一百三十一、赤茯苓汤。治小儿疹痘疮出后,咳逆胁痛,不下食。
赤茯苓 甘草(炙) 大青 升麻 枳壳(麸炒,各半两) 栀子(一分)
上为粗末,每服一钱,水一小盏,入苦竹叶一七片,豆豉三十粒,同煎至五分盏,去滓
,分为三服,日三四服,看儿大小,以意加减,本方称疹痘出后胁痛者,由病后毒瓦斯溷乱,
阻于升降,左右为阴阳之道路,气之所行处,令气滞为胁痛。以枳壳宽肠下气,令气顺胁不
痛也,大青栀子去蕴热,升麻解毒,赤茯苓导心火,利小肠,无热以克肺气,而咳逆自平尔。
一百三十二、小柴胡汤,治发热甚而呕吐者,宜服之。
柴胡 人参 黄芩(各三两) 甘草(炙) 半夏(各二两半,汤泡七次)
上为粗末,每服三钱,水一盏,生姜二片,枣子一枚,同煎至半盏,去滓温服。咳嗽者
加五味子煎服。头痛发热,肢节痛者,四味升麻汤。大便不通者,四顺饮。若大便自利黄黑
色者,此毒亦有所出,不必广与汤剂,恐重增他病,大便自然通,不得以温药助之,疮疹亦
稀少,自快利,只与四味升麻汤、荆芥散。虽大便利不可以温药助之,其下利甚者,却与少
温之。
一百三十三、大青四物汤。治热病十日已上,发汗及吐利后,热不除,身上斑出。
大青(四两) 豆豉(八合) 阿胶 甘草(炙,各一两)
上锉如麻豆,每服抄五钱,水一盏,煎至六分,去滓入胶,煎令化服。
一百三十四、沙糖水。治疮子作脓窠了,是毒瓦斯已尽出在肌,但未结靥者。
上宜调沙糖水与吃,疮子浮欲干时,须与儿掐去痂,令血出则定无瘢子。若从他至干,
定隐一瘢子也。后人见吃沙糖水疮干,不问毒瓦斯出与不出,尽便与沙糖水吃,损目者多矣。
盖尝疮疹结成脓 ,是毒瓦斯出尽在肌肤,可服之。又设或尚尔血 未成脓 ,乃毒未出尽,
便吃沙糖水,则损目。盖患疮疹儿食糖蜜枣柿,即疮入目,及患疮疹家煮鹅鸭卵食,其儿闻
卵气,目中即生翳膜,更不可食也。
一百三十五、蓝根散。
板蓝根(一两) 甘草(炙,三分)
上同锉为细末,每服半钱或一钱,用雄鸡冠血三两点,同温酒少许,食后同调下。
一百三十六、甘露饮。解胃热,及小儿疮疹已发后余毒后,余热温壮,齿龈宣肿牙痛
,不能嚼物,饥而不欲食,烦热面黄,及病后疮 ,乳母俱可服。
甘草 山茵陈 石斛 枳壳(麸炒) 黄芩 枇杷叶 生地黄 麦门冬(去心)
上等分为粗末,每服抄二钱,水一盏,同煎至八分,食后温服。牙齿动摇,牙龈肿热,
含漱并服。
一百三十七、槐花散。治斑疮余热不退。
槐花 赤小豆(各炒,二钱) 麝香(少许)
上为细末,每服半钱,蜜汤调服,不拘时候。
一百三十八、净心散。治疮痘出欲尽,便服之,如入眼,即自退。
蛇蜕(一条,烧灰) 不蛀皂角(十茎,烧灰) 甘草(生用,半钱)
上为细末,每服一钱,热水调下,小儿半钱。
一百三十九、青金丹。治小儿疮疹病后,取下余毒。
滑石末 白丁香(研过) 天南星 青黛(细罗) 轻粉 水银(各二钱,先以饧二钱
于铜铫内溶化,便以水银拌和匀,泻于地上,冷用) 川巴豆(去皮心膜,七十三片,无缺
失者,用井花水浸一宿,悬于当风,吹干烂研)
上件药,用拌和匀,用软饭为丸,如梧桐子大,巴豆不出油,根据形证用汤使。伤寒后取
积,淡煎葱白汤送下。取疳虫,用牛肉汁下。惊风吐中紧硬,面青黑,用金银薄荷葱白汤下
。因伤着肚中,及腹皮上微热,腹胀,夜间作热似疳,又不是疳,面青黄色,眼微黄,肚腹
中有积,用皂角子二七粒,灰内煨过,水一盏,煎至半盏,送下此药。有积作泻,鱼 汤下
。气积,炒茴香汤下,凡下此药,周岁十四丸,二岁十八丸,七岁二十四丸,看大小加减下
