《圣惠》治小儿疹痘疮出尽后,宜服大黄散方
川大黄(锉碎,微炒) 黄芩 黑参(各半两)
上件药捣,粗罗为散。每服一钱,以水一小盏,煎至五分,去滓,放温。量儿大小分减服之。《万全方》同。
《疹痘论》若疮毒出尽后,宜服黄芩散以解余毒方
黄芩 大黄(各半两) 山栀子仁(三分) 元参(六钱)
上件为粗末。用末一两,水二升,煎至八合,去滓。量大小服。呕吐当先定。
《疹痘论》疮毒出尽,服黄芩散以解余毒,呕吐先定。尚口赤有疮,下部亦有疮,自下利者服黄连散方
黄连 浓朴(炙。各一两) 陈皮 杏仁(去皮,炙) 枳实(麸炒) 麻黄(去节) 干葛(各半两)
上件为锉散。每服药一两,水一升,煎至半升。量大小与服,一日三服。下利后,别看形候用药。
《疹痘论》疮疹出后,烦喘,小便不利者,宜进灯心汤主之。
灯心(一把) 鳖甲(醋炙黄,秤取二两)
上为锉散。每服用一两,水八合,煎取四合。量大小温服。
董汲甘露饮方解胃热及小儿疮疹已发后,余热温壮,齿龈宣肿,牙痛不能嚼物,饥而不欲食,烦热,身面
黄及病疮 ,乳母俱可服之。(方见疮疹攻咽痛门中,钱乙方同。)
董汲调肝散败肝脏邪热,解散斑疹余毒。(方见疮疹已出未出门中,《圣惠》犀角散同。)
《刘氏家传》治婴孩小儿斑疮,余热不退。槐花散方
槐花 赤小豆(各炒,二钱) 麝香(少许,研)
上为细末。每服半钱,用蜜汤调下,不计时候。
《王氏手集》治痘疹出欲尽便服之。如入眼即自退。净心散方
蛇蜕(一条,烧灰) 不 皂角(十挺,烧灰) 甘草(生用,为末。各半两)
上研细。每服一钱,热水调下,小儿半钱。
《王氏手集》牛黄生金散 解利疮子。
虎杖 滑石(各一两) 甘草(二钱五分) 藿香(一钱,头高)
上为细末。每服一平钱,水八分,煎至三分,去滓。通口服,儿大增之。
《吉氏家传》牛蒡散 治小儿疹痘不出,或用药发出后余热未退,发渴饮水,乃下血斑疼痛,
用此药解。(方见疮疹攻咽痛门中。钱乙消毒散同。此以薄荷汤调下一钱。未出者紫草汤。)
长沙医者郑愈传黄 散方
黄 柴胡 干葛 甘草(各一钱半)
上为末。每服半钱,薄荷三叶,汤水五分,煎至三分,作三呷,空心服。
《圣惠方》治疗小儿麻疹和痘疮完全发出后,适宜服用大黄散以清除余毒的方剂:
川大黄(切碎,轻微炒制)、黄芩、黑参(即玄参,各半两)。
将上述药物捣碎,过粗筛制成散剂。每次服用一钱,用水一小盏,煎煮至五分量,滤去药渣,放温。根据患儿年龄大小酌情减量服用。《万全方》中的记载与此相同。
《疹痘论》若疮毒完全发出后,适宜服用黄芩散以解除余毒的方剂:
黄芩、大黄(各半两)、山栀子仁(三分)、元参(即玄参,六钱)。
将上述药物制成粗末。取一两药末,加水二升,煎煮至八合,滤去药渣。根据患儿年龄大小决定服用剂量。若伴有呕吐,应先止呕。
《疹痘论》疮毒完全发出后,服用黄芩散以解除余毒,且呕吐已停止。如果仍有口唇发红生疮,下部也有疮疡,并伴有自发性腹泻者,适宜服用黄连散:
黄连、浓朴(炙制,各一两)、陈皮、杏仁(去皮,炙制)、枳实(麸皮炒制)、麻黄(去节)、干葛(即葛根,各半两)。
将上述药物切碎制成散剂。每次服用一两药散,加水一升,煎煮至半升。根据患儿年龄大小给予服用,每日三次。腹泻停止后,再观察病情变化调整用药。
《疹痘论》疮疹发出后,出现烦躁气喘、小便不利的症状,适宜饮用灯心汤为主治方:
灯心草(一把)、鳖甲(醋炙至黄色,称取二两)。
将上述药物切碎制成散剂。每次服用一两,加水八合,煎取四合。根据患儿年龄大小温服。
董汲的甘露饮方,用于解除胃热及小儿疮疹发出后,余热导致的壮热,牙龈肿胀,牙痛无法咀嚼食物,饥饿但不想进食,烦热,身体面部发黄以及患疮疡的情况,乳母也可服用。(该方详见“疮疹攻咽痛”章节中,与钱乙方的犀角散相同。)
董汲的调肝散,用于败泄肝脏的邪热,解散斑疹的余毒。(该方详见“疮疹已出未出”章节中,与《圣惠方》的犀角散相同。)
《刘氏家传》治疗婴孩小儿斑疮,余热不退的槐花散方:
槐花、赤小豆(各炒制,二钱)、麝香(少许,研细)。
将上述药物制成细末。每次服用半钱,用蜂蜜水调服,不限时间。
《王氏手集》治疗痘疹即将发完时服用。如果痘疹进入眼睛,即可自行消退的净心散方:
蛇蜕(一条,烧成灰)、皂角(十挺,烧成灰)、甘草(生用,研为末,各半两)。
将上述药物研磨细。每次服用一钱,用热水调服,小儿服用半钱。
《王氏手集》牛黄生金散,用于解除和治疗疮痘。
虎杖、滑石(各一两)、甘草(二钱五分)、藿香(一钱,选头高者)。
将上述药物制成细末。每次服用平钱药末,加水八分,煎煮至三分,滤去药渣。通口服下,对婴儿大有益处。
《吉氏家传》牛蒡散,治疗小儿麻疹和痘疮不出,或者用药发出后余热未退,出现口渴饮水,以及下肢血斑疼痛,使用此药解毒。(该方详见“疮疹攻咽痛”章节中。与钱乙的消毒散相同。此处用薄荷汤调服一钱。尚未发出的可用紫草汤。)
