小儿吐泻因伤食者,用珍珠散;因胃寒者,用姜附汤,吐泻脉沉细,手足冷者,灸脐下一百五十壮;慢惊
吐泻灸中脘五十壮。(人家肯用姜附,小儿亦已幸矣,若灼艾至一百五十壮,以此法劝之,断乎不允,只索托
之空言耳。)
此证由于冷物伤脾,脾虚不能化水谷,致寒饮停于中焦,轻者面目浮肿,重者连阴囊皆肿。服金液丹,轻
者五日可愈,重者半月全愈,当饮软粥半月,硬物忌之。(金液丹洵是活命之神药,但世人不识。在大人尚有
许多疑虑,小儿焉肯用哉。)
小儿肺寒咳嗽,用华盖散;若服凉药,并止咳药更咳者,当服五膈散;若咳嗽面目浮肿者,服平胃散;咳
而面赤者,上焦有热也,知母黄芩汤。(咳而面赤属上焦实热者,宜用知母黄芩,若咳甚而面赤兼呕涎沫者,
则当以温补气血为宜。)
冷气犯胃,故水谷不化,大便溏滑,甚则脱肛者,浓肠散、半硫丸主之。
痢因积滞而成者,如圣饼化积而愈;暑热所伤,下赤而肿者,黄连丸;腹痛者,当归芍药汤;寒邪客于肠
胃下白者,姜附汤、桃花丸。
小儿因饮食积滞导致的呕吐和腹泻,使用珍珠散;因胃寒引起的,使用姜附汤。若出现呕吐腹泻且脉象沉细、手脚冰冷的症状,应在脐下一寸处施灸一百五十壮;对于慢性惊风伴随的呕吐腹泻,应灸中脘穴五十壮。(如果家长愿意使用姜附汤,对小儿来说已经算是万幸了,若要让他们接受艾灸一百五十壮这种疗法,以此方法去劝说他们,绝对不可能答应,只能寄托于空谈罢了。)
此证候是由于生冷食物损伤脾脏,脾虚无法运化水谷,导致寒饮停滞在中焦。轻症表现为面目浮肿,重症则连阴囊都会肿胀。服用金液丹,轻症五日可痊愈,重症半月可完全康复,期间应当饮用稀软粥食半个月,忌食硬物。(金液丹确实是救命的灵药,但世人并不了解。即使是成年人尚有许多疑虑,小儿又怎肯服用呢?)
小儿肺寒引起的咳嗽,使用华盖散;如果服用凉性药物及止咳药后咳嗽反而加重,应当服用五膈散;如果咳嗽伴有面目浮肿,服用平胃散;咳嗽且面色发红,说明上焦有热,使用知母黄芩汤。(咳嗽且面色发红属于上焦实热的,适宜使用知母和黄芩;若咳嗽剧烈且面色发红兼有呕吐涎沫的,则应当以温补气血为宜。)
冷气侵犯胃部,导致水谷不能消化,大便稀薄滑利,严重甚至出现脱肛,主要使用浓肠散和半硫丸治疗。
痢疾因积滞形成的,用如圣饼化解积滞而治愈;因暑热所伤,下痢赤色且肛门肿痛的,用黄连丸;腹痛的,用当归芍药汤;寒邪客居肠胃,下痢白色分泌物的,用姜附汤或桃花丸。
火热之邪导致的腹泻,用珍珠散;饮食积滞导致的腹泻,用如圣饼或感应丸。
脏腑之气虚弱则产生内寒,寒气极盛则引起腹痛,也有因胎中受寒而导致腹痛的情况。将五分硫黄粉调匀,涂在乳头上让婴儿吮吸即可痊愈。三四岁的儿童,服用来复丹。
Pediatric vomiting and diarrhea caused by food stagnation are treated with Zhenzhu San (Pearl Powder); those caused by stomach cold are treated with Jiangfu Tang (Ginger and Aconite Decoction). In cases of vomiting and diarrhea accompanied by a deep and fine pulse and cold extremities, moxibustion should be applied 150 moxa cones at the point one cun below the umbilicus. For chronic convulsions accompanied by vomiting and diarrhea, moxibustion should be applied to Zhongwan (CV 12) with 50 moxa cones. (If parents are willing to use Jiangfu Tang, it is already fortunate for the child; however, persuading them to accept 150 moxa cones via moxibustion is practically impossible, leaving only empty words.)
This syndrome arises from cold substances injuring the Spleen, leading to Spleen deficiency and an inability to transform and transport water and grain, resulting in the retention of cold fluids in the Middle Jiao. Mild cases present with edema of the face and eyes, while severe cases involve swelling extending to the scrotum. Administration of Jinye Dan (Golden Liquid Pill) can cure mild cases within five days and severe cases within half a month. During this period, soft porridge should be consumed for half a month, and hard foods must be avoided. (Jinye Dan is indeed a miraculous life-saving medicine, but people in the world do not recognize it. Even adults have many doubts, so how could children consent to take it?)
For pediatric cough due to Lung cold, Huagai San (Canopy Powder) is used. If cough worsens after taking cooling medicines and antitussives, Wuge San (Five Diaphragms Powder) should be administered. If cough is accompanied by facial edema, Pingwei San (Stomach-Pacifying Powder) is used. Cough with a red face indicates heat in the Upper Jiao, treated with Zhimu Huangqin Tang (Anemarrhena and Scutellaria Decoction). (Cough with red face belongs to excess heat in the Upper Jiao, suitable for Anemarrhena Rhizoma and Scutellaria Root; if cough is severe with red face and vomiting of saliva/foam, warming and tonifying Qi and Blood is appropriate.)
Cold qi invading the Stomach causes failure to digest water and grain, leading to loose and slippery stools, and in severe cases, rectal prolapse. These are primarily treated with Nongchang San (Intestine-Thickening Powder) and Banshou Wan (Banxia and Sulfur Pill).
Cold substances injuring the Spleen cause distension; Laifu Dan (Restoration Pill) and Quanzhen Dan (Complete True Pill) may both be used.
Dysentery caused by stagnation is cured using Rusheng Bing (Like-Sage Cake) to resolve stagnation. Dysentery caused by summer-heat injury, presenting with bloody stools and swelling, is treated with Huanglian Wan (Coptis Pill). Abdominal pain is treated with Danggui Shaoyao Tang (Angelica and Peony Decoction). Cold pathogens lodging in the intestines and stomach causing white discharge are treated with Jiangfu Tang or Taohua Wan (Peach Blossom Pill).
Diarrhea caused by fire-heat is treated with Zhenzhu San; diarrhea caused by food stagnation is treated with Rusheng Bing or Ganying Wan (Responsive Pill).
Deficiency of Zang-Fu Qi generates internal cold; extreme cold causes abdominal pain. There are also cases where pain originates from cold acquired in the womb. Five fen of Liu Huang Fen (Sulfur Powder) is mixed and applied to the nipple for the infant to suckle, which cures the condition. Children aged three to four years are given Laifu Dan.