《病源论》云∶小儿寸白者,九虫之内一虫是也。因腑脏虚弱而能发动也,食生栗所成。
又食生鱼后即食乳酪,亦令生。
《葛氏方》∶薏苡根二斤,细锉,水七升,煮取二升,分再服。又可作糜也。
《极要方》云∶东行茱萸根白皮四两,桃白皮三两。上,切,以酒一升渍一宿,去滓,
顿服良验。
又方∶煮扁竹汁饮之,有验。
今按∶蒸之当上。
又方∶浓煮猪,槟榔,饮三升,虫则出尽。
又方∶多食榧子。(今按∶《千金方》∶榧子四十九枚去皮,以月上旬,旦,空腹服七枚,
七日服尽,虫消成水,永瘥。)
今按∶研胡桃仁敷。
《产经》云∶练皮,削去上皮,取中白者,切五升,以水五升,煮得二升。先令小儿食
饧令渴,因饮之。今按∶《子母秘录》∶练实一枚,纳孔中。
又方∶研芥子敷之。
又方∶研雄黄,和酢敷之,槟榔子亦佳。
《病源论》云∶痫,小儿病也。十岁以上为癫,十岁以下为痫。其发之状,或口眼相引
而目精上摇,或手足掣纵,或背脊强直,或颈项反折。诸方诸(说)痫(癫),名证不同,
大较其发之源,皆因三种。三种者风痫、惊痫、食痫是也。风痫因衣浓行出,出而风入为之;
惊痫因惊怖大啼乃发;食痫因乳哺不节所成。然小儿气血微弱,易为伤动,因此三种变作诸
痫也。
凡诸痫正发,手足掣缩,慎勿捉持之,捉则令曲戾不随也。
《短剧方》云∶《玄中记》云∶天下有女鸟,一名姑权,又名钩皇鬼也;喜以阴雨夜过
飞鸣,徘徊人村里,唤得来者是也。是鸟专雌无雄,不产,喜落毛羽中尘,置人儿衣中,便
使儿作痫,病必死,便化为其儿也。是以小儿生至十岁,衣被不可露,七八月尤忌。
《神农本草经》云∶小儿惊痫,有百二十种,其证候异于常。
《千金方》云∶所以有痫病,痉病(者),皆由脏气不平故也。新生即痫者,是其五脏
未收敛,血气不聚,五脉不流故也。
又云∶灸痫法∶囟中末合,骨中随息动者,是最要处也。(灸五壮。)
又云∶顶上回毛中、膻中、巨阙、脐中,毛尺泽、劳宫、伏兔、三里、然谷穴,灸之。
今按∶《明堂经》伏兔穴禁灸。
又云∶灸痫当先下,使儿虚,乃承虚灸之。未下有实而灸者,气逼前后不通,杀人。
又云∶龙胆汤主之。(其方在本书第五卷。)
《广利方》∶核子惊痫不知人,迷闷嚼(舌)作目方∶
牛黄一大豆许,和蜜,水服之,立效。
又方∶乌犀角失(尖),研,并水二大合,服之立效。
《枕中方》∶取纸中白鱼,随羊乳和之即愈。
《诸病源候论》说:小儿寸白虫(绦虫),是九虫中的一种。因为脏腑虚弱而能够发作,是由食用生栗子造成的。
又如果在吃了生鱼后立即喝乳酪,也会生出这种虫。
《葛氏方》记载:薏苡根二斤,切碎,用水七升,煮取两升药液,分两次服用。也可以将其煮成粥食用。
《极要方》说:向东生长的吴茱萸根白皮四两,桃树白皮三两。以上药材,切碎,用酒一升浸泡一夜,去掉药渣,一次性服下,疗效显著。
另一个方子:煮扁竹汁饮用,有验证的效果。
现在按语:蒸熟后使用应当更好。
另一个方子:浓煮猪肉和槟榔,饮用三升,虫子就能全部排出。
另一个方子:多吃榧子。(现在按语:《千金方》记载:榧子四十九枚去皮,在上旬的早晨,空腹服用七枚,七天服完,虫子消化变成水,永远痊愈。)
现在按语:研磨胡桃仁外敷。
《产经》说:将白练皮削去上层表皮,取中间白色的部分,切五升,用水五升,煮得两升药液。先让小儿吃饴糖使其口渴,然后喂饮药液。现在按语:《子母秘录》记载:一枚练实塞入肛门中。
另一个方子:研磨芥子外敷。
另一个方子:研磨雄黄,调和醋外敷,槟榔子也很好。
《诸病源候论》说:痫病是小儿的疾病。十岁以上称为癫,十岁以下称为痫。其发作时的症状,有的口眼相互牵引且眼球上翻摇动,有的手足抽搐伸展,有的背脊强直,有的颈项向后反折。各方对于各种痫(癫)病的说法,名称和证候不同,但大致其发作的根源,都归结为三种。这三种就是风痫、惊痫、食痫。风痫是因为衣服穿得太厚外出,出来后受风邪侵入所致;惊痫是因为受到惊吓大哭而发作;食痫是因为哺乳喂养不节制所造成。然而小儿气血微弱,容易受伤扰动,因此由这三种变化而成各种痫病。
凡是各种痫病正在发作时,手足抽搐收缩,千万不要强行捉持,捉持会导致肢体弯曲畸形且不灵活。
