盐汤探吐法 法见二卷霍乱门。
藿香正气散 治内伤脾胃,外感风寒,吐泻霍乱等证。
藿香梗 家苏叶 大腹皮 真广皮 芽桔梗 白云苓 法半夏 六神曲 香白芷(以上各一钱) 川浓朴
炙甘草(各五分)
上作一剂,生姜三片,大枣三枚,水煎,温服。
小儿客忤,由儿真元不足,神气未充,故外邪客气得以乘之。经曰∶邪之所凑,其气必虚。不治其虚,安问
其余?忤者,谓外来人畜之气,忤触其儿之正气也,或因生人远来,或因六畜暴至,或抱儿戏骑牛马,或父母骑
马远归,未及熏衣,即抱其儿,则马汗不正之气,从鼻而入。经曰∶五气入鼻,藏于心肺,则正气受忤,此外因
之客忤也。其证口吐青黄白沫,面色变异,喘急腹痛,反侧不安,手足 。第此证神不昏乱为异耳。治宜涂囟
法、搐鼻法,内服摄生饮。
复有内因客忤,或儿平日所喜者,乃戏而夺之;平日所畏者,乃戏而恐之。凡亲爱之人,喜食之果,玩弄之
物,心之所系,口不能言,一时不得,遂逆其心志。其候昏昏喜睡,寤不惺惺,不思乳食,即其证也。宜
先顺其心意,内服沉香安神丸并惺惺散。
涂囟法 专治客忤等证。
灶心土(一钱) 明雄黄(五分) 真麝香(半分)
共为细末,枣肉和匀,捏作一饼子,照囟门宽窄为样,以饼贴囟上,取艾绒作豆大一粒,灸三炷即止。
搐鼻法 治伤风伤寒,头目不清,并治客忤。
正川芎 藿香叶 鲜藜芦(各三钱) 玄胡索 粉丹皮 镜辰砂(飞,各二钱)
共为极细末,以少许吹鼻中,得嚏则邪气出矣。
摄生饮 治一切卒中,大小科同。
制南星 南木香 法半夏(各一钱半) 北细辛 漂苍术 石菖蒲 炙甘草(各一钱)
上作一剂,生姜三片水煎,热服。
沉香安神丸 治内因客忤。
官拣参(一钱) 漂白术 真广皮 陈枳壳 芽桔梗 青礞石( ,各五钱) 炙甘草 上沉香(各一钱)
镜辰砂(飞,一钱) 真川连(一钱五分)
共为细末,蜜丸芡实大。每一二丸,麦冬汤下。
惺惺散 方见卷二乳子伤寒门。
藿香正气散:用于治疗内伤脾胃、外感风寒,以及呕吐、腹泻、霍乱等证候。
处方组成:藿香梗、紫苏叶、大腹皮、广陈皮、桔梗、茯苓、法半夏、六神曲、白芷(以上各一钱);川厚朴、炙甘草(各五分)。
煎服方法:以上药材为一剂,加生姜三片、大枣三枚,用水煎煮,温服。
小儿客忤,是由于小儿先天真元不足,神气尚未充盈,因此外邪和“客气”得以乘虚而入。《内经》说:“邪气聚集的地方,正气必然虚弱。”如果不治疗其正气的虚弱,又怎能顾及其他症状呢?所谓“忤”,是指外来的人或动物的气息,冲撞了小儿的正气。这可能是因为陌生人从远方来,或者家畜突然到来;也可能是抱着孩子玩耍时骑牛马,或者父母骑马远归,还没来得及熏衣除味,就立即抱孩子,导致马汗产生的不正之气从鼻腔进入。《内经》说:“五气通过鼻子进入,藏于心肺”,这样正气就会受到冲撞,这是由外部因素引起的客忤。其症状表现为口吐青、黄、白色的泡沫,面色改变,气喘急促且腹痛,身体翻侧不安,手足抽搐。但此证的特点是神志不昏乱,这与其它重症不同。治疗适宜采用涂囟法、搐鼻法,并内服摄生饮。
另有由内部因素引起的客忤,例如孩子平时喜欢的东西,被人故意夺走;平时害怕的东西,被人故意恐吓。凡是亲人喜爱的食物、把玩的物品,都是孩子心中牵挂的,虽然口不能言,但如果一时得不到满足,就会违背其心意。其表现是昏昏欲睡,醒来后精神不振,不想吃奶吃饭,这就是该证候的表现。适宜先顺从其心意,内服沉香安神丸和惺惺散。
涂囟法:专门治疗客忤等证候。
处方组成:灶心土(一钱)、明雄黄(五分)、真麝香(半分)。
使用方法:共研为细末,用枣肉调和均匀,捏成饼状,根据囟门的大小制作,将药饼贴在囟门上,取艾绒做成豆大一粒,灸三壮即止。
搐鼻法:治疗伤风、伤寒导致的头目不清爽,同时也治疗客忤。
处方组成:川芎、藿香叶、鲜藜芦(各三钱);玄胡索、牡丹皮、辰砂(飞制,各二钱)。
使用方法:共研为极细末,取少量吹入鼻中,打喷嚏则邪气排出。
摄生饮:治疗一切猝然中病,内科儿科通用。
处方组成:制南星、木香、法半夏(各一钱半);细辛、苍术(漂洗)、石菖蒲、炙甘草(各一钱)。
煎服方法:以上药材为一剂,加生姜三片,用水煎煮,热服。
沉香安神丸:治疗内因客忤。
处方组成:人参(一钱)、白术、广陈皮、枳壳、桔梗、青礞石(煅,各五钱);炙甘草、上沉香(各一钱);辰砂(飞制,一钱);黄连(一钱五分)。
使用方法:共研为细末,用蜂蜜制成如芡实大小的丸药。每次服用一两丸,用麦冬汤送服。
Salt Soup Induced Vomiting Method: This method is detailed in the Huoluan (Vomiting and Diarrhea) section of Volume II.
Huoxiang Zhengqi San (Agastache Powder to Rectify the Qi): Used to treat conditions such as internal injury to the Spleen and Stomach, external contraction of Wind-Cold, vomiting, diarrhea, and Huoluan (Vomiting and Diarrhea).
