论曰风者百病之长,善行而数变。小儿气血未定,肌肉脆弱,腠理虚疏。为邪风所中,
以春甲乙得之,则中于肝。以夏丙丁得之,则中于心。以季夏戊己得之,则中于脾。以秋庚
辛得之,则中于肺。以冬壬癸得之,则中于肾。各随其腑脏之俞所中,则为腑脏之风。或客
于皮肤肌肉营卫,或留于筋膜骨髓。随其变化,为病不一。各有间甚之状,大率与大人所得
证候皆同,特小儿之治,分剂多寡瘥殊,宜消息以调之。
治小儿猝中风,状如欲绝。增损续命长理石汤方
长理石(碎) 石膏(碎) 赤石脂(碎) 白脂石(碎) 滑石(碎) 桂(去粗皮)
大黄(
锉炒令香) 麻黄(去根节先煎掠去沫焙) 防风(去叉) 牡蛎(烧碎) 龙骨(碎) 栝
蒌根(锉
各半两) 甘草(炙一两) 寒水石(一分)
上一十四味,粗捣筛。一二岁儿每服一钱匕,水半盏。煎至三分,去滓温服,服后汗出
,以粉敷之。若有热者,增大黄。不汗者,加麻黄。无寒水石以朴硝代之,日三服,量儿大
小,加减服之。
治小儿猝中风恶毒,及久风四肢不随。并 不能行步。续命汤方
麻黄(去根节先煎掠去沫焙二两) 甘草(炙半两) 黄芩(去黑心一两) 石膏(一
分) 芎
(半两) 桂(去粗皮半两) 杏仁(十枚汤退去皮尖双仁麸炒令熟) 葛根(锉半两) 升
麻(半两) 当归(切焙半两) 独活(去芦头半两) 人参(一分)
上一十二味,粗捣筛。三四岁儿,每服一钱匕,水七分,煎至四分去滓,连夜三四服,
量儿大小,加减服之,汗出以粉敷之,避风。
治小儿风痱不能语,口眼 斜,四肢不随。石膏汤方
石膏(碎一两) 麻黄(去根节先煎掠去沫焙一两) 甘草(炙半两) 射干(半两) 桂
(去
粗皮半两) 芍药(半两)细辛(去苗叶一分) 当归(切焙半两)
上八味,粗捣筛。一二岁儿,每服一钱匕。水半盏,煎至三分,去滓温服,日三,量儿
大小加减服。
治小儿中风,手足拘急。石膏汤方
石膏(研三分) 真珠末(水飞过一两)
上二味,同研匀细为末,三四岁儿。每服一钱匕,水七分,煎至四分,去滓温服,日三,
量儿大小,以意加减。
治小儿中风,筋脉拘急,或手足螈 等。羌活散方
羌活(去芦头三分) 芎 (三分) 防风(去叉三分) 天麻(半两) 白附子(一
分) 麻黄
(去根节先煎掠去沫焙半两) 当归(炙干切焙三分) 甘草(炙一两)
上八味,捣罗为散。一二岁儿每服半钱匕,乳汁调服。三四岁儿服一钱匕,日三服。如
无乳,熟水调服亦得,量儿大小,加减服之。乳母亦用暖酒调下一钱匕。
治小儿新生,肌肤嫩弱。喜为风邪所中,身体热,或中大风,手足惊掣。甘草摩膏方
甘草(炙) 防风(去叉各一两) 白术 桔梗(各三分) 雷丸(二两半)
上五味,捣罗为粗末,用不入水猪脂一斤。锅内火上先炼过。去滓入诸药末,更煎令成
膏。新绵滤去滓,入瓷合内贮之,每用特取少许。炙手以膏摩之,百度效。小儿无病,每日
以膏摩囟上,及手足心良,辟风寒也。
治小儿中风。蓖麻散方
蓖麻子(二十枚去皮别研) 天浆子(去壳一十枚) 生蝎(三十枚) 石榴(一枚取
却石榴
子及七分
盛三味药在内作泥裘固济烧令通赤候药香气出即熟取出打破裘便捣罗为末入后药三味) 天
南星 半夏 白附子(各一分半)
上七味,将后药三味,并生用捣罗为散。与前药相和,研令匀,酒调下一字,重者不过
两服。
治小儿汗出中风,一日儿头颈腰背热。二日即腹热,手足不屈,宜服。慎火草散方
慎火草(干者半两景天草是也) 丹参 麻黄(去根节先煎掠去沫焙) 白术(各一分)
上四味,捣罗为散。一二岁儿每服半钱匕,浆水调服。三四岁儿服一钱匕,日三服,量
儿大小加减。
治新生小儿中风。麝香散方
麝香(细研一分) 驴 头毛(手大指大一把)
上二味,以乳汁和驴毛,令得所。于铜器中,微火炒令焦。取出与麝香同研,令如粉,
每服一字,乳汁调下,连夜三服。
治小儿中风,口眼牵急。丹砂丸方
丹砂(研) 干蝎(去足微炒) 白僵蚕(微炒) 天南星(炮裂各半两) 白附子(一
分)
上五味,捣罗四味为末。入丹砂研令匀。面糊和丸,如绿豆大,一岁儿服一丸,薄荷汤
下。
治小儿中风,四肢拘挛,心神烦乱,不得睡卧。独活汤方
独活(去芦头一分) 黄 (锉一两) 防风(去叉三分) 白藓皮(三分) 茯神(去
木一两) 羚羊角(屑三分) 桂(去粗皮半两) 酸枣仁(一两) 甘草(炙半两)
上九味,粗捣筛。每服一钱匕。水七分,煎至四分去滓,量儿大小,以意加减服之。
治小儿中风,口眼 斜,发歇不定。神识昏昧。紫金丹方
