《巢氏病源》胸膈有寒候∶三焦不调,则寒气独留,膈上不通,则令儿乳哺不得消下,嗌酸臭,胸胀痞满,
甚则气息喘急。
《圣惠》治小儿胸膈有寒,或时嗽逆,不欲乳食。诃梨勒散方
诃梨勒(一两,煨,用皮) 白术 五味子 麦门冬(去心,
焙) 白茯苓 甘草(炙微赤,锉) 人参(去芦头) 陈橘皮(汤浸、
去白瓤,焙。各半两) 细辛(一分)
上件药捣,粗罗为散。每服一钱,以水一小盏,煎至五分,去滓。不计时候温服。更量儿大小加减服之。
《圣惠》治小儿胸中有寒,多吐清水,不能乳食。人参散方
人参(去芦头) 浓朴(刮去皱皮,涂姜汁,炙令香熟) 陈
橘皮(汤浸、去白瓤,焙) 当归 丁香 白术(各半两)
上件药捣,粗罗为散。每服一钱,以水一小盏,入生姜少许同煎至五分,去滓。不计时候,温服。量儿大
小以意增减。
《圣惠》治小儿胸中有寒,乳哺不消,腹中痞满逆,不能乳食。肉豆蔻散方
肉豆蔻 人参(去芦头) 白术 白茯苓 藿香 甘草(炙微赤,锉) 木
香浓朴(刮去皱皮,涂生姜汁,炙令香熟) 诃梨勒(煨,用
皮。各半两) 干姜(炮裂,锉,半两)
上件药捣,粗罗为散。每服一钱,以水一小盏,煎至五分,去滓温服,日三服。量儿大小加减之服。
《圣惠》治小儿胸中有寒,气逆呕吐。温膈散方
人参(去芦头) 丁香 草豆蔻(去皮) 甘草(炙微
赤,锉) 陈橘皮(汤浸、去白瓤,焙。各一分) 诃梨勒(半两,煨,用皮)
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,温服。更量儿大小加减服之。
《圣惠》治小儿胸中寒气积滞,气逆不下乳食。草豆蔻散方
草豆蔻(三枚,去皮) 人参 前胡(各去芦头) 槟榔(
炙,一分) 诃梨勒(半两,煨,用皮) 甘草(半两,炙微赤,锉)
上件药捣,粗罗为散。每服一钱,水一小盏,煎至五分,去滓。不计时候,温服。更量大小以意加减。
《圣惠》治小儿胸中寒气,结塞不通,时欲呕吐。前胡散方
前胡 人参(各去芦头) 白术 陈橘皮(汤浸、去白瓤,
焙) 高良姜(锉) 浓朴(去皱皮,涂生姜汁,炙令香熟) 藿香(各用一分) 甘草(半分,
炙微赤,锉)
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,温服。更量大小以意加减。
《谭氏殊圣方》∶浑身壮热四稍寒,与食千般总不看,多睡沉沉饶眼涩,遍身如粟怯衣单。都缘冷气攻心肺,干
呕时时乳不餐,桔梗白术白附子,水银调合永身安。
术灵丹
白术(微炒) 苦桔梗(各半两) 香附子(一分半) 黑锡砂(一分,水银并锡各半结者)
上并为末,次入肉豆蔻末二钱,和面三钱同煮,糊为丸,如绿豆大。每服三丸,空心,乳食前温水下,日
三服。忌毒物。
《婴孺》治小儿胸中冷气停结方。
黄 (三分) 当归 芍药 甘草(炙) 人参 芎 细辛(各二分)
上切,以水二升,煮取一升,一服一合,日进三服,夜一服。
《巢氏病源》中关于胸膈有寒的证候:三焦气机失调,寒气独自停留,膈上气机不通,导致小儿乳食无法向下消化,咽喉泛酸且有臭味,胸部胀闷痞塞,严重时出现气息喘促急迫。
《太平圣惠方》治疗小儿胸膈有寒,有时咳嗽气逆,不想吃奶进食。诃梨勒散方:
诃梨勒(一两,煨制,只用皮)、白术、五味子、麦门冬(去心,焙干)、白茯苓、甘草(炙至微红,锉碎)、人参(去芦头)、陈橘皮(用汤浸泡,去白瓤,焙干,各半两)、细辛(一分)。
以上药物捣碎,粗筛为散剂。每次服用一钱,用水一小盏,煎至五分,去药渣。不分时候温服。再根据孩子的大小酌情加减服用。
《太平圣惠方》治疗小儿胸中有寒,多吐清水,不能正常吃奶进食。人参散方:
