五心热甚,烦躁不安,手足时欲露出,小便赤涩,谓之烦热。八珍饮子、七宝
散皆可服之,若唇深红,饮水不止,以竹叶石膏汤、加朱甘露散治之。
一粒金丹 治小儿五脏蕴热,胸膈烦闷,五心烦热。
人参 犀角 玳瑁 琥珀 防风(各一钱) 茯苓 寒水石( ) 甘草(各二钱)
龙脑 朱砂(水飞。各半钱)
上为细末,入麝半钱,用陈米糊丸,芡实大,金箔二十五片为衣。麦门冬去心
煎汤、下。
绛雪丹 治小儿烦热。
芒硝(一两) 朱砂(一两)
上为末,饭丸,芡实大。三岁一丸,沙糖水化下。
地黄煎丸 治小儿风壅,上膈热烦,鼻衄口疮,咽喉肿痛,口舌生疮,或血热五心
常热,多渴饮水。
生地黄 熟地黄(各一两) 薄荷叶(一两一钱) 甘草(微炙) 山栀仁 玄参(各七钱半)
片脑(半钱)
上为末,炼蜜、为丸如芡实大。每服一丸,白汤磨化,乳后服。
竹叶石膏汤 治小儿虚羸少气,气逆欲吐,四体烦热。
石膏(三两) 半夏(洗) 人参(各七钱半) 麦门冬(去心,一两) 甘草(炙,七钱半)
淡竹叶(半把)
上锉碎。每服二钱,用水六分,粳米三四十粒,生姜二片,煎至三分,去滓,
不拘时服。
加朱甘露散(见惊热)
五心(手掌、足底及心口)发热严重,烦躁不安,手脚时常想要伸出来,小便颜色深红且排尿涩痛,这被称为烦热。八珍饮子、七宝散都可以服用;如果嘴唇深红,喝水不止,用竹叶石膏汤、加朱甘露散来治疗。
一粒金丹 治疗小儿五脏蕴积热气,胸膈部烦闷,五心烦热。
人参 犀角 玳瑁 琥珀 防风(各一钱) 茯苓 寒水石(缺具体剂量,原文此处可能有脱漏或隐含等量,依上下文推测为常规配伍,但严格按原文翻译则保留空缺或按常见古籍习惯补全,此处原文括号内为空,故译为“适量”或保留原意“未注明”,鉴于中医古籍严谨性,若原文确实缺失,应指出。观察原文“寒水石( )”,通常此类方剂寒水石用量较大,可能为二两或一两,但既然原文留白,翻译时如实反映“未注明剂量”或根据后文甘草二钱推断可能为同等或稍大,但为了准确不臆测,译为“寒水石(剂量未详)”或直接列出药材名。*修正:仔细看图/文本,寒水石后括号内似乎有内容被截断或为空。在标准古籍中,寒水石常重用。此处暂按原文字面意思,即列出药名,剂量处标注原文如此*。实际上,参考《证治准绳》原书,此处寒水石通常为二两或一两。但作为AI,我必须忠实于提供的文本。提供的文本中“寒水石( )”中间是空的。我将翻译为“寒水石(剂量未标)”。) 甘草(各二钱) 龙脑 朱砂(水飞法处理。各半钱)。
以上药物研成细末,加入麝香半钱,用陈年米糊制作丸药,大小如芡实,用金箔二十五片包裹。用麦门冬去心煎成的汤送服。
绛雪丹 治疗小儿烦热。
芒硝(一两) 朱砂(一两)。
以上研成粉末,用米饭做丸,大小如芡实。三岁儿童每次一丸,用沙糖水化开送服。
地黄煎丸 治疗小儿风邪壅滞,上焦膈部热烦,鼻出血,口腔溃疡,咽喉肿痛,口舌生疮,或者是血热导致五心经常发热,口渴多饮。
生地黄 熟地黄(各一两) 薄荷叶(一两一钱) 甘草(微炙烤) 山栀仁 玄参(各七钱半) 片脑(即冰片,半钱)。
以上研成粉末,用炼蜜制作丸药,大小如芡实。每次服用一丸,用温水磨化后服用,在吃奶后服用。
竹叶石膏汤 治疗小儿身体虚弱消瘦、气短,气机上逆想呕吐,四肢烦热。
石膏(三两) 半夏(洗净) 人参(各七钱半) 麦门冬(去心,一两) 甘草(炙烤,七钱半) 淡竹叶(半把)。
以上切碎。每次服用二钱,用水六分,粳米三四十粒,生姜两片,煎煮至剩余三分药液,去掉药渣,不限时间服用。
When the five centers (palms, soles, and heart region) are severely hot, accompanied by restlessness and irritability, with a tendency to expose hands and feet, dark and scanty urine, it is termed *Fan Re* (Vexing Heat). *Bazhen Yinzi* (Eight-Treasure Drink) or *Qibao San* (Seven-Treasure Powder) may be administered. If the lips are deep red and there is incessant thirst, treat with *Zhuye Shigao Tang* (Bamboo Leaf and Gypsum Decoction) or *Jia Zhu Ganlu San* (Cinnabar-Enhanced Sweet Dew Powder).
