大腹皮汤 治小儿疟疾,用药太早退热,变作浮肿,外肾肿大,饮食不进。
大腹皮 槟榔 三棱 蓬莪术(各五钱) 苍术 枳壳(各二两) 甘草(三钱)
上锉散。每服三钱,生姜皮、萝卜子、椒目同煎。
青皮汤 治小儿疟后浮肿,兼寒热不退,饮食不进。
白术 茯苓 浓朴 青皮 陈皮 半夏 大腹皮 槟榔 三棱 蓬莪术 木通 甘草(各等分)
上 咀,每服三钱,姜水煎。
按∶上诸方皆克泄元气之药,若病久脾虚而作肿者,当以钱氏异功散为
主,少佐以五皮汤(方见杂病水肿),误用此,必至不救。
(音奇),小鬼也,乳下婴儿未能行,而母更有娠,其儿病微微下利,寒热去来,
毛发 ,以为有恶鬼神导其腹中胎,妒嫉而为此,故名曰 病也。以他人相近,
亦能相继,亦曰继病。妊娠妇人不必悉能致 ,亦时有此尔。女子气血上为乳汁,
下为经水,小儿饮交乳且病,况其大分已荣于胎,而乳汁之漓可知,能无使儿病乎,
则又何鬼神之咎为也。《千金》炙伏翼熟嚼哺儿,而怀妊者带伯劳鸟毛、白马眼,不
能滋荣气血,乃徒剥裂禽兽。海藏云∶生者为相继,死者为传尸,有脉而无气、
谓之尸厥,有气而无脉,谓之行尸。丁奚、露哺、客忤、无辜四异病也。阳易、
阴易、百合、狐惑、四奇病也。
龙胆汤 治婴儿出腹,血脉盛实,寒热温壮,四肢惊掣。吐 者若已能进哺,中满
食不消。壮热及变蒸不解。中客人鬼气,并诸惊痫。方悉主之。
龙胆草 柴胡 黄芩 桔梗 钓藤皮 甘草(炙) 茯苓 芍药(各二钱半) 蜣螂(二枚) 大
黄(一两)
上为锉散。以水一升,煮取五合为一剂,十岁以下小儿皆可服,若儿生一日至
七日,分一合为三服,八日至十五日,分一合半为三服,十六日至二十日,分二
合为三服,二十日至三十日,分三合为三服,皆以得下为止。此剂为出腹婴儿所
作,若日月长大者,亦根据此为例,必知客忤及有 气者,可加人参、当归各二钱
半,一百日儿加一钱一字,二百日儿加二钱半,一岁加半两,余药皆仿此。
《圣惠》甘草散
治小儿中 ,面色白赤,而复变青者如醉色,故复发作面赤,若青
黑色绕口,不治。觉病候晚者死,觉之早者,所中邪气未入脏腑,又微引乳者可服此。
甘草(炙微赤,锉) 龙骨 赤茯苓 牡蛎(烧为粉) 生干地黄 黄芩 桂心(各一分) 当归(半
两,锉,微炒)
上件药捣,粗罗为散。每服一钱,以水一小盏,入淡竹叶七片,煎至五分,去
滓,入白蜜一钱,更煎一两沸,量儿大小,以意加减温服,日三四服。
大黄丸 治小儿中 挟实。
川大黄(锉碎,微炒) 白藓皮 甘草(炙,微赤。各半两) 犀角屑 黄芩 赤茯苓 赤芍药(各一分)
上件药捣,粗罗为散。每服一钱,以水一小盏,煎至五分,去滓,量儿大小加
减,日三四服。
〔张涣〕虎骨丹 治被 病。
虎头骨(微炙) 鬼臼(去毛) 草龙胆 鬼箭(各一两) 琥珀 白胶香(各半两)
上件捣,罗为细末,炼蜜和丸如黍米大。每服十粒,乳香汤下,量儿大小加减。
大腹皮汤:治疗小儿疟疾,因用药过早退热,导致病情变化出现浮肿,外生殖器肿大,饮食不进。
大腹皮、槟榔、三棱、蓬莪术(各五钱)、苍术、枳壳(各二两)、甘草(三钱)。
以上药材切碎成散剂。每次服用三钱,用生姜皮、萝卜子、椒目共同煎煮。
青皮汤:治疗小儿患疟疾后出现浮肿,兼有寒热不退,饮食不进。
白术、茯苓、浓朴、青皮、陈皮、半夏、大腹皮、槟榔、三棱、蓬莪术、木通、甘草(各等分)。
以上药材切碎,每次服用三钱,用姜水煎煮。
