巢氏云∶足少阴为肾之经,其华在发,小儿有禀性少阴之血气不足,即发疏薄
不生。亦有因头疮而秃落不生者。皆由伤损其血,血气损少,不能荣于发也。
苣胜丹方(张涣) 治发不生。
当归(洗,焙干) 生干地黄 芍药(各一两)
以上捣罗为细末,次用
苣 (一合,研) 胡粉(半两,细研)
上件同研匀,炼蜜和如黍米大。每服十粒,煎黑豆汤下,兼化、涂搽头上无妨,量儿大小加减。
《千金》治少小头不生发,以楸叶捣取汁,敷头上,立生。
又方 烧鲫鱼灰末以酱汁和敷。
《千金冀》治发薄不生方
先以醋泔清洗秃处,以生布揩令火热,腊月猪脂并细研,铁生煎三沸,涂之,日三遍。
《本草》甑气水主长毛发。以物于炊饭时承取,沐头令发长密黑润,不能多得,
朝朝梳小儿头,渐渐觉有益好。
小儿白秃,发不生,捣榆皮末,苦酒调涂。
《圣惠》生发神效黑豆膏 治小儿脑疳,头发连根作穗子,脱落不生,兼疮白、秃发
不生者,并用生发。
黑豆 苣 (各三合) 诃黎勒皮(一两)
上件药捣,罗为末,以水拌令匀,内于竹筒中,以乱发塞口,用 灰内煨,取
油贮于瓷器中,先以米泔皂荚汤洗头,拭干涂之,日再用,十日发生。
又方
葛根末 猪脂 羊脂(各二两)
上件药入铫子内,以慢火熬成膏,收于瓷合中。每取一钱涂摩头上,日再用,不过五七度效。
香薷煎 治小儿白秃不生发,燥痛。
陈香薷(二两) 胡粉(一两) 猪脂(半两)
上件药,以水一大盏,煎香薷取汁三分,去滓,入胡粉、猪脂相和令匀。涂于头上,日再用之。
《圣惠》治小儿头秃不生发,苦痒。蔓菁散
上,取蔓菁子捣为末,以猪脂调涂于秃处,佳。
又方 贯众烧灰细研,油调敷。
又方 麻子一升,熬黑,压取脂,敷头上,良。
又方 盐汤洗过,生油和蒲苇灰敷之。雁脂、熊白、桃叶汁,皆可涂。鸡子黄熬取汁,涂。
巢元方说:足少阴经是肾的经脉,其荣华表现于头发。小儿如果先天禀赋导致少阴经的血气不足,就会出现头发稀疏、单薄,甚至不生发的情况。也有因为头部疮疡而导致脱发不生的。这都是因为损伤了血液,血气亏损减少,不能滋养头发的缘故。
苣胜丹方(张涣) 治疗头发不生。
当归(清洗,焙干) 生干地黄 芍药(各一两)
以上药物捣碎过筛成细末,接着用
苣胜子(一合,研碎) 胡粉(半两,细研)
将上述药材一同研磨均匀,用炼蜜调和如黍米大小。每次服用十粒,用黑豆汤送服,同时化开或涂抹在头上也无妨,根据患儿年龄大小酌情增减剂量。
《千金方》治疗婴幼儿头部不生发,将楸叶捣取汁液,敷在头上,立即能生发。
又一方 烧鲫鱼成灰末,用酱汁调和后敷贴。
《千金翼方》治疗头发稀薄不生的方子
先用醋淘米水清洗秃处,用生布摩擦使其发热,腊月取的猪脂并细细研磨,铁锅中煎煮三沸,涂擦患处,每日三次。
《本草》记载的甑气水(蒸饭时蒸汽凝结的水)主要促进毛发生长。用容器在蒸饭时承接收集,洗头可使头发长得浓密黑润,虽然难以大量获取,但每天早晨梳理小儿头部,渐渐觉得有益处。
《圣惠方》生发神效黑豆膏 治疗小儿脑疳,头发连根结成穗状脱落不生,兼治疮疡白斑、秃发不生的情况,均用此方生发。
黑豆 苣胜子(各三合) 诃黎勒皮(一两)
将上述药材捣碎,过筛成末,用水拌均匀,放入竹筒中,用乱发塞住口,用灶灰内煨烤,取出油脂贮存在瓷器中。先用米泔水和皂荚汤洗头,擦干后涂抹,每日两次,十日头发可生。
又一方
葛根末 猪脂 羊脂(各二两)
将上述药材放入铫子内,用慢火熬制成膏,收于瓷盒中。每次取一钱涂抹按摩头上,每日两次,不超过五七次见效。
香薷煎 治疗小儿白秃不生发,干燥疼痛。
陈香薷(二两) 胡粉(一两) 猪脂(半两)
将上述药材,用一大盏水,煎煮香薷取汁三分,去渣,加入胡粉、猪脂混合均匀。涂于头上,每日两次使用。
Chao Yuanfang stated: The Foot-Shaoyin meridian is the channel of the Kidney, and its flourishing manifestation appears in the hair. If a child has a congenital deficiency of blood and qi in the Shaoyin meridian, the hair will be sparse and thin, or fail to grow. There are also cases where hair falls out and fails to grow due to scalp sores. All these are caused by damage to the blood; when blood and qi are depleted, they cannot nourish the hair.
