论曰小儿饮乳后,忽吐逆乳汁者,名曰吐 。盖由乳哺冷热不调,停在胸膈,复因饮乳
,旧乳未消,新乳又入,气不通宣,新陈相压,所以吐 ,当节乳则愈。
治小儿吐 ,胸中痞满,乳饮停积。麝香汤方
麝香(研) 木香 人参 沉香(锉) 赤茯苓(去黑皮各一分) 丁香(半分)
上六味,粗捣筛。每半钱匕,水半盏,煎数沸。去滓分温二服。
治小儿吐 ,胸中冷气停结。黄 汤方
黄 人参(各三分) 当归(切焙) 芍药 甘草(炙锉) 芎 (各半两) 细辛
(去苗叶
一分)
上七味,粗捣筛。每一钱匕,水七分,煎至四分,去滓分温二服,早晚各一,更量儿大
小加减。
治小儿初生,吐不止。盐黄散方
盐(两黄米大) 牛黄(两粟米大研) 人参 白茯苓(各一小豆大) 甘草(两小豆
大炙)
上五味,先捣研四味为末。以乳汁半合,煎三五沸。入牛黄末搅匀,分减服之。
治小儿吐乳。麝香丸方
麝香(一钱研) 丁香(捣末) 杏仁(去皮尖双仁炒研各一分)
上三味,研捣为细末,以粟米饭丸如麻子大,每服五丸,人参汤研下,更量儿大小加减。
治小儿饮乳后,吐 不止。丁香丸方
丁香(一分) 藿香叶(半两) 人参(三分)
上三味,捣为细末,炼蜜丸如绿豆大,每服三丸,粥饮下。
治小儿吐 不定。枇杷叶散方
枇杷叶(去毛炙) 丁香(各一分)
上二味,捣罗为散。儿小者,于乳头上涂一字,令儿咂之;儿大者,煎枣汤调下。不拘
时,更量大小加减。
治小儿吐奶不止。妙功散方
藜芦洗焙
上一味,捣为细散,以少许吹入鼻中,嚏三两次、立止。
治小儿吐乳。莎草根散方
莎草根(炒去毛香附子是也) 甘草(炙锉各半两)
上二味,捣罗为散,每一钱匕,水七分,煎至四分,去滓温分二服,早晚各一,细细呷
之,更量大小加减。
治小儿吐 ,乳母服。人参汤方
人参 陈橘皮(去白焙各二两)
上二味,捣罗为散,每一钱匕,水七分,生姜半枣大拍破,煎至四分,去滓分温二服,
服后与儿乳吃。
治小儿呕吐不止。人参散方
人参(一两为末) 丹砂(半两研)
上二味,同研令匀,每服半钱匕,熟米饮调下,更量大小加减。
治小儿吐不止,双石散方
石亭脂(一钱) 白滑石(三钱)
上二味,研为细散,每服一字匕,煎竹叶糯米汤调下,更量大小加减。
治小儿吐逆不止。丁香散方
丁香(半分) 桂(去粗皮) 藿香叶(各一分) 人参 甘草(炙锉) 干姜(炮各
半两) 白
茯苓(去黑皮一钱)
上七味,捣罗为细散,每服半钱匕,水七分,煎至四分温服,更量大小加减。
治小儿吐逆不止。二生汤方
生木瓜 生姜(不去皮)
上二味、等分。切作薄片,量儿大小,以水煎热,去滓与服。
论述说:小儿在喝奶之后,突然发生呕吐、吐出乳汁的情况,称为“吐乳”。这通常是因为哺乳时冷热不调,导致乳汁停滞在胸膈部位;再加上再次喂奶时,旧的乳汁尚未消化,新的乳汁又进入胃中,气机不通畅、不宣通,新旧乳汁相互挤压,从而导致呕吐。此时应当节制喂奶量,症状就会痊愈。
治疗小儿吐乳,伴有胸中痞闷胀满、乳汁饮食停积的方剂:麝香汤方
麝香(研磨) 木香 人参 沉香(锉碎) 赤茯苓(去掉黑皮,各一分) 丁香(半分)
以上六味药,粗捣后过筛。每次取半钱匕的药量,加水半盏,煮沸数次。滤去药渣,分两次温服。
治疗小儿吐乳,伴有胸中冷气停聚凝结的方剂:黄芪汤方
黄芪 人参(各三分) 当归(切后焙干) 芍药 甘草(炙后锉碎) 川芎(各半两) 细辛(去掉苗叶,一分)
以上七味药,粗捣后过筛。每次取一钱匕的药量,加水七分,煎煮至剩余四分,滤去药渣,分两次温服,早晚各一次,并根据患儿年龄大小适当增减剂量。
治疗新生儿出生后呕吐不止的方剂:盐黄散方
盐(如两粒黄米大小) 牛黄(如两粒粟米大小,研磨) 人参 白茯苓(各如一小豆大小) 甘草(如两粒小豆大小,炙)
以上五味药,先将前四味捣研成粉末。用半合乳汁,煮沸三到五次。加入牛黄粉末搅拌均匀,根据情况减量服用。
治疗小儿吐乳的方剂:麝香丸方
麝香(一钱,研磨) 丁香(捣成粉末) 杏仁(去皮尖、双仁者,炒后研磨,各一分)
以上三味药,研捣成细末,用粟米饭做丸,如麻子大小。每次服用五丸,用人参汤送服,并根据患儿年龄大小适当增减剂量。
治疗小儿喝奶后呕吐不止的方剂:丁香丸方
丁香(一分) 藿香叶(半两) 人参(三分)
以上三味药,捣成细末,用炼蜜做成如绿豆大小的丸药。每次服用三丸,用粥饮送下。
治疗小儿呕吐无常定时的方剂:枇杷叶散方
枇杷叶(去掉毛,炙) 丁香(各一分)
以上两味药,捣罗成散剂。对于年幼的婴儿,将药粉涂在乳头上,让婴儿吸吮;对于年长的儿童,用枣汤调服。不拘泥于固定时间,并根据年龄大小适当增减剂量。
治疗小儿吐奶不止的方剂:妙功散方
藜芦(洗净焙干)
以上一味药,捣成细散,取少量吹入鼻中,引起打喷嚏两三次,呕吐立即停止。
治疗小儿吐乳的方剂:莎草根散方
莎草根(炒去毛,即香附子) 甘草(炙后锉碎,各半两)
以上两味药,捣罗成散剂。每次取一钱匕,加水七分,煎煮至剩余四分,滤去药渣,温服,分两次,早晚各一次,细细啜饮,并根据年龄大小适当增减剂量。
治疗小儿吐乳,由乳母服用的方剂:人参汤方
人参 陈橘皮(去掉白瓤,焙干,各二两)
以上两味药,捣罗成散剂。每次取一钱匕,加水七分,生姜半颗大枣大小拍破,煎煮至剩余四分,滤去药渣,分两次温服。服药后给婴儿喂奶。
治疗小儿呕吐不止的方剂:人参散方
人参(一两,研成粉末) 丹砂(半两,研磨)