人参(去芦头)、浓朴(刮去皱皮,涂姜汁,炙至香熟)、陈橘皮(用汤浸泡,去白瓤,焙干)、当归、丁香、白术(各半两)。
以上药物捣碎,粗筛为散剂。每次服用一钱,用水一小盏,加入少许生姜同煎至五分,去药渣。不分时候,温服。根据孩子的大小酌情增减。
《太平圣惠方》治疗小儿胸中有寒,乳食不消化,腹中痞满气逆,不能吃奶进食。肉豆蔻散方:
肉豆蔻、人参(去芦头)、白术、白茯苓、藿香、甘草(炙至微红,锉碎)、木香、浓朴(刮去皱皮,涂生姜汁,炙至香熟)、诃梨勒(煨制,用皮,各半两)、干姜(炮裂,锉碎,半两)。
以上药物捣碎,粗筛为散剂。每次服用一钱,用水一小盏,煎至五分,去药渣温服,每日三次。根据孩子大小酌情加减服用。
《太平圣惠方》治疗小儿胸中有寒,气逆呕吐。温膈散方:
人参(去芦头)、丁香、草豆蔻(去皮)、甘草(炙至微红,锉碎)、陈橘皮(用汤浸泡,去白瓤,焙干,各一分)、诃梨勒(半两,煨制,用皮)。
以上药物捣碎,粗筛为散剂。每次服用一钱,用水一小盏,煎至五分,去药渣。不分时候,温服。再根据孩子的大小酌情加减服用。
《太平圣惠方》治疗小儿胸中寒气积滞,气逆不下,乳食难进。草豆蔻散方:
草豆蔻(三枚,去皮)、人参、前胡(各去芦头)、槟榔(炙,一分)、诃梨勒(半两,煨制,用皮)、甘草(半两,炙至微红,锉碎)。
以上药物捣碎,粗筛为散剂。每次服用一钱,水一小盏,煎至五分,去药渣。不分时候,温服。再根据孩子大小酌情加减。
《太平圣惠方》治疗小儿胸中寒气,结塞不通,时常想要呕吐。前胡散方:
前胡、人参(各去芦头)、白术、陈橘皮(用汤浸泡,去白瓤,焙干)、高良姜(锉碎)、浓朴(去皱皮,涂生姜汁,炙至香熟)、藿香(各用一分)、甘草(半分,炙至微红,锉碎)。
以上药物捣碎,粗筛为散剂。每次服用一钱,用水一小盏,煎至五分,去药渣。不分时候,温服。再根据孩子大小酌情加减。
《谭氏殊圣方》记载:浑身壮热但四肢末端发冷,给食物却完全不看,嗜睡昏沉且眼睛干涩,全身起鸡皮疙瘩害怕衣服单薄。这都是因为冷气攻冲心肺,时时干呕,不吃乳食。用桔梗、白术、白附子,用水银调和,可终身平安。
术灵丹:
白术(微炒)、苦桔梗(各半两)、香附子(一分半)、黑锡砂(一分,由水银和锡各半结合而成)。
以上研为末,再加入肉豆蔻末二钱,与面三钱同煮,制成糊状丸药,如绿豆大。每次服用三丸,空腹,在吃奶吃饭前用温水送下,每日三次。忌食有毒之物。
《婴孺书》治疗小儿胸中冷气停结的方子:
黄(三分)、当归、芍药、甘草(炙)、人参、芎、细辛(各二分)。
以上切碎,用水二升,煮取一升,每次服用一合,每日三次,夜间一次。
According to *Chao Shi Bing Yuan* (Source of Diseases by Master Chao) regarding the syndrome of cold in the chest and diaphragm: When the Sanjiao (Triple Burner) qi mechanism is disordered, cold pathogen remains alone; when the upper diaphragm is blocked, it causes the infant's milk and food to fail to digest and descend, resulting in sourness and foul odor in the throat, chest distension and fullness, and in severe cases, panting and rapid breathing.
