〔薛〕小儿黄水粘疮,属肝脾二经风热积热所致,邪在表而痛痒者,轻则犀角消
毒散,重则连翘防风汤。邪在内而大便秘者,轻则九味解毒散,重则大连翘饮。若
头目不清,憎寒壮热,作渴便秘者,表里俱有邪也,加味清凉饮。若误服克伐之药,
而致发热恶寒者,肺气伤也,用四君、桔梗、柴胡。发热呕吐,胃气伤也,用异功
散。发热作泻,脾气虚也,用六君子汤,并加柴胡、升麻。余当随证裁之。
大连翘饮 治风毒、热毒,发热作痛,二便不利,表里俱实。
柴胡栀子散 治肝胆风热,生疮作痛发热,或疮破而脓水淋漓,或发寒热、晡热。
犀角消毒散 治热毒积毒,发于肌表而头面生疮,或痛或痒者。(方见 疹)
荆防败毒散 治风热相搏,邪气在表,患疮疡之类寒热作痛者。(方见前)
补中益气汤 治疮疡之类,过服败毒之药,致中气虚弱,发热或寒者。(方见虚热)
六君子汤 治疮疡脾胃虚弱,不能饮食,更或呕吐而疮不愈者。(方见脾)
九味解毒散 治热毒胎毒而发疮疡之类,未溃作痛者。
黄连(炒) 芍药 防风 甘草(各三分) 金银花 连翘(各一分) 当归(八分) 山
栀(四分) 白芷(六分)
上作一剂,水煎,母子并服。
加味清凉饮 治热毒、积毒在内,患疮疡、大便不通而欲痛作渴者。
当归 赤芍药 甘草(炙) 大黄(炒。各三分) 山栀(炒,三分) 牛蒡子(炒,杵,四分)
上,水煎服。
人参消风散 治诸风上攻,头目昏眩,项背拘急,肢体烦疼,肌肉颤动,耳若蝉鸣,
鼻塞多嚏,皮肤顽麻搔痒瘾疹,目涩昏困。
人参 白僵蚕 茯苓 防风 芎 藿香 蝉蜕 浓朴(姜制) 羌活(各三钱) 荆芥穗
炙甘草 陈皮(各五钱)
上,每服一二钱,水煎。
连翘防风汤 治小儿肝脾风热时毒,头面生疮。
连翘(研碎) 防风 黄连 陈皮 芍药 当归 独活 白蒺藜(炒,去刺) 荆芥 茯苓
甘草 黄芩 牛蒡子(炒,研。各等分)
上,每服二钱,水煎服。
和肝补脾汤 治风热疮疹,脾土不及,肝木太过。
人参 陈皮 川芎(各五分) 山栀(炒,四分) 白术 茯苓 芍药(各七分) 柴胡 甘草(炙。各三分)
上,分二剂,水煎服。
益脾清肝汤 治肝脾风热疮,寒热体痛,脾胃虚弱。
人参 白术 茯苓 甘草 川芎 当归 黄 (各三分) 柴胡 牡丹皮(各二分)
上,水煎服。
三黄散 治风热疳热生疮,水浸淫,脓流处,便湿烂。
松香 五倍子 黄连 黄丹 海螵蛸(各一钱) 轻粉 雄黄(各少许)
上为末。用莹肌散煎洗,渗之,干者油敷。
立效散
定粉 松香 黄柏 黄连 枯矾(各一钱)
上为末。用清烛油调搽。
【薛己】小儿黄水粘疮,属于肝、脾两经的风热与积热所致。若邪气在体表且伴有疼痛瘙痒,病情轻的选用犀角消毒散,病情重的选用连翘防风汤。若邪气在体内且大便秘结,病情轻的选用九味解毒散,病情重的选用大连翘饮。如果出现头目昏沉不清、憎恶寒冷且高热、口渴、大便秘结等症状,说明表里都有邪气,应使用加味清凉饮。如果误服了攻伐克削的药物,导致发热恶寒,这是肺气受伤,应使用四君子汤、桔梗、柴胡。如果发热呕吐,这是胃气受伤,应使用异功散。如果发热腹泻,这是脾气虚弱,应使用六君子汤,并加入柴胡、升麻。其余情况应当根据具体证候灵活裁量治疗。
大连翘饮:治疗风毒、热毒,发热疼痛,大小便不通利,表里俱实。
柴胡栀子散:治疗肝胆风热,生疮疼痛发热,或者疮破后脓水淋漓,或者出现寒热往来、午后潮热。
犀角消毒散:治疗热毒积毒,发于肌表而头面生疮,或者疼痛或者瘙痒。(方剂见“疹”章节)
荆防败毒散:治疗风热相搏,邪气在体表,患疮疡之类寒热疼痛者。(方剂见前文)
补中益气汤:治疗疮疡之类,因过服败毒药物,导致中气虚弱,发热或恶寒者。(方剂见“虚热”章节)
六君子汤:治疗疮疡脾胃虚弱,不能饮食,更或呕吐而疮不愈者。(方剂见“脾”章节)
九味解毒散:治疗热毒胎毒而发疮疡之类,未溃破时疼痛者。
药材组成:黄连(炒)、芍药、防风、甘草(各三分)、金银花、连翘(各一分)、当归(八分)、山栀(四分)、白芷(六分)。
用法:以上作一剂,水煎,母亲和婴儿同时服用。
加味清凉饮:治疗热毒、积毒在内,患疮疡、大便不通且欲痛口渴者。
药材组成:当归、赤芍药、甘草(炙)、大黄(炒,各三分)、山栀(炒,三分)、牛蒡子(炒,杵碎,四分)。
用法:以上,水煎服。
人参消风散:治疗各种风邪上攻,头目昏眩,项背拘急,肢体烦疼,肌肉颤动,耳如蝉鸣,鼻塞多喷嚏,皮肤顽麻搔痒瘾疹,眼睛干涩昏困。
药材组成:人参、白僵蚕、茯苓、防风、川芎、藿香、蝉蜕、浓朴(姜制)、羌活(各三钱)、荆芥穗、炙甘草、陈皮(各五钱)。
用法:以上,每次服用一二钱,水煎。
连翘防风汤:治疗小儿肝脾风热时毒,头面生疮。
药材组成:连翘(研碎)、防风、黄连、陈皮、芍药、当归、独活、白蒺藜(炒,去刺)、荆芥、茯苓、甘草、黄芩、牛蒡子(炒,研,各等分)。
用法:以上,每次服用二钱,水煎服。
和肝补脾汤:治疗风热疮疹,脾土不及,肝木太过。
药材组成:人参、陈皮、川芎(各五分)、山栀(炒,四分)、白术、茯苓、芍药(各七分)、柴胡、甘草(炙,各三分)。
用法:以上,分为二剂,水煎服。
益脾清肝汤:治疗肝脾风热疮,寒热体痛,脾胃虚弱。
药材组成:人参、白术、茯苓、甘草、川芎、当归、黄芪(各三分)、柴胡、牡丹皮(各二分)。
用法:以上,水煎服。
三黄散:治疗风热疳热生疮,水浸淫,脓流处,便湿烂。
药材组成:松香、五倍子、黄连、黄丹、海螵蛸(各一钱)、轻粉、雄黄(各少许)。
用法:以上研为末。用莹肌散煎水洗患处,渗液者外敷粉末,干燥者用油调敷。
