（但吐利而不霍乱）
《巢氏病源》小儿吐利候∶吐利者，由肠虚而胃气逆故也。小儿有解脱，而风冷入肠胃，肠胃虚则泄利，胃
气逆则呕吐。此大体与霍乱相似而小轻不剧，闷顿，故直云吐利，亦不呼为霍乱也。
钱乙论小儿初生三日内吐泻壮热，不思乳食，大便乳食不消，或白色，是伤食，当下之，后和胃。下用白
饼子，（方见本门。）和胃用益黄散主之。（方见胃气不和门中。）
钱乙论小儿初生三日以上至十日，吐泻，身温凉，不思乳食，大便青白色，乳食不消，此上实下虚也。更
有兼见证∶肺主睡露睛、喘气，心主惊悸、饮水，脾主困倦饶睡，肝主呵欠顿闷，肾主不语畏明，当泻。见儿
兼脏，补脾益黄散主之。此二证多病秋夏也。（益黄散方见胃气不和门中。）
钱乙论夏秋吐泻，五月二十五以后吐泻身壮热，此热也，小儿脏腑十分中九分热也。或因伤热，乳食吐乳
不消，泻深黄色，玉露散主之。六月十五日以后吐泻身温，似热，脏腑六分热四分冷也。吐呕乳食不消，泻黄
白色，似渴，或食乳，或不食乳，食前必服益黄散，食后多服玉露散。七月七日以后吐泻身温凉，三分热七分
冷也。不能食乳，多似睡，闷乱，哽气、长出气，睡露睛，唇白、多哕，欲大便，不渴，食前多服益黄散，食
后少服玉露散。八月十五日以后吐泻，止冷无阳也，不能食乳，干哕，泻青褐水，当补脾，益黄散主之，不可
下也。（玉露散方见本门，益黄散方见胃气不和门中）。
钱乙论吐泻，争上去∶广亲此宅，四大王宫五太尉病吐泻不止，米谷不化，众医用补药，言用姜汁调服之。
六月中服温药，一日益加喘吐不定。钱曰∶当以凉药治之，所以然者，谓伤热在内也。用石膏汤三服，并服
之。众医皆言∶吐泻多而米谷不化，当补脾，何以用凉药？王信众医，又用丁香散三服。钱后至曰∶不可服此，
三日外必腹满身热，饮水吐逆。三日外一如所言。所以然者，谓六月热甚，伏入腹中而令引饮，热伤脾胃即大
吐泻。他医又行温药，即上焦亦热，故喘而引饮，三日当死。众医不能治，复召钱至宫中。见有热证，以白虎
汤三服，更以白饼子下之，一日减药二分，二日、三日又与白虎汤各二服。四日用石膏汤一服，旋合麦门冬、
黄芩、脑子、牛黄、天竺黄，茯苓、以朱砂为衣，与五丸，竹叶汤化下，热退而安。
钱乙论虚实下药云∶冯承务子五岁，吐泻壮热不思食。钱氏曰∶目中黑睛少而白睛多，面色 白，此子必
多病。面色 白神怯也，黑睛少肾虚也，黑睛属水，本怯而虚，故多病也。纵长成必肌肤不壮，不耐寒暑。易
虚易实，脾胃亦怯，更不可纵酒欲，若不保养，不过壮年。面上常无精神光泽者，如妇人之失血也。今吐利不
食，壮热者，伤食也，不可下，下之虚。入肺则喘，入心则惊，入脾则泻，入肾则益虚，此但以消积丸磨之，
为微有食也。如伤食甚则可下，不下则成癖也。实食在内，乃可下之，下毕，补脾必愈。随其虚实无不效者。
钱乙有吐泻问难云∶广亲宫七太尉，七岁，病吐泻。是时七月，其证全不食而昏睡，睡觉而闷乱、哽气、
干呕、大便或有或无、不渴。众医作惊治之，疑睡故也。钱曰∶先补脾后退热，与使君子丸补脾，退热石膏汤。
次日又以水银、硫黄二物下之，生姜水调下一字。钱曰∶凡吐泻五月内，九分下而一分补。八月内，十分补
而无一分下。此者是脾虚泻，医妄治之，至于虚损，下之即死。当只补脾，若以使君子丸即缓。钱又留温胃益
脾药止之。医者李生曰∶何食而 ？钱曰∶脾虚而不能食，津少即 逆。曰何泻青褐水？曰∶肠胃至虚，冷极
故也。钱治而愈。
钱乙附方，凡小儿吐泻当温补之。余每用理中丸以温其中，以五苓散导其逆，五苓最治小儿吐。连与数服，兼用异
功散等温药调理之，往往便愈。若已虚损，当速生其胃气，宜与附子理中丸，并研金液丹末，煎生姜、米饮调
灌之，唯多服乃效。（服至二、三两无害）。候胃气已生，手足渐暖，阴退阳回。然犹螈 ，即减金液丹一、二分，增青
州白丸子一、二分，同研如上服。以意详之，渐减金液丹，加白丸子，兼用异功散、羌活膏、温白丸、钩藤饮子
之类调理至安。根据此治之，仍频与粥，虽至危者，往往死中得生，十救八、九。
《婴童宝鉴》∶小儿为乳母饮酒，淫 情乱，乳子为疾；其候吐泻青黄水，身热、啼叫如惊，不治。
《婴童宝鉴》小儿吐利歌∶
小儿吐利早须医，只为肠虚逆气为，更有中它汤药毒，必加烦躁在心脾。
《千金》治少小吐利方。
乱发（半两，烧） 鹿角（六铢）
上二味末之，米汁服一刀圭，日三服。
《千金》又方
上用热牛屎合之。一作牛膝。
《千金》又方
上用热特猪屎，水解取汁少少服之。
《外台》∶刘氏疗百日以下蓐内儿吐利方。
面（一钱，炒） 乳汁（二两） 龙骨（六分）
上三味煎龙骨，和炒面服之即瘥。
《圣惠》治小儿吐利，发热不欲乳食。人参散方
人参（半两，《婴孺》用四两） 干姜（炮，锉） 桂心（各一分，《婴孺》各用三分） 甘草（一分，炙，锉，《婴
孺》用四分） 黄芩（二分，《婴孺》用六分）
上件药捣，粗罗为散。每服一钱，以水一小盏，枣一枚，煎至五分去滓，不计时候，稍热服之。随儿大小
以意增减。
《圣惠》治小儿吐利，腹胁虚闷。诃梨勒散方
桂心（一分） 诃梨勒皮 人参 白术 甘草（炙） 浓朴（去粗皮，涂生姜汁炙令香熟） 陈皮（各半两）
上件药捣，粗罗为散。每服一钱，以水一小盏，煎至五分去滓，不计时候，稍热服之。量儿大小以意加减。
《圣惠》治小儿冷热不和，吐利不止。白术散方
白术 木香 丁香 陈皮（焙。各一分） 麦门冬（三分，去心，焙）
上件药捣，粗罗为散。每服一钱，以水一中盏，煎至五分去滓，不计时候，稍热服。量儿大小以意加减。
《圣惠》治小儿吐利兼胸胁胀满草豆蔻散方
草豆蔻（去皮） 木香 五味子 人参 白茯苓 陈皮（汤浸去白。各一分） 诃梨勒皮 甘草（炙，锉。各半两）
上件药捣，粗罗为散。每服一钱，以水一小盏，煎至五分去滓，不计时候，稍热服。随儿大小以意加减。
《博济方》治小儿未及周 ，吐泻不止，因乳母气血劳神，或热奶伤胃，致有痰涎。中和散方
雄黄（好者少许） 大黄 五灵脂（各等分）
上件三味同研为细末。每服一字，磨刀水调下。
《谭氏殊圣》治小儿吐泻方。
白滑石 硫黄（各等分）
上细研，淘糯米泔调下一字。新生小儿未盈月及百日舌上生疮，口中白膏浓如池纸，用坯子燕脂少许，儿
病用女乳汁，女病用儿乳汁同调，涂舌上一宿，立效。
《谭氏殊圣》治小儿吐泻不止乳香丸方
乳香 朱砂（各一钱） 半夏（半两，汤浸七遍，切破，用生姜汁炒令黄色）
上为末，面糊为丸如绿豆大。每服三、二丸，如五岁以上五、六丸，米饮下。
茅先生∶小儿吐泻丁香散方
丁香（二七粒） 肉豆蔻（一个） 木香（一钱）
以上三味研损，用醋面裹，热灰煨，令面赤色取出，不用面，入后药∶
藿香 桂心（各半钱）
