心主惊,实则叫哭发热,饮水而搐;虚则悸动不安。心热,喜凉处卧,睡中口气温,目上窜,
摇头切牙,皆心热,导赤散主之。喜仰卧,泻心汤主之。
肝主风,实则目直、大叫、呵欠、项急、顿闷;虚则切牙多欠。肝热,手寻衣领及乱捻物。
肝有风,目连札不搐,泻青丸治之。热甚,身反张,目直视,风火相搏,导赤散兼之。
脾主困,病则困睡,泄泻,不思乳食。实则多睡,身热饮水,虚则吐泻,益黄散主之。
肺主喘,实则闷乱喘促;虚则哽气长出。肺热,手掐眉目、鼻面。肺盛复有风冷,胸满短气
嗽痰。当先散肺热,后散风冷。肺实热,泻白散主之。
肾主虚,无实也。虚者,由胎气不成,则神不足。目多白睛,颅囟开解,面色皎白,下窜畏
明,两足热,不喜衣覆。此肾水虚,而心火乘之,宜地黄丸主之。
小儿杂病切须知,不问男儿与女儿。多睡只因肝是本,心中积热夜惊啼。叫呼冷汗因虫痛,
寒热其中积在脾。面赤口疮心肺热,虚风搐搦四肢垂。冷滑伤脾多泻痢,如脓如血下无时。积多
肚大多掀水,气喘腮黄不问医。眼重吐涎头摆急,莫教脉息慢微微。堪笑愚人偏问鬼,不求良药
苦求师。
心脏主管惊悸,实证表现为呼叫哭闹、发热,饮水时出现抽搐;虚证表现为心悸动摇、心神不安。心经有热,喜欢睡在凉爽的地方,睡眠中呼出的气温热,眼球上翻,摇头并咬紧牙齿,这些都是心热的表现,主治方剂为导赤散。喜欢仰卧的,主治方剂为泻心汤。
肝脏主管风邪,实证表现为眼睛直视、大声叫喊、打哈欠、颈部僵硬、头昏闷胀;虚证表现为咬紧牙齿且频繁打哈欠。肝经有热,表现为手去抓摸衣领以及胡乱捻弄物品。肝受风邪侵袭,眼睑跳动但不抽搐,用泻青丸治疗。如果热势严重,身体反张(角弓反张),眼睛直视,这是风火相互搏结所致,可用导赤散配合治疗。
脾脏主管困倦,患病则嗜睡,腹泻,不想吃奶或进食。实证表现为多睡,身体发热想喝水;虚证表现为呕吐腹泻,主治方剂为益黄散。
肺脏主管气喘,实证表现为胸闷烦躁、呼吸急促;虚证表现为叹气、长呼气。肺经有热,表现为手掐揉眉毛、眼睛和鼻面部。肺气盛复感风冷,表现为胸部胀满、呼吸短促、咳嗽痰多。应当先疏散肺热,再疏散风冷。肺实热证,主治方剂为泻白散。
肾脏主管虚损,没有实证。虚证是由于胎气不成,导致神气不足。表现为眼白多,囟门迟闭,面色苍白,目光下视且畏光,双脚发热,不喜欢衣物覆盖。这是肾水虚弱,而心火乘虚侵犯所致,宜用六味地黄丸治疗。
小儿杂病的诊断切须知晓,不分男孩女孩都一样。多睡是因为肝的本气问题,心中积热导致夜间惊啼。叫喊伴随冷汗是因为虫痛,寒热夹杂其中积滞在脾。面红口疮是心肺有热,虚风引起的抽搐四肢下垂。冷滑伤脾会导致多泻痢,大便如脓如血且无休止。积滞多则肚子大,掀动腹部有水声,气喘腮黄不就医。眼睛沉重、吐涎沫、头部摆动急迫,不要让脉搏变得缓慢微弱。可笑愚蠢之人偏去向鬼神问卜,不求良药却苦苦寻求巫师。
养育子女必须注重调护,照顾呵护不要放纵懈怠,乳汁过多终究损伤胃,食物壅滞则伤害脾。被子太厚并非有益,衣服单薄反而适宜,无风时经常晒太阳,寒暑顺应天时变化。
The Heart governs fright. In excess conditions, there is crying and shouting with fever, and convulsions when drinking water; in deficiency conditions, there is palpitations and restlessness. Heat in the Heart manifests as a preference for lying in cool places, warm breath during sleep, upward deviation of the eyes, shaking of the head, and grinding of teeth; these are all signs of Heart Heat, treated primarily with Daochi San (Ledger Decoction). A preference for lying on the back is treated with Xiexin Tang (Drain the Heart Decoction).
The Liver governs Wind. In excess conditions, there is straightening of the eyes, loud crying, yawning, neck stiffness, and sudden stuffiness; in deficiency conditions, there is teeth grinding and frequent yawning. Heat in the Liver manifests as picking at clothes and aimlessly fiddling with objects. If Wind affects the Liver, causing eyelid twitching without convulsions, it is treated with Xieqing Wan (Drain the Green Pill). If heat is severe, resulting in opisthotonos (body arching backward) and fixed gaze, indicating a struggle between Wind and Fire, Daochi San (Ledger Decoction) is used in conjunction.
The Spleen governs lethargy. Disease presents as drowsiness, diarrhea, and lack of appetite for milk or food. In excess conditions, there is excessive sleep, body heat, and thirst; in deficiency conditions, there is vomiting and diarrhea, treated primarily with Yihuang San (Benefit the Yellow Powder).
The Lung governs wheezing. In excess conditions, there is chest oppression, agitation, and rapid breathing; in deficiency conditions, there is sighing and long exhalation. Heat in the Lung manifests as pinching the eyebrows, eyes, nose, and face. If Lung Qi is abundant and complicated by Wind-Cold, there is chest fullness, shortness of breath, cough, and phlegm. One should first dissipate Lung Heat, then dissipate Wind-Cold. For excess heat in the Lung, Baixie San (Drain the White Powder) is used.
The Kidney governs deficiency and has no excess conditions. Deficiency arises from incomplete prenatal Qi, leading to insufficient Spirit. Manifestations include prominent whites of the eyes, open fontanelles, pale complexion, downward-gazing eyes with photophobia, hot feet, and aversion to being covered by clothing. This is due to deficiency of Kidney Water allowing Heart Fire to invade; Dihuang Wan (Rehmannia Pill) is indicated.
One must thoroughly understand miscellaneous diseases in infants, regardless of gender. Excessive sleep stems from Liver issues; night terrors and crying arise from accumulated Heat in the Heart. Crying with cold sweat is due to pain from parasites; alternating chills and fever indicate accumulation in the Spleen. Red face and mouth ulcers indicate Heat in the Heart and Lung; flaccid convulsions with drooping limbs indicate deficient Wind. Cold and slippery stools damaging the Spleen lead to frequent dysentery; stool resembling pus and blood without cessation indicates severe accumulation. Abdominal distension with visible fluid movement, wheezing, and yellow sallow complexion require medical attention. Heavy eyelids, salivation, and urgent head nodding warn against a slow and faint pulse. It is laughable that fools consult ghosts instead of seeking good medicine and skilled physicians.
Rearing children requires careful nursing and protection; do not be negligent. Excessive milk damages the Stomach; food stagnation injures the Spleen. Thick quilts are not beneficial; light clothing is appropriate. When there is no wind, expose the child frequently to sunlight; adapt to the changes of cold and heat according to the seasons.