治小儿面色痿黄腹 胀食不能下
白术 柴胡(各半分) 升麻(一分) 桂枝 麻黄 吴茱萸 浓朴 羌活 草豆蔻 神曲
末
苍术 泽泻 白茯苓 猪苓 黄柏 橘红(各二分) 青皮 黄连(各五分) 杏仁(二个)
上都作一服水二大盏煎至一盏去渣食前温服
枳实 黄连(去须) 浓朴(各五分) 干姜 姜黄 猪苓(各一钱) 橘皮 甘草 白术(
各一钱五分) 砂仁 泽泻 茯苓(各二钱) 半夏(四钱) 黄芩(一两二钱)
上为细末汤浸蒸饼为丸如黍米大每服三五十丸温水下
黄连(五钱) 黄芩(二钱) 浓朴(七分) 姜黄(五分) 干生姜 人参(各四分) 甘草(
三分) 枳实(二分) 橘皮(一分)
上为细末汤浸蒸饼为丸如黍米大每服三十丸随乳下
夫 疹始出之证必先见面烧腮赤目胞亦赤呵欠烦闷乍凉乍热咳嗽嚏喷足稍冷多睡惊并疮
疹之
证或生脓胞或生小红 或生瘾疹此三等不同何故俱显上证而后乃出盖以上诸证皆太阳寒水起
于右肾之下煎熬左肾足太阳膀胱寒水夹脊逆流上头下额逆手太阳丙火不得传导逆于面上故显
是证盖旺癸寒水克丙丁热火故也诸 证皆从寒水逆流而作也医者当知此理乃敢用药夫胞者一
名赤宫一名丹田一名命门主男子藏精施化妇人系胞有孕俱为生化之源非五行也非水亦非火此
天地之异名也象坤土之生万物也夫人之始生
也血海始净一日二日精胜其血则为男子三日四日五日血脉已旺精不胜血则为女子二物相搏长
生先身谓之神又谓之精道释二门言之本来面目是也其子在腹中十月之间随母呼吸者阳气
也而生动作滋益精气神饥则食母血渴则饮母血儿随日长皮肉筋骨血脉形气俱足十月降生口中
尚有恶血啼声一发随吸而下此恶血复归命门胞中僻于一隅伏而不发直至因内伤乳食湿热之气
下流合于肾中二火交攻致荣气不从逆于肉理恶血乃发诸
疹皆出于膀胱旺水其疡后聚肉理归于阳明故三番 始显之证皆足太阳旺膀胱克丙小肠
其始出皆见于面终归于阳明肉理热化为脓者也二火炽甚反胜寒水遍身俱出此皆出从足太阳传
变中来也当外发寒邪使令消散内泻二火不令交攻其中令湿气上归复其本位可一二服立已仍令
小儿以后再无二番 出之患此内经之法览者详之
Treatment for pediatric cases presenting with sallow complexion, abdominal distension, and inability to ingest food:
Bai Zhu (Atractylodis Macrocephalae Rhizoma), Chai Hu (Bupleuri Radix) (each 0.5 fen), Sheng Ma (Cimicifugae Rhizoma) (1 fen), Gui Zhi (Cinnamomi Ramulus), Ma Huang (Ephedrae Herba), Wu Zhu Yu (Evodiae Fructus), Hou Po (Magnoliae Officinalis Cortex), Qiang Huo (Notopterygii Rhizoma et Radix), Cao Dou Kou (Amomi Fructus Rotundus), Shen Qu (Massa Medicata Fermentata), ground into fine powder.
Cang Zhu (Atractylodis Lanceae Rhizoma), Ze Xie (Alismatis Rhizoma), Bai Fu Ling (Poria), Zhu Ling (Polyporus), Huang Bo (Phellodendri Chinensis Cortex), Ju Hong (Citri Reticulatae Pericarpium Rubrum) (each 2 fen), Qing Pi (Citri Reticulatae Pericarpium Viride), Huang Lian (Coptidis Rhizoma) (each 5 fen), Xing Ren (Armeniacae Semen Amarum) (2 seeds).
All ingredients combined as one dose, decocted in two large cups of water until reduced to one cup, strained, and taken warm before meals.
Zhi Shi (Aurantii Fructus Immaturus), Huang Lian (Coptidis Rhizoma) (deveined), Hou Po (Magnoliae Officinalis Cortex) (each 5 fen), Gan Jiang (Zingiberis Rhizoma), Jiang Huang (Curcumae Longae Rhizoma), Zhu Ling (Polyporus) (each 1 qian), Ju Pi (Citri Reticulatae Pericarpium), Gan Cao (Glycyrrhizae Radix et Rhizoma), Bai Zhu (Atractylodis Macrocephalae Rhizoma) (each 1.5 qian), Sha Ren (Amomi Fructus), Ze Xie (Alismatis Rhizoma), Fu Ling (Poria) (each 2 qian), Ban Xia (Pinelliae Rhizoma) (4 qian), Huang Qin (Scutellariae Radix) (1 liang 2 qian).
