治小儿急慢惊风,涎潮发搐,目睛上视,口眼相引,牙关紧急,背脊强直
连日不省。
龙脑(研) 牛黄(研) 乳香(研,各一钱) 天南星(牛胆制者,半两) 人参 天
麻(去
微炒,为末) 麝香(研,一钱半)
上件研杵令匀,炼蜜和丸,如大鸡头大。每服一丸,荆芥薄荷汤化下。量儿大小以意加
减服,不计时候。
治小儿五疳。盖其骨肉轻软,肠胃微细,若乳哺有节,则脏腑相调;或乳
饮食无常,醉饱喜怒,及小儿百 以后,五岁以前,乳食渐多,不择生冷,好
酸之物,即成五疳。一曰肝疳,其候摇头揉目,白膜遮睛,流汗遍身,合面而
肉色青黄,发立头焦,筋青脑热,腹中积聚,下痢频多,久而不痊,转甚羸
其候浑身壮热,吐痢无常,颊赤面黄,胸膈烦满,鼻干心躁,口舌生疮,痢
血,有时盗汗,或乃虚惊;三曰脾疳,其候腹多筋脉,喘促气粗,乳食不多
啼咳逆,面色萎黄,骨立毛焦,形枯力劣,胸膈壅闷,水谷不消,口鼻常干
意不悦,爱暗憎明,肠胃不和,痢多酸臭;四曰肺疳,其候咳嗽气逆,皮毛
咽喉不利,揉鼻咬甲,壮热憎寒,口鼻生疮,唇边赤痒,腹内气胀,乳食
频频泄痢,粪中米出,皮上粟生;五曰肾疳,其候肌肉消瘦,齿龈生疮,
燥,脑热如火,脚冷如冰,吐逆既增,乳食减少,泻痢频并,下部开张,
痛。以上疾状,并皆治疗。
黄连(去须) 白鳝头(炙令焦黄,无,即炒白芜荑充代) 草龙胆(去芦) 雄黄(研
飞)
楝根 天浆子
本有虾蟆灰、蜗牛微
上为细末,都研令匀,用糯米饭和丸,如麻子大。每服一岁儿一丸,不计时候,温米饮
下,日进三服尤妙。一方有蜗牛微炒,一分。
治疗小儿急惊风和慢惊风,表现为痰涎上涌引发抽搐,眼球向上凝视,口眼向一侧牵引歪斜,牙关紧闭,背部和脊柱强直僵硬,连续多日神志不清。
龙脑(研磨) 牛黄(研磨) 乳香(研磨,各一钱) 天南星(用牛胆汁炮制的,半两) 人参 天麻(去除杂质,微炒后研成细末) 麝香(研磨,一钱半)
以上药材共同研磨杵捣均匀,用炼过的蜂蜜调和制成丸药,大小如大鸡头米。每次服用一丸,用荆芥和薄荷煎汤化开送服。根据患儿年龄大小酌情增减剂量,不限服药时间。
治疗小儿五疳病。这是因为小儿身体骨肉轻软,肠胃细微娇嫩,如果哺乳喂养有节制,则脏腑功能协调;若乳食饮食没有规律,过饱或饥饿,情绪喜怒无常,以及小儿百日后到五岁前,乳食逐渐增多,不选择生冷食物,喜好酸味之物,就会形成五疳。第一种叫肝疳,其症状为摇头揉眼,白膜遮盖瞳孔,全身出汗,面部肌肉抽动且面色青黄,头发竖立且头顶焦枯,筋脉显露脑部发热,腹部有积块,频繁腹泻,久治不愈会转为极度消瘦。第二种叫心疳,其症状为浑身高热,呕吐和腹泻无规律,脸颊发红面色发黄,胸膈烦闷胀满,鼻干心烦,口舌生疮,痢下带血,有时盗汗,或者出现虚惊。第三种叫脾疳,其症状为腹部可见多条筋脉,气喘急促呼吸粗重,吃奶进食不多,啼哭咳嗽气逆,面色萎黄,骨骼突出毛发焦枯,形体干枯力气微弱,胸膈壅塞闷痛,水谷不能消化,口鼻经常干燥,神情不悦,喜欢黑暗厌恶光亮,肠胃不和,腹泻多有酸臭味。第四种叫肺疳,其症状为咳嗽气逆,皮毛干枯,咽喉不利,揉鼻子咬指甲,高热怕冷,口鼻生疮,嘴唇边缘赤红瘙痒,腹部气胀,吃奶进食后频频泄泻,粪便中有未消化的米粒,皮肤上生出粟粒状皮疹。第五种叫肾疳,其症状为肌肉消瘦,齿龈生疮,口干烦躁,脑部发热如火,脚冷如冰,呕吐加重,吃奶进食减少,腹泻痢疾频繁发作,下部器官开张松弛,阴部疼痛。以上各种病症,都进行相应治疗。
黄连(去除须根) 白鳝头(炙烤至焦黄色,若无,则用炒白的芜荑代替) 草龙胆(去除芦头) 雄黄(研磨飞制) 楝树根 天浆子 本方原配伍有虾蟆灰、蜗牛(微炒)。
以上药材制成细末,全部研磨均匀,用糯米饭调和制成丸药,大小如麻子。每岁患儿服用一丸,不限时间,用温米汤送服,每日进服三次尤为妙效。另一版本方剂中含有微炒的蜗牛一分。
Treats pediatric acute and chronic convulsive disorders (Ji Man Jing Feng), characterized by the surging of phlegm-fluid (Xian Chao) triggering spasms, upward deviation of the eyeballs, traction of the mouth and eyes to one side, lockjaw (Ya Guan Jin Ji), rigidity of the back and spine, and loss of consciousness for consecutive days.
