立斋治一小儿。患痫。吐痰困倦。半晌而苏。诸药不效。年至十三而频发。用肥浓紫河
车。生研烂。入人参、当归末捣丸。每服二钱。日进三五服。乳送下。一月渐愈。又佐以八
珍汤全愈。
又一儿七岁。发惊痫。令其恣饮人乳。后发渐疏而轻。至十四岁。复发。用乳不效。亦
用河车丸数具而愈。常用加减八味丸而安。后至二十三岁。复发而手足厥冷。仍用前法。佐
以八味丸、十全大补汤而痊。
又治数小儿。皆以补中益气、六君子、六味八味等。汤丸相间用之。皆得全愈。
钱乙治皇子病螈 。国医莫能疗。闻乙有异能。召之。进黄土汤而愈。神宗问此何以能
愈此疾。对曰。以土胜水。木得其平。则风自止。帝悦。擢太医丞。
江应宿治一富家儿。病手足螈 。延至二十余日转笃。江后至。曰。此气虚也。当大补
之。以参、术、归、 、茯、芍、黄连、半夏、甘草。佐以肉桂。助参、 之功。补脾泻肝
一饮遂觉少定。数服而愈。所以知儿病者。左脉滑大。右脉沉弱。似有似无。右手主于气
故曰气分大虚。经所谓土极似木。亢则害。承乃制。脾虚为肝所侮而风生焉。证似乎风。
治风无风可治。治惊无惊可疗。治痰无痰可行。主治之法。所谓气行而痰自消。血荣而风自
灭矣。见肝之病。知肝当传脾。故先实其脾土。治其未病。否则成慢脾风而危殆矣。
薛立斋治疗一名小儿。患有痫病。呕吐痰涎,身体困倦乏力。过了半晌才苏醒过来。服用各种药物都没有效果。到了十三岁时病情频繁发作。使用肥厚的紫河车(胎盘),生嚼烂,加入人参、当归的粉末捣碎制成丸药。每次服用二钱,每天进服三到五次。用乳汁送服。一个月后逐渐好转。又配合使用八珍汤,最终完全痊愈。
另一名七岁儿童,发作惊痫。让他大量饮用人乳。后来发作逐渐减少且症状减轻。到了十四岁时再次复发。用人乳治疗无效。也使用了紫河车丸几副而痊愈。平时常用加减八味丸来维持安定。后来到了二十三岁时,再次复发并出现手足厥冷。仍然使用前面的方法。配合使用八味丸、十全大补汤而康复。
又治疗数名小儿。都是用补中益气汤、六君子汤、六味地黄丸、八味地黄丸等。汤剂和丸剂交替使用。都得以完全痊愈。
钱乙治疗皇子的抽搐病。御医们都不能治愈。听说钱乙有特殊的技艺,便召见他。钱乙进献黄土汤而治好了病。神宗皇帝问这为什么能治愈这种疾病。钱乙回答说:因为土能胜水,木气得到平衡,那么风邪自然停止。皇帝很高兴。提拔他为太医丞。
江应宿治疗一名富家子弟。患手足抽搐病。拖延了二十多天病情加重。江应宿后来诊治,说:这是气虚。应当大补元气。用人参、白术、当归、[缺字,推测为黄芪或类似补气药]、茯苓、芍药、黄连、半夏、甘草。佐以肉桂。辅助人参、[缺字]的功效。补脾泻肝。喝一剂就觉得稍微安定。服用几剂后痊愈。之所以知道这个孩子生病的原因,是因为左脉滑大,右脉沉弱。若有若无。右手脉主要主气,所以说气分大虚。经书所说“土极似木”。亢盛则有害,顺承制约才能正常。脾虚被肝所克制而产生风邪。证候似乎像风邪。治风没有风可治,治惊没有惊可疗,治痰没有痰可消。主治的方法,所谓气行则痰自消,血荣则风自灭。见到肝的病,知道肝会传变给脾。所以先充实脾土。治疗未发生的疾病。否则就会变成慢脾风而危及生命。
Xue Lizhai treated a pediatric patient suffering from epilepsy (Xian, 痫). The child vomited phlegm and felt lethargic and fatigued. It took half an hour for him to regain consciousness. Various medications proved ineffective. By the age of thirteen, the attacks became frequent. Xue prescribed Placenta Hominis (Ziheche, 紫河车), specifically thick placentas, which were chewed raw until mushy, then mixed with powdered Ginseng Radix et Rhizoma Rubra (Renshen, 人参) and Angelicae Sinensis Radix (Danggui, 当归) to form pills. Each dose was two qian (approx. 6-7g), administered three to five times daily, taken down with breast milk. After one month, the condition gradually improved. Subsequently, Buzhong Yiqi Tang (Supplement the Middle and Boost Qi Decoction) was combined with Bazhen Tang (Eight Treasure Decoction), leading to complete recovery.
