论曰心藏神而恶热,小儿体性多热。若感风邪,则风热搏于腑脏,其气郁愤,内乘于心
,令儿神志不宁,故发为惊,若惊甚不已,则悸动不宁,是为惊悸之病。
治小儿惊悸不安。紫金散方
铁粉 龙齿 石膏 牛黄(并研如粉) 甘草(生末各一分)
上五味,先捣龙齿石膏为末,与诸药同研如粉,每服半钱匕,用淡竹沥调服。三四岁儿
,每服一钱匕,日三服,早晨午间日晚各一,量儿大小,以意加减。
治小儿壮热惊悸,并热疮出。人参汤方
人参(三分) 茯神(去木半两) 龙齿(研如粉一两) 钩藤(一分) 蚱蝉(去足
头翅微炙
炙令黄二寸)
上八味,粗捣筛,一二岁儿,每服一钱匕,水半盏,煎至三分,去滓入牛黄一豆许大,
分温二服,空心午后各一,量儿大小,以意加减。
治小儿壮热,时气惊悸,并热疮出。钩藤汤方
钩藤(一两) 人参(一两) 蚱蝉(微炙去翅足一两) 黄芩(去黑心一两) 蛇蜕
皮(微炙
上八味,粗捣筛,一二岁儿,每服一钱匕,水半盏,入竹沥半合,石蜜少许,同煎至四
分,去滓分温二服,空心午后各一,更量儿大小,以意加减。
治小儿心热惊悸。牛黄散方
牛黄(研一分) 天竺黄(研半两) 铅白霜(研半两) 玄明粉(研一两) 玄明粉
(研一两)
上六味,捣罗人参茯苓为末,同牛黄等研为散,一二岁儿,每服半钱匕,用薄荷汤调服
,三四岁儿,每服一钱匕,日三服,早晨午间日晚各一,量儿大小,以意加减。
镇心神,凉咽膈,压惊悸,退壮热,化风涎。大丹砂丸方
丹砂(研水飞过) 甘草(炙) 白茯苓(去黑皮各二两) 人参(一两) 马牙硝(研
一分)
上九味,捣研为末,炼蜜和丸,如鸡头大,每服一丸,用竹叶汤化下,食后临睡服。大
小以意加减之。
治惊悸,退壮热,止涎嗽,利咽膈,除眠睡不稳。丹砂丸方
丹砂(二两细研水飞) 半夏(汤洗七遍二两) 乳香(研半钱) 人参 白茯苓(去
黑皮各
上八味,捣研为末,用白面糊和丸,如麻子大,三岁儿,服十丸至十五丸,不拘时。用
竹叶乳香汤下,量儿大小加减。
治小儿惊热,筋脉抽掣,夜卧惊悸,四肢烦热。天竺黄散方
天竺黄(研半两) 郁金(浆水煮一分) 粉霜(研一分) 铅白霜(研一分) 山栀
子仁(半
上五味,捣研为散,一二岁儿,每服半钱匕,用新汲水调服,三四岁儿,每服一钱匕,
日二,早晨日晚各一,更量儿大小,以意加减。
治小儿虚热惊悸,睡中时叫。麦门冬汤方
麦门冬(去心焙一两半) 人参(半两) 龙骨(一两) 茯神(去木三分) 甘草(炙
一分)
上六味,粗捣筛,一二岁儿,每服一钱匕,水七分,入生地黄汁少许,同煎至四分,去
滓温服,日三四服,量儿大小,以意加减。
治小儿风热惊掣,心忪恐悸。茯神汤方
茯神(去木一分) 龙齿(半两) 寒水石(研一分) 升麻(三分) 石膏(研一两)
麦门冬
上六味,粗捣筛,一二岁儿,每服一钱匕,水七分,入竹沥少许,煎至四分,去滓温服
,日三夜一,量儿大小,以意加减。
治小儿风热,心神惊悸,睡卧不安。真珠丸方
真珠末 羌活(去芦头) 防风(去叉) 钩藤 龙胆 天竺黄(研) 升麻 牛黄(研
各一
一钱研)
上一十五味,捣研为末,炼蜜丸如绿豆大,每服用荆芥薄荷汤,研下五丸,日三四服,
常服化一切惊涎。
治小儿精神不爽,寝寐多惊,心忪恐悸,四肢战抖,举动欲倒。状类暗风,或烦躁多啼
,退惊风,化痰壅,壮心气,益精神。大镇心丸方
生犀角(镑末一两) 羚羊角(镑末) 龟甲(镑末) 赤箭(各半两) 牛黄(研) 茯
神(去
(炙令焦黄) 龙脑(研各一分) 铁粉(
(研半分) 金箔(研) 银箔(研各五十片)
