感冒者,宜发散也。
惺惺散 治外感风寒,鼻塞、痰嗽、发热
人参 白术 白茯苓 桔梗 栝蒌根 细辛 甘草 薄荷
上锉,水煎服。
羌活膏 治小儿风寒外感,惊风内积,发热喘促、咳嗽痰涎、潮热搐溺,并痘疹初作。
人参 白术 独活 前胡 川芎 桔梗 羌活 天麻(各五钱) 薄荷(各三钱) 地骨皮(二钱)
甘草(二钱)
上为细末,炼蜜为丸,如芡实大。每服一丸,姜汤研化下。
一小儿八岁。患伤寒,头疼身痛、发热口干、面赤无汗。诸医以伤寒治之,百药罔效。已经旬日,袖手待
毙。余以龙脑安神丸一服,其汗如雨即瘥。
一小儿外感风邪,服表散之剂,汗出作喘,此邪气去而脾肺虚也。用异功散而汗、喘止;再剂而乳食进。
一小儿沉默昏倦、肢冷惊悸、其纹如弓之向里,此属胃气虚而外感寒邪也。先用惺惺散以解外邪、调胃气,
诸症顿愈。但手足逆冷,又用六君子汤调补元气而安。(异功散、六君子汤俱见补益。)
伤食者,宜消导也。
万亿丸 治小儿乳食生冷所伤,发热肚胀诸症。(方见通治。)
消食丸 治小儿宿食不消。(又名消乳丸。)
砂仁 陈皮 三棱(炒) 神曲(炒) 麦芽(炒。各五钱) 香附(炒,一两) 加白术(炒、五钱)
上为末,面糊为丸,如麻子大。食后白汤送下,大小加减。
消食饼 治小儿时常伤食,皮黄肌瘦、肚大腹胀。用此焦饼,令常服之。
莲肉(去皮) 山药(炒) 白茯苓(去皮) 神曲(炒) 麦芽(炒) 扁豆(炒)
上各等分为末,每四两入面一斤,水同和,烙焦饼用。
一小儿伤寒呕吐、发热面赤。服消导清热之剂,饮食已消,热亦未退。余以为胃经虚血,用六君、升麻、
柴胡,四剂而痊。
一小儿十四岁。伤食发热,服消导丸,胸腹膨胀、发热作渴,此脾气复伤也。先用四君、升麻、柴胡,
饮食渐进;用补中益气汤而愈。后因劳心发热少食,用四物、升麻、柴胡而愈。
一小儿伤食发热、抽搐、呕吐、喘嗽,属脾肺虚、气虚
有热,用六君、炒黑黄连、栀子而愈。(上方俱见补益。)
For colds (Ganmao), the appropriate treatment is to disperse and release the exterior.
Xingxing San (Wonderful Awakening Powder): Treats external contraction of wind-cold causing nasal congestion, phlegm-cough, and fever.
Ingredients: Renshen (Ginseng Radix et Rhizoma), Baizhu (Atractylodis Macrocephalae Rhizoma), Baifuling (Poria), Jiegeng (Platycodonis Radix), Gualougen (Trichosanthis Radix), Xixin (Asari Radix et Rhizoma), Gancao (Licorice Root), Bohe (Menthae Haplocalycis Herba).
Usage: Coarsely crush the ingredients, decoct in water, and take orally.
Qianghuo Gao (Notopterygium Paste/Pill): Treats children with external wind-cold contraction combined with internal accumulation of wind-stroke, presenting with fever, panting, cough with sputum, tidal fever, convulsions, and early-stage smallpox/rash.
Ingredients: Renshen (Ginseng Radix et Rhizoma), Baizhu (Atractylodis Macrocephalae Rhizoma), Duhuo (Angelicae Pubescentis Radix), Qianhu (Peucedani Radix), Chuanxiong (Ligustici Chuanxiong Rhizoma), Jiegeng (Platycodonis Radix), Qianghuo (Notopterygii Rhizoma et Radix), Tianma (Gastrodiae Rhizoma) [each 5 qian], Bohe (Menthae Haplocalycis Herba) [each 3 qian], Digupi (Lycii Cortex) [2 qian], Gancao (Licorice Root) [2 qian].
Usage: Grind into a fine powder, mix with refined honey to form pills the size of Euryale seed (Qianshi). Take one pill per dose, dissolved in ginger soup.
Case 1: An eight-year-old child suffered from Shanghan (Cold Damage) with headache, body pain, fever, dry mouth, flushed face, and absence of sweating. Other physicians treated it as Shanghan using various medicines without effect. After ten days, they were helpless and awaited death. I administered Longnao Anshen Wan (Dragon Brain Calming Spirit Pill) once; the patient sweated profusely like rain and recovered immediately.
