《圣惠》∶凡小儿无辜疳,头干发立,身无滋润,头露骨出,脑热腹胀,鼻中多痒,好食酱肉,数渴饮水则
多为痢。痢如泔色,背冷腹热,腹中有块,渐加黄瘦。或有邪鬼之作,亦是闪癖之类。脑后两边皮中有筋肉
结作小核如杏子大,多时不除,即流入腹中,遂成前状。须有烙破结子者;或有炙其结子者;又有割皮挑出
结子者,稍胜于炙。然病者至深,小儿忍痛不任,恐动其脉,往往变为痫疾。今参详最妙者是烙,烙亦更无
别法,但看小儿病状,相似有结子者,速根据此法烙之。
上以铁针尖利者,烧针头似火色,看核子大小,作一纸 子束定无辜,仍须捏定,以针当中烙之,可深二
豆许,即贴沉香膏。(方在次。)
《圣惠》治小儿针无辜核后,宜炼沉香膏贴之方∶
沉香(一两,锉) 黄丹(六两)
上件药以清麻油一升,先下沉香煎,候香焦黑,漉出,下黄丹不住手搅,以慢火煎之。候滴于纸上如黑锡
无油,旁引即膏成。每贴法以篦子于烂帛上摊膏,令稍薄,贴之。一日一换,勿令风着针处为妙。
《圣惠》治小儿针烙后,宜服压惊茯苓散方
茯神 川升麻 犀角(屑。各半两) 代赭(细研) 川大黄(锉碎,微炒) 钩藤(各一分)
上件药捣,粗罗为散。每服一钱,以水一小盏,煎至四分,去滓。放温,渐渐服之。
《圣惠》治小儿无辜针烙后,宜服消肿利气压惊犀角散方
犀角(屑) 琥珀 芦荟(各细研) 诃梨勒皮(以上各半两) 龙齿(三分,细研) 黄
连(去须) 麝香(细研) 槟榔 干姜(炮裂、锉。各一分)
上件药捣,细罗为散。每服以粥饮下半钱,日三服。看儿大小以意加减。
《圣惠》治小儿无辜针烙后,宜服青金丹方
巴豆(去皮心) 硫黄(各一两) 苦楝根皮 醋石榴根皮(锉。各二两)
上件药于铁鼎子内,满着水煮七昼夜,如水干,即旋添热水。日满即去楝根、石榴根。取巴豆并硫黄同研,
更入桂心、槟榔、木香、细辛末各一分,马牙硝、橘皮、干姜、蓝花末各半分。同研令匀,用饭和丸如麻子大。
每日空心以温水下两丸,常得溏利为效。三岁以下日服一丸。
《圣惠》又方
上用青黛半两,细研为散。每服以水磨犀角调下半钱。空心午后各一服。量儿大小以意加减。
《婴童宝鉴》灸法∶小儿无辜丁奚,灸眉冲,(从瞳子直上发际一寸是。)又灸玉枕,(在顶上高骨。)各三壮。
《圣惠方》记载:凡是小儿患无辜疳病,表现为头部干燥、头发竖立,身体缺乏滋润,头骨显露,脑部发热且腹部胀满,鼻腔内瘙痒,喜欢吃酱肉和肉类,频繁口渴饮水,则容易发展为痢疾。痢疾排泄物呈米泔水样颜色,背部发冷而腹部发热,腹中有结块,逐渐出现面色萎黄、形体消瘦。有的可能是邪鬼作祟所致,也属于闪癖一类的疾病。脑后两侧皮肤下的筋肉中结成小核,大小如杏子,若长时间不消除,就会流入腹中,从而形成上述症状。必须采用烙法破开结子;或者用艾灸灼烧结子;也有切开皮肤挑出结子的方法,这种方法稍优于艾灸。然而病情已深入体内,小儿难以忍受疼痛,恐怕扰动经脉,往往转变为痫证(癫痫)。现在仔细斟酌,最巧妙的方法是烙法。烙法也没有其他别的方法,只要观察小儿的病状,发现相似且有结子的情况,就迅速按照此法进行烙治。
具体操作是:选用铁针尖端锋利者,将针头烧至火红色,根据结子的大小,制作一个纸圈束定“无辜”部位,并且必须用手捏住固定,用烧红的针在正中位置烙之,深度约为两粒豆子的厚度,然后贴上沉香膏。(方剂见下文。)
《圣惠方》治疗小儿针烙无辜核后,适宜炼制沉香膏贴敷的方剂:
沉香(一两,锉碎) 黄丹(六两)
以上药物用清麻油一升,先放入沉香煎煮,待沉香煎至焦黑,滤出药渣,加入黄丹不停搅拌,用慢火煎煮。等到滴在纸上像黑锡一样没有油渍,拉扯时成丝,即表示膏成。每次贴敷时,用篦子在烂布上摊开膏药,使其稍薄,然后贴敷。每天更换一次,最好避免风吹到针烙处。
《圣惠方》治疗小儿针烙后,适宜服用压惊茯苓散的方剂:
茯神 川升麻 犀角(锉屑,各半两) 代赭石(细研) 川大黄(锉碎,微炒) 钩藤(各一分)
以上药物捣碎,粗筛为散剂。每次服用一钱,用水一小盏,煎至四分之三量,去渣。放温后,慢慢服用。
《圣惠方》治疗小儿无辜针烙后,适宜服用消肿利气压惊犀角散的方剂:
犀角(锉屑) 琥珀 芦荟(各细研) 诃梨勒皮(以上各半两) 龙齿(三分,细研) 黄连(去须) 麝香(细研) 槟榔 干姜(炮裂、锉碎,各一分)
以上药物捣碎,细筛为散剂。每次用米汤送服半钱,每日三次。根据患儿年龄大小酌情加减剂量。
《圣惠方》治疗小儿无辜针烙后,适宜服用青金丹的方剂:
巴豆(去皮心) 硫黄(各一两) 苦楝根皮 醋石榴根皮(锉碎,各二两)
以上药物在铁鼎内,加满水煮七昼夜,如果水干了,就随时添加热水。时间到了就去掉楝根和石榴根。取出巴豆和硫黄一起研磨,再加入桂心、槟榔、木香、细辛末各一分,马牙硝、橘皮、干姜、蓝花末各半分。共同研磨均匀,用米饭调和制成如麻子大小的丸剂。每天空腹时用温水送服两丸,以经常保持大便溏泄为有效。三岁以下儿童每日服用一丸。