上此二味和前三味拌合为末。每服一字半钱，用陈米饭煮饮调下。
《婴孺》皇子汤 治少小痢下、吐逆，壮热数日不止，不得乳哺，或但羸困欲死方。
甘草（炙） 牡蛎（ 末） 芍药 桂心（各三两）
上为粗末。一岁儿水一升，内四方寸匕，煮三合顿服，日再。小儿以意加减。此能除热止痢，上下神验。
《婴孺》治少小惊，兼少小下痢，及吐十日以上。以意量之与服，二十日以上根据此方合服。苦七、八日以上倍加
药，过此以意消息增减。神妙方。
大黄（三钱） 钩藤（六合） 黄 （二分） 细辛（半分） 蛇蜕皮（三寸，炙） 蚱蝉（二个，炙） 甘草（一
分，炙）
上切，以水一升半煮五合，绞去滓，研牛黄五大豆许，入汤中。一服一枣许，日三夜一，亦同。灸两耳前
三炷，必瘥。无牛黄，以真麝香代之。
《婴孺》治少小寒中吐利及客忤。温白丸方
附子（炮） 桔梗（各二两） 人参（一两） 干姜（二分）
上为末，炼蜜丸。二十日儿麻子大一丸，五十日儿胡豆大一丸，百日儿小豆大一丸，不知加之。
《婴孺》醋酒白丸子 治吐利寒中并客忤方。
半夏（洗） 人参（各三分） 桔梗 附子（炮去皮脐） 干姜（各四分）
上为末，以苦酒和丸小豆大。一服一丸，日三服。此是一岁服法。
钱乙异功散 温中和气，治吐泻，思食。凡小儿虚冷病，先与数服，以正其气方。
人参（切去顶） 茯苓（去皮） 白术 甘草（炒） 陈橘皮（各等分）
上为细末。每服二钱，水一盏，生姜五片，枣二个，同煎至七分，食煎温热服。量多少与之。
钱乙玉露散 一名甘露散方
甘草（生，一分） 寒水石（嫩而微青黑，中有细纹者是） 石膏（坚白而手不可折者，有墙壁坚白石膏是，如无，
以方解石代之，敲段，段皆方是也。各半两）
上同为细末。每服一字或半钱，一钱食后温汤调下。
钱乙治壮热白饼子方 又名玉饼子
滑石 轻粉 半夏 天南星（二钱，汤浸七次，为末。同上各一钱） 巴豆（二十四个，去皮膜，水一升，煮水尽
为度）
上研匀，巴豆后入。众药以糯米饭为丸，小绿豆大，捏作饼子。三岁以上三、五饼子，以下三饼子，煎葱白汤临卧
服。
钱乙附方金液丹 治小儿吐泻，虚实极最妙。沈存中《良方》论金液丹云∶亲见小儿吐利剧，气已绝，服之复
活者数人。真不妄也，须多服多验。
钱乙附方 治小儿脾胃虚寒，吐泻等病及治冷痰。
齐州半夏（一两，汤泡七次，切，焙） 陈粟米（三分，陈粳米亦得）
上 咀，每服三钱，水一大盏半，生姜十片同煎至八分，食前温热服。
张涣治小儿三焦不调，停寒膈上，乳哺不消，胸膈痞满，甚则喘逆，吐利，肌体痿黄。匀胃散方
甘草（一分，炙） 藿香叶 白豆蔻 人参（去芦头。各一两） 木香 干姜（炮） 浓朴（去粗皮，涂生姜汁炙
令香熟） 丁香（各半两）
上件捣，罗为细末。每服一钱，水一小盏，入生姜二片，煎至六分，去滓温服。
张涣益中汤方 治呕吐兼泻利。
人参（去芦头） 青橘皮 丁香（各半两） 桂心 诃梨勒皮（各一分） 草豆蔻（三枚，去皮炒）
上件捣，罗细末，每服半钱至一钱，米饮调下。量儿大小加减。
《婴童宝鉴》治小儿吐利不止不二丸方
巴豆（三十个，去心膜细研，别用好黄连半两水浸，染纸两张裹豆，令出油） 朱砂（末，一钱重） 寒食面（一
钱九）
上件研匀，滴水为丸如绿豆大。以新汲水磨下一丸。
《万全方》治脾胃气虚，止吐泻。人参散
人参 白茯苓 白术 干葛 陈橘皮（去瓤） 浓朴（姜汁涂，炙。以上各等分）
上件为末，每服半钱，用沸汤点。量大小服之。
《惠眼观证》沉香饮子 大治吐泻方。
沉香 丁香 藿香（各半钱。刘氏各用一钱） 肉豆蔻（二个） 槟榔（二个。刘氏用一个） 甘草（炙，一钱。
刘氏各一分）
上为末。每服一大钱，水一小盏，入老姜一小指大，捶碎同煎三两沸，去滓，温服。
《惠眼观证》醒脾散 治吐泻，脾困多睡，不思饮食方。
人参 木香 茯苓 陈皮（去白） 甘草 草豆蔻（去皮） 浓朴（同 砂一钱，胆水一碗，入此二味煮，令干，
都细切，焙。以上各一分） 白术（半两）
上为细末。每服一钱，以冬瓜子煎汤下。
《刘氏家传》人参异功散 治小儿泻利，止呕逆，顺气补虚方。
人参（一钱半） 白术（半两） 青皮 陈皮 茯苓 甘草（各一分） 豆蔻（三个，入诃子）
上末之。每服一钱，陈米饮调下。如秋间合则入诃子，春夏不用。或用紫苏、木瓜煎五、七沸，半盏，
末半钱，或加至一钱，逐日早服。如是小儿伤风，应诸般伤寒，但以此药正却，气候和然后以红棉散（方见挟惊伤
寒门中）治之，无有不效。
《刘氏家传》醒脾散 治小儿吐泻脾困方。
人参（二分） 丁香（二十粒） 白茯苓 白术（各一分） 藿香 甘草（炙。各一钱） 天南星（一个，七、八
钱重，去心，用缩砂仁十个入在天南星内，面裹煨熟，面焦黄为度，去面不用）
上件同为细末。每服一钱，水六分，生姜三片，冬瓜子十四粒同煎，三分温吃。不拘时候服。
《张氏家传》降灵丹 一名来复丹，治小儿非时吐泻（古方）。
舶上硫黄 雪白硝石（二味各一两，并于沙石铫或银器内用文武火慢炒，溶令作珠子，无令火紧，太过即不中，须
倾
在纸上于冷收之，研细末，二味先成末乃妙） 莲花青皮 年久陈皮（炒干） 上等无石五灵脂（以上各一两）
《诸病源候论》小儿呕吐腹泻证候：呕吐和腹泻，是由于肠道虚弱而胃气上逆所致。小儿在出生时脐带剪断后，若风冷之邪侵入肠胃，因肠胃虚弱则导致泄泻，胃气上逆则引起呕吐。这种情况大体上与霍乱相似，但病情较轻且不剧烈，伴有烦闷困顿，所以直接称为“吐利”，也不称之为“霍乱”。
钱乙论述小儿出生后三日内出现呕吐、腹泻、高热，不想吃奶进食，大便中有未消化的乳食，或呈白色，这是伤食证，应当用攻下法治疗，之后调和胃气。攻下使用白饼子（方剂见本门），调和胃气主要使用益黄散（方剂见胃气不和门中）。
钱乙论述小儿出生三日以上至十日，出现呕吐、腹泻，体温正常或微凉，不想吃奶进食，大便呈青白色，乳食不消化，这是上实下虚证。还有兼夹症状：肺主睡时眼睛半睁（露睛）、气喘，心主惊悸、想喝水，脾主困倦嗜睡，肝主打哈欠、头昏闷，肾主不说话、怕光，应当进行泻法治疗。根据患儿兼见的脏腑症状，补脾使用益黄散为主治方。这两种证候多在秋季和夏季发病。（益黄散方剂见胃气不和门中）。
钱乙论述夏秋季节的呕吐腹泻：五月二十五日以后出现的呕吐腹泻且身体高热，这是热证，小儿脏腑十分中有九分是热的。可能是因为受热损伤，乳食呕吐出来不消化，腹泻呈深黄色，使用玉露散主治。六月十五日以后出现的呕吐腹泻，身体温度正常，看似有热，脏腑六分热四分冷。呕吐乳食不消化，腹泻呈黄白色，似口渴，有时吃奶，有时不吃奶，饭前必须服用益黄散，饭后多服用玉露散。七月七日以后出现的呕吐腹泻，身体温度正常偏凉，三分热七分冷。不能喝奶，多似睡觉，烦躁混乱，气哽、长出气，睡觉时眼睛半睁，嘴唇发白，多呃逆，想大便但不渴，饭前多服益黄散，饭后少服玉露散。八月十五日以后出现的呕吐腹泻，只有寒冷而没有阳气，不能喝奶，干呕，腹泻呈青褐色水样，应当补脾，使用益黄散主治，不可用攻下法。（玉露散方剂见本门，益黄散方剂见胃气不和门中）。
