《巢氏病源》小儿哕候∶小儿哕,由哺乳冷,冷气入胃,与胃气相逆,冷折胃气不通,则令哕也。
《千金翼》论∶胃中虚冷,其人不能食者,饮水即哕。
《千金》治小儿哕方。
生姜汁 牛乳(各五合)
上二味煎取五合,分为二服。《圣惠》同以牛乳二合,姜汁一合,银器中煎一沸,一岁儿饮半合。
《千金》又方
上取牛乳一升,煎取五合,分五服。《外台》以羊乳煎,无,即以牛乳代。《圣惠》同,只煎三、两沸。
《古今录验》治小儿哕方。
鹿角粉 大豆(末)
上等分相和,乳调涂奶上饮儿。
《圣惠》治小儿哕不止。丁香散方
丁香 藿香 白茅根(锉。各一分) 人参(半两,去芦头) 花桑叶(三两、炙)
上件捣,罗为散。三、四岁儿每服一钱,以水一小盏入生姜少许,煎至五分去滓,不计时候带热服之。更
量儿大小以意加减。
《圣惠》治小儿哕逆不止,心神烦乱。人参散方
人参 白术 白茯苓(各半两) 甘草(炙、锉) 藿香(各一分)
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。量儿大小以意分减服。
《圣惠》治小儿哕,不纳乳食。草豆蔻散方
草豆寇(三枚,去皮) 甘草(一分,炙,锉) 人参(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,不计时候温服。量儿大小以意增减。
《圣惠》治小儿多哕,心胸烦闷。麦门冬散方
麦门冬(一两,去心,焙) 甘草(一分,炙,锉) 人参 陈皮 浓朴(去粗皮,涂生姜汁,炙令香熟。各半两)
上件药捣,粗罗为散。三、四岁儿每服一钱。以水一小盏,煎至四分去滓,稍热频服。更量儿大小以意加
减。
《圣惠》治小儿哕,乳母服人参散方。
人参(三分) 陈皮(一两,去白)
上件药捣,粗罗为散。每服三钱,以水一中盏,入生姜半分,煎至六分去滓,热服,至夜三、四服。乳母
服讫,即乳儿甚效。
《惠眼观证》平胃丸 养实胃气,大治干呕方。
马芹子(生) 白僵蚕(直者) 丁香
上各等分为末,炼蜜为丸,如此○大。每服一丸,用陈皮一片炙过,煎汤化下。凡诸疾觉胃气稍怯,即服之。
《巢氏病源》中关于小儿呃逆的论述:小儿发生呃逆,是因为哺乳时食物过冷,寒气进入胃中,与胃气相互冲逆,寒气遏制了胃气使其不能通畅运行,从而导致呃逆。
《千金翼方》中的论述:如果胃中虚寒,患者无法进食,喝水就会引发呃逆。
《千金方》治疗小儿呃逆的方剂。
生姜汁、牛乳(各五合)
以上两味药煎煮取液五合,分两次服用。《太平圣惠方》也采用同样的方法,用牛乳二合,姜汁一合,在银器中煮沸一次,一岁的婴儿饮用半合。
《千金方》又一方
以上取牛乳一升,煎煮取液五合,分五次服用。《外台秘要》使用羊乳煎煮,如果没有羊乳,就用牛乳代替。《太平圣惠方》也相同,只是只煮沸两三滚即可。
《古今录验》治疗小儿呃逆的方剂。
鹿角粉、大豆(研末)
以上两味药等份混合,用乳汁调和后涂抹在乳头或奶嘴上让婴儿吮饮。
《太平圣惠方》治疗小儿呃逆不止的丁香散方
丁香、藿香、白茅根(锉碎,各一分)、人参(半两,去芦头)、花桑叶(三两,炙烤)
以上药材捣碎,过筛制成散剂。三至四岁的儿童每次服用一钱,用水一小盏,加入少许生姜,煎煮至五分量,去渣,不分时候趁热服用。更应根据患儿的大小酌情加减用量。
《太平圣惠方》治疗小儿呃逆不止,心神烦乱的方人散方
人参、白术、白茯苓(各半两)、甘草(炙烤、锉碎)、藿香(各一分)
以上药材捣碎,粗筛制成散剂。每次服用一钱,用水一小盏,煎煮至五分量,去渣,不分时候稍热服用。根据患儿大小酌情减量服用。
《太平圣惠方》治疗小儿呃逆,不接受乳食的草豆蔻散方
草豆蔻(三枚,去皮)、甘草(一分,炙烤,锉碎)、人参(半两)
以上药材捣碎,粗筛制成散剂。每次服用一钱,用水一小盏,煎煮至五分量,去渣,不分时候温服。根据患儿大小酌情增减用量。
《太平圣惠方》治疗小儿多呃,心胸烦闷的麦门冬散方
麦门冬(一两,去心,焙干)、甘草(一分,炙烤,锉碎)、人参、陈皮、浓朴(去粗皮,涂生姜汁,炙烤至香熟,各半两)
以上药材捣碎,粗筛制成散剂。三至四岁的儿童每次服用一钱。用水一小盏,煎煮至四分量,去渣,稍热频服。更应根据患儿大小酌情加减。
《太平圣惠方》治疗小儿呃逆,由乳母服用人参散的方剂。
人参(三分)、陈皮(一两,去白)
以上药材捣碎,粗筛制成散剂。每次服用三钱,用水一中盏,加入生姜半分,煎煮至六分量,去渣,热服,夜间服用三至四次。乳母服完后,再给婴儿喂奶,效果很好。
《惠眼观证》平胃丸 滋养充实胃气,主要治疗干呕的方剂。
马芹子(生用)、白僵蚕(直条者)、丁香
以上各等份研为细末,用炼蜜制成丸子,如梧桐子大。每次服用一丸,用一片炙过的陈皮,煎汤送服。凡是各种疾病感觉胃气稍弱时,就服用此药。
According to *Chao Shi Bing Yuan* (Source of Diseases by Chao): In infants, hiccups occur because the milk fed is cold; cold qi enters the stomach and rebels against the Stomach Qi. The cold obstructs the Stomach Qi, preventing it from flowing smoothly, thus causing hiccups.