草乌头(一分炭火内烧存性) 天南星(一分炭火内烧存一半性) 丹砂(研三钱) 蜈
蚣(
一条赤足全者炙) 白花蛇(生取肉焙干) 蝎梢(炒) 牛黄(研) 麝香(研) 乳香
(盏子内熔
过研各一钱)
上九味,先将五味,捣罗为细末,入研者药合研匀,用酒煮面糊和丸,如麻子黍米大。
量儿大小,每服三丸至五丸,煎桃符汤下,急惊风、研服。
治小儿中风痉,身背强直,牙关紧急。螳螂丸方
螳螂(一枚大者去翅足炒干) 棘刚子(去皮三十枚) 乌头(炮裂去皮脐二枚) 天
南星(
中者炮一枚) 防风(去叉一分) 细辛(去苗叶一钱) 干蝎(炒一钱) 白附子(大者
一枚)
丹砂(研一分) 麝香(研半钱)
上一十味,捣研为细末。用石脑油为丸。如绿豆大,每服一丸,至二丸。薄荷水化下,
不计时候,如小儿目睛上视,口噤不开,用醋化一丸,灌入鼻中,男左女右灌之。
治小儿中风痉,颈项强直,及风痫潮发。牛黄丸方
牛黄(研) 丹砂(研) 天竺黄(研) 蝎梢 白僵蚕 天南星 白附子(各一分)
上七味,并生用。捣研令细,炼蜜丸如梧桐子大,每服金银薄荷汤,化下一丸至二丸服
之。
治小儿中风天 ,惊邪风痫。白僵蚕丸方
白僵蚕(炒一两) 干蝎(炒一分) 白附子(炮一两) 天南星(炮裂半两) 乌蛇
(酒炙令
香熟去骨半两)
上五味,捣罗为末。粳米饭为丸,如麻子大。一二岁儿,每服三丸,以温酒下,连夜三
服,随儿岁数,以意加减服之。
Commentary states: Wind pathogen is the leader of all diseases, capable of moving freely and changing rapidly. Children's qi and blood are not yet settled, their muscles are fragile, and their cou li (skin texture and pores) are loose and sparse. When struck by evil wind, if contracted on Jia-Yi days in spring, the wind strikes the Liver; if contracted on Bing-Ding days in summer, it strikes the Heart; if contracted on Wu-Ji days in late summer, it strikes the Spleen; if contracted on Geng-Xin days in autumn, it strikes the Lung; if contracted on Ren-Gui days in winter, it strikes the Kidney. Depending on which Zang-Fu organ's Shu point is affected, it becomes Wind of the Zang-Fu organs. It may lodge in the skin, muscles, Ying (Nutritive) and Wei (Defensive), or remain in the tendons, fascia, and bone marrow. Following its changes, the resulting diseases vary. Each has manifestations of severity and remission, generally similar to the syndromes seen in adults, but the dosage for children differs significantly; thus, one must exercise discretion to adjust the treatment.
For treating sudden wind stroke in children, presenting with symptoms resembling near-death: Zengsun Xuming Changlishi Tang Formula (Modified Cinnamon Twig Decoction with Longli Stone).
