钱乙论∶伤风昏睡,口中气热,呵欠顿闷,当发散,与大青膏解不散,有下证,当下大黄丸主之。大饮水
不止而善食者,可微下,余不可下也。(大青膏方,见惊热门中;大黄丸方未见。)
钱乙论∶伤风手足冷者,脾脏怯也。当和脾后发散。和脾,益黄散;发散,大青膏主之。(大青膏方见同前;益黄
散方见胃气不和门。)
钱乙论∶伤风自利者,脾脏虚怯也。当补脾,益黄散。发散,大青膏主之。未瘥,调中丸主之。有下证,
大黄丸下之。下后,服温惊丸。(大青膏方见惊热门;调中丸方见胃气不和门;温惊丸方见一切惊门;大黄丸方未见。)
钱乙论∶伤风腹胀者,脾脏虚也,当补脾,必不喘。后发散,仍补脾也。去胀,塌气丸主之。发散,大青膏
主之。(塌气丸方见胃气不和门;大青膏方见惊热门。)
钱乙论∶伤风兼脏者,兼心则惊悸;兼肺则闷乱,喘息哽气,长出气嗽;兼肾则畏明。各随补母脏,虚见
故也。
钱乙论∶伤风下后余热者,以药下之太过,胃中虚热,饮水无力也。当生胃中津液,多服白术散。(白术散方
见胃气不和门。)
钱乙论伤风吐泻身温云∶乍凉乍热,时多气粗,大便黄白色,呕吐,乳食不消,时咳嗽;更有五脏兼见
证,当煎入脏君臣药,化大青膏,后服益黄散。如先曾下,或无下证,慎不可下也。此乃脾肺受寒,不能
入食也。(二方并见,同前。)
钱乙论伤风吐泻身热云∶多睡,能食乳,饮水不止,吐痰,大便黄水。此为胃虚热渴吐泻也。当生胃中
津液,以止其渴,止后用发散药。止渴多服白术散,发散大青膏主之。(二方并见,同前。)
钱乙论伤风吐泻身凉云∶吐沫、泻青白色,闷乱、不渴、哽气、长出气、睡露睛,此伤风荏苒轻怯,因
成吐泻,当补脾后发散。补脾,益黄散;发散,大青膏主之。此二证多病于春冬也。(二方并见,同前。)
《玉诀》小儿伤风候歌∶
鼻塞伤风肺受寒,喘咳惊啼卧不安。颊赤口干频发热,吐泻邪攻脏腑传。
此患先与解热,后下风涎,次平胃气,故无误也。
《博济方》治小儿外伤风冷。解肌浓朴散
浓朴(去皮,以姜汁涂,炙令香) 苍术 陈橘(去瓤。各一两) 干姜(三分) 甘草(半两)
上件同为细末。每服一钱,水一盏,入姜钱二片,枣一枚,同煎至六分,热服。
《刘氏家传》治小儿伤风伤寒,浑身壮热,咳嗽痰盛。麦汤散
麻黄(去根节,生姜汁浸一宿) 知母 石膏( 赤) 葶苈(隔纸炒) 地骨皮 杏仁(汤浸,去皮尖,别研)
滑石(末。各等分)
上为末。每服半钱,煎小麦汤调下。
《刘氏家传》惊调散 治大人、小儿、老少,但是诸般伤寒、伤风,体虚烦热,上膈有涎,烦躁不省人事。
荆芥穗(一两,微炒,焙,末之) 麝(半钱) 脑(一字)
上将脑、麝各研入药,令匀。每服好茶半盏,调半钱,和滓服。重者一钱,小儿少许,不计时候。
《张氏家传》小儿伤风,浑身诸般壮热。七宝散
天麻(炙) 白僵蚕(微炒) 羌活(各一钱) 蝎 麻黄(去节) 白附子(各一分) 麝(少许)
上为末。每服半钱、一字,用生姜、薄荷、蜜水调下,大小加减。
《庄氏家传》古方惺惺散 治小儿伤风壮热,及疮疹毒瓦斯、时气、温壮,风热等疾。(与伤寒门中钱乙惺惺散大
略同。)
人参 白茯苓 甘草(炙) 白术 栝蒌根 细辛 桔梗
上七味等分,焙干为末。每服一大钱,用水半盏,姜一片,薄荷三、两叶,同煎三五沸。二、三岁一服,
分三服;五岁以上只作一服。如伤风欲出汗,以葱、豆豉、薄荷同煎,温服。(一方无白术有干葛,甘草减半,治壮热。
入薄荷、生姜,治冷气,入姜枣水一盏,煎七分,用药二钱少异。)
《庄氏家传》∶小儿伤风。
上以京豉及葱生研,作靥贴囟上。如有邪气者,以京豉及桃头生研,贴如前方。
《孔氏家传》治小儿风吹妄着,浑身壮热,头疼,面颊赤,多渴。参苓散
人参 茯苓 甘草(炙) 白术(各一分) 黄芩 干葛(各半两)
上为细末。每服一钱,水五分,姜一片,枣半个,煎四分,通口服。
《王氏手集》百解散 治小儿伤风、疮疹之类。
黄 青皮 茯苓 栝蒌根 甘草(炙) 紫菀 白术(各一两) 百合(一两半)
上为细末。每服一钱,水八分盏,煎至四分,通口服。得少汗为妙。
《吉氏家传》治小儿惊风,奶食不化,成外伤风,壮热气粗,慢风摇头,口眼不开;及赤白痢。金箔丸
金箔(四十九片) 朱砂 水银 腻粉 牛黄 青黛 蝉壳 白僵蚕 麻黄(去节) 白附子 蝎 天麻(酒浸,
炙) 犀角(末) 天南星(炮。各二钱) 真麝香(随多少)
上件都为末,将金箔、朱砂、水银、腻粉同研细,倾入诸药,炼蜜为丸如梧桐子大。每服二丸,薄荷汤化下。
长沙医者丘松年传蝎梢散 治伤风发热,睡卧不安,直视涎盛,时作惊掣。
全蝎(一十半个) 甘草(炙) 川芎(各二钱) 麻黄(去节,秤) 防风 薄荷叶(各一钱)
上为细末,入朱砂一钱细研,入药末内令匀。每服一钱,水半盏,煎三分,温服。
Qian Yi discussed: In cases of wind-cold injury (Shang Feng) presenting with lethargy, hot breath, yawning, and a sense of oppression, dispersing treatment should be employed. If Da Qing Gao (Great Blue Paste) fails to resolve the condition and there are signs indicating purgation, Da Huang Wan (Rhubarb Pill) should be administered. If the child drinks excessively without relief but has a good appetite, mild purgation may be considered; otherwise, purgation is contraindicated. (Da Qing Gao formula is found in the chapter on fright-heat; Da Huang Wan formula is not recorded.)