以上两味药,共同研磨均匀。每次服用半钱匕,用熟米饮调服,并根据年龄大小适当增减剂量。
治疗小儿呕吐不止的方剂:双石散方
石亭脂(一钱) 白滑石(三钱)
以上两味药,研成细散。每次服用一字匕的量,用竹叶糯米汤调服,并根据年龄大小适当增减剂量。
治疗小儿呕吐不止的方剂:丁香散方
丁香(半分) 桂枝(去掉粗皮) 藿香叶(各一分) 人参 甘草(炙后锉碎) 干姜(炮制,各半两) 白茯苓(去掉黑皮,一钱)
以上七味药,捣罗成细散。每次服用半钱匕,加水七分,煎煮至剩余四分,温服,并根据年龄大小适当增减剂量。
治疗小儿呕吐不止的方剂:二生汤方
生木瓜 生姜(不去皮)
以上两味药,等分。切成薄片,根据患儿年龄大小,用水煎热,滤去药渣给患儿服用。
Discourse states: After an infant drinks milk, if sudden regurgitation and vomiting of the milk occur, it is termed "vomiting milk" (Tu Ru). This is generally caused by improper regulation of temperature in feeding, leading to milk stagnating in the chest and diaphragm. Furthermore, when feeding again, the old milk has not yet been digested while new milk enters; the Qi fails to circulate freely and unblock, causing the new and old milk to press against each other, resulting in vomiting. At this time, one should regulate the amount of milk fed, and the condition will resolve.
Formula for treating vomiting milk in infants with chest oppression, fullness, and stagnation of milk and fluids: Shexiang Tang (Musk Decoction)
Shexiang (Moschus, ground) Muxiang (Aucklandiae Radix) Renshen (Ginseng Radix) Chenxiang (Aquilariae Lignum Resinatum, sliced) Chifuling (Poria Cocos with black skin removed, each 1 fen) Dingxiang (Caryophylli Flos, half a fen)
The above six herbs are coarsely crushed and sifted. For each dose of half a qian bi (approx. 1.5-2g), add half a zhan (approx. 100ml) of water, boil for several times. Strain the dregs and divide into two warm doses.
Formula for treating vomiting milk in infants with cold Qi stagnation and knotting in the chest: Huangqi Tang (Astragalus Decoction)
Huangqi (Astragali Radix) Renshen (Ginseng Radix, each 3 fen) Danggui (Angelicae Sinensis Radix, sliced and dried) Shaoyao (Paeoniae Radix) Gancao (Glycyrrhizae Radix et Rhizoma, roasted and sliced) Xiongqiong (Ligustici Chuanxiong Rhizoma, each half a liang) Xixin (Asari Radix et Rhizoma, without seedlings and leaves, 1 fen)
The above seven herbs are coarsely crushed and sifted. For each dose of one qian bi, add seven parts water, decoct until four parts remain. Strain the dregs and divide into two warm doses, taken morning and evening. Adjust dosage according to the child's age and size.
