《惠眼》防己丸 治疳嗽不止。
汉防己 牵牛子 马兜铃(炒) 甜葶苈(别研。各等分)
上为末,煮枣肉为丸,如绿豆大。每服十丸,煎糯米饮下。与温肺散相间服。
温肺散
栝蒌根(半两) 甘草(炙,二钱半)
上为末。每服一钱,蜂蜜熟水调下。
小儿肺疳,多是吃着热米食及病奶,伤损心肺,便生喘嗽,愚医不辨冷热,以药攻
之,变成黄肿,渐觉昏沉,宜服
杏仁散
杏仁(十四粒) 甘草 款冬花(各二钱) 麝香 胡黄连(各一钱) 半夏(汤泡九次,半两)
上件为末。每服一字,枣汤调下,日进二服。
〔茅〕其候面带青黄色,身瘦,肚膨胀,头发立,身热,肚中微痛,此因疳盛而
传为此候,治之先用匀气散、醒脾散(二方并见不乳食)调理二日后,下青金丹(癖)取下疳积,
再下匀气、醒脾散补,常服保童丸(一切疳)即愈。《玉诀》云∶疳气腹胀潮热,先与调胃
气,后与取虚积药,次服疳药。
钱乙牛黄丸 治小儿疳积。
雄黄(研,水飞) 天竺黄(各二钱) 牵牛(末,一钱)
上同再研,面糊为丸,粟米大。每服三丸至五丸,食后薄荷汤下。兼治疳消积,
常服尤佳,大者加丸数。
〔张涣〕褐丸子 治小儿疳气,腹胀如鼓,及奶癖食癖。
萝卜子(一两半,炒) 黑牵牛(一两,炒) 胡椒(二钱半) 木香 莪术(湿纸裹煨,切作片子。各半两)
上为细末,面糊为丸,黍米大。每服二十丸,煎仙人骨汤下。
换骨丹
陈粟米(一合) 陈橘皮(锉) 青皮(锉) 黑牵牛(各半两) 巴豆(去壳,二钱半)
上件一处同炒令焦黄色,拣去巴豆不用,却入木香半两,为细末,面糊为丸,
黍米大。每服十丸,橘皮汤下。
庄氏参苓散 治小儿因积成疳,久致脾胃虚弱,不思饮食。
人参 茯苓 川芎(各一两) 甘草 芍药 黄 (各半两) 青皮(去白,二钱半)
上为细末,每服一钱,水一小盏,煎至五分,去滓温服。
香甲丸 治小儿积疳,潮热盗汗,羸瘦烦渴,手足心热,服之皆效,轻骨长肌。蔡
梦祥家寿翁苦黄瘦不食,多汗喜叫哭,服之效。
木香(二钱半) 鳖甲(去裙 ,醋炙) 槟榔 使君子肉 柴胡(去芦) 黄连(去须。各半两)
上为末, 猪胆汁和丸,绿豆大。每服二十丸,日中、临卧米饮下。久发潮热,
多汗无力者服之,即效。
〔赵氏〕青蒿丸 疗小儿久积疳气,日渐羸瘦,面黄头发作穗,好食土、咬指甲、捻
鼻,兼治骨蒸劳热,及取疳虫,退诸藏积热,小儿常服,遍身香为效。
白槟榔(一枚) 白芜荑(四十九个) 黄连(去须,十四茎) 夜明砂(淘净,二钱半。以上为末) 太阴玄精
石麝香 小葱子(炒) 朱砂(各半钱) 芦荟 天竺黄 青黛(各一钱)
上将后七味同研细,与前四味一处再研匀,令极细,取青蒿自然汁慢火熬浓,
仍用 猪胆一枚取汁同搜药,丸如粟米大。每服五丸至七丸,并用米饮下,酽醋
汤亦得,取疳虫煎醋石榴汤下,二十服取尽虫。
〔吉氏〕治五疳伤积方
芜荑 黄连(各一两) 神曲(半两) 使君子(连壳,十四个) 鹤虱(少许)
末之,猪胆调面糊为丸,绿豆大。每服十丸,米饮下。
青金膏 治疳积
青黛 朱砂 芦荟 蟾酥(各一钱) 麝香(半钱) 蜣螂(一枚) 蛇皮(项后,四寸)
上为末,水化酥,丸如粟米大。每服两丸,倒流水送下。又水化一丸注于鼻中,
须臾眉上白,虫出便安,青难治。
豆蔻散 治疳积或冷利,腹大脚小,身热面无颜色。
肉豆蔻(二个) 胡黄连(一钱) 使君子(四枚) 青黛 楝根 芜荑 浓朴(姜汁,炙) 甘草(炙。
各半两) 麝香(少许) 夜明砂(一钱半,别研)
上末。每服一钱或半钱,蜜水或粥饮调下。
知母散 治诸般疳积,肚胀无时泻痢,或时壮热,状如疟疾,大效。
知母 青皮(去白焙干秤) 柴胡(各二钱) 甘草(炙) 紫参(各三钱) 诃子(煨熟用肉,三枚)
上为细末。每服一钱,水五分煎至三分,温服。有热则退,有痢则除,有结则通。
《正传》经验槟榔丸 治小儿疳病,积气成块,腹大有虫等证。其效如神。
槟榔(一两) 三棱(燎去毛,切,醋炒) 蓬莪术(醋炒) 青皮(去穣,麸炒黄色) 陈皮(去白) 雷丸 干
漆(炒烟尽) 麦 面(炒) 神曲(炒黄色) 山楂肉(各半两) 鹤虱(略炒) 木香(不见火) 甘草(炙) 胡
黄连(各三钱) 芜荑(水洗净,二钱半) 良姜(陈壁土炒,二钱) 砂仁(一钱)
上为细末,醋糊为丸,如绿豆大。每服三五十丸,空心、淡姜汤下。
Huiyan Fangji Wan: Treats persistent gan cough (cough caused by gan accumulation).
