《病源论》云∶差颓者,阴核偏肿大也,其偏虚者,气虚而行,故偏结肿也。
《千金方》∶五等丸治小儿阴偏大,卵核及颓方∶
香豉 牡丹 防风 桂心 黄柏(各二两)
凡五味,丸如大豆,儿三岁饮五丸,日三,儿小者,以意减之,着乳头与之。
《病源论》云∶小儿患脱肛门,(脱)出多因利,大肠虚冷兼因 气故也。
《苏敬本草注》云∶烧鳖头为灰涂(服)之。
《本草拾遗》云∶有以似为药者,蜗牛鳖头,脱肛皆烧末,敷之自缩。
《录验方》∶取铁精粉推纳之。
又方∶宜灸龟尾骨上三七丸。
《葛氏方》∶熬锻石令热,故绵(帛)裹坐其上,冷复易之。
《僧深方》∶取蒲黄一两,以猪膏和,敷之,不过三,愈。
《千金方》∶灸顶上施毛中即入。
《产经》云∶生铁三斤,以水一斗,煮取五升,以汁洗,日三,乃以蒲黄敷上,良。
《子母秘录》云∶小儿谷道虫痒方∶
大枣取膏和,捻长三寸,绵裹,纳孔中,明日出之,虫死。
又方∶胡粉,雄黄分等着中。
今按∶煮桃皮洗之,煮枸杞洗亦良。
《葛氏方》治猝下部有疮方∶
煮豉以渍之。
又方∶KT 汁以磨墨,导也。
《病源论》云∶甘湿之病,多因久利,脾胃虚弱。肠胃之间,虫动侵食五脏,使人心烦
懊闷;其上食者,则口鼻齿龈生疮;其下食者,则肛门伤烂,皆难治。或因久利,或因脏热
嗜眠,或好食甘美之令蒸,令血动,致生此病患。
《子母秘录》云∶羊胆和浆灌下部,用猪胆亦佳。
《千金方》∶细和胡粉涂之。
又方∶嚼麻子涂之。
又方∶以铁衣着下部中即瘥。
《诸病源候论》说:差颓,是指阴囊一侧肿大。那一侧虚弱的人,气虚而运行不畅,所以气血偏聚结肿。
《千金方》记载的五等丸,用于治疗小儿阴囊一侧肿大、睾丸及阴囊肿大的方剂:
香豉、牡丹皮、防风、桂心、黄柏(各二两)
以上五味药,制成如大豆大小的丸剂。三岁的儿童每次服用五丸,每日三次;年龄较小的儿童,酌情减量,可将药丸置于乳头处让婴儿吮吸。
《诸病源候论》说:小儿患脱肛,(直肠)脱出多因腹泻引起,是大肠虚冷兼受风邪所致。
《本草拾遗》说:有人用似鱼(或指某种特定药材,原文“似”疑为衍文或特指,此处依原文直译)作为药物,蜗牛和鳖头,治疗脱肛均烧成末,敷贴患处,直肠可自行回缩。
《葛氏方》:加热锻石,用旧丝绵(或布帛)包裹坐在上面,凉了再更换。
《僧深方》:取一两蒲黄,用猪油调和,敷贴患处,不超过三次即可痊愈。
《产经》说:取生铁三斤,用水一斗,煮取五升汁液,用此汁清洗患处,每日三次,然后用蒲黄敷在上面,效果良好。
《子母秘录》说:治疗小儿肛门瘙痒有虫的方剂:
将大枣熬成膏状,搓成长三寸的条状,用绵包裹,纳入肛门中,第二天取出,虫子即死。
又一方:使用胡粉、雄黄,分量相等,放入肛门中。
如今按语:煮桃树皮清洗患处,煮枸杞清洗也良效。
又一方:用KT汁研磨墨汁,用于导引(涂抹或注入)。
《诸病源候论》说:甘湿之病,多因长期腹泻,导致脾胃虚弱。肠胃之间,虫动侵食五脏,使人心中烦闷懊恼;若虫向上侵蚀,则口鼻齿龈生疮;若向下侵蚀,则肛门受伤溃烂,都难以治疗。或因长期腹泻,或因脏腑热盛嗜睡,或喜好食用甘甜美味之物,使热气蒸腾,血液妄行,从而导致产生此病患。
又一方:将铁衣(铁屑或铁粉)放入下部,即可痊愈。
The *Zhubing Yuanhou Lun* (Treatise on the Pathogenesis and Manifestations of All Diseases) states: "Chaitui" refers to unilateral swelling of the scrotum. In individuals with deficiency on one side, Qi deficiency leads to impaired circulation, causing Qi and blood to stagnate and swell on that side.
