指迷七气汤 一切腹痛寒热，多啼不乳等证，皆由阴阳不升降，气道壅塞而然，并宜此方。凡人身内
之气，呼吸出入，无刻不与天道阴阳之气通，故六淫外袭，则感而致病，一定之理也。内气闭塞，则天道不通，
升者不升，降者不降，寒热由此而生也。是方疏利脏腑，神化无穷，最宜领会。
广陈皮 杭青皮 藿香叶 芽桔梗 蓬莪术 香附米 法半夏 上肉桂 公丁香 益智仁 老生姜 大红枣
炙甘草
上 咀。水二碗，煎至一碗，母子同服。
助胃膏 治胎寒内钓，胃气虚弱，胸胁
胀满， 乳便青。
白豆蔻 肉豆蔻（须炮煨，去油） 官拣参 广木香（各两五钱） 公丁香（三钱） 藿香叶 云茯苓
漂白术（土炒） 真青桂 西砂仁 炙甘草（各一两） 广陈皮（一两二钱） 洋沉香（二钱） 怀山药（一两五钱）
为末，蜜丸芡实大。每一丸，炒米汤化服。
集成沆瀣丹 （音亢械，北斗夜半所降之甘露也） 治小儿一切胎毒，胎热胎黄，面赤目闭，鹅口口疮，重
舌木舌，喉闭乳蛾，浑身壮热，小便黄赤，大便闭结，麻疹斑瘰，游风疥癣，流丹瘾疹，痰食风热， 腮面肿，
十种火丹，诸般风搐，并皆神效。
此方古书未载，得之异授，微似古之神芎丸。近有能者，妙出化裁而增损之，遂为幼科有一无二之神方，作
三焦之主治。盖凡脏气流通者，必不郁滞，或受毒于妊前，或感邪于诞后，遂尔中气抑郁，则见以前诸证。方内
所用黄芩清上焦之热；黄柏清下焦之热；大黄清中焦之热，又藉其有推陈致新之功，活血除烦之力，能导三焦郁
火，从魄门而出。犹虑苦寒凝腻，复加槟榔、枳壳之辛散，为行气利痰之佐使；川芎、薄荷，引头面风热，从
高而下趋；连翘解毒除烦；赤芍调荣活血；牵牛利水，走气分而舒郁；滑石清润，抑阳火而扶阴，又能引邪热从
小便而出。用治以前有余诸证，应如桴鼓。予生平最慎攻伐，惟此方用之最久，功效莫能殚述，真济世之良方也。
杭川芎（九钱，酒洗） 锦庄黄（九钱，酒蒸） 实黄芩（九钱，酒炒） 浓川柏（九钱，酒炒） 黑牵
牛（炒，取头末，六钱） 薄荷叶（四钱五分） 粉滑石（水飞，六钱） 尖槟榔（七钱五分，童便洗，晒）
陈枳壳（四钱五分，麸炒） 净连翘（除去心隔，取净，六钱） 京赤芍（炒，六钱）
上十味，根据方炮制，和匀焙燥，研极细末，炼蜜为丸，如芡实大。月内之儿每服一丸，稍大者二丸，俱用茶
汤化服，乳母切忌油腻。但觉微有泄泻，则药力行，病即减矣。
如不泄，再服之。重病每日三服，以愈为度。此方断不峻厉，幸毋疑畏，惟胎寒胎怯，面青白者忌之。
六麻丸 治胎搐。先以此丸通其经络，次服地黄丸。
明天麻（姜制） 法半夏 北防风 川羌活 牛胆星 直僵蚕 北全蝎（各五钱）
为末，蜜丸芡实大。每一丸，钩藤汤下。
六味地黄丸 即仲景所制《金匮》地黄丸。原治肾水亏损，小便淋沥，头目眩晕，腰腿酸软，阴虚发
热，自汗盗汗，憔悴瘦弱，精神疲困。壮水之主，以制阳光，此方是也。
钱仲阳以之治小儿胎怯，禀受先天不足，并肝疳白膜遮睛，泻血失音，身瘦疮疥，肾怯语迟，解颅行迟等
证。
薛立斋又以治小儿肝经血虚燥热，肾经虚热作渴，小便淋秘，痰气上壅，或风淫客气，瘰 结核，或四肢
搐搦，眼目 动，或咳血吐血，头目眩晕，或咽喉燥痛，口舌生疮，或禀质不足，解颅失音，五迟五软，肾疳
肝疳。凡肝肾不足之证，皆宜用此，以滋化源，其功不能尽述。
予按∶钱、薛二翁，能用此方治小儿先天不足，诚卓然有识者，予所敬佩。奈今之小儿，体质元气更不
及前。古以地黄丸为补剂，今则实为凉剂矣。此药用于阴虚枯燥者，诚为得宜。倘儿肌肥面白，脾弱多痰者，
服此必致腻膈，变生他证，其害不小。非方之不良，由今禀受愈薄也。予故为之斟酌其炮制，必使地黄阴凝之
质稍近阳和，不致沉寒冱 ，始能免腻膈损脾之患也。
