夫小儿食疳者。由脾胃不调。乳食过度。伤于脏腑之所致也。是以小儿百日之内。肠胃
尚微
五味
疳也
上青
治小儿食疳气。长肌肤。益颜色。化宿食。治腹胀。利气调中。能破积聚。槟榔
丸方。
槟榔 朱砂(细研) 阿魏(面裹煨面熟为度) 代赭(细研) 乳香(研入) 木香 五
灵脂
麝
裹压去
油)
上件药。捣罗为末。同研令匀。以面糊和丸。如黍米大。每服。以温生姜汤下二丸。量
儿大
治小儿食疳。腹中多痛。大肠或痢。鼻痒干瘦。时有体热。木香丸方。
木香 麝香(细研) 胡黄连 芦荟(细研) 蟾头(炙令焦黄) 香墨 青黛(细研)
雄黄
(细
上件药。捣罗为末。炼蜜和丸。如绿豆大。每服。以粥饮下五丸。量儿大小。以意加减。
治小儿食疳。水谷不消。心腹胀满。好吃泥土。肌体瘦弱。诃黎勒丸方。
诃黎勒皮(三分) 肉豆蔻(一枚去壳) 青黛(细研) 麝香(细研) 芦荟(细研)
熊胆
(研入)
上件药。捣罗为末。都研令匀。用酒煮粳米饭和丸。如黍粒大。每服。以粥饮下三丸。
日三
治小儿食疳。腹胀体瘦。宿食不消。多啼壮热。代赭丸方。
代赭(一分细研) 赤石脂〔二(一)分〕 朱砂(一分细研) 巴豆(十枚去皮心研
纸裹压
去油)
上件药。并须新好。入乳钵同研令匀。用饭和丸。如粟米大。每服。以粥饮下一丸。乳
汁亦
治小儿食疳。心腹虚胀。妨闷。或时热渴。大黄丸方。
川大黄(锉微炒) 黄连(去须) 桂心 代赭(细研以上各一两) 朱砂(一分细研)
木香
(半
炒黄研
如膏)
上件药。捣罗为末。入巴豆杏仁。都研令匀。炼蜜和丸。如麻子大。每服。以粥饮下三
丸。
治小儿食疳。腹胀。桃花散方。
桃花(一分) 干蟾(涂酥炙令黄) 青黛(细研) 赤芍药 肉豆蔻(去壳) 紫笋
茶(以上
各半
上件药。捣细罗为散。每服。以温粥饮调下半钱。看儿大小。临时加减。
治小儿食疳。不欲乳食。羸瘦。抵圣散方。
蟾(一枚涂酥炙微黄) 蜣螂(一分去翅足微炒) 麦 (一分微炒) 神曲(一分炒
微黄)
上件药。捣细罗为散。每服。以粥饮调下半钱。量儿大小。加减服之。
小儿食疳病,是由于脾胃功能失调,乳食过量,损伤脏腑所致。因此,百日以内的婴儿,肠胃尚且娇嫩,五味(酸、苦、甘、辛、咸)摄入不当易致疳疾。
治疗小儿食疳气证,旨在滋养肌肤,改善面色,消化积滞食物,治疗腹胀,顺气调和中焦,并能破除积聚痞块。槟榔丸方:
槟榔、朱砂(细研)、阿魏(用面粉包裹煨至面熟为止)、代赭石(细研)、乳香(研入)、木香、五灵脂、麝香。
[注:原文此处有脱漏或排版错误,如“裹压去油”等字样夹杂在药味之间,推测为巴豆等药材的炮制说明,但原文未明确列出所有药名及完整剂量,仅保留可见实体]
以上药物,捣碎过筛成粉末,共同研磨均匀。用面糊调和制成丸剂,大小如黍米。每次服用,用温生姜汤送服二丸,根据患儿年龄大小酌情增减。
治疗小儿食疳,腹中多痛,大肠有时下痢,鼻痒,身体干枯消瘦,时常发热。木香丸方:
木香、麝香(细研)、胡黄连、芦荟(细研)、蟾蜍头(炙烤至焦黄)、香墨、青黛(细研)、雄黄。
[注:原文此处亦有排版断裂,“细”字单独出现,推测为某药末描述]
以上药物,捣碎过筛成粉末,用炼蜜调和制成丸剂,大小如绿豆。每次服用,用米汤送服五丸,根据患儿年龄大小,酌情加减。
治疗小儿食疳,水谷不消化,心腹胀满,喜欢吃泥土,肌体瘦弱。诃黎勒丸方:
诃黎勒皮(三分)、肉豆蔻(一枚,去壳)、青黛(细研)、麝香(细研)、芦荟(细研)、熊胆。
[注:原文“熊胆”后接“(研入)”,似为炮制说明]
以上药物,捣碎过筛成粉末,全部研磨均匀。用酒煮粳米饭调和制成丸剂,大小如黍粒。每次服用,用米汤送服三丸,每日三次。
治疗小儿食疳,腹胀身体瘦弱,宿食不消,啼哭不止,壮热。代赭丸方:
代赭石(一分,细研)、赤石脂〔二(一)分〕、朱砂(一分,细研)、巴豆(十枚,去皮心,研,纸包裹压去油)。
以上药物,必须选用新鲜优质的,放入乳钵中共同研磨均匀。用饭调和制成丸剂,大小如粟米。每次服用,用米汤送服一丸,乳汁亦可送服。
治疗小儿食疳,心腹虚胀,烦闷,有时发热口渴。大黄丸方:
川大黄(锉碎微炒)、黄连(去须)、桂心、代赭石(细研,以上各一两)、朱砂(一分,细研)、木香。
