《博济方》治小儿久患,转泻过多,脾胃虚弱,不进饮食,眼涩饶睡。脾困散
天南星(末,半钱,生用) 冬瓜子(二十七粒)
上件二味,用浆水一盏半,同煎至四分,空心温服。
《谭氏殊圣方》∶小儿多睡患心中,渐困沉沉转疾浓,乳食昏昏全不吃,四肢无力改形容。莫怨灶神并家鬼,《秘
录》分明内印风,求取真珠琥珀散,灵方指授急宽通。琥珀散
琥珀(末) 真珠(末。各一分) 朱砂 铅白霜(各半分) 红芍药(一分半)
上为末。每服一字,金银薄荷汤下。
《保生信效方》兰台散 治小儿骨蒸劳热,骨肉、五心烦躁。又大病后或大下后多睡,或全睡。
乌梅肉(一两,焙干) 蛇黄(二两,醋淬二十遍)
上同为末。每服二钱,以 汁调下。若小儿睡起不了了者,此为神不聚,此能收敛之。
《凤髓经》神白散 治小儿脾困冷泻,多睡不醒,呕逆,心闷乱,喉内生涎。
神曲(炙) 人参 茯苓 藿香叶 甘草(炒) 黄 (蜜炙,各一分) 白附子(炮,一钱) 大附子(一个,
炮去皮、尖)
上为细末。每服半钱,紫苏汤调下。
《赵氏家传》六神汤 治小儿因病气弱,或因吐泻,胃虚生风,精神沉困,不思乳食,时时欲吐。养气、补虚、
进食。
人参 白术 白茯苓 干山药 绵黄 (炙,刮去皮,细锉。各一两) 甘草(炙,半两)
上为细末,每服半钱,白汤点服。
《吉氏家传》治泻后脾胃虚,四肢逆冷,眼慢多困,心躁吃水。惺脾散
冬瓜子(去壳,一两) 桑白皮 硫黄(生。各半两) 腻粉
上四味同研匀和,每服半钱至一钱,煎冬瓜皮汤调下,日进四服。服后体热可困,良久泻疏且住,却服芦
荟丸。(方见疳泻门中。)
《朱氏家传》治脾积冷多困。醒脾散
天南星(一两) 大麦 白附子 良姜(用水煮天南星,煮干尽用南星,去良姜。以水一盏煮干,焙。各一两)
草果子(去皮,用面裹,煨香,二两)
上为末,每服半钱。用冬瓜子煎汤调,不去瓜子服。
长沙医者郑愈传∶治小儿惊风耽睡,然后取下惊涎。睡惊丸
龙脑(半钱) 朱砂(二钱) 京墨 青黛 芦荟(各二钱半) 使君子(七个) 腻粉(二钱) 牛黄(一字)
麝香(半字) 干蝎(三个) 金银箔(各五片为衣)
上为末,以寒食面糊丸如梧桐子大,金银箔为衣。二岁、五岁以上二丸,薄荷汤化下。
《博济方》治疗小儿长期患病,腹泻次数过多,导致脾胃虚弱,无法进食,眼睛干涩且嗜睡。脾困散:天南星(研末,半钱,生用),冬瓜子(二十七粒)。以上两味药,用浆水一盏半,共同煎煮至剩余四分之一的量,空腹时温服。
《谭氏殊圣方》:小儿多睡病源于心中,逐渐变得昏沉沉重且病情加重,吃奶和食物时昏昏沉沉完全不想吃,四肢无力,面容改变。不要抱怨灶神和家鬼,《秘录》中明确记载这是内风所致,求取真珠琥珀散,灵方指引迅速疏通。琥珀散:琥珀(研末),真珠(研末,各一分),朱砂,铅白霜(各半分),红芍药(一分半)。以上药物研为细末。每次服用一字,用金银薄荷汤送服。
《保生信效方》兰台散:治疗小儿骨蒸劳热,骨肉疼痛,五心烦热烦躁。又治大病后或剧烈泻下后嗜睡,或完全昏睡。乌梅肉(一两,焙干),蛇黄(二两,用醋淬炼二十遍)。以上药物共同研为细末。每次服用二钱,用汁液调服。如果小儿睡醒后精神恍惚不清爽,这是因为神气不聚,此方能收敛神气。
《凤髓经》神白散:治疗小儿脾虚受冷引起的腹泻,嗜睡不醒,呕吐逆气,心胸闷乱,喉间内生涎沫。神曲(炙),人参,茯苓,藿香叶,甘草(炒),黄芪(蜜炙,各一分),白附子(炮制,一钱),大附子(一个,炮制去皮、尖)。以上药物研为细末。每次服用半钱,用紫苏汤调服。
《赵氏家传》六神汤:治疗小儿因病导致气弱,或因呕吐腹泻,胃虚生风,精神沉困,不思乳食,时时想要呕吐。具有养气、补虚、增进饮食的功效。人参,白术,白茯苓,干山药,绵黄芪(炙,刮去皮,细切,各一两),甘草(炙,半两)。以上药物研为细末,每次服用半钱,用白开水点服。
《吉氏家传》治疗腹泻后脾胃虚弱,四肢逆冷,眼睑迟缓多困倦,心中烦躁想吃水。惺脾散:冬瓜子(去壳,一两),桑白皮,硫黄(生用,各半两),腻粉。以上四味药共同研磨均匀混合,每次服用半钱至一钱,煎冬瓜皮汤调服,每日进服四次。服药后身体发热可能会感到困倦,过很久后大便通畅即可停止,随后服用芦荟丸。(方剂见疳泻门中。)
《朱氏家传》治疗脾积寒冷导致的嗜睡。醒脾散:天南星(一两),大麦,白附子,良姜(用水煮天南星,煮干尽用南星,去掉良姜。用水一盏煮干,焙干,各一两),草果子(去皮,用面裹,煨香,二两)。以上药物研为细末,每次服用半钱。用冬瓜子煎汤调服,不去瓜子直接服用。
长沙医者郑愈传授:治疗小儿惊风嗜睡,然后取下惊涎。睡惊丸:龙脑(半钱),朱砂(二钱),京墨,青黛,芦荟(各二钱半),使君子(七个),腻粉(二钱),牛黄(一字),麝香(半字),干蝎(三个),金银箔(各五片作为衣)。以上药物研为细末,用寒食面糊制成梧桐子大小的丸药,用金银箔包裹。两岁、五岁以上儿童每次服用二丸,用薄荷汤化开送服。
