《圣惠》∶夫小儿多涎者,是风热壅结,在于脾脏,积聚成涎也。若涎多即乳食不下,涎沫结实而生壮热也。
钱乙论热不可下云∶朱监簿子五岁,夜发热,晓即如故。众医有作伤寒者,有作热治者,以凉药解之不愈。
其候多涎而喜睡,他医以铁粉丸下涎,其病益甚,至五日大引饮。钱氏曰∶不可下之。乃取白术散(方见胃气不和门中)
末一两,煎药汁三升,使任其意取足服。朱生曰∶饮多不作泻否?钱曰∶无生水不能作泻,纵泻不足怪也,
但不可下耳。朱生曰∶先治何病?钱曰∶止泻、治痰、退热、清神皆此药也。至晚服尽,钱看之曰∶更可服三
升。又煎白术散三升,服尽得稍愈。第三日又服白术散三升,其子不渴无涎,又投阿胶散二服而安(阿胶散方见喘嗽
上气门中。)
钱乙附方∶治小儿惊风,痰热坚癖,能不用水银、轻粉甚便。如不得已用之,仅去疾即止。盖肠胃易伤,亦损口齿。
《五关贯真珠囊》∶小儿疾饮,喉水食停积胸膈,结聚成痰。痰多则乳食不下,吐涎壮热,热不止即发惊痫。
《图经》云∶薄荷治小儿风涎,为要切之药。
《仙人水鉴》青虚丸 治阳实涎盛,膈不利,小儿惊风涎盛;伏一切暑毒,镇心祛邪,定恍惚方。
没药 青黛 铅白霜 连珠紫甘遂(微炒) 腻粉(各三钱) 生龙脑(二钱) 水银(半两,黑铅半两,如
常法结成砂子。每用三皂子大)
上七味,合研匀,水煮薄糊为丸如梧桐子大。每服一丸至二丸。热极,以麦门冬、龙脑冷热水化下,大燥,
生揉薄荷自然汁,入龙脑化下;伏一切暑毒,新汲水入龙脑化下;小儿惊风,金银薄荷冷汤,入龙脑化下一丸。
《圣惠》治小儿脾风多涎,心胸壅闷,不下乳食,昏昏多睡。铅霜散方
铅霜 牛黄 龙脑(各细研) 半夏(汤浸七遍去滑。各半分) 白附子(炮裂) 马牙硝 防风(去芦
头) 朱砂 天竺黄(各细研) 犀角(屑) 细辛 黄芩 甘草(炙微赤,锉。各五分)
上件药捣,细罗为散,入研了药令匀。不计时候,用姜蜜温水调下一字。更量儿大小以意加减。
《圣惠》治小儿脾肺风热,膈上多涎,心神昏闷,少欲乳食。防风散方
防风 人参(各去芦头) 羚羊角(屑) 甘草(炙微赤,锉) 枳壳(麸炒微黄,去瓤) 黄芩(
各一分) 半夏(半分,汤洗七遍,去滑)
上件药捣,粗为散。每服一钱,以水一小盏,入生姜少许,煎至五分,去滓。不计时候,量儿大小加减温服。
《圣惠》治小儿心脾壅热多涎。牛蒡子散方
牛蒡子 栀子仁 甘草(微炙赤,锉) 川硝 郁金(各半两) 枳壳(一分,麸炒微黄,去瓤)
上件药捣,细罗为散。入龙脑半钱,同研令匀。不计时候,用薄荷水调下半钱。量儿大小加减服之。
《圣惠》治小儿脾热,乳食不下,胸膈多涎。半夏丸方
半夏(半分,生姜汤洗七遍,去滑) 皂角子仁(半两)
上件药捣,罗为末,用生姜汁和丸如麻子大。不计时候,以温水下三丸。随儿大小,以意加减。
《圣惠》又方
上取东行牛口中沫,涂于儿口内效。
《圣惠》又方
上取白羊粪少许,入水研取汁,涂儿口中效。
《圣惠》又方
上取鹿角末,炒令焦,更研令细,以清粥饮调下一字。
《圣惠》又方
上取牛 草绞取汁,少少与服之。
《博济方》治上焦风壅,化痰涎,利胸膈,逐风秘。白龙丹
雷丸(末,二钱) 甘遂(末,三钱) 龙脑(少许) 牵牛(一两,杵取末六钱,不用再罗者) 粉霜 轻
粉(各四钱,入白面少许,三味同研令匀细,滴水和作饼子,于慢火煨令熟,放冷再研令细)
上件同为细末,研令匀,入青州枣煮熟,取肉和为丸如绿豆大。每服五、七丸,温浆水下。如一切风痫惊
搐涎滞,并以浆水下七丸及至十丸。如小儿痰热及渴不止,头疼,但频少与服,自然消痰。大人风气壅盛,
上焦不利,最宜服此。更在临时酌其加减。
太医局水银扁丸子 治小儿惊风壮热,涎盛喘粗,或发搐搦,目睛上视,及因乳哺不节,胸满呕逆,精神迷闷,
发痫螈 ,并宜服之。
水银 黑铅(同与水银结砂子) 巴豆(去皮心,酸醋煮令黄。各一两) 腻粉 干蝎(全者) 铅白霜 青
