《圣惠》治小儿呕吐不止,心神烦热。麦门冬散方
麦门冬(去心,焙) 淡竹茹(各半两) 甘草(炙,锉) 人参 茅根 陈皮(去白,焙。各一分)
上件药捣,粗罗为散。每服一钱,以水一小盏入生姜少许,煎至五分去滓,稍热频服。量儿大小以意加减。
《圣惠》治小儿呕吐,心胸烦热。麦门冬散方
麦门冬(去心) 浓朴(去皮,姜汁炒用) 人参(各半两)
上件药捣,粗罗为散。每服一钱,以水一小盏,入生姜少许,枣一枚,粟米五十粒,煎至四分去滓。放温。
量儿大小,渐渐与服。
《圣惠》治小儿呕吐,心烦热渴。芦根粥方
生芦根(锉,二两) 粟米(一合)
上以水二大盏,煎至一盏去滓,投米作粥入生姜,蜜汁少许食之。
太医局定吐救生丹 治小儿伏热,生涎,心膈烦躁,壮热霍乱,乳食不下,呕哕恶心,或发吐逆方。
川大戟(浆水煮,切,焙干为末,一十五两) 腻粉 粉霜(各研七两半) 龙脑(研,二两半) 乳香(八分,
研) 丁香(为末。各五两) 水银 铅(与水银同结砂子) 黄蜡(各十二两半)
上合令研匀,每溶蜡一两,入蜜二钱半和为丸,如黄米大。每一岁儿服一丸。如烦躁研生芝麻、马齿水下,
如吐逆,煎丁香马齿汤下。更量虚实加减,食后临卧服之。此药除热化涎,下膈止吐逆。若胃虚伤冷,呕吐
不止者不可服。凡小儿吐逆,宜速疗之,久不止,遂为慢惊,常宜此药备急。
钱乙辰砂丸 治惊风,涎盛潮作及胃热吐逆不止方。
辰砂(别研) 水银砂子(各一分) 牛黄 脑麝(各别研半钱) 生犀(末) 天麻 白僵蚕(酒炒) 蝉壳(去
土) 干蝎(去尾炒) 麻黄(去节根) 天南星(汤浸七次,切,焙干稗。各一分)
上同为末,再研匀,熟蜜丸绿豆大,朱砂为衣。每服一、二丸或五、七丸,食后服之。煎薄荷汤送下。
张涣丁香益胃汤方 治胃虚挟热,呕吐不止。
丁香 人参(去芦头。香一两) 诃梨勒皮(一分) 官桂 大黄(炮黑黄。各半两)
上件捣,罗为细末。每服一钱,水一小盏,入生姜二片,煎至五分,去滓温服。
张涣保命膏方 治吐逆不定,服热药过多不能瘥者。
山大戟 丁香 大黄(炮) 不灰木(烧红放冷) 甘遂(各一分)
以上先为细末,次入∶
朱砂 水磨雄黄(并研细,水飞。各半两) 粉霜 水银(用钱结砂子。各一钱) 巴豆(去皮心膜,不出油,细
研十个)
上件都研匀,用黄蜡四两,银石器中溶掩成膏,旋旋取和丸如黍米大。每服末周 一粒,二、三岁两粒,
四、五岁三粒,六、七岁五粒,十岁以上七粒,新汲水下。
《孔氏家传》凡小儿胃热吐清胃散方
上用生姜薄切,以生面拌,晒极干略焙为末,用紫苏汤调下。
《圣惠方》治疗小儿呕吐不止,心神烦热。麦门冬散方:
麦门冬(去除心部,焙干)半两,淡竹茹半两,甘草(炙烤,切碎)一分,人参一分,茅根一分,陈皮(去除白色内层,焙干)一分。
将上述药物捣碎,粗筛成散剂。每次服用一钱,用水一小盏,加入少许生姜,煎煮至五分水量,去渣滓,趁稍温热时频繁服用。根据患儿年龄大小酌情增减剂量。
《圣惠方》治疗小儿呕吐,心胸烦热。麦门冬散方:
麦门冬(去除心部)半两,浓朴(去除树皮,用姜汁炒制)半两,人参半两。
将上述药物捣碎,粗筛成散剂。每次服用一钱,用水一小盏,加入少许生姜、一枚大枣、五十粒粟米,煎煮至四分水量,去渣滓。放温后,根据患儿年龄大小,逐渐给予服用。
《圣惠方》治疗小儿呕吐,心烦热渴。芦根粥方:
生芦根(切碎)二两,粟米一合。
以上用水两大盏,煎煮至一盏水量,去渣滓,放入米煮成粥,加入少许生姜和蜂蜜汁食用。
太医局制定的吐救生丹:治疗小儿伏热(热邪潜伏体内),生涎(唾液增多),心膈烦躁,壮热(高热),霍乱,乳食不下,呕哕恶心,或发生吐逆。
川大戟(用浆水煮,切片,焙干研末)十五两,腻粉七两半,粉霜七两半,龙脑(冰片,研细)二两半,乳香八分(研细),丁香五两,水银与铅(与水银同炼结成砂子)十二两半,黄蜡十二两半。
将上述药物混合研匀,每溶化一两黄蜡,加入二钱半蜂蜜调和制成丸药,大小如黄米。每一岁幼儿服用一丸。若出现烦躁症状,用生芝麻、马齿苋汤送服;若出现吐逆,用丁香马齿苋汤送服。更需根据患儿的虚实情况加减用量,在饭后及睡前服用。此药能清除内热、化解痰涎,降气止吐逆。若因胃虚受寒导致呕吐不止者,不可服用。凡小儿吐逆,宜迅速治疗,若久治不愈,可能转为慢惊风(慢性惊厥),常备此药以应急需。
钱乙辰砂丸:治疗惊风(小儿惊厥),痰涎盛且如潮汐般发作,以及胃热导致的吐逆不止。
辰砂(朱砂,单独研细)一分,水银砂子一分,牛黄半钱,脑麝(冰片、麝香,分别单独研细)半钱,生犀角(研末),天麻一分,白僵蚕(酒炒)一分,蝉壳(去除泥土)一分,干蝎(去除尾部,炒制)一分,麻黄(去除节和根部)一分,天南星(用水浸泡七次,切片,焙干)一分。
将上述药物共同研为细末,再次研匀,用熟蜜制成绿豆大小的丸药,外用朱砂粉末包衣。每次服用一至二丸或五至七丸,饭后服用。用薄荷汤送服。
张涣丁香益胃汤方:治疗胃虚夹杂热邪,呕吐不止。
丁香一两,人参(去除芦头)一两,诃梨勒皮(诃子皮)一分,官桂(肉桂)半两,大黄(炮制至黑黄色)半两。
将上述药物捣碎,筛成细末。每次服用一钱,用水一小盏,加入两片生姜,煎煮至五分水量,去渣滓,温服。
张涣保命膏方:治疗吐逆不定,因服用过多热性药物而未能痊愈者。
山大戟一分,丁香一分,大黄(炮制)一分,不灰木(烧红后放冷)一分,甘遂一分。
