升麻、防风、山栀仁、甘草、麦冬(去心)、荆
芥穗、木通、葛根、薄荷叶、玄参、连翘、牛蒡子。
便秘者加大黄,水煎服。
取灶心对锅底焦土,研末,以新汲水调搽,干则易之。
小儿丹毒,腹胀,气喘,闷乱,不乳,反惊搐者,皆不可
治。
小儿生后,百日之内,半岁以上,忽两眼胞红晕微起,面青黯
色,夜则烦哭,或脸如胭脂,此因伏热在内,发之于外,初则满
面状如水痘,脚微红而不壮,出没休息无定,次至颈项,赤如丹
砂,名为惊丹[45]。以三解散治之。
人参、防风、天麻、郁金、茯神、白附子、大黄、
黄芩、僵蚕、全蝎、枳壳、薄荷叶、粉草、赤芍,灯心
引。
小儿惊风后,风从气行,血从气使,毒气蓄于皮肤,流为肿
毒,多在腮颊、耳根间,成痈成疖,谓之毒风。宜内服当归百解
散,外用拂毒散敷之。
当归、赤芍、大黄、川芎、升麻、薄荷叶、干葛、
麻黄、黄芩、甘草、枳壳、皂角刺,葱萎引。
半夏一钱,贝母、大黄、朴硝、五倍子各二钱半。
共为末,淡醋调敷患处,干则易之。
小儿或因跌仆,刀斧破伤皮肤,风邪侵袭伤处,发此谓之破
伤风。宜内服疏风活血散,外以紫金丹涂之。
疏风活血散
当归、生地、川芎、赤芍、荆芥、防风、甘草、红
花、苏木。水煎服,入酒少许。
西 江 月
小儿赤游丹毒,虽有十种原根,皆由心火热多深,上下游移
不定,其色泽如丹石,故称丹毒之名,治法方册甚分明,全在医家
体认。
小儿流丹最毒,十种发出不同,自上而下莫至胸,上下至肾
可恸,半周之内休见,满周病此宜攻,蜞针的的有神功,内解外敷
兼用。
内解归梢赤芍,羌活荆芥防风,升麻甘草地黄通,竹叶玄参
煎用。外用益元敷贴,更加寒水相同,三朝五日急相攻,惊搐灵丹
如梦。
治丹用功次第,从头一一铺陈,解表下毒药先行,次用蜞针
吮进。若是蜞针不便,须臾急用砭针,然后涂药救孩身,此法前人
已定。
捷法先须解毒,或将利药疏通,初起涂敷莫胡攻,毒入于里
遏壅。解毒无价散子,防风升麻汤同,利药灵应有神功,只在医人
善用。
经验治丹妙法,而今说与后人,先将灵应涤病身,下后才施
涂润。田螺捣饼敷贴,或用水调灶心,又将南星大黄停,芒硝研匀
水浸。
烘热衣与儿,火丹遂成之。芒硝寒水石,青黛石膏奇。赤痣
因何起,胎中受热多。原来无大害,不必请医和。
升麻、防风、山栀仁(栀子仁)、甘草、麦冬(去除心部)、荆芥穗、木通、葛根、薄荷叶、玄参、连翘、牛蒡子。若患者便秘,则加入大黄,用水煎煮后服用。
取数条水蛭(水蜞),放置于红肿部位,令其吸食排出毒血,即可立即痊愈。
取磁瓦片,打磨成尖锋状,用筷子夹住固定,连续刺入患处以放出恶血。
取灶心土(锅底焦土)研成粉末,用新汲取的冷水调匀后涂抹患处,干燥后即更换。
小儿患丹毒,若出现腹胀、气喘、烦闷扰乱、拒食、反见惊厥抽搐等症状,均属于不可治愈的危重证候。
小儿出生后百日之内或半岁以上,突然两眼眼睑红晕微起,面色青暗,夜间烦躁啼哭,或者面部红如胭脂,这是由于体内伏热外发所致。初期表现为满面症状如同水痘,脚部微红但不壮实,病情出没无常无定势,随后蔓延至颈项部,红如丹砂,称为惊丹[45]。使用三解散治疗。
人参、防风、天麻、郁金、茯神、白附子、大黄、黄芩、僵蚕、全蝎、枳壳、薄荷叶、粉草(甘草)、赤芍,以灯心草为引。
小儿患惊风之后,风气随气机运行,血液随气机驱使,毒气蓄积于皮肤,流注成为肿毒,多发生在腮颊、耳根之间,形成痈或疖,称为毒风。适宜内服当归百解散,外用拂毒散敷贴。
当归、赤芍、大黄、川芎、升麻、薄荷叶、干葛(葛根)、麻黄、黄芩、甘草、枳壳、皂角刺,以葱白和萎蕤(玉竹)为引。
半夏一钱,贝母、大黄、朴硝(芒硝)、五倍子各二钱半。共同研成粉末,用淡醋调匀敷于患处,干燥后即更换。
小儿或因跌倒碰撞,或被刀斧破伤皮肤,风邪侵袭伤口,引发此病称为破伤风。适宜内服疏风活血散,外用紫金丹涂敷。
疏风活血散
当归、生地(生地黄)、川芎、赤芍、荆芥、防风、甘草、红花、苏木。用水煎煮服用,加入少许酒。
西江月词:
小儿赤游丹毒,虽然起因有十种不同根源,皆由心火亢盛深重,上下游走不定,其色泽如丹石,故称丹毒之名,治疗方法在方册中非常明确,全在于医家的体察认知。
小儿流丹最为毒烈,十种表现形式不同,自上而下发展不越过胸部,若上下蔓延至肾脏则可悲痛欲绝,发病在半周内不要急于求成,满一周患病则宜攻逐,水蛭针刺确实有神效,内服解毒与外敷同时使用。
内服方:归梢(当归尾)、赤芍、羌活、荆芥、防风、升麻、甘草、地黄、木通,加竹叶、玄参煎服。外用益元散敷贴,更加寒水石相同分量,三朝五日急攻,惊搐灵丹效果如梦般神奇。
治疗丹毒的用功次序,从头一一陈述,先解表并下毒药先行,其次用水蛭针吮吸进毒。若是水蛭针不便使用,须臾间急用砭石针刺,然后涂药救治患儿身体,此法前人已经确定。
捷法首先必须解毒,或者用泻利药物疏通,初起时涂敷不要胡乱攻伐,防止毒气入里遏阻壅滞。解毒无价散子,配合防风升麻汤同用,泻利药物灵验应有神效,只在于医生善于运用。
经验治疗丹毒的妙法,如今说给后人听,先将灵应之药涤荡病身,泻下后才施涂润肤。田螺捣碎成饼敷贴,或者用水调匀灶心土,又将南星和大黄停置,芒硝研匀用水浸泡。
用烘热的衣物给予婴儿,火丹遂即形成(此处原文逻辑似有误,结合上下文及“烘热衣与儿”通常指误治或特定疗法,但后文“火丹遂成之”暗示这是导致火丹的原因或一种极端情况,鉴于原文如此,直译)。芒硝、寒水石、青黛、石膏奇效。赤痣因何而起,胎中受热过多。原来并无大害,不必请医生诊治。
