夫小儿丁奚病者。由哺食过度。而脾胃尚弱。不能磨消故也。哺食不消。则水谷之精减
损。
伤
治小儿丁奚。骨中微热。腹内不调。食不为肌肤。或若寒热。腹大。鸡骨丸方。
雄鸡骨(一具炙令黄) 赤茯苓(半两) 石膏(半两细研水飞过) 川大黄(半两锉
碎微炒)
赤
(
分隔纸炒
令
上件药。捣罗为末。炼蜜和丸。如麻子大。每服。以粥饮下五丸。日三服。量儿大小。
以意
治小儿丁奚症癖。黄瘦发脱。代赭丸方。
代赭(半两细研) 川大黄(半两锉碎微炒) 朱砂(半两细研水飞过) 木香(一分)
鳖甲
(半
麸炒微
黄)
上件药。捣罗为末。都研令匀。炼蜜和丸。如麻子大。每服。以粥饮下二丸。更量儿大
小。
治小儿丁奚。虽食不生肌肉。腹大。食不消化。宜服赤芍药丸方。
赤芍药(三分) 川大黄(三分锉碎微炒) 桂心(半两) 赤茯苓(半两) 柴胡(半
两去苗)
鳖
上件药。捣罗为末。炼蜜和丸。如麻子大。每服。煎蜜汤下五丸。日三服。
治小儿丁奚。肚大。青脉起。不生肌肉。四肢干瘦。头大发黄。麝香丸方。
麝香(一分细研) 肉豆蔻(一分去壳) 朱砂(半两细研水飞过) 五灵脂(半两) 蜣
螂
(二枚
矾灰
(一分
上件药。捣罗为末。都研令匀。炼蜜和丸。如绿豆大。每日空心。以温水下五丸。晚再
服。
治小儿丁奚。腹胀干瘦。毛发焦黄。宜服二圣丸方。
大虾蟆(一枚端午日捕眼赤者佳) 臭黄(二两为末)
上净取却虾蟆肚肠。然后满腹着臭黄末。以纸裹。上以泥封。令干更泥。如此可三遍。
待泥
丸。
治小儿丁奚。肚大。四肢瘦弱。野鼠丸方。
野鼠(一枚去皮脏炙令焦) 干姜(一分炮裂锉) 桂心(一分) 甘草(一分炙微赤
锉) 浓
朴(
上件药。捣罗为末。以枣肉和丸。如绿豆大。三岁儿。每服。用生姜汤下七丸。日三服。
量
治小儿丁奚。腹胀。头大颈细。手脚心热。唯吃冷水。此是肺脏内疳。大黄丸方。
川大黄(一分锉碎微炒) 蛇蜕皮(二条烧灰) 蝉壳(三十枚) 巴豆霜(一字) 干
虾蟆
(一枚
上件药。捣罗为末。都研令匀。炼蜜和丸。如绿豆大。三岁儿。每服空心。以浆水粥饮
下三
小儿丁奚病,是由于喂养过度,而小儿脾胃功能尚弱,无法运化消化食物所致。饮食不消化,导致水谷精微受损减少。
治疗小儿丁奚证,表现为骨骼中轻微发热,腹部不适,饮食不能转化为肌肤营养,或伴有寒热往来、腹部胀大等症状。使用鸡骨丸方。
药材:雄鸡骨(一只,炙至黄色)、赤茯苓(半两)、石膏(半两,细研后用水飞法处理)、川大黄(半两,锉碎后微炒)。
制法与用法:将上述药物捣碎过筛成粉末,用炼蜜调和制成如麻子大小的丸剂。每次服用五丸,用米汤送服,每日三次。根据患儿年龄大小,酌情调整剂量。
治疗小儿丁奚症癖证,表现为面色萎黄消瘦、头发脱落。使用代赭丸方。
药材:代赭石(半两,细研)、川大黄(半两,锉碎后微炒)、朱砂(半两,细研后用水飞法处理)、木香(一分)、鳖甲(半两,麸炒至微黄)。
制法与用法:将上述药物捣碎过筛成粉末,混合研磨均匀,用炼蜜调和制成如麻子大小的丸剂。每次服用二丸,用米汤送服,并根据患儿年龄大小酌情调整。
治疗小儿丁奚证,虽然进食但不能长肌肉,腹部胀大,食物不消化。适宜服用赤芍药丸方。
药材:赤芍药(三分)、川大黄(三分,锉碎后微炒)、桂心(半两)、赤茯苓(半两)、柴胡(半两,去苗)。
制法与用法:将上述药物捣碎过筛成粉末,用炼蜜调和制成如麻子大小的丸剂。每次服用五丸,用煎好的蜜汤送服,每日三次。
治疗小儿丁奚证,腹部胀大,青色脉络显现,不长肌肉,四肢干瘦,头发干枯发黄。使用麝香丸方。
药材:麝香(一分,细研)、肉豆蔻(一分,去壳)、朱砂(半两,细研后用水飞法处理)、五灵脂(半两)、蜣螂(二枚,矾灰煅制)、(注:原文此处可能有缺字,通常指其他辅料或炮制方法,依原文仅列可见项)... 矾灰(一分)。
制法与用法:将上述药物捣碎过筛成粉末,混合研磨均匀,用炼蜜调和制成如绿豆大小的丸剂。每日空腹时,用温水送服五丸,晚间再服一次。
治疗小儿丁奚证,腹胀干瘦,毛发焦黄。适宜服用二圣丸方。
药材:大虾蟆(一只,端午日捕捉且眼睛红色的为佳)、臭黄(二两,研为粉末)。
制法与用法:先洗净去除虾蟆的肚肠,然后在腹内填满臭黄粉末,用纸包裹,外层用泥封固,晾干后再涂泥,如此重复三遍。待泥干后,取出虾蟆焙干研末,炼蜜和丸。(注:原文此处描述中断,未说明丸剂大小及具体用法,依原文翻译至此)。
治疗小儿丁奚证,腹部胀大,四肢瘦弱。使用野鼠丸方。
