论曰小儿猝然惊悸,眼目翻腾,壮热不已,四肢抽掣,上仰如钓缚之状,名曰天 ,
乍作
儿
病。
治小儿惊风,天 急风。雄黄散方
雄黄(研) 牛黄(研) 蚱蝉(各一两) 干蝎(七枚去土炒)
上四味,捣研为散,一二岁儿每服一字匕,薄荷汤调下,三四岁半钱匕,空心日午临卧
各一服,更量儿大小加减。
治小儿惊风天 。麝香散方
麝香(研) 腻粉(研) 干蝎(去土炒) 白附子(炮各一分)
上五味,捣研极细,每服一字匕,薄荷汁调下,早晚各一服。
治小儿天 ,手脚掣动,眼目不定,或笑或啼,或喜或怒,爪甲青色。龙齿饮方
龙齿 钩藤 赤茯苓(去黑皮各半两) 蝉壳(二七枚去土) 铅丹(研) 甘草(炙)
大黄
上九味,粗捣筛,一二岁儿每服半钱匕,水半盏,煎至三分温服,更量儿大小加减。
治小儿急慢惊风天 ,撮口搐搦,奶痫壮热困重。定命丸方
干蝎(全者七枚生用) 天南星(末一分生) 白附子(末半分生) 青黛(半钱) 蟾
酥(一
上六味细研令匀,以粟米糊丸如绿豆大,更用青黛为衣,新生儿用腻粉二捻,生油一两
点,新汲水数滴,药一米许,化破与服,取下胎中所受惊热,即无诸惊,如小儿患重,用荆
芥薄荷汤化下一粒。
治小儿天 惊风。天浆子散方
天浆子 蝎梢 犀角屑 丹砂(研) 雄黄(研) 附子(炮裂去皮脐) 天南星(炮)
白附
白花蛇(酒浸炙用肉) 白僵蚕(炒各一分) 腻粉 牛黄(研各一钱) 麝香(一字) 金
箔银箔(各三片)
上一十八味,除别研外,捣罗为散,入研药和匀,每服一字匕,薄荷汤调下,日三,更
量儿大小加减。
治小儿天 ,惊风潮搐,项筋紧强,手足厥冷。再生散方
乌蛇(酒炙取肉) 天麻 天南星(炮) 干蝎(炒各一分) 麝香(研一钱匕) 腻
粉(半钱
上九味,除别研外,捣罗为散,入研药和匀,每服半钱匕,煎金银汤调下,早晚各一服
,更量儿大小加减。
治小儿天 痫病,急慢诸风。赤灵丸方
丹砂(研水飞过) 人参(为末各一两) 酸枣仁(研二两) 乳香(研半两) 白面
(二钱)
右五味,和研令匀,用生蜜和膏入新竹筒内,以油纸封札定,坐饭甑上炊,候饭熟为度
,分作三十丸,每一丸,分四服,薄荷汤化下,更量儿大小加减。
治小儿天 。僵蚕散方
白僵蚕(炒) 马牙硝(研) 郁金 干蝎(去土炒各半两)
上四味,捣研为散,每服一字匕,乳汁调服,甚者半钱匕,不拘时候。
治小儿天 。天南星散方
天南星(大者一枚掘地作坑安砖子一片先用火烧赤后放天南星于热砖上用酒半升倾天南
星上即以盏子覆之候冷锉)
上一味,捣罗为散,每服一字匕,温酒调下,二岁以下,以乳汁调。
治小儿天 。备急涂顶膏方
乌头末(芸苔子末各二钱匕)
上二味,合研令匀,每用一钱匕,新水调敷儿顶上。
治小儿天 客忤,五疳八痢,十二惊痫。青黛丸方
青黛(研) 天竺黄(研) 干虾蟆(一枚黄泥裹烧赤去泥研) 干蜗牛壳(洗炒研) 黄
连(
半两) 牛黄(研
三分)
上一十七味,捣罗七味为末,与十味研者和匀,以烧饭丸如麻子大,一岁一丸,至二丸
,粥饮下,一岁以上,以意加减。
论述说:小儿突然受到惊吓而心悸,眼球上翻或转动不宁,高热不退,四肢抽搐,身体向后仰如被绳索捆绑之状,这种病名叫“天钓”,也属于“惊风”、“急风”一类的疾病。
治疗小儿惊风、天钓及急风的雄黄散方:
雄黄(研磨)、牛黄(研磨)、蚱蝉(各一两)、干蝎(七枚,去泥土后炒制)。
以上四味药,捣碎研成散剂。一至两岁的幼儿,每次服用“一字匕”量的药粉,用薄荷汤调服;三至四岁的幼儿,每次服用“半钱匕”量的药粉,分别在空腹时、中午和临睡前各服一次,并根据患儿的大小酌情增减剂量。
治疗小儿惊风、天钓的麝香散方:
麝香(研磨)、腻粉(研磨)、干蝎(去泥土后炒制)、白附子(炮制,各一分)。
以上五味药,捣碎研至极细,每次服用“一字匕”量的药粉,用薄荷汁调服,早晚各服一次。
治疗小儿天钓,表现为手脚抽动,眼球运动不定,时而笑时而哭,情绪喜怒无常,指甲呈青色的龙齿饮方:
龙齿、钩藤、赤茯苓(去掉黑皮,各半两)、蝉蜕(二十一枚,去泥土)、铅丹(研磨)、甘草(炙烤)、大黄。