*Boji Fang* treats children suffering from prolonged illness, excessive diarrhea, leading to Spleen and Stomach deficiency (Spleen-Stomach Qi Deficiency), inability to eat, dry eyes, and drowsiness. **Pi Kun San** (Spleen-Kun Powder): *Arisaema Rhizoma* (Tian Nan Xing) (powdered, half qian, raw use), *Benincasa Semen* (Dong Gua Zi) (27 seeds). The above two ingredients are decocted together with 1.5 cups of fermented rice water until reduced to one-quarter volume; take warm on an empty stomach.
*Tan Shi Shu Sheng Fang*: Children's excessive sleepiness originates in the Heart, gradually becoming heavy and lethargic with worsening condition; they are dazed during feeding, refusing milk and food entirely, limbs become weak, and facial appearance changes. Do not blame the Kitchen God or household ghosts; *Mi Lu* clearly states this is caused by internal Wind. Seek **Zhen Zhu Hu Po San** (Pearl and Amber Powder); the spiritual prescription guides rapid unblocking. **Hu Po San** (Amber Powder): *Succinum* (Hu Po) (powdered), *Margarita* (Zhen Zhu) (powdered, each 1 fen), *Cinnabar* (Zhu Sha), *Plumbum Subacetatum* (Qian Bai Shuang) (each half fen), *Paeoniae Radix Rubra* (Hong Shao Yao) (1.5 fen). The above are powdered. Take 1 zi per dose, administered with Yin Jin Bo He Tang (Silver and Mint Decoction).
*Bao Sheng Xin Xiao Fang* **Lan Tai San**: Treats children's bone-steaming consumptive fever, pain in bones and flesh, and five-palm heat irritability. Also treats excessive sleepiness or complete coma after severe illness or drastic purgation. *Mume Fructus* (Wu Mei Rou) (1 liang, baked dry), *Calamitae Fuligo* (She Huang) (2 liang, quenched in vinegar twenty times). The above are powdered together. Take 2 qian per dose, mixed with juice for administration. If a child wakes up but remains disoriented, this indicates scattered Shen (Spirit); this formula can consolidate the Spirit.
