曾(八岁)腹膨便泻。羸瘦不食。潮热目翳。症属难治。
青蒿梗(一钱) 制半夏(一钱五分) 炒谷芽(一钱) 炒浓朴(一钱) 广皮(一钱) 块茯苓(三钱) 南
楂炭(一钱五分) 鸡肫皮(炙,一具)
殷(六岁)腹膨便泄。面黄肢浮。此属痹疳。
焦白术(一钱五分) 广皮(一钱) 茯苓(三钱) 苡仁(二钱) 大腹皮(一钱五分) 泽泻(一钱) 南楂
炭(一钱五分) 木瓜(一钱)
徐(五岁)潮热羸瘦。咳则呛血。稚年阳亢阴虚。已属童劳之象。暂服甘寒。清养肺胃阴液。
地骨皮(三钱) 甜杏仁(三钱) 川斛(三钱) 川贝(去心研,二钱) 北沙参(一钱五分) 麦冬(一钱五
分) 霜桑叶(一钱) 玉竹(二钱) 鲜枇杷叶(蜜炙三钱)
徐(八岁)羸瘦呛逆。骨蒸盗汗。拟润肺以肃金。宁心以止汗。养阴平肝以退热。
川贝(一钱五分) 白蒺藜(去刺炒,一钱五分) 生地炭(三钱) 拣麦冬(一钱五分) 川贝(二钱) 杏仁
(炒焦,二钱) 地骨皮(一钱五分) 北沙参(一钱五分) 云茯神(二钱) 加石决明( 研,三钱)
沈(五岁)痫厥病来迅速。醒后两脉皆洪。四肢搐搦。身热。由阳气拂逆。势防络闭。
暹罗犀角(一钱) 陈胆星(三分) 嫩元参(一钱五分) 羚羊角(一钱) 橘络(一钱) 石菖蒲根(四分) 连
翘(一钱五分) 卷心竹叶(一钱五分)
史(八岁)稚年痉厥。服清泄少愈。是在肝胆风邪。将解之时。阴液尚属馁怯。最多反复复热。今又入暮。烦躁口
渴。为热深厥深。痉厥复至矣。然刻下忌用清火寒凉。所防胃汁苦涸。难以援救。今拟滋清营络。退热。兼须养正。录
法备参。
川斛(三钱) 嫩元参(一钱五分) 远志(五分) 小生地(三钱) 麦冬(一钱五分) 茯神(二钱) 丹皮
(一钱) 生白芍(一钱五分)
曾姓患儿(八岁),腹部胀大,大便泄泻。身体消瘦,食欲不振,伴有定时发热及眼部翳障。此症属于难治之证。
青蒿梗(一钱) 制半夏(一钱五分) 炒谷芽(一钱) 炒厚朴(一钱) 广陈皮(一钱) 块茯苓(三钱) 南山楂炭(一钱五分) 鸡内金皮(炙,一具)
殷姓患儿(六岁),腹部胀大,大便泄泻。面色萎黄,四肢浮肿。此病属于疳积痹阻之证。
焦白术(一钱五分) 广陈皮(一钱) 茯苓(三钱) 薏苡仁(二钱) 大腹皮(一钱五分) 泽泻(一钱) 南山楂炭(一钱五分) 木瓜(一钱)
徐姓患儿(五岁),定时发热,身体消瘦。咳嗽时引发呛咳出血。幼童阳气偏亢,阴液不足,已呈现童劳(小儿虚劳)的征象。暂时服用甘寒性质的药物,以清养肺胃的阴液。
地骨皮(三钱) 甜杏仁(三钱) 川石斛(三钱) 川贝母(去心研碎,二钱) 北沙参(一钱五分) 麦冬(一钱五分) 霜桑叶(一钱) 玉竹(二钱) 鲜枇杷叶(蜜炙,三钱)
徐姓患儿(八岁),身体消瘦,呛咳气逆。伴有骨蒸潮热和夜间盗汗。拟采用润肺以肃降肺气,宁心安神以止汗,滋养阴液平抑肝阳以退热的治法。
川贝母(一钱五分) 白蒺藜(去刺炒,一钱五分) 生地黄炭(三钱) 拣选麦冬(一钱五分) 川贝母(二钱) 杏仁(炒焦,二钱) 地骨皮(一钱五分) 北沙参(一钱五分) 云茯神(二钱) 加石决明(研碎,三钱)
沈姓患儿(五岁),痫厥病发作迅速。清醒后双侧脉搏皆洪大。四肢抽搐痉挛,身体发热。这是由于阳气拂逆所致,形势担心导致经络闭塞。
暹罗犀角(一钱) 陈胆南星(三分) 嫩玄参(一钱五分) 羚羊角(一钱) 橘络(一钱) 石菖蒲根(四分) 连翘(一钱五分) 卷心竹叶(一钱五分)
史姓患儿(八岁),幼童发生痉厥。服用清热泄火药后症状稍减。此时病邪位于肝胆风邪,正处于将解之时,但阴液仍然虚弱怯弱,最容易反复再次发热。现在又入夜,出现烦躁、口渴的症状,这是热邪深入导致厥逆加深,痉厥再次发作。然而当前忌讳使用清火寒凉的药物,所担忧的是胃中津液苦于枯竭,难以挽救。现拟定滋阴凉营通络,退热,兼须扶助正气。记录此法供参考。
川石斛(三钱) 嫩玄参(一钱五分) 远志(五分) 小生地黄(三钱) 麦冬(一钱五分) 茯神(二钱) 牡丹皮(一钱) 生白芍(一钱五分)
Zeng (8 years old): Abdominal distension with diarrhea. Emaciation and anorexia, tidal fever, and corneal opacity. The syndrome is classified as difficult to treat.