大怀地四两，（以西砂仁一两不必捶碎，生姜二两切片，缝一小夏布袋，盛此二味，同地黄入砂锅，以
水煮二昼夜，方入好酒煮一昼夜，以地黄糜烂为度，取起，其袋不用，以地黄捣膏，听候） 白云苓（二两，乳
汁蒸晒） 怀山药（三两，乳汁蒸晒） 净枣皮（二两，炒研） 粉丹皮（一两，酒炒） 宣泽泻（一两，盐
水炒焦）
上根据炮制，和匀一处，焙燥，研为细末，和前地黄膏，少加炼蜜，石白内杵匀，重钱
半一颗。半周一岁者，每用一丸，三五岁者，二丸，俱空腹盐汤化下。倘丸一时未备，即以前药十分之一，但宜
炮制，不可生用，水煎服之，名六味地黄汤，功效更捷。
调中散 治婴孩盘肠气，腹内筑痛。
青木香 川楝子 暗没药 白云苓 上青桂 杭青皮 莱菔子 陈枳壳 尖槟榔 炙甘草（等分）
入葱白二寸，盐一钱，水煎空心服。
茵陈地黄汤 治初诞小儿，面目浑身，其黄如金，胎中受湿热也。
怀生地 京赤芍 正川芎 大当归 天花粉 赤茯苓 结猪苓 茵陈蒿 宣泽泻
诸药随时定分两，水煎母子同服。
大连翘饮 治胎肥，解热毒。
净连翘 瞿麦穗 白滑石 牛蒡子 车前子 川木通 北防风 炒栀仁 片黄芩 荆芥穗 大当归 北柴胡
京赤芍 净蝉脱炙甘草竹叶十片灯芯十茎
水煎热服。
浴体法 治胎肥。
明天麻（二钱） 净全蝎（去毒） 箭朱砂（各五分） 乌蛇肉（酒浸） 枯白矾 洋青黛（各三钱） 真麝
香（一分）
共研匀。每用三钱，水三碗，桃枝一握，同煎十沸，温热浴之，但勿浴背。
调元散 治胎怯。
拣人参 漂白术 白茯苓 化橘红 大当归 甘枸杞 炙甘草（各二钱） 陈粳米（三合）
为末。每服二，三钱，龙眼煎汤调下。
八味地黄丸 治禀受先天不足。
即前六味地黄丸加青化桂一两、熟川附一两，治禀赋命门火衰。凡齿迟、语迟、行迟，囱门开大，肾疳等证，
或火衰不能生土，以致脾土虚寒，不思乳食，夜多漩溺，皆禀先天不足。自 周时，即有虚病肾病，能自幼填补，
亦多可复。此方用水煎，名八味地黄汤。经曰∶益火之源，以消阴翳。此之谓也。凡乳母肥白者，母子同服。
指迷七气汤：治疗一切腹痛、寒热交替、多啼哭且不吸乳等症状，这些病症都是由阴阳之气升降失常，气道壅塞所致，均适宜使用此方。凡是人体内部的气，随着呼吸出入，无时无刻不与天地自然的阴阳之气相通，所以外感六淫邪气侵袭，就会感应而致病，这是必然的道理。如果体内气机闭塞，那么天道（自然规律）就不通，该升的不升，该降的不降，寒热症状由此产生。这个方子能疏利脏腑，功效神妙无穷，最值得领会。
广陈皮、杭青皮、藿香叶、芽桔梗、蓬莪术、香附米、法半夏、上肉桂、公丁香、益智仁、老生姜、大红枣、炙甘草。
以上药材切碎。加水两碗，煎至一碗，母亲与婴儿共同服用。
助胃膏：治疗胎寒内引作痛、胃气虚弱、胸胁胀满、乳汁和大便发青。
白豆蔻、肉豆蔻（必须炮煨，去油）、官拣参、广木香（各二两五钱）、公丁香（三钱）、藿香叶、云茯苓、漂白术（土炒）、真青桂、西砂仁、炙甘草（各一两）、广陈皮（一两二钱）、洋沉香（二钱）、怀山药（一两五钱）。
研为细末，用蜂蜜制成如芡实大小的丸剂。每次一丸，用炒米汤化开服用。
集成沆瀣丹（音“亢械”，指北斗星在半夜降下的甘露）：治疗小儿一切胎毒、胎热、胎黄，面色红赤、眼睛紧闭，鹅口疮、口疮，重舌、木舌，喉闭、乳蛾，全身高热，小便黄赤，大便闭结，麻疹斑疹瘰疬，游风疥癣，流丹瘾疹，痰食风热，腮面部肿胀，十种火丹，各种风性抽搐，均有神效。
