八正散 治热聚下焦,二便不通。
淮木通 白滑石 黑栀仁 车前子 瞿麦穗 锦庄黄 白芒硝 蓄(俱等分,看儿大小加减之)
除大黄、芒硝在外,将六味水煎极熟,加入大黄,再煎十数沸,取起,斟出澄清,以芒硝冲服。
掩脐法 治中下二焦积热,大小便秘。
连须葱七茎不洗,生姜一大块、淡豆豉三钱、食盐三钱,同捣烂作一饼,铫子烘热,掩肚脐,以帛扎定。良
久,气通二便自利。
蜜导法 治二便不通,以此通其大便,则下焦气行,而小便自通矣。
用冬蜜八两,炼至滴水成珠不散,入皂角细末二钱,和匀,稍冷,捻如小指大一条,外以葱涎涂上,轻轻插
入谷道中,气通则便利矣。
大小便不通,经二三日危急者,以皂角烧灰研末,米汤调下一钱,立通。
又方 以蜂蜜一盏、皮硝一钱、白汤一盏。空心调下;另以皂角于桶内烧烟,令儿坐桶上熏之,即通。
又方 用草乌一个,削去皮,略以麝香搽上,抹以香油,轻插谷道内。名霹雳箭,至捷。
二便不通,百方不效。肚腹胀痛,咽喉窒塞,或痰壅气喘,水米不下,死在须臾,宜急救之。用甘遂五分,
面包煨熟,取出为末,入麝香三厘,捣饭为丸。小儿服二分,大人五分,姜汤送下。
又方 以小竹筒抹以葱涎,插入谷道,以芒硝五钱研细,香油半盏,皂角末少许,令人口含,灌入谷道
中,少时即通。
八正散:治疗热邪聚集于下焦,导致大小便不通畅。
药材组成:淮通草、白滑石、黑栀子仁、车前子、瞿麦穗、锦庄大黄、白芒硝、蓄草(以上药材均等分,根据患儿年龄大小酌情增减用量)。
煎服方法:将大黄和芒硝单独放置,把其余六味药材加水煎煮至非常熟透,加入大黄,再煮沸十余次,滤出药液并澄清,最后用芒硝冲服。
掩脐法:治疗中焦和下焦积热,导致大小便秘结。
药物组成:带须葱七根(不清洗)、生姜一大块、淡豆豉三钱、食盐三钱。
操作方法:将上述药物共同捣烂制成一个饼状,在铫子(一种小锅)上烘热后,敷贴于肚脐处,并用布条扎紧固定。长时间保持,待气机通畅,大小便自然通利。
蜜导法:治疗大小便不通,通过此法通便,使下焦气机运行,小便自然通畅。
制作方法:取冬蜜八两,炼至滴水成珠不散的状态,加入皂角细末二钱,搅拌均匀,稍冷却后,搓捻成如小指粗细的一条,外部涂抹葱汁,轻轻插入肛门(谷道)中,气机通畅则二便通利。
若大小便不通,经过两三天已处于危急状态者,可用皂角烧成灰研成粉末,用米汤调服一钱,立即通利。
又一方:用蜂蜜一盏、皮硝一钱、白开水一盏。空腹调服;另外将皂角在桶内燃烧冒烟,让患儿坐在桶上熏蒸,即可通利。
又一方:用一个草乌,削去外皮,略加麝香涂抹,再抹上香油,轻轻插入肛门内。此方名为“霹雳箭”,效果极快。
若二便不通,使用百种方法均无效,出现肚腹胀痛、咽喉堵塞感,或痰多壅盛气喘、水米难进,生命垂危之际,宜急救。处方:甘遂五分,用面粉包裹煨熟,取出研为粉末,加入麝香三厘,捣米饭为丸。小儿服用二分,成人服用五分,姜汤送服。
又一方:用小竹筒抹上葱汁,插入肛门,将五钱芒硝研细,半盏香油,少许皂角末,令患者口含(此处原文逻辑似有误,通常灌肠无需口含,但依原文直译),灌入肛门中,片刻即通。
Bazheng San (Eight-Right Decoction): Treats heat accumulation in the Lower Jiao (Lower Burner), resulting in obstruction of urination and defecation.