以上九味药,粗捣过并筛过后,一至两岁的幼儿,每次服用“半钱匕”量的药末,加水半盏,煎煮至剩余三分之一的药液时温服,并根据患儿的大小酌情增减剂量。
治疗小儿急慢惊风、天钓,表现为撮口(口唇紧缩)、抽搐痉挛,以及奶痫(婴儿癫痫)伴有的高热困重症状的定命丸方:
干蝎(完整的七枚,生用)、天南星(粉末一分,生用)、白附子(粉末半分,生用)、青黛(半钱)、蟾酥(此处原文缺失具体用量,依古籍惯例通常为少量,译文保留原意)、朱砂(此处原文缺失,结合上下文及常见配方,可能为误植或省略,但根据“上六味”推断,前文列出的药物应为全部成分,若严格按字面“上六味”则需确认是否漏字,此处依原文列举的药物进行翻译,忽略未明确标注重量的部分或视为整体混合,注:原文中“蟾酥”后缺量,“上一十八味”等处的计数逻辑在古文中常有特定指代,此处忠实于列出的药材名)。*修正:仔细核对原文“上六味”,前列出的是:干蝎、天南星、白附子、青黛、蟾酥。这里只有五味?再看原文:“干蝎...天南星...白附子...青黛...蟾酥...”。通常“上一X味”是对前文的总结。若原文确实写“上六味”但只列出五味,可能是排版遗漏或“蟾酥”后隐含了其他辅料,或者“新生儿用腻粉二捻...”中的腻粉算作第六味?但在方剂组成中,腻粉常作为衣或辅助。鉴于任务要求不增添内容,我将列出明确提到的药材,并按原文结构翻译。*
重新梳理定命丸方药材:干蝎、天南星、白附子、青黛、蟾酥。原文称“上六味”,可能包含未单独列出的某种成分或计数方式特殊。为严谨起见,仅翻译列出的实体。
将上述药材细研均匀,用粟米糊制成如绿豆大小的丸药,再用青黛包裹作为外衣。新生儿使用时,取腻粉两捻,加生油一两,滴入新汲水数滴,将药丸化开至米粒大小,破开喂服,以排出胎儿时期所受惊热,即可消除各种惊证。如果小儿病情严重,可用荆芥薄荷汤化开一粒服用。
治疗小儿天钓惊风的天浆子散方:
天浆子、蝎梢、犀角屑、丹砂(研磨)、雄黄(研磨)、附子(炮裂,去皮和脐)、天南星(炮制)、白附子、白花蛇(酒浸后炙烤,取肉)、白僵蚕(炒制,各一分)、腻粉、牛黄(研磨,各一钱)、麝香(一字)、金箔、银箔(各三片)。
以上十八味药,除需要分别研磨的药外,其余捣碎过罗成散剂,加入已研磨好的药粉混合均匀。每次服用“一字匕”量的药粉,用薄荷汤调服,每日三次,并根据患儿的大小酌情增减剂量。
治疗小儿天钓惊风潮搐,表现为项部筋脉紧张僵硬,手足厥冷的再生散方:
乌梢蛇(酒炙,取肉)、天麻、天南星(炮制)、干蝎(炒制,各一分)、麝香(研磨,一钱匕)、腻粉(半钱)。*注:原文“上九味”,前列出六味,可能后续有省略或排版问题,此处仅翻译可见部分。*
以上九味药(按原文计数),除需要分别研磨的药外,其余捣碎过罗成散剂,加入已研磨好的药粉混合均匀。每次服用“半钱匕”量的药粉,煎金银汤调服,早晚各服一次,并根据患儿的大小酌情增减剂量。
治疗小儿天钓痫病,急慢各种风证的赤灵丸方:
丹砂(研磨,用水飞法处理)、人参(研成粉末,各一两)、酸枣仁(研磨,二两)、乳香(研磨,半两)、白面(二钱)。
以上五味药,混合研磨均匀,用生蜜调和成膏状,装入新竹筒内,用油纸封扎固定,放在饭甑上蒸炊,直到饭熟为止。分成三十丸,每一丸分四次服用,用薄荷汤化开送下,并根据患儿的大小酌情增减剂量。
治疗小儿天钓的僵蚕散方:
白僵蚕(炒制)、马牙硝(研磨)、郁金、干蝎(去泥土后炒制,各半两)。
以上四味药,捣碎研成散剂,每次服用“一字匕”量的药粉,用乳汁调服,重症者服用“半钱匕”量,不限具体时间。
治疗小儿天钓的天南星散方:
天南星(大者一枚,掘地挖坑安放一片砖,先用火烧红,然后将天南星放在热砖上,用半升酒浇在天南星上,立即用碗盖住,待冷却后锉碎)。
以上一味药,捣碎过罗成散剂,每次服用“一字匕”量的药粉,用温酒调服。两岁以下的幼儿,用乳汁调服。
治疗小儿天钓的备急涂顶膏方:
乌头末、芸苔子末(各二钱匕)。
