Citri Reticulatae Pericarpium (Chenpi), 5 qian; Sparganii Rhizoma (Sanleng), 5 qian; Curcumae Longae Rhizoma (Ezhu), 5 qian; Glycyrrhizae Radix et Rhizoma Preparata (Gancao), honey-fried, 5 qian.
Grind the above into fine powder, form pills using paste made from Medicated Leaven (Qu), administer according to the child's age, and dissolve in warm water for ingestion.
(Pingwei San) See formula under "Non-nursing" section.
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Diarrhea Category
Excessive consumption of raw and cold foods causes Cold-Diarrhea, characterized by borborygmus, abdominal distension and pain, clear and thin stools, pale complexion, cold limbs, and poor appetite. Lizhong Tang (Regulate the Middle Decoction) combined with Hezi San (Chebula Powder) is suitable for treatment.
[Note]
Cold-Diarrhea results from excessive intake of raw and cold foods, causing Cold pathogen to congeal, leading to borborygmus, abdominal distension, intermittent pain, clear and cold stools, pale complexion, cold extremities, and reluctance to eat. Treat primarily with Lizhong Tang (Regulate the Middle Decoction) to warm the Middle Jiao, and Hezi San (Chebula Powder) to stop diarrhea.
(Lizhong Tang) See formula under "Non-nursing" section.
(Hezi San) Chebulae Fructus (Hezi), bran-fried, 2 liang; Myristicae Semen (Roudoukou), baked in flour, 2 liang; Atractylodis Macrocephalae Rhizoma (Baizhu), soil-fried, 2 liang; Ginseng Radix (Renshen), 2 liang; Poria (Fuling), 2 liang; Aucklandiae Radix (Muxiang), roasted, 2 liang; Citri Reticulatae Pericarpium (Chenpi), 5 qian; Glycyrrhizae Radix et Rhizoma Preparata (Gancao), honey-fried, 5 qian. Grind the above into fine powder, take 1 qian per dose, mix with Ginger Decoction for administration.
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Diarrhea Category
Fire-Diarrhea is caused by internal heat or summerheat injury, characterized by sudden violent diarrhea with tenesmus, abdominal pain, irritability, thirst, yellow stools, and dark urine. Yulu San (Jade Dew Powder) combined with Siling Tang (Four-Poria Decoction) can be effective.
[Note]
Fire-Diarrhea is due to accumulated heat in the Zang-Fu organs or external summerheat invasion, resulting in sudden violent watery diarrhea with tenesmus, abdominal pain, irritability, thirst, profuse yellow stools, and dark urine. First use Yulu San (Jade Dew Powder) to clear heat, then use Siling Tang (Four-Poria Decoction) to promote diuresis, thereby addressing the key aspects of the condition.
(Yulu San) Metallis Aqua Praeparatum (Han Shui Shi), 1 liang; Gypsum Fibrosum (Shigao), 1 liang; Glycyrrhizae Radix et Rhizoma (Gancao), 3 qian. Grind the above into fine powder, administer with warm water at any time according to the child's age.
(Siling Tang) Poria (Fuling), Atractylodis Macrocephalae Rhizoma (Baizhu), soil-fried, Polyporus (Zhuling), Alismatis Rhizoma (Zexie). Decoct with Juncus Effusus (Dengxincao) as a guiding herb.
(Rhyme Formula)
For Fire-Diarrhea with difficult urination, promote diuresis and remove dampness using Siling Tang; Fuling, Baizhu, Zhuling, Zexie, together decocted with Dengxincao as guide.
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Diarrhea Category