(医书谓之水谷泻)
〔钱〕食不消,脾胃冷,故不能消化,当补脾益黄散主之。〔洁〕乳食不消,初病忽然气出冷,四肢
亦冷,面白无光泽,精神不定,此乃胃气不和,可以大温药治之,使君子丸、益黄散主之。若病泄泻日久不
瘥,乳食不化,是脾胃有风冷,先服益黄散二服,后用宣风散导之,胃宜再补宜参大科飧泄门用之。
《圣惠》浓朴散 治小儿水谷利,羸瘦面黄,不欲饮食。
浓朴(去粗皮,涂生姜汁,炙令香熟) 龙骨 黄连(去须,微炒。各半两) 丁香 当归(锉,
微炒) 木香
白术 肉豆蔻(各一分)
上件药捣,细罗为散。每服以粥饮调下半钱,日三四服。量儿大小加减。
地榆散 治水谷利,日夜不止。
地榆(微炙,锉) 浓朴(去粗皮,涂生姜汁,炙令香熟。各三分) 黄连(一两,去须,微炒) 阿
胶(半两,捣碎,炒令黄色)
上件药捣,细罗为散。不计时候,以粥饮调下半钱。量大小加减。
《医局》胃风汤 治风冷乘虚入客肠胃,水谷不化,泄泻注下,腹胁满,肠鸣 痛。
及肠胃湿毒下如豆汁,或下瘀血,日夜无度,并宜服之。
人参(去芦头) 白茯苓(去皮) 芎 桂皮(去粗皮) 当归(去苗) 白芍药 白术(各等分)
上为粗散。每服二钱,以水一大盏,入粟米百粒,同煎七分,去滓稍热服,空心食前,小儿量减。
小儿大便青瓣飧泄,脉大手足寒,难已,脉小手足温,易已。
(医书中称为水谷泻)
〔钱乙〕食物不消化,是因为脾胃虚寒,所以不能消化,应当用补脾益黄散主治。〔张洁古〕乳食不消化,初病时突然气息发冷,四肢也冷,面色苍白无光泽,精神不安定,这是胃气不和,可以用大温性的药物治疗,使用使君子丸、益黄散主治。如果泄泻病程长久不愈,乳食不化,这是脾胃有风冷邪气,先服用益黄散两服,后用宣风散疏导,胃气适宜再补,宜参考《大科》飧泄门的内容使用。
《圣惠方》浓朴散 治疗小儿水谷利,身体消瘦面色发黄,不想饮食。
浓朴(去除粗皮,涂生姜汁,炙烤至香熟) 龙骨 黄连(去除须根,微炒。各半两) 丁香 当归(切碎,微炒) 木香
白术 肉豆蔻(各一分)
以上药物捣碎,过细筛成为散剂。每次服用以米汤调服半钱,每日三四次。根据患儿大小增减剂量。
地榆散 治疗水谷利,日夜不停止。
地榆(微炙,切碎) 浓朴(去除粗皮,涂生姜汁,炙烤至香熟。各三分) 黄连(一两,去除须根,微炒) 阿胶(半两,捣碎,炒至黄色)
以上药物捣碎,过细筛成为散剂。不限时候,以米汤调服半钱。根据患儿大小增减剂量。
《医局方》胃风汤 治疗风冷乘虚侵入肠胃,水谷不消化,泄泻急下,腹部胁部胀满,肠鸣疼痛。
以及肠胃湿毒下行如豆汁样,或排出瘀血,日夜无节制,都适宜服用此药。
人参(去除芦头) 白茯苓(去除外皮) 川芎 桂皮(去除粗皮) 当归(去除苗叶) 白芍药 白术(各等分)
以上药物制成粗散。每次服用二钱,用水一大盏,加入粟米一百粒,同煎至七分,去渣稍热服用,空腹饭前,小儿酌情减量。
小儿大便青色瓣状飧泄,脉象大且手足寒冷,难以治愈;脉象小且手足温暖,容易治愈。
(Referred to as water-grain diarrhea in medical texts)
[Qian Yi] Food fails to digest due to cold deficiency of the Spleen and Stomach, thus inability to digest; it should be primarily treated with Bupi Yihuang San (Spleen-Supplementing Yellow-Enhancing Powder). [Zhang Congzheng] Undigested milk and food, initially presenting with sudden cold breath and cold limbs, pale lusterless complexion, and unsettled spirit, indicates disharmony of Stomach Qi; it can be treated with strongly warming herbs, using Shijunzi Wan (Quince Seed Pill) or Yihuang San (Yellow-Enhancing Powder) as primary treatments. If diarrhea persists for a long time without recovery, with undigested milk and food, this indicates wind-cold in the Spleen and Stomach; first administer two doses of Yihuang San, then use Xuanfeng San (Wind-Releasing Powder) to guide/drain; the Stomach Qi is suitable for further tonification, referring to the content in the Sunxie Chapter of Da Ke for application.
Shenghui Fang's Nongpu San treats pediatric water-grain dysentery, emaciation with yellowish complexion, and anorexia.
Nongpu (Magnoliae Officinalis Cortex, remove coarse bark, coat with fresh ginger juice, roast until fragrant) Longgu (Fossilia Ossis Mastodi, Dragon Bone) Huanglian (Coptidis Rhizoma, remove roots, slightly stir-fry. Each half liang) Dingxiang (Caryophylli Flos, Clove) Danggui (Angelicae Sinensis Radix, chop, slightly stir-fry) Muxiang (Aucklandiae Radix, Costus Root) Baizhu (Atractylodis Macrocephalae Rhizoma) Roudoukou (Myristicae Semen, Nutmeg, each one fen)
The above medicines are pounded, finely sifted into powder. Each dose is taken by mixing half a qian with rice soup, three to four times daily. Adjust dosage according to the child's size.
Diyu San treats water-grain dysentery that does not cease day or night.
Diyu (Sanguisorbae Radix, slightly roasted, chopped) Nongpu (Magnoliae Officinalis Cortex, remove coarse bark, coat with fresh ginger juice, roast until fragrant. Each three fen) Huanglian (Coptidis Rhizoma, one liang, remove roots, slightly stir-fry) Ejiao (Colla Corii Asini, Donkey-hide Gelatin, half liang, crushed, roasted until yellow)
The above medicines are pounded, finely sifted into powder. Take at any time, mix half a qian with rice soup. Adjust dosage according to size.
Yiju Fang's Weifeng Tang treats wind-cold invading the intestines and stomach due to deficiency, causing undigested water and grain, urgent diarrhea, abdominal and hypochondriac fullness, and borborygmus with pain.
It is also suitable for cases where damp-toxin from intestines and stomach discharges downward like bean curd dregs, or dark blood, without restraint day or night.
Renshen (Ginseng Radix et Rhizoma, remove rhizome head) Baifuling (Poria, remove skin) Xiong (Ligustici Chuanxiong Rhizoma, Chuanxiong) Guipi (Cinnamomi Cortex, Cinnamon Bark, remove coarse bark) Danggui (Angelicae Sinensis Radix, remove sprouts) Baishaoyao (Paeoniae Radix Alba, White Peony Root) Baizhu (Atractylodis Macrocephalae Rhizoma, equal parts)
The above are made into a coarse powder. Each dose is two qian, decocted with one large cup of water and one hundred grains of millet until reduced to seven-tenths, strain and take warm. Take on an empty stomach before meals; reduce dosage for children.
Pediatric stool showing green clumps in sunxie (undigested food diarrhea), with a large pulse and cold hands and feet, is difficult to cure; with a small pulse and warm hands and feet, it is easy to cure.