治婴儿出腹,血脉盛实,寒热温壮,四肢惊掣,发热大吐 者。若已能进哺,中食实
不消,壮热及变蒸不解,中客人鬼气,并诸惊痫,方悉主之。十岁以下小儿皆服之,小儿龙
胆汤第一。此是新出腹婴儿方,若日月长大者,以次根据此为例,若必知客忤及有魃气者,可
加人参、当归,各如龙胆多少也,一百日儿加三铢,二百日儿加六铢,一岁儿加半两,余药
皆准耳。
龙胆 钩藤皮 柴胡 黄芩 桔梗 芍药 茯苓(一作茯神) 甘草(各六铢) 蜣螂
(二
枚) 大黄(一两)
上十味 咀,以水一升,煮取五合为剂也,服之如后节度。药有虚实,虚药宜足数合
水也。儿生一日至七日,分一合为三服;儿生八日至十五日,分一合半为三服;生十六日至
二十日,分二合为三服;儿生二十日至三十日,分三合为三服;儿生三十日至四十日,尽以
五合为三服。皆得下即止,勿再服也。
治少小风痫积聚腹痛夭矫二十五痫方。
大黄 人参 细辛 干姜 当归 甘皮(各三铢)
上六味 咀,以水一升煮取四合,服之如枣许大,日三。
治小儿风痫,胸中有痰方。
白羊藓(三铢,即白藓皮) 蚱蝉(二枚) 大黄(四铢) 甘草 钩藤皮 细辛(各
二铢)
牛黄(如大豆四枚) 蛇蜕皮(一寸)
上八味 咀,以水二升半,煮取一升二合,分五服,日三。若服已尽而痫不断者,可
更加大黄、钩藤各一铢,以水渍药半日,然后煮之。
治疗婴儿刚出生时,血脉充盛实热,出现寒热交替、体温升高、四肢抽搐惊厥、高热伴剧烈呕吐的症状。如果婴儿已经能够进食辅食,但食物停滞不消化,持续高热且“变蒸”(婴幼儿生长发育过程中的生理性发热现象)症状未缓解,或是受到外邪鬼气侵袭,以及各类惊风癫痫,此方均主治。十岁以下的小儿均可服用,这是《小儿龙胆汤》第一方。这是针对刚出生的婴儿的方剂,若孩子月龄稍大,可参照此例依次调整;如果确定是客忤(突受惊吓或外邪侵扰)及有魃气(邪祟之气),可以加入人参、当归,用量与龙胆草相同:一百天的婴儿加三铢,二百天的婴儿加六铢,一岁的婴儿加半两,其余药物剂量均按原方标准执行。
龙胆、钩藤皮、柴胡、黄芩、桔梗、芍药、茯苓(另一种说法为茯神)、甘草(各三铢)、蜣螂(两只)、大黄(一两)。
以上十味药切碎,用水一升,煎煮至五合作为一次剂量,按照以下方法服用。药物有虚实之分,虚证用药宜足量加水。婴儿出生第一天至第七天,将一合药液分三次服用;出生第八天至第十五天,将一合半药液分三次服用;出生第十六天至第二十一天,将二合药液分三次服用;出生第二十天至第三十天,将三合药液分三次服用;出生第三十天至第四十天,将五合药液全部分三次服用。服药后若大便通畅即停止服药,不要再次服用。
治疗小儿风痫积聚腹痛、肢体扭曲抽搐等二十五种痫证的方子。
大黄、人参、细辛、干姜、当归、甘草(各三铢)。
以上六味药切碎,用水一升,煎煮至四合,每次服用如枣核大小的量,每日三次。
治疗小儿风痫,胸中有痰的方子。
白藓皮(三铢,即白鲜皮)、蚱蝉(两只)、大黄(四铢)、甘草、钩藤皮、细辛(各二铢)、牛黄(如大豆大小四枚)、蛇蜕皮(一寸)。
以上八味药切碎,用水二升半,煎煮至一升二合,分五次服用,每日三次。如果服完药后癫痫仍未断绝,可以再增加大黄、钩藤各一铢,先将药物浸泡半天,然后再进行煎煮。
To treat infants who have just been born, with flourishing and excess blood vessels, alternating chills and fever, elevated body temperature, convulsions and jerking of the four limbs, high fever accompanied by severe vomiting. If the infant has already begun to take supplementary food but suffers from food stagnation and indigestion, persistent high fever, and unresolved *bianzheng* (physiological fever associated with infant growth and development), or if affected by external pathogenic qi (*kegu*, sudden invasion of evil qi) and various types of wind-stroke epilepsy, this formula treats all such conditions. Children under ten years old may take it; this is Formula No. 1, Xiao'er Longdan Tang (Pediatric Gentian Decoction). This is a formula for newborns; for older infants, adjustments should be made sequentially based on this example. If it is certain that there is *ketu* (sudden fright or external pathogenic invasion) and *baqi* (evil spirit qi), Ginseng Radix et Rhizoma (Renshen) and Angelicae Sinensis Radix (Danggui) may be added, in amounts equal to those of Gentianae Radix (Longdan): for a hundred-day-old infant, add three zhu; for a two-hundred-day-old infant, add six zhu; for a one-year-old infant, add half a liang; the dosages of other herbs remain as specified.
