《素问》通评虚实论∶帝曰∶乳子而病热,脉细小者何如?岐伯曰∶手足温则生,寒则死。乳子中风热,喘
鸣肩息者,脉何如?岐伯曰∶喘鸣肩息者,脉实大也。缓则生,急则死。
《圣惠》论∶夫小儿心肺壅滞,内有积热。因母解脱,风邪伤于皮毛,入于脏腑,则令恶风壮热。胸膈烦闷,
目涩多渴,故曰风热也。
汉东王先生《家宝》∶小儿发热,烦叫不时,面青,谓之风热。
钱乙论急欲乳不能食云∶犹客风热传于脐腹,流入心脾经,即舌浓唇燥,口不能吮乳,当凉心脾。
《颅囟经》治孩儿风热。侧柏散方
侧柏 郁金 天麻(酒浸一宿) 干蝎 天南星 地黄(去土) 子芩 大黄(以上各半两)
上为散。治风及惊,暖酒下,退热,每夜熟水下半钱。
《元和纪用经》蜀脂饮 主小儿百病。服之消风凉肌,解热止烦,不生疮疖; 除寒热痰涎,赤目咽痛,血痢渴
躁。
长肌肉,利心肺,有补身体。有疮脓溃亦肿,悉能疗之。
蜀脂(炙黄 也,一味末之。黄 生陇西即阳者,火焦色黄白,甘美,生白水者冷补,性陇西省最
好,皮赤色,专主消疮磨肿。出原宁宜洲者亦佳,折之若绵不断者为上等也) 甘草(四分之一)
上为末,方寸匕,水一升,煎三分,减一分、三服。温凉通性,大小以岁加减之。一方每服水五合,
二说不同。今以药末随病、随岁揆度而准之。《经》以四味饮、黑散丸、至圣散、五加皮治,不能行麝香
丸。此蜀脂饮七方,谓之育婴七宝,紫阳道士一方名保子七圣至宝方,专为一书者,此方是也。
《圣惠》治小儿风热,心膈烦闷,身体壮热,嗜睡多渴。羚羊角散方
羚羊角(屑) 麦门冬(去心) 甘草(炙微赤,锉。各三分) 白藓皮 川升麻 茯神 人参(去芦头) 黄
(锉。各半两)
上件药捣,筛为散。每服一钱,以水一小盏,煎至五分,去滓,入竹沥半合,更煎一两沸,分为二服。更
量儿大小以意分减,温服。
《圣惠》治小儿心肺风热壅滞,胸膈不利。白藓皮散方
白藓皮 犀角(屑) 黄芩 知母 防风 沙参 人参(三味去芦头。以上各半两) 甘草(一分,炙微赤,锉)
上件药捣,筛为散。每服一钱,以水一小盏,煎至五分,去滓。量儿大小分减温服。
《圣惠》治小儿肝肺风壅,致心膈不利,痰嗽。大麻仁散方
大麻仁 犀角(屑) 百合 杏仁(汤浸,去皮尖、双仁,麸炒微黄。以上各半两) 槟榔(一分) 牛
黄龙脑(各细研,一钱)
上件药捣,细罗为散。煎生姜甘草汤调下半钱。量儿大小以意加减。
《圣惠》治小儿风热,心神烦躁,少得睡。牛黄丸方
牛黄(一钱,细研) 朱砂(细研,水飞过) 犀角(屑) 川升麻(各半两) 人参 防风(各去
芦头) 麦门冬(去心,焙) 黄芩 赤茯苓 甘草(炙微赤,锉。各一分)
上件药捣,罗为散,入研了药,更研令匀,炼蜜和丸如绿豆大。每服煎竹叶汤研下五丸,日三、四服。量
儿大小加减服之。
《圣惠》治小儿风热,心神惊悸,卧不眠安。真珠丸方
真珠(末) 龙胆 防风(各去芦头) 羌活 钩藤 川升麻 天竺黄 牛黄(二味细研。
各一分) 茯神 人参(去芦头) 羚羊角(屑) 犀角(屑。各半两) 铅霜 脑、麝(并细研,一钱)
上件药捣,罗为末,入研了药,都研令匀,炼蜜和丸如绿豆大。每服以荆芥薄荷汤研下五丸,日三、四服。
量儿大小加减。
《圣惠》治小儿心肺风热。龙胆丸方
龙胆(三钱,去芦头) 牛黄(一钱,细研) 川大黄 胡黄连 犀角(屑。各二钱)
上件药捣,罗为细末,入牛黄都研令匀,炼蜜和丸如绿豆大。每服以薄荷汤化破,服五丸。量儿大小以意
加减。
《圣惠》治小儿风热,心神惊悸。犀角丸方
犀角(屑) 天竺黄(研) 朱砂(研,水飞过) 铁粉 人参 赤茯苓(各半两) 牛黄 脑麝(各
研,一钱) 铅霜(研) 蚱蝉(锉,炒) 白附
子(炮裂。各一分)
上件药捣,罗为末,入研了药,都研令匀。炼蜜和捣一、二百杵,丸如梧桐子大。每服以薄荷汤研下三丸。
量儿大小以意加减。
《圣惠》治小儿风热,镇心安神化涎。铅霜丸方
铅霜 牛黄 天竺黄 麝香(各研) 天麻 甘草(炙。各一钱) 茯神 人参(各二钱) 龙脑(一分,
研) 朱砂(半两,细研,水飞过)
上件药捣,罗为末,入研了药,都研令匀。炼蜜和捣一、二百杵,丸如梧桐子大。不计时候,以薄荷汤研
下一丸。量儿大小,以意加减。
《圣惠》治小儿风热多惊。朱砂丸方
朱砂(细研,水飞过) 茯神 柴胡(去苗) 铁粉(细研) 麦门冬(去心,焙。各半两) 天竺黄(细
研) 人参(去芦头) 黄 (锉) 黄芩 甘草(炙微赤,锉。各一分) 牛黄 麝香(各细研,一钱)
上件药捣,罗为末,入研了药,更研令匀,炼蜜和丸如绿豆大。每服煎竹叶汤研下五丸。量儿大小以意加减。
《圣惠》治小儿心肺风热,多惊镇心。铅霜散方
铅霜 天竺黄(各细研一分) 柏子仁 白附子(炮裂) 牛黄 脑麝(各细研一钱) 朱砂(二钱,细研)
上件药捣、细罗为散,入研了药,都研令匀。每服以荆芥薄荷汤调下半钱,日三、四服。量儿大小以意加减。
《圣惠》治小儿风热,心胸烦闷。牛黄散方
牛黄(一分,细研) 郁金(末,半两) 人参(末,一钱)
上件药都研令匀。每服以荆芥汤调下半钱,日三、四服。量儿大小以意加减。
《圣惠》治小儿心脏风热,昏愦躁闷,不能下食。梨汤粥方
梨(三枚,切) 粳米(一分)
上以水二升,煮梨取汁一盏,去渣投米煮粥食之。
《圣惠》治小儿心脏风热,精神恍惚。淡竹叶粥方
淡竹叶(一握) 粳米(一合) 茵陈(半两)
上以水二大盏,煎二味取汁一盏。去渣,投米作粥食之。
《圣惠》治小儿风热呕吐,头痛惊啼。葛根粥方
葛根(一两) 粳米(一合)
上以水二大盏,煎至一盏,去滓,下米作粥,入姜、蜜少许食之。
《灵苑》治小儿惊风内热,浑身如火,心胸烦闷,不思饮食,吐逆不止及诸般风热,大效。三解散
川大黄(微炒) 芍药 甘草(炙) 干蝎 白僵蚕 桔梗 人参 郁金(各一分) 白附子 防
风(各半两) 黄芩(半两)
上件药一十一味并同捣,罗为细散。如浑身壮热,吐泻不止,用防风、麦芽煎汤调下一字,或半钱,或一
钱。量儿大小加减服之。若只浑身热、用甘草、柳枝煎汤下。如不退,用熟蜜、牛蒡子、薄荷汤调下。如吐
泻不止者,则用后方。
肉豆蔻(三个,用糊饼面裹,煨熟,候冷取出)
上为细末,却取裹者面和杵,为丸如绿豆大。每服用饮汤吞下五丸至七丸,立止。
《灵苑》甘露丸解毒退风热,治口舌干燥,心烦身热,夜卧惊悸,狂躁等候。(方见膈热门,太医局方同。)
太医局洗心散 治风壅壮热,头目昏痛,肩背拘急,肢节烦疼,热气上冲,口苦唇焦,咽喉肿痛,痰涎壅滞,
涕唾稠粘,心神烦躁,眼涩睛疼;及寒壅不调,鼻塞声重,咽干多渴,五心烦热,小便赤涩,大便秘滞。
大黄(面裹煨,去面切,焙) 甘草( ) 当归(去苗,洗) 麻黄(汤浴,不去节,焙干,秤) 芍
药荆芥穗(各六十两) 白术(一十五两)
上为细末。每服二钱,水一盏,入生姜、薄荷各少许,同煎至七分,去滓温服。如小儿麸豆疮疹,欲发先