All ingredients ground into fine powder, mixed with dough made from steamed leavened bread soaked in liquid, formed into pills the size of millet seeds. Take 30-50 pills per dose with warm water.
Huang Lian (Coptidis Rhizoma) (5 qian), Huang Qin (Scutellariae Radix) (2 qian), Hou Po (Magnoliae Officinalis Cortex) (7 fen), Jiang Huang (Curcumae Longae Rhizoma) (5 fen), Gan Sheng Jiang (Zingiberis Rhizoma Recens), Ren Shen (Ginseng Radix et Rhizoma) (each 4 fen), Gan Cao (Glycyrrhizae Radix et Rhizoma) (3 fen), Zhi Shi (Aurantii Fructus Immaturus) (2 fen), Ju Pi (Citri Reticulatae Pericarpium) (1 fen).
All ingredients ground into fine powder, mixed with dough made from steamed leavened bread soaked in liquid, formed into pills the size of millet seeds. Take 30 pills per dose, administered with breast milk.
The initial presentation of rash (Zhen) invariably begins with facial heat, swollen cheeks, red eyes with red eyelids, yawning, restlessness and oppression, alternating chills and fever, coughing, sneezing, slightly cold feet, excessive sleepiness, and惊悸 (palpitations/fright). Additionally, manifestations of sores and rashes may appear, such as pustules, small red spots, or wind-weals (Yin Zhen). Although these three types differ, why do they all exhibit the aforementioned symptoms before eruption? This is because these conditions arise from Tai Yang Cold Water Qi rising from below the right kidney, scorching the left kidney. The Cold Water of Foot Tai Yang Bladder ascends along the spine, reverses upwards to the head, descends to the forehead, and reverses into Hand Tai Yang Bing Fire, preventing its normal transmission and causing it to reverse onto the face, thus manifesting these symptoms. This occurs because flourishing Gui Water (Kidney Water) overcomes Bing and Ding Fire (Heart and Small Intestine Fire). All pathologies result from the reversal of Cold Water. Physicians must understand this principle before administering medication.
The Bao Gong (Uterus/Womb), also known as Chi Gong, Dan Tian, and Ming Men (Gate of Life), serves as the repository for essence and transformation in men, and the seat for conception in women. It is the source of generation and transformation, belonging to none of the Five Elements, nor strictly Water or Fire; it is a unique name of Heaven and Earth, symbolizing Kun Earth generating all things. At the beginning of human formation, the Blood Sea becomes pure. On days one and two, Jing (Essence) surpasses Blood, resulting in a male. On days three, four, and five, Blood vessels become vigorous, but Jing cannot surpass Blood, resulting in a female. These two interact and generate life prior to the body, called "Shen" (Spirit) and also "Jing" (Essence). From the perspectives of Daoism and Buddhism, this refers to the original nature. During the ten months in the womb, the fetus receives Yang Qi through the mother's respiration, growing and nourishing Jing, Qi, and Shen. When hungry, it consumes the mother's blood; when thirsty, it drinks the mother's blood. As days pass, skin, flesh, bones, tendons, blood vessels, form, and Qi all mature. Upon birth after ten months, there remains evil blood in the mouth. With the first cry, upon inhalation, this evil blood descends and returns to the Ming Men and Bao Gong, lodging in a corner, lying dormant without erupting. Until internal injury from milk and food causes Damp-Heat Qi to flow downward, combining with the Two Fires in the Kidneys to attack each other. This leads to Ying Qi (Nutritive Qi) failing to follow its proper course, reversing into the muscle layers, causing the evil blood to erupt. All rashes originate from the flourishing Water of the Bladder. After ulceration, healing tissue returns to Yang Ming. Thus, the recurring symptoms are due to the flourishing of Foot Tai Yang and the Bladder overcoming Bing (Small Intestine). Initial eruptions appear on the face, ultimately returning to Yang Ming muscle layers where heat transforms into pus. If the Two Fires become excessively vigorous and overcome Cold Water, eruptions occur all over the body. This results from transmission changes originating in Foot Tai Yang. One should disperse external Cold Evil to dissipate it, and internally purge the Two Fires to prevent their mutual attack, allowing Dampness to ascend and return to its proper position. Recovery can be achieved in one or two doses, ensuring no further recurrence. This is the method of the *Nei Jing* (Inner Canon); readers should examine it carefully.