此方古书未记载，是从异人处传授而来，略微类似古代的神芎丸。近代有高明之人，巧妙地进行化裁增减，于是成为儿科独一无二的神方，作为三焦病证的主治方。大概凡是脏气流通的，必定不会郁滞；如果在怀孕前受毒，或在出生后感受邪气，导致中气抑郁，就会出现上述诸证。方中所用的黄芩清上焦之热；黄柏清下焦之热；大黄清中焦之热，又借助其推陈致新的功效，活血除烦的力量，能引导三焦郁积之火，从肛门排出。还担心苦寒药性凝滞腻膈，所以加入槟榔、枳壳的辛散之性，作为行气利痰的辅助药物；川芎、薄荷，引导头面部的风热向下趋行；连翘解毒除烦；赤芍调和营血、活血；牵牛子利水，走气分而舒解郁滞；滑石清润，抑制阳火而扶持阴液，又能引导邪热从小便排出。用于治疗上述有余之实证，效果应验如击鼓响应般迅速。我生平最谨慎使用攻伐之法，唯独此方使用最久，功效无法详尽描述，真是济世救人的良方。
杭川芎（九钱，酒洗）、锦庄黄（即大黄，九钱，酒蒸）、实黄芩（九钱，酒炒）、浓川柏（即黄柏，九钱，酒炒）、黑牵牛（炒，取头末，六钱）、薄荷叶（四钱五分）、粉滑石（水飞，六钱）、尖槟榔（七钱五分，童便洗，晒干）、陈枳壳（四钱五分，麸炒）、净连翘（除去心隔，取净，六钱）、京赤芍（炒，六钱）。
以上十味药，按照方中要求炮制，混合均匀后焙干，研成极细粉末，用炼蜜制成如芡实大小的丸剂。一个月内的婴儿每次服一丸，稍大的服两丸，都用茶汤化开服用，乳母切忌食用油腻食物。只要觉得轻微腹泻，说明药力已行，病情就会减轻。
如果不腹泻，再服用。重病每日服三次，以痊愈为限度。此方绝不峻烈猛烈，希望不要怀疑畏惧，只有胎寒胎怯、面色青白的患儿忌用。
六麻丸：治疗胎搐（新生儿惊厥）。先用此丸疏通经络，然后服用地黄丸。
明天麻（姜制）、法半夏、北防风、川羌活、牛胆星、直僵蚕、北全蝎（各五钱）。
研为细末，用蜂蜜制成如芡实大小的丸剂。每次一丸，用钩藤汤送服。
六味地黄丸：即张仲景所制的《金匮要略》中的地黄丸。原本治疗肾水亏损，小便淋漓不尽，头目眩晕，腰腿酸软，阴虚发热，自汗盗汗，憔悴瘦弱，精神疲困。“壮水之主，以制阳光”，说的就是这个方子。
钱仲阳用它治疗小儿胎怯，禀受先天不足，以及肝疳导致的白膜遮睛，泻血失音，身体消瘦疮疥，肾怯语迟，解颅、行迟等症状。
薛立斋又用它治疗小儿肝经血虚燥热，肾经虚热引起的口渴，小便淋沥秘涩，痰气上壅，或者风邪客气入侵，瘰疬结核，或者四肢抽搐，眼目跳动，或者咳血吐血，头目眩晕，或者咽喉干燥疼痛，口舌生疮，或者禀赋不足，解颅失音，五迟五软，肾疳肝疳。凡是肝肾不足的证候，都适宜使用此方，以滋养化源，其功效不能尽述。
我按语：钱乙、薛己两位老先生，能用此方治疗小儿先天不足，确实是卓有见识的人，令我敬佩。无奈现在的小儿，体质元气更不如从前。古代将地黄丸作为补剂，现在则实际上成了凉剂了。此药用于阴虚枯燥者，确实很适宜。如果婴儿肌肉肥白，脾弱多痰，服用此药必定会导致腻膈，变生其他病症，危害不小。不是方子不好，而是现在的禀受越来越薄弱。所以我斟酌其炮制方法，务必使地黄阴凝的性质稍微接近阳和之气，不至于沉寒冰冻，才能避免腻膈损脾的祸患。
大怀地（熟地黄）四两（用西砂仁一两不必捣碎，生姜二两切片，缝入一个小布袋，盛放这两味药，同地黄放入砂锅，用水煮两个昼夜，然后加入好酒再煮一个昼夜，以地黄糜烂为度，取出，不用那个袋子，将地黄捣成膏，备用）、白云苓（茯苓，二两，乳汁蒸晒）、怀山药（三两，乳汁蒸晒）、净枣皮（山茱萸，二两，炒后研碎）、粉丹皮（牡丹皮，一两，酒炒）、宣泽泻（一两，盐水炒焦）。
以上按照炮制要求，混合一处，焙干，研为细末，与前文的地黄膏混合，少加炼蜜，在石臼中杵匀，每丸重钱半。半周到一岁的婴儿，每次用一丸，三到五岁的用两丸，都在空腹时用盐汤化开服用。如果一时未能备齐丸剂，就用以前药物十分之一的量，只宜炮制，不可生用，水煎服用，名为六味地黄汤，功效更快捷。
调中散：治疗婴孩盘肠气，腹内阵发性疼痛。
青木香、川楝子、暗没药、白云苓、上青桂、杭青皮、莱菔子、陈枳壳、尖槟榔、炙甘草（等分）。
