一论小儿感风或冒寒。用老葱三四根。舂极烂。以手抹来。相搽满掌。烘温暖。向病者
遍身擦之。通气处再遍擦几遍。暖处出汗。立愈。
一治小儿面青身冷。默默不语。用灯火遍身手足按穴爆之。立醒。
一论小儿伤寒。头痛壮热。恶寒咳嗽。鼻塞声重。痘疹欲出。发搐惊风喘嗽。手足搐搦
等症。宜服
人参败毒散
羌活 独活 柴胡 前胡 桔梗 白茯苓 枳壳 川芎 薄荷叶 人参 甘草
上锉。姜、葱煎服。
一论小儿风寒外感。惊风内积。发热喘促。咳嗽痰涎。潮热搐搦。并痘疹初作。
羌活膏
人参 羌活 独活 前胡 川芎 桔梗 天麻(各五钱) 薄荷 地骨皮(各三钱) 甘草
(二钱) 上为细末。炼蜜为丸。如芡实大。每服一丸。姜汤研化下。
一论小儿四时感冒。伤风瘟疫。身热昏睡。气粗喘满。痰实壅嗽。及惊风潮搐。蛊毒中
暑。并疮疹欲出发搐。皆可服之。壮实小儿。三五日服一丸。可免惊风痰喘等疾。宜
抱龙丸
南星(为末入膜月黄牛胆中阴干百日取出八钱) 天竺黄 雄黄 辰砂(研各四钱) 麝香
(一钱)
上为细末。煮甘草膏为丸。如皂角子大。每服一丸。薄荷汤研化下。百 内者作三服。
或用 雪水煮。甘草膏汁。和药尤佳。
按上方。若风热痰嗽。或急惊发搐。昏睡切牙。形病俱实。宜用此方。若初冒风寒。咳
嗽痰
盛。气喘者。属客邪内作也。先用十一味参苏饮。若邪既解。而腹胀吐泻。或发搐切牙。睡
而露睛。属脾肺气虚也。用四君子汤加陈皮。名异功散。切忌祛痰表散。若过服攻伐而致前
症者。尤宜温补脾肺
参苏饮(方见咳嗽)
关于小儿感受风邪或受寒的论述:使用老葱三四根,捣烂至极细,用手涂抹,均匀擦满手掌,加热至温暖后,在患儿全身擦拭。在气机通畅的部位再反复擦拭几遍,使身体暖和并出汗,即可立即痊愈。
另一种治疗小儿面色青白、身体发冷、沉默不语的方法:用灯火在全身及手足穴位处进行爆灸(灯火疗法),患儿可立即苏醒。
关于小儿伤寒的论述:症状包括头痛、高热、恶寒、咳嗽、鼻塞且声音沉重、痘疹欲出、抽搐惊风、气喘咳嗽、手足搐搦等症。适宜服用人参败毒散。
方药组成:羌活、独活、柴胡、前胡、桔梗、白茯苓、枳壳、川芎、薄荷叶、人参、甘草。
制法与用法:将药材切碎,加生姜、葱白煎服。
关于小儿外感风寒、内有积滞导致惊风的论述:症状包括发热、气喘急促、咳嗽有痰涎、潮热、抽搐,以及痘疹初起。适宜服用羌活膏。
方药组成:人参、羌活、独活、前胡、川芎、桔梗、天麻(各五钱)、薄荷、地骨皮(各三钱)、甘草(二钱)。
制法与用法:将药材研为细末,用炼蜜制成丸药,大小如芡实。每次服用一丸,用姜汤研磨化开送服。
关于小儿四季感冒、伤风瘟疫的论述:症状包括身热昏睡、呼吸粗重气喘胸满、痰实壅盛咳嗽,以及惊风潮搐、蛊毒、中暑,还有疮疹欲出而引发抽搐者,皆可服用此药。对于体质壮实的小儿,每隔三五日服用一丸,可以预防惊风、痰喘等疾病。适宜服用抱龙丸。
方药组成:南星(研成粉末,装入黄牛胆膜中阴干百日取出,八钱)、天竺黄、雄黄、辰砂(研磨,各四钱)、麝香(一钱)。
制法与用法:将药材研为细末,用煮制的甘草膏制成丸药,大小如皂角子。每次服用一丸,用薄荷汤研磨化开送服。若患儿在一岁以内,分三次服用。或者用雪水、甘草膏汁调和药物,效果更佳。
按语:上述方剂,若属于风热引起的痰嗽,或急惊风发作抽搐、昏睡磨牙,形体与病证均属实证者,适宜使用此方。若是初次冒受风寒,咳嗽痰多,气喘者,属于外邪内侵所致。应先使用十一味参苏饮。若邪气已解,但出现腹胀、呕吐腹泻,或抽搐磨牙、睡眠时眼睛半睁(露睛),属于脾肺气虚。应使用四君子汤加陈皮,名为异功散。切忌使用祛痰和解表发散的药物。如果是因过度服用攻伐药物而导致上述症状的,尤其适宜温补脾肺。
参苏饮(方剂见“咳嗽”章节)
Regarding the discussion on infants contracting wind pathogens or cold: Use three to four stalks of old scallion, pound them until extremely fine, apply with hands, and rub evenly over the palms. Warm them up, then rub them all over the infant's body. Rub again several times over areas where qi flows freely. When the body becomes warm and sweats, recovery is immediate.