[Xue Ji] Infantile yellow fluid sticky sores are caused by wind-heat and accumulated heat in the Liver and Spleen meridians. If the pathogen is at the exterior presenting with pain and itching, for mild cases use Xijiao Xiaodu San (Rhino Horn Detoxification Powder), and for severe cases use Lianqiao Fangfeng Tang (Forsythia and Saposhnikovia Decoction). If the pathogen is at the interior presenting with constipation, for mild cases use Jiuwei Jiedu San (Nine-Ingredient Detoxification Powder), and for severe cases use Da Lianqiao Yin (Large Forsythia Drink). If there is cloudiness of the head and eyes, aversion to cold with high fever, thirst, and constipation, it indicates pathogens in both the interior and exterior; use Jiawei Qingliang Yin (Modified Cooling Drink). If mistakenly administered with harsh purgative drugs leading to fever and aversion to cold, this indicates injury to Lung Qi; use Sijunzi Tang (Four Gentlemen Decoction), Jiegeng (Platycodon Root), and Chaihu (Bupleurum Root). If there is fever and vomiting, this indicates injury to Stomach Qi; use Yigong San (Extraordinary Power Powder). If there is fever and diarrhea, this indicates deficiency of Spleen Qi; use Liujunzi Tang (Six Gentlemen Decoction), adding Chaihu (Bupleurum Root) and Shengma (Cimicifugae Rhizoma). Other situations should be treated according to specific syndromes.
Da Lianqiao Yin: Treats wind-toxin and heat-toxin, fever with pain, difficulty in urination and defecation, and excess conditions in both interior and exterior.
Chaihu Zhizi San: Treats Liver-Gallbladder wind-heat, sores with pain and fever, or weeping pus after ulceration, or alternating chills and fever, or afternoon tidal fever.
Xijiao Xiaodu San: Treats heat-toxin and accumulated toxin manifesting on the skin surface as sores on the head and face, with pain or itching. (Formula see "Rash" chapter)
Jingfang Baidu San: Treats wind-heat interplay, pathogen at the exterior, sores with chills, fever, and pain. (Formula see previous text)
Buzhong Yiqi Tang: Treats sores where excessive use of detoxifying drugs has led to middle-Qi deficiency, with fever or aversion to cold. (Formula see "Deficiency Heat" chapter)
Liujunzi Tang: Treats sores due to Spleen-Stomach weakness, inability to eat, vomiting, and non-healing sores. (Formula see "Spleen" chapter)
Jiuwei Jiedu San: Treats sores caused by heat-toxin and fetal toxin, painful before ulceration.
