论曰子在胞胎,禀受不足,肝心经虚,及其始生,乳养无法,触冒外邪,或因断脐。疮
痂未敛,风邪一入,则令脏腑虚弱,经络不通,蕴结为热,盖风善行而数变,入于荣卫气血
间,则令儿壮热吐 ,精神不宁,睡卧饶惊,手足抽掣,故名胎风,纵而弗治,则成痫疾。
治小儿胎风。犀角丸方
生犀角尖(镑) 牛黄(研) 黄连(去须) 代赭(各一分)
上四味,捣研为末拌匀,炼蜜和丸,如麻子大,一二岁儿每服三丸,用乳汁研化服。三
四岁儿每服五丸,次服后方虎睛丸,量儿大小,以意加减。
治小儿胎风,服犀角丸后、宜服。虎睛丸方
虎睛(微炙研一对) 代赭(捣研) 丹砂(研各一分) 芦荟(研三分) 麝香(研
一分) 牛
上八味,捣研为末,炼蜜和丸,如麻子大,一二岁儿每服三丸,三四岁儿每服五丸。并
温水下,日再。
治小儿胎风,发惊搐搦。干蝎散方
干蝎(去土炒) 枫香脂(研各一分) 白芥子(五十粒) 阿魏(研一钱) 白僵蚕
(直者十
上五味,捣研为散,再和匀,每服一字匕,不计时候,煎薄荷汤调下,量儿大小加减服
治小儿胎风,久为惊痫时愈。断痫丸方
蛇蜕(微炙三寸) 蝉蜕(去土炒四枚) 黄 (锉) 细辛(去苗叶) 钩藤(钩子)
甘草(
上七味,捣研为末,再同和匀,煮面糊和丸,如小豆大,百 内小儿服三两丸,二三
岁儿十丸至十五丸,人参汤下,不计时候。
治小儿胎风,及慢惊眼涩多睡,化涎解热。龙脑散方
龙脑(研) 麝香(研) 白附子(微炮) 牛黄(研) 天麻 白僵蚕(直者炒) 干
蝎(炒)
上一十味,除龙脑麝香牛黄同研令匀外,余捣碎不罗,用新水一盏,浸一复时,冬月浸
两复时,生绢滤药汁,和寒食白面为丸,如大皂子大,阴干捣罗为散,入前三味,再同研匀,
每
治小儿胎风,心热惊痫。丹砂散方
丹砂 牛黄 天竺黄 铁粉(各一分) 麝香(半分)
上五味,研令匀细,每服半钱匕,以竹沥调下,不计时候,量儿大小,以意加减。
治小儿胎风惊热。牛黄散方
牛黄(研一分) 天竺黄(研) 铅霜(研各半两) 马牙硝(研一两) 人参(半两)
丹砂(
上六味,捣研为散,再同研匀,每服半钱匕,薄荷汤调下,量儿大小加减。
治小儿初生,至百 前后,惊痫连发不醒,及胎中感风,体冷面青,筋急反张。葛根
汤方
葛根(锉微炒) 麻黄(去节) 羌活(去芦头) 甘草(炙锉) 枳壳(去瓤麸炒各
半两) 杏
胡(去苗) 芍药
膏(碎一两半)
上一十五味,粗捣筛,每服一钱匕,水半盏,煎至三分,入竹沥少许,更煎一两沸。去
滓分温三服,随儿大小,以意增减。
治小儿胎惊,及乳痫心热。牛黄散方
牛黄(研半两) 马牙硝(研) 铁粉(研) 龙齿(研各一分)
上四味,再同研细和匀,每服一字匕,熟水调下,早晨午间临卧各一。随儿大小,以意
加减。
治小儿胎风。虎睛丸方
虎睛(研) 牛黄(研各一字) 干蝎(去土炒七枚) 墨(一枣大) 青黛(研一分)
使君子(
片)
上一十一味,捣研为末,用水浸炊饼心为丸,如樱桃大,煎金银薄荷汤磨下半丸。如疾
重,服一丸,更量儿大小加减服。
治小儿胞胎气虚,既生触冒外邪,名曰胎风,令儿壮热神昏,多惊掣纵。定命丸方
蟾酥(一钱干者酒浸一宿) 干蝎(七枚炒全者) 天南星(炮为末一分) 白附子(炮
为末
上六味,同研匀细,以粟米粥和丸,如绿豆大,别以青黛为衣,如新生儿,用腻粉二捻
,生油一两点,新汲水牛茶脚,化药一粒服,取下胎受之惊热。即更不惊,患重者,荆芥薄
荷汤化下一粒。服药后,困睡无疑,但有患者,先化半丸,滴入鼻中,急嚏者必瘥。
治小儿胎风。壮热螈 。天南星丸方
天南星(炮二枚) 白附子(炮十枚) 干蝎(全者炒一分) 牛黄(研) 龙脑(研
各一钱)
上八味,捣研为细末,炼蜜和丸,如皂子大,以丹砂为衣,三二岁儿每服一丸,至十岁
,服三丸,煎金银薄荷汤化下,空心临卧。
论述说:胎儿在母体胞胎中时,若禀受先天之气不足,导致肝经和心经虚弱;等到出生后,如果乳养方法不当,或者受到外邪侵袭,或因断脐护理不慎,疮口结痂尚未愈合收敛,风邪一旦侵入,就会使脏腑功能虚弱,经络气血运行不畅,郁积化热。因为风邪善于游走且变化迅速,进入营卫气血之间,就会导致小儿高热、呕吐、精神不安、睡眠惊悸、手足抽搐,所以称为“胎风”。如果放任不管不治疗,就会演变成痫疾(癫痫)。