Nao Bing (Borneol, ground) Niu Huang (Calculus Bovis, ground) Ru Xiang (Olibanum, ground, each 1 qian) Tian Nan Xing (Arisaema Cum Bile, processed with bovine bile, 0.5 liang) Ren Shen (Ginseng Radix et Rhizoma) Tian Ma (Gastrodiae Rhizoma, cleaned, slightly stir-fried, powdered) She Xiang (Moschus, ground, 1.5 qian)
The above ingredients are ground and pounded together until uniform. They are mixed with refined honey to form pills, sized like large *Euryale ferox* seeds (Ji Tou Zi). Each dose consists of one pill, dissolved and administered in a decoction of Jing Jie (Schizonepetae Herba) and Bo He (Menthae Haplocalycis Herba). The dosage should be adjusted according to the child's age and condition, without restriction on the time of administration.
Treats pediatric "Wu Gan" (Five Kindling Diseases). This occurs because children have light and soft bones and flesh, and delicate intestines and stomach. If breastfeeding and feeding are regulated, the Zang-Fu organs remain harmonious; however, irregular feeding habits, alternating between hunger and fullness, emotional instability, and the period from one hundred days to five years of age when solid food intake increases—leading to the consumption of unselected raw/cold foods and preference for sour substances—result in the formation of the Five Kindling Diseases.
First is Gan Gan (Liver Kindling Disease). Its manifestations include shaking the head and rubbing the eyes, a white membrane obscuring the pupils, generalized sweating, twitching of facial muscles with a bluish-yellow complexion, erect and scorched hair at the vertex, visible tendons and heat in the brain, abdominal accumulations, frequent dysentery, and if untreated for a long time, progression to severe emaciation.
Second is Xin Gan (Heart Kindling Disease). Its manifestations include high fever throughout the body, irregular vomiting and diarrhea, red cheeks with a yellowish face, irritability and fullness in the chest and diaphragm, dry nose and restless heart, sores in the mouth and tongue, bloody stools, occasional night sweats, or false fright.
Third is Pi Gan (Spleen Kindling Disease). Its manifestations include visible veins on the abdomen, panting and coarse breathing, poor appetite, crying and coughing with rebellious Qi, sallow complexion, protruding bones and scorched hair, emaciated form and weak strength, oppression and stuffiness in the chest and diaphragm, inability to digest food and water, dry mouth and nose, dissatisfaction, preference for darkness and aversion to light, disharmony of the intestines and stomach, and acidic-smelling diarrhea.
Fourth is Fei Gan (Lung Kindling Disease). Its manifestations include coughing with rebellious Qi, dry skin and hair, difficulty in the throat, rubbing the nose and biting nails, high fever with aversion to cold, sores in the mouth and nose, red and itchy lips, abdominal distension, frequent diarrhea after feeding, feces containing undigested rice grains, and millet-like rashes on the skin.
Fifth is Shen Gan (Kidney Kindling Disease). Its manifestations include muscle emaciation, sores on the gums, dryness and irritability, intense heat in the brain like fire, cold feet like ice, increased vomiting, reduced milk and food intake, frequent diarrhea and dysentery, laxity of the lower orifices, and pain in the genital area. All the above conditions are treated accordingly.
Huang Lian (Coptidis Rhizoma, cleaned of roots) Bai Shan Tou (White Eel Head, roasted until golden brown; if unavailable, replace with fried Bai Wu Yi - *Chelidonis Herba*) Cao Long Dan (Gentianae Radix, cleaned of rhizome base) Xiong Huang (Realgar, ground and washed) Li Gen (Meliae Radix) Tian Jiang Zi (Passiflorae Semen) Originally included Xia Ma Hui (Toad Ash) and Wo Niu (Helix Aspersa/Murex Snail, slightly stir-fried).
The above ingredients are made into a fine powder and thoroughly ground together. They are mixed with glutinous rice paste to form pills, sized like sesame seeds. For each year of age, administer one pill, without restriction on time, taken with warm rice gruel. Three doses per day are particularly effective. Another version includes 1 fen of slightly stir-fried Wo Niu.