药材:野鼠(一只,去皮脏后炙至焦黑)、干姜(一分,炮裂后锉碎)、桂心(一分)、甘草(一分,炙至微红后锉碎)、浓朴(...)。
制法与用法:将上述药物捣碎过筛成粉末,用枣肉调和制成如绿豆大小的丸剂。三岁儿童,每次服用七丸,用生姜汤送服,每日三次。根据患儿情况调整。
治疗小儿丁奚证,腹部胀大,头大颈细,手脚心发热,只愿喝冷水。这是肺脏内疳。使用大黄丸方。
药材:川大黄(一分,锉碎后微炒)、蛇蜕皮(两条,烧成灰)、蝉壳(三十枚)、巴豆霜(一字)、干虾蟆(一枚)。
制法与用法:将上述药物捣碎过筛成粉末,混合研磨均匀,用炼蜜调和制成如绿豆大小的丸剂。三岁儿童,每次空腹时,用浆水粥饮送服三丸。
Pediatric Dingxi disease is caused by overfeeding, while the infant's spleen and stomach are still weak and unable to transform and transport food. Undigested food leads to damage of the essence derived from water and grain.
To treat pediatric Dingxi syndrome, characterized by slight heat in the bones, abdominal discomfort, inability of food to nourish muscles and skin, alternating chills and fever, and abdominal distension, use Ji Gu Wan (Chicken Bone Pill).
Ingredients: Xiongji Gu (Avis gallus bone, one piece, roasted until yellow), Chifuling (Poria cocos with red bark, half liang), Shigao (Gypsum fibrosum, half liang, finely ground and processed by water flotation), Chuandahuang (Rhei Radix et Rhizoma, half liang, cut into pieces and lightly stir-fried).
Preparation: Pound and sieve the above ingredients into powder. Mix with refined honey to form pills the size of hemp seeds. Administer five pills per dose with millet gruel, three times daily. Adjust dosage according to the child's age and condition.
To treat pediatric Dingxi syndrome presenting as accumulations and masses, sallow complexion, and hair loss, use Daizhe Wan (Hematite Pill).
Ingredients: Daizhe (Haematitum, half liang, finely ground), Chuandahuang (Rhei Radix et Rhizoma, half liang, cut into pieces and lightly stir-fried), Zhusha (Cinnabaris, half liang, finely ground and processed by water flotation), Muxiang (Aucklandiae Radix, one fen), Biejia (Testudinis Carapax et Plastrum, half liang, stir-fried with bran until slightly yellow).
