(继病附)
《巢氏病源》小儿被 候∶小儿所以有 病者,妇人怀妊,有恶神导其腹中胎, 嫉而制伏他,小儿令病也。
妊娠妇人,不必悉能致 ,人时有此耳。 之为疾,喜微微下,寒热有去来,毫毛、鬓发、 不悦是其证也。
《千金》论曰∶ 者,小鬼也(音奇。)宜服龙胆汤(方见痫门中。)凡妇人先有小儿,未能行
而母更有娠,使儿饮此乳亦
作也。令儿黄瘦骨立,发落壮热是其证也。今继病是此证。
《婴童宝鉴》∶小儿微痢腹胀,寒热去来,毛发 曰 疾( 音奇)是小儿鬼也。盖母腹有妊娠,即腹中子之灵
识之嫉 也,非母之 乎。缘百灵娠妇身外,其婴儿眼净即畏之,致此患也。
《千金》治 方。
炙伏翼,热嚼哺之。
《千金》治少小客 挟实。白藓皮汤方
白藓皮 大黄 甘草(炙。各一两) 芍药 茯苓 细辛 桂心(各十八铢)
上七味 咀,以水二升,煮取九合,分三服。
《千金翼》∶白马眼主小儿 ,母带之。
《圣惠》治小儿中 ,面色白赤而复变青者。如醉色,故复发作面赤。若青黑色绕口,不治。觉病候晚者,死。
觉之早者,所中邪气未入脏腑。又微引乳者,可服此甘草散方(与中客忤门中方同,而分两不同,又此不用竹沥煎。)
甘草(炙微赤,锉) 龙骨 赤茯苓 牡蛎(烧为粉) 生干地黄 黄芩 桂心(各一分) 当归(半两锉,微炒)
上件药捣,精罗为散。每服一钱,以水一小盏,入淡竹叶七片,煎至五分,去滓,入白蜜一钱,更煎一、
两沸,量儿大小以意分减。温服,日三、四服。
《圣惠》治小儿中 挟实。宜服大黄丸方
川大黄(锉碎,微炒) 白藓皮 甘草(炙微赤,锉。各半两) 犀角屑 黄芩 赤茯苓 赤芍药(以上各一分)
上件药捣,粗罗为散。每服一钱,以水一小盏,煎至五分,去滓,量儿大小加减服,日三、四服。
《圣惠》治小儿生十余月后,母又有娠,令儿精神不爽,身骨萎瘁,名为 病。宜服伏翼散方
上取伏翼烧为灰,细研,以粥饮调下半钱,日四、五服效。若炙令香熟嚼之,哺儿亦效。(《千金》以此方治 ,亦
治继病,大抵二病不相远。)
《圣惠》又方
冬瓜(切) 竹(锉)
上件各四两,以水三升煎作汤,放温,以洗浴儿效。(《千金》亦以治 。)
《圣惠》又方
龙胆(半两,去芦头)
上以水一中盏煎至六分,去滓,量儿大小,渐渐分减服之。
张涣虎骨丹方 治被 病。
虎头骨(微炙) 鬼臼(去毛) 草龙胆 鬼箭(以上各一分) 琥珀 白胶香(以上各半两)
上件捣,罗为细末,炼蜜和如黍米大。每服十粒,乳香汤下,量儿大小加减。
继病。《本草》伯劳毛,主小儿继病。继病者,母有娠乳儿,儿有病如疟、痢,他日亦相继腹大,或瘥或
发。他人相近,亦能相继。北人未识此病,怀妊者取毛带之。
(附于继病之后)
《巢氏病源》中关于小儿“被”病的证候:小儿之所以患这种病,是因为妇女怀孕时,有恶神引导腹中的胎气,嫉妒并压制其他孩子,导致小儿生病。
怀孕的妇女,并不一定都能导致这种病,只是偶尔会有这种情况。“被”这种疾病,喜欢表现为微微腹泻,寒热往来,毫毛、鬓发枯焦不润是其症状。
《千金方》论述说:“被”就是小鬼(读音同“奇”)。适宜服用龙胆汤(方剂见痫证门中)。凡是妇人先前已有小儿,孩子还不会走路,而母亲再次怀孕,让孩子喝这个母亲的乳汁,也会引发此病。使孩子面色黄瘦、骨骼突出,头发脱落、壮热是其症状。现在的“继病”就是这种症状。
《婴童宝鉴》记载:小儿轻微痢疾、腹胀,寒热往来,毛发枯焦称为“被”疾(读音同“奇”),这是小儿鬼祟所致。大概是因为母亲腹中有妊娠,腹中胎儿的灵识识别出哥哥姐姐,产生嫉妒,并非母亲有意加害。因为百灵(神灵)在孕妇身外,婴儿眼睛清净所以畏惧它,导致这种祸患。
《千金方》治疗“被”病的方子。
炙烤伏翼(蝙蝠),加热后嚼碎喂给孩子。
《千金方》治疗小儿客忤挟实证的白鲜皮汤方
白鲜皮 大黄 甘草(炙。各一两) 芍药 茯苓 细辛 桂心(各十八铢)
以上七味药捣碎,用水二升,煮取九合,分三次服用。
《千金翼方》:白马眼(马眼球)主治小儿“被”病,母亲佩戴它。
《圣惠方》治疗小儿中邪,面色白赤后又变青的。像醉酒的颜色,所以再次发作时面红。如果青黑色环绕口唇,无法治愈。发觉病情晚的,会死亡。
发觉早的,所中的邪气尚未进入脏腑。又轻微吮吸乳头的,可以服用此甘草散方(与中客忤门中的方子相同,但分量不同,且此方不用竹沥煎煮。)
甘草(炙微赤,锉碎) 龙骨 赤茯苓 牡蛎(烧成粉) 生干地黄 黄芩 桂心(各一分) 当归(半两锉碎,微炒)
以上药物捣碎,精细过筛为散剂。每次服用一钱,用水一小盏,加入淡竹叶七片,煎至五分,去渣,加入白蜜一钱,再煎一二沸,根据孩子大小酌情减量。温服,每日三、四次服用。
《圣惠方》治疗小儿中邪挟实证。适宜服用大黄丸方
川大黄(锉碎,微炒) 白鲜皮 甘草(炙微赤,锉碎。各半两) 犀角屑 黄芩 赤茯苓 赤芍药(以上各一分)
以上药物捣碎,粗过筛为散剂。每次服用一钱,用水一小盏,煎至五分,去渣,根据孩子大小加减服用,每日三、四次服用。
《圣惠方》治疗小儿出生十余月后,母亲又有身孕,导致孩子精神不爽,身体骨骼萎缩憔悴,命名为“被”病。适宜服用伏翼散方
以上取伏翼烧成灰,细细研磨,用米粥汁调服半钱,每日四、五次,见效。如果烤香熟嚼碎,喂给孩子也有效。(《千金方》用此方治疗“被”,也治疗“继病”,大体上这两种病不相远。)
《圣惠方》另一个方子
冬瓜(切片) 竹(锉碎)
以上各四两,用水三升煎成汤,放温,用来洗浴孩子有效。(《千金方》也用于治疗“被”。)
《圣惠方》又一个方子
龙胆(半两,去芦头)
