茯苓半夏汤
(方见前泻剂)
回生散治小儿吐泻
(方见前)
异功散
(方见前泻剂)
藿香散治脾胃虚有热面赤呕哕
麦门冬 半夏 甘草(炙) 石膏(各半两) 藿香(一分)
上为末每半钱至一钱水煎入姜
全婴方消食丸治小儿生冷伤脾腹痛恶心
(即局方小七香丸)
拔萃定吐紫金核
半夏末(制) 人参 白术 木香 丁香 藿香(各二钱半)
上为末稀糊为丸如李核大后用沉香朱砂各一钱研匀为衣阴干每一丸枣汤磨下
谢氏烧针丸专主吐逆
府丹不拘多少
上件研极细去皮小枣肉和剂为鸡头大每用针签于灯上烧灰为末乳汁下一丸
按此亦劫剂也以上方唯藿香散出阳明例药余温剂宜随轻重选择出理中例
钱氏木香丸治小儿疳瘦腹大
木香 青黛 槟榔 豆蔻(各一分) 麝香(一钱半) 续随子(一两) 虾蟆(三个烧存性)
上为末蜜丸绿豆大每三五丸至一二十丸薄荷汤下
按此手足太阴药也
六味地黄丸治小儿疳瘦不行解囟骨热
方(见补虚门)
全婴方芦荟丸治小儿疳气腹急骨热
芦荟 木香 槟榔(各一分) 黄连(一两) 芜荑(去皮) 青皮 陈皮(各半两) 巴豆(
三七粒同上四味炒黄去豆) 虾蟆(酒浸炙黄去骨一两)
上为末猪胆丸小豆大三岁三十丸米汤下
按此手少阴手足太阴药也
蒸鸡丸治小儿疳痨骨蒸潮热盗汗瘦弱腹急面黄食不生肌肉
黄连(二两) 柴胡(一两) 芜荑 鹤虱(各半两) 秦艽 知母 紫芩 使君子(去壳炒
各一两)
上为末黄雄鸡一只重一斤笼之专以大麻子饲之五日后去毛及肠肚净入前末子以线缝之取
小甑
子先以黑豆铺甑底三寸安鸡四旁及上黑豆盖之早蒸至晚取肉研和硬入酒糊丸如小豆大二岁二
十丸加减与之米饮下忌猪肉
按此手少阴足少阳药也
肥儿丸截疳杀虫治腹胀消食
使君子(肉) 萝卜子(各二两) 小红枣(肉一两) 糖球
子(末) 飞罗面(各二两)
上取好黄土和作一炉墩子内底下萝卜片铺一层次将使君子肉铺在当中次又铺萝卜一层上
安枣
肉盖于上以泥封固其外以炭火 至内三物熟烂了取出以飞面球子末和匀丸如麻子大量儿大小
与服米饮下
按此足阳明太阳药也
五疳消食丸消疳杀虫退热磨积进食
使君子(肉炒) 麦 (炒) 陈皮 麦曲(炒) 芜荑 草龙胆 黄连(炒) 糖球子(等分)
上为细末陈米饭为丸如黍米大每十丸米饮下
按此手少阴太阴药也然疳证自有虚实积热等致不同以上诸方未能以尽其变学人自宜推格
治之
茯苓半夏汤
(方剂见前文“泻剂”章节)
异功散
(方剂见前文“泻剂”章节)
藿香散,治疗脾胃虚弱且有热象,表现为面红、呕吐、呃逆。
药材:麦门冬、半夏、甘草(炙)、石膏(各半两),藿香(一分)。
制法与用法:将上述药材研为细末,每次取半钱至一钱,加水煎煮,加入生姜同煎。
全婴方消食丸,治疗小儿因食用生冷食物损伤脾脏,导致腹痛、恶心。
(即《局方》中的小七香丸)
拔萃定吐紫金核
药材:半夏末(经炮制)、人参、白术、木香、丁香、藿香(各二钱半)。
制法与用法:将上述药材研为细末,用稀米糊作为粘合剂制成如李子核大小的药丸。随后取沉香、朱砂各一钱,研成极细粉末,作为药丸的外衣。阴干后,每服一丸,用大枣煎汤磨化送服。
谢氏烧针丸,专门主治呕吐逆气。
药材:府丹(铅丹),数量不限。