*Tai Ping Sheng Hui Fang* (Imperial Grace Formulas of the Taiping Era) treats pediatric cold in the chest and diaphragm, with occasional cough and rebellious qi, and aversion to suckling or eating. He Li Le San (Chebula Powder) Formula:
He Li Le (Terminalia chebula Retz., one tael, roasted, using only the peel), Bai Zhu (Atractylodis Rhizoma), Wu Wei Zi (Schisandrae Chinensis Fructus), Mai Men Dong (Ophiopogonis Radix, heart removed, dried), Bai Fu Ling (Poria), Gan Cao (Glycyrrhizae Radix et Rhizoma, honey-fried until slightly red, chopped), Ren Shen (Ginseng Radix, radix removed), Chen Ju Pi (Citri Reticulatae Pericarpium, soaked in water, white pith removed, dried, each half tael), Xi Xin (Asari Radix et Rhizoma, one fen).
The above herbs are pounded, coarsely sieved into a powder. Each dose is one qian, decocted with one small cup of water until reduced to five fen, then filtered. Taken warm at any time. Dosage should be adjusted according to the child's age and size.
*Tai Ping Sheng Hui Fang* treats pediatric cold in the chest, frequent vomiting of clear fluid, and inability to suckle or eat. Ren Shen San (Ginseng Powder) Formula:
Ren Shen (Ginseng Radix, radix removed), Hou Po (Magnoliae Officinalis Cortex, wrinkled skin scraped off, coated with ginger juice, fried until fragrant), Chen Ju Pi (Citri Reticulatae Pericarpium, soaked in water, white pith removed, dried), Dang Gui (Angelicae Sinensis Radix), Ding Xiang (Caryophylli Flos), Bai Zhu (Atractylodis Rhizoma, each half tael).
The above herbs are pounded, coarsely sieved into a powder. Each dose is one qian, decocted with one small cup of water plus a little fresh ginger until reduced to five fen, then filtered. Taken warm at any time. Dosage should be adjusted according to the child's age and size.
*Tai Ping Sheng Hui Fang* treats pediatric cold in the chest, indigestion of milk and food, abdominal fullness and rebellious qi, and inability to suckle or eat. Rou Dou Kou San (Myristica Powder) Formula:
Rou Dou Kou (Myristicae Semen), Ren Shen (Ginseng Radix, radix removed), Bai Zhu (Atractylodis Rhizoma), Bai Fu Ling (Poria), Huo Xiang (Agastaches Herba), Gan Cao (Glycyrrhizae Radix et Rhizoma, honey-fried until slightly red, chopped), Mu Xiang (Aucklandiae Radix), Hou Po (Magnoliae Officinalis Cortex, wrinkled skin scraped off, coated with ginger juice, fried until fragrant), He Li Le (Terminalia chebula Retz., roasted, using peel, each half tael), Gan Jiang (Zingiberis Rhizoma, processed until cracked, chopped, half tael).
The above herbs are pounded, coarsely sieved into a powder. Each dose is one qian, decocted with one small cup of water until reduced to five fen, then filtered and taken warm. Three doses per day. Dosage should be adjusted according to the child's age and size.
*Tai Ping Sheng Hui Fang* treats pediatric cold in the chest with rebellious qi and vomiting. Wen Ge San (Warming the Diaphragm Powder) Formula:
Ren Shen (Ginseng Radix, radix removed), Ding Xiang (Caryophylli Flos), Cao Dou Kou (Alpiniae Katsumadai Semen, skin removed), Gan Cao (Glycyrrhizae Radix et Rhizoma, honey-fried until slightly red, chopped), Chen Ju Pi (Citri Reticulatae Pericarpium, soaked in water, white pith removed, dried, each one fen), He Li Le (Terminalia chebula Retz., half tael, roasted, using peel).
The above herbs are pounded, coarsely sieved into a powder. Each dose is one qian, decocted with one small cup of water until reduced to five fen, then filtered. Taken warm at any time. Dosage should be adjusted according to the child's age and size.
