感冒病时触惊异,心惊胆怯睡不安,身热烦躁面青赤,疏解散与凉惊丸,和以柴胡温胆
剂,宁神定志效通仙。
【注】小儿感冒邪气未解,复为惊异所触,故见斛惊胆怯,睡卧不安,身热烦躁,面色
青赤之证。先以疏解散疏散之,再以凉惊丸清镇之。如病虽退,尚觉心惊不寐者,宜用
柴胡温胆汤和解之。
疏解散
羌活 苏叶 防风 枳壳(麸炒) 桔梗 前胡 赤芍 杏仁(炒去皮尖) 僵蚕(炒) 甘草(生)
黄连(酒炒)
引用生姜,水煎服。
【方歌】疏解散治感冒惊,羌活苏叶及防风,枳桔前胡黄连芍,杏仁僵蚕甘草同。
凉惊丸
柴胡温胆汤
柴胡 陈皮 半夏(姜制) 茯苓 甘草(生) 竹茹 枳实(麸炒)
引用生姜,水煎服。
【方歌】柴胡温胆感冒惊,病后余邪尚未宁,柴胡陈半茯苓草,竹茹枳实姜用生。
温病伤寒传变同,感寒即病伤寒名,冬受寒邪春复感,因感而发温病成,至夏感发为热病,逐户相传
乃天行,四时不正为时气,痧疹瘟 要详明。
【注】瘟病之传变与伤寒无异,有冬感于寒而即病者,名曰伤寒。有冬伤于寒而未即
病者,寒邪藏于肌肤之内,伏于荣卫之间,至春复感春风,发为温病;到夏复感暑热,发
为热病。若逐户阖门老幼相传,乃天行瘟疫,其害更烈。或春夏应暖热而反寒,秋冬应寒
凉而反热,此时四时不正之气,名曰时气,相感为病,亦与伤寒同其治也。其间或发 、发
痧、发疹,要当详明其证,治法在后。
When a child suffers from a common cold (common cold) and is simultaneously startled by strange objects or events, symptoms such as fright, timidity, and restless sleep may occur. These are accompanied by fever (fever), irritability, and a cyanotic-red complexion. Treatment should first employ Shusan San (Dispersing Decoction) to release the exterior, combined with Liangjing Wan (Cooling Fright Pill) to clear heat and settle fright, followed by Chaihu Wendan Tang (Bupleurum and Pinellia Decoction for Harmonizing the Gallbladder) to calm the spirit and stabilize the will, yielding miraculous efficacy.
[Note] When the pathogenic factors of a pediatric common cold have not yet resolved, and the child is further triggered by fright or strange stimuli, symptoms such as fright, timidity, restless sleep, fever, irritability, and a cyanotic-red complexion manifest. Initially, Shusan San is used to disperse the pathogenic factors, followed by Liangjing Wan to clear the heart and settle fright. If the illness subsides but the child still experiences palpitations and insomnia, Chaihu Wendan Tang is indicated to harmonize the Shaoyang and regulate the stomach.
Shusan San
Herbs: Qianghuo (Notopterygii Rhizoma et Radix), Suye (Perillae Folium), Fangfeng (Saposhnikoviae Radix), Zhike (Aurantii Fructus Immaturus, bran-fried), Jiegeng (Platycodonis Radix), Qianhu (Peucedani Radix), Chishao (Paeoniae Radix Rubra), Xingren (Armeniacae Semen Amarum, stir-fried, skin and tip removed), Jiangcan (Bombyx Batryticatus, stir-fried), Gancao (Glycyrrhizae Radix et Rhizoma, raw), Huanglian (Coptidis Rhizoma, wine-fried).
Administration: Use fresh ginger as a guide herb, decoct in water, and take orally.
[Formula Song] Shusan San treats common cold complicated by fright; it contains Qianghuo, Suye, and Fangfeng. Also included are Zhike, Jiegeng, Qianhu, Huanglian, and Chishao, along with Xingren, Jiangcan, and Gancao.
Liangjing Wan
(Formula name only listed in source text)
Chaihu Wendan Tang
Herbs: Chaihu (Bupleuri Radix), Chenpi (Citri Reticulatae Pericarpium), Banxia (Pinelliae Rhizoma, ginger-processed), Fuling (Poria), Gancao (Glycyrrhizae Radix et Rhizoma, raw), Zhuru (Bambusae Caulis in Taenia), Zhishi (Aurantii Fructus Immaturus, bran-fried).
Administration: Use fresh ginger as a guide herb, decoct in water, and take orally.
[Formula Song] Chaihu Wendan Tang treats common cold complicated by fright; residual pathogens remain unsettled after illness. It contains Chaihu, Chenpi, Banxia, Fuling, and Gancao, along with Zhuru and Zhishi, using raw fresh ginger.
The transmission patterns of warm diseases (warm disease) and cold damage (cold damage) are identical. Illness that manifests immediately upon exposure to cold is termed cold damage. Cold damage contracted in winter but not immediately manifesting involves cold pathogens hiding within the skin and muscles, lying dormant between the Ying (nutritive) and Wei (defensive) levels; when spring wind strikes again, it develops into a warm disease. If summer heat strikes in summer, it develops into a heat disease. If the illness spreads household to household, affecting young and old alike, it is termed Tianxing plague (epidemic plague), which is more severe. Alternatively, if spring and summer are unexpectedly cold, or autumn and winter unexpectedly hot, this abnormal Qi of the four seasons is termed Shiqi (seasonal qi). Contracting this Qi causes illness, treated similarly to cold damage. Among these, manifestations such as macules (macule), sand-rash (sand rash), and urticaria-like rashes (urticaria) must be clearly differentiated; treatment methods follow later.