上以水三升煮取一升,为三服。自汗出者,加附子一个小者;如渴,去桂枝,加栝蒌半两;痢作去芍药、
加干姜三分、附子小者一个炮;心下悸去芍药加茯苓三两;表虚里实,去桂加胶饴二两。
《婴孺》治少小中风,往来寒热,胸胁满,嘿嘿烦心,喜呕,不欲食。黄芩汤
黄芩 人参 甘草(炙) 半夏(洗) 干姜(各一两) 柴胡(三两) 枣(十个,去核)
上切,以水三升煮一升,为三服。烦者去半夏、人参,加栝蒌子半个、当归二两、龙骨二两、栝蒌根二两;
腹中痛者去黄芩,加芍药一两、茯苓二两;表证不解者去人参,加桂心二两,微发汗;得病七八日不解,结
热在内,往来寒热者,加黄连二两、芒硝半两为常法。大良。
《婴孺》治小儿汗出中风,一日之时,儿头顶腰背热,二日即腹热,手足不举。景天散
景天 丹砂(各二分) 麻黄(去节) 白术(各一分)
上为末。浆水服一刀圭,日进三服,立已。
张涣麻黄汤 治小儿中风,祛风,爽精神。
麻黄 防风 细辛 黄芩(各一两) 羌活(半两) 甘草(一分,微炙) 大川附子(一枚,重半两,微炮,去
皮脐)
上件为粗末。每服一大钱,水一盏,入生姜三片、薄荷两叶,煎五分,去滓,稍热,时时灌之。
张涣螵蛸散 治小儿中风痰盛。
桑螵蛸(微炒) 天麻(各一两) 天南星(微炮) 白僵蚕 干全蝎(并微炒。各一分)
以上捣,罗为末。次用∶腻粉 牛黄 麝香(并细研,各一钱)
上件同拌匀,再细研。每服一字至半钱,温酒调下,量儿大小加减。
张涣白花蛇散 治小儿中风,啼声不出,及心肺中风,尤宜服之。
白花蛇(腰以上者,酒浸,去皮骨,炙令黄) 桂心 人参(去芦头) 羚羊角(屑) 菖蒲(一寸九节者。各一
两) 川乌头(半两,炮裂,去皮脐)
上件为细末。每服一字至半钱,点麝香、荆芥汤调下,并服。
张涣槐子煎 治小儿中风不省。
防风 白附子 槐子(微炒) 僵蚕(微炒。各一两) 麻黄(去根节,秤) 干姜 半夏(汤洗七遍。各半两)
以上捣,罗为细末,用好醋两大盏,慢火熬成膏。次用∶
牛黄 麝香(各一分,研) 朱砂(半两,细研,水飞) 金箔(二十片,研)
上件都拌匀,和成膏,丸如绿豆大。每服五粒,温酒下,量儿大小加减。若牙关紧急,即化破灌之。
张涣比圣丹 治小儿心、肺中风,并宜服之。
干全蝎(一两,微炒) 天南星(生用) 羌活 白附子(各半两) 川附子(一枚,重半两,炮,去皮脐)
上件捣,罗为细末,入腻粉一钱研匀,炼蜜和丸如绿豆大。每服五粒至七粒,煎荆芥汤下。量儿大小加减
服之。
《保生信效方》回生丸 主伤寒八、九日汗不出,及日数多沉重,精神不与人相当,汗欲出不出危殆者;又主伤寒坏病,手足筋挛,筋受寒邪而厥冷,及高年人虚劳烦喘;妇人经水不匀,气血虚劣;又主破伤风,痰嗽,
肺痿,盗汗,寒热,身痛,小儿郁瞀,昏迷螈 ,各宜汗者。
麻黄(去根节,秤) 桑根白皮(一斤,锉,须土下者,自采为佳) 续随子(四两) 白药子(三两,为粗末)
以上四味,用河水五石先浸一宿,于大釜器中旋旋添浸药,慢火熬,以麻黄心黑、水只有二三斗为度;取
出滓,用来生绢袋泸过,再入银、石器或砂器内熬成膏。
没药(研) 透明乳香(水中坐乳钵研之) 桔梗 白芷 钟乳(研五日,极细入内) 当归(去芦头,汤急洗过,
切,焙干。秤各二两) 人参 木香(各半两) 白茯苓(去皮,二两) 沉香(一两) 苦参(六两)
上十一味为末, 研匀细,以麻黄膏和丸如弹子大,须腊月合。每服一丸,百沸汤半盏化下,觉怔忪肉
汗出是效。小儿量与。常以零陵香、白芷为末养此药。(百沸汤,乃火上煎百沸也。)
《聚宝方》狐胆丸 治大人小儿中风,神效。
浮萍草(紫背者,七月十五日采取,不计多少,阴干) 雄狐胆(十二月收,阴干)
上将浮萍草一味为末,用胆汁丸芥子大。每服大人、小儿三丸,金银薄荷汤下,不计时候服。
《圣惠》灸法∶小儿身强,角弓反张,灸鼻上入发际三分三壮。次灸大椎下节间三壮。壮如小麦大。
《婴童宝鉴》灸法∶小儿五脏中风,各随脏灸本俞。心风灸心俞,第五椎下两旁各一寸半。肺风灸肺俞,第
三椎下两旁各一寸半。肝风灸肝俞,第九椎下两旁各一寸半。脾风灸脾俞,第十一椎下两旁各一寸半。肾风灸
肾俞,第十四椎下两旁各一寸半。
上方药物加水三升,煎煮至一升,分三次服用。若患者自汗出,加一枚较小的附子;若口渴,去掉桂枝,加半两栝蒌;若出现痢疾,去掉芍药,加三分干姜、一枚较小的炮附子;若心下悸动,去掉芍药,加三两茯苓;若表虚里实,去掉桂枝,加二两胶饴。
《婴孺方》治疗小儿中风,症见寒热往来,胸胁胀满,神情沉默心烦,喜欢呕吐,不想进食。用黄芩汤:
黄芩、人参、甘草(炙)、半夏(洗)、干姜(各一两),柴胡(三两),枣(十个,去核)。
