麻后通禁鸡鱼炙 盐醋之类,须过七七之后方可食之,惟宜食淡,不可纵口,以贻后患也。
曾见痘麻收后动止出入饮食如常,忽然心胸绞痛而死者。究是元气怯弱,疫疠之毒乘
之,正不能胜,邪伏于中,外若无病,内已亏损,故一中即死,谓之中恶。良由病后失调,自召其祸。
凡小儿初生未盈月者,遍身红点,俗呼奶麻痧是也。此胎中受热,故生下即发现于皮
肤,不可作时行麻毒论治,妄用汤剂。盖脏腑娇嫩不能胜药石也,但宜溯源解毒汤与奶母服之。
溯源解毒汤 治乳子出胎后,遍身奶麻痧。
正川芎 大当归 杭白芍 怀生地 上拣参 北沙参 陈广皮 生甘草 净连翘 金银花 正川连 淮木通
水煎乳母服之,不可令儿服。
夏氏禹铸曰∶痘出于脏,麻出于腑,麻乃大肠主之,毒瓦斯蒸肺,故发咳嗽,先辈书未尝
齿及。麻证盖以其轻,而忽之也,却不知表证虽轻,毒侵肺腑,亦多与鬼为邻。予经历甚众,
费手居多,因不惜笔力详着于篇,以杜婴儿麻证之患流行。麻证其候烧热,必发咳嗽,声必
稍哑,面皮微有肿样,两腮颜色微红,此吉兆
也。如出发不快,及不透发,或红点见面,偶挟风邪而隐,或医人不知,误用寒凉,隐而不见,
复内作痛。治之神,莫神于天保采薇汤,圣,莫圣于天保采薇汤,只须一服即得发出,或有不
尽发透者,再加一服,从未有不效者,真神剂也。如肺脏先虚,又加大肠毒瓦斯攻肺,面皮像
浇薄的式样,惨白浮浮,光光溜溜,便是肺气已绝,必死之兆,药之无济。
天保采薇汤
羌活 前胡 柴胡 赤芍 川芎 苍术 升麻 葛根 独活 浓朴 枳壳 桔梗
陈皮 半夏 白茯苓 广藿香 生甘草
烦热加黄芩。
麻疹痊愈后,必须严格禁止食用鸡肉、鱼肉、烤肉以及盐、醋等刺激性食物,必须等到出生后七七四十九天之后才可以食用。饮食应当以清淡为主,不可放纵口腹之欲,以免留下后患。
我曾见过痘疹或麻疹结痂收口后,患儿行动、起居、饮食都与常人无异,却突然因心胸剧烈绞痛而死亡的案例。究其根本,是因为患儿元气虚弱,疫疠的毒邪趁机侵袭,正气无法抵御,邪气潜伏在体内。外表看起来没有生病,但内部已经亏损,所以一旦受到邪气侵扰就会立即死亡,这被称为“中恶”。这完全是因为病后调养不当,自己招致了灾祸。
凡是小儿出生未满月的,如果全身出现红点,俗称“奶麻痧”。这是因为胎儿在母体内受热,所以出生后就在皮肤上表现出来。不能当作时行麻毒(流行性麻疹病毒)来论治,也不能胡乱使用汤药。因为婴儿脏腑娇嫩,承受不了药物的攻伐。只宜让乳母服用溯源解毒汤。
溯源解毒汤:治疗乳儿出生后,全身出现奶麻痧。
配方:正川芎、大当归、杭白芍、怀生地、上拣参、北沙参、陈广皮、生甘草、净连翘、金银花、正川连、淮木通。
用法:水煎后由乳母服用,不可让婴儿直接服用。
夏氏禹铸说:痘疮出于五脏,麻疹出于六腑,麻疹主要由大肠主管。毒气熏蒸肺部,所以会引发咳嗽,前辈医书中未曾提及这一点。人们往往因为麻疹症状较轻而忽视它,却不知道虽然表证轻微,但毒邪侵犯肺腑,病情也可能危重,甚至危及生命。我经历此类病例很多,处理起来颇为棘手,因此不惜笔墨详细记载于篇中,以防止婴儿麻疹病症的流行。麻疹的症状特点是发热烧灼感,必然伴随咳嗽,声音稍微嘶哑,面部皮肤微有肿胀感,两腮颜色微红,这是吉兆。如果疹子发出缓慢,或者透发不透,或者刚见面部就出现红点,偶尔夹杂风邪而隐没不见;或者医生不知晓病情,误用寒凉药物,导致疹子隐没不见,进而引起内部疼痛。治疗的神妙,没有比得上天保采薇汤的了;治疗的圣明,也没有比得上天保采薇汤的了。只需服用一剂就能使疹子发出,如果有未完全透发的,再加服一剂,从未有不奏效的,真是神效的方剂。如果肺脏先已虚弱,加上大肠毒气攻冲肺部,面部皮肤像浇了薄浆一样惨白浮肿,光亮平滑,这就是肺气已绝,是必死的征兆,用药也无济于事。
天保采薇汤
配方:羌活、前胡、柴胡、赤芍、川芎、苍术、升麻、葛根、独活、浓朴、枳壳、桔梗、陈皮、半夏、白茯苓、广藿香、生甘草。
加减法:烦热者加黄芩。
After the recovery from measles (Measles), one must strictly prohibit the consumption of chicken, fish, roasted meat, as well as salt and vinegar. These foods can only be eaten after forty-nine days (seven sevens) have passed. The diet should remain bland, and one must not indulge in eating to avoid future complications.