Gentianae Radix (Longdan), Uncariae Ramulus cum Uncis (Goutengpi), Bupleuri Radix (Chaihu), Scutellariae Radix (Huangqin), Platycodonis Radix (Jiegeng), Paeoniae Radix Alba (Shaoyao), Poria (Fuling, alternatively Fushen), Glycyrrhizae Radix et Rhizoma (Gancao) (each three zhu), Silphii Stool (Qianglang) (two pieces), Rheum Palmatum Radix et Rhizoma (Dahuang) (one liang).
The above ten medicinal materials are cut into small pieces, boiled in one sheng of water until reduced to five he, constituting one dose, administered according to the following guidelines. Medicinal properties vary between deficiency and excess; for deficiency patterns, sufficient water should be used with the full dosage. For infants aged one to seven days after birth, divide one he of decoction into three doses; for eight to fifteen days, divide one and a half he into three doses; for sixteen to twenty days, divide two he into three doses; for twenty to thirty days, divide three he into three doses; for thirty to forty days, administer the entire five he divided into three doses. Stop administration once bowel movements occur; do not re-administer.
A formula to treat pediatric wind-stroke epilepsy, abdominal accumulation, abdominal pain, and limb twisting/convulsions involving twenty-five types of epilepsy.
Rheum Palmatum Radix et Rhizoma (Dahuang), Ginseng Radix et Rhizoma (Renshen), Asari Radix et Rhizoma (Xixin), Zingiberis Rhizoma Recens (Ganjiang), Angelicae Sinensis Radix (Danggui), Glycyrrhizae Radix et Rhizoma (Ganpi/Gancao) (each three zhu).
The above six medicinal materials are cut into small pieces, boiled in one sheng of water until reduced to four he. Administer an amount the size of a jujube pit, three times daily.
A formula to treat pediatric wind-stroke epilepsy with phlegm in the chest.
Cortex Dictamni (Bai Xianpi/Baixianpi, three zhu), Cicadella Viridis (Zachan, two pieces), Rheum Palmatum Radix et Rhizoma (Dahuang, four zhu), Glycyrrhizae Radix et Rhizoma (Gancao), Uncariae Ramulus cum Uncis (Goutengpi), Asari Radix et Rhizoma (Xixin) (each two zhu), Calculus Bovis (Niuhuang, four pieces the size of soybeans), Ophichthus Skin (Shetuipi, one cun).
The above eight medicinal materials are cut into small pieces, boiled in two and a half sheng of water until reduced to one sheng and two he. Divide into five doses, taken three times daily. If the epilepsy persists after completing the course, increase Rheum Palmatum Radix et Rhizoma (Dahuang) and Uncariae Ramulus cum Uncis (Gouteng) by one zhu each. Soak the herbs in water for half a day before boiling.