[注:原文后半部分缺失严重,仅见“(半 炒黄研 如膏)”,推测涉及巴豆或杏仁的处理]
以上药物,捣碎过筛成粉末,加入巴豆、杏仁,全部研磨均匀。用炼蜜调和制成丸剂,大小如麻子。每次服用,用米汤送服三丸。
治疗小儿食疳,腹胀。桃花散方:
桃花(一分)、干蟾(涂酥炙令黄)、青黛(细研)、赤芍药、肉豆蔻(去壳)、紫笋茶。
[注:原文“以上 各半”后内容缺失]
以上药物,捣细过筛成散剂。每次服用,用温米汤调下半钱,观察患儿年龄大小,临时酌情加减。
治疗小儿食疳,不愿吃奶吃饭,身体羸瘦。抵圣散方:
蟾蜍(一枚,涂酥炙微黄)、蜣螂(一分,去翅足微炒)、麦麸(一分,微炒)、神曲(一分,炒微黄)。
以上药物,捣细过筛成散剂。每次服用,用米汤调下半钱,根据患儿年龄大小,酌情加减服用。
Infantile food accumulation with malnutrition (Shi Gan) arises from dysfunction of the Spleen and Stomach, excessive intake of milk and food, leading to damage of the Zang-Fu organs. Therefore, infants within one hundred days have delicate intestines and stomachs; improper intake of the Five Flavors (Sour, Bitter, Sweet, Pungent, Salty) can easily lead to Gan disease.
Treatment for infantile food accumulation Qi syndrome aims to nourish muscles and skin, improve complexion, resolve retained food, treat abdominal distension, regulate Qi and harmonize the Middle Jiao, and break up accumulations and masses. Binglang Wan Formula:
Binglang (Areca Seed), Zhusha (Cinnabar, finely ground),awei (Asafoetida, wrapped in dough and baked until the dough is cooked), Daizhe (Hematite, finely ground), Ruxiang (Frankincense, ground into powder), Muxiang (Aucklandia Root), Wulingzhi (Trogopterus Dung), Shexiang (Musk).
[Note: The original text contains fragmented instructions such as "wrap and press to remove oil," likely referring to processing steps for omitted ingredients like Badou, but only visible entities are listed.]
The above herbs are crushed, sieved into powder, and thoroughly mixed. Form pills with wheat paste, size of Setaria italica seeds. Administer two pills per dose with warm ginger decoction, adjusting dosage according to the child's age.
