上件四味为细末，用温汤浸，蒸饼为丸如黄米大。每服十丸，煎葛根汤下，不计时候。
长沙医者郑愈传大戟膏 治小儿、大人吐方。
大戟（水略煮过，焙干为末） 丁香（各半两） 腻粉（一钱，研） 水银砂子 朱砂（各一钱半）
上件五味为末，黄蜡半两，乳香皂皂大，用蜡同化为汁，和药为膏，旋丸如绿豆大三、五丸，小儿如黄米
大二、三丸。热吐，研脂麻冷水下。冷吐，煎丁香汤下。惊吐，煎马齿汤下。
长沙医者郑愈传油朱散 治小儿吐方。
滑石 丁香（各末） 猪牙皂角（去皮，用蜜炙黄色。各一钱）
上件为末。每服半钱，用浆水半盏，滴好油一点在浆水，下抄药在油星上，候沉下调灌之，不计时候。
长沙医者郑愈传水银丸 治小儿啼叫不止，乳母便将奶喂，因被怒气未定，为涎裹乳，留滞胸膈，面色痿黄，
或时发热、吐逆方。
上用积聚门中三出丸药末五、七铜钱，入水银、艾同研令匀，星尽为度。亦用醋面糊为丸如绿豆大，朱砂
为衣。金银薄荷汤下三、五丸，乳食后。
《圣惠》∶小儿呕吐奶汁，灸中庭一穴一壮。在膻中穴下一寸陷者，炷如小麦大。
《婴童宝鉴》灸法∶吐食灸上管、中管各三壮。
《巢氏病源》小儿吐 候∶小儿吐 者，由乳哺冷热不调故也。儿乳哺不调，则停积胸膈，因更饮乳哺，前
后相触，气不得宣流，故吐 出。诊其脉浮者，无苦也。
《本草》小儿呕逆与 乳不同，宜细详之。 乳，乳饱后 出者是。
茅先生∶小儿生下有中吐 奶形候。奶不稳而从口角头自流出，身微热，口鼻微冷，面目青黄，眼慢。此
候因乳母房室淫 ，儿子叫，更将乳与吃，而阴阳不顺，儿子胸膈不快，吃乳停滞在于胃，不消化而胃冷致此。
奶不稳，遂自然从口角头流出。所治者，先以睡惊沉香饮子（方见霍乱门中）夹丁香散与服（方见吐利门中），夹活脾散
调理即愈（有二方，一见胃气不和门中，一方见慢脾风门中）。恐脾虚受热，狂躁不睡，眼偏微喘，传归慢脾风，恶候不
治。又小儿吐 奶死候歌∶
吐 多时治不痊，脾虚狂躁睡难安。眼偏上视多微喘，传慢须知命入关。
《婴童宝鉴》小儿 奶歌∶
乳母寒温不节量，致令壅滞在胸膛。更加新乳相投触，不得宣通入胃肠。此名 奶须调理，诊得轻浮尚不妨。
《石壁经》三十六种内 奶候歌∶
囟陷时时动不停，吐中时觉乳生腥。眼浑青碧生白膜，汗出津津脚似冰。气细元因伤胃冷，气粗却是欲生
惊。是风从早宜医疗，暖胃和脾气乃平。此寒热相胜使然也。气急则是胃实，当凉则愈。若囟门陷下，气细，
当生胃气。若浑身热甚，目中白膜，甚者气出喘粗，若不急治，必作螈 。
《凤髓经》歌括同，有注云∶气散，宜与地黄散；气粗宜与葱汤丸取。（地黄散见霍乱吐利门。葱汤丸见惊积门。《吉
氏家传》方同。）
《小儿形证论》四十八候 奶歌一同，后云∶此候是惊奶冲胃气，或交奶冲脾，或者气奶，或者病奶，致吐
出远闻腥气，与 丸（方见一切痫门中）。气细脉沉与调胃散（方见积热门中）。
《葛氏肘后》小儿 哺吐下方。
甘草（炙） 人参 当归 干姜（各一分）
上为末，水一升煮取五合，分服，日三。汤或内半分麝香益佳。 哺吐下如霍乱状。此方出《短剧》。
《婴孺》治小儿吐 ，膈上有冷方。
细辛 橘皮（各一分） 大黄 甘草（各三分） 干姜（二分）
上切，以水二升半煮取八合，温一合，日三服。
《婴孺》治小儿吐 。当归汤方
当归 黄芩 甘草 芎 黄连（各一分） 细辛 干姜（各二分半）
上切，以水二升煮取八合，服半合，日三，温服。
张涣∶婴儿饮乳过多，胸膈不快，或多吐 ，大便奶瓣不消，宜用消乳丹方，兼宜令儿乳后常服。
木香 丁香 青橘皮（炒黄） 肉豆蔻（各半两） 牵牛子（一钱，炒黄）
上件捣，罗为细末，滴水和丸如针头大。每服三粒至五粒，粘在奶头上令儿吮之。
《婴童宝鉴》治小儿 乳。玉真散方
白术（半两） 半夏（七个） 椒（半分，去目、汗）
上件为末，每服半字，水一呷调下。大者一字。
《三十六种》治 奶。青皮散方
青皮 滑石 硫黄（研。各一钱）
上为末。每服半钱，藿香汤调下。
将上述四味药研成细末，用温水浸泡，蒸饼制成如黄米大小的丸剂。每次服用十丸，煎服葛根汤送下，不限时间。
长沙医生郑愈传授的大戟膏，治疗小儿、成人呕吐的方子。
大戟（用水略煮过，焙干后研成末） 丁香（各半两） 腻粉（一钱，研细） 水银砂子 朱砂（各一钱半）
将上述五味药研成末，取半两黄蜡，量取与乳香大小相当的蜡，用蜡同化为汁液，调和药物制成膏状，随时搓丸如绿豆大三至五丸，小儿如黄米大二至三丸。热吐，研碎脂麻用冷水送下。冷吐，煎丁香汤送下。惊吐，煎马齿苋汤送下。
长沙医生郑愈传授的油朱散，治疗小儿呕吐的方子。
滑石 丁香（各研成末） 猪牙皂角（去皮，用蜜炙至黄色。各一钱）
