钱氏白术散治小儿泄泻胃热烦渴不问阴阳并宜服之
人参 白茯苓 白术 木香 甘草 藿香(各一两) 干姜(按中论即是葛根)
上为末水煎
按此太阴经四君子例药也治小儿阳明本虚阴阳不和吐泻亡津液烦热口干以参术甘草甘温
补胃
和中木香藿香辛温芳香可以助脾茯苓甘草分阴阳导水湿葛根甘平倍于众药其气轻浮鼓舞胃气
上行津液又解风肌热治脾胃虚弱泄泻之胜药也易简白术汤治证同前
前方藿香改黄 是也
秘藏黄 补胃汤治一日大便三四次溏而不多有时泄腹中鸣
黄 当归身 柴胡 益智仁 陈皮(各三钱) 甘草(炙二钱) 升麻(六分) 红花(少
许)
上咀作一服水煎食前服
机要肉豆蔻丸治肾泄久不愈脉沉细无力者效
破故纸(炒) 肉豆蔻(面裹煨各等分)
上为末枣肉为丸桐子大饮汤下空心本事方破故纸四两肉豆蔻二两名二神丸治脾肾虚弱
本事五味子散治肾泄
五味子(二两) 吴茱萸(半两细粒绿色者)
上二味炒香熟为度细末每服二钱陈米饮下有一亲识每五更初晓时必溏泄一次此名肾泄服
此而愈
局方金锁正元丹治肾虚泄泻小便频数虚冷之证
五倍子 茯苓(各八两) 朱砂(别研三两) 龙骨( 三两) 紫巴戟(去心一斤) 补骨脂
(酒浸炒十两) 肉苁蓉(洗焙) 葫芦巴(焙各一斤)
上为末入研药令匀酒糊丸桐子大每服三十丸空心温酒盐汤任下
钱氏白术散用于治疗小儿泄泻伴有胃热、烦渴的症状，无论属于阴证还是阳证都适宜服用。
人参、白茯苓、白术、木香、甘草、藿香（各一两），干姜（按《脾胃论》中的论述，此处实际指葛根）。
将上述药物研为细末，用水煎服。
按语：此方是遵循太阴经四君子汤（益气健脾的基础方）的组方原则。它治疗小儿阳明经本虚、阴阳不和导致的呕吐腹泻、津液耗伤、烦热口干等症状。其中，人参、白术、甘草性味甘温，能补益胃气、调和脾胃；木香、藿香性味辛温芳香，能够辅助脾脏运化；茯苓、甘草能分利阴阳、疏导水湿；葛根性味甘平，用量倍于其他药物，其气轻浮，能鼓舞胃气上行以生津液，又能解除肌表的风热。这是治疗脾胃虚弱所致泄泻的特效药。
《易简方》中的白术汤治疗的证候与前述相同。
前方中的藿香改为黄耆（黄芪）是正确的。
李东垣《医学发明》中的黄耆补胃汤，用于治疗每日大便三四次、稀溏但不多，有时腹泻且腹中肠鸣的症状。
黄耆、当归身、柴胡、益智仁、陈皮（各三钱），甘草（炙二钱），升麻（六分），红花（少许）。
将药物切碎，作为一剂，用水煎煮，饭前服用。
李东垣《兰室秘藏》中的肉豆蔻丸，用于治疗肾泄（五更泻）日久不愈，脉象沉细无力的患者，效果显著。
破故纸（炒制）、肉豆蔻（用面包裹煨熟，两者等分）。
将上述药物研为细末，用枣肉制作成梧桐子大小的丸剂，空腹时用米汤送服。
《本事方》中记载破故纸四两、肉豆蔻二两，名为“二神丸”，用于治疗脾肾虚弱。
《本事方》中的五味子散，用于治疗肾泄。
五味子（二两），吴茱萸（半两，选用颗粒细小、颜色绿色的）。
将这两味药炒至香气熟透，研为细末。每次服用二钱，用陈米饮送服。曾有一位亲友，每天五更初天亮时必定发生一次溏泄，这称为肾泄，服用此方后痊愈。
《局方》中的金锁正元丹，用于治疗肾虚泄泻、小便频数以及虚寒之证。
五倍子、茯苓（各八两），朱砂（单独研磨三两），龙骨（三两），紫巴戟天（去心一斤），补骨脂（酒浸后炒制十两），肉苁蓉（洗净焙干），葫芦巴（焙干，各一斤）。
将上述药物研为细末，加入已研磨好的药物混合均匀，用酒糊制作成梧桐子大小的丸剂。每次服用三十丸，空腹时用温酒或盐汤任其送下。
Qian’s Baizhu San (Atractylodes Macrocephala Powder) is used to treat diarrhea in children accompanied by stomach heat, restlessness, and thirst. It is suitable for administration regardless of whether the condition presents as a Yin syndrome or a Yang syndrome.
