曾氏云∶先吐而后泻者，乃脾胃有热，气促唇红，吐来面赤，脉洪而数，渴饮水浆，此为热也。钱氏以吐泻、
身热、泻黄、多渴作热病治，在夏秋用玉露散、益黄散相间服，在春冬用白术散、大青膏相间服。
〔钱氏〕玉露散（方见前）
〔李刚中〕治夏秋吐泻。
好黄连一两，入虢丹一两，炒丹焦，为细末，面糊丸，如芥子，服二三十粒，壁土姜汤吞。更量数服，不妨。
〔丹溪〕治小儿周岁，吐乳腹泻。
白术 滑石末（各三钱） 干姜（一钱） 陈皮 甘草（炙。各五分）
上为粗末。煎服。
曾氏云∶先泻而后吐者，乃脾胃虚冷，其候先泻白水或白冻，吐亦不多，口气缓而神色慢，额前有汗，六脉沉濡，
此为冷也。钱氏以吐泻、身凉、泻青、不渴作寒病，在秋以益黄散主之，在冬春以益黄散、大青膏相间服。
〔海〕吐利，四肢胀逆，脑门低陷。四君子加藿香、丁香、芍药、等分，煎服。
钱氏益黄散（见脾） 万安膏（见吐）
〔世〕和胃丸 治吐泻不止，欲生慢惊。
丁香 白术（各一两） 半夏（五钱） 藿香 蝎尾（各一钱）
上为末，姜汁打糊、为丸如小豆大。二岁儿三十丸，姜汤下。
理中汤 主温脾暖胃，冷吐冷泻，及胎气虚，中寒腹痛。
人参（去芦） 白术（各一两） 干姜（炮） 粉草（炙。各二钱半）
上件，锉焙为末。每服半钱或一钱，用温白汤空心调服。
理中丸 治吐利不止，米谷不化，手足厥冷。
人参 白术 干姜 甘草（炙各等分）
上为末。面糊为丸，绿豆大。每服十丸，米饮下。或一二十丸，不拘时候。
金液丹 治吐利日久，脾胃虚损，手足厥冷，精神昏塞，多睡露睛，口鼻气凉，欲
成慢惊风。又治大人阳虚阴盛，身冷脉微，自汗吐利，小便不禁。
舶上硫黄（十两，先飞炼去砂石，秤，研为末，用砂盒子盛，令八分满，水和赤石脂、盐泥固封，
晒干，露地先埋一水罐，盛水满，坐盒子在上，又以泥固济讫，常以三斤火养三日三夜，足，加顶火一
斤， 成，冷，取药）
上以柳木捶乳钵研为末。每服二钱，生姜米饮调下。多服取效。大人，药末一两，蒸饼一两水浸，去
水，饼和丸桐子大。晒干，每服五十丸至百丸，米饮空心下。
阎氏云∶吐泻虚极，当速生胃气，宜与理中丸，并研金液丹末，煎生姜米饮调
灌之，惟多服乃效，俟胃气已生，手足渐热，然犹螈 ，即减金液丹一二分，增青州白丸子一二分同研，如上服，
兼用异功散、羌活膏、温白丸、钓藤饮子之类，仍频与粥，虽至危者往往死中得生，十救八九。沈存中论金液丹，
见小儿吐利剧，气已绝，服之得活者数人，须多服方验。
〔钱〕豆蔻散 治吐泻烦渴，腹胀小便少。
舶上硫黄（一钱） 滑石（五分） 丁香 豆蔻（各半分）
上为细末。每服一字至半钱，米饮调下，无时。
〔张涣〕匀胃散 治三焦不调，停寒膈上，乳哺不消，胸膈痞满，甚则喘逆吐利，肌体痿黄。
甘草（炙一钱） 藿香 白豆蔻 人参（各一两） 木香 干姜（炮） 浓朴（姜炙） 丁香（各半两）
上为细末。一钱，水一小盏，姜二片，煎六分，温服。
〔王氏〕治吐逆兼吐利不止。
丁香 藿香（各一分） 木香（一钱） 硫黄（半两，别研极细） 滑石（二钱，研如粉）
上为末。每服一钱或半钱，米饮调下，量大小与之。如泻，即用附子一枚重半两者，炮去皮脐，为末，再用生
姜汁捣成饼子，用白面裹之，慢火煨面熟，去面
不用，只将附子切焙，再捣罗为末。每吐兼泻，即入附子末少许，如药三之一，更量虚实，以米饮调下，神验。
吐如激水者亦定。吐利不止，多成慢惊，宜速疗之，如已成慢惊，兼金液丹与之。
助胃膏 治脾胃虚寒吐泻等证。
人参 白术 白茯苓 甘草（炙） 丁香（各五钱） 砂仁（四十个） 木香（三钱） 白豆蔻（十四个）
干山药（一两） 肉豆蔻（四个，煨）
上为末，蜜、丸芡实大。每服十丸，米饮化下。
曾世荣说：先呕吐而后腹泻的，是脾胃有热，表现为气促、嘴唇发红，呕吐时面色潮红，脉象洪大而数，口渴想喝水浆，这属于热证。钱乙将呕吐腹泻、身热、大便色黄、多渴作为热病来治疗，在夏秋季节用玉露散和益黄散交替服用，在春冬季节用白术散和大青膏交替服用。
