总括
小儿诸淋,皆缘风寒袭人,或因湿热下移,乘入膀胱,以致溲溺无时,水道涩滞,欲出不出,淋漓不断,甚至窒塞,
令儿常常作痛。然必辨其为寒为热,为石为血,随证分别医治,则水道宣通,而淋自愈矣。
寒淋
小儿冷气,乘入胞中,致下焦受冷,遂成寒淋。其候小便闭塞,胀痛难禁,淋漓不断,小腹隐痛,须以五苓散倍加
肉桂、小茴香,治之如神也。
热淋
膀胱蓄热,热淋成矣。小便不通,淋漓涩痛,以十味导赤散治之,有奇功也。如小腹胀满,引脐作痛,大便闭结者,
急服八正散,莫少停也。
石淋
膀胱湿热,蓄积日久,而成石淋之证。致溲出如沙石之状,茎中疼痛。此病譬如汤瓶久经火炼,底结白 也。如轻
者,须用葵子散主之,重则用八正散,可相从也。
血淋
血淋者,盖因心热伤于血分,热气传入于胞,日久则尿血同出,茎中不时疼痛。痛利者,须用小蓟饮主之,若茎中
痛甚者,五淋散从而用之。
总括
小儿头痛之证不一,当分在表在里之别。如在里者,属内热熏蒸也;在表者,外感寒风也。如风寒外闭,法宜疏散
之;内热熏蒸,以清解攻之。
风寒头痛
风寒头痛者,乃属太阳经受邪也。其候上及巅顶,下连额角之傍,不时作痛,恶寒无汗身体发热。法宜取汗,悉以
清空膏主之。如痛甚者,于本方中加细辛;热盛便秘者,于本方中加大黄。
内热头痛
内热头痛者,属阳明胃经。因小儿肥甘无节,胃火上炎,故发时鼻干目痛,上至头,下至齿颊,疼痛无有定时。先
清其火,用加味茶调散主之。如便闭,加入大黄攻之。
总括
小儿的各种淋证,都是因为风寒侵袭人体,或者因湿热下注,侵入膀胱,导致小便失禁,尿道涩滞不畅,想排尿却排不出,淋漓不断,甚至完全堵塞,让孩子经常感到疼痛。然而必须辨别是寒证还是热证,是石淋还是血淋,根据症状分别治疗,那么水道宣通,淋证自然痊愈。
寒淋
小儿寒气侵入胞中(此处指膀胱或下焦部位),导致下焦受冷,从而形成寒淋。其表现为小便闭塞,胀痛难以忍受,淋漓不断,小腹隐隐作痛,需要用五苓散加倍加入肉桂、小茴香来治疗,效果神奇。
热淋
膀胱蓄积热量,便形成了热淋。小便不通畅,淋漓且涩痛,用十味导赤散治疗,有奇效。如果小腹胀满,牵引肚脐疼痛,大便闭结的,急需服用八正散,不可片刻停留。
石淋
膀胱湿热,积聚日久,形成了石淋这一病症。导致排出尿液像沙石一样,尿道中疼痛。这个病就像汤瓶长久经过火烤,底部结成白色水垢一样。如果病情较轻,需用葵子散主治;病情重的则用八正散,可以跟随使用。
血淋
血淋,大概是因为心热损伤了血分,热气传入胞中,日久则尿血同时排出,尿道不时疼痛。疼痛轻微者,需用小蓟饮主治;如果尿道疼痛剧烈的,用五淋散随之使用。
总括
小儿头痛的症状不一,应当区分是在表还是在里。如果在里的,属于内热熏蒸;在表的,是外感寒风。如果是风寒外闭,治法宜疏散;如果是内热熏蒸,用清热解表攻邪的方法。
风寒头痛
风寒头痛,属于太阳经受邪所致。其表现疼痛上至头顶,下连额角旁边,不时发作疼痛,恶寒无汗,身体发热。治法宜发汗,全部用清空膏主治。如果疼痛严重的,在原方中加入细辛;热盛且便秘的,在原方中加入大黄。
内热头痛
内热头痛,属于阳明胃经。因为小儿饮食肥甘厚味没有节制,胃火上炎,所以发作时鼻干目痛,上至头部,下至齿颊,疼痛没有固定时间。先清其火,用加味茶调散主治。如果大便闭结,加入大黄攻下。
General Overview
Various types of stranguria (strangury) in children are caused by wind-cold invading the body, or by damp-heat moving downward and entering the Bladder, resulting in frequent urination without control, obstruction and stagnation of the urinary pathway, difficulty in voiding with continuous dribbling, and even complete blockage, causing constant pain. However, it is essential to differentiate between cold and heat patterns, and between lithiasis (stone stranguria) and blood stranguria, treating each according to its specific manifestations. Once the urinary pathway is unobstructed, stranguria will heal spontaneously.