上一十九味,捣研为末,炼蜜丸如梧桐子大,每服一丸至二丸,食后临卧,薄荷汤化下
,更量大小加减。
治小儿惊悸,眠睡不稳,金箔丸方
金箔(四十九片) 丹砂 水银 腻粉(各半两) 麝香 牛黄 青黛 犀角(末) 白
僵蚕
(去节) 天南
上一十五味,除青黛以上七味研匀,余者捣罗为末,同七味再细研,用生蜜和匀成剂,
旋丸如梧桐子大,每服一丸,薄荷自然汁化下,量儿大小加减。
论述说:心藏神而厌恶热邪,小儿的体质特性多偏热。如果感受风邪,则风热搏结于脏腑,气机郁滞愤懑,内侵于心,导致小儿神志不宁,所以发生惊证;如果惊证严重不止,就会出现悸动不安,这就是惊悸病。
治疗小儿惊悸不安。紫金散方
铁粉、龙齿、石膏、牛黄(均研磨成粉)、甘草(生用研末,各一分)
以上五味药,先将龙齿和石膏捣碎研成细末,与其他药物一起研磨如粉状,每次服用半钱匕的量,用淡竹沥调服。三至四岁的儿童,每次服用一钱匕的量,每日三次,分别在早晨、中午、傍晚各服一次,根据孩子的大小,酌情增减剂量。
治疗小儿高热惊悸,以及热疮发作。人参汤方
人参(三分)、茯神(去木心半两)、龙齿(研磨成粉一两)、钩藤(一分)、蚱蝉(去掉足、头、翅,微火炙烤至黄色,二寸长)
以上八味药,粗捣后过筛,一至二岁的儿童,每次服用一钱匕的量,加水半盏,煎煮至剩余三分之一的药液,滤去药渣,加入约一粒豆大小的牛黄,分两次温服,空腹时及午后各服一次,根据孩子的大小,酌情增减剂量。
治疗小儿高热,时行疫病引起的惊悸,以及热疮发作。钩藤汤方
钩藤(一两)、人参(一两)、蚱蝉(微火炙烤,去掉翅足,一两)、黄芩(去掉黑心部分,一两)、蛇蜕皮(微火炙烤,一两)
以上八味药,粗捣后过筛,一至二岁的儿童,每次服用一钱匕的量,加水半盏,加入竹沥半合、少许石蜜,共同煎煮至剩余四分之一的药液,滤去药渣,分两次温服,空腹时及午后各服一次,再根据孩子的大小,酌情增减剂量。
治疗小儿心热惊悸。牛黄散方
牛黄(研磨一分)、天竺黄(研磨半两)、铅白霜(研磨半两)、玄明粉(研磨一两)、玄明粉(研磨一两)
以上六味药,将人参、茯苓捣碎过筛成末,与牛黄等药物一起研磨成散剂,一至二岁的儿童,每次服用半钱匕的量,用薄荷汤调服,三至四岁的儿童,每次服用一钱匕的量,每日三次,分别在早晨、中午、傍晚各服一次,根据孩子的大小,酌情增减剂量。
镇安心神,凉润咽膈,压制惊悸,退除高热,化解风痰。大丹砂丸方
丹砂(研磨,用水飞法处理)、甘草(炙烤)、白茯苓(去掉黑皮,各二两)、人参(一两)、马牙硝(研磨一分)
以上九味药,捣碎研磨成末,用炼蜜调和制成丸药,大小如鸡头米,每次服用一丸,用竹叶汤送服,饭后及临睡前服用。根据孩子的大小酌情增减。
治疗惊悸,退除高热,止住涎嗽,利通咽膈,消除睡眠不稳。丹砂丸方
丹砂(二两,细研,水飞法处理)、半夏(汤洗七遍,二两)、乳香(研磨半钱)、人参、白茯苓(去掉黑皮,各...[原文此处缺失具体分量])
以上八味药,捣碎研磨成末,用白面糊调和制成丸药,大小如麻子,三岁儿童,每次服用十丸至十五丸,不拘时间。用竹叶乳香汤送服,根据孩子的大小酌情增减。
治疗小儿惊热,筋脉抽搐掣动,夜间睡眠惊悸,四肢烦热。天竺黄散方
天竺黄(研磨半两)、郁金(用浆水煮一分)、粉霜(研磨一分)、铅白霜(研磨一分)、山栀子仁(半...[原文此处缺失具体分量])
以上五味药,捣碎研磨成散剂,一至二岁的儿童,每次服用半钱匕的量,用新汲水调服,三至四岁的儿童,每次服用一钱匕的量,每日两次,分别在早晨、傍晚各服一次,再根据孩子的大小,酌情增减剂量。