《短剧方》说:《玄中记》记载:天下有一种女鸟,一名姑权,又名钩皇鬼;喜欢在阴雨之夜飞过鸣叫,徘徊在人的村庄里,呼唤它来的人就是它。这种鸟专雌无雄,不产卵,喜欢落在羽毛中的灰尘里,放在婴儿的衣服中,就会使婴儿患痫病,病必死,随后就化为那个婴儿。所以小儿出生到十岁,衣被不可裸露,七八月份尤其忌讳。
《神农本草经》说:小儿惊痫有一百二十种,其证候与平常不同。
《千金方》说:之所以有痫病、痉病,都是因为脏气不平衡的缘故。刚出生就患痫病的,是因为五脏尚未收敛,血气不聚,五脉不通畅的缘故。
又说:灸治痫病的方法:囟门未闭合,骨缝随呼吸跳动的位置,是最关键的穴位。(灸五壮。)
又说:头顶旋毛处、膻中穴、巨阙穴、脐中、尺泽穴、劳宫穴、伏兔穴、足三里穴、然谷穴,进行艾灸。
现在按语:《明堂经》记载伏兔穴禁止艾灸。
又说:灸治痫病应当先通便泻下,使小儿身体虚损,然后趁着虚损状态进行艾灸。未通便泻下而实证状态下艾灸,会导致气机逼迫前后不通,会致死。
又说:龙胆汤主治此病。(该方见本书第五卷。)
《广利方》记载:核子惊痫导致昏迷不知人,迷闷……方子:
牛黄如大豆大小,调和蜂蜜,用水送服,立即见效。
另一个方子:乌犀角尖,研磨,并加水两大合,服用立即见效。
《枕中方》:取纸中的白鱼,配合羊乳调和即愈。
The *Zhubing Yuanhou Lun* (Treatise on the Pathogenesis and Manifestations of All Diseases) states: The "cunbai" worm (Taenia solium, pork tapeworm) in children is one of the nine worms. It arises due to weakness of the fu and zang organs and is caused by eating raw chestnuts.
Furthermore, consuming milk or cheese immediately after eating raw fish can also lead to its generation.
The *Ge Shi Fang* records: Two jin of Coix Root (Yiyiren Gen), finely chopped, boiled in seven sheng of water until two sheng remain; divide into two doses for administration. It may also be prepared as a porridge.
The *Ji Yao Fang* states: Four liang of the white bark from the eastern-facing roots of Cornus officinalis (Shanzhuyu Gen), and three liang of peach tree white bark (Taobai Pi). Chop the above ingredients, soak in one sheng of wine overnight, remove the dregs, and take in one dose for excellent efficacy.
Another prescription: Drink the juice extracted from Phyllostachys edulis (Bianzhu); it has been verified effective.
Current commentary: Steaming them before use is preferable.
Another prescription: Boil pork and Areca Seed (Binglang) thickly, drink three sheng, and the worms will be completely expelled.