以上用水一中盏煎至六分,去渣,根据孩子大小,渐渐减量服用。
张涣虎骨丹方 治疗被“被”病。
虎头骨(微炙) 鬼臼(去毛) 草龙胆 鬼箭(以上各一分) 琥珀 白胶香(以上各半两)
以上药物捣碎,过筛为细末,炼蜜调和如黍米大小。每次服用十粒,用乳香汤送下,根据孩子大小加减。
继病。《本草》记载伯劳鸟的毛,主治小儿继病。所谓继病,是母亲有身孕时哺乳孩子,孩子生病如疟疾、痢疾,日后也会相继腹部肿大,或痊愈或复发。他人靠近,也能相继感染。北方人不认识这种病,怀孕的人取伯劳毛佩戴它。
(Applied to the condition of "Ji Bing")
*Chao Shi Bing Yuan* (Source of Diseases by Chao) on the syndrome of infants suffering from "Bei" (Ghostly Affliction): The reason infants suffer from this disease is that when a woman is pregnant, evil spirits guide the fetal qi in her womb, becoming jealous and suppressing other children, causing illness in them.
Pregnant women do not necessarily all cause this disease; it occurs only occasionally. This disease called "Bei" tends to present with slight diarrhea, alternating chills and fever, and dry, brittle hair and sideburns as its symptoms.
*Qian Jin Fang* (Essential Prescriptions Worth a Thousand Gold) states: "Bei" refers to little ghosts (pronounced 'qi'). It is appropriate to take Long Dan Tang (Gentian Decoction) (formula see section on Epilepsy). Whenever a woman previously had an infant who could not yet walk, and then becomes pregnant again, allowing the child to drink her milk will also induce this disease. It causes the child to become sallow and emaciated with prominent bones, hair loss, and high fever as symptoms. The current "Ji Bing" (Successive Disease) corresponds to these symptoms.
*Ying Tong Bao Jian* (Precious Mirror for Infants and Children): Infants with mild dysentery, abdominal distension, alternating chills and fever, and withered hair are said to have "Bei" disease (pronounced 'qi'), which is caused by infant ghostly afflictions. This is likely because the fetus in the mother's womb recognizes the older sibling through spiritual awareness and feels jealousy, rather than the mother intentionally harming the child. Because various spirits exist outside the pregnant woman's body, and infants have pure vision, they fear these spirits, leading to this affliction.
*Qian Jin Fang* treatment formula for "Bei".
Roast *Vespertilio superans* (Bat), heat it, chew it thoroughly, and feed it to the child.
*Qian Jin Fang* Bai Xian Pi Tang (White Bark Decoction) for treating young children with Ke Wu (Guest Hostility) complicated by excess.
