李 胎惊之病,得之于母腹胎孕之后,其母有所大惊,气应
于胎,惊气入肝,故数月婴孩即有胎惊之患,往往不能愈。姑拟
一方备采。
羚羊角 天竺黄 陈胆星 石菖蒲 大黄
共研末。或竹油或钩钩汤调服五分。
许 音哑喘咳,痰声 咯。风痰袭肺,肺胀夹惊险候。
麻黄 杏仁 射干 桔梗 桑白皮 菖蒲 枳壳 前胡 白前 紫菀 白萝卜汁(冲服)
朱 痧后夹积,移热于大肠。腹中热痛,每交寅卯二时则痛甚。拟开肺金之郁,仿丹溪论参越桃意。
高良姜 桔梗 川连 通草 滑石 焦山栀 山楂炭 焦六曲 砂仁
又 痧后腹痛,甚于黎明。阳气为阴寒凝遏,欲升而不得
升,故痛甚于黎明也。前用温寒并进见效,今仍前法加减。
桂枝 炮姜 吴茱萸 木香 延胡索 香附 山楂炭 花槟榔 赤苓 焦山栀 白蔻仁
方 痧后肺火不清,移热于大肠之络。腹痛便溏,手腕内外肿痛。防发痧毒。治以清解。
升麻 葛根 赤芍 焦山栀 甘草 高良姜 丹皮 桔梗 忍冬藤
渊按∶此方非夷所思。庸者必与清肺健脾、化积解毒套剂矣。
又 前方已效,轻减其制。
防风 焦楂肉 银花 砂仁 桔梗 甘草 陈皮 赤芍
仁渊曰∶幼儿不能明告病情,脉亦难凭,虽以一指按寸口,惟得浮沉迟数大略而已,故称哑科。四诊
只得其二,惟察声望色,询之乳母,得其梗概,最为难看。而难中亦有易焉。易者何?乃
三因之中绝少内因,大都外感六淫、内伤乳食而已。即有内伤,
亦因病致虚,非七情六欲因虚致病者可比。苟仔细详审,不难得其要领。近世风气之最坏者,莫若挑惊。不
问外感内伤,概以惊风呼之,非推即挑,继以牛黄、脑、麝香开之药。明理之家亦蹈此
习,不知冤杀多少婴儿矣。夫惊病偶亦有之,儿体脆弱,魂魄未坚,猝见异言异服及奇怪之物,惊恐惶骇,此
必有因。须将惊风二字拆开,惊自惊,风自风,断不可混治。夫惊乃惊骇受病,风
为温热所化,或感触风邪,治判天渊。喻氏云∶幼科与大方一理,苟请伤寒名家视之,断无错误。此乃见道之
言。夫六淫之邪,皆能化火。幼儿病热者多,病寒者少,由阴气未充,生阳正旺,化火尤易耳。为父母者,每
未寒先衣,未饥先食,食不化即变为痰,痰与风热相并,最易痉厥,俗医即呼为惊风,病家亦认为惊
风,非一日矣。吾愿同志大发慈悲,相与挽此颓风,功德无量。
李 胎惊这一病症,是在母亲怀孕之后得的。因为母亲受到极大的惊吓,气机感应到胎儿,惊气侵入肝脏,所以几个月大的婴儿就会患上胎惊,往往难以治愈。暂且拟定一方供参考选用。
羚羊角 天竺黄 陈胆星 石菖蒲 大黄
共同研磨成粉末。用竹沥或钩藤汤调服五分。
许 声音嘶哑,气喘咳嗽,痰鸣音咯。这是风痰侵袭肺部,导致肺胀,夹杂惊险的危重证候。
麻黄 杏仁 射干 桔梗 桑白皮 菖蒲 枳壳 前胡 白前 紫菀 白萝卜汁(冲服)
朱 出痧疹后夹杂食积,热邪转移到大肠。腹部发热疼痛,每到寅时和卯时(凌晨3点至7点)疼痛加剧。拟采用宣开肺气郁结的方法,仿照朱丹溪论述参越桃(此处指代某种疏肝理气或清热之法,原文意指借鉴其意)的思路。
高良姜 桔梗 川连 通草 滑石 焦山栀 山楂炭 焦六曲 砂仁
又 出痧疹后腹痛,在黎明时分尤为严重。阳气被阴寒凝滞遏制,想要升发却无法升发,所以在黎明时分疼痛特别剧烈。之前使用温阳散寒并进的方法见效,现在仍然沿用前法进行加减。
桂枝 炮姜 吴茱萸 木香 延胡索 香附 山楂炭 花槟榔 赤苓 焦山栀 白蔻仁
方 出痧疹后肺火未清,热邪转移到大肠的络脉。腹痛大便稀溏,手腕内外肿痛。防止痧毒发作。治疗以清热解毒为主。
升麻 葛根 赤芍 焦山栀 甘草 高良姜 丹皮 桔梗 忍冬藤
渊按:这个方子真是不可思议。庸医一定会使用清肺健脾、化积解毒的常规套方。
又 前面的方子已经见效,减轻药量并调整制式。
防风 焦楂肉 银花 砂仁 桔梗 甘草 陈皮 赤芍
仁渊曰:幼儿无法清楚告知病情,脉象也难以凭靠,虽然只用一指按压寸口脉,也只能得到浮沉迟数的大略情况,所以儿科被称为“哑科”。四诊只能用到其中两项,主要是观察神色、询问乳母,才能得知大概,这是最难诊治的。但在难治之中也有容易之处。容易在哪里呢?在于三因之中极少有内因致病,大多是外感六淫之邪、内伤乳食所致。即使有内伤,也是因病导致虚弱,不像七情六欲因虚致病那样复杂。如果仔细详细审察,不难抓住要领。近代风气中最败坏的,莫过于挑惊。不问是外感还是内伤,一概称为惊风,不是推掐就是挑治,继而又用牛黄、脑、麝香等开窍药物。明理的人也都沾染这种习气,不知道冤杀了多少婴儿啊。惊病偶尔也会有,但幼儿体质脆弱,魂魄尚未坚固,突然见到奇怪的言语、服饰及物品,惊恐骇怕,这必定是有原因的。必须将“惊风”二字拆开理解,惊自是惊,风自是风,绝对不可混淆治疗。惊是由于惊骇而致病,风是由温热所化生,或是感触风邪,治疗方法截然不同。喻嘉言说:儿科与大人的内科道理一致,如果请擅长伤寒的名医来诊治,绝不会出错。这是见识大道的言论。六淫之邪,都能化火。幼儿患热病的多,患寒病的少,这是因为阴气未充盈,生阳正旺盛,更容易化火罢了。做父母的,常常在孩子没冷之前就穿衣,没饿之前就喂食,食物不消化就变成痰,痰与风热相结合,最容易发生痉厥,俗医就称之为惊风,病人家属也认为是惊风,这种情况已经不是一天了。我希望同行大发慈悲,一起挽回这种颓废的风气,功德无量。