Qian Yi discussed: Wind-cold injury causing cold hands and feet indicates deficiency and timidity of the Spleen organ. The Spleen should first be harmonized before employing dispersing methods. To harmonize the Spleen, use Yi Huang San (Yellow Protecting Powder); for dispersing, use Da Qing Gao as the primary treatment. (Da Qing Gao formula is cited above; Yi Huang San formula is found in the chapter on Stomach Qi disharmony.)
Qian Yi discussed: Wind-cold injury causing spontaneous diarrhea indicates deficiency and timidity of the Spleen organ. The Spleen should be tonified using Yi Huang San. For dispersing, use Da Qing Gao. If the illness does not resolve, Tiao Zhong Wan (Middle Harmonizing Pill) should be used. If there are signs indicating purgation, Da Huang Wan should be used to purge. After purgation, Wen Jing Wan (Warm Fright Pill) should be taken. (Da Qing Gao formula is found in the fright-heat chapter; Tiao Zhong Wan formula is found in the stomach Qi disharmony chapter; Wen Jing Wan formula is found in the general fright chapter; Da Huang Wan formula is not recorded.)
Qian Yi discussed: Wind-cold injury causing abdominal distension indicates Spleen deficiency. The Spleen must be tonified, which will prevent wheezing. Subsequently, dispersing treatment should be applied, along with continued Spleen tonification. To remove distension, Ta Qi Wan (Qi Collapsing Pill) is primarily used. For dispersing, Da Qing Gao is primarily used. (Ta Qi Wan formula is found in the stomach Qi disharmony chapter; Da Qing Gao formula is found in the fright-heat chapter.)
Qian Yi discussed: When wind-cold injury involves the Zang organs, involvement of the Heart leads to palpitations and fright; involvement of the Lung leads to oppression and confusion, wheezing, choking sensations, sighing, and coughing; involvement of the Kidney leads to photophobia. Each case should be treated by tonifying the mother organ, as these are manifestations of deficiency.
Qian Yi discussed: Residual heat after purgation in wind-cold injury results from excessive purgative medication, leading to deficient heat in the Stomach and weakness in drinking water. One should generate fluids in the Stomach by administering Bai Zhu San (Atractylodes Macrocephala Powder) frequently. (Bai Zhu San formula is found in the stomach Qi disharmony chapter.)
