方
大连翘饮 治小儿心经邪热,心与小肠受盛,乃水窦之处,常宜通利。壅则结,滑则脱,热则涩,盛
则淋。平凉心火,三焦自顺,不待疾作而解。证成而疗者,疏待有之矣。一十五味,加汤使用,才觉蕴热、寒
热、寒邪、风邪冒之,肺经心将受之,不受则触传于小肠,或闭,或涩,或赤,或白,淋沥不通,荣卫不行,
壅滞作疾,其发多端,以致肝热,眼目赤肿,唇口白疮,津液不生,涕唾稠盛,须在表里,俱得其宜,惊
风悉能散之,疾热亦自消除,连翘之功,可谓大矣。
连翘(八分) 瞿麦(八分) 滑石(八分) 车前子(八分) 赤芍(八分) 栀子(四分)
木通(四分) 牛蒡子(八分) 防风(四分) 荆芥(一钱二分) 当归(四分) 黄芩
(一钱二分) 甘草(一钱六分) 柴胡(一钱一分) 蝉蜕(五分)
上锉,竹叶十个,灯心十茎,水一碗,煎至七分,不拘时服。风痰热变、热蒸,加麦门冬。实热、丹
热,加大黄。胎热、疮疥、余毒热,加薄荷叶。痈疖,加大黄、芒硝。
犀角化毒丹(陈白野方) 治小儿蕴积热毒,唇口肿破生疮,牙龈出血,口臭腮赤,咽干烦躁不宁,
并痘疹余毒未解,或头面身体,多生疮疖。
犀角(镑,三钱) 桔梗(一两) 青黛(二钱) 牛蒡子(微炒,五钱) 连翘(去穣,
六钱) 玄参(六钱) 朴硝(三钱) 生地黄(酒洗,五钱) 粉草(三钱) 赤茯苓(去皮,五钱)
上为末,炼蜜为丸,如龙眼大。每服一丸,薄荷汤化下,兼有惊,加朱砂研细为衣。
Prescriptions
Dalianqiao Yin (Great Forsythia Decoction): Treats pathogenic heat in the Heart Meridian of children. The Heart and Small Intestine are interior-exteriorly related; the Small Intestine is the reservoir for fluids, so it should always be kept unobstructed and patent. Stagnation leads to accumulation, smoothness leads to discharge, heat leads to astringency, and excess heat leads to strangury. This formula calms Heart Fire, allowing the Triple Burner (San Jiao) to flow smoothly naturally, resolving issues before they manifest as disease. Treating after the syndrome has formed often results in missed opportunities. It consists of fifteen ingredients, decocted in water. As soon as one feels internal heat accumulation, alternating chills and fever, or invasion by cold or wind pathogens, which are about to affect the Lung and Heart meridians, if the body resists and does not accept the pathogen, it may transmit to the Small Intestine, causing urinary retention, dysuria, red or white turbid urine, dribbling inability, stagnation of Ying and Wei Qi, leading to various diseases due to qi stagnation. These manifestations can be diverse, eventually leading to Liver Heat, red and swollen eyes, ulcers on lips and mouth, lack of body fluids, thick nasal discharge and saliva. This formula appropriately addresses both exterior and interior conditions, disperses convulsions and wind-stroke, and eliminates febrile toxins. The efficacy of Lianqiao (Forsythiae Fructus) can indeed be called great.
Lianqiao (Forsythiae Fructus) (8 fen) Qumai (Herba Dianthi) (8 fen) Huashi (Talcum) (8 fen) Cheqianzi (Semen Plantaginis) (8 fen) Chishao (Radix Paeoniae Rubra) (8 fen) Zhizi (Fructus Gardeniae) (4 fen)
Mutong (Caulis Akebiae) (4 fen) Niubangzi (Semen Arctii) (8 fen) Fangfeng (Radix Saposhnikoviae) (4 fen) Jingjie (Herba Schizonepetae) (1 qian 2 fen) Danggui (Radix Angelicae Sinensis) (4 fen) Huangqin
(Radix Scutellariae) (1 qian 2 fen) Gancao (Radix Glycyrrhizae) (1 qian 6 fen) Chaihu (Radix Bupleuri) (1 qian 1 fen) Chantui (Periostracum Cicadae) (5 fen)
The above herbs are coarsely crushed. Add ten leaves of Zhu Ye (Bambusae Folium) and ten stems of Dengxin (Junci Medulla). Decoct with one bowl of water until reduced to seven-tenths. Take at any time. For wind-phlegm heat transformation or steaming heat, add Maimendong (Ophiopogonis Radix). For excess heat or Danre (erysipelas-like heat), add Dahuang (Rhei Radix et Rhizoma). For fetal heat, sores and scabies, or residual toxic heat, add Boheye (Menthae Haplocalycis Folium). For carbuncles and furuncles, add Dahuang (Rhei Radix et Rhizoma) and Mangxiao (Natrii Sulfas).
Xijiao Huadu Dan (Rhino Horn Toxin-Resolving Pill) (Formula from Chen Baiye): Treats accumulated heat-toxin in children, manifested as swelling and ulceration of lips and mouth, bleeding gums, foul breath, red cheeks, dry throat, restlessness, unresolved residual toxin from smallpox/rash, or multiple sores and furuncles on the head, face, and body.
Xijiao (Cornu Rhinocerotis) (sliced, 3 qian) Jiegeng (Radix Platycodi) (1 liang) Qingdai (Indigo Naturalis) (2 qian) Niubangzi (Semen Arctii) (lightly stir-fried, 5 qian) Lianqiao (Forsythiae Fructus) (de-seeded, 6 qian) Xuanshen (Radix Scrophulariae) (6 qian) Puxiao (Natrii Sulfas) (3 qian) Shengdihuang (Radix Rehmanniae Preparata) (wine-washed, 5 qian) Fingcao (Radix Glycyrrhizae) (3 qian) Chi Fuling (Poria with Red Skin) (peeled, 5 qian)
Grind the above into powder. Form pills using refined honey, sized like longan seeds. Take one pill per dose, dissolved in Bohe Tang (Mint Decoction). If accompanied by fright/convulsions, coat with finely ground Zhusha (Cinnabar).