小儿有遍身喜汗出者。此荣卫虚也。荣卫相随。通行经络。营周于身。环流不息。荣阴卫阳。荣虚则津液泄
越。卫虚则不能固密。故喜汗出遍身也。钱乙用香瓜丸。若睡中汗出。不自知觉者。此肌肉虚而盗汗也。如盗者
窃物。使人不知觉也。又有但额上汗出者。此浓衣温暖。将养过宜也。上二项。钱乙并用止汗散。若上至头下至
项有汗。而不曾过胸者。此六阳虚汗也。六阳脉皆上至于头故也。若上至项。下至脐有汗者。此胃虚汗也。当与
补胃。昔钱乙治张氏三子。大者喜遍身汗出。次者汗上至项下至脐。小者但头面有汗。至项下而无。他医以麦煎
散治之不效。遂请乙治之。大者与香瓜丸。次者与益黄散。小者与石膏汤。各五日而愈。钱乙治方。本集载之。
外收诸方叙后。
沉香黄 散
治荣卫虚。遍身喜汗。
沉香(锉) 绵黄 (锉) 人参(去芦) 当归(去芦洗净焙) 赤芍药(以上各一两) 木香 桂心(各
半两)
上为细末。每一大钱。水一小净盏。入生姜三片。枣一枚。同煎至半盏。去滓放温。食前时时与服。
苁蓉丸
治血少喜汗。
肉苁蓉(一两酒浸一宿刮去外皮炙干) 鳖甲(一两酥炙黄去裙 ) 绵黄 (半两) 何首乌(半两)
上为细末。炼蜜和丸黍米大。每服十丸。米饮送下。食前。
木槿花 治盗汗。取木槿花开而复合者。焙干为末。每用一钱。猪皮煎汤调下。食后临卧。
牡蛎散
治盗汗。
牡蛎(一两 赤) 麻黄根(二两锉) 甘草(半两)
上为末。每用二钱。以野水一盏。煎至七分。去滓放温服。无时。
升麻汤
治肌热盗汗。
升麻 绵黄 (去芦) 人参(去芦各一两) 熟干地黄 天竺黄(研) 牡蛎粉(研各半两)
上为细末拌匀。每服半钱或一钱。煎竹叶汤调下。无时。
柴胡人参散
治如前。
柴胡(去芦) 人参(去芦) 白术 白茯苓 青皮(去穣) 桔梗(去芦) 麦门冬(去心) 川芎
白芍药 甘草(炙) 桑白皮 升麻
上等分为末。每服一钱。水一盏。煎至七分。温服。食后。
紫苏饮
治肌热烦躁。多渴盗汗。揉鼻腹满。
柴胡(去苗) 藿香(去土) 甘草 乌梅肉 柴苏叶(去土) 干葛 人参(去芦) 茯苓 麦门冬(去
心) 秦艽(去芦) 地骨皮(去骨) 防风(去芦并叉枝)
上等分为末。每二钱。水一盏。煎至七分。去滓放温。时时呷。
沉香鳖甲丸
治潮热盗汗。
沉香(锉) 草龙胆(去芦) 鳖甲(童子小便浸一宿涂酥炙焦去裙 各一两) 绵黄 (一两) 川黄连
(去须半两) 川大黄(半两微炮)
上为细末。炼蜜和丸黍米大。每服十丸。用麦门冬去心煎汤送下。无时。
柴胡黄连膏
治盗汗。潮热往来。柴胡去苗。胡黄连等分为末。炼蜜和膏丸鸡头子大。每一二丸。银器中用酒少许化开。
入水五分。重汤煮二三十沸。放温服。无时。
黄 散
治虚热盗汗。
牡蛎粉 黄 生干地黄(焙干等分)
上为细末。每服一钱。水一小盏。煎至六分。去滓温服。无时。
虎杖散
治实热盗汗。以虎杖锉细。水煎服之。量大小多少与服。
黄连粉 治盗汗。
黄连(去须) 牡蛎粉 贝母(去心各等分为细末)
上三味各一两。即入米汾一两。研匀细。以粉身。
龙胆粉 治如前。千金治头汗。牡蛎粉茯苓各二两。同为细末。于生绢袋子盛之。有汗即扑身。
牡蛎粉 治诸汗。
牡蛎粉(二两) 麻黄根 赤石脂 糯米粉(各一两)
上匀为细末。入龙脑末一钱拌之。每用一匙头。新绵包扑有汗之处。止盗汗最佳。
又方 名同治同。
牡蛎粉(二两) 麻黄根(一两) 蛇床子 干姜(各半两)
上同为细末。用如上法。
犀角饮子
治小儿脏热多汗。
犀角屑(三分) 茯神(去心内木) 龙齿(各一两) 麦门冬(去心一两半) 甘草(半两) 白术(一
分)
上为末。每服一钱。水一盏。煎至七分。去滓温服。无时。
小儿有全身容易出汗的情况。这是由于营卫虚弱所致。营气和卫气相互伴随,通行于经络之中,周流全身,循环不息。营属阴,卫属阳。营气虚弱则津液外泄;卫气虚弱则不能固密肌表。因此导致全身容易出汗。钱乙使用香瓜丸治疗。如果是睡眠中出汗,自己并不知觉的,这是肌肉虚弱导致的盗汗(夜间睡着时出汗)。就像盗贼偷窃东西一样,使人不知不觉。又有仅仅额头出汗的,这是因为穿衣过厚、保暖过度,调养失宜造成的。以上两种情况,钱乙都使用止汗散治疗。如果出汗从头部延伸至颈部,但没有超过胸部的,这是六阳虚汗。因为六条阳经的脉气都上行至头部。如果出汗从颈部延伸至脐部,这是胃气虚弱导致的汗出。应当给予补益胃气的药物。从前钱乙治疗张家的三个儿子,大的喜欢全身出汗,次子的汗出从颈部到脐部,小的只有头面部出汗,到了颈部以下就没有了。其他医生用麦煎散治疗没有效果,于是请钱乙诊治。给大的服用香瓜丸,次子服用益黄散,小的服用石膏汤。各服五日而痊愈。钱乙的治疗方剂,在本集中已有记载,其余收集的各种方剂附在后面。
