乌犀丸(曾氏) 主诸积滞,夹惊夹风,温胃调脾,消进饮食,吐逆醋馊气,面黄肌瘦,
不拘孩儿生后岁月远近,并宜可投。
乌犀(即皂角,锉三寸长皮,灰火中见青烟起为度,取出地上,瓦盆盖定,存性冷用,七钱) 硫黄 白姜(各三
钱半) 陈皮(去白) 川乌(炮去皮脐。各五钱) 巴豆(去壳膜心,存油,七十七粒)
上先研硫黄细,除巴豆外,余四味同焙为末,却薄切巴豆细研,同前五味药末
杵匀,用粳米饭包作一大粽子,小瓦瓶盛水熟煮,候冷取出,沙钵内烂杵,细布
兜紧,绞出如稠糊,安在别器内,以药末亭分同杵细软,丸粟粒大。取诸积,每
服,十五丸或五丸或二十一丸至三十三丸,并用淡姜汤泡冷饭取汁小盏,五更初
空心送下,通利三五行,以匀气散止补。治积吐有醋馊气,每服三丸至五丸,用
淡姜汤入米醋少许,候温,空心下。
水晶丹(曾氏) 治惊积、食积、虫积,腹胀烦啼,心恶食减,面黄,并宜通利。此药有
顽积,惊重风紧,涎多热极,乃可服,非常用之剂。及急惊后风痰未尽,免生痴疾,宜再投。
南星(锉作小块,汤煮少时) 半夏(汤泡去滑。各三钱) 滑石(四钱) 轻粉(五十帖) 净芜荑(二百片) 巴
豆(五十粒,去壳,汤泡七次,又去心膜,作两半,水煮少时,晒干碎切)
上,前三味焙为末,拌和轻粉外,芜荑、巴豆同碎切,在乳钵内细杵,入前
药末再拌匀,如乌犀丸内制糊丸麻仁大。每服十五丸至二十五丸或三十五丸,
糯米汤泡葱白,取汁小盏,五更初空心下,过三五行,进匀气散调补。下风痰,淡姜汤空心服。
《聚宝方》圣饼子 取一切积及虚中积、下风涎药,取病甚稳,全不搜搅。
轻粉 粉霜(各四钱) 石燕子(大者二枚,先为细末) 延胡索(大者二十八个,为末)
上四味同研匀,滴水和丸如大棋子大,仍放浓,阴干。每服一饼,先用熟水浸
软,冷浆水调下,临卧更深服,后急漱口。此药只取积滞,并不损气,更临时加
减。若下惊积,则每料更入朱砂、生龙脑各一钱重,小儿一饼作四服,或便捏成小饼子。
〔吉氏〕追魂散 治果子伤积。
白丁香 轻粉 官桂(去粗皮。各三钱)
上为末。冷水调下半钱。睡时服,来日取下所伤物,用异功散煎紫苏、木瓜汤
调,三服,和气。(异功散方见吐泻。)
沉香槟榔丸 和脾助胃,进食清神,宽胸快膈,顺气调中,悦颜色,壮筋骨,理面
带痿黄,肌肤瘦弱,过食生果停寒在里,乳癖腹胀作疼,及吐利疟肿瘥后,诸疳虫积。
沉香 槟榔 檀香 南木香 丁皮 三棱(炮,锉) 神曲(炒) 莪术(炮) 麦芽(洗,炒) 浓
朴(刮去粗皮,姜汁炙) 苍术(米泔浸,锉,炒黄) 使君肉(锉瓦上焙干) 青皮 陈皮(各去白) 缩砂仁
益智仁 净香附 枳壳(去穣,麸炒燥) 良姜(制。各半两) 甘草(炙,一两半)
上,除前五味不见火,余十五味锉焙,仍同沉香等为末,水煮面糊丸麻仁大。
每服三十丸至五十丸,温米汤无时送下。儿小不能吞咽,炼蜜丸如芡实大,每以
一丸至二丸温汤化服。
《集验》蓬术丸 治乳食不化,心腹胀满,一切所伤。
三棱 莪术(并煨) 净陈皮 净香附(炒) 萝卜子(炒。各半两) 砂仁 净青皮 净枳壳(麸
炒) 胡黄连 芦荟(各三钱) 胡椒(二钱半)
上细末,糊丸黄米大。每三十丸加至四五十丸,温米饮下,日三二服。忌生冷硬物。
乌犀丸(曾氏方)主治各种积滞证,兼夹惊风或风邪,能温养胃气、调理脾脏功能,促进食欲,治疗呕吐逆气及吐出酸腐气味,面色萎黄、身体消瘦。无论婴儿出生后时间长短,均适宜服用。
配方:乌犀(即皂角,切成三寸长的皮,在灰火中烧至冒出青烟为度,取出放在地上,用瓦盆盖住,保留药性但冷却后使用,用量七钱)、硫黄、白姜(各三钱半)、陈皮(去掉白色部分)、川乌(炮制后去皮和脐,各五钱)、巴豆(去掉壳、膜和心,保留油脂,七十七粒)。
制作与服用方法:先将硫黄研细,除巴豆外,其余四味药一同焙干研成粉末;然后将巴豆薄切并细细研磨,与前五味药粉混合,放入石臼中捣匀。用粳米饭包裹做成一个大粽子形状,放入盛水的小瓦瓶中煮熟,待冷却后取出,在沙钵内捣烂,用细布紧紧兜住,绞出如稠糊状的汁液,装入其他容器中,将药粉均匀分次加入其中再次捣细软,制成粟米大小的丸剂。治疗各种积滞,每次服用十五丸、五丸、二十一丸至三十三丸不等,均用淡姜汤浸泡冷饭取汁,用小盏盛装,在五更初空腹时送服。服药后通利大便三至五次,随后服用匀气散以停止泻下并进行补益。若治疗因积滞引起的呕吐且有酸腐气味,每次服用三丸至五丸,用淡姜汤加入少许米醋,待温热后,空腹服用。