黛百草霜 牛黄(四味研。各一分) 香墨(烧淬,三钱) 黄明胶(炙令黄燥,一钱三字)
上为细末,入研药匀。以陈粟米饭为丸如绿豆大,捏扁。每一岁儿服一丸,二岁服二丸,三岁服三丸,四
岁以上服四丸,用干柿汤下,薄荷汤亦得。更量虚实加减服,利下青粘滑涎为度,乳食后服此药,不得化破。
太医局比金丸 治小儿惊风体热,喘粗涎嗽,心忪颊赤,大小便不利,夜卧不稳方。
腻粉(研) 滑石(各十五两) 青黛(研,二两半) 天南星(炮,十二两半) 巴豆(去皮取霜,七百个)
上为细末,以面糊为丸如麻子大。每服一岁一丸,薄荷温水下。如急惊风,头热足冷,口噤面青,筋脉抽
掣,上膈顽涎,疾状甚者,加一、两丸,煎桃符汤下。疏利下蕴毒热涎,立便安愈。小儿疮疹后余毒不解,
尤宜与服,食后。
太医局灵砂归命丹 治小儿蕴积邪热,潮热不除,颊赤口干,心膈烦躁,痰涎不利,睡卧不安。或发惊痫,涎
潮搐搦;又疗积滞不消,下利多日,腹中 痛,烦渴呕哕,服药调和不能愈者,并可服之。
上以妙香丸一丸,分作五十丸。每服二丸,金银薄荷汤下,更量岁数加减。如惊痫搐搦,龙脑腻粉蜜汤下。
欲服此药先效尤速,以冷水浸少时服之。(妙香丸方见积热门。)
《谭氏殊圣》治小儿惊悸心忪,化涎痰,利胸膈烦热,止咳嗽。金珠丸方
天南星(炮) 白矾(焙) 半夏(汤浸七遍) 朱砂(研细。各半两) 人
参干山药(各一钱) 腻粉(二钱) 金箔(十片)
上为细末,薄荷汁同水打糊为丸如绿豆大,金箔为衣。每服一丸,食后生姜汤下,量力服。
钱乙褊银丸 治风涎膈实,上热及乳不消,腹胀喘粗等方。
巴豆(去皮心、油膜,研细) 水银(各半两) 黑铅(二钱半,同水银结砂子) 麝香(半钱,别研) 好
墨(八钱,研)
上将巴豆末并墨再研匀,和入砂子、麝香,陈米粥和丸如绿豆大,捏扁。一岁一丸,二、三岁二、三丸,
五岁以上五、六丸,煎薄荷汤放冷送下,不得化破。更量虚实增减,并食后。
钱乙三圣丸 化痰涎,宽膈,消乳癖,化惊风,食痫诸疳。小儿一岁以里,常服极妙方。
小青丸
青黛(一分) 牵牛(末,三分) 腻粉(一钱)
并研匀,面糊丸,黍米大。
小红丸
天南星(末,一两,生) 朱砂(半两,研) 巴豆(一钱,取霜)
并研匀,姜汁面糊丸,黍米大。
小黄丸
半夏(生,末,一分) 巴豆(霜,一字匕) 黄柏(末,半字匕)
并研匀,姜汁面糊丸,黍米大。
以上百日者各一丸;一 者各二丸,随乳下。
钱乙铁粉丸 治涎盛潮搐吐逆方。
水银砂子(二分) 朱砂 铁粉(各一分) 轻粉(二钱) 天南星(炮裂,去皮脐,取末一分)
上同研水银星尽为度,姜汁面糊丸粟米大。煎生姜汤下十丸至十五丸,二、三十丸,无时。
钱乙银液丸 治惊热,膈实呕吐,上盛涎热。
水银(半两) 天南星(二钱,炮) 白附子(一钱,炮)
上为末,用石脑油为膏。每服一皂皂子大,薄荷汤化下。
长沙医者郑愈传小儿利膈下涎,去心胸噎塞不止,并咳嗽。神白丸方
天南星 半夏(汤洗七遍,各半两) 白僵蚕 白矾(生用。各七分)
上件为末,用杏仁七个去皮尖,巴豆一粒,同研匀,再用去皮生姜汁为丸如梧桐子大,阴干。每服五丸,
暴嗽生姜汤吞下;久嗽嚼胡桃肉、黄蜡各少许吞下。
《圣惠方》记载:小儿多涎,是由于风热邪气壅结于脾脏,积聚而成涎液。如果涎液过多,就会导致乳食无法下咽,涎沫凝结并引发高热。
钱乙论述“热证不可攻下”时提到:朱监簿的儿子五岁,夜间发热,早晨起来就像没事一样。许多医生有的当作伤寒治疗,有的当作热证治疗,使用凉药解表却不见痊愈。
其症状表现为多涎且喜欢睡觉,其他医生用铁粉丸来攻下痰涎,结果病情更加严重,到了第五天出现极度口渴引饮的症状。钱乙说:“不可攻下。”于是取白术散(方剂见胃气不和门中)末一两,煎煮药汁三升,让患儿随意饮用直至满足。朱先生问:“喝多了会不会导致腹泻?”钱乙说:“没有生水就不会导致腹泻,即使腹泻也不足为怪,但绝不可攻下。”朱先生问:“先治疗什么病?”钱乙说:“止泻、治痰、退热、清神都靠这个药。”到晚上服完,钱乙查看后说:“可以再服三升。”又煎白术散三升,服完后病情稍有好转。第三天又服白术散三升,孩子不再口渴也没有涎液,又服用两服阿胶散而安定下来(阿胶散方见喘嗽上气门中)。
