论曰小儿血气本自盛实,腑脏之间,易为生热,热气熏蒸,则津液干枯,故令儿渴而引
饮。
治小儿热渴,或虚热吐下,除热止渴。栝蒌饮方
栝蒌根(三分) 黄芩(去黑心一分) 知母(焙) 小麦 粟米(各半两)
上五味,除粟米小麦外,余三味,并捣罗为粗末,每二钱匕,水一小盏,入小麦粟米各
一撮,同煎至六分,去滓分作三服,一日吃尽,更量儿大小,以意加减。
治小儿夏天服药大下后,胃中虚热渴唯饮水。麦门冬饮方
麦门冬(去心焙) 龙胆(各一两) 甘草(炙锉) 黄芩(去黑心各三分) 葛根(锉
一两
上五味,粗捣筛,每服一钱匕,用水七分,煎至四分,去滓温服,量儿大小,以意临时
加减。
治小儿壮热,兼呕渴不止。芦根饮方
芦根(锉) 麦门冬(去心焙) 人参(各半两) 知母(焙一两) 粟米(一合)
上五味,粗捣筛,每服二钱匕,水一盏,入生姜少许劈破,同煎至五分去滓。分温三服
,更量儿大小,以意加减。
治小儿多渴。黄连饮方
黄连(去须半两) 冬瓜瓤(一分)
上二味细锉,以水一盏半,同煎至八分,去滓分温三服,量儿大小,临时加减。
治小儿热渴不止。莲实汤方
莲实(三十枚炒黄椎碎) 浮萍(一分)
上二味,同用水一盏,生姜少许,煎五分去滓,分温三服,量儿大小,临时加减。
治小儿上焦虚热,饮水不止。枇杷叶汤方
枇杷叶(去毛炙) 葛根(锉) 胡黄连 甘草(炙锉) 玄参 麦门冬(去心焙等
分)
上六味,粗捣筛,每服一钱匕,水一盏,入生姜一片,煎至六分,后入蜜少许,再煎至
五分,去滓放温,分二服食后。
治小儿上焦风热,热渴引饮不止。天麻人参煎方
天麻 人参 白茯苓(去黑皮各一分) 天竺黄(研一钱) 甘草(生用一钱) 铅白
霜(研一
上八味,先将四味为细末,再入研了四味和匀,炼蜜煎为膏,每服一大豆许,用金银薄
荷汤化下。
治小儿热气熏蒸,腑脏烦躁,津液干枯,渴欲引饮。方
上取桑枝一握细锉,以水一盏半,煎至八分去滓,分作三服,如熟水与饮。
治小儿热渴不止。方
黄连(去须炒) 芦根(各一分)
上二味细锉,以水一盏半,煎取五分,去滓旋与饮。
论述说:小儿的血液与气机原本就旺盛充实,脏腑之间容易滋生内热。热气熏蒸体内,导致津液干枯,因此使小儿出现口渴并想要饮水的症状。
治疗小儿因热引起的口渴,或者因虚热导致的呕吐腹泻,旨在清除热邪、止渴。栝蒌饮方:
栝蒌根(三分) 黄芩(去除黑色中心部分一分) 知母(焙干) 小麦 粟米(各半两)
以上五味药,除去粟米和小麦外,其余三味药一起捣碎过筛成粗末。每次取两钱匕的药末,加入一小盏水,放入小麦和粟米各一撮,一同煎煮至剩余六分药液,滤去药渣,分三次服用,一天内服完。再根据患儿年龄大小,酌情增减剂量。
治疗小儿在夏季服用峻下药物后,胃中虚热导致口渴,只想喝水的情况。麦门冬饮方:
麦门冬(去除心部并焙干) 龙胆(各一两) 甘草(炙烤后锉碎) 黄芩(去除黑色中心部分,各三分) 葛根(锉碎,一两)
以上五味药,捣碎过筛成粗末。每次服用一钱匕,用七分水,煎煮至剩余四分药液,滤去药渣,温服。根据患儿年龄大小,酌情临时增减剂量。
治疗小儿高热壮热,兼有呕吐且口渴不止的情况。芦根饮方:
芦根(锉碎) 麦门冬(去除心部并焙干) 人参(各半两) 知母(焙干,一两) 粟米(一合)
以上五味药,捣碎过筛成粗末。每次服用两钱匕,用水一盏,加入少许劈破的生姜,一同煎煮至剩余五分药液,滤去药渣。分三次温服,根据患儿年龄大小,酌情增减剂量。
治疗小儿多发性口渴。黄连饮方:
黄连(去除须根,半两) 冬瓜瓤(一分)
以上两味药细锉碎,用水一盏半,一同煎煮至剩余八分药液,滤去药渣,分三次温服,根据患儿年龄大小,酌情临时增减剂量。
治疗小儿热渴不止。莲实汤方:
莲实(三十枚,炒至黄色后捣碎) 浮萍(一分)
以上两味药,用水一盏,加入少许生姜,煎煮至剩余五分药液,滤去药渣,分三次温服,根据患儿年龄大小,酌情临时增减剂量。
治疗小儿上焦虚热,饮水不止。枇杷叶汤方:
枇杷叶(去除毛刺并炙烤) 葛根(锉碎) 胡黄连 甘草(炙烤后锉碎) 玄参 麦门冬(去除心部并焙干,等分)
以上六味药,捣碎过筛成粗末。每次服用一钱匕,用水一盏,加入一片生姜,煎煮至剩余六分药液,随后加入少许蜂蜜,再煎煮至剩余五分药液,滤去药渣放温,分两次在饭后服用。