治疗小儿虚热惊悸,睡中时常啼叫。麦门冬汤方
麦门冬(去心焙干一两半)、人参(半两)、龙骨(一两)、茯神(去木心三分)、甘草(炙烤一分)
以上六味药,粗捣后过筛,一至二岁的儿童,每次服用一钱匕的量,加水七分,加入少许生地黄汁,共同煎煮至剩余四分之一的药液,滤去药渣温服,每日三四次,根据孩子的大小,酌情增减剂量。
治疗小儿风热惊掣,心慌恐惧惊悸。茯神汤方
茯神(去木心一分)、龙齿(半两)、寒水石(研磨一分)、升麻(三分)、石膏(研磨一两)、麦门冬...[原文此处缺失具体分量]
以上六味药,粗捣后过筛,一至二岁的儿童,每次服用一钱匕的量,加水七分,加入少许竹沥,煎煮至剩余四分之一的药液,滤去药渣温服,每日三次夜间一次,根据孩子的大小,酌情增减剂量。
治疗小儿风热,心神惊悸,睡卧不安。真珠丸方
真珠末、羌活(去芦头)、防风(去叉枝)、钩藤、龙胆、天竺黄(研磨)、升麻、牛黄(研磨,各一...[原文此处缺失具体分量]
以上十五味药,捣碎研磨成末,用炼蜜制成如绿豆大小的丸药,每次服用荆芥薄荷汤,研磨开五丸送服,每日三四次,常服可化解一切惊痰。
治疗小儿精神不爽,睡眠多惊,心慌恐惧惊悸,四肢颤抖,举动欲倒。症状类似暗风,或者烦躁多啼哭,退除惊风,化痰壅,壮补心气,益养精神。大镇心丸方
生犀角(镑成末一两)、羚羊角(镑成末)、龟甲(镑成末)、赤箭(各半两)、牛黄(研磨)、茯神(去...[原文此处缺失具体分量]...(炙烤至焦黄)、龙脑(研磨,各一分)、铁粉(...[原文此处缺失具体分量]...(研磨半分)、金箔(研磨)、银箔(研磨,各五十片)
以上十九味药,捣碎研磨成末,用炼蜜制成如梧桐子大小的丸药,每次服用一丸至二丸,饭后及临睡前,用薄荷汤送服,再根据孩子的大小酌情增减。
治疗小儿惊悸,睡眠不稳,金箔丸方
金箔(四十九片)、丹砂、水银、腻粉(各半两)、麝香、牛黄、青黛、犀角(末)、白僵蚕...[原文此处缺失具体分量]...(去节)、天南星...[原文此处缺失具体分量]
以上十五味药,除了青黛及以上七味药研磨均匀外,其余药物捣碎过筛成末,与上述七味药再次细研,用生蜜调和均匀成团剂,随时制成如梧桐子大小的丸药,每次服用一丸,用薄荷自然汁化开送服,根据孩子的大小酌情增减。
Commentary states: The Heart stores the Shen (Spirit) and dislikes heat. Children's physiological constitution tends to be hot. If exposed to wind pathogenic factors, wind-heat clashes within the zang-fu organs, causing qi stagnation and oppression, which invades the Heart internally, leading to restlessness of the child's spirit and mind, thus manifesting as Jing (Fright). If the Jing is severe and unceasing, it results in Palpitations and restlessness, which constitutes the disease of Jing-Ji (Fright-Palpitation).