钱乙附方:治疗小儿惊风,痰热坚积癖块,能不用水银、轻粉最好。如果不得已必须使用,只要去除疾病就立即停止。因为肠胃容易受伤,也会损伤牙齿和牙龈。
《五关贯真珠囊》记载:小儿疾饮,喉间有水食停积在胸膈,结聚成痰。痰多则乳食不下,吐涎壮热,热不止就会引发惊痫。
《仙人水鉴》青虚丸:治疗阳实涎盛,膈部不利,小儿惊风涎盛;伏除一切暑毒,镇心祛邪,定神安魂的方剂。
药材:没药、青黛、铅白霜、连珠紫甘遂(微炒)、腻粉(各三钱)、生龙脑(二钱)、水银(半两,黑铅半两,按常规方法结成砂子。每次用三颗皂荚子大小的量)。
以上七味药,混合研匀,用水煮薄糊制成梧桐子大小的丸药。每次服一丸至二丸。热极者,用麦门冬、龙脑冷热水化开送服;大燥者,用新鲜揉取的薄荷自然汁,加入龙脑化开送服;伏除一切暑毒者,用新汲水加入龙脑化开送服;小儿惊风者,用金银薄荷冷汤,加入龙脑化开送服一丸。
《圣惠方》治疗小儿脾风多涎,心胸壅闷,不下乳食,昏昏欲睡。铅霜散方:
药材:铅霜、牛黄、龙脑(各细研)、半夏(汤浸七遍去滑,各半分)、白附子(炮裂)、马牙硝、防风(去芦头)、朱砂、天竺黄(各细研)、犀角(屑)、细辛、黄芩、甘草(炙微赤,锉碎,各五分)。
以上药物捣碎,过细筛成为散剂,加入已研好的药物令其均匀。不限时候,用姜蜜温水调下一字量的药粉。再根据患儿大小酌情加减。
《圣惠方》治疗小儿脾肺风热,膈上多涎,心神昏闷,少欲乳食。防风散方:
药材:防风、人参(各去芦头)、羚羊角(屑)、甘草(炙微赤,锉碎)、枳壳(麸炒微黄,去瓤)、黄芩(各一分)、半夏(半分,汤洗七遍,去滑)。
以上药物捣碎,粗制为散。每次服一钱,用水一小盏,加入少许生姜,煎至五分,去渣。不限时候,根据患儿大小加减温服。
《圣惠方》治疗小儿心脾壅热多涎。牛蒡子散方:
药材:牛蒡子、栀子仁、甘草(微炙赤,锉碎)、川硝、郁金(各半两)、枳壳(一分,麸炒微黄,去瓤)。
以上药物捣碎,过细筛成为散剂。加入龙脑半钱,共同研匀。不限时候,用薄荷水调下半钱。根据患儿大小加减服用。
《圣惠方》治疗小儿脾热,乳食不下,胸膈多涎。半夏丸方:
药材:半夏(半分,生姜汤洗七遍,去滑)、皂角子仁(半两)。
以上药物捣碎,过筛成为粉末,用生姜汁和丸如麻子大小。不限时候,用温水送下三丸。根据患儿大小,酌情加减。
《圣惠方》又一方:
取向东生长的牛口中的唾液,涂抹在患儿口中,有效。
《圣惠方》又一方:
取少许白羊粪,入水研磨取汁,涂抹在患儿口中,有效。
《圣惠方》又一方:
取鹿角末,炒至焦黑,再研细,用清粥饮调下一字量的药粉。
《圣惠方》又一方:
取牛草绞取汁,少量给予服用。
《博济方》治疗上焦风壅,化痰涎,利胸膈,逐风秘。白龙丹:
药材:雷丸(末,二钱)、甘遂(末,三钱)、龙脑(少许)、牵牛(一两,杵取末六钱,不需再筛的)、粉霜、轻粉(各四钱,加入少许白面,这三味同研令匀细,滴水和作饼子,在慢火煨熟,放冷再研令细)。
以上药物同为细末,研匀,加入青州枣煮熟,取肉和药丸如绿豆大小。每次服五、七丸,用温浆水送下。如一切风痫惊搐涎滞,都用浆水送下七丸及至十丸。如小儿痰热及渴不止,头疼,只需频繁少量服用,自然消痰。大人风气壅盛,上焦不利,最适合服用此药。更需临时斟酌加减。
太医局水银扁丸子:治疗小儿惊风壮热,涎盛喘粗,或发搐搦,目睛上视,以及因乳哺不节,胸满呕逆,精神迷闷,发痫螈,都适宜服用。
药材:水银、黑铅(同与水银结砂子)、巴豆(去皮心,酸醋煮令黄,各一两)、腻粉、干蝎(全者)、铅白霜、青黛、百草霜、牛黄(四味研,各一分)、香墨(烧淬,三钱)、黄明胶(炙令黄燥,一钱三字)。
