以及痰闭火闭气闭乍然卒死
一时无药，即以大指掐其人中穴，病轻者一掐即啼哭而醒，倘不应再掐合谷（穴在大指
二指合缝处），又不应掐中冲穴（穴在两中指端离甲外），若再不应，其病至重，则以艾丸如
萝卜子大，安于中冲穴灸之，火到即活。
名曰胎疟。每日冰糖五钱，煎汤饮之。虽隔两日发疟一次，十日必愈。或以蝉蜕二两包
好作枕，与儿睡之，其疟亦止，神效之至。
人家动土，冲犯土神，以致小儿气喘，人多不和，宜请人查明九宫，看太阳宫在何处，
取此处之土煎水服，仍须安谢土神，即愈。若不见效，则非冲犯，须请名医治之。
与脾胃及泄泻各门参看。小儿吐泻，其症不一，最宜详审。有因伤食吐泻者，有因感寒
停食而吐泻者，夏月则有因伏暑吐泻者。伤食吐泻者其吐有酸气，其泻粪状如糟粕，亦有酸
臭气者，宜消导之。感寒停食而吐泻者，或食后感冒风寒则其食停滞不化，或脾胃先受风寒
而后饮食，则其食亦停滞不化，或饮食后误食寒冷之物，则其食亦停滞不化，虽致病不同，
其为感寒停食则一也。此宜发散而兼消导。然此吐泻，或多胸腹刺痛，即霍乱吐泻是也。治
法亦同。伏暑吐泻者，小水必不利，必兼烦渴，当以暑治之。吐甚者煎香薷散调益元散，泻
甚者煎四苓散调益元散，须斟酌用之。然而吐泻交作，最是小儿危证。若其屡作不止，则不
论何因，皆当用参术等急救胃气，不惟伤食停食者当急救之，即伏暑者亦当急救之。盖其初
虽有暑气，而多吐多泻之后，则热气已散，而胃气骤虚。若不用温补急救，恐中气顿绝，则
虚痰上涌，须臾告变矣。且多吐之后，胃气大虚，气不归元，而阳浮于外，反有面赤头热、
身热、作渴而似热症者，俗医不知其理，误认为热而投以凉药，杀人如反掌，甚可畏也。故
治吐泻而药不中病者，与其失之寒凉，不若失之温补犹可救疗，失之寒凉，其祸甚速，多不
及救也。
加味平胃散∶治伤食吐泻。苍术（淘米水浸洗）、浓朴（去皮，姜法炒）、山楂肉各六分，
陈皮（去白）、青皮、麦芽、香附（米炒）、砂仁（研）、小川芎各四分，甘草炙二分，生姜
三片
藿香和中汤∶治感寒停食吐泻。藿香、紫苏、炒香附、制苍术、制浓朴、山楂肉、小川
芎各六分，羌活、砂仁、麦芽（炒）、白芷、陈皮（去白）各四分，炙甘草二分，生姜三片，
煎
香薷散∶以下三方伏暑吐泻用。大花香薷二钱，白扁豆（炒，去壳，打碎）、制浓朴各
一
四苓散∶赤苓（去皮）、猪苓、泽泻各一钱二分，白术八分，木通、车前（微炒）各五
分，
辰砂益元散∶滑石飞过六两，甘草末一两，辰砂飞过三钱，共和匀，每服小儿一钱，大
人二钱，灯心汤下。
钱氏白术散∶治吐泻已久，虚火作渴者。党参、白术、茯苓、炙草、干葛各五分，南木
香二分，姜三片，水煎温服。
参砂和胃散∶治虚寒呕吐不止。党参、砂仁（研细）、制半夏各四分，白术（土炒）、茯
苓
姜米汤∶吐多而胃气欲绝者，用此安胃。老生姜一块重一两多，煨熟去皮研烂，用水
一碗，陈米二撮，同入瓦罐煎好，候温缓缓与服，其呕即止。
凡呕吐交作者，止吐为急。吐而不泻者，均用生姜米汤最效。
烧针丸∶治吐泻如神。黄丹（水飞）、朱砂（水飞）、枯矾各等分，为末，红枣为丸黄豆
大
服
治
以及因痰闭、火闭、气闭而突然猝死的，
如果当时没有药物，立即用大拇指掐按人中穴，病情轻的，一掐就能啼哭醒来；倘若没反应，再掐合谷穴（穴位在大拇指与食指指缝处），如果还没反应，就掐中冲穴（穴位在两个中指指尖外侧指甲边缘处）；如果再没反应，说明病情非常严重，就用如萝卜籽大小的艾绒团，放在中冲穴上施灸，艾火的热力到达患处，病人就能苏醒。
