寒吐者,乳片不消,多吐而少出,面白眼慢,不热不渴,气缓神昏,额上汗出,脉息沉
微。轻者,藿香正气散。不止,用理中汤加藿香。再不止,用理中汤加公猪胆汁和童便少许
自止。单方,生姜一大块,直切薄片,勿令断,层层搽盐,以苎麻扎紧,外用草纸七层包之
,水湿,慢火煨令熟,取起去麻纸,将姜捣烂,和早米煎汤服之立止,甚效。
小儿胃热呕吐,外症面赤烦躁,身热作渴,手足心热∶黄连一钱,姜汁炒,熟石膏一钱
,共为细末,每服一钱,白汤调下,吐止勿再服。又方,枇杷叶,用蜜涂炙之,刷尽毛,每
用叶十片,煎汤热服,立止。又方滑石(水飞),六钱,甘草一钱,共研细末,每用一二钱,
淡姜汤调服。
伤食呕吐,眼胞浮肿,面色微黄,足冷,其热日轻夜重,或吐酸,或吐黄水,或吐青痰
,此有宿食也∶砂仁、法半夏、藿香各钱半,公丁香、枳壳、木香、浓朴,姜汁炒,各一钱
,共为细末,用炒神曲,研细,四钱,打糊为丸,如龙眼大,每服一丸,姜枣煎汤化下。如
伤肉食者,加楂肉八分,同煎。如伤面食者,加炒麦芽八分,同煎。
凡小儿服药不纳者,内有蛔虫在膈间,但于呕吐药中∶加川椒十四粒,则不吐矣。
小儿干呕恶极之证∶甘蔗取汁听用,生姜取汁听用,临服用蔗汁六匙、姜汁一匙和匀,
隔水略炖温服之,不用汤调。
伤乳吐,才乳即吐,是为溢乳。宜节其乳,则吐自止。或俟乳消,以煨姜二片、红枣二
枚,煎汤服数匙亦佳。
乳吐,时时吐乳而不多,似吐非吐,胃虚故也∶六君子汤加藿香、砂仁各六分,煨
姜三片,红枣二枚,煎汤一盅,徐服。或单用煨姜、红枣煎汤服之亦可。
寒性呕吐,表现为乳汁片状不消化,呕吐多而排出少,面色苍白、眼神呆滞,无发热口渴,气息微弱、精神昏沉,额头出汗,脉象沉微。病情较轻者,使用藿香正气散。若呕吐不止,用理中汤加入藿香。若仍不止,用理中汤加入公猪胆汁及少许童便,即可自行停止。单方:取生姜一大块,直切成薄片,不要切断,层层涂抹盐,用苎麻扎紧,外用七层草纸包裹,用水湿润后,用慢火煨熟,取出去掉麻和纸,将姜捣烂,与早米一起煎汤服用,可立即止吐,效果极佳。
小儿胃热呕吐,外在症状为面红烦躁,身体发热且口渴,手心脚心发热:黄连一钱,用姜汁炒制,熟石膏一钱,共同研成细末,每次服用一钱,用白开水调服,呕吐停止后即不再服用。又一方:枇杷叶,用蜂蜜涂炙,刷去绒毛,每次用十片叶子,煎汤热服,可立即止吐。又一方:滑石(水飞法处理)六钱,甘草一钱,共同研成细末,每次用一二钱,用淡姜汤调服。
伤食引起的呕吐,眼睑浮肿,面色微黄,脚冷,热度白天轻晚上重,或吐出酸水,或吐出黄水,或吐出青痰,这是有积食所致:砂仁、法半夏、藿香各一钱半,公丁香、枳壳、木香、厚朴(姜汁炒),各一钱,共同研成细末,用炒神曲研细四钱,打糊做成丸药,如龙眼大小,每次服用一丸,用姜枣煎汤送服化开。如果是肉食损伤,加山楂肉八分,同煎。如果是面食损伤,加炒麦芽八分,同煎。
凡是小儿服药不能受纳的,是因为膈间有蛔虫,只要在呕吐药中加入川椒十四粒,就不会再吐了。
小儿干呕极其严重的证候:甘蔗取汁备用,生姜取汁备用,临服用蔗汁六匙、姜汁一匙混合均匀,隔水稍微炖温后服用,不用汤剂调和。
伤乳呕吐,刚吃奶就吐出来,这叫溢乳。应当节制喂奶量,呕吐自然就会停止。或者等到乳汁消化后,用煨姜二片、红枣二枚,煎汤喝几匙也很好。
乳吐,时时吐乳但量不多,似吐非吐,这是因为胃气虚弱:六君子汤加入藿香、砂仁各六分,煨姜三片,红枣二枚,煎取一盅汤,慢慢服用。或者单用煨姜、红枣煎汤服用也可以。
Cold-type vomiting is characterized by undigested milk curds, frequent vomiting with little output, a pale face, dull eyes, absence of fever and thirst, slow breathing, lethargy, sweating on the forehead, and a deep, faint pulse (Chen Wei). For mild cases, Huoxiang Zhengqi San (Agastache Powder to Rectify the Qi) is used. If vomiting persists, Lizhong Tang (Regulate the Middle Decoction) with added Huoxiang (Patchouli) is prescribed. If it still does not stop, Lizhong Tang (Regulate the Middle Decoction) with added bile from a male pig and a small amount of Tongbian (Child's Urine) will stop it spontaneously. A single-herb remedy: Take a large piece of Shengjiang (Fresh Ginger), slice it thinly lengthwise without cutting through, layer it with salt, tie it tightly with Ramie fiber, wrap it in seven layers of straw paper, moisten with water, and slow-roast until cooked. Remove the fiber and paper, mash the ginger, and decoct it with Zao Mi (Early Rice) to drink; this stops vomiting immediately and is very effective.