以上为细末,加入研好的药物匀。以陈粟米饭为丸如绿豆大小,捏扁。每一岁儿服一丸,二岁服二丸,三岁服三丸,四岁以上服四丸,用干柿汤送下,薄荷汤也可以。再根据虚实加减服用,以利下青粘滑涎为度,乳食后服此药,不得化破。
太医局比金丸:治疗小儿惊风体热,喘粗涎嗽,心忪颊赤,大小便不利,夜卧不稳方。
药材:腻粉(研)、滑石(各十五两)、青黛(研,二两半)、天南星(炮,十二两半)、巴豆(去皮取霜,七百个)。
以上为细末,以面糊为丸如麻子大小。每服一岁一丸,薄荷温水送下。如急惊风,头热足冷,口噤面青,筋脉抽掣,上膈顽涎,疾状甚者,加一、两丸,煎桃符汤送下。疏利下蕴毒热涎,立便安愈。小儿疮疹后余毒不解,尤宜与服,食后。
太医局灵砂归命丹:治疗小儿蕴积邪热,潮热不除,颊赤口干,心膈烦躁,痰涎不利,睡卧不安。或发惊痫,涎潮搐搦;又疗积滞不消,下利多日,腹中痛,烦渴呕哕,服药调和不能愈者,并可服之。
以上以妙香丸一丸,分作五十丸。每服二丸,金银薄荷汤送下,再根据岁数加减。如惊痫搐搦,用龙脑腻粉蜜汤送下。欲服此药先效尤速,以冷水浸少时服之。(妙香丸方见积热门。)
《谭氏殊圣》治疗小儿惊悸心忪,化涎痰,利胸膈烦热,止咳嗽。金珠丸方:
药材:天南星(炮)、白矾(焙)、半夏(汤浸七遍)、朱砂(研细,各半两)、人参、干山药(各一钱)、腻粉(二钱)、金箔(十片)。
以上为细末,薄荷汁同水打糊为丸如绿豆大小,金箔为衣。每服一丸,食后生姜汤送下,量力服用。
钱乙褊银丸:治疗风涎膈实,上热及乳不消,腹胀喘粗等方。
药材:巴豆(去皮心、油膜,研细)、水银(各半两)、黑铅(二钱半,同水银结砂子)、麝香(半钱,别研)、好墨(八钱,研)。
上将巴豆末并墨再研匀,和入砂子、麝香,陈米粥和丸如绿豆大小,捏扁。一岁一丸,二、三岁二、三丸,五岁以上五、六丸,煎薄荷汤放冷送下,不得化破。再根据虚实增减,并食后。
钱乙三圣丸:化痰涎,宽膈,消乳癖,化惊风,食痫诸疳。小儿一岁以里,常服极妙方。
小青丸:
青黛(一分)、牵牛(末,三分)、腻粉(一钱)。
并研匀,面糊丸,黍米大。
小红丸:
天南星(末,一两,生)、朱砂(半两,研)、巴豆(一钱,取霜)。
并研匀,姜汁面糊丸,黍米大。
小黄丸:
半夏(生,末,一分)、巴豆(霜,一字匕)、黄柏(末,半字匕)。
并研匀,姜汁面糊丸,黍米大。
以上百日者各一丸;一岁左右者各二丸,随乳下。
钱乙铁粉丸:治疗涎盛潮搐吐逆方。
药材:水银砂子(二分)、朱砂、铁粉(各一分)、轻粉(二钱)、天南星(炮裂,去皮脐,取末一分)。
上同研水银星尽为度,姜汁面糊丸粟米大。煎生姜汤下十丸至十五丸,二、三十丸,无时。
钱乙银液丸:治疗惊热,膈实呕吐,上盛涎热。
药材:水银(半两)、天南星(二钱,炮)、白附子(一钱,炮)。
上为末,用石脑油为膏。每服一皂荚子大,薄荷汤化下。
长沙医者郑愈传小儿利膈下涎,去心胸噎塞不止,并咳嗽。神白丸方:
药材:天南星、半夏(汤洗七遍,各半两)、白僵蚕、白矾(生用,各七分)。
以上为末,用杏仁七个去皮尖,巴豆一粒,同研匀,再用去皮生姜汁为丸如梧桐子大,阴干。每服五丸,暴嗽生姜汤吞下;久嗽嚼胡桃肉、黄蜡各少许吞下。
*Shenghui Fang* records: Excessive phlegm-saliva in children is caused by wind-heat pathogens stagnating and knotting in the Spleen, accumulating to form phlegm-saliva. If there is excessive phlegm-saliva, it leads to an inability to take milk and food, and the condensation of phlegm-foam generates high fever.
