俱炙焦,大黄、川芎、甘草各一两,人参、木通各五钱,当归、黄 、远志、麦门冬各三分,为末,蜜丸小豆
大。每五丸,空心米饮下,久服取效。齿迟,因禀气不足,则髓不能充骨,宜肾气丸,或十全大补汤加知母、
黄柏。外用当归、川芎、芍药、山药、沉香、甘草各等分为末,糁齿龈上,仍用白汤调服。单方∶雄鼠屎二十
粒,每日用一粒揩齿龈上,至二十一日当生。发迟,乃血气不能上荣。苁蓉丸∶肉苁蓉、川芎、当归、芍药、
熟地各等分,胡粉减半,为末,蜜丸黍米大。每十丸,黑豆煎汤下。仍磨化抹头上。以上皆因禀受不足,或因
吐泻后致者,可以补助脾胃。失治必成无辜笃疾。
五硬强直本风证,若兼腹硬兼积医。
五硬者,头项、四肢强直冰冷,乃肝受风邪也,宜小续命汤、乌药顺气散主之。腹大骨痛不宽者,五积散
加乌药、僵蚕,积消气和则愈。若心腹俱硬,面青者,死。
丹毒 (附胎疮)
丹毒游行走遍身,病因湿热逼心君;
丹名不一,皆由母食五辛,及烘尿衣,乘热或不甚干即着,湿热侵淫,心火骤盛,以至毒与血搏而风乘之,
所以赤肿游走,遍身不定。其始发于手足,或头面胸背,令人烦闷腹胀,其热如火,痛不可言;若入小腹,阴
囊如青伤者,死。
拔毒凉肌审起处,
治法∶先用针砭去血,外用拔毒凉肌之药敷,从头顶上起,用葱自然汁涂。从头顶上红肿痛,用赤小豆为末,
鸡子清调涂。从面上赤肿,用灶心土末,鸡子清调涂。从背起,用桑白皮末,羊脂调涂。从两背赤肿,黄色
柳木烧灰,水调涂。从两胁虚肿,用生铁锉末,入猪粪水调涂。从脐上肿起,用槟榔为末,米醋调涂。从两脚赤
肿起,用乳香为末,羊脂调涂。从两脚赤白点起,用猪槽下土为末,清油调涂。从阴上起,用屋漏处土为末,
羊脂调涂。钱氏通用朴硝、土朱为末,蓝叶,浮萍,水苔同研,绞汁调涂,或用朴硝一两,大黄五钱为末,新
汲水调,时时涂扫。凡丹毒变易非轻,如经三日不治,攻入脏腑即死。
入里内消可救人。
毒瓦斯入里,腹胀则死,红内消散救之∶红内消、当归、茄片或茄蒂亦好、甘草、羌活、黄芩各五钱,麝香
五分,为末。每二钱,生地黄煎汤调服。通用五福化毒丹、犀角消毒饮、四顺清凉饮、人参败毒散加紫草,或
升麻葛根汤加白术、茯苓、木香、枳壳。大抵以清心火,去湿热为主,勿令毒陷。有不可服凉药者,惺惺散妙。
胎疮必先化其毒,次用父便刷如神,
一二岁生疮遍身,先服五福化毒丹,或犀
角消毒饮;外用父小便,鹅翎蘸刷。湿者,青黛末干糁。更与丹毒通用条参看。
将药材炙至焦黄,大黄、川芎、甘草各一两,人参、木通各五钱,当归、黄芪、远志、麦门冬各三分,研为细末,用蜂蜜制成如小豆大小的丸剂。每次服用五丸,空腹时用米汤送服,长期服用可获疗效。牙齿发育迟缓,是由于先天禀赋不足,导致髓海不能充盈骨骼,适宜使用肾气丸,或十全大补汤加入知母、黄柏。外用当归、川芎、芍药、山药、沉香、甘草各等分研为细末,撒在齿龈上,同时仍需用白开水调服内服药物。单方:雄鼠屎二十粒,每日取一粒擦拭齿龈,到第二十一日牙齿应当长出。头发生长迟缓,是血气不能上行荣养所致。苁蓉丸:肉苁蓉、川芎、当归、芍药、熟地黄各等分,胡粉减半,研为细末,用蜂蜜制成如黍米大小的丸剂。每次十丸,用黑豆煎汤送服。同时磨碎药汁涂抹头部。以上情况皆因先天禀受不足,或因吐泻之后导致,可以通过补助脾胃来治疗。若失治误治,必定发展为无辜病(一种小儿慢性消耗性疾病)这种严重的疾病。
五硬强直本属于风证,如果兼有腹部坚硬且有积滞则需医治。
所谓五硬,是指头项和四肢强直冰冷,这是肝脏受到风邪侵袭所致,适宜用小续命汤、乌药顺气散主治。腹部胀大且骨头疼痛不适的,用五积散加入乌药、僵蚕,待积滞消除、气机调和即可痊愈。如果心腹都坚硬,面色发青的,预后不良,属死证。
丹毒(附胎疮)
丹毒游走遍布全身,病因是湿热逼迫心君;
丹毒名称不一,皆由母亲食用五辛(葱、蒜、韭、薤、兴渠),以及烘烤尿湿的衣物,趁热或未完全干燥就给孩子穿上,导致湿热侵淫,心火骤然旺盛,以至毒邪与血液搏结而风邪乘虚而入,所以出现红肿游走,遍身不定。其初起于手足,或头面胸背,令人烦闷腹胀,发热如火,疼痛难以言表;若邪气传入小腹,阴囊像被青伤一样变色,属死证。
拔除毒邪、凉润肌肤需审察发病起始部位,
治法:先用针砭放血去毒,外用拔毒凉肌的药物外敷。从头顶上起的,用葱的自然汁涂抹。从头顶上红肿痛的,用赤小豆研末,鸡蛋清调匀涂抹。从面上赤肿的,用灶心土末,鸡蛋清调匀涂抹。从背部起的,用桑白皮末,羊脂调匀涂抹。从两肩背赤肿的,用黄色柳木烧成灰,用水调匀涂抹。从两胁部虚肿的,用生铁锉末,加入猪粪水调匀涂抹。从脐上肿起的,用槟榔研末,米醋调匀涂抹。从两脚赤肿起的,用乳香研末,羊脂调匀涂抹。从两脚赤白点起的,用猪槽底下的土研末,清油调匀涂抹。从阴部起的,用屋檐漏雨处的土研末,羊脂调匀涂抹。钱乙通用的方子是用朴硝、土朱研末,加蓝叶、浮萍、水苔一同研磨,绞取汁液调涂,或者用朴硝一两、大黄五钱研末,新汲水调匀,时时涂抹扫拭。凡是丹毒变化都不是小事,如果经过三天不治疗,毒邪攻入脏腑就会死亡。
毒邪入里若能内消则可救人。
毒瓦斯进入体内,若出现腹胀则死,用红内消散救之:红内消、当归、茄片或茄蒂也可以、甘草、羌活、黄芩各五钱,麝香五分,研为细末。每次二钱,用生地黄煎汤调服。通用方有五福化毒丹、犀角消毒饮、四顺清凉饮、人参败毒散加入紫草,或升麻葛根汤加入白术、茯苓、木香、枳壳。大抵以清心火、去湿热为主,不要令毒邪陷入。有不可服用凉药的,惺惺散效果妙。
胎疮必须先化解其毒,其次用父亲的小便刷洗如神效,
一二岁生出疮疡遍布全身,先服用五福化毒丹,或犀角消毒饮;外用父亲的小便,用鹅毛蘸取刷洗。湿重的,用青黛末干撒。再参考丹毒通用条目查看。