Hanfangji, Qianniuzi, Madouling (stir-fried), Tiantingli (separately ground; equal parts of each).
Grind the above into powder, use boiled jujube flesh as a binder to make pills the size of mung beans. Take ten pills per dose, swallowed with decoction of glutinous rice. Alternate administration with Wenfei San.
Wenfei San:
Gualougen (half tael), Gancao (roasted, two qian and half).
Grind the above into powder. Take one qian per dose, mixed with honey and warm water before swallowing.
Pediatric lung gan is mostly caused by consuming hot rice food and sick milk, damaging the heart and lungs, leading to wheezing and coughing. Ignorant physicians fail to distinguish between cold and heat, using purgative medicines, which transforms the condition into yellow edema, gradually causing drowsiness. It is appropriate to take Xingren San.
Xingren (fourteen grains), Gancao, Kuandonghua (two qian each), Shexiang, Huhuanglian (one qian each), Banxia (soaked in boiling water nine times, half tael).
Grind the above ingredients into powder. Take an amount equivalent to "yi zi" per dose, mixed with jujube soup, twice daily.
[Mao] The symptoms present as a cyan-yellow complexion, emaciation, abdominal distension, erect hair, fever, and slight abdominal pain. This occurs when gan excess transmits to this syndrome. Treatment should first regulate qi with Yunqi San and Xingpi San (both formulas are found under "refusal to suckle") for two days, then administer Qingjin Dan (Pi) to purge gan accumulation, followed by Yunqi San and Xingpi San for tonification. Regularly taking Baotong Wan (for all types of gan) will lead to recovery. *Yu Jue* states: For gan qi abdominal distension and tidal fever, first administer stomach-regulating medicine, then medicine to remove deficiency accumulation, and subsequently gan-treating medicine.
Qian Yi Niuhuang Wan: Treats pediatric gan accumulation.
Xionghuang (ground, wet-panned), Tianzhuhuang (two qian each), Qianniu (powdered, one qian).
Grind together again, bind with wheat paste to make pills the size of millet seeds. Take three to five pills per dose after meals, washed down with mint tea. Also treats gan wasting and accumulation; regular use is especially beneficial. Increase dosage for larger patients.
[Zhang Huan] He Wan: Treats pediatric gan qi, abdominal distension like a drum, as well as milk pi and food pi.
Luobozhi (one tael and half, stir-fried), Heiqianniu (one tael, stir-fried), Hujiao (two qian and half), Muxiang, Ezhu (wrapped in wet paper and roasted, sliced; half tael each).
Grind into fine powder, bind with wheat paste to make pills the size of broomcorn millet. Take twenty pills per dose, washed down with Xianren Gu Tang.
Huangu Dan:
Chensumi (one he), Chenjuapi (chopped), Qingpi (chopped), Heiqianniu (half tael each), Badou (shelled, two qian and half).
Stir-fry all ingredients together until scorched yellow, remove and discard the Badou, then add Muxiang (half tael). Grind into fine powder, bind with wheat paste to make pills the size of broomcorn millet. Take ten pills per dose, washed down with juapi soup.
Zhuang Shi Shenling San: Treats pediatric gan resulting from accumulation, long-term spleen and stomach weakness, and loss of appetite.
Renshen, Fuling, Chuanxiong (one tael each), Gancao, Shaoyao, Huangqi (half tael each), Qingpi (peeled, two qian and half).