狂语、多渴及惊风积热,可服一钱,并临卧服。如大人五脏壅实,欲要溏转,加至四、五钱,乘热服之。
太医局牛黄生犀丸 治风盛痰壅,头痛目眩,咽膈烦闷,神思恍惚,心忪面赤,口干多渴,睡卧不安,小便赤
涩,大便多秘,小儿风热痰壅。
牛黄(研) 生犀(镑。各二两半) 牙硝(研) 半夏(用白矾制) 天麻(去苗。各二十两) 羚
羊角(镑) 腻粉 黄丹(各研) 雄黄(水飞。各五两)
龙齿(水飞) 朱砂(飞研。各十两) 龙脑(研,二两半) 水银(用铅结砂子,秤十两)
上为末,炼蜜为丸,每两作二十丸。每服一丸,温薄荷汤化下。中风涎潮,牙关紧急,昏迷不省,用腻
粉一钱,药三丸,生姜自然汁七点,薄荷水同化下。得吐或利,逐出痰涎即愈。小儿风热痰壅,睡卧不安,
上窜 齿,每服半丸。加急惊风,涎潮搐搦,眼目戴上,牙关紧急,用腻粉半钱,生姜自然汁三、五点,薄
荷水同化下一丸,更看岁数大小加减。
太医局如圣汤 治风热毒瓦斯上攻,咽喉痛,喉痹肿塞妨闷,及肺壅咳嗽,咯唾脓血,胸满振寒,咽干不渴,时
出浊沫,气息腥臭,久久吐脓,状如米粥。又治伤寒咽痛。
桔梗(一两) 甘草(锉,炒,二两)
上为粗末。每服二钱,水一盏,煎七分,去滓温服。小儿时时呷服,食后临卧。
太医局龙脑饮子 治大人、小儿蕴积邪热,咽喉肿痛,赤眼口疮,心烦鼻衄,咽干多渴,睡卧不宁;及除痰热
咳嗽,中暑烦躁,一切风壅,并宜服之。
甘草(十斤,蜜 ) 藿香叶(一斤半) 石膏(四十两,细研) 缩砂仁 栝蒌根(各三十两) 大栀子(
一百二十两,去皮,微炒)
上为末。每服一钱至二钱,用新水入蜜调下。又治伤寒余毒,潮热虚汗,用药二钱,水一盏,入竹叶五、
六片,煎七分,温,并食后服。
太医局清凉饮子 治小儿血脉壅实,腑脏生热,颊赤多渴,五心烦躁,睡卧不宁,四肢惊掣,及因乳哺不时,
寒温失度,令儿血气不理,肠胃不调。或温壮连滞,欲成伏热;或壮热不歇,欲发惊痫。又治风热结核,头
面疮疖,目赤咽痛,疮疹余毒,一切壅滞,并宜服之。
大黄(米下蒸,切,焙) 赤芍药 当归(去芦头) 甘草(炙)
上等分,为粗末。每服一钱,水一中盏,煎至七分,去渣温服。量儿大小、虚实加减,微溏利为度。食后
临卧服。
太医局消毒散 治小儿疮疹已出,未能匀透,及毒瓦斯壅遏,虽出不快,壮热狂躁,咽膈壅塞,睡卧不安,大便
秘涩。及治大人、小儿风热,上膈壅热,咽喉肿痛,胸膈不利方。
牛蒡子( ,六两) 甘草(炙,二两) 荆芥穗(一两)
上为粗末。每服一钱,用水一盏煎七分,去滓温服,食后。小儿量力少少与之。如治疮疹,若大便利者,
不宜服之。
太医局惺惺散 治小儿风热疮疹,伤寒时气,头痛壮热,目涩多睡,咳嗽喘粗,鼻塞流涕方。
桔梗 细辛(去叶) 人参(去芦头) 甘草(炙) 白茯苓(去皮) 栝蒌根 白术(各一两)
上七味同杵,罗为末。每服一钱,水一小盏,入薄荷三叶,同煎至四分,温服。如要和气,即入生姜煎
服。不计时候。
太医局鹤顶丹 治大人、小儿风热痰实,咽膈不利,口干烦渴,睡卧不安,及中暑头痛,躁渴不解方。
寒水石粉(一百一十两) 麝香(研,二两半) 甘草(锉,炒为末,三十五两) 朱砂(飞研,一百两) 牙
硝(枯过,研,一百二十五两)
上合研匀,炼蜜搜和,每一两二钱作十丸。大人温生姜水化下一丸。如治中暑,入生龙脑少许,同研细。
新水化下。小儿一丸分四服,更量大小加减。又治小儿腑脏积热,心神不宁,夜卧狂叫,口舌生疮,用薄荷
自然汁化下,并食后服。
《谭氏殊圣》治小儿风热,狂语烦躁。养心丹
安息香(一两半) 朱砂(飞过,一两) 真珠(末,三分) 玳瑁(三钱,水磨成粉) 牛黄 脑子(各一分)
上研令细,以重汤酒煮,安息香膏和匀,丸如绿豆大。食后临卧,人参汤下三、五丸。
《婴孺》枳实丸 治小儿瘙痒,痒痛如疥,搔之汁出,身中 如麻豆,年年喜发,面目虚肥,毛发细黄,皮
肤薄而光泽,时生鼻气。此是少时热盛极,体当风中,风热相搏所得也,不治成大风疾方。
枳实(六分,炒) 菊花 蛇床子 防风 白薇 蒺藜 浮萍草(各四分) 天雄(炮) 麻黄(去节) 漏芦(各
二分)
上为末,蜜丸大豆许。五岁饮服十丸至二十丸,至大者儿并大人可散服方寸匕,酒服。量儿岁与之。
钱乙抱龙丸 治伤风温疫,身热昏睡,气粗风热,痰实壅嗽;治惊风潮搐及蛊毒中暑,沐浴后并可服。壮实小
儿宜时与服之。
天竺黄(一两) 雄黄(水飞,一分) 辰砂 麝香(各研半两) 天南星(四两,腊月酿牛胆中,阴干
百日,如无,只将生者去皮脐,锉,炒干用,然不及。)
上为细末,煮甘草水和丸皂子大,温水化下,服之。百日小儿每丸分作三、四服,五岁一、二丸,大人三、
五丸。亦治室女白带,伏暑,用盐少许,嚼一、二丸,新水送下。腊月中雪水煮甘草和药尤佳。一法用浆水
或新水浸天南星三日,候透软,煮三、五沸,取出乘软切去皮,只取白软者薄切,焙干炒黄色,取末八两,
《素问·通评虚实论》记载:黄帝问道:婴儿患热病,脉象细小,情况如何?岐伯回答:如果手足温暖就能存活,手足发凉则预后不良。婴儿感受风热之邪,出现气喘、喉间痰鸣、耸肩呼吸的症状,脉象应当怎样?岐伯回答:出现气喘、喉间痰鸣、耸肩呼吸症状的,脉象表现为实大。脉势缓和有神者生,脉势紧急躁急者死。
《太平圣惠方》论述:小儿心肺气机壅滞,体内有积热。因为母亲产后体虚(解脱),风邪侵袭皮毛,进而深入脏腑,就会导致恶风、高热。伴有胸膈烦闷不适,眼睛干涩、口渴多饮,所以称为风热证。
汉东王先生的《家宝》记载:小儿发热,烦躁啼叫不止,面色发青,这叫做风热。
钱乙在论述小儿急切想吃奶却因不能进食而哭闹时说:这如同风热之邪传变至脐腹,流入心经和脾经,导致舌苔厚腻、嘴唇干燥,口唇无力吮吸乳汁,治疗应当清凉心脾。
《颅囟经》治疗小儿风热,使用侧柏散方剂:
侧柏叶、郁金、天麻(用酒浸泡一夜)、全蝎、天南星、地黄(去除泥土)、黄芩、大黄(以上药材各半两)。
将上述药材研为散剂。用于治疗风邪及惊风,用温酒送服,可退热,每晚用熟水送服半钱。
《元和纪用经》中的蜀脂饮,主治小儿多种疾病。服用后可消散风邪、清凉肌肤,解除热邪、止住烦躁,不生疮疖;能消除寒热交替、痰涎、红眼、咽痛、血痢、口渴烦躁等症状。
能促进肌肉生长,有利心肺作用,有补益身体的功效。即使已有疮疡化脓溃烂肿胀,也能治愈。
蜀脂(炙烤至黄色,单味药研末。优质的蜀脂产于陇西阳地,火烤后色黄白,味甘美;产于白水者性冷补;陇西省产的最好,皮呈赤色,专门主治消疮磨肿。出产于原宁宜洲的也很好,折断时像绵絮一样不断的是上等品)半量,甘草四分之一量。
将药材研为末,每次取一方寸匕的量,用水一升,煎煮至剩余三分之一的量,减去一份,分三次服用。药性温和平和,用量根据患儿年龄大小增减。另一种说法是每次用水五合,两种说法不同。现在以药末根据病情和年龄斟酌确定剂量。《经》中提到的四味饮、黑散丸、至圣散、五加皮等治疗方法,不能替代麝香丸。这是蜀脂饮七方之一,被称为“育婴七宝”,紫阳道士的一方的名字叫“保子七圣至宝方”,专门为此书撰写的,就是这个方子。