,须是四更初天明通下积来,尽时可根据形证候,下药补之,临服此药,恐先吐下些少涎来,
亦不妨。
一百四十、黄芩散。治疮毒出尽后服之,恐疮毒入目,极妙。
黄芩 山栀子 黄丹
上等分为细末,用牛蒡子叶取汁,调涂于顶门。
一百四十一、灯心汤治疮痘出后烦喘,小便不利者,宜进之。
灯心(一把) 鳖甲(醋煮黄,二两)
上锉为散,每服一两,用水八合,煎取四分服之,各量大小加减服之。
一百四十二、黄 散。治壮热不退,可凉肌肤散热。
黄 柴胡 干葛 甘草(炙,各等分)
上为末,每服一钱,薄荷三叶,水半盏,煎至三分,约三呷,空心服。此药治发热数日
未退者,其热是疮疹者,量其虚实用之也。
一百四十三、朱砂膏。治小儿惊积热病后,可常服。
朱砂(半两) 硼砂 马牙硝(各三分) 真珠末(一钱) 玄明粉(二钱,以上拌研)
片脑 麝香(各一钱)
上件各为末于一处,拌合和,用好蜜炼成膏,如小儿诸般惊,用药一黄豆大,常用金银
薄荷汤少许化开下。如遍身潮热,用甘草煎汤化下。一腊及一月内小儿,不通下药,可以药
用乳调涂乳上,令小儿吃乳下。
一百四十四、宣风散。治身热烦渴,腹满而喘,大小便赤涩,面赤闷乱大吐,当利其小
便,不瘥者,宜服之。
槟榔(二个) 陈皮(去白) 甘草(炙,各半两) 牵牛(四两,半生用,半炒熟)
上为细末,三两岁用蜜汤调下半钱,以上者服一钱,食乳前服。
一百四十五、甘桔汤。治疮疹咽喉疼痛生疮者服之。
甘草(炒,二两) 桔梗(米泔水浸一宿,焙干用,一两)
上为细末,每服二大钱,水一盏,煎至五分,食后温服。如肺热手 眉目鼻面,加阿胶
半斤,炒过同煎至五分服。
一百四十六、定命朱砂散。治小儿疮疹毒瓦斯不出,或出后干黑色,服此药发出毒瓦斯,其
疮子细红而出也。此方系出疮子倒靥门中。
朱砂(半两) 生龙脑 滴乳香 马牙硝(四味,各研) 甘草(炙,各二钱)
上五味研匀,用脑月新 猪血半升同研匀,取青竹筒长二尺,留两节,开一头作窍子,
注药在内,黄蜡塞定,以油绢紧里封,勿令透气,埋地坑中,至一百五日取出,水洗挂风中
四十九日,劈开取药,研为细末,每服半钱,新汲水下。
一百四十七、鼠粘子汤。治疮疹出太盛。解毒门内消毒散加防风,治疗与方同。
一百四十八、斑疮入眼目方。
牛蒡子 人参(各二两)
上同研为细末,每服二钱,糯米薄粥调下,神效不可具述。
治疮疹出不快,既出不正色
先用粉干葛一味为细末,每服三钱,用雄鸡头一个,捣眼入干葛末在内,每用水二盅,
煎至一盅,去滓服,其验如神。
131. Chifuling Tang (Cudrania Root Decoction). Treats post-rash/post-smallpox symptoms in children, including cough with inverted qi, hypochondriac pain, and anorexia.
Ingredients: Chifuling (Poria cocos), Gancao (Glycyrrhizae Radix et Rhizoma, roasted), Daqing (Indigo Naturalis), Shengma (Bupleuri Radix), Zhike (Aurantii Fructus, bran-fried), each 0.5 liang; Zhizi (Gardeniae Fructus), 1 fen.