先将以上药物研为细末,其次加入:
朱砂半两,水磨雄黄(研磨极细,水飞法处理)半两,粉霜一钱,水银(用钱结法制成砂子)一钱,巴豆(去皮、心、膜,不出油,细研十个)。
将上述所有药物研匀,用四两黄蜡在银石器中熔化并掩盖成膏状,随时取用,制成黍米大小的丸药。未满周岁服用一粒,二至三岁服用两粒,四至五岁服用三粒,六至七岁服用五粒,十岁以上服用七粒,用新汲取的冷水送服。
The *Shenghui Fang* treats incessant vomiting in infants and children accompanied by mental restlessness and heat. Formula for Maidong San (Ophiopogon Powder):
Maidong (Ophiopogonis Radix, remove heart, roast) 0.5 liang; Danzhuru (Bambusae Caulis in Taeniam, half liang); Gancao (Glycyrrhizae Radix et Rhizoma, honey-fried, crushed) 1 fen; Renshen (Ginseng Radix) 1 fen; Maogen (Imperatae Rhizoma) 1 fen; Chenpi (Citri Reticulatae Pericarpium, remove white pith, roast) 1 fen.
Crush the above ingredients and sieve coarsely to make a powder. Take 1 qian per dose, add a small cup of water and a little fresh ginger, decoct until reduced to 0.5 cup, strain, and take frequently while slightly warm. Adjust dosage according to the child's age and condition.
The *Shenghui Fang* treats vomiting in infants and children with heat and irritability in the chest and heart. Formula for Maidong San:
Maidong (Ophiopogonis Radix, remove heart) 0.5 liang; Houpo (Magnoliae Officinalis Cortex, remove bark, stir-fry with ginger juice) 0.5 liang; Renshen (Ginseng Radix) 0.5 liang.
Crush the above ingredients and sieve coarsely to make a powder. Take 1 qian per dose, add a small cup of water, a little fresh ginger, one jujube, and 50 grains of Setaria italica, decoct until reduced to 0.4 cup, strain, and let cool to warm temperature. Administer gradually according to the child's age.
The *Shenghui Fang* treats vomiting in infants and children with irritability, heat, and thirst. Recipe for Lugeng Congee (Reed Root Porridge):
Sheng Lugeng (Imperatae Rhizoma, fresh, chopped) 2 liang; Su Mi (Setaria italica) 1 he.
Decoct the above in two large cups of water until reduced to one cup, strain, add rice to make porridge, and consume with a little fresh ginger and honey juice.
Taoyiju Ding formulated Tushu Shengdan (Vomit-Living Rescue Pill): Treats latent heat in infants and children, excessive salivation, irritability in the heart and diaphragm, high fever, cholera-like symptoms, inability to feed, retching, nausea, or vomiting.
