乳下婴儿,乳哺太过,或儿睡着而更衔乳,岂有厌足,以致脾不能运,胃不能受满而溢,故令呕吐,长此不
已,遂致慢惊,可不慎乎。此候,但令节乳为上,甚者宜暂断乳,先令乳母服调气之剂,儿服消乳丸,化
乳消食为上。若吐自口角出,即是乳多不能消化满溢之证,非病也,不可妄投它治吐药。凡吐乳直出而
不停留者,谓之 乳,但以炒麦芽三钱、橘红一钱、丁香三分,水煎服之,立止。
消乳丸 温中快膈,止呕吐,消乳食,脉沉者伤食不化故也。
香附子(炒,二两) 甘草(炙) 陈皮(去白。各半两) 缩砂仁 神曲(炒) 麦 (炒。各一两)
上为末。泡雪糕丸,如黍米大。七岁以上,绿豆大三十丸,食后姜汤下。
消食丸 治小儿乳哺饮食,取冷过度,冷气积于脾胃,胃为水谷之海,脾气磨而消之,胃气调和则乳
哺消化,脾伤于冷则宿食不消,此药宽中快气,消乳食,正颜色。
缩砂仁 橘皮 三棱(煨) 蓬术(煨) 神曲(炒) 麦 (炒。各半两) 香附子(一两,炒)
上为末,面糊丸,绿豆大。食后,紫苏汤下二十丸。
又方 治百 内呕吐乳奶,或大便青色。
用少妇乳汁一盏,入丁香十粒、陈皮一钱,瓷器内煮数沸,稍热,空心以绵球吮服。
青州白丸子 治一切风痰,小儿惊风。
天南星(生) 白附子(生。各三两) 川乌头(去脐尖皮,生,五钱) 半夏(去皮,生,七两)
上,用井花水浸,次日早再换新水,春五日、夏三日、秋七日、冬十日,晒干,
为细末,以糯米粉煎粥,清为丸,如绿豆大。小儿惊风,薄荷汤调下。和苏合香丸服名苏青丸。
半夏散 治小儿胃虚呕吐,水谷不化。
半夏(一两,泡七次) 陈糯米(三钱)
上锉散。姜五片,枣一枚,同煎。
〔钱氏〕铁粉丸 治涎盛潮搐吐逆。
水银(砂子,二钱) 朱砂(一分) 铁粉 天南星(炮,去皮脐,取末。各一分) 轻粉(二分)
上同研水银星散尽为度。姜汁糊丸,如粟米大。煎生姜汤下十五丸至二三十丸,无时。
茯苓半夏汤 治诸呕哕心下坚痞,膈间有痰水眩悸。
半夏(汤泡,五钱) 白茯苓(二两,去皮)
上锉散。每服三钱,水一盏,生姜三片煎,去滓热服,不拘时。
二陈汤 治痰饮为患,或呕吐恶心,或头眩心悸,或中脘不快,或发为寒热,或因食生冷,脾胃不和。
半夏(汤洗,七次) 橘红(各五钱) 白茯苓(三钱) 甘草(一钱半,炙)
上锉散。每服三钱,水一盏,姜三片,乌梅一个,同煎。
白附饮 治肝风克脾土,痰涎壅盛,和饮食吐出,盖风能生痰,痰壅其食,故吐出。
白附子 南星(生用) 半夏(生用) 川乌(去皮脐,生用) 天麻(明亮者) 陈皮(去白) 南木香 全
蝎(去尾尖毒) 僵蚕(去丝) 丁香(各二钱)
上件锉。每服二钱,水一盏半,姜三片,慢火煎七分,作五次空心温服。
对于吃奶的婴儿,如果喂奶过多,或者在婴儿睡着时仍让其含着乳头吸吮,婴儿怎会有满足感呢?这会导致脾脏无法运化,胃无法承受过多的乳汁而溢出,从而引起呕吐。如果长期这样下去,最终会演变成慢惊风(一种以抽搐、缓慢发作为特征的儿科病证),怎么能不谨慎对待呢?遇到这种情况,最好的办法是节制喂奶;病情严重的,应当暂时断奶,先让乳母服用调理气机的药剂,让婴儿服用消乳丸,以达到化解乳积、消除食滞的效果为最佳。如果乳汁从口角流出,这是乳汁过多不能消化而满溢的表现,并不是疾病,不要胡乱投用其他止吐药物。凡是呕吐出的乳汁直接流出而不滞留的,称为“哺露”(此处原文可能有缺字或通假,指乳汁直出),只需使用炒麦芽三钱、橘红一钱、丁香三分,用水煎服,即可立即停止。
消乳丸:具有温中散寒、宽胸快膈、止呕吐、消乳食的功效。脉象沉细者,是因为伤食且食物不消化所致。
配方:香附子(炒制,二两)、甘草(炙烤)、陈皮(去白皮,各半两)、缩砂仁、神曲(炒制)、麦芽(炒制,各一两)。
制作与用法:将上述药材研成细末,用泡过的雪糕水(或米泔水/面糊,原文“泡雪糕丸”疑为传抄错误或特定古法,通常理解为糊丸)制成如黍米大小的药丸。七岁以上的儿童,每次服用三十粒如绿豆大的药丸,饭后用姜汤送服。
消食丸:治疗小儿因哺乳饮食过冷,导致冷气积聚在脾胃之中。胃是水谷之海,脾气磨碎并消化食物,胃气调和则乳哺得以消化;若脾脏受冷邪损伤,则宿食无法消化。此药能宽中理气、消乳食、改善面色。
配方:缩砂仁、橘皮、三棱(煨制)、蓬术(即莪术,煨制)、神曲(炒制)、麦芽(炒制,各半两)、香附子(一两,炒制)。
制作与用法:将上述药材研成细末,用面糊制成如绿豆大小的药丸。饭后用紫苏汤送服二十丸。
又一方:治疗“哺露”(或泛指乳儿)内呕吐乳奶,或大便呈青色。
用法:取少妇乳汁一盏,加入丁香十粒、陈皮一钱,在瓷器中煮沸数次,待稍热后,空腹时用棉球蘸取吮服。
青州白丸子:治疗各种风痰引起的病症,以及小儿惊风。
配方:天南星(生用)、白附子(生用,各三两)、川乌头(去脐尖和皮,生用,五钱)、半夏(去皮,生用,七两)。
制作与用法:用井花水浸泡药材,第二天早晨再换新的水。春季浸泡五日、夏季三日、秋季七日、冬季十日,然后晒干,研成细末。用糯米粉煮粥,澄清后的汁液泛丸,如绿豆大小。小儿惊风发作时,用薄荷汤调下服用。若与苏合香丸同服,称为苏青丸。
半夏散:治疗小儿胃虚引起的呕吐,水谷不消化。
配方:半夏(一两,用水浸泡七次)、陈糯米(三钱)。
