治小儿疳泻不止,日夜遍数不记,渐渐羸瘦,众药不效者。
黄柏(蜜炙) 黄连(微炒) 桃根白皮(各一分) 木香 浓朴(姜汁炙) 丁香 槟
榔(各一钱)
上为末,每服一字,三岁以上半钱,五六岁一钱,用紫苏木瓜米饮调下,乳食前,一日
三服。予家小儿,曾有患泻百余日,瘦但有皮骨,百方不瘥。有监兵钟离君见之,曰∶何不
服吴婆散,立可瘥也。予因问吴婆散何药,曰古方也。人家多有之,乃问求方。合与两三服
便效。又一孙男亦疳泻,势甚危困,两服遂定。若病深者,服一两日间决瘥。此药若是疳泻,
无不验者。药性小温,暴热泻者,或不相当。
治小儿之病,多因惊则心气不行,郁而生涎逆为大疾,宜服常行小肠,去心热,儿自少
惊,亦不成疾。
寒水石 滑石(水研如泔,扬去粗者存细者,沥干更研,无声乃止,各三两) 甘草(粉
一两
上量儿大小,热月冷水下,寒月温水下,凡被惊,及心热不可安卧,皆与一服,加龙脑
更良。
治小儿惊积,镇心化涎
朱砂(一分) 巴豆(三十粒去皮膜出尽油) 半夏(汤洗七遍为末炒二钱) 杏仁(五
枚炮去皮
上面糊丸,如绿豆大,二岁一丸,荆芥薄荷汤下,三岁二丸,五岁三丸。如惊伏在内,
即行尽,仍旧药出;如无惊,药更不下。
治疗小儿疳泻(因脾胃虚弱、饮食积滞导致的慢性腹泻)不止,每天次数无法计数,身体逐渐消瘦,服用多种药物无效的情况。
黄柏(用蜂蜜炙烤) 黄连(轻微炒制) 桃根白皮(以上三味各一分) 木香 浓朴(用姜汁炙烤) 丁香 槟榔(以上四味各一钱)
将上述药材研成细末,每次服用“一字”的量,三岁以上的儿童服用半钱,五至六岁的儿童服用一钱。用紫苏和木瓜煮成的米汤调服,在吃奶或吃饭之前服用,每天服用三次。我家的小孩,曾经患有腹泻一百多天,瘦得只剩皮包骨头,各种方法都未能治愈。有一位姓钟离的监兵见到这种情况,说:“为什么不服用吴婆散?立刻就能痊愈。”我于是询问吴婆散是什么药,他说这是古方。许多人家都有这个方子,于是我向他求取此方。配合服用两到三次就见效了。另一个孙子也患疳泻,病情非常危急,服用两次后便稳定下来。如果病邪较深,服用一两日内必定痊愈。这种药如果是针对疳泻,没有不灵验的。药性略微偏温,对于突发热性腹泻的患者,可能不太适宜。
治疗小儿的疾病,多是因为受惊导致心气运行不畅,郁结而生出痰涎,逆乱引发大病,适宜服用常行小肠(此处指代一种调理小肠功能的治法或方剂概念,原文似有脱漏或特指),去除心热,孩子少受惊吓,也就不会形成疾病。
寒水石 滑石(用水研磨如米泔水状,撇去粗颗粒保留细粉,沥干水分再次研磨,直到研磨时没有声音为止,以上两味各三两) 甘草(一两)
根据患儿年龄大小,夏季用冷水送服,冬季用温水送服。凡是受到惊吓,以及心热导致无法安卧的,都给予一次服药量,加入龙脑(冰片)效果更好。
治疗小儿惊积(因惊恐导致的气血瘀滞或积滞),具有镇心安神、化解痰涎的功效。
朱砂(一分) 巴豆(三十粒,去皮膜并榨尽油) 半夏(用热水清洗七遍,研成细末后炒制二钱) 杏仁(五枚,炮制后去皮)
以上药材用面糊制成丸药,大小如绿豆。两岁的儿童服用一丸,用荆芥和薄荷煎汤送服;三岁的儿童服用两丸;五岁的儿童服用三丸。如果惊邪潜伏在体内,药力会推动其排出,随后恢复使用常规药物;如果没有惊邪,药力就不会下行排出。
Treats pediatric *gan* diarrhea (chronic diarrhea due to spleen-stomach deficiency and food stagnation) that does not stop, with daily frequency uncountable, gradual emaciation, and ineffectiveness of various medications.
*Huangbai* (Phellodendri Cortex), processed with honey; *Huanglian* (Coptidis Rhizoma), lightly stir-fried; *Taogenbaipi* (Pruni Persicae Radicis Cortex) (each 1 fen); *Muxiang* (Aucklandiae Radix); *Nongpo* (Magnoliae Officinalis Cortex), processed with ginger juice; *Dingxiang* (Caryophylli Flos); *Binglang* (Arecae Semen) (each 1 qian).
Grind the above ingredients into fine powder. For each dose, take one "zi" (a traditional small weight unit); for children over three years old, take half a qian; for five- to six-year-old children, take one qian. Mix with rice water prepared from *Zisu* (Perilla Leaf) and *Mu Gua* (Chaenomeles Fruit), and administer before milk or meals, three times a day. My family's child once suffered from diarrhea for over a hundred days, becoming so thin that only skin and bones remained, and numerous remedies failed to cure him. A military supervisor named Zhongli saw this and said, "Why not take Wu Po San? It will cure him immediately." I then asked what medicine constituted Wu Po San. He replied, "It is an ancient prescription. Many households possess it." I therefore requested the formula. After administering two or three doses, efficacy was observed. Another grandson also suffered from *gan* diarrhea with a critical condition; after two doses, the condition stabilized. If the disease is deep-seated, recovery is certain within one to two days of administration. This medication is invariably effective for *gan* diarrhea. The medicinal nature is slightly warm; thus, it may not be suitable for cases of sudden acute heat diarrhea.
Pediatric diseases often arise because fright causes the Heart Qi to fail to circulate freely. Stagnation generates phlegm-saliva, which rebels upward causing severe illness. It is advisable to regulate the Small Intestine function, clear Heart Heat, and ensure the child suffers little fright, thereby preventing disease formation.
*Hanshuishi* (Natron); *Huashi* (Talcum), ground in water until resembling rice washings, coarse particles removed, fine sediment retained, drained, and re-ground until silent (each 3 liang); *Gancao* (Glycyrrhizae Radix et Rhizoma) (1 liang).
Based on the child's age, administer with cold water in hot months and warm water in cold months. For any case involving fright or Heart Heat causing restlessness and inability to lie down comfortably, administer one dose. Adding *Longnao* (Borneolum Syntheticum) yields better results.
Treats pediatric fright accumulation (qi-blood stasis or stagnation due to fright), with effects of calming the Heart and transforming phlegm-saliva.
*Zhusha* (Cinnabaris) (1 fen); *Badou* (Crotonis Fructus), thirty grains, peel and membrane removed, oil pressed out completely; *Banxia* (Pinelliae Rhizoma), washed seven times in boiling water, ground into powder, and stir-fried (2 qian); *Xingren* (Armeniacae Semen Amarum), five kernels, processed and peeled.
The above ingredients are bound with paste to form pills the size of mung beans. Two-year-old children take one pill, administered with decoction of *Jingjie* (Schizonepetae Spica) and *Bohe* (Menthae Haplocalycis Herba); three-year-olds take two pills; five-year-olds take three pills. If fright pathogens are latent inside, the medicine will expel them completely, after which regular medication resumes; if there is no fright, the medicine will not descend/expel.