*Bai Xian Pi* (Dictamni Cortex), *Da Huang* (Rhei Radix et Rhizoma), *Gan Cao* (Glycyrrhizae Radix et Rhizoma - roasted, each 1 liang), *Shao Yao* (Paeoniae Radix), *Fu Ling* (Poria), *Xi Xin* (Asari Radix et Rhizoma), *Gui Xin* (Cinnamomi Ramulus - each 18 zhu).
The above seven ingredients are crushed, boiled in 2 sheng of water until reduced to 9 he, and divided into three doses.
*Qian Jin Yi* (Supplement to Essential Prescriptions Worth a Thousand Gold): Horse eye (eyeball) treats infant "Bei"; the mother should carry it.
*Sheng Hui Fang* (Holy惠民 Formulas) treats infants struck by evil spirits where the complexion turns white and red, then changes to green. Like the color of drunkenness, so upon recurrence, the face becomes red. If blackish-green surrounds the mouth, it is incurable. If the disease signs are noticed late, death ensues.
If noticed early, the evil qi has not yet entered the zang-fu organs. If the child sucks milk slightly, one may administer this Gan Cao San (Licorice Powder) formula (same as the formula in the Guest Hostility section but with different dosages, and without bamboo sap decoction).
*Gan Cao* (Licorice Root - roasted until slightly reddish, cut), *Long Gu* (Fossilized Bones), *Chi Fu Ling* (Red Poria), *Mu Li* (Oyster Shell - calcined to powder), *Sheng Di Huang* (Rehmanniae Radix), *Huang Qin* (Scutellariae Radix), *Gui Xin* (Cinnamon Twig Heart - each 1 fen), *Dang Gui* (Angelicae Sinensis Radix - half liang, cut, lightly fried).
The above medicines are pounded, finely sifted into a powder. Take 1 qian per dose, with a small cup of water, add 7 slices of light bamboo leaves, decoct until reduced to 0.5 cup, strain, add 1 qian of white honey, boil once or twice more, and reduce according to the child's size. Take warm, 3-4 times daily.
*Sheng Hui Fang* treats infants struck by evil spirits complicated by excess. It is suitable to take Da Huang Wan (Rhubarb Pill).
*Chuan Da Huang* (Sichuan Rhubarb - cut, lightly fried), *Bai Xian Pi* (Dictamni Cortex), *Gan Cao* (Licorice Root - roasted until slightly reddish, cut, each half liang), *Xi Jiao* (Rhinoceros Horn - shaved), *Huang Qin* (Scutellariae Radix), *Chi Fu Ling* (Red Poria), *Chi Shao Yao* (Red Peony Root - each 1 fen).
The above medicines are pounded, coarsely sifted into a powder. Take 1 qian per dose, with a small cup of water, decoct until reduced to 0.5 cup, strain, and adjust dosage according to the child's size, 3-4 times daily.
*Sheng Hui Fang* treats infants over ten months old whose mothers become pregnant again, causing the child to feel mentally dull and physically emaciated, named "Bei" disease. It is suitable to take Fu Yi San (Bat Powder).
Take *Fu Yi* (Bat), burn to ash, grind finely, mix with rice water to take half a qian, 4-5 times daily for effect. If roasted until fragrant and chewed, feeding it to the child is also effective. (*Qian Jin Fang* uses this formula to treat "Bei", and also treats "Ji Bing"; generally, these two diseases are similar.)
*Sheng Hui Fang* another formula.
*Dong Gua* (Winter Melon - sliced), *Zhu* (Bamboo - cut).
Each four liang, decoct in three sheng of water to make soup, let cool to warm temperature, use to bathe the child for effect. (*Qian Jin Fang* also uses this to treat "Bei".)
*Sheng Hui Fang* another formula.
*Long Dan* (Gentian Root - half liang, remove root head).
Decoct in one medium cup of water until reduced to 0.6 cup, strain, and gradually reduce dosage according to the child's size.
Zhang Huan's Hu Gu Dan (Tiger Bone Pill) formula treats "Bei" disease.
*Tiger Head Bone* (lightly roasted), *Gui Jiu* (Podophylli Fructus - remove hairs), *Cao Long Dan* (Herbal Gentian), *Gui Jian* (Cornus Branch - each 1 fen), *Hu Po* (Amber), *Bai Jiao Xiang* (White Copal Resin - each half liang).
The above ingredients are pounded, sifted into fine powder, mixed with refined honey into pills the size of millet seeds. Take 10 pills per dose, washed down with Frankincense Water, adjusting according to the child's size.
Ji Bing (Successive Disease). *Ben Cao* (Materia Medica) states that *Bolao Mao* (Tailorbird Hair) treats infant Ji Bing. Ji Bing refers to when a mother is pregnant while breastfeeding, the child falls ill like malaria or dysentery, and later others may sequentially develop abdominal swelling, recovering or relapsing. Proximity to others can also lead to sequential infection. People in the North do not recognize this disease; pregnant women take the hair and wear it.