金 男 四岁 幼孩手心热,舌苔浓浊,呕吐,食积也,法当和胃而醒脾,宜降不宜升
。
藿梗(二钱) 焦曲(钱半) 白豆蔻(三钱,研) 半夏(二钱) 鸡内金(一钱) 广皮炭(
一钱) 苡仁(二钱,研) 浓朴(钱半) 煨姜(二小片)
十三日 热退脉平,以调理脾胃为主。
白术(二钱,炒) 广皮炭(六分) 白扁豆(一钱) 茯苓块(三钱) 神曲(一钱炒) 半夏
(一钱) 浓朴(六分) 山药(一钱,炒)
二十三日 泄久脾虚,将成滞下。
浓朴(二钱) 生苡仁(三钱) 广皮炭(钱半) 焦神曲(二钱) 云苓块(二钱) 益智仁(
五分,煨) 广木香(八分) 鸡内金(二钱) 黄芩炭(八分) 焦白芍(一钱)
陶 二岁 乙酉七月初二 幼童手心热甚,舌微黄,身微热,体瘦,神不足,防成疳疾
,与疏补中焦,兼之消食。
生苡仁(三钱) 浓朴(八分) 焦神曲(二钱) 广皮炭(一钱) 鸡内金(一钱) 云苓块(
三钱) 益智仁(七分)
煮二小杯,分三次服,三帖而愈。
孙 九岁 丁亥七月二十五日 疳疾已久,若不急讲调理饮食,则不可为矣,用药以疏
补中焦立法。
茯苓(四钱,连皮) 鸡内金(二钱,炒) 广木香(一钱) 益智仁(钱半) 浓朴(二钱)
楂炭(钱半) 半夏(三钱) 橘皮炭(二钱)
继男 十二月十四日 脉大浮取弦数,脾虚食滞,疳疾将成,大便频仍,面肿腹大,与
温宣中焦法。
益智仁(钱半) 黄芩(钱半) 橘皮(二钱) 茯苓皮(三钱) 神曲(三钱,炒) 半夏(三
钱) 苡仁(四钱) 蔻仁(一钱)
二十八日 大便后见血,乃小肠寒湿,加黄土汤法。
于前方内,去蔻仁,加苍术炭(三钱) 熟附子(二钱) 中黄土(四两)
再服三帖。
金姓男孩,四岁。幼童手心发热,舌苔厚腻浑浊,伴有呕吐,这是食积所致。治疗法则应当调和胃气以醒脾,宜用降逆之法而不宜用升提之法。
藿香梗(二钱) 焦神曲(一钱半) 白豆蔻(三钱,研碎) 半夏(二钱) 鸡内金(一钱) 广陈皮炭(一钱) 薏苡仁(二钱,研碎) 厚朴(一钱半) 煨生姜(两小片)
白术(二钱,炒制) 广陈皮炭(六分) 白扁豆(一钱) 茯苓块(三钱) 神曲(一钱,炒制) 半夏(一钱) 厚朴(六分) 山药(一钱,炒制)
厚朴(二钱) 生薏苡仁(三钱) 广陈皮炭(一钱半) 焦神曲(二钱) 云茯苓块(二钱) 益智仁(五分,煨制) 广木香(八分) 鸡内金(二钱) 黄芩炭(八分) 焦白芍(一钱)
陶姓男孩,两岁。乙酉年七月初二。幼童手心发热严重,舌苔微黄,身体微热,形体消瘦,精神不足,担心发展为疳疾。给予疏理补益中焦的方法,兼以消食。
生薏苡仁(三钱) 厚朴(八分) 焦神曲(二钱) 广陈皮炭(一钱) 鸡内金(一钱) 云茯苓块(三钱) 益智仁(七分)
煮成两小杯,分三次服用,三剂后痊愈。
孙姓男孩,九岁。丁亥年七月二十五日。疳疾已久,如果不紧急调理饮食,则病情难以挽回。用药以疏理补益中焦为立法原则。
茯苓(四钱,带皮) 鸡内金(二钱,炒制) 广木香(一钱) 益智仁(一钱半) 厚朴(二钱) 山楂炭(一钱半) 半夏(三钱) 橘皮炭(二钱)
继男(吴鞠通之子),十二月十四日。脉象宏大,轻取弦数,属脾虚食滞,疳疾将成,大便频繁,面部浮肿腹部胀大,采用温通宣散中焦的方法。
益智仁(一钱半) 黄芩(一钱半) 橘皮(二钱) 茯苓皮(三钱) 神曲(三钱,炒制) 半夏(三钱) 薏苡仁(四钱) 蔻仁(一钱)
在前方基础上,去掉蔻仁,加入苍术炭(三钱) 熟附子(二钱) 灶心黄土(四两)
再服用三剂。
Jin, male, four years old. The young child has heat in the palms of the hands, a thick and turbid tongue coating, and vomiting; this is food stagnation (Shi Ji). The treatment principle should be to harmonize the Stomach to awaken the Spleen; descending methods are suitable, while ascending methods are not.
