集成沆瀣丹 方见二卷胎病论。
集成三仙丹 治小儿纵口饮啖,食物过多,有形之物,填塞肠胃之间,不能转运传送,脾气抑郁,所以
发热不退,眼闭难开,人事昏沉,四肢瘫软,俨然虚极之象。古人谓大实有羸状,即此证也。昧者以为虚证而
峻补之,或疑为惊风而镇坠之,百无一救。速以此丸同沆瀣丹同服。待其下后,人事即清。
予救治既多,剖心相告∶痢疾误用涩药,闭其湿热,比食物有形之塞,殆有甚焉,速宜下之,不下即死。
五灵脂(一两) 南木香(五钱) 巴豆仁(四十粒)
上将灵脂、木香研为细末听用。以巴豆剥去壳,取净肉四十粒,去其肉上嫩皮,纸包水湿,入慢火中煨极
熟,取起,另以棉纸包之,缓缓捶去其油,纸湿则另换,以成白粉为度,谓之巴霜。与前二味和匀,醋打面
糊为丸,绿豆大,以朱砂为衣,晒干收贮。每服五丸,或七丸、九丸,量儿大小加减,合沆瀣丹二三丸同研烂,
茶清调下。待其下后,其病立愈。此起死回生之药,勿以常方视之。
经曰∶咳嗽上气,厥在胸中,过在手阳明太阴。其证初起,面赤唇红,气粗发热,咳嗽痰鸣,或眼胞微浮,
额上汗出。此外感风寒,急宜疏解。
按∶咳嗽致搐,其证尝少。盖外感以咳嗽为轻,内伤以咳嗽为重。大凡春温夏热秋燥冬寒,四时正病与夫
时行疫疠,即至重至危之候,但有咳嗽,便是生机,盖外感一传于六经,断不致死,故谓外感以咳嗽为轻,至
于酒色狂荡之辈,平素嗜欲不节,耗费过伤,但逢咳嗽,即为可虑,倘治不如法,则虚劳肺痿,肢足而待,故
谓内伤以咳嗽为重。婴儿知识未开,内伤何有?所有咳嗽,无非寒热二者而已矣。寒固伤肺,热亦伤肺,医者
能的辨其寒热,对证用方,效无不捷。其如不识阴阳,罔分寒热,应辛散者而反凉泻,应滋润者反用升浮,乃
致寒者愈寒,燥者愈燥,欲不声音不转,眼翻手搐,其可得乎?治宜集成金粟丹。
The formula for Jicheng Hangxie Dan (Integrated Turbid Qi Pill) is found in Volume 2, "Treatise on Fetal Diseases."
Jicheng Sanxian Dan (Integrated Three Immortals Pill): Treats infants and children who eat without restraint, consuming excessive food. The tangible food obstructs the intestines and stomach, preventing transportation and transmission. This causes Spleen Qi (Spleen energy) to become depressed, resulting in persistent fever, eyes closed and difficult to open, mental confusion, and flaccid paralysis of the four limbs, presenting a false appearance of extreme deficiency. The ancients referred to this as "Great excess manifesting as weakness" (Severe excess syndrome presenting with deficient symptoms). Ignorant practitioners mistakenly treat it as a deficiency syndrome and administer potent tonics, or suspect it as Wind-stroke/Convulsion and use heavy sedatives. In such cases, not one in a hundred survives. Quickly administer this pill together with Hangxie Dan. After defecation occurs, mental clarity will be restored.
I have treated many such cases and speak from the heart: If Dysentery (Damp-Heat dysentery) is mistakenly treated with astringent herbs, it closes off Damp-Heat pathogens, which is even more dangerous than obstruction by tangible food. Rapid purgation is required; failure to purge leads to death.
Ingredients: Trogopterus Dung (Wulingzhi, 1 liang), Costus Root (Nanmuxiang, 5 qian), Croton Seed Kernel (Badou Ren, 40 grains).
Preparation: Grind Trogopterus Dung and Costus Root into fine powder for later use. Peel the shells from Croton seeds, take 40 pure kernels, remove the tender skin, wrap them in paper moistened with water, and roast slowly over low heat until thoroughly cooked. Remove and wrap in cotton paper, then slowly pound to extract the oil. Replace the paper when wet, continuing until a white powder remains. This is called "Croton Frost" (Bashuang). Mix this evenly with the powders of the other two ingredients. Use vinegar and wheat flour paste to form pills the size of mung beans. Coat with Cinnabar powder, dry, and store. Administer 5, 7, or 9 pills per dose, adjusting according to the child's age and size. Crush together with 2-3 pills of Hangxie Dan, and swallow with clear tea water. After defecation, the disease will be cured immediately. This is a life-saving medicine; do not regard it as an ordinary prescription.
The Classics state: "Cough with qi rebellion, the pathogenesis lies in the chest, involving the Hand-Yangming Large Intestine channel and the Hand-Taiyin Lung channel." Early symptoms include red face and lips, coarse breathing, fever, cough with phlegm rattle, slight edema of the eyelids, and sweating on the forehead. This is caused by External contraction of Wind-Cold, requiring urgent dispersal and release.
Commentary: Cough leading to convulsions is rare. Generally, in External contraction diseases, cough is considered a mild symptom, whereas in Internal injury diseases, cough is considered severe. Whether due to seasonal pathogens (Spring Warmth, Summer Heat, Autumn Dryness, Winter Cold) or epidemic pestilence, even in critical conditions, the presence of cough indicates vital energy remains, as External contraction entering the Six Channels (Taiyang, Yangming, Shaoyang, Taiyin, Shaoyin, Jueyin) does not lead to death. Thus, cough in external diseases is mild. Conversely, for those indulging in wine and sex, with unregulated desires and excessive consumption of essence, the onset of cough is worrying. If treated improperly, it leads to Consumption (Xu Lao) and Lung Flaccidity (Fei Wei), resulting in imminent death. Thus, cough in internal injuries is severe. Infants lack developed knowledge and thus do not suffer from internal injuries. All coughs in infants are either Cold or Heat. Cold injures the Lung, and Heat also injures the Lung. If physicians can distinguish between Cold and Heat and prescribe accordingly, efficacy is immediate. However, those who ignore Yin and Yang and fail to differentiate Cold and Heat may use cooling purgatives instead of acrid-dispersing agents, or ascending-floating agents instead of moistening ones. This causes Cold to become colder and Dryness to become drier, leading to hoarseness, upward deviation of the eyes, and hand convulsions. Treatment should utilize Jicheng Jinshu Dan (Integrated Golden Millet Pill).