钱乙论述呕吐腹泻，争辩治疗方法：广亲宅五大王宫五太尉患病，呕吐腹泻不止，米谷不消化，众医生使用补药，说用姜汁调服。六月服用温性药物，一天比一天加重，喘息呕吐不定。钱乙说：应当用凉性药物治疗，之所以这样，是因为体内有热邪损伤。使用石膏汤服用三次，一起服用。众医生说：呕吐腹泻严重且米谷不消化，应当补脾，为什么用凉药？王爷相信众医生的话，又用了丁香散服用三次。钱乙后来到了说：不可以服用这个药，三天后必然腹部胀满、身体发热、想喝水并呕吐逆气。三天后果然如他所言。之所以这样，是因为六月天气炎热，热邪潜伏入腹中导致引水自救，热邪损伤脾胃就导致大吐泻。其他医生又用温性药物，导致上焦也热，所以喘息且想喝水，三天后会死亡。众医生不能治愈，再次请钱乙到宫中。见到有热证，用白虎汤服用三次，再用白饼子攻下，第一天减少药量二分，第二天、第三天又给予白虎汤各两服。第四天用石膏汤一服，随即配制麦门冬、黄芩、冰片、牛黄、天竺黄、茯苓，以朱砂为衣，每次给五丸，用竹叶汤送下，热退而安。
钱乙论述虚实辨证下的攻下法：冯承务的儿子五岁，呕吐腹泻、高热、不想吃东西。钱氏说：眼中黑眼球少而白眼球多，面色苍白，这孩子一定多病。面色苍白是神气怯弱，黑眼球少是肾虚，黑眼球属水，本来怯弱而虚，所以多病。即使长大也必定肌肉不壮实，不耐寒暑。容易由虚转实或由实转虚，脾胃也怯弱，更不可放纵酒欲，如果不保养，活不到壮年。面上常没有精神光泽的，就像妇女失血一样。现在呕吐腹泻不吃东西，高热，是伤食，不可攻下，攻下会导致虚损。邪气入肺则喘，入心则惊，入脾则泻，入肾则更虚，这只能以消积丸磨化积滞，因为只是轻微伤食。如果伤食严重则可以攻下，不攻下则会形成癖积。实证积食在体内，才可以攻下，攻下完毕后，补脾必能痊愈。根据虚实情况无不有效。
钱乙有关于呕吐腹泻的问答疑难：广亲宫七太尉，七岁，患呕吐腹泻。当时是七月，症状是完全不吃东西且昏睡，醒来后烦躁混乱、气哽、干呕，大便有时有有时没有，不口渴。众医生当作惊风治疗，怀疑是因为睡觉的缘故。钱乙说：先补脾后退热，给予使君子丸补脾，退热用石膏汤。次日又用水银、硫黄两种药物攻下，用生姜水调服一字。钱乙说：凡是五月内的呕吐腹泻，十分之中用九分攻下，一分补益。八月内，十分补益而无一分攻下。这个是脾虚泻，医生错误治疗，导致虚损，攻下就会死亡。应当只补脾，如果使用使君子丸则较缓和。钱乙又留下温胃益脾的药物来止住病症。医生李生问：吃什么导致的？钱乙说：脾虚而不能吃东西，津液少就会气逆。问：为什么腹泻青褐色水？答：肠胃极度虚弱，寒气极盛所致。钱乙治疗后痊愈。
钱乙附方，凡是小儿呕吐腹泻都应当温补。我常用理中丸来温暖中焦，用五苓散引导逆气，五苓散最擅长治疗小儿呕吐。连续服用几剂，兼用异功散等温性药物调理，往往就能痊愈。如果已经虚损，应当迅速滋生胃气，适宜给予附子理中丸，并研碎金液丹粉末，煎煮生姜、米饮调灌喂服，只有多服才见效。（服用至二、三两也没有害处）。等到胃气已生，手脚渐渐暖和，阴邪消退阳气回复。然而仍有抽搐，就减少金液丹一、二分，增加青州白丸子一、二分，一同研细按上述方法服用。凭心意详细斟酌，逐渐减少金液丹，增加白丸子，兼用异功散、羌活膏、温白丸、钩藤饮子之类药物调理直到平安。根据此法治疗，仍频繁给予粥食，即使是危重者，往往死里求生，十救八、九。
《婴童宝鉴》：小儿被乳母饮酒，淫乱情志，乳汁致病；其症状为呕吐腹泻青黄水，身体发热、啼叫像受惊，不治。
《婴童宝鉴》小儿呕吐腹泻歌诀：
小儿呕吐腹泻须早医，只因肠虚逆气所致，再加上误服汤药中毒，必然在心脾增加烦躁。
《千金方》治疗婴幼儿呕吐腹泻方。
乱发（半两，烧成灰） 鹿角（六铢）
以上两味研末，用米汁服用一刀圭，每日三次服用。
《千金方》又一方
上面用热牛粪敷贴患处。一作牛膝。
《千金方》又一方
上面用热猪屎，水解取汁少量服用。
《外台秘要》：刘氏治疗百日以内产房内婴儿呕吐腹泻方。
面粉（一钱，炒） 乳汁（二两） 龙骨（六分）
以上三味煎煮龙骨，混合炒面服用即愈。
《太平圣惠方》治疗小儿呕吐腹泻，发热不想吃奶进食。人参散方
人参（半两，《婴孺书》用四两） 干姜（炮制，锉碎） 桂心（各一分，《婴孺书》各用三分） 甘草（一分，炙烤，锉碎，《婴孺书》用四分） 黄芩（二分，《婴孺书》用六分）
以上药材捣碎，粗筛为散。每服一钱，用水一小盏，枣一枚，煎至五分去渣，不限时候，稍热服用。根据孩子大小酌情增减。
《太平圣惠方》治疗小儿呕吐腹泻，腹胁虚闷。诃梨勒散方
桂心（一分） 诃梨勒皮 人参 白术 甘草（炙） 浓朴（去粗皮，涂生姜汁炙令香熟） 陈皮（各半两）
以上药材捣碎，粗筛为散。每服一钱，用水一小盏，煎至五分去渣，不限时候，稍热服用。根据孩子大小酌情加减。
《太平圣惠方》治疗小儿冷热不和，呕吐腹泻不止。白术散方
白术 木香 丁香 陈皮（焙。各一分） 麦门冬（三分，去心，焙）
以上药材捣碎，粗筛为散。每服一钱，用水一中盏，煎至五分去渣，不限时候，稍热服用。根据孩子大小酌情加减。
《太平圣惠方》治疗小儿呕吐腹泻兼胸胁胀满草豆蔻散方
草豆蔻（去皮） 木香 五味子 人参 白茯苓 陈皮（汤浸去白。各一分） 诃梨勒皮 甘草（炙，锉。各半两）
以上药材捣碎，粗筛为散。每服一钱，用水一小盏，煎至五分去渣，不限时候，稍热服用。根据孩子大小酌情加减。
《博济方》治疗小儿未满周岁，呕吐腹泻不止，因乳母气血劳神，或热奶伤胃，导致有痰涎。中和散方
雄黄（好者少许） 大黄 五灵脂（各等分）
以上三味同研为细末。每服一字，用磨刀水调下。
《谭氏殊圣》治疗小儿呕吐腹泻方。
白滑石 硫黄（各等分）
以上细研，淘糯米泔水调下一字。新生婴儿未满月及百日舌上生疮，口中白膏浓如池纸，用坯子燕脂少许，男孩病用女乳汁，女孩病用儿乳汁同调，涂舌上一夜，立效。
《谭氏殊圣》治疗小儿呕吐腹泻不止乳香丸方
乳香 朱砂（各一钱） 半夏（半两，汤浸七遍，切破，用生姜汁炒令黄色）
以上为末，面糊为丸如绿豆大。每服三、二丸，如五岁以上五、六丸，米饮送下。
茅先生：小儿呕吐腹泻丁香散方
丁香（二七粒） 肉豆蔻（一个） 木香（一钱）
以上三味研损，用醋面裹，热灰煨，令面赤色取出，不用面，入后药：
藿香 桂心（各半钱）
