十月后小儿精神不爽,身体痿痹,伏翼烧灰细研,粥饮下半钱,日五服。若炙香熟,哺亦好。小儿头项软,
五加皮末酒调,敷项骨上。
小儿身热∶白芍药(炒) 香附 滑石(各一两) 甘草(三钱) 黄芩(一钱) 上作四服,每用姜三片,
水盏半煎,乳母服。盗汗潮热,黄连、柴胡等分,蜜丸,如鸡豆大,酒化二丸。小儿一月至五月,乍寒乍热,炮冬
瓜绞汁服。亦止大人渴。小儿肌肤发热,升麻、葛根、芍药、白术、甘草、黄芩、柴
胡、茯苓,煎汤灌之。小儿痰热骨蒸∶陈皮(二钱) 半夏(二钱) 甘草(五钱) 茯苓(三钱) 升麻(二钱
)葛根 白芍药(各一钱半) 人参(一钱) 五味子(三十粒) 上作三帖,姜枣煎服。
因母气虚与热多也。以四物合四君,有热加酒连、生甘草,煎服,外以白蔹末敷,软帛紧束。
外肾肿硬及阴疮,地龙末津调涂。脱囊即肿大,用木通、甘草、黄连、当归、黄芩,煎服。又方,紫苏叶末水
调敷之,荷叶裹之,阴囊肿痛,生甘草汁调地龙粪,轻轻敷之。中蚯蚓毒阴囊肿痛,以蝉蜕半两,水一碗,洗煎,
其痛立止,以五苓散服之。脱肛,东北方壁土泡汤,先熏后洗。木舌及重舌,用针刺去血即愈。戴云∶木舌者,
肿硬不和软也。又言此类盖是热病,用百草霜、滑石、芒硝为末,酒调敷之。吃泥,胃毒热也,用软石膏、黄芩、甘
草、白术煎服。龟胸用苍术、酒炒黄柏、酒炒芍药、陈皮、防风、威灵仙、山楂、当归。又痢后加生地黄。龟背
用龟尿点其背上骨节,其法,以龟放荷叶上,候龟头四顾,急以镜照之,其尿自出。治胎痢,用鸡蛋敲去清留黄,入
黄丹一钱,将黄泥固济,煨火中候干,用米饮调下。治白泻,雄黄一钱,炒熟面八钱,和匀,姜汤调服。治白秃疮,用
通圣散去硝,酒制为末,调服出汗。鳝攻头,先用墙上风露草、苍耳草煎汤,炭火淬入,洗后搽药,以松香为主。治
癞头,用腊月马脂搽之。又方,治癞头,用红白炭调长流水,令热洗之。又服酒制通圣散末,大黄另用酒炒外,以胡
荽子、悬龙尾(即梁上尘)、伏龙肝、黄连、白矾,为末调敷。又方,用∶松树浓皮(烧灰二两) 白胶香(二两熬沸
□□上) 黄丹(一两水飞) 枯矾(一两) 软石膏(一两研细) 黄连 大黄(五钱) 轻粉(四 )
上末之,熬熟油调,敷疮上,须先洗去痂,乃可敷之。小儿头疮,用苦竹叶烧灰,和鸡子白调敷。又方,用∶木香
(三钱) 黄连(一两) 槟榔 雄黄(各半两) 上为末,湿则干糁,干则以油调敷之。小儿初生多啼哭,脐中忽出
血,白石脂细末贴之,未愈,炒过再贴,不得揭剥冷贴。治小儿脐久不干,当归焙末糁脐,或脓出清水,或尿入成疮皆
可。又方,用白枯矾为末敷之,或用伏龙肝加黄柏末敷。又方,用白矾、白龙骨 ,等分为末敷。或用少许绵子灰亦可。
十月以后出生的小儿,如果精神不振、身体痿弱麻痹,可将伏翼(蝙蝠)烧成灰并细细研磨,用米粥或饮服用半钱,每日服用五次。如果将伏翼烤香煮熟,在傍晚喂食也很好。对于小儿头项软弱无力,可将五加皮研成粉末,用酒调匀后敷在颈骨上。
小儿身体发热:取炒白芍药、香附、滑石各一两,甘草三钱,黄芩一钱,以上药材分成四剂,每剂用生姜三片,水一盏半煎煮,由乳母服用。若出现盗汗和潮热症状,取黄连和柴胡等分,制成蜜丸,大小如鸡豆,每次用酒化开两丸服用。小儿从一个月到五个月大时,如果出现忽冷忽热的症状,可取炮制过的冬瓜绞汁服用。此法也能缓解大人的口渴。若小儿肌肤发热,可用升麻、葛根、芍药、白术、甘草、黄芩、柴胡、茯苓煎汤灌服。
小儿痰热引起的骨蒸劳热:取陈皮二钱,半夏二钱,甘草五钱,茯苓三钱,升麻二钱,葛根、白芍药各一钱半,人参一钱,五味子三十粒,以上药材制成三帖,加生姜、大枣煎服。这是因为母亲气虚且内热过多所致。以四物汤合四君子汤为基础,有热象的加入酒炒黄连和生甘草,煎服,外用白蔹末敷贴,并用软布紧紧束住患处。