Ingredients: Huanglian (Stemma Coptidis Rhizoma, stir-fried), Shaoyao (Paeoniae Radix Alba), Fangfeng (Saposhnikoviae Radix), Gancao (Glycyrrhizae Radix et Rhizoma, each 3 fen), Jinyinhua (Lonicerae Japonicae Flos), Lianqiao (Forsythiae Fructus, each 1 fen), Danggui (Angelicae Sinensis Radix, 8 fen), Shanzhi (Gardeniae Fructus, 4 fen), Baizhi (Angelicae Dahuricae Radix, 6 fen).
Usage: Make one dose, decoct in water, administer to both mother and infant.
Jiawei Qingliang Yin: Treats internal heat-toxin and accumulated toxin, sores, constipation, pain, and thirst.
Ingredients: Danggui (Angelicae Sinensis Radix), Chi Shaoyao (Paeoniae Radix Rubra), Gancao (Glycyrrhizae Radix et Rhizoma, roasted), Dahuang (Rhei Radix et Rhizoma, stir-fried, each 3 fen), Shanzhi (Gardeniae Fructus, stir-fried, 3 fen), Niubangzi (Arctii Fructus, stir-fried and crushed, 4 fen).
Usage: Decoct in water and take orally.
Renshen Xiaofeng San: Treats various winds attacking upward, causing dizziness and vertigo of head and eyes, stiffness of neck and back, limb pain, muscle twitching, tinnitus like cicada chirping, nasal congestion with sneezing, skin numbness, itching, and urticaria, dry and dim eyes.
Ingredients: Renshen (Ginseng Radix), Baijiangcan (Bombyx Batryticatus), Fuling (Poria), Fangfeng (Saposhnikoviae Radix), Xiong (Ligustici Chuanxiong Rhizoma), Huoxiang (Agastaches Herba), Chantui (Cicadae Periostracum), Houpo (Magnoliae Officinalis Cortex, ginger-processed), Qianghuo (Notopterygii Rhizoma et Radix, each 3 qian), Jingjie (Schizonepetae Spica), Zhigancao (Prepared Glycyrrhizae Radix et Rhizoma), Chenpi (Citri Reticulatae Pericarpium, each 5 qian).
Usage: Take 1-2 qian per dose, decoct in water.
Lianqiao Fangfeng Tang: Treats infantile Liver-Spleen wind-heat seasonal toxins, sores on head and face.
Ingredients: Lianqiao (Forsythiae Fructus, crushed), Fangfeng (Saposhnikoviae Radix), Huanglian (Coptidis Rhizoma), Chenpi (Citri Reticulatae Pericarpium), Shaoyao (Paeoniae Radix Alba), Danggui (Angelicae Sinensis Radix), Duhuo (Angelicae Pubescentis Radix), Baijili (Tribuli Fructus, stir-fried and thorns removed), Jingjie (Schizonepetae Spica), Fuling (Poria), Gancao (Glycyrrhizae Radix et Rhizoma), Huangqin (Scutellariae Radix), Niubangzi (Arctii Fructus, stir-fried and ground, equal parts).
Usage: Take 2 qian per dose, decoct in water and take orally.
He Gan Bu Pi Tang: Treats wind-heat rashes, insufficient Spleen Earth, and excessive Liver Wood.
Ingredients: Renshen (Ginseng Radix), Chenpi (Citri Reticulatae Pericarpium), Chuanxiong (Ligustici Chuanxiong Rhizoma, each 5 fen), Shanzhi (Gardeniae Fructus, stir-fried, 4 fen), Baizhu (Atractylodis Macrocephalae Rhizoma), Fuling (Poria), Shaoyao (Paeoniae Radix Alba, each 7 fen), Chaihu (Bupleuri Radix), Zhigancao (Prepared Glycyrrhizae Radix et Rhizoma, each 3 fen).
Usage: Divide into two doses, decoct in water and take orally.
Yi Pi Qing Gan Tang: Treats Liver-Spleen wind-heat sores, chills and fever with body pain, Spleen-Stomach weakness.
Ingredients: Renshen (Ginseng Radix), Baizhu (Atractylodis Macrocephalae Rhizoma), Fuling (Poria), Gancao (Glycyrrhizae Radix et Rhizoma), Chuanxiong (Ligustici Chuanxiong Rhizoma), Danggui (Angelicae Sinensis Radix), Huangqi (Astragali Radix, each 3 fen), Chaihu (Bupleuri Radix), Mudanpi (Moutan Cortex, each 2 fen).
Usage: Decoct in water and take orally.
Sanhuang San: Treats wind-heat and malnutrition heat causing sores, oozing fluid, flowing pus, and wet erosion.
Ingredients: Songxiang (Colophonium), Wubeizi (Galla Chinensis), Huanglian (Coptidis Rhizoma), Huangdan (Minium), Haipiaoxiao (Sepiae Endoconcha, each 1 qian), Qingfen (Calomelas), Xionghuang (Realgar, small amounts).
Usage: Grind into powder. Wash lesions with Yingji San decoction, apply powder to weeping areas, and apply oil paste to dry areas.
Lixiao San
Ingredients: Dingfen (Calomelas), Songxiang (Colophonium), Huangbai (Phellodendri Cortex), Huanglian (Coptidis Rhizoma), Kufan (Alumen Exsiccatum, each 1 qian).
Usage: Grind into powder. Mix with candle oil and apply externally.