小儿初见发热痘疮未出之时预先用芝麻油蘸手研熟按儿背摩数遍能令轻者不出重者虽出
稀少
此亦古人按摩之法盖所以散寒水逆流之毒背为太阳膀胱经也正与东垣论相合须令谨慎妇人按
之恐手重则伤小儿肌肤也又一小儿惊风发搐两眼反视药至口即吐出余遂用竹茹灯芯锉碎磨成
粗末入生姜自然汁少许和以芝麻油调匀按摩小儿自额上起直至背心两手足心数十遍仍以薄荷
煎汤渐渐与之饮超时惊搐遂平热退而愈
丹溪药按或问一书门人赵良仁编集余见其发热论中用鸡矩子治中酒人发热初不解鸡矩子
为何
物苏沈良方云鸡矩子俗谓之癞汉指头嚼之如牛乳亦欠明白后阅僧 宁物类相感志云枳枸一名
枝枸子俗讹为鸡矩子又名木蜜味甘平无毒树形似白杨其子着枝端如小指长数寸屈曲相连啖之
如饧美八九月熟以此木作屋柱令一室之酒味皆淡薄其功能解酒毒疗消渴之圣药古人单方治酒
积甚良江南谓之白石树诗所谓南山有枸是也
蓬 覆盆子本草旧注曰覆盆蓬 一物异各今注曰蓬 覆盆之苗覆盆蓬 之子则全误矣衍
义又
谓软红可爱则又指蓬 为覆盆矣按云南张侍郎南园漫录云蓬 初则浅红熟则深紫味甘酸而淡其
芒长蔓生条而长甚刺大而稀虽枯败而枝梗不败覆盆子初则黄熟则赤黄味甘酸而深其芒微树生
枝而不甚高刺细而密枝叶四时如一张公博物之士据所见以症本草旧注之误其功多矣古人有云
误注本草非细故也余特详之
小儿在刚刚出现发热、痘疮尚未发出的时候,预先用芝麻油蘸手,揉搓熟透后按在孩子的背部进行按摩,反复数次。这样能使病情轻的不出痘,病情重的即使出痘也稀少。这也是古人使用的按摩方法,大概是为了疏散寒邪和防止水毒逆流。背部是足太阳膀胱经循行的部位,这与李东垣的理论相吻合。必须谨慎操作,如果是妇人按摩,恐怕手部用力过重会损伤小儿娇嫩的肌肤。
另一个案例:一个小孩患惊风发作抽搐,两眼上翻直视,药送到嘴边就吐出来。于是我用竹茹和灯芯草切碎磨成粗末,加入少许生姜自然汁,调和芝麻油搅拌均匀,按摩小儿从额头开始直到背部正中以及两手两足心,数十遍。随后仍用薄荷煎汤,慢慢喂给孩子喝。过了许久,惊厥抽搐平息,热退而痊愈。
《丹溪药按》或问一书中,由门人赵良仁编集。我见到其中《发热论》里用“鸡矩子”治疗醉酒之人发热,起初我不明白“鸡矩子”是什么东西。《苏沈良方》说“鸡矩子”俗称癞汉指头,嚼起来像牛奶,但也欠清楚。后来阅读僧人赞宁的《物类相感志》,说枳枸又名枝枸子,俗误传为鸡矩子,又名木蜜,味甘平,无毒。树形像白杨,其果实长在枝头,像小指那么长,几寸长,弯曲相连,吃起来像麦芽糖一样甜美,八九月成熟。用这种木头做屋柱,能让整个房间的酒味都变淡薄。它是解酒毒、治疗消渴症的圣药,古人单方治疗酒积非常有效,江南称之为白石树,诗经所说的“南山有枸”就是指的它。
关于蓬蘽(覆盆子):本草旧注说覆盆和蓬蘽是同一种植物但名称不同。现在的注释说蓬蘽是覆盆的苗,覆盆是蓬蘽的果实,这就完全错了。《衍义》又说软红可爱,这又把蓬蘽当作覆盆了。据云南张侍郎《南园漫录》记载:蓬蘽初生时浅红色,成熟时深紫色,味道甘甜酸淡,有芒刺,蔓生,枝条很长,刺大而稀疏,即使枯萎败坏,枝梗也不易折断。覆盆子初生时黄色,成熟时红色,味道甘甜酸浓,有芒刺,树生,枝条不甚高,刺细而密集,枝叶四季常青。张公是一位博学之士,根据所见纠正了本草旧注的错误,功德很大。古人有云:“误注本草非细故也。”我特意详细记录此事。
When a young child first presents with fever and before the smallpox/rash lesions have erupted, one should pre-emptively dip hands in sesame oil (Sesami Oleum), rub until warm, and then press and massage the child's back several times. This can prevent eruption in mild cases, and even if eruption occurs in severe cases, it will be sparse. This is also an ancient massage method, likely intended to disperse cold pathogens and prevent the counterflow of water-toxin. The back is the pathway of the Foot-Taiyang Bladder Channel (Zú Tàiyáng Pángguāng Jīng). This aligns with Li Dongyuan's theories. Caution must be exercised; if performed by women, excessive force might injure the delicate skin of the infant.
