(三条)
凡小便不通服药无效∶用商陆五钱,研末,入麝香少许,先以旧夏布盖于脐上,将药放
布上,药气入腹即通。
小便数日不通,遍身手足肿满,诸药不应者∶用苏叶一斤,煎浓汤,入脚盆内,令患者
坐盆上熏之,冷则又添热汤,外用炒盐熨脐上及遍身肿处,良久便通肿消而愈。又方∶用连
须葱白一斤,捣烂炒热,分作二处,各以布包,轮转热熨脐下即通。又方∶用食盐半两,调
温水服之,良久以指入喉中探吐,一吐即通。盖上窍不通,下窍闭也。又方∶以皂角末少许
,吹入鼻内,得嚏即通。
小儿小便白浊色∶生怀山药为末,和粥食数次即愈。澄之旋变白色者,脾虚有食积,用
异功散,见“非搐”,加神曲、山楂肉。
(三条)
封囟法∶头缝不合,名曰解颅。天南星,不拘多少,以姜汁炒热,研细末,醋调涂于绢
帛上,烘热贴囟门,惟以合为度。
小儿囟陷如坑,由久病真元不足,气血两虚,大凶之候∶速宜十全大补汤加鹿茸姜枣煎
服,外用狗头骨,炙黄为末,鸡蛋清调敷效。
小儿解颅,或因病后,忽然囟门宽大,头纵四破,此脑髓不充,大虚之候∶用鹿茸、防
风、白芨、柏子仁四味,各五钱,其为末,乳汁调作饼,贴囟门上,一日一换,以合为度。
小儿语迟∶六味丸加五味子、鹿茸。间服炙 、党参各钱半,炙草、白术各一钱,陈皮
、归身各五分,升麻、柴胡各三分。
小儿行迟,四五岁不能行∶用六味地黄丸加鹿茸、牛膝、五味子、五加皮,久服自效。
又方∶五加皮五钱,牛膝酒炒、木瓜各二钱五分,共研末,每用一钱,米饮调下效。
小儿鹤膝∶宜六味地黄丸加当归、牛膝久服。仍以天南星为末,醋调烘热贴之良。又,
万全膏、大附子膏,均可贴,见“外科”。
(三条)
凡是小便不通,服药后没有效果的:用商陆五钱,研磨成粉末,加入少许麝香,先用旧夏布盖在肚脐上,将药粉放在布上,药气进入腹部后小便即可通畅。
小便数日不通,全身及手足肿胀,各种药物都不见效的:用苏叶一斤,煎煮浓汤,倒入脚盆中,让患者坐在盆上熏蒸,变冷后再添加热汤,外用炒热的盐熨烫肚脐及全身肿胀处,过一会儿小便就通,肿胀消退而痊愈。另一个方子:用带根的葱白一斤,捣烂炒热,分成两份,分别用布包好,轮流热敷肚脐下方,小便即可通畅。又一个方子:用食盐半两,调温水服用,过一会儿用手指伸入喉咙催吐,一吐出来小便就通畅。这是因为上窍不通,下窍闭塞的缘故。又一个方子:将少许皂角末吹入鼻内,打喷嚏后小便即通。
小儿小便颜色白浊:用生怀山药研成粉末,和粥一起吃几次就能痊愈。如果尿液澄清后很快又变成白色,这是脾虚且有食积,使用异功散,参见“非搐”章节,加神曲、山楂肉。
(三条)
封囟法:头缝不合,称为解颅。天南星,用量不限,用姜汁炒热,研磨成细末,用醋调和涂在绢帛上,烘热后贴在囟门上,以头缝闭合为度。
小儿囟门凹陷如坑,是由于久病导致真元不足,气血两虚,是大凶之兆:应立即服用十全大补汤加鹿茸,用生姜和大枣煎服,外用狗头骨,炙黄后研成粉末,用鸡蛋清调和敷贴,效果良好。
小儿解颅,或者因病后突然囟门宽大,头颅纵向裂开四瓣,这是脑髓不充盈,属于大虚之证:用鹿茸、防风、白芨、柏子仁四味药,各五钱,研成粉末,用乳汁调和做成饼状,贴在囟门上,一天换一次,以头缝闭合为度。
小儿说话晚:六味丸加五味子、鹿茸。间服炙黄芪、党参各一钱半,炙甘草、白术各一钱,陈皮、当归身各五分,升麻、柴胡各三分。
小儿走路晚,四五岁还不能行走:用六味地黄丸加鹿茸、牛膝、五味子、五加皮,长期服用自然有效。又一个方子:五加皮五钱,牛膝酒炒、木瓜各二钱五分,共同研成粉末,每次用一钱,米饮送服,效果良好。
小儿鹤膝风:宜服用六味地黄丸加当归、牛膝,长期服用。仍以天南星研成粉末,醋调和烘热后贴敷,效果良好。另外,万全膏、大附子膏,也可以贴敷,参见“外科”章节。
(Three items)
For cases of urinary retention where medication has been ineffective: Use 5 qian (approx. 18.75g) of Phytolaccae Radix (Shanglu), grind into powder, add a small amount of Moschus (Shexiang). Cover the umbilicus with an old linen cloth from summer, place the medicine on the cloth; once the medicinal qi enters the abdomen, urination will resume.
