〔世〕连翘散 治小儿疮疹疖痘疹余毒作楚,或生于头面,耳疼颊赤,生疮。
连翘 黄芩 瞿麦 木通 滑石 柴胡 荆芥 牛蒡子 防风 羌活 亦芍药 甘草(各等分)
每服三钱,水一盏,煎半盏。又入生薄荷尤好。
〔丹〕痘痈多是实毒血热成痈,分上下用药,一日不可缓。成脓必用清热凉血为主,赤芍药、甘草节、连
翘、桔梗之类,上引用升麻、葛根,下引用槟榔、牛膝,更助以贝母、忍冬草、白芷、栝蒌,大便
燥用大黄,寒热用芩、柏,此法累效。
〔《保》〕木香散 治小儿 后生痈如神。
地骨皮(一两) 木瓜(半两) 穿山甲(炙黄,三钱半) 麝香(一字)
上为末,米饮下二钱。
〔丹〕痘痈敷药。用贝母、南星、僵蚕、天花粉、寒水石、白芷、草乌、大黄、猪牙皂角,醋调敷患
处,效。
〔杨〕小儿神守则强,邪不干正,若真气衰弱,则鬼毒恶气中之,其状卒然心腹刺痛,闷乱欲死是也。
凡中恶,腹大而满,诊其脉紧细而微者生,脉大而浮者死。即服苏合香丸。未醒,以皂角末搐鼻,
次服沉香降气汤加人参、茯苓,又能辟邪,客忤亦宜服。
降真香 白胶香 沉香 虎胫骨(酥炙) 人参 鬼箭草 草龙胆(各五钱)
上为末,次入雄黄五钱,麝香一钱,炼蜜丸,乳香汤化。又令儿带及烧卧内,尤妙。
〔《广》〕治中恶客忤,唾化麝香一钱,重研,和醋二合服之,即瘥。
〔海〕龙脑膏治小儿发热在心胃,卒不知人。(方见痘黑陷门,即《活人》方。)
〔汤〕凡中暑闷倒,急扶在阴凉处,切忌与冷,若得冷即死,当用补药及热汤熨脐腹间,暖即瘥。如
无汤,即掬热土晕于脐上,仍拨小窝子尿于中,可代汤。熨之良久,嚼大姜一块,以水咽下,续用解暑药。
〔《甲》〕小儿口中腥臭,胁膈气满,劳宫主之。
[Shi] Liaoqiao San (Forsythia Powder): Treats pain caused by residual toxins from pediatric sores, rashes, boils, and smallpox/rubella; or lesions occurring on the head and face, accompanied by earache, redness of the cheeks, and ulceration.
Liaoqiao (Forsythiae Fructus), Huangqin (Scutellariae Radix), Qumai (Dianthi Herba), Mutong (Akebiae Caulis), Huashi (Talcum), Chaihu (Bupleuri Radix), Jingjie (Schizonepetae Spica), Niubangzi (Arctii Fructus), Fangfeng (Saposhnikoviae Radix), Qianghuo (Notopterygii Rhizoma et Radix), Chi Shaoyao (Paeoniae Radix Rubra), Gancao (Glycyrrhizae Radix et Rhizoma) [each in equal parts].
Take 3 qian per dose, add one zhan of water, decoct until half a zhan remains. Adding fresh Bohe (Menthae Haplocalycis Herba) is particularly beneficial.
[Dan] Douyong (Smallpox Carbuncle) is mostly caused by excess toxins and blood heat forming carbuncles. Medication should be administered differently based on upper or lower body locations, with no delay allowed for even a day. When pus forms, the primary treatment method must be Qingre Liangxue (Clearing Heat and Cooling Blood), using herbs such as Chi Shaoyao (Paeoniae Radix Rubra), Gancao Jie (Glycyrrhizae Radix et Rhizoma with nodes), Liaoqiao (Forsythiae Fructus), and Jiegeng (Platycodonis Radix). For upper body lesions, use Shengma (Cimicifugae Rhizoma) and Gegen (Puerariae Lobatae Radix) as guiding herbs to ascend; for lower body lesions, use Binglang (Arecae Semen) and Niuxi (Achyranthis Bidentatae Radix) as guiding herbs to descend. Additionally assist with Beimu (Fritillariae Thunbergii Bulbus), Rendongcao (Lonicerae Japonicae Flos), Baizhi (Angelicae Dahuricae Radix), and Gualou (Trichosanthis Fructus). If stool is dry, use Dahuang (Rhei Radix et Rhizoma); if there is alternating chills and fever, use Huangqin (Scutellariae Radix) and Huangbai (Phellodendri Cortex). This method has proven effective repeatedly.