《太平圣惠方》治疗小儿风热,心胸烦闷,身体高热,嗜睡且口渴多饮。使用羚羊角散方剂:
羚羊角(锉屑)、麦门冬(去心)、甘草(炙至微赤,锉碎,各三分)、白鲜皮、川升麻、茯神、人参(去芦头)、黄芪(锉碎,各半两)。
将上述药材捣碎,筛成散剂。每次服用一钱,用水一小盏,煎煮至五分,去渣,加入竹沥半合,再煎一两沸,分为两次服用。再根据孩子的大小酌情减量,温服。
《太平圣惠方》治疗小儿心肺风热壅滞,胸膈不利。使用白鲜皮散方剂:
白鲜皮、犀角(锉屑)、黄芩、知母、防风、沙参、人参(这三味去芦头,以上各半两)、甘草(一分,炙至微赤,锉碎)。
将上述药材捣碎,筛成散剂。每次服用一钱,用水一小盏,煎煮至五分,去渣。根据孩子的大小酌情减量温服。
《太平圣惠方》治疗小儿肝肺风邪壅盛,导致心膈不利,痰嗽。使用大麻仁散方剂:
大麻仁、犀角(锉屑)、百合、杏仁(热水浸泡,去皮尖及双仁,麸炒至微黄,以上各半两)、槟榔(一分)、牛黄、龙脑(各细研,一钱)。
将上述药材捣碎,细罗成散剂。煎生姜甘草汤调服半钱。根据孩子的大小酌情加减。
《太平圣惠方》治疗小儿风热,心神烦躁,睡眠少。使用牛黄丸方剂:
牛黄(一钱,细研)、朱砂(细研,水飞法处理)、犀角(锉屑)、川升麻(各半两)、人参、防风(各去芦头)、麦门冬(去心,焙干)、黄芩、赤茯苓、甘草(炙至微赤,锉碎,各一分)。
将上述药材捣碎,过筛成散剂,加入已研好的药物,再次研磨均匀,用炼蜜调和制成如绿豆大小的丸剂。每次服用时,用竹叶汤研化五丸,每日三到四次服用。根据孩子的大小酌情加减。
《太平圣惠方》治疗小儿风热,心神惊悸,卧不安稳。使用真珠丸方剂:
珍珠(研末)、龙胆、防风(各去芦头)、羌活、钩藤、川升麻、天竺黄、牛黄(这两味细研,各一分)、茯神、人参(去芦头)、羚羊角(锉屑)、犀角(锉屑,各半两)、铅霜、龙脑、麝香(均细研,一钱)。
将上述药材捣碎,过筛成末,加入已研好的药物,全部研磨均匀,用炼蜜调和制成如绿豆大小的丸剂。每次服用时,用荆芥薄荷汤研化五丸,每日三到四次服用。根据孩子的大小酌情加减。
《太平圣惠方》治疗小儿心肺风热。使用龙胆丸方剂:
龙胆(三钱,去芦头)、牛黄(一钱,细研)、川大黄、胡黄连、犀角(锉屑,各二钱)。
将上述药材捣碎,过筛成细末,加入牛黄一起研磨均匀,用炼蜜调和制成如绿豆大小的丸剂。每次服用时,用薄荷汤化开,服五丸。根据孩子的大小酌情加减。
《太平圣惠方》治疗小儿风热,心神惊悸。使用犀角丸方剂:
犀角(锉屑)、天竺黄(研)、朱砂(研,水飞法处理)、铁粉、人参、赤茯苓(各半两)、牛黄、龙脑、麝香(各研,一钱)、铅霜(研)、蚱蝉(锉碎,炒)、白附子(炮裂,各一分)。
将上述药材捣碎,过筛成末,加入已研好的药物,全部研磨均匀。用炼蜜调和捣一千二百下,制成如梧桐子大小的丸剂。每次服用时,用薄荷汤研化三丸。根据孩子的大小酌情加减。
《太平圣惠方》治疗小儿风热,镇心安神,化痰涎。使用铅霜丸方剂:
铅霜、牛黄、天竺黄、麝香(各研)、天麻、甘草(炙,各一钱)、茯神、人参(各二钱)、龙脑(一分,研)、朱砂(半两,细研,水飞法处理)。
将上述药材捣碎,过筛成末,加入已研好的药物,全部研磨均匀。用炼蜜调和捣一千二百下,制成如梧桐子大小的丸剂。不拘时候,用薄荷汤研化一丸服用。根据孩子的大小酌情加减。
《太平圣惠方》治疗小儿风热易受惊吓。使用朱砂丸方剂:
朱砂(细研,水飞法处理)、茯神、柴胡(去苗)、铁粉(细研)、麦门冬(去心,焙干,各半两)、天竺黄(细研)、人参(去芦头)、黄芪(锉碎)、黄芩、甘草(炙至微赤,锉碎,各一分)、牛黄、麝香(各细研,一钱)。
将上述药材捣碎,过筛成末,加入已研好的药物,再次研磨均匀,用炼蜜调和制成如绿豆大小的丸剂。每次服用时,用竹叶汤研化五丸。根据孩子的大小酌情加减。
《太平圣惠方》治疗小儿心肺风热,易受惊吓,镇心安神。使用铅霜散方剂:
铅霜、天竺黄(各细研一分)、柏子仁、白附子(炮裂)、牛黄、龙脑、麝香(各细研一钱)、朱砂(二钱,细研)。
将上述药材捣碎,细罗成散剂,加入已研好的药物,全部研磨均匀。每次服用时,用荆芥薄荷汤调服半钱,每日三到四次服用。根据孩子的大小酌情加减。
《太平圣惠方》治疗小儿风热,心胸烦闷。使用牛黄散方剂:
牛黄(一分,细研)、郁金(末,半两)、人参(末,一钱)。
将上述药物都研磨均匀。每次服用时,用荆芥汤调服半钱,每日三到四次服用。根据孩子的大小酌情加减。
《太平圣惠方》治疗小儿心脏风热,神志昏乱烦躁闷乱,不能进食。使用梨汤粥方剂:
梨(三枚,切片)、粳米(一分)。
以上用水二升,煮梨取汁一盏,去渣,放入米煮粥食用。
《太平圣惠方》治疗小儿心脏风热,精神恍惚。使用淡竹叶粥方剂:
淡竹叶(一握)、粳米(一合)、茵陈(半两)。
以上用水两大盏,煎煮两味药取汁一盏。去渣,放入米作粥食用。
《太平圣惠方》治疗小儿风热呕吐,头痛惊啼。使用葛根粥方剂:
葛根(一两)、粳米(一合)。
以上用水两大盏,煎至一盏,去渣,放入米作粥,加入少许姜、蜜食用。
《灵苑方》治疗小儿惊风内热,浑身如火,心胸烦闷,不思饮食,吐逆不止以及各类风热,效果显著。使用三解散方剂:
川大黄(微炒)、芍药、甘草(炙)、全蝎、白僵蚕、桔梗、人参、郁金(各一分)、白附子、防风(各半两)、黄芩(半两)。
以上十一味药一同捣碎,过筛成细散。如果浑身高热,吐泻不止,用防风、麦芽煎汤调服一字,或半钱,或一钱。根据孩子的大小酌情加减服用。如果只是浑身发热,用甘草、柳枝煎汤送服。如果不退热,用熟蜜、牛蒡子、薄荷汤调服。如果吐泻不止,则用后方。
肉豆蔻(三个,用糊饼面包裹,煨熟,冷却后取出)。
以上研为细末,再用包裹的面团杵捣,制成如绿豆大小的丸剂。每次服用时用饮汤吞下五至七丸,立即停止吐泻。
《灵苑方》甘露丸解毒退风热,治疗口舌干燥,心烦身热,夜间卧不安稳、惊悸,狂躁等症状。(方剂见膈热门,与太医局方相同。)
太医局洗心散 治疗风邪壅盛致高热,头目昏痛,肩背拘急,肢节烦疼,热气上冲,口苦唇焦,咽喉肿痛,痰涎壅滞,涕唾稠粘,心神烦躁,眼涩睛疼;以及寒邪壅滞不调,鼻塞声重,咽干多渴,五心烦热,小便赤涩,大便秘滞。
大黄(面裹煨,去面切,焙干)、甘草(炙)、当归(去苗,洗)、麻黄(热水泡,不去节,焙干,称重)、芍药、荆芥穗(各六十两)、白术(十五两)。
以上研为细末。每次服用二钱,水一盏,加入生姜、薄荷各少许,同煎至七分,去渣温服。如果是小儿麸豆疮疹,欲发先狂语、多渴及惊风积热,可服一钱,并在临睡前服用。如果是大人五脏壅实,想要通便,加至四、五钱,乘热服用。