将药物切碎,加水三升,煎煮至一升,分三次服用。若心烦者,去掉半夏、人参,加半个栝蒌子、二两当归、二两龙骨、二两栝蒌根;
若腹中痛者,去掉黄芩,加一两芍药、二两茯苓;若表证未解者,去掉人参,加二两桂心,微发汗;若患病七八日未解,热结在体内,寒热往来者,为常法,加二两黄连、半两芒硝。效果很好。
《婴孺方》治疗小儿出汗后中风,第一天头顶、腰背发热,第二天腹部发热,手足不能抬举。用景天散:
景天、丹砂(各二分),麻黄(去节)、白术(各一分)。
将药物研成细末。用浆水送服一刀圭,每日三次,立即见效。
张涣麻黄汤:治疗小儿中风,祛风,清爽精神。
麻黄、防风、细辛、黄芩(各一两),羌活(半两),甘草(一分,微炙),大川附子(一枚,重半两,微炮,去皮脐)。
将上述药物捣成粗末。每次服用一大钱,加水一盏,放入生姜三片、薄荷两叶,煎至五分,去渣,稍热时,不时灌服。
张涣螵蛸散:治疗小儿中风痰盛。
桑螵蛸(微炒)、天麻(各一两),天南星(微炮),白僵蚕、干全蝎(均微炒,各一分)。
将以上药物捣碎,过筛成细末。另外取:腻粉、牛黄、麝香(均细研,各一钱)。
将上述药物混合拌匀,再细研。每次服用一字至半钱,用温酒调服,根据患儿大小增减剂量。
张涣白花蛇散:治疗小儿中风,啼哭无声,以及心肺中风,尤其适宜服用。
白花蛇(取腰部以上部分,酒浸,去皮骨,炙至黄色),桂心、人参(去芦头)、羚羊角(屑)、菖蒲(一寸九节的,各一两),川乌头(半两,炮裂,去皮脐)。
将上述药物研成细末。每次服用一字至半钱,点入麝香,用荆芥汤调服,一并服用。
张涣槐子煎:治疗小儿中风昏迷不省人事。
防风、白附子、槐子(微炒)、僵蚕(微炒,各一两),麻黄(去根节,称量),干姜、半夏(汤洗七遍,各半两)。
将以上药物捣碎,过筛成细末,用好醋两大盏,慢火熬成膏。另外取:
牛黄、麝香(各一分,研),朱砂(半两,细研,水飞),金箔(二十片,研)。
将上述药物混合拌匀,和成膏,制成如绿豆大小的丸剂。每次服用五粒,温酒送服,根据患儿大小增减剂量。若牙关紧闭,则化开灌服。
张涣比圣丹:治疗小儿心、肺中风,都适宜服用。
干全蝎(一两,微炒),天南星(生用),羌活、白附子(各半两),川附子(一枚,重半两,炮,去皮脐)。
将上述药物捣碎,过筛成细末,加入一钱腻粉研匀,用炼蜜和丸,制成如绿豆大小的丸剂。每次服用五粒至七粒,煎荆芥汤送服。根据患儿大小增减剂量服用。
《保生信效方》回生丸:主治伤寒八、九天不出汗,以及病程日久身体沉重,精神萎靡与人不相称,汗欲出不出处于危殆状态者;又主治伤寒坏病,手足筋脉拘挛,筋受寒邪而厥冷,以及老年人虚劳烦喘;妇人月经不调,气血虚弱;又主治破伤风,痰嗽,肺痿,盗汗,寒热,身痛,小儿郁闭昏冒,昏迷抽搐,凡是适宜发汗的病症。
麻黄(去根节,称量),桑根白皮(一斤,锉碎,须是土下的,自己采集为佳),续随子(四两),白药子(三两,为粗末)。
以上四味药,用河水五石先浸泡一夜,在大釜器中慢慢添加浸泡过的药液,慢火熬制,以麻黄心变黑、水只剩二三斗为度;取出药渣,用新丝绢袋过滤,再次放入银、石器或砂器内熬成膏。
没药(研),透明乳香(在水中坐乳钵研磨),桔梗、白芷、钟乳(研五日,极细后加入),当归(去芦头,热水急洗,切,焙干,称各二两),人参、木香(各半两),白茯苓(去皮,二两),沉香(一两),苦参(六两)。
以上十一味药研成细末,研匀,用麻黄膏和丸,制成如弹子大小的丸剂,须在腊月制作。每次服用一丸,用百沸汤半盏化开送服,感觉心悸肉汗出即为有效。小儿酌情减量。平时常用零陵香、白芷研末养护此药。(百沸汤,即在火上煮沸百次的汤。)
《聚宝方》狐胆丸:治疗大人小儿中风,神效。
浮萍草(紫背的,七月十五日采取,不计多少,阴干),雄狐胆(十二月收,阴干)。
先将浮萍草一味药研成细末,用胆汁和丸,制成芥子大小。每次服用大人、小儿各三丸,金银薄荷汤送服,不限时候服用。
《圣惠方》灸法:小儿身体强直,角弓反张,灸鼻上入发际三分处,三壮。接着灸大椎下节间,三壮。艾炷如小麦大小。
《婴童宝鉴》灸法:小儿五脏中风,分别灸各脏的本俞穴。心风灸心俞,第五椎下两旁各一寸半。肺风灸肺俞,第三椎下两旁各一寸半。肝风灸肝俞,第九椎下两旁各一寸半。脾风灸脾俞,第十一椎下两旁各一寸半。肾风灸肾俞,第十四椎下两旁各一寸半。
