宝鉴云治小儿癖气久不瘥中脘一穴章门二穴在大横外直脐季胁端侧卧屈上足举臂取之各
灸七壮脐后脊中灸二七壮
治小儿胁下满泻利体重四肢不收 癖积聚腹痛不嗜食寒热取脾俞二穴在第一椎下两旁相
去各一寸五分可灸七壮又治腹胀黄胆可灸三壮
钱氏白术散
藿香叶 白术 木香 白茯苓 甘草 人参(各一钱) 干葛(二钱)
上为末每一钱至二钱水煎服
异功散
四君子汤加陈皮一方只用参术甘草三味名温中汤
按此二方补脾汤加减法也
益黄散
陈皮(一两) 青皮 诃子肉 甘草(炙) 丁香(二钱)
上为细末每二钱水煎服
没石子丸
木香 黄连(各二分) 没石子(一个) 豆蔻仁(二个) 诃子肉(三个)
上为末饭丸麻子大米饮下十五丸量大小与之
按此二方兼止涩药也
五苓散治泻而渴
(方见湿门)
羌活膏治小儿泄泻发搐
(方见前)
温白丸治小儿脾气虚困泄泻瘦弱冷疳洞利或惊
天麻(半两) 僵蚕(炒) 白附子 干蝎 南星(浸各一钱)
上为末浸寒食面为丸如绿豆大每五七丸至二三十丸姜汤下仍于寒食面内养七日取出
回生散治小儿吐泻
大南星(八九钱以上者)
上用地坑子一个深三寸烧赤入好酒半盏下南星却用炭火三两条盖候南星微裂取出锉再炒
放冷为细末每半钱或一字浓煎生姜防风汤调下
按此二方升肺脾之气药也
金液丹治吐利日久脾胃虚损手足厥逆神昏睡多露睛口鼻气冷欲成慢惊或身冷脉微自汗小
便不
禁舶上硫黄十两去砂石为末砂合子盛八分满水和赤石脂封继盐泥固济晒干再入水罐内泥固济
火过候冷
上于乳钵内研为细末水浸蒸饼丸桐子大或如绿豆大每五十丸至百丸米饮下
按此厥阴例药也
玉露散治伤热吐泻黄色
寒水石 石膏(坠白者各半两) 生甘草(一分)
上同为细末每服半钱或一钱温汤调下
按此阳明例药也
豆蔻香连丸治泄泻腹痛肠鸣
黄连(三分炒) 肉豆蔻 木香(各一分)
上为细末粟米饭丸米粒大每服十丸至二三十丸日夜各四五服米饮下
二圣丸治小儿脏腑或泻或好久不愈
黄连 黄柏(去皮各一两)
上为末入猪胆内煮熟丸如绿豆大每二三十丸米饮下
按此解毒汤变法也与前方不同宜选用
羌活黄芩苍术甘草汤治肚热体重而泻
(方见前)
茯苓半夏汤治风泻而呕
(方见痰饮门)
东垣升阳益胃汤
方(见补虚门)
汤氏助胃膏治小儿气虚乳食不进腹痛泄泻肠鸣
陈皮 山药(各四两) 甘草(炙) 砂仁 白茯苓 藿香 桂(各二两) 肉果 人参 木
香丁香 白豆蔻(各一两)
上为末炼蜜丸和成膏每服鸡头大量大小与之
按此出太阳例冬月时令中药
局方水浸丹治伏暑伤冷冷热不调霍乱吐利烦渴
巴豆(大者二十五个去皮研细去油尽) 黄丹(一两炒)
上研匀用黄蜡熔汁为丸如梧子大每一丸以水浸少项别以新水吞之量大小与服
按此足阳明药也
小香连丸治热痢腹痛
木香 诃子(各一分) 黄连(半两)
上为末饭和丸绿豆大米饮下十丸至二三十丸频服之
胃风汤
(方见泄泻门)
全婴方诃栀散治小儿纯下血痢腹痛
诃子(半两烧去核) 栀子仁(一钱半)
上为末三岁半钱米汤调下食前
按此治热之剂也
桃花丸治小儿赤白痢腹痛
赤石脂 川干姜(炮等分)
上为末糊丸如小豆大三岁三十丸米汤下
按此治寒之剂也
涩肠丸治小儿下痢赤白后重频并
龙骨 海螵蛸 诃子(炮去核等分)
上为末糊丸如小豆大三十丸米汤下
按此止涩之剂也
东垣浓肠丸治小儿乳食不能克化或生腹胀瘦弱痢泻无常色
橘皮(三分) 大麦面(半钱) 半夏(三分) 枳实(半钱) 苍术(三分) 青皮(二分) 人
参(三分) 浓朴(二分) 曲末(半钱)
上为细末煮糊为丸如麻子大每二十丸温水下食前
按此足阳明太阴药也
按以上诸方姑备其例宜兼看泻痢二门而分治之
《宝鉴》记载治疗小儿癖气(腹部积块)日久不愈,取中脘穴一个、章门穴两个。章门穴位于大横穴外侧,与脐部水平,在季胁末端。侧卧位,屈曲上方腿,举起手臂以取穴。每穴各灸七壮。在脐后脊正中线上灸十四壮。
治疗小儿胁下胀满、腹泻、身体沉重、四肢无力收持、癖积聚结、腹痛、食欲不振、寒热往来,取脾俞穴两个,位于第一椎骨下方两旁,距离中线各一寸五分。可灸七壮。又用于治疗腹胀、黄疸,可灸三壮。
钱氏白术散:藿香叶、白术、木香、白茯苓、甘草、人参(各一钱),干葛(二钱)。以上药物研为细末,每次服用一钱至二钱,用水煎服。
异功散:即四君子汤加入陈皮;另一版本仅用人参、白术、甘草三味药,名为温中汤。按语:这两方是补脾汤的加减法。
益黄散:陈皮(一两)、青皮、诃子肉、甘草(炙)、丁香(二钱)。以上药物研为细末,每次服用二钱,用水煎服。
