《圣惠》论∶夫小儿疳痢腹痛者,由痢多而肠胃虚弱,冷气在内,与脏腑气相搏,真邪交击,故令腹中 痛
也。
《圣惠》治小儿疳痢,腹胀 痛,日夜三、二十行。宜服白术散方
白术(一两,微炒) 当归(五两) 地榆(锉,微炒) 木香 赤芍药 甘草(炒,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,不计时候。量儿大小分减温服。
《圣惠》治小儿疳痢腹痛,不下乳食。草豆蔻散方
草豆蔻(去皮) 醋石榴皮(锉,炒微黄) 子芩(各三分) 龙骨(一两) 高良姜(锉) 干姜(炮裂,锉。
各一分) 当归(半两,锉,微炒)
上件药捣,罗为散。每服一钱,以水一小盏,入薤白一茎,煎至五分,去滓,不计时候。量儿大小分减温服。
《圣惠》治小儿疳痢,脾胃虚冷,乳食不化,脐腹疼痛。熊胆丸方
熊胆 硫黄(细研) 干姜(炮,制,锉) 诃梨勒(煨,用皮。各一两) 定粉(一两,炒微黄) 附子(一枚,
炮,炙,去皮脐) 砒霜(一钱,细研) 巴豆(七枚,去皮心,研,纸裹,压去油) 黄丹(一两,点醋炒,令紫色)
上件药捣,罗为末,汤浸蒸饼和丸如黄米大。每服以冷水下二丸。量儿大小以意加减。切忌热物。
治疳痢腹痛不止胡黄连丸
胡黄连(半两) 没药 木香(各一分)
罗末,糯米饭丸如绿豆。粥饮下五丸,日三四,意裁。
治疳痢腹胀 痛木香丸
木香 肉豆蔻(去壳) 附(生,净) 青橘皮(去白,焙。各半两) 朱砂 人参(各一分) 巴豆(净,霜) 蟾
酥(各半分)
末,醋糊丸如粟,粥饮下二丸,日二,意加。
《圣惠方》论述:小儿患疳痢并伴有腹痛的原因,是由于腹泻次数过多导致肠胃虚弱,寒气滞留体内,与脏腑之气相互搏结,正气与邪气激烈交争,从而导致腹部疼痛。
《圣惠方》治疗小儿疳痢,出现腹胀痛,每天排便三、二十次的症状。适宜服用白术散方剂。
白术(一两,微炒) 当归(五两) 地榆(切碎,微炒) 木香 赤芍药 甘草(炒制,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,煎煮至剩余五分水量,滤去药渣,不限服药时间。根据患儿年龄大小调整剂量,温服。
《圣惠方》治疗小儿疳痢腹痛,无法进食乳食的症状。采用草豆蔻散方剂。
草豆蔻(去皮) 醋浸过的石榴皮(切碎,炒至微黄) 子芩(即黄芩,各三分) 龙骨(一两) 高良姜(切碎) 干姜(炮裂,切碎。各一分) 当归(半两,切碎,微炒)
将上述药物捣碎,过筛制成散剂。每次服用一钱,用水一小盏,加入一根薤白,煎煮至剩余五分水量,滤去药渣,不限服药时间。根据患儿年龄大小调整剂量,温服。
《圣惠方》治疗小儿疳痢,脾胃虚寒,乳食不消化,脐腹疼痛的症状。采用熊胆丸方剂。
熊胆 硫黄(细研) 干姜(炮制,处理,切碎) 诃梨勒(煨制,只用果皮。各一两) 定粉(一两,炒至微黄) 附子(一枚,炮制,炙烤,去皮和脐部) 砒霜(一钱,细研) 巴豆(七枚,去皮和心,研磨,用纸包裹,压榨去除油分) 黄丹(一两,滴入醋炒制,使其变为紫色)
将上述药物捣碎,过筛制成粉末,用汤浸泡蒸饼调和,制成如黄米大小的丸剂。每次用冷水送服两丸。根据患儿年龄大小酌情增减剂量。切忌食用热性食物。
治疗疳痢腹痛不止的胡黄连丸。
胡黄连(半两) 没药 木香(各一分)
研磨成粉末,用糯米饭调和制成如绿豆大小的丸剂。用粥饮送服五丸,每日三到四次,酌情裁定剂量。
治疗疳痢腹胀痛的木香丸。
木香 肉豆蔻(去壳) 附子(生用,净选) 青橘皮(去白,焙干。各半两) 朱砂 人参(各一分) 巴豆(净选,去油成霜) 蟾酥(各半分)
研磨成粉末,用醋糊调和制成如粟米大小的丸剂。用粥饮送服两丸,每日两次,酌情增加剂量。
The *Shenghui Fang* discusses: The cause of infantile gan-dysentery accompanied by abdominal pain is that frequent dysentery weakens the intestines and stomach, allowing cold qi to remain internally. This cold qi contends with the qi of the zang-fu organs; the struggle between healthy qi (Zheng) and pathogenic factors (Xie) results in abdominal pain.
