骨者髓之所养小儿血气不充则髓不满骨故软弱不能行抑亦肾肝俱虚得之肝主筋弱而不能
束也
地黄丸 方见肾肝门加牛膝五加皮酒炙鹿茸
虎胫骨(酒炙) 生干地黄 酸枣仁(酒浸去皮炒香) 辣桂 白茯苓 防风 当归 川芎
牛膝(等分)
上末每服一钱半以粥饮调次入好酒二点再调食前服日二剂
鲫鱼方 治小儿白秃
鲫鱼一尾重三四两者去肠肚以乱发填满湿
雄黄
上用末生麻油调敷先以蒸水洗拭后用药
又方 桑榆白皮为末醋调敷
又方 练 皮烧猪脂调敷
又方 蛇皮烧存性为末猪膏调敷
漏疮方 炼成松脂末并发灰生号丹填敷
诸疮久不瘥方
白胶香(半两碾末) 轻粉(二钱研和猪膏付或猪筒骨髓调白胶香即是松脂亦治大风以松脂熔炼
投冷水中) 为末水调空心常服
瘭疮方 治卒得瘭疮赤烂牛粪烧灰研细敷
鱼脐疮方 疮头黑深破之黄水出四畔浮浆
蛇蜕皮烧存性细研鸡子清调敷
蠼 疮方 燕窠土研细猪脂调敷
癣方
水银(一分) 胡粉(二分水研入鸡冠血敷)
前甲散 治小儿眉丛中生疮名曰炼银疮
穿山甲前膊鳞炙焦为细末麻油轻粉调付敷
仁斋云小儿三部脉洪数往来大小不应指而疾速者为痘疮
丹溪以耳后有红筋赤缕者为痘
陈文中曰小儿在胎之时乃母五脏所养成形也其母不畏禁忌恣意所欲加添滋味好啖辛酸或
食毒物其气抟于胞胎之中所以小儿在胞胎之时受得
此毒名曰三秽液毒今痘疮者是三秽液毒所出也丹溪云其始发与伤寒相类故发热烦躁脸赤唇红
身痛头疼乍凉乍热喷嚏呵欠咳嗽痰涎有因伤风伤寒而得者有因伤食呕吐而得者有因跌扑惊恐
蓄血而得者或为撺眼噤牙惊搐如风之证或口舌咽喉肚腹疼痛之状疮从口腹中出故痛耳或为烦
躁狂闷谵语之形或自汗或下利或发热或不发热证候多端卒未易辨亦须以耳冷足冷 冷验之盖
谓疮疹属阳肾脏无证耳与 足俱属于肾故肾之部位独冷也然五脏三液所发各有一证心为红点
以心主血色赤而小肝为水泡以泪出如水色赤而瘥大肺为脓泡以涕稠浊色白而大脾主结痂其色
微黄惟肾不容毒归肾变黑则死矣大抵天地万物遇春而生至夏而长乃阳气熏蒸故得生成者也今
痘疮之病脏腑调和血气充实自然易出易靥盖因外常和暖内无冷气之所由也故曰春夏为顺秋冬
为逆此言大略耳凡先发搐而后痘者生疮已瘥而后风者死或吐或泻者死先发热自利而后疮出
者存疮已发而后泄泻不止者亡疮黑而忽泻脓血痂皮者顺腹中有疮也泻血而水谷不消者逆脾胃
虚也
或泻血而疮坏无脓者死胃烂也钱氏曰一发便出尽者重疮夹疹者半轻半重出稀者轻外黑里白者
微
重也外白里黑者大重也疮端里黑如针孔者势剧也青干紫陷睡昏汁出不止燥热渴胀啼喘大小便
不通者困也调护之法解毒和平安表而已虚者益之实者损之冷者温之热者平之是为权度借喻
而言譬如龙炊之法但欲其松耳亦须谨避风寒使之气体和通其于粥饵则勿令饱而气实饥而内
虚如此在疮家垂意焉
Bone is nourished by marrow. If a child's blood and qi are not sufficient, the marrow cavity will be incomplete, causing the bones to be weak and unable to support walking; this is also due to the deficiency of both the Liver and Kidney. The Liver governs the sinews; if the Liver is deficient, the sinews become weak and fail to constrain the bones.
Dihuang Wan (Rehmannia Pill): See the formula in the "Liver and Kidney Section," added with Niuxi (Achyranthes Root), Wujia Pi (Eucommia Bark), Jiuzhi Lurong (Wine-processed Deer Antler), Hu Jinggu (Tiger Tibia Bone, wine-processed), Sheng Gan Dihuang (Raw Dried Rehmannia Root), Suanzaoren (Ziziphus Seed, wine-soaked, skin removed, fried until fragrant), La Gui (Cinnamon Twig), Bai Fuling (Poria), Fangfeng (Saposhnikovia Root), Danggui (Angelica Sinensis), Chuanxiong (Ligusticum Chuanxiong), and Niuxi (Achyranthes Root) in equal parts.
Grind the above herbs into fine powder. Take 1.5 qian per dose, mix with rice broth, add two drops of good wine, stir well, and take before meals, twice daily.
Jiyu Fang (Crucian Carp Formula): Treats pediatric white tinea capitis (white scaly patches on the scalp).
Take one crucian carp weighing three or four liang, remove the intestines and viscera, fill with tangled hair, and cover with wet Xionghuang (Realgar).
Apply the above powder mixed with raw sesame oil to the affected area. First wash the area with steam water, then apply the medicine.
Another formula: Apply Sangyu Baipi (White bark of Mulberry and Elm trees) ground into powder, mixed with vinegar.
Another formula: Apply Lianpi (Processed leather/skin) charred and preserved, mixed with pig fat.