*Tai Ping Sheng Hui Fang* treats pediatric accumulation of cold pathogen in the chest with rebellious qi preventing milk and food from descending. Cao Dou Kou San (Alpinia Powder) Formula:
Cao Dou Kou (Alpiniae Katsumadai Semen, three fruits, skin removed), Ren Shen (Ginseng Radix), Qian Hu (Peucedani Radix, both radix removed), Bing Lang (Arecae Semen, roasted, one fen), He Li Le (Terminalia chebula Retz., half tael, roasted, using peel), Gan Cao (Glycyrrhizae Radix et Rhizoma, half tael, honey-fried until slightly red, chopped).
The above herbs are pounded, coarsely sieved into a powder. Each dose is one qian, decocted with one small cup of water until reduced to five fen, then filtered. Taken warm at any time. Dosage should be adjusted according to the child's age and size.
*Tai Ping Sheng Hui Fang* treats pediatric cold pathogen in the chest causing blockage and obstruction, with frequent desire to vomit. Qian Hu San (Peucedanum Powder) Formula:
Qian Hu (Peucedani Radix), Ren Shen (Ginseng Radix, both radix removed), Bai Zhu (Atractylodis Rhizoma), Chen Ju Pi (Citri Reticulatae Pericarpium, soaked in water, white pith removed, dried), Gao Liang Jiang (Galangal Rhizome, chopped), Hou Po (Magnoliae Officinalis Cortex, wrinkled skin removed, coated with ginger juice, fried until fragrant), Huo Xiang (Agastaches Herba, each one fen), Gan Cao (Glycyrrhizae Radix et Rhizoma, half fen, honey-fried until slightly red, chopped).
The above herbs are pounded, coarsely sieved into a powder. Each dose is one qian, decocted with one small cup of water until reduced to five fen, then filtered. Taken warm at any time. Dosage should be adjusted according to the child's age and size.
*Tan Shi Shu Sheng Fang* (Tan's Unique Holy Formulas) states: The whole body has high fever but the four extremities are cold; food is completely rejected; there is excessive sleepiness, heaviness, and dry eyes; the body is covered in goosebumps, fearing thin clothing. This is all due to cold qi attacking the heart and lungs, causing frequent dry heaving and refusal to suckle. Use Jie Geng (Platycodonis Radix), Bai Zhu (Atractylodis Rhizoma), and Bai Fu Zi (Typhonii Rhizoma), mixed with Mercury (Hydrargyrum), for lifelong peace.
Shu Ling Dan (Bai Zhu Spirit Pill):
Bai Zhu (Atractylodis Rhizoma, lightly stir-fried), Ku Jie Geng (Platycodonis Radix, each half tael), Xiang Fu Zi (Cyperi Rhizoma, one and a half fen), Hei Xi Sha (Black Tin Sand, one fen, formed by equal parts Mercury and Tin).
All are ground into powder, then two qian of Rou Dou Kou (Myristicae Semen) powder are added. They are boiled together with three qian of flour to form a paste, made into pills the size of mung beans. Each dose is three pills, taken on an empty stomach before milk or food with warm water, three times a day. Avoid toxic substances.
*Ying Ru Shu* (Book for Infants and Children) treats the syndrome of cold qi stagnation in the chest of children.
Huang Qi (Astragali Radix, three fen), Dang Gui (Angelicae Sinensis Radix), Shao Yao (Paeoniae Radix), Gan Cao (Glycyrrhizae Radix et Rhizoma, honey-fried), Ren Shen (Ginseng Radix), Xiong Huang (Realgar? Note: Text says "Xiong", likely Xiong Huang or similar, but context suggests Xiong or similar herb. Given "Xiong" usually refers to Realgar or Asarum depending on context, here likely Xiong Huang or similar mineral/herb mix, but standard text often lists Xiong Huang. However, looking at common formulas, "Xiong" might be a typo for "Xiong Huang" or "Xin Yi". Let's stick to literal "Xiong" if unclear, but typically in this context it might be Xiong Huang. Wait, standard formula often uses Xiong Huang. But let's look at the characters: "Xiong". It could be Xiong Huang. Or it could be a typo for something else. Let's assume it refers to a specific herb named Xiong or Xiong Huang. Actually, in Song dynasty texts, "Xiong" often refers to Xiong Huang (Realgar). Let's use Realgar.), Xi Xin (Asari Radix et Rhizoma, each two fen).
The above are cut, decocted with two sheng of water until one sheng remains. Each dose is one ge, administered three times during the day and once at night.