没石子丸:木香、黄连(各二分)、没石子(一个)、豆蔻仁(二个)、诃子肉(三个)。以上药物研为细末,用米饭制成丸剂,用麻子或大米汤送服十五丸,根据患儿年龄大小调整剂量。按语:这两方兼有止泻固涩的作用。
五苓散:治疗腹泻且口渴。(方剂见湿证门类)
温白丸:治疗小儿脾气虚弱困顿导致的泄泻、消瘦羸弱、冷疳、洞泄(水样便)或惊风。天麻(半两)、僵蚕(炒制)、白附子、干蝎、南星(浸泡,各一钱)。以上药物研为细末,用寒食面浸水制成丸剂,如绿豆大小。每次五至七丸,多则二三十丸,用姜汤送服。仍需在寒食面中喂养七日,然后取出使用。
回生散:治疗小儿呕吐腹泻。大南星(重八九钱以上的)。在地上挖一个坑,深三寸,烧红后倒入好酒半盏,放入南星,再用两三根炭火覆盖。待南星微微裂开时取出,锉碎后再炒,放冷后研为细末。每次半钱或一字量,用浓煎的生姜防风汤调下。按语:这两方是升提肺脾之气的药物。
金液丹:治疗吐利日久导致脾胃虚损,手足厥逆,神志昏沉嗜睡,露睛,口鼻气息寒冷,欲成慢惊风,或身体冰冷、脉微细、自汗、小便不禁。舶上硫黄十两,去除砂石后研为细末,装入砂合子中盛八分满,加水并用赤石脂封口,继用盐泥加固密封,晒干后再次入水罐内,用泥加固密封,用火煅烧,待冷却后取出。在乳钵内研为细末,用水浸蒸饼制成丸剂,如梧桐子大或绿豆大。每次五十丸至一百丸,用米饮送服。按语:此方属于厥阴经例药。
玉露散:治疗伤热引起的呕吐腹泻,大便黄色。寒水石、石膏(坠白者各半两)、生甘草(一分)。以上药物共同研为细末,每次服用半钱或一钱,用温水调下。按语:此方属于阳明经例药。
豆蔻香连丸:治疗泄泻、腹痛、肠鸣。黄连(三分,炒制)、肉豆蔻、木香(各一分)。以上药物研为细末,用粟米饭制成丸剂,如米粒大小。每次服用十丸至二三十丸,日夜各四五次,用米饮送服。
二圣丸:治疗小儿脏腑功能失调,或泻或痢,日久不愈。黄连、黄柏(去皮,各一两)。以上药物研为细末,纳入猪胆内煮熟,制成丸剂如绿豆大小。每次二三十丸,用米饮送服。按语:此方是解毒汤的变法,与前方的不同,宜选用。
羌活黄芩苍术甘草汤:治疗肚热、身体沉重而腹泻。(方剂见前文)
茯苓半夏汤:治疗风邪引起的泄泻并伴有呕吐。(方剂见痰饮门类)
东垣升阳益胃汤:(方剂见补虚门类)
汤氏助胃膏:治疗小儿气虚、乳食不进、腹痛、泄泻、肠鸣。陈皮、山药(各四两)、甘草(炙)、砂仁、白茯苓、藿香、桂枝(各二两)、肉果、人参、木香、丁香、白豆蔻(各一两)。以上药物研为细末,炼蜜制成丸剂并和成膏状。每次服用适量,根据患儿年龄大小调整。按语:此方出自太阳经例,适用于冬季时令中药。
局方水浸丹:治疗伏暑伤冷,冷热不调,霍乱,呕吐腹泻,烦渴。巴豆(大的二十五个,去皮研细,去尽油)、黄丹(一两,炒制)。以上药物研匀,用熔化的黄蜡汁制成丸剂如梧桐子大。每一丸先在水中浸泡片刻,再另取新水吞服,根据患儿年龄大小给药。按语:此方属于足阳明经药。
小香连丸:治疗热痢、腹痛。木香、诃子(各一分)、黄连(半两)。以上药物研为细末,用饭和丸,如绿豆大小。用大米汤送服十丸至二三十丸,频繁服用。
全婴方诃栀散:治疗小儿纯下血痢、腹痛。诃子(半两,烧去核)、栀子仁(一钱半)。以上药物研为细末,三岁儿童服用半钱,用米汤调下,饭前服用。按语:此方是治疗热证的药剂。
桃花丸:治疗小儿赤白痢、腹痛。赤石脂、川干姜(炮制,等分)。以上药物研为细末,用糊制成丸剂如小豆大小。三岁儿童服用三十丸,用米汤送下。按语:此方是治疗寒证的药剂。
涩肠丸:治疗小儿下痢赤白,里急后重频发。龙骨、海螵蛸、诃子(炮制去核,等分)。以上药物研为细末,用糊制成丸剂如小豆大小。每次三十丸,用米汤送下。按语:此方是止涩作用的药剂。
东垣浓肠丸:治疗小儿乳食不能消化,或生腹胀、消瘦羸弱、痢泻无常、颜色异常。橘皮(三分)、大麦面(半钱)、半夏(三分)、枳实(半钱)、苍术(三分)、青皮(二分)、人参(三分)、浓朴(二分)、曲末(半钱)。以上药物研为细末,煮糊制成丸剂如麻子大小。每次二十丸,饭前用温水送下。按语:此方属于足阳明、太阴经药。
按语:以上诸方姑且备列其例,宜兼看泄泻、痢疾二门,分别进行治疗。