Crush the above ingredients into coarse powder. Take 1 qian per dose, add 1 small zhan of water, 17 leaves of Ku Zhu Ye (Bitter Bamboo Leaf), and 30 grains of Douchi (Fermented Soybean). Simmer together until reduced to 1/5 zhan. Strain and divide into three doses. Administer 3-4 times daily, adjusting dosage according to the child's age. This formula treats hypochondriac pain after rash/smallpox because post-illness toxic factors cause chaos, obstructing the ascending and descending of Qi. The left and right sides are pathways for Yin and Yang Qi and where Qi circulates; stagnation here causes hypochondriac pain. Zhike broadens the intestines and directs Qi downward to smooth flow and relieve pain. Daqing and Zhizi clear accumulated heat. Shengma resolves toxicity. Chifuling guides Heart Fire downward, benefits the Small Intestine, removes heat that would otherwise overcome Lung Qi, thereby naturally calming cough and inverted qi.
132. Xiaochaihu Tang (Minor Bupleurum Decoction). Treats severe fever accompanied by vomiting; suitable for administration.
Ingredients: Chaihu (Bupleuri Radix), Renshen (Ginseng Radix), Huangqin (Scutellariae Radix), each 3 liang; Gancao (Glycyrrhizae Radix et Rhizoma, roasted), Banxia (Pinelliae Rhizoma, each 2.5 liang, soaked seven times in boiling water).
Crush into coarse powder. Take 3 qian per dose, add 1 zhan of water, 2 slices of Shengjiang (Zingiberis Rhizoma), and 1 Zao (Jujubae Fructus). Simmer until reduced to half a zhan. Strain and take warm. If cough is present, add Wuweizi (Schisandrae Fructus) and simmer. For headache, fever, and limb/joint pain, use Siwei Shengma Tang (Four-Ingredient Bupleurum Decoction). For constipation, use Sishun Yin (Four-Smooth Drink). If spontaneous diarrhea occurs with yellow-black stool, it indicates the toxin has an exit; do not widely administer decoctions to avoid aggravating other conditions. The bowels will naturally unblock; do not assist with warm medicines as rashes are sparse and the body feels comfortable. Only administer Siwei Shengma Tang or Jingjie San (Schizonepeta Powder). Although warm medicines should not be used when bowels are unblocked, if diarrhea is severe, administer a small amount of warm medicine.
133. Daqing Siwu Tang (Great Indigo Four-Substance Decoction). Treats febrile disease lasting over ten days where heat persists after sweating, vomiting, and purging, accompanied by eruptive macules on the body.
Ingredients: Daqing (Indigo Naturalis), 4 liang; Douchi (Fermented Soybean), 8 he; Ejiao (Colla Corii Asini), Gancao (Glycyrrhizae Radix et Rhizoma, roasted), each 1 liang.
Chop into pieces the size of hemp seeds. Take 5 qian per dose, add 1 zhan of water, simmer to 6/10 reduction. Strain, add Ejiao, simmer until dissolved, then take.
14. Shatangshui (Sand Sugar Water). Treats pustular stage of rashes/pox where toxins have fully emerged in the skin but scabs have not yet formed.
It is appropriate to mix sand sugar water for the child to drink. When pustules float and dry, help the child pick off the scabs to allow blood to flow out, ensuring no scars remain. If left to dry naturally, a scar will inevitably remain. Later generations, seeing that sand sugar water dries sores without checking if toxins are expelled, indiscriminately administered it, causing many cases of eye damage. Generally, when rashes form pus, toxins are fully out in the skin, and sand sugar water can be taken. However, if blood has not yet formed pus, toxins are not fully out; taking sand sugar water then damages the eyes. Children eating sugar, honey, dates, or persimmons during rash illness may suffer from sores entering the eyes. Families cooking goose or duck eggs while the child has rashes: if the child smells the egg odor, membranes may grow in the eyes. These foods must be avoided.
135. Langen San (Isatis Root Powder).
Ingredients: Banlangen (Isatidis Radix), 1 liang; Gancao (Glycyrrhizae Radix et Rhizoma, roasted), 3 fen.
Grind together into fine powder. Take 0.5 or 1 qian per dose. Mix with 2-3 drops of rooster comb blood and a little warm wine. Take mixed after meals.
136. Ganlu Yin (Sweet Dew Drink). Resolves Stomach Heat, residual heat/toxins after pediatric rash eruption, intense residual heat, swollen gums with toothache, inability to chew, hunger without appetite, irritability, yellow complexion, and post-illness sores. Nursing mothers may also take it.