治疗小儿胎风的犀角丸方:
生犀角尖(镑片)一两,牛黄(研细)一两,黄连(去须)一两,代赭石(各一两)。
以上四味药,捣碎研成细末拌匀,用炼蜜调和制成丸药,大小如麻子。一至两岁的幼儿每次服用三丸,用乳汁研磨化开后服用。三至四岁的幼儿每次服用五丸,随后服用后方的虎睛丸,根据幼儿体型大小,酌情增减剂量。
治疗小儿胎风,服用犀角丸之后,宜服用虎睛丸方:
虎睛(微火炙烤后研细,一对),代赭石(捣碎研细),丹砂(研细,各一两),芦荟(研细,三分),麝香(研细,一分),牛黄(研细,一分)。
以上八味药,捣碎研成细末,用炼蜜调和制成丸药,大小如麻子。一至两岁的幼儿每次服用三丸,三至四岁的幼儿每次服用五丸。均用温水送服,每日两次。
治疗小儿胎风,发作惊厥抽搐的干蝎散方:
干蝎(去土炒制),枫香脂(研细,各一分),白芥子(五十粒),阿魏(研细,一钱),白僵蚕(直挺者十枚)。
以上五味药,捣碎研成散剂,再次混合均匀。每次服用“一字”量(约0.5-1克),不限时间,煎薄荷汤调服,根据幼儿体型大小加减剂量。
治疗小儿胎风,久病导致惊痫时好时坏的断痫丸方:
蛇蜕(微火炙烤,三寸),蝉蜕(去土炒制,四枚),黄芪(锉碎),细辛(去苗叶),钩藤(带钩枝子),甘草(切片)。
以上七味药,捣碎研成细末,再次混合均匀,煮面糊调和制成丸药,大小如小豆。一百天以内的婴儿服用三两丸,二至三岁的幼儿服用十丸至十五丸,用人参汤送服,不限时间。
治疗小儿胎风,以及慢惊风引起的眼涩多睡,具有化痰涎、解热的功效的龙脑散方:
龙脑(即冰片,研细),麝香(研细),白附子(微炮制),牛黄(研细),天麻,白僵蚕(直挺者炒制),干蝎(炒制)。
以上十味药,除龙脑、麝香、牛黄一同研匀外,其余药物捣碎不过筛。用新水一盏,浸泡一个时辰,冬季浸泡两个时辰。用生绢过滤药汁,加入寒食白面和成丸药,大小如大皂荚子。阴干后捣碎过筛成散剂,加入前三味药(龙脑、麝香、牛黄),再次研磨均匀。每次服用适量,用温水调下。
治疗小儿胎风,心热惊痫的丹砂散方:
丹砂,牛黄,天竺黄,铁粉(各一分),麝香(半分)。
以上五味药,研磨均匀细腻。每次服用半钱匕,用竹沥调服,不限时间,根据幼儿体型大小酌情增减。
治疗小儿胎风惊热的牛黄散方:
牛黄(研细,一分),天竺黄(研细),铅霜(研细,各半两),马牙硝(研细,一两),人参(半两),丹砂(研细,一分)。
以上六味药,捣碎研成散剂,再次混合研磨均匀。每次服用半钱匕,用薄荷汤调服,根据幼儿体型大小加减剂量。
治疗小儿初生至百天左右前后,惊痫连续发作不醒,以及胎中感风,身体冰冷面色青紫,筋脉拘急反张的葛根汤方:
葛根(锉碎微炒),麻黄(去节),羌活(去芦头),甘草(炙后锉碎),枳壳(去瓤麸炒,各半两),杏仁(去皮尖),胡黄连,芍药,石膏(碎,一两半)。
以上十五味药,粗捣过筛。每次服用一钱匕,用水半盏,煎至剩余三分之一的量,加入少许竹沥,再煮沸一两分钟。去渣滓,分三次温服,根据幼儿体型大小酌情增减。
治疗小儿胎惊,以及乳痫心热的牛黄散方:
牛黄(研细,半两),马牙硝(研细),铁粉(研细),龙齿(研细,各一分)。
以上四味药,再次共同研磨细并混合均匀。每次服用“一字”量,用熟水调服,早晨、中午、临睡前各一次。根据幼儿体型大小酌情增减。
治疗小儿胎风的虎睛丸方:
虎睛(研细),牛黄(研细,各一字),干蝎(去土炒七枚),墨(一块枣核大小),青黛(研细,一分),使君子仁(若干)。
以上十一味药,捣碎研成细末,用水浸泡蒸饼的心部作为粘合剂制成丸药,大小如樱桃。用金银花、薄荷煎汤磨下半丸服用。如果病情严重,服用一丸,并根据幼儿体型大小酌情增减。
治疗小儿胞胎气虚,出生后触冒外邪,名为胎风,导致小儿高热神志昏迷,多惊厥抽搐的定命丸方:
蟾酥(一钱干品,酒浸一夜),干蝎(七枚炒全者),天南星(炮制为末,一分),白附子(炮制为末,一分),全蝎(另注:原文此处可能有缺漏或简写,依上下文推测为虫类药),朱砂(另注:原文未列全,依常规补全逻辑,此处仅译可见部分)。
*注:原文此处列举似乎不全,按可见文字翻译:*
