《仙人水鉴》小儿患膈气。宜服桃花散子方
桃花(二钱) 半夏(六钱) 浓朴 桂(各一分) 干姜 牙硝(各二分) 江豆 当门子(各一个)
上并捣为散。空心,以煎水调下一钱。服至逡巡转自食。乳母忌酒、肉、热面等。
《宝童方》治小儿膈气噎闷,两胁刺痛,吐逆酸水,气块往来,疼痛烦躁等。
槟榔 木通 甘草(炙) 柏叶(煮黄) 半夏
等分末。二大钱,水一盏,煎六分;腻粉少许,在干盏内研匀,通口服。如结肠翻胃,用虚寒门乌药丸后
用此,儿半之。
(哽气附)
《宝鉴》∶儿气逆者,为乳母烦恼、忧闷,乳气凝滞胸中,灌击其乳,饮之成疾。面黄白,乳哺减少,夜啼
及,但无精彩,勿取转,转之则剧。
成 薤(五两) 黍米
上五味 咀,以水七升先煮药,煎取一升,次下薤米,米熟药成。稍稍服之。
《仙人水鉴》小儿患气,觉患便服此方。
水蛭 冬青叶 白樟木叶
上各少许,捣取汁,灌之即瘥。
《聚宝方》透关丸 治小儿哽气,行心经方。
续随子(半两) 大黄(三钱,末) 长槟榔(一枚) 木通(半钱,末) 甘遂 大戟(各末一钱) 腻粉(一
钱匕)
上七味除粉外,将诸药末与续随子同捣,用马尾罗隔去续随子皮不用,便与童子、室女小便拌匀(谓之阴阳酒。)
入粉如硬糊,日晒稍干,以水、蜜丸绿豆大。每服二十丸,煎灯心、竹叶汤下。一时辰间,以小便色异为效。
小儿五岁以下七丸,十岁以下十丸。更加减,汤使如前服。
《王氏手集》治小儿气。橘红膏方
红橘皮(去瓤) 芎 白术 当归(各等分)
上同为末,炼蜜和为膏。量儿大小米饮化下。
《王氏手集》木香分气丸 理一切气。
青橘皮(一两) 牵牛(二两,炒令熟) 木香(一分)
上为细末,面糊为丸绿豆大。生姜汤下五丸,五、七、八丸。
《吉氏家传》治哽气。真珠散
真珠 生犀(各半两) 龙脑(一字) 香附子(四钱,去毛净、洗)
上为细末,每服半钱,煎人参汤下。
长沙医者郑愈传调气桂枝散 取转后皆可服之。
赤芍药 桂心 藿香 白术(各二钱)
上为末,每服半钱,饭饮调下。
《千金》灸法∶不能食,胸中满,膈上逆气闷热,灸心俞二、七壮。小儿减之。
《仙人水鉴》记载:小儿患膈气(指胸膈间气机阻滞,导致饮食难下或呕吐的病症),适宜服用桃花散子方。
配方:桃花(二钱)、半夏(六钱)、浓朴、桂枝(各一分)、干姜、牙硝(各二分)、江豆、当门子(即麝香,各一个)。
制法与用法:将上述药物捣碎研成散剂。空腹时,用煎好的水调服一钱。服药后不久,患者会自行进食。乳母需忌食酒、肉、热面等食物。
《宝童方》治疗小儿膈气引起的噎闷感、两胁刺痛、吐酸水、气块往来移动、疼痛烦躁等症状。
配方:槟榔、木通、甘草(炙烤)、柏叶(煮至发黄)、半夏。
制法与用法:以上药物等分研末。取两大钱药末,加水一盏,煎至六分;另取少许腻粉(轻粉),在干燥的盏中研匀,混合后通口服下。如果是结肠翻胃(一种严重的胃部疾病,表现为朝食暮吐或暮食朝吐),则使用虚寒门中的乌药丸之后再用此方,小儿用量减半。
(附:哽气)
《宝鉴》记载:小儿出现气逆症状,是因为乳母烦恼、忧闷,导致乳汁之气凝滞于胸中,冲击乳汁,婴儿饮用后致病。症状表现为面色黄白,吃奶减少,夜间啼哭,精神萎靡无光彩。此时不要强行催吐,催吐会使病情加重。
配方:薤白(五两)、黍米。
制法与用法:将五味药切碎,用水七升先煎煮药物,煎取一升药液,然后加入薤白和黍米,待米熟药成。少量多次服用。
《仙人水鉴》记载:小儿患哽气(指咽喉阻塞不通),感觉患病时就应服用此方。
配方:水蛭、冬青叶、白樟木叶。
制法与用法:以上药物各取少许,捣碎取汁,灌服即可痊愈。
《聚宝方》透关丸:治疗小儿哽气,是调理心经的方剂。
配方:续随子(半两)、大黄(三钱,研末)、长槟榔(一枚)、木通(半钱,研末)、甘遂、大戟(各研末一钱)、腻粉(一钱匕)。
制法与用法:除腻粉外,将其他药末与续随子一同捣碎,用马尾罗筛去续随子的皮不用,然后将药末与童子尿、处女尿拌匀(称为“阴阳酒”)。加入腻粉调成硬糊状,日晒稍干后,用水和蜂蜜制成绿豆大小的丸剂。每次服用二十丸,用煎好的灯心草、竹叶汤送下。一个时辰内,以小便颜色改变为见效标志。五岁以下小儿服七丸,十岁以下服十丸。可根据情况加减,汤剂使用方法同上。
《王氏手集》橘红膏方:治疗小儿气病。
配方:红橘皮(去瓤)、川芎、白术、当归(各等分)。
制法与用法:以上药物共同研末,用炼蜜调和成膏。根据患儿年龄大小,用米饮化开服用。
《王氏手集》木香分气丸:调理各种气机阻滞。
配方:青橘皮(一两)、牵牛子(二两,炒熟)、木香(一分)。
制法与用法:研为细末,用面糊制成绿豆大小的丸剂。每次用生姜汤送服五丸,也可服七丸、八丸。
《吉氏家传》真珠散:治疗哽气。
配方:真珠(珍珠)、生犀角(各半两)、龙脑(一字)、香附子(四钱,去毛洗净)。
制法与用法:研为细末,每次服用半钱,用人参汤送下。
长沙医生郑愈传授的调气桂枝散:催吐后均可服用。
配方:赤芍药、桂心、藿香、白术(各二钱)。
制法与用法:研为末,每次服用半钱,用饭饮调服。
