小儿奶癖目不明者灸眉中俞二穴各一壮取法在肩内 去脊二寸陷中是穴
小儿癖气久不消者灸中脘章门二穴中脘从 KT 下取病儿四指头是章门在大横骨外直脐季
胁端侧卧曲上足举臂取之各灸七壮脐后脊中灸二七壮 禹讲师用灸之经验
脾俞一穴治小儿胁下满泻痢体重四肢不收 癖积聚腹痛不嗜食痰疟寒热又治腹胀引背食
颇多渐渐黄瘦在第十一椎下两傍相去各一寸五分可灸七壮若黄疳者可灸三壮
圣惠甘露饮子 治小儿腹胁痞结胀满不得宣通
甘遂(一分煨令微黄) 青皮(浸去白焙) 黄芩 川大黄(锉碎微炒各半两)
上粗末每服一钱水一小盏煎去滓温和服量大小增减用得通和则止后以糜粥放冷补之
取癖
甘遂(微炒) 芫花(炒) 牵牛(半炒半生研筛取肉) 辣桂 蓬术 青皮(去白) 木香
桃仁(浸去皮炒) 五灵脂(各二钱)
上细末去油巴豆一钱研和十分细飞面糊丸麻子大风干每服一二丸姜蜜煎汤灌下泄后冷粥
补仍和胃
挨癖丸 治乳癖谷 腹中块痛
代赭石(火 醋淬至碎研十分细) 青皮(去白) 木香 蓬术 五灵脂 北大黄(各三钱)
巴豆(压去油尽一钱)
上为末醋面糊丸麻子大每服二丸食后擦姜泡汤下
代赭丸 治小儿腹中结癖块痛
代赭石(研细) 川大黄 木香 五灵脂 朱砂 桃仁(浸去皮尖) 辣桂(各一分) 巴豆
肉(去油半分)
上为细末糕糊丸麻子大风干每服五丸姜汤下
烧丹丸 治小儿食癖乳癖每日午后发寒热咳
玄精石(烧赤) 轻粉(各一钱) 粉霜 硼砂(各半钱)
上先将硼砂研细入三味研匀更入寒食面一钱研匀滴水和成饼再用面裹了慢火内煨黄取出
去面将
药饼再研为细末滴水和丸如黄米大一岁五丸二岁十丸夜卧温浆水送下至天明取下恶物是效如
不下渐加丸数如奶癖未消尽隔三两日又一服癖消尽为度
三棱煎丸 治小儿饮食过度痞闷疼痛食不消化久而成癖也此药传治妇人血积血块尤验
广茂(黑角者) 三棱(二味湿纸煨香为末各一两) 大黄(去皮八两为末)
上大黄银器内以好醋渍令平满慢火熬可以二味为丸如麻子大或绿豆大每服十丸至十五丸
食后温水送下虚实加减服
青礞石丸 治小儿奶癖
硫黄(三钱) 青礞石 五灵脂 锅底黑(各一钱半) 白丁香(一钱去土)
上为末米饭为丸绿豆大捻作饼子每服二十饼温水送下
鳖甲猪肚丸\x 治小儿癖积发热
柴胡(一两) 黄连 鳖甲(九肋者佳醋炙黄色各七钱) 枳实(麸炒) 木香 青皮(各半
两)
上入干青蒿七钱同为末以棕猪肚一个去脂盛药蒸熟同捣和为丸如桐子大每服一十丸煎人
参汤送下食后服
小儿患有奶癖且视力不明者,可灸眉中俞穴(位于眉毛中间)两个穴位,每穴各施一壮艾炷。取穴方法参考肩内穴,该穴位于距离脊柱二寸的凹陷处。
小儿患有癖气且久治不消者,可灸中脘穴和章门穴。中脘穴从缺盆(锁骨上窝)下方取穴,以患病小儿的四指宽度为准;章门穴位于大横骨外侧,直对脐部,在季胁端,取穴时让患儿侧卧,屈曲上肢并抬起手臂。两穴各灸七壮。此外,可在脐后脊正中(即命门穴附近)灸十四壮。禹讲师有使用此法的经验:脾俞穴一个,可治疗小儿胁下胀满、泻痢、身体沉重、四肢无力不收、癖积聚结、腹痛、食欲不振、痰疟寒热,以及腹胀牵引背部疼痛、饮食增多却逐渐消瘦发黄等症状。该穴位于第十一椎下两侧,距中线各一寸五分,可灸七壮;若为黄疳病,可灸三壮。
圣惠甘露饮子:治疗小儿腹胁痞结、胀满不通。
药材:甘遂(一分,煨至微黄)、青皮(浸水去白瓤后焙干)、黄芩、川大黄(锉碎,微炒,各半两)。
制法与用法:将上述药材捣成粗末。每次服用一钱,加水一小盏,煎煮后去渣,温服。根据患儿年龄大小增减药量,待大便通畅调和后即停药,随后给予放冷的糜粥以补益脾胃。