Another formula: Apply Shepi (Snake skin) charred and preserved, ground into powder, mixed with pig grease.
Lou Chuang Fang (Fistula Ulcer Formula): Apply Lian Cheng Songzhi (Refined Pine Resin) powder, combined with Fa Hui (Hair Ash) and Sheng Hao Dan, filled and applied.
Zhuchuang Jiu Bu Chai Fang (Formula for Chronic Ulcers Not Healing):
Baijiaoxiang (White Rosin, half liang, ground into powder), Qingfen (Calomel, two qian, ground together), applied with pig fat, or Baijiaoxiang (which is Songzhi/Pine Resin) mixed with Zhu Tong Suishui (Pig Marrow from the bone tube). Note: Songzhi is also used for treating severe wind diseases; melt the pine resin and pour it into cold water.
Grind the above into powder, mix with water, and take regularly on an empty stomach.
Biao Chuang Fang (Agonizing Ulcer Formula): Treats sudden onset of agonizing ulcers with redness and erosion. Burn cow dung to ash, grind finely, and apply.
Yu Qi Chuang Fang (Fish Umbilicus Ulcer Formula): The ulcer head is black and deep; upon rupture, yellow fluid flows out with floating foam around the edges.
Burn Shed Snake Skin (She Tuipi) until charred but preserved, grind finely, and apply mixed with egg white.
Qu Sou Chuang Fang (Earwig Ulcer Formula): Grind Yan Ke Tu (Soil from swallow nests) finely, mix with pig fat, and apply.
Xuan Fang (Tinea/Ringworm Formula):
Shuiyin (Mercury, one fen), Hufen (Lead Carbonate, two fen, ground with water, mixed with Chicken Guan Xue/Coqbin Blood) and apply.
Qianjia San (Anterior Scale Powder): Treats sores growing in the eyebrow cluster of children, named Lian Yin Chuang (Smelting Silver Ulcer).
Roast the anterior arm scales of Chanshanjia (Pangolin Scales) until scorched, grind into fine powder, and apply mixed with Sesame Oil and Qingfen (Calomel).
Chen Wuze said: When the pulse at the three positions (Cun, Guan, Chi) in children is surging and rapid, varying in size, not responding to the finger pressure, and swift, this indicates Dou Chuang (Smallpox).
Zhu Danxi stated that red veins and threads behind the ear are signs of Smallpox.
Chen Wenzhong said: While in the womb, the fetus is formed and nurtured by the mother's five zang organs. If the mother disregards taboos, indulges her desires, adds rich flavors, prefers sour and pungent tastes, or consumes toxic substances, these energies condense within the fetal sac. Thus, while in the womb, the child receives this toxin, known as San Hui Ye Du (Three Filthy Fluid Toxin). What we now call Smallpox is the eruption of this Three Filthy Fluid Toxin. Zhu Danxi said that its initial onset resembles Shang Han (Cold Damage); thus, symptoms include fever, irritability, red face, red lips, body pain, headache, alternating chills and heat, sneezing, yawning, coughing, and phlegm. It may be contracted due to Wind-Cold or Cold Damage, food stagnation with vomiting, falls, fright, or blood stasis. Symptoms may include eye protrusion, locked jaw, convulsions resembling wind syndrome, or pain in the mouth, tongue, throat, and abdomen. Since the sores emerge from the mouth and abdomen, they cause pain. There may also be irritability, mania, delirium, spontaneous sweating, diarrhea, fever, or absence of fever. The manifestations are diverse and difficult to distinguish abruptly. One must verify using cold ears, cold feet, and cold hands. Generally, rashes belong to Yang. If the Kidney has no disease, since the ears and feet belong to the Kidney, the Kidney's region alone feels cold. However, each of the five zang organs and three fluids manifests differently: the Heart presents as red spots (as the Heart governs blood, red and small); the Liver presents as water blisters (as tears flow like water, red and large); the Lung presents as pus-filled blisters (as nasal discharge is thick and turbid, white and large); the Spleen governs scabbing, which is slightly yellow; only the Kidney cannot tolerate toxins—if it turns black, death ensues. Generally, all things under heaven and earth sprout in Spring and grow in Summer due to the steaming of Yang Qi. In the case of Smallpox, if the zang organs are harmonious and blood and qi are abundant, eruption and crusting occur naturally because the exterior is warm and there is no internal cold. Hence, it is said that Spring and Summer are favorable, while Autumn and Winter are unfavorable. This is a general principle. Those who have convulsions first and then eruptive sores survive; those who develop wind symptoms after the sores heal die. Those who vomit or have diarrhea die. Those who have fever and spontaneous diarrhea before eruption survive. Those whose diarrhea continues incessantly after eruption perish. If the sores turn black and suddenly discharge pus, blood, and crusts, it is favorable, indicating sores in the abdomen. If there is bloody diarrhea with undigested food, it is unfavorable, indicating Spleen and Stomach deficiency.
Qian Yi said: Eruption appearing all at once is severe; sores accompanied by macules are moderately severe; sparse eruption is mild; black outside and white inside is slightly severe; white outside and black inside is very severe; black like a needle hole at the tip of the sore indicates critical condition; green, dry, purple, sunken sores, lethargy, unceasing exudate, dryness, heat, thirst, distension, crying, panting, and obstruction of urination and defecation indicate exhaustion. The method of care involves detoxification, harmonization, peaceful surface-releasing, etc. For deficiency, tonify; for excess, reduce; for cold, warm; for heat, cool. These are principles expressed metaphorically. Like the method of cooking dragon meat, one merely desires it to be loose. One must also strictly avoid Wind and Cold to ensure the body's qi and blood flow smoothly. Regarding gruel and food, do not let the child become full and qi-excessed, nor hungry and internally deficient. Thus, caregivers of such patients should pay attention to these details.