Shengma (Rhizoma Cimicifugae), Fangfeng (Radix Saposhnikoviae), Shanzhiren (Semen Gardeniae), Gancao (Radix Glycyrrhizae), Maidong (Radix Ophiopogonis, removed heart), Jingjiesui (Herba Schizonepetae), Mutong (Caulis Akebiae), Gegen (Radix Puerariae), Boheye (Folium Menthae), Xuanshen (Radix Scrophulariae), Lianqiao (Fructus Forsythiae), Niubangzi (Fructus Arctii). For constipation, add Dahuang (Radix et Rhizoma Rhei); decoct in water and take orally.
Place several leeches (Shuichi) on the swollen and red area to suck out toxic blood; recovery will be immediate.
Take a piece of magnetic tile, grind it into a sharp point, hold it firmly with chopsticks, and prick the affected area continuously to release foul blood.
Grind Zaoxintu (Caulis Cinnamomi? No, specifically "Zaoxin Tu" - Fodder Earth / Soil from the bottom of the cooking stove) into powder, mix with fresh cold water, apply to the affected area, and change when dry.
If an infant suffering from Dan Du (Erysipelas-like condition) presents with abdominal distension, panting, restlessness, refusal to nurse, or convulsions, these are considered incurable critical conditions.
Within one hundred days after birth or between six months and a year, if an infant suddenly develops slight redness and swelling around both eyelids, dark cyanotic facial color, irritability and crying at night, or a face red as rouge, this is due to latent heat within being manifested externally. Initially, the whole face resembles chickenpox, with slightly red but not robust feet; the condition fluctuates unpredictably. Subsequently, it spreads to the neck, becoming red like cinnabar, known as Jing Dan (Startle Dan). Treat with Sanjie San (Three-Resolving Powder).
Renshen (Radix Ginseng), Fangfeng (Radix Saposhnikoviae), Tianma (Rhizoma Gastrodiae), Yujin (Radix Curcumae), Fushen (Poria with Hostwood), Baifuzi (Rhizoma Typhonii), Dahuang (Radix et Rhizoma Rhei), Huangqin (Radix Scutellariae), Jiangcan (Bombyx Batryticatus), Quanxie (Scorpio), Zhike (Fructus Aurantii), Boheye (Folium Menthae), Fencas (Radix Glycyrrhizae), Chishao (Radix Paeoniae Rubra), using Dengxin (Medulla Junci) as a guide.