长沙医者郑愈传授的黄耆散方:
黄耆、柴胡、干葛(即葛根)、甘草(各一钱半)。
将上述药物研为末。每次服用半钱,加三片薄荷叶,五分水,煎煮至三分,分三次慢慢喝下,空腹服用。
The *Shenghui Fang* treats the condition after pediatric measles and smallpox have fully erupted, recommending the administration of Dahuang San (Rhubarb Powder) to resolve residual toxins:
Chuan Dahuang (Rhizoma et Radix Rhei, chopped and lightly stir-fried), Huangqin (Radix Scutellariae), Heishen (Radix Scrophulariae, also known as Xuan Shen). Each in half liang.
Crush the above ingredients and sieve them coarsely to make a powder. Take one qian per dose, add one small cup of water, decoct until reduced to five fen, remove the dregs, and let cool to warm. Adjust the dosage according to the child's age and size. The record in *Wanquan Fang* is identical.
According to *Zhendou Lun*, if the toxin has fully erupted, it is appropriate to take Huangqin San (Scutellaria Powder) to resolve residual toxins:
Huangqin (Radix Scutellariae), Dahuang (Rhizoma et Radix Rhei), each in half liang; Shanzhizi Ren (Semen Gardeniae), three fen; Yuan Shen (Radix Scrophulariae), six qian.
Grind the above ingredients into coarse particles. Take one liang of the powder, add two sheng of water, decoct until reduced to eight he, remove the dregs. Administer according to the child's age and size. If vomiting occurs, stop it first.
According to *Zhendou Lun*, after the eruption of sores and toxins, taking Huangqin San resolves residual toxins, and vomiting has ceased. If there are still red lips with sores, sores in the lower body, and spontaneous diarrhea, it is appropriate to take Huanglian San (Coptis Powder):
Huanglian (Rhizoma Coptidis), Nongpuo (Cortex Magnoliae Officinalis, processed with heat), each in one liang; Chenpi (Pericarpium Citri Reticulatae); Xingren (Semen Armeniacae Amarum, peeled and processed with heat); Zhishi (Fructus Aurantii Immaturus, stir-fried with bran); Mahuang (Herba Ephedrae, nodes removed); Gan Ge (Radix Puerariae Lobatae), each in half liang.