Case 2: A child contracted wind-pathogen externally. After taking exterior-releasing formulas, sweating occurred accompanied by wheezing. This indicates that the pathogen has departed but the Spleen and Lung are deficient. Yi Gong San (Extraordinary Efficacy Powder) was used, stopping the sweating and wheezing; after two additional doses, milk and food intake improved.
Case 3: A child presented with silence, lethargy, cold limbs, and palpitations/fright, with the fingerprint resembling an arch curving inward. This belongs to deficiency of Stomach Qi with external contraction of cold-pathogen. First, Xingxing San (Wonderful Awakening Powder) was used to resolve the exterior pathogen and regulate Stomach Qi, leading to immediate relief of all symptoms. However, due to persistent cold extremities, Liu Jun Zi Tang (Six Gentlemen Decoction) was subsequently used to tonify and supplement Yuan Qi (Original Qi), resulting in stability. (Note: Yi Gong San and Liu Jun Zi Tang are detailed in the "Tonification" section.)
For food stagnation (Shangshi), the appropriate treatment is to digest and guide out the stagnation.
Wan Yi Wan (Ten Thousand Billion Pill): Treats children injured by raw/cold milk or food, presenting with fever, abdominal distension, and other symptoms. (Formula see "General Treatment" section.)
Xiao Shi Wan (Digest Food Pill): Treats retained food in children not digesting. (Also known as Xiao Ru Wan/Digest Milk Pill.)
Ingredients: Sharen (Amomi Fructus), Chenpi (Citri Reticulatae Pericarpium), Sanleng (Sparganii Rhizoma) [stir-fried], Shenqu (Massa Medicata Fermentata) [stir-fried], Maiya (Hordei Fructus Germinatus) [stir-fried, each 5 qian], Xiangfu (Cyperi Rhizoma) [stir-fried, 1 liang], plus Baizhu (Atractylodis Macrocephalae Rhizoma) [stir-fried, 5 qian].
Usage: Grind into powder, bind with flour paste to form pills the size of sesame seeds. Administer after meals with plain warm water, adjusting dosage according to age/size.
Xiao Shi Bing (Digest Food Cake): Treats children with frequent food stagnation leading to yellowish skin, emaciation, large abdomen, and distension. Use this scorched cake for regular consumption.
Ingredients: Lianrou (Nelumbinis Semen, peeled), Shanyao (Dioscoreae Rhizoma) [stir-fried], Baifuling (Poria, peeled), Shenqu (Massa Medicata Fermentata) [stir-fried], Maiya (Hordei Fructus Germinatus) [stir-fried], Bian Dou (Vigna Semen) [stir-fried].
Usage: Grind equal parts into powder. For every 4 liang of powder, add 1 jin of flour, mix with water, and pan-fry/bake into scorched cakes for use.
Case 4: A child suffered from Shanghan with vomiting, fever, and flushed face. After taking formulas for digestion and clearing heat, although food had digested, the fever persisted. I diagnosed this as deficiency of blood in the Stomach Meridian. Using Liu Jun Zi Tang (Six Gentlemen Decoction) augmented with Shengma (Cimicifugae Rhizoma) and Chaihu (Bupleuri Radix), four doses resulted in recovery.
Case 5: A fourteen-year-old child had fever due to food stagnation. After taking Xiao Shi Wan, chest/abdominal distension, fever, and thirst developed, indicating re-injury of Spleen Qi. First, Si Jun Zi Tang (Four Gentlemen Decoction) augmented with Shengma (Cimicifugae Rhizoma) and Chaihu (Bupleuri Radix) was used, gradually restoring diet; then Bu Zhong Yi Qi Tang (Tonify the Middle and Augment the Qi Decoction) cured the condition. Later, due to mental exertion causing fever and poor appetite, Si Wu Tang (Four Substances Decoction) augmented with Shengma (Cimicifugae Rhizoma) and Chaihu (Bupleuri Radix) led to recovery.
Case 6: A child had fever, convulsions, vomiting, and wheezing/cough due to food stagnation. This belongs to deficiency of Spleen and Lung, with Qi deficiency generating internal heat. Using Liu Jun Zi Tang (Six Gentlemen Decoction) augmented with stir-fried black Huanglian (Coptidis Rhizoma) and Zhizi (Gardeniae Fructus) resulted in recovery. (All above formulas are detailed in the "Tonification" section.)