Ingredients: Gancao (Glycyrrhizae Radix et Rhizoma), Shanyinchen (Artemisiae Scopariae Herba), Shihu (Dendrobii Caulis), Zhike (Aurantii Fructus, bran-fried), Huangqin (Scutellariae Radix), Pipaye (Loquat Leaf), Shengdihuang (Rehmanniae Radix), Maimendong (Ophiopogonis Radix, heart removed).
Divide equally into coarse powder. Take 2 qian per dose, add 1 zhan of water, simmer to 8/10 reduction. Take warm after meals. For loose teeth and swollen/hot gums, gargle and ingest.
137. Huaihua San (Sophora Flower Powder). Treats persistent residual heat from macular/rash eruptions.
Ingredients: Huaihua (Sophorae Flos), Chixiaodou (Adzuki Bean), each stir-fried, 2 qian; Shexiang (Moschus), a little.
Grind into fine powder. Take 0.5 qian per dose, mix with honey water. Time is unrestricted.
138. Jingxin San (Pure Heart Powder). Administer when sores/pox are nearly finished. If toxins enter the eyes, they will recede spontaneously.
Ingredients: Shetui (Ophichthidis Cutis, burnt to ash), one strip; Buzhu Zaojiao (Gleditsiae Sinensis Fructus non-boring, burnt to ash), ten stems; Gancao (Glycyrrhizae Radix et Rhizoma, raw), 0.5 qian.
Grind into fine powder. Take 1 qian per dose, mix with hot water. Children take 0.5 qian.
139. Qingjin Dan (Blue Golden Pill). Treats residual toxins in children after rash/pox illness.
Ingredients: Huashi (Talcum), Baixiangding (Streptopeliae Fermentum, ground), Tiannanxing (Arisaematis Rhizoma), Qingdai (Indigo Naturalis, sifted), Qingfen (Calomelas), Shuiyin (Hydrargyrum), each 2 qian. First melt 2 qian of Yi (Maltose) in a copper pot, mix with Hydrargyrum evenly, pour onto ground to cool. Chuan Badou (Crotonis Fructus, peeled, pitted, 73 pieces, no defects, soaked overnight in well water, hung in wind to dry and grind rotten).
Mix all ingredients evenly. Form pills using soft rice, size of Sophora japonica seeds. If Croton does not release oil, administer based on syndrome. For post-typhoid accumulation, send down with light Scallion White Decoction. For intestinal parasites, send down with Beef Juice. For convulsions with tight/hard vomiting, cyanotic/black face, send down with Gold/Silver Flower Mint Scallion White Decoction. For abdominal injury, slight heat on abdominal skin, distension, night fever resembling malnutrition but not malnutrition, cyanic-yellow face, slightly yellow eyes, abdominal accumulation: send down with decoction of 14 Gleditsiae Seeds roasted in ashes, simmered in 1 zhan water to half zhan. For accumulation with diarrhea, send down with Fish Bladder Soup. For Qi accumulation, send down with stir-fried Fennel Soup. Dosage: 1-year-old takes 14 pills, 2-year-old 18 pills, 7-year-old 24 pills, adjust by size. Must pass accumulation at dawn (4th watch). After accumulation is cleared, tonify based on syndrome. Before taking, expect some saliva to be vomited/passed; this is acceptable.
140. Huangqin San (Scutellaria Powder). Administer after toxins are fully erupted to prevent entry into eyes; extremely effective.
Ingredients: Huangqin (Scutellariae Radix), Shanzhizi (Gardeniae Fructus), Huangdan (Minium).
Divide equally into fine powder. Extract juice from Niubangzi Ye (Arctii Lappa Leaf), mix and apply to the top of the head (Baihui point).
141. Dengxin Tang (Juncus Decoction). Treats irritability and panting, difficult urination after rash/pox eruption; suitable for administration.
Ingredients: Dengxin (Junci Medulla), one handful; Biejia (Trionycis Carapax, vinegar-boiled yellow), 2 liang.
Chop into granules. Take 1 liang per dose, add 8 he of water, simmer to 4/10 reduction. Take, adjusting dosage by age.
142. Huangqi San (Astragalus Powder). Treats unremitting high fever; cools skin and dissipates heat.
Ingredients: Huangqi (Astragali Radix), Chaihu (Bupleuri Radix), Gange (Puerariae Radix), Gancao (Glycyrrhizae Radix et Rhizoma, roasted), equal parts.