制法与用法:将上述药材研磨至极细,去皮的小枣肉与之调和,制成如鸡头大小的药丸。使用时,用针穿刺药丸,在灯火上烧成灰烬,研为细末,用乳汁送服一丸。
按语:这也属于劫夺邪气的峻剂。以上方剂中,唯有藿香散出自阳明经例的药物,其余均为温性药剂,适宜根据病情轻重进行选择,出自理中汤例。
钱氏木香丸,治疗小儿疳积消瘦、腹部胀大。
药材:木香、青黛、槟榔、豆蔻(各一分),麝香(一钱半),续随子(一两),虾蟆(三个,烧存性)。
制法与用法:将上述药材研为细末,用蜂蜜制成如绿豆大小的药丸。每次服用三至五丸,直至一二十丸,用薄荷汤送下。
按语:此方属于手足太阴经的药物。
六味地黄丸,治疗小儿疳积消瘦、发育迟缓、囟门骨热。
方剂(见“补虚”门)
全婴方芦荟丸,治疗小儿疳气、腹部急痛、骨骼发热。
药材:芦荟、木香、槟榔(各一分),黄连(一两),芜荑(去皮),青皮、陈皮(各半两),巴豆(三七粒,同上四味炒黄后去掉豆子),虾蟆(酒浸后炙黄,去骨,一两)。
制法与用法:将上述药材研为细末,用猪胆汁制成如小豆大小的药丸。三岁儿童服用三十丸,用米汤送下。
按语:此方属于手少阴经及手足太阴经的药物。
蒸鸡丸,治疗小儿疳劳、骨蒸潮热、盗汗、身体瘦弱、腹部急痛、面色萎黄、饮食不能转化为肌肉。
药材:黄连(二两),柴胡(一两),芜荑、鹤虱(各半两),秦艽、知母、紫芩、使君子(去壳炒,各一两)。
制法与用法:将上述药材研为细末。取一只重一斤的黄雄鸡,将其关在笼中,专门用大麻籽喂养。五日后,去除鸡毛及肠肚,洗净后将前述药末填入鸡腹内,用线缝合。取一个小甑(古代蒸食用的器具),先在甑底铺上三寸厚的黑豆,将鸡放在四周及上方,再用黑豆覆盖。早晨开始蒸至晚上,取出鸡肉,研磨并与药末混合,用酒糊制成如小豆大小的药丸。两岁儿童服用二十丸,可根据情况加减,用米饮送下。忌食猪肉。
按语:此方属于手少阴经及足少阳经的药物。
肥儿丸,截断疳证、杀虫、治疗腹胀、消食。
药材:使君子(肉)、萝卜子(各二两),小红枣(肉一两),糖球子(末),飞罗面(各二两)。
制法与用法:取优质黄土和泥做成一个炉墩子,在内底下铺一层萝卜片,接着将使君子肉铺在中间,再铺一层萝卜,上面安放枣肉覆盖。用泥土密封外部,用炭火煨烤至内部三种物料熟烂。取出后,用飞罗面和糖球子末混合均匀,制成如麻子大小的药丸,根据患儿大小给予服用,用米饮送下。
按语:此方属于足阳明经、足太阳经的药物。
五疳消食丸,消除疳积、杀虫、退热、磨积滞、增进食欲。
药材:使君子(肉炒)、麦芽(炒)、陈皮、麦曲(炒)、芜荑、草龙胆、黄连(炒)、糖球子(等分)。
制法与用法:将上述药材研为细末,用陈米饭制成如黍米大小的药丸。每次服用十丸,用米饮送下。
按语:此方属于手少阴经、手太阴经的药物。然而,疳证自有虚实、积热等不同成因,以上诸方未能穷尽其变化,学习之人应当自行推演格律进行治疗。
Fuling Banxia Tang (Poria and Pinellia Decoction)
(The formula is seen in the preceding "Purgative" section.)