外生殖器肿胀坚硬及阴部疮疡,用地龙(蚯蚓)粉末,用唾液调匀涂抹。脱囊症即阴囊肿大,用木通、甘草、黄连、当归、黄芩煎服。另一方法,用紫苏叶粉末用水调匀敷贴,并用荷叶包裹。阴囊肿痛,用生甘草汁调和地龙粪便,轻轻敷涂。被蚯蚓毒伤导致阴囊肿痛,取半两蝉蜕,加水一碗,煎洗,疼痛立即停止,随后服用五苓散。脱肛,用东北方向的墙壁土泡水成汤,先熏后洗。木舌(舌头肿硬)及重舌(舌下复生小舌),用针刺破放血即可痊愈。戴云说:木舌是指舌头肿胀坚硬,不能恢复柔软。又说这类情况多属于热病,可用百草霜、滑石、芒硝研成粉末,用酒调匀敷涂。吃泥土(异食癖),是胃中有毒热,用软石膏、黄芩、甘草、白术煎服。龟胸(胸部畸形如龟背),用苍术、酒炒黄柏、酒炒芍药、陈皮、防风、威灵仙、山楂、当归治疗。如果是痢疾后出现的,加生地黄。龟背(脊柱弯曲),用龟尿点涂其背部骨节处。具体方法是,将龟放在荷叶上,等待龟头四处张望时,迅速用镜子照射它,尿液便会流出。治疗胎痢(新生儿痢疾),用鸡蛋敲去蛋清保留蛋黄,放入一钱黄丹,用黄泥密封固定,在火中煨烤至干,用米饮送服。治疗白泻(白色稀便),用雄黄一钱,与八钱炒熟的面粉混合均匀,用姜汤调服。治疗白秃疮(头部癣疾),用通圣散去掉硝石,酒制后研成粉末,调服以发汗。鳝鱼毒攻头,先用墙上的风露草、苍耳草煎汤,投入炭火淬炼,清洗后搽药,以松香为主药。治疗癞头(严重头癣),用腊月时的马脂涂抹。另一方法,治疗癞头,用红白炭调和长流水,加热后清洗。同时服用酒制的通圣散粉末,大黄另用酒炒,其余药物如胡荽子、悬龙尾(即梁上尘)、伏龙肝、黄连、白矾,研成粉末调敷。另一方法,使用:松树浓皮(烧灰二两)、白胶香(二两熬沸)、黄丹(一两水飞处理)、枯矾(一两)、软石膏(一两研细)、黄连、大黄(五钱)、轻粉(四钱),以上研成粉末,用熬熟的油调匀,敷于疮上,必须先洗净结痂,然后才能敷药。小儿头疮,用苦竹叶烧成灰,与鸡蛋清调匀敷涂。另一方法,使用:木香三钱,黄连一两,槟榔、雄黄各半两,以上研成粉末,湿的时候干撒,干的时候用油调敷。小儿初生时常啼哭,脐部突然出血,用白石脂细末贴敷,未愈则炒过后再次贴敷,不得揭下冷贴。治疗小儿脐部久不干,用焙干的当归研末撒在脐部,或者脓出清水,或者尿液进入形成疮口都可以使用。另一方法,用白枯矾研末敷涂,或者用伏龙肝加黄柏末敷涂。另一方法,用白矾、白龙骨等分为末敷涂。或者用少许棉籽灰也可以。
For infants born after the tenth month, if they exhibit listlessness and physical flaccidity or numbness (Wei Bi), burn *Vespertilio* (bat) to ash, grind it finely, and administer half a qian with rice gruel or drink, five times daily. If roasted fragrant and cooked, feeding it in the evening is also beneficial. For infants with soft head and neck, powder *Acanthopanacis Senticosi Cortex* (Wujia Pi), mix with wine, and apply to the cervical vertebrae.