Ingredients: Huaitong Cao (Akebiae Caulis, 淮木通), Baishihu (Gypsum Fibrosum, 白滑石), Hei Zhiren (Gardeniae Fructus, 黑栀仁), Cheqianzi (Plantaginis Semen, 车前子), Qumai Sui (Dianthi Herba, 瞿麦穗), Jinzhuang Huang (Rhei Radix et Rhizoma, 锦庄黄), Baimangxiao (Natrii Sulfas, 白芒硝), Xushicao (Polygoni Avicularis Herba, 蓄). All ingredients are used in equal proportions, adjusted according to the child's age.
Preparation and Administration: Set aside Dahuang (Rhei Radix et Rhizoma) and Mangxiao (Natrii Sulfas). Decoct the remaining six herbs in water until thoroughly cooked. Add Dahuang and boil for more than ten times. Strain the liquid and clarify it. Finally, dissolve Mangxiao in the decoction and take orally.
Yanqi Fa (Umbilical Covering Method): Treats heat accumulation in the Middle and Lower Jiao, causing constipation of both stool and urine.
Ingredients: Seven stalks of scallion with roots (unwashed), one large piece of fresh ginger, three qian of Dan Douchi (Fermented Soybean, 淡豆豉), three qian of salt.
Operation: Pound the above ingredients together into a paste to form a cake. Heat the cake on a small pot (diao), then apply it to the umbilicus and secure it tightly with a cloth strip. After a long period, when Qi circulation is restored, bowel and bladder movements will naturally become unobstructed.
Midao Fa (Honey Suppository Method): Treats obstruction of both stool and urine. By relieving constipation, Qi circulation in the Lower Jiao is promoted, and urination becomes unobstructed spontaneously.
Preparation: Take eight liang of winter honey and refine it until it forms beads that do not disperse when dropped in water. Add two qian of fine powder from Zaojiao (Gleditsiae Sinensis Fructus, 皂角) and mix evenly. Allow to cool slightly, then shape into a stick the size of a little finger. Coat the outside with scallion juice and gently insert it into the anus (Gudao). When Qi circulates, both stool and urine will pass freely.
In critical cases where obstruction of both stool and urine persists for two or three days, burn Zaojiao (Gleditsiae Sinensis Fructus) to ash, grind it into powder, and administer one qian mixed with rice soup for immediate relief.
Another prescription: Mix one zhan of honey, one qian of Pixiao (Natrii Sulfas, 皮硝), and one zhan of plain boiled water. Take on an empty stomach. Additionally, burn Zaojiao in a bucket to produce smoke, and have the child sit on the bucket to fumigate the perineal area, which will induce passage.
Another prescription: Use one Caowu (Aconiti Radix, 草乌), peel off the skin, rub with a small amount of Shexiang (Moschus, 麝香), coat with sesame oil, and gently insert into the anus. This formula is named Pili Jian (Thunderbolt Arrow) and acts very swiftly.
If obstruction of both stool and urine persists despite numerous ineffective treatments, accompanied by abdominal distension and pain, throat blockage sensation, phlegm congestion with wheezing, inability to consume food or water, and imminent death, emergency rescue is required. Prescription: Gan Sui (Kansui Radix, 甘遂) five fen, wrapped in flour and roasted until cooked, removed and ground into powder. Add three li of Shexiang (Moschus). Form pills using rice paste. Children take two fen, adults take five fen, taken with ginger soup.
Another prescription: Apply scallion juice to a small bamboo tube and insert it into the anus. Grind five qian of Mangxiao (Natrii Sulfas) into fine powder, mix with half a zhan of sesame oil and a small amount of Zaojiao powder. Administer enema into the anus; passage occurs shortly thereafter.