Another prescription: Consume many Torrey seeds (Feizi). (Current commentary: The *Qianjin Fang* records: Peel forty-nine Torrey seeds, take seven on an empty stomach in the morning during the first ten days of the month, finish within seven days; the worms dissolve into water, resulting in permanent cure.)
Current commentary: Grind Walnut Kernel (Hetao Ren) and apply externally.
The *Chan Jing* states: Scrape off the upper layer of processed silk fabric (Lianpi), take the middle white part, chop five sheng, boil in five sheng of water until two sheng remain. First let the child eat malt sugar (Xing) to induce thirst, then administer the decoction. Current commentary: The *Zimu Milu* records: Insert one piece of dried persimmon (Lianshi) into the anus.
Another prescription: Grind Mustard Seed (Jiezi) and apply externally.
Another prescription: Grind Realgar (Xionghuang), mix with vinegar, and apply externally; Areca Seed (Binglang Zi) is also good.
The *Zhubing Yuanhou Lun* states: Epilepsy (Xian) is a disease of children. Those over ten years old are termed Dian, while those under ten are termed Xian. During an attack, symptoms may include traction of the mouth and eyes with upward rolling of the eyeballs, spasmodic extension of the limbs, rigidity of the back, or opisthotonos (backward bending of the neck). Various texts describe different names and syndromes for epilepsy/dian, but broadly, the source of their onset falls into three categories. These three are Wind Epilepsy (Feng Xian), Shock Epilepsy (Jing Xian), and Food Epilepsy (Shi Xian). Wind Epilepsy results from wearing heavy clothes outdoors, allowing wind pathogen to enter upon exposure; Shock Epilepsy arises from fright and loud crying; Food Epilepsy is caused by irregular breastfeeding or feeding. However, children have weak qi and blood and are easily injured and disturbed; thus, these three factors transform into various forms of epilepsy.
When any form of epilepsy is actively attacking, with limbs spasming and contracting, do not forcibly restrain them; restraint causes deformity and loss of mobility.
The *Duan Ju Fang* cites the *Xuan Zhong Ji*: There exists a female bird in the world, named Guquan or Gouhuang Gui; it likes to fly and cry at night during cloudy and rainy weather, lingering in villages. It calls out to those who come to it. This bird is exclusively female without males, does not lay eggs, and likes dust falling among feathers; if placed in an infant's clothing, it causes the infant to develop epilepsy, which leads to death, after which it transforms into that infant. Therefore, infants up to ten years old should not have their clothes exposed, especially in the seventh and eighth lunar months.
The *Shennong Bencao Jing* states: There are 120 types of childhood shock epilepsy, with manifestations differing from the norm.
The *Qianjin Fang* states: The reason for epilepsy and tetanus lies in the imbalance of internal organ qi. Infants born with epilepsy do so because their five zang organs have not yet converged, blood and qi are not gathered, and the five meridians do not flow smoothly.
It further states: Moxibustion method for epilepsy: The fontanelle that has not closed, where the bone sutures move with respiration, is the most critical point. (Apply five moxa cones.)
It also states: Apply moxibustion to the whorl of hair on the vertex, Danzhong (CV-17), Jueque (CV-14), Shenque (CV-8), Chize (LU-5), Laogong (PC-8), Futu (ST-32), Zusanli (ST-36), and RanGu (KI-7).
Current commentary: The *Mingtang Jing* prohibits moxibustion on Futu (ST-32).
It further states: For treating epilepsy with moxibustion, one must first purge the bowels to weaken the child's excess condition, then apply moxibustion while the child is deficient. If moxibustion is applied without purging when the condition is excess, qi becomes blocked front and back, which can be fatal.
It further states: Longdan Tang (Gentian Decoction) is indicated. (See Volume 5 of this book for the formula.)
The *Guang Li Fang* records: For nuclear shock epilepsy causing unconsciousness and confusion... Prescription:
Natural Calculus Bovis (Niuhuang), size of a soybean, mixed with honey, taken with water; immediate effect.
Another prescription: Rhinoceros Horn (Xijiao) tip, ground, mixed with two large he of water; taken orally for immediate effect.
The *Zhenzhong Fang*: Take silverfish found in paper, mix with sheep milk, and the patient recovers.