方
烧针丸 治小儿吐泻。
黄丹(水飞过) 朱砂 白矾(火 ,各等分)
上为末,枣肉为丸,如黄豆大。每服三、四丸,戳针尖上,于灯焰上烧存性,研烂,凉米泔水调服。
泻者食前,吐者无时。外用绿豆粉,以鸡子清和作膏,涂两脚心,如泻涂囟门,止则去之。
白术散 治吐泻,或病后津液不足,口干作渴,和胃生津,止泻痢,将欲成慢惊风者。
人参 白术 藿香 白茯苓(去皮) 干葛 木香 甘草(炙,各等分)
水煎服。若小儿频频泻痢,将成慢惊,加山药、扁豆、肉豆蔻,煨,各一钱,用姜一片煎。若慢
惊已作,加细辛、天麻各一钱,全蝎三个,白附子八分,裹煨。若冬月,小儿吐蛔,多是胃
寒、胃虚所致,加丁香二粒。如胃虚不能食,而大渴不止者,不可用淡渗之药,乃胃中元气少故也,与此汤
补之,加天花粉。如能食而渴者,白虎汤加人参。如中气虚热,口舌生疮,不喜饮食,服之即效。
参苓膏 治大人、小儿脾胃虚冷,呕吐泄泻,及痘疹泄泻,并治。
人参(一两) 白术(一两) 茯苓(一两) 白豆蔻(七钱) 山药(一两) 木香(五钱)
砂仁(五钱) 肉豆蔻(七钱) 甘草(炙,三钱)
上为细末,炼蜜为丸,如龙眼大。每服一丸,不拘时,清米汤,研化服。
治小儿脾虚泄泻。(李椹涧传)
山药半生半炒,为细末,每服一、二钱,空心黑砂糖水调服。
方剂:烧针丸。主治小儿吐泻。
药材:黄丹(用水飞法处理)、朱砂、白矾(用火煅),各取等份。
制法与用法:将上述药物研成细末,用枣肉制成丸药,大小如黄豆。每次服用三至四丸,插在针尖上,在灯焰上烧至存性(保留药性但炭化),研磨烂,用凉的米泔水调服。
服药时间:腹泻者在饭前服用,呕吐者不拘时服用。外治法:用绿豆粉,用鸡蛋清调和成膏状,涂抹在两脚心;如果是腹泻,则涂在囟门处,症状停止后立即去除。
方剂:白术散。主治吐泻,或病后津液不足,口干口渴,和胃生津,止泻痢,以及即将发展为慢惊风的情况。
药材:人参、白术、藿香、白茯苓(去皮)、干葛、木香、甘草(炙,各取等份)。
用法:水煎服。如果小儿频频泻痢,即将形成慢惊风,加入山药、扁豆、肉豆蔻(煨),各一钱,用一片生姜煎煮。如果慢惊风已经发作,加入细辛、天麻各一钱,全蝎三个,白附子八分,包裹后煨制。如果是冬季,小儿吐出蛔虫,多是由胃寒、胃虚所致,加入丁香两粒。如果胃虚不能进食,且大渴不止,不可使用淡渗利湿的药物,这是因为胃中元气不足的缘故,给予此汤补益,加入天花粉。如果能进食而口渴的,使用白虎汤加人参。如果是中气虚热,口舌生疮,不喜欢饮食,服用此方即见效。
方剂:参苓膏。主治大人、小儿脾胃虚冷,呕吐泄泻,以及痘疹引起的泄泻,一并治疗。
药材:人参(一两)、白术(一两)、茯苓(一两)、白豆蔻(七钱)、山药(一两)、木香(五钱)、砂仁(五钱)、肉豆蔻(七钱)、甘草(炙,三钱)。
制法与用法:将上述药物研成细末,用炼蜜制成丸药,大小如龙眼核。每次服用一丸,不拘时间,用清米汤研磨化开服用。
Formula: Shaozhen Wan (Needle-Burning Pill). Indicated for vomiting and diarrhea in children.
Ingredients: Huangdan (Lead Oxide, processed by water flotation), Zhusha (Cinnabar), Baifan (Alum, calcined), each in equal proportions.
Preparation and Administration: Grind the above ingredients into fine powder, bind with jujube pulp to form pills the size of soybeans. Administer 3-4 pills per dose. Pierce a pill onto the tip of a needle, burn it over a lamp flame until carbonized but retaining its medicinal properties (charred), grind into a paste, and take with cool rice wash water.
Timing: For diarrhea, take before meals; for vomiting, take at any time. External application: Mix Lvdoufen (Mung Bean Powder) with egg white to make a paste, apply to both soles. If diarrhea is present, apply to the fontanelle; remove once symptoms cease.
Formula: Baizhu San (Atractylodes Macrocephala Powder). Indicated for vomiting and diarrhea, or insufficient body fluids after illness presenting with dry mouth and thirst; harmonizes the stomach, generates fluids, stops dysentery and diarrhea, and prevents the onset of slow convulsive disease (Man Jing Feng).
Ingredients: Renshen (Ginseng Root), Baizhu (Atractylodes Macrocephala Rhizome), Huoxiang (Patchouli Herb), Baifuling (Poria Cocos, peeled), Qianjin Ge (Kudzu Root), Muxiang (Aucklandiae Radix), Gancao (Licorice Root, honey-fried), each in equal proportions.
Administration: Decoct in water and take orally. If children suffer from frequent dysentery and are on the verge of developing slow convulsions, add Shanyao (Dioscorea Rhizome), Bian Dou (Lablab Seed), and Roudoukou (Nutmeg), all roasted, one qian each, decocted with one slice of ginger. If slow convulsions have already manifested, add Xixin (Asarum Root), Tianma (Gastrodia Rhizome) each one qian, Quanxie (Scorpion) three units, and Baifuzi (Typhonii Rhizoma), eight fen, wrapped and roasted. In winter, if children vomit roundworms, this is mostly due to stomach cold and deficiency; add two Dingxiang (Caryophylli Flos). If stomach deficiency leads to inability to eat and unquenchable thirst, do not use bland diuretic herbs, as this indicates deficient yuan qi in the stomach; instead, tonify with this decoction by adding Tianhuafen (Trichosanthes Root). If the patient can eat but feels thirsty, use Baihu Tang (White Tiger Decoction) plus Renshen. If there is deficiency heat in the middle jiao, with ulcers in the mouth and tongue and loss of appetite, administration of this formula yields immediate effect.
Formula: Shenling Gao (Ginseng and Poria Paste/Pill). Indicated for cold deficiency of the spleen and stomach in adults and children, vomiting and diarrhea, and also treats diarrhea caused by smallpox/rubella eruptions.
Ingredients: Renshen (Ginseng Root, one liang), Baizhu (Atractylodes Macrocephala Rhizome, one liang), Fuling (Poria Cocos, one liang), Baidoukou (Cardamomi Fructus Rotundus, seven qian), Shanyao (Dioscorea Rhizome, one liang), Muxiang (Aucklandiae Radix, five qian), Sharen (Amomi Fructus, five qian), Roudoukou (Nutmeg, seven qian), Gancao (Licorice Root, honey-fried, three qian).
Preparation and Administration: Grind into fine powder, bind with refined honey to form pills the size of longan seeds. Take one pill per dose at any time, dissolve in clear rice soup and ingest.
Treatment for pediatric spleen-deficiency diarrhea. (Transmitted by Li Shenjian)
Shanyao (Dioscorea Rhizome): half raw, half stir-fried, ground into fine powder. Take 1-2 qian per dose, mixed with black sugar water, taken on an empty stomach.