*Feng Sui Jing* **Shen Bai San**: Treats children's Spleen-kun cold diarrhea, excessive sleepiness without waking, vomiting and regurgitation, chest stuffiness and confusion, and phlegm-saliva generation in the throat. *Medicated Leaven* (Shen Qu) (roasted), *Ginseng Radix* (Ren Shen), *Poria* (Fu Ling), *Agasteghis Folium* (Huo Xiang Ye), *Licorice Root* (Gan Cao) (stir-fried), *Astragali Radix* (Huang Qi) (honey-roasted, each 1 fen), *Typhonii Rhizoma* (Bai Fu Zi) (processed, 1 qian), *Aconiti Lateralis Radix Preparata* (Da Fu Zi) (one piece, processed, skin and bud removed). The above are finely powdered. Take half qian per dose, taken with Zi Su Tang (Perilla Decoction).
*Zhao Shi Jia Chuan* **Liu Shen Tang**: Treats children whose Qi is weakened due to illness, or who suffer from Wind generated by Stomach deficiency following vomiting and diarrhea, resulting in mental depression and lethargy, lack of desire for milk/food, and frequent urge to vomit. It nourishes Qi, tonifies deficiency, and promotes appetite. *Ginseng Radix* (Ren Shen), *Atractylodis Macrocephalae Rhizoma* (Bai Zhu), *Poria* (Bai Fu Ling), *Dioscoreae Rhizoma* (Gan Shan Yao), *Astragali Radix* (Mian Huang Qi) (roasted, skin scraped off, finely cut, each 1 liang), *Licorice Root* (Gan Cao) (roasted, half liang). The above are finely powdered. Take half qian per dose, taken with plain boiled water.
*Ji Shi Jia Chuan*: Treats Spleen and Stomach deficiency after diarrhea, cold extremities, slow eyelids with drowsiness, and heart irritability with craving for water. **Xing Pi San** (Awaken Spleen Powder): *Benincasa Semen* (Dong Gua Zi) (shelled, 1 liang), *Morus Cortex* (Sang Bai Pi), *Sulfur* (Liu Huang) (raw, each half liang), *Hydrargyri Oxydum Rubrum* (Ni Fen). The above four ingredients are ground uniformly and mixed. Take half qian to 1 qian per dose, taken with Dong Gua Pi Tang (Winter Melon Peel Decoction), four times daily. After taking the medicine, the body may feel hot and sleepy; once bowel movements become loose and stop, subsequently administer **Lu Hui Wan** (Aloe Pill). (Formula see section on Gan Diarrhea.)
*Zhu Shi Jia Chuan*: Treats excessive sleepiness due to Cold accumulation in the Spleen. **Xing Pi San** (Awaken Spleen Powder): *Arisaema Rhizoma* (Tian Nan Xing) (1 liang), *Hordeum Vulgare* (Da Mai), *Typhonii Rhizoma* (Bai Fu Zi), *Alpiniae Officinarum Rhizoma* (Liang Jiang) (boil Tian Nan Xing in water until dry, using only the Arisaema, discard Alpinia; boil one cup of water until dry, bake; each 1 liang), *Arecae Catechu* (Cao Guo Zi) (skin removed, wrapped in dough, roasted until fragrant, 2 liang). The above are powdered. Take half qian per dose. Mix with Dong Gua Zi Tang (Winter Melon Seed Decoction) and take without removing the seeds.
Zheng Yu, a physician from Changsha, transmitted: Treats children's convulsive wind with lethargy, followed by removal of convulsive phlegm-saliva. **Shui Jing Wan** (Sleeping Convulsion Pill): *Borneolum Syntheticum* (Long Nao) (half qian), *Cinnabar* (Zhu Sha) (2 qian), *Ink Stick* (Jing Mo), *Indigo Naturalis* (Qing Dai), *Aloe* (Lu Hui) (each 2.5 qian), *Quisqualis Fructus* (Shi Jun Zi) (seven pieces), *Hydrargyri Oxydum Rubrum* (Ni Fen) (2 qian), *Bovis Calculus* (Niu Huang) (1 zi), *Moschus* (She Xiang) (half zi), *Scorpio* (Gan Xie) (three pieces), *Aurum Folium* and *Argentum Folium* (Jin Yin Bo) (five pieces each as coating). The above are powdered, formed into pills the size of paulownia seeds using Han Shi Mian Hu (Cold Food Dough Paste), coated with metal foils. For children aged two to over five years, administer two pills, dissolved in Bo He Tang (Mint Decoction).