治婴儿出腹,血脉盛实,寒热温壮,四肢惊掣,吐 者,若已能进哺,中
食实不消,壮热,及变蒸不解,中客人鬼气,并诸痫惊。
龙胆草 柴胡 黄芩 桔梗 钩藤皮 芍药 甘草(炙) 茯苓(各二钱半) 蜣螂(二枚) 大
黄(一两,湿纸裹煨)
上为锉散。以水一升,煮取五合,为一剂,十岁以下小儿皆可服。若儿生一日至七日,
分一合为三服;八日至十五日,分一合半为三服;生十六日至二十日,分二合为三服;二十
日至三十日四十日,尽以五合为三服,皆以得下即止。此剂为出腹婴儿所作;若日月长大者
,以次根据此为例必知。客忤及有鬼气,可加人参、当归各二钱半,一百日儿,加一钱一字;
二百日儿,加二钱半;一岁儿,加半两,余药皆准此。
小儿疳病者,多因阙乳,吃食太早所致;或因久患脏腑胃虚虫动,日渐羸瘦,腹大不能
行,发竖发热,无精神,肥儿丸主之。
黄连 神曲(各一两) 大麦 (半两,炒) 木香(二钱) 槟榔(二个,不见火) 使君子肉 肉豆
蔻(面裹煨,各半两)
上为末,面糊为丸,如萝卜子大。每服三二十丸,量儿岁数加减,熟水吞下。
治如前证。
丁香 木香 肉豆蔻(去壳,各半两,三味用面裹,同入慢灰火,煨令面熟为度) 诃子(半
两,煨去核) 使君子 芦荟(各一两,细研入)
上为末,以枣肉和丸,如麻子大。每服五丸至七丸,温米饮下,乳食前服。
治疗婴儿出生后,血脉充盛实热,出现寒热交替、体温升高、四肢抽搐惊厥、呕吐等症状;如果婴儿已经能够进食辅食,但食物停滞不消化,高热不退,以及变蒸期症状未解,或受到外邪鬼气侵袭,以及各种癫痫惊风。
龙胆草、柴胡、黄芩、桔梗、钩藤皮、芍药、甘草(炙)、茯苓(各二钱半)、蜣螂(两枚)、大黄(一两,用湿纸包裹后煨制)。
将上述药物捣碎成散剂。用水一升,煎煮至五合,作为一剂药量,十岁以下儿童均可服用。若婴儿出生一日至七日,将一合药液分三次服用;八日至十五日,将一合半药液分三次服用;出生十六日至二十日,将二合药液分三次服用;二十日至三十日乃至四十日,将五合药液全部作为三次服用的总量,均以大便通畅为度停止服药。此方是专为刚出生的婴儿所设;若婴儿月龄较大,应依次参照此例调整剂量,必须知晓这一点。若因客忤及有鬼气所致,可加人参、当归各二钱半;一百天的婴儿,加一钱一字;二百天的婴儿,加二钱半;一岁的婴儿,加半两,其余药物均按此标准执行。
小儿疳积病,多因断奶过早、进食辅食太早所致;或因长期脏腑虚弱、胃气不足导致虫动,日渐消瘦,腹部胀大不能行走,头发竖起发热,精神萎靡,主用肥儿丸治疗。
黄连、神曲(各一两)、大麦(半两,炒制)、木香(二钱)、槟榔(两个,不可用火烤)、使君子肉、肉豆蔻(用面皮包裹后煨制,各半两)。
将上述药物研成细末,用面糊制作成丸剂,大小如萝卜子。每次服用三二十丸,根据婴儿岁数增减用量,用熟水送服。
治疗与前证相同的病症。
丁香、木香、肉豆蔻(去壳,各半两,这三味药用面皮包裹,一同放入慢火灰中煨,直到面皮熟透为止)、诃子(半两,煨制后去核)、使君子、芦荟(各一两,细细研磨后加入)。
将上述药物研成细末,用枣泥和丸,大小如麻子。每次服用五丸至七丸,用温热的米汤送下,在吃乳食之前服用。
To treat infants after birth, whose blood vessels are full and excess, presenting with alternating chills and fever, elevated body temperature (Wen Zhuang), convulsions and jerking of the four limbs, and vomiting. If the infant has already begun to accept supplementary food but suffers from food stagnation and indigestion, high fever, unresolved symptoms during the "Bian Zheng" (periodic physiological fever in infants) phase, invasion by external pathogenic factors or "Gui Qi" (malevolent spirits/energy), and various forms of epilepsy and fright.
