藿香正气散 方见卷二类搐门。
理中汤 方见卷二乳子伤寒门。
参香散 治小儿胃虚作吐,诸药不止。
官拣参(切片,焙干) 上沉香(锉末) 公丁香(研) 藿香梗(焙) 南木香(锉屑,各等分)
共为细末,每服五七分,木瓜煎汤调服。
五苓散 方见卷二中暑门。此加藿香。
藿连汤 治小儿热吐不止。
真雅连(七分,姜汁炒) 紫浓朴(一钱,姜汁炒) 藿香叶(一钱)
生姜三片,大枣三枚,水煎,热服。
六一散 方见卷三痢疾简便方。
清积丸 治食停胃口而作吐。
西砂仁(十二个,酒炒) 公丁香(九粒) 乌梅肉(三个,蒸,去核,取净肉) 巴豆仁(二粒,煨,捶
去油)
共研细末,米糊丸绿豆大。每服三丸,白汤送。
枳桔二陈汤 治小儿胸膈有痰,咳嗽作吐。
陈枳壳(一钱) 芽桔梗(一钱) 白云苓(一钱五分) 法半夏(一钱) 真广皮(一钱) 炙甘草(五分)
生姜三片,大枣三枚,水煎,热服。
小儿呕吐,外证不热不渴,面白唇淡,神
慢气怯,寒吐也。用生姜一大块,直切薄片,勿令折断,层层掺盐,以贮麻紧扎,外用草纸七层包之,水湿,慢
火煨令熟,取起,去麻、纸,将姜捣烂,和早米煎汤服,立止。
小儿卒呕不止。生姜取自然汁一盏,煎滚听用;蜂蜜四两,炼熟听用。每服用姜汁一匙,蜜二匙,白汤调服,
每日五六次,效。
小儿胃热呕吐。外证面赤烦躁,身热作渴,手足心热者,热吐也。黄连一钱姜汁炒,熟石膏一钱,共为细末,
每服一钱,白汤调下。吐止,止后服,又用枇杷叶火上炙之,刷净毛,每用叶三片,煎汤热服,立止。
小儿干呕,极恶之证。用甘蔗取汁听用,生姜取汁听用。临服用蔗汁六匙,姜汁二匙,和匀温热服,不用汤
水调。
凡呕吐服药不纳者,内有蛔虫在膈间,蛔闻药气则动,动则药出而虫不出。但于呕吐药中,加入川椒十四
粒,则不吐矣,盖蛔得椒则伏矣。
治小儿一切吐逆,不拘冷热,及久吐诸药不效者。用硫黄五钱,水银一钱,同研至不见星,姜汁打,米糊
为丸小豆大。三岁者三丸,大人则三四十丸,以阴阳水送下。此二味加增分两,入阳城罐内封固,以炭火升
炼之,即是灵砂,为仙家所用之物。最能升降阴阳,交济水火,乃扶危济困之神丹也。
藿香正气散:该方剂详见卷二类搐门。
理中汤:该方剂详见卷二乳子伤寒门。
参香散:治疗小儿因胃气虚弱引起的呕吐,服用其他药物无效的情况。
处方组成:官拣参(切片,焙干)、上沉香(锉成粉末)、公丁香(研碎)、藿香梗(焙干)、南木香(锉成碎屑),以上药材各取等量。
用法用量:将上述药材共同研磨成细末,每次服用五至七分,用木瓜煎煮的汤液调服。
五苓散:该方剂详见卷二中暑门。此处所用版本加入了藿香。
藿连汤:治疗小儿因热邪引起的持续呕吐。
处方组成:真雅连(七分,用姜汁炒制)、紫浓朴(一钱,用姜汁炒制)、藿香叶(一钱)。
用法用量:加入生姜三片、大枣三枚,加水煎煮,趁热服用。
六一散:该方剂详见卷三痢疾简便方。
清积丸:治疗因食物停滞在胃部引起的呕吐。
处方组成:西砂仁(十二个,用酒炒制)、公丁香(九粒)、乌梅肉(三个,蒸熟后去核,只取纯净果肉)、巴豆仁(两粒,煨烤后捣碎并去除油脂)。
用法用量:共同研磨成细末,用米糊制成如绿豆大小的丸剂。每次服用三丸,用白开水送服。
枳桔二陈汤:治疗小儿胸膈部位有痰湿,导致咳嗽并引发呕吐的情况。
处方组成:陈枳壳(一钱)、芽桔梗(一钱)、白云苓(一钱五分)、法半夏(一钱)、真广皮(一钱)、炙甘草(五分)。
用法用量:加入生姜三片、大枣三枚,加水煎煮,趁热服用。
若小儿呕吐时,外在表现无发热、无口渴,面色苍白、嘴唇色淡,精神萎靡、气息怯弱,此为寒性呕吐。治疗方法:取一大块生姜,直切成薄片,注意不要折断,层层撒上盐,用麻绳紧紧扎住,外层再用七层草纸包裹,沾湿后用慢火煨烤至熟透。取出后,去掉麻绳和纸张,将生姜捣烂,与早米一起煎汤服用,可立即止吐。
若小儿突然呕吐不止。治疗方法:取生姜榨取自然汁一盏,煮沸备用;蜂蜜四两,炼制成熟备用。每次服用时,取姜汁一匙、蜂蜜两匙,用白开水调匀服用,每日服用五六次,可见效。
若小儿因胃热引起呕吐。外在表现为面红、烦躁不安、身体发热且口渴、手心脚心发热,此为热性呕吐。治疗方法:黄连一钱(用姜汁炒制)、熟石膏一钱,共同研磨成细末,每次服用一钱,用白开水调服。待呕吐停止后,再服用后续药物,并使用枇杷叶在火上炙烤,刷净绒毛,每次取三片叶子,煎汤趁热服用,可立即止吐。