取癖方:
药材:甘遂(微炒)、芫花(炒)、牵牛子(一半炒一半生,研筛取粉)、辣桂(肉桂)、蓬术(莪术)、青皮(去白)、木香、桃仁(浸水去皮炒)、五灵脂(各二钱)。
制法与用法:将上述药材研为细末,加入去油巴豆一钱,共同研至极细,用飞面糊制成梧桐子大小的丸剂。每次服用一至二丸,用姜蜜煎汤送服。服药后若出现腹泻,需喝冷粥以补益脾胃,调和胃气。
挨癖丸:治疗乳癖、谷癖及腹中块状疼痛。
药材:代赭石(火烧后醋淬至碎,研至极细)、青皮(去白)、木香、蓬术、五灵脂、北大黄(各三钱)、巴豆(压榨去尽油,一钱)。
制法与用法:将上述药材研为细末,用醋和面糊制成梧桐子大小的丸剂。每次服用二丸,食后用生姜泡汤送服。
代赭丸:治疗小儿腹中结癖块痛。
药材:代赭石(研细)、川大黄、木香、五灵脂、朱砂、桃仁(浸水去皮尖)、辣桂(各一分)、巴豆肉(去油半分)。
制法与用法:将上述药材研为细末,用糕糊制成梧桐子大小的丸剂,晒干。每次服用五丸,姜汤送服。
烧丹丸:治疗小儿食癖、乳癖,每日午后发作寒热咳嗽。
药材:玄精石(烧红)、轻粉(各一钱)、粉霜、硼砂(各半钱)。
制法与用法:先将硼砂研细,与其他三味药研匀,再加入寒食面一钱研匀,滴水调和成饼,外面裹上面团,在慢火中煨至黄色,取出去掉面团,将药饼再研为细末,滴水制成如黄米大小的丸剂。一岁儿童服五丸,两岁儿童服十丸,夜间就寝时用温浆水送服,至天明排出恶物即为有效。若未排出,可逐渐增加丸数。若奶癖未完全消除,间隔两三日再服一次,直至癖积完全消除为止。
三棱煎丸:治疗小儿饮食过度导致痞闷疼痛、食物不消化,日久形成癖积。此药传承用于治疗妇人血积、血块,效果尤为显著。
药材:广茂(即莪术,以黑角者为佳)、三棱(这两味药用湿纸包裹煨至香气溢出,研为细末,各一两)、大黄(去皮八两,研为细末)。
制法与用法:将大黄放入银器中,用好醋浸泡至液面平满,用慢火熬煮,可加入另外两味药末,制成如麻子或绿豆大小的丸剂。每次服用十至十五丸,食后用温水送服。根据患儿虚实情况加减用量。
青礞石丸:治疗小儿奶癖。
药材:硫黄(三钱)、青礞石、五灵脂、锅底黑(锅灰,各一钱半)、白丁香(一钱,去土)。
制法与用法:将上述药材研为细末,用米饭和丸,制成绿豆大小,搓成饼状。每次服用二十饼,温水送服。
鳖甲猪肚丸:治疗小儿癖积发热。
药材:柴胡(一两)、黄连、鳖甲(九肋者为佳,醋炙至黄色,各七钱)、枳实(麸炒)、木香、青皮(各半两)。
制法与用法:加入干青蒿七钱,共同研为细末。取一个棕猪肚,去除脂肪,装入药末,蒸熟后连同猪肚一起捣烂和匀,制成如梧桐子大小的丸剂。每次服用十丸,饭后用人参汤送服。
For infants suffering from "nai pi" (milk accumulation) accompanied by unclear vision, moxibustion should be applied to the Shu Zhong Yu acupoint located in the middle of the eyebrows. Apply one moxa cone to each of the two points. The method for locating this point refers to the Jian Nei point, which is found in the depression 2 cun lateral to the spine.