将上述药物研成末。每次服用半钱，用半盏浆水，滴入一点好油在浆水中，将称好的药撒在油星上，待药沉下后调匀灌服，不限时间。
长沙医生郑愈传授的水银丸，治疗小儿啼叫不止，乳母随即喂奶，因怒气未定，涎液裹挟乳汁，停滞胸膈，面色萎黄，有时发热、呕吐的方子。
取上方积聚门中“三出丸”药末五至七枚铜钱大小，加入水银、艾叶共同研磨均匀，直到星点消失为止。再用醋面糊制成如绿豆大的丸剂，以朱砂为衣。饭后用金银薄荷汤送服三至五丸。
《圣惠方》：小儿呕吐奶汁，灸中庭穴一壮。该穴位于膻中穴下一寸凹陷处，艾炷如小麦大。
《诸病源候论》小儿呕吐证候：小儿呕吐，是由于乳哺冷热不调所致。小儿乳哺不调，则停积于胸膈，如果再饮乳哺，前后相触，气机不得宣通流布，故而吐出。诊察其脉象浮者，无大碍。
《本草》指出小儿呕逆与溢乳不同，宜仔细详辨。溢乳，是乳饱后从口角流出者。
茅先生：小儿出生后有中吐奶的形候。奶液不稳，从口角头自然流出，身体微热，口鼻微冷，面目青黄，眼神迟缓。此候因乳母房室淫欲，儿子啼叫，又喂奶给他吃，导致阴阳不顺，儿子胸膈不快，吃乳停滞在胃，不消化而胃冷导致此症。奶液不稳，遂自然从口角头流出。所治之法，先以睡惊沉香饮子（方见霍乱门中）夹丁香散与服（方见吐利门中），再夹活脾散调理即愈（有二方，一见胃气不和门中，一方见慢脾风门中）。恐脾虚受热，出现狂躁不睡，眼偏微喘，传变为慢脾风，此为恶候不治。又有小儿吐奶死候歌：
吐奶多时治不痊，脾虚狂躁睡难安。眼偏上视多微喘，传慢须知命入关。
《婴童宝鉴》小儿溢乳歌：
乳母寒温不节量，致令壅滞在胸膛。更加新乳相投触，不得宣通入胃肠。此名溢乳须调理，诊得轻浮尚不妨。
《石壁经》三十六种内溢乳候歌：
囟陷时时动不停，吐中时觉乳生腥。眼浑青碧生白膜，汗出津津脚似冰。气细元因伤胃冷，气粗却是欲生惊。是风从早宜医疗，暖胃和脾气乃平。此寒热相胜使然也。气急则是胃实，当凉则愈。若囟门陷下，气细，当生胃气。若浑身热甚，目中白膜，甚者气出喘粗，若不急治，必作抽搐。
《凤髓经》歌括相同，有注云：气散，宜与地黄散；气粗宜与葱汤丸取。（地黄散见霍乱吐利门。葱汤丸见惊积门。《吉氏家传》方同。）
《小儿形证论》四十八候溢乳歌一同，后云：此候是惊奶冲胃气，或交奶冲脾，或者气奶，或者病奶，致吐出远闻腥气，与保赤丸（方见一切痫门中）。气细脉沉与调胃散（方见积热门中）。
《葛氏肘后备急方》小儿溢乳吐下方。
甘草（炙） 人参 当归 干姜（各一分）
研为末，用水一升煮取五合，分次服用，每日三次。汤中若加入半分麝香更佳。溢乳吐下如霍乱状。此方出自《短剧》。
《婴孺书》治疗小儿吐逆，膈上有冷的方子。
细辛 橘皮（各一分） 大黄 甘草（各三分） 干姜（二分）
切碎，以水二升半煮取八合，温服一合，每日三次。
《婴孺书》治疗小儿吐逆的当归汤方
当归 黄芩 甘草 川芎 黄连（各一分） 细辛 干姜（各二分半）
切碎，以水二升煮取八合，服半合，每日三次，温服。
张涣：婴儿饮乳过多，胸膈不快，或多吐逆，大便中有奶瓣不消，宜用消乳丹方，兼宜令儿乳后常服。
木香 丁香 青橘皮（炒黄） 肉豆蔻（各半两） 牵牛子（一钱，炒黄）
将上述药物捣碎，筛罗为细末，滴水泛丸如针头大。每次服用三粒至五粒，粘在奶头上令儿吮之。
《婴童宝鉴》治疗小儿溢乳。玉真散方
白术（半两） 半夏（七个） 花椒（半分，去目、出汗）
将上述药物研成末，每次服用半字，用水一呷调下。大童服用一字。
The aforementioned four herbs are ground into a fine powder. Soak in warm water, and use steamed wheat cake to form pills the size of yellow millet grains. Take ten pills per dose, administered with decoction of Puerariae Radix (Gegen Tang), at any time.
Da Ji Gao (Kansui Ointment) transmitted by Zheng Yu, a physician from Changsha, for treating vomiting in children and adults.
Kansui Radix (Shuijue, Kansui Root) (briefly boiled in water, dried and ground into powder)
