议曰∶凡初生至周 之儿,不可自汗,自汗则亡阳气怯,脉虚神散,惊风有作。凡乳动自汗,切勿止之,宜用白术
二钱半,小麦一撮,煮令干,去麦为末,煎黄 汤调与服,以愈为度。有伤寒热症自汗,当以小柴胡加龙胆治之。夏月
自汗多,宜白虎汤主之。热多自汗而喘者,葛根黄芩黄连汤主之。
小柴胡汤 见第二十九问。
白虎汤 见第五十八问。
葛根黄芩黄连汤 见第五十六问
议曰∶小儿渴症,一见唇红如丹三五分,即发三五分渴,若红甚即渴甚,唇红焦黑者、即久渴虚盛,疾加传极,症
危笃故也。凡小儿三焦虚烦作渴,引饮不歇,宜服三黄丸。小儿伤寒后发渴,唇口焦干,烦躁甚者,白虎汤主之,竹叶
汤亦可服。小儿泻利作渴者,五苓散去桂加干葛尤妙,香薷饮、车前子散、皆可服,小柴胡汤加天花粉亦佳,加干葛尤
稳。大热烦躁而渴者,黄连解毒汤亦可服,七物黄连汤亦可服,极稳。大抵小儿本自盛实,易为生热,热气熏蒸,故
渴而引饮也。
三黄丸 见第八十六问。
白虎汤 见第五十八问。
竹叶汤 见第五十一问竹叶石膏汤。
五苓散 见第五十二问。
香薷饮 见第六十问。
车前子散 见第六十三问。
小柴胡汤 见第二十九问。
黄连解毒汤 见第七十问。
七物黄连汤 治夏月伤寒,四肢烦疼发热,其人喜烦,呕逆支满,剧如祸祟,寒热相搏,故令喜烦。
黄连 茯苓 芍药(各七钱半) 黄芩 甘草 干姜(各一两) 小麦(三合)
上锉散,白水煎,止泻加枳实半两。
议曰:凡是初生到一周岁的婴儿,不应当出现自汗的症状。如果出现自汗,会导致阳气耗散、身体虚弱,脉象虚浮、精神涣散,容易引发惊风。如果是哺乳时因活动而导致的自汗,千万不要强行止汗,适宜使用白术二钱半、小麦一撮,煮至水分收干,去掉小麦后研成粉末,用黄耆汤调服,以痊愈为度。如果有伤寒热症导致的自汗,应当用小柴胡汤加龙胆草来治疗。夏季自汗较多者,适宜用白虎汤主治。热邪较重且伴有自汗和喘息者,用葛根黄芩黄连汤主治。
小柴胡汤 见第二十九问。
白虎汤 见第五十八问。
葛根黄芩黄连汤 见第五十六问。
议曰:小儿渴症,一旦看到嘴唇红润如丹砂色约三五分宽,就会感到口渴约三五分;如果红色更深,则口渴更严重;如果嘴唇红而焦黑,说明是长期口渴导致的气阴两虚盛极,疾病会迅速传变至极点,病情危重。凡是小儿三焦虚烦引起的口渴,饮水不止,适宜服用三黄丸。小儿在伤寒之后出现口渴,嘴唇口舌焦干,烦躁严重的,用白虎汤主治,竹叶汤也可以服用。小儿腹泻痢疾引起口渴的,用五苓散去桂枝加葛根尤为巧妙,香薷饮、车前子散都可以服用,小柴胡汤加天花粉也很好,加葛根更加稳妥。大热烦躁且口渴的,黄连解毒汤也可以服用,七物黄连汤也可以服用,非常稳妥。大抵小儿体质本来就偏于盛实,容易产生内热,热气熏蒸,所以口渴而想要饮水。
三黄丸 见第八十六问。
白虎汤 见第五十八问。
竹叶汤 见第五十一问竹叶石膏汤。
五苓散 见第五十二问。
香薷饮 见第六十问。
车前子散 见第六十三问。
小柴胡汤 见第二十九问。
黄连解毒汤 见第七十问。
七物黄连汤 治疗夏季伤寒,四肢烦疼发热,病人喜欢烦躁,呕吐逆气,胸胁胀满,症状剧烈如同中邪祟,寒热相互搏结,所以导致喜欢烦躁。
黄连 茯苓 芍药(各七钱半) 黄芩 甘草 干姜(各一两) 小麦(三合)
以上药材切碎成散剂,用清水煎煮,若为了止泻可加入枳实半两。
Translation:
It is discussed that infants from birth to one year of age should not experience spontaneous sweating. If spontaneous sweating occurs, it leads to the depletion of Yang Qi (vital energy), physical weakness, a deficient pulse, scattered spirit, and predisposition to convulsions (Jing Feng). If sweating occurs during breastfeeding due to movement, it must not be forcibly stopped. It is appropriate to use Baizhu San (Atractylodes Macrocephala Powder) consisting of Er Qian Ban (two qian and half) of Baizhu (Atractylodis Rhizoma) and Yi Cuo (a pinch) of Xiaomai (Tritici Fructus), boiled until dry, removing the wheat, grinding into powder, and administering with Huangqi Tang (Astragalus Decoction) for adjustment, continuing until recovery. For spontaneous sweating caused by cold damage heat syndrome, Xiao Chai Hu Tang (Minor Bupleurum Decoction) added with Longdan (Gentianae Radix) should be used. In summer, when spontaneous sweating is frequent, Baihu Tang (White Tiger Decoction) is indicated as the primary treatment. For cases with excessive heat, spontaneous sweating, and wheezing, Gegen Huangqin Huanglian Tang (Kudzu, Scutellaria, and Coptis Decoction) is indicated.