For treating infants with a cyanotic complexion, cold body, silence, and muteness: Use lamp-moxibustion (fire-light therapy) by pressing and bursting the flame at acupoints all over the body and extremities. The infant will awaken immediately.
Regarding the discussion on infant typhoid-cold (Shanghan): Symptoms include headache, high fever, aversion to cold, coughing, nasal congestion with heavy voice, impending eruption of smallpox/variolae, convulsions, wind-stroke, wheezing, coughing, and spasms of hands and feet. It is appropriate to administer Ren Shen Bai Du San (Ginseng Decoction for Overcoming Toxins).
Ingredients: Qiang Huo (Notopterygii Rhizoma et Radix), Du Huo (Angelicae Pubescentis Radix), Chai Hu (Bupleuri Radix), Qian Hu (Peucedani Radix), Jie Geng (Platycodonis Radix), Bai Fu Ling (Poria), Zhi Ke (Aurantii Fructus Immaturus), Chuan Xiong (Ligustici Chuanxiong Rhizoma), Bo He Ye (Menthae Haplocalycis Folium), Ren Shen (Ginseng Radix et Rhizoma), Gan Cao (Glycyrrhizae Radix et Rhizoma).
Preparation and Administration: Coarsely crush the herbs. Decoct with fresh ginger and scallion white, and take orally.
Regarding the discussion on infants suffering from external contraction of wind-cold and internal accumulation leading to wind-stroke: Symptoms include fever, rapid breathing, coughing with phlegm-saliva, tidal fever, spasms, and initial onset of rash/pox. It is appropriate to administer Qiang Huo Gao (Notopterygium Ointment/Paste).
Ingredients: Ren Shen (Ginseng Radix et Rhizoma), Qiang Huo (Notopterygii Rhizoma et Radix), Du Huo (Angelicae Pubescentis Radix), Qian Hu (Peucedani Radix), Chuan Xiong (Ligustici Chuanxiong Rhizoma), Jie Geng (Platycodonis Radix), Tian Ma (Gastrodiae Rhizoma) (each 5 qian); Bo He (Menthae Haplocalycis Herba), Di Gu Pi (Lycii Cortex) (each 3 qian); Gan Cao (Glycyrrhizae Radix et Rhizoma) (2 qian).
Preparation and Administration: Grind into fine powder. Form pills using refined honey, sized like seeds of Euryale ferox (Qian Shi). Take one pill per dose, grinding it down with ginger decoction for administration.
Regarding the discussion on infants' common cold in all seasons, wind-stroke, and plague: Symptoms include fever, drowsiness, coarse breathing with wheezing and chest fullness, excessive phlegm causing cough, convulsive wind-tidal spasms, gu-poison, heatstroke, and rashes/pox about to erupt accompanied by spasms. These conditions can be treated with this formula. For robust infants, taking one pill every three to five days can prevent diseases such as convulsive wind and phlegmatic wheezing. It is appropriate to administer Bao Long Wan (Embracing Dragon Pill).
Ingredients: Nan Xing (Arisaematis Cum Bile), processed by grinding into powder, placing inside the membrane of a yellow ox gallbladder, drying in shade for one hundred days, then removing (8 qian); Tian Zhu Huang (Calami Tuberum? Note: Usually refers to Bambusae Tabulae); Xiong Huang (Realgar); Chen Sha (Cinnabaris) (ground separately, each 4 qian); She Xiang (Moschus) (1 qian).
Preparation and Administration: Grind into fine powder. Form pills using boiled licorice paste, sized like seeds of Gleditsia sinensis (Zao Jiao Zi). Take one pill per dose, grinding it down with mint decoction for administration. If the infant is under one year old, divide into three doses. Alternatively, use snow water or licorice paste juice to mix with the medicine, which is even better.
Commentary: The above formulas are suitable if the condition involves wind-heat causing phlegmatic cough, or acute wind-stroke with spasms, drowsiness, and teeth-grinding, where both the physical constitution and pathology are excess-type. If it is an initial contraction of wind-cold with abundant cough-phlegm and asthma, it belongs to exogenous pathogens acting internally. First, use Shi Yi Wei Shen Su Yin (Eleven-Ingredient Ginseng and Perilla Decoction). If the pathogen is resolved but abdominal distension, vomiting, and diarrhea occur, or if spasms, teeth-grinding, and sleeping with eyes half-open (exposing pupils) appear, it indicates deficiency of spleen and lung qi. Use Si Jun Zi Tang (Four Gentlemen Decoction) added with Chen Pi (Citri Reticulatae Pericarpium), named Yi Gong San (Extraordinary Merit Powder). Strictly avoid expectorant and exterior-releasing dispersants. If the aforementioned symptoms were caused by excessive use of attacking/draining medicines, warming and tonifying the spleen and lung is especially appropriate.
Shen Su Yin (Formula see "Cough" chapter)