太医局牛黄生犀丸 治疗风盛痰壅,头痛目眩,咽膈烦闷,神思恍惚,心悸面赤,口干多渴,睡卧不安,小便赤涩,大便多秘,小儿风热痰壅。
牛黄(研)、生犀(镑片,各二两半)、牙硝(研)、半夏(用白矾制)、天麻(去苗,各二十两)、羚羊角(镑片)、腻粉、黄丹(各研)、雄黄(水飞,各五两)、龙齿(水飞)、朱砂(飞研,各十两)、龙脑(研,二两半)、水银(用铅结砂子,秤十两)。
以上研为末,炼蜜为丸,每两做成二十丸。每次服用一丸,用温薄荷汤化开服用。如果是中风痰潮,牙关紧急,昏迷不省人事,用腻粉一钱,药三丸,生姜自然汁七点,薄荷水同化下。得吐或腹泻,吐出痰涎即愈。小儿风热痰壅,睡卧不安,上窜咬牙,每次服半丸。如果是急惊风,痰潮抽搐,眼目上视,牙关紧急,用腻粉半钱,生姜自然汁三、五点,薄荷水同化下一丸,更看岁数大小加减。
太医局如圣汤 治疗风热毒瓦斯上攻,咽喉痛,喉痹肿塞妨闷,以及肺壅咳嗽,咯唾脓血,胸满振寒,咽干不渴,时常吐出浊沫,气息腥臭,久则吐脓,状如米粥。又治伤寒咽痛。
桔梗(一两)、甘草(锉碎,炒,二两)。
以上为粗末。每次服用二钱,水一盏,煎至七分,去渣温服。小儿时时少量服用,食后临卧时服用。
太医局龙脑饮子 治疗大人、小儿蕴积邪热,咽喉肿痛,赤眼口疮,心烦鼻衄,咽干多渴,睡卧不宁;以及除痰热咳嗽,中暑烦躁,一切风壅,都适宜服用。
甘草(十斤,蜜炙)、藿香叶(一斤半)、石膏(四十两,细研)、缩砂仁、栝蒌根(各三十两)、大栀子(一百二十两,去皮,微炒)。
以上研为末。每次服用一钱至二钱,用新水加蜜调服。又治伤寒余毒,潮热虚汗,用药二钱,水一盏,入竹叶五六片,煎至七分,温服,并食后服用。
太医局清凉饮子 治疗小儿血脉壅实,腑脏生热,脸颊红赤多渴,五心烦躁,睡卧不宁,四肢惊掣,以及因哺乳不时,寒温失度,令儿血气不理,肠胃不调。或者温壮连滞,欲成伏热;或者壮热不歇,欲发惊痫。又治风热结核,头面疮疖,目赤咽痛,疮疹余毒,一切壅滞,都适宜服用。
大黄(米泔水下蒸,切,焙干)、赤芍药、当归(去芦头)、甘草(炙)。
以上等分,为粗末。每次服用一钱,水一中盏,煎至七分,去渣温服。根据孩子大小、虚实加减,以轻微溏利为度。食后临卧服用。
太医局消毒散 治疗小儿疮疹已出,未能匀透,以及毒瓦斯壅遏,虽出不快,壮热狂躁,咽膈壅塞,睡卧不安,大便秘涩。又治大人、小儿风热,上膈壅热,咽喉肿痛,胸膈不利方。
牛蒡子(炒,六两)、甘草(炙,二两)、荆芥穗(一两)。
以上为粗末。每次服用一钱,用水一盏煎七分,去渣温服,食后。小儿量力少量给予。如果是治疮疹,如果大便通畅者,不宜服用。
太医局惺惺散 治疗小儿风热疮疹,伤寒时气,头痛壮热,目涩多睡,咳嗽喘粗,鼻塞流涕方。
桔梗、细辛(去叶)、人参(去芦头)、甘草(炙)、白茯苓(去皮)、栝蒌根、白术(各一两)。
以上七味药同杵,过筛成末。每次服用一钱,水一小盏,入薄荷三叶,同煎至四分,温服。如果要调和气血,就加入生姜煎服。不拘时候。
太医局鹤顶丹 治疗大人、小儿风热痰实,咽膈不利,口干烦渴,睡卧不安,以及中暑头痛,躁渴不解方。
寒水石粉(一百一十两)、麝香(研,二两半)、甘草(锉碎,炒为末,三十五两)、朱砂(飞研,一百两)、牙硝(枯过,研,一百二十五两)。
以上合研均匀,炼蜜搜和,每一两二钱做成十丸。大人用温生姜水化开一丸。如果是治中暑,加入生龙脑少许,同研细。新水化下。小儿一丸分四服,更看大小加减。又治小儿腑脏积热,心神不宁,夜卧狂叫,口舌生疮,用薄荷自然汁化下,并食后服用。
《谭氏殊圣》治疗小儿风热,狂语烦躁。使用养心丹:
安息香(一两半)、朱砂(飞过,一两)、真珠(末,三分)、玳瑁(三钱,水磨成粉)、牛黄、脑子(各一分)。
以上研细,用重汤酒煮,用安息香膏和匀,制成如绿豆大小的丸剂。食后临卧,用人参汤送服三、五丸。
《婴孺书》枳实丸 治疗小儿瘙痒,痒痛如疥,搔之汁出,身上起如麻豆样的疹子,年年喜欢发作,面目虚肥,毛发细黄,皮肤薄而光泽,时常生鼻气。这是因为小时候热盛极,身体当风中,风热相搏所得,不治会成大疯疾方。
枳实(六分,炒)、菊花、蛇床子、防风、白薇、蒺藜、浮萍草(各四分)、天雄(炮)、麻黄(去节)、漏芦(各二分)。
以上研为末,蜜丸大豆许。五岁儿童饮服十丸至二十丸,较大的儿童及大人可散服方寸匕,酒服。根据孩子岁数给药。
钱乙抱龙丸 治疗伤风温疫,身热昏睡,气粗风热,痰实壅嗽;治疗惊风潮搐及蛊毒中暑,沐浴后也可服用。壮实小儿宜时常服用。
天竺黄(一两)、雄黄(水飞,一分)、辰砂、麝香(各研半两)、天南星(四两,腊月酿牛胆中,阴干百日,如果没有,只用生者去皮脐,锉,炒干用,然而不及酿制的效果好)。
以上为细末,煮甘草水和丸皂子大,温水化下服用。百日婴儿每丸分作三、四服,五岁一、二丸,大人三、五丸。也治室女白带,伏暑,用盐少许,嚼一、二丸,新水送下。腊月中雪水煮甘草和药尤佳。一种方法是用浆水或新水浸天南星三日,候透软,煮三、五沸,取出趁软切去皮,只取白软者薄切,焙干炒黄色,取末八两,
*Suwen: Treatise on General Evaluation of Deficiency and Excess*: The Yellow Emperor asked, "When an infant suffers from febrile disease and the pulse is fine and small, what is the prognosis?" Qibo replied, "If the hands and feet are warm, there is hope for survival; if they are cold, it indicates death. When an infant contracts wind-heat, presenting with wheezing, rattling in the throat, and shoulder breathing, what should the pulse be like?" Qibo answered, "In cases of wheezing, rattling, and shoulder breathing, the pulse should be substantial and large. A slow and moderate pulse indicates survival, while a rapid and tense pulse indicates death."