沉香黄芪散
治疗营卫虚弱,全身容易出汗。
沉香(锉碎) 绵黄芪(锉碎) 人参(去芦头) 当归(去芦头洗净焙干) 赤芍药(以上各一两) 木香 桂心(各半两)
将上述药材研为细末。每次取一大钱药粉,用水一小净盏,加入生姜三片、大枣一枚,共同煎煮至半盏,滤去药渣,放温后,在饭前随时服用。
苁蓉丸
治疗血少导致的容易出汗。
肉苁蓉(一两,酒浸一夜,刮去外皮,炙干) 鳖甲(一两,酥炙至黄色,去裙边) 绵黄芪(半两) 何首乌(半两)
将上述药材研为细末,用炼蜜调和制成如黍米大小的丸剂。每次服用十丸,用米饮送下,饭前服用。
木槿花
治疗盗汗。选取木槿花开后又能闭合的花,焙干研为细末。每次用一钱,用猪皮煎成的汤调服,饭后临睡前服用。
牡蛎散
治疗盗汗。
牡蛎(一两,煅赤) 麻黄根(二两,锉碎) 甘草(半两)
将上述药材研为细末。每次用二钱,以野水一盏,煎至七分,滤去药渣,放温后随时服用。
升麻汤
治疗肌热盗汗。
升麻 绵黄芪(去芦头) 人参(去芦头,各一两) 熟干地黄 天竺黄(研细) 牡蛎粉(研细,各半两)
将上述药材研为细末拌匀。每次服用半钱或一钱,用竹叶汤调服,随时服用。
柴胡人参散
治疗如上所述的症状。
柴胡(去芦头) 人参(去芦头) 白术 白茯苓 青皮(去瓤) 桔梗(去芦头) 麦门冬(去心) 川芎 白芍药 甘草(炙) 桑白皮 升麻
将上述药材等分为细末。每次服用一钱,用水一盏,煎至七分,温服,饭后服用。
紫苏饮
治疗肌热烦躁,多渴盗汗,揉鼻腹满。
柴胡(去苗) 藿香(去土) 甘草 乌梅肉 紫苏叶(去土) 干葛 人参(去芦头) 茯苓 麦门冬(去心) 秦艽(去芦头) 地骨皮(去骨) 防风(去芦头及叉枝)
将上述药材等分为细末。每次用二钱,用水一盏,煎至七分,滤去药渣放温,时时呷服。
沉香鳖甲丸
治疗潮热盗汗。
沉香(锉碎) 草龙胆(去芦头) 鳖甲(童子小便浸一夜,涂酥炙焦,去裙边,各一两) 绵黄芪(一两) 川黄连(去须,半两) 川大黄(半两,微炮制)
将上述药材研为细末,用炼蜜调和制成如黍米大小的丸剂。每次服用十丸,用麦门冬去心煎成的汤送下,随时服用。
柴胡黄连膏
治疗盗汗,潮热往来。柴胡去苗,与胡黄连等分为细末,用炼蜜和成膏状,制成如鸡头子大小的丸剂。每次一至二丸,在银器中用少许酒化开,加入水五分,隔水煮沸二三十次,放温后服用,随时服用。
黄芪散
治疗虚热盗汗。
牡蛎粉 黄芪 生干地黄(焙干,等分)
将上述药材研为细末。每次服用一钱,用水一小盏,煎至六分,滤去药渣温服,随时服用。
虎杖散
治疗实热盗汗。将虎杖锉细,用水煎服。根据患儿年龄大小决定剂量服用。
黄连粉
治疗盗汗。
黄连(去须) 牡蛎粉 贝母(去心,各等分为细末)
将上述三味药各取一两,加入米醋一两,研磨均匀细腻,作为药粉扑在身上。
龙胆粉
治疗同上。千金方治疗头汗:牡蛎粉、茯苓各二两,同为细末,装在生绢袋子里,有汗时扑在身上。
牡蛎粉
治疗各种汗证。
牡蛎粉(二两) 麻黄根 赤石脂 糯米粉(各一两)
将上述药材均匀研为细末,加入龙脑末一钱拌和。每次用匙头量取,用新棉包裹扑在有汗的地方。对止盗汗效果最佳。
又一方,名称相同,主治相同。
牡蛎粉(二两) 麻黄根(一两) 蛇床子 干姜(各半两)
将上述药材同为细末,使用方法同上。
犀角饮子
治疗小儿脏腑热盛多汗。
犀角屑(三分) 茯神(去心中木) 龙齿(各一两) 麦门冬(去心一两半) 甘草(半两) 白术(一分)
将上述药材研为细末。每次服用一钱,用水一盏,煎至七分,滤去药渣温服,随时服用。
Pediatric patients may exhibit a tendency to sweat profusely over the entire body. This is due to the deficiency of Ying (Nutritive Qi) and Wei (Defensive Qi). Ying and Wei Qi accompany each other, circulating through the meridians and networks, encompassing the whole body in an