Li The disease of fetal fright (Tai Jing) arises after conception, when the mother suffers a great shock. The qi responds to the fetus, and the frightful qi enters the Liver. Consequently, infants of several months old suffer from fetal fright, which is often incurable. A prescription is tentatively proposed for consideration.
Antelope Horn (Lingyang Jiao), Borneo Gourd Powder (Tianzhuhuang), Aged Phlegm-resolving Pill made from Pinellia (Chen Danning), Acorus Rhizome (Shichangpu), Rhubarb (Dahuang).
Grind all into powder. Administer 5 fen with bamboo sap (Zhuyu) or Uncaria Decoction (Gougou Tang).
Xu Hoarseness, wheezing, and coughing with rattling phlegm. Wind-phlegm attacking the Lung, causing Lung distension, complicated by a critical condition of fright and danger.
Ephedrae Herba (Mahuang), Apricot Seed (Xingren), Belamcanda Rhizome (Shegan), Platycodon Root (Jiegeng), Mulberry Root Bark (Sangbaipi), Acorus Rhizome (Changpu), Bitter Orange (Zhiqiao), Peucedani Radix (Qianhu), Cynanchum Root (Baiqian), Aster Root (Ziwan), White Radish Juice (taken as an additive).
Zhu After the eruption of scarlet fever (Sha), complicated by food stagnation, heat shifts to the Large Intestine. Abdominal heat and pain, worsening significantly during the Yin and Mao hours (3:00–7:00 AM). The plan is to open the depression of Metal (Lung Qi), imitating the intent discussed by Danxi regarding Shen Yue Tao.
Galangal Rhizome (Gaoliangjiang), Platycodon Root (Jiegeng), Coptis Rhizome (Chuanlian), Akebia Stem (Tongcao), Talcum (Huashi), Scorched Gardenia Fruit (Jiao Shanzhi), Charred Hawthorn Fruit (Shanzhitan), Scorched Medicated Leaven (Jiao Liuqu), Amomum Fruit (Sharen).