加入葱白二寸，盐一钱，水煎，空腹服用。
茵陈地黄汤：治疗刚出生的婴儿，面目及全身黄如金色，是胎中受湿热所致。
怀生地、京赤芍、正川芎、大当归、天花粉、赤茯苓、结猪苓、茵陈蒿、宣泽泻。
诸药根据时令确定分量，水煎，母亲与婴儿共同服用。
大连翘饮：治疗胎肥，解除热毒。
净连翘、瞿麦穗、白滑石、牛蒡子、车前子、川木通、北防风、炒栀仁、片黄芩、荆芥穗、大当归、北柴胡、京赤芍、净蝉蜕、炙甘草、竹叶十片、灯芯十茎。
水煎，热服。
浴体法：治疗胎肥。
明天麻（二钱）、净全蝎（去毒）、箭朱砂（各五分）、乌蛇肉（酒浸）、枯白矾、洋青黛（各三钱）、真麝香（一分）。
共同研匀。每次用三钱，水三碗，桃枝一握，同煎十沸，温热时洗浴，但不要洗背部。
调元散：治疗胎怯。
拣人参、漂白术、白茯苓、化橘红、大当归、甘枸杞、炙甘草（各二钱）、陈粳米（三合）。
研为细末。每次服二、三钱，用龙眼煎汤调服。
八味地黄丸：治疗禀受先天不足。
即前面的六味地黄丸加青化桂一两、熟川附一两，治疗禀赋命门火衰。凡是牙齿生长迟、说话迟、行走迟，囟门宽大，肾疳等症状，或者是火衰不能生土，导致脾土虚寒，不想吃奶吃东西，夜里尿床多，都是禀受先天不足的表现。自从周代起，就有虚病肾病之说，如果能自幼填补，大多可以恢复。此方用水煎，名为八味地黄汤。医经说：“益火之源，以消阴翳。”说的就是这种情况。凡是乳母肥胖白色的，母子共同服用。
Zhimiqi Qi Decoction (Seven-Qi Decoction for Guiding the Lost): Treats all conditions of abdominal pain, alternating cold and heat, excessive crying, and refusal to nurse. These symptoms are caused by the dysfunction of ascending and descending of Yin and Yang Qi, leading to obstruction of the Qi mechanism. This formula is suitable for all such cases. The Qi within the human body, through respiration entering and exiting, is constantly connected with the Yin and Yang Qi of Heaven and Earth. Therefore, when the Six Excesses (Six Pathogenic Factors) invade externally, they induce disease upon contact; this is an inevitable principle. If internal Qi becomes blocked, the connection with Heaven and Earth is severed, ascent fails to ascend, descent fails to descend, and cold and heat arise from this. This formula unblocks and benefits the Zang-Fu organs, with miraculous and infinite efficacy, worthy of deep understanding.