Qian Yi discussed "Heat syndromes should not be purged" stating: The son of Supervisor Zhu was five years old, with fever at night and returning to normal in the morning. Many physicians treated it as Taiyang disease (Disease of the Taiyang channel) or heat syndrome, using cooling herbs to resolve the exterior without success.
The symptoms presented as excessive phlegm-saliva and a preference for sleep. Other physicians used Tiefen Wan (Iron Powder Pill) to purge the phlegm-saliva, but the condition worsened. By the fifth day, the child exhibited extreme thirst and desire to drink. Qian Yi said, "Purging is contraindicated." He then took Baizhu San (Atractylodes Macrocephala Powder) (see section on Disharmony of Stomach Qi), one liang of powder, decocted in three sheng of medicinal liquid, allowing the child to drink freely until satisfied. Mr. Zhu asked, "Will drinking too much cause diarrhea?" Qian Yi replied, "Without raw water, diarrhea will not occur; even if diarrhea occurs, it is not surprising, but purging must absolutely be avoided." Mr. Zhu asked, "Which disease should be treated first?" Qian Yi said, "Stopping diarrhea, treating phlegm, reducing fever, and clearing the spirit are all achieved by this medicine." By evening, after finishing the dose, Qian Yi examined the child and said, "You can take another three sheng." Another three sheng of Baizhu San were decocted and consumed, leading to slight improvement. On the third day, another three sheng of Baizhu San were taken; the child no longer felt thirsty nor had phlegm-saliva, and after taking two doses of Ejiao San (Donkey-hide Gelatin Powder), the condition stabilized (Ejiao San see section on Wheezing and Coughing Upper Qi).
Qian Yi's Supplementary Formula: For treating pediatric convulsive disorder (Jing Feng) with hard accumulation of phlegm-heat, it is best not to use mercury or calomel. If unavoidable usage is necessary, stop immediately once the disease is removed. This is because the intestines and stomach are easily damaged, and it also harms the teeth and gums.
*Wuguan Guanzhen Zhunang* records: In pediatric diseases, rapid drinking causes water and food to stagnate in the chest and diaphragm, knotting into phlegm. Excessive phlegm prevents milk and food intake, causing vomiting of phlegm-saliva and high fever; if the fever does not cease, it triggers convulsive epilepsy.
*Tujing* states: Mint (Bohe, 薄荷) is an essential herb for treating pediatric wind-phlegm.
*Xianren Shuijian* Qingxu Wan: Treats excess yang with abundant phlegm-saliva, diaphragmatic obstruction, and pediatric convulsive disorder with abundant phlegm-saliva; suppresses all summer-toxicity, calms the heart, expels evil, and stabilizes the spirit.
Ingredients: Myrrh (Moyao, 没药), Indigo Naturalis (Qingdai, 青黛), Lead White Frost (Qianbaishuang, 铅白霜), Lianzhu Purple Kansui (Lianzhu Zi Gansui, 连珠紫甘遂) (lightly stir-fried), Calomel (Nifen, 腻粉) (3 qian each), Raw Borneol (Sheng Longnao, 生龙脑) (2 qian), Mercury (Shuiyin, 水银) (0.5 liang, combined with 0.5 liang Black Lead to form cinnabar grains according to standard method. Use an amount equivalent to three soap pods per dose).
Grind the seven ingredients evenly, boil with thin starch paste to make pills the size of paulownia seeds. Take one to two pills per dose. For extreme heat, dissolve with cold/hot water containing Ophiopogon Decocction (Maimendong Tang, 麦门冬汤) and Borneol; for severe dryness, use fresh mint juice squeezed naturally, mixed with dissolved Borneol; to suppress summer-toxicity, use fresh well-water mixed with dissolved Borneol; for pediatric convulsive disorder, use cold decoction of Gold and Silver Mint mixed with dissolved Borneol for one pill.
