关脉弦数为食积,温热伤脾;沉微者为冷,不思饮食。未满三岁,看虎口脉纹。
脾胃虚寒或腹痛不食,理中汤主之;有伤食腹胀而或痛,以消食丸导之;有热者,
仁斋保和丸之属。
平胃散 治脾胃不和,不思乳食,心腹疼痛,口苦无味,呕哕恶心,噫气吐酸,面色痿黄,
体弱肌瘦,肚腹泄泻,并服之。
浓朴(去皮,姜炒) 陈皮(去白。各三两) 苍术(五两,浸二日) 甘草(一两,炙)
上为末,每服二钱,姜二片、枣二枚,水煎。空心,入盐少许调服。常服,快气暖胃,
化宿食,消痰。
快膈消食丸宽中快膈,消乳食,正颜色。
砂仁 橘红 三棱(煨) 莪术 神曲(炒) 麦 (炒。各半两) 香附子(一两,炒)
上为末,面糊丸,绿豆大,食后紫苏汤下二十丸。
温脾汤 治脾胃不和,腹胁虚胀,不进乳食,困倦无力。
诃子(炮) 人参(七钱半) 木香 桔梗(各半两) 茯苓 藿香(洗) 陈皮 黄
甘草(各二钱半) 白术(半两)
上为末,每服二钱,姜、枣煎。
四君子汤调理脾胃,进乳食,止泄泻。
人参 白术 茯苓 甘草(炙。各等分)
上咀,每服二钱,姜、枣煎,加陈皮、半夏名六君子汤。
和中汤 治小儿脾胃不和,呕逆恶心,冷热不调,减食泄泻,腹痛肠鸣,少力嗜卧。
浓朴 白术 干姜 甘草(各二钱)
上为细末,每服二钱。姜二片,水八分煎,乳食前温服。
(仁斋)保和丸 治小儿食伤发热,欲成疳证。常服,益脾胃,食则不伤。
白术(五两) 茯苓 半夏(制) 山楂 神曲(炒。各三两) 陈皮 连翘 萝卜子(各二两)
苍术(制) 枳实(炒) 香附子(制) 浓朴(制) 黄芩(酒炒) 黄连(酒炒。
各一两)
上为细末,姜汁打面糊为丸,如黍米大。每服五十丸,渐加至七、八十丸,食后茶
汤下。
加减观音散调理脾胃,常服,正颜色,消饮食。
白术(炒) 人参 扁豆(炒) 茯苓 麦芽(炒) 黄 (炙) 甘草 山药 神曲(炒)
香附子(炒)
上为末,每服一钱,空心米饮下。
调中散 治脾胃不和。
人参 茯苓 木香 白术 甘草(炙) 干姜(煨) 藿香(洗) 香附子 砂仁 丁香(各等分)
上为末,每服一钱,姜、枣汤下。
关脉呈现弦数之象,提示为食积,或因温热邪气损伤脾脏;若关脉沉微,则属寒证,表现为食欲不振、不想进食。对于未满三岁的幼儿,需观察其虎口部位的脉纹变化。
若因脾胃虚寒导致腹痛且不愿进食,应以理中汤为主进行治疗;若因伤食导致腹胀且伴有疼痛,可用消食丸来疏导积滞;若兼有热象,则使用仁斋保和丸之类的方剂。
平胃散:用于治疗脾胃不和,表现为不思吃奶或吃饭,心腹部疼痛,口苦无味,呕吐呃逆恶心,打嗝吐酸水,面色萎黄无华,身体虚弱肌肉消瘦,腹部腹泻等症状,均可服用此药。
药材组成:浓朴(去除外皮,用姜汁炒制)、陈皮(去除白色内层,各三两)、苍术(五两,浸泡两天)、甘草(一两,炙烤)。
用法用量:将上述药材研成细末,每次服用二钱,加入生姜两片、大枣两枚,用水煎煮。空腹时,加入少许盐调匀后服用。长期服用可顺气暖胃,化解陈年积食,消除痰湿。
快膈消食丸:具有宽中理气、通畅胸膈、消化乳食、改善面色等功效。
药材组成:砂仁、橘红、三棱(煨制)、莪术、神曲(炒制)、麦芽(炒制,各半两)、香附子(一两,炒制)。
用法用量:将上述药材研成细末,用面糊制成丸剂,大小如绿豆。饭后用紫苏汤送服二十丸。
温脾汤:用于治疗脾胃不和,腹胁部虚胀,不能正常吃奶或吃饭,困倦无力等症状。
药材组成:诃子(炮制)、人参(七钱半)、木香、桔梗(各半两)、茯苓、藿香(洗净)、陈皮、黄芩、甘草(各二钱半)、白术(半两)。
用法用量:将上述药材研成细末,每次服用二钱,加入生姜、大枣煎煮服用。
四君子汤:用于调理脾胃,促进食欲,止住腹泻。
药材组成:人参、白术、茯苓、甘草(炙烤,各等分)。
用法用量:将药材切碎,每次服用二钱,加入生姜、大枣煎煮。若加入陈皮、半夏,则称为六君子汤。
和中汤:用于治疗小儿脾胃不和,出现呕吐逆气、恶心,冷热不调,食欲减退、腹泻,腹痛肠鸣,精神疲乏、嗜睡等症状。
药材组成:浓朴、白术、干姜、甘草(各二钱)。
用法用量:将上述药材研成细末,每次服用二钱。加入生姜两片,用水八分煎煮,在吃奶或吃饭前温服。
(仁斋)保和丸:用于治疗小儿因饮食不当引起的发热,防止发展为疳证。常服可补益脾胃,使饮食不致受伤。
药材组成:白术(五两)、茯苓、半夏(制过)、山楂、神曲(炒制,各三两)、陈皮、连翘、萝卜子(莱菔子,各二两)、苍术(制过)、枳实(炒制)、香附子(制过)、浓朴(制过)、黄芩(酒炒)、黄连(酒炒,各一两)。
用法用量:将上述药材研成细末,用姜汁调和面糊制成丸剂,大小如黍米。每次服用五十丸,逐渐增加至七、八十丸,饭后用茶汤送服。
加减观音散:用于调理脾胃,常服可改善面色,帮助消化饮食。
药材组成:白术(炒制)、人参、扁豆(炒制)、茯苓、麦芽(炒制)、黄芪(炙烤)、甘草、山药、神曲(炒制)、香附子(炒制)。
用法用量:将上述药材研成细末,每次服用一钱,空腹时用米饮送服。
调中散:用于治疗脾胃不和。
药材组成:人参、茯苓、木香、白术、甘草(炙烤)、干姜(煨制)、藿香(洗净)、香附子、砂仁、丁香(各等分)。
用法用量:将上述药材研成细末,每次服用一钱,用生姜、大枣煎成的汤送服。
The Guan pulse presenting as wiry and rapid indicates food stagnation, or spleen injury caused by warm-heat pathogens; if the Guan pulse is deep and thready, it belongs to cold syndrome, manifesting as anorexia. For infants under three years old, observe the pulse pattern on the tiger's mouth (the radial artery area at the base of the thumb).