*Treatises of Shenghui*: In children, the heart and lungs are often obstructed with stagnant heat. Due to maternal postpartum deficiency (jie tuo), wind pathogens invade the skin and hair, entering the zang-fu organs, leading to aversion to wind and high fever. Symptoms include chest and diaphragm oppression, dry eyes, and excessive thirst; this is termed wind-heat syndrome.
Mr. Wang of Handong's *Jiabao*: Infantile fever accompanied by frequent crying and restlessness, with a bluish complexion, is called wind-heat.
Qian Yi, discussing infants who urgently desire milk but cannot eat, stated: "This is akin to wind-heat transmitting to the umbilicus and abdomen, flowing into the Heart and Spleen meridians, resulting in a thick tongue coating and dry lips, with an inability to suckle milk. Treatment should cool the Heart and Spleen."
*Luxin Jing* treats infantile wind-heat with Cebai San Formula:
Cebai Ye (Platycladi Cacumen), Yujin (Curcumae Radix), Tianma (Gastrodiae Rhizoma, soaked in wine overnight), Quanxie (Scorpio), Tiannanxing (Arisaematis Rhizoma), Dihuang (Rehmanniae Radix, cleaned), Huangqin (Scutellariae Radix), Dahuang (Rhei Radix et Rhizoma) (each half liang).
Grind into powder. For treating wind and convulsions, take with warm wine to reduce fever; take half a qian with boiled water every night.
*Yuanhe Jiyong Jing* Shuzhi Yin: Mainly treats various ailments in children. It dispels wind, cools the skin, resolves heat, relieves irritability, prevents sores and boils; eliminates alternating chills and fever, phlegm-saliva, red eyes, sore throat, bloody dysentery, thirst, and irritability.
It promotes muscle growth, benefits the heart and lungs, and tonifies the body. Even if sores suppurate and swell, it can heal them.
Shuzhi (Stachyuri Medullary Cortex, roasted until yellow, used alone as powder. High-quality Shuzhi comes from Yang in Longxi, which is yellow-white after roasting, sweet and pleasant; that from Baishui is cold-tonifying; that from Longxi Province is best, with reddish bark, specifically treating carbuncles and reducing swelling. That from Yuanning Yizhou is also good; the superior grade breaks like cotton without snapping.) in proportion of half, Gancao (Licorice Root) in proportion of one-quarter.
Grind into powder. Take one fangcun bi per dose, boil in one sheng of water until reduced by one-third, divide into three doses. The nature is neutral/warm; adjust dosage according to age. Another method uses five he of water per dose; the two methods differ. Currently, dosage is adjusted based on condition and age. The classics mention Siwei Yin, Heisan Wan, Zhisheng San, and Wujiapi for treatment, which cannot replace Shexiang Wan. This Shuzhi Yin is one of seven formulas, known as "Seven Treasures for Nurturing Infants." The Daoist Ziyang named his formula "Baozi Qisheng Zhibao Fang," specifically written for this book; this is that formula.