这种病名叫胎疟。每天用五钱冰糖，煎汤饮用。即使每隔两天发作一次疟疾，十天内必定痊愈。或者用二两蝉蜕包好做成枕头，给孩子睡觉时使用，疟疾也会停止，效果神妙至极。
家里动土施工，冲犯了土神，导致小儿气喘，家中人多不和，应该请人查明九宫方位，看太阳宫位于何处，取该处的泥土煎水服用，并且必须安谢土神，病就会痊愈。如果不见效，就不是冲犯土神所致，必须请名医诊治。
请与脾胃及泄泻各章节参考对照。小儿吐泻，症状不一，最宜详细审察。有因伤食引起吐泻的，有因感受寒邪导致食物停滞而引起吐泻的，夏季则有因暑热内伏引起吐泻的。伤食引起的吐泻，呕吐物有酸味，排泄物状如糟粕，也有酸臭气味的，适宜用消食导滞的方法治疗。因感寒停食引起吐泻的，或者是进食后感冒风寒导致食物停滞不化，或者是脾胃先受风寒侵袭而后进食，导致食物停滞不化，或者是饮食后误食寒冷之物，导致食物停滞不化，虽然致病原因不同，但都属于感寒停食这一类。这种情况适宜用发散风寒兼以消食导滞的方法治疗。然而这类吐泻，往往伴有胸腹刺痛，这就是霍乱吐泻。治疗方法也相同。因伏暑引起吐泻的，小便必然不通畅，一定兼有烦躁口渴的症状，应当按暑病治疗。呕吐严重的，煎服香薷散调配合益元散；腹泻严重的，煎服四苓散调配合益元散，需要斟酌使用。然而吐泻交替发作，是最为危重的小儿病症。如果频繁发作不止，那么不论何种原因，都应当用人参、白术等药物急救胃气，不仅是伤食停食者需要急救，即使是伏暑者也需要急救。因为起初虽然有暑气，但在多次呕吐腹泻之后，热气已经消散，而胃气骤然虚弱。如果不使用温补药物急救，恐怕中气瞬间断绝，导致虚痰上涌，片刻之间病情就会突变。况且多次呕吐之后，胃气大虚，气不能归元，阳气浮越于外，反而出现面红头热、身热、口渴等类似热症的表现，庸医不懂其中的道理，误认为是热证而投用凉药，杀人如同反掌，非常可怕。所以治疗吐泻而用药不对症的，与其失误于寒凉药，不如失误于温补药尚可救治，失误于寒凉药，祸患发生得非常迅速，大多来不及抢救。
加味平胃散：治疗伤食吐泻。苍术（用淘米水浸洗）、厚朴（去皮，姜汁法炒）、山楂肉各六分，陈皮（去白）、青皮、麦芽、香附（米炒）、砂仁（研碎）、小川芎各四分，炙甘草二分，生姜三片。
藿香和中汤：治疗感寒停食吐泻。藿香、紫苏、炒香附、制苍术、制厚朴、山楂肉、小川芎各六分，羌活、砂仁、麦芽（炒）、白芷、陈皮（去白）各四分，炙甘草二分，生姜三片，煎服。
香薷散：以下三方用于伏暑吐泻。大花香薷二钱，白扁豆（炒，去壳，打碎）、制厚朴各一钱。
四苓散：赤茯苓（去皮）、猪苓、泽泻各一钱二分，白术八分，木通、车前子（微炒）各五分。
辰砂益元散：滑石（飞过）六两，甘草末一两，辰砂（飞过）三钱，混合均匀，每次小儿服用一钱，大人服用二钱，灯心草汤送下。
钱氏白术散：治疗吐泻日久，虚火作渴者。党参、白术、茯苓、炙甘草、干葛各五分，南木香二分，生姜三片，水煎温服。
参砂和胃散：治疗虚寒呕吐不止。党参、砂仁（研细）、制半夏各四分，白术（土炒）、茯苓各...（原文此处似有缺漏或排版问题，依文意推测为剂量或配伍，但仅提取实体）。
姜米汤：呕吐多而胃气欲绝者，用此安胃。老生姜一块重一两多，煨熟去皮研烂，用水一碗，陈米二撮，同入瓦罐煎好，候温缓缓服用，呕吐即止。
As well as cases of sudden death due to blockage by phlegm (Phlegm Obstruction), fire (Fire Obstruction), or qi (Qi Obstruction).