unceasing cycle. Ying belongs to Yin, while Wei belongs to Yang. When Ying Qi is deficient, body fluids leak out; when Wei Qi is deficient, it fails to secure and consolidate the exterior. Consequently, this leads to a propensity for sweating all over the body. Qian Yi used Xianggua Wan (Melon Pill) for treatment. If sweating occurs during sleep without the patient's awareness, this is termed Dao Han (Night Sweats) caused by muscle deficiency. It is akin to a thief stealing goods unnoticed. In cases where sweating is confined only to the forehead, this results from excessive clothing warmth and improper nurturing/care. For these two conditions, Qian Yi uniformly employed Zhihan San (Stop-Sweating Powder). If sweating extends from the head down to the neck but does not exceed the chest, this is Liu Yang Xu Han (Sweating due to Six-Yang Deficiency), as the six Yang meridians all ascend to the head. If sweating extends from the neck down to the umbilicus, this is Wei Xu Han (Stomach-Deficiency Sweating), which requires tonifying the Stomach. Previously, Qian Yi treated three sons of the Zhang family: the eldest had a tendency to sweat all over; the second sweated from the neck to the umbilicus; the youngest sweated only on the head and face, with no sweating below the neck. Other physicians treated them with Maijian San (Wheat Decoction Powder) without effect, so they invited Qian Yi. The eldest was given Xianggua Wan (Melon Pill), the second Yihuang San (Benefit-Yellow Powder), and the youngest Shigao Tang (Gypsum Decoction). Each recovered after five days of administration. Qian Yi’s prescriptions are recorded in this collection, and other collected formulas are appended afterwards.
Chenxiang Huangqi San (Agarwood and Astragalus Powder)
Treats deficiency of Ying and Wei Qi, with a tendency to sweat all over the body.