Qusheng Dan Formula (Zhang Huan) treats failure of hair growth.
Danggui (Radix Angelicae Sinensis, washed and dried by baking) Shenggan Dihuang (Radix Rehmanniae Preparata) Shaoyao (Radix Paeoniae Alba, each 1 liang).
The above herbs are crushed and sifted into fine powder. Then use:
Qushengzi (Semen Lepidii et Descurainiae, 1 he, ground) Hufen (Cerussa, 0.5 liang, finely ground).
Grind the above ingredients together until uniform, mix with refined honey to form pills the size of millet seeds. Take ten pills per dose, administered with decoction of black beans. It is also permissible to dissolve or apply topically on the head; adjust dosage according to the child's age and size.
*Qianjin Fang* treats infants' failure of hair growth on the head by crushing Qiu Ye (Folium Cudraniae Tricuspidae) to extract juice and applying it to the head, which promotes immediate hair growth.
Another prescription: Burn crucian carp to ash, grind into powder, mix with soy sauce, and apply.
*Qianjin Yifang* prescription for thin hair that fails to grow:
First wash the bald area with vinegar-rice water, rub with coarse cloth until hot. Use pig lard collected in the twelfth lunar month, finely ground, and boil three times in an iron pot. Apply to the affected area three times daily.
*Bencao* records that Zengqi Shui (condensate from steaming rice) primarily promotes hair growth. Collect it using a vessel during rice steaming, wash the head with it to make hair grow dense, black, and lustrous. Although difficult to obtain in large quantities, combing a child's head every morning gradually proves beneficial.
For pediatric white tinea capitis (Bai Tu) with hair loss, crush Ulmus pumila bark powder, mix with vinegar, and apply.
*Shenghui Fang* Shenxiao Heidou Gao (Miraculous Black Bean Ointment for Hair Growth) treats pediatric brain guan (brain guan syndrome), where hair falls out in tufts from the root and fails to regrow; it also treats scaly patches and alopecia, promoting hair growth in all such cases.
Heidou (Semen Sojae Preparatum) Qushengzi (Semen Lepidii et Descurainiae, each 3 he) Helilepi (Pericarpium Terminaliae Chebulae, 1 liang).
Crush the above herbs, sift into powder, moisten with water to mix evenly, place in a bamboo tube, seal the mouth with loose hair, and bake in stove ashes. Extract the oil and store in porcelain. First wash the head with rice water and soap pod decoction, dry, then apply. Use twice daily; hair will grow within ten days.
Another prescription:
Gegen (Radix Puerariae) powder, Zhu Zhi (Searcia Porci), Yang Zhi (Searcia Ovis), each 2 liang.
Place the above ingredients in a dingzi (small tripod cauldron), simmer slowly over low heat until forming an ointment. Store in a porcelain box. Apply one qian to the head and massage twice daily; efficacy is expected within five to seven applications.
Xiangru Jian treats pediatric white tinea capitis with hair loss, dryness, and pain.
Chen Xiangru (Herba Moslae Aged, 2 liang) Hufen (Cerussa, 1 liang) Zhu Zhi (Searcia Porci, 0.5 liang).
Boil the above herbs in one da zhan (large cup) of water, decoct Xiangru to obtain one-third volume of liquid, strain, and mix in Hufen and Zhu Zhi until uniform. Apply to the head twice daily.
*Shenghui Fang* Manjing San treats pediatric alopecia with itching and bitterness.
Take Manjing Zi (Semen Brassicae Pekinensis) and crush into powder; mix with pig lard and apply to the bald area for best results.
Another prescription: Burn Guanzhong (Rhizoma Cyrtomii) to ash, grind finely, mix with oil, and apply.
Another prescription: Take 1 sheng of Hemp Seed (Semen Cannabis), roast until black, press to extract oil, and apply to the head; this is effective.
Another prescription: Wash with salt water, then apply a mixture of raw oil and reed ash. Goose fat (Yan Zhi), bear fat (Xiong Bai), and peach leaf juice can all be applied. Chicken egg yolk juice, extracted by heating, can also be applied.