To treat pediatric Fright-Palpitation with uneasiness. Zijin San (Purple Gold Powder) Formula
Tie Fen (Calamina), Long Chi (Dragon Teeth), Shi Gao (Gypsum Fibrosum), Niu Huang (Calculus Bovis) (all ground into powder), Gan Cao (Licorice Root, raw, ground into powder, each 1 fen)
The above five ingredients: First, crush Long Chi and Shi Ginto fine powder, then mix with the other drugs and grind until uniform like powder. Each dose is half a qian bi (a small measuring spoon), taken mixed with Dan Zhu Li (Bamboo Juice). For children aged three to four years, each dose is one qian bi, administered three times daily, once in the morning, at noon, and in the evening. Adjust the dosage according to the child's size.
To treat pediatric high fever with Fright-Palpitation, and concurrent eruption of heat sores. Renshen Tang (Ginseng Decoction) Formula
Renshen (Panax Ginseng, 3 fen), Fushen (Poria with Hostwood, remove woody core, 0.5 liang), Long Chi (Dragon Teeth, ground into powder, 1 liang), Gouteng (Uncaria Rhynchophylla, 1 fen), Zha Chan (Grasshopper, remove feet, head, wings, lightly roasted until yellow, 2 cun)
The above eight ingredients: Coarsely crush and sieve. For children aged one to two years, each dose is one qian bi, added with half a zhan (unit of volume) of water, decocted until one-third remains. Strain the dregs and add a bean-sized amount of Niu Huang (Calculus Bovis). Divide into two warm doses, taken on an empty stomach and in the afternoon. Adjust dosage according to the child's size.
To treat pediatric high fever, epidemic Qi-induced Fright-Palpitation, and concurrent eruption of heat sores. Gouteng Tang (Uncaria Rhynchophylla Decoction) Formula
Gouteng (Uncaria Rhynchophylla, 1 liang), Renshen (Panax Ginseng, 1 liang), Zha Chan (Grasshopper, lightly roasted, remove wings and feet, 1 liang), Huang Qin (Scutellaria Root, remove black heart, 1 liang), She Tui Pi (Snake Slough, lightly roasted, 1 liang)
The above eight ingredients: Coarsely crush and sieve. For children aged one to two years, each dose is one qian bi, added with half a zhan of water, Ban Zhu Li (Bamboo Juice, 0.5 he), and a little Shi Mi (Rock Sugar). Decoct together until one-fourth remains. Strain the dregs and divide into two warm doses, taken on an empty stomach and in the afternoon. Adjust dosage according to the child's size.
To treat pediatric Heart-Heat induced Fright-Palpitation. Niu Huang San (Calculus Bovis Powder) Formula
Niu Huang (Calculus Bovis, ground, 1 fen), Tian Zhu Huang (Bambusae Caulis in Taenia, ground, 0.5 liang), Qian Bai Shuang (Plumbum Subcarbonate, ground, 0.5 liang), Xuan Ming Fen (Mirabilite, ground, 1 liang), Xuan Ming Fen (Mirabilite, ground, 1 liang)
The above six ingredients: Crush and sieve Renshen (Panax Ginseng) and Fu Ling (Poria) into powder, then mix with Niu Huang (Calculus Bovis) and others to form a powder. For children aged one to two years, each dose is half a qian bi, taken mixed with Bo He Tang (Mint Decoction). For children aged three to four years, each dose is one qian bi, administered three times daily, once in the morning, at noon, and in the evening. Adjust dosage according to the child's size.