Huoxiang Geng (Agastis Rhizoma, 2 qian) Jiao Qu (Fried Medicated Leaven, 1.5 qian) Ba Dou Kou (White Cardamom Seed, 3 qian, crushed) Banxia (Pinellia Tuber, 2 qian) Ji Neijin (Chicken Gizzard Lining, 1 qian) Guang Pi Tan (Charred Tangerine Peel, 1 qian) Yi Ren (Coix Seed, 2 qian, crushed) Houpo (Magnolia Bark, 1.5 qian) Wei Jiang (Ginger Rhizome, roasted, two small slices)
Thirteenth day: The fever has subsided and the pulse is calm; the focus is on regulating the Spleen and Stomach.
Baizhu (Atractylodes Macrocephala Rhizoma, 2 qian, stir-fried) Guang Pi Tan (Charred Tangerine Peel, 6 fen) Bai Bian Dou (White Hyacinth Bean, 1 qian) Fuling Kuai (Poria Block, 3 qian) Shen Qu (Medicated Leaven, 1 qian, stir-fried) Banxia (Pinellia Tuber, 1 qian) Houpo (Magnolia Bark, 6 fen) Shanyao (Dioscorea Rhizome, 1 qian, stir-fried)
Twenty-third day: Prolonged diarrhea has led to Spleen deficiency, which is about to develop into dysentery (Zhi Xia).
Houpo (Magnolia Bark, 2 qian) Sheng Yi Ren (Raw Coix Seed, 3 qian) Guang Pi Tan (Charred Tangerine Peel, 1.5 qian) Jiao Shen Qu (Fried Medicated Leaven, 2 qian) Yun Ling Kuai (Cloud Poria Block, 2 qian) Yizhi Ren (Alpinia Oxyphylla Fruit, 5 fen, roasted) Guang Muxiang (Vetiver Root, 8 fen) Ji Neijin (Chicken Gizzard Lining, 2 qian) Huang Qin Tan (Charred Scutellaria Root, 8 fen) Jiao Baishao (Fried White Peony Root, 1 qian)
Tao, male, two years old. Second day of the seventh lunar month in the Yiyou year. The young child has severe heat in the palms, a slightly yellow tongue coating, slight body heat, emaciation, and insufficient spirit. There is a risk of developing infantile malnutrition disease (Gan Ji). Treatment involves dispersing and tonifying the Middle Jiao, combined with promoting digestion.
Sheng Yi Ren (Raw Coix Seed, 3 qian) Houpo (Magnolia Bark, 8 fen) Jiao Shen Qu (Fried Medicated Leaven, 2 qian) Guang Pi Tan (Charred Tangerine Peel, 1 qian) Ji Neijin (Chicken Gizzard Lining, 1 qian) Yun Ling Kuai (Cloud Poria Block, 3 qian) Yizhi Ren (Alpinia Oxyphylla Fruit, 7 fen)
Boil to make two small cups, divide into three doses. Cured after three prescriptions.
Sun, male, nine years old. Twenty-fifth day of the seventh lunar month in the Dinghai year. Infantile malnutrition disease (Gan Ji) has persisted for a long time. If dietary regulation is not urgently addressed, the condition will become incurable. The prescription follows the principle of dispersing and tonifying the Middle Jiao.
Fuling (Poria, 4 qian, with skin) Ji Neijin (Chicken Gizzard Lining, 2 qian, stir-fried) Guang Muxiang (Vetiver Root, 1 qian) Yizhi Ren (Alpinia Oxyphylla Fruit, 1.5 qian) Houpo (Magnolia Bark, 2 qian) Zha Tan (Charred Hawthorn Fruit, 1.5 qian) Banxia (Pinellia Tuber, 3 qian) Ju Pi Tan (Charred Citrus Peel, 2 qian)
Ji Nan (Son of Wu Jutong), Fourteenth day of the twelfth lunar month. The pulse is large and wiry-rapid upon superficial palpation. This indicates Spleen deficiency with food stagnation, and infantile malnutrition disease (Gan Ji) is impending. Frequent stools, facial edema, and abdominal distension are present. The method employed is warming and dispersing the Middle Jiao.
Yizhi Ren (Alpinia Oxyphylla Fruit, 1.5 qian) Huang Qin (Scutellaria Root, 1.5 qian) Ju Pi (Citrus Peel, 2 qian) Fuling Pi (Poria Skin, 3 qian) Shen Qu (Medicated Leaven, 3 qian, stir-fried) Banxia (Pinellia Tuber, 3 qian) Yi Ren (Coix Seed, 4 qian) Kou Ren (Cardamom Seed, 1 qian)
Twenty-eighth day: Blood appears after defecation, caused by cold-dampness in the Small Intestine. Add the method of Huangtu Tang (Yellow Earth Decoction).
To the previous prescription, remove Kou Ren, and add Cang Zhu Tan (Charred Atractylodes Rhizoma, 3 qian), Shu Fuzi (Prepared Aconite Lateral Root, 2 qian), and Zhong Huangtu (Kitchen Hearth Yellow Earth, 4 liang).
Take three more prescriptions.