论曰小儿肌肤肠胃脆弱,若解脱不时,风邪易侵,客于肌肉,搏于胃经,则为胃风,其
状腹善满,食寒则泄,诊形瘦而腹大,盖足阳明胃之经,其支者起胃下口,循腹里,下至气
冲,故风冷入中,则腹善胀大,又胃为水谷之海,得寒则食物不化,气血亏损,故泄痢而形
瘦也。
治小儿胃风泄痢,腹胀肠鸣。胃风汤方
人参 白茯苓(去黑皮) 芎 桂(去粗皮) 当归(切焙) 白芍药 白术(各一
两)
上七味,粗捣筛,每服一钱匕,水七分盏,入粟米半匙,煎取三分,去滓温服,空心食
前日二,更量儿大小加减。
治小儿胃风腹胀下痢。黄 汤方
黄 (锉) 芎 干姜(炮) 人参 黄芩(去黑心) 当归(切焙) 甘草(炙锉
各半两)
桂(去粗皮一分)
上八味,粗捣筛,每服一钱匕,以水七分,煎取四分,去滓温服,量儿大小增减。
治小儿肠胃怯弱,风冷入乘泄泻,饮食全少,渐至羸瘦。木香汤方
木香 白术 干姜(炮裂锉各一分) 浓朴(去粗皮涂生姜汁炙令香熟) 龙骨 当归 诃
黎勒(煨用皮各半两)
上七味,粗捣筛,每服一钱匕,以水七分,入枣二枚擘破,同煎至四分,去滓食前,量
儿大小,分减温服。
治小儿胃风泄泻,两胁虚胀,腹痛不欲饮食。诃黎勒散方
诃黎勒(煨用皮) 浓朴(去粗皮涂生姜汁炙令香熟) 枳壳(麸炒微黄去瓤) 当归
(锉微
炒) 赤芍药(各等分)
上五味,捣罗为散,每服半钱匕,米饮调下、日三,更量小儿大小加减服之。
治小儿胃风腹胀,得冷则泄痢。诃黎勒汤方
诃黎勒(煨用皮) 当归(锉微炒) 黄连(去须锉微炒各一两) 甘草(炙微赤锉) 木
香
干姜(炮裂各半两)
上六味,粗捣筛,每服一钱匕,以水七分,煎至四分,去滓放温,不计时候,量儿大小
,分减服之。
治小儿肠胃风冷,泄痢水谷,腹胁胀满不欲饮。浓朴散方
浓朴(去粗皮涂生姜汁炙令香熟) 黄连(去须微炒各半两) 丁香 肉豆蔻(去壳) 当
归
(锉微炒) 木香 龙骨 白术(各一分)
上八味,捣罗为散,每服半钱匕,以粥饮调下,食前服日三,量儿大小,加减服之。
治小儿胃风腹胀泄痢,脾胃气不和,羸瘦食少。浓朴散方
浓朴(去粗皮涂生姜汁炙令香熟) 人参(各三分) 肉豆蔻(去壳一枚) 干姜(炮
裂锉半
两) 诃黎勒(煨用皮) 白术 黄连(去须微炒) 地榆(微炙锉各一分) 甘草(炙微
赤锉半分
)
上九味,捣罗为散,每服以粥饮调下半钱匕,食前日三四服,量儿大小,以意加减。
治小儿胃风下痢水谷不止。羸瘦腹胀,不欲饮食。调中汤方
浓朴(去粗皮涂生姜汁炙令香熟) 黄连(去须微炒各一两) 木香(半两)
上三味,粗捣筛,每服一钱匕,水七分,煎至四分,去滓不计时候,量儿大小,分减服
之。
治小儿胃风泄痢不止,腹胀羸瘦。白术汤方
白术(三分) 赤茯苓(去黑皮) 人参(各一两) 当归(切焙半两) 浓朴(去粗
皮涂生姜
汁炙令香熟半两)
上五味,粗捣筛,每服一钱匕,水半盏,入生姜二片,煎至三分,去滓带热服,至夜三
四服,随儿大小,以意增减。
论述说:小儿的肌肤和肠胃十分脆弱,如果穿衣脱衣不及时(导致受凉),风邪就容易侵袭人体。风邪客居在肌肉之间,与胃经相搏结,就形成“胃风”。其症状表现为腹部容易胀满,进食寒凉食物后就会腹泻;诊察可见形体消瘦而腹部膨大。这是因为足阳明胃经的支脉,从胃的下口开始,沿着腹腔内部下行至气冲穴,所以风冷之邪侵入体内,就会导致腹部容易胀大。另外,胃是受纳水谷的海,遇到寒邪则食物无法消化,导致气血亏损,因此出现泄痢且形体消瘦。
治疗小儿因胃风引起的泄痢、腹胀及肠鸣。胃风汤方:
人参、白茯苓(去除黑皮)、川芎、桂枝(去除粗皮)、当归(切片焙干)、白芍药、白术(各一两)。
以上七味药,捣碎并过筛,每次服用一钱匕,用七分水的杯子,加入半匙粟米,煎煮至剩余三分水量,滤去药渣,温服。空腹且在进食前服用,每日两次,更应根据患儿年龄大小酌情增减剂量。
治疗小儿因胃风引起的腹胀和下痢。黄芪汤方:
黄芪(锉碎)、川芎、干姜(炮制)、人参、黄芩(去除黑心)、当归(切片焙干)、甘草(炙烤后锉碎,各半两)、桂枝(去除粗皮一分)。
以上八味药,捣碎并过筛,每次服用一钱匕,用七分水,煎煮至剩余四分水量,滤去药渣,温服。根据患儿年龄大小调整剂量。
治疗小儿肠胃怯弱,风冷乘虚而入导致泄泻,饮食完全减少,逐渐变得瘦弱。木香汤方:
木香、白术、干姜(炮裂锉碎,各一分)、厚朴(去除粗皮,涂生姜汁炙烤至香气熟透)、龙骨、当归、诃黎勒(煨制后用皮,各半两)。