制作与用法:将药材切碎成散剂。加生姜五片、大枣一枚,共同煎煮。
〔钱乙〕铁粉丸:治疗涎液增多、潮搐(类似癫痫发作的抽搐)、呕吐逆乱。
配方:水银(与砂子研磨至星散状,二钱)、朱砂(一分)、铁粉、天南星(炮制,去皮脐,取粉末,各一分)、轻粉(二分)。
制作与用法:将上述药材共同研磨,直到水银完全分散成星状为止。用姜汁调糊制成如粟米大小的药丸。随时可服,用生姜汤送服十五丸至二三十丸。
茯苓半夏汤:治疗各种呕吐、呃逆,心下部坚硬痞块,膈间有痰水导致的眩晕和心悸。
配方:半夏(热水浸泡,五钱)、白茯苓(二两,去皮)。
制作与用法:将药材切碎成散剂。每次服用三钱,加水一盏,生姜三片,共同煎煮,去渣后热服,不拘泥于固定时间。
二陈汤:治疗痰饮为患,或出现呕吐恶心,或头晕目眩、心悸,或中脘部不适,或引发寒热症状,或因食用生冷食物导致脾胃不和。
配方:半夏(热水清洗七次)、橘红(各五钱)、白茯苓(三钱)、甘草(一钱半,炙烤)。
制作与用法:将药材切碎成散剂。每次服用三钱,加水一盏,生姜三片,乌梅一个,共同煎煮。
白附饮:治疗肝风克制脾土,导致痰涎壅盛,混合饮食一起吐出。因为风能生痰,痰阻滞了食物,所以导致吐出。
配方:白附子、南星(生用)、半夏(生用)、川乌(去皮脐,生用)、天麻(质地明亮者)、陈皮(去白皮)、南木香、全蝎(去尾尖毒)、僵蚕(去丝)、丁香(各二钱)。
制作与用法:将上述药材切碎。每次服用二钱,加水一盏半,生姜三片,用慢火煎至七分水量,分五次空腹温服。
For infants who are breastfeeding, if they are overfed, or if the mother continues to let them suckle while they are asleep, how can there ever be a sense of satisfaction? This leads to the Spleen's inability to transport and transform, and the Stomach's inability to receive and contain the excess milk, causing it to overflow and result in vomiting. If this persists for a long time, it may eventually develop into Slow Convulsion (a pediatric condition characterized by slow-onset convulsions). How can one not be cautious about this? For this syndrome, the best approach is to regulate breastfeeding; in severe cases, temporary weaning is advisable. First, the nursing mother should take formulas that regulate Qi, and the infant should take Xiaoru Wan (Milk-Dissolving Pill) to resolve milk accumulation and digest food, which is the optimal treatment. If milk flows out from the corners of the mouth, this is a sign of excessive milk that cannot be digested and overflows; it is not a disease, and one should not recklessly administer other anti-emetic drugs. Whenever vomited milk flows out directly without staying in the mouth, it is referred to as "Bulu" (milk regurgitation). Simply decoct Chao Maiya (Fried Malt) 3 qian, Juhong (Tangerine Peel) 1 qian, and Dingxiang (Clove) 3 fen in water and administer orally; the vomiting will stop immediately.
Xiaoru Wan (Milk-Dissolving Pill): Warms the middle jiao, relieves chest fullness, stops vomiting, and resolves milk and food stagnation. A deep pulse indicates injury from food stagnation and indigestion.