《圣惠方》又一方:
取上面提到的青黛半两,细研为散剂。每次用水磨犀角调服半钱。空腹及午后各服一次。根据患儿年龄大小酌情加减剂量。
According to the *Shenghui Fang* (Prescriptions from the Holy Healer): Whenever a child suffers from "Wugu" malnutrition (a type of pediatric malnutrition characterized by wasting and specific nodules), symptoms include a dry head with standing hair, lack of moisture in the body, exposed cranial bones, heat in the brain, abdominal distension, itching in the nose, a craving for fermented sauces and meat, frequent thirst and drinking water, which often leads to dysentery. The dysenteric stool resembles rice washings; the back feels cold while the abdomen is hot; there are masses in the abdomen; and gradually, the complexion becomes sallow and the body emaciated. Some cases may be attributed to evil spirits or ghosts, belonging to the category of "Shanpi" (flash-like parasites). Small nodules, about the size of an apricot kernel, form within the muscles and skin on both sides behind the neck. If not removed for a long time, they flow into the abdomen, resulting in the aforementioned conditions. It is necessary to cauterize to break open the nodules; or to moxibustion the nodules; or to cut the skin and extract the nodules, which is slightly superior to moxibustion. However, since the disease is deep-seated and children cannot endure the pain, disturbing the meridians may often transform the condition into epilepsy (Xianji). After careful consideration, the most excellent method is cauterization. There is no other method for cauterization; one must observe the child's condition, and if similar nodules are present, quickly apply this cauterization method.
Specifically, use a sharp iron needle, heat the tip until it glows red-hot. Based on the size of the nodule, make a paper ring to secure the "Wugu" area, holding it firmly with fingers. Cauterize the center with the heated needle to a depth of approximately two bean widths, then apply Chenxiang Gao (Agarwood Ointment). (The prescription follows below.)
