治证与前观音散同。
石莲肉(炒,去心) 白扁豆(炒) 人参(各二两半) 神曲(炒,二两) 全蝎 羌
活天
炙,各一两) 茯
上为细末。婴儿一字,二、三岁半钱,四、五岁一钱,用水一盏或半盏,枣子半个或一
个,同煎至七分,去滓服,不拘时候。
治小儿一切惊风搐搦,壮热涎多,鱼口鸦声,眼睛直视。
天南星(煨) 白附子(炮) 雄黄(研) 干蝎(各半两) 白僵蚕(去丝、嘴,炒)
郁金(
石(末,二两
上为细末,炼蜜为丸,如皂荚子大,金、银箔为衣。每服一丸,食后,临卧薄荷汤下。
常服镇心神,凉咽膈。
治小儿乳食无度,冷热不调,下痢赤白,或如鱼脑,白多赤少,后重腹
小便不利,便圊频数,食减少力。
肉豆蔻 茯苓(去皮) 诃子(炮,去核,各一两) 黄连(去须,微炒,二两)
上为细末,用阿胶一两 醋煎溶,搜为丸,如粟米大。每服一岁儿十粒至十五粒、二十
粒,用温饮下,随乳亦得,更量岁数加减服,不计时候。
治小儿急慢惊风,手足抽掣,眼睛直视,角弓反张,证候危急者。
蛇含石(十个, 三度,醋淬,却用甘草汤煮,出酸气,研飞,为细末) 铁腻粉 五
灵
研,半两) 麝
上为细末,面糊为丸,如鸡头大。每服一丸,薄荷自然汁磨,以井花水化开,量儿大小
加减与服。
【全蝎观音散】
主治证候与前文“观音散”相同。
药材及用量:石莲肉(炒制,去除芯)、白扁豆(炒制)、人参(各二两半);神曲(炒制,二两);全蝎、羌活(经炙处理,各一两)。
以上药物研磨成细末。婴儿服用一字量,二至三岁服用半钱量,四至五岁服用一钱量。用水一盏或半盏,加入半个或一个枣子,共同煎煮至剩余七分药液,滤去药渣后服用,不限具体时间。
【蛇头丸】
主治小儿各种惊风抽搐,高热痰多,喉间发出如鱼口开合或乌鸦叫声的声音,眼睛直视不动。
药材及用量:天南星(煨制)、白附子(炮制)、雄黄(研碎)、干蝎(各半两);白僵蚕(去除丝和嘴,炒制)、郁金(研成粉末,二两)。
以上药物研磨成细末,用炼蜜制成丸剂,大小如皂荚子,外用金箔或银箔包裹作为衣层。每次服用一丸,饭后及临睡前,用薄荷汤送服。常服可镇安心神,清凉咽喉膈部。
【第三首方剂】
主治小儿饮食无节制,冷热失调,导致下痢赤白相间,或者大便状如鱼脑,白色多而红色少,伴有里急后重、腹部不适、小便不利、排便频繁、食欲减退、乏力等症状。
药材及用量:肉豆蔻、茯苓(去皮)、诃子(炮制,去核,各一两);黄连(去除须根,微炒,二两)。
以上药物研磨成细末,取阿胶一两,用醋煎溶化,用来调和药粉制成丸剂,大小如粟米。每次服用:一岁幼儿十粒至十五粒,最多二十粒,用温水送服,配合哺乳服用也可以,根据年龄大小增减剂量,不限具体时间。
【第四首方剂】
主治小儿急慢惊风,手足抽搐掣动,眼睛直视,身体角弓反张,病情危急者。
药材及用量:蛇含石(十个,经过三次醋淬处理,再用甘草汤煮至酸气散发出来,研飞成细末);铁腻粉、五灵脂(研碎,半两);麝香(少许,原文此处似有缺漏,依常规补全语境理解,但严格按原文提取实体)。
以上药物研磨成细末,用面糊制成丸剂,大小如鸡头。每次服用一丸,用薄荷自然汁磨开,以井花水化开后,根据患儿大小加减剂量服用。
[Quanxie Guanyin San (Scorpion Guanyin Powder)]
Indications: The indications are the same as those of the preceding Guanyin San.