以上七味药,捣碎并过筛,每次服用一钱匕,用七分水,加入两枚掰破的大枣,同煎至剩余四分水量,滤去药渣,饭前服用。根据患儿年龄大小,分次减量温服。
治疗小儿因胃风引起的泄泻,两胁部虚胀,腹痛且不想吃东西。诃黎勒散方:
诃黎勒(煨制后用皮)、厚朴(去除粗皮,涂生姜汁炙烤至香气熟透)、枳壳(麸炒至微黄,去除瓤)、当归(锉碎微炒)、赤芍药(各等分)。
以上五味药,捣碎过罗制成散剂,每次服用半钱匕,用米汤调下,每日三次,更应根据小儿年龄大小调整剂量服用。
治疗小儿因胃风引起的腹胀,受冷则发生泄痢。诃黎勒汤方:
诃黎勒(煨制后用皮)、当归(锉碎微炒)、黄连(去除须根,锉碎微炒,各一两)、甘草(炙烤至微红锉碎)、木香、干姜(炮裂,各半两)。
以上六味药,捣碎并过筛,每次服用一钱匕,用七分水,煎煮至剩余四分水量,滤去药渣放温,不限时候,根据患儿年龄大小,分次减量服用。
治疗小儿肠胃风冷,泄痢夹杂未消化的食物,腹胁胀满不想喝水。厚朴散方:
厚朴(去除粗皮,涂生姜汁炙烤至香气熟透)、黄连(去除须根微炒,各半两)、丁香、肉豆蔻(去壳)、当归(锉碎微炒)、木香、龙骨、白术(各一分)。
以上八味药,捣碎过罗制成散剂,每次服用半钱匕,用粥饮调下,饭前服用,每日三次,根据患儿年龄大小调整剂量服用。
治疗小儿因胃风引起的腹胀泄痢,脾胃气机不和,身体瘦弱,食量减少。厚朴散方:
厚朴(去除粗皮,涂生姜汁炙烤至香气熟透)、人参(各三分)、肉豆蔻(去壳一枚)、干姜(炮裂锉碎半两)、诃黎勒(煨制后用皮)、白术、黄连(去除须根微炒)、地榆(微炙锉碎,各一分)、甘草(炙烤至微红锉碎半分)。
以上九味药,捣碎过罗制成散剂,每次用粥饮调下半钱匕,饭前服用,每日三四次,根据患儿年龄大小,酌情加减服用。
治疗小儿因胃风引起的下痢,水谷不固不止,身体瘦弱,腹胀,不想吃东西。调中汤方:
厚朴(去除粗皮,涂生姜汁炙烤至香气熟透)、黄连(去除须根微炒,各一两)、木香(半两)。
以上三味药,捣碎并过筛,每次服用一钱匕,用七分水,煎煮至剩余四分水量,滤去药渣,不限时候,根据患儿年龄大小,分次减量服用。
治疗小儿因胃风引起的泄痢不止,腹胀且身体瘦弱。白术汤方:
白术(三分)、赤茯苓(去除黑皮)、人参(各一两)、当归(切片焙干半两)、厚朴(去除粗皮,涂生姜汁炙烤至香气熟透半两)。
以上五味药,捣碎并过筛,每次服用一钱匕,用半盏水,加入两片生姜,煎煮至剩余三分水量,滤去药渣,趁热服用,夜间服用三四次,根据患儿年龄大小,酌情增减。
Commentary states: The skin and intestines of infants are fragile. If clothing is not adjusted in time, wind pathogens easily invade the body. The wind pathogen lodges in the muscles and contends with the Stomach Meridian, resulting in "Stomach Wind" (Wei Feng). Its manifestations include abdominal distension that easily occurs, diarrhea after consuming cold food; clinical observation reveals a thin body with a distended abdomen. This is because the branch of the Foot-Yangming Stomach Meridian originates from the lower opening of the stomach, runs along the interior of the abdomen, and descends to the Qichong point (ST30); thus, when wind-cold enters the interior, it causes easy abdominal distension. Furthermore, the Stomach is the Sea of Water and Grain; upon encountering cold, food fails to digest, leading to a deficiency of Qi and Blood, hence the occurrence of diarrhea/dysentery and emaciation.