*Shenghui Fang* treats pediatric spleen-wind with excessive phlegm-saliva, chest and heart oppression, inability to take milk/food, drowsiness, and excessive sleep. Qianshuang San (Lead Frost Powder):
Ingredients: Lead Frost (Qianshuang, 铅霜), Realgar (Niuhuang, 牛黄 - *Note: Niuhuang typically refers to Calculus Bovis, likely a typo in source or specific preparation context, translating as Calculus Bovis*), Borneol (Longnao, 龙脑) (all finely ground), Pinellia Ternata (Banxia, 半夏) (soaked in boiling water seven times to remove slipperiness, 0.5 fen each), Typhonium Rhizome (Baifuzi, 白附子) (processed until cracked), Natrii Sulfas (Mayaxiao, 马牙硝), Saposhnikovia Root (Fangfeng, 防风) (remove root tips), Cinnabar (Zhusha, 朱砂), Tibetan Hyacinth Bean (Tianzhuhuang, 天竺黄) (all finely ground), Rhinoceros Horn (Xijiao, 犀角) (shavings), Asarum (Xixin, 细辛), Scutellaria Root (Huangqin, 黄芩), Licorice Root (Gancao, 甘草) (lightly roasted until reddish-brown, cut, 0.5 fen each).
Pulverize the above medicines, sift finely, mix with the ground medicines evenly. Take one zi-sized dose mixed with ginger, honey, and warm water at any time. Adjust dosage based on the child's size.
*Shenghui Fang* treats pediatric spleen-lung wind-heat, excessive phlegm above the diaphragm, mental confusion, and loss of appetite for milk/food. Fangfeng San (Saposhnikovia Powder):
Ingredients: Saposhnikovia Root (Fangfeng, 防风), Codonopsis Root (Renshen, 人参) (remove root tips, equal parts), Antelope Horn (Lingyangjiao, 羚羊角) (shavings), Licorice Root (Gancao, 甘草) (lightly roasted until reddish-brown, cut), Aurantium (Zhiqiao, 枳壳) (bran-fried until slightly yellow, remove pith), Scutellaria Root (Huangqin, 黄芩) (1 fen each), Pinellia Ternata (Banxia, 半夏) (0.5 fen, washed in boiling water seven times to remove slipperiness).
Pulverize the above medicines coarsely. Take one qian per dose, decoct with one small cup of water and a little ginger until reduced to half a cup, strain. Take warm at any time, adjusting dosage based on the child's size.
*Shenghui Fang* treats pediatric heart-spleen stagnation-heat with excessive phlegm-saliva. Niubangzi San (Arctium Fruit Powder):
Ingredients: Arctium Fruit (Niubangzi, 牛蒡子), Gardenia Seed (Zhizi Ren, 栀子仁), Licorice Root (Gancao, 甘草) (lightly roasted until reddish-brown, cut), Mirabilite (Chuanxiao, 川硝), Curcuma Aromatica Rhizome (Yujin, 郁金) (0.5 liang each), Aurantium (Zhiqiao, 枳壳) (1 fen, bran-fried until slightly yellow, remove pith).
Pulverize the above medicines, sift finely. Add 0.5 qian of Borneol, grind together evenly. Take half a qian mixed with mint water at any time. Adjust dosage based on the child's size.
*Shenghui Fang* treats pediatric spleen-heat, inability to take milk/food, and excessive phlegm in the chest/diaphragm. Banxia Wan (Pinellia Pill):
Ingredients: Pinellia Ternata (Banxia, 半夏) (0.5 fen, washed in ginger water seven times to remove slipperiness), Gleditsia Sinensis Fruit (Zaojiaozi Ren, 皂角子仁) (0.5 liang).
Pulverize the above medicines, sift into powder, mix with ginger juice to make pills the size of hemp seeds. Take three pills with warm water at any time. Adjust dosage based on the child's size.
*Shenghui Fang*, Another Formula:
Take saliva from a cow facing east, apply inside the child's mouth. Effective.
*Shenghui Fang*, Another Formula:
Take a small amount of white goat manure, grind in water to extract juice, apply inside the child's mouth. Effective.
*Shenghui Fang*, Another Formula:
Take deer horn powder, roast until charred, grind finely, mix with clear rice gruel to take one zi-sized dose.
*Shenghui Fang*, Another Formula:
Extract juice from ox grass, administer small amounts orally.
*Boji Fang* treats upper jiao wind-stagnation, transforms phlegm-saliva, benefits the chest/diaphragm, and expels wind-constipation. Bailong Dan (White Dragon Elixir):
Ingredients: Omphalia Mollissima (Leiyuan, 雷丸) (powder, 2 qian), Kansui Root (Gansui, 甘遂) (powder, 3 qian), Borneol (Longnao, 龙脑) (a little), Pharbitis Seed (Qianniu, 牵牛) (1 liang, pounded to powder 6 qian, not requiring further sifting), Calomel (Fenshuang, 粉霜), Calomel (Qingfen, 轻粉) (4 qian each, add a little white flour, grind these three together finely, add water to make cakes, bake slowly over low fire until cooked, cool and grind finely).