治疗小儿上焦风热,热渴引饮不止。天麻人参煎方:
天麻 人参 白茯苓(去除黑色外皮,各一分) 天竺黄(研细,一钱) 甘草(生用,一钱) 铅白霜(研细,一钱)
以上八味药,先将前四味药制成细末,再加入已研细的后四味药混合均匀,用炼蜜煎煮成膏剂。每次服用如大豆大小的量,用金银箔薄荷汤送服化开。
治疗小儿热气熏蒸,脏腑烦躁,津液干枯,口渴想要饮水。方:
以上取桑枝一握,细锉碎,用水一盏半,煎煮至剩余八分药液,滤去药渣,分作三次服用,像喝熟水一样饮用。
治疗小儿热渴不止。方:
黄连(去除须根并炒制) 芦根(各一分)
以上两味药细锉碎,用水一盏半,煎取五分药液,滤去药渣随时给患儿饮用。
Commentary states: A child's blood and qi are originally vigorous and substantial; heat easily generates between the fu and zang organs. When hot qi steams and steeps, body fluids become dry and withered, thus causing the child to feel thirsty and desire drinking water.
To treat pediatric thirst caused by heat, or vomiting and diarrhea due to deficient heat, aiming to clear heat and stop thirst. Gualou Yin (Trichosanthes Root Decoction):
Gualou Gen (Trichosanthis Radix, 3 fen) Huangqin (Scutellariae Radix, remove black heart, 1 fen) Zhimu (Anemarrhenae Rhizoma, roasted) Xiaomai (Tritici Fructus) Sumi (Panicomi Semen, each 0.5 liang).
For the above five herbs, excluding Xiaomai and Sumi, grind the remaining three into coarse powder. For each dose of two qianbi, add one small zhan of water, put in a pinch of Xiaomai and Sumi, decoct together until six parts remain. Strain and divide into three doses, consumed within one day. Adjust dosage according to the child's age and condition.
To treat pediatric summer illness where heavy purgation has been administered, resulting in deficient heat in the stomach causing thirst for only water. Maimendong Yin (Ophiopogonis Decoction):
Maimendong (Ophiopogonis Radix, remove heart and roast) Longdan (Gentianae Radix, each 1 liang) Gancao (Licorice Root, roasted and cut) Huangqin (Scutellariae Radix, remove black heart, each 3 fen) Gegen (Puerariae Radix, cut, 1 liang).