按语:上述各方均为攻伐泄泻元气之药,若病程日久导致脾虚而引发水肿者,应当以钱氏异功散为主方,稍加佐使五皮汤(方剂见杂病水肿篇),误用此方,必然导致无法救治。
(音奇),即小鬼。哺乳期的婴儿尚不能行走,而其母再次怀孕,该婴儿患病轻微下利,寒热往来,毛发稀疏枯黄,人们认为是有恶鬼神引导腹中的胎儿,因嫉妒而致此病,故命名为疰病(注:原文此处缺字,根据上下文及“小鬼”、“继病”推断为“疰”或类似含义的病名,通常指疰病/注病)。与患者相近的人,也能相继感染,也称为继病。妊娠妇女并非都能导致此病,只是偶尔有此情况。女子的气血上化为乳汁,下化为经血,小儿饮用交乳且生病,何况其形体已在胎中受荣养,而乳汁的稀薄可知,怎能不致使小儿生病呢?这又何必归咎于鬼神之过呢?《千金方》建议炙烤伏翼(蝙蝠)熟嚼喂给婴儿,而孕妇佩戴伯劳鸟毛、白马眼,并不能滋养荣养气血,反而徒然剥裂禽兽。海藏(张元素)说:活着的称为相继,死去的称为传尸,有脉象而无气息的,称为尸厥;有气息而无脉象的,称为行尸。丁奚、露哺、客忤、无辜是四种不同的病。阳易、阴易、百合、狐惑是四种奇特的病。
龙胆汤:治疗婴儿刚出生,血脉盛实,寒热温壮,四肢惊掣抽搐。呕吐者如果已经能进食米糊,但中焦胀满,食物不消化。壮热及变蒸(婴儿生长发育过程中的生理现象)不解。中客人鬼之气,以及各类惊痫。本方全部主治这些病症。
龙胆草、柴胡、黄芩、桔梗、钓藤皮、甘草(炙)、茯苓、芍药(各二钱半)、蜣螂(二枚)、大黄(一两)。
以上药材切碎成散剂。用水一升,煮取五合作为一剂,十岁以下小儿均可服用。若婴儿出生一日至七日,将一合分为三次服用;八日至十五日,将一合半分为三次服用;十六日至二十日,将二合分为三次服用;二十日至三十日,将三合分为三次服用,均以大便通畅为度。此剂是为刚出生的婴儿所制,若日月长大者,也依据此例,必须知道是客忤及有疰气者,可加人参、当归各二钱半,一百日的婴儿加一钱一字,二百日的婴儿加二钱半,一岁的婴儿加半两,其余药物都仿照此法加减。
《圣惠方》甘草散:治疗小儿中疰气,面色白赤,进而变为青色如醉酒之色,故而反复发作面赤,若青黑色环绕口周,则属不治之症。发觉病情较晚者死,发觉较早者,所中的邪气尚未进入脏腑,又轻微引乳者可服用此方。
甘草(炙微赤,切碎)、龙骨、赤茯苓、牡蛎(烧成粉)、生干地黄、黄芩、桂心(各一分)、当归(半两,切碎,微炒)。
以上药材捣碎,粗筛为散剂。每次服用一钱,用水一小盏,加入淡竹叶七片,煎至五分,去渣,加入白蜜一钱,再煎一两沸,根据婴儿大小,酌情加减温服,每日三四次。
大黄丸:治疗小儿中疰气挟实证。
川大黄(切碎,微炒)、白藓皮、甘草(炙,微赤,各半两)、犀角屑、黄芩、赤茯苓、赤芍药(各一分)。
以上药材捣碎,粗筛为散剂。每次服用一钱,用水一小盏,煎至五分,去渣,根据婴儿大小加减,每日三四次。
〔张涣〕虎骨丹:治疗被疰病侵害。
虎头骨(微炙)、鬼臼(去毛)、草龙胆、鬼箭(各一两)、琥珀、白胶香(各半两)。
以上药材捣碎,筛为细末,炼蜜和丸如黍米大。每次服用十粒,用乳香汤送下,根据婴儿大小加减。
Da Fu Pi Tang (Areca Peel Decoction): Treats pediatric malaria where antipyretics were administered too early, resulting in edema, swelling of the external genitalia, and anorexia.