Grind all ingredients into fine powder, mix evenly. Cook Qingzhou dates, take the flesh, and mix with the powder to make pills the size of mung beans. Take five to seven pills with warm grain vinegar water. For all wind-epilepsy, convulsions, and phlegm stagnation, take seven to ten pills with grain vinegar water. For pediatric phlegm-heat and unquenchable thirst/headache, take frequently in small amounts to naturally transform phlegm. For adults with excessive wind qi and upper jiao obstruction, this is most suitable. Adjust dosage as needed.
Imperial Medical Bureau Shuiyin Bianwanzi (Mercury Flat Pills): Treats pediatric convulsive disorder with high fever, abundant phlegm-saliva, coarse breathing, convulsions, upward gaze of eyes, and due to irregular feeding, chest fullness, vomiting/reversal, mental confusion, and epileptic spasms. All are suitable for this formula.
Ingredients: Mercury (Shuiyin, 水银), Black Lead (Heiqian, 黑铅) (combined with mercury to form cinnabar grains), Croton Seed (Badou, 巴豆) (peeled, core removed, boiled in sour vinegar until yellow, 1 liang each), Calomel (Nifen, 腻粉), Dried Scorpion (Ganxie, 干蝎) (whole), Lead White Frost (Qianbaishuang, 铅白霜), Indigo Naturalis (Qingdai, 青黛), Charred Grass (Bai Cao Shuang, 百草霜), Calculus Bovis (Niuhuang, 牛黄) (four ingredients ground, 1 fen each), Fragrant Ink (Xiangmo, 香墨) (burnt and quenched, 3 qian), Yellow Clear Gelatin (Huangming Jiao, 黄明胶) (roasted until yellow and dry, 1 qian 3 zhu).
Grind into fine powder, mix with ground medicines. Make pills the size of mung beans using aged millet rice, flatten. One year old takes one pill, two years two pills, three years three pills, four years and above four pills. Take with dried persimmon soup or mint soup. Adjust dosage based on deficiency/excess. Stop when green, sticky, slippery phlegm is discharged. Take after milk/food. Do not let the pill dissolve before swallowing.
Imperial Medical Bureau Bijin Wan (Gold-Comparing Pill): Treats pediatric convulsive disorder with body heat, coarse breathing, phlegm-cough, palpitations, red cheeks, difficulty in urination/defecation, and restless sleep.
Ingredients: Calomel (Nifen, 腻粉) (ground), Talcum (Huashi, 滑石) (15 liang each), Indigo Naturalis (Qingdai, 青黛) (ground, 2.5 liang), Aconitum Bulb (Tiannanxing, 天南星) (processed, 12.5 liang), Croton Seed (Badou, 巴豆) (peeled,霜 taken, 700 seeds).
Grind into fine powder, make pills the size of hemp seeds using flour paste. Take one pill per year of age with mint warm water. For acute convulsive disorder with head heat/cold feet, locked jaw/blue face, tendon spasms, stubborn phlegm above diaphragm, and severe symptoms, add one or two pills, take with peach charm soup. This drains accumulated toxic heat-phlegm, bringing immediate relief. Especially suitable for residual toxins after pediatric exanthema, taken after meals.
Imperial Medical Bureau Lingsha Guiming Dan (Spirit Sand Return Life Elixir): Treats pediatric accumulation of pathogenic heat, tidal fever persisting, red cheeks, dry mouth, heart/diaphragm irritability, difficult phlegm-saliva, restless sleep. Or onset of convulsive epilepsy, tidal phlegm and convulsions; also treats indigestion, prolonged diarrhea, abdominal pain,烦渴 (irritable thirst), vomiting/regurgitation, where harmonizing medicines fail. All may take this.
Take one pill of Miaoxiang Wan, divide into fifty pills. Take two pills with gold/silver mint soup, adjust based on age. For convulsive epilepsy/spasms, take with Borneol/Calomel/Honey soup. To enhance speed of effect, soak in cold water briefly before taking. (Miaoxiang Wan see section on Heat Accumulation).
*Tan Shi Shu Sheng* treats pediatric palpitations and fright, transforms phlegm-saliva, benefits chest/diaphragm irritability, stops cough. Jinzhu Wan (Gold Pearl Pill):
Ingredients: Aconitum Bulb (Tiannanxing, 天南星) (processed), Alum (Baifan, 白矾) (roasted), Pinellia Ternata (Banxia, 半夏) (soaked in boiling water seven times), Cinnabar (Zhusha, 朱砂) (finely ground, 0.5 liang each), Codonopsis Root (Renshen, 人参), Dry Yam (Ganshan Yao, 干山药) (1 qian each), Calomel (Nifen, 腻粉) (2 qian), Gold Leaf (Jinbo, 金箔) (10 pieces).