The *Qianjin Fang* (Essential Prescriptions Worth a Thousand Gold) records the Wudeng Wan (Five-Grade Pill) for treating pediatric unilateral scrotal enlargement, involving the testicles and scrotum:
Fermented Soybean Paste (Douchi), Peony Bark (Mudanpi), Saposhnikovia Root (Fangfeng), Cinnamon Twig Heart (Guixin), Phellodendron Bark (Huangbai) (each two liang).
These five ingredients are processed into pills the size of soybeans. For a three-year-old child, administer five pills per dose, three times daily. For younger children, reduce the dosage according to circumstances; the pill can be placed on the nipple for the infant to suckle.
The *Zhubing Yuanhou Lun* states: Pediatric rectal prolapse is often caused by diarrhea, resulting from cold deficiency of the Large Intestine combined with wind pathogen invasion.
Su Jing's *Bencao Zhu* (Commentary on Materia Medica) states: Burn turtle head to ash and apply topically.
*Bencao Shiyi* (Supplement to Materia Medica) states: Some use Siyu as medicine; snails and turtle heads, when burned to powder and applied, can treat rectal prolapse, allowing it to retract spontaneously.
The *Luyuan Fang* (Verified Prescriptions): Take Iron Essence Powder and insert it into the anus.
Another prescription: It is suitable to moxa seven to nine moxibustion cones on the coccyx (Guizhui).
The *Ge Shi Fang* (Prescriptions of Master Ge): Heat calcined gypsum, wrap it in old silk or cloth, and sit on it; replace when cool.
The *Seng Shen Fang* (Prescription of Monk Shen): Take one liang of Polygonum Multiflorum Vine Stem Spore (Puhuang), mix with lard, and apply topically. It will heal within no more than three applications.
The *Qianjin Fang*: Apply moxibustion at Baihui (GV20) on the vertex of the head, and the rectum will reduce.
The *Chan Jing* (Obstetrics Classic) states: Take three jin of raw iron, boil in ten dou of water until reduced to five sheng of liquid. Use this liquid to wash the area three times daily, then apply Puhuang powder on top. This is effective.
The *Zimu Milu* (Secret Record of Mother and Child) states: A prescription for pediatric anal pruritus caused by worms:
Make paste from jujubes, roll into a strip three cun long, wrap in silk, and insert into the anus. Remove the next day; the worms will die.
Another prescription: Use Lead White (Hufen) and Realgar in equal parts, inserted into the anus.
Current commentary: Boil peach bark to wash the area; boiling goji berries to wash is also effective.
The *Ge Shi Fang* treats sudden sores in the lower genitalia:
Boil fermented soybean paste water to soak the area.
Another prescription: Use KT juice to grind ink, for application/delivery.
The *Zhubing Yuanhou Lun* states: Gan Shi disease is mostly due to prolonged diarrhea leading to Spleen and Stomach weakness. Between the intestines and stomach, parasites move and invade the five zang organs, causing mental restlessness and oppression; if they ascend and erode, sores appear in the mouth, nose, and gums; if they descend and erode, the anus becomes injured and ulcerated, both being difficult to treat. It may also result from prolonged diarrhea, heat in the zang organs causing lethargy, or a preference for sweet and delicious foods, which generates steaming heat and agitates the blood, leading to this condition.
The *Zimu Milu* states: Mix sheep gallbladder bile with grain mash and irrigate the lower part; pig gallbladder bile is also good.
The *Qianjin Fang*: Finely mix Lead White (Hufen) and apply topically.
Another prescription: Chew hemp seeds and apply topically.
Another prescription: Insert iron filings/clothing into the lower part, and it will heal.