*Treatises of Shenghui* treats infantile wind-heat with chest/diaphragm oppression, high fever, lethargy, and polydipsia using Lingyangjiao San Formula:
Lingyangjiao (Antelope Horn, shaved), Maidong (Ophiopogonis Radix, core removed), Gancao (Licorice Root, roasted slightly red, cut, each 3 fen), Baixianpi (Dictamni Cortex), Chuan Shengma (Cimicifugae Rhizoma), Fushen (Poria with Hostwood), Renshen (Ginseng Radix, radix removed), Huangqi (Astragali Radix, cut, each half liang).
Crush and sieve into powder. Take 1 qian per dose, boil in one small cup of water until reduced to 5 fen, strain, add Ban Zhu Li (Bamboo Sap) half he, boil briefly, divide into two doses. Adjust downward based on child's size; take warm.
*Treatises of Shenghui* treats infantile heart/lung wind-heat obstruction with chest/diaphragm discomfort using Baixianpi San Formula:
Baixianpi (Dictamni Cortex), Xijiao (Rhino Horn, shaved), Huangqin (Scutellariae Radix), Zhimu (Anemarrhenae Rhizoma), Fangfeng (Saposhnikoviae Radix), Shashen (Glehniae Radix), Renshen (Ginseng Radix, radix removed; these three, each half liang), Gancao (Licorice Root, 1 fen, roasted slightly red, cut).
Crush and sieve into powder. Take 1 qian per dose, boil in one small cup of water until reduced to 5 fen, strain. Adjust downward based on child's size; take warm.
*Treatises of Shenghui* treats infantile liver/lung wind stagnation causing chest/diaphragm discomfort and phlegm cough using Dama Ren San Formula:
Dama Ren (Cannabis Seed), Xijiao (Rhino Horn, shaved), Baihe (Lilii Bulbus), Xingren (Armeniacae Semen Amarum, soaked in hot water, peeled, de-capped, double-kernel removed, bran-roasted slightly yellow; above each half liang), Binglang (Arecae Semen, 1 fen), Niuhuang (Calculus Bovis), Naobing (Borneolum Syntheticum) (each finely ground, 1 qian).
Crush and sieve into fine powder. Mix with ginger-gancao decoction, take half a qian. Adjust based on child's size.
*Treatises of Shenghui* treats infantile wind-heat with mental irritability and poor sleep using Niuhuang Wan Formula:
Niuhuang (Calculus Bovis, 1 qian, finely ground), Zhusha (Cinnabar, finely ground, water-floating), Xijiao (Rhino Horn, shaved), Chuan Shengma (Cimicifugae Rhizoma) (each half liang), Renshen (Ginseng Radix), Fangfeng (Saposhnikoviae Radix, radix removed), Maidong (Ophiopogonis Radix, core removed, dried), Huangqin (Scutellariae Radix), Chi Fuling (Poria with Red Heart), Gancao (Licorice Root, roasted slightly red, cut, each 1 fen).
Crush and sieve into powder, mix with ground ingredients, grind evenly, bind with refined honey into bean-sized pills. Take 5 pills per dose, crushed in Zhuye (Bamboo Leaf) decoction, 3-4 times daily. Adjust based on child's size.
*Treatises of Shenghui* treats infantile wind-heat with mental palpitations and restless sleep using Zhenzhu Wan Formula:
Zhenzhu (Pearl, powdered), Longdan (Gentianae Radix), Fangfeng (Saposhnikoviae Radix, radix removed), Qianghuo (Notopterygii Rhizoma et Radix), Gouteng (Uncariae Ramulus cum Uncis), Chuan Shengma (Cimicifugae Rhizoma), Tianzhuhuang (Calculus Budhalae), Niuhuang (Calculus Bovis) (these two finely ground, each 1 fen), Fushen (Poria with Hostwood), Renshen (Ginseng Radix, radix removed), Lingyangjiao (Antelope Horn, shaved), Xijiao (Rhino Horn, shaved, each half liang), Qianshuang (Plumbi Subcarbonas), Naomoxiang (Borneolum et Moschum) (both finely ground, 1 qian).
Crush and sieve into powder, mix with ground ingredients, grind evenly, bind with refined honey into bean-sized pills. Take 5 pills per dose, crushed in Jingjie-Bohe decoction, 3-4 times daily. Adjust based on child's size.
*Treatises of Shenghui* treats infantile heart/lung wind-heat using Longdan Wan Formula:
Longdan (Gentianae Radix, 3 qian, radix removed), Niuhuang (Calculus Bovis, 1 qian, finely ground), Chuan Dahuang (Rhei Radix et Rhizoma), Huhuanglian (Coptidis Rhizoma), Xijiao (Rhino Horn, shaved, each 2 qian).
Crush and sieve into fine powder, mix with Niuhuang, grind evenly, bind with refined honey into bean-sized pills. Take 5 pills per dose, dissolved in Bohe (Mint) decoction. Adjust based on child's size.
*Treatises of Shenghui* treats infantile wind-heat with mental palpitations using Xijiao Wan Formula:
Xijiao (Rhino Horn, shaved), Tianzhuhuang (Calculus Budhalae, ground), Zhusha (Cinnabar, ground, water-floating), Tifen (Plumbi Molybdas), Renshen (Ginseng Radix), Chi Fuling (Poria with Red Heart) (each half liang), Niuhuang (Calculus Bovis), Naomoxiang (Borneolum et Moschum) (each ground, 1 qian), Qianshuang (Plumbi Subcarbonas, ground), Zhashan (Tettigidae Cuticle, cut, roasted), Baifuzi (Aconiti Kusnezoffii Radix, cracked by roasting, each 1 fen).
Crush and sieve into powder, mix with ground ingredients, grind evenly. Bind with refined honey, pound 100-200 times, make pill-sized like paulownia seeds. Take 3 pills per dose, crushed in Bohe decoction. Adjust based on child's size.
*Treatises of Shenghui* treats infantile wind-heat, calming the heart and spirit, resolving phlegm using Qianshuang Wan Formula:
Qianshuang (Plumbi Subcarbonas), Niuhuang (Calculus Bovis), Tianzhuhuang (Calculus Budhalae), Moxiang (Moschus, each ground), Tianma (Gastrodiae Rhizoma), Gancao (Licorice Root, roasted, each 1 qian), Fushen (Poria with Hostwood), Renshen (Ginseng Radix, each 2 qian), Naomoxiang (Borneolum et Moschum, 1 fen, ground), Zhusha (Cinnabar, half liang, finely ground, water-floating).
Crush and sieve into powder, mix with ground ingredients, grind evenly. Bind with refined honey, pound 100-200 times, make pill-sized like paulownia seeds. Take at any time, crush 1 pill in Bohe decoction. Adjust based on child's size.
*Treatises of Shenghui* treats infantile wind-heat prone to fright using Zhusha Wan Formula:
Zhusha (Cinnabar, finely ground, water-floating), Fushen (Poria with Hostwood), Chaihu (Bupleuri Radix, removed seedlings), Tifen (Plumbi Molybdas, finely ground), Maidong (Ophiopogonis Radix, core removed, dried, each half liang), Tianzhuhuang (Calculus Budhalae, finely ground), Renshen (Ginseng Radix, radix removed), Huangqi (Astragali Radix, cut), Huangqin (Scutellariae Radix), Gancao (Licorice Root, roasted slightly red, cut, each 1 fen), Niuhuang (Calculus Bovis), Moxiang (Moschum, each finely ground, 1 qian).
Crush and sieve into powder, mix with ground ingredients, grind evenly, bind with refined honey into bean-sized pills. Take 5 pills per dose, crushed in Zhuye decoction. Adjust based on child's size.
