陆(八岁)惊热内闭。躁烦不食。两脉洪大。倘邪陷心包。痉厥至矣。
羚羊角(一钱) 郁金(一钱) 嫩元参(一钱五分) 川贝(二钱) 化橘红(一钱) 石菖蒲根(三分) 连
翘(二钱五分) 竹叶心(一钱五分)
高(三岁)壮热不已。恶心未减。拟清络热。
羚羊角(一钱) 郁金(一钱) 元参(一钱五分) 小川连(四分) 丹皮(一钱) 黑山栀(一钱五分) 连
翘(一钱) 卷心竹叶(一钱五分)
又 清络得效。热止神安。所有咳痰频频。再守前议。
羚羊角(一钱) 杏仁(三钱) 苡仁(二钱) 川贝(一钱五分) 橘红(一钱) 块茯苓(二钱) 霜桑叶(一
钱) 鲜枇杷叶(一钱五分)
严(二岁)惊热不解。便青神呆。躁烦不安。邪陷心包。将有螈 之象。
羚羊角(一钱) 郁金(一钱) 元参(一钱五分) 川贝(一钱五分) 天竺黄(一钱) 细叶菖蒲根(三分)
连翘(一钱五分) 橘红(一钱)
冯(四岁)风温内郁。身热咳嗽。脉大。
桑叶(一钱) 杏仁(三钱) 桔梗(一钱) 羚羊角(一钱) 象贝(一钱五分) 连翘(一钱五分) 牛蒡子
(炒研,一钱五分)
夏(五岁)暑热内踞。上吐下泻。稚年脾胃气弱。不振使然。
藿香叶(一钱) 制半夏(一钱五分) 南山楂(一钱五分) 飞滑石(三钱) 木瓜(一钱) 茯苓块(三钱)
浓朴(一钱)
诸(二岁)热犯脾胃。呕乳自利。最多变惊。
鲜藿香叶(一钱) 制半夏(一钱五分) 六一散(二钱) 小川连(三分) 黄芩(一钱) 淡竹叶(一钱) 生
白芍(一钱)
吴(二岁)两关脉数。吐乳洞泄。烦躁。睡喜覆卧。是腹痛按之痛止之象。据述跌仆之后。初泻而呕吐。乳食格拒。
惊则气乱明矣。此属蛔厥之征。稚年脾胃。气馁不振。四肢厥冷。经旨谓蛔厥多从惊恐得之。是邪非邪。拟方候裁。
吴萸炒川连(三分) 制半夏(一钱五分) 炒白粳米(一钱五分) 生白芍(一钱五分) 草郁金(一钱) 炒
黑川椒(三厘) 姜汁(临服,冲入二匙) 茯苓(一钱五分) 加石菖蒲根
又 胃衰厥冷。吐泻不止。
参须条(五分) 煨姜(五分)
陆姓患儿,八岁。惊热之邪内闭。表现为躁动烦乱、不能进食。两手脉象洪大。倘若病邪陷入心包络,痉厥(抽搐昏厥)的症状就会到来。
羚羊角(一钱) 郁金(一钱) 嫩元参(一钱五分) 川贝母(二钱) 化橘红(一钱) 石菖蒲根(三分) 连翘(二钱五分) 竹叶心(一钱五分)
高姓患儿,三岁。壮热不退。恶心症状未减轻。拟定清泄络热之法。
羚羊角(一钱) 郁金(一钱) 玄参(一钱五分) 小川黄连(四分) 牡丹皮(一钱) 黑山栀子(一钱五分) 连翘(一钱) 卷心竹叶(一钱五分)
复诊:清泄络热取得疗效。热退神志安宁。目前仍有频繁咳痰的症状,继续遵循前次处方议定。
羚羊角(一钱) 杏仁(三钱) 薏苡仁(二钱) 川贝母(一钱五分) 橘红(一钱) 块茯苓(二钱) 霜桑叶(一钱) 鲜枇杷叶(一钱五分)
严姓患儿,两岁。惊热不解。大便色青,神情呆滞,躁动烦乱不安。病邪陷入心包络,将有抽搐(此处原文“螈”通“瘛”,指筋脉拘急抽搐)的征象。
羚羊角(一钱) 郁金(一钱) 玄参(一钱五分) 川贝母(一钱五分) 天竺黄(一钱) 细叶菖蒲根(三分) 连翘(一钱五分) 橘红(一钱)
桑叶(一钱) 杏仁(三钱) 桔梗(一钱) 羚羊角(一钱) 象贝母(一钱五分) 连翘(一钱五分) 牛蒡子(炒研,一钱五分)
夏姓患儿,五岁。暑热之邪内踞。上吐下泻。因幼儿脾胃之气虚弱,无力运化所致。
藿香叶(一钱) 制半夏(一钱五分) 南山楂(一钱五分) 飞滑石(三钱) 木瓜(一钱) 茯苓块(三钱) 浓朴(一钱)
诸姓患儿,两岁。热邪侵犯脾胃。呕吐乳汁且自发性腹泻。最容易转变为惊风。
鲜藿香叶(一钱) 制半夏(一钱五分) 六一散(二钱) 小川黄连(三分) 黄芩(一钱) 淡竹叶(一钱) 生白芍(一钱)
吴姓患儿,两岁。左右关脉数疾。呕吐乳汁且呈水样腹泻。烦躁不安。睡觉喜欢覆盖腹部并俯卧。这是腹痛时按压后疼痛缓解的征象。据述在跌仆之后,先出现腹泻继而呕吐,乳食格拒不受。惊恐导致气机紊乱,明摆着的事实。这属于蛔厥(因蛔虫扰动引起的四肢厥冷病症)的征候。幼儿脾胃之气衰弱不振,导致四肢厥冷。医经旨意说蛔厥多从惊恐中得之。此症似邪非邪。拟定方剂等待裁夺。
吴茱萸炒川黄连(三分) 制半夏(一钱五分) 炒白粳米(一钱五分) 生白芍(一钱五分) 草郁金(一钱) 炒黑川椒(三厘) 姜汁(临服时冲入两匙) 茯苓(一钱五分) 加石菖蒲根