Chop the above ingredients into a powder. Take one liang of medicine per dose, add one sheng of water, decoct until reduced to half a sheng. Administer according to the child's age and size, three times a day. After diarrhea stops, observe the symptoms and adjust medication accordingly.
According to *Zhendou Lun*, after the eruption of sores and rashes, if there is irritability, panting, and difficulty in urination, it is appropriate to administer Dengxin Tang (Juncus Decoction) as the primary treatment:
Dengxin (Medulla Junci), one handful; Biejia (Carapax et Plastrum Testudinis, vinegar-processed until yellow), weigh two liang.
Chop the above ingredients into a powder. Take one liang per dose, add eight he of water, decoct to obtain four he. Administer warm according to the child's age and size.
Dong Ji's Ganlu Yin (Sweet Dew Drink) formula resolves stomach heat and residual heat causing high fever after the eruption of pediatric sores and rashes, gum swelling, toothache preventing chewing, hunger without desire to eat, irritability and heat, yellowing of the body and face, and sores. Nursing mothers may also take it. (See the section on "Sores and Rashes Attacking the Throat and Pain," identical to Qian Yi's Xijiao San.)
Dong Ji's Tiao Gan San (Liver-Calming Powder) defeats evil heat in the liver and dissipates residual toxins from macules and rashes. (See the section on "Sores and Rashes Erupted but Not Fully Erupted," identical to the Xijiao San in *Shenghui Fang*.)
*Liu Shi Jia Chuan* (Liu Family Tradition) treats infantile children with macules and sores where residual heat does not recede, using Huaihua San (Sophora Powder):
Huaihua (Flos Sophorae), Chixiaodou (Semen Phaseoli Angularis), each stir-fried, two qian; Shexiang (Moschus), a small amount, ground fine.
Grind the above ingredients into a fine powder. Take half a qian per dose, mix with honey water and swallow, at any time.
*Wang Shi Shou Ji* (Wang Family Manual Collection) treats the condition when smallpox is about to finish erupting, take this to prevent entry into the eyes which would cause them to recede naturally, Jingxin San (Purified Heart Powder):
Shetui (Exuvias Bombycatus), one strip, burned to ash; Zaofang (Fructus Gleditsiae Sinensis), ten stalks, burned to ash; Gancao (Radix Glycyrrhizae Uralensis, raw, ground to powder), each half liang.
Grind finely. Take one qian per dose, mix with hot water and swallow; for children, take half a qian.
*Wang Shi Shou Ji* Niuhuang Shengjin San (Calculus Bovis and Gold-Generating Powder) resolves and treats sores and pustules.
Huzhang (Rhizoma Polygoni Cuspidati), Huashi (Talcum), each one liang; Gancao (Radix Glycyrrhizae Uralensis), two qian five fen; Huoxiang (Herba Agastaches Rugosae), one qian (choose those with tall heads).
Grind into a fine powder. Take a level qian of powder per dose, add eight fen of water, decoct until reduced to three fen, remove dregs. Administer orally; it greatly benefits infants.
*Ji Shi Jia Chuan* (Ji Family Tradition) Niubang San (Arctium Powder) treats pediatric measles and smallpox that do not erupt, or residual heat remaining after medication induces eruption, thirst with drinking, and painful blood spots below, using this medicine to resolve toxins. (See the section on "Sores and Rashes Attacking the Throat and Pain." Identical to Qian Yi's Xiaodu San. Here, mix one qian with Bohe Tang (Mint Decoction). For those not yet erupted, use Zicao Tang.)
Zheng Yu, a physician from Changsha, transmitted the Huangqi San (Astragalus Powder) formula:
Huangqi (Radix Astragali Membranacei), Chaihu (Radix Bupleuri), Gan Ge (Radix Puerariae Lobatae), Gancao (Radix Glycyrrhizae Uralensis), each one qian half.
Grind into powder. Take half a qian per dose, add three leaves of Bohe (Mentha haplocalyx), five fen of water, decoct until reduced to three fen, drink in three sips, taken on an empty stomach.