Infantile body heat: Take stir-fried *Paeoniae Radix Alba* (Baishao), *Cyperi Rhizoma* (Xiangfu), *Talcum* (Huashi) each 1 liang, *Glycyrrhizae Radix et Rhizoma* (Gancao) 3 qian, *Scutellariae Radix* (Huangqin) 1 qian. Divide into four doses. Each dose decocted with three slices of ginger and one and a half cups of water, administered to the nursing mother. For night sweats and tidal fever, take equal parts of *Coptidis Rhizoma* (Huanglian) and *Bupleuri Radix* (Chaihu), make honey pills the size of chicken beans, dissolve two pills in wine per dose. For infants aged one to five months presenting with alternating chills and fever, administer juice extracted from roasted winter melon (*Benincasae Exocarpium*). This method also relieves thirst in adults. For infantile skin heat, decoct *Bupleuri Radix* (Shengma), *Puerariae Radix* (Gegen), *Paeoniae Radix*, *Atractylodis Macrocephalae Rhizoma* (Baizhu), *Glycyrrhizae Radix et Rhizoma* (Gancao), *Scutellariae Radix* (Huangqin), *Bupleuri Radix* (Chaihu), *Poria* (Fuling) as a soup for administration.
Infantile phlegm-heat causing bone-steaming consumption: Take *Chenpi* (aged tangerine peel) 2 qian, *Pinelliae Tuber* (Banxia) 2 qian, *Glycyrrhizae Radix et Rhizoma* (Gancao) 5 qian, *Poria* (Fuling) 3 qian, *Bupleuri Radix* (Shengma) 2 qian, *Puerariae Radix* (Gegen) and *Paeoniae Radix Alba* (Baishao) each 1.5 qian, *Panax Ginseng* (Renshen) 1 qian, *Schisandrae Fructus* (Wuweizi) 30 berries. Prepare as three packets, decoct with ginger and jujube for administration. This condition arises because the mother has qi deficiency and excessive internal heat. Combine *Siwu Tang* (Four Substances Decoction) with *Sijunzi Tang* (Four Gentlemen Decoction); add wine-fried *Coptidis Rhizoma* (Huanglian) and raw *Glycyrrhizae Radix et Rhizoma* (Gancao) if heat signs are present, decoct and administer. Externally, apply powder of *Ampelopsis Japonica Radix* (Bailian) and bind tightly with soft cloth.
Swelling and hardness of external genitalia and yin sores: Apply powder of *Pheretima* (Dilong/earthworm) mixed with saliva. For scrotal prolapse (Tuonang) characterized by swelling, decoct *Akebiae Caulis* (Mutong), *Glycyrrhizae Radix et Rhizoma* (Gancao), *Coptidis Rhizoma* (Huanglian), *Angelicae Sinensis Radix* (Danggui), and *Scutellariae Radix* (Huangqin) for administration. Another prescription: apply powder of *Perillae Folium* (Zisu Ye) mixed with water, wrap with lotus leaf. For painful swelling of the scrotum, mix raw *Glycyrrhizae Radix et Rhizoma* (Gancao) juice with earthworm feces and apply gently. For pain and swelling of the scrotum caused by earthworm toxicity, take half a liang of *Cicadae Periostracum* (Chantui), decoct with one bowl of water for washing; pain stops immediately, then administer *Wuling San* (Five-Ingredient Powder with Poria). For rectal prolapse (Tuogang), soak soil from walls in the northeast direction in water to make a decoction, fumigate first, then wash. For "wooden tongue" (Mu She - swollen and stiff tongue) and double tongue (Chong She), puncture with a needle to release blood for cure. Dai Yun states: Wooden tongue refers to swelling and stiffness without softness. He further notes such cases are generally heat diseases; apply powder of *Artemisia Argyi Carbonis* (Baicaoshuang), *Talcum* (Huashi), and *Mirabilite* (Mangxiao) mixed with wine. Geophagia (eating mud) indicates toxic heat in the stomach; decoct *Alumen Rubrum* (Ruanshiyao), *Scutellariae