小儿干呕,属于极难治疗的证候。治疗方法:取甘蔗汁备用,取生姜汁备用。临服前,取蔗汁六匙、姜汁二匙,混合均匀后温热服用,不需要用水调服。
凡是呕吐患者服药后无法接纳(即服后即吐),是因为体内膈间有蛔虫。蛔虫闻到药气就会躁动,躁动则导致药液吐出而蛔虫未除。只需在治呕吐的药方中加入川椒十四粒,即可不再呕吐,因为蛔虫遇到花椒就会安静潜伏。
治疗小儿各种类型的吐逆,不分寒热,以及长期呕吐服用多种药物无效的情况。治疗方法:取硫黄五钱、水银一钱,共同研磨直至看不见银色星点,用姜汁调和,以米糊制成如小豆大小的丸剂。三岁儿童服用三丸,成人服用三四十丸,用阴阳水送服。这两种药材增加分量后,放入阳城罐内密封,用炭火升炼,即为灵砂,是道家仙人所用的物品。此药最能升降阴阳,协调水火,是挽救危局、救济困境的神丹妙药。
Huoxiang Zhengqi San (Patchouli and Magnolia Bark Decoction): See the formula in Volume 2, Section on Convulsions.
Lizhong Tang (Regulate the Middle Decoction): See the formula in Volume 2, Section on Infant Cold Damage.
Shenxiang San (Ginseng and Agarwood Powder): Treats vomiting in children caused by deficiency of the Stomach, when other medicines fail to stop it.
Ingredients: Guanshen (Official-grade Ginseng, sliced and dried), Shangchenxiang (Top-quality Agarwood, powdered), Gongdingxiang (Clove, ground), Huoxiang geng (Patchouli stem, dried), Nanmuxiang (Southern Costus root, shredded). All ingredients are used in equal proportions.
Usage: Grind all ingredients into a fine powder. Take 5-7 fen per dose, mixed with decoction prepared from Chaenomelis Fructus (Quince) and taken orally.
Wuling San (Five-Ingredient Powder with Poria): See the formula in Volume 2, Section on Heatstroke. This version includes added Huoxiang (Patchouli).
Hulian Tang (Artemisiae Scabrae and Cinnamomi Cassiae Decoction): Treats persistent vomiting in children due to heat.
Ingredients: Zhen Yalian (True Coptis Rhizome, 7 fen, stir-fried with Ginger Juice), Zi Nongpo (Purple Magnolia Bark, 1 qian, stir-fried with Ginger Juice), Huoxiang ye (Patchouli leaf, 1 qian).
Usage: Add 3 slices of Shengjiang (Fresh Ginger) and 3 dates (Zao Ren). Decoct in water and take hot.