The above prescription is boiled with three sheng of water until one sheng remains, divided into three doses. If spontaneous sweating occurs, add one small Fuzi (Prepared Aconite Root); if thirst is present, remove Guizhi (Cinnamon Twig) and add Banliang (Half an liang) of Gualou; if dysentery develops, remove Shaoyao (Peony Root), add Sanfen (Three qian) of Ganjiang (Dried Ginger) and one small Pao Fuzi (Prepared Aconite Root); if palpitations occur below the heart, remove Shaoyao and add Sanliang (Three liang) of Fuling (Poria); if there is exterior deficiency and interior excess, remove Guizhi and add Erliang (Two liang) of Jiaoyi (Maltose).
The *Yingru Fang* treats pediatric wind-stroke presenting with alternating chills and fever, fullness and distension in the chest and hypochondrium, silent irritability, frequent vomiting, and loss of appetite. Use Huangqi Tang:
Huangqin (Scutellaria Root), Renshen (Ginseng Root), Zhigancao (Honey-fried Licorice Root), Banxia (Pinellia Tuber), Ganjiang (Dried Ginger) (each 1 liang); Chaihu (Bupleurum Root) (3 liang); Zao (Jujube) (10 pieces, pitted).
Cut the herbs, boil with three sheng of water until one sheng remains, divided into three doses. If irritability is present, remove Banxia and Renshen, add half a Gualouzi (Trichosanthes Seed), Erliang (Two liang) of Danggui (Angelica Sinensis Root), Erliang (Two liang) of Longgu (Fossilized Bones), and Erliang (Two liang) of Gualougen (Trichosanthes Root);
If abdominal pain is present, remove Huangqin, add Yiliang (One liang) of Shaoyao (Peony Root) and Erliang (Two liang) of Fuling (Poria); if exterior symptoms persist, remove Renshen, add Erliang (Two liang) of Guixin (Cinnamon Bark), to induce slight sweating; if the disease has persisted for seven or eight days without resolution, with heat binding internally and alternating chills and fever, this is the standard method: add Erliang (Two liang) of Huanglian (Coptis Rhizome) and Banliang (Half a liang) of Mangxiao (Mirabilite). Highly effective.