Sichuan Cardamom Seed (Dingxiang, Clove Bud) (each half liang)
Calomelas (Nifen, Calomel) (one qian, ground)
Hydrargyri Sulphureum Rubrum (Shuizi, Mercury Sulfide)
Cinnabar (Zhusha, Cinnabar) (each one and a half qian)
Grind the aforementioned five herbs into powder. Take half a liang of Yellow Beeswax (Huangla, Yellow Beeswax), measure wax equivalent in size to Frankincense (Ruxiang, Olibanum), melt the wax together into liquid, mix with the herb powder to form an ointment. Roll into pills the size of mung beans: three to five pills for adults, two to three pills the size of yellow millet grains for children. For hot vomiting, grind Sesame Seeds (Zhimazhi, Sesame Oil Cake) and administer with cold water. For cold vomiting, administer with decoction of Sichuan Cardamom Seed (Dingxiang Tang). For fright-induced vomiting, administer with decoction of Portulaca Oleracea (Machi Tang).
You Zhu San (Oil and Cinnabar Powder) transmitted by Zheng Yu, a physician from Changsha, for treating vomiting in children.
Talcum (Huashi, Talcum)
Sichuan Cardamom Seed (Dingxiang, Clove Bud) (both ground into powder)
Chinese Tallow Tree Fruit (Zhuyazaojiao, Chinese Tallow Tree Pod) (skin removed, honey-fried until yellow. Each one qian)
Grind the aforementioned herbs into powder. Take half a qian per dose. Use half a cup of Fermented Rice Water (Jiangshui, Fermented Rice Water), drip a drop of good oil into it. Sprinkle the measured powder onto the oil droplets. Wait for the powder to sink, then mix well and administer orally, at any time.
Shuiyin Wan (Mercury Pill) transmitted by Zheng Yu, a physician from Changsha, for treating incessant crying in infants, where the nursing mother feeds immediately after, due to unresolved anger, causing saliva to wrap around milk, stagnating in the chest and diaphragm, resulting in sallow complexion, occasional fever, and vomiting.