Chenxiang (Agarwood, sliced) Mian Huangqi (Astragali Radix, sliced) Renshen (Ginseng Radix, rhizome removed) Danggui (Angelicae Sinensis Radix, rhizome removed, washed, dried) Chishao Yao (Paeoniae Radix Rubra, above ingredients each 1 liang) Muxiang (Aucklandiae Radix) Guixin (Cinnamomi Cortex, above ingredients each 0.5 liang)
Grind the above into a fine powder. Take one large qian of powder per dose. Add one small jing cup of water, three slices of Shengjiang (Fresh Ginger), and one Zao (Jujube). Decoct together until half a cup remains. Strain and let cool to warm. Administer frequently before meals.
Congrong Wan (Cistanche Pill)
Treats sweating due to blood deficiency.
Rou Congrong (Cistanches Herba, 1 liang, soaked in wine overnight, scraped clean of skin, roasted dry) Biejia (Testudinis Carapax et Plastrum, 1 liang, roasted with butter until yellow, skirt removed) Mian Huangqi (Astragali Radix, 0.5 liang) Heshouwu (Polygoni Multiflori Radix, 0.5 liang)
Grind the above into a fine powder. Mix with refined honey to form pills the size of millet seeds. Take ten pills per dose, delivered with rice drink, before meals.
Mujin Hua (Hibiscus Flower)
Treats Dao Han (Night Sweats). Select Mujin flowers that open and then close again. Roast dry and grind into powder. Take one qian per dose, mixed with decoction prepared from pig skin. Take after meals and before retiring.
Muli San (Oyster Shell Powder)
Treats Dao Han (Night Sweats).
Muli (Ostreae Concha, 1 liang, calcined red) Mahuang Gen (Ephedrae Radix et Rhizoma, 2 liang, sliced) Gancao (Glycyrrhizae Radix et Rhizoma, 0.5 liang)
Grind the above into powder. Take two qian per dose. Decoct with one cup of wild water until reduced to seven-tenths. Strain, let cool to warm, and take at any time.
Shengma Tang ( Cimicifugae Decoction)
Treats Ji Re Dao Han (Night Sweats with Muscle Heat).
Shengma (Cimicifugae Rhizoma) Mian Huangqi (Astragali Radix, rhizome removed) Renshen (Ginseng Radix, rhizome removed, each 1 liang) Shu Gan Di Huang (Prepared Rehmanniae Radix) Tian Zhu Huang (Bambusae Tabulae) Musi Fen (Ostreae Concha Pulvis, ground, each 0.5 liang)
Grind the above into a fine powder and mix evenly. Take half a qian or one qian per dose, taken with Zhuye (Bamboo Leaf) decoction. Take at any time.
Chaihu Renshen San (Bupleurum and Ginseng Powder)
Treats symptoms as described above.
Chaihu (Bupleuri Radix, rhizome removed) Renshen (Ginseng Radix, rhizome removed) Baizhu (Atractylodis Macrocephalae Rhizoma) Baifuling (Poria, white) Qingpi (Citri Reticulatae Pericarpium Viride, pith removed) Jiegeng (Platycodonis Radix, rhizome removed) Maimendong (Ophiopogonis Radix, heart removed) Chuanxiong (Ligustici Chuanxiong Rhizoma) Baishao Yao (Paeoniae Radix Alba) Gancao (Glycyrrhizae Radix et Rhizoma, roasted) Sangbaipi (Mori Cortex) Shengma (Cimicifugae Rhizoma)
Grind the above into equal parts of fine powder. Take one qian per dose. Decoct with one cup of water until reduced to seven-tenths. Take warm, after meals.
Zisu Yin (Perilla Infusion)
Treats Ji Re Fan Zao (Muscle heat with irritability), Duo Ke Dao Han (Excessive thirst with night sweats), Rou Bi Fu Man (Rubbing nose with abdominal fullness).
Chaihu (Bupleuri Radix, sprouts removed) Huoxiang (Agastaches Herba, soil removed) Gancao (Glycyrrhizae Radix et Rhizoma) Wumei Rou (Mume Fructus pulp) Zisu Ye (Perillae Folium, soil removed) Gange (Puerariae Radix) Renshen (Ginseng Radix, rhizome removed) Fuling (Poria) Maimendong (Ophiopogonis Radix, heart removed) Qinjiao (Gentianae Macrophyllae Radix, rhizome removed) Digupi (Lycii Cortex) Fangfeng (Saposhnikoviae Radix, rhizome and forked branches removed)
Grind the above into equal parts of fine powder. Take two qian per dose. Decoct with one cup of water until reduced to seven-tenths. Strain, let cool to warm, and sip frequently.
Chenxiang Biejia Wan (Agarwood and Turtle Shell Pill)
Treats Chao Re Dao Han (Night sweats with tidal fever).