Lu (8 years old): Internal closure of heat from fright. Restlessness, irritability, and anorexia. Both pulses are surging and large. If the pathogenic factor invades the Pericardium, convulsions and syncope will ensue.
Calcar Avis Cornu (Lingyangjiao, 1 qian) Curcuma Aromatica Rhizoma (Yujin, 1 qian) Scrophulariae Radix Preparata (Nen Yuan Shen, 1.5 qian) Fritillariae Thunbergii Bulbus (Chuan Bei, 2 qian) Citri Reticulatae Pericarpium Viride (Hua Juhong, 1 qian) Acori Tatarinowii Rhizoma (Shichangpu Gen, 3 fen) Forsythiae Fructus (Lianqiao, 2.5 qian) Lophatheri Herba (Zhuyexin, 1.5 qian)
Gao (3 years old): Persistent high fever. Nausea has not subsided. Plan to clear heat from the collaterals.
Calcar Avis Cornu (Lingyangjiao, 1 qian) Curcuma Aromatica Rhizoma (Yujin, 1 qian) Scrophulariae Radix (Yuanshen, 1.5 qian) Coptidis Rhizoma (Xiao Chuanlian, 4 fen) Paeoniae Moutan Cortex (Danpi, 1 qian) Gardeniae Fructus (Hei Shanzhi, 1.5 qian) Forsythiae Fructus (Lianqiao, 1 qian) Lophatheri Herba with Heart (Juanxin Zhuye, 1.5 qian)
Follow-up: Clearing collateral heat has been effective. Heat has ceased, and spirit is calm. Frequent coughing with phlegm persists. Continue with the previous prescription.
Calcar Avis Cornu (Lingyangjiao, 1 qian) Armeniacae Semen Amarum (Xingren, 3 qian) Coicis Semen (Yiren, 2 qian) Fritillariae Thunbergii Bulbus (Chuan Bei, 1.5 qian) Citri Reticulatae Pericarpium (Juhong, 1 qian) Poria Cum Wood (Kuai Fuling, 2 qian) Mori Folium (Shuang Sangye, 1 qian) Eriobotryae Folium Frescum (Xian Pipaye, 1.5 qian)
Yan (2 years old): Heat from fright remains unresolved. Stool is green, spirit is dull. Restlessness, irritability, and unease. Pathogen invading the Pericardium; signs of spasmodic twitching (chi) are imminent.