以上两味药,混合研磨均匀。每次取一钱匕量,用新水调匀敷在幼儿的头顶上。
治疗小儿天钓、客忤(外邪侵袭)、五疳八痢、十二惊痫的青黛丸方:
青黛(研磨)、天竺黄(研磨)、干虾蟆(一枚,用黄泥包裹烧红,去泥后研磨)、干蜗牛壳(洗净炒制后研磨)、黄连(半两)、牛黄(研磨,三分)。*注:原文称“上一十七味”,但仅列出六味主要药材,其余十一味可能在原文中被省略或位于后续文本中,此处仅翻译可见部分。*
以上十七味药(按原文计数),将其中七味捣碎过罗成末,与另外十味研磨好的药粉混合均匀,用蒸熟的米饭制成如麻子大小的丸药。一岁幼儿服一丸,最多两丸,用粥饮送下,一岁以上幼儿,酌情增减剂量。
Commentary states: When a child suddenly experiences fright and palpitations, with eyes rolling upward or moving restlessly, persistent high fever, convulsions of the four limbs, and the body arching backward as if bound by ropes, this condition is named "Tian Diao" (Heavenly Fishing/Convulsion), which also belongs to the category of "Jing Feng" (Wind of Fright) and "Ji Feng" (Urgent Wind).
Formula for Xionghuang San (Realgar Powder) to treat infantile wind-stroke, Tian Diao, and urgent wind in children:
Xionghuang (Realgar, ground), Niuhuang (Calculus Bovis, ground), Zha Chan (Locusta, 1 liang each), Gan Xie (Dried Scorpion, 7 pieces, cleaned of soil and stir-fried).
The above four ingredients are crushed and ground into a powder. For infants aged one to two years, administer one "Yi Zi Bi" (a measure equivalent to a small spoonful) per dose, mixed with Bohe Tang (Mint Decoction). For children aged three to four years, administer half a "Qian Bi" (a measure equivalent to a larger spoonful) per dose. Administer once on an empty stomach, once at noon, and once before bed. Adjust the dosage according to the child's size.
Formula for Shexiang San (Musk Powder) to treat infantile wind-stroke and Tian Diao:
Shexiang (Moschus, ground), Nifen (Calomel, ground), Gan Xie (Dried Scorpion, cleaned of soil and stir-fried), Baifuzi (Arisaema Cum Bile/Bai Fu Zi, processed, 1 fen each).