Guang Chenpi (Citri Reticulatae Pericarpium), Hang Qingpi (Citri Reticulatae Pericarpium Viride), Huoxiang Ye (Agastachis Herba), Ya Jiegeng (Platycodonis Radix cum Gemmis), Peng Ezhu (Curcumae Phaeocaulis Rhizoma), Xiangfu Mi (Cyperi Rhizoma), Fa Banxia (Pinelliae Rhizoma Preparatum), Shang Rougui (Cinnamomi Cortex), Gong Dingxiang (Eugeniae Flos), Yizhi Ren (Alpiniae Oxyphyllae Fructus), Lao Shengjiang (Zingiberis Rhizoma Recens), Da Hongzao (Jujubae Fructus), Zhi Gancao (Glycyrrhizae Radix et Rhizoma Preparated with Honey).
The above ingredients are chopped. Add two bowls of water, decoct until one bowl remains. Mother and infant take together.
Zhugao (Stomach-Assisting Paste): Treats fetal cold drawing inward, weak Stomach Qi, distension and fullness in the chest and hypochondrium, and green milk or stool.
Baidoukou (Cardamomi Albi Fructus), Roudoukou (Myristicae Semen, must be roasted and baked, oil removed), Guanjishen (Ginseng Radix et Rhizoma selected), Guang Muxiang (Aucklandiae Radix) (each 2 liang 5 qian), Gong Dingxiang (Eugeniae Flos) (3 qian), Huoxiang Ye (Agastachis Herba), Yun Fuling (Poria), Biaobai Zhu (Atractylodis Macrocephalae Rhizoma, stir-fried with soil), Zhen Qinggui (Cinnamomi Ramulus), Xi Sharen (Amomi Fructus), Zhi Gancao (Glycyrrhizae Radix et Rhizoma Preparated with Honey) (each 1 liang), Guang Chenpi (Citri Reticulatae Pericarpium) (1 liang 2 qian), Yang Chenshen (Aquilariae Lignum Resinatum) (2 qian), Huai Shanyao (Dioscoreae Rhizoma) (1 liang 5 qian).
Grind into fine powder, make pills with honey the size of Euryale Seed. Take one pill at a time, dissolved in soup of fried rice.
Jicheng Hangxie Dan (Hangxie Pill of the Collection): (Pronounced "Kang Xie", referring to the sweet dew descended by the Big Dipper at midnight). Treats all fetal toxins in infants, fetal heat, fetal jaundice, red face with closed eyes, thrush, mouth sores, double tongue, wooden tongue, throat closure, tonsillar swelling, high fever throughout the body, yellow-red urine, constipation, measles spots and lymphatic swellings, wandering wind, scabies and tinea, erysipelas and urticaria, phlegm-food wind-heat, swelling of cheeks and face, ten types of fire carbuncles, various wind-induced convulsions. It is highly effective for all these.
