小儿秋夏伏暑，多有热吐，何以别之？或有黄涎，头额温，五心热，小便赤而少，或唇干而烦渴。先令乳母服香薷
散、五苓散，儿服竹茹汤、五苓散，热甚者，大柴胡汤去大黄服，或小柴胡汤亦可，热极者，可服大承气汤，其效如神。
玉露散亦可服。
香薷散 见第六十问。
五苓散 见第五十二问。
竹茹汤 见第六十问。
大柴胡汤 见第二十九问。
大承气汤 见第二十九问。
玉露散 见第五十三问。
小儿感受风冷，或食生冷瓜果过多，胃口停寒，以致吐食吐乳，并用理中汤主之，或酿乳法、消乳丸、异功散、香
朴散、茯苓半夏汤、二陈汤、人参散、麝沉散俱可服。
理中汤 见第五十三问。
酿乳法 治初生婴儿以表用药，凡有胎热症，当令乳母服药，不可求效之速，治法当酿乳令儿吃渐次解之，百
无一失。若遂以冷药攻之，必损脾胃，加以呕吐，必成大患。
泽泻（二两半） 猪苓（去黑皮） 赤茯苓 天花粉（各一两半） 生地黄（二两） 山茵陈 甘草（各一两）
上 咀，每服五钱，水一盏，煎六分，食后捏去旧乳却服。
消乳丸 见第六十问。
异功散 见第十七问。
香朴散 见第六十问。
茯苓半夏汤 治诸呕吐，心下坚痞，膈间有痰水眩悸。
茯苓（二两） 半夏（五钱、汤泡七次）
上 咀，每服三钱，水一盏，生姜三片，煎六分服。
二陈汤 治痰饮为患，或呕吐恶心，或头眩心悸，或中脘不快，或发为寒热，或因生冷伤脾。
半夏（汤泡） 橘红（各五钱） 白茯苓（三钱） 炙甘草（一钱半）
上 咀，每服三钱，水一盏，生姜三片，乌梅一个，煎至七分，去滓温服。
人参散 治小儿脏腑冷，若才吃乳食，即又吐出。或因才吃乳，为惊触犯。令小儿外症面唇青黑，手足心热，
口多清涎，吐逆不止，或作泻候，青黄紫白，或如鼻涕鸡子清者，并宜服之。
人参（去芦） 白术（炒） 白茯苓 降沉香 乌药 甘草（炙、各半两）
上为细末，以瓶贮之，遇小儿有前项形症，半岁一字，二、三岁半钱，大者一钱，煎枣子米饮调下，或陈紫苏汤亦
可。或吐泻并作，煎丁香汤下，陈皮汤尤妙。
沉香散 见第十六问。
小儿在秋季和夏季感受伏暑，常出现热性呕吐，如何辨别呢？有的患儿吐出黄色涎沫，额头温度偏高，手心、脚心及心胸部位发热，小便颜色深红且量少，或者嘴唇干燥并伴有烦躁口渴。先让乳母服用香薷散、五苓散，婴儿服用竹茹汤、五苓散；若热势严重，服用去掉大黄的大柴胡汤，或者小柴胡汤也可以；若热势极盛，可服用大承气汤，疗效神速。玉露散也可以服用。
香薷散 见第六十问。
五苓散 见第五十二问。
竹茹汤 见第六十问。
大柴胡汤 见第二十九问。
大承气汤 见第二十九问。
玉露散 见第五十三问。
小儿感受风冷，或者食用生冷瓜果过多，导致胃脘部停聚寒邪，从而引起吐食或吐乳，均用理中汤为主进行治疗，或者酿乳法、消乳丸、异功散、香朴散、茯苓半夏汤、二陈汤、人参散、麝沉散均可服用。
理中汤 见第五十三问。
酿乳法 治疗初生婴儿时采用表证用药的方法。凡是有胎热症状的，应当让乳母服药，不可追求见效迅速，治疗方法应当通过乳汁慢慢让婴儿摄入以逐渐解除病邪，这样百无一失。如果直接用寒凉药物攻伐，必然损伤脾胃，加上呕吐，必成大患。
泽泻（二两半） 猪苓（去除黑色外皮） 赤茯苓 天花粉（各一两半） 生地黄（二两） 山茵陈 甘草（各一两）
以上药材切碎，每次服用五钱，加水一盏，煎煮至六分，饭后挤去部分旧乳后服用。
消乳丸 见第六十问。
异功散 见第十七问。
香朴散 见第六十问。
茯苓半夏汤 治疗各种呕吐，胃脘部坚硬痞块，胸膈间有痰饮水湿导致的眩晕心悸。
茯苓（二两） 半夏（五钱，用热水浸泡七次）
以上药材切碎，每次服用三钱，加水一盏，生姜三片，煎煮至六分服用。
二陈汤 治疗痰饮为患，或者呕吐恶心，或者头晕心悸，或者胃脘部不适，或者发作寒热，或者因生冷损伤脾胃。
半夏（热水浸泡） 橘红（各五钱） 白茯苓（三钱） 炙甘草（一钱半）
以上药材切碎，每次服用三钱，加水一盏，生姜三片，乌梅一个，煎煮至七分，去渣温服。
人参散 治疗小儿脏腑虚冷，如果刚吃乳食，随即又吐出。或者因为刚吃奶，受到惊吓触碰所致。表现为小儿外部症状见面色口唇青黑，手足心发热，口中多清稀涎沫，呕吐不止，或者出现腹泻征兆，大便呈青、黄、紫、白色，或者像鼻涕、鸡蛋清一样，都适宜服用此药。
人参（去除芦头） 白术（炒制） 白茯苓 降沉香 乌药 甘草（炙制，各半两）
以上研成细末，用瓶子储存，遇到小儿有上述症状，半岁用量一字，二、三岁半钱，较大的儿童一钱，用煎煮的大枣米饮调服，或者陈紫苏汤也可以。如果吐泻同时发生，用丁香汤送服，陈皮汤送服尤其好。
