《小儿形证论》四十八候慢肝风歌∶
孩儿眼涩羞明目,春不宣兮夏不通,秋被毒风伤肺得,次传肝肾别寻踪。先调五脏患方退,退得肝风便有
功。盖为小儿元气壮,此名立号慢肝风。
此病肺与肝相克,见日眼不开,未出月有,有目肿者,或出血者。
《四十八候》慢肝风,羞日,目肿出血,宜甘胆汤方
甘草(一截,以猪胆涂炙)
上为末。每服半钱,米泔调下。
《四十八候》云∶又欲去血,目涩不开方。
苍术不以多少入在胆中,线缚定,煮熟,将药气冲眼后,更嚼药,以汁咽,吐滓,尤妙。
汉东王先生《家宝》治婴孩小儿惊风并退,只是声哑不能言。通关散方
上以天南星炮为末。每服婴孩半字或一字,三、五岁半钱,八、九岁一钱, 猪胆汁调下,令孩儿吃,
咽入喉中便能言语。
《集验方》治小儿惊退而哑,不能言语方。
木通(锉) 防风(去芦) 川升麻 羚羊角(屑) 桂心(以上各半两) 甘草(一分,炙)
上件药捣为粗散。每服一钱,水一小盏,煎至五分,去滓,入竹沥少许,更煎一、两沸,不计时候,量儿
大小加减服之。
《集验》又方
腊月牛胆酿天南星(不拘多少)
上研细。每服半字,薄荷汤调下,临卧服。儿大者,服一字至半钱。
汉东王先生《家宝》治婴孩、小儿惊风并退而汗不溜,筋脉不舒,不能行步。天茄散方
茄种(见霜者,细切,焙) 附子(炮,去皮脐。各半两) 羌活(一分,焙)
上为末。每服五七岁半钱,八九岁一钱。麝香酒调下,一日三服,疾愈即止。
《赵氏家传》治小儿惊退后,手足挛屈,不能舒展方。
羌活 芎 防风(去芦) 天麻 当归(微炒) 甘草(炙。以上各三分) 白附子(炮,一分)
上为细末。每服一钱,以薄荷酒调下,日三,量大小加减。
《小儿形证论》中关于四十八种候病之一的“慢肝风”歌诀:
孩子眼睛干涩,畏光羞明,春季气机不畅,夏季亦不通利,秋季因受毒风侵袭而伤及肺脏,随后病邪传变至肝肾,需另寻治疗踪迹。先调理五脏的病变,病症方可消退;若能退去肝风,便算取得了功效。这是因为小儿元气尚壮,所以将此病命名为“慢肝风”。
此病是肺金与肝木相克所致,表现为见阳光则眼睛睁不开,未满月的婴儿也有患此病的,有的出现目肿,有的出现眼出血。
针对《四十八候》中的慢肝风,症状为畏日、目肿、出血,适宜使用甘胆汤方:
甘草(取一截,用猪胆汁涂抹后炙烤)
将上述药材研为细末。每次服用半钱,用米泔水调服。
《四十八候》记载:若还需去除血分之邪,针对眼睛干涩无法睁开的方剂:
苍术不限用量,放入猪胆中,用线捆扎固定,煮熟后,利用药气熏蒸眼部,然后再咀嚼药物,咽下汁液,吐出药渣,效果尤其好。
汉东王先生的《家宝》记载:治疗婴幼儿惊风退去后,仅声音嘶哑不能说话的情况,使用通关散方:
将天南星炮制后研为细末。每次服用量根据年龄而定,婴幼儿服半字或一字,三至五岁服半钱,八至九岁服一钱,用猪胆汁调服,令孩子吞服,药液咽入喉中便能恢复言语。
《集验方》记载:治疗小儿惊风退去后声音嘶哑,不能言语的方剂:
木通(锉碎) 防风(去芦头) 川升麻 羚羊角(镑屑) 桂心(以上各半两) 甘草(一分,炙过)
将上述药材捣成粗散。每次服用一钱,加水一小盏,煎煮至五分,滤去药渣,加入少许竹沥,再煮沸一两次,不拘时间,根据患儿大小调整剂量服用。
《集验方》又有另一首方剂:
腊月时收集牛胆,酿入天南星(数量不限)
将上述材料研细。每次服用半字,用薄荷汤调服,临睡前服用。年龄较大的儿童,服用一字至半钱。
汉东王先生的《家宝》记载:治疗婴幼儿、小儿惊风退去后出汗不止,筋脉拘急不舒,不能行走的情况,使用天茄散方:
茄子种子(经霜后的,切碎,焙干) 附子(炮制,去皮和脐。各半两) 羌活(一分,焙干)
将上述药材研为细末。每次服用量根据年龄而定,五至七岁服半钱,八至九岁服一钱。用麝香酒调服,每日三次,疾病痊愈即停止服用。
《赵氏家传》记载:治疗小儿惊风退去后,手足挛缩弯曲,不能舒展的方剂:
羌活 川芎 防风(去芦头) 天麻 当归(微炒) 甘草(炙过。以上各三分) 白附子(炮制,一分)
将上述药材研为细末。每次服用一钱,用薄荷酒调服,每日三次,根据患儿大小调整剂量。
Song of "Slow Liver Wind" (Man Gan Feng) from the forty-eight syndromes in *Xiao'er Xingzheng Lun*:
The child's eyes are dry and gritty, shrinking from light; in spring, the qi is not unobstructed, and in summer, it remains blocked. In autumn, toxic wind injures the Lung, subsequently transmitting to the Liver and Kidney, requiring a different approach. First, regulate the Five Zang organs for the disease to recede; once the Liver Wind recedes, merit is achieved. This is named "Slow Liver Wind" because the infant's primordial Qi is robust.