Xiao Chai Hu Tang (Minor Bupleurum Decoction) see Question 29.
Baihu Tang (White Tiger Decoction) see Question 58.
Gegen Huangqin Huanglian Tang (Kudzu, Scutellaria, and Coptis Decoction) see Question 56.
It is discussed that in pediatric thirst syndrome, once the lips appear red like cinnabar for about three to five fen in width, thirst begins for about three to five fen; if the redness is more intense, the thirst is more severe; if the lips are red, scorched, and black, it indicates prolonged thirst leading to extreme deficiency and excess, where the disease transmits rapidly to its extremity, making the condition critical. For children suffering from deficiency-heat irritability in the San Jiao (Triple Burner) causing thirst with unquenchable drinking desire, Sanhuang Wan (Three Yellows Pill) is appropriate. For children developing thirst after cold damage, with scorched and dry lips and mouth, and severe irritability, Baihu Tang (White Tiger Decoction) is indicated, and Zhuye Tang (Bamboo Leaf Decoction) may also be taken. For thirst caused by diarrhea and dysentery in children, Wuling San (Five-Ingredient Powder with Poria) with Gui Zhi (Cinnamon Twig) removed and Gegen (Puerariae Radix) added is particularly effective; Xiangru Yin (Elsholtzia Drink), Cheqianzi San (Plantago Seed Powder) can be taken; Xiao Chai Hu Tang (Minor Bupleurum Decoction) added with Tianhuafen (Trichosanthis Radix) is also good, and adding Gegen (Puerariae Radix) is even more stable. For cases of high fever, irritability, and thirst, Huanglian Jiedu Tang (Coptis Decoction for Resolving Toxins) can be taken, and Qi Wu Huanglian Tang (Seven-Ingredient Coptis Decoction) can also be taken, which is very stable. Generally, children's constitutions are naturally robust and prone to generating internal heat; the steaming of heat causes thirst and the desire to drink.
Sanhuang Wan (Three Yellows Pill) see Question 86.
Baihu Tang (White Tiger Decoction) see Question 58.
Zhuye Tang (Bamboo Leaf Decoction) see Question 51 Zhuye Gaoji Tang (Bamboo Leaf and Ginseng Decoction).
Wuling San (Five-Ingredient Powder with Poria) see Question 52.
Xiangru Yin (Elsholtzia Drink) see Question 60.
Cheqianzi San (Plantago Seed Powder) see Question 63.
Xiao Chai Hu Tang (Minor Bupleurum Decoction) see Question 29.
Huanglian Jiedu Tang (Coptis Decoction for Resolving Toxins) see Question 70.
Qi Wu Huanglian Tang (Seven-Ingredient Coptis Decoction) treats summer cold damage, characterized by painful limbs, fever, irritability, nausea, vomiting, chest and hypochondriac fullness, severe symptoms resembling possession, and alternating chills and fever, leading to irritability.
Huanglian (Coptidis Rhizoma), Fuling (Poria), Shaoyao (Paeoniae Radix) (each 7.5 qian), Huangqin (Scutellariae Radix), Gancao (Glycyrrhizae Radix et Rhizoma), Ganjiang (Zingiberis Rhizoma) (each 1 liang), Xiaomai (Tritici Fructus) (3 he).
The above ingredients are crushed into a coarse powder, decocted in clear water. To stop diarrhea, add Zhishi (Aurantii Fructus) 0.5 liang.