朱砂(一分,研) 腻粉 麝香(各半钱) 芦荟 白附子 甘草(各二钱) 胡黄连(一钱) 蝎梢(七
个) 僵蚕(十条) 金箔(七片) 赤脚蜈蚣(一条,炙)
上为末。二岁以上,服半服匕,以金银薄荷汤调下;三岁以上,服一钱。如口不开,灌入鼻中。
黑附子(生去皮脐) 生天南星 半夏(各二钱) 白附子(一钱半)
上研细,井花水浸七日,每日换水,浸讫控干,入朱砂二钱、麝香一钱拌匀。每服一字
,薄荷汤调下,量儿加减。一方,用附子生去皮脐,为末,每服二钱,以水一盏半,生姜二
片,同煎至半盏,分三二服,量儿加减。吐者,入丁香五粒同煎,乳空时服;或用水浸炊饼
为丸,如粟米大,每服二十粒亦可。余方见癫痫门。
治小儿头骨应合而不合,头骨开解,名曰解颅。
细辛 桂心(各半两) 干姜(七钱半)
上为末。以乳汁和,敷颅上,干复敷之,儿面赤即愈。
蛇蜕(炒焦为末)
上用猪颊车中髓,调敷顶上,日三四度。曾有人作头巾裹头遮护之,久而自合,亦良法也。
《千金》论小儿有魃病者,是娠妇被恶神导其腹中,令儿病也。魃亦小鬼也,其证微微
下利,寒热去来,毫毛鬓发 不悦者是也,宜服龙胆汤。凡妇人先有小儿未能
行,而母更有娠,使儿饮此乳,亦作魃也,令儿黄瘦骨立,发热发落。
朱砂(一分,研磨),腻粉、麝香(各半钱),芦荟、白附子、甘草(各二钱),胡黄连(一钱),蝎梢(七个),僵蚕(十条),金箔(七片),赤脚蜈蚣(一条,炙烤)。
以上药物研为细末。两岁以上的儿童,服用半服匕的量,用金银薄荷汤调服;三岁以上的儿童,服用一钱。如果患儿口不开,可将药液灌入鼻中。
黑附子(生用,去皮及脐部)、生天南星、半夏(各二钱),白附子(一钱半)。
以上药物研细,用井花水浸泡七日,每日更换一次水,浸泡完毕后控干水分,加入朱砂二钱、麝香一钱拌匀。每次服用“一字”的量,用薄荷汤调服,根据患儿情况酌情增减剂量。另一处方:使用生黑附子(去皮及脐),研为细末,每次服用二钱,用水一盏半、生姜两片,共同煎煮至半盏,分两到三次服用,根据患儿情况酌情增减。若患儿呕吐,加入丁香五粒同煎,在乳汁排空时服用;或者用水浸泡过的炊饼制成丸剂,如粟米大小,每次服用二十粒也可以。其他方剂见癫痫门。
治疗小儿头骨应当闭合而未闭合,头骨开裂分离,名为解颅(囟门迟闭)。
细辛、桂心(各半两)、干姜(七钱半)。
以上药物研为细末。用乳汁调和,敷于头颅患处,干了就再敷,直到患儿面色红润即为痊愈。
蛇蜕(炒焦后研为细末)。
以上述猪颊车骨中的骨髓调和,涂抹于头顶,每日三到四次。曾经有人用头巾包裹头部进行遮盖保护,久而久之自然愈合,这也是很好的方法。
《千金方》论述小儿患有魃病的情况,是因为孕妇被恶神引导侵入腹中,导致胎儿患病。魃也是小鬼的一种,其症状表现为轻微腹泻,寒热往来,毫毛鬓发枯槁不润泽,适宜服用龙胆汤。凡是妇女先前已有未能行走的小儿,而母亲再次怀孕,让前一个儿子喝这个新生儿的乳汁,也会造成魃病,导致小儿面色萎黄消瘦、骨骼突出,发热脱发。
Cinnabar (1 fen, ground), Nifen (Calomel), Moschus (each 0.5 qian), Aloe, Baifuzi (Aconiti Kusnezoffii Rhizoma), Glycyrrhiza (each 2 qian), Picrorhizae Rhizoma (1 qian), Scorpio (7 pieces), Bombyx Batryticatus (10 pieces), Folium Aurum (7 leaves), Euphorbiae Polyphyliae Rhizoma (one piece, roasted).
Grind the above ingredients into fine powder. For children over two years old, administer half a "fu bi" (a small measuring spoon) dose, mixed with Yinjin Bohe Tang (Silver and Gold Mint Decoction); for children over three years old, administer 1 qian. If the child's mouth is closed, instill the medicine into the nose.
Heifuzi (Raw Aconitum carmichaelii, peeled and navel removed), Sheng Tiannanxing (Raw Arisaematis Rhizoma), Banxia (Pinelliae Rhizoma) (each 2 qian), Baifuzi (Aconiti Kusnezoffii Rhizoma) (1.5 qian).
Grind the above ingredients finely, soak in Jinghua Shui (well water drawn from the first bucketful) for seven days, changing the water daily. After soaking, drain well, add 2 qian of Cinnabar and 1 qian of Moschus, and mix evenly. Administer one "zi" (a very small measure) per dose, mixed with Bohe Tang (Mint Decoction), adjusting the dosage according to the child's condition. Another prescription: Use raw Heifuzi (peeled and navel removed), grind into powder, administer 2 qian per dose. Add 1.5 zhan of water and 2 slices of Shengjiang (Zingiberis Rhizoma), decoct together until half a zhan remains, divide into two or three doses, adjusting according to the child's condition. If vomiting occurs, add 5 Dingxiang (Caryophylli Flos) and decoct together; administer when the breast is empty. Alternatively, soak Chuibing (steamed wheat cake) in water, form pills the size of millet grains, and administer 20 pills per dose. See the Epilepsy section for other prescriptions.
To treat Jielu (delayed closure of fontanelles), where the infant's skull bones fail to fuse as they should and remain separated.
Xixin (Asari Radix et Rhizoma), Guixin (Cinnamomi Cortex) (each 0.5 liang), Ganjiang (Zingiberis Rhizoma) (7.5 qian).
Grind the above ingredients into fine powder. Mix with Ru Zhi (breast milk) and apply to the skull. Reapply when dry. The condition resolves when the child's face becomes ruddy.
Shetui (Ophiopogonis Dermis, fried until charred and ground).
Mix the above with Zhu Jiache Zhong Sui (marrow from the pig's jawbone) and apply to the top of the head, three to four times daily. It has been reported that wrapping the head with a headscarf for protection allows it to heal naturally over time, which is also an effective method.
The *Qianjin Fang* discusses Hanbing (disease caused by a demon) in infants, stating that this occurs when an evil spirit enters the mother's womb during pregnancy, causing illness in the fetus. Han is also considered a type of minor demon. Its symptoms include slight diarrhea, alternating chills and fever, and brittle, lusterless hair and eyebrows. Longdan Tang (Gentian Decoction) is appropriate. If a woman who already has a toddler (unable to walk independently) becomes pregnant again, and the older child nurses from the newborn, the older child may also develop Hanbing. This results in jaundice, emaciation, prominent bones, fever, and hair loss.