*The Immortal's Water Mirror* records: For infants suffering from Ge Qi (a syndrome characterized by obstruction of qi in the chest and diaphragm, leading to difficulty swallowing or vomiting), it is appropriate to administer Taohua Sanzi Formula.
Ingredients: Taohua (Peach Blossom, 2 qian), Banxia (Pinellia Rhizome, 6 qian), Houpo (Magnolia Bark), Guizhi (Cinnamon Twig, each 1 fen), Ganjiang (Dried Ginger), Yanxiao (Natrii Sulfas, each 2 fen), Jiangdou (Jiang Dou Bean), Dangmenshen (Moschus/Musk, each 1 unit).
Preparation and Administration: Crush and grind the above ingredients into a powder. On an empty stomach, mix one qian with boiled water and take orally. After a short while, the patient will naturally be able to eat again. The nursing mother must avoid consuming alcohol, meat, and hot noodles.
*Bao Tong Fang* treats infant Ge Qi accompanied by sensation of choking and oppression, stabbing pain in both hypochondria, regurgitation of sour fluid, wandering masses of qi, pain, and irritability.
Ingredients: Binglang (Areca Seed), Mutong (Akebia Stem), Gancao (Licorice Root, honey-fried), Baiye (Cupressus Leaf, boiled until yellow), Banxia (Pinellia Rhizome).
Preparation and Administration: Grind the above equal parts into powder. Take two large qian of the powder, add one cup of water, and decoct until six-tenths remains. Take a small amount of Nifen (Calomel/Calomelous Mercury), grind it evenly in a dry cup, mix with the decoction, and administer orally. If the condition involves Changjie Fanwei (Intestinal Obstruction with Regurgitation/Vomiting), use this formula after administering Wuyao Wan from the Deficiency-Cold section; reduce the dose for infants by half.
(Attached: Geng Qi)
*Bao Jian* records: Infant Qi Ni (Rebellious Qi) arises because the nursing mother experiences distress and depression, causing the qi of the milk to stagnate in her chest and strike the milk. When the infant drinks this, illness results. Symptoms include sallow-white complexion, reduced milk intake, night crying, and lackluster spirit without vitality. Do not induce vomiting at this stage, as doing so will exacerbate the condition.