沉香散 见第十六问。
Infants and children who contract latent summerheat in autumn or summer often present with heat-type vomiting. How can this be differentiated? Some infants may vomit yellow saliva, have a warm forehead, heat in the five centers (palms, soles, and chest), dark and scanty urine, dry lips accompanied by irritability and thirst. First, allow the nursing mother to take Xiangru San (Elsholtzia Powder) and Wuling San (Five-Ingredient Powder with Poria); the infant should take Zhuru Tang (Bamboo Shavings Decoction) and Wuling San (Five-Ingredient Powder with Poria). If the heat is severe, Da Chaihu Tang (Major Bupleurum Decoction) without Dahuang (Rhubarb Root) may be taken, or Xiao Chaihu Tang (Minor Bupleurum Decoction) is also acceptable; if the heat is extreme, Dachengqi Tang (Major Order the Qi Decoction) may be administered, with miraculous efficacy. Yulu San (Jade Dew Powder) may also be taken.
Xiangru San (Elsholtzia Powder) See Question 60.
Wuling San (Five-Ingredient Powder with Poria) See Question 52.
Zhuru Tang (Bamboo Shavings Decoction) See Question 60.
Da Chaihu Tang (Major Bupleurum Decoction) See Question 29.
Dachengqi Tang (Major Order the Qi Decoction) See Question 29.
Yulu San (Jade Dew Powder) See Question 53.
When infants are exposed to wind-cold, or consume excessive amounts of raw or cold fruits and vegetables, cold stagnates in the stomach and abdomen, leading to vomiting of food or milk. Lizhong Tang (Regulate the Middle Decoction) should be used as the primary treatment. Alternatively, Nairu Fa (Breast-feeding Method), Xiaoru Wan (Digest Milk Pill), Yigong San (Extraordinary Efficacy Powder), Xiangpo San (Aucklandia and Magnolia Bark Powder), Fuling Banxia Tang (Poria and Pinellia Decoction), Erchen Tang (Two-Aged Decoction), Renshen San (Ginseng Powder), and Mochen San (Musk and Agarwood Powder) may all be administered.