All herbs are roasted until scorched. Rhizoma Polygoni Cuspidati (Dahuang), Radix Chuanxiong (Chuanxiong), and Radix Glycyrrhizae Preparata (Gancao) each weigh one liang; Radix Ginseng (Renshen) and Caulis Akebiae (Mutong) each weigh five qian; Radix Angelicae Sinensis (Danggui), Radix Astragali Membranacei (Huangqi), Radix Polygalae (Yuanzhi), and Fructus Oryzae Sativae (Mendong) each weigh three fen. Grind into fine powder, make pills with honey the size of small beans. Take five pills per dose, swallowed with rice water on an empty stomach; long-term use will yield efficacy. Delayed dentition is due to insufficient congenital constitution, resulting in marrow failing to fill the bones. Shenqi Wan (Kidney Qi Pill) or Shiquan Dabu Tang (Ten Significant Tonifying Decoction) added with Radix Anemarrhenae (Zhimu) and Cortex Phellodendri (Huangbo) is suitable. Externally, Radix Angelicae Sinensis (Danggui), Radix Chuanxiong (Chuanxiong), Radix Paeoniae Alba (Shaoyao), Rhizoma Dioscoreae (Shanyao), Lignum Aquilariae Resinatum (Chenxiang), and Radix Glycyrrhizae Preparata (Gancao) in equal parts are ground into powder, sprinkled on the gums, while simultaneously taking the internal medicine mixed with plain boiled water. Single prescription: Twenty grains of male rat feces. Use one grain daily to rub the gums; teeth should erupt by the twenty-first day. Delayed hair growth is caused by blood and qi failing to ascend and nourish. Congrong Wan (Cistanche Pill): Radix Cistanches (Congrong), Radix Chuanxiong (Chuanxiong), Radix Angelicae Sinensis (Danggui), Radix Paeoniae Alba (Shaoyao), and Radix Rehmanniae Preparata (Shudi) in equal parts, with Pulvis Plumbi Subacetatis (Hufen) halved in amount. Grind into powder, make pills with honey the size of millet seeds. Take ten pills per dose, swallowed with decoction of black soybeans. Also grind and apply the liquid to the scalp. All the above conditions result from insufficient congenital endowment or occur after vomiting and diarrhea, and can be treated by tonifying the Spleen and Stomach. If mismanaged, they will inevitably develop into Wugu disease (a severe chronic wasting disease in children).
Wu Ying (Five Hardnesses) and rigidity originally belong to Wind patterns; if accompanied by abdominal hardness and accumulation, medical treatment is required.
