夏至后十日吐泻身壮热此热也盖小儿脏腑十分中九分热也或因伤热乳食不消泻深黄色玉
露散
主之大暑节后吐泻身温似热脏腑中六分热四分冷也呕吐乳食不消泻黄白色似渴或食乳或不食
乳食前少服益黄散食后多服玉露散立秋后七日吐泻身温脏腑中三分热七分冷也不能食乳多睡闷乱
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秋分后吐泻身冷无阳
也不能食乳干哕泻青水当补脾益黄散主之不可下也有因伤风吐泻身温乍凉乍热睡多气粗大便
黄白色呕吐乳食不消时咳嗽更有五脏兼见证当煎入君臣药先用大青膏后服益黄散如先曾下或
无下证慎不可下也此乃脾肺受寒不能入食也有因伤风吐泻身热多睡能食闷乱饮水不止吐痰大
便黄水此为胃虚热渴吐泻也当生胃中津液以止其渴止后用发散止渴多服白术散发散用大青膏
有因伤风吐泻身凉吐沫泻青白色闷乱不渴哽气长出气昏睡露睛此伤风荏苒经曰轻怯因成吐泻
当补脾后发散补脾益黄散发散大青膏主之此二证多病多于春秋也
○又云凡泻黄赤黑皆热毒也豆蔻香连丸主之泻青白谷不化者胃冷也理中丸主之吐泻乳不
化者伤食
也消积丸下之吐泻昏睡露睛者胃虚热也白术散主之吐泻昏睡不露睛者胃实热也玉露散主之吐
泻乳不化者伤食也消积丸下之
按吐乳泻黄是伤热乳吐乳泻青是伤冷乳皆当下之详夫此理乃迎夺之法也不若伤热者用五
苓散以导其逆伤冷者用理中汤以温其中则自然活泼泼地
夏至后十日，若出现呕吐、腹泻且身体高热，这种热象是因为小儿脏腑中十分中有九分属热。这可能是由于损伤了热性的乳食，导致消化不良，泻下物呈深黄色。主治方剂为玉露散。
大暑节后，若出现呕吐、腹泻，体温看似发热但实际温和，这是因为脏腑中六分热、四分冷。症状包括呕吐未消化的乳食，泻下物呈黄白色，似有口渴感，有时吃乳有时不吃。应在进食前少量服用益黄散，进食后多服用玉露散。
立秋后七日，若出现呕吐、腹泻，体温温和，这是因为脏腑中三分热、七分冷。症状包括不能进食乳食，嗜睡，烦躁不安，嗳气，长叹气，睡眠时眼睛半睁（露睛），嘴唇发白，频繁呃逆，想大便但不渴。应在进食前多服用益黄散，进食后少服用玉露散。
秋分后，若出现呕吐、腹泻，身体寒冷，阳气不足，不能进食乳食，干呕，泻下青色水样便，应当补脾，以益黄散为主治。不可使用攻下法。
若有因伤风引起的呕吐、腹泻，体温温和，忽冷忽热，嗜睡，呼吸粗重，大便黄白色，呕吐未消化的乳食，时常咳嗽，并伴有五脏兼夹证候。应先煎煮君臣药，先用大青膏，后服益黄散。如果之前已经使用过攻下法，或者没有攻下的指征，千万不可再下。这是脾肺受寒，导致食物无法入胃。
若有因伤风引起的呕吐、腹泻，身体发热，嗜睡，能进食，烦躁不安，饮水不止，吐痰，大便呈黄水状，这是胃虚热、口渴导致的吐泻。应当滋生胃中津液以止渴，止渴后再用发散法。多服用白术散进行发散，发散时用大青膏。
若有因伤风引起的呕吐、腹泻，身体发凉，吐沫，泻下青白色便，烦躁不安，不渴，嗳气，长叹气，昏睡，露睛，这是伤风迁延日久所致。《内经》曰：“轻怯因成吐泻”。应当先补脾，后发散。补脾用益黄散，发散用大青膏为主治。这两种证候多见于春秋季节。
又云：凡是泻下黄、赤、黑色粪便的，都是热毒所致，主治方剂为豆蔻香连丸。泻下青白色、完谷不化的，是胃冷，主治方剂为理中丸。呕吐、腹泻乳食不化的，是伤食，用消积丸攻下。
呕吐、腹泻伴昏睡、露睛的，是胃虚热，主治方剂为白术散。呕吐、腹泻伴昏睡、不露睛的，是胃实热，主治方剂为玉露散。呕吐、腹泻乳食不化的，是伤食，用消积丸攻下。
按语：呕吐乳汁、泻下黄色粪便，是损伤热性乳食；呕吐乳汁、泻下青色粪便，是损伤冷性乳食。这些情况都应当攻下。详究此理，属于“迎夺”之法。不如伤热者用五苓散以引导其逆气下行，伤冷者用理中汤以温其中焦，这样则自然生机活泼。
Ten days after the Summer Solstice, if vomiting and diarrhea occur accompanied by high fever, this heat arises because nine-tenths of a child's internal organs are characterized by heat. This may be due to damage from consuming hot-natured milk or food that fails to digest, resulting in deep yellow stools. The governing formula is Yulu San (Jade Dew Powder).