For cases where urination has not occurred for several days, accompanied by generalized edema and swelling of the limbs, unresponsive to various medicines: Use 1 jin (approx. 500g) of Perillae Folium (Suye), decoct into a strong soup, pour into a foot basin, and have the patient sit over the basin to fumigate. Add hot water as it cools. Externally, apply fried salt to warm-moxibustion the umbilicus and swollen areas. After some time, urination will resume, swelling will subside, and recovery will occur. Another prescription: Use 1 jin of Scallion White (Congbai) with roots intact, crush and stir-fry until hot, divide into two portions, wrap each in cloth, and alternately apply hot compresses below the umbilicus; urination will resume. Another prescription: Take 0.5 liang (approx. 18.75g) of edible salt, dissolve in warm water, drink, and after a while, induce vomiting by stimulating the throat with a finger; upon vomiting, urination will resume. This is because the upper orifices are blocked, causing the lower orifice to be closed. Another prescription: Blow a small amount of Gleditsiae Sinensis Fructus Spina (Zaojiao) powder into the nose; sneezing will trigger urination.
For infants with white and turbid urine: Use raw Dioscoreae Hypoglaucae Rhizoma (Huai Shanyao) ground into powder, mixed with porridge and consumed several times until cured. If the urine clears but turns white again quickly, this indicates Spleen deficiency with food stagnation. Use Yigong San (Isolated Efficacy Powder), see "Non-Convulsion" section, add Shenqu (Medicated Leaven) and Shan Zha Rou (Hawthorn Flesh).
(Three items)
Fontanelle sealing method: When the cranial sutures do not close, it is called Jie Lu (Split Skull). Arisaematis Rhizoma Preparatum (Tiannanxing), quantity不拘 (unrestricted), stir-fry with Ginger Juice until hot, grind into fine powder, mix with vinegar, spread on silk fabric, heat gently, and apply to the fontanelle. Continue until the sutures close.
When an infant's fontanelle is sunken like a pit, caused by prolonged illness leading to insufficiency of True Yuan (Original Qi), and dual deficiency of Qi and Blood, it is a dire prognosis: Immediately administer Shiquan Dabu Tang (Ten Great Tonifying Decoction) with Antlerum Cornu (Lurong), decocted with Ginger and Jujube. Externally, use Dog Skull Bone (Goutou Gu), roast until yellow, grind into powder, mix with Egg White, and apply topically for good effect.
For infantile Jie Lu (Split Skull), or sudden widening of the fontanelle and longitudinal splitting of the skull after illness, indicating insufficient Marrow and severe deficiency: Use Lurong (Antlerum Cornu), Fangfeng (Saposhnikoviae Radix), Baiji (Bletillae Rhizoma), and Baiziren (Biota Seed) in equal parts of 5 qian each. Grind into powder, mix with Milk to form cakes, apply to the fontanelle, change once daily, until closure.
For infants with delayed speech: Liuwei Dihuang Wan (Six-Ingredient Rehmannia Pill) added with Wuweizi (Schisandra Fruit) and Lurong (Antlerum Cornu). Intermittently take Zhishen (Prepared Astragalus) and Dangshen (Codonopsis Radix), 1.5 qian each; Zhigancao (Prepared Licorice Root) and Baizhu (Atractylodis Macrocephalae Rhizoma), 1 qian each; Chenpi (Tangerine Peel), Guishen (Angelicae Sinensis Radix), 0.5 fen each; Shengma (Cimicifugae Rhizoma) and Chaihu (Bupleuri Radix), 0.3 fen each.
For infants with delayed walking, unable to walk at four or five years old: Use Liuhui Dihuang Wan (Six-Ingredient Rehmannia Pill) added with Lurong (Antlerum Cornu), Niuxi (Achyranthes Bidentatae Radix), Wuweizi (Schisandra Fruit), and Wujia Pi (Acanthopanacis Cortex). Long-term administration yields natural efficacy. Another prescription: Wujia Pi (Acanthopanacis Cortex) 5 qian, Jiuchao Niuxi (Wine-processed Achyranthes Bidentatae Radix) and Mugua (Chaenomelis Fructus) 2.5 qian each. Grind together into powder, take 1 qian per dose, washed down with Rice Drink (Mi Yin).
For infantile Crural Deformity (Cruris Tuberculosis/Herni Genus): It is advisable to take Liuwei Dihuang Wan (Six-Ingredient Rehmannia Pill) added with Danggui (Angelicae Sinensis Radix) and Niuxi (Achyranthes Bidentatae Radix) for long-term use. Also, grind Tiannanxing (Arisaematis Rhizoma Preparatum) into powder, mix with vinegar, heat, and apply topically for good results. Additionally, Wanquan Gao (Wanquan Plaster) and Dafuzi Gao (Large Aconite Plaster) can be applied; see "External Medicine" section.