Changlishi (Longli Stone, crushed), Shigao (Gypsum Fibrosum, crushed), Chishizhi (Red Halloysitum, crushed), Baizhishi (White Halloysitum, crushed), Huashi (Talcum, crushed), Guizhi (Cinnamomi Ramulus, coarse bark removed), Dahuang (Rhei Radix et Rhizoma, cut and stir-fried until fragrant), Mahuang (Ephedrae Herba, roots and joints removed, decocted first, foam skimmed off, dried), Fangfeng (Saposhnikoviae Radix, forked parts removed), Muli (Ostreae Concha, calcined and crushed), Longgu (Fossilia Ossis Mastodi, crushed), Gualougen (Trichosanthis Radix, cut), each half liang; Gancao (Glycyrrhizae Radix et Rhizoma, honey-fried, 1 liang); Hanshuishi (Aqua Frigida Saxum, 1 fen).
The above fourteen ingredients are coarsely pounded and sieved. For infants aged one to two years, administer one qianbi per dose with half a zhan of water. Decoct until one-third remains, strain, and take warm. After administration, if sweating occurs, apply powder to the body. If heat signs are present, increase the dosage of Dahuang; if no sweating occurs, increase the dosage of Mahuang. If Hanshuishi is unavailable, Puxiao (Natrii Sulfas) may be used as a substitute. Take three times daily, adjusting the dose according to the child's size.
For treating severe toxic wind stroke in children, as well as chronic wind causing immobility of the four limbs and inability to walk: Xuming Tang Formula (Cinnamon Twig Decoction).
Mahuang (Ephedrae Herba, roots and joints removed, decocted first, foam skimmed off, dried, 2 liang), Gancao (Glycyrrhizae Radix et Rhizoma, honey-fried, half liang), Huangqin (Scutellariae Radix, black heart removed, 1 liang), Shigao (Gypsum Fibrosum, 1 fen), Xiong (Ligustici Chuanxiong Rhizoma, half liang), Guizhi (Cinnamomi Ramulus, coarse bark removed, half liang), Xingren (Armeniacae Semen Amarum, ten kernels, blanched, skins and tips removed, bran-fried until cooked), Gegen (Puerariae Radix, cut, half liang), Shengma (Cimicifugae Rhizoma, half liang), Danggui (Angelicae Sinensis Radix, sliced and dried, half liang), Duhuo (Angelicae Pubescentis Radix, rhizome removed, half liang), Renshen (Ginseng Radix, 1 fen).
The above twelve ingredients are coarsely pounded and sieved. For children aged three to four years, administer one qianbi per dose with seven-tenths of a zhan of water. Decoct until one-fourth remains, strain, and take three to four times overnight. Adjust the dose according to the child's size. After sweating, apply powder and avoid wind.
For treating wind fei in children leading to aphasia, facial paralysis (deviation of mouth and eyes), and immobility of the four limbs: Shigao Tang Formula (Gypsum Decoction).
Shigao (Gypsum Fibrosum, crushed, 1 liang), Mahuang (Ephedrae Herba, roots and joints removed, decocted first, foam skimmed off, dried, 1 liang), Gancao (Glycyrrhizae Radix et Rhizoma, honey-fried, half liang), Shegan (Belamcandae Rhizoma, half liang), Guizhi (Cinnamomi Ramulus, coarse bark removed, half liang), Shaoyao (Paeoniae Radix, half liang), Xixin (Asari Radix et Rhizoma, seedlings and leaves removed, 1 fen), Danggui (Angelicae Sinensis Radix, sliced and dried, half liang).
The above eight ingredients are coarsely pounded and sieved. For infants aged one to two years, administer one qianbi per dose with half a zhan of water. Decoct until one-third remains, strain, and take warm, three times daily. Adjust the dose according to the child's size.
For treating wind stroke in children with spasticity and tightness of hands and feet: Shigao Tang Formula (Gypsum Decoction).
Shigao (Gypsum Fibrosum, ground, 3 fen), Zhenzhumo (Pearl Powder, water-washed, 1 liang).
The above two ingredients are ground together into a fine powder. For children aged three to four years, administer one qianbi per dose with seven-tenths of a zhan of water. Decoct until one-fourth remains, strain, and take warm, three times daily. Adjust the dose according to the child's size at one's discretion.
For treating wind stroke in children with tendon and vessel spasticity, or convulsions of the hands and feet: Qianghuo San Formula (Notopterygii Radix Powder).
Qianghuo (Notopterygii Rhizoma et Radix, rhizome removed, 3 fen), Xiong (Ligustici Chuanxiong Rhizoma, 3 fen), Fangfeng (Saposhnikoviae Radix, forked parts removed, 3 fen), Tianma (Gastrodiae Rhizoma, half liang), Baifuzi (Typhonii Rhizoma, 1 fen), Mahuang (Ephedrae Herba, roots and joints removed, decocted first, foam skimmed off, dried, half liang), Danggui (Angelicae Sinensis Radix, honey-fried, dried, sliced, and baked, 3 fen), Gancao (Glycyrrhizae Radix et Rhizoma, honey-fried, 1 liang).