Again Abdominal pain after scarlet fever, severe at dawn. Yang qi is constrained and inhibited by yin-cold; it desires to ascend but cannot, hence the severe pain at dawn. The previous method of combining warming and cold-clearing was effective. Now, continue with the previous method with modifications.
Cinnamon Twig (Guizhi), Prepared Ginger (Paojiang), Evodia Fruit (Wuzhuyu), Aucklandia Root (Muxiang), Corydalis Rhizome (Yanhusu), Cyperus Rhizome (Xiangfu), Charred Hawthorn Fruit (Shanzhitan), Areca Seed (Huabinglang), Poria (Chiling), Scorched Gardenia Fruit (Jiao Shanzhi), Cardamom Seed (Baokourén).
Fang After scarlet fever, Lung fire remains unclear, and heat shifts to the collaterals of the Large Intestine. Abdominal pain, loose stools, swelling and pain on both sides of the wrists. Prevent the outbreak of scarlet toxin. Treat with clearing and resolving.
Cimicifugae Rhizoma (Shengma), Puerariae Radix (Gegen), Red Peony Root (Chishao), Scorched Gardenia Fruit (Jiao Shanzhi), Licorice Root (Gancao), Galangal Rhizome (Gaoliangjiang), Moutan Cortex (Danpi), Platycodon Root (Jiegeng), Honeysuckle Stem (Rendongteng).
Yuann's Note: This prescription is truly inconceivable. Quack doctors would invariably use standard formulas for clearing the Lung, strengthening the Spleen, resolving stagnation, and detoxifying.
Again: The previous prescription has been effective; reduce the dosage and adjust the formulation.
Saposhnikovia Root (Fangfeng), Scorched Hawthorn Flesh (Jiao Zharon), Honeysuckle Flower (Yinhua), Amomum Fruit (Sharen), Platycodon Root (Jiegeng), Licorice Root (Gancao), Tangerine Peel (Chenpi), Red Peony Root (Chishao).
Ren Yuan said: Young children cannot clearly describe their symptoms, and pulse diagnosis is difficult to rely upon. Although only one finger is used to press the Cun Kou pulse, only general information regarding floating/sinking and slow/rapid can be obtained; thus pediatrics is called the "mute department" (Ya Ke). Of the four diagnostic methods, only two can be utilized: observing the spirit and complexion, and inquiring with the wet nurse to get a general idea. This is the most difficult aspect. However, within this difficulty, there is ease. What is easy? It is that among the Three Causes, internal causes are extremely rare; mostly, it involves external contraction of the Six Evils or internal injury from milk and food. Even if there is internal injury, it is deficiency caused by disease, not comparable to diseases caused by deficiency leading to emotional disturbances (Seven Emotions and Six Desires). If examined carefully and thoroughly, the key points are not hard to grasp. The worst trend in recent times is undoubtedly "picking fright." Regardless of whether it is external contraction or internal injury, it is generally labeled as wind-stroke/fright. Treatments involve pushing, pinching, or picking, followed by opening the orifices with drugs like Realgar, Brain (Camphor), and Musk. Even enlightened individuals fall into this habit, unknowingly killing countless infants. Fright diseases do occur occasionally. Children have fragile bodies and unfirm souls/hun-po. Suddenly seeing strange words, clothes, or objects causes fright and terror; this must have a cause. One must separate the terms "Fright" and "Wind." Fright is distinct from Wind; they must never be treated indiscriminately. Fright is illness caused by being startled; Wind is transformed from warm-heat or contracted from wind pathogens. The treatments are worlds apart. Yu Jia Yan said: Pediatrics follows the same principles as adult internal medicine. If a master of Shanghan (Cold Damage) were consulted, errors would be avoided. These are words of profound insight. All six evildoers' pathogens can transform into fire. Children suffer from heat diseases more often than cold diseases because their yin qi is not yet full, while their generating yang is vigorous, making transformation into fire particularly easy. Parents often clothe their children before they feel cold and feed them before they feel hungry. Undigested food turns into phlegm. When phlegm combines with wind-heat, spasm and convulsion easily occur. Quack doctors call this fright-wind, and families accept this label, a situation persisting for days. I hope my colleagues will show great compassion and work together to reverse this decadent trend, accumulating boundless merit.