燥胃经中大热。)发黄脱落,(知膀胱、肾俱受土邪,乃湿热之症。)鼻下断作疮者。(土逆行,营气伏火也。)
能乳者,(胃中有热故也。)喜食土者,(胃气不足。)面色黑者,(为寒为痹。)大便青(属寒)褐色,
血黑色,(热蓄血中。)间黄色,(肠胃有热,)治法当滋营润燥,内除寒热,外致津液。
山栀(三分) 黄柏 甘草(炙各二分) 大芜荑(五分) 黄连 麻黄 羌活 柴胡(各三分) 防风(一分)
白术(五分) 茯苓(三分) 当归(四分)
上件锉如麻豆大。作一服,水一盏半,煎至一盏,去渣,稍热服,食前。
上三方治疳黄食土。前一方寒多者宜服,后二方热多者宜之。
〔丹〕疳黄食积。
白术 黄连 苦参 山楂(各等分)
上用糊丸如麻子大。食后白术汤下十五丸。
〔《山》〕小儿疳黄。鸡蛋剜一小窍,入巴豆净一粒,纸糊孔煨熟,去巴豆食之,隔一日再吃一二个。
〔丹〕小儿吃泥。石膏、黄芩、陈皮、茯苓、甘草,白术,水煎服。
(燥热之邪蕴结于胃经,导致)头发枯黄脱落。(这是因为膀胱和肾都受到了湿土邪气的侵袭,属于湿热证。)鼻下部位发生疮疡的。(是因为土气逆行,营气郁伏化火所致。)
能够正常吃奶的,(是因为胃中有热。)喜欢吃泥土的,(是因为胃气不足。)面色发黑的,(属于寒证或痹证。)大便颜色青色的(属寒),褐色或血黑色的,(是热邪蓄积在血中。)偶尔呈黄色的,(是肠胃有热。)治疗法则应当滋养营血、润燥,内部清除寒热,外部促进津液生成。
山栀(三分) 黄柏 甘草(炙,各二分) 大芜荑(五分) 黄连 麻黄 羌活 柴胡(各三分) 防风(一分)
白术(五分) 茯苓(三分) 当归(四分)
将上述药材锉碎如麻豆大小。作为一剂服用,加水一盏半,煎煮至一盏,去渣滓,稍温热后服用,饭前服。
以上三个方子用于治疗疳积发黄、异食泥土。前一方适用于寒邪较多的情况,后两方适用于热邪较多的情况。
〔朱丹溪〕疳积发黄伴有食积。
白术 黄连 苦参 山楂(各等分)
用面糊制作成如麻子大小的丸药。饭后用白术汤送服十五丸。
〔《小儿卫生总微论方》〕小儿疳积发黄。将鸡蛋挖一个小孔,放入一粒去壳的巴豆仁,用纸封住孔口煨熟,去掉巴豆后食用鸡蛋,隔一天再吃一两个。
〔朱丹溪〕小儿吃泥。石膏、黄芩、陈皮、茯苓、甘草、白术,水煎服。
(The dry-heat pathogen accumulates in the Stomach Meridian, causing) hair to become yellow and fall out. (This is because both the Bladder and Kidney are affected by damp-earth pathogenic factors, constituting a damp-heat syndrome.) Sores occurring under the nose. (This is due to the counterflow of earth qi, with Ying-nutrient qi stagnating and transforming into fire.)
Those who can nurse normally. (This is because there is heat in the Stomach.) Those who crave eating dirt. (This is because Stomach qi is insufficient.) Those with a dark complexion. (This belongs to cold syndromes or Bi-syndrome [obstruction].) Stool that is green. (Belongs to cold.) Brown or bloody-black stool. (Heat accumulating in the blood.) Occasionally yellow stool. (Heat in the intestines and stomach.) The treatment principle should be to nourish Ying-nutrient and moisten dryness, internally eliminate cold and heat, and externally promote the generation of body fluids.
Gardenia jasminoidis Fructus (Zhizi, 栀子) (3 fen) Phellodendron Cortex (Huangbai, 黄柏) Licorice Root (Gancao, 甘草), roasted (2 fen each) Large Melia Toosendan Fruit (Dawuyi, 大芜荑) (5 fen) Coptis Rhizome (Huanglian, 黄连) Ephedra Stem (Mahuang, 麻黄) Notopterygium Rhizome and Root (Qianghuo, 羌活) Bupleurum Root (Chaihu, 柴胡) (3 fen each) Saposhnikovia Root (Fangfeng, 防风) (1 fen)
Atractylodes Macrocephala Rhizome (Baizhu, 白术) (5 fen) Poria (Fuling, 茯苓) (3 fen) Angelica Sinensis Radix (Danggui, 当归) (4 fen)
Crush the above ingredients to the size of hemp seeds. Prepare as one dose, add one and a half cups of water, decoct until one cup remains, remove the dregs, and take slightly warm before meals.
The above three formulas treat gan-yellow (jaundice associated with malnutrition) and geophagia (craving for dirt). The first formula is suitable for cases with more cold, while the latter two are suitable for cases with more heat.
[Dan] Gan-yellow with food retention.
Atractylodes Macrocephala Rhizome (Baizhu, 白术) Coptis Rhizome (Huanglian, 黄连) Sophora Flavescens Root (Kushen, 苦参) Hawthorn Fruit (Shanzha, 山楂) (equal parts)
Make pills using paste, sized like hemp seeds. Take fifteen pills after meals with Baizhu decoction.
[Shan] Pediatric gan-yellow with jaundice. Make a small hole in an egg, insert one clean kernel of Croton Seed (Badou, 巴豆), seal the hole with paper, roast until cooked, remove the Croton Seed, and eat the egg. Repeat every other day, consuming one or two eggs each time.
[Dan] Pediatric geophagia. Gypsum Fibrosum (Shigao, 石膏) Scutellaria Root (Huangqin, 黄芩) Tangerine Peel (Chenpi, 陈皮) Poria (Fuling, 茯苓) Licorice Root (Gancao, 甘草) Atractylodes Macrocephala Rhizome (Baizhu, 白术), decoct in water and take orally.