After the Great Heat solar term, if vomiting and diarrhea occur with a body temperature that feels warm but appears slightly hot, it indicates six-tenths heat and four-tenths cold within the internal organs. Symptoms include vomiting undigested milk/food, yellowish-white loose stools, apparent thirst, and variable feeding habits (sometimes eating, sometimes not). Administer small doses of Yihuang San (Yellow Protecting Powder) before meals and larger doses of Yulu San after meals.
Seven days after the Start of Autumn, if vomiting and diarrhea occur with a moderate body temperature, it indicates three-tenths heat and seven-tenths cold within the internal organs. Symptoms include inability to feed on milk, excessive sleepiness, restlessness, belching, sighing, sleeping with eyes partially open (exposed eyeballs), white lips, frequent hiccups, desire for defecation without thirst. Administer large doses of Yihuang San before meals and small doses of Yulu San after meals.
After the Autumn Equinox, if vomiting and diarrhea occur with a cold body and deficiency of Yang Qi, inability to feed on milk, dry heaving, and watery green stools, the Spleen should be tonified using Yihuang San as the primary treatment. Purging methods must not be used.
If vomiting and diarrhea are caused by wind-cold invasion, with moderate body temperature alternating between cold and hot, excessive sleepiness, coarse breathing, yellowish-white stools, vomiting of undigested milk/food, and occasional coughing, along with syndromes involving the five Zang organs: first decoct the sovereign and minister herbs, administer Daqing Gao (Great Cyan Ointment) first, followed by Yihuang San. If purging has already been performed previously, or if there are no indications for purging, absolutely do not purge. This condition results from Cold invading the Spleen and Lungs, preventing food intake.
If vomiting and diarrhea are caused by wind-cold invasion, with fever, excessive sleepiness, ability to eat, restlessness, incessant drinking, expectoration of phlegm, and yellow watery stools, this is vomiting and diarrhea due to Stomach deficiency-heat and thirst. One should generate fluids in the Stomach to stop the thirst; after stopping thirst, use dispersing methods. Use Baizhu San (Atractylodes Macrocephala Powder) extensively for dispersing, combined with Daqing Gao for dispersal.
If vomiting and diarrhea are caused by wind-cold invasion, with a cool body, spitting foam, greenish-white stools, restlessness, absence of thirst, belching, sighing, lethargy, and exposed eyeballs, this is vomiting and diarrhea resulting from prolonged wind-cold invasion. As stated in the *Neijing*: "Frailty leads to vomiting and diarrhea." One should first tonify the Spleen, then disperse pathogens. Tonify the Spleen with Yihuang San; disperse pathogens with Daqing Gao as the primary treatment. These two syndromes commonly occur in spring and autumn.
Furthermore, it is said: Yellow, red, or black stools indicate heat-toxin; govern with Doukou Xianglian Wan (Cardamom and Coptis Pill). Greenish-white stools with undigested grains indicate Stomach cold; govern with Lizhong Wan (Regulate the Middle Pill). Vomiting and diarrhea with undigested milk/food indicate food injury; purge with Xiaoji Wan (Eliminate Accumulation Pill).
Vomiting and diarrhea with lethargy and exposed eyeballs indicate Stomach deficiency-heat; govern with Baizhu San. Vomiting and diarrhea with lethargy but closed eyes indicate Stomach excess-heat; govern with Yulu San. Vomiting and diarrhea with undigested milk/food indicate food injury; purge with Xiaoji Wan.
Commentary: Vomiting milk with yellow stools indicates injury from hot-natured milk; vomiting milk with green stools indicates injury from cold-natured milk. Both conditions require purging. Examining this principle reveals it is a method of "meeting and overcoming" (attacking directly). It is preferable to use Wuling San (Five-Ingredient Powder with Poria) for heat-injury to guide rebellious Qi downward, and Lizhong Tang (Regulate the Middle Decoction) for cold-injury to warm the middle Jiao, thereby restoring natural vitality.