*Treatises of Shenghui* treats infantile heart/lung wind-heat, calming the heart against fright using Qianshuang San Formula:
Qianshuang (Plumbi Subcarbonas), Tianzhuhuang (Calculus Budhalae) (each finely ground, 1 fen), Baizi Ren (Biota Seed), Baifuzi (Aconiti Kusnezoffii Radix, cracked by roasting), Niuhuang (Calculus Bovis), Naomoxiang (Borneolum et Moschum) (each finely ground, 1 qian), Zhusha (Cinnabar, 2 qian, finely ground).
Crush and sieve into fine powder, mix with ground ingredients, grind evenly. Take half a qian per dose, mixed with Jingjie-Bohe decoction, 3-4 times daily. Adjust based on child's size.
*Treatises of Shenghui* treats infantile wind-heat with chest/heart oppression using Niuhuang San Formula:
Niuhuang (Calculus Bovis, 1 fen, finely ground), Yujin (Curcumae Radix, powdered, half liang), Renshen (Ginseng Radix, powdered, 1 qian).
Grind all ingredients evenly. Take half a qian per dose, mixed with Jingjie decoction, 3-4 times daily. Adjust based on child's size.
*Treatises of Shenghui* treats infantile heart wind-heat with confusion, irritability, and anorexia using Litang Zhou Formula:
Li (Pear, 3 pieces, sliced), Jingshi (Glucinis Semen, 1 fen).
Boil pears in 2 sheng of water to obtain 1 cup of juice, remove dregs, add rice, cook into porridge, and eat.
*Treatises of Shenghui* treats infantile heart wind-heat with mental distraction using Danzhuye Zhou Formula:
Danzhuye (Lophatheri Herba, one handful), Jingshi (Glucinis Semen, 1 he), Yichen (Artemisiae Capillaris Herba, half liang).
Boil herbs in 2 large cups of water to obtain 1 cup of juice, remove dregs, add rice, cook into porridge, and eat.
*Treatises of Shenghui* treats infantile wind-heat vomiting, headache, and frightened crying using Gegen Zhou Formula:
Gegen (Puerariae Lobatae Radix, 1 liang), Jingshi (Glucinis Semen, 1 he).
Boil in 2 large cups of water until reduced to 1 cup, remove dregs, add rice, cook into porridge, add少许 ginger and honey, and eat.
*Lingyuan Fang* treats infantile convulsive wind with internal heat, body feeling like fire, chest/heart oppression, anorexia, persistent vomiting, and various wind-heats, with great efficacy. Using Sansanjie Powder:
Chuan Dahuang (Rhei Radix et Rhizoma, lightly roasted), Shaoyao (Paeoniae Radix), Gancao (Licorice Root, roasted), Quanxie (Scorpio), Bai Jiangcan (Bombyx Batryticatus), Jiegeng (Platycodonis Radix), Renshen (Ginseng Radix), Yujin (Curcumae Radix) (each 1 fen), Baifuzi (Aconiti Kusnezoffii Radix), Fangfeng (Saposhnikoviae Radix) (each half liang), Huangqin (Scutellariae Radix, half liang).
Crush all 11 ingredients together, sieve into fine powder. If body has high fever and persistent vomiting/diarrhea, use Fangfeng and Maiya decoction to mix 1 zi, or half a qian, or 1 qian. Adjust based on child's size. If only body heat, use Gancao and Liu Zhi decoction. If heat persists, use cooked honey, Niubangzi, and Bohe decoction. If vomiting/diarrhea persists, use the following formula.
Roudoukou (Nutmeg, 3 pieces, wrapped in paste dough, roasted until cooked, cooled and removed).
Grind into fine powder, pound the wrapping dough, bind into bean-sized pills. Take 5-7 pills per dose swallowed with drink, stops immediately.
*Lingyuan Fang* Ganlu Wan detoxifies and reduces wind-heat, treating dry mouth/tongue, mental irritability, body heat, nighttime restless sleep/palpitations, mania, etc. (Formula see Ge Re Men, same as Imperial Medical Bureau formula.)
Imperial Medical Bureau Xi Xin San: Treats wind-stagnation high fever, dizzy/head pain, stiff neck/back, limb joint pain, rising heat, bitter taste/scorched lips, sore/swollen throat, phlegm-saliva stagnation, thick snot/spittle, mental irritability, dry eyes/eye pain; also cold-stagnation imbalance, nasal congestion/heavy voice, dry throat/polydipsia, five-palm heat, dark/scanty urination, constipation.
Dahuang (Rhei Radix et Rhizoma, wrapped in flour, roasted, removed, cut, dried), Gancao (Licorice Root, roasted), Danggui (Angelicae Sinensis Radix, removed seedlings, washed), Mahuang (Ephedrae Herba, washed in water, stems not removed, dried, weighed), Shaoyao (Paeoniae Radix), Jingjie Sui (Schizonepetae Spica) (each 60 liang), Baizhu (Atractylodis Macrocephalae Rhizoma, 15 liang).
Grind into fine powder. Take 2 qian per dose, 1 cup of water, add少许 ginger and mint, boil to 70%, strain, take warm. For infantile variola/vaccinia, if preceding madness/thirst/convulsions/internal heat, take 1 qian, before bed. For adults with five-zang excess, to induce loose stool, increase to 4-5 qian, take hot.
Imperial Medical Bureau Niuhuang Shengxi Wan: Treats wind-excess phlegm-stagnation, headache/dizziness, throat/chest oppression, mental confusion, palpitations/red face, dry mouth/polydipsia, restless sleep, dark/scanty urination, constipation, infantile wind-heat phlegm-stagnation.
Niuhuang (Calculus Bovis, ground), Shengxi (Fresh Rhino Horn, shaved, each 2.5 liang), Yaxiao (Natrii Sulfas, ground), Banxia (Pinelliae Rhizoma, processed with Bai Fan), Tianma (Gastrodiae Rhizoma, removed seedlings, each 20 liang), Lingyangjiao (Antelope Horn, shaved), Nifen (Calomelas), Huang Dan (Minii Oxidum Rubrum) (each ground), Xionghuang (Realgar, water-floating, each 5 liang), Longchi (Draconis Os, water-floating), Zhusha (Cinnabar, floating ground, each 10 liang), Naomoxiang (Borneolum et Moschum, ground, 2.5 liang), Shuiyin (Hydrargyrum, combined with lead to form cinnabar, weighed 10 liang).
Grind into powder, bind with refined honey into pills, 20 pills per liang. Take 1 pill per dose, dissolve in warm Bohe decoction. For wind-stroke phlegm-tide, locked jaw, coma, use 1 qian Nifen, 3 pills, 7 drops fresh Ginger Juice, dissolve in Bohe water. Vomiting or purging expels phlegm, then cured. For infantile wind-heat phlegm-stagnation, restless sleep, upward eye rolling/biting teeth, take half a pill. For acute convulsive wind, phlegm-tide spasms, upward eye gaze, locked jaw, use half a qian Nifen, 3-5 drops fresh Ginger Juice, Bohe water, dissolve 1 pill, adjust by age.
Imperial Medical Bureau Rusheng Tang: Treats wind-heat toxin attacking upward, sore throat, throat obstruction/swelling/oppression, lung stagnation cough, spitting pus/blood, chest fullness/chills, dry throat/no thirst, occasional turbid foam, foul breath, long-term pus expectoration resembling congee. Also treats Shanghan sore throat.