Huisheng San (Revival Powder), treating vomiting and diarrhea in children.
(The formula is seen in the preceding text.)
Yigong San (Extraordinary Efficacy Powder)
(The formula is seen in the preceding "Purgative" section.)
Huoxiang San (Agastache Powder), treating deficiency of the Spleen and Stomach with heat, manifesting as a red face, vomiting, and hiccups.
Herbs: Maidong (Ophiopogonis Radix), Banxia (Pinelliae Rhizoma Preparatum), Gancao (Glycyrrhizae Radix et Rhizoma Praeparata cum Melle) (each half liang), Shigao (Gypsum Fibrosum) (each half liang), Huoxiang (Patchouli Herba) (one fen).
Preparation and Administration: Grind the above herbs into fine powder. Take half to one qian per dose, decoct with water, and add fresh ginger during decoction.
Quanying Fang Xiaoshi Wan (Infant Digestion Pill from Quanying Fang), treating abdominal pain and nausea in children caused by spleen injury from raw or cold food.
(This is equivalent to Xiao Qixiang Wan from *Jufang*.)
Bacui Dingtu Zijin He (Purple Gold Core for Stabilizing Vomiting from Bacui)
Herbs: Banxia Mo (Pinelliae Rhizoma Powder, processed), Renshen (Ginseng Radix), Baizhu (Atractylodis Macrocephalae Rhizoma), Muxiang (Aucklandiae Radix), Dingxiang (Caryophylli Flos), Huoxiang (Patchouli Herba) (each two qian and half).
Preparation and Administration: Grind the above herbs into fine powder and bind them with thin rice paste to form pills the size of a plum pit. Then, take Chenxiang (Aquilariae Lignum Resinatum) and Zhusha (Cinnabaris), each one qian, grind them into fine powder, and use this mixture as the coating for the pills. Dry them in the shade. For administration, take one pill, dissolve it in a decoction of jujubes, and swallow.
Xie Shi Shaozhen Wan (Xie’s Burned Needle Pill), specifically governing regurgitation and vomiting.
Herbs: Fudan (Galeni Halloysitum), quantity不拘 (unrestricted).
Preparation and Administration: Grind the above material to an extremely fine powder. Mix with peeled jujube flesh to form pills the size of a chicken head. To use, pierce the pill with a needle, burn it to ash over a lamp flame, grind the ash into powder, and administer one pill with milk.
Note: This also belongs to the category of drastic purgatives (jieji). Among the above formulas, only Huoxiang San consists of herbs from the Yangming example; the rest are warm-tonifying agents, suitable for selection based on severity, derived from the Lizhong Tang example.
Qian Shi Muxiang Wan (Qian’s Aucklandia Pill), treating pediatric gan accumulation with emaciation and abdominal distension.
Herbs: Muxiang (Aucklandiae Radix), Qingdai (Indigo Naturalis), Binglang (Arecae Semen), Doukou (Amomi Fructus Rotundus) (each one fen), Shexiang (Moschus) (one qian and half), Xuisui Zi (Euphorbiae Lathyridis Semen) (one liang), Hamo (Bufo Skin, burned to retain efficacy) (three).
Preparation and Administration: Grind the above herbs into fine powder and bind with honey to form pills the size of mung beans. Administer three to five pills, up to ten or twenty pills, with mint tea.
Note: This formula comprises herbs of the Hand and Foot Taiyin meridians.
Liwei Dihuang Wan (Six-Ingredient Rehmannia Pill), treating pediatric gan accumulation with emaciation, failure to thrive, and heat in the fontanelle bones.
Formula (see "Tonifying Deficiency" section).
Quanying Fang Lushen Wan (Quanying Fang Aloe Pill), treating pediatric gan qi with abdominal urgency and bone heat.