Qian Yi discussed wind-cold injury accompanied by vomiting, diarrhea, and warm body temperature: sudden chills and fever, frequent coarse breathing, yellowish-white stool, vomiting, indigestion of milk and food, and intermittent coughing; additionally, symptoms involving the five Zang organs may appear. Decoctions of sovereign and minister herbs for the affected Zang organs should be prepared, mixed with Da Qing Gao, followed by Yi Huang San. If purgation was previously performed or if there are no signs indicating purgation, purgation must strictly be avoided. This is due to cold invading the Spleen and Lung, preventing food intake. (Both formulas are cited above.)
Qian Yi discussed wind-cold injury accompanied by vomiting, diarrhea, and fever: excessive sleep, ability to suckle, incessant drinking, expectoration of phlegm, and yellow watery stool. This is vomiting and diarrhea caused by deficient heat and thirst in the Stomach. One should generate Stomach fluids to quench thirst, and after thirst is quenched, administer dispersing herbs. For quenching thirst, take Bai Zhu San frequently; for dispersing, use Da Qing Gao as the primary treatment. (Both formulas are cited above.)
Qian Yi discussed wind-cold injury accompanied by vomiting, diarrhea, and cool body temperature: spitting foam, greenish-white loose stools, oppression and confusion, absence of thirst, choking sensations, sighing, and sleeping with eyes partially open (exposing the eyeballs). This is wind-cold injury lingering over time, leading to weak and deficient constitution, resulting in vomiting and diarrhea. The Spleen should be tonified before dispersing. For tonifying the Spleen, use Yi Huang San; for dispersing, use Da Qing Gao as the primary treatment. These two conditions often occur in spring and winter. (Both formulas are cited above.)
The "Yu Jue" Song on Pediatric Wind-Cold Symptoms states:
Nasal congestion from wind-cold, Lung invaded by cold,
Wheezing, coughing, fright, crying, restless sleep.
Red cheeks, dry mouth, frequent fever,
Vomiting and diarrhea, pathogen attacks Zang-Fu transmission.
This ailment should first be treated with heat-clearing, then wind-phlegm expulsion, followed by Stomach Qi regulation, ensuring no error.
"Bo Ji Fang" treats pediatric external wind-cold invasion. Jie Ji Nong Po San (Muscle-Releasing Magnolia Bark Powder)
Hou Po (Magnolia Bark, peeled, coated with ginger juice, roasted until fragrant) Cang Zhu (Atractylodes Lancea) Chen Pi (Tangerine Peel, pith removed. Each 1 liang) Gan Jiang (Dried Ginger 3 fen) Gan Cao (Licorice Root 0.5 liang)
Grind all ingredients into fine powder. Take 1 qian per dose, decoct with 1 cup of water, add 2 slices of ginger and 1 jujube, boil down to 0.6 cup, and serve hot.
"Liu Shi Jia Chuan" treats pediatric wind-cold and cold damage with high fever throughout the body and profuse phlegm cough. Mai Tang San (Wheat Soup Powder)
Ma Huang (Ephedra, roots and joints removed, soaked overnight in ginger juice) Zhi Mu (Anemarrhena) Shi Gao (Gypsum, calcined red) Ting Li (Descurainia Seed, stir-fried between papers) Di Gu Pi (Lycium Bark) Xing Ren (Apricot Kernel, soaked in hot water, skin and tips removed, separately ground) Hua Shi (Talcum, powdered. Equal parts)
Grind into powder. Take 0.5 qian per dose, mix with wheat soup for administration.
"Liu Shi Jia Chuan" Jing Tiao San (Fright-Calming Powder) treats adults, children, young and old suffering from various cold damages and wind-cold injuries, with weak constitution, vexatious heat, phlegm-saliva in the upper chest, restlessness, and unconsciousness.
Jing Jie Sui (Schizonepeta Flower Spike, 1 liang, lightly stir-fried, dried, powdered) She Xiang (Musk, 0.5 qian) Nao Bing (Borneol, 1 zi)
First grind Borneol and Musk separately into fine powder and mix evenly with the other herbs. Take half a cup of good tea, mix with 0.5 qian of powder, and consume including the dregs. For severe cases, take 1 qian; for children, a small amount. No specific timing required.
"Zhang Shi Jia Chuan" treats pediatric wind-cold with various high fevers throughout the body. Qi Bao San (Seven Treasures Powder)
Tian Ma (Gastrodia Rhizome, roasted) Bai Jiang Can (White Silkworm, lightly stir-fried) Qiang Huo (Notopterygium Rhizome. Each 1 qian) Quan Xie (Scorpion) Ma Huang (Ephedra, joints removed) Bai Fu Zi (Typhonii Rhizoma. Each 1 fen) She Xiang (Musk, a little)
Grind into powder. Take 0.5 qian or 1 zi per dose, mix with ginger, mint, and honey water for administration, adjusting dosage according to age.