For children with "pi qi" (abdominal masses) that persist and do not resolve over time, moxibustion should be applied to the Zhong Wan and Zhang Men acupoints. Zhong Wan is located below the collarbone hollow (Supraclavicular Fossa), measured using four finger widths of the affected child. Zhang Men is located lateral to the greater transverse process bone, directly opposite the umbilicus, at the end of the costal margin. To locate it, have the child lie on their side, flex the upper limb, and raise the arm. Apply seven moxa cones to each of these two points. Additionally, apply fourteen moxa cones to the center of the lower back behind the umbilicus (near Mingmen). Master Yu has experience using this method: Moxibustion on the Pi Shu acupoint can treat pediatric hypochondriac fullness, diarrhea and dysentery, heavy body, flaccidity and inability to control the limbs, abdominal masses and colic, anorexia, phlegm-malaria with alternating chills and fever, abdominal distension radiating to the back, increased appetite but gradual emaciation and yellowing. This point is located 1.5 cun lateral to the midline, below the eleventh thoracic vertebra; apply seven moxa cones. For "Huang Gan" (yellow malnutrition), apply three moxa cones.
Shenghui Ganlu Yinzi: Treats pediatric epigastric and hypochondriac痞结 (obstruction/knotting), distension, and inability to unblock.
Ingredients: Kansui Radix (Gansui, 1 fen, roasted until slightly yellow), Citrus Reticulata Pericarpium (Qingpi, soaked, white pith removed, dried), Scutellariae Radix (Huangqin), Rheum Palmatum Rhizome (Chuan Dahuang, crushed, lightly stir-fried, each 0.5 liang).
Preparation and Administration: Grind the above ingredients into a coarse powder. Take 1 qian per dose, add one small cup of water, decoct, remove dregs, and take warm. Adjust dosage according to the child's age/size. Stop when bowel movements become smooth and harmonious. Afterwards, administer cooled millet gruel to nourish the stomach.
Pi-Removing Formula:
Ingredients: Kansui Radix (Gansui, lightly stir-fried), Genkwa Flos (Yuanhua, stir-fried), Semen Imperatae (Qianniu, half stir-fried half raw, ground and sifted to extract powder), Cinnamomum Cassia Bark (Lagui), Curcuma Zedoaria Rhizome (Pengzhu), Citrus Reticulata Pericarpium (Qingpi, white pith removed), Aucklandiae Radix (Muxiang), Pruni Semen (Taoren, soaked, skin removed, stir-fried), Trogopteri Dung (Wulingzhi, each 2 qian).
Preparation and Administration: Grind the above ingredients into a fine powder. Add 1 qian of Euphorbia Lathyris Seed (Badou) with oil removed, grind together until extremely fine. Use prepared wheat starch paste to make pills the size of Sesame seeds. Administer 1-2 pills per dose with Ginger-Honey decoction. After defecation, drink cold porridge to tonify the stomach and harmonize the stomach qi.
Ai Pi Wan: Treats milk accumulation, grain accumulation, and abdominal mass pain.
Ingredients: Hematitum (Daizheshi, fired and quenched in vinegar until crumbled, ground extremely fine), Citrus Reticulata Pericarpium (Qingpi, white pith removed), Aucklandiae Radix (Muxiang), Curcuma Zedoaria Rhizome (Pengzhu), Trogopteri Dung (Wulingzhi), Rheum officinale Rhizome (Beida Huang, each 3 qian), Euphorbia Lathyris Seed (Badou, pressed to remove all oil, 1 qian).