If no medicine is available at the moment, immediately pinch the Renzhong acupoint (GV26) with the thumb; for mild conditions, crying and waking will occur upon a single pinch. If there is no response, pinch the Hegu acupoint (LI4) (located in the web between the thumb and index finger); if still no response, pinch the Zhongchong acupoint (PC9) (located at the tip of the middle finger, outside the nail); if there is still no response, the condition is extremely severe. In this case, place an moxa cone the size of a radish seed on the Zhongchong acupoint (PC9) and apply moxibustion. The patient will revive once the heat reaches the area.
This condition is named fetal malaria (Tai Nue). Take five qian of rock sugar daily, decoct in water, and drink. Even if the malaria attacks once every two days, it will definitely be cured within ten days. Alternatively, wrap two liang of cicada slough (Chantui) to make a pillow for the child to sleep on; the malaria will also cease, which is extremely effective.
When earth-moving activities at home offend the Earth God, causing infantile asthma and discord among family members, one should invite someone to determine the Nine Palaces positions, identify where the Taiyang Palace is located, take soil from that location, decoct it in water, and administer it. One must also perform rituals to appease the Earth God, after which the patient will recover. If there is no effect, it is not due to offending the Earth God, and a renowned physician must be consulted for treatment.
Please refer to the sections on Spleen and Stomach and Diarrhea. Infantile vomiting and diarrhea present various symptoms and require careful examination. There are cases caused by food injury (Shang Shi), those caused by cold invasion leading to food stagnation, and in summer, those caused by latent summerheat (Fu Shu). For vomiting and diarrhea due to food injury, the vomit has a sour odor, and the stool resembles dregs, sometimes with a sour and foul smell; these should be treated with methods to promote digestion and guide out stagnation. For vomiting and diarrhea due to cold invasion and food stagnation, whether caused by catching wind-cold after eating, having the spleen and stomach first affected by wind-cold before eating, or consuming cold foods after meals, the result is food stagnation. Although the causes differ, they all fall under cold invasion and food stagnation. These should be treated with dispersing methods combined with promoting digestion. However, such vomiting and diarrhea often involve stabbing pain in the chest and abdomen, known as Huoluan vomiting and diarrhea. The treatment method is the same. For vomiting and diarrhea due to latent summerheat, urination is necessarily difficult, accompanied by irritability and thirst; these should be treated according to summerheat patterns. For severe vomiting, decoct Xiangru San (Elsholtzia Powder) mixed with Yi Yuan San (Benefit Origin Powder); for severe diarrhea, decoct Si Ling San (Four Porias Decoction) mixed with Yi Yuan San (Benefit Origin Powder); use these with discretion. However, alternating vomiting and diarrhea is the most critical condition in infants. If it occurs frequently and does not stop, regardless of the cause, Shen Qi (Ginseng Radix et Rhizoma) and Bai Zhu (Atractylodis Macrocephalae Rhizoma) etc. should be used to urgently rescue the Stomach Qi. This applies not only to food injury/stagnation but also to latent summerheat cases. Initially, although summerheat pathogen exists, after frequent vomiting and diarrhea, the heat dissipates, and Stomach Qi becomes suddenly deficient. If warm tonification is not used to urgently rescue, the Middle Qi may suddenly collapse, leading to floating deficiency-phlegm rising upward, and the condition may change drastically within moments. Furthermore, after frequent vomiting, Stomach Qi is greatly deficient, Qi fails to return to its root, and Yang floats externally, manifesting as red face, hot head, body heat, and thirst, resembling heat syndromes. Unskilled physicians, unaware of this principle, mistakenly diagnose it as heat and administer cooling medicines, killing patients as easily as turning a hand, which is truly terrifying. Therefore, when treating vomiting and diarrhea with ineffective medication, it is better to err on the side of warm tonification than on the side of cooling; errors of cooling lead to rapid disaster, often too late to save.
Jiawei Pingwei San (Modified Pingwei Powder): Treats vomiting and diarrhea due to food injury. Cang Zhu (Caulis Atractylodis Rhizoma, soaked and washed in rice water), Hou Po (Cortex Magnoliae Officinalis, peeled, stir-fried with ginger juice), Shan Zha Rou (Sarcocarpa Crataegi, 6 fen); Chen Pi (Pericarpium Citri Reticulatae, pith removed), Qing Pi (Pericarpium Citri Reticulatae Viride), Mai Ya (Frumentum Germinatum Hordeum, 4 fen); Xiang Fu (Rhizoma Cyperi, stir-fried with rice), Sha Ren (Fructus Amomi, crushed), Xiao Chuan Xiong (Radix Chuanxiong, 4 fen); Zhi Gan Cao (Radix Glycyrrhizae Preparata, 2 fen), Sheng Jiang (Rhizoma Zingiberis Recens, 3 slices).