Long Dan Cao (Gentianae Radix), Chai Hu (Bupleuri Radix), Huang Qin (Scutellariae Radix), Jie Geng (Platycodonis Radix), Gou Teng Pi (Uncariae Ramulus cum Uncis Cortex), Shao Yao (Paeoniae Radix), Gan Cao (Glycyrrhizae Radix et Rhizoma, honey-fried), Fu Ling (Poria), each 2.5 qian; Dang Lang (Silphii Fructus), 2 pieces; Da Huang (Rhei Radix et Rhizoma, 1 liang, wrapped in wet paper and roasted).
Crush the above ingredients into a coarse powder. Decoct with one sheng of water until reduced to five ge, constituting one dose. This is suitable for children under ten years old. For infants aged one to seven days, divide one ge into three doses; for eight to fifteen days, divide 1.5 ge into three doses; for sixteen to twenty days, divide two ge into three doses; for twenty to thirty or forty days, administer the entire five ge divided into three doses. Discontinue administration once bowel movements are achieved. This prescription is formulated specifically for newborn infants; for older infants, dosage adjustments should be made sequentially according to this example, which must be understood. In cases of Ke Wu (fright from unexpected visitors/energies) and Gui Qi invasion, add Ren Shen (Ginseng Radix et Rhizoma) and Dang Gui (Angelicae Sinensis Radix), each 2.5 qian; for a hundred-day-old infant, add 1 qian 1 zi; for a two-hundred-day-old infant, add 2.5 qian; for a one-year-old infant, add half a liang. The dosages of other herbs remain consistent with these standards.
Infantile malnutrition (Gan Bing) is mostly caused by premature weaning or introducing solid food too early; it may also result from long-term deficiency of the Zang-Fu organs and Stomach Qi, leading to intestinal parasites, progressive emaciation, abdominal distension preventing walking, erect hair, fever, and listlessness. Fei Er Wan (Fattening Infant Pill) is the primary treatment.
Huang Lian (Coptidis Rhizoma), Shen Qu (Massa Medicata Fermentata), each 1 liang; Da Mai (Hordei Fructus Germinatus, 0.5 liang, stir-fried); Mu Xiang (Aucklandiae Radix), 2 qian; Bing Lang (Arecae Semen, 2 pieces, not exposed to fire); Shi Jun Zi Rou (Quisqualis Fructus Flesh); Rou Dou Kou (Myristicae Semen, 0.5 liang, wrapped in dough and roasted).
Grind the above ingredients into fine powder. Use dough paste to form pills, sized like radish seeds. Administer 30-20 pills per dose, adjusting according to the child's age, swallowed with warm boiled water.
To treat conditions as described previously.
Ding Xiang (Caryophylli Flos), Mu Xiang (Aucklandiae Radix), Rou Dou Kou (Myristicae Semen, dehusked, 0.5 liang each; these three herbs are wrapped in dough and roasted in slow ash heat until the dough is cooked); He Zi (Chebulae Fructus, 0.5 liang, roasted and pitted); Shi Jun Zi (Quisqualis Fructus); Lu Hui (Aloe), each 1 liang, finely ground and added.
Grind the above ingredients into fine powder. Mix with jujube pulp to form pills, sized like sesame seeds. Administer 5-7 pills per dose, taken with warm rice decoction, before breastfeeding or meals.