以上二味和前三味拌合为末。每服一字半钱，用陈米饭煮饮调下。
《婴孺书》皇子汤 治疗婴幼儿痢疾、呕吐逆气，高热数日不止，不得吃奶，或只是羸困欲死方。
甘草（炙） 牡蛎（研末） 芍药 桂心（各三两）
以上为粗末。一岁儿用水一升，放入四方寸匕，煮取三合顿服，每日两次。小儿酌情加减。此方能除热止痢，上下神验。
《婴孺书》治疗婴幼儿惊风，兼婴幼儿下痢，及呕吐十日以上。酌情量之与服，二十日以上根据此方合服。苦七、八日以上倍加药，过此酌情增减。神妙方。
大黄（三钱） 钩藤（六合） 黄芪（二分） 细辛（半分） 蛇蜕皮（三寸，炙） 蚱蝉（二个，炙） 甘草（一分，炙）
以上切碎，用水一升半煮取五合，绞去渣，研牛黄五大豆许，入汤中。一服一枣许，日三夜一，亦同。灸两耳前三炷，必愈。无牛黄，以真麝香代之。
《婴孺书》治疗婴幼儿寒中呕吐腹泻及客忤。温白丸方
附子（炮） 桔梗（各二两） 人参（一两） 干姜（二分）
以上为末，炼蜜丸。二十日儿麻子大一丸，五十日儿胡豆大一丸，百日儿小豆大一丸，不知加之。
《婴孺书》醋酒白丸子 治疗呕吐腹泻寒中并客忤方。
半夏（洗） 人参（各三分） 桔梗 附子（炮去皮脐） 干姜（各四分）
以上为末，以苦酒和丸小豆大。一服一丸，日三服。这是一岁服法。
钱乙异功散 温中和气，治疗呕吐腹泻，思食。凡小儿虚冷病，先与数服，以正其气方。
人参（切去顶） 茯苓（去皮） 白术 甘草（炒） 陈橘皮（各等分）
以上为细末。每服二钱，水一盏，生姜五片，枣二个，同煎至七分，食煎温热服。量多少与之。
钱乙玉露散 一名甘露散方
甘草（生，一分） 寒水石（嫩而微青黑，中有细纹者是） 石膏（坚白而手不可折者，有墙壁坚白石膏是，如无，以方解石代之，敲段，段皆方是也。各半两）
以上同为细末。每服一字或半钱，一钱食后温汤调下。
钱乙治疗壮热白饼子方 又名玉饼子
滑石 轻粉 半夏 天南星（二钱，汤浸七次，为末。同上各一钱） 巴豆（二十四个，去皮膜，水一升，煮水尽为度）
以上研匀，巴豆后入。众药以糯米饭为丸，小绿豆大，捏作饼子。三岁以上三、五饼子，以下三饼子，煎葱白汤临卧服。
钱乙附方金液丹 治疗小儿呕吐腹泻，虚实极最妙。沈存中《良方》论金液丹云：亲眼见小儿吐利剧，气已绝，服之复活者数人。真不妄也，须多服多验。
钱乙附方 治疗小儿脾胃虚寒，呕吐腹泻等病及治冷痰。
齐州半夏（一两，汤泡七次，切，焙） 陈粟米（三分，陈粳米亦得）
以上咀，每服三钱，水一大盏半，生姜十片同煎至八分，食前温热服。
张涣治疗小儿三焦不调，停寒膈上，乳哺不消，胸膈痞满，甚则喘逆，吐利，肌体痿黄。匀胃散方
甘草（一分，炙） 藿香叶 白豆蔻 人参（去芦头。各一两） 木香 干姜（炮） 浓朴（去粗皮，涂生姜汁炙令香熟） 丁香（各半两）
以上捣，罗为细末。每服一钱，水一小盏，入生姜二片，煎至六分，去滓温服。
张涣益中汤方 治疗呕吐兼泻利。
人参（去芦头） 青橘皮 丁香（各半两） 桂心 诃梨勒皮（各一分） 草豆蔻（三枚，去皮炒）
以上捣，罗细末，每服半钱至一钱，米饮调下。量儿大小加减。
《婴童宝鉴》治疗小儿呕吐腹泻不止不二丸方
巴豆（三十个，去心膜细研，别用好黄连半两水浸，染纸两张裹豆，令出油） 朱砂（末，一钱重） 寒食面（一钱九）
以上研匀，滴水为丸如绿豆大。以新汲水磨下一丸。
《万全方》治疗脾胃气虚，止呕吐腹泻。人参散
人参 白茯苓 白术 干葛 陈橘皮（去瓤） 浓朴（姜汁涂，炙。以上各等分）
以上为末，每服半钱，用沸汤点。量大小服之。
《惠眼观证》沉香饮子 大治呕吐腹泻方。
沉香 丁香 藿香（各半钱。刘氏各用一钱） 肉豆蔻（二个） 槟榔（二个。刘氏用一个） 甘草（炙，一钱。刘氏各一分）
以上为末。每服一大钱，水一小盏，入老姜一小指大，捶碎同煎三两沸，去滓，温服。
《惠眼观证》醒脾散 治疗呕吐腹泻，脾困多睡，不思饮食方。
人参 木香 茯苓 陈皮（去白） 甘草 草豆蔻（去皮） 浓朴（同砂一钱，胆水一碗，入此二味煮，令干，都细切，焙。以上各一分） 白术（半两）
以上为细末。每服一钱，以冬瓜子煎汤下。
《刘氏家传》人参异功散 治疗小儿泻利，止呕逆，顺气补虚方。
人参（一钱半） 白术（半两） 青皮 陈皮 茯苓 甘草（各一分） 豆蔻（三个，入诃子）
以上末之。每服一钱，陈米饮调下。如秋间合则入诃子，春夏不用。或用紫苏、木瓜煎五、七沸，半盏，末半钱，或加至一钱，逐日早服。如是小儿伤风，应诸般伤寒，但以此药正却，气候和然后以红棉散（方见挟惊伤寒门中）治之，无有不效。
《刘氏家传》醒脾散 治疗小儿呕吐腹泻脾困方。
人参（二分） 丁香（二十粒） 白茯苓 白术（各一分） 藿香 甘草（炙。各一钱） 天南星（一个，七、八钱重，去心，用缩砂仁十个入在天南星内，面裹煨熟，面焦黄为度，去面不用）
以上同为细末。每服一钱，水六分，生姜三片，冬瓜子十四粒同煎，三分温吃。不拘时候服。
《张氏家传》降灵丹 一名来复丹，治疗小儿非时呕吐腹泻（古方）。
舶上硫黄 雪白硝石（二味各一两，并于沙石铫或银器内用文武火慢炒，溶令作珠子，无令火紧，太过即不中，须倾在纸上于冷收之，研细末，二味先成末乃妙） 莲花青皮 年久陈皮（炒干） 上等无石五灵脂（以上各一两）
(Manifesting only as vomiting and diarrhea, rather than cholera-like syndrome)
*Zhu Bing Yuan Hou Lun* (Treatise on the Pathogenesis and Symptoms of All Diseases), Syndrome of Vomiting and Diarrhea in Children: Vomiting and diarrhea result from intestinal deficiency and rebellious stomach qi. After a newborn's umbilical cord is cut, if wind-cold pathogens invade the intestines and stomach, the deficiency of the intestines and stomach leads to diarrhea, while rebellious stomach qi causes vomiting. This condition resembles cholera-like syndrome in general presentation but is milder and less severe, accompanied by mental restlessness and fatigue; therefore, it is directly termed "vomiting and diarrhea" (Tu Li) and not referred to as "cholera-like syndrome" (Huo Luan).