Wu Ying refers to rigidity and coldness of the head, neck, and four limbs, which is due to the Liver receiving Wind pathogenic factors. Xiao Xuming Tang (Minor Continuation of Life Decoction) or Wuyao Shunqi San (Aucklandia Regulating Qi Powder) are indicated. Abdominal distension with bone pain and discomfort is treated with Wuji San (Five Accumulations Powder) added with Radix Linderae (Wuyao) and Bombyx Batryticatus (Jiangcan); healing occurs when the accumulation dissipates and Qi harmonizes. If both the heart and abdomen are hard and the face is cyanotic, it is a death sign.
Danshen Du (Erysipelas) (Attached: Fetal Sores)
Danshen Du wanders throughout the body; its etiology is damp-heat forcing the Heart君主 (Heart Monarch).
There are various names for Danshen Du, all caused by the mother consuming the Five Pungent Spices (Wuxin) or drying urine-soaked garments and putting them on the infant while hot or not fully dry. This leads to damp-heat invasion, sudden flourishing of Heart Fire, causing toxic pathogens to contend with blood while Wind exploits the deficiency, resulting in redness, swelling, wandering nature, and unpredictability over the whole body. Initially appearing on the hands and feet, or head, face, chest, and back, it causes irritability, abdominal distension, fever like fire, and unbearable pain; if it enters the lower abdomen and the scrotum becomes discolored like a bruise, it is a death sign.
Remove toxins and cool the muscles by examining the site of onset.
Treatment method: First, use acupuncture and cupping/bloodletting to remove blood stasis. Externally apply toxin-removing and muscle-cooling medicines. For onset at the top of the head, apply natural juice of Scallion Stem (Congbai). For redness, swelling, and pain at the top of the head, use Semen Phaseoli Vulgaris Rubri (Chixiaodou) ground into powder, mixed with egg white for application. For facial redness and swelling, use Caosin (Furnace Hearth Soil) powder mixed with egg white. For onset on the back, use Cortex Mori Radicis (Sangbaipi) powder mixed with sheep fat. For redness and swelling on both shoulders/back, burn yellow willow wood to ash, mix with water for application. For flaccid swelling on both hypochondria, use Ferrum Limatura (Shengtiecuo) powder mixed with pig manure water. For swelling originating above the navel, use Fructus Arecae (Binglang) powder mixed with rice vinegar. For redness and swelling on both feet, use Resina Mastichae (Ruxiang) powder mixed with sheep fat. For red and white spots on both feet, use soil from under the pig trough ground into powder, mixed with clear oil. For onset on the genitals, use soil from the place where roof leaks drip, ground into powder, mixed with sheep fat. Qian Yi's universal formula uses Natrii Sulfas (Puxiao) and Cinnabar (Tuzhu) ground into powder, along with Folium Isatidis (Lanye), Herba Lemnae (Fuping), and aquatic moss, ground together, juice squeezed out for mixing and application. Alternatively, use one liang of Natrii Sulfas (Puxiao) and five qian of Rhizoma Polygoni Cuspidati (Dahuang) ground into powder, mixed with fresh well water, applied frequently. Any transformation of Danshen Du is serious; if untreated for three days and the toxin attacks the Zang-Fu organs, death ensues.
If toxins enter the interior and are resolved internally, life can be saved.
When toxic vapors enter the interior, abdominal distension indicates death; Hongneixiao San (Red Interior Dissolving Powder) saves them: Hongneixiao, Radix Angelicae Sinensis (Danggui), slices of Solanum Melongena (Qiepian) or calyces (Qidi), Radix Glycyrrhizae Preparata (Gancao), Radix Notopterygii (Qianghuo), and Radix Scutellariae (Huangqin) each five qian, Moschus (Shexiang) five fen. Grind into powder. Take two qian per dose, mixed with decoction of Radix Rehmanniae Recens (Shengdihuang). Universal formulas include Wufu Huadu Dan (Five Blessings Toxin-Dissolving Pill), Xijiao Xiaodu Yin (Rhino Horn Detoxification Drink), Sishun Qingliang Yin (Four Smooth Cooling Drink), Renshen Baidu San (Ginseng Expelling Toxin Powder) added with Radix Lithospermi (Zicao), or Shengma Gegen Tang (Cimicifuga and Kudzu Root Decoction) added with Radix Atractylodis Macrocephalae (Baizhu), Poria (Fuling), Radix Aucklandiae (Muxiang), and Fructus Aurantii (Zhike). Generally, the principle is to clear Heart Fire and eliminate damp-heat, preventing the toxin from sinking. For cases where cooling medicines cannot be taken, Xingxing San (Awakening Powder) is excellent.
Fetal sores must first have their toxins transformed, then brushed with the father's urine as if divine.
For infants aged one to two years with sores all over the body, first administer Wufu Huadu Dan (Five Blessings Toxin-Dissolving Pill) or Xijiao Xiaodu Yin (Rhino Horn Detoxification Drink). Externally, brush with the father's urine using a goose feather. For damp types, sprinkle dry Qingdai (Indigo Naturalis) powder. Refer to the general section on Danshen Du for further reference.