子午少阴君火天 阳明燥金应在泉
丑未太阴湿土合 太阳寒水两缠绵
寅申少阳相火王 厥阴风木地中连
卯酉却与子午倒 辰戍巳亥亦皆然
小儿医谓之哑科,诚如古谚曰∶宁治十男子,莫治一妇人;宁治十妇人,莫治一小儿。小儿痘
疹惊疳,最难一时分辨。要在医家博览群书,多识险证,尤须临诊虚心,时加体察。深恐病重药
轻,因循误事;慎勿偏执己见,毒药杀人。夫如是始可称之曰能事。徐洄溪云∶痘疮无人可免。自
种痘之法起,而小儿方有避险之路。此天意好生,有神人出焉,造良法以救人也。夷考治痘治疹之书,不下百数
十家,莫不切近和平,各出心裁,垂方立法。经余曾所见闻者,胪陈其目,俾后之学小儿医者,知有正路可由焉。
周巫妨《颅囟经》钱仲阳《小儿药证直诀》
董汲之《小儿斑疹方论》阎孝忠《小儿直诀附方》
刘方明《幼幼新书》郑瑞友《全婴方论》
宋人《小儿卫生总微方》陈文仲《小儿痘疹方论》
杨仁斋《直指小儿方论》刘守真《保童秘要》
曾省翁演山口议《活幼心书》朱丹溪《治痘心法》
王宾湖《幼科类萃》徐用宣《袖珍小儿方》
钱大用《活幼全书》高梅孤《痘疹管见》
汪石山《痘疹理辨》寇美《全幼心鉴》
缪仲淳《广笔记幼科》聂久吾《活幼心法》
翟良《痘科类编释意》万密斋《痘疹心法》
徐东皋《痘疹卮言》张景岳《痘疹诠》
吴志中《儿科方要》李言闻《痘疹要诀》
李实《痘疹溯源》蔡维藩《小儿痘疹方》
闻人规《痘疹疹论》张清川《痘疹便览》
汤衡《婴孩妙诀》娄居中《恤幼集》
董大英《活幼悟神集》谢天锡《疮疹证治》
黄良佐《麻痘秘法》吴洪《痘疹汇编》
崔岳《痘诊详辨》张涣《小儿医方妙选》
鲁伯嗣《婴童百问》姚和众《童子秘诀》
王日新《小儿方》魏桂岩《博爱心鉴》
窦梦麟《痘疮形证论治》费建中《救偏琐言》
徐杏泉《痘疹玉髓》翁仲仁《痘疹金镜录》
陆道元《金镜录补遗》许宣治《橡村痘诀》
朱济川《痘疹传心录》王损庵《痘疹证治准绳》
薛良武《保婴撮要》黄五芝《痘疹正传》
孙一奎《痘疹心印》秦景明《痘疹折衷》
冯楚瞻《痘疹锦囊全集》徐仲光《痘疹仁端录》
沈惠民《活幼心书》李柽《小儿保生方》
喜泰顺《疹痘秘书》许培元《痘疹笔议》
左忠《痘疹方》许学文《痘科约言》
邵慈庵《痘科秘法》夏卓溪《幼科铁镜》
郭铁崖《天花精言》陈奇生《痘科扼要》
程凤雏《慈幼筏》朱玉堂《痘疹定论》
叶天士《幼科要略》陈飞霞《幼幼集成》
醉玄子《痘疹方》王海 《痘书》
曹畸庵《豆医蠡酌录》强健《痘证宝筏》
上曾见者七十余家,其叶氏《幼科要略》所引未知名字,伍氏袁氏无从求考,他如管柽《保赤
全书》,叶大椿《痘学真传》以及《痘科正宗》之类,乃痘科中之杨墨也,姑无论矣。第思近时,治痧
治疹,率多取法陈静岩《疫痧草》金保三《喉科枕秘》张筱衫《痧喉正义》等书之数家者,其于痘疹
麻痧似是而非,首鼠两端,惑人主见。然竟有认麻痧为臭毒之痧,别喉痧为喉科之证,便用紫金
锭、红灵丹、冰硼散等药,野狐谭禅,真堪捧腹,不容不表而斥之。
时光绪庚寅冬十月赤霆子凌德识
子年和午年,少阴君火司天,阳明燥金在泉。
丑年和未年,太阴湿土与太阳寒水相合,两气缠绵交织。
寅年和申年,少阳相火当令,厥阴风木在地中相连。
卯年和酉年的情况与子年和午年相反,辰年和戌年、巳年和亥年的情况也是如此。
儿科医生被称为“哑科”,正如古谚语所说:“宁愿诊治十个男子,也不愿诊治一个妇人;宁愿诊治十个妇人,也不愿诊治一个小儿。”小儿患痘疹、惊风、疳积等病,最难在短时间内分辨清楚。关键在于医生要博览群书,多了解危重险恶的证候,尤其需要在临诊时保持虚心,时时加以体察。深深担心病情严重而药力轻微,因循守旧耽误事情;千万不要偏执己见,用毒药害人性命。像这样才可以称为能够胜任此职。徐洄溪说:“痘疮是无人能免的。”自从种痘法兴起之后,小儿才有了避开危险的路径。这是上天好生之德,有神灵般的人物出现,创造良法来救人。考察治疗痘疮和麻疹的书籍,不下百数十家,无不切近平和,各出心裁,留下方剂确立治法。经过我亲眼所见或听闻的,列举其目录,使后来学习儿科的医生知道有正道可循。