*Baojian* records the treatment for pediatric *pi qi* (abdominal masses) that persists for a long time without healing. Acupoints: Zhongwan (CV12), one point; Zhangmen (LR13), two points. Zhangmen is located lateral to Dahan (SP15), level with the umbilicus, at the end of the costal margin. The patient lies on their side, flexes the upper leg, and raises the arm to locate the point. Moxibustion: seven moxa cones per point. On the midline of the spine posterior to the umbilicus, moxibustion of fourteen moxa cones is applied.
For pediatric hypochondriac fullness, diarrhea, heavy body, inability to control the four limbs, *pi* accumulation, abdominal pain, anorexia, and alternating chills and fever, select Shushu (BL20), two points, located 1.5 cun lateral to the lower border of the first thoracic vertebra. Moxibustion of seven moxa cones can be applied. It is also used for abdominal distension and jaundice, where three moxa cones may be applied.
Qian's Baizhu San (Atractylodes Macrocephala Powder): Huoxiang Ye (Agastache Leaf), Baizhu (Atractylodes Macrocephala Rhizome), Muxiang (Vladimiria Root), Baifuling (Poria), Gancao (Licorice Root), Renshen (Ginseng Root) (each 1 qian), Gange (Pueraria Root) (2 qian). Grind all ingredients into a fine powder. Each dose of 1 to 2 qian is decocted in water and taken orally.
Yigong San (Benefiting Power Powder): This is Sizijunzi Tang (Four Gentlemen Decoction) plus Chenpi (Tangerine Peel); another version uses only Renshen (Ginseng Root), Baizhu (Atractylodes Macrocephala Rhizome), and Gancao (Licorice Root), named Wenzhong Tang (Warm the Middle Decoction). Note: These two formulas are modifications of Bupi Tang (Spleen-Supplementing Decoction).
Yihuang San (Yellow-Protecting Powder): Chenpi (Tangerine Peel) (1 liang), Qingpi (Green Tangerine Peel), Hezi Rou (Chebulic Myrobalan Flesh), Gancao (Licorice Root) (prepared), Dingxiang (Clove) (2 qian). Grind all ingredients into a fine powder. Each dose of 2 qian is decocted in water and taken orally.