水晶丹(曾氏方)治疗惊积、食积、虫积,症状包括腹部胀满、烦躁啼哭、心中厌恶饮食且食量减少、面色萎黄,均宜通过通利大便来治疗。此药适用于顽固积滞、惊重风急、痰涎多、热极重的情况方可服用,并非日常常用药剂。此外,在急惊风发作后,若风痰未尽,为避免产生痴呆疾病,适宜再次服用。
配方:南星(切成小块,用开水煮片刻)、半夏(用开水泡去滑腻感,各三钱)、滑石(四钱)、轻粉(五十帖)、净芜荑(二百片)、巴豆(五十粒,去掉壳,用开水泡七次,再去掉心和膜,对半切开,水煮片刻,晒干后切碎)。
制作与服用方法:前三味药焙干研成粉末,拌入轻粉(注:原文“拌和轻粉外”疑有误,通常轻粉最后加入或另研,此处依文意理解为混合),芜荑、巴豆一同切碎,在乳钵内细细捣碎,加入前药粉再拌匀,参照乌犀丸的方法制成糊丸,大小如麻仁。每次服用十五丸至二十五丸或三十五丸,用糯米汤浸泡葱白,取汁一小盏,在五更初空腹服用。服药后通利大便三至五次,随后服用匀气散调补。若用于降下风痰,用淡姜汤空腹服用。
《聚宝方》圣饼子:用于攻取一切积滞以及虚中积滞、下风涎等病症,取病效果稳妥,完全不会扰动正气。
配方:轻粉、粉霜(各四钱)、石燕子(大的两枚,先研成细末)、延胡索(大的二十八个,研成末)。
制作与服用方法:以上四味药共同研匀,滴水泛丸,大小如大棋子,质地仍保持柔软,阴干。每次服用一饼,先用热水浸软,用冷浆水调服,临睡前深夜服用,服后立即急漱口。此药只攻取积滞,不损伤正气,可根据情况临时加减。若用于治疗惊积,则每料药中加入朱砂、生龙脑各一钱重,小儿将一饼分为四次服用,或者捏成小饼子。
制作与服用方法:研成粉末。用冷水调服半钱。睡前服用,次日排出所伤的物体,用异功散煎紫苏、木瓜汤调服,共服三次,以调和气血。(异功散方见吐泻章节。)
沉香槟榔丸:调和脾脏、辅助胃气,增进食欲、清神醒脑,宽胸快膈,顺气调中,改善面色,强壮筋骨,治疗面色萎黄、肌肤瘦弱,因过食生冷水果导致寒气停滞体内,乳癖腹胀疼痛,以及吐利疟疾肿胀痊愈后,各种疳积、虫积。
配方:沉香、槟榔、檀香、南木香、丁皮、三棱(炮制,锉碎)、神曲(炒制)、莪术(炮制)、麦芽(洗净,炒制)、浓朴(刮去粗皮,姜汁炙烤)、苍术(米泔水浸泡,锉碎,炒黄)、使君子肉(锉碎,在瓦上焙干)、青皮、陈皮(均去掉白色部分)、缩砂仁、益智仁、净香附、枳壳(去掉瓤,麸皮炒燥)、良姜(炮制,各半两)、甘草(炙烤,一两半)。
制作与服用方法:以上药物,除了前五味药不经过火制外,其余十五味药锉碎焙干,仍同沉香一起研成粉末,用水煮面糊制成丸剂,大小如麻仁。每次服用三十丸至五十丸,随时可用温米汤送服。幼儿不能吞咽者,炼蜜制成如芡实大小的丸剂,每次以一丸至二丸用温水化开服用。
配方:三棱、莪术(均煨制)、净陈皮、净香附(炒制)、萝卜子(炒制,各半两)、砂仁、净青皮、净枳壳(麸皮炒制)、胡黄连、芦荟(各三钱)、胡椒(二钱半)。
制作与服用方法:研成细末,用糊剂制成黄米大小的丸剂。每次三十丸,可加至四五十丸,用温米饮送服,每日二至三次。忌食生冷硬物。
Wuxi Pill (Zeng's Formula) Indications: Governs various types of food stagnation (Ji), complicated by fright or wind pathogen. It warms the Stomach, regulates the Spleen, promotes appetite, treats vomiting with regurgitation of sour/rotten odors, sallow complexion, and emaciation. It is suitable for infants regardless of how long it has been since birth.