Qinghao Geng (Herba Artemisiae Annuae Caulis, 1 qian), Zhi Banxia (Rhizoma Pinelliae Preparatum, 1.5 qian), Chao Guya (Frumentum Milii Germinatum Torrefactum, 1 qian), Chao Houpo (Cortex Magnoliae Officinalis Torrefactum, 1 qian), Guangpi (Pericarpium Citri Reticulatae, 1 qian), Kuai Fuling (Poria, 3 qian), Nan Zhaka Tan (Fructus Crataegi Carbonisatus, 1.5 qian), Jizhenpi (Membrana Sacri Ventriculi Galli Ustus, 1 piece).
Yin (6 years old): Abdominal distension with loose stools. Sallow complexion and edema of the limbs. This belongs to Bi Gan (Obstructive Malnutrition Syndrome).
Jiao Baizhu (Rhizoma Atractylodis Macrocephalae Carbonisatus, 1.5 qian), Guangpi (Pericarpium Citri Reticulatae, 1 qian), Fuling (Poria, 3 qian), Yiren (Semen Coicis, 2 qian), Dafupi (Pericarpium Arecae Fructus, 1.5 qian), Zexie (Rhizoma Alismatis Orientals, 1 qian), Nan Zhaka Tan (Fructus Crataegi Carbonisatus, 1.5 qian), Mugua (Fructus Chaenomelis, 1 qian).
Xu (5 years old): Tidal fever and emaciation. Coughing triggers hemoptysis. In early childhood, hyperactive Yang and Yin deficiency present signs of Tong Lao (Pediatric Consumption Syndrome). Temporarily administer sweet-cold herbs to clear and nourish the Yin fluids of the Lung and Stomach.
Digupi (Cortex Lycii Radicis, 3 qian), Tian Xingren (Semen Pruni Armeniacae, 3 qian), Chuanhu (Rhizoma Dendrobii, 3 qian), Chuanbei (Bulbus Fritillariae Cirrhosae, removed heart and ground, 2 qian), Beishashen (Radix Glehniae, 1.5 qian), Maidong (Tuber Ophiopogonis Japonici, 1.5 qian), Shuang Sangye (Folium Mori, 1 qian), Yuzhu (Rhizoma Polygonati Odorati, 2 qian), Xin Pipaye (Folium Eriobotryae, honey-fried, 3 qian).
Xu (8 years old): Emaciation with coughing and hiccups. Bone-steaming fever and night sweats. The plan is to moisten the Lung to subdue Metal (Lung Qi), calm the Heart to stop sweating, and nourish Yin to pacify Liver Yang to reduce fever.
Chuanbei (Bulbus Fritillariae Cirrhosae, 1.5 qian), Baijili (Semen Tribuli, de-spined and fried, 1.5 qian), Shengdizhi Tan (Rhizoma Rehmanniae Praeparata Carbonisatus, 3 qian), Jian Maidong (Tuber Ophiopogonis Japonici, selected, 1.5 qian), Chuanbei (Bulbus Fritillariae Cirrhosae, 2 qian), Xingren (Semen Pruni Armeniacae, fried until scorched, 2 qian), Digupi (Cortex Lycii Radicis, 1.5 qian), Beishashen (Radix Glehniae, 1.5 qian), Yun Fushen (Poria cum Radice et Mycelium, 2 qian), plus Shijueming (Concha Arcae, ground, 3 qian).
Shen (5 years old): Epileptic convulsions arise rapidly. After waking, both pulses are surging. Limbs twitch and spasm, body heat is present. This is due to rebellious Yang Qi, with a risk of collateral obstruction.
Xiluo Xijiao (Cornu Rhinocerotis Sumatrensis, 1 qian), Chen Danning (Stirps Arisaematis cum Bile, aged, 0.3 fen), Nen Yuan Shen (Radix Scrophulariae, tender, 1.5 qian), Lingyangjiao (Cornu Saigae Tataricae, 1 qian), Juluo (Retinervus Citri Reticulatae, 1 qian), Shichangpu Gen (Rhizoma Acori Tatarinowii, 4 fen), Lianqiao (Fructus Forsythiae, 1.5 qian), Juanxin Zhuye (Folium Nymphaeae Volventis, 1.5 qian).
Shi (8 years old): Pediatric spasms and convulsions. Symptoms slightly improved after administering clearing and draining herbs. The pathogenic factor is Wind-evil in the Liver and Gallbladder, approaching resolution. However, Yin fluids remain deficient and weak, prone to recurrent fever. Now that evening has fallen, irritability and thirst indicate "deep heat leads to deep cold" (Re Heat causing Deep Cold Extremities), and spasms/convulsions have recurred. Currently, it is contraindicated to use fire-clearing and cold-cooling herbs, as there is fear of bitter drying of Stomach juices, making rescue difficult. The current plan is to nourish Yin, clear Ying-level collaterals, reduce fever, and simultaneously support healthy Qi. This method is recorded for reference.
Chuanhu (Rhizoma Dendrobii, 3 qian), Nen Yuan Shen (Radix Scrophulariae, tender, 1.5 qian), Yuanzhi (Radix Polygalae, 0.5 fen), Xiao Shengdi (Rhizoma Rehmanniae Recens, small, 3 qian), Maidong (Tuber Ophiopogonis Japonici, 1.5 qian), Fushen (Poria cum Radice et Mycelium, 2 qian), Danpi (Cortex Moutan Radicis, 1 qian), Sheng Baishao (Radix Paeoniae Alba, raw, 1.5 qian).