*Yili Jin Dan* (One-Grain Golden Pill): Treats children with heat accumulation in the five zang organs, chest and diaphragm vexation, and vexing heat in the five centers.
Ingredients: Renshen (Ginseng Radix), Xijiao (Rhinoceros Horn - *Note: Substitute with Buffalo Horn/Niujiajiao in modern practice*), Daimao (Hawksbill Turtle Shell), Hupo (Amber), Fangfeng (Saposhnikovia Root) (each 1 qian); Fuling (Poria), Hanshuishi (Calcitum) (dosage unspecified in source text); Gancao (Licorice Root) (each 2 qian); Longnao (Borneol), Zhusha (Cinnabar) (processed by water levigation; each half qian).
Preparation: Grind all into fine powder, add Mushe (Musk) half a qian, and bind with paste from aged rice to form pills the size of a Chinese bayberry (Qianshi). Coat with 25 leaves of Gold Foil (Jinbo). Administer with decoction of Maimendong (Ophiopogon Root) from which the heart has been removed.
*Jiangxue Dan* (Crimson Snow Pill): Treats pediatric vexing heat.
Ingredients: Mangxiao (Natrii Sulfas) (1 liang), Zhusha (Cinnabar) (1 liang).
Preparation: Grind into powder, bind with steamed rice to form pills the size of a Chinese bayberry. For a three-year-old child, administer one pill dissolved in sugar water.
*Dihuang Jian Wan* (Rehmannia Decoction Pill): Treats pediatric wind obstruction, upper jiao heat and vexation, epistaxis, oral ulcers, sore throat and swelling, mouth and tongue sores, or blood-heat causing chronic heat in the five centers and excessive thirst for water.
Ingredients: Sheng Dihuang (Fresh Rehmannia Root), Shu Dihuang (Prepared Rehmannia Root) (each 1 liang); Boheye (Menthae Haplocalycis Folium) (1 liang 1 qian); Gancao (Licorice Root) (lightly roasted); Shanzhiren (Gardeniae Fructus), Xuanshen (Scrophulariae Radix) (each 7 qian 5 fen); Pian Nao (Borneol) (half qian).
Preparation: Grind into powder, bind with refined honey to form pills the size of a Chinese bayberry. Take one pill per dose, grind in warm water until dissolved, and administer after nursing/meals.
*Zhuye Shigao Tang* (Bamboo Leaf and Gypsum Decoction): Treats pediatric emaciation and shortness of breath, rebellious qi with nausea/vomiting, and vexing heat in the four limbs.
Ingredients: Shigao (Gypsum Fibrosum) (3 liang); Banxia (Pinelliae Rhizoma) (washed); Renshen (Ginseng Radix) (each 7 qian 5 fen); Maimendong (Ophiopogonis Radix) (heart removed, 1 liang); Gancao (Licorice Root) (roasted, 7 qian 5 fen); Danye Zhu (Light Bamboo Leaves) (half a handful).
Preparation: Coarsely crush ingredients. For each dose of 2 qian, use 6 parts water, 30-40 grains of Jingmi (Glutinous Rice), and 2 slices of Shengjiang (Zingiberis Rhizoma Recens). Decoct until 3 parts remain, strain, and take at any time.
*Jia Zhu Ganlu San* (See section on Jing Re / Startled Heat).