Ingredients: Wuxi (i.e., Gleditsia Sinensis Fruit Cortex [Zao Jiao], cut into three-cun long strips of bark, roasted in ash fire until green smoke rises, taken out and placed on the ground, covered with a clay pot to retain its nature while cooling, 7 qian); Lu Huang (Sulfur); Bai Jiang (White Ginger; each 3.5 qian); Chen Pi (Tangerine Peel, pith removed); Chuan Wu (Aconitum Carmichaelii Radix Preparata, processed, skin and umbilical scar removed; each 5 qian); Ba Dou (Crotonis Fructus, husk, membrane, and core removed, oil retained, 77 seeds).
Preparation and Administration: First, grind Lu Huang finely. Except for Ba Dou, roast the remaining four ingredients and grind them into powder. Then, thinly slice Ba Dou and grind it finely. Mix with the previous five powders and pound evenly in a mortar. Wrap in a ball of glutinous rice porridge to form a large zongzi shape. Boil in a small clay bottle filled with water until cooked. After cooling, take it out and pound thoroughly in a sand mortar. Strain tightly through fine cloth to extract a thick paste. Place in another vessel. Divide the medicinal powder equally and mix with the paste, pounding until soft. Form pills the size of millet grains. For treating various stagnations, administer 15, 5, 21, or up to 33 pills per dose. Use weak ginger decoction to soak cold rice, extract the juice, and serve in a small cup. Administer on an empty stomach at dawn (wugeng time). After bowel movements occur 3-5 times, stop the purgative effect and begin tonification using Yunqi San (Harmonizing Qi Powder). For treating vomiting due to stagnation with sour/rotten odor, administer 3-5 pills per dose. Add a little rice vinegar to weak ginger decoction, warm it, and administer on an empty stomach.
Shuijing Dan (Crystal Pill, Zeng's Formula) Indications: Treats fright stagnation, food stagnation, and worm stagnation. Symptoms include abdominal distension, irritability, crying, aversion to food, reduced appetite, and sallow complexion. It promotes bowel movement and urination. This formula is suitable only for stubborn stagnation, severe fright with urgent wind, excessive phlegm-saliva, and extreme heat. It is not a daily maintenance formula. It is also indicated after acute fright convulsions if wind-phlegm remains, to prevent cognitive impairment.
Ingredients: Nan Xing (Arisaema Cum Bile, cut into small pieces, boiled briefly in water); Ban Xia (Pinelliae Rhizoma Preparatum, soaked in water to remove slipperiness; each 3 qian); Hua Shi (Talcum); Qing Fen (Calomelas, 50 tie); Jing Wu Yi (Fructus Choerospermum, cleaned, 200 slices); Ba Dou (Crotonis Fructus, 50 seeds, husk removed, soaked in water seven times, core and membrane removed, halved, boiled briefly, dried, and crushed).
Preparation and Administration: Roast the first three ingredients and grind into powder. Mix with Qing Fen. Crush Wu Yi and Ba Dou together in a mortar. Add the previous powder and mix well. Prepare as a paste pill similar to Wuxi Pill, sized like hemp seeds. Administer 15-25 or 35 pills per dose. Soak scallion white in glutinous rice soup, extract juice, and serve in a small cup. Administer on an empty stomach at dawn. After 3-5 bowel movements, resume tonification with Yunqi San. To expel wind-phlegm, administer with weak ginger decoction on an empty stomach.
Sheng Bing Zi (Holy Cake, from *Jubao Fang*) Indications: Extracts all types of stagnation, including deficiency-type stagnation and lower wind-phlegm. It removes pathogens steadily without disturbing healthy qi.
Ingredients: Qing Fen (Calomelas); Fen Shuang (Sublimated Mercury Chloride); Shi Yan Zi (Swallow's Egg-shaped Stone, two large ones, pre-ground); Yan Hu Suo (Corydalis Rhizoma, twenty-eight large ones, ground).