Chenxiang (Agarwood, sliced) Caolongdan (Gentianae Velutinae Radix, rhizome removed) Biejia (Testudinis Carapax et Plastrum, soaked in urine of young boy overnight, coated with butter, roasted until scorched, skirt removed, each 1 liang) Mian Huangqi (Astragali Radix, 1 liang) Chuan Huanglian (Coptidis Rhizoma, whiskers removed, 0.5 liang) Chuan Dahuang (Rhei Radix et Rhizoma, 0.5 liang, lightly roasted)
Grind the above into a fine powder. Mix with refined honey to form pills the size of millet seeds. Take ten pills per dose, delivered with decoction of Maimendong (with heart removed). Take at any time.
Chaihu Huanglian Gao (Bupleurum and Coptis Paste)
Treats Dao Han (Night Sweats) and Chao Re Wang Lai (Tidal fever coming and going). Remove sprouts from Chaihu. Mix Chaihu and Huhuanglian (Coptidis Rhizoma) in equal parts into a fine powder. Mix with refined honey to form a paste and shape into pills the size of corn kernels. Take one or two pills per dose. Dissolve in a small amount of wine in a silver vessel. Add five fen of water. Boil in a double boiler for twenty to thirty boils. Let cool to warm and take. Take at any time.
Huangqi San (Astragalus Powder)
Treats Xu Re Dao Han (Night sweats with deficiency heat).
Musi Fen (Ostreae Concha Pulvis) Huangqi (Astragali Radix) Sheng Gan Di Huang (Raw Dried Rehmanniae Radix, roasted dry, equal parts)
Grind the above into a fine powder. Take one qian per dose. Decoct with one small cup of water until reduced to six-tenths. Strain and take warm. Take at any time.
Huzhang San (Polystichum Powder)
Treats Shi Re Dao Han (Night sweats with excess heat). Slice Huzhang (Polystichum setosum) finely and decoct with water for oral administration. Adjust dosage according to age and severity.
Huanglian Fen (Coptis Powder)
Treats Dao Han (Night Sweats).
Huanglian (Coptidis Rhizoma, whiskers removed) Musi Fen (Ostreae Concha Pulvis) Beimu (Fritillariae Bulbus, heart removed, equal parts, ground into fine powder)
Take one liang of each of the above three ingredients. Add one liang of Mi Fen (rice vinegar). Grind uniformly until fine. Apply as powder to the body.
Longdan Fen (Gentian Powder)
Treats as above. Qianjin Fang treats Tou Han (Head Sweating): Mix Musi Fen (Ostreae Concha Pulvis) and Fuling (Poria) each two liang into a fine powder. Place in a raw silk bag. Dust on the body when sweating occurs.
Musi Fen (Ostreae Concha Pulvis)
Treats various types of sweating.
Musi Fen (Ostreae Concha Pulvis, 2 liang) Mahuang Gen (Ephedrae Radix et Rhizoma) Chishizhi (Halloysit Rubrum) Nuomic Fen (Glutinous Rice Flour, each 1 liang)
Mix evenly into a fine powder. Add one qian of Longnao (Borneolum Syntheticum) powder and blend. Use a spoon-tip amount per application. Wrap in new cotton and dust on sweaty areas. Best for stopping Dao Han (Night Sweats).
Another formula, same name, same indication.
Musi Fen (Ostreae Concha Pulvis, 2 liang) Mahuang Gen (Ephedrae Radix et Rhizoma, 1 liang) Shechuangzi (Cnidii Fructus) Ganjiang (Zingiberis Rhizoma, each 0.5 liang)
Grind the above into a fine powder. Use the method described above.
Xijiao Yinzi (Rhino Horn Infusion)
Treats Xiao Er Zang Re Duo Han (Pediatric organ heat with excessive sweating).
Xijiao Xie (Rhinocerotis Cornu, shaved, 3 fen) Fushen (Poria cum Radix Xylodi, heart and wood removed) Longchi (Dinosaur Bone, each 1 liang) Maimendong (Ophiopogonis Radix, heart removed, 1.5 liang) Gancao (Glycyrrhizae Radix et Rhizoma, 0.5 liang) Baizhu (Atractylodis Macrocephalae Rhizoma, 1 fen)
Grind the above into powder. Take one qian per dose. Decoct with one cup of water until reduced to seven-tenths. Strain and take warm. Take at any time.