This formula is not recorded in ancient books but was received from an unusual source, slightly resembling the ancient Shenxiong Wan. In recent times, skilled practitioners have cleverly modified it by adding and subtracting ingredients, making it a unique divine formula for pediatrics, serving as the main treatment for Sanjiao disorders. Generally, if Zang-Qi flows smoothly, there will be no stagnation. Whether poisoned before pregnancy or infected by pathogens after birth, leading to depression of Middle Qi, the aforementioned symptoms appear. Huangqin (Scutellariae Radix) clears Heat of the Upper Jiao; Huangbai (Phellodendri Cortex) clears Heat of the Lower Jiao; Dahuang (Rhei Radix et Rhizoma) clears Heat of the Middle Jiao, and also utilizes its function of eliminating the old and generating the new, invigorating blood and relieving irritability, guiding the stagnant Fire of the Sanjiao out through the anus. Worrying that bitter-cold properties might cause coagulation and cloying, Bolang (Arecae Semen) and Zhike (Aurantii Fructus Immaturus) are added for their acrid-dispersing nature, acting as assistants to move Qi and benefit phlegm; Chuanxiong (Ligustici Chuanxiong Rhizoma) and Bohe (Menthae Haplocalycis Herba) guide wind-heat from the head and face downward; Lianqiao (Forsythiae Fructus) resolves toxicity and relieves irritability; Chishao (Paeoniae Radix Rubra) harmonizes Ying and invigorates blood; Qianniu (Pharbitidis Semen) promotes urination, moves through the Qi level to relieve stagnation; Huashi (Talcum) is clear and moistening, suppresses Yang Fire and supports Yin, and guides pathogenic heat out through urine. Used to treat the aforementioned excess syndromes, its effect is as immediate as a drumstick striking a drum. Throughout my life, I have been most cautious about using attacking methods, yet I have used this formula for the longest time, and its efficacy cannot be fully described; it is truly a good prescription for saving the world.
Hang Chuanxiong (Ligustici Chuanxiong Rhizoma) (9 qian, washed with wine), Jin Zhuang Huang (Rhei Radix et Rhizoma) (9 qian, steamed with wine), Shi Huangqin (Scutellariae Radix) (9 qian, stir-fried with wine), Nong Chuanbai (Phellodendri Cortex) (9 qian, stir-fried with wine), Hei Qianniu (Pharbitidis Semen, stir-fried, take the finest powder) (6 qian), Bohe Ye (Menthae Haplocalycis Herba) (4.5 qian), Fen Huashi (Talcum, water-sedimented) (6 qian), Jian Banglang (Arecae Semen) (7.5 qian, washed with child's urine, dried), Chen Zhike (Aurantii Fructus Immaturus) (4.5 qian, stir-fried with bran), Jing Chishao (Paeoniae Radix Rubra) (stir-fried, 6 qian).
The above ten ingredients, processed according to the prescription, mixed evenly, dried by baking, ground into extremely fine powder, made into pills with refined honey the size of Euryale Seed. Infants within one month take one pill each; slightly older ones take two pills. All should be taken dissolved in tea. Nursing mothers must strictly avoid greasy food. As soon as slight diarrhea occurs, the medicinal power has acted, and the illness will subside.
If there is no diarrhea, continue taking it. For severe illnesses, take three times daily until cured. This formula is absolutely not harsh or fierce; do not doubt or fear it. However, it is contraindicated for those with fetal cold and fetal weakness presenting with a cyanotic or pale face.
Lima Wan (Six-Ma Pill): Treats fetal convulsions. First use this pill to unblock the meridians, then take Dihuang Wan.
Mingtianma (Gastrodiae Rhizoma, prepared with ginger), Fa Banxia (Pinelliae Rhizoma Preparatum), Bei Fangfeng (Saposhnikoviae Radix), Chuan Qianghuo (Notopterygii Rhizoma et Radix), Niudanxing (Arisaematis Cum Bile Bulbus), Zhi Jiangcan (Bombyx Batryticatus), Bei Quanxie (Scorpio) (each 5 qian).
Grind into fine powder, make pills with honey the size of Euryale Seed. Take one pill at a time, taken down with Gouteng Tang (Uncaria Decoction).
Liwei Dihuang Wan (Six-Ingredient Rehmannia Pill): Also known as Dihuang Wan from *Jinkui Yaolue* created by Zhang Zhongjing. Originally treats Kidney Water deficiency, dribbling urination, dizziness of head and eyes, soreness and weakness of waist and legs, Yin-deficiency fever, spontaneous sweating and night sweats, emaciation and weakness, mental fatigue. "Strengthen the master of Water to control the Sunlight," this is the formula referred to.
