愚尝论十岁以上小儿,饮酒啖热,因热动血,醉饱掬撅,胃脘吐血,甚至鼻口俱出。
此非内因外因之使然,乃自取过耳。治法先用百解散去桂,加黄连、水、葱、灯心煎服,
疏利热毒,次以小柴胡汤。加生地黄,或藕节,水、姜煎下,定吐止血,其证自除。有
长成小儿,偶固他物自伤,或戏走失足触损两目,血胀肿痛,昼轻夜重,投速效饮即快。
仍忌鸡、酒、羊、面三五日,庶易瘥也。有因饮食中误吞骨鲠,吐不出,咽不下,气郁
生痰,痰裹其骨,内则作痛,外则浮肿,啼声似哑,亦为可虑,投备急散取效。有孩儿
贪劣,因弄刀锥,或乘高堕地,致伤皮破血出。轻者先用桃花散敷之,仍服活血散以匀
其血,毋使作脓,溃烂肌肉。有仅十五岁者,恃其血气方刚,惟务驰骋,多致落马堕车,或
斗很跌折肢体,一切损证,及毒虫恶兽所伤,此又世医各有专科,兹不繁引。
康节曰∶与其病后求良药,不若病前能自防。然致疾之始,必有所因。大凡幼稚,要
其常安,在乎谨寒暄,节饮食,夫复何虑。每见婴孩目有所睹,心有所欲,但不能言惟啼
泣而已。父母不察其详,便谓饥渴,遽哺之以乳食,强之以杂味,不亦多乎?有数岁者,
娇惜太过,不问生冷,甘肥时果,听其贪食,岂能知足!爱之实以害之,遂伤脾胃,不吐
则泻,或成疳积浮肿,传作异证,此则得于太饱之故。有遇清朝薄暮,偶见阴晦,便加
以浓衣重衾,或近于红炉烈焰,又且拘之怀抱,惟恐受冷,及长成者,所爱亦复如是,遂
致积温成热。热极生风,面赤唇红,惊掣烦躁,变证多出,此乃失于太暖之故。殊不知
忍一分饥,胜服调脾之剂,耐一分寒,不须发表之功。余故曰∶孩提之童,食不可过伤,
衣不可太浓,此安乐法也。为父母者,切宜深省。
我曾论述过,十岁以上的儿童,如果饮酒并食用热性食物,因热邪扰动血液,或在醉酒饱食后剧烈弯腰、撅臀,会导致胃脘部吐血,甚至从鼻子和口同时出血。
这并非由内因或外因引起,而是孩子自己造成的过失。治疗方法应先用百解散去掉桂枝,加入黄连、水、葱白、灯心草煎服,以疏泄利导热毒;接着用小柴胡汤加入生地黄,或者藕节,用水、生姜煎服,以定吐止血,病症自然消除。
对于长大的儿童,偶尔因为其他物体自我伤害,或者玩耍时失足碰撞损伤双眼,导致眼部血肿胀痛,白天轻晚上重,服用速效饮即可见效。
此后仍要忌口鸡肉、酒、羊肉、面食三到五天,这样才容易痊愈。
有因为饮食中误吞鱼骨刺,吐不出来,咽不下去,气机郁结产生痰液,痰包裹着骨头,内部疼痛,外部浮肿,哭声像哑了一样,这也令人担忧,服用备急散可取效。
有贪玩劣性的孩子,因为玩弄刀锥,或者从高处坠落地面,导致皮肤破损出血。轻微的先用桃花散外敷,同时服用活血散来调和血液,防止化脓,溃烂肌肉。
有年仅十五岁的少年,倚仗自己气血正旺盛,一味追求奔驰奔跑,多导致落马坠车,或者争斗狠斗跌断肢体,一切外伤证候,以及毒虫恶兽所伤,这些又有世间的医生各有专门科室处理,这里不再繁琐引用。
康节先生(邵雍)说:与其在生病后寻求良药,不如在生病前能自我预防。然而致病之初,必定有其原因。大凡幼儿,要保持他们平安健康,关键在于谨慎应对寒暑变化,节制饮食,还有什么可忧虑的呢?
我常看见婴幼儿眼睛看到喜欢的东西,心里有所欲望,但不能说话,只会啼哭罢了。父母不仔细考察详情,就认为是饿了渴了,急忙喂以乳食,强行给予各种味道,这不是太多了吗?
