白豆蔻散 治小儿脾胃不和,憎寒壮热,腹呕吐热,不纳乳食。
枇杷叶 白豆蔻 陈皮(去白) 黄 (各半两炙) 木瓜 人参 甘草(各二钱半。炙) 川芎(一钱)
上咀,每服一钱,姜、枣煎服,量儿大小加减。
平胃散 治吐逆频并手足心热,不进乳食。(方见脾胃门。)加藿香,名正气散。(通治呕吐。)
人参散调中和气,止呕逆,遂除烦渴,昏困多睡,乳食减少及伤寒时气,胃气不顺,吐利止后燥渴不解。
干姜(二两) 人参 白茯苓(各一两) 木香 甘草(炙二钱半) 藿香(二钱半)
上咀,每服一钱,水一盏煎服。
定吐紫金核 治男女小儿一切吐,神效。
半夏(制) 人参 白术 木香 丁香 藿香(各二钱半)
上为末,姜汁糊丸,李核大,外用沉香、朱砂各一钱,研末为衣,阴干。每用一丸,
以胶枣一枚去核入药在内,湿纸包煨熟嚼服,与米饭压之。食乳者,擂碎米汤加姜汤调服。
灵砂白丸子 治小儿吐乳不止,恐成脾风。
灵砂(一粒) 青州白丸子(五粒,方见风门)
上用研末,姜汤米饮下,吐久虚甚者对停用。
益黄散 治小儿脾胃虚弱,腹痛泄利,不思乳食,呕吐不止,困乏懒,心胁膨胀,颜色青黄,恹恹不醒。
丁香(半两) 橘红(二两) 甘草(炙) 诃子(炮去核) 青皮(各一两)
上为细末,每服二钱。水七分煎五分,食前服。量大小加减神效。
消乳丸温中快膈,止呕,消乳食。脉沉者,伤食不化故也。
香附子(一两) 砂仁 陈皮 甘草(炙。各半两) 神曲(炒) 麦芽(炒。各一两)
上为末,面糊丸,黍米大,七岁儿丸绿豆大。食后姜汤吞下二、三十丸,可与消食丸参看,方见脾胃。
丁香散 治胃虚气逆,呕吐不定,精神不安,羸困霍乱。
人参(五分) 丁香 藿香(各二钱半。洗)
上咀,每服一钱,水半盏,煎五、七沸,入乳汁少许,热服。
半夏散 治小儿胃虚呕吐,水谷不化。
半夏(一两泡七次) 陈糯米
上咀,姜五片,枣一枚同煎。
香薷散 治脏腑冷热不调,饮食不节,风冷之所伤,致令真气相干,肠胃虚弱,心腹疼
痛,霍乱气逆,有吐利,发热头疼,或呕、或泻、或转筋拘急及寒暑。
香薷(一两) 浓朴(制) 扁豆(各半两。炒)
上咀,每服二钱,姜煎。一方加黄连治泻痢;一方加芎芷香苏散治霍乱吐泻、暑月感冒伤暑之证。
竹茹汤 治胃受邪热,心烦喜冷,呕吐不止。
干葛(七钱半) 半夏(半两泡) 甘草(一钱)
每服三钱,水一盏,竹茹一块、姜五片煎。一方加茯苓。
丁莲散 治吐乳伤食。
丁香 莲肉(去心) 枇杷叶(各等分。姜汁涂炙熟)
上为末,每服一钱,米饮调下。
益胃散快膈益脾,止呕进食。
木香 丁香 藿香(洗) 陈皮 砂仁 白豆蔻 茯苓 甘草(各等分)
上为末,每服一钱,用生姜、枣汤下。
茯苓半夏汤 治诸呕哕,心下坚痞,膈间有水痰眩悸。
半夏(制,两半) 茯苓(三两)
上为咀,每服三钱,姜三片煎。
白豆蔻散:治疗小儿脾胃功能失调,表现为怕冷且高热,腹部呕吐伴有热象,拒绝吃奶进食。
配方组成:枇杷叶、白豆蔻、陈皮(去除白色内层)、黄芩(各半两,经蜜炙处理)、木瓜、人参、甘草(各二钱半,经蜜炙处理)、川芎(一钱)。
制法与用法:将药材切碎,每次服用一钱,加入生姜和大枣煎汤服用,根据患儿年龄大小酌情增减剂量。
平胃散:治疗频繁呕吐逆气,手足心发热,无法进食乳食。(该方剂详见“脾胃门”章节。)若在此方基础上加入藿香,则称为正气散。(适用于通用呕吐症状。)
功效:人参散能调和中和之气,止住呕吐逆气,消除烦渴、昏沉困倦多睡、乳食减少等症状,以及伤寒时行疫病导致的胃气不顺,在吐泻停止后仍感燥热口渴不解的情况。
配方组成:干姜(二两)、人参、白茯苓(各一两)、木香、甘草(蜜炙二钱半)、藿香(二钱半)。
制法与用法:将药材切碎,每次服用一钱,用水一盏煎服。