Qian Zhongyang used it to treat infant fetal weakness due to congenital insufficiency, as well as Liver Galactophorous Viscera malnutrition causing white membrane covering the pupil, bloody diarrhea with loss of voice, emaciated body with sores and scabies, Kidney weakness with delayed speech, fontanelle opening and delayed walking.
Xue Lizhai further used it to treat infant Liver channel Blood deficiency and dry-heat, Kidney channel deficiency heat causing thirst, dribbling and retention of urine, phlegm-Qi blocking upward, or wind-pathogen invading, lymphatic swellings and nodules, convulsions of four limbs, twitching of eyes, hemoptysis and hematemesis, dizziness of head and eyes, dry and painful throat, sores in mouth and tongue, or congenital insufficiency leading to fontanelle opening and loss of voice, five delays and five softnesses, Kidney Galactophorous Viscera malnutrition and Liver Galactophorous Viscera malnutrition. For all syndromes of Liver and Kidney insufficiency, this formula is suitable to nourish the source of transformation, and its merits cannot be fully stated.
My commentary: Qian Yi and Xue Ji, the two elders, were able to use this formula to treat congenital insufficiency in infants, which is indeed a mark of profound insight, and I admire them. Unfortunately, children today have physical constitution and Yuan Qi even less than before. In ancient times, Dihuang Wan was considered a tonic, but now it acts more as a cooling agent. This medicine is indeed appropriate for those with Yin deficiency and dryness. However, if the child has fat muscles and a white complexion, with weak Spleen and much phlegm, taking this will certainly cause cloying in the diaphragm and generate other syndromes, causing significant harm. It is not that the formula is bad, but that the congenital endowment nowadays is thinner. Therefore, I have deliberated on its processing method, ensuring that the yin-coagulating nature of Dihuang is slightly closer to yang-warmth, preventing it from being overly cold and frozen, thus avoiding the harm of cloying the diaphragm and damaging the Spleen.
Da Huai Di (Prepared Rehmanniae Radix) 4 liang (use 1 liang of Xi Sharen [Amomi Fructus] without crushing, slice 2 liang of Shengjiang [Zingiberis Rhizoma], sew these two into a small summer bag, place them together with Dihuang in a clay pot, boil in water for two days and nights, then add good wine and boil for another day and night, until Dihuang is mushy. Remove, discard the bag, mash Dihuang into paste, set aside); Bai Yunling (Poria) (2 liang, steamed and sun-dried with milk), Huai Shanyao (Dioscoreae Rhizoma) (3 liang, steamed and sun-dried with milk), Jing Zaopi (Corni Fructus) (2 liang, stir-fried and ground), Fen Danpi (Moutan Cortex) (1 liang, stir-fried with wine), Xuan Zexie (Alismatis Rhizoma) (1 liang, stir-fried with salt water until scorched).
Process the above according to requirements, mix evenly, dry by baking, grind into fine powder, mix with the previously prepared Dihuang paste, add a little refined honey, pound evenly in a stone mortar. Each pill weighs 1.5 qian. For infants half a week to one year old, use one pill each time; for 3-5 years old, use two pills. Take all on an empty stomach, dissolved in salt water. If pills are not ready in time, use one-tenth of the previous herbs, only properly processed, not raw, decocted in water, named Liwei Dihuang Tang (Six-Ingredient Rehmannia Decoction), with faster efficacy.
Tiaozhong San (Regulate-Middle Powder): Treats infant intestinal entrapment Qi, paroxysmal abdominal pain.
Qingmuxiang (Aucklandiae Radix), Chuan Lianzi (Toosendan Fructus), An Moyao (Myrrha), Bai Yunling (Poria), Shang Qinggui (Cinnamomi Ramulus), Hang Qingpi (Citri Reticulatae Pericarpium Viride), Laifuzi (Radish Seed), Chen Zhike (Aurantii Fructus Immaturus), Jian Banglang (Arecae Semen), Zhi Gancao (Glycyrrhizae Radix et Rhizoma Preparated with Honey) (equal parts).
Add 2 cun of Congbai (Allii Fistulosi Bulbus) and 1 qian of salt, decoct in water, take on an empty stomach.