Grind into fine powder, make pills the size of mung beans using mint juice and water paste, coat with gold leaf. Take one pill after meals with ginger soup, adjust dosage as appropriate.
Qian Yi Pian Yin Wan (Narrow Silver Pill): Treats wind-phlegm diaphragm-fullness, upper heat, undigested milk, abdominal distension, coarse breathing.
Ingredients: Croton Seed (Badou, 巴豆) (peeled, core/oil membrane removed, ground finely), Mercury (Shuiyin, 水银) (0.5 liang each), Black Lead (Heiqian, 黑铅) (2.5 qian, combined with mercury to form cinnabar grains), Musk (Shexiang, 麝香) (0.5 qian, separately ground), Good Ink (Hao Mo, 好墨) (8 qian, ground).
Grind Badou powder and ink together evenly, mix with cinnabar grains and Musk, make pills the size of mung beans using aged rice porridge, flatten. One year old takes one pill, two-three years take two-three pills, five years and above take five-six pills. Take with cooled mint soup. Do not let dissolve. Adjust based on deficiency/excess, take after meals.
Qian Yi Sansheng Wan (Three Sages Pill): Transforms phlegm-saliva, widens diaphragm, eliminates milk accumulation, resolves convulsive disorder, food-epilepsy, and various malnutrition syndromes. Extremely effective for regular use in children under one year.
Xiaoqing Wan (Little Green Pill):
Indigo Naturalis (Qingdai, 青黛) (1 fen), Pharbitis Seed (Qianniu, 牵牛) (powder, 3 fen), Calomel (Nifen, 腻粉) (1 qian).
Grind evenly, make pills the size of millet seeds using flour paste.
Xiaohong Wan (Little Red Pill):
Aconitum Bulb (Tiannanxing, 天南星) (powder, 1 liang, raw), Cinnabar (Zhusha, 朱砂) (0.5 liang, ground), Croton Seed (Badou, 巴豆) (1 qian,霜 taken).
Grind evenly, make pills the size of millet seeds using ginger juice and flour paste.
Xiaohuang Wan (Little Yellow Pill):
Pinellia Ternata (Banxia, 半夏) (raw, powder, 1 fen), Croton Seed (Badou, 巴豆) (霜, one zi measure), Phellodendron Bark (Huangbai, 黄柏) (powder, half zi measure).
Grind evenly, make pills the size of millet seeds using ginger juice and flour paste.
For infants under 100 days, take one pill each; for one-year-olds, take two pills each, administered with milk.
Qian Yi Tiefsen Wan (Iron Powder Pill): Treats abundant phlegm-saliva, tidal convulsions, vomiting/reversal.
Ingredients: Mercury Cinnabar Grains (Shuiyin Shazi, 水银砂子) (2 fen), Cinnabar (Zhusha, 朱砂), Iron Powder (Tiefen, 铁粉) (1 fen each), Calomel (Qingfen, 轻粉) (2 qian), Aconitum Bulb (Tiannanxing, 天南星) (processed, peeled/core removed, powder 1 fen).
Grind together until mercury stars disappear. Make pills the size of millet seeds using ginger juice and flour paste. Take 10-15 pills, or 20-30 pills, decocted in ginger soup, at any time.
Qian Yi Yinye Wan (Silver Liquid Pill): Treats fright-heat, diaphragm-fullness vomiting, upper abundance of phlegm-heat.
Ingredients: Mercury (Shuiyin, 水银) (0.5 liang), Aconitum Bulb (Tiannanxing, 天南星) (2 qian, processed), Typhonium Rhizome (Baifuzi, 白附子) (1 qian, processed).
Grind into powder, make ointment using petroleum jelly (Shinao You, 石脑油). Take an amount the size of a soap pod, dissolve in mint soup.
Physician Zheng Yu from Changsha transmitted a method for children to benefit the diaphragm, drain phlegm-saliva, remove persistent chest/heart blockage, and treat cough. Shenbai Wan (Divine White Pill):
Ingredients: Aconitum Bulb (Tiannanxing, 天南星), Pinellia Ternata (Banxia, 半夏) (washed in boiling water seven times, 0.5 liang each), White Silkworm (Baijiangcan, 白僵蚕), Alum (Baifan, 白矾) (raw use, 0.7 fen each).
Grind into powder. Take seven almonds (peeled/core removed) and one Croton seed, grind together evenly. Use peeled ginger juice to make pills the size of paulownia seeds, dry in shade. Take five pills. For sudden cough, swallow with ginger soup; for chronic cough, chew with a little walnut meat and yellow wax before swallowing.