定吐紫金核:治疗男女儿童各种呕吐,疗效神奇显著。
配方组成:半夏(炮制过)、人参、白术、木香、丁香、藿香(各二钱半)。
制法与用法:将上述药材研为细末,用姜汁调糊制成丸药,大小如李子核。外层包裹沉香和朱砂各一钱的研末作为衣料,阴干。每次使用一丸,取一枚去核的胶枣,将药丸放入枣肉中,用湿纸包裹后煨熟,嚼碎服用,随后吃些米饭以压住药力。对于吃奶的婴儿,将米汤擂碎加姜汤调匀后服用。
灵砂白丸子:治疗小儿吐乳不止,担心发展为脾风证。
配方组成:灵砂(一粒)、青州白丸子(五粒,该方剂详见“风门”章节)。
制法与用法:将上述药材研为细末,用姜汤或米饮送服。若呕吐时间久且身体极度虚弱者,应暂停使用。
益黄散:治疗小儿脾胃虚弱,腹痛腹泻,不想吃奶进食,呕吐不止,疲倦乏力懒动,心胁部胀满,面色青黄,精神萎靡不清醒。
配方组成:丁香(半两)、橘红(二两)、甘草(蜜炙)、诃子(炮制后去核)、青皮(各一两)。
制法与用法:将药材研为细末,每次服用二钱。用水七分煎至五分,饭前服用。根据患儿年龄大小酌情增减,疗效神奇显著。
消乳丸:温中焦,宽胸膈,止呕,消化乳食。脉象沉者,是因为伤食不化所致。
配方组成:香附子(一两)、砂仁、陈皮、甘草(蜜炙,各半两)、神曲(炒制)、麦芽(炒制,各一两)。
制法与用法:将药材研为细末,用面糊制成丸药,大小如黍米。七岁儿童可制成绿豆大。饭后用姜汤吞服二三十丸。此方可参考“消食丸”,详见“脾胃”章节。
丁香散:治疗胃虚气逆,呕吐不定,精神不安,身体消瘦困顿及霍乱。
配方组成:人参(五分)、丁香、藿香(各二钱半,洗净)。
制法与用法:将药材切碎,每次服用一钱,用水半盏,煎煮五到七沸,加入少许乳汁,温热服用。
半夏散:治疗小儿胃虚呕吐,水谷不能消化。
配方组成:半夏(一两,浸泡七次)、陈糯米。
制法与用法:将药材切碎,加入生姜五片、大枣一枚同煎。
香薷散:治疗脏腑冷热不调,饮食无节制,受风冷邪气伤害,导致真气相互干扰,肠胃虚弱,心腹疼痛,霍乱气逆,有呕吐腹泻,发热头痛,或者呕吐、或者腹泻、或者转筋拘急以及寒暑之邪。
配方组成:香薷(一两)、浓朴(炮制过)、扁豆(各半两,炒制)。
制法与用法:将药材切碎,每次服用二钱,加生姜煎服。另一版本方剂加入黄连以治疗泻痢;另一版本方剂加入芎芷香苏散以治疗霍乱吐泻、暑月感冒伤暑的症状。
竹茹汤:治疗胃受邪热,心烦喜冷,呕吐不止。
配方组成:干葛(七钱半)、半夏(半两,浸泡)、甘草(一钱)。
制法与用法:每次服用三钱,用水一盏,加入一块竹茹、生姜五片煎服。另一版本方剂加入茯苓。
丁莲散:治疗吐乳伤食。
配方组成:丁香、莲肉(去心)、枇杷叶(各等分,用姜汁涂炙至熟)。
制法与用法:将药材研为细末,每次服用一钱,用米饮调服。
益胃散:宽胸膈,补益脾胃,止呕,促进进食。
配方组成:木香、丁香、藿香(洗净)、陈皮、砂仁、白豆蔻、茯苓、甘草(各等分)。
制法与用法:将药材研为细末,每次服用一钱,用生姜、大枣煎汤送服。
茯苓半夏汤:治疗各种呕吐呃逆,心下坚硬痞块,膈间有水痰引起的眩晕心悸。
配方组成:半夏(炮制过,一两半)、茯苓(三两)。
制法与用法:将药材切碎,每次服用三钱,加生姜三片煎服。
Baikou San (White Cardamom Powder): Treats pediatric spleen and stomach disharmony, manifesting as aversion to cold with high fever, abdominal vomiting with heat sensations, and refusal of milk or food.