Jiegeng (Platycodonis Radix, 1 liang), Gancao (Licorice Root, cut, roasted, 2 liang).
Make coarse powder. Take 2 qian per dose, 1 cup of water, boil to 70%, strain, take warm. Infants take frequently in small amounts, after meals and before bed.
Imperial Medical Bureau Longnao Yinzi: Treats adults/children with accumulated evil heat, sore/swollen throat, red eyes/mouth ulcers, mental irritability/epistaxis, dry throat/polydipsia, restless sleep; also resolves phlegm-heat cough, summerheat irritability, all wind-stagnation. Suitable for all.
Gancao (Licorice Root, 10 jin, honey-roasted), Huoxiang Ye (Agastaches Herba, 1.5 jin), Shigao (Gypsum Fibrosum, 40 liang, finely ground), Suosharen (Amomi Fructus Rotundus), Gualagen (Trichosanthis Radix) (each 30 liang), Dazhizi (Gardeniae Fructus, 120 liang, peeled, lightly roasted).
Grind into powder. Take 1-2 qian per dose, mix with fresh water and honey. Also treats residual toxins from Shanghan, tidal fever/sweating, use 2 qian medicine, 1 cup water, add 5-6 bamboo leaves, boil to 70%, take warm after meals.
Imperial Medical Bureau Qingliang Yinzi: Treats infantile blood vessel excess, zang-fu heat, red cheeks/polydipsia, five-palm irritability, restless sleep, limb spasms, caused by irregular feeding, temperature imbalance, disrupting blood/qi and intestines/stomachs. Or lingering warmth becoming latent heat; or unremitting high fever developing into convulsions/epilepsy. Also treats wind-heat nodules, head/face sores, red eyes/sore throat, residual toxins from rash, all stagnation. Suitable for all.
Dahuang (Rhei Radix et Rhizoma, steamed in rice water, cut, dried), Chi Shaoyao (Red Paeonia Root), Danggui (Angelicae Sinensis Radix, radix removed), Gancao (Licorice Root, roasted).
Equal parts, coarse powder. Take 1 qian per dose, 1 medium cup of water, boil to 70%, strain, take warm. Adjust by child's size/excess-deficiency, aim for slight loose stool. Take after meals/before bed.
Imperial Medical Bureau Xiaodu San: Treats infantile rash already erupted but not uniform/translucent, toxin stagnation, slow eruption, high fever/manic irritability, throat/chest obstruction, restless sleep, constipation. Also treats adult/child wind-heat, upper jiao heat, sore throat, chest/diaphragm discomfort.
Niubangzi (Arctii Fructus, roasted, 6 liang), Gancao (Licorice Root, roasted, 2 liang), Jingjie Sui (Schizonepetae Spica, 1 liang).
Coarse powder. Take 1 qian per dose, 1 cup water, boil to 70%, strain, take warm after meals. Infants give small amounts according to capacity. For treating rash, if stool is free, do not use.
Imperial Medical Bureau Xingxing San: Treats infantile wind-heat rash, Shanghan seasonal qi, headache/high fever, dry eyes/lethargy, cough/wheezing, nasal congestion/runny nose.
Jiegeng (Platycodonis Radix), Xixin (Asari Radix et Rhizoma, removed leaves), Renshen (Ginseng Radix, radix removed), Gancao (Licorice Root, roasted), Bai Fuling (Poria, peeled), Gualagen (Trichosanthis Radix), Baizhu (Atractylodis Macrocephalae Rhizoma) (each 1 liang).
Pound 7 ingredients together, sieve into powder. Take 1 qian per dose, 1 small cup water, add 3 mint leaves, boil to 40%, take warm. To harmonize qi, add ginger and boil. Any time.
Imperial Medical Bureau Hetian Dan: Treats adult/child wind-heat phlegm-excess, throat/chest discomfort, dry mouth/thirst, restless sleep, summerheat headache/unrelenting thirst.
Hanshuishi Fen (Halloysitum Album, 110 liang), Moxiang (Moschum, ground, 2.5 liang), Gancao (Licorice Root, cut, roasted to powder, 35 liang), Zhusha (Cinnabar, floating ground, 100 liang), Yaxiao (Natrii Sulfas, calcined, ground, 125 liang).
Mix and grind evenly, knead with refined honey, make 10 pills per liang 2 qian. Adults dissolve 1 pill in warm Ginger Water. For summerheat, add少许 raw Borneol, grind fine, dissolve in fresh water. Infants divide 1 pill into 4 doses, adjust by size. Also treats infantile zang-fu accumulated heat, restless mind, nighttime screaming, mouth/tongue ulcers, dissolve in fresh Mint Juice, take after meals.
*Tan Shi Shusheng* treats infantile wind-heat, manic speech/irritability using Yangxin Dan:
Anshixiang (Styrax, 1.5 liang), Zhusha (Cinnabar, floated, 1 liang), Zhenzhu (Pearl, powdered, 3 fen), Daimao (Hippopotamalis Dentis Et Os), Niuhuang (Calculus Bovis), Naomoxiang (Borneolum et Moschum) (each 1 fen).
Grind fine, boil Anshixiang paste in double-boiler with wine, mix evenly, make bean-sized pills. After meals/before bed, take 3-5 pills with Renshen decoction.
*Yingru* Zhishi Wan: Treats infantile itching, painful like scabies, oozing when scratched, body covered in millet-bean-like bumps, recurring annually, puffy face, fine/yellow hair, thin/shiny skin, frequent nasal gas. Caused by extreme childhood heat, wind invasion, wind-heat conflict; untreated leads to major leprosy.
Zhishi (Aurantii Fructus Immaturus, 6 fen, roasted), Juhua (Chrysanthemi Flos), Shechuangzi (Cnidii Fructus), Fangfeng (Saposhnikoviae Radix), Baiwei (Cynanchi Atrati Radix), Jili (Tribuli Fructus), Fuping Cao (Urticae Herba) (each 4 fen), Tianxiong (Aconiti Lateralis Radix Praeparata, roasted), Mahuang (Ephedrae Herba, removed joints), Loulu (Euphorbiae Humifusae Radix) (each 2 fen).
Grind into powder, bind with honey into soybean-sized pills. 5-year-olds take 10-20 pills with drink; older children/adults take 1 fangcun bi powder with wine. Dosage by age.
Qian Yi Baolong Wan: Treats wind-warm epidemic, fever/lethargy, rough breathing/wind-heat, phlegm-excess cough; treats convulsive wind/tides and gu-toxin/summerheat, also after bathing. Suitable for robust children to take regularly.
Tianzhuhuang (Calculus Budhalae, 1 liang), Xionghuang (Realgar, water-floating, 1 fen), Chen Sha (Cinnabar), Moxiang (Moschum) (each ground half liang), Tiannanxing (Arisaematis Rhizoma, 4 liang, brewed in ox gallbladder in December, air-dried 100 days; if unavailable, use raw, peel/navel removed, cut, roasted dry, though inferior).
Grind into fine powder, boil Gancao water to bind into soap-seed sized pills, dissolve in warm water to take. 100-day infants divide 1 pill into 3-4 doses; 5-year-olds take 1-2 pills; adults take 3-5 pills. Also treats virgin leukorrhea, latent summerheat, chew 1-2 pills with少许 salt, swallow with fresh water. Snow-water from December boiling Gancao with medicine is best. One method: soak Tiannanxing in grain water or fresh water for 3 days until soft, boil 3-5 times, remove while soft, peel, slice white soft part thinly, dry-roast yellow, take 8 liang powder,