Liuyi San (Six-to-One Powder): See the formula in Volume 3, Simple Formula for Dysentery.
Qingji Wan (Clear Accumulation Pill): Treats vomiting caused by food stagnation in the stomach.
Ingredients: Xi Sharen (Western Amomum Fruit, 12 pieces, wine-fried), Gong Dingxiang (Clove, 9 grains), Wumei rou (Mume Fruit pulp, 3 pieces, steamed, pitted, pure flesh only), Badou ren (Croton Seed kernel, 2 grains, roasted, pounded, oil removed).
Usage: Grind into a fine powder and form pills using rice paste, sized like mung beans. Take 3 pills per dose, washed down with warm water.
Zhijie Erchen Tang (Bitter Orange and Platycodon Decoction Modified from Erchen Tang): Treats phlegm in the chest and diaphragm in children, causing coughing and vomiting.
Ingredients: Chen Zhike (Aged Aurantium Fructus, 1 qian), Ya Jiegeng (Sprouted Platycodon Root, 1 qian), Bai Yunling (White Poria, 1.5 qian), Fa Banxia (Processed Pinellia Tuber, 1 qian), Zhen Guangpi (True Tangerine Peel, 1 qian), Zhi Gancao (Honey-fried Licorice Root, 5 fen).
Usage: Add 3 slices of Shengjiang (Fresh Ginger) and 3 dates (Zao Ren). Decoct in water and take hot.
If a child vomits without external signs of heat or thirst, with a pale face and lips, listless spirit, and timid breath, this is cold-type vomiting. Treatment: Take a large piece of Shengjiang (Fresh Ginger), slice it straight into thin slices without breaking them. Layer the slices with salt, bind tightly with hemp rope, wrap in seven layers of straw paper, wet the paper, and slow-roast until cooked. Remove, discard the rope and paper, mash the ginger, and decoct with early rice to make a soup. Drink immediately to stop vomiting.
If a child suddenly vomits continuously: Treatment: Extract natural juice from Shengjiang (Fresh Ginger), one cup, boil and set aside; refine Si Mi (Honey), four liang, and set aside. For each dose, mix one spoonful of ginger juice with two spoonfuls of honey, take with warm water. Repeat five to six times daily for effectiveness.
If a child suffers from vomiting due to Stomach heat, manifested by a red face, restlessness, body heat with thirst, and heat in the palms and soles, this is heat-type vomiting. Treatment: Huanglian (Coptis Rhizome, 1 qian, stir-fried with Ginger Juice) and Shu Shigao (Prepared Gypsum Fibrosum, 1 qian) are ground into a fine powder. Take 1 qian per dose, mixed with warm water. After vomiting stops, continue medication. Additionally, roast Pi Pa Ye (Loquat Leaf) over fire, brush off hairs, use three leaves per dose, decoct in water, and take hot to stop vomiting immediately.
Dry heaving in children is an extremely difficult condition. Treatment: Prepare juice from Gan Zhe (Sugarcane) and juice from Shengjiang (Fresh Ginger). Before administration, mix six spoonfuls of sugarcane juice with two spoonfuls of ginger juice, warm and take evenly. Do not dilute with water.
In cases where vomiting patients cannot retain medicine, it is often because Ascaris (roundworms) are present in the diaphragm area. The worms move upon smelling the medicine, causing the medicine to be expelled while the worms remain. Simply add fourteen grains of Chuanjiao (Sichuan Pepper) to the anti-emetic medicine, and vomiting will cease, as the worms subside upon encountering pepper.
To treat all types of regurgitation and vomiting in children, regardless of cold or heat, and for chronic vomiting unresponsive to various medicines: Treatment: Mix Liu Huang (Sulfur, 5 qian) and Shui Yin (Mercury, 1 qian), grinding together until no silver specks are visible. Form pills using Ginger Juice and rice paste, sized like small beans. Children aged three take three pills; adults take thirty to forty pills. Wash down with Yin-Yang Water (a mixture of fresh and boiled water). If these two ingredients are increased in proportion, sealed in a Yangcheng jar, and refined over charcoal fire, they become Lingsha (Spirit Sand), a substance used by Daoist immortals. It can best regulate the ascending and descending of Yin and Yang, harmonizing Water and Fire, serving as a miraculous elixir to rescue critical conditions.