有几岁的孩子,被娇惯爱惜过度,不管生冷、甘甜肥腻的食物及时令水果,任凭他们贪婪进食,怎么能满足呢!爱他们实际上是害了他们,于是损伤脾胃,不呕吐就是腹泻,或者形成疳积浮肿,传变成为奇异病症,这都是因为吃得太饱的缘故。
有的遇到清晨傍晚,偶然见到阴天昏暗,就给加上厚衣重被,或者靠近红炉烈焰,又且拘束在怀抱里,惟恐受冷,等到长成后,所爱的方式也还是如此,于是导致积温成热。
热极生风,面色红赤嘴唇红,惊厥抽搐烦躁,变证多出,这是失于太暖的缘故。殊不知忍耐一分饥饿,胜过服用调理脾胃的药剂;忍受一分寒冷,不需要发表的功效。
所以我常说:幼小的儿童,食物不可过量伤身,衣服不可太厚太浓,这是安乐的方法。做父母的,务必深刻反省。
I have previously discussed that for children over ten years old, drinking alcohol and consuming hot-natured foods can cause heat to disturb the blood. Violent bending or straining after getting drunk or overly full may lead to hematemesis from the stomach region, and in severe cases, bleeding from both the nose and mouth.
This is not caused by internal or external factors, but rather by the child's own misconduct. The treatment method should first use Baijie San (Hundred-Resolution Powder) with Guizhi (Cinnamon Twig) removed, added with Huanglian (Rhizoma Coptidis), water, Congbai (Scallion White), and Dengxincao (Pith of Juncus Effusus), decocted and taken orally, to vent and drain heat toxins. Subsequently, Xiaochaihu Tang (Minor Bupleurum Decoction) added with Shengdihuang (Radix Rehmanniae Preparata) or Oujié (Node of Rhizomatis Nelumbinis), decocted with water and Shengjiang (Rhizoma Zingiberis Recens), is used to stop vomiting and bleeding, thereby eliminating the condition.
For older children, accidental self-injury from objects, or eye trauma due to stumbling and collision during play, resulting in blood stasis, swelling, and pain that is lighter by day and heavier by night, can be quickly relieved by Shuxiao Yin (Rapid-Efficacy Drink).
Thereafter, one must avoid chicken, alcohol, mutton, and wheat noodles for three to five days to facilitate recovery.
If a fish bone or sharp object is accidentally swallowed during eating, unable to be vomited out or swallowed down, qi stagnation generates phlegm which wraps around the bone, causing internal pain and external swelling, with a hoarse cry, this is also concerning; Beiji San (Emergency-Preparation Powder) can be administered for efficacy.
Children who are playful and unruly, playing with knives or awls, or falling from heights, may suffer skin breaks and bleeding. For mild cases, Taohua San (Peach Blossom Powder) is applied externally first, followed by Huoxue San (Blood-Invigorating Powder) taken internally to harmonize the blood, preventing suppuration and muscle ulceration.
Fifteen-year-old youths, relying on their vigorous qi and blood, often engage in reckless galloping, leading to falls from horses or carriages, or limb fractures from violent fights. All types of traumatic injuries and wounds from venomous insects or fierce beasts are handled by specialized physicians in society, so they are not elaborated here.
Kangjie (Shao Yong) said: "It is better to prevent illness beforehand than to seek good medicine afterwards." However, the onset of disease always has a cause. Generally, for young children, maintaining their peace and health depends on being cautious about seasonal changes and regulating diet, leaving little else to worry about.
I often see infants and toddlers who see something they like and desire it in their hearts, but since they cannot speak, they only cry. Parents, failing to investigate the details, assume hunger or thirst, and hastily feed them milk or food, or force-feed them various flavors, which is excessive.
Some few-year-olds are spoiled and cherished too much; regardless of cold, raw, sweet, rich foods, or seasonal fruits, they are allowed to eat greedily. How can such intake be sufficient? This love actually harms them, damaging the Spleen and Stomach, leading to either vomiting or diarrhea, or developing into malnutrition syndrome (Gan Ji) with edema, transforming into strange conditions. This results from overeating.
When encountering dusk or cloudy weather, parents sometimes add thick clothes and heavy quilts, or bring the child close to red-hot stoves, holding them tightly fearing they will catch cold. Even when grown, this manner of care persists, leading to accumulated warmth turning into heat.
Extreme heat generates wind, manifesting as a red face and lips, convulsions, restlessness, and various complications. This is due to excessive warming. Little do they know that enduring a bit of hunger is better than taking spleen-regulating formulas, and enduring a bit of cold eliminates the need for exterior-releasing therapies.
Therefore, I say: For young children, food intake should not be excessive to cause harm, and clothing should not be too thick or dense; this is the method for peace and joy. Parents must reflect deeply on this.