Treatment for infantile food accumulation characterized by frequent abdominal pain, occasional dysentery, nasal itching, emaciation, and intermittent fever. Muxiang Wan Formula:
Muxiang (Aucklandia Root), Shexiang (Musk, finely ground), Huhuanglian (Picrorhiza Rhizome), Lvhui (Aloe), Chantou (Toad head, roasted until scorched yellow), Xiangmo (Incense ink), Qingdai (Indigo Naturalis, finely ground), Xionghuang (Realgar).
[Note: The character "Xi" appears isolated, likely part of a missing description.]
The above herbs are crushed, sieved into powder, and formed into pills with refined honey, size of mung beans. Administer five pills per dose with gruel, adjusting dosage according to the child's age.
Treatment for infantile food accumulation characterized by indigestion of water and grain, abdominal distension and fullness, pica (eating dirt), and emaciation. Helile Wan Formula:
Helilepi (Pericarpium Chebulae, 3 fen), Roudoukou (Nutmeg, 1 piece, shelled), Qingdai (Indigo Naturalis, finely ground), Shexiang (Musk, finely ground), Lvhui (Aloe, finely ground), Xiongdan (Bear Bile).
[Note: "(Ground into)" follows Bear Bile, indicating processing.]
The above herbs are crushed, sieved into powder, and thoroughly mixed. Form pills with rice wine-boiled glutinous rice, size of Setaria italica grains. Administer three pills per dose with gruel, three times daily.
Treatment for infantile food accumulation characterized by abdominal distension, emaciation, retention of undigested food, incessant crying, and high fever. Daizhe Wan Formula:
Daizhe (Hematite, 1 fen, finely ground), Chishizhi (Red Kaolin [2 (1) fen]), Zhusha (Cinnabar, 1 fen, finely ground), Badou (Croton Seed, 10 seeds, peeled, cored, ground, wrapped in paper and pressed to remove oil).
Select fresh and high-quality herbs. Grind together in a mortar until uniform. Form pills with cooked rice, size of millet seeds. Administer one pill per dose with gruel or breast milk.
Treatment for infantile food accumulation characterized by empty distension in the heart and abdomen, oppression, and occasional fever with thirst. Dahuang Wan Formula:
Chuan Dahuang (Rhubarb Root and Rhizome, sliced and lightly stir-fried), Huanglian (Coptis Rhizome, whiskers removed), Guixin (Cinnamon Twig), Daizhe (Hematite, finely ground, each 1 liang above), Zhusha (Cinnabar, 1 fen, finely ground), Muxiang (Aucklandia Root).
[Note: The original text is severely truncated here, showing only fragments like "(Half stir-fried yellow ground into paste)," likely referring to processing of Badou or Xingren.]
The above herbs are crushed, sieved into powder. Add Badou and Xingren (Apricot Kernel), grind thoroughly. Form pills with refined honey, size of sesame seeds. Administer three pills per dose with gruel.
Treatment for infantile food accumulation with abdominal distension. Taohua San Powder:
Taohua (Peach Blossom, 1 fen), Ganchan (Dried Toad, coated with butter and roasted until yellow), Qingdai (Indigo Naturalis, finely ground), Chishaoyao (Red Peony Root), Roudoukou (Nutmeg, shelled), Zisun Cha (Purple Bamboo Shoot Tea).
[Note: Text cuts off after "Each half".]
The above herbs are finely crushed and sieved into powder. Administer half a qian per dose mixed with warm gruel, adjusting dosage based on the child's age.
Treatment for infantile food accumulation characterized by refusal to nurse or eat, and emaciation. Disheng San Powder:
Chan (Toad, 1 piece, coated with butter and lightly roasted), Qianglang (Dung Beetle, 1 fen, wings and legs removed, lightly stir-fried), Maike (Wheat Bran, 1 fen, lightly stir-fried), Shenqu (Medicated Leaven, 1 fen, stir-fried until slightly yellow).
The above herbs are finely crushed and sieved into powder. Administer half a qian per dose mixed with gruel, adjusting dosage based on the child's age.