(半两去白秤) 甘遂(一分慢火煨令黄)
上为细末。每服一钱。水一小盏。煎至五分。去滓放温服。无时。
治幼小胎中宿热。乳母饮食粗恶。及多辛苦。乳汁不起。儿乳哺宿滞。不为肌肤。心腹痞满。萎黄瘦瘠。
四肢痿 。服之充悦。
芍药(二两半) 大黄 人参(去芦各一两) 柴胡(去芦二两) 鳖甲(酥炙去裙 ) 茯苓(各一
两半) 甘草(半两) 干姜(半两有热者去干姜用枳实麸炒)
上为末。炼蜜和丸大豆大。一岁以下儿服一丸。上者二丸。乳服。
牛黄鳖甲丸
治幼小癖实壮热。食不消。中恶忤气。
牛黄(半两) 鳖甲(酥炙去裙 ) 麦曲(炒) 柴胡(去芦) 枳实(麸炒) 大黄(煨) 芎 (各
一两) 浓朴(去皮姜制) 茯苓 桂心(不见火) 芍药 干姜(各半两炮)
上为末。炼蜜为丸如小豆大。以意量大小与服。日二服。无时。
丁香散
治小儿奶癖。一服取效。不动脏腑。不损胃气。
舶上硫黄(一枣大块) 丁香(二十一个) 密陀僧(一枣大)
上研细。量大小。临卧以荆芥汤调下。来日下黑物。乃病故也。永不再发。
治小儿乳癖。胁下结块不消。
腻粉(一钱) 雄鼠粪(一分微炒两头尖者是。)
上同研匀细。去皮枣肉和丸粟米大。新汲水下一丸。取下恶物是效。更量大小虚实用之。
治小儿闪肭成癖。腹大痞满。以鹳雀脚骨及嘴煮汁服之。亦可烧灰存性。研为末。饮服。
治小儿积癖。发黄羸瘦。及生瘰 。以生林擒杵烂。醋和敷上。若癖移则就敷之。以苦瓠未破者。煮令熟。
解开熨之。亦入热汤在内熨之。
治小儿乳癖
橘皮(拣净) 青皮(去穣) 牵牛(各一分三味并为末)
上用蒜一颗。每瓣入巴豆一粒。煨熟去巴豆。研如泥。和药末豌豆大。朱砂为衣。每服一丸。细嚼。酒送
下。一方用蒜去青皮。同巴豆研烂和丸。临卧冷茶清下一丸。更量大小加减。乳食前。
(Canis Radix et Rhizoma [Gansui], half tael, peeled and weighed) Gansui (one fen, slow-roasted until yellow)
Grind the above ingredients into a fine powder. For each dose, take one qian. Add one small cup of water, decoct until reduced to five fen, filter out the dregs, and take warm at any time.
Treats fetal heat accumulation in young children. Caused by the nursing mother's coarse and poor diet, as well as excessive labor and hardship, leading to insufficient or poor-quality breast milk. The infant suffers from retained food stagnation after feeding, failing to nourish muscles and skin. Symptoms include epigastric and abdominal fullness and distension, sallow complexion, emaciation, and flaccidity of the four limbs. Administration of this remedy will restore physical plumpness and vitality.
Baishao (two taels and a half) Dahuang Renshen (rhizome removed, one tael each) Chaihu (rhizome removed, two taels) Biejia (roasted with su [animal fat] and skirt removed) Fuling (one tael and a half each) Gancao (half tael) Ganjiang (half tael; if heat signs are present, remove Ganjiang and use Zhishi stir-fried with bran instead)
Grind the above ingredients into powder. Mix with refined honey to form pills the size of soybeans. Infants under one year old take one pill; those with stronger constitutions take two pills, taken with breast milk.
Niuhuang Biejia Wan
Treats pediatric phlegm-stagnation excess syndrome, high fever, indigestion, and malignant qi invasion.
Niuhuang (half tael) Biejia (roasted with su and skirt removed) Maiqu (stir-fried) Chaihu (rhizome removed) Zhishi (stir-fried with bran) Dahuang (roasted) Xiong (one tael each) Houpo (bark removed, processed with ginger juice) Fuling Guixin (not exposed to direct fire) Baishao Ganjiang (half tael each, processed)
Grind the above ingredients into powder. Mix with refined honey to form pills the size of mung beans. Adjust dosage according to the child's age and size. Take twice daily, at any time.
Dingxiang San
Treats pediatric milk-phlegm stagnation. One dose yields effective results. It does not damage the zang-fu organs or impair stomach qi.
Bo Shang Liuhuang (a piece the size of a date) Dingxiang (twenty-one pieces) Mituoseng (a piece the size of a date)
Grind the above ingredients finely. According to the child's age and size, administer with Jingjie Decoction before bedtime. Black stool will be passed the next day, indicating the expulsion of pathogenic factors, ensuring no recurrence.
Treats pediatric milk-phlegm stagnation with persistent subcostal masses.
Nifen (one qian) Xiong Shufen (one fen, lightly stir-fried; authentic material has pointed ends)
Grind the above ingredients together until uniform and fine. Mix with flesh of peeled jujube to form pills the size of millet seeds. Administer one pill with fresh cold water. Passage of foul matter indicates efficacy. Further adjust dosage based on the child's age and deficiency/excess condition.
Treats pediatric injury-induced phlegm stagnation presenting with abdominal distension and fullness. Boil the foot bones and beak of the stork (Guannque) in water and administer the decoction. Alternatively, calcine them to retain their properties, grind into powder, and take with warm water.
Treats pediatric food stagnation-phlegm presenting with yellow hair, emaciation, and scrofula. Mash fresh Lin Qin (Malus asiatica/Crabapple), mix with vinegar, and apply topically. If the stagnation shifts position, follow it for application. Boil an unbroken Ku Hu (bitter melon/gourd) until cooked, unwrap, and apply hot compresses to the affected area. Alternatively, add the herb to hot water for fumigation/compress therapy.
Treats pediatric milk-phlegm stagnation
Jupi (selected and clean) Qingpi (pith removed) Qianniu (one fen each; grind these three herbs together into powder)
Take one clove of garlic, insert one seed of Badou into each clove, roast until cooked, remove the Badou, and grind the garlic into a paste. Mix with the herbal powder to form pills the size of pea seeds, coated with Zhusha. Take one pill per dose, chew thoroughly, and swallow with wine. Another method: grind garlic, Qingpi, and Badou together into a paste, form pills, and take one pill before bed with cold tea infusion. Adjust dosage according to age. Take before breastfeeding or meals.