Take five to seven copper-coin-sized amounts of the powder from "San Chu Wan" (Three-Ejection Pill) from the Accumulation and Collection chapter. Mix with Hydrargyrum (Shuiyin, Quicksilver) and Mugwort Herb (Aiye, Artemisia Argyi Leaf) and grind evenly until no granules remain. Form pills the size of mung beans using vinegar and flour paste, coat with Cinnabar (Zhusha, Cinnabar). Administer three to five pills with Yinchen Decoction (Jinyin Bohe Tang, Silver and Mint Decoction) after milk or food intake.
Shenghui Fang (Holy Healing Formulas): For infants vomiting milk, moxa Zhongting (CV10, Middle Court) acupoint for one moxibustion cone. Located one cun below Danzhong (CV17, Chest Center) in the depression. Moxa cone size like a wheat grain.
Yingtong Baojian (Precious Mirror of Infants and Children) Moxibustion Method: For vomiting food, moxia Shangwan (CV13, Upper Elixir) and Zhongwan (CV12, Middle Elixir), three cones each.
Zhubing Yuanhou Lun (Source Book of All Diseases and Syndromes) Syndrome of Infant Vomiting: Infant vomiting is caused by improper temperature regulation of milk and food. Improper feeding leads to stagnation in the chest and diaphragm. Subsequent feeding causes conflict between old and new contents, preventing Qi from circulating freely, thus causing vomiting. If the pulse is floating, there is no serious concern.
Bencao (Materia Medica) states that infant regurgitation (Ou Ni) differs from spitting up milk (Ru), which requires careful distinction. Spitting up milk refers to milk flowing from the corner of the mouth after being full.
Mao Xiansheng: Infants may present with symptoms of mid-feed spitting up. Milk flows naturally from the corner of the mouth without stability; body temperature is slightly elevated; mouth and nose are slightly cold; face and eyes appear greenish-yellow; eyes move slowly. This syndrome arises because the nursing mother engaged in excessive sexual activity while the infant cried, and was fed again, leading to disharmony of Yin and Yang. The infant experiences discomfort in the chest and diaphragm; milk stagnates in the stomach, fails to digest, and causes stomach cold, resulting in this condition. Unstable milk flow causes natural leakage from the mouth corner. Treatment: First, administer Shuijing Chenxiang Yinzi (Awakening Spirit Agarwood Drink) (see Cholera Chapter) combined with Dingxiang San (Cardamom Powder) (see Vomiting and Diarrhea Chapter), followed by Huopi San (Spleen-Activating Powder) for regulation and cure (two formulas available: see Stomach Qi Disharmony Chapter and Slow Spleen Wind Chapter). Fear that Spleen deficiency generates heat, leading to mania, restlessness, eye deviation, slight wheezing, transforming into Slow Spleen Wind, a malignant prognosis untreatable. Also, a song on fatal signs of infant spitting up:
Spitting up persists, treatment fails to cure;
Spleen deficient, mania prevents sleep.
Eyes deviate upward, slight wheezing ensues;
Transformation to slow wind, life draws to its close.
Yingtong Baojian Song on Infant Spitting Up:
Mother's diet lacks moderation in warmth and coolness,
Causing congestion and stagnation in the chest.
New milk meets old, blocking passage,
Failing to circulate smoothly into intestines and stomach.
This is called spitting up, requiring regulation;
If pulse is light and floating, it is not harmful.
Shibi Jing (Stone Wall Classic) Thirty-Six Types of Spitting Up Syndrome Song:
Fontanelle sunken, moving constantly;
Vomit smells fishy, milk appears raw.
Eyes cloudy, blue-green with white membrane;
Sweat profuse, feet cold as ice.
Fine breath indicates stomach cold injury;
Coarse breath suggests impending fright.
Wind syndrome should be treated early;
Warming stomach and harmonizing spleen brings peace.
This results from alternating cold and heat. Rapid breathing indicates excess in stomach, cooling will heal. Sunken fontanelle and fine breath require generating Stomach Qi. Generalized high fever, white membrane in eyes, severe coarse breathing and wheezing: if not treated urgently, convulsions will occur.