Formula for treating persistent vomiting in newborns: Yanhuang San (Salt and Cow Bezoar Powder)
Yan (Salt, size of two yellow millet grains) Niuhuang (Bovis Calculus, size of two broomcorn millet grains, ground) Renshen (Ginseng Radix) Baifuling (Poria Cocos, each size of one small bean) Gancao (Glycyrrhizae Radix et Rhizoma, roasted, size of two small beans)
The above five herbs: first crush and grind the first four into powder. Add half a he of breast milk, boil three to five times. Add the Niuhuang powder, stir evenly, and administer in reduced doses.
Formula for treating vomiting milk in infants: Shexiang Wan (Musk Pill)
Shexiang (Moschus, 1 qian, ground) Dingxiang (Caryophylli Flos, ground into powder) Xingren (Armeniacae Semen Amarum, peeled, tips removed, double-kernelled, roasted and ground, each 1 fen)
The above three herbs are ground into fine powder. Form pills using millet rice, sized like hemp seeds. Administer five pills per dose, washed down with Renshen Tang (Ginseng Decoction). Adjust dosage according to the child's age and size.
Formula for treating persistent vomiting after drinking milk in infants: Dingxiang Wan (Clove Pill)
Dingxiang (Caryophylli Flos, 1 fen) Huoxiangye (Agastaches Herba, half a liang) Renshen (Ginseng Radix, 3 fen)
The above three herbs are crushed into fine powder. Form pills using refined honey, sized like mung beans. Administer three pills per dose, washed down with porridge drink.
Formula for treating irregular or unpredictable vomiting in infants: Pipayexie San (Loquat Leaf Powder)
Pipayexie (Eriobotryae Folium, hair removed, roasted) Dingxiang (Caryophylli Flos, each 1 fen)
The above two herbs are crushed and sifted into powder. For younger infants, apply a character-sized amount of powder to the nipple for the infant to suck; for older children, mix with jujube tea and administer orally. Do not restrict to specific times; adjust dosage according to age and size.
Formula for treating persistent vomiting of milk in infants: Miaogong San (Wonderful Efficacy Powder)
Lilu (Veratris Rhizoma, washed and dried)
The above single herb is crushed into fine powder. Blow a small amount into the nose; inducing sneezing two or three times will stop the vomiting immediately.
Formula for treating vomiting milk in infants: Suocaogen San (Cyperi Rhizoma Powder)
Suocaogen (Cyperi Rhizoma, roasted and hair removed, also known as Xiangfuzi) Gancao (Glycyrrhizae Radix et Rhizoma, roasted and sliced, each half a liang)
The above two herbs are crushed and sifted into powder. For each dose of one qian bi, add seven parts water, decoct until four parts remain. Strain the dregs, take warm, divided into two doses, morning and evening. Sip slowly. Adjust dosage according to age and size.
Formula for treating vomiting milk in infants, administered to the nursing mother: Renshen Tang (Ginseng Decoction)
Renshen (Ginseng Radix) Chenjuapi (Citri Reticulatae Pericarpium, white pith removed, dried, each two liang)
The above two herbs are crushed and sifted into powder. For each dose of one qian bi, add seven parts water, add ginger (size of half a jujube, smashed), decoct until four parts remain. Strain the dregs, take warm, divided into two doses. After taking the medicine, nurse the infant.
Formula for treating persistent vomiting in infants: Renshen San (Ginseng Powder)
Renshen (Ginseng Radix, one liang, ground into powder) Dansha (Cinnabaris, half a liang, ground)
The above two herbs are ground together uniformly. Administer half a qian bi per dose, mixed with cooked rice drink. Adjust dosage according to age and size.
Formula for treating persistent vomiting in infants: Shuangshi San (Double Stone Powder)
Shitingzhi (Halloysitum Rubrum, one qian) Baihuashi (Talcum, three qian)
The above two herbs are ground into fine powder. Administer a yi zi bi (approx. 0.5-1g) per dose, mixed with bamboo leaf and glutinous rice soup. Adjust dosage according to age and size.
Formula for treating persistent vomiting in infants: Dingxiang San (Clove Powder)
Dingxiang (Caryophylli Flos, half a fen) Gui (Cinnamomi Ramulus, coarse bark removed) Huoxiangye (Agastaches Herba, each 1 fen) Renshen (Ginseng Radix) Gancao (Glycyrrhizae Radix et Rhizoma, roasted and sliced) Ganjiang (Zingiberis Rhizoma, processed, each half a liang) Baifuling (Poria Cocos, black skin removed, one qian)
The above seven herbs are crushed and sifted into fine powder. For each dose of half a qian bi, add seven parts water, decoct until four parts remain. Take warm. Adjust dosage according to age and size.
Formula for treating persistent vomiting in infants: Ersheng Tang (Two Raw Substances Decoction)
Shengmugua (Chaenomelis Fructus, raw) Shengjiang (Zingiberis Rhizoma Recens, skin not removed)
The above two herbs are used in equal proportions. Slice thinly. According to the child's age and size, decoct with water until hot. Strain the dregs and administer.