Chuan Daji (Euphorbiae Pekinensis Radix, boiled in starch water, sliced, dried and powdered) 15 liang; Nifen (Calomelas) 7.5 liang; Fenshuang (Sublimated Arsenic Trioxide) 7.5 liang; Longnao (Borneolum Syntheticum, ground) 2.5 liang; Xuxiang (Boswelliae Resina) 8 fen (ground); Dingxiang (Caryophylli Flos, powdered) 5 liang; Shuiyin (Hydrargyrum) and Qian (Plumbum) combined to form cinnabar-like particles 12.5 liang; Huangla (Beeswax) 12.5 liang.
Grind all ingredients uniformly. For every 1 liang of melted beeswax, mix with 2.5 qian of honey to form pills the size of yellow millet grains. One pill per year of age. If irritability occurs, administer with raw sesame seeds and Portulaca oleracea decoction; if vomiting occurs, administer with Dingxiang (Clove) and Portulaca oleracea decoction. Adjust dosage based on deficiency or excess conditions. Take after meals and before bedtime. This formula clears heat, resolves phlegm, descends rebellious Qi, and stops vomiting. It is contraindicated for vomiting due to stomach deficiency and cold. Infants and children with vomiting should be treated promptly; prolonged vomiting may lead to Slow Convulsion (Man Jing Feng). Keep this medicine ready for emergencies.
Qian Yi's Chensha Wan (Cinnabar Pill): Treats Wind-Stroke (Jing Feng), excessive phlegm fluid surging like tides, and incessant vomiting due to Stomach Heat.
Chensha (Cinnabaris, ground separately) 1 fen; Shuiyin Shazi (Calomelas prepared from mercury) 1 fen; Niuhuang (Bovis Calculus) 0.5 qian; Naoshe (Borneolum Syntheticum and Moschus, ground separately) 0.5 qian; Sheng Xi (Rhinocerotis Cornu, powdered); Tianma (Gastrodiae Rhizoma) 1 fen; Bai Jiangcan (Bombyx Batryticatus, wine-fried) 1 fen; Chanqiao (Cicadae Periostracum, cleaned) 1 fen; Gan Xie (Scorpio, tail removed, fried) 1 fen; Mahuang (Ephedrae Herba, nodes and roots removed) 1 fen; Tiannanxing (Arisaematis Rhizoma, soaked in water seven times, sliced, dried) 1 fen.
Grind all ingredients into fine powder, mix thoroughly, and form pills the size of mung beans using cooked honey. Coat with Zhusha (Cinnabar) powder. Take 1-2 or 5-7 pills per dose after meals. Administer with Bohe Tang (Mint Decoction).
Zhang Huan's Dingxiang Yiwei Tang (Clove Stomach-Nourishing Decoction): Treats vomiting due to Stomach Deficiency with夹杂 Heat.
Dingxiang (Caryophylli Flos) 1 liang; Renshen (Ginseng Radix, remove rhizome) 1 liang; Helile Pi (Terminalia Chebulae Pericarpium) 1 fen; Guanzi Gui (Cinnamomi Cortex) 0.5 liang; Dahuang (Rhei Radix et Rhizoma, processed to black-yellow) 0.5 liang.
Grind and sieve into fine powder. Take 1 qian per dose, add a small cup of water and two slices of fresh ginger, decoct until reduced to 0.5 cup, strain, and take warm.
Zhang Huan's Baoming Gao (Life-Preserving Ointment/Pill): Treats irregular vomiting that fails to resolve due to excessive use of warming herbs.
Shan Daji (Euphorbiae Pekinensis Radix) 1 fen; Dingxiang (Clove) 1 fen; Dahuang (Processed Rhubarb) 1 fen; Buhui Mu (Asbestus, burned red and cooled) 1 fen; Gansui (Kansui Radix) 1 fen.
First grind the above into fine powder. Then add:
Zhusha (Cinnabar) 0.5 liang; Xionghuang (Realgar, water-ground and ultra-fine via water flotation method) 0.5 liang; Fenshuang (Sublimated Arsenic Trioxide) 1 qian; Shuiyin (Mercury, formed into sand using copper) 1 qian; Badou (Crotonis Fructus, peeled, deseeded, membrane removed, non-oily, finely ground, 10 seeds).
Grind all ingredients uniformly. Melt 4 liang of Huangla (Beeswax) in a silver or ceramic vessel to form an ointment/paste. Form pills the size of mustard seeds. Dosage: <1 year old: 1 pill; 2-3 years: 2 pills; 4-5 years: 3 pills; 6-7 years: 5 pills; >10 years: 7 pills. Administer with fresh cold water.
*Kong Shi Jia Chuan* (Family Tradition of Kong): Qingwei San (Stomach-Clearing Powder) for infant vomiting due to Stomach Heat.
Slice fresh ginger thinly, mix with raw flour, dry completely, lightly roast, and grind into powder. Take with Zisu Tang (Perilla Decoction).