To calm the Heart Spirit, cool the throat and diaphragm, suppress Fright-Palpitation, reduce high fever, and resolve Wind-Phlegm. Da Dan Sha Wan (Large Cinnabar Pill) Formula
Dan Sha (Cinnabar, ground and washed with water), Gan Cao (Licorice Root, roasted), Bai Fu Ling (Poria, remove black skin, each 2 liang), Renshen (Panax Ginseng, 1 liang), Ma Ya Xiao (Sal Nitri, ground, 1 fen)
The above nine ingredients: Crush and grind into powder. Mix with refined honey to form pills the size of a chicken head. Each dose is one pill, taken dissolved in Zhu Ye Tang (Bamboo Leaf Decoction) after meals and before sleep. Adjust dosage according to the child's size.
To treat Fright-Palpitation, reduce high fever, stop salivary cough, benefit the throat and diaphragm, and eliminate unstable sleep. Dan Sha Wan (Cinnabar Pill) Formula
Dan Sha (Cinnabar, 2 liang, finely ground and washed with water), Ban Xia (Pinellia Tuber, washed seven times in boiling water, 2 liang), Ru Xiang (Olibanum, ground, half a qian), Renshen (Panax Ginseng), Bai Fu Ling (Poria, remove black skin, each [missing weight])
The above eight ingredients: Crush and grind into powder. Mix with white flour paste to form pills the size of hemp seeds. For three-year-old children, take ten to fifteen pills at any time. Take down with Zhu Ye Ru Xiang Tang (Bamboo Leaf and Olibanum Decoction). Adjust dosage according to the child's size.
To treat pediatric Fright-Heat, muscle spasms and twitching, night-time sleep Fright-Palpitation, and vexatious heat in the four limbs. Tian Zhu Huang San (Bambusae Caulis in Taenia Powder) Formula
Tian Zhu Huang (Bambusae Caulis in Taenia, ground, 0.5 liang), Yu Jin (Curcuma Radix, boiled in starch water, 1 fen), Fen Shuang (Calomelas, ground, 1 fen), Qian Bai Shuang (Plumbum Subcarbonate, ground, 1 fen), Shan Zhi Zi Ren (Gardenia Seed, half [missing weight])
The above five ingredients: Crush and grind into powder. For children aged one to two years, each dose is half a qian bi, taken mixed with fresh well water. For children aged three to four years, each dose is one qian bi, administered twice daily, once in the morning and once in the evening. Adjust dosage according to the child's size.
To treat pediatric Deficiency-Heat Fright-Palpitation, frequent crying during sleep. Maidong Tang (Ophiopogon Decoction) Formula
Maidong (Ophiopogon Tuber, remove heart and roast, 1.5 liang), Renshen (Panax Ginseng, 0.5 liang), Long Gu (Dragon Bone, 1 liang), Fushen (Poria with Hostwood, remove woody core, 3 fen), Gan Cao (Licorice Root, roasted, 1 fen)
The above six ingredients: Coarsely crush and sieve. For children aged one to two years, each dose is one qian bi, added with seven parts water and a little Sheng Di Huang汁 (Fresh Rehmannia Juice). Decoct together until one-fourth remains. Strain the dregs and take warm. Administer three to four times daily. Adjust dosage according to the child's size.
