乳食不节伤脾胃，羸瘦如柴哺露成，吐食吐虫多烦渴，头骨开张哺热蒸，
先用集圣消积滞，继用肥儿甚有灵，若还腹大青筋现，人参丸服莫从容。
[注]
哺露者，因乳食不节大伤脾胃也，
其证羸瘦如柴，吐食吐虫，心烦口渴，头骨开张，日哺蒸热，
先用集圣丸消其积滞，
再用肥儿丸清理其脾，若哺露日久，
肚大青筋者，又宜清补兼施，以人参丸主之。
(集圣丸) 芦荟微炒 五灵脂炒 夜明沙淘洗焙干 缩砂 木香 陈皮 莪术
史君子肉 黄连 川芎酒洗炒 干蟾各二钱炙 当归一钱五分 青皮二钱制
以上为细末，用雄猪胆二个，取汁和面糊为丸，每服一钱，米饮送下。
(肥儿丸) 方见脾疳。
(人参丸) 人参 麦冬去心 半夏姜制 大黄微炒 黄耆炙 茯苓
柴胡 黄芩 炙甘草 川芎 诃黎勒煨 □甲炙 以上为细末，
炼蜜为丸，如麻子大，以粥饮下，量儿大小用之。
%
诸逆上冲成呕吐，乳食伤胃或夹惊，或因痰饮或虫扰，虚实寒热要分明。
[注]
呕吐一证，皆诸逆上冲所致也，
夫诸逆之因，或以乳食过多，停滞中脘，致伤胃气，不能健运而上逆也，
或于食时触惊，停积不化而上逆也，
或痰饮壅盛，阻隔气道，
或蛔虫扰乱、懊□不安而上逆也。
总之上逆之因虽不同，而皆能成呕吐也，
但病有虚有实，有寒有热，
治者当于临证时，参合兼见之证，审慎以别之，庶不误矣。
%
吐证门
乳食不节制损伤脾胃，导致身体消瘦如柴，形成哺露疳；出现呕吐食物、呕吐蛔虫、心烦口渴等症状，头部囟门未闭且午后发热蒸腾。
首先使用集圣丸消除积滞，接着使用肥儿丸疗效显著。如果腹部胀大且青筋显露，应服用人参丸，不可拖延从容。
[注]
哺露疳，是因为乳食不节制严重损伤脾胃所致。
其症状表现为身体消瘦如柴，呕吐食物和蛔虫，心烦口渴，头骨囟门开张，每日傍晚时分发热蒸腾。
首先使用集圣丸消除体内的积滞，
再使用肥儿丸清理调理脾胃。如果哺露疳病程日久，
出现肚子大且青筋暴露的情况，又应当清补兼施，以人参丸为主治方剂。
(集圣丸) 芦荟微炒，五灵脂炒，夜明沙淘洗焙干，缩砂，木香，陈皮，莪术，使君子肉，黄连，川芎酒洗炒，干蟾各二钱炙，当归一钱五分，青皮二钱制。
以上药物研为细末，用两个雄猪胆取汁，调和面糊制成丸药，每次服用一钱，米汤送服。
(肥儿丸) 方剂见脾疳章节。
(人参丸) 人参，麦冬去心，半夏姜制，大黄微炒，黄耆炙，茯苓，柴胡，黄芩，炙甘草，川芎，诃黎勒煨，龟甲炙。以上药物研为细末，
炼蜜为丸，大小如麻子，用粥饮送下，根据患儿年龄大小调整用量。
各种气逆上冲导致呕吐，可能是乳食伤胃或夹杂惊悸，也可能是因为痰饮或虫扰，虚实寒热必须分辨清楚。
[注]
呕吐这一证候，都是由各种气逆上冲所导致的。
各种气逆的原因，有的因为乳食过多，停滞在中脘，导致损伤胃气，不能正常运化而上逆；
有的在进食时受到惊吓，停积的食物无法消化而上逆；
有的因为痰饮壅盛，阻隔气道；
有的因为蛔虫扰乱，令患儿懊恼不安而上逆。
总之，虽然引起气逆的原因不同，但都能导致呕吐。
但是疾病有虚有实，有寒有热，
治疗者应当在临证时，参考结合伴随出现的症状，审慎地加以辨别，这样才不会出错。
吐证门
Irregular intake of milk and food damages the Spleen and Stomach, leading to emaciation like firewood and the formation of *Bulu Gan* (Late-night Dew Malnutrition Syndrome); symptoms include vomiting food, vomiting roundworms, irritability, thirst, open fontanelles, and steaming heat in the afternoon.