Ingredients: Loquat Leaf (Loquat Folium), White Cardamom (Amomi Fructus Rotundus), Tangerine Peel (Citri Reticulatae Pericarpium) (with white pith removed), Scutellaria Root (Scutellariae Radix) (each 0.5 liang, honey-fried), Papaya (Chaenomelis Fructus), Ginseng (Ginseng Radix et Rhizoma), Licorice Root (Glycyrrhizae Radix et Rhizoma) (each 2.5 qian, honey-fried), Szechuan Lovage Rhizome (Ligustici Chuanxiong Rhizoma) (1 qian).
Preparation and Administration: Coarsely crush the herbs. Take 1 qian per dose, decoct with fresh ginger and jujube. Adjust dosage according to the child's age.
Pingwei San (Peace the Stomach Powder): Treats frequent regurgitation and vomiting, heat in the palms and soles, and inability to take milk or food. (See "Spleen and Stomach Section" for the formula.) Adding Agastache Herb (Agastachis Herba) creates Zhengqi San (Righteous Qi Powder). (General treatment for vomiting.)
Efficacy: Renshen San (Ginseng Powder) harmonizes and regulates qi, stops vomiting and regurgitation, relieves irritability and thirst, drowsiness, reduced milk intake, and disharmony of stomach qi due to Cold Damage (Shanghan) or seasonal epidemics. It also addresses persistent dryness and thirst after vomiting and diarrhea have ceased.
Ingredients: Dried Ginger (Zingiberis Rhizoma) (2 liang), Ginseng (Ginseng Radix et Rhizoma), Poria (Poria), Atractylodes Macrocephala Rhizome (Atractylodis Macrocephalae Rhizoma) (each 1 liang), Costus Root (Saussureae Radix), Licorice Root (Glycyrrhizae Radix et Rhizoma) (honey-fried, 2.5 qian), Agastache Herb (Agastachis Herba) (2.5 qian).
Preparation and Administration: Coarsely crush the herbs. Take 1 qian per dose, decoct with one cup of water.
Dingtu Zijin He (Vomit-Settling Purple Gold Pill): Treats all types of vomiting in male and female children; highly effective.
Ingredients: Pinellia Tuber (Pinelliae Rhizoma) (processed), Ginseng (Ginseng Radix et Rhizoma), Atractylodes Rhizome (Atractylodis Rhizoma), Costus Root (Saussureae Radix), Clove (Caryophylli Flos), Agastache Herb (Agastachis Herba) (each 2.5 qian).
Preparation and Administration: Grind into fine powder. Use ginger juice and paste to form pills the size of a plum pit. Coat with powder of Agarwood (Aquilariae Lignum Resinatum) and Cinnabar (Cinnabaris), each 1 qian. Dry in shade. Use one pill per dose. Place the pill inside a pitted preserved jujube. Wrap in wet paper and bake until cooked. Chew and swallow. Follow with rice to settle the medicine. For nursing infants, crush rice into soup, add ginger soup, and mix.
Lingsha Baiwan Zi (Spirit Sand White Pills): Treats incessant spitting up of milk in children, fearing progression to Spleen Wind syndrome.
Ingredients: Ling Sha (Processed Mercury Compound), Qingzhou Bai Wan Zi (Qingzhou White Pills) (see "Wind Section" for formula).
Preparation and Administration: Grind into powder. Administer with ginger soup or rice drink. Discontinue use if vomiting has been prolonged and deficiency is severe.
Yihuang San (Benefit Yellow Powder): Treats pediatric spleen and stomach deficiency, abdominal pain, diarrhea, anorexia, incessant vomiting, fatigue and lethargy, distension of the heart and hypochondrium, greenish-yellow complexion, and listlessness.
Ingredients: Clove (Caryophylli Flos) (0.5 liang), Exocarpium Citri Grandis (Citri Grandis Exocarpium) (2 liang), Licorice Root (Glycyrrhizae Radix et Rhizoma) (honey-fried), Chebula Fruit (Terminaliae Chebulae Fructus) (roasted, pitted), Green Tangerine Peel (Citri Reticulatae Pericarpium Viride) (each 1 liang).
Preparation and Administration: Grind into fine powder. Take 2 qian per dose. Decoct with seven parts water until five parts remain. Take before meals. Adjust dosage according to age; highly effective.
Xiaoru Wan (Milk-Digesting Pills): Warms the middle warmer, opens the diaphragm, stops vomiting, and digests milk and food. A deep pulse indicates food stagnation and failure to digest.