Fengsui Jing (Phoenix Marrow Classic) has identical lyrics, with notes: Qi dispersion, administer Dihuang San (Rehmannia Powder); Coarse Qi, administer Congtang Wan (Scallion Soup Pills) to induce sweating. (Dihuang San see Cholera/Vomiting/Diarrhea Chapter. Congtang Wan see Fright/Accumulation Chapter. Same as Jishi Family Transmission.)
Xiao'er Xingzheng Lun (Discussion on Infant Forms and Syndromes) Forty-Eight Types of Spitting Up Song is identical, followed by: This syndrome is caused by Fright Milk attacking Stomach Qi, or Feeding Milk attacking Spleen, or Qi Milk, or Disease Milk, causing vomit to smell fishy even from afar. Administer Baochi Wan (Protect Infants Pill) (see All Epilepsy Chapter). Fine breath and deep pulse, administer Tiaowei San (Regulate Stomach Powder) (see Heat Accumulation Chapter).
Ge Shi Zhou Hou Bei Ji Fang (Ge Hong's Emergency Manual) Formula for Infant Spitting Up and Vomiting.
Licorice Root (Gancao, Licorice Root) (roasted)
American Ginseng (Ren Shen, Panax Ginseng Root)
Angelica Sinensis Root (Dang Gui, Angelica Root)
Dried Ginger (Gan Jiang, Dried Ginger Rhizome) (each one fen)
Grind into powder. Boil in one sheng of water to obtain five he. Divide into doses, take three times daily. Adding half a fen of Musk (Shexiang, Musk) to the decoction is beneficial. Spitting up and vomiting resemble cholera. This formula originates from Duan Ju (Short Treatise).
Ying Ru Shu (Book of Infants) Formula for Infant Vomiting with Cold above Diaphragm.
Asarum Root (Xixin, Asarum Root)
Tangerine Peel (Chenpi, Aged Tangerine Peel)
Rhubarb Root (Dahuang, Rhubarb Root)
Licorice Root (Gancao, Licorice Root)
Dried Ginger (Gan Jiang, Dried Ginger Rhizome)
Cut ingredients. Boil in two and a half sheng of water to obtain eight he. Warm and take one he, three times daily.
Ying Ru Shu (Book of Infants) Dang Gui Tang (Angelica Decoction) for Infant Vomiting.
Angelica Sinensis Root (Dang Gui, Angelica Root)
Scutellaria Root (Huang Qin, Scutellaria Root)
Licorice Root (Gancao, Licorice Root)
Ligusticum Chuanxiong Rhizome (Chuanxiong, Ligusticum Rhizome)
Coptis Rhizome (Huang Lian, Coptis Rhizome)
Asarum Root (Xixin, Asarum Root)
Dried Ginger (Gan Jiang, Dried Ginger Rhizome)
Cut ingredients. Boil in two sheng of water to obtain eight he. Take half he, three times daily, warm administration.
Zhang Huan: Infants drinking too much milk experience chest and diaphragm discomfort, frequent vomiting, undigested milk curds in stool. Use Xiaoru Dan (Milk-Digesting Pill) formula, and recommend regular post-feeding administration.
Costus Root (Muxiang, Saussurea Root)
Sichuan Cardamom Seed (Dingxiang, Clove Bud)
Green Tangerine Peel (Qingjupi, Green Tangerine Peel) (stir-fried until yellow)
Myristica Seed (Roudoukou, Nutmeg)
Pharbitis Seed (Qianniuzi, Pharbitis Seed) (one qian, stir-fried until yellow)
Pound and sieve into fine powder. Add drops of water to form pills the size of needle heads. Take three to five pills per dose, attach to nipple for infant to suckle.
Yingtong Baojian (Precious Mirror of Infants and Children) Yuzhen San (Jade True Powder) for Infant Spitting Up.
Atractylodes Macrocephala Rhizome (Baizhu, Atractylodes Rhizome)
Pinellia Tuber (Banxia, Pinellia Tuber)
Zanthoxylum Fruit (Jiao, Zanthoxylum Fruit) (half fen, remove seeds, sweat out moisture)
Grind into powder. Take half zi per dose, mix with one sip of water. Older children take one zi.
San Shi Liu Zhong (Thirty-Six Types) Qingpi San (Green Peel Powder) for Spitting Up.
Green Tangerine Peel (Qingpi, Green Tangerine Peel)
Talcum (Huashi, Talcum)
Sulfur (Liuhuang, Sulfur) (ground. Each one qian)
Grind into powder. Take half a qian per dose, mix with Huoxiang Tang (Patchouli Decoction).