Herbs: Lushen (Aloes Wood), Muxiang (Aucklandiae Radix), Binglang (Arecae Semen) (each one fen), Huanglian (Coptidis Rhizoma) (one liang), Wuyi (Chloranthi Fructus, skin removed), Qingpi (Citri Reticulatae Pericarpium Viride), Chenpi (Citri Reticulatae Pericarpium) (each half liang), Badou (Crotonis Fructus) (seven to eight grains, stir-fried yellow with the aforementioned four herbs, then remove the beans), Hamo (Bufo Skin, soaked in wine, roasted until yellow, bones removed, one liang).
Preparation and Administration: Grind the above herbs into fine powder and bind with pig bile to form pills the size of adzuki beans. Children aged three years take thirty pills, administered with rice soup.
Note: This formula comprises herbs of the Hand Shaoyin and Hand/Foot Taiyin meridians.
Zhengji Wan (Steamed Chicken Pill), treating pediatric gan lao (consumption) with steaming bone fever, tidal fever, night sweats, emaciation, abdominal urgency, sallow complexion, and inability of food to nourish muscles.
Herbs: Huanglian (Coptidis Rhizoma) (two liang), Chaihu (Bupleuri Radix) (one liang), Wuyi (Chloranthi Fructus), Heshi (Hirsutella Seed) (each half liang), Qinjiao (Gentianae Macrophyllae Radix), Zhimu (Anemarrhenae Rhizoma), Ziqin (Scutellariae Radix), Shijunzi (Quisqualis Fructus, shelled and stir-fried) (each one liang).
Preparation and Administration: Grind the above herbs into fine powder. Take one yellow rooster weighing one jin, confine it in a cage, and feed it exclusively with hemp seeds for five days. Remove feathers and viscera, clean thoroughly, stuff the herb powder inside, and sew shut with thread. Place a small zeng (steamer) and铺铺 (line) the bottom with black soybeans three cun thick. Place the chicken around and on top, cover with more black soybeans. Steam from morning until evening. Remove the meat, grind it, mix with the powder, and bind with wine paste to form pills the size of adzuki beans. Children aged two years take twenty pills, adjusting dosage as needed, administered with rice drink. Avoid pork.
Note: This formula comprises herbs of the Hand Shaoyin and Foot Shaoyang meridians.
Fei'er Wan (Fat Child Pill), cutting off gan accumulation, killing parasites, treating abdominal distension, and promoting digestion.
Herbs: Shijunzi (meat), Luobozhi (Radish Seed) (each two liang), Xiao Hongzao (meat of small red jujube, one liang), Tangqiuzi (Sugar Ball Seed, powdered), Feiluo Mian (Fine Sieved Wheat Flour) (each two liang).
Preparation and Administration: Use good yellow earth to make a mud stove. Line the bottom with slices of radish, place Shijunzi meat in the center, cover with another layer of radish, and top with jujube meat. Seal the exterior with mud and bake with charcoal fire until the internal three ingredients are cooked and soft. Remove, mix with fine flour and sugar ball seed powder, and form pills the size of sesame seeds. Dosage depends on the child's age, administered with rice drink.
Note: This formula comprises herbs of the Foot Yangming and Foot Taiyang meridians.
Wugan Xiaoshi Wan (Five-Gan Digestion Pill), eliminating gan accumulation, killing parasites, reducing heat, resolving stagnation, and stimulating appetite.
Herbs: Shijunzi (stir-fried meat), Maiya (Hordei Fructus Germinatus, stir-fried), Chenpi (Citri Reticulatae Pericarpium), Maiqu (Saccharomyces, stir-fried), Wuyi (Chloranthi Fructus), Caolongdan (Gentianae Scabrae Radix), Huanglian (Coptidis Rhizoma, stir-fried), Tangqiuzi (Sugar Ball Seed) (equal parts).
Preparation and Administration: Grind the above herbs into fine powder and bind with old rice to form pills the size of millet seeds. Administer ten pills per dose with rice drink.
Note: This formula comprises herbs of the Hand Shaoyin and Hand Taiyin meridians. However, gan syndromes vary due to deficiency, excess, accumulated heat, etc. The above formulas do not exhaust all variations; practitioners should deduce and treat according to pattern differentiation.