Yinchen Dihuang Tang (Artemisiae Scopariae and Rehmannia Decoction): Treats newborn infants whose face, eyes, and whole body are yellow like gold, caused by damp-heat received in the womb.
Huai Shengdi (Rehmanniae Radix Preparata), Jing Chishao (Paeoniae Radix Rubra), Zheng Chuanxiong (Ligustici Chuanxiong Rhizoma), Da Danggui (Angelicae Sinensis Radix), Tianhuafen (Trichosanthis Radix), Chi Fuling (Poria with Red Heart), Jie Zhuling (Polyporus), Yinchen Hao (Artemisiae Scopariae Herba), Xuan Zexie (Alismatis Rhizoma).
Dosage of each herb determined according to the season. Decoct in water, mother and infant take together.
Daliaoqiao Yin (Large Forsythia Drink): Treats fetal obesity, resolves heat toxicity.
Jing Lianqiao (Forsythiae Fructus), Qumai Sui (Dianthi Herba), Bai Huashi (Talcum), Niubangzi (Arctii Fructus), Cheqianzi (Plantaginis Semen), Chuan Mutong (Akebiae Caulis), Bei Fangfeng (Saposhnikoviae Radix), Chao Zhiren (Gardeniae Fructus), Pian Huangqin (Scutellariae Radix), Jingjie Sui (Schizonepetae Spica), Da Danggui (Angelicae Sinensis Radix), Bei Chaihu (Bupleuri Radix), Jing Chishao (Paeoniae Radix Rubra), Jing Chantui (Cicadae Periostracum), Zhi Gancao (Glycyrrhizae Radix et Rhizoma Preparated with Honey), Zhu Ye (Bambusae Folium) 10 leaves, Dengxin (Junci Medulla) 10 stems.
Decoct in water, take hot.
Yuti Fa (Body Bathing Method): Treats fetal obesity.
Mingtianma (Gastrodiae Rhizoma) (2 qian), Jing Quanxie (Scorpio, remove toxicity), Jian Zhusha (Cinnabaris) (each 5 fen), Wushe Rou (Wagleri's Pitviper Meat, soaked in wine), Ku Baifan (Alumen Exsiccatum), Yang Qingdai (Indigo Naturalis) (each 3 qian), Zhen Shexiang (Moschus) (1 fen).
Grind uniformly. Use 3 qian each time, with 3 bowls of water and a handful of Taozhi (Peach Twig), decoct together for ten boils. Bathe while warm, but do not bathe the back.
Tianyuan San (Restore-Origin Powder): Treats fetal weakness.
Jian Renshen (Ginseng Radix et Rhizoma), Biaobai Zhu (Atractylodis Macrocephalae Rhizoma), Bai Fuling (Poria), Hua Juhong (Exocarpium Citri Grandis), Da Danggui (Angelicae Sinensis Radix), Gan Gouqi (Lycii Fructus), Zhi Gancao (Glycyrrhizae Radix et Rhizoma Preparated with Honey) (each 2 qian), Chen Jingmi (Oryza Sativa var. Glutinosa) (3 he).
Grind into powder. Take 2-3 qian each time, mixed with Longyan decoction (Longan fruit soup).
Bawei Dihuang Wan (Eight-Ingredient Rehmannia Pill): Treats congenital insufficiency.
It is the aforementioned Liwei Dihuang Wan plus Qinghuagui (Cinnamomi Ramulus) 1 liang and Shu Chuanfu (Aconiti Lateralis Radix Preparata) 1 liang, treating congenital Mingmen Fire decline. Symptoms include delayed tooth eruption, delayed speech, delayed walking, large fontanelle, Kidney Galactophorous Viscera malnutrition, etc. Or fire decline failing to generate Earth, leading to Spleen Earth deficiency-cold, lack of desire for milk and food, frequent nocturnal enuresis, all indicating congenital insufficiency. Since the Zhou Dynasty, there have been discussions on deficiency diseases of the Kidney; if filled from early childhood, recovery is often possible. Decoct this formula in water, named Bawei Dihuang Tang (Eight-Ingredient Rehmannia Decoction). The classic states: "Benefit the source of Fire to eliminate Yin shadows." This refers to it. Mothers who are fat and white-complexed should take it together with their infants.