Ingredients: Huoxiang Geng (Aromatic Mint Stem), Jiā Sū Yè (Perilla Leaf), Dafupi (Bitter Orange Peel), Zhēn Guǎng Pí (Tangerine Peel), Yá Jiegeng (Platycodon Root), Báiyún Líng (Poria), Fǎ Bànxià (Prepared Pinellia Tuber), Liùshénqǔ (Medicated Leaven), Xiang Baizhi (Angelica Dahurica Root) (each 1 qian); Chuān Nóngpò (Magnolia Bark), Zhì Gāncǎo (Honey-fried Licorice Root) (each 0.5 qian).
Preparation and Administration: Combine as one dose, add three slices of Shēngjiāng (Fresh Ginger) and three dates (Dàzǎo), decoct with water, and take warm.
Pediatric Ke Wu (Sudden Shock from External Factors): This condition arises because a child's innate True Yuan (Primal Qi) is insufficient and their Shen Qi (Spiritual Qi) is not yet full, allowing external pathogens and "guest qi" to take advantage of this deficiency. The Classics state: "Where pathogenic factors gather, the healthy qi must be deficient." If one does not treat the deficiency, how can one address other symptoms? "Wu" refers to the qi of incoming people or animals clashing with the child's healthy qi. This may occur due to strangers arriving from afar, or livestock appearing suddenly; it may also happen when holding a child while playing on horses or oxen, or when parents return home riding horses without first fumigating their clothes to remove odors. The impure qi from horse sweat then enters through the nose. The Classics state: "The five qi enter through the nose and lodge in the Heart and Lungs," causing the healthy qi to be clashed by these external factors. This is exogenous Ke Wu. Symptoms include spitting out green, yellow, or white froth, changes in facial complexion, rapid breathing with abdominal pain, restlessness with turning over, and convulsions of the hands and feet. However, the distinguishing feature of this condition is that the spirit remains clear and unconfused. Treatment should employ Tu Xin Fa (Fontanelle Smearing Method), Chu Bi Fa (Nasal Insufflation Method), and internal administration of Shesheng Yin (Life-Nourishing Decoction).