[Bao] Muxiang San (Aquilariae Powder): Treats post-smallpox carbuncles in children with miraculous effect.
Digupi (Lycii Cortex), Mugua (Chaenomelis Fructus), Chuanshanjia (Manis Squama, roasted until yellow, 3.5 qian), Shexiang (Moschus, amount of "yi zi").
Grind the above into powder, take 2 qian with rice drink.
[Dan] External application medicine for Douyong (Smallpox Carbuncle): Use Beimu (Fritillariae Thunbergii Bulbus), Nanting (Arisomatis Rhizoma), Jiangcan (Bombyx Batryticatus), Tianhuafen (Trichosanthis Radix), Hanshuishi (Calcitum), Baizhi (Angelicae Dahuricae Radix), Caowu (Aconiti Kusnezoffii Radix), Dahuang (Rhei Radix et Rhizoma), Zhuya Zaojiao (Gleditsiae Sinensis Fructus cum Spina), mixed with vinegar and applied to the affected area. Effective.
[Yang] When a child's Shen (Spirit/Mind) is guarded, Zhengqi (Upright Qi) becomes strong, and Xieqi (Evil Qi) cannot invade. If Zhengqi (Upright Qi) is weak, then Gui Du (Ghost Toxin) and E Qi (Malicious Qi) will strike. The presentation is sudden stabbing pain in the heart and abdomen, severe distress, and a sensation of impending death.
In cases of Zhong'e (Striking Evil), where the abdomen is distended and full, if the pulse is tight, fine, and faint, life can be saved; if the pulse is large and floating, it indicates death. Immediately administer Suhexiang Wan (Styrax Pills). If consciousness is not regained, insufflate Saojiao Mo (Gleditsiae Sinensis Fructus Powder) into the nose to induce sneezing, then administer Chenxiang Jiangqi Tang (Aquilariae Decoction for Descending Qi) added with Renshen (Ginseng Radix et Rhizoma) and Fuling (Poria), which also wards off evil. Ke Wu (Guest Malevolence) is also suitable for this formula.
Xiangzhenxiang (Lignum Dalbergiae Odoriferae), Baijiaoxiang (Resina Agathae), Chenxiang (Aquilariae Lignum Resinatum), Hu Jinggu (Homo Tibia, roasted with butter), Renshen (Ginseng Radix et Rhizoma), Guijiancao (Artemisiae Argyi Herba), Caolongdan (Gentianae Macrophyllae Radix) [each 5 qian].
Grind the above into powder, then add Xionghuang (Realgar, 5 qian) and Shexiang (Moschus, 1 qian). Form pills with refined honey, dissolve in Xiangru Tang (Frankincense Decoction) before taking. It is also excellent for the child to wear the pill or burn it in the sleeping quarters.
[Guang] To treat Zhong'e (Striking Evil) and Ke Wu (Guest Malevolence), chew 1 qian of Shexiang (Moschus) in the mouth until dissolved, grind finely again, mix with 2 he of vinegar, and ingest. Recovery follows immediately.
[Hai] Longnao Gao (Borneol Ointment): Treats pediatric fever located in the Xin Wei (Heart and Stomach), causing sudden unconsciousness. (Formula found in the section on Smallpox Black Depression, i.e., the formula from *Liuren*.)
[Tang] In cases of Zhongshu (Heatstroke) leading to fainting, urgently move the patient to a cool, shady place. Cold drinks must be strictly avoided; ingestion of cold leads to death. One should use tonifying medicines and hot compresses on the umbilicus and abdomen. Warmth brings recovery. If hot water is unavailable, scoop up hot earth and place it over the umbilicus, make a small depression in it, and pour urine into it to substitute for hot water. After prolonged warming, chew a large piece of Da Jiang (Zingiberis Rhizoma Recens), swallow with water, and subsequently administer Jieshu Yao (Heatstroke-resolving medicine).
[Jia] For children with a fishy odor in the mouth and Qi Man (Qi Fullness/Stagnation) in the hypochondrium and diaphragm, the main acupoint is Laogong (PC 8).