Preparation and Administration: Grind into powder. Use vinegar and wheat starch paste to make pills the size of Sesame seeds. Administer 2 pills per dose after meals with Ginger-infused water.
Daizhe Wan: Treats pediatric abdominal mass and pain due to accumulated pi.
Ingredients: Hematitum (Daizheshi, finely ground), Rheum Palmatum Rhizome (Chuan Dahuang), Aucklandiae Radix (Muxiang), Trogopteri Dung (Wulingzhi), Cinnabar (Zhusha), Pruni Semen (Taoren, soaked, skin and tip removed), Cinnamomum Cassia Bark (Lagui, each 1 fen), Euphorbia Lathyris Seed Meat (Badou Rou, oil removed, 0.5 fen).
Preparation and Administration: Grind into fine powder. Use rice cake paste to make pills the size of Sesame seeds. Dry them. Administer 5 pills per dose with Ginger soup.
Shaodan Wan: Treats pediatric food accumulation and milk accumulation, characterized by afternoon onset of chills, fever, and cough.
Ingredients: Xuanjing Stone (Xuanjingshi, fired red), Calomelas (Qingfen, each 1 qian), Calomel Powder (Fenshuang), Borax (Pengsha, each 0.5 qian).
Preparation and Administration: First grind Borax finely, mix with the other three ingredients until uniform. Add 1 qian of Hanshi flour, grind uniformly. Add drops of water to form a cake. Wrap the cake in dough and bake slowly over low heat until yellow. Remove from fire, discard dough, and grind the medicinal cake into fine powder. Add drops of water to make pills the size of Millet seeds. One-year-olds take 5 pills; two-year-olds take 10 pills. Send down with warm sour rice water before sleep. Effectiveness is indicated by the discharge of foul matter at dawn. If no discharge occurs, gradually increase the number of pills. If milk accumulation is not fully resolved, administer another dose after 2-3 days, continuing until the accumulation is completely eliminated.
Sanleng Jian Wan: Treats pediatric bloating, pain, and indigestion caused by overeating, which leads to chronic accumulation (pi). This formula is also transmitted for treating blood stasis and blood masses in women, with particularly effective results.
Ingredients: Curcuma Zedoaria Rhizome (Guangmao, black-horn variety preferred), Sparganii Rhizome (Sanleng). These two are wrapped in wet paper and roasted until fragrant, then ground into powder (each 1 liang). Rheum Palmatum Rhizome (Dahuang, peeled, 8 liang, ground into powder).
Preparation and Administration: Place the Dahuang powder in a silver vessel, soak with good vinegar until level. Simmer over low heat. Mix with the other two powders to form pills the size of Sesame or Mung beans. Administer 10-15 pills per dose after meals with warm water. Adjust dosage based on deficiency or excess conditions.
Qingmengshi Wan: Treats pediatric milk accumulation.
Ingredients: Sulfur (Liuhuang, 3 qian), Chloriti Calaminaris (Qingmengshi), Trogopteri Dung (Wulingzhi), Potash (Diguohei, each 1.5 qian), Streptopelia Turtur Faeces (Baidingxiang, 1 qian, soil removed).
Preparation and Administration: Grind into powder. Use steamed rice to bind and form pills the size of Mung beans, shaping them into cakes. Administer 20 cakes per dose with warm water.
Biejia Zhudu Wan: Treats pediatric accumulation with fever.
Ingredients: Bupleuri Radix (Chaihu, 1 liang), Coptidis Rhizoma (Huanglian), Testudinis Carapax et Plastrum (Biejia, nine-ribbed variety is best, stir-fried with vinegar until yellow, each 7 qian), Aurantii Fructus Immaturus (Zhishi, stir-fried with bran), Aucklandiae Radix (Muxiang), Citrus Reticulata Pericarpium (Qingpi, each 0.5 liang).
Preparation and Administration: Add 7 qian of dry Artemisia Annua Herba (Qinghao). Grind all together into fine powder. Take one brown pig stomach, remove fat, fill with the powder, steam until cooked, then mash together with the stomach meat. Form pills the size of Sophora seeds. Administer 10 pills per dose after meals with Ginseng decoction.