Lizhong Tang (Regulate the Middle Decoction) See Question 53.
Nairu Fa (Breast-feeding Method) This refers to treating newborns using surface-level medications. For conditions involving fetal heat, the nursing mother should take medication rather than seeking rapid effects on the infant. The treatment method involves allowing the medicine to pass through breast milk to gradually resolve the condition, ensuring high safety. If cold-natured drugs are used directly to attack the pathogen, it will inevitably damage the spleen and stomach, causing vomiting and leading to serious complications.
Zexie (Alisma Rhizome, 2.5 liang), Zhuling (Polyporus, skin removed), Chi Fuling (Red Poria), Tianhuafen (Trichosanthes Root, 1.5 liang each), Sheng Dihuang (Rehmannia Root, 2 liang), Shan Yinchen (Artemisia Capillaris), Gancao (Licorice Root, 1 liang each).
Crush the herbs. Take 5 qian per dose, add one zhan of water, decoct until 0.6 zhan remains. Administer after meals, after expressing some old milk.
Xiaoru Wan (Digest Milk Pill) See Question 60.
Yigong San (Extraordinary Efficacy Powder) See Question 17.
Xiangpo San (Aucklandia and Magnolia Bark Powder) See Question 60.
Fuling Banxia Tang (Poria and Pinellia Decoction) Treats various types of vomiting, epigastric hardness and fullness, and dizziness with palpitations due to phlegm-fluid retention in the diaphragm.
Fuling (Poria, 2 liang), Banxia (Pinellia Tuber, 5 qian, soaked in boiling water seven times).
Crush the herbs. Take 3 qian per dose, add one zhan of water and three slices of fresh ginger, decoct until 0.6 zhan remains.
Erchen Tang (Two-Aged Decoction) Treats disorders caused by phlegm-fluid retention, such as vomiting and nausea, dizziness and palpitations, epigastric discomfort, alternating chills and fever, or spleen injury due to raw and cold foods.
Banxia (Pinellia Tuber, soaked in boiling water), Juhong (Citrus Reticulata Peel, 5 qian each), Bai Fuling (White Poria, 3 qian), Zhi Gancao (Honey-fried Licorice Root, 1.5 qian).
Crush the herbs. Take 3 qian per dose, add one zhan of water, three slices of fresh ginger, and one dark plum, decoct until 0.7 zhan remains. Strain and administer warm.
Renshen San (Ginseng Powder) Treats coldness in the internal organs of infants. If the infant vomits immediately after feeding milk or food, or if vomiting occurs after feeding due to fright or disturbance, presenting with external signs such as cyanotic face and lips, heat in the palms and soles, excessive clear saliva, continuous vomiting, or diarrhea with stools that are green, yellow, purple, white, or resembling mucus and egg whites, this powder is suitable.
Renshen (Ginseng Root, rhizome removed), Baizhu (Atractylodes Macrocephala Rhizome, stir-fried), Bai Fuling (White Poria), Jiang Chenxiang (Agarwood), Wuyao (Lindera Root), Zhi Gancao (Honey-fried Licorice Root, 0.5 liang each).
Grind into fine powder and store in a bottle. For infants with the aforementioned symptoms: half a zi for six-month-olds, half a qian for two- to three-year-olds, and one qian for older children. Mix with jujube rice water or decocted Chen Zisu (Perilla Leaf) soup for administration. If vomiting and diarrhea occur simultaneously, administer with Dingxiang Tang (Clove Decoction); Chenpi Tang (Tangerine Peel Decoction) is particularly effective.
Chenxiang San (Agarwood Powder) See Question 16.