To treat infantile Stomach Wind causing diarrhea/dysentery, abdominal distension, and borborygmus. Weifeng Tang (Stomach Wind Decoction):
Ren Shen (Ginseng Radix), Bai Fu Ling (Poria), Chuan Xiong (Ligusticum Rhizome), Gui Zhi (Cinnamon Twig), Dang Gui (Angelica Sinensis Root), Bai Shao Yao (White Peony Root), Bai Zhu (Atractylodes Macrocephala Rhizome) (each 1 liang).
The above seven herbs are coarsely crushed and sieved. Each dose consists of 1 qian bi (approx. 3-5g), boiled in 0.7 cup of water with half a spoonful of millet rice until reduced to 0.3 cup. Strain and take warm. Administer on an empty stomach before meals, twice daily. Dosage should be adjusted according to the child's age and size.
To treat infantile Stomach Wind causing abdominal distension and dysentery. Huang Qi Tang (Astragalus Decoction):
Huang Qi (Astragali Radix), Chuan Xiong, Gan Jiang (Dried Ginger), Ren Shen, Huang Qin (Scutellariae Radix), Dang Gui, Gan Cao (Licorice Root, honey-fried) (each 0.5 liang), Gui Zhi (1 fen).
The above eight herbs are coarsely crushed and sieved. Each dose consists of 1 qian bi, boiled in 0.7 cup of water until reduced to 0.4 cup. Strain and take warm. Adjust dosage according to the child's age and size.
To treat infantile weak intestines and stomach, where wind-cold invades causing diarrhea, significantly reduced food intake, and gradual emaciation. Mu Xiang Tang (Costus Decoction):
Mu Xiang (Aucklandiae Radix), Bai Zhu, Gan Jiang (1 fen), Hou Po (Magnolia Bark, processed with ginger juice), Long Gu (Fossilized Bones), Dang Gui, He Li Le (Terminalia Chebula Fruit, roasted peel) (each 0.5 liang).