I have witnessed cases where, after the scabs of smallpox or measles had fallen off, the child’s movements, daily activities, and diet were normal, yet they suddenly died from severe cramping pain in the chest and heart. Upon investigation, this was due to weak primordial qi (Primordial Qi), allowing epidemic pestilence toxins (Epidemic Toxins) to take advantage of the weakness. The righteous qi could not overcome the pathogenic factors, so the evil pathogens lay dormant within. Externally, there appeared to be no illness, but internally, there was already depletion. Thus, upon a single encounter with the pathogen, death occurred immediately; this is called "Zhong E" (Sudden Collapse due to Evil). This misfortune was entirely self-inflicted due to improper care after the illness.
For infants under one month old who present with red spots all over the body, commonly known as "Milk Measles Sha" (Milk Measles), this condition arises from heat accumulated in the womb during fetal development, manifesting on the skin shortly after birth. It should not be treated as seasonal measles toxin (Seasonal Measles Pathogen), nor should decoctions be used recklessly. This is because the infant's zang-fu organs are delicate and cannot withstand the harsh effects of medicinal herbs. Instead, the mother should consume Suyuan Jiedu Tang (Traceability and Detoxification Decoction).
Suyuan Jiedu Tang (Traceability and Detoxification Decoction): Treats Milk Measles Sha appearing all over the body in infants after birth.
Ingredients: Zheng Chuanxiong (Ligusticum chuanxiong), Da Danggui (Angelica sinensis), Hang Baishao (Paeonia lactiflora), Huai Shengdi (Rehmannia glutinosa), Shang Jian Shen (Ginseng), Bei Shashen (Adenophora stricta), Chen Guangpi (Citrus reticulata peel), Sheng Gancao (Glycyrrhiza uralensis), Jing Lianqiao (Forsythia suspensa), Jinyinhua (Lonicera japonica), Zheng Chuanlian (Coptis chinensis), Huai Mutong (Akebia quinata stem).
Preparation: Decoct in water for the nursing mother to drink; do not let the infant take it directly.
Xia Yuzhu stated: Smallpox originates from the Zang organs, while measles originates from the Fu organs. Measles is primarily governed by the Large Intestine. Toxic vapors steaming the Lung causes coughing, a point rarely mentioned in ancient texts. People often overlook measles because its symptoms appear mild, failing to realize that although the exterior syndrome is light, if the toxin invades the Lung and Heart, it can lead to critical conditions bordering on death. Having encountered many such cases which required careful handling, I have spared no effort in detailing them here to prevent the spread of infant measles. The characteristics of measles include feverish heat, inevitable coughing, slightly hoarse voice, slight swelling of the facial skin, and slightly reddish cheeks; these are auspicious signs. If the rash emerges slowly or fails to fully erupt, or if red spots appear on the face but hide due to wind-pathogen interference, or if physicians mistakenly use cold-natured herbs causing the rash to vanish and internal pain to arise, treatment becomes difficult. Nothing is more miraculous than Tianbao Caiwei Tang (Heavenly Protection and Mulberry Leaf Decoction); nothing is more sacred. A single dose usually induces eruption. For incomplete eruptions, a second dose may be given. It has never failed to work; truly a divine prescription. However, if the Lung organ is initially deficient, and Large Intestine toxic vapors attack the Lung, resulting in a face that looks pale, floating, smooth, and devoid of luster like thin slurry, this indicates the extinction of Lung Qi and is a sign of certain death, against which medication is useless.
Tianbao Caiwei Tang (Heavenly Protection and Mulberry Leaf Decoction)
Ingredients: Qianghuo (Notopterygium incisum), Qianhu (Peucedanum praeruptorum), Chaihu (Bupleurum chinense), Chi Shao (Paeonia lactiflora), Chuanxiong (Ligusticum chuanxiong), Cangzhu (Atractylodes lancea), Shengma (Cimicifuga foetida), Gegen (Pueraria lobata), Duhuo (Angelica pubescens), Nongpo (Magnolia officinalis), Zhike (Citrus aurantium), Jiegeng (Platycodon grandiflorus), Chenpi (Citrus reticulata peel), Banxia (Pinellia ternata), Bai Fuling (Poria cocos), Guang Huoxiang (Pogostemon cablin), Sheng Gancao (Glycyrrhiza uralensis).
Modification: Add Huangqin (Scutellaria baicalensis) for irritability and heat.