The *Shenghui Fang* treats infantile gan-dysentery characterized by abdominal distension and pain, with defecation occurring thirty to twenty times a day. It is appropriate to administer Baizhu San (Atractylodes Macrocephala Powder).
Baizhu (Atractylodis Macrocephalae Rhizoma, 1 liang, slightly stir-fried) Danggui (Angelicae Sinensis Radix, 5 liang) Diyü (Sanguisorbae Radix, crushed, slightly stir-fried) Muxiang (Aucklandiae Radix) Chishao (Paeoniae Radix Rubra) Gancao (Glycyrrhizae Radix et Rhizoma, stir-fried, each 0.5 liang)
Crush the aforementioned herbs, sift through a coarse sieve to make a powder. For each dose, take one qian, add one small cup of water, decoct until five fen of liquid remains, filter out the dregs, and do not restrict the time of administration. Adjust the dosage according to the child's age and size, and take warm.
The *Shenghui Fang* treats infantile gan-dysentery with abdominal pain and inability to consume milk or food. Use Caodoukou San (Cardamomi Fructus Powder).
Caodoukou (Amomi Fructus Rotundus, peeled) Cu Shiliupi (Pomegranati Pericarpium soaked in vinegar, crushed, stir-fried until slightly yellow) Zihuang (Scutellariae Radix, each 3 fen) Longgu (Fossilia Ossis Mastodi et Scapulae, 1 liang) Gaoliangjiang (Alpiniae Officinarum Rhizoma, crushed) Ganjiang (Zingiberis Rhizoma, processed until cracked, crushed, each 1 fen) Danggui (Angelicae Sinensis Radix, 0.5 liang, crushed, slightly stir-fried)
Crush the aforementioned herbs, sift to make a powder. For each dose, take one qian, add one small cup of water and one stalk of Xiebai (Allii Macrostemonis Bulbus), decoct until five fen of liquid remains, filter out the dregs, and do not restrict the time of administration. Adjust the dosage according to the child's age and size, and take warm.
The *Shenghui Fang* treats infantile gan-dysentery characterized by deficiency-cold of the spleen and stomach, indigestion of milk and food, and pain in the umbilical and abdominal regions. Use Xiongdan Wan (Ursi Bile Pill).
Xiongdan (Ursi Bile) Liuhuang (Sulfur, finely ground) Ganjiang (Zingiberis Rhizoma, processed, prepared, crushed) Helile (Terminalia Chebulae Fructus, baked, using only the peel, each 1 liang) Dingfen (Cerussa, 1 liang, stir-fried until slightly yellow) Fuzi (Aconiti Lateralis Radix Praeparata, one piece, processed, roasted, peel and navel removed) Pishuang (Arsenicum Rubrum, 1 qian, finely ground) Badou (Crotonis Fructus, seven pieces, peel and heart removed, ground, wrapped in paper, pressed to remove oil) Huangdan (Lithargyrum, 1 liang, stir-fried with dripping vinegar until purple)
Grind the aforementioned herbs into powder, soak steamed wheat dough in soup, mix to form pills the size of yellow millet grains. Administer two pills with cold water per dose. Adjust the dosage according to the child's age and size at one's discretion. Strictly avoid hot-natured foods.
Huhuanglian Wan (Coptidis Rhizoma Pill) for treating persistent gan-dysentery and abdominal pain.
Huhuanglian (Coptidis Rhizoma, 0.5 liang) Moyao (Olibanum) Muxiang (Aucklandiae Radix, each 1 fen)
Grind into powder, mix with glutinous rice paste to form pills the size of mung beans. Administer five pills with gruel drink, three to four times daily, adjusting the dosage at one's discretion.
Muxiang Wan (Aucklandiae Radix Pill) for treating gan-dysentery with abdominal distension and pain.
Muxiang (Aucklandiae Radix) Roudoukou (Myristicae Semen, shelled) Fuzi (Aconiti Lateralis Radix, raw, cleaned) QingjuPi (Citri Reticulatae Pericarpium Viride, white pith removed, dried-roasted, each 0.5 liang) Zhusha (Cinnabaris) Renshen (Ginseng Radix et Rhizoma, each 1 fen) Badou (Crotonis Fructus, cleaned, de-oiled into frost) ChanSu (Toad Venom, each 0.5 fen)
Grind into powder, mix with vinegar paste to form pills the size of millet seeds. Administer two pills with gruel drink, twice daily, increasing the dosage at one's discretion.