For the above five herbs, coarsely crush and sieve. For each dose of one qianbi, use seven parts water, decoct until four parts remain. Strain and take warm. Adjust dosage temporarily according to the child's age.
To treat pediatric high fever accompanied by persistent vomiting and thirst. Lugeng Yin (Phragmitis Decoction):
Lugeng (Phragmitis Rhizoma, cut) Maimendong (Ophiopogonis Radix, remove heart and roast) Renshen (Ginseng Radix, each 0.5 liang) Zhimu (Anemarrhenae Rhizoma, roasted, 1 liang) Sumi (Panicomi Semen, 1 he).
For the above five herbs, coarsely crush and sieve. For each dose of two qianbi, use one zhan of water, add a little broken fresh ginger, decoct together until five parts remain. Strain. Divide into three warm doses. Adjust dosage according to the child's age.
To treat pediatric polydipsia. Huanglian Yin (Coptidis Decoction):
Huanglian (Coptidis Rhizoma, remove roots, 0.5 liang) Donggua Rang (Benincasae Exocarpium, 1 fen).
For the above two herbs, finely cut. Use one and a half zhan of water, decoct together until eight parts remain. Strain and divide into three warm doses. Adjust dosage temporarily according to the child's age.
To treat persistent pediatric heat-thirst. Lianshi Tang (Nelumbinis Semen Decoction):
Lianshi (Nelumbinis Semen, thirty pieces, roasted yellow and crushed) Fuping (Spirodelae Herba, 1 fen).
For the above two herbs, use one zhan of water, add a little fresh ginger, decoct until five parts remain. Strain. Divide into three warm doses. Adjust dosage temporarily according to the child's age.
To treat deficient heat in the upper jiao of children, with incessant drinking. Pipaye Tang (Eriobotryae Folium Decoction):
Pipaye (Eriobotryae Folium, remove hairs and roast) Gegen (Puerariae Radix, cut) Huhuanglian (Coptidis Rhizoma - note: text says Hu Huanglian, likely Coptidis or similar bitter cold herb, here kept as name) Gancao (Licorice Root, roasted and cut) Xuanshen (Scrophulariae Radix) Maimendong (Ophiopogonis Radix, remove heart and roast, equal parts).
For the above six herbs, coarsely crush and sieve. For each dose of one qianbi, use one zhan of water, add one slice of fresh ginger, decoct until six parts remain. Then add a little honey, decoct again until five parts remain. Strain, let cool to warm, divide into two doses taken after meals.
To treat wind-heat in the upper jiao of children, with persistent heat-thirst and desire to drink. Tianma Renshen Jian (Gastrodia and Ginseng Paste):
Tianma (Gastrodiae Rhizoma) Renshen (Ginseng Radix) Baifuling (Poria, remove black skin, each 1 fen) Tiantanzhu (Bambusae Concretio Silicea, ground, 1 qian) Gancao (Licorice Root, raw use, 1 qian) Qianbaishuang (Plumbi Subcarbonas, ground, 1 qian).
For the above eight herbs, first make the first four into fine powder, then mix with the ground latter four. Decoct with refined honey to form a paste. For each dose, take an amount the size of a soybean, dissolve using Mint Tea with Gold and Silver Foil.
To treat hot qi steaming, irritability of fu and zang organs, dryness of body fluids, and thirst desiring drinking. Formula:
Take one handful of Sangzhi (Mori Ramulus), finely cut. Use one and a half zhan of water, decoct until eight parts remain. Strain. Divide into three doses. Drink like boiled water.
To treat persistent pediatric heat-thirst. Formula:
Huanglian (Coptidis Rhizoma, remove roots and stir-fry) Lugeng (Phragmitis Rhizoma, each 1 fen).
For the above two herbs, finely cut. Use one and a half zhan of water, decoct to obtain five parts. Strain and administer as needed.