Qian Yi discussed cases where newborns within three days exhibit vomiting, diarrhea, high fever, anorexia, and undigested milk/food in stool, or white stool. This is food stagnation (Shang Shi), requiring purgation followed by harmonizing the stomach. For purgation, use *Baibing Zi* (White Pill Decoction) (see this section); for harmonizing the stomach, primarily use *Yihuang San* (Yellow-Protecting Powder) (see Stomach Qi Disharmony section).
Qian Yi discussed cases from three days to ten days after birth presenting with vomiting, diarrhea, normal or slightly cool body temperature, anorexia, greenish-white stool, and undigested milk/food. This indicates excess above and deficiency below (Shang Shi Xia Xu). Accompanying symptoms include: Lung governs sleep with eyes partially open (Lu Jing) and wheezing; Heart governs palpitations and thirst; Spleen governs lethargy and excessive sleep; Liver governs yawning and dizziness; Kidney governs muteness and photophobia. Purging methods should be applied based on the involved viscera. To tonify the spleen, use *Yihuang San*. These two syndromes often occur in autumn and summer. (*Yihuang San* formula see Stomach Qi Disharmony section).
Qian Yi discussed summer and autumn vomiting and diarrhea: Vomiting and diarrhea with high fever occurring after May 25th indicate heat syndrome, where nine-tenths of the child's viscera are hot. Due to heat injury, vomited milk is undigested, and diarrhea is deep yellow; treat with *Yulu San* (Jade Dew Powder). Vomiting and diarrhea occurring after June 15th with normal body temperature, appearing slightly hot, indicate six-tenths heat and four-tenths cold in the viscera. Undigested milk in vomit, yellowish-white diarrhea, apparent thirst, variable feeding habits; administer *Yihuang San* before meals and more *Yulu San* after meals. Vomiting and diarrhea occurring after July 7th with normal-to-cool body temperature indicate three-tenths heat and seven-tenths cold. Inability to feed, excessive sleepiness, mental confusion, gasping, long sighs, sleeping with eyes open, white lips, frequent hiccups, urge to defecate without thirst; administer more *Yihuang San* before meals and less *Yulu San* after meals. Vomiting and diarrhea occurring after August 15th indicate coldness without yang, inability to feed, dry heaving, and greenish-brown watery diarrhea; tonify the spleen using *Yihuang San*, and do not use purgatives. (*Yulu San* see this section, *Yihuang San* see Stomach Qi Disharmony section).