Preparation and Administration: Grind all four ingredients uniformly. Add water dropwise to form pills the size of large chess pieces. Keep them soft and dry in the shade. Administer one cake per dose. Soak in hot water until soft, then swallow with cold grain water. Take late at night before sleep. Rinse mouth immediately afterward. This formula targets stagnation without damaging qi. Dosage can be adjusted temporarily. If treating fright stagnation, add Zhu Sha (Cinnabar) and Sheng Long Nao (Borneolum Syntheticum) 1 qian each per batch. Divide one cake into four doses for children, or mold into smaller cakes.
Zhui Hun San (Soul-Chasing Powder, Ji's Formula) Indications: Treats fruit-induced food stagnation.
Ingredients: Bai Ding Xiang (Streptopelia Turtur Guano); Qing Fen (Calomelas); Guan Gui (Cinnamomi Cortex, bark removed; each 3 qian).
Preparation and Administration: Grind into powder. Mix with cold water and administer half a qian. Take before sleep. The next day, the damaged food will be expelled. Follow up with Yi Gong San (Extraordinary Efficacy Powder) decocted with Zi Su Ye (Perillae Folium) and Mu Gua (Chaenomelis Fructus) to harmonize qi. Take three doses. (Yi Gong San formula is found under Vomiting and Diarrhea.)
Chenxiang Binglang Wan (Agarwood and Areca Nut Pill) Actions: Harmonizes Spleen, assists Stomach, promotes appetite, clears spirit, broadens chest, relieves diaphragmatic oppression, regulates qi, improves complexion, strengthens sinews and bones. Treats sallow complexion, emaciation, internal cold retention from overeating raw fruits, breast lumps with abdominal distension and pain, and post-recovery conditions of vomiting, diarrhea, malaria, and swelling. Also treats various gan syndromes and worm stagnation.
Ingredients: Chen Xiang (Aquilariae Lignum Resinatum); Bing Lang (Arecae Semen); Tan Xiang (Santalum Album Lignum); Nan Mu Xiang (Costi Radix); Ding Pi (Syzygii Aromatisati Pericarpium); San Leng (Sparganii Rhizoma, processed, crushed); Shen Qu (Massae Medicatae Fermentatae); E Zhu (Curcumae Zedoariae Rhizoma, processed); Mai Ya (Hordei Fructus Germinatus, washed, fried); Hou Po (Magnoliae Officinalis Cortex, scraped, ginger juice processed); Cang Zhu (Atractylodis Rhizoma, soaked in rice wash water, crushed, fried yellow); Shi Jun Zi Rou (Quisqualis Fructus, crushed and roasted on tile); Qing Pi (Citri Reticulatae Pericarpium Viride); Chen Pi (Citri Reticulatae Pericarpium, pith removed; each amount unspecified but implied equal parts); Suo Sha Ren (Amomi Fructus Rotundus); Yi Zhi Ren (Alpiniae Oxyphyllae Fructus); Jing Xiang Fu (Cyperi Rhizoma); Zhi Qiao (Aurantii Fructus, pulp removed, bran-fried); Liang Jiang (Alpiniae Officinarum Rhizoma, processed; each half liang); Gan Cao (Glycyrrhizae Radix et Rhizoma, honey-fried; 1.5 liang).
Preparation and Administration: Except for the first five ingredients which are not heated, process the remaining fifteen ingredients by crushing and roasting. Grind together with Agarwood into powder. Use water-boiled wheat flour paste to form pills sized like hemp seeds. Administer 30-50 pills per dose with warm rice soup at any time. For young children who cannot swallow, refine with honey into pills the size of Chinese quince seeds. Dissolve 1-2 pills in warm water for administration.
Pengzhu Wan (Curcuma Pill, from *Jiyan*) Indications: Treats indigestion of milk and food, epigastric and abdominal fullness, and all types of dietary injury.
Ingredients: San Leng (Sparganii Rhizoma, baked); E Zhu (Curcumae Zedoariae Rhizoma, baked); Jing Chen Pi (Citri Reticulatae Pericarpium, cleaned); Jing Xiang Fu (Cyperi Rhizoma, fried); Luo Bo Zi (Raphani Semen, fried; each half liang); Sha Ren (Amomi Fructus); Jing Qing Pi (Citri Reticulatae Pericarpium Viride, cleaned); Jing Zhi Qiao (Aurantii Fructus, bran-fried); Hu Huang Lian (Coptidis Rhizoma); Lu Hui (Aloe); Hu Jiao (Piperis Longi Fructus; each 3 qian except Hu Jiao 2.5 qian).
Preparation and Administration: Grind into fine powder. Form pills with paste the size of yellow millet. Administer 30 pills initially, increasing to 40-50 pills. Take with warm rice drink. Two to three times daily. Avoid raw, cold, and hard foods.