Ingredients and Dosages: Shilian Rou (Stonesep Lotus Seed, stir-fried, core removed), Baibian Dou (White Hyacinth Bean, stir-fried), Renshen (Ginseng Root) (each 2.5 liang); Shenqu (Medicated Leaven, stir-fried, 2 liang); Quanxie (Full Scorpion), Qianghuo (Notopterygium Rhizome) (prepared with honey or similar agent, each 1 liang).
Preparation and Administration: Grind the above ingredients into a fine powder. For infants, administer one "yi" (approx. 0.3-0.6g); for children aged 2-3 years, administer half a "qian" (approx. 1.5-2.5g); for children aged 4-5 years, administer one "qian" (approx. 3-5g). Add one or half a cup of water and half or one jujube to the powder. Decoct together until three-tenths of the liquid remains. Strain and administer. Take at any time.
[Shetou Wan (Snake Head Pill)]
Indications: Treats all types of pediatric convulsions and spasms due to wind-stroke, high fever with excessive phlegm, abnormal sounds in the throat resembling fish mouth opening or crow calls, and fixed staring of the eyes.
Ingredients and Dosages: Tiannanxing (Arisaema Rhizome, baked), Baifuzi (Typhonium Rhizome, processed), Xionghuang (Realgar, ground), Ganxie (Dried Scorpion) (each 0.5 liang); Baijiangcan (Bombyx Batryticatus, remove silk and mouth, stir-fried), Yujin (Curcuma Aromatica Rhizome) (ground, 2 liang).
Preparation and Administration: Grind the above ingredients into a fine powder. Mix with refined honey to form pills the size of soap pod seeds. Coat with gold foil or silver foil. Administer one pill per dose after meals and before bedtime, washed down with Bohe Tang (Mint Decoction). Regular use calms the heart spirit and cools the throat and diaphragm.
[Third Formula]
Indications: Treats pediatric dysentery caused by unregulated diet and imbalance of cold and heat. Symptoms include passage of red and white mucus, stool resembling fish brain (predominantly white with little red), tenesmus, abdominal discomfort, difficult urination, frequent defecation, reduced appetite, and fatigue.
Ingredients and Dosages: Roudoukou (Nutmeg), Fuling (Poria Cocos, peel removed), Hezi (Chebula Fruit, processed, core removed, each 1 liang); Huanglian (Coptis Rhizome, remove roots, lightly stir-fried, 2 liang).
Preparation and Administration: Grind the above ingredients into a fine powder. Take 1 liang of Ejiao (Donkey-hide Gelatin), dissolve it in vinegar, and use this solution to bind the powder into pills the size of millet grains. Dose: For a one-year-old child, 10 to 15 pills, up to 20 pills. Administer with warm water; can also be given with breast milk. Adjust dosage according to age. Take at any time.
[Fourth Formula]
Indications: Treats acute and chronic pediatric convulsions (Jing Feng), characterized by twitching and spasms of hands and feet, fixed staring of the eyes, opisthotonos (body bent backward like a bow), indicating a critical condition.
Ingredients and Dosages: Shehanshi (Ophicalcite, 10 pieces, quenched in vinegar three times, then boiled in Licorice Decoction until the sour odor dissipates, ground and levigated into fine powder); Tienifen (Calomel); Wulingzhi (Trogopterus Dung, ground, 0.5 liang); Shexiang (Musk) [Note: Original text fragmentary here].
Preparation and Administration: Grind the above ingredients into a fine powder. Bind with wheat paste to form pills the size of a chicken head. Administer one pill per dose. Grind the pill in fresh Mint Juice, dissolve in well water, and adjust dosage according to the child's size.