Grind into powder. Take 1 qian per dose, add 3 mint leaves, half a zhan of water, simmer to 3/10 reduction. Drink about three sips. Take on an empty stomach. This treats fever persisting for several days; if due to rash, use according to deficiency/excess.
143. Zhusha Gao (Cinnabar Paste). Can be regularly taken after pediatric convulsion/accumulation/heat illness.
Ingredients: Zhusha (Cinnabaris), 0.5 liang; Pengsha (Borax), Mayaxiao (Mirabilite), each 3 fen; Zhenzhumo (Pearl Powder), 1 qian; Xuanmingfen (Natrii Sulfas Exsiccatus), 2 qian (above mixed and ground); Pianbrain (Borneolum Syntheticum), Shexiang (Moschus), each 1 qian.
Grind each ingredient separately, mix well. Refine good honey into paste. For various convulsions, take pill size of soybean. Dissolve in small amount of Gold/Silver Flower Mint Decoction. For generalized tidal fever, dissolve in Licorice Decoction. For infants under one month who cannot take liquid medicine, apply medicine to nipple for infant to suckle.
144. Xuanfeng San (Dispersing Wind Powder). Treats body heat, irritability/thirst, abdominal fullness with panting, red/astringent urine/stool, red face, oppression/confusion, severe vomiting. Should promote urination. If ineffective, take this.
Ingredients: Binglang (Arecae Semen), two; Chenpi (Citri Reticulatae Pericarpium, white part removed); Gancao (Glycyrrhizae Radix et Rhizoma, roasted), each 0.5 liang; Qianniu (Pharbitidis Semen), 4 liang (half raw, half stir-fried cooked).
Grind into fine powder. For ages 3+, mix half a qian with honey water. Over 3 years old, take 1 qian. Take before milk feeding.
145. Ganjie Tang (Licorice and Platycodon Decoction). Treats sore throat and sores caused by rash/pox.
Ingredients: Gancao (Glycyrrhizae Radix et Rhizoma, stir-fried), 2 liang; Jiegeng (Platycodonis Radix, soaked in rice wash water overnight, dried), 1 liang.
Grind into powder. Take 2 large qian per dose, add 1 zhan of water, simmer to 5/10 reduction. Take warm after meals. If Lung heat affects hands/feet, eyebrows/eyes/nose/face, add Ejiao (Colla Corii Asini), 0.5 jin, stir-fry and simmer together to 5/10 reduction.
146. Dingming Zhusha San (Life-Determining Cinnabar Powder). Treats pediatric rash/pox where toxins do not emerge, or emerge dry/black. This herb emits toxins, causing rashes to emerge fine and red. From "Rash Inversion" section.
Ingredients: Zhusha (Cinnabaris), 0.5 liang; Sheng Longnao (Natural Borneol), Dilixiang (Frankincense), Mayaxiao (Mirabilite), these four ground separately; Gancao (Glycyrrhizae Radix et Rhizoma, roasted), each 2 qian.
Grind five ingredients evenly. Mix with half a sheng of fresh pig blood from December lunar month. Place in green bamboo tube, 2 chi long, retaining two nodes. Open one end, inject medicine. Seal with yellow wax. Wrap tightly with oiled silk, ensure airtight. Bury in pit for 105 days. Remove, wash, hang in wind for 49 days. Split, retrieve medicine, grind to fine powder. Take 0.5 qian per dose, send down with fresh drawn water.
147. Shuniu Zi Tang (Arctii Seed Decoction). Treats excessive eruption of rash/pox. Add Fangfeng (Saposhnikoviae Radix) to Xiaodu San (Detoxification Powder) from Detoxification Section; treatment and formula are identical.
148. Formula for Rash/Pox Entering Eyes.
Ingredients: Niubangzi (Arctii Fructus), Renshen (Ginseng Radix), each 2 liang.
Grind together into fine powder. Take 2 qian per dose, mix with thin rice porridge. Effect is miraculous and indescribable.
To treat slow/ununiform eruption of rash/pox:
First, use only Fen Gange (Powdered Pueraria) ground to fine powder. Take 3 qian per dose. Use one rooster head, mash eyes, insert Gange powder inside. Add 2 zhong of water, simmer to 1 zhong. Strain and take. Verification is like magic.