柴葛桂枝汤 治小儿伤风,自汗发热。
嫩桂枝(一钱) 杭白芍(一钱五分) 北柴胡(一钱) 粉干葛(一钱) 炙甘草(八分) 老生姜
(一钱) 大红枣(五枚)
净水浓煎,热服。
惺惺散 方见卷二乳子伤寒门。
集成沆瀣丹 方见卷二胎疾门。
五苓散 方见卷二伤暑门。
理中汤 方见卷二乳子伤寒门。
人参白虎汤 方见卷二伤暑门。
调元生脉散 治夏月伤热发热,以此扶其元气。
官拣参(六分) 炙黄 (一钱五分) 杭麦冬(一
钱) 北五味(五分) 炙甘草(五分)
老生姜三片,大红枣三枚,水煎,温服。
四君子汤 方见卷三疟疾门。
导赤散 方见卷四啼哭门。
六味地黄汤 方见卷一胎疾门。
六君子汤 方见卷二类搐门。
泻青丸 方见卷四啼哭门。
团参散 方见卷二非搐门。
四顺清凉散 方见卷四腹痛门。
疏表法 小儿发热,不拘风寒食饮,时疫痘疹,并宜用之。以葱一握,捣烂取汁,少加麻油在内和匀,
指蘸葱油,摩运儿之五心、头面、项背诸处,每处摩擦十数下,运完,以浓衣裹之,蒙其头,略疏微汗,但
不可令其大汗。此法最能疏通腠理,宣行经络,使邪气外出,不致久羁荣卫,而又不伤正气,诚良法也。
清里法 小儿发热至二三日,邪已入里,或乳食停滞,内成郁热。其候五心烦热,睡卧不宁,口渴多
啼,胸满气急,面赤唇焦,大小便秘。此为内热。以鸡蛋一枚,去黄取清,以碗盛之,入麻油约与蛋清等,
再加雄黄细末一钱,搅极匀;复以妇女乱发一团,蘸染蛋清,于小儿胃口拍之,寒天以火烘暖,不可冷用,自胸
口拍至脐轮止,须拍半时之久,仍以头发敷于胸口,以布扎之,一炷香久取下不用。一切诸热皆能退去。盖蛋
清能滋阴退热,麻油、雄黄拔毒凉肌故也。此身有热者用之,倘身无热,惟啼哭焦烦,神志不安者,不必蛋清,
专以麻油、雄黄、乱发拍之,仍敷胸口,实时安卧。此法多救危险之证,功难殚述。
解烦法 凡小儿实热之证,及麻疹毒盛热极,其候面赤口渴,五心烦热,啼哭焦扰,身热如火,上气喘
急,扬手掷足。一时药不能及,用水HT 一两,以鸡蛋清调匀,略稀,涂儿胃口及两手掌心;复以酿酒小曲十数
枚,研
烂,热酒和作二饼,贴两足心,布扎之。少顷,其热散于四肢,心内清凉,不复啼扰。
开闭法 凡小儿风痰闭塞,昏沉不醒,药不能入,甚至用艾火灸之,亦不知痛者,盖因痰塞其脾之大
络,截其阴阳升降之隧道也。原非死证,用生菖蒲、生艾叶、生姜、生葱各一握,共入石臼内捣如泥,以麻
油、好醋同前四味炒热,布包之,从头项背胸四肢,乘热往下熨之。其痰一豁,倏然而醒。此方不特小儿,凡闭
证皆效。
引痰法 凡小儿痰嗽,上气喘急,有升无降,喉中牵锯之声,须引而下行。用生白矾一两研末,少入
面粉,米粉亦可,盖生矾见醋即化成水,入面粉取其胶粘故也,好醋和作二小饼,贴两足心,布包之。一宿,
其痰自下。
暖痰法 凡小儿胸有寒痰,不时昏绝,醒则吐出如绿豆粉,浓浓而带青色。此寒极之痰。前法皆不
能化,惟以生附子一枚、生姜一两,同捣烂、炒热、布包,熨背心及胸前,熨完,将姜、附捻成一饼,贴于胃
口。良久,其痰自开。
纳气法 凡小儿虚脱大证,上气喘急,真气浮散,不得归元,诸药莫效。用吴茱萸五分、胡椒七粒、
五倍子一钱,研极细末,酒和作饼,封肚脐,以带扎之,其气自顺。
通脉法 凡小儿忽尔手足厥冷,此盖表邪闭其经络,或风痰阻其荣卫,又或大病之后,阳不布散于四肢。
速用生姜煨熟,捣汁半小杯,略入麻油调匀,以指蘸姜油,摩儿手足,往下搓挪揉捩,以通其经络,俟其热
回,以纸拭去之。凡小儿指纹滞涩,推之不动,急以此法推豁之。盖此法不论阴阳虚实,用之皆效。
定痛法 凡小儿胸中饱闷,脐腹疼痛,一时不能得药,用食盐一碗,锅内炒极热,布包之,向胸腹从
上熨下。盖盐走血分,最能软坚,所以止痛,冷则又炒又熨,痛定乃止。男妇气痛,皆用此法。
以上九法,非古书所有,实予异授心传,经验既久,神应无方,笔之于书,以公世用。
Chai Ge Gu Zhi Tang (Bupleurum and Kudzu Decoction with Cinnamon Twig) treats wind-cold injury in children presenting with spontaneous sweating and fever.