After an infant suffers from Jing Feng (Convulsive Disorder), wind follows the Qi mechanism, and blood is driven by Qi. Toxic qi accumulates in the skin, flowing into swelling and toxicity, mostly occurring between the cheeks and ear roots, forming carbuncles or boils, called Du Feng (Toxic Wind). It is suitable to internally administer Danggui Baijie San (Angelica Hundred-Resolving Powder) and externally apply Futu San (Poison-Removing Powder).
Danggui (Radix Angelicae Sinensis), Chishao (Radix Paeoniae Rubra), Dahuang (Radix et Rhizoma Rhei), Chuanxiong (Rhizoma Chuanxiong), Shengma (Rhizoma Cimicifugae), Boheye (Folium Menthae), Gange (Radix Puerariae), Mahuang (Herba Ephedrae), Huangqin (Radix Scutellariae), Gancao (Radix Glycyrrhizae), Zhike (Fructus Aurantii), Zaojiaoci (Gleditsiae Sinensis Spina), using Congbai (Bulbus Allii Cepae) and Weiru (Radix Polygonati Odorati) as guides.
Banxia (Rhizoma Pinelliae) 1 qian, Beimu (Bulbus Fritillariae Cirrhosae), Dahuang (Radix et Rhizoma Rhei), Piaoxiao (Natrii Sulfas), Wubeizi (Galla Chinensis) each 2.5 qian. Grind all into powder, mix with light vinegar, apply to the affected area, and change when dry.
If an infant suffers from falls or cuts/axe wounds breaking the skin, and wind pathogen invades the wound, causing this condition, it is called Poshang Feng (Traumatic Tetanus). It is suitable to internally administer Shufeng Huoxue San (Wind-Dispersing Blood-Invigorating Powder) and externally apply Zijin Dan (Purple Gold Pill).
Shufeng Huoxue San (Wind-Dispersing Blood-Invigorating Powder):
Danggui (Radix Angelicae Sinensis), Shengdi (Radix Rehmanniae Preparata? No, Shengdi is Raw Rehmannia), Chuanxiong (Rhizoma Chuanxiong), Chishao (Radix Paeoniae Rubra), Jingjie (Herba Schizonepetae), Fangfeng (Radix Saposhnikoviae), Gancao (Radix Glycyrrhizae), Honghua (Flos Carthami), Sumu (Lignum Sappan). Decoct in water and take orally, adding a small amount of wine.
Xi Jiang Yue (Ci Poem):
Infant erysipelas-like toxic sores, though originating from ten different roots, are all caused by excessive deep heart fire, wandering up and down without fixity. Their color is like cinnabar stone, hence the name Dan Du. Treatment methods are clearly recorded in manuals, relying entirely on the physician's discernment.
Infant flowing Dan is most toxic; the ten types manifest differently. If it spreads from top to bottom but does not reach the chest, or reaches the kidneys from top and bottom, it is tragic. Do not intervene hastily within half a week; if it persists for a full week, attack it. Leech acupuncture truly has divine efficacy; internal detoxification combined with external application should be used together.
Internal solution: Danggui Shao (Tail of Angelica), Chishao (Radix Paeoniae Rubra), Qianghuo (Rhizoma Notopterygii), Jingjie (Herba Schizonepetae), Fangfeng (Radix Saposhnikoviae), Shengma (Rhizoma Cimicifugae), Gancao (Radix Glycyrrhizae), Dihuang (Radix Rehmanniae), Mutong (Caulis Akebiae), decoct with Zhuye (Folium Bambusae) and Xuanshen (Radix Scrophulariae). External application: Yiyuan San (Benefit Element Powder) applied, plus equal parts Hanshui Shi (Aqua Calcitae). Attack urgently within three to five days; Convulsion-Soothing Pill works like a dream.
The sequence of effort in treating Dan: Start by resolving the exterior and administering purgative drugs first, then use leech acupuncture to suck out toxins. If leech acupuncture is inconvenient, immediately use Bianzhen (Bian Stone/Bloodletting needle), then apply medicine to save the child. This method was established by predecessors.
The quick method first requires detoxification, or using purgatives to unblock. In the initial stage, apply topical treatments rather than attacking blindly, preventing toxin from entering the interior and causing obstruction. The priceless detoxifying powder, combined with Fangfeng Shengma Tang, and effective purgatives, can achieve miraculous results, depending on the physician's skillful application.
Experienced wonderful methods for treating Dan, now told to future generations: First cleanse the body with effective agents, then apply moisturizing/topical treatments after purgation. Crush river snails into a paste for application, or mix Zaoxin Tu with water. Also use Nanxing (Rhizoma Arisaematis) and Dahuang, mix Mangxiao (Natrii Sulfas) evenly and soak in water.
Apply heated clothing to the infant, leading to Huo Dan (Fire Dan). Mangxiao (Natrii Sulfas), Hanshui Shi (Aqua Calcitae), Qingdai (Indigo Naturalis), and Shigao (Gypsum Fibrosum) are miraculous. Why do red moles arise? Due to excessive heat received in the womb. Originally, there is no major harm; there is no need to invite a doctor.