The above seven herbs are coarsely crushed and sieved. Each dose consists of 1 qian bi, boiled in 0.7 cup of water with two cracked jujubes until reduced to 0.4 cup. Strain and take before meals. Administer warm in divided doses according to the child's age and size.
To treat infantile Stomach Wind causing diarrhea, empty distension in the hypochondrium, abdominal pain, and anorexia. He Li Le San (Terminalia Chebula Powder):
He Li Le (roasted peel), Hou Po, Zhi Ke (Bitter Orange, bran-fried), Dang Gui (lightly fried), Chi Shao Yao (Red Peony Root) (equal parts).
The above five herbs are pulverized into powder. Each dose consists of 0.5 qian bi, taken with rice water, three times daily. Adjust dosage according to the child's age and size.
To treat infantile Stomach Wind causing abdominal distension and diarrhea/dysentery triggered by cold. He Li Le Tang (Terminalia Chebula Decoction):
He Li Le (roasted peel), Dang Gui, Huang Lian (Coptis Rhizome, trimmed and lightly fried) (each 1 liang), Gan Cao (honey-fried), Mu Xiang, Gan Jiang (Dried Ginger, processed) (each 0.5 liang).
The above six herbs are coarsely crushed and sieved. Each dose consists of 1 qian bi, boiled in 0.7 cup of water until reduced to 0.4 cup. Strain, let cool to warm, and take at any time. Adjust dosage according to the child's age and size.
To treat infantile intestinal-stomach wind-cold, diarrhea/dysentery with undigested food, abdominal and hypochondriac fullness, and aversion to drinking. Hou Po San (Magnolia Bark Powder):
Hou Po, Huang Lian (each 0.5 liang), Ding Xiang (Caryophylli Flos), Rou Dou Kou (Nutmeg), Dang Gui, Mu Xiang, Long Gu, Bai Zhu (each 1 fen).
The above eight herbs are pulverized into powder. Each dose consists of 0.5 qian bi, taken with porridge drink, before meals, three times daily. Adjust dosage according to the child's age and size.
To treat infantile Stomach Wind causing abdominal distension and diarrhea/dysentery, disharmony of Spleen and Stomach Qi, emaciation, and poor appetite. Hou Po San (Magnolia Bark Powder):
Hou Po, Ren Shen (each 3 fen), Rou Dou Kou (one nutmeg), Gan Jiang (0.5 liang), He Li Le, Bai Zhu, Huang Lian, Di Yu (Sanguisorbae Radix, lightly fried) (each 1 fen), Gan Cao (0.5 fen).
The above nine herbs are pulverized into powder. Each dose consists of 0.5 qian bi, taken with porridge drink, before meals, three to four times daily. Adjust dosage according to the child's age and size.
To treat infantile Stomach Wind causing persistent dysentery with undigested food, emaciation, abdominal distension, and anorexia. Tiao Zhong Tang (Regulate the Middle Decoction):
Hou Po, Huang Lian (each 1 liang), Mu Xiang (0.5 liang).
The above three herbs are coarsely crushed and sieved. Each dose consists of 1 qian bi, boiled in 0.7 cup of water until reduced to 0.4 cup. Strain and take at any time. Adjust dosage according to the child's age and size.
To treat infantile Stomach Wind causing persistent diarrhea/dysentery, abdominal distension, and emaciation. Bai Zhu Tang (Atractylodes Decoction):
Bai Zhu (3 fen), Chi Fu Ling (Red Poria), Ren Shen (each 1 liang), Dang Gui (0.5 liang), Hou Po (0.5 liang).
The above five herbs are coarsely crushed and sieved. Each dose consists of 1 qian bi, boiled in half a cup of water with two slices of fresh ginger until reduced to 0.3 cup. Strain and take while hot. Take three to four times at night. Adjust dosage according to the child's age and size.