"Zhuang Shi Jia Chuan" Ancient Formula Xing Xing San (Awakening Powder) treats pediatric wind-cold with high fever, as well as carbuncles-rashes toxicity, seasonal qi, warm fevers, and wind-heat diseases. (Similar to Qian Yi's Xing Xing San in the Cold Damage chapter.)
Ren Shen (Ginseng) Bai Fu Ling (Poria, white) Gan Cao (Licorice, roasted) Bai Zhu (Atractylodes Macrocephala) Gua Lou Gen (Trichosanthes Root) Xi Xin (Asarum) Jie Geng (Platycodon Root)
These seven ingredients in equal parts, dried by roasting and ground into powder. Take 1 large qian per dose, decoct with half a cup of water, 1 slice of ginger, and 3-4 leaves of mint, boil for 3-5 times. For children aged 2-3 years, divide into three doses; for those over 5 years, take as one dose. If wind-cold requires sweating, decoct with scallion, fermented soybean, and mint, and take warm. (Another prescription excludes Bai Zhu but includes Gan Ge [Kudzu Root], halves the Gan Cao, treats high fever. Adding mint and ginger treats cold qi; add a cup of ginger-jujube water, decoct to 0.7 portion, adjust medicine amount slightly.)
"Zhuang Shi Jia Chuan": Pediatric wind-cold.
Grind Jing Chi (Fermented Soybean) and Cong Bai (Scallion White) raw, form into cakes, and apply to the fontanelle. If evil qi is present, grind Jing Chi and Tao Tou (Peach Tip) raw and apply as described above.
"Kong Shi Jia Chuan" treats pediatric wind-blown invasion with high fever throughout the body, headache, red cheeks, and excessive thirst. Shen Ling San (Ginseng-Poria Powder)
Ren Shen (Ginseng) Fu Ling (Poria) Gan Cao (Licorice, roasted) Bai Zhu (Atractylodes Macrocephala. Each 1 fen) Huang Qin (Scutellaria Root) Gan Ge (Kudzu Root. Each 0.5 liang)
Grind into fine powder. Take 1 qian per dose, decoct with 0.5 cup of water, 1 slice of ginger, and half a jujube, boil down to 0.4 cup, and take orally.
"Wang Shi Shou Ji" Bai Jie San (Hundred Dispersions Powder) treats pediatric wind-cold and similar conditions like carbuncles-rashes.
Huang Qi (Astragalus Root) Qing Pi (Green Tangerine Peel) Fu Ling (Poria) Gua Lou Gen (Trichosanthes Root) Gan Cao (Licorice, roasted) Zi Wan (Aster Root) Bai Zhu (Atractylodes Macrocephala. Each 1 liang) Bai He (Lily Bulb, 1.5 liang)
Grind into fine powder. Take 1 qian per dose, decoct with 0.8 cup of water down to 0.4 cup, and take orally. Obtaining slight sweating is ideal.
"Ji Shi Jia Chuan" treats pediatric fright-wind, inability to digest milk/food, external wind-cold invasion, high fever with coarse breathing, slow wind shaking head, inability to open mouth and eyes; as well as dysentery with red and white discharge. Jin Bo Wan (Gold Foil Pill)
Jin Bo (Gold Foil, 49 pieces) Zhu Sha (Cinnabar) Shui Yin (Mercury) Ni Fen (Calomel) Niu Huang (Calculus Bovis) Qing Dai (Indigo Naturalis) Chan Qiao (Cicada Slough) Bai Jiang Can (White Silkworm) Ma Huang (Ephedra, joints removed) Bai Fu Zi (Typhonii Rhizoma) Quan Xie (Scorpion) Tian Ma (Gastrodia Rhizome, wine-soaked, roasted) Xi Jiao (Rhino Horn, powdered) Tian Nan Xing (Arisaema Rhizome, processed. Each 2 qian) Zhen She Xiang (Real Musk, as needed)
Grind all ingredients into powder. Grind Gold Foil, Cinnabar, Mercury, and Calomel finely together, pour into the other herbs, and bind with refined honey into pills the size of Sophora seeds. Take 2 pills per dose, dissolve in mint soup for administration.
Changsha physician Qiu Songnian passed down Xie Shao San (Scorpion Tail Powder) treating wind-cold fever, restless sleep, staring straight ahead with profuse saliva, and occasional convulsive twitching.
Quan Xie (Whole Scorpion, 10.5) Gan Cao (Licorice, roasted) Chuan Xiong (Ligusticum Rhizome. Each 2 qian) Ma Huang (Ephedra, joints removed, weighed) Fang Feng (Saposhnikovia Root) Bo He Ye (Mint Leaf. Each 1 qian)
Grind into fine powder, add 1 qian of finely ground Cinnabar, mix evenly with the powder. Take 1 qian per dose, decoct with half a cup of water down to 0.3 cup, and take warm.