周巫妨《颅囟经》 钱仲阳《小儿药证直诀》
董汲之《小儿斑疹方论》 阎孝忠《小儿直诀附方》
刘方明《幼幼新书》 郑瑞友《全婴方论》
宋人《小儿卫生总微方》 陈文仲《小儿痘疹方论》
杨仁斋《直指小儿方论》 刘守真《保童秘要》
曾省翁演山口议《活幼心书》 朱丹溪《治痘心法》
王宾湖《幼科类萃》 徐用宣《袖珍小儿方》
钱大用《活幼全书》 高梅孤《痘疹管见》
汪石山《痘疹理辨》 寇美《全幼心鉴》
缪仲淳《广笔记幼科》 聂久吾《活幼心法》
翟良《痘科类编释意》 万密斋《痘疹心法》
徐东皋《痘疹卮言》 张景岳《痘疹诠》
吴志中《儿科方要》 李言闻《痘疹要诀》
李实《痘疹溯源》 蔡维藩《小儿痘疹方》
闻人规《痘疹疹论》 张清川《痘疹便览》
汤衡《婴孩妙诀》 娄居中《恤幼集》
董大英《活幼悟神集》 谢天锡《疮疹证治》
黄良佐《麻痘秘法》 吴洪《痘疹汇编》
崔岳《痘诊详辨》 张涣《小儿医方妙选》
鲁伯嗣《婴童百问》 姚和众《童子秘诀》
王日新《小儿方》 魏桂岩《博爱心鉴》
窦梦麟《痘疮形证论治》 费建中《救偏琐言》
徐杏泉《痘疹玉髓》 翁仲仁《痘疹金镜录》
陆道元《金镜录补遗》 许宣治《橡村痘诀》
朱济川《痘疹传心录》 王损庵《痘疹证治准绳》
薛良武《保婴撮要》 黄五芝《痘疹正传》
孙一奎《痘疹心印》 秦景明《痘疹折衷》
冯楚瞻《痘疹锦囊全集》 徐仲光《痘疹仁端录》
沈惠民《活幼心书》 李柽《小儿保生方》
喜泰顺《疹痘秘书》 许培元《痘疹笔议》
左忠《痘疹方》 许学文《痘科约言》
邵慈庵《痘科秘法》 夏卓溪《幼科铁镜》
郭铁崖《天花精言》 陈奇生《痘科扼要》
程凤雏《慈幼筏》 朱玉堂《痘疹定论》
叶天士《幼科要略》 陈飞霞《幼幼集成》
醉玄子《痘疹方》 王海 《痘书》
曹畸庵《豆医蠡酌录》 强健《痘证宝筏》
以上是我曾经见过的七十多家,其中叶氏《幼科要略》所引用的不知名字,伍氏袁氏无从考证,其他的如管柽《保赤全书》,叶大椿《痘学真传》以及《痘科正宗》之类,乃是痘科中的异端邪说,暂且不论。只是想到近来,治疗痧症和麻疹,大多取法于陈静岩《疫痧草》、金保三《喉科枕秘》、张筱衫《痧喉正义》等书的那几家,他们对于痘疹、麻痧似是而非,首鼠两端,迷惑人的主见。然而竟然有人把麻痧认作臭毒之痧,把喉痧别为喉科的证候,便使用紫金锭、红灵丹、冰硼散等药物,如同野狐谈禅,真令人捧腹大笑,不容不加以揭露和斥责。
时光绪庚寅年冬十月 赤霆子凌德识
In the years of Zi and Wu, Shaoyin Junhuo (Ministerial Fire) governs the Heaven, and Yangming Zaojin (Dryness Metal) resides in the Earth.
In the years of Chou and Wei, Taiyin Shitu (Dampness Earth) combines with Taiyang Hanshui (Cold Water), with the two energies intertwining continuously.
In the years of Yin and Shen, Shaoyang Xianghuo (Ministerial Fire) is dominant, and Jueyin Fengmu (Wind Wood) connects within the Earth.
The situation in the years of Mao and You is inverted compared to that of Zi and Wu; similarly, the situations in the years of Chen and Xu, and Si and Hai are also like this.