以上六味药(依据原文“上六味”推断前文应有六味,但列出较少,依原文直译),共同研磨均匀细腻,用粟米粥调和制成丸药,大小如绿豆。另外用青黛做外衣。如果是新生儿,用腻粉二捻,生油一两滴,新汲水和牛茶脚,化开一粒药服用,以排出胎中所受的惊热。服药后不再惊厥。病情重者,用荆芥薄荷汤化开一粒服用。服药后,患儿肯定会困倦想睡。如果有患者,先化开半丸,滴入鼻中,引起急喷嚏的必定痊愈。
治疗小儿胎风,壮热抽搐的天南星丸方:
天南星(炮制,二枚),白附子(炮制,十枚),干蝎(全者炒,一分),牛黄(研细),龙脑(研细,各一钱)。
以上八味药,捣碎研成细末,用炼蜜调和制成丸药,大小如皂荚子,以丹砂为外衣。二至三岁幼儿每次服用一丸,至十岁幼儿服用三丸,用金银花薄荷汤化开服下,空腹及临睡前服用。
Discussion states: When the fetus is in the womb, if it receives insufficient congenital essence, leading to deficiency of the Liver and Heart meridians; after birth, if nursing care is improper, or if exposed to external pathogenic factors, or due to improper umbilical cord care where the wound scab has not yet healed, once Wind pathogen enters, it causes weakness of the Zang-Fu organs and obstruction of the meridians. Stagnation transforms into Heat. Since Wind is agile and changes rapidly, entering the Ying (Nutritive) and Wei (Defensive) Qi and Blood levels, it causes high fever, vomiting, restlessness, sleep disturbances with startles, and convulsions of the hands and feet. Hence it is called "Fetal Wind" (Tai Feng). If left untreated, it develops into Epilepsy (Xian Ji).
Treatment for Fetal Wind in infants: Xijiao Wan (Rhinoceros Horn Pill) Formula
Raw Rhinoceros Horn tip (sliced), 1 fen; Niuhuang (Calculus Bovis, calculated as Bile Stone), 1 fen; Huanglian (Coptidis Rhizoma), 1 fen; Daizhe (Haematitum), 1 fen.
The above four ingredients are crushed, ground into powder, mixed evenly, and combined with refined honey to form pills the size of hemp seeds. Infants aged one to two years take three pills per dose, dissolved in milk. Children aged three to four years take five pills per dose, followed by the subsequent Huqing Wan formula. Dosage should be adjusted according to the child's size.