Qian Yi debated treatments for vomiting and diarrhea: The Fifth Taiwei of the Guangqin Residence suffered from persistent vomiting and diarrhea with undigested grain. Physicians used tonic medicines, advising administration with ginger juice. In June, warm medicines were given, worsening wheezing and vomiting daily. Qian Yi stated: "It should be treated with cooling medicines because there is internal heat injury." He prescribed *Shigao Tang* (Gypsum Decoction) three times. Other physicians argued: "Severe vomiting and diarrhea with undigested grain requires spleen tonification; why use cooling medicine?" The Prince believed them and administered *Dingxiang San* (Clove Powder) three times. Qian Yi later arrived and said: "Do not take this. Within three days, abdominal distension, fever, thirst, and vomiting will occur." Three days later, it happened exactly as predicted. This occurred because the intense heat of June penetrated the abdomen, causing thirst; heat injuring the spleen and stomach led to severe vomiting and diarrhea. Other doctors' use of warm medicines caused upper jiao heat, leading to wheezing and thirst, resulting in death within three days. Unable to cure, they summoned Qian Yi again. Observing heat signs, he administered *Baihu Tang* (White Tiger Decoction) three times, followed by *Baibing Zi* to purge. On day one, reduce dosage by two fen; on days two and three, give *Baihu Tang* twice each. On day four, give one dose of *Shigao Tang*, compounded with *Mendong* (Ophiopogon Rhizome), *Huangqin* (Scutellaria Root), *Naozi* (Borneol), *Niuhuang* (Calculus Bovis), *Tianzhuhuang* (Calamus Rhizome), and *Fuling* (Poria), coated with *Zhusha* (Cinnabar), five pills per dose, dissolved in bamboo leaf decoction. Fever subsided, and the patient recovered.
Qian Yi discussed purgation based on deficiency and excess: A five-year-old son of Feng Chengwu presented with vomiting, diarrhea, high fever, and anorexia. Qian Yi noted: "Few black pupils and many white sclerae, pale complexion; this child is prone to illness. Pale complexion indicates deficient spirit; few black pupils indicate kidney deficiency. Black pupils belong to Water; inherently deficient and weak, hence prone to illness. Even upon growth, muscles will not be robust, and tolerance to cold and heat will be poor. Prone to shifting between deficiency and excess, spleen and stomach are also weak; further indulgence in desires is forbidden. Without care, lifespan will not reach adulthood. A lack of spiritual luster on the face resembles blood loss in women. Current vomiting, diarrhea, anorexia, and high fever indicate food stagnation. Do not purge, as it induces deficiency. Pathogens entering Lung cause wheezing; entering Heart cause fright; entering Spleen cause diarrhea; entering Kidney worsen deficiency. Use *Xiaoji Wan* (Accumulation-Dissolving Pill) to grind away accumulation, as it is mild food stagnation. If food stagnation is severe, purgation is required; otherwise, it becomes a mass (Pi Ji). Only when solid food stagnation exists internally can purgation be used. After purgation, tonify the spleen for recovery. Following deficiency/excess principles ensures efficacy."
Qian Yi addressed a difficult case: The Seventh Taiwei of Guangqin Palace, aged seven, suffered vomiting and diarrhea in July. Symptoms included total anorexia, lethargy, waking with confusion, gasping, dry heaving, intermittent stools, and no thirst. Physicians treated for fright due to sleep. Qian Yi said: "Tonify spleen first, then clear heat. Give *Shijunzi Wan* (Quisqualis Pill) to tonify spleen, and *Shigao Tang* to clear heat." The next day, mercury and sulfur were used to purge, mixed with ginger water. Qian Yi stated: "For vomiting/diarrhea in May, use nine parts purgation and one part tonification. In August, use ten parts tonification and zero parts purgation. This is spleen-deficiency diarrhea; erroneous treatment caused deficiency. Purging would be fatal. Only tonify spleen; *Shijunzi Wan* is gentler." Qian Yi also retained warming stomach and strengthening spleen herbs to stop symptoms. Physician Li Sheng asked: "What caused this?" Qian Yi replied: "Spleen deficiency prevents eating; low fluids cause rebellious qi." Asked about greenish-brown watery diarrhea, he answered: "Intestines and stomach are extremely deficient, extreme cold." Qian Yi cured him.
Qian Yi's attached formulas state that pediatric vomiting and diarrhea generally require warming and tonifying. I commonly use *Lizhong Wan* (Regulate the Middle Pill) to warm the middle jiao, and *Wuling San* (Five-Ingredient Powder with Poria) to guide rebellious qi downward; *Wuling San* is most effective for pediatric vomiting. Continuous administration combined with warming agents like *Yigong San* (Extraordinary Efficacy Powder) often cures the condition. If already deficient, rapidly generate stomach qi using *Fuzi Lizhong Wan* (Aconite Regulate the Middle Pill) mixed with powdered *Jinye Dan* (Golden Liquid Pill), administered with ginger and rice drink decoction. High doses are necessary for effect (up to 2-3 liang is safe). Once stomach qi returns, hands and feet warm, yin recedes, and yang returns. However, if convulsions persist, reduce *Jinye Dan* by 1-2 fen and increase *Qingzhou Baiwan Zi* (Qingzhou White Pills) by 1-2 fen, grinding together and administering as before. Adjust gradually, adding *Yigong San*, *Qianghuo Gao* (Notopterygium Paste), *Wenbai Wan* (Warm White Pill), *Gouteng Yinzi* (Uncaria Drink), etc., until stable. Following this regimen with frequent gruel allows survival even in critical cases, saving 8-9 out of 10.
*Yingtong Baojian*: If a wet nurse drinks alcohol or engages in licentious behavior, the milk becomes pathological. Symptoms include vomiting/diarrhea of green/yellow water, fever, and crying as if frightened. Untreatable.
*Yingtong Baojian* Song on Pediatric Vomiting/Diarrhea:
Pediatric vomiting/diarrhea must be treated early, caused by intestinal deficiency and rebellious qi. Additionally, poisoning from incorrect herbal decoctions adds irritability in heart and spleen.
*Qianjin Fang* (Essential Prescriptions Worth a Thousand Gold) for Infant Vomiting/Diarrhea:
Human hair (half liang, burnt) Deer horn (6 zhu)
Grind these two into powder, administer one dao gui with rice juice, three times daily.
*Qianjin Fang* Another Formula:
Apply hot cow dung externally. Alternatively, use Achyranthes root.
*Qianjin Fang* Another Formula:
Use hot pig manure, extract juice with water, administer small amounts.
*Waitai Miyao* (Secret Essentials of the Outer Chamber): Liu’s Formula for Infants under 100 Days Born in Womb Experiencing Vomiting/Diarrhea:
Flour (1 qian, fried) Milk (2 liang) Dragon bone (6 fen)
Decoct dragon bone, mix with fried flour, administer to cure.
*Tai Ping Sheng Hui Fang* (Holy惠民 Formulas of the Taiping Era) for Pediatric Vomiting/Diarrhea with Fever and Anorexia. Renshen San (Ginseng Powder):
Renshen (Ginseng) (half liang, *Yingru* uses 4 liang) Ganjiang (Dried Ginger) (prepared, crushed) Guixin (Cinnamon Twig) (1 fen each, *Yingru* uses 3 fen) Gancao (Licorice) (1 fen, roasted, crushed, *Yingru* uses 4 fen) Huangqin (Scutellaria) (2 fen, *Yingru* uses 6 fen)
Crush and sieve coarsely. Take 1 qian, decoct with 1 small cup water and 1 jujube until reduced to 0.5 cup, strain, drink warm at any time. Adjust according to child's age.