〔钱乙〕玉露散（方剂见前文）
〔李刚中〕治疗夏秋季的呕吐腹泻。
取优质黄连一两，加入虢丹一两，炒至丹焦，研成细末，用面糊制成丸药，大小如芥菜籽，每次服用二三十粒，用壁土姜汤送服。也可以酌情增加剂量服用，无妨。
〔朱丹溪〕治疗周岁小儿吐乳腹泻。
白术、滑石末（各三钱），干姜（一钱），陈皮，甘草（炙，各五分）。
以上药材捣成粗末。煎煮后服用。
曾世荣说：先腹泻而后呕吐的，是脾胃虚冷，其症状是先泻出白水或白色粘液，呕吐也不严重，口气缓弱、神色倦怠，额头前有汗，六脉沉濡，这属于寒证。钱乙将呕吐腹泻、身凉、大便色青、不渴作为寒病来治疗，在秋季以益黄散为主治方，在冬春季节以益黄散和大青膏交替服用。
〔陈自明〕治疗吐利，四肢胀满逆冷，囟门低陷。用四君子汤加入藿香、丁香、芍药，等分比例，煎煮服用。
钱乙益黄散（见脾脏篇） 万安膏（见呕吐篇）
〔世俗医方〕和胃丸 治疗呕吐腹泻不止，即将发生慢惊风。
丁香、白术（各一两），半夏（五钱），藿香，蝎尾（各一钱）。
以上药材研成粉末，用姜汁打糊，制成如小豆大小的丸药。两岁儿童服用三十丸，用姜汤送下。
理中汤 主治温补脾脏、温暖胃腑，治疗冷性呕吐、冷性腹泻，以及胎气虚弱、中寒腹痛。
人参（去芦头）、白术（各一两），干姜（炮制），粉草（炙，各二钱半）。
以上药材切碎焙干研成粉末。每次服用半钱或一钱，用温开水空腹调服。
理中丸 治疗呕吐腹泻不止，米谷不消化，手足厥冷。
人参、白术、干姜、甘草（炙，各等分）。
以上药材研成粉末。用面糊制成如绿豆大小的丸药。每次服用十丸，用米汤送下。或者服用一二十丸，不拘时间。
金液丹 治疗呕吐腹泻日久，脾胃虚损，手足厥冷，精神昏沉闭塞，嗜睡且眼睛半睁，口鼻气息发凉，欲发展成慢惊风。又治疗成人阳气虚衰、阴寒内盛，身体寒冷、脉象微弱，自汗、呕吐腹泻，小便失禁。
舶上硫黄（十两，先飞炼去除砂石，称量，研为粉末，用砂盒子盛装，令其八分满，用水调和赤石脂、盐泥牢固密封，晒干，先在露地埋一个装满水的水罐，将盒子坐在水罐上，再用泥土加固密封，常用三斤火煅养三日三夜，完成后，加顶火一斤，制成后冷却，取出药物）。
以上药物用柳木杵在乳钵中研磨成粉末。每次服用二钱，用生姜米饮调下。多服用可取效。成人用药末一两，蒸饼一两用水浸泡，去掉水分，用饼和药末制成如梧桐子大小的丸药。晒干，每次服用五十丸至一百丸，空腹用米饮送下。
阎孝忠说：呕吐腹泻极度虚弱时，应当迅速生发胃气，宜给予理中丸，并研碎金液丹粉末，煎煮生姜米饮调灌服用，只有多服用才有效，等到胃气已生，手足逐渐转暖，然而仍有抽搐现象，就减少金液丹一二分，增加青州白丸子一二分共同研磨，按上述方法服用，同时配合使用异功散、羌活膏、温白丸、钓藤饮子之类的药物，仍频繁给予粥食，即使是病情危重者往往也能死里逃生，十个能救活八九个。沈括论述金液丹，提到见到小儿呕吐腹泻剧烈，气已绝，服用此药得以存活的人数人，必须多服用才能见效。
〔钱乙〕豆蔻散 治疗呕吐腹泻烦渴，腹胀小便少。
舶上硫黄（一钱），滑石（五分），丁香，豆蔻（各半分）。
以上药材研成细末。每次服用一字至半钱，用米饮调下，不限时间。
〔张涣〕匀胃散 治疗三焦不调，寒气停滞膈上，乳食不消化，胸膈痞满，严重时气喘逆乱、呕吐腹泻，肌肉身体萎黄。
甘草（炙一钱），藿香，白豆蔻，人参（各一两），木香，干姜（炮制），浓朴（姜炙），丁香（各半两）。
以上药材研成细末。取一钱，加水一小盏，生姜两片，煎至六分，温服。
〔王隐君〕治疗呕吐逆乱兼呕吐腹泻不止。
丁香，藿香（各一分），木香（一钱），硫黄（半两，另研极细），滑石（二钱，研如粉）。
以上药材研成粉末。每次服用一钱或半钱，用米饮调下，根据年龄大小给药。如果腹泻，就用一枚重半两的附子，炮制去皮脐，研成粉末，再用生姜汁捣成饼状，用白面粉包裹，慢火煨至面熟，去掉面粉不用，只将附子切片焙干，再捣筛成粉末。每次呕吐兼腹泻时，加入少许附子粉末，约为药量的三分之一，再根据虚实情况，用米饮调下，神验。