Ingredients: Cyperus Rhizome (Cyperi Rhizoma) (1 liang), Amomum Fruit (Amomi Fructus), Tangerine Peel (Citri Reticulatae Pericarpium), Licorice Root (Glycyrrhizae Radix et Rhizoma) (honey-fried, each 0.5 liang), Medicated Leaven (Massa Medicata Fermentata) (stir-fried), Malt (Hordei Fructus Germinatus) (stir-fried, each 1 liang).
Preparation and Administration: Grind into powder. Form pills with wheat flour paste, size of millet seeds. For seven-year-olds, make size of mung beans. Swallow 20-30 pills after meals with ginger soup. Refer to Xiaoshi Wan (Food-Digesting Pills) in the "Spleen and Stomach" section.
Dingxiang San (Clove Powder): Treats stomach deficiency with rebellious qi, irregular vomiting, mental restlessness, emaciation, exhaustion, and cholera-like symptoms.
Ingredients: Ginseng (Ginseng Radix et Rhizoma) (5 fen), Clove (Caryophylli Flos), Agastache Herb (Agastachis Herba) (each 2.5 qian, washed).
Preparation and Administration: Coarsely crush. Take 1 qian per dose. Decoct with half a cup of water for 5-7 boils. Add a little milk. Take warm.
Banxia San (Pinellia Powder): Treats pediatric stomach deficiency vomiting and indigestion of water and grain.
Ingredients: Pinellia Tuber (Pinelliae Rhizoma) (1 liang, soaked seven times), Aged Glutinous Rice (Oryza Sativa Var. Glutinosa).
Preparation and Administration: Coarsely crush. Decoct with five slices of fresh ginger and one jujube.
Xiangru San (Elsholtzia Powder): Treats disharmony of cold and heat in the zang-fu organs, irregular diet, injury from wind-cold, interference of true qi, weakness of intestines and stomach, abdominal pain, cholera with rebellious qi, vomiting and diarrhea, fever and headache, spasms and cramps, and exposure to cold or summerheat.
Ingredients: Elsholtzia Herb (Elsholtziae Herba) (1 liang), Magnolia Bark (Magnoliae Officinalis Cortex) (processed), Lablab Bean (Lablab Semen Album) (each 0.5 liang, stir-fried).
Preparation and Administration: Coarsely crush. Take 2 qian per dose, decoct with fresh ginger. Another variant adds Scutellaria Root (Scutellariae Radix) to treat dysentery; another adds Xiongzhi Xiangsu San (Bupleurum, Ligusticum, Agastache, and Perilla Powder) to treat cholera vomiting/diarrhea and summerheat invasion.
Zhuru Tang (Bamboo Shavings Decoction): Treats stomach affected by pathogenic heat, irritability, preference for cold, and incessant vomiting.
Ingredients: Kudzu Root (Puerariae Lobatae Radix) (7.5 qian), Pinellia Tuber (Pinelliae Rhizoma) (0.5 liang, soaked), Licorice Root (Glycyrrhizae Radix et Rhizoma) (1 qian).
Preparation and Administration: Take 3 qian per dose. Decoct with one cup of water, a piece of Bamboo Shavings (Bambusae Caulis in Taenia), and five slices of fresh ginger. Another variant adds Poria (Poria).
Dinglian San (Clove and Lotus Seed Powder): Treats vomiting of milk due to food injury.
Ingredients: Clove (Caryophylli Flos), Lotus Seed (Nelumbinis Semen) (heart removed), Loquat Leaf (Loquat Folium) (equal parts, brushed with ginger juice and roasted).
Preparation and Administration: Grind into powder. Take 1 qian per dose, mixed with rice drink.
Yiwei San (Benefit Stomach Powder): Opens the diaphragm, benefits the spleen, stops vomiting, and promotes appetite.
Ingredients: Costus Root (Saussureae Radix), Clove (Caryophylli Flos), Agastache Herb (Agastachis Herba) (washed), Tangerine Peel (Citri Reticulatae Pericarpium), Amomum Fruit (Amomi Fructus), White Cardamom (Amomi Fructus Rotundus), Poria (Poria), Licorice Root (Glycyrrhizae Radix et Rhizoma) (equal parts).
Preparation and Administration: Grind into powder. Take 1 qian per dose, taken with decoction of fresh ginger and jujube.
Fuling Banxia Tang (Poria and Pinellia Decoction): Treats various forms of vomiting and hiccups, epigastric hardness and fullness, vertigo and palpitations caused by phlegm-fluid in the diaphragm.
Ingredients: Pinellia Tuber (Pinelliae Rhizoma) (processed, 1.5 liang), Poria (Poria) (3 liang).
Preparation and Administration: Coarsely crush. Take 3 qian per dose, decoct with three slices of fresh ginger.