Pediatrics is referred to as the "Mute Department," just as the ancient proverb says: "It is better to treat ten men than one woman; it is better to treat ten women than one child." It is most difficult to distinguish at a glance between infantile smallpox, measles, convulsions, and malnutrition syndromes. The key lies in the physician's extensive reading of various books and familiarity with dangerous and critical conditions, especially maintaining humility during clinical practice and constantly observing carefully. One must deeply fear that if the disease is severe but the medication is weak, procrastination will lead to mistakes; one must never be biased by personal views and use toxic drugs to kill people. Only in this way can one be called competent. Xu Huixi said: "Smallpox is unavoidable for anyone." Since the advent of variolation, children have had a path to avoid danger. This is the Heaven's benevolence, with divine figures emerging to create good methods to save people. Examining books on treating smallpox and measles, there are not less than a hundred or so schools, all adhering to mild and peaceful approaches, each with their own insights, leaving prescriptions and establishing treatments. Those I have personally seen or heard of are listed below, so that future pediatricians may know there is a correct path to follow.
Zhou Wufang *Luxin Jing* (Classic of the Skull and Fontanelle) Qian Zhongyang *Xiao'er Yaozheng Zhijue* (Essential Guide to Children's Disease Syndromes)
Dong Jizhi *Xiao'er Banzhen Fanglun* (Discussion on Formulas for Infantile Spots and Rashes) Yan Xiaozhong *Xiao'er Zhijue Fufang* (Supplementary Formulas to the Essential Guide for Children)
Liu Fangming *Youyou Xinshu* (New Book for Infants and Young Children) Zheng Ruiyou *Quanying Fanglun* (Discussion on Formulas for All Infants)
Anonymous Song Dynasty *Xiao'er Weisheng Zongweifang* (General Micro-Formulas for Children's Health) Chen Wenzhong *Xiao'er Douzhen Fanglun* (Discussion on Formulas for Infantile Smallpox and Measles)
Yang Renzhai *Zhizhi Xiao'er Fanglun* (Direct Discussion on Formulas for Children) Liu Shouzhen *Baotong Miyao* (Secret Essentials for Protecting Children)
Zeng Shengweng, edited by Yankou Yi *Huoyou Xinshu* (New Book on Vitalizing Infants) Zhu Danxi *Zhidou Xinfa* (Core Principles for Treating Smallpox)
Wang Binhu *Youke Leicui* (Gathering of Pediatric Classics) Xu Yongxuan *Xiuzhen Xiao'er Fang* (Pocket Formulas for Children)
Qian Dayong *Huoyou Quanshu* (Complete Book on Vitalizing Infants) Gao Meigu *Douzhen Guanjian* (Personal Views on Smallpox and Measles)
Wang Shishan *Douzhen Libian* (Reasoned Analysis of Smallpox and Measles) Kou Mei *Quanyou Xinjian* (Comprehensive Mirror for Infant Care)
Miao Zhongchun *Guangbiji Youke* (Extended Notes on Pediatrics) Nie Jiuwu *Huoyou Xinfa* (Core Principles for Vitalizing Infants)
Zhai Liang *Douke Leibian Shiyi* (Interpretation of Classified Compilation of Smallpox Treatment) Wan Mizhai *Douzhen Xinfa* (Core Principles for Smallpox and Measles)
Xu Donggao *Douzhen Zhiyan* (Unconstrained Words on Smallpox and Measles) Zhang Jingyue *Douzhen Quan* (Explanation of Smallpox and Measles)
Wu Zhizhong *Erke Fangyao* (Essential Formulas for Pediatrics) Li Yanwen *Douzhen Yaojue* (Essential Secrets of Smallpox and Measles)
Li Shi *Douzhen Suyuan* (Tracing the Source of Smallpox and Measles) Cai Weifan *Xiao'er Douzhen Fang* (Formulas for Infantile Smallpox and Measles)
Wenren Gui *Douzhen Zhenglun* (Correct Discussion on Smallpox and Measles) Zhang Qingchuan *Douzhen Bianlan* (Convenient Overview of Smallpox and Measles)
Tang Heng *Yingchang Miaojue* (Wonderful Secrets for Infants) Lou Juzhong *Xuyou Ji* (Collection of Compassion for Infants)
Dong Daying *Huoyou Wushen Ji* (Collection of Enlightened Spirit for Vitalizing Infants) Xie Tianxi *Chuangzhen Zhengzhi* (Diagnosis and Treatment of Sores and Rashes)