呕吐如喷射状水流者也能止住。呕吐腹泻不止，多会形成慢惊风，宜迅速治疗，如果已成慢惊风，同时给予金液丹。
助胃膏 治疗脾胃虚寒引起的呕吐腹泻等证候。
人参、白术、白茯苓、甘草（炙）、丁香（各五钱），砂仁（四十个），木香（三钱），白豆蔻（十四个），干山药（一两），肉豆蔻（四个，煨制）。
以上药材研成粉末，用蜂蜜制成如芡实大小的丸药。每次服用十丸，用米饮化开送下。
Zeng Shirong stated: Vomiting followed by diarrhea indicates heat in the Spleen and Stomach. The manifestations include rapid breathing, red lips, flushed face during vomiting, a surging and rapid pulse, thirst with desire to drink fluids, which characterizes a Heat syndrome. Qian Yi treated vomiting and diarrhea accompanied by fever, yellow stool, and excessive thirst as Heat diseases. In summer and autumn, Yulu San (Dew Powder) and Yihuang San (Yellow Rescuing Powder) were administered alternately; in spring and winter, Baizhu San (Atractylodes Macrocephala Powder) and Daqing Gao (Big Blue Ointment) were administered alternately.
[Qian Yi] Yulu San (Formula seen previously).
[Li Gangzhong] Treats vomiting and diarrhea in summer and autumn.
Take high-quality Huanglian (Coptidis Rhizoma), one tael, add Guo Dan (Vermilion), one tael, stir-fry until the cinnabar is scorched, grind into fine powder, bind with wheat paste to make pills the size of mustard seeds. Take 20-30 pills per dose, swallowed with ginger water from wall soil. Dosage may be adjusted as needed without harm.
[Zhu Danxi] Treats milk vomiting and diarrhea in one-year-old infants.
Baizhu (Atractylodis Macrocephalae Rhizoma), Huashi (Talcum), each three qian; Ganjiang (Zingiberis Rhizoma), one qian; Chenpi (Citri Reticulatae Pericarpium); Zhigancao (Glycyrrhizae Radix et Rhizoma Preparata), each five fen.
Grind into coarse powder. Decoct and take orally.