First use *Jisheng Wan* (Collective Sage Pill) to eliminate stagnation, then use *Fei'er Wan* (Flesh-Enriching Pill) which is very effective. If the abdomen becomes distended with visible blue veins, administer *Renshen Wan* (Ginseng Pill) without delay.
[Note]
*Bulu Gan* is caused by irregular intake of milk and food severely damaging the Spleen and Stomach.
Its manifestations include emaciation like firewood, vomiting of food and roundworms, irritability and thirst, open cranial sutures/fontanelles, and steaming heat occurring daily around dusk.
First, use *Jisheng Wan* to eliminate internal stagnation,
then use *Fei'er Wan* to clear and regulate the Spleen. If *Bulu Gan* persists for a long time,
resulting in a large abdomen with exposed subcutaneous veins, one should employ both clearing and tonifying methods, primarily using *Renshen Wan*.
(*Jisheng Wan*) Aloe Vera (*Aloe*, Lu Hui) lightly stir-fried, Trogopterus Dung (*Wulingzhi*, Five-Spirit Fat) stir-fried, Night Soil (*Yeming Sha*) washed, roasted and dried, Amomum Fruit (*Suosha*), Aucklandia Root (*Muxiang*), Tangerine Peel (*Chenpi*), Curcuma Rhizome (*Ezhu), Seed of Quisqualis (*Shijunzi Rou*), Coptis Rhizome (*Huanglian*), Ligusticum Rhizome (*Chuanxiong*) wine-washed and stir-fried, Dried Toad Skin (*Ganchan*) each 2 qian processed with honey, Angelica Sinensis Root (*Danggui*) 1.5 qian, Green Tangerine Peel (*Qingpi*) 2 qian processed.
The above ingredients are ground into fine powder. Take juice from two male pig gallbladders, mix with flour paste to form pills. Each dose is 1 qian, taken with rice water.
(*Fei'er Wan*) See the section on Spleen *Gan* for the formula.
(*Renshen Wan*) Ginseng Root (*Renshen*), Ophiopogon Tuber (*Maidong*) heart removed, Pinellia Tuber (*Banxia*) prepared with ginger, Rheum Palmate Rhizome (*Dahuang*) lightly stir-fried, Astragalus Membranaceus Root (*Huangqi*) processed with honey, Poria (*Fuling*), Bupleurum Root (*Chaihu*), Scutellaria Root (*Huangqin*), Licorice Root (*Gancao*) processed with honey, Ligusticum Rhizome (*Chuanxiong*), Chebula Fruit (*Helile*) baked, Tortoise Shell (*Guijia*) processed with honey. The above ingredients are ground into fine powder,
mixed with refined honey to form pills the size of sesame seeds, taken with gruel water, dosage adjusted according to the child's age and size.
Various rebellious Qi rushing upward causes vomiting; this may be due to milk and food injuring the Stomach or accompanying fright, or due to phlegm-fluid retention or worm disturbance. One must clearly distinguish between deficiency and excess, cold and heat.
[Note]
The syndrome of vomiting is all caused by various rebellious Qi rushing upward.
The causes of such rebellion include: excessive intake of milk and food stagnating in the Middle Jiao (*Zhongwan*), damaging Stomach Qi and preventing normal transportation, causing upward rebellion;
being startled during meals, causing stagnant food to fail to digest and rebel upward;
excessive accumulation of phlegm-fluid obstructing the airway;
or disturbance by ascariasis (*roundworms*), causing restlessness and discomfort, leading to upward rebellion.
In summary, although the causes of rebellious Qi differ, they all can result in vomiting.
However, diseases present as either deficiency or excess, cold or heat.
The practitioner must, during clinical examination, integrate and consider accompanying symptoms, carefully distinguishing them, so as to avoid errors.
Section on Vomiting Syndromes