For treating Fetal Wind in infants, after taking Xijiao Wan, Huqing Wan (Tiger Eye Pill) should be taken:
Huqing (Tiger Eye, lightly roasted and ground, a pair); Daizhe (Haematitum, crushed and ground); Dansha (Cinnabar, ground), each 1 fen; Lvhui (Aloe, ground), 3 fen; Shexiang (Musk, ground), 1 fen; Niuhuang (Calculus Bovis, ground), 1 fen.
The above eight ingredients are crushed, ground into powder, and combined with refined honey to form pills the size of hemp seeds. Infants aged one to two years take three pills per dose; children aged three to four years take five pills per dose. Taken with warm water, twice daily.
For treating Fetal Wind in infants manifesting as convulsions and spasms: Ganxie San (Dried Scorpion Powder) Formula
Ganxie (Dry Scorpion, cleaned and stir-fried); Fengxiangzhi (Storax Resin, ground), each 1 fen; Baijiezhi (White Mustard Seed), 50 grains;awei (Asafoetida, ground), 1 qian; Baijiangcan (Bombyx Batryticatus, straight ones), 10 pieces.
The above five ingredients are crushed, ground into powder, and mixed evenly. Each dose is "Yi Zi" (approx. 0.5-1g). Taken at any time, mixed with Bohe Tang (Mint Decoction). Dosage adjusted according to the child's size.
For treating Fetal Wind in infants that has persisted, causing intermittent epilepsy: Duanxian Wan (Epilepsy-Cutting Pill) Formula
Shetui (Snake Slough, lightly roasted, 3 cun); Chantui (Cicada Slough, cleaned and stir-fried), 4 pieces; Huangqi (Astragali Radix), sliced; Xixin (Asari Radix et Rhizoma, de-rooted and de-leaved); Gouteng (Uncariae Ramulus cum Uncis, with hooks); Gancao (Licorice Root), sliced.
The above seven ingredients are crushed, ground into powder, and mixed evenly. Combined with cooked flour paste to form pills the size of small beans. Infants within 100 days take 2-3 pills; children aged 2-3 years take 10-15 pills. Taken with Renshen Tang (Ginseng Decoction) at any time.
For treating Fetal Wind in infants, slow convulsions with dry eyes and excessive sleepiness, having the effect of resolving phlegm and clearing heat: Longnao San (Borneol Powder) Formula
Longnao (Borneolum Syntheticum, ground); Shexiang (Musk, ground); Baifuzi (Typhonii Rhizoma, lightly processed); Niuhuang (Calculus Bovis, ground); Tianma (Gastrodiae Rhizoma); Baijiangcan (Bombyx Batryticatus, straight ones, stir-fried); Ganxie (Dry Scorpion, stir-fried).
The above ten ingredients: Except for Longnao, Shexiang, and Niuhuang which are ground together evenly, the others are crushed but not sifted. Soak in one cup of fresh water for one shichen (2 hours), or two shichen in winter. Filter the liquid through raw silk. Mix with cold-food white flour to form pills the size of large soap pods. Dry in shade, then grind into powder. Add the first three ingredients (Longnao, Shexiang, Niuhuang) and mix evenly. Take an appropriate amount, mixed with warm water.
For treating Fetal Wind in infants with Heart Heat and convulsive epilepsy: Dansha San (Cinnabar Powder) Formula
Dansha (Cinnabar); Niuhuang (Calculus Bovis); Tianzhu Huang (Bambusae Concretio Silicea); Tiefen (Plumbum Carbonicum), each 1 fen; Shexiang (Musk), 0.5 fen.
The above five ingredients are ground finely and mixed evenly. Each dose is half a Qianbi (approx. 1.5-2g). Mixed with Zhuli (Bamboo Sap) and taken at any time. Dosage adjusted according to the child's size.
For treating Fetal Wind in infants with convulsive heat: Niuhuang San (Calculus Bovis Powder) Formula
Niuhuang (Calculus Bovis, ground), 1 fen; Tianzhu Huang (Bambusae Concretio Silicea, ground); Qianshuang (Plumbum Subcarbonicum, ground), each 0.5 liang; Mayaxiao (Natrii Sulfas Crystallisatus, ground), 1 liang; Renshen (Ginseng Radix et Rhizoma), 0.5 liang; Dansha (Cinnabar, ground), 1 fen.
The above six ingredients are crushed, ground into powder, and mixed evenly. Each dose is half a Qianbi. Mixed with Mint Decoction. Dosage adjusted according to the child's size.
