胃苓汤 治肠胃受湿,呕吐泄泻。
白术 茯苓 泽泻 浓朴 猪苓 陈皮 甘草(炒。各等分) 桂(少许)
上为末。每服二钱,姜水灯心陈皮煎汤调下。若停食吐泻,小便短少,腹胀作
痛,用此以分利之。更用六君子汤以调补脾胃。
半粟散 治小儿脾胃虚寒吐泻等疾,及治寒痰。
半夏(汤浸,切、焙,一两) 陈粟米(三分,陈粳米亦得)
上 咀。每服三钱,水一大盏半,生姜十片,同煎至八分,食前温服。
白附丸(痰涎)
钱氏云∶吐泻,乳不化,伤食也,宜下之。冯承务子五岁,吐泻壮热,不思食饮。钱氏见目中黑睛少而
白睛多,面色 白,曰此子必多病,面色 白者神怯也,黑睛少者肾虚也,黑睛属水,本怯而虚,故多病也,
纵长成,必肌肤不壮,不奈寒暑,易虚易实,脾胃亦怯,更不可纵恣酒欲,若不保养,不过壮年也,面上
常无精神光泽者,如妇人之失血也,今吐利不食壮热者,伤食也。又虚怯不可下,下之,虚入肺则嗽,入心
则惊,入脾则泻,入肾则益虚,但宜以消积丸磨化之,为微有食也。如伤甚,则可下,不下则成癖也。若实
食在内,亦可下也,下毕,补脾必愈,随其虚实,无不效者。〔曾〕钱氏曰∶吐乳泻黄,是伤热乳,吐
乳泻青,是伤冷乳,皆当下之,此迎夺之法也。不若伤热者用五苓散以导其逆,伤冷者用理中汤以温其中,
自然平复。脾经积滞未除,再为饮食所伤,不吐则泻,不泻则吐,宜以三棱散化积,守胃散和中。
〔丹〕小儿吐泻黄胆。
三棱 蓬术 陈皮 青皮 神曲 麦芽 黄连 甘草 白术 茯苓
上为细末。生姜灯心汤调服。伤乳食吐泻加山楂。时气吐泻加滑石。发热加薄荷。
消积丸 治小儿吐泻,大便酸臭。
丁香(九个) 砂仁(十二个) 巴豆(二个) 乌梅肉(二个)
上为末。面糊丸,绿豆大。温水送下。
胃苓汤:治疗肠胃受湿邪侵袭,出现呕吐、泄泻症状。
白术、茯苓、泽泻、厚朴、猪苓、陈皮、甘草(炒制,各等分)、桂枝(少许)。
以上药物研为细末。每次服用二钱,用生姜水、灯心草和陈皮煎汤调服。若因停食导致吐泻,小便短少,腹部胀满疼痛,使用此方以分利湿邪。另外再用六君子汤来调补脾胃。
半粟散:治疗小儿脾胃虚寒引起的吐泻等疾病,以及治疗寒痰。
半夏(用汤浸泡,切片,焙干,一两)、陈粟米(三分,陈粳米也可以)。
以上药物切碎。每次服用三钱,用水一大盏半,生姜十片,共同煎煮至八分,饭前温服。
钱乙说:吐泻,乳汁不消化,是伤食所致,适宜采用攻下法。冯承务的儿子五岁,吐泻且壮热,不想饮食。钱乙看到他黑睛少而白睛多,面色苍白,说这个孩子一定多病,面色苍白说明神气怯弱,黑睛少说明肾虚,黑睛属水,本来怯弱又肾虚,所以容易生病,即使长大成人,也必定肌肉不健壮,不耐寒暑,容易虚实变化,脾胃也怯弱,更不可放纵酒欲,如果不保养,活不到壮年。面上常没有精神光泽的,就像妇女失血一样,现在吐利不进食且壮热的,是伤食。另外,虚怯体质不可攻下,攻下后,邪气入肺则咳嗽,入心则惊悸,入脾则泄泻,入肾则更加虚弱,只适宜用消积丸磨化积滞,因为只是轻微有食积。如果伤食严重,则可以攻下,不攻下则会形成癖积。如果是实食在体内,也可以攻下,攻下之后,补脾必能痊愈,根据虚实情况,无不有效。〔曾〕钱乙说:吐乳泻黄,是伤热乳,吐乳泻青,是伤冷乳,都应当攻下,这是迎夺的方法。不如伤热的用五苓散来引导逆气,伤冷的用理中汤来温中,自然平复。脾经积滞未除,再次被饮食所伤,不吐就泻,不泻就吐,适宜用三棱散化积,守胃散和中。
〔朱丹溪〕小儿吐泻黄胆。
三棱、蓬术、陈皮、青皮、神曲、麦芽、黄连、甘草、白术、茯苓。
以上研为细末。用生姜灯心汤调服。伤乳食吐泻加山楂。时气吐泻加滑石。发热加薄荷。
消积丸:治疗小儿吐泻,大便酸臭。
丁香(九个)、砂仁(十二个)、巴豆(二个)、乌梅肉(二个)。
以上研为细末。用面糊做成丸药,如绿豆大。温水送下。
Guizhi Lingzao Tang (Cinnamon Twig and Poria Decoction): Treats dampness invading the stomach and intestines, manifesting as vomiting and diarrhea.