The above five ingredients are crushed and ground to an extremely fine powder. Administer one "Yi Zi Bi" per dose, mixed with Bohe Zhi (Mint Juice). Administer once in the morning and once in the evening.
Formula for Longchi Yin (Dragon Tooth Drink) to treat Tian Diao in children, characterized by twitching of hands and feet, restless eye movements, alternating laughter and crying, unpredictable emotions, and cyanotic fingernails:
Longchi (Draco Ossis, Dragon Bone), Gouteng (Uncariae Ramulus cum Uncis), Chifuling (Poria Cocos with Red Bark, black skin removed, 0.5 liang each), Chan Qiao (Cicada Slough, 21 pieces, cleaned of soil), Qiandan (Mineral Lead, ground), Gancao (Glycyrrhizae Radix et Rhizoma, honey-fried), Dahuang (Rhei Radix et Rhizoma).
The above nine ingredients are coarsely crushed and sieved. For infants aged one to two years, administer half a "Qian Bi" per dose. Add half a cup of water, decoct until one-third remains, and take warm. Adjust the dosage according to the child's size.
Formula for Dingming Wan (Life-Securing Pill) to treat acute and chronic infantile wind-stroke, Tian Diao, characterized by mouth contraction (suo kou), spasms, and infantile epilepsy with severe high fever:
Gan Xie (Dried Scorpion, whole, raw, 7 pieces), Tiannanxing (Arisaematis Rhizoma, powder, 1 fen, raw), Baifuzi (Pinelliae Tuber prepared with Alum, powder, 0.5 fen, raw), Qingdai (Indigo Naturalis, 0.5 qian), Chansu (Toad Venom, quantity omitted in text but implied small amount). *Note: The text states "Six ingredients," but lists five main components; adhering strictly to the text provided.*
Grind the above ingredients finely and uniformly. Form pills the size of mung beans using millet paste. Coat the pills with Qingdai (Indigo Naturalis). For newborns, mix two pinches of Nifen (Calomel) with one liang of fresh oil and several drops of fresh well-water. Dissolve one pill in this mixture to the size of a rice grain, break it open, and administer to expel the fright-heat received from the fetus, thereby eliminating various convulsive disorders. If the child's condition is severe, dissolve one pill in Jingjie Bohe Tang (Schizonepeta and Mint Decoction) and administer.
Formula for Tianjiangzi San (Sky Pulp Seed Powder) to treat Tian Diao and wind-stroke in children:
Tianjiangzi (Flos Platantherae), Xeshao (Scorpion Tail), Xijiaoxie (Rhinocerotis Cornu, sliced), Dansha (Cinnabar, ground), Xionghuang (Realgar, ground), Fuzi (Aconiti Lateralis Radix Praeparata, processed, cracked, skin and bud removed), Tiannanxing (Arisaematis Rhizoma, processed), Baifu (Arisaema Cum Bile/Bai Fu Zi), Baihuashe (Bungarus Parvus/Sinensis, wine-soaked and roasted, meat only), Baijiangcan (Bombyx Batryticatus, stir-fried, 1 fen each), Nifen (Calomel), Niuhuang (Calculus Bovis, ground, 1 qian each), Shexiang (Moschus, 1 Yi Zi), Jinpo (Gold Leaf), Yinpo (Silver Leaf, 3 pieces each).
The above eighteen ingredients, except those requiring separate grinding, are crushed and sieved into powder. Mix with the separately ground powders. Administer one "Yi Zi Bi" per dose, mixed with Bohe Tang (Mint Decoction). Take three times daily. Adjust the dosage according to the child's size.
Formula for Zaisheng San (Rebirth Powder) to treat Tian Diao, convulsive wind-stroke, characterized by stiffness of neck tendons and cold extremities:
Wushe (Zaocys, wine-roasted, meat only), Tianma (Gastrodiae Rhizoma), Tiannanxing (Arisaematis Rhizoma, processed), Gan Xie (Dried Scorpion, stir-fried, 1 fen each), Shexiang (Moschus, ground, 1 Yi Zi Bi), Nifen (Calomel, 0.5 qian). *Note: Text states "Nine ingredients," but lists six visible ones.*
The above nine ingredients (per text count), except those requiring separate grinding, are crushed and sieved into powder. Mix with the separately ground powders. Administer half a "Qian Bi" per dose, mixed with Jin Yin Tang (Gold and Silver Decoction). Take once in the morning and once in the evening. Adjust the dosage according to the child's size.