Radix* (Huangqin), *Glycyrrhizae Radix et Rhizoma* (Gancao), and *Atractylodis Macrocephalae Rhizoma* (Baizhu) for administration. For tortoise chest (Guixiong - pectus carinatum/deformity), use *Atractylodis Rhizoma* (Cangzhu), wine-fried *Phellodendri Cortex* (Huangbai), wine-fried *Paeoniae Radix* (Shaoyao), *Chenpi*, *Saposhnikoviae Radix* (Fangfeng), *Spirit Pea Vine Stem* (Weilingxian), *Crataegi Fructus* (Shanzha), *Angelicae Sinensis Radix* (Danggui). Add *Rehmanniae Radix Preparata* (Shengdihuang) if occurring after dysentery. For tortoise back (Guibei - kyphosis), apply urine from a turtle to the spinal joints. The method: place a turtle on a lotus leaf, wait until it looks around, quickly shine a mirror at its head, and its urine will flow out. To treat neonatal dysentery (Taili), crack an egg, discard the white, keep the yolk, add one qian of *Minium* (Huandan), seal with yellow mud, roast in fire until dry, and administer with rice drink. To treat white diarrhea (Baixie), mix one qian of *Realgar* (Xionghuang) with eight qian of fried flour, uniform mixture, administer with ginger soup. To treat white alopecia capitis (Baitu Chuang), use *Tongsheng San* (Universal Rescuing Powder) minus *Natrii Sulfas* (Xiaoshi), process with wine, powder, and administer to induce sweating. For eel venom attacking the head, first decoct wind-exposed grass and *Xanthii Fructus* (Canger Cao) from walls, quench in charcoal fire, wash, then apply medicine dominated by *Pini Resina* (Songxiang). To treat ringworm of the scalp (Laitou), apply horse fat from the twelfth lunar month. Another method: treat ringworm by mixing red and white charcoal with running water, heating, and washing. Also administer powdered *Tongsheng San* processed with wine; *Rhei Radix et Rhizoma* (Dahuang) separately wine-fried. Other ingredients: *Coriandri Fructus* (Husui Zi), *Xuanlongwei* (dust from beams), *Longgu Fossilia* (Fulonggan), *Coptidis Rhizoma* (Huanglian), *Alumen* (BaiFan) are powdered and applied. Another method: use thick pine bark (burned to ash 2 liang), *Balsamum Communis* (Baijiaoxiang) boiled (2 liang), *Minium* (Huangdan) water-washed (1 liang), *Alumen Usticum* (Kufan) (1 liang), *Alumen Rubrum* (Ruanshiyao) finely ground (1 liang), *Coptidis Rhizoma* (Huanglian), *Rhei Radix et Rhizoma* (Dahuang) (5 qian), *Calomelas* (Qingfen) (4 qian). Powder all, mix with boiled oil, apply to sores. Must wash off crusts before application. For infantile head sores, burn bitter bamboo leaves to ash, mix with egg white, and apply. Another method: *Aquilariae Lignum Resinatum* (Muxiang) 3 qian, *Coptidis Rhizoma* (Huanglian) 1 liang, *Arecae Semen* (Binglang), *Realgar* (Xionghuang) each half liang. Powder all; sprinkle dry powder if wet, mix with oil if dry. Infants often cry upon birth; if umbilicus suddenly bleeds, apply fine powder of *Halloysitum Rubrum* (Baishizhi). If not healed, reapply after frying; do not peel off cold patches. To treat chronic non-healing umbilicus in infants, apply baked *Angelicae Sinensis Radix* (Danggui) powder to the umbilicus; applicable even if pus or clear fluid discharges, or if urine enters causing sores. Another method: apply powder of *Alumen Usticum* (Baikufan). Or apply *Longgu Fossilia* (Fulonggan) mixed with *Phellodendri Cortex* (Huangbai) powder. Another method: apply equal parts of *Alumen* (Baifan) and *Os Draconis* (Bailonggu) as powder. Alternatively, cotton seed ash may be used sparingly.