Zeng Shirong stated: Diarrhea followed by vomiting indicates deficiency-cold in the Spleen and Stomach. The symptoms include first passing watery white stool or white mucus, slight vomiting, slow breath and lethargy, sweating on the forehead, and deep, soggy pulses in all six positions, which characterizes a Cold syndrome. Qian Yi treated vomiting and diarrhea accompanied by cool body, green stool, and absence of thirst as Cold diseases. In autumn, Yihuang San (Yellow Rescuing Powder) was used as the primary formula; in winter and spring, Yihuang San (Yellow Rescuing Powder) and Daqing Gao (Big Blue Ointment) were administered alternately.
[Chen Ziming] Treats vomiting and purging with distended and cold limbs, and depressed fontanelle. Use Sizijunzi Tang (Four Gentlemen Decoction) added with Huoxiang (Agastaches Herba), Dingxiang (Caryophylli Flos), and Shaoyao (Paeoniae Radix Alba) in equal parts, decoct and take orally.
Qian Yi's Yihuang San (see Spleen chapter); Wan'an Gao (see Vomiting chapter).
[Secular Medical Formulas] Hewei Wan (Stomach Harmonizing Pill) treats persistent vomiting and diarrhea, impending slow convulsions.
Dingxiang (Caryophylli Flos), Baizhu (Atractylodis Macrocephalae Rhizoma), each one tael; Banxia (Pinelliae Rhizoma), five qian; Huoxiang (Agastaches Herba); Xiewei (Scorpio), each one qian.
Grind into powder, bind with ginger juice and paste to make pills the size of small beans. Two-year-old children take thirty pills, washed down with ginger soup.
Lizhong Tang (Regulate the Middle Decoction) warms the Spleen and warms the Stomach, treating cold vomiting, cold diarrhea, fetal qi deficiency, and abdominal pain due to middle-jiao cold.
Renshen (Ginseng Radix) [de-gorged], Baizhu (Atractylodis Macrocephalae Rhizoma), each one tael; Ganjiang (Zingiberis Rhizoma) [prepared]; Fencao (Glycyrrhizae Radix et Rhizoma Preparata), each two and a half qian.
Cut and bake the above ingredients, then grind into powder. Take half a qian or one qian per dose, mixed with warm plain water on an empty stomach.
Lizhong Wan (Regulate the Middle Pill) treats persistent vomiting and purging, undigested food, and cold extremities.
Renshen (Ginseng Radix), Baizhu (Atractylodis Macrocephalae Rhizoma), Ganjiang (Zingiberis Rhizoma), Zhigancao (Glycyrrhizae Radix et Rhizoma Preparata) in equal parts.
Grind into powder. Bind with wheat paste to make pills the size of mung beans. Take ten pills per dose with rice drink. Or take 10-20 pills at any time.
Jinye Dan (Golden Liquid Pill) treats prolonged vomiting and purging causing Spleen and Stomach deficiency, cold extremities, mental dullness and obstruction, hypersomnia with eyes partially open, cool breath from mouth and nose, and tendency toward slow convulsions. It also treats adults with Yang deficiency and Yin excess, cold body, faint pulse, spontaneous sweating, vomiting and purging, and urinary incontinence.
Bo Shang Liuhuang (Sulfur imported from overseas), ten taels. First refine to remove sand and stones, weigh, and grind into powder. Place in a clay box filling it eight-tenths full. Seal tightly with mud made of water, Chishizhi (Halloysitum Rubrum), and salt mud. Dry in the sun. Bury a water jar filled with water in the ground outdoors, place the box on top, seal again with mud. Maintain fire with three jin of fuel for three days and nights. Then add one jin of top fire. After completion and cooling, retrieve the medicine.
Grind the above material into powder using a mortar and pestle made of willow wood. Take two qian per dose, mixed with ginger-rice drink. Higher doses yield better results. For adults, mix one tael of medicine powder with one tael of steamed cake soaked in water, drain the water, and bind with the cake to make pills the size of paulownia seeds. Dry in the sun. Take 50-100 pills per dose on an empty stomach with rice drink.