In another case, a child suffered from convulsive wind (Jing Feng) with spasms and eyes rolling upward. When medicine was brought to the mouth, it was vomited out. I therefore took Bamboo Shavings (Zhuru) and Rush Pith (Dengxin), crushed them into coarse powder, added a little fresh Ginger Juice (Shengjiang Zhi), mixed it evenly with Sesame Oil, and massaged the child from the forehead down to the center of the back, as well as the palms of both hands and soles of both feet, for dozens of repetitions. Subsequently, I decocted Mint (Bohe) in water and slowly administered it to the child. After some time, the convulsions subsided, the fever receded, and the child recovered.
In the book *Danxi Yao An* or *Wen*, compiled by his disciple Zhao Liangren, I observed that in the section on "Fever," Chicken Square Fruit (Jimuzi) is used to treat fever in individuals suffering from alcohol intoxication. Initially, I did not understand what this substance was. *Su Shen Liang Fang* states that "Chicken Square Fruit" is commonly called "Leprous Man's Finger," and its taste resembles milk, yet this explanation remains unclear. Later, reading the *Wulei Xianggan Zhi* by Monk Zan Ning, I found that Zhiju (Acanthopanax sessiliflorus fruit) is also known as Zhiguozi, erroneously referred to in folklore as Jimuzi, and also called Mumì. It has a sweet and neutral flavor, is non-toxic, and the tree resembles a white poplar. Its fruits grow at the branch tips, are several inches long like a little finger, curved and connected, and taste sweet like maltose when eaten, ripening in the eighth and ninth lunar months. Using wood from this tree as house pillars causes the wine stored in the room to become bland. It is a sacred remedy for resolving alcohol toxicity and treating Xiao Ke (wasting-thirst syndrome). Ancient single-formula prescriptions for treating Jiuzhi (alcohol accumulation) were very effective. In Jiangnan, it is called Baishi Shu. The line in the *Classic of Poetry*, "There are jujubes on the southern mountain," refers to this.
Regarding Pengli (Rubus chingii): Old annotations in the Materia Medica stated that Fupenzi (Rubus chingii fruit) and Pengli were the same plant with different names. Modern annotations claim that Pengli is the seedling of Fupenzi, and Fupenzi is the fruit of Pengli, which is entirely incorrect. *Yanyi* further describes it as soft, red, and lovely, thereby confusing Pengli with Fupenzi. According to Zhang Shilang's *Nanyuan Manlu* from Yunnan: Pengli is initially light red and turns deep purple when ripe; its taste is sweet, sour, and bland. It has prickles, grows as a vine with long stems, and possesses large, sparse thorns; even when withered, the branches remain intact. Fupenzi is initially yellow and turns red when ripe; its taste is sweet and deeply sour. It has prickles, grows on trees that are not very tall, and possesses fine, dense thorns; its leaves and branches remain green throughout the four seasons. Mr. Zhang, a man of broad learning, corrected the errors of the old Materia Medica annotations based on his observations, achieving great merit. As the ancients said, "Misannotating the Materia Medica is no trivial matter." I have detailed this specifically.