*Tai Ping Sheng Hui Fang* for Pediatric Vomiting/Diarrhea with Abdominal/Costal Distension. Helile San (Terminalia Powder):
Guixin (Cinnamon Twig) (1 fen) Helile Pi (Terminalia Peel) Renshen (Ginseng) Baizhu (Atractylodes) Gancao (Licorice) (roasted) Houpo (Magnolia Bark) (bark removed, brushed with ginger juice, roasted fragrant) Chenpi (Aged Tangerine Peel) (half liang each)
Crush and sieve coarsely. Take 1 qian, decoct with 1 small cup water until reduced to 0.5 cup, strain, drink warm. Adjust according to age.
*Tai Ping Sheng Hui Fang* for Pediatric Cold-Heat Disharmony with Persistent Vomiting/Diarrhea. Baizhu San (Atractylodes Powder):
Baizhu (Atractylodes) Muxiang (Costus) Dingxiang (Clove) Chenpi (Aged Tangerine Peel) (roasted, 1 fen each) Maidong (Ophiopogon) (3 fen, core removed, roasted)
Crush and sieve coarsely. Take 1 qian, decoct with 1 medium cup water until reduced to 0.5 cup, strain, drink warm. Adjust according to age.
*Tai Ping Sheng Hui Fang* for Pediatric Vomiting/Diarrhea with Chest/Hypochondriac Fullness. Caodoukou San (Cardamom Powder):
Caodoukou (Cardamom) (peeled) Muxiang (Costus) Wuweizi (Schisandra) Renshen (Ginseng) Fuling (Poria) Chenpi (Aged Tangerine Peel) (soaked in water, pith removed, 1 fen each) Helile Pi (Terminalia Peel) Gancao (Licorice) (roasted, crushed, half liang each)
Crush and sieve coarsely. Take 1 qian, decoct with 1 small cup water until reduced to 0.5 cup, strain, drink warm. Adjust according to age.
*Boji Fang* (Universal Relief Formulas) for Infants Under One Year with Persistent Vomiting/Diarrhea Due to Wet Nurse's Qi/Blood Exhaustion or Hot Milk Injuring Stomach, Leading to Phlegm-Saliva. Zhonghe San (Harmonizing Powder):
Xionghuang (Realgar) (small amount of good quality) Dahuang (Rhubarb) Wulingzhi (Trogopterus Dung) (equal parts)
Grind three ingredients to fine powder. Take one zi, dissolve in knife-grinding water.
*Tan Shi Shu Sheng* for Pediatric Vomiting/Diarrhea:
Bai Huashi (White Talc) Liuhuang (Sulfur) (equal parts)
Grind finely, mix with rice-washing water, administer one zi. For newborns under one month or 100 days old with oral thrush (white paste thick as paper), use a little red ochre mixed with female milk (for boys) or male milk (for girls), apply to tongue overnight for immediate effect.
*Tan Shi Shu Sheng* for Persistent Pediatric Vomiting/Diarrhea. Ruxiang Wan (Frankincense Pill):
Ruxiang (Frankincense) Zhusha (Cinnabar) (1 qian each) Banxia (Pinellia) (half liang, soaked in water 7 times, sliced, stir-fried with ginger juice to yellow)
Grind to powder, bind with wheat paste into pills size of mung beans. Take 2-3 pills (5-6 for over 5 years), swallow with rice drink.
Mr. Mao: Dingxiang San (Clove Powder) for Pediatric Vomiting/Diarrhea:
Dingxiang (Clove) (14 grains) Roudoukou (Nutmeg) (1 fruit) Muxiang (Costus) (1 qian)
Grind first three ingredients, wrap in vinegar-dough, bake in hot ashes until dough turns red, remove dough. Add:
Huoxiang (Patchouli) Guixin (Cinnamon Twig) (half qian each)
Mix all five into powder. Take 1.5 zi, dissolve in boiled old rice water.
*Yingru Shu* (Book for Infants and Young Children) Huangzi Tang (Imperial Prince Decoction) for Infant Dysentery, Vomiting, High Fever Persisting Days, Refusal to Feed, or Extreme Emaciation:
Gancao (Licorice) (roasted) Moli (Oyster Shell) (powdered) Shaoyao (Peony) Guixin (Cinnamon Twig) (3 liang each)
Coarse powder. For 1-year-old, add 4 cun cubes to 1 sheng water, boil to 3 he, take at once, twice daily. Adjust for children. Clears heat, stops dysentery, highly effective.
*Yingru Shu* for Infant Fright, Dysentery, and Vomiting Over 10 Days. Adjust dosage accordingly. For over 20 days, use this formula. If 7-8 days, double dosage. Highly miraculous.
Dahuang (Rhubarb) (3 qian) Gouteng (Uncaria) (6 he) Huangqi (Astragalus) (2 fen) Xixin (Asarum) (0.5 fen) Shetui (Snake Skin) (3 cun, roasted) Zhechan (Cicada Slough) (2, roasted) Gancao (Licorice) (1 fen, roasted)
Chop, decoct 1.5 sheng water to 0.5 sheng, strain. Grind Niuhuang (Calculus Bovis) size of 5 soybeans, add to decoction. Take date-sized dose, 3x day, 1x night. Moxa 3 cones before each ear. Substitute Moshi (Musk) if Niuhuang unavailable.
*Yingru Shu* for Infant Cold Invasion with Vomiting/Diarrhea and Ke Wu (Alien Influence). Wenbai Wan (Warm White Pill):
Fuzi (Aconite) (prepared) Jiegeng (Platycodon) (2 liang each) Renshen (Ginseng) (1 liang) Ganjiang (Dried Ginger) (2 fen)
Powder, honey pills. 20-day-old: sesame seed size; 50-day-old: broad bean size; 100-day-old: mung bean size. Increase if needed.
*Yingru Shu* Cujiu Baiwan Zi (Vinegar-Wine White Pills) for Vomiting/Diarrhea, Cold Invasion, Ke Wu:
Banxia (Pinellia) (washed) Renshen (Ginseng) (3 fen each) Jiegeng (Platycodon) Fuzi (Aconite) (prepared, peeled) Ganjiang (Dried Ginger) (4 fen each)
Powder, bind with vinegar into pills size of mung beans. One pill per dose, 3x daily. Dosage for 1-year-old.
Qian Yi Yigong San (Extraordinary Efficacy Powder) Warms and harmonizes qi, treats vomiting/diarrhea, restores appetite. For pediatric cold-deficiency, administer several doses first to rectify qi.
Renshen (Ginseng) (top cut off) Fuling (Poria) (peeled) Baizhu (Atractylodes) Gancao (Licorice) (roasted) Chenpi (Aged Tangerine Peel) (equal parts)
Fine powder. Take 2 qian, 1 cup water, 5 slices ginger, 2 jujubes, decoct to 0.7 cup, drink warm after meal. Adjust dose.
Qian Yi Yulu San (Jade Dew Powder), also known as Ganlu San (Sweet Dew Powder):
Gancao (Licorice) (raw, 1 fen) Hanshuishi (Calcitrol) (tender, bluish-black with fine lines) Shigao (Gypsum) (hard white, unbreakable, substitute with Fangjieshi if unavailable, broken into square pieces, half liang each)
Fine powder. Take 1 zi or half qian, 1 qian after meal with warm water.