*Shenghui Fang* Prescription for refining Agarwood Ointment for application after needling/cauterizing Wugu nodules:
Chenxiang (Agarwood) (1 liang, sliced) Huangdan (Lead Monoxide) (6 liang)
Take 1 sheng of pure sesame oil, first decoct the Agarwood. When the Agarwood turns scorched black, strain it out. Add the Lead Monoxide and stir constantly, decocting over slow fire. When a drop placed on paper resembles black tin without oily residue and forms threads when pulled, the ointment is ready. For application, spread the ointment thinly on old cloth using a spatula and apply. Change once daily. It is best to avoid wind blowing directly onto the treated site.
*Shenghui Fang* Prescription for Fushen San (Poria Spirit Powder) to calm fright after needling/cauterization:
Fushen (Poria with Hostwood) Chuan Shengma (Cimicifugae Rhizoma) Xijiao (Rhinocerotis Cornu) [sliced] (each 0.5 liang) Daizhe (Haematitum) (finely ground) Chuan Dahuang (Rhei Radix et Rhizoma) [sliced, lightly fried] Gouteng (Uncariae Ramulus cum Uncis) (each 1 fen)
Grind the above ingredients into a coarse powder. Take 1 qian per dose, decoct with 1 small cup of water until reduced to 0.4 cups. Strain and remove dregs. Let cool to warm temperature and administer slowly.
*Shenghui Fang* Prescription for Xijiao San (Rhinoceros Horn Powder) to reduce swelling, promote qi circulation, and calm fright after needling/cauterization:
Xijiao (Rhinocerotis Cornu) [sliced] Hupo (Amber) Lushen (Aloe) (each finely ground) Helile Pi (Terminalia Chebula Pericarpium) (above each 0.5 liang) Longchi (Dinosaur Bone) (3 fen, finely ground) Huanglian (Coptidis Rhizoma) [deveined] Shexiang (Moschus) (finely ground) Binglang (Arecae Semen) Ganjiang (Zingiberis Rhizoma) [roasted, sliced] (each 1 fen)
Grind the above ingredients into a fine powder. Take 0.5 qian per dose mixed with rice water, three times daily. Adjust dosage according to the child's age and size.
*Shenghui Fang* Prescription for Qingjin Dan (Blue Golden Pill) after needling/cauterization:
Badou (Crotonis Fructus) [dehulled and deseeded] Liuhuang (Sulfur) (each 1 liang) Kulgen Pi (Meliae Cortex) Cu Shiliugen Pi (Granati Cortex) [sliced] (each 2 liang)
Place the above ingredients in an iron cauldron and boil in sufficient water for seven days and nights. If the water evaporates, add hot water as needed. After the time is up, remove the Meliae Cortex and Granati Cortex. Grind the Badou and Sulfur together. Add Guixin (Cinnamomi Cortex), Binglang (Arecae Semen), Muxiang (Aucklandiae Radix), and Xixin (Asari Radix et Rhizoma) powders (each 1 fen), Mayaxiao (Natrii Sulfas), Juapi (Citri Reticulatae Pericarpium), Ganjiang (Zingiberis Rhizoma), and Lanhuamo (Indigo Naturalis) powders (each 0.5 fen). Grind uniformly and mix with rice paste to form pills the size of hemp seeds. Take two pills orally with warm water on an empty stomach daily. Efficacy is indicated by loose stools. Children under three years old take one pill daily.
*Shenghui Fang* Another Prescription:
Use Banliang (0.5 liang) of Qingdai (Indigo Naturalis), finely ground into powder. Each dose takes 0.5 qian mixed with water and ground Xijiao (Rhinocerotis Cornu). Administer once on an empty stomach and once in the afternoon. Adjust dosage according to the child's size.
*Mengtong Baojian* Moxibustion Method: For children suffering from Wugu Dingxi (a severe form of Wugu malnutrition with sunken chest), moxibustion Meichong (BL3) (located 1 cun above the hairline, directly above the pupil), and Yuzhen (GB9) (on the high bone at the vertex). Three moxa cones per acupoint.