Da Fu Pi (Agarici Fructus), Bing Lang (Arecae Semen), San Leng (Sparganii Rhizoma), Peng E Zhu (Curcumae Rhizoma) (each 5 qian), Cang Zhu (Atractylodis Rhizoma), Zhi Qiao (Aurantii Fructus), Gan Cao (Glycyrrhizae Radix et Rhizoma) (3 qian).
The above herbs are cut into pieces to make a powder. Each dose is 3 qian, decocted together with Sheng Jiang Pi (Zingiberis Pericarpium), Luo Bo Zi (Raphani Semen), and Jiao Mu (Zanthoxyli Semen).
Qing Pi Tang (Green Tangerine Peel Decoction): Treats post-malarial edema in children, accompanied by persistent alternating chills and fever, and anorexia.
Bai Zhu (Atractylodis Macrocephalae Rhizoma), Fu Ling (Poria), Nong Po (Magnoliae Officinalis Cortex), Qing Pi (Citri Reticulatae Pericarpium Viride), Chen Pi (Citri Reticulatae Pericarpium), Ban Xia (Pinelliae Tuber), Da Fu Pi (Arecae Pericarpium), Bing Lang (Arecae Semen), San Leng (Sparganii Rhizoma), Peng E Zhu (Curcumae Rhizoma), Mu Tong (Akebiae Caulis), Gan Cao (Glycyrrhizae Radix et Rhizoma) (equal parts).
The above herbs are cut into pieces. Each dose is 3 qian, decocted in ginger water.
Note: The aforementioned formulas consist of drugs that attack and drain Yuan Qi (Primordial Qi). If edema arises due to Spleen deficiency after a prolonged illness, one should primarily use Qian Shi Yi Gong San (Master Qian's Extraordinary Power Powder) with a slight adjuvant of Wu Pi Tang (Five Peel Decoction) (see Edema in Miscellaneous Diseases). Misuse of these formulas will inevitably lead to untreatable conditions.
(Ji), meaning little ghosts. A nursing infant who cannot yet walk, while the mother is pregnant again, may suffer from mild diarrhea and alternating chills and fever, with sparse and brittle hair. It is believed that evil spirits guide the fetus in the abdomen, causing this disease out of jealousy; hence it is named Zhu Bing (Neurosis/Infectious Disease transmitted by spirit). Those close to the patient can also be successively infected, so it is also called Ji Bing (Successive Disease). Pregnant women do not necessarily cause Zhu Bing, but it occurs occasionally. In women, Qi and Blood transform upwards into breast milk and downwards into menstrual blood. When an infant drinks breast milk and becomes ill, considering its form was nourished in the womb, the thinning of the milk is evident; how could it not cause illness in the child? Why blame ghosts and gods? *Qian Jin Fang* suggests roasting and chewing Vuyi (Bat flesh) to feed the infant, while pregnant women wear Boli bird feathers or White Horse eyes. This does not nourish Qi and Blood but merely harms animals. Haizang (Zhang Yuansu) said: Living transmission is called Xiang Ji, dead transmission is called Chuan Shi. Having pulse but no breath is called Shi Jue (Corpse Syncope); having breath but no pulse is called Xing Shi (Walking Corpse). Ding Xi, Lu Bu, Ke Wu, and Wu Gu are four distinct diseases. Yang Yi, Yin Yi, Bai He, and Hu Huo are four peculiar diseases.
Long Dan Tang (Gentian Decoction): Treats infants just born with abundant and solid blood vessels, presenting with hot fevers, convulsions of the four limbs. For those vomiting who have started taking semi-solid food but present with abdominal fullness and indigestion. For persistent high fever and unresolved Bian Zheng (physiological fever in infants). For invasion by human or ghost Qi, and various types of Jing Xian (Convulsive Disorders). This formula treats all such conditions.