Renshen (Ginseng Radix), Baifuling (Poria), Baizhu (Atractylodis Macrocephalae Rhizoma), Muxiang (Aucklandiae Radix), Gancao (Licorice Root), Huoxiang (Agastaches Herba) (each 1 liang), Ganjiang (Dried Ginger) (Note: According to Li Dongyuan's *Pi Wei Lun*, this refers to Gegen/Puerariae Radix).
Grind the above ingredients into a fine powder and decoct with water for oral administration.
Commentary: This formula follows the principle of the Sijunzi Tang (Four Gentlemen Decoction) of the Taiyin meridian. It treats conditions in children characterized by deficiency of the Yangming meridian, disharmony of Yin and Yang, vomiting and diarrhea leading to fluid depletion, feverish sensation, dry mouth, and throat. Renshen, Baizhu, and Gancao are sweet and warm; they tonify Stomach Qi and harmonize the Middle Jiao. Muxiang and Huoxiang are acrid, warm, and aromatic; they assist the Spleen in transformation and transportation. Baifuling and Gancao separate Yin and Yang and guide out dampness. Gegen is sweet and neutral; its dosage is double that of other herbs. Its qi is light and floating, capable of stirring up Stomach Qi to ascend and generate fluids, while also releasing wind-heat from the muscle layer. It is an excellent medicine for treating diarrhea caused by Spleen and Stomach weakness.
The Baizhu Tang (Atractylodes Macrocephala Decoction) in *Yi Jian Fang* treats the same syndromes as mentioned above.
Replacing Huoxiang with Huangqi (Astragali Radix) in the previous formula is correct.
Li Dongyuan’s *Huangqi Buwei Tang* (Astragalus Tonifying the Stomach Decoction) in *Yi Zang* is used to treat cases where bowel movements occur three to four times a day, consisting of loose stools but not excessive in volume, sometimes accompanied by diarrhea and borborygmus (rumbling in the abdomen).
Huangqi (Astragali Radix), Dangguishen (Angelica Sinensis Radix Heart), Chaihu (Bupleuri Radix), Yizhiren (Alpinia Oxyphylla Fruit), Chenpi (Citri Reticulatae Pericarpium) (each 3 qian), Gancao (Zhi/Licorice Root, Honey-fried, 2 qian), Shengma (Cimicifugae Rhizoma, 6 fen), Honghua (Carthami Flos, a small amount).
Cut the herbs into pieces, take as one dose, decoct with water, and administer before meals.
Li Dongyuan’s *Roudoukou Wan* (Myristica Pill) in *Mi Zang* is effective for treating chronic Kidney Diarrhea (Wu Geng Xie/Morning Dawn Diarrhea) that has not healed for a long time, especially when the pulse is deep, thin, and weak.
Poguzhi (Psoraleae Fructus, stir-fried), Roudoukou (Myristicae Semen, baked in flour coating, equal parts).
Grind the above ingredients into a fine powder, mix with date paste, and form pills the size of mulberry seeds. Take on an empty stomach with rice gruel.
In *Ben Shi Fang*, Poguzhi (4 liang) and Roudoukou (2 liang) are named "Er Shen Wan" (Two Spirits Pill) and are used to treat Spleen and Kidney deficiency.
*Ben Shi Fang*'s Wuweizi San (Schisandra Powder) is used to treat Kidney Diarrhea.
Wuweizi (Schisandrae Fructus, 2 liang), Wuzhuyu (Evodiae Fructus, half liang, selecting small green grains).
Stir-fry these two ingredients until fragrant and fully cooked, then grind into a fine powder. Take 2 qian per dose, administered with aged rice gruel. A friend of mine suffered from loose stool once every morning at dawn (Wu Geng period); this is called Kidney Diarrhea. He was cured after taking this formula.
Ju Fang’s Jin Suo Zheng Yuan Dan (Golden Lock Origin-Securing Elixir) from *Tai Ping Hui Min He Ji Ju Fang* is used to treat diarrhea due to Kidney deficiency, frequent urination, and deficiency-cold syndromes.
Wubeizi (Galae Fructus), Fuling (Poria, each 8 liang), Zhusha (Cinnabar, separately ground, 3 liang), Longgu (Fossilized Bones, 3 liang), Zijiba Ji (Morinda Officinalis Radix, heart removed, 1 jin), Buguzhi (Psoraleae Fructus, soaked in wine and stir-fried, 10 liang), Rongshong (Cistanche Deserticolae Caulis, washed and dried), Huluba (Trigonellae Foenum-Graeci Semen, baked, each 1 jin).
Grind all ingredients into a fine powder, mix thoroughly with the separately ground drugs, use wine paste to form pills the size of mulberry seeds. Take 30 pills per dose on an empty stomach, swallowing with warm wine or salted water as desired.