Yan Xiaozhong stated: In cases of extreme deficiency from vomiting and diarrhea, one must rapidly generate Stomach Qi. It is appropriate to administer Lizhong Wan (Regulate the Middle Pill) and Jinye Dan (Golden Liquid Pill) powder mixed in ginger-rice drink for gavage. Only frequent administration is effective. Wait until Stomach Qi is generated and extremities gradually warm. If spasms still occur, reduce Jinye Dan (Golden Liquid Pill) by one or two parts, increase Qingzhou Baiwan Zi (Qingzhou White Pills) by one or two parts, grind together, and administer as above. Concurrently use Yigong San (Extraordinary Power Powder), Qianghuo Gao (Notopterygium Ointment), Wenbai Wan (Warm White Pill), Diaoteng Yinzi (Uncaria Decoction), etc. Continue to provide gruel frequently. Even in critical cases, life can often be saved from death, with eight or nine out of ten recovering. Shen Kuo discussed Jinye Dan (Golden Liquid Pill), noting that several infants with severe vomiting and purging whose Qi had seemingly ceased survived after taking it. High dosage is required for efficacy.
[Qian Yi] Doukou San (Cardamom Powder) treats vomiting and diarrhea with irritability and thirst, abdominal distension, and scanty urination.
Bo Shang Liuhuang (Sulfur imported from overseas), one qian; Huashi (Talcum), five fen; Dingxiang (Caryophylli Flos); Doukou (Tsaoko Fructus), each half fen.
Grind into fine powder. Take one zi to half a qian per dose, mixed with rice drink, at any time.
[Zhang Huan] Yunwei San (Stomach Equalizing Powder) treats dysfunction of the Three Burners, cold stagnation in the diaphragm, indigestion of milk and food, chest and diaphragm fullness and oppression, severe cases involving wheezing, counterflow, vomiting and purging, and sallow, flaccid complexion.
Zhigancao (Glycyrrhizae Radix et Rhizoma Preparata), one qian; Huoxiang (Agastaches Herba), Baidoukou (Amomi Fructus Rotundus), Renshen (Ginseng Radix), each one tael; Muxiang (Aucklandiae Radix), Ganjiang (Zingiberis Rhizoma) [prepared], Houpo (Magnoliae Officinalis Cortex) [stir-fried with ginger juice], Dingxiang (Caryophylli Flos), each half liang.
Grind into fine powder. Take one qian, add one small cup of water and two slices of ginger, decoct to six-tenths volume, and take warm.
[Wang Yinkun] Treats reverse vomiting accompanied by persistent vomiting and diarrhea.
Dingxiang (Caryophylli Flos), Huoxiang (Agastaches Herba), each one fen; Muxiang (Aucklandiae Radix), one qian; Liuhuang (Sulfur), half liang [separately ground extremely fine]; Huashi (Talcum), two qian [ground like powder].
Grind into powder. Take one qian or half a qian per dose, mixed with rice drink, according to age and size. If diarrhea occurs, use one Fuzi (Aconiti Lateralis Radix Preparata) weighing half a tael, prepared, de-skinned and de-navelled, ground into powder. Mix with fresh ginger juice to form a cake, wrap in white flour dough, and slow-roast until the dough is cooked. Remove the dough, slice the Fuzi (Aconiti Lateralis Radix Preparata), bake dry, and sieve into powder. When vomiting accompanies diarrhea, add a small amount of Fuzi (Aconiti Lateralis Radix Preparata) powder, approximately one-third of the total medicinal weight, adjust according to deficiency or excess, and take with rice drink. This is miraculous. Even projectile vomiting can be stopped. Persistent vomiting and purging often lead to slow convulsions; treat promptly. If slow convulsions have already developed, administer concurrently with Jinye Dan (Golden Liquid Pill).
Zhugao Gao (Stomach-Assisting Ointment) treats vomiting and diarrhea due to Spleen and Stomach deficiency-cold.
Renshen (Ginseng Radix), Baizhu (Atractylodis Macrocephalae Rhizoma), Baifuling (Poria), Zhigancao (Glycyrrhizae Radix et Rhizoma Preparata), Dingxiang (Caryophylli Flos), each five qian; Sharen (Amomi Fructus), forty fruits; Muxiang (Aucklandiae Radix), three qian; Baidoukou (Amomi Fructus Rotundus), fourteen fruits; Gaoyao (Dioscoreae Rhizoma), one tael; Roudoukou (Myristicae Semen), four fruits [roasted].
Grind into powder, bind with honey to make pills the size of Chinese quince seeds. Take ten pills per dose, dissolved in rice drink.