虫吐胃热或胃寒，色变时疼呕清涎，寒热当以阴阳辨，化虫加减理中痊。
[注]
虫吐之证有二，有以胃经热蒸者，有以胃经寒迫者，
皆能令虫不安，扰乱胃中而作吐也，
其证唇色或红或白，胃口时痛时止，频呕清涎，属寒属热，
当从阴阳之证辨之，热者化虫丸主之，寒者加减理中汤主之。
(化虫丸) 芜荑五钱 鹤虱 苦楝根皮 胡粉 史君子肉 槟榔各一两
枯矾二钱五分 以上为细末，面糊为丸，量儿大小用之。
(加减理中汤) 人参 干姜 白术土炒 川椒 引用乌梅一个，水煎服。
(方歌)
加减理中寒吐虫，人参干姜白术从，川椒乌梅伏虫动，煎成服下即安宁。
%
吐证门
虚吐多因胃弱成，神倦颔动睡露睛，自利不渴频呕吐，丁沈四君药最灵。
[注]
虚吐之证，多因胃气虚弱不能消纳乳食，致成此证也，
其精神倦怠，顺门煽动，睡卧露睛，自利不渴，频频呕吐者，
以丁沈四君子汤治之。
(丁沈四君子汤)
人参 白术土炒 茯苓 炙甘草 丁香 沈香 引用煨姜水煎服。
(方歌)
胃虚呕吐不思食，丁沈四君治最宜，参术苓草补其胃，丁香沈香温其脾。
%
吐证门
小儿实吐腹胀满，二便不利痞硬疼，发渴思凉吐酸臭，三一承气可收功。
[注]
实吐者，小儿平素壮实，偶而停滞，胸腹胀满，二便秘涩，痞硬疼痛，
口渴思饮寒凉，吐多酸臭也，宜用三一承气汤下之，二便利而吐止矣。
(三一承气汤)
芒硝 生大黄 枳实麸炒 甘草生 厚朴姜炒 引用生姜水煎服。
(方歌)
三一承气治实吐，涤滞通塞功最着，芒硝相配生大黄，枳实甘草同厚朴。
%
吐证门
虫吐：胃热或胃寒均可导致虫吐，表现为呕吐物颜色改变、时而腹痛、频繁呕吐清稀涎沫。寒证与热证应当通过阴阳辨证来区分，使用化虫丸加减治疗可痊愈；若属寒证，则使用加减理中汤治疗可痊愈。
[注]
虫吐这一病证有两种情况：一种是由于胃经热邪蒸腾所致，另一种是由于胃经寒邪逼迫所致。这两种情况都能使寄生虫不安宁，扰乱胃部从而引发呕吐。其症状表现为嘴唇颜色或红或白，胃口处时而疼痛时而停止，频繁呕吐清稀涎沫。属于寒证还是热证，应当从阴阳证候的角度进行辨别。热证者，主用化虫丸治疗；寒证者，主用加减理中汤治疗。
（化虫丸）配方：芜荑五钱，鹤虱、苦楝根皮、胡粉、史君子肉、槟榔各一两，枯矾二钱五分。以上药材研为细末，用面糊制作成丸剂，根据患儿年龄大小决定用量服用。
（加减理中汤）配方：人参、干姜、土炒白术、川椒，引用乌梅一个，水煎后服用。
（方歌）
加减理中汤治疗因寒引起的虫吐，用人参、干姜、白术为主药，川椒和乌梅能抑制虫体活动，煎煮完成后服用即可安宁。
%
吐证门
虚吐：多因胃气虚弱而致病，表现为精神疲倦、下颌颤动、睡眠时眼睛闭合不全（露睛），伴有自发性腹泻且不口渴、频繁呕吐，使用丁沈四君子汤治疗效果最佳。
[注]
虚吐这一病证，多因胃气虚弱不能消化接纳乳食，从而导致此病。其症状表现为精神倦怠，顺门（此处指囟门或眼部相关部位，原文“顺门”疑为“囟门”或特定部位描述，依原文直译）煽动，睡觉时眼睛露出，自发性腹泻且不口渴，频频呕吐。使用丁沈四君子汤进行治疗。
（丁沈四君子汤）配方：人参、土炒白术、茯苓、炙甘草、丁香、沉香，引用煨姜，水煎后服用。
（方歌）
胃虚导致的呕吐且不想进食，使用丁沈四君子汤治疗最为适宜，人参、白术、茯苓、甘草补益胃气，丁香、沉香温运脾阳。
%
吐证门
小儿实吐：表现为腹部胀满，大小便不通利，腹部痞块坚硬疼痛，发热口渴想喝凉水，呕吐物酸臭，使用三一承气汤可以取得疗效。
[注]
实吐，是指小儿平时身体壮实，偶尔出现饮食停滞，导致胸腹胀满，大小便涩滞不通，腹部痞硬疼痛，口渴想饮用寒凉之物，呕吐物多为酸臭味。适宜使用三一承气汤攻下积滞，待大小便利通，呕吐自然停止。
（三一承气汤）配方：芒硝、生大黄、麸炒枳实、生甘草、姜炒厚朴，引用生姜，水煎后服用。
（方歌）
三一承气汤治疗实性呕吐，涤除积滞、通导闭塞的功效最为显著，芒硝配合生大黄，枳实、甘草同厚朴一起使用。
%
吐证门
Chong Tu (Vomiting due to Parasites): Vomiting caused by parasites may result from Stomach Heat or Stomach Cold. Symptoms include changes in the color of vomitus, intermittent abdominal pain, and frequent vomiting of clear saliva. Cold and Heat patterns should be differentiated based on Yin and Yang principles. The Huachong Wan (Parasite-Destroying Pill) with modifications is curative for heat patterns, while the Jiawei Lizhong Tang (Modified Cinnamon Twig and Ginger Decoction) is curative for cold patterns.