Meishizi Wan (Myrobalan Pill): Muxiang (Vladimiria Root), Huanglian (Coptis Rhizome) (each 2 fen), Meishizi (Chebulic Myrobalan Fruit) (one fruit), Doukou Ren (Cardamom Seed) (two seeds), Hezi Rou (Chebulic Myrobalan Flesh) (three pieces). Grind all ingredients into a powder. Form pills using rice paste. Take 15 pills with Semen Cannabis (Hemp Seed) or Oryza Sativa (Rice) decoction, adjusting the dosage according to the child's age. Note: These two formulas possess both astringent and antidiarrheal properties.
Wuling San (Five-Ling Powder): Treats diarrhea accompanied by thirst. (Formula see Wetness Category)
Qianghuo Gao (Notopterygium Paste): Treats pediatric diarrhea complicated by convulsions. (Formula see preceding text)
Wenbai Wan (Warm White Pill): Treats pediatric diarrhea, emaciation, cold *gan* (malnutrition syndrome), profuse watery stools, or fright due to deficiency and exhaustion of Spleen Qi. Tianma (Gastrodia Rhizome) (0.5 liang), Jiangcan (Bombyx Batryticatus), Baifuzi (Typhonii Rhizoma), Ganxie (Dry Scorpion), Nanxing (Arisaema Cum Bile) (soaked, each 1 qian). Grind all ingredients into a powder. Use "Han Shi Mian" (Cold Food Flour) soaked in water to form pills the size of mung beans. Take 5–7 pills, up to 20–30 pills, with Ginger Decoction. Feed the child with Han Shi Mian for seven days before administering this pill.
Huisheng San (Life-Restoring Powder): Treats pediatric vomiting and diarrhea. Da Nanxing (Large Arisaema Rhizome) (weighing 8–9 qian or more). Dig a pit in the ground, 3 cun deep, and heat it until red. Pour half a zhan of good wine into the hot pit, place the Nanxing inside, and cover with 2–3 charcoal sticks. When the Nanxing cracks slightly, remove it, chop it, stir-fry it again, let it cool, and grind it into a fine powder. Take half a qian or one zi (approx. 0.5-1g) mixed in thickly decocted Shengjiang (Zingiberis Rhizoma) and Fangfeng (Saposhnikoviae Radix) decoction. Note: These two formulas are herbs that raise Lung and Spleen Qi.
Jinye Dan (Golden Liquid Pill): Treats prolonged vomiting and diarrhea leading to Spleen-Stomach deficiency damage, cold extremities, stupor, somnolence, eyes rolling back, cold breath from mouth and nose, impending slow convulsion, cold body, faint pulse, spontaneous sweating, and urinary incontinence. Bo Shang Liuhuang (Imported Sulfur) (10 liang), remove sand and stones, grind into powder. Place in a sand vessel filling it 80% full. Seal with water and Chishizhi (Halloysitum Rubrum), then reinforce with salt mud. Dry, place in a water jar, seal tightly with mud, fire-calcine, and allow to cool. Grind into a fine powder in a mortar. Mix with water-soaked steamed dough to form pills the size of sophora seeds or mung beans. Take 50–100 pills with Rice Drink. Note: This formula belongs to the Jueyin category.
Yulu San (Jade Dew Powder): Treats vomiting and diarrhea caused by heat injury, with yellow stool. Hanshuishi (Stalactite), Shigao (Gypsum Fibrosum) (white, falling type, each 0.5 liang), Sheng Gancao (Raw Licorice Root) (1 fen). Grind all ingredients together into a fine powder. Take half a qian or 1 qian, mixed with warm water. Note: This formula belongs to the Yangming category.
Doukou Xianglian Wan (Cardamom and Coptis Pill): Treats diarrhea, abdominal pain, and borborygmus. Huanglian (Coptis Rhizome) (3 fen, stir-fried), Roudoukou (Nutmeg), Muxiang (Vladimiria Root) (each 1 fen). Grind all ingredients into a powder. Form pills using millet rice paste, the size of rice grains. Take 10–20 pills, 4–5 times day and night, with Rice Drink.
Ersheng Wan (Two Sages Pill): Treats pediatric organ dysfunction, either diarrhea or dysentery, persisting for a long time without healing. Huanglian (Coptis Rhizome), Huangbai (Phellodendron Bark) (peeled, each 1 liang). Grind into powder, insert into pig gallbladder, cook until done, and form pills the size of mung beans. Take 20–30 pills with Rice Drink. Note: This is a variation of Jiedu Tang (Detoxification Decoction), different from previous formulas; choose appropriately.