Cold Stranguria
When cold qi from children invades the Bao Zhong (bladder/lower jiao area), causing coldness in the lower jiao, cold stranguria results. Symptoms include urinary retention, unbearable distending pain, continuous dribbling, and dull pain in the lower abdomen. It should be treated with Wuling San (Five-Ingredient Poria Pill) with added Cinnamon Twig (Rougui) and Fennel Seed (Xiaohuixiang), which yields miraculous effects.
Heat Stranguria
Accumulation of heat in the Bladder leads to heat stranguria. Symptoms include inability to urinate, continuous dribbling with astringent pain. Shizi Daochi San (Ten-Ingredient Guide-to-the-Heart Decoction) is effective for this condition. If accompanied by lower abdominal fullness, pain radiating to the umbilicus, and constipation, Bazheng San (Eight-Ingredient Polygala Decoction) should be administered immediately without delay.
Lithiasis Stranguria (Stone Stranguria)
Long-term accumulation of damp-heat in the Bladder leads to stone stranguria. Urine is passed resembling sand or stones, accompanied by pain in the urethra. This condition is akin to a kettle that has been heated for a long time, forming white scale at the bottom. For mild cases, Kuizi San (Abelmoschus Seed Powder) is indicated; for severe cases, Bazheng San (Eight-Ingredient Polygala Decoction) may be used.
Blood Stranguria
Blood stranguria arises primarily from heart-heat injuring the blood level, with heat qi transmitting to the Bao Zhong. Over time, blood appears in the urine along with pain in the urethra. For mild pain, Xiaoji Yin (Small Thistle Decoction) is indicated; for severe urethral pain, Wulin San (Five-Stranguria Powder) should be used.
General Overview
The symptoms of headache in children vary and must be differentiated as either exterior or interior. Interior headaches are due to steaming by internal heat; exterior headaches are caused by external contraction of wind-cold. If wind-cold obstructs the exterior, the treatment method should be dispersing and diffusing; if caused by internal heat steaming, clearing and resolving methods should be employed.
Wind-Cold Headache
Wind-cold headache belongs to the pathogenesis of the Taiyang Channel (Taiyang Meridian). Symptoms include pain extending to the vertex and connecting to the sides of the forehead, occurring intermittently, accompanied by aversion to cold, absence of sweating, and fever. The treatment method should induce sweating, primarily using Qingkong Gao (Clear the Crown Ointment/Decoction). For severe pain, add Asarum (Xixin); for excessive heat with constipation, add Rhubarb (Dahuang).
Internal Heat Headache
Internal heat headache belongs to the Yangming Stomach Channel. It occurs because children consume rich and sweet foods without restraint, causing stomach fire to flare upward. Upon onset, symptoms include dry nose, painful eyes, pain extending from the head down to the teeth and cheeks, with no fixed timing. First, clear the fire using Jiawei Chatiao San (Modified Tea-Powdering Decoction). If constipation is present, add Rhubarb (Dahuang) to purge.