Pediatric vomiting due to Stomach Heat presents externally with a red face, irritability, body heat, thirst, and heat in the palms and soles: Huanglian (Coptis Rhizome) 1 qian, stir-fried with Jiangzhi (Ginger Juice), and Shu Shigao (Calcined Gypsum) 1 qian, are ground into fine powder. Take 1 qian per dose, mixed with warm water. Stop taking it once vomiting ceases. Another prescription: Pipaye (Loquat Leaf), coated with honey and roasted, brushed clean of hairs. Use ten leaves per dose, decoct in water, and take hot to stop vomiting immediately. Another prescription: Huashi (Talcum Powder, prepared by water flotation) 6 qian, Gancao (Licorice Root) 1 qian, ground into fine powder. Take 1–2 qian per dose, mixed with Danjiang Tang (Light Ginger Decoction).
Vomiting due to Food Injury presents with swollen eyelids, slightly yellow complexion, cold feet, heat that is milder during the day and heavier at night, or vomiting of sour fluid, yellow fluid, or green phlegm; this indicates retained food. Sharen (Amomum Fruit), Faxiabanxia (Prepared Pinellia Tuber), and Huoxiang (Patchouli) each 1.5 qian; Gongdingxiang (Clove), Zhike (Aurantium Fruit), Muxiang (Costus Root), and Houpo (Magnolia Bark, stir-fried with Ginger Juice) each 1 qian, are ground into fine powder. Chao Shenqu (Fried Medicated Leaven) 4 qian is ground fine and made into a paste to form pills the size of a longan fruit. Take one pill per dose, dissolved in a decoction of Jiang (Ginger) and Zao (Jujube). If injured by meat, add Zharu (Hawthorn Flesh) 0.8 fen and decoct together. If injured by wheat products, add Chao Maiya (Fried Hordeum Sprout) 0.8 fen and decoct together.
For pediatric patients who cannot tolerate medication due to vomiting, it is caused by Ascaris (Roundworms) in the diaphragm area. Adding Chuanjiao (Sichuan Pepper) 14 grains to the anti-emetic formula will prevent vomiting.
Severe dry retching in children: Extract juice from Ganshe (Sugarcane) and Shengjiang (Fresh Ginger) for use. Before administration, mix 6 spoons of Sugarcane juice with 1 spoon of Ginger juice evenly, warm slightly over boiling water, and take orally without mixing with other liquids.
Milk-injury vomiting, where milk is vomited immediately after feeding, is called "Overflowing Milk." Regulate the breastfeeding frequency, and vomiting will stop naturally. Alternatively, wait for the milk to digest, then decoct two slices of Wei Jiang (Roasted Ginger) and two Hongzao (Jujubes) in water and drink a few spoons; this is also beneficial.
Milk vomiting, characterized by frequent but scant vomiting, appearing as if vomiting but not quite, is due to Stomach Deficiency. Liujunzi Tang (Six Gentlemen Decoction) with added Huoxiang (Patchouli) and Sharen (Amomum Fruit) each 0.6 fen, three slices of Wei Jiang (Roasted Ginger), and two Hongzao (Jujubes) are decocted to yield one cup of liquid, taken slowly. Alternatively, decocting only Wei Jiang (Roasted Ginger) and Hongzao (Jujubes) in water is also effective.