Tender Guizhi (Cinnamon Twig, 1 qian) Hang Baishao (White Peony Root, 1.5 qian) Bei Chaihu (Bupleurum Root, 1 qian) Fen Gan Ge (Kudzu Root, 1 qian) Zhi Gancao (Honey-fried Licorice Root, 8 fen) Lao Shengjiang (Old Ginger, 1 qian) Da Hongzao (Jujube, 5 pieces)
Decoct strongly in clean water and take hot.
Xing Xing San (Stupor-Dispelling Powder) See Volume 2, Section on Infant Cold Damage.
Ji Cheng Hang Xie Dan (Integrated Turbid-Dissolving Pill) See Volume 2, Section on Fetal Diseases.
Wu Ling San (Five-Ingredient Powder with Poria) See Volume 2, Section on Summerheat Injury.
Li Zhong Tang (Regulate the Middle Decoction) See Volume 2, Section on Infant Cold Damage.
Renshen Bai Hu Tang (Ginseng White Tiger Decoction) See Volume 2, Section on Summerheat Injury.
Diao Yuan Sheng Mai San (Regulate Origin and Generate Pulse Powder) treats summerheat injury causing fever in summer; it is used to support primordial qi.
Guan Jian Shen (Selected Ginseng Root, 6 fen) Zhi Huangqi (Honey-fried Astragalus Root, 1.5 qian) Hang Maidong (Ophiopogon Tuber, 1 qian) Bei Wuweizi (Schisandra Berry, 5 fen) Zhi Gancao (Honey-fried Licorice Root, 5 fen)
Add three slices of Lao Shengjiang (Old Ginger) and three Da Hongzao (Jujubes), decoct in water, and take warm.
Si Jun Zi Tang (Four Gentlemen Decoction) See Volume 3, Section on Malaria.
Dao Chi San (Direct Outward Redness Powder) See Volume 4, Section on Crying.
Liu Wei Di Huang Tang (Six-Ingredient Rehmannia Decoction) See Volume 1, Section on Fetal Diseases.
Liu Jun Zi Tang (Six Gentlemen Decoction) See Volume 3, Section on Convulsions.
Xie Qing Wan (Drain Green Pill) See Volume 4, Section on Crying.
Tuan Shen San (Clustered Ginseng Powder) See Volume 2, Section on Non-Convulsive Disorders.
Si Shun Qing Liang San (Four-Oriented Cooling and Clearing Powder) See Volume 4, Section on Abdominal Pain.
Shu Biao Fa (Method of Dispersing the Exterior) For pediatric fever, regardless of whether caused by wind-cold, food stagnation, or epidemic pox/rash, this method is suitable. Take a handful of Cong Bai (Scallion Stem), pound into a paste to extract juice, add a little Ma You (Sesame Oil), and mix well. Dip fingers in the scallion oil and massage the child's five centers (palms, soles, and chest), head, face, neck, and back. Rub each area more than ten times. After completion, wrap the child in thick clothing, cover the head, and induce slight sweating, but avoid profuse sweating. This method best opens the Cou Li (skin texture and pores), unblocks meridians, expels pathogenic factors outward, prevents them from lingering in Ying and Wei (nutritive and defensive levels), and does not damage healthy qi; it is indeed an excellent method.
Qing Li Fa (Method of Clearing the Interior) When pediatric fever persists for two to three days, pathogens have entered the interior, or milk/food stagnation has formed internal stagnant heat. Signs include heat in the five centers, restlessness during sleep, thirst with frequent crying, chest fullness with rapid breathing, red face with cracked lips, and constipation/difficulty in urination. This indicates internal heat. Take one egg, separate the white from the yolk, place the white in a bowl, add Ma You (Sesame Oil) equal in volume to the egg white, plus 1 qian of fine Xiong Huang (Realgar powder), and stir thoroughly. Take a clump of women's loose hair, dip it in the egg white mixture, and pat it on the child's stomach opening (epigastrium). In cold weather, warm it over fire; do not use cold. Pat from the chest down to the umbilicus for half an hour. Leave the hair-covered egg white on the chest and bind with cloth. Remove after the time equivalent to one incense stick. It can clear all types of heat. Egg white nourishes yin and clears heat; Ma You (Sesame Oil) and Xiong Huang (Realgar) draw out toxins and cool the skin. Use this for those with body heat. If there is no body heat, only crying, irritability, and restless spirit, omit the egg white; use only Ma You (Sesame Oil), Xiong Huang (Realgar), and loose hair for patting, still applied to the chest, leading to immediate calm sleep. This method often saves critical conditions; its merits are too numerous to recount.