According to *Qian Jin Yi Fang* (Supplement to the Essential Prescriptions Worth a Thousand Gold): If there is deficiency-cold in the Stomach, and the person cannot eat, drinking water will induce hiccups.
*Qian Jin Fang* (Essential Prescriptions Worth a Thousand Gold) treats infant hiccups with the following formula:
Fresh Ginger Juice (Shengjiang Zhi), Cow's Milk (Niurou) (each 5 he).
Decoct the above two ingredients to obtain 5 he. Divide into two doses. *Tai Ping Sheng Hui Fang* (Holy Grace Formulas of the Taiping Era) uses the same method: 2 he of Cow's Milk and 1 he of Ginger Juice, boiled once in a silver vessel. A one-year-old infant drinks half a he.
Another formula from *Qian Jin Fang*:
Take 1 sheng of Cow's Milk, decoct to obtain 5 he, and divide into five doses. *Wai Tai Mi Yao* (Secret Essentials of the Outer Cabinet) uses Sheep's Milk for decoction; if unavailable, substitute with Cow's Milk. *Tai Ping Sheng Hui Fang* is similar, but only boils for two or three times.
*Gu Jin Lu Yan* (Verified Records of Past and Present) treats infant hiccups with the following formula:
Deer Horn Powder (Lujiao Fen), Soybean (Dadou, ground).
Mix equal parts of the above. Blend with breast milk, apply to the nipple, and let the infant suckle.
*Tai Ping Sheng Hui Fang* treats persistent infant hiccups with Dingxiang San (Clove Powder):
Dingxiang (Clove), Huoxiang (Patchouli), Baimaogen (Imperata Rhizome, crushed, each 1 fen), Renshen (Ginseng, 0.5 liang, remove rhizome), Huasangye (Mulberry Leaf, 3 liang, stir-baked).
Pulverize the above herbs and sieve to make a powder. For children aged three to four years, administer 1 qian per dose. Add a small amount of fresh ginger to 1 xiao zhan (small cup) of water, decoct until reduced to 0.5 zhan, strain, and take warm at any time. Adjust dosage according to the child's size.
*Tai Ping Sheng Hui Fang* treats persistent infant hiccups accompanied by mental restlessness with Renshen San (Ginseng Powder):
Renshen (Ginseng), Baizhu (Atractylodes Macrocephala Rhizome), Baifuling (Poria, each 0.5 liang), Gancao (Licorice Root, stir-baked and crushed), Huoxiang (Patchouli, each 1 fen).
Pulverize the above herbs and coarsely sieve to make a powder. Administer 1 qian per dose. Decoct in 1 xiao zhan of water until reduced to 0.5 zhan, strain, and take slightly warm at any time. Reduce the dose according to the child's size.
*Tai Ping Sheng Hui Fang* treats infant hiccups where the child refuses milk and food with Caodoukou San (Grain-of-Paradise Powder):
Caodoukou (Grain-of-Paradise Seed, 3 seeds, remove skin), Gancao (Licorice Root, 1 fen, stir-baked and crushed), Renshen (Ginseng, 0.5 liang).
Pulverize the above herbs and coarsely sieve to make a powder. Administer 1 qian per dose. Decoct in 1 xiao zhan of water until reduced to 0.5 zhan, strain, and take warm at any time. Adjust dosage according to the child's size.
*Tai Ping Sheng Hui Fang* treats frequent infant hiccups with chest oppression and irritability with Maimendong San (Ophiopogon Powder):
Maimendong (Ophiopogon Tuber, 1 liang, remove heart, bake dry), Gancao (Licorice Root, 1 fen, stir-baked and crushed), Renshen (Ginseng), Chenpi (Tangerine Peel), Houpo (Magnolia Bark, remove coarse bark, coat with ginger juice, stir-bake until fragrant and cooked, each 0.5 liang).
Pulverize the above herbs and coarsely sieve to make a powder. For children aged three to four years, administer 1 qian per dose. Decoct in 1 xiao zhan of water until reduced to 0.4 zhan, strain, and take frequently while slightly warm. Adjust dosage according to the child's size.
*Tai Ping Sheng Hui Fang* treats infant hiccups with a formula for the nursing mother to take, Renshen San (Ginseng Powder):
Renshen (Ginseng, 3 fen), Chenpi (Tangerine Peel, 1 liang, remove white pith).
Pulverize the above herbs and coarsely sieve to make a powder. Administer 3 qian per dose. Decoct in 1 zhong zhan (medium cup) of water with 0.5 fen of fresh ginger until reduced to 0.6 zhan, strain, and take hot. Take three to four times at night. After the nursing mother takes this medicine, breastfeeding the infant yields excellent results.
*Hui Yan Guan Zheng* (Observations on Vision through Mercy) Pingwei Wan (Stomach-Calming Pill) nourishes and strengthens Stomach Qi, primarily treating dry heaving.
Maqinzi (Seed of Celosia argentea, raw), Baijiangcan (White Silkworm, straight ones), Dingxiang (Clove).
Grind the above equal parts into fine powder. Mix with refined honey to form pills the size of wutong seeds (approx. 6-9mm diameter). Take one pill per dose, dissolved in decoction made from one slice of stir-baked Chenpi. Whenever various diseases cause a slight weakness of Stomach Qi, take this medicine.