Huang Liangzuo *Madou Mifa* (Secret Methods for Chickenpox and Smallpox) Wu Hong *Douzhen Huibian* (Compilation of Smallpox and Measles)
Cui Yue *Douzhen Xiangbian* (Detailed Analysis of Smallpox Diagnosis) Zhang Huan *Xiao'er Yifang Miaoxuan* (Excellent Selection of Pediatric Medical Formulas)
Lu Bosi *Yingtong Baiwen* (Hundred Questions from Infants and Children) Yao Hezhong *Tongzi Mijue* (Secret Secrets for Boys)
Wang Rixin *Xiao'er Fang* (Formulas for Children) Wei Guiyan *Boxin Jian* (Mirror of Compassionate Heart)
Dou Menglin *Douchuang Xingzheng Lunzhi* (Discussion and Treatment of the Appearance and Syndromes of Smallpox) Fei Jianzhong *Jiupian Suoyan* (Fragmentary Words on Correcting Deviations)
Xu Xingquan *Douzhen Yusui* (Jade Marrow of Smallpox and Measles) Weng Zhongren *Douzhen Jinjinglu* (Golden Mirror Record of Smallpox and Measles)
Lu Daoyuan *Jinjinglu Buyi* (Supplement to the Golden Mirror Record) Xu Xuanzhi *Xiangcun Doujue* (Doujue from Xiang Village)
Zhu Jichuan *Douzhen Chuanxinlu* (Record of Passing the Heart of Smallpox and Measles) Wang Sun'an *Douzhen Zhengzhi Zhunshe* (Standardized Diagnosis and Treatment of Smallpox and Measles)
Xue Liangwu *Baoying Cuoyao* (Essentials for Protecting Infants) Huang Wuzhi *Douzhen Zhengzhuan* (Orthodox Transmission of Smallpox and Measles)
Sun Yikui *Douzhen Xinyin* (Heart Seal of Smallpox and Measles) Qin Jingming *Douzhen Zhezhong* (Compromise of Smallpox and Measles)
Feng Chuzhan *Douzhen Jinnang Quanjí* (Complete Collection of the Brocade Bag of Smallpox and Measles) Xu Zhongguang *Douzhen Renduanlu* (Record of Benevolence in Smallpox and Measles)
Shen Huimin *Huoyou Xinshu* (New Book on Vitalizing Infants) Li Cheng *Xiao'er Baosheng Fang* (Formulas for Preserving Life in Children)
Xi Taishun *Zhendou Mishu* (Secret Manuscript on Rashes and Smallpox) Xu Peiyuan *Douzhen Biyi* (Pen Comments on Smallpox and Measles)
Zuo Zhong *Douzhen Fang* (Formulas for Smallpox and Measles) Xu Xuewen *Doukeyueyan* (Brief Words on Smallpox Treatment)
Shao Ci'an *Douke Mifa* (Secret Methods of Smallpox Treatment) Xia Zhuoxi *Youke Tieming* (Iron Mirror of Pediatrics)
Guo Tieya *Tianhua Jingyan* (Refined Words on Variola) Chen Qisheng *Doukeyaoyao* (Essentials of Smallpox Treatment)
Cheng Fengchu *Ciyou Fa* (Raft for Nurturing Infants) Zhu Yutang *Douzhen Dinglun* (Definitive Discussion on Smallpox and Measles)
Ye Tianshi *Youkeyaolüe* (Brief Essentials of Pediatrics) Chen Feixia *Youyou Jicheng* (Accumulated Integrations for Infants and Young Children)
Zui Xuanzi *Douzhen Fang* (Formulas for Smallpox and Measles) Wang Hai *Dou Shu* (Book on Smallpox)
Cao Jian'an *Douyi Lizhuolu* (Selected Records on Bean Medicine) Qiang Jian *Douzheng Baofa* (Precious Raft for Smallpox Syndromes)
Among these, I have seen more than seventy works. The unnamed sources cited in Ye Shi's *Youkeyaolüe* and the Wu and Yuan families cannot be traced. Others such as Guan Cheng's *Baochi Quanshu*, Ye Dachun's *Douxue Zhenshuan*, and *Douke Zhengzong* belong to heterodox schools in the field of smallpox treatment and are therefore disregarded. However, considering recent times, treatments for sha-rash and measles mostly adopt the methods of a few authors from Chen Jingyan's *Yisha Cao*, Jin Baosan's *Houke Zhenmi*, and Zhang Xiaoshan's *Sha Hou Zhengyi*. Their understanding of smallpox, measles, and sha-rash is ambiguous and inconsistent, confusing practitioners' judgment. Some even mistake sha-rash for stinking-toxic sha, and differentiate throat-sha as a throat department syndrome, subsequently using medicines such as Zijin Ding (Purple Gold Pill), Hongling Dan (Red Spirit Pellet), and Bingpeng San (Ice and Borax Powder). This is akin to wild foxes discussing Zen, truly laughable, and demands exposure and condemnation.
Written in the tenth month of winter in the Gengyin year of the Guangxu era by Chitingzi Ling De.