Grind into fine powder. Take one qian per dose, decoct with one small cup of water until reduced to half a cup, strain, and take warm.
Xiangjia Wan: Treats pediatric ji-gan, tidal fever, night sweats, emaciation with irritability and thirst, and heat in the palms and soles. Effective for all these conditions, promoting lightness of body and muscle growth. Shouweng of Cai Mengxiang's family suffered from sallow emaciation, anorexia, excessive sweating, and crying; effective upon administration.
Muxiang (two qian and half), Biejia (remove skirt edge, vinegar-roasted), Binglang, Shijunzirou, Chaihu (remove rhizome), Huanglian (remove whiskers; half tael each).
Grind into powder, mix with pig bile to make pills the size of mung beans. Take twenty pills per dose at noon and before bed, washed down with rice drink. Effective for prolonged tidal fever, excessive sweating, and weakness.
[Zhao Shi] Qinghao Wan: Treats pediatric long-standing ji-gan qi, progressive emaciation, yellow face, hair forming tufts, pica (eating earth), nail-biting, nose-picking. Also treats bone-steaming labor fever, expels gan worms, clears heat from various organs. Regular use by children results in a fragrant body odor, indicating efficacy.
Bai Binglang (one piece), Bai Wuyi (forty-nine pieces), Huanglian (remove whiskers, fourteen stems), Yemingsha (washed clean, two qian and half; grind these four into powder first), Taiyin Xuanjingshi, Shexiang, Xiaocongzi (stir-fried), Zhusha (half qian each), Lvhua, Tianzhuhuang, Qingdai (one qian each).
First grind the latter seven ingredients finely, then mix with the former four and grind uniformly until extremely fine. Take natural juice of Qinghao, simmer slowly until concentrated. Mix with juice from one pig gallbladder to form pills the size of millet seeds. Take five to seven pills per dose, washed down with rice drink; strong vinegar soup is also acceptable. To expel gan worms, wash down with vinegar pomegranate soup; after twenty doses, worms are expelled.
[Ji Shi] Formula for treating Five Gans injuring accumulation:
Wuyi, Huanglian (one tael each), Shenqu (half tael), Shijunzi (with shell, fourteen pieces), Quesha (a little).
Grind into powder, mix with pig bile and wheat paste to make pills the size of mung beans. Take ten pills per dose, washed down with rice drink.
Qingjin Gao: Treats gan accumulation.
Qingdai, Zhusha, Lvhua, Chansu (one qian each), Shexiang (half qian), Pianlang (one piece), Shepi (from neck area, four cun).
Grind into powder, dissolve butter in water, form pills the size of millet seeds. Take two pills per dose, washed down with flowing-backward water. Alternatively, dissolve one pill in water and instill into the nose; within moments, white substance appears on eyebrows, worms exit, and peace ensues. If greenish, it is difficult to treat.
Doukou San: Treats gan accumulation or cold diarrhea, large abdomen with small legs, fever, and pale complexion.
Roudoukou (two pieces), Huhuanglian (one qian), Shijunzi (four pieces), Qingdai, Lian gen, Wuyi, Houpo (fried with ginger juice), Gancao (roasted; half tael each), Shexiang (a little), Yemingsha (one qian and half, separately ground).
Grind into powder. Take one qian or half qian per dose, mixed with honey water or gruel drink.
Zhimu San: Treats various types of gan accumulation, intermittent abdominal distension and dysentery, occasional high fever resembling malaria; highly effective.
Zhimu, Qingpi (peeled, dried, and weighed), Chaihu (two qian each), Gancao (roasted), Zishen (three qian each), Hezi (roasted until ripe, use flesh, three pieces).
Grind into fine powder. Take one qian per dose, decoct with five fen of water until reduced to three fen, take warm. Clears heat, stops dysentery, resolves stagnation.
Zhengchuan Jingyan Binglang Wan: Treats pediatric gan disease, accumulation qi forming masses, abdominal distension with worms, etc. Effect is miraculous.
Binglang (one tael), Sanleng (scorched to remove hairs, sliced, vinegar-fried), Peng'e zhu (vinegar-fried), Qingpi (pulp removed, bran-fried to yellow), Chenpi (peeled), Leiwan, Ganqi (stir-fried until smoke ceases), Mai mian (fried), Shenqu (fried to yellow), Shanzha rou (half tael each), Quesha (lightly fried), Muxiang (do not burn), Gancao (roasted), Huhuanglian (three qian each), Wuyi (washed clean, two qian and half), Liangjiang (fried with old wall soil, two qian), Sharen (one qian).
Grind into fine powder, bind with vinegar paste to make pills the size of mung beans. Take thirty to fifty pills per dose on an empty stomach, washed down with mild ginger soup.