Baizhu (Atractylodis Macrocephalae Rhizoma), Fuling (Poria), Zexie (Alismatis Rhizoma), Houpo (Magnoliae Officinalis Cortex), Zhuling (Polyporus), Chenpi (Citri Reticulatae Pericarpium), Gancao (Glycyrrhizae Radix et Rhizoma [fried], equal parts each), Guizhi (Cinnamomi Ramulus [a small amount]).
Grind the above ingredients into fine powder. Take two qian per dose, mixed with a decoction of Shengjiang (Zingiberis Rhizoma), Dengxincao (Junci Medulla), and Chenpi, taken orally. If vomiting and diarrhea are caused by food stagnation, accompanied by scanty urination, abdominal distension, and pain, use this formula to separate and drain dampness. Additionally, use Liujunzi Tang (Six Gentlemen Decoction) to regulate and tonify the Spleen and Stomach.
Bansu San (Half-Millet Powder): Treats diseases such as vomiting and diarrhea due to deficiency-cold of the Spleen and Stomach in children, as well as cold-phlegm.
Banxia (Pinelliae Rhizoma [soaked in water, sliced, dried], 1 liang), Chensumi (Setaria Italica [3 fen; aged Jingmi / Oryzae Sativa Japonica Group Semen is also acceptable]).
Cut the above ingredients into small pieces. Take three qian per dose, with 1.5 large cups of water and 10 slices of Shengjiang (Zingiberis Rhizoma). Decoct together until reduced to 0.8 cup, and take warm before meals.
Baifu Wan (White Head Pill) [Indicated for: Phlegm-saliva]
Qian Yi stated: Vomiting and diarrhea with undigested milk indicate food injury; purgation is appropriate. The son of Feng Chengwu, aged five, suffered from vomiting, diarrhea, high fever, and loss of appetite. Qian Yi observed that his black pupil was small while the white sclera was prominent, and his complexion was pale. He said, "This child will surely suffer from frequent illnesses. A pale complexion indicates deficient Shen (Spirit); a small black pupil indicates Kidney deficiency. The black pupil corresponds to Water. Being inherently timid and deficient, he is prone to illness. Even if he grows up, his muscles will not be robust, he will not tolerate cold or heat, his condition will easily shift between deficiency and excess, and his Spleen and Stomach will also be weak. He must not indulge in alcohol; without proper care, he will not reach middle age. A face lacking spiritual luster resembles blood loss in women. Currently, vomiting, diarrhea, anorexia, and high fever indicate food injury. Furthermore, those with deficiency-timidity should not be purged. Purging causes pathogenic factors to enter the Lung causing cough, the Heart causing palpitations/fright, the Spleen causing diarrhea, and the Kidney exacerbating deficiency. It is better to use Xiaoji Wan (Eliminate Accumulation Pill) to grind down the accumulation, as there is only slight food retention. If the injury is severe, purgation can be used; otherwise, it may form a mass (Pi). If solid food remains internally, purgation is also applicable. After purging, tonifying the Spleen will lead to recovery. Following the principles of deficiency and excess, all cases will be effective. [Zeng] Qian Yi said: Vomiting milk with yellow stool indicates injury from hot milk; vomiting milk with green stool indicates injury from cold milk. Both require purgation, which is the method of 'attacking and seizing' (Yingduo). It is better to use Wuling San (Five-Ingredient Powder with Poria) for hot injuries to guide rebellious Qi downward, and Lizhong Tang (Regulate the Middle Decoction) for cold injuries to warm the interior, leading to natural recovery. If Spleen meridian stagnation is not cleared and the body is injured again by diet, resulting in vomiting or diarrhea, use Sanleng San (Curcuma Longa Powder) to resolve accumulation and Shouwei San (Stomach-Guarding Powder) to harmonize the Stomach.
[Zhu Danxi] Children's vomiting, diarrhea, and jaundice.
Sanleng (Sparganii Rhizoma), Pengzhu (Curcumae Rhizoma), Chenpi (Citri Reticulatae Pericarpium), Qingpi (Citri Reticulatae Pericarpium Viride), Shenqu (Massa Medicata Fermentata), Maiya (Hordei Fructus Germinatus), Huanglian (Coptidis Rhizoma), Gancao (Glycyrrhizae Radix et Rhizoma), Baizhu (Atractylodis Macrocephalae Rhizoma), Fuling (Poria).
Grind the above into fine powder. Take with a decoction of Shengjiang (Zingiberis Rhizoma) and Dengxincao (Junci Medulla). Add Shanzha (Crataegi Fructus) for vomiting/diarrhea due to milk/food injury. add Huashi (Talcum) for epidemic vomiting/diarrhea. Add Bohe (Menthae Haplocalycis Herba) for fever.
Xiaoji Wan (Eliminate Accumulation Pill): Treats children's vomiting and diarrhea with sour, foul-smelling stools.
Dingxiang (Caryophylli Flos, 9 units), Sharen (Amomi Fructus Rotundus, 12 units), Badou (Crotonis Fructus, 2 units), Wumei Rou (Mume Semen, 2 units).
Grind the above into powder. Form pills using wheat paste, sized like mung beans. Swallow with warm water.