钱氏云∶小儿睡而自汗出者,肌肉虚也,止汗散主之;遍身汗出者,香瓜丸主之。上至
胸,下至脐,此胃虚也,当补脾,益黄散主之。有实证自汗,外因感冒风邪,发热无间,昏
醒浸浸汗出,或浓衣卧而额汗出也,当救表解肌,用百解散、止汗散主之。
小见无疾,但睡中汗出如水,觉而经久不干,此名积证盗汗,脾冷所致,宜三棱散,次益
黄散主之。
有时时冷汗渐出,发根如贯珠,面额上 然,此为惊汗,宜镇惊丸、琥珀抱龙丸及茯苓汤
加麻黄根取效。有病困睡,寐中而身体汗流,此因阳虚所致,久不已,令人瘦瘠,心气不足,
津液妄出故也,用茯神汤加黄 主之。
团参汤 治小儿虚汗,或心血液盛亦发为汗。此药收敛心气。
拣人参 川当归(各三钱)
咀,用猪心一枚,切三片。每服二钱,猪心一片,井水二盏,煎六、七分,食前作二次服。
扑汗方
黄连 牡蛎粉 贝母(各二两) 米粉(一升,敷)
上为细末,以绢囊盛扑。
牡蛎散 治血虚自汗,或病后暴虚,津液不固自汗。
牡蛎(二两) 黄 生地黄(各一两)
上末,每服二钱,或加小麦煎。
止汗散 治小儿睡汗,用故蒲扇烧灰扑身上,如无扇,故蒲亦可。
通神丸 治小儿夜间通身多汗。
草龙胆(不拘多少)
为末,醋糊丸,绿豆大。每服五、七丸,米饮下。
又方 治睡中汗出,用酸枣仁、人参、茯苓(各等分为末)每服二钱,食前米饮调服。
钱乙说:小儿睡觉时自然出汗的,是肌肉虚弱所致,用止汗散主治;全身都出汗的,用香瓜丸主治。汗出从胸部到肚脐,这是胃气虚弱,应当补脾,用益黄散主治。有实证导致的自汗,是因为外感风邪,发热没有间歇,昏迷与清醒之间浸淫出汗,或者穿厚衣服睡觉导致额头出汗,应当急救表邪、解除肌腠之邪,用百解散、止汗散主治。
小儿看似无病,只是在睡中出汗像水一样,醒来后很久不干,这叫做积证盗汗,是由脾冷引起的,适宜用三棱散,接着用益黄散主治。
有时冷汗渐渐渗出,发根像串珠一样,面额上潮湿,这叫惊汗,适宜用镇惊丸、琥珀抱龙丸以及茯苓汤加麻黄根来取效。有病困倦嗜睡,睡眠中身体流汗,这是因为阳虚所致,长久不愈,使人消瘦羸弱,心气不足,津液妄出,所以用茯神汤加人参主治。
团参汤:治疗小儿虚汗,或者心血液盛也会引发为汗。此药能收敛心气。
拣选的人参、川当归(各三钱)
切碎,用猪心一枚,切成三片。每次服用二钱,配一片猪心,井水两盏,煎至六、七分,饭前分两次服用。
扑汗方:
黄连、牡蛎粉、贝母(各二两)、米粉(一升,用于外敷)
以上研为细末,用绢袋盛装扑撒在身上。
牡蛎散:治疗血虚自汗,或者病后突然虚弱,津液不固导致的自汗。
牡蛎(二两)、黄芪、生地黄(各一两)
以上研为末,每次服用二钱,也可以加小麦一起煎煮。
止汗散:治疗小儿睡中出汗,用旧的蒲扇烧成灰扑洒在身上,如果没有扇子,旧的蒲叶也可以。
Qian Yi stated: When infants and children sweat naturally during sleep, it is due to deficiency of the muscles; Zhihan San (Stop Sweat Powder) is the primary prescription. When sweating covers the entire body, Xianggua Wan (Melon Pill) is indicated. When sweating extends from the chest down to the umbilicus, this indicates deficiency of the Stomach Qi; one should tonify the Spleen, using Yihuang San (Benefit Yellow Powder). There are cases of spontaneous sweating due to excess patterns, caused by external contraction of Wind pathogenic factors, with continuous fever without interval, sweating profusely between states of coma and wakefulness, or sweating on the forehead after sleeping in heavy clothing. In such cases, one should rescue the exterior and release the muscle layer, using Baisan Jie (Hundred Resolutions Decoction) or Zhihan San (Stop Sweat Powder).
If an infant appears healthy but sweats like water during sleep, remaining wet for a long time after waking, this is named "accumulation-type night sweating" (Jizheng Daohan), caused by Cold in the Spleen. Sanleng San (Three Spikes Powder) is appropriate, followed by Yihuang San (Benefit Yellow Powder).
When cold sweat gradually oozes out, with hair roots resembling a string of beads, and the face and forehead appearing moist, this is called "Fright Sweat" (Jinghan). Zhenjing Wan (Settle Fright Pill), Hupo Baolong Wan (Amber Embrace Dragon Pill), and Lingzhu Tang (Poria Decoction) added with Mahuanggen (Ephedrae Caulis et Rhizoma) are suitable for efficacy. If a child is lethargic and sleepy, sweating profusely on the body during sleep, this is caused by Yang Deficiency. If prolonged, it leads to emaciation and weakness; due to insufficiency of Heart Qi, Body Fluids (Jinye) escape recklessly. Fushen Tang (Poria with Hostwood Decoction) added with Renshen (Ginseng Radix) is used.
Tuanshen Tang (Round Ginseng Decoction): Treats infantile deficient sweating, or sweating induced by excessive Blood and Heat in the Heart. This formula astringes Heart Qi.
Selected Renshen (Ginseng Radix), Chuan Danggui (Angelicae Sinensis Radix) (each 3 qian).
Chopped, using one pig heart, sliced into three pieces. Take 2 qian per dose, with one slice of pig heart, two cups of well water, decoct until reduced to six or seven parts. Take twice before meals.
Puhan Fang (Sweat-Powder Formula):
Huanglian (Coptidis Rhizoma), Muli (Ostreae Concha), Beimu (Fritillariae Bulbus) (each 2 liang), Rice Flour (1 sheng, for external application).
Grind into fine powder, place in a silk bag, and apply by dusting/patting.
Muli San (Oyster Shell Powder): Treats spontaneous sweating due to Blood Deficiency, or sudden deficiency after illness where Body Fluids fail to consolidate, causing spontaneous sweating.
Muli (Ostreae Concha) (2 liang), Huangqi (Astragali Radix), Shengdihuang (Rehmanniae Radix) (each 1 liang).
Grind into powder. Take 2 qian per dose, optionally decocted with Xiao Mai (Triticum Semen).
Zhihan San (Stop Sweat Powder): Treats infantile sleep-sweating. Burn old cattail fans to ash and dust the body. If fans are unavailable, old cattail leaves may be used.
Tongshen Wan (Spirit-Connecting Pill): Treats profuse whole-body sweating in infants at night.
Caolongdan (Gentianae Macrophyllae Radix) (any amount).
Grind into powder, bind with vinegar paste into pills the size of mung beans. Take 5–7 pills per dose, washed down with rice drink.
Another Prescription: Treats sweating during sleep. Use Suanzaoren (Ziziphi Spinosae Semen), Renshen (Ginseng Radix), and Fuling (Poria) (equal parts, ground into powder). Take 2 qian per dose, mixed with rice drink before meals.