This disease arises from the mutual overcoming between the Lung and the Liver. Symptoms include inability to open the eyes when exposed to sunlight. It can occur in infants under one month old, presenting with swollen eyes or ocular hemorrhage.
For "Slow Liver Wind" described in *Forty-Eight Syndromes*, characterized by photophobia, eye swelling, and bleeding, the Gannedan Tang (Sweet Licorice and Gallbladder Decoction) is indicated:
Gancao (Radix Glycyrrhizae Preparata), one segment, coated with Porcine Bile and roasted.
Grind into powder. Take half a qian each time, mixed with rice wash water.
*Forty-Eight Syndromes* states: To further remove blood stasis for eyes that are dry and cannot open, use this formula:
Cangzhu (Rhizoma Atractylodis Macrocephalae), unlimited quantity, placed inside a gallbladder, tied securely with thread, boiled until cooked. Use the medicinal vapor to fumigate the eyes after application, then chew the medicine, swallow the juice, and spit out the dregs. This method is particularly effective.
Mr. Wang of Handong's *Jiabao* treats infants and children whose convulsive wind has subsided but who remain hoarse and unable to speak, using Tongguan San (Pass-the-Barrier Powder):
Tian Nanxing (Rhizoma Arisaematis), prepared and ground into powder. Infants take half a zi or one zi; children aged three to five take half a qian; those aged eight to nine take one qian. Mix with Porcine Bile and administer, allowing the child to swallow into the throat, which restores speech.
*Jiyan Fang* treats children whose convulsive wind has subsided, resulting in hoarseness and inability to speak:
Mutong (Caulis Akebiae), chopped; Fangfeng (Radix Saposhnikoviae), de-rhizomed; Chuan Shengma (Rhizoma Cimicifugae); Lingyangjiao (Cornu Saigae Tataricae), shaved; Guixin (Cortex Cinnamomi), each half a liang; Gancao (Radix Glycyrrhizae), one fen, roasted.
Pulverize the above herbs into a coarse powder. Take one qian each time, decoct with one small cup of water until reduced to half a cup, strain, add a small amount of Zhuli (Bamboo Sap), boil one or two more times. Administer at any time, adjusting dosage according to the child's age and size.
Another prescription from *Jiyan Fang*:
In the twelfth lunar month, ferment Tian Nanxing (Rhizoma Arisaematis) inside an ox gallbladder (quantity unrestricted).
Grind finely. Take half a zi each time, mixed with Bohe Tang (Mint Decoction), taken before bed. Older children take one zi to half a qian.
Mr. Wang of Handong's *Jiabao* treats infants and children whose convulsive wind has subsided, accompanied by profuse sweating, stiffness of sinews and vessels, and inability to walk, using Tianqia San (Heavenly Eggplant Powder):
Qiezhong (Semen Solani Melongena), from plants exposed to frost, finely chopped and dried; Fuzi (Radix Aconiti Lateralis Preparata), prepared, skin and umbilicus removed, each half a liang; Qianghuo (Rhizoma Notopterygii), one fen, dried.
Grind into powder. For children aged five to seven, take half a qian; for those aged eight to nine, take one qian. Mix with Muxiang Jiu (Musk Wine), take three times a day, stop when the disease is cured.
*Zhao Shi Jiachuan* treats children whose convulsive wind has subsided, resulting in contracture and flexion of hands and feet, unable to extend them:
Qianghuo (Rhizoma Notopterygii); Xiong (Rhizoma Chuanxiong); Fangfeng (Radix Saposhnikoviae), de-rhizomed; Tianma (Rhizoma Gastrodiae); Danggui (Radix Angelicae Sinensis), lightly stir-fried; Gancao (Radix Glycyrrhizae Preparata), roasted, each three fen; Baifuzi (Rhizoma Typhonii), prepared, one fen.
Grind into fine powder. Take one qian each time, mixed with Bohe Jiu (Mint Wine), three times a day, adjust dosage according to the child's size.