Jie Fan Fa (Method of Resolving Restlessness) For pediatric excess heat syndromes, or severe heat from measles toxin, presenting with red face, thirst, heat in the five centers, irritable crying, body heat like fire, rapid upper jiao breathing, and flailing limbs. If medicine cannot be administered immediately, take 1 liang of Zhu Sha (Cinnabar, water-ground), mix with egg white to a slightly thin consistency, apply to the child's epigastrium and both palms. Grind ten or more pieces of Jiu Qu (Fermented Rice Grain), mix with hot wine to form two cakes, and apply to both sole centers (Yongquan points). Bind with cloth. Soon, heat disperses to the four limbs, the heart feels cool, and crying/restlessness ceases.
Kai Bi Fa (Method of Opening Obstruction) For pediatric wind-phlegm obstruction causing coma and unconsciousness where medicine cannot enter, or even moxibustion causes no pain sensation. This is due to phlegm blocking the large collaterals of the Spleen, cutting off the pathways of Yin-Yang ascent and descent. It is not necessarily a fatal condition. Take raw Chang Pu (Acorus Rhizome), raw Ai Ye (Mugwort Leaf), raw Sheng Jiang (Fresh Ginger), and raw Cong Bai (Scallion Stem), one handful each. Pound together in a stone mortar until pasty. Stir-fry these four ingredients with Ma You (Sesame Oil) and good vinegar until hot. Wrap in cloth and iron/moxa-warm from head, neck, back, chest, and limbs downwards while hot. Once phlegm is resolved, the child wakes suddenly. This formula is effective not only for children but for all obstruction syndromes.
Yin Tan Fa (Method of Guiding Phlegm Downward) For pediatric phlegm cough with rapid upper jiao breathing, ascending without descending, and sawing sounds in the throat. The phlegm must be guided downward. Grind 1 liang of Sheng Bai Fan (Raw Alum) into powder, add a small amount of flour (rice flour is also acceptable, as alum turns to liquid upon contact with vinegar; flour provides viscosity). Mix with good vinegar to form two small cakes, apply to both sole centers, and bind with cloth. After one night, the phlegm naturally descends.
Nuan Tan Fa (Method of Warming Phlegm) For pediatric cold-phlegm in the chest causing intermittent syncope, where upon waking, the child vomits substance resembling mung bean powder, thick and greenish. This is extreme cold phlegm. Previous methods cannot resolve it. Use one piece of Sheng Fu Zi (Raw Aconite Lateral Root) and 1 liang of Sheng Jiang (Fresh Ginger). Pound together, stir-fry until hot, wrap in cloth, and iron/warm the back and anterior chest. After ironing, roll the ginger and aconite into a cake and apply to the epigastrium. After a long while, the phlegm naturally dissipates.
Na Qi Fa (Method of Gathering Qi) For pediatric collapse syndromes with rapid upper jiao breathing, floating and scattering of true qi that fails to return to its root, where various medicines fail. Grind Wu Zhu Yu (Evodia Fruit, 5 fen), Hu Jiao (Black Pepper, 7 grains), and Wu Bei Zi (Galla Chinensis, 1 qian) into extremely fine powder. Mix with wine to form a cake, seal onto the navel, and bind with a belt. The qi will naturally smooth out.
Tong Mai Fa (Method of Unblocking Vessels) For sudden cold extremities in children. This may be due to exterior pathogens closing the meridians, wind-phlegm obstructing Ying and Wei, or post-major illness where Yang qi fails to distribute to the four limbs. Quickly roast fresh ginger until cooked, pound to extract half a small cup of juice. Add a little Ma You (Sesame Oil) and mix well. Dip fingers in the ginger-oil mixture and massage the child's hands and feet, rubbing and kneading downwards to unblock meridians. When warmth returns, wipe away with paper. For children with sluggish finger veins that do not move when pushed, urgently use this method to push them open. This method is effective regardless of Yin/Yang or deficiency/excess.
Ding Tong Fa (Method of Stabilizing Pain) For pediatric chest fullness and abdominal pain where medicine is unavailable. Take one bowl of Yan (Salt), stir-fry in a pan until extremely hot, wrap in cloth, and iron/warm the chest and abdomen from top to bottom. Salt enters the blood level and is best at softening hardness, thus relieving pain. Reheat and iron if it cools down, stopping only when pain resolves. This method is used for qi pain in both men and women.
The above nine methods are not found in ancient books; they are actually unique teachings passed down to me through experience. Having been tested for a long time with miraculous efficacy, I record them here to share with the world for public use.