Ingredients: Xiangfuzi (Cyperi Rhizoma, stir-fried, 2 liang), Gancao (Glycyrrhizae Radix et Rhizoma, honey-fried), Chenpi (Citri Reticulatae Pericarpium, white pith removed, each 0.5 liang), Suosharen (Amomi Fructus), Shenqu (Massae Fermentatae Medicamentosa, stir-fried), Maiya (Hordei Fructus Germinatus, stir-fried, each 1 liang).
Preparation and Administration: Grind the above ingredients into fine powder. Mix with prepared snow ice water (or starch paste) to form pills the size of millet seeds. For children over seven years old, administer 30 pills the size of mung beans after meals, washed down with ginger soup.
Xiaoshi Wan (Food-Digesting Pill): Treats infants whose milk feeding and diet have been excessively cold, causing cold qi to accumulate in the Spleen and Stomach. The Stomach is the sea of water and grain; the Spleen grinds and digests food. When Stomach Qi is harmonious, milk and food are digested. If the Spleen is injured by cold, retained food fails to digest. This formula broadens the middle, promotes Qi movement, resolves milk and food stagnation, and corrects complexion.
Ingredients: Suosharen (Amomi Fructus), Jupi (Citri Reticulatae Pericarpium), Sanleng (Sparganii Rhizoma, baked), Ezhu (Curcumae Rhizoma, baked), Shenqu (Massae Fermentatae Medicamentosa, stir-fried), Maiya (Hordei Fructus Germinatus, stir-fried, each 0.5 liang), Xiangfuzi (Cyperi Rhizoma, 1 liang, stir-fried).
Preparation and Administration: Grind the above ingredients into fine powder. Mix with wheat flour paste to form pills the size of mung beans. After meals, administer 20 pills washed down with Perilla Decoction.
Another Prescription: Treats bulging/regurgitation in infants with vomiting of milk or green stools.
Usage: Take one zhan of breast milk from a young woman, add 10 cloves (Dingxiang) and 1 qian of Chenpi (Citri Reticulatae Pericarpium). Boil several times in a porcelain vessel. While slightly warm, apply with a cotton ball and suck orally on an empty stomach.
Qingzhou Baiwanzhi (Qingzhou White Pills): Treats all types of wind-phlegm syndromes and infantile convulsions.