The *Yingru Fang* treats pediatric wind-stroke after sweating, where on the first day the child's head, waist, and back are hot, and on the second day the abdomen becomes hot with inability to lift the hands and feet. Use Jingtian San:
Jingtian (Sedum Acre), Dansha (Cinnabar) (each 2 fen); Mahuang (Ephedra Herb, de-segmented), Baizhu (Atractylodes Macrocephala Rhizome) (each 1 fen).
Grind into fine powder. Administer one Dao Gui with Jiangshui (Fermented Rice Water), three times daily, immediate effect.
Zhang Huan's Mahuang Tang: Treats pediatric wind-stroke, dispels wind, refreshes the spirit.
Mahuang (Ephedra Herb), Fangfeng (Saposhnikovia Root), Xixin (Asarum Root), Huangqin (Scutellaria Root) (each 1 liang); Qianghuo (Notopterygium Rhizome) (half liang); Gancao (Licorice Root, lightly fried, 1 fen); Da Chuan Fuzi (Large Sichuan Prepared Aconite Root) (one piece, weighing half liang, lightly processed, skin and navel removed).
Grind the above ingredients into coarse powder. For each dose, take one Da Qian (large coin measure), add one Jian (cup) of water, three slices of Shengjiang (Fresh Ginger), and two leaves of Bohe (Mint), decoct until five Fen remain, strain, and administer while slightly warm at intervals.
Zhang Huan's Piaoxiao San: Treats pediatric wind-stroke with excessive phlegm.
Sangpiaoxiao (Mantis Egg-case), Tianma (Gastrodia Rhizome) (each 1 liang); Tiannanxing (Arisaema Rhizome, lightly processed); Baijiangcan (Bombyx Batryticatus), Gan Quanxie (Dried Whole Scorpion) (both lightly fried, each 1 fen).
Pound and sieve the above into fine powder. Additionally, use: Nifen (Calomel), Niuhuang (Calculus Bovis), Shexiang (Moschus) (all finely ground, each 1 qian).
Mix thoroughly and grind again. Administer one Zi to half a Qian, mixed with warm wine, adjusting dosage according to the child's size.
Zhang Huan's Baihua She San: Treats pediatric wind-stroke with inability to cry, as well as wind-stroke of the heart and lungs; especially suitable.
Baihua She (White-spotted Bamboo Pit Viper) (use the upper body part, soak in wine, remove skin and bones, roast until yellow); Guixin (Cinnamon Bark); Renshen (Ginseng Root, remove rhizome); Lingyangjiao (Saiga Antelope Horn, powdered); Changpu (Acorus Rhizome, one cun with nine nodes, each 1 liang); Chuan Wutou (Sichuan Aconite Root) (half liang, cracked by processing, skin and navel removed).
Grind the above into fine powder. Administer one Zi to half a Qian, mixed with Shexiang (Moschus) and Jingjie Tang (Schizonepeta Decoction), taken together.
Zhang Huan's Huaizi Jian: Treats pediatric wind-stroke with unconsciousness.
Fangfeng (Saposhnikovia Root), Baifuzi (Typhonium Rhizome), Huaizi (Sophora Fruit, lightly fried), Jiangcan (Bombyx Batryticatus, lightly fried) (each 1 liang); Mahuang (Ephedra Herb, remove roots and segments, weighed); Ganjiang (Dried Ginger); Banxia (Pinellia Tuber, washed seven times in boiling water) (each half liang).
Pound and sieve the above into fine powder. Add two large Zhan of good vinegar, simmer slowly over low heat until it becomes a paste. Additionally, use:
Niuhuang (Calculus Bovis), Shexiang (Moschus) (each 1 fen, ground); Zhusha (Cinnabar) (half liang, finely ground, levigated with water); Jinbo (Gold Leaf) (twenty pieces, ground).
Mix all ingredients thoroughly to form a paste, roll into pills the size of mung beans. Administer five pills with warm wine, adjusting dosage according to the child's size. If the jaw is tight, dissolve and灌 (administer).
Zhang Huan's Bisheng Dan: Treats pediatric wind-stroke of the heart and lungs; suitable for both.
