《本事方》治小儿疳积,黄瘦吐食。
川乌(一钱) 定粉(三钱) 艾灰(二钱) 龙骨(二钱)
上为末,滴水丸,如龙眼核大,捏作饼子。每服一饼,米饮磨下。
六神汤 脾胃虚吐泻,不进饮食。
黄 扁豆 人参 白术 茯苓 炙甘草 藿香(各等分)
每服三四钱,姜枣煎服。
《和剂》观音散(吐泻)
人参散 治小儿脏腑冷,若才吃乳食,即又吐出,或因吃乳惊触,致作惊 之状,令小儿外证面唇青
白,手足心热,口多清涎,吐逆不住,或作泻候,青黄紫白兼冻子,或如鼻涕鸡子清者,或乳食不化,
并宜服之,常服开胃益乳食。
人参 白术 茯苓 沉香 白芍药 甘草(各半两)
上为细末,以密器收之。遇小儿有前项形证,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。
《经验方》治小儿吐不定。
用五倍子二个,一生一熟,甘草一握,湿纸裹,炮过,同捣为末。每服米泔调下半钱七,瘥。
掌中金 治小儿吃物吃乳,即吐下水乳,不得饮食。
白豆蔻(十四个) 甘草(一两,半炙半生) 砂仁(十四个)
上为末。逐旋安掌中与他干啖,牙儿,干糁口中亦可。
酿乳法 治初生婴儿凡有胎热证,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,若遽以冷药攻之,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) 干生地黄(二两) 山茵陈(用叶
)甘草(各一两)
上锉散。每服五钱,水一盏,煎六分,食后捏去旧乳,却服。
〔钱〕叶沫及痰或白绿水,皆胃虚冷。吐稠涎及血,皆肺热。吐水不止者,属心痛胃冷。吐水心痛者,
虫痛。口中吐沫水者,后必虫痛。面 白,无精光,口中气冷,不思食,吐水,当补脾益黄散主之。〔丹〕冬月
吐蛔,多是胃虚寒而虫作吐,用钱氏白术散加丁香二粒。亦可用理中汤去甘草,加乌梅肉、川椒。
《本事方》治疗小儿疳积,表现为面色萎黄消瘦、呕吐食物。
川乌(一钱) 定粉(三钱) 艾灰(二钱) 龙骨(二钱)
以上药物研为细末,滴入水制成丸药,大小如龙眼核,捏成饼状。每次服用一饼,用米汤磨化后送服。
六神汤:治疗脾胃虚弱引起的呕吐腹泻,食欲不振。
黄芪 扁豆 人参 白术 茯苓 炙甘草 藿香(各等分)
每次服用三四钱,加生姜、大枣煎煮后服用。
《和剂局方》观音散(治疗呕吐腹泻)
人参散:治疗小儿脏腑寒冷,如果刚吃下乳食,随即又吐出;或者因为吃奶时受惊刺激,导致出现惊厥的样子,使小儿外在表现为面唇青白,手足心发热,口中多清稀涎液,呕吐不止,或者伴有腹泻,大便颜色青黄紫白夹杂且有未消化的奶瓣,或者像鼻涕、鸡蛋清一样的物质,或者乳食不消化,都适宜服用此药,长期服用可以开胃并增进乳食吸收。
人参 白术 茯苓 沉香 白芍药 甘草(各半两)
以上药物研为细末,用密封容器储存。遇到小儿出现上述症状,半岁用量一字,二三岁用量半钱,年龄较大的用量一钱,用煎煮的大枣或米汤调服,或者用陈年紫苏汤送服也可以。如果呕吐腹泻同时发作,用丁香汤送服,用陈皮汤送服尤其妙效。
《经验方》治疗小儿呕吐不定。
使用五倍子两个,一个生用,一个熟用,甘草一把,用湿纸包裹,炮制过后,一起捣碎研为细末。每次服用半钱七,用米泔水调服,病愈。
掌中金:治疗小儿进食或吃奶后,立即吐出水和乳汁,无法进食。
白豆蔻(十四个) 甘草(一两,一半炙用,一半生用) 砂仁(十四个)
以上药物研为细末。逐渐取少量放在手掌心中给患儿干嚼,或者撒在婴儿口中亦可。
酿乳法:治疗初生婴儿凡是患有胎热证候的,应当让乳母服药,不要追求见效快,治疗方法应当通过乳汁酝酿让婴儿食用,逐渐解除病邪,百无一失,如果急于用寒凉药物攻伐,必定损伤脾胃,加上呕吐,必然造成大祸患。
泽泻(二两半) 猪苓(去掉黑皮) 赤茯苓 天花粉(各一两半) 干生地黄(二两) 山茵陈(用叶片) 甘草(各一两)
以上药物切碎。每次服用五钱,用水一盏,煎至六分,饭后挤去旧有的乳汁,然后喂给婴儿。
〔钱〕叶氏认为:吐出的泡沫及痰,或者是白绿色水,都是胃虚冷所致。吐出稠厚涎液及血液,都是肺热所致。呕吐清水不止的,属于心痛且胃冷。呕吐清水伴有心痛的,是虫痛。口中吐出沫水的,后来必定发生虫痛。面色苍白,眼神无光彩,口中气息寒冷,不想吃东西,呕吐清水,应当用补脾益黄散主治。〔丹〕冬季吐出蛔虫,多是胃虚寒导致虫动而呕吐,可用钱氏白术散加丁香两粒。也可以用理中汤去掉甘草,加入乌梅肉、川椒。
Ben Shi Fang (Treatments from the Capable Physician) treats infantile malnutrition accumulation (Gan Ji), characterized by sallow and emaciated complexion and vomiting of food.