The above eight ingredients are pounded and sifted into a powder. For infants aged one to two years, administer half a qianbi per dose, mixed with milk. For children aged three to four years, administer one qianbi per dose, three times daily. If milk is unavailable, boiled water may be used. Adjust the dose according to the child's size. The nursing mother should also take one qianbi mixed with warm wine.
For newborns with tender and weak skin prone to wind pathogen invasion, presenting with fever, or severe wind strike causing convulsive twitching of hands and feet: Gancao Mo Gao Formula (Licorice Massage Ointment).
Gancao (Glycyrrhizae Radix et Rhizoma, honey-fried), Fangfeng (Saposhnikoviae Radix, forked parts removed, each 1 liang), Baizhu (Atractylodis Macrocephalae Rhizoma), Jiegeng (Platycodonis Radix, each 3 fen), Leiwan (Wormwood Fruit, 2.5 liang).
The above five ingredients are pounded into a coarse powder. Use one jin of unwatered pig lard. Render it in a pot over fire first. Strain out the dregs, add the herb powders, and simmer into an ointment. Filter through new cotton to remove residues, store in a porcelain jar. Apply a small amount warmed in the hand for massage; repeated use is effective. For healthy infants, massaging the fontanelle and palms/soles daily with this ointment is beneficial for warding off wind and cold.
For treating wind stroke in children: Bisma San Formula (Castor Bean Powder).
Bismazi (Ricini Semen, twenty kernels, skin removed and separately ground), Tianjiangzi (Tianjiangzi, shell removed, ten kernels), Shexie (Scorpio, thirty live ones), Shiliu (Punica Granatum, one fruit; remove seeds and two-sevenths of flesh, place the three herbs inside, seal with mud, bake until red-hot, wait until herbal aroma emerges, then remove, break open, and grind into powder, adding the following three herbs): Tiannanxing (Arisaematis Rhizoma), Banxia (Pinelliae Rhizoma), Baifuzi (Typhonii Rhizoma, each 1.5 fen).
The above seven ingredients: Grind the latter three herbs (Tiannanxing, Banxia, Baifuzi) raw into a powder. Mix with the previous powder, grind evenly, and take one zi dose mixed with wine. For severe cases, do not exceed two doses.
For treating wind stroke after sweating in children, with fever in the head, neck, waist, and back on the first day, and abdominal fever with flexion contracture of limbs on the second day: Shenhuo Cao San Formula (Caution Fire Grass Powder).
Shenhuo Cao (Dried, half liang, i.e., Jingtian Cao/Houttuyniae Herba), Danshen (Salviae Miltiorrhizae Radix et Rhizoma), Mahuang (Ephedrae Herba, roots and joints removed, decocted first, foam skimmed off, dried), Baizhu (Atractylodis Macrocephalae Rhizoma, each 1 fen).
The above four ingredients are pounded and sifted into a powder. For infants aged one to two years, administer half a qianbi per dose mixed with jiangshui (fermented grain water). For children aged three to four years, administer one qianbi per dose, three times daily. Adjust the dose according to the child's size.
For treating wind stroke in newborns: Shexiang San Formula (Musk Powder).
Shexiang (Moschus, finely ground, 1 fen), Lvmao (Donkey Hair, a handful the size of a human thumb).
The above two ingredients: Mix donkey hair with milk to moisten appropriately. Stir-fry in a copper vessel over low heat until scorched. Remove and grind together with musk until powdery. Take one zi dose mixed with milk, administered three times overnight.
For treating wind stroke in children with traction and tightness of the mouth and eyes: Dansha Wan Formula (Cinnabar Pill).
Dansha (Cinnabar, ground), Ganxie (Dry Scorpion, legs removed, lightly fried), Baijiangcan (Bombyx Batryticatus, lightly fried), Tiannanxing (Arisaematis Rhizoma, roasted until cracked, each half liang), Baifuzi (Typhonii Rhizoma, 1 fen).
The above five ingredients: Grind the first four into powder. Add Dansha and grind evenly. Bind with wheat paste into pills the size of mung beans. One-year-old infants take one pill, washed down with Bohe Tang (Mint Decoction).
For treating wind stroke in children with limb spasms, mental restlessness, and insomnia: Duhuo Tang Formula (Angelica Pubescens Decoction).