Formula for Chiling Wan (Red Spirit Pill) to treat Tian Diao epilepsy and various acute and chronic winds in children:
Dansha (Cinnabar, ground and washed with water), Renshen (Ginseng Radix et Rhizoma, powdered, 1 liang each), Szaoren (Ziziphi Spinosae Semen, ground, 2 liang), Ruxiang (Olibanum, ground, 0.5 liang), Baifan (Triticum Aestivum Flour, 2 qian).
The above five ingredients are mixed and ground uniformly. Combine with raw honey to form a paste. Place the paste inside a new bamboo tube, seal tightly with oiled paper, and steam over a rice steamer until the rice is cooked. Divide into thirty pills. Each pill should be divided into four doses, dissolved in Bohe Tang (Mint Decoction) and administered. Adjust the dosage according to the child's size.
Formula for Jiangcan San (Silkworm Powder) to treat Tian Diao in children:
Baijiangcan (Bombyx Batryticatus, stir-fried), Mayaxiao (Natrii Sulfas/Mirabilite, ground), Yujin (Curcumae Radix), Gan Xie (Dried Scorpion, cleaned of soil and stir-fried, 0.5 liang each).
The above four ingredients are crushed and ground into a powder. Administer one "Yi Zi Bi" per dose, mixed with milk. For severe cases, administer half a "Qian Bi." No specific time restriction.
Formula for Tiannanxing San (Arisaema Powder) to treat Tian Diao in children:
Tiannanxing (Arisaematis Rhizoma, large piece, one piece): Dig a pit, place a brick, heat the brick red-hot, place the Arisaema on the hot brick, pour half a sheng of wine over it, cover immediately with a bowl, wait until cool, then chop/crush.
The above single ingredient is crushed and sieved into powder. Administer one "Yi Zi Bi" per dose, mixed with warm wine. For children under two years old, mix with milk.
Formula for Beijitu Ding Gao (Emergency Top-Applying Paste) to treat Tian Diao in children:
Wutou (Aconiti Radix, powdered), Yuntaizi (Brassicae Napus Semen, powdered, 2 Yi Zi Bi each).
The above two ingredients are mixed and ground uniformly. Apply one "Qian Bi" per use, mixed with fresh water, to the top of the child's head.
Formula for Qingdai Wan (Indigo Naturalis Pill) to treat Tian Diao, Ke Wu (External Evil Invasion), Five Wasting-and-Thirst syndromes, Eight Dysenteries, and Twelve Convulsive Epilepsies in children:
Qingdai (Indigo Naturalis, ground), Tianzhu Huang (Calamus Rhizoma? No, typically Bambusae Tabulae Concretio/Hua Zhu Huang, here likely referring to a specific preparation or typo for Tian Zhu Huang which is usually Calamus, but in pediatric context often refers to Bamboo Concretion or similar; WHO term for Tianzhu Huang is Calami Rhizoma. However, given the context of "Tian Zhu", it might be a specific local term. Standard translation for Tianzhu Huang is Calamus Rhizoma. Wait, Tianzhu Huang is often associated with Phragmitis Rhizoma or similar in some contexts, but standard is Calamus. Let's stick to standard WHO: Calamus Rhizoma), Gan Xama (Dried Toad, one piece wrapped in yellow clay, burned red, clay removed, ground), Gan Woniu Qiao (Dried Snail Shell, washed, stir-fried, ground), Huanglian (Coptidis Rhizoma, 0.5 liang), Niuhuang (Calculus Bovis, ground, 3 fen). *Note: Text states "Seventeen ingredients," but lists six visible ones.*
The above seventeen ingredients (per text count), grind seven of them into powder, and mix with the ten other ground ingredients. Form pills the size of hemp seeds using steamed rice. One-year-old children take one pill, up to two pills, taken with porridge drink. For children over one year old, adjust the dosage accordingly.