There is also endogenous Ke Wu, caused by situations such as taking away toys the child usually likes, or frightening the child with things they usually fear. When beloved items or foods cherished by relatives are withheld, violating the child's will despite their inability to speak, it leads to this condition. Symptoms include drowsiness, lack of alertness upon waking, and refusal to suckle or eat. The appropriate approach is to first accommodate the child's desires and internally administer Chenxiang Anshen Wan (Agarwood Calming Spirit Pill) and Xingxing San (Awakening Powder).
Tu Xin Fa (Fontanelle Smearing Method): Specifically treats Ke Wu and similar conditions.
Ingredients: Zaoxin Tu (Fire-calced Soil from the Hearth, 1 qian), Ming Xionghuang (Realgar, 0.5 qian), Zhen Shexiang (Musk, 0.5 fen).
Usage: Grind into fine powder, mix evenly with jujube flesh, shape into a cake according to the size of the fontanelle, apply to the fontanelle, place a bean-sized piece of moxa wool on top, and moxibustion for three zhu (moxa cones) is sufficient.
Chu Bi Fa (Nasal Insufflation Method): Treats unclear head and eyes due to Wind-Cold or Cold Damage, and also treats Ke Wu.
Ingredients: Zheng Chuanxiong (Ligusticum Chuanxiong Rhizome), Huoxiang Ye (Agastache Leaf), Xian Lílú (Fresh Veratrum Root) (each 3 qian); Xuanshusuo (Corydalis Rhizome), Fen Danpi (Moutan Cortex), Jing Chensha (Cinnabar, purified) (each 2 qian).
Usage: Grind into extremely fine powder, insufflate a small amount into the nose. Sneezing indicates the expulsion of pathogenic factors.
Shesheng Yin (Life-Nourishing Decoction): Treats all types of sudden onset diseases, applicable to both Internal Medicine and Pediatrics.
Ingredients: Zhi Nanxing (Prepared Arisaema Rhizome), Nan Muxiang (Costus Root), Fǎ Bànxià (Prepared Pinellia Tuber) (each 1.5 qian); Bei Xixin (Asarum Root), Piao Cangzhu (Atractylodes Rhizome, washed), Shíchāngpú (Acorus Rhizome), Zhì Gāncǎo (Honey-fried Licorice Root) (each 1 qian).
Preparation and Administration: Combine as one dose, add three slices of fresh ginger, decoct with water, and take hot.
Chenxiang Anshen Wan (Agarwood Calming Spirit Pill): Treats endogenous Ke Wu.
Ingredients: Guan Jian Shen (Ginseng Root, 1 qian), Bái Zhu (Atractylodes Macrocephala Rhizome), Zhēn Guǎng Pí (Tangerine Peel), Chén Zhīqiào (Aged Aurantium Fruit), Yá Jiegeng (Platycodon Root), Qīng Méngshí (Calcareous Schist, calcined) (each 5 qian); Zhì Gāncǎo (Honey-fried Licorice Root), Shang Chenxiang (Agarwood) (each 1 qian); Jing Chensha (Cinnabar, purified, 1 qian), Zhēn Chuánlián (Coptis Rhizome, 1.5 qian).
Usage: Grind into fine powder, form pills with honey the size of Euryale Seed (Qianshi). Take one or two pills, washed down with Ophiopogon Decoction (Maidong Tang).
Xingxing San (Awakening Powder): See the formula in the Infant Cold Damage section of Volume II.