Long Dan Cao (Gentianae Radix), Chai Hu (Bupleuri Radix), Huang Qin (Scutellariae Radix), Jie Geng (Platycodonis Radix), Diao Teng Pi (Uncariae Ramulus cum Uncis), Gan Cao (Glycyrrhizae Radix et Rhizoma, prepared), Fu Ling (Poria), Shao Yao (Paeoniae Radix Alba) (each 2.5 qian), Dang Lang (Scarabaeus), Da Huang (Rhei Radix et Rhizoma) (1 liang).
The above herbs are cut into pieces to make a powder. Use one sheng of water, boil to obtain five he as one dose. Children under ten years old can take it. For infants aged one to seven days, divide one he into three doses; for eight to fifteen days, divide 1.5 he into three doses; for sixteen to twenty days, divide two he into three doses; for twenty to thirty days, divide three he into three doses. Stop when bowel movements occur. This formula is designed for newborns. For older infants, follow this example. It must be known if the condition is caused by Ke Wu (Fright) or Zhu Qi (Neurotic Qi). In such cases, add Ren Shen (Ginseng Radix) and Dang Gui (Angelicae Sinensis Radix) each 2.5 qian. For a hundred-day-old infant, add 1 qian and 1 zi; for a two-hundred-day-old infant, add 2.5 qian; for a one-year-old, add half a liang. Other herbs are adjusted similarly.
Sheng Hui Fang Gan Cao San (Licorice Powder from Holy Benefit Formulary): Treats pediatric Zhu Qi invasion, where the complexion is white and red, turning blue like drunkenness, followed by recurrent facial redness. If blue-black color surrounds the mouth, it is untreatable. Late detection leads to death; early detection means the pathogenic Qi has not entered the Zang-Fu organs, and mild breastfeeding can allow administration of this formula.
Gan Cao (Glycyrrhizae Radix et Rhizoma, prepared until slightly red, cut), Long Gu (Fossilia Ossis Mastodi et Scapulae), Chi Fu Ling (Poria with Red Heart), Mu Li (Ostrea Concha, calcined to powder), Sheng Di Huang (Rehmanniae Radix), Huang Qin (Scutellariae Radix), Gui Xin (Cinnamomi Cortex) (each 1 fen), Dang Gui (Angelicae Sinensis Radix) (half a liang, cut, slightly fried).
The above medicines are pounded and sifted into a coarse powder. Each dose is 1 qian, decocted with one small cup of water and seven leaves of Dan Zhu Ye (Lophatheri Herba) until reduced to five fen. Strain, add 1 qian of Bai Mi (Honey), boil briefly. Administer warm according to the infant's size, adjusting dosage as needed, three to four times daily.
Da Huang Wan (Rhubarb Pill): Treats pediatric Zhu Qi invasion complicated by Excess patterns.
Chuan Da Huang (Rhei Radix et Rhizoma, cut, slightly fried), Bai Xian Pi (Dictamni Cortex), Gan Cao (Glycyrrhizae Radix et Rhizoma, prepared, slightly red, each half a liang), Xi Jiao (Rhinocerotis Cornu), Huang Qin (Scutellariae Radix), Chi Fu Ling (Poria with Red Heart), Chi Shao Yao (Paeoniae Radix Rubra) (each 1 fen).
The above medicines are pounded and sifted into a coarse powder. Each dose is 1 qian, decocted with one small cup of water until reduced to five fen. Strain, adjust according to the infant's size, three to four times daily.
[Zhang Huan] Hu Gu Dan (Tiger Bone Pill): Treats affliction by Zhu Bing.
Hu Tou Gu (Cruris Tigridis Os, slightly roasted), Gui Jiu (Podophylli Fructus, de-haired), Cao Long Dan (Gentianae Radix), Gui Jian (Araliae Spina), Hu Po (Electrum), Bai Jiao Xiang (Boswelliae Resina) (each 1 liang for the first four, half a liang for the latter two).
The above medicines are pounded and sifted into a fine powder. Mix with refined honey to form pills the size of millet seeds. Each dose is ten pills, taken with Ru Xiang Tang (Frankincense Decoction), adjusting according to the infant's size.