Qianghuo Huangqin Cangzhu Gancao Tang (Notopterygium, Scutellaria, Atractylodes, and Licorice Decoction): Treats abdominal heat, heavy body, and diarrhea. (Formula see preceding text)
Fuling Banxia Tang (Poria and Pinellia Decoction): Treats wind-induced diarrhea with vomiting. (Formula see Phlegm-Fluids Category)
Dongyuan Shengyang Yiwang Tang (Dongyuan's Ascending Yang and Benefiting Stomach Decoction): (Formula see Tonifying Deficiency Category)
Tangshi Zhuwei Gao (Tang's Stomach-Assisting Paste): Treats pediatric Qi deficiency, poor milk/food intake, abdominal pain, diarrhea, and borborygmus. Chenpi (Tangerine Peel), Shanyao (Dioscorea Rhizome) (each 4 liang), Gancao (Licorice Root) (prepared), Sharen (Amomi Fructus), Baifuling (Poria), Huoxiang (Patchouli Herb), Guizhi (Cinnamon Twig) (each 2 liang), Rouguo (Myristica Seed), Renshen (Ginseng Root), Muxiang (Vladimiria Root), Dingxiang (Clove), Baidoukou (White Cardamom) (each 1 liang). Grind into powder, mix with refined honey to form a paste. Take an amount appropriate to the child's age (size of a chicken head). Note: This originates from the Taiyang category, suitable for winter seasonal use.
Jufang Shuijin Dan (Bureau Formula Water-Soaked Pill): Treats latent summerheat injuring cold, cold-heat imbalance, cholera, vomiting and diarrhea, irritability, and thirst. Badou (Croton Seed) (25 large ones, peeled, ground fine, oil removed completely), Huangdan (Minium) (1 liang, stir-fried). Grind uniformly, melt Huangla (Beeswax) to form pills the size of wu zi (Sophora seeds). Soak one pill in water briefly, then swallow with fresh water, adjusting dosage by age. Note: This formula belongs to the Foot-Yangming category.
Xiao Xianglian Wan (Small Coptis and Aucklandia Pill): Treats heat-dysentery and abdominal pain. Muxiang (Vladimiria Root), Hezi (Chebulic Myrobalan Fruit) (each 1 fen), Huanglian (Coptis Rhizome) (0.5 liang). Grind into powder, mix with rice to form pills the size of mung beans. Take 10–20 pills with Rice Decoction frequently.
Weifeng Tang (Stomach Wind Decoction): (Formula see Diarrhea Category)
Quanying Fang Hezhi San (Complete Infant Formula Chebulic and Gardenia Powder): Treats pediatric pure bloody dysentery and abdominal pain. Hezi (Chebulic Myrobalan Fruit) (0.5 liang, roasted, pitted), Zhizi Ren (Gardenia Seed) (1.5 qian). Grind into powder. For a three-year-old, take half a qian, mixed with Rice Soup, before meals. Note: This is a heat-clearing agent.
Taohua Wan (Peach Blossom Pill): Treats pediatric red-and-white dysentery and abdominal pain. Chishizhi (Halloysitum Rubrum), Chuanganjiang (Sichuan Dried Ginger) (roasted, equal parts). Grind into powder, mix with paste to form pills the size of small beans. For a three-year-old, take 30 pills with Rice Soup. Note: This is a cold-warming agent.
Sechang Wan (Intestine-Astringing Pill): Treats pediatric dysentery with red and white stool, frequent tenesmus. Longgu (Fossilized Bones), Haipiaoxiao (Cuttlefish Bone), Hezi (Chebulic Myrobalan Fruit) (roasted, pitted, equal parts). Grind into powder, mix with paste to form pills the size of small beans. Take 30 pills with Rice Soup. Note: This is an astringent agent.
Dongyuan Nongchang Wan (Dongyuan's Intestine-Thickening Pill): Treats pediatric indigestion of milk/food, abdominal distension, emaciation, irregular dysentery/diarrhea with abnormal color. Jupi (Tangerine Peel) (3 fen), Damai Mian (Barley Flour) (0.5 qian), Banxia (Pinellia Tuber) (3 fen), Zhishi (Immature Bitter Orange) (0.5 qian), Cangzhu (Atractylodes Rhizome) (3 fen), Qingpi (Green Tangerine Peel) (2 fen), Renshen (Ginseng Root) (3 fen), Houpo (Magnolia Bark) (2 fen), Qu Mo (Medicated Leaven Powder) (0.5 qian). Grind into fine powder, boil paste to form pills the size of hemp seeds. Take 20 pills with warm water before meals. Note: This formula belongs to the Foot-Yangming and Taiyin categories.
Note: The above formulas are listed as examples. One should consult the Diarrhea and Dysentery categories for differentiated treatment.