Qian Yi Baibing Zi (White Pill) for High Fever, also known as Yubing Zi (Jade Pill):
Huashi (Talc) Qingfen (Lead Subcarbonate) Banxia (Pinellia) Tian Nanxing (Arisaema) (2 qian, soaked 7 times, powdered, same as above 1 qian each) Badou (Croton Seed) (24 seeds, peeled, boiled in 1 sheng water until dry)
Grind uniformly, add Badou last. Bind with glutinous rice paste into pills size of small mung beans, shape into cakes. Over 3 years: 3-5 cakes; under 3 years: 3 cakes. Decoct scallion white, take before bed.
Qian Yi Jinye Dan (Golden Liquid Pill) Attached Formula: Most excellent for pediatric vomiting/diarrhea, deficiency/excess. Shen Cunzhong's *Liang Fang* states: Personally witnessed infants with severe vomiting/diarrhea, pulse absent, revived after taking this. True, requires high doses for verification.
Qian Yi Attached Formula for Pediatric Spleen-Stomach Deficiency-Cold, Vomiting/Diarrhea, Cold Phlegm:
Qizhou Banxia (Pinellia) (1 liang, soaked in water 7 times, sliced, dried) Chensumi (Old Millet) (3 fen, old japonica rice acceptable)
Chop, take 3 qian, 1.5 cups water, 10 slices ginger, decoct to 0.8 cup, drink warm before meal.
Zhang Huan Yunwei San (Stomach-Harmonizing Powder) for Pediatric San Jiao Disharmony, Cold Accumulation in Diaphragm, Indigestion, Chest Fullness, Wheezing, Vomiting/Diarrhea, Sallow Complexion:
Gancao (Licorice) (1 fen, roasted) Huoxiang Ye (Patchouli Leaf) Baidoukou (White Cardamom) Renshen (Ginseng) (de-rhizome, 1 liang each) Muxiang (Costus) Ganjiang (Dried Ginger) (prepared) Houpo (Magnolia Bark) (bark removed, ginger juice brushed, roasted fragrant) Dingxiang (Clove) (half liang each)
Grind and sieve fine. Take 1 qian, 1 small cup water, 2 slices ginger, decoct to 0.6 cup, strain, drink warm.
Zhang Huan Yizhong Tang (Regulate Middle Decoction) for Vomiting with Diarrhea:
Renshen (Ginseng) (de-rhizome) Qingju Pi (Green Tangerine Peel) Dingxiang (Clove) (half liang each) Guixin (Cinnamon Twig) Helile Pi (Terminalia Peel) (1 fen each) Caodoukou (Cardamom) (3 fruits, peeled, roasted)
Grind and sieve fine. Take 0.5-1 qian, mix with rice drink. Adjust by age.
*Yingtong Baojian* Bu'er Wan (Two-Unmatched Pill) for Persistent Pediatric Vomiting/Diarrhea:
Badou (Croton Seed) (30 seeds, de-heart/skin, ground fine; separately soak 0.5 liang good Huanglian in water, wrap beans in 2 sheets of dyed paper to express oil) Zhusha (Cinnabar) (powder, 1 qian) Hanshi Mian (Cold-Food Flour) (1 qian 9 fen)
Grind uniformly, drop water to form mung-bean sized pills. Grind one pill in fresh well water, administer.
*Wan Quan Fang* for Spleen-Stomach Qi Deficiency, Stopping Vomiting/Diarrhea. Renshen San (Ginseng Powder):
Renshen (Ginseng) Fuling (Poria) Baizhu (Atractylodes) Gange (Kudzu Root) Chenpi (Aged Tangerine Peel) (pith removed) Houpo (Magnolia Bark) (ginger juice brushed, roasted, equal parts)
Powder. Take 0.5 qian, steep in boiling water. Adjust by size.
*Huiyan Guan Zheng* Chenxiang Yinzi (Agarwood Drink) for Severe Vomiting/Diarrhea:
Chenxiang (Agarwood) Dingxiang (Clove) Huoxiang (Patchouli) (half qian each, Liu uses 1 qian) Roudoukou (Nutmeg) (2 fruits) Binglang (Betel Nut) (2 fruits, Liu uses 1) Gancao (Licorice) (roasted, 1 qian, Liu uses 1 fen each)
Powder. Take 1 large qian, 1 small cup water, 1 finger-sized piece old ginger (crushed), boil 3 times, strain, drink warm.
*Huiyan Guan Zheng* Xingpi San (Awaken Spleen Powder) for Vomiting/Diarrhea, Spleen Fatigue, Sleepiness, Anorexia:
Renshen (Ginseng) Muxiang (Costus) Fuling (Poria) Chenpi (Aged Tangerine Peel) (pith removed) Gancao (Licorice) Caodoukou (Cardamom) (peeled) Houpo (Magnolia Bark) (mixed with 1 qian sand, boiled in 1 bowl gall water until dry, finely chopped, dried, 1 fen each) Baizhu (Atractylodes) (half liang)
Fine powder. Take 1 qian, administer with winter melon seed decoction.
*Liu Shi Jia Chuan* Renshen Yigong San (Ginseng Extraordinary Efficacy Powder) for Pediatric Diarrhea, Stopping Vomiting, Regulating Qi, Tonifying Deficiency:
Renshen (Ginseng) (1.5 qian) Baizhu (Atractylodes) (half liang) Qingpi (Green Tangerine Peel) Chenpi (Aged Tangerine Peel) Fuling (Poria) Gancao (Licorice) (1 fen each) Doukou (Cardamom) (3 fruits, add Helizi)
Powder. Take 1 qian, old rice drink. Add Helizi in autumn, omit in spring/summer. Or decoct Zisu (Perilla) and Mugua (Papaya) 5-7 boils, half cup, mix with half qian powder (or up to 1 qian), take morning daily. For pediatric wind-cold or various cold injuries, correct with this first, then harmonize climate, then treat with Hongmian San (Red Cotton Powder) (see Wind-Cold with Fright section), always effective.
*Liu Shi Jia Chuan* Xingpi San (Awaken Spleen Powder) for Pediatric Vomiting/Diarrhea with Spleen Fatigue:
Renshen (Ginseng) (2 fen) Dingxiang (Clove) (20 grains) Fuling (Poria) Baizhu (Atractylodes) (1 fen each) Huoxiang (Patchouli) Gancao (Licorice) (roasted, 1 qian each) Tian Nanxing (Arisaema) (1 fruit, 7-8 qian weight, de-heart, insert 10 Sharen inside, wrap in dough, bake until dough is dark yellow, remove dough)
Fine powder. Take 1 qian, 0.6 cup water, 3 slices ginger, 14 winter melon seeds, decoct to 0.3 cup, drink warm. Anytime.
*Zhang Shi Jia Chuan* Jiangling Dan (Descending Spirit Pill), also Laifu Dan (Returning Vitality Pill), for Non-seasonal Pediatric Vomiting/Diarrhea (Ancient Formula):
Bo Shang Liuhuang (Imported Sulfur) Xue Xiao Xiaoshi (Snow White Niter) (1 liang each, slow-roast in clay/silver vessel until beads form, do not overheat, pour on paper to cool, grind fine, pre-powdering both is best) Lianhua Qingpi (Lotus Green Tangerine Peel) Nianniu Chenpi (Aged Tangerine Peel) (dry-roasted) Shang Deng Wushi Wulingzhi (Top Grade Stone-free Trogopterus Dung) (1 liang each)