Ingredients: Tiannanxing (Arisaematis Rhizoma, raw), Baifuzi (Typhonii Rhizoma, raw, each 3 liang), Chuanyutou (Aconiti Radix et Radicis Preparata, remove umbilical scar and skin, raw, 5 qian), Banxia (Pinelliae Rhizoma, remove skin, raw, 7 liang).
Preparation and Administration: Soak the herbs in well water. Change to fresh water the next morning. Soak for five days in spring, three days in summer, seven days in autumn, and ten days in winter. Dry and grind into fine powder. Use rice porridge liquid (clarified glutinous rice starch) to form pills the size of mung beans. For infantile convulsions, administer with Mint Decoction. When taken together with Suhexiang Wan (Styrax Pills), it is called Suqing Wan.
Banxia San (Pinellia Powder): Treats infantile vomiting due to Stomach deficiency, where water and food are not digested.
Ingredients: Banxia (Pinelliae Rhizoma, 1 liang, soaked seven times), Chen Nuomi (Glutinous Rice, aged, 3 qian).
Preparation and Administration: Cut into coarse pieces. Decoct with five slices of Ginger and one Jujube.
[Qian Yi] Tie Fen Wan (Iron Powder Pill): Treats excessive salivation, tidal convulsions, and vomiting/reversal.
Ingredients: Shuiyin (Hydrargyrum, ground with cinnabar sand until dispersed, 2 qian), Zhusha (Cinnabaris, 1 fen), Tiefen (Ferrum Pulveratum), Tiannanxing (Arisaematis Rhizoma, processed, remove skin and umbilical scar, take powder, each 1 fen), Qingfen (Calomelas, 2 fen).
Preparation and Administration: Grind all ingredients together until the mercury is completely dispersed into star-like particles. Form pills the size of millet seeds using Ginger Juice as a binder. Administer at any time, washing down 15 to 20-30 pills with Ginger Decoction.
Fuling Banxia Tang (Poria and Pinellia Decoction): Treats various forms of vomiting and hiccups, hardness and fullness in the epigastrium, dizziness and palpitations caused by phlegm-fluid in the diaphragm.
Ingredients: Banxia (Pinelliae Rhizoma, soaked in hot water, 5 qian), Bai Fuling (Poria, 2 liang, remove skin).
Preparation and Administration: Cut into coarse pieces. For each dose, take 3 qian, add one zhan of water and three slices of Ginger. Decoct, strain, and drink hot. Do not restrict the time of administration.
Erchen Tang (Two-Aged Decoction): Treats disorders caused by phlegm-fluid, or vomiting and nausea, or dizziness and palpitations, or discomfort in the middle jiao, or alternating chills and fever, or disharmony of the Spleen and Stomach due to consumption of cold and raw foods.
Ingredients: Banxia (Pinelliae Rhizoma, washed with hot water seven times), Juhong (Exocarpium Citri Reticulatae Rubrum, each 5 qian), Bai Fuling (Poria, 3 qian), Gancao (Glycyrrhizae Radix et Rhizoma, honey-fried, 1.5 qian).
Preparation and Administration: Cut into coarse pieces. For each dose, take 3 qian, add one zhan of water, three slices of Ginger, and one Smoked Plum (Wumei). Decoct together.
Baifu Yin (White Attitude Drink): Treats Liver Wind overcoming Spleen Earth, leading to abundant phlegm-saliva mixed with food and vomited up. Wind generates phlegm, and phlegm obstructs food, causing it to be vomited.
Ingredients: Baifuzi (Typhonii Rhizoma), Nanxing (Arisaematis Rhizoma, raw), Banxia (Pinelliae Rhizoma, raw), Chuanwu (Aconiti Radix, remove skin and umbilical scar, raw), Tianma (Gastrodiae Rhizoma, clear and bright quality), Chenpi (Citri Reticulatae Pericarpium, white pith removed), Nanmuxiang (Agarwood), Quanxie (Scorpio, remove tail tip poison), Jiangcan (Bombyx Batryticatus, remove silk), Dingxiang (Caryophylli Flos, each 2 qian).
Preparation and Administration: Cut the above ingredients into coarse pieces. For each dose, take 2 qian, add one and a half zhan of water and three slices of Ginger. Decoct slowly over low heat until reduced to 0.7 zhan. Divide into five doses and take warm on an empty stomach.