If abdominal pain and anorexia are caused by deficiency-cold of the Spleen and Stomach, Lizhong Tang (Regulate the Middle Decoction) should be used as the primary treatment; if abdominal distension and occasional pain result from food injury, Xiaoshi Wan (Digest Food Pill) should be used to guide out the stagnation; if heat signs are present, formulas such as Renzhai Baohe Wan (Harmonize the Interior Pill) should be employed.
Pingwei San (Calm the Stomach Powder): Used to treat disharmony between the Spleen and Stomach, manifesting as reluctance to take milk or food, pain in the heart and abdomen, bitter taste in the mouth and loss of flavor, vomiting, hiccups, nausea, belching with acid regurgitation, sallow complexion, physical weakness and emaciation, and abdominal diarrhea. It is effective for all these conditions.
Ingredients: Houpo (Magnoliae Officinalis Cortex, peeled and stir-fried with ginger juice), Chenpi (Citri Reticulatae Pericarpium, pith removed, each 3 liang), Cangzhu (Atractylodis Rhizoma, 5 liang, soaked for two days), Gancao (Glycyrrhizae Radix et Rhizoma, 1 liang, honey-fried).
Preparation and Administration: Grind the above ingredients into powder. Take 2 qian per dose, with 2 slices of fresh Ginger and 2 Jujubes, decocted in water. Take on an empty stomach, mixed with a small amount of salt. Regular use promotes Qi movement, warms the Stomach, resolves old food stagnation, and eliminates phlegm.
Kuige Xiaoshi Wan (Rapid Diaphragm Digestive Pill): Functions to broaden the middle, soothe the diaphragm, digest milk and food, and correct the complexion.
Ingredients: Sharen (Amomi Fructus), Juhong (Citri Reticulatae Pericarpium Rubrum), Sanleng (Sparganii Rhizoma, roasted), Ezhu (Curcumae Rhizoma), Shenqu (Massae Fermentatae Medicamentosa, stir-fried), Maiya (Hordei Fructus Germinatus, stir-fried, each half liang), Xiangfuzi (Cyperi Rhizoma, 1 liang, stir-fried).
Preparation and Administration: Grind into powder, make pills with wheat paste, size of mung beans. Take 20 pills after meals with Perilla Decoction.
Wenpi Tang (Warm the Spleen Decoction): Used to treat disharmony between the Spleen and Stomach, vacuous distension in the abdomen and hypochondrium, inability to take milk or food, fatigue and weakness.