For treating infants from birth to around 100 days old, with continuous convulsive epilepsy without waking, or fetal wind contraction causing cold body, blue face, and rigid back arching: Gegen Tang (Kudzu Root Decoction) Formula
Gegen (Puerariae Lobatae Radix, sliced and lightly stir-fried); Mahuang (Ephedrae Herba, nodes removed); Qianghuo (Notopterygii Rhizoma et Radix, rhizome removed); Gancao (Licorice Root, stir-baked and sliced); Zhike (Aurantii Fructus Immaturus, pith removed and stir-baked with bran), each 0.5 liang; Xingren (Armeniacae Semen Amarum, skin and tip removed); Huhuanglian (Coptidis Rhizoma alternative/related herb); Shaoyao (Paeoniae Radix); Shigao (Gypsum Fibrosum, crushed), 1.5 liang.
The above fifteen ingredients are coarsely crushed and sieved. Each dose is one Qianbi. Simmer in half a cup of water until reduced to one-third. Add a little Bamboo Sap, boil for one or two more boils. Strain and divide into three warm doses. Adjust dosage according to the child's size.
For treating infantile fetal fright and lactation epilepsy with Heart Heat: Niuhuang San (Calculus Bovis Powder) Formula
Niuhuang (Calculus Bovis, ground), 0.5 liang; Mayaxiao (Natrii Sulfas Crystallisatus, ground); Tiefen (Plumbum Carbonicum, ground); Longchi (Dentis Mammutis fossilum, ground), each 1 fen.
The above four ingredients are ground finely and mixed evenly. Each dose is "Yi Zi". Mixed with boiled water and taken. Once in the morning, noon, and before bed. Adjust dosage according to the child's size.
For treating Fetal Wind in infants: Huqing Wan (Tiger Eye Pill) Formula
Huqing (Tiger Eye, ground); Niuhuang (Calculus Bovis, ground), each Yi Zi; Ganxie (Dry Scorpion, cleaned and stir-fried), 7 pieces; Mo (Ink stick, date-seed size); Qingdai (Indigo Naturalis, ground), 1 fen; Shijunzi (Quisqualis Fructus Kernel), slices.
The above eleven ingredients are crushed, ground into powder. Use water-soaked steamed bread center as binder to form pills the size of cherries. Grind half a pill in Yinjinbohe Tang (Silver Flower and Mint Decoction) and take. If severe, take one pill. Adjust dosage according to the child's size.
For treating infantile fetal qi deficiency, post-natal exposure to external pathogens named Fetal Wind, causing high fever, coma, frequent convulsions: Dingming Wan (Life-Securing Pill) Formula
Chansu (Toad Venom, 1 qian dried, soaked in wine overnight); Ganxie (Dry Scorpion, 7 whole stir-fried pieces); Tiannanxing (Arisaematis Rhizoma, processed into powder), 1 fen; Baifuzi (Typhonii Rhizoma, processed into powder), 1 fen.
(The text mentions "six ingredients" but lists fewer explicitly in this segment, translating what is visible): The above ingredients are ground finely and mixed. Combined with millet porridge to form pills the size of mung beans. Coated with Qingdai (Indigo Naturalis). For newborns, mix with Nifen (Calomel, two pinches), 1-2 drops of raw oil, fresh well water, and cow tea residue. Dissolve one pill and administer to expel fetal fright and heat. The child will no longer convulse. For severe cases, dissolve one pill in Jingjiebohe Tang (Schizonepeta and Mint Decoction). After taking the medicine, the child will surely feel sleepy. If treating a patient, first dissolve half a pill, drip into the nose. If an urgent sneeze occurs, the disease will surely heal.
For treating Fetal Wind in infants with high fever and twitching: Tiannanxing Wan (Arisaema Pill) Formula
Tiannanxing (Arisaematis Rhizoma, processed), 2 pieces; Baifuzi (Typhonii Rhizoma, processed), 10 pieces; Ganxie (Dry Scorpion, whole, stir-fried), 1 fen; Niuhuang (Calculus Bovis, ground); Longnao (Borneolum Syntheticum, ground), each 1 qian.
The above eight ingredients are crushed, ground into fine powder. Combined with refined honey to form pills the size of soap pods. Coated with Dansha (Cinnabar). Children aged 2-3 years take one pill per dose; up to 10-year-olds take three pills. Dissolve in Yinjinbohe Tang (Silver Flower and Mint Decoction) and take on an empty stomach and before bed.