Chuanwu (Aconiti Lateralis Radix Praeparata, 1 qian) Dingfen (Calamina, 3 qian) Aihui (Mugwort Ash, 2 qian) Longgu (Fossilia Ossis Mammi, 2 qian)
Grind the above ingredients into fine powder, add water dropwise to make pills, sized like longan seeds, shaped into cakes. Take one cake per dose, grind in rice water and swallow.
Liushen Tang (Six-God Decoction): Treats vomiting and diarrhea due to Spleen-Stomach deficiency, with poor appetite.
Huangqi (Astragali Radix) Bidou (Lablab Seed) Renshen (Ginseng Radix et Rhizoma) Baizhu (Atractylodis Macrocephalae Rhizoma) Fuling (Poria) Zhigancao (Prepared Licorice Root) Huoxiang (Agastegiae Herba) (each equal parts)
Take 3-4 qian per dose, decoct with fresh ginger and jujube, and take orally.
Heji Ju Fang (Formulas of the Bureau of Medical Relief) Guanyin San (Guanyin Powder) [for vomiting and diarrhea]
Renshen San (Ginseng Powder): Treats coldness in the viscera and bowels of infants. If milk or food is eaten and immediately vomited up; or if startled during feeding causing symptoms resembling fright convulsions, leading to external signs such as cyanotic and pale face and lips, heat in the palms and soles, excessive clear saliva in the mouth, incessant regurgitation, or accompanying diarrhea with stools varying in color (green, yellow, purple, white) containing undigested curds, or resembling mucus and egg white, or indigestion of milk/food, this formula is suitable for all such cases. Long-term use opens the stomach and improves milk/food absorption.
Renshen (Ginseng Radix et Rhizoma) Baizhu (Atractylodis Macrocephalae Rhizoma) Fuling (Poria) Chenxiang (Aquilariae Lignum Resinatum) Baishaoyao (Paeoniae Radix Alba) Gancao (Licorice Root) (each half liang)
Grind into fine powder and store in a sealed container. For infants presenting with the aforementioned symptoms: dosage for half-year-old is "yi zi" (approx. 0.5g), for 2-3 years old is ban qian (approx. 1.5g), for older children is yi qian (approx. 3g). Mix with decocted jujube or rice water and administer. Alternatively, aged Perilla Decoction can be used. If vomiting and diarrhea occur simultaneously, administer with Zidiao Tang (Clove Decoction); Chenpi Tang (Tangerine Peel Decoction) is especially effective.
Jing Yan Fang (Empirical Formulas) treats irregular vomiting in infants.
Use two Wubeizi (Galae Fructus), one raw and one cooked. Take a handful of Gancao (Licorice Root), wrap in wet paper, process (pao), then crush together into powder. Take half qian qi (approx. 2.5g) mixed with rice wash water per dose until recovery.
Zhangzhong Jin (Gold in Palm): Treats infants who vomit water and milk immediately after eating or drinking, unable to retain food.
Baidoukou (Cardamomi Fructus, 14 pods) Gancao (Licorice Root, 1 liang, half processed, half raw) Sharen (Amomi Fructus, 14 pods)
Grind into powder. Gradually place small amounts in the palm for the child to chew dry, or sprinkle directly into the infant's mouth.
Niang Ru Fa (Method of Brewing Milk): Treats neonates suffering from fetal heat syndromes. The lactating mother should take medicine; do not seek rapid results. The treatment method involves brewing the remedy through the milk for the infant to consume gradually, ensuring safety. If cold-purgative drugs are used hastily to attack the pathogen, it will inevitably damage the Spleen and Stomach, leading to vomiting and serious complications.
Zexie (Alismatis Rhizoma, 2.5 liang) Zhuling (Polyporus) Chifuling (Red Poria) Tianhuafen (Trichosanthis Radix) (each 1.5 liang) Gansheng Dihuang (Dried Rehmannia Root, 2 liang) Shanyinch'en (Artemisiae Scopariae Herba, leaves only) Gancao (Licorice Root) (each 1 liang)
Cut into pieces. Take 5 qian per dose, add one cup of water, decoct to six-tenths volume. After meals, express and discard old milk, then feed the infant.
[Qian] Ye Shi states: Vomiting foam and phlegm, or white-greenish water, indicates Spleen-Stomach deficiency-cold. Vomiting thick saliva and blood indicates Lung heat. Incessant vomiting of clear water belongs to Heart pain and Stomach cold. Vomiting clear water accompanied by Heart pain indicates worm pain. Vomiting foamy water from the mouth suggests subsequent worm pain. Pale complexion, lackluster eyes, cold breath, anorexia, and vomiting of clear water should be treated primarily with Bupi Yihuang San (Spleen-Nourishing Yellow-Enhancing Powder). [Dan] Vomiting roundworms in winter is mostly due to Spleen-Stomach deficiency-cold causing worm agitation and vomiting. Use Qian Shi Baizhu San (Master Qian's Atractylodes Powder) plus two cloves (Xingzi). Alternatively, Lizhong Tang (Regulate the Middle Decoction) minus Gancao, plus Wumei Rou (Mume Fruit Flesh) and Chuanjiao (Sichuan Pepper).