[Note]
There are two types of Chong Tu (Vomiting due to Parasites): one caused by the steaming of Heat in the Stomach Meridian, and the other by the forcing of Cold in the Stomach Meridian. Both conditions can cause parasites to become restless, disturb the Stomach, and induce vomiting. Symptoms include lips that are either red or white, intermittent pain at the epigastrium, and frequent vomiting of clear saliva. Whether it belongs to Cold or Heat must be distinguished through differentiation of Yin and Yang syndromes. For Heat patterns, Huachong Wan (Parasite-Destroying Pill) is the primary prescription; for Cold patterns, Jiawei Lizhong Tang (Modified Cinnamon Twig and Ginger Decoction) is the primary prescription.
(Huachong Wan [Parasite-Destroying Pill]): Yuanqi (Tsooshoi Fructus) 5 qian, Heshi (Nartheci Fructus), Kulian Genpi (Meliae Cortex Radicis), Hufen (Cerussa), Shijunzi Rou (Semen Choerospondii), Binglang (Arecae Semen) each 1 liang, Kufan (Alumen) 2 qian 5 fen. Grind the above into fine powder, form pills using wheat paste, and administer according to the child's age and size.
(Jiawei Lizhong Tang [Modified Cinnamon Twig and Ginger Decoction]): Renshen (Ginseng Radix et Rhizoma), Ganjiang (Zingiberis Rhizoma), Baizhu (Atractylodis Macrocephalae Rhizoma stir-fried with earth), Chuanjiao (Sichuanensis Zanthoxyli Pericarpium), with one Wumei (Mume Fructus) as an additive. Decoct in water and take orally.
(Verse Formula)
Jiawei Lizhong treats parasitic vomiting due to Cold,
Using Renshen, Ganjiang, and Baizhu.
Chuanjiao and Wumei suppress parasite movement,
After decoction and administration, peace is restored.
%
Tu Zheng Men (Section on Vomiting Syndromes)
Xu Tu (Deficiency Vomiting): This condition often arises from weak Stomach Qi. Symptoms include mental fatigue, tremors of the chin, sleeping with eyes open (exposed eyeballs), spontaneous diarrhea without thirst, and frequent vomiting. Ding Shen Sijun Zi Tang (Dingchen-Added Four Gentlemen Decoction) is most effective.
[Note]
Xu Tu (Deficiency Vomiting) is mostly caused by weak Stomach Qi failing to digest and accept milk and food, leading to this syndrome. Symptoms include mental exhaustion, agitation of the fontanelle/eyes, sleeping with eyes exposed, spontaneous diarrhea without thirst, and frequent vomiting. It should be treated with Ding Shen Sijun Zi Tang (Dingchen-Added Four Gentlemen Decoction).
(Ding Shen Sijun Zi Tang [Dingchen-Added Four Gentlemen Decoction]): Renshen (Ginseng Radix et Rhizoma), Baizhu (Atractylodis Macrocephalae Rhizoma stir-fried with earth), Fuling (Poria), Zhigancao (Prepared Licorice Root), Dingxiang (Caryophylli Flos), Chenxiang (Aquilariae Lignum Resinatum), with Wei Jiang (Roasted Ginger) as an additive. Decoct in water and take orally.
(Verse Formula)
Vomiting due to Stomach deficiency with loss of appetite,
Is best treated with Ding Shen Sijun Zi Tang.
Renshen, Baizhu, Fuling, and Gancao tonify the Stomach,
Dingxiang and Chenxiang warm the Spleen.
%
Tu Zheng Men (Section on Vomiting Syndromes)
Xiao'er Shi Tu (Pediatric Excess Vomiting): Characterized by abdominal distension and fullness, difficulty in urination and defecation, abdominal hardness and pain, thirst with a desire for cool drinks, and vomiting of sour, foul-smelling contents. San Yi Cheng Qi Tang (San-Yi Purging Decoction) yields good results.
[Note]
Shi Tu (Excess Vomiting) occurs when a child who is usually robust experiences occasional food stagnation, leading to chest and abdominal distension, constipation or difficult urination/defecation, abdominal hardness and pain, thirst with a desire for cold drinks, and vomiting of sour, foul-smelling matter. San Yi Cheng Qi Tang (San-Yi Purging Decoction) should be used to purge the accumulation. Once bowel movements and urination normalize, vomiting will cease.
(San Yi Cheng Qi Tang [San-Yi Purging Decoction]): Mangxiao (Natrii Sulfas), Sheng Dahuang (Raw Rheum Radix et Rhizoma), Zhishi (Aurantii Fructus stir-fried with bran), Sheng Gancao (Raw Licorice Root), Houpo (Magnoliae Officinalis Cortex stir-fried with ginger), with Sheng Jiang (Fresh Ginger) as an additive. Decoct in water and take orally.
(Verse Formula)
San Yi Cheng Qi Tang treats excess vomiting,
Its efficacy in purging stagnation and unblocking obstruction is prominent.
Mangxiao paired with Sheng Dahuang,
Zhishi and Gancao combined with Houpo.
%
Tu Zheng Men (Section on Vomiting Syndromes)