小儿自周 以上。至十余岁。血气隆盛,因浓衣温燠。将养过宜。食羊肉肥甘果食诸物。脏腑生热。熏蒸肌
骨。身体发热。夜有盗汗。渐渐瘦悴。乃成骨蒸。若不即治。则为急劳。今叙方于后。
秦艽散
治潮热蒸瘦减食。
秦艽(去芦切焙) 甘草(炙各一两) 干猫儿薄荷叶(半两不见火)
上为粗末。每服一二钱。水一中盏。煎至七分。去滓温服。食后。
地骨皮汤
治骨蒸体热肌瘦。
地骨皮(去骨) 胡黄连(各一两) 鳖甲(涂酥炙黄去裙尽) 柴胡(去苗) 犀角(锉取屑) 嫩桃枝
(锉) 川大黄(炮) 知母(各半两)
上为细末。每服一大钱。水一盏,煎至五分。去滓温服。无时。
麦煎散
治童男室女。骨蒸肌热盗汗。减食痿瘦。
鳖甲(醋炙去裙 ) 大黄(纸裹煨熟) 恒山 柴胡(去苗) 赤茯苓(去黑皮) 干生漆(炒烟尽)
当归(去芦洗净酒浸一宿) 白术 生地黄 石膏(各一两) 甘草(半两炙)
上为末。每服一钱。水一盏。入小麦五十粒。煎至六分。去滓温服。食后临卧。有虚汗者。加麻黄根一两。
连艽散
治骨蒸肌瘦。渐为急劳。
黄连(去须一两) 秦艽(去芦一两) 天灵盖(一枚涂酥炙黄) 甘草(半两炙)
上为细末。每服半钱。粥饮调下。无时。
小儿从周岁到十几岁,血气旺盛,因为穿着厚衣、保暖过度,调养过于适宜,又食用羊肉、肥甘厚味、水果零食等食物,导致脏腑产生内热。热气熏蒸肌肉和骨骼,身体发热,夜间有盗汗,逐渐消瘦憔悴,从而形成骨蒸病。如果不立即治疗,就会发展为急劳。现在叙述相关方剂如下。
秦艽散
治疗潮热、蒸蒸发热、身体消瘦、食欲减退。
秦艽(去除芦头,切片,焙干)一两,甘草(炙制)一两,干猫儿薄荷叶(半两,不可用火烘烤)。
以上药物捣成粗末。每次服用一二钱,加水一中盏,煎煮至七分满,滤去药渣,温服。饭后服用。
地骨皮汤
治疗骨蒸引起的体表发热、肌肉消瘦。
地骨皮(去除木质部),胡黄连各一两,鳖甲(涂酥油,炙黄,去除裙边),柴胡(去除苗茎),犀角(锉碎取屑),嫩桃枝(锉碎),川大黄(炮制),知母各半两。
以上药物捣成细末。每次服用一大钱,加水一盏,煎煮至五分满,滤去药渣,随时温服。
麦煎散
治疗童男童女因骨蒸引起的肌肉发热、盗汗、食欲减退、身体痿弱消瘦。
鳖甲(醋炙,去除裙边),大黄(用纸包裹煨熟),恒山,柴胡(去除苗茎),赤茯苓(去除黑皮),干生漆(炒至烟尽),当归(去除芦头,洗净,用酒浸泡一夜),白术,生地黄,石膏各一两,甘草(炙制)半两。
以上药物制成粉末。每次服用一钱,加水一盏,放入小麦五十粒,煎煮至六分满,滤去药渣,温服。饭后及临睡前服用。若有虚汗者,加麻黄根一两。
连艽散
治疗骨蒸引起的肌肉消瘦,逐渐发展为急劳。
黄连(去除须根)一两,秦艽(去除芦头)一两,天灵盖(一枚,涂酥油,炙黄),甘草(炙制)半两。
以上药物捣成细末。每次服用半钱,用米粥汁调服,随时服用。
From one year of age to over ten years old, children have flourishing blood and qi. Due to wearing thick clothing and excessive warmth, along with overly proper nursing care, and the consumption of mutton, rich and sweet foods, fruits, and snacks, heat is generated within the zang-fu organs. This heat steams and scorches the muscles and bones, causing body fever, night sweats (Dao Han), gradual emaciation, and debility, thus forming Bone Steaming (Gu Zheng). If not treated immediately, it develops into Urgent Consumption (Ji Lao). The following prescriptions are described.
Qinjiao San (Gardenia Root Powder)
Treats tidal fever, steaming sensation, emaciation, and loss of appetite.
Qinjiao (Gentianae Radix, remove rhizome, slice, dry-roast) 1 liang, Gancao (Licorice Radix et Rhizoma, honey-fried) 1 liang, Ganhuaier Boheye (Dry Mentha catnoides leaves, half liang, do not expose to fire).
Grind the above into coarse powder. Take 1-2 qian per dose. Add 1 zhong lamp of water, decoct until 7/10 remains. Strain and take warm after meals.
Digupi Tang (Cortex Lycii Decoction)
Treats bone steaming with body heat and muscle emaciation.
Digupi (Cortex Lycii, remove woody core), Huhuanglian (Coptidis Rhizoma var. chinensis) each 1 liang, Biejia (Testudinis Carapax et Plastrum, coat with butter, fry until yellow, remove skirt edges), Chaihu (Bupleuri Radix, remove seedlings), Xijiao (Rhinocerotis Cornu, shave to obtain shavings), Nenzhenzhizhi (Young Peach Twig, shave), Chuan Dahuang (Rhei Radix et Rhizoma, processed), Zhimu (Anemarrhenae Rhizoma) each half liang.
Grind the above into fine powder. Take 1 da qian per dose. Add 1 zhan of water, decoct until 5/10 remains. Strain and take warm at any time.
Maijian San (Wheat Decoction Powder)
Treats bone steaming in young boys and girls, causing muscle heat, night sweats, reduced appetite, flaccidity, and emaciation.
Biejia (Testudinis Carapax et Plastrum, vinegar-fried, remove skirt edges), Dahuang (Rhei Radix et Rhizoma, wrapped in paper and baked until ripe), Hengshan (Polygalae Radix), Chaihu (Bupleuri Radix, remove seedlings), Chi Fuling (Poria with Red Host, remove black skin), Gan Shengqi (Raw Lacca, stir-fry until smoke ceases), Danggui (Angelicae Sinensis Radix, remove rhizome, wash clean, soak in wine overnight), Baizhu (Atractylodis Macrocephalae Rhizoma), Shengdihuang (Rehmanniae Radix), Shigao (Gypsum Fibrosum) each 1 liang, Gancao (Licorice Radix et Rhizoma, fried) half liang.
Grind the above into powder. Take 1 qian per dose. Add 1 zhan of water and 50 grains of Xiaomai (Tritici Fructus). Decoct until 6/10 remains. Strain and take warm after meals and before bed. For those with deficiency sweating, add Mahuanggen (Ephedrae Radix et Rhizoma) 1 liang.
Lianqiao San (Coptis and Gardenia Root Powder)
Treats bone steaming with muscle emaciation, gradually developing into urgent consumption.
Huanglian (Coptidis Rhizoma, remove roots) 1 liang, Qinjiao (Gentianae Radix, remove rhizome) 1 liang, Tianlinggai (Human Cranium, coat with butter, fry until yellow), Gancao (Licorice Radix et Rhizoma, fried) half liang.
Grind the above into fine powder. Take half a qian per dose, mixed with porridge drink, at any time.