Gan Quanxie (Dried Whole Scorpion) (1 liang, lightly fried); Tiannanxing (Arisaema Rhizome, raw); Qianghuo (Notopterygium Rhizome); Baifuzi (Typhonium Rhizome) (each half liang); Chuan Fuzi (Sichuan Prepared Aconite Root) (one piece, weighing half liang, processed, skin and navel removed).
Pound and sieve the above into fine powder, mix with one qian of Nifen (Calomel), knead with refined honey into pills the size of mung beans. Administer five to seven pills with Jingjie Tang (Schizonepeta Decoction), adjusting dosage according to the child's size.
Baosheng Xinxiao Fang's Huisheng Wan: Mainly indicated for cold damage after eight or nine days without sweating, prolonged illness with heaviness, mental lethargy disproportionate to the condition, critical state with sweat attempting to emerge but failing; also for complicated cold damage with tendon spasms in hands and feet, cold extremities due to cold pathogen invading tendons, and elderly patients with deficiency-wasting and vexatious panting; women with irregular menstruation and deficient qi and blood; also for traumatic tetanus, phlegmatic cough, lung萎 (flaccidity), night sweats, alternating chills and fever, body pain, pediatric depression and dizziness, coma, convulsions, and any condition requiring diaphoresis.
Mahuang (Ephedra Herb, remove roots and segments, weighed); Sanggenbaipi (Mulberry Root Bark) (one jin, chopped, preferably from underground parts, self-harvested best); Suisuizi (Seed of Croton Tiglium) (4 liang); Baiyaoshi (Polygonum Multiflorum Root) (3 liang, coarse powder).
Soak the above four ingredients in five shi of river water overnight. In a large cauldron, slowly add the soaked liquid, simmer over low heat until the center of Mahuang turns black and only two or three dou of water remain; remove residues, filter through a new silk bag, and return to silver, earthenware, or sand vessel to simmer into a paste.
Myrrh (ground); Transparent Ruixiang (Frankincense, ground in mortar with water); Jiegeng (Platycodon Root); Baizhi (Angelica Dahurica Root); Zhongru (Stalactite, ground for five days until extremely fine, then added); Danggui (Angelica Sinensis Root, remove rhizome, rinse quickly in hot water, cut, dry by roasting, weighed 2 liang each); Renshen (Ginseng Root); Muxiang (Aucklandia Root) (each half liang); Baifuling (Poria, peeled, 2 liang); Chenxiang (Aquilaria Wood) (1 liang); Kushen (Sophora Root) (6 liang).
Grind the above eleven ingredients into fine powder, mix evenly, and bind with Mahuang paste into pills the size of quail eggs; must be prepared in the twelfth lunar month. Administer one pill dissolved in half a zhan of Baifei Tang (Boiling Water), effectiveness indicated by palpitations and sweating in muscles. Adjust dosage for children. Usually maintain this medicine with Linglingxiang (Lingzhi Incense) and Baizhi (Angelica Dahurica Root) powders. (Baifei Tang refers to water boiled vigorously.)
Jubao Fang's Hudan Wan: Treats wind-stroke in adults and children, highly effective.
Fupingcao (Duckweed, purple-backed, harvested on the 15th day of the seventh lunar month, quantity not limited, dried in shade); Xionghudan (Male Fox Gallbladder, collected in December, dried in shade).
Grind Fupingcao alone into powder, bind with gallbladder juice into pills the size of mustard seeds. Administer three pills for adults and children, with Yinjin Bohe Tang (Silver/Gold Mint Decoction), taken at any time.
Shenghui Fang's Moxibustion Method: For pediatric stiff body and opisthotonos, moxa three Zhu (cone-sized burns) at the point entering the hairline on the nose by three fen. Next, moxa three Zhu between the lower segment of Dazhui (GV14). Zhu size like wheat grain.
Yingtong Baojian's Moxibustion Method: For pediatric wind-stroke of the five zang organs, moxa the Back-Shu point of each respective organ. Heart wind moxa Xinshu (BL15), 1.5 cun lateral to the lower border of the 5th thoracic vertebra. Lung wind moxa Feishu (BL13), 1.5 cun lateral to the lower border of the 3rd thoracic vertebra. Liver wind moxa Ganshu (BL18), 1.5 cun lateral to the lower border of the 9th thoracic vertebra. Spleen wind moxa Pishu (BL20), 1.5 cun lateral to the lower border of the 11th thoracic vertebra. Kidney wind moxa Shenshu (BL23), 1.5 cun lateral to the lower border of the 14th thoracic vertebra.