Another seven-year-old boy suffered from fright epilepsy (Jingxian, 惊痫). He was instructed to drink breast milk freely. Consequently, the frequency and severity of attacks decreased. At age fourteen, the condition relapsed. Breast milk therapy was ineffective. He was then treated with Placenta Hominis pills for several courses and recovered. He maintained stability using Jiaban Bawei Wan (Modified Eight Flavor Pill). Later, at age twenty-three, he relapsed with cold extremities (Shouzu Jueleng, 手足厥冷). The previous method was repeated, supplemented with Bawei Wan (Eight Flavor Pill) and Shiquan Dabu Tang (Ten Significant Tonifying Decoction), resulting in a cure.
Several other pediatric cases were treated similarly. Formulas such as Buzhong Yiqi Tang (Supplement the Middle and Boost Qi Decoction), Liujunzi Tang (Six Gentlemen Decoction), Liuwei Dihuang Wan (Six Ingredient Pill with Rehmannia), and Bawei Dihuang Wan (Eight Ingredient Pill with Rehmannia) were used alternately as decoctions and pills. All patients achieved full recovery.
Qian Yi treated a prince suffering from convulsions (Chou Yuan, 瘛疭). Imperial physicians were unable to cure him. Upon hearing of Qian Yi's exceptional skills, he was summoned. Qian Yi prescribed Huangtu Tang (Yellow Earth Decoction), which cured the illness. Emperor Shenzong asked why this formula could cure such a disease. Qian Yi replied: "Earth overcomes Water; when Wood achieves balance, Wind naturally ceases." The Emperor was pleased and promoted him to Taichi Cheng (Director of the Imperial Medical Bureau).
Jiang Yingsu treated a wealthy family's son suffering from limb convulsions (Shouzu Chou Yuan, 手足瘛疭). The condition persisted for over twenty days and worsened. Upon examination, Jiang stated: "This is Qi deficiency. It requires substantial tonification." He prescribed Ginseng Radix et Rhizoma (Renshen, 人参), Atractylodis Macrocephalae Rhizoma (Baizhu, 白术), Angelicae Sinensis Radix (Danggui, 当归), [missing character, likely Astragali Radix/Huangqi], Poria Cocos (Fuling, 茯苓), Paeoniae Radix Alba (Baishao, 白芍), Coptidis Rhizoma (Huanglian, 黄连), Pinelliae Tuber (Banxia, 半夏), and Glycyrrhizae Radix et Rhizoma (Gancao, 甘草). Cinnamon Cortex (Rougui, 肉桂) was added as an adjunct to assist the efficacy of Ginseng and [missing herb]. This approach tonified the Spleen and drained the Liver. After one dose, the patient felt somewhat stabilized. After several doses, he recovered. The diagnosis was based on the left pulse being slippery and large, while the right pulse was deep, weak, and faint. The right hand pulse primarily reflects Qi; thus, it indicated severe Qi deficiency. As the classics state, "When Earth reaches its extreme, it resembles Wood." When excessive, it causes harm; regulation restores balance. Spleen deficiency allows the Liver to oppress it, generating Wind. Although the symptoms resembled Wind, there was no actual Wind pathogen to treat; there was no Fright to treat; there was no Phlegm to resolve. The primary treatment principle is that when Qi moves, Phlegm dissipates; when Blood nourishes, Wind extinguishes. "When treating Liver disease, one knows it will transmit to the Spleen." Therefore, the Spleen Earth is fortified first. This constitutes treating the disease before it arises. Otherwise, it would develop into Slow Spleen Wind (Man Pi Feng, 慢脾风), leading to critical danger.