Calcar Avis Cornu (Lingyangjiao, 1 qian) Curcuma Aromatica Rhizoma (Yujin, 1 qian) Scrophulariae Radix (Yuanshen, 1.5 qian) Fritillariae Thunbergii Bulbus (Chuan Bei, 1.5 qian) Tianshu Huang (Tianzhuhuang, 1 qian) Acori Tatarinowii Rhizoma (Xiye Shichangpu Gen, 3 fen) Forsythiae Fructus (Lianqiao, 1.5 qian) Citri Reticulatae Pericarpium (Juhong, 1 qian)
Feng (4 years old): Internal stagnation of Wind-Heat. Fever and cough. Pulse is large.
Mori Folium (Sangye, 1 qian) Armeniacae Semen Amarum (Xingren, 3 qian) Platycodonis Radix (Jiegeng, 1 qian) Calcar Avis Cornu (Lingyangjiao, 1 qian) Fritillariae Thunbergii Bulbus (Xiangbei, 1.5 qian) Forsythiae Fructus (Lianqiao, 1.5 qian) Arctii Fructus (Niubangzi, stir-fried and ground, 1.5 qian)
Xia (5 years old): Summer-heat pathogen residing internally. Vomiting and diarrhea. Due to the weak Qi of the Spleen and Stomach in childhood, leading to failure of transformation and transportation.
Agastaches Herba (Huoxiang Ye, 1 qian) Pinelliae Rhizoma Praeparatum (Zhi Banxia, 1.5 qian) Crataegi Fructus (Nanshazha, 1.5 qian) Talcum (Fei Huashi, 3 qian) Chaenomelis Fructus (Muqua, 1 qian) Poria Cubum (Fuling Kuai, 3 qian) Magnoliae Officinalis Cortex (Nongpo, 1 qian)
Zhu (2 years old): Heat attacking the Spleen and Stomach. Vomiting milk and spontaneous diarrhea. Most likely to transform into wind-stroke/fright.
Fresh Agastaches Herba (Xian Huoxiang Ye, 1 qian) Pinelliae Rhizoma Praeparatum (Zhi Banxia, 1.5 qian) Liuyisan (Liuyisan, 2 qian) Coptidis Rhizoma (Xiao Chuanlian, 3 fen) Scutellariae Radix (Huangqin, 1 qian) Lophatheri Herba (Danzhuye, 1 qian) Paeoniae Radix Alba (Sheng Baishao, 1 qian)
Wu (2 years old): Both Guan pulses are rapid. Vomiting milk and watery diarrhea. Irritability. Sleeping with a preference for covering the abdomen and prone position. This is a sign of abdominal pain relieved by pressure. According to history, after a fall, diarrhea occurred first, followed by vomiting, with rejection of milk and food. Fright causes Qi chaos, which is evident. This is a sign of Ascaris Jue (Jue syndrome caused by Ascaris). The Spleen and Stomach Qi of children is weak and unaroused, leading to cold limbs. The Classics state that Ascaris Jue often arises from fright. This condition is neither typical pathogen nor non-pathogen. Prescribed formula awaiting review.
Evodiae Fructus stir-fried with Coptidis Rhizoma (Wuyu Chao Chuanlian, 3 fen) Pinelliae Rhizoma Praeparatum (Zhi Banxia, 1.5 qian) Oryza Sativa Grain stir-fried (Chao Baijingmi, 1.5 qian) Paeoniae Radix Alba (Sheng Baishao, 1.5 qian) Curcuma Aromatica Rhizoma (Cao Yujin, 1 qian) Zanthoxyli Fructus stir-fried black (Chaohei Chuanjiao, 3 li) Zingiberis Rhizoma Frescum Juice (Jiangzhi, add 2 chi when taking) Poria (Fuling, 1.5 qian) Add Acori Tatarinowii Rhizoma (Shichangpu Gen)
Follow-up: Stomach Qi failing, cold limbs. Vomiting and diarrhea persist.
Ginseng Radix et Rhizoma Ramulus (Renshen Xu Tiao, 5 fen) Zingiberis Rhizoma Praeparatum (Wei Jiang, 5 fen)