Duhuo (Angelicae Pubescentis Radix, rhizome removed, 1 fen), Huangqi (Astragali Radix, cut, 1 liang), Fangfeng (Saposhnikoviae Radix, forked parts removed, 3 fen), Baixianpi (Dictamni Cortex, 3 fen), Fushen (Poria with Hostwood, wood removed, 1 liang), Lingyangjiao (Saiga Tatarica Cornu, shaved, 3 fen), Guizhi (Cinnamomi Ramulus, coarse bark removed, half liang), Suanzaoren (Ziziphi Spinosae Semen, 1 liang), Gancao (Glycyrrhizae Radix et Rhizoma, honey-fried, half liang).
The above nine ingredients are coarsely pounded and sieved. Administer one qianbi per dose with seven-tenths of a zhan of water. Decoct until one-fourth remains, strain, and adjust the dose according to the child's size.
For treating wind stroke in children with deviation of mouth and eyes, intermittent attacks, and clouded consciousness: Zijin Dan Formula (Purple Gold Elixir).
Caowutou (Aconiti Kusnezoffii Radix, 1 fen, roasted in charcoal fire until character remains), Tiannanxing (Arisaematis Rhizoma, 1 fen, roasted in charcoal fire until half character remains), Dansha (Cinnabar, ground, 3 qian), Wugong (Scolopendra, one whole red-legged specimen, roasted), Baihuashe (Deinagkistrodon Acutus, fresh meat baked dry), Xeshao (Scorpion tail, fried), Niuhuang (Calculus Bovis, ground), Shexiang (Moschus, ground), Ruxiang (Olibanum, melted in a cup and ground, each 1 qian).
The above nine ingredients: First, pound the first five into fine powder. Mix with the ground ingredients and grind evenly. Bind with flour paste made by boiling in wine into pills the size of sesame or millet grains. Adjust the dose according to the child's size, taking three to five pills per dose, washed down with Taofu Tang (Peach Charm Decoction). For acute convulsive wind, grind and take.
For treating wind stroke jing (spasm) in children with rigid back and jaw lock: Tanglang Wan Formula (Mantis Pill).
Tanglang (Mantis Egg Case, one large one, wings and legs removed, dried by frying), Jigangzi (Jigangzi, peeled, thirty kernels), Wutou (Aconiti Lateralis Radix Praeparata, roasted, skin and navel removed, two kernels), Tiannanxing (Arisaematis Rhizoma, medium size, roasted, one kernel), Fangfeng (Saposhnikoviae Radix, forked parts removed, 1 fen), Xixin (Asari Radix et Rhizoma, seedlings and leaves removed, 1 qian), Ganxie (Dry Scorpion, fried, 1 qian), Baifuzi (Typhonii Rhizoma, one large one), Dansha (Cinnabar, ground, 1 fen), Shexiang (Moschus, ground, half qian).
The above ten ingredients are pounded and ground into fine powder. Form pills using Naohyou (Petroleum Ether/Oil) the size of mung beans. Take one to two pills per dose, dissolved in Bohe Shui (Mint Water), at any time. If the child's eyes roll up and the jaw is locked, dissolve one pill in vinegar and instill into the nostrils (left for males, right for females).
For treating wind stroke jing (spasm) in children with stiff neck and wind epilepsy seizures: Niuhuang Wan Formula (Calculus Bovis Pill).
Niuhuang (Calculus Bovis, ground), Dansha (Cinnabar, ground), Tianzhuhuang (Bambusae Tabulae Resina, ground), Xeshao (Scorpion tail), Baijiangcan (Bombyx Batryticatus), Tiannanxing (Arisaematis Rhizoma), Baifuzi (Typhonii Rhizoma, each 1 fen).
The above seven ingredients are all used raw. Pound and grind finely. Bind with refined honey into pills the size of paulownia seeds. Take one to two pills dissolved in Yinjin Bohe Tang (Silver and Mint Decoction) per dose.
For treating wind stroke tian diao (convulsive tilt), fright evil, and wind epilepsy in children: Baijiangcan Wan Formula (Silkworm Pill).
Baijiangcan (Bombyx Batryticatus, fried, 1 liang), Ganxie (Dry Scorpion, fried, 1 fen), Baifuzi (Typhonii Rhizoma, roasted, 1 liang), Tiannanxing (Arisaematis Rhizoma, roasted until cracked, half liang), Wushe (Agkistrodon, wine-roasted until fragrant and cooked, bones removed, half liang).
The above five ingredients are pounded into powder. Bind with glutinous rice porridge into pills the size of sesame seeds. For infants aged one to two years, take three pills per dose, washed down with warm wine, three times overnight. Adjust the dose according to the child's age at one's discretion.