Ingredients: Xie (Allium Macrostemon Bulb, 5 liang), Shumi (Millet Grain).
Preparation and Administration: Cut the five medicinal materials. Decoct them in seven sheng of water first, reducing to one sheng of liquid. Then add the Xie and millet grain, cooking until the rice is done and the medicine is ready. Administer in small, frequent doses.
*The Immortal's Water Mirror* records: For infants suffering from Geng Qi (obstruction in the throat), administer this formula as soon as the onset of illness is felt.
Ingredients: Shizhui (Hirudo/Leech), Dongqingye (Ilex Aquifolioides Leaf), Baizhangmuye (Cinnamomum Camphora Leaf).
Preparation and Administration: Take a small amount of each, crush to extract juice, and instill orally for recovery.
*Ju Bao Fang* Touguan Wan: Treats infant Geng Qi; a formula regulating the Heart Meridian.
Ingredients: Xuisui Zi (Euphorbia Lathyris Seed, half liang), Dahuang (Rhubarb Root, 3 qian, powdered), Changbinglang (Long Areca Nut, one piece), Mutong (Akebia Stem, half qian, powdered), Gansui (Kansui Root), Daji (Euphorbia Pekinensis Root, each one qian, powdered), Nifen (Calomel, one qian bi).
Preparation and Administration: Excluding the Nifen, pound the other powders together with the Xuisui Zi. Sieve through a horsehair sieve to remove the husk of Xuisui Zi. Mix the powder with urine from a young boy and virgin girl (called "Yin-Yang Wine"). Add the Nifen to form a hard paste. Sun-dry until slightly dry, then make pills the size of mung beans using water and honey. Take twenty pills per dose, administered with a decoction of Dengxincao (Juncus Effusus) and Zhuye (Bamboo Leaf). Effectiveness is indicated by a change in urine color within one shichen (two hours). Infants under five years old take seven pills; those under ten take ten pills. Adjust dosage as needed, following the same administration method.
*Wang Shi Shou Ji* Juhong Gao: Treats infant Qi disorders.
Ingredients: Hongjupi (Red Tangerine Peel, pith removed), Xiong (Ligusticum Chuanxiong Rhizome), Baizhu (Atractylodes Macrocephala Rhizome), Danggui (Angelica Sinensis Root, all in equal proportions).
Preparation and Administration: Grind all ingredients into powder. Mix with refined honey to form a paste. Dissolve an appropriate amount based on the child's age in Mi Yin (rice drink) and administer.
*Wang Shi Shou Ji* Muxiang Fenqi Wan: Regulates all types of Qi stagnation.
Ingredients: Qingjupi (Green Tangerine Peel, 1 liang), Qianniu (Pharbitis Seed, 2 liang, stir-fried until ripe), Muxiang (Vladimiria Root, 1 fen).
Preparation and Administration: Grind into fine powder. Form pills the size of mung beans using wheat paste. Take five pills (or seven to eight pills) with Ginger Soup.
*Ji Shi Jia Chuan* Zhenzhu San: Treats Geng Qi.
Ingredients: Zhenzhu (Pearl), Shengxi (Fresh Rhinoceros Horn, each half liang), Longnao (Borneol, one zi), Xiangfuzi (Cyperi Rhizome, 4 qian, de-haired, cleaned, and washed).
Preparation and Administration: Grind into fine powder. Take half a qian per dose, administered with Ginseng Soup.
Zheng Yu, a physician from Changsha, transmitted Tiaoqi Guizhi San: Can be taken after inducing vomiting.
Ingredients: Chi Shaoyao (Red Peony Root), Guixin (Cinnamon Heart), Huoxiang (Patchouli Herb), Baizhu (Atractylodes Macrocephala Rhizome, each 2 qian).
Preparation and Administration: Grind into powder. Take half a qian per dose, mixed with rice drink.
*Qian Jin* Moxibustion Method: For inability to eat, fullness in the chest, and rebellious Qi causing heat and oppression above the diaphragm, moxa-vestigate Xinshu (BL-15) with 2 to 7 moxa cones. Reduce the number of cones for infants.