To treat pediatric Wind-Heat induced convulsions, palpitations with fear and fright. Fushen Tang (Poria with Hostwood Decoction) Formula
Fushen (Poria with Hostwood, remove woody core, 1 fen), Long Chi (Dragon Teeth, 0.5 liang), Han Shui Shi (Stalactite, ground, 1 fen), Sheng Ma (Cimicifugae Rhizoma, 3 fen), Shi Gao (Gypsum Fibrosum, ground, 1 liang), Maidong (Ophiopogon Tuber [weight missing])
The above six ingredients: Coarsely crush and sieve. For children aged one to two years, each dose is one qian bi, added with seven parts water and a little Zhu Li (Bamboo Juice). Decoct until one-fourth remains. Strain the dregs and take warm. Administer three times daily and once at night. Adjust dosage according to the child's size.
To treat pediatric Wind-Heat, Heart-Mind Fright-Palpitation, and restless sleep. Zhen Zhu Wan (Pearl Pill) Formula
Zhen Zhu Mo (Pearl Powder), Qiang Huo (Notopterygii Rhizoma et Radix, remove rhizome head), Fang Feng (Saposhnikoviae Radix, remove forked roots), Gouteng (Uncaria Rhynchophylla), Long Dan (Gentiana Root), Tian Zhu Huang (Bambusae Caulis in Taenia, ground), Sheng Ma (Cimicifugae Rhizoma), Niu Huang (Calculus Bovis, ground, each [weight missing])
The above fifteen ingredients: Crush and grind into powder. Mix with refined honey to form pills the size of mung beans. Each dose is five pills, taken by crushing them in Jing Jie Bo He Tang (Schizonepeta and Mint Decoction). Administer three to four times daily. Regular use can resolve all kinds of Fright-Phlegm.
To treat pediatric dullness of spirit and mind, frequent fright during sleep, palpitations with fear, trembling of the four limbs, and movements resembling falling. Symptoms resemble An Feng (Hidden Wind), or irritability and excessive crying. To dispel Fright-Wind, resolve Phlegm obstruction, strengthen Heart Qi, and nourish the spirit. Da Zhen Xin Wan (Great Heart-Calming Pill) Formula
Sheng Xi Jiao (Fresh Rhinoceros Horn, shaved into powder, 1 liang), Ling Yang Jiao (Saiga Antelope Horn, shaved into powder), Gui Jia (Testudinis Carapax et Plastrum, shaved into powder), Chi Jian (Atractylodis Rhizoma, each 0.5 liang), Niu Huang (Calculus Bovis, ground), Fushen (Poria with Hostwood, remove [core missing])... (roasted until scorched yellow), Long Nao (Borneolum Syntheticum, ground, each 1 fen), Tie Fen (Calamina, [weight missing]), (ground half a fen), Jin Bo (Gold Leaf, ground), Yin Bo (Silver Leaf, ground, each 50 pieces)
The above nineteen ingredients: Crush and grind into powder. Mix with refined honey to form pills the size of sophora seeds. Each dose is one to two pills, taken after meals and before bed, dissolved in Bo He Tang (Mint Decoction). Adjust dosage according to the child's size.
To treat pediatric Fright-Palpitation and unstable sleep. Jin Bo Wan (Gold Leaf Pill) Formula
Jin Bo (Gold Leaf, 49 pieces), Dan Sha (Cinnabar), Shui Yin (Mercurius), Ni Fen (Calomelas, each 0.5 liang), She Xiang (Moschus), Niu Huang (Calculus Bovis), Qing Dai (Indigo Naturalis), Xi Jiao (Rhinoceros Horn, powder), Bai Jiang Can (Bombyx Batryticatus, [weight missing])... (remove joints), Tian Nan Xing (Arisaema Cum Bile, [weight missing])
The above fifteen ingredients: Except for Qing Dai (Indigo Naturalis) and the above seven ingredients which are ground uniformly, the remaining ingredients are crushed and sieved into powder. Mix again finely with the seven ingredients. Blend with raw honey to form a dough. Roll into pills the size of sophora seeds. Each dose is one pill, taken dissolved in Bo He Zi Ran Zhi (Natural Mint Juice). Adjust dosage according to the child's size.