Huoxiang Hezhong Tang (Agastache Harmonizing the Middle Decoction): Treats vomiting and diarrhea due to cold invasion and food stagnation. Huo Xiang (Herba Agastaches), Zi Su, Chao Xiang Fu (Stir-fried Rhizoma Cyperi), Zhi Cang Zhu (Processed Caulis Atractylodis Rhizoma), Zhi Hou Po (Processed Cortex Magnoliae Officinalis), Shan Zha Rou (Sarcocarpa Crataegi), Xiao Chuan Xiong (Radix Chuanxiong, 6 fen); Qiang Huo (Rhizoma Notopterygii), Sha Ren (Fructus Amomi), Chao Mai Ya (Stir-fried Frumentum Germinatum Hordeum), Bai Zhi (Radix Angelicae Dahuricae), Chen Pi (Pericarpium Citri Reticulatae, pith removed, 4 fen); Zhi Gan Cao (Radix Glycyrrhizae Preparata, 2 fen), Sheng Jiang (Rhizoma Zingiberis Recens, 3 slices), decoct and take.
Xiangru San (Elsholtzia Powder): The following three formulas are used for vomiting and diarrhea due to latent summerheat. Da Hua Xiang Ru (Herba Elsholtziae, 2 qian), Chao Bai Bian Dou (Stir-fried Semen Phaseoli Umbellati, shelled and crushed), Zhi Hou Po (Processed Cortex Magnoliae Officinalis, 1 qian).
Si Ling San (Four Poria Decoction): Chi Ling (Poria, peeled), Zhu Ling (Polyporus, 1.2 qian); Bai Zhu (Atractylodis Macrocephalae Rhizoma, 8 fen), Mu Tong (Caulis Akebiae), Chao Che Qian Zi (Stir-fried Semen Plantaginis, 5 fen).
Chensha Yi Yuan San (Cinnabar Benefit Origin Powder): Fei Hua Shi (Flown Talcum, 6 liang), Gan Cao Mo (Powdered Radix Glycyrrhizae, 1 liang), Fei Chensha (Flown Cinnabaris, 3 qian). Mix evenly. Infants take 1 qian per dose, adults take 2 qian per dose, taken with Deng Xin Tang (Junci Medullae Decoction).
Qian Shi Baizhu San (Dr. Qian's Atractylodes Powder): Treats prolonged vomiting and diarrhea with deficiency-fire causing thirst. Dang Shen (Codonopsis Radix), Bai Zhu (Atractylodis Macrocephalae Rhizoma), Fu Ling (Poria), Zhi Cao (Prepared Radix Glycyrrhizae), Gan Ge (Radix Puerariae, 5 fen); Nan Mu Xiang (Radix Aucklandoniae, 2 fen), Jiang (Zingiberis Rhizoma, 3 slices). Decoct in water and take warm.
Shensha Hewei San (Ginseng and Amomi Harmonizing Stomach Powder): Treats incessant vomiting due to deficiency-cold. Dang Shen (Codonopsis Radix), Sha Ren (Fructus Amomi, crushed), Zhi Ban Xia (Processed Rhizoma Pinelliae, 4 fen); Tu Chao Bai Zhu (Earth-stir-fried Atractylodis Macrocephalae Rhizoma), Fu Ling (Poria)... [Note: Original text appears truncated here regarding dosage/other ingredients for this formula].
Jiang Mi Tang (Ginger and Rice Decoction): For frequent vomiting with impending collapse of Stomach Qi, use this to calm the Stomach. Lao Sheng Jiang (Old Rhizoma Zingiberis Recens, over 1 liang), baked until cooked, peeled, and mashed. Use one bowl of water and two scoops of Chen Mi (aged rice). Simmer together in a clay pot. When warm, administer slowly; vomiting will stop.
In cases of alternating vomiting and diarrhea, stopping vomiting is urgent. For vomiting without diarrhea, Jiang Sheng Mi Tang (Fresh Ginger and Rice Decoction) is most effective.
Shao Zhen Wan (Moxa Needle Pill): Treats vomiting and diarrhea miraculously. Huang Dan (Lithargyri, water-triturated), Zhu Sha (Cinnabaris, water-triturated), Ku Fan (Alumen Exsiccatum) in equal parts. Grind into powder, form pills with Hong Zao (Fructus Jujubae), size of soybeans. Take orally.