Ingredients: Hezi (Myrobalani Fructus, processed), Renshen (Ginseng Radix et Rhizoma, 7.5 qian), Muxiang (Aucklandiae Radix), Jiegeng (Platycodonis Radix, each half liang), Fuling (Poria), Huoxiang (Agastaches Herba, washed), Chenpi (Citri Reticulatae Pericarpium), Huangqin (Scutellariae Radix), Gancao (Glycyrrhizae Radix et Rhizoma, each 2.5 qian), Baizhu (Atractylodis Macrocephalae Rhizoma, half liang).
Preparation and Administration: Grind into powder. Take 2 qian per dose, decocted with Ginger and Jujube.
Sijunzi Tang (Four Gentlemen Decoction): Regulates the Spleen and Stomach, promotes appetite, and stops diarrhea.
Ingredients: Renshen (Ginseng Radix et Rhizoma), Baizhu (Atractylodis Macrocephalae Rhizoma), Fuling (Poria), Gancao (Glycyrrhizae Radix et Rhizoma, honey-fried, equal parts).
Preparation and Administration: Cut into pieces. Take 2 qian per dose, decocted with Ginger and Jujube. If Chenpi (Citri Reticulatae Pericarpium) and Banxia (Pinelliae Rhizoma) are added, it is named Liujunzi Tang (Six Gentlemen Decoction).
Hezhong Tang (Harmonize the Middle Decoction): Used to treat disharmony between the Spleen and Stomach in children, manifesting as vomiting and retching, nausea, imbalance of cold and heat, reduced appetite and diarrhea, abdominal pain and borborygmus, lack of strength and somnolence.
Ingredients: Houpo (Magnoliae Officinalis Cortex), Baizhu (Atractylodis Macrocephalae Rhizoma), Ganjiang (Zingiberis Rhizoma), Gancao (Glycyrrhizae Radix et Rhizoma, each 2 qian).
Preparation and Administration: Grind into fine powder. Take 2 qian per dose. Add 2 slices of Ginger, decoct in 8 fen of water. Take warm before milk or food intake.
(Renzhai) Baohe Wan (Harmonize the Interior Pill): Used to treat fever caused by dietary injury in children, preventing progression to Gan syndrome (malnutrition). Regular use benefits the Spleen and Stomach, ensuring food does not cause injury.
Ingredients: Baizhu (Atractylodis Macrocephalae Rhizoma, 5 liang), Fuling (Poria), Banxia (Pinelliae Rhizoma, processed), Shanzha (Crataegi Fructus), Shenqu (Massae Fermentatae Medicamentosa, stir-fried, each 3 liang), Chenpi (Citri Reticulatae Pericarpium), Lianqiao (Forsythiae Fructus), Luobozhi (Raphani Semen, each 2 liang), Cangzhu (Atractylodis Rhizoma, processed), Zhishi (Aurantii Fructus Immaturus, stir-fried), Xiangfuzi (Cyperi Rhizoma, processed), Houpo (Magnoliae Officinalis Cortex, processed), Huangqin (Scutellariae Radix, wine-fried), Huanglian (Coptidis Rhizoma, wine-fried, each 1 liang).
Preparation and Administration: Grind into fine powder, make pills with ginger juice and wheat paste, size of millet seeds. Take 50 pills initially, gradually increasing to 70-80 pills, taken after meals with tea infusion.
Jiajian Guanyin San (Modified Guanyin Powder): Regulates the Spleen and Stomach. Regular use corrects the complexion and aids digestion.
Ingredients: Baizhu (Atractylodis Macrocephalae Rhizoma, stir-fried), Renshen (Ginseng Radix et Rhizoma), Bidou (Dolichoris Semen, stir-fried), Fuling (Poria), Maiya (Hordei Fructus Germinatus, stir-fried), Huangqi (Astragali Radix, honey-fried), Gancao (Glycyrrhizae Radix et Rhizoma), Shanyao (Dioscoreae Rhizoma), Shenqu (Massae Fermentatae Medicamentosa, stir-fried), Xiangfuzi (Cyperi Rhizoma, stir-fried).
Preparation and Administration: Grind into powder. Take 1 qian per dose on an empty stomach with rice drink.
Tiaozhong San (Regulate the Middle Powder): Used to treat disharmony between the Spleen and Stomach.
Ingredients: Renshen (Ginseng Radix et Rhizoma), Fuling (Poria), Muxiang (Aucklandiae Radix), Baizhu (Atractylodis Macrocephalae Rhizoma), Gancao (Glycyrrhizae Radix et Rhizoma, honey-fried), Ganjiang (Zingiberis Rhizoma, roasted), Huoxiang (Agastaches Herba, washed), Xiangfuzi (Cyperi Rhizoma), Sharen (Amomi Fructus), Dingxiang (Caryophylli Flos, equal parts).
Preparation and Administration: Grind into powder. Take 1 qian per dose, taken with Ginger and Jujube decoction.