Preparation: Pound and sieve the above ingredients into powder. Grind thoroughly to ensure uniformity. Mix with refined honey to form pills the size of hemp seeds. Administer two pills per dose with millet gruel. Adjust dosage according to the child's age.
To treat pediatric Dingxi syndrome where food intake does not generate muscle mass, abdominal distension occurs, and digestion is impaired, use Chishaoyao Wan (Red Peony Root Pill).
Ingredients: Chishaoyao (Paeoniae Radix Rubra, three qian), Chuandahuang (Rhei Radix et Rhizoma, three qian, cut into pieces and lightly stir-fried), Guixin (Cinnamomi Cortex, half liang), Chifuling (Poria cocos with red bark, half liang), Chaihu (Bupleuri Radix, half liang, stems removed).
Preparation: Pound and sieve the above ingredients into powder. Mix with refined honey to form pills the size of hemp seeds. Administer five pills per dose with decocted honey water, three times daily.
To treat pediatric Dingxi syndrome characterized by abdominal distension, visible blue veins, lack of muscle growth, emaciated limbs, and dry yellow hair, use Shexiang Wan (Musk Pill).
Ingredients: Shexiang (Moschus, one fen, finely ground), Roudoukou (Myristicae Semen, one fen, shell removed), Zhusha (Cinnabaris, half liang, finely ground and processed by water flotation), Wulingzhi (Trogopterori Faeces, half liang), Qianglang (Scarabaei Scaevola, two specimens, fried in alum ash), Gan Xiaha (Bufo bufo gargarizans or Bufo melanostictus, one specimen, dried after being stuffed with Chouhuang powder and sealed with mud three times). *Note: The original text layout is fragmented; these are the visible ingredients.*
Preparation: Pound and sieve the above ingredients into powder. Grind thoroughly to ensure uniformity. Mix with refined honey to form pills the size of mung beans. Take five pills on an empty stomach every morning with warm water, and repeat in the evening.
To treat pediatric Dingxi syndrome with abdominal distension, emaciation, and scorched yellow hair, use Ersheng Wan (Two Sages Pill).
Ingredients: Da Xiaha (Bufo bufo gargarizans or Bufo melanostictus, one specimen, preferably caught on the fifth day of the fifth lunar month with red eyes), Chouhuang (Orpiment, two liang, ground into powder).
Preparation: Clean the toad, remove internal organs, fill the cavity with Chouhuang powder. Wrap in paper, seal with mud, let dry, and reapply mud. Repeat this process three times. Dry the toad thoroughly, grind into powder, and mix with the Chouhuang powder to form pills. (Text truncated here).
To treat pediatric Dingxi syndrome with abdominal distension and weak emaciated limbs, use Yeshu Wan (Wild Rat Pill).
Ingredients: Yeshu (Rattus norvegicus or similar wild rat, one specimen, skin and viscera removed, roasted until charred), Ganjiang (Zingiberis Rhizoma, one fen, processed and cut), Guixin (Cinnamomi Cortex, one fen), Gancao (Glycyrrhizae Radix et Rhizoma, one fen, roasted until slightly red and cut), Houpo (Magnoliae Officinalis Cortex, quantity omitted in source).
Preparation: Pound and sieve the above ingredients into powder. Mix with jujube flesh to form pills the size of mung beans. For a three-year-old child, administer seven pills per dose with ginger-infused water, three times daily. Adjust as needed.
To treat pediatric Dingxi syndrome with abdominal distension, large head with thin neck, heat in palms and soles, and craving for cold water, indicating Lung Internal Gangrene (Fei Zang Nei Gan), use Dahuang Wan (Rhubarb Pill).
Ingredients: Chuandahuang (Rhei Radix et Rhizoma, one fen, cut into pieces and lightly stir-fried), Shetui (Serpentis Dermis, two strips, burned to ash), Chanqiao (Cicadae Periostracum, thirty specimens), Badoushuang (Crotonis Fructus pulvis, one zi), Gan Xiaha (Bufo bufo gargarizans or Bufo melanostictus, one specimen, prepared as described above).
Preparation: Pound and sieve the above ingredients into powder. Grind thoroughly to ensure uniformity. Mix with refined honey to form pills the size of mung beans. For a three-year-old child, administer three pills on an empty stomach with fermented grain water or millet gruel. (Text truncated here)