调理小儿肿胀作喘气短促急坐卧不任四体浮肿饮食呕逆神困喜睡宜服分气饮子良方
五味子 桔梗 白茯苓 甘草(炙) 陈橘皮 桑白皮 草果(去壳) 大腹皮 白术 枳
壳(去穣切炒) 川当归 紫苏 苏子 半夏曲
上等分 咀每服二大钱匕水小盏生姜二小片枣子半个煎至半去滓通口不拘时候兼八味理中丸煎服
以上宜用救生丹通利
议曰清浊无混邪正不干上焦得之清凉下部受之温暖气滞则少升降血虚则多流注虽是乳子呼
吸一息其脉有至徐徐应指不违其数者亦同大人流行但随小大受之短浅而已若也留滞其脉迟数
大过不及者有作善主疗治郁则分之逆则顺之停则利之滞则降之调理之法先宜以顺其气大抵婴
孩气顺即易治脉壮亦易理证候梢传郁逆停滞当以先明不待传入而后究竟此方分气预宜进益与
分水谷之分者不同为用明者察之致迂曲
治小儿气虚喘息四肢浮肿腹肚胀急冲满胁肋乍热乍寒或泻或秘皆由久停虚积荣卫不顺
宜用推去其恶毒之气神功救生丹良方
雄黄(令研) 朱砂(各一分令研) 巴豆(二十一粒去壳) 干姜(二钱)
上用水醋一盏以巴姜就煮令干去姜不用将巴出油和推朱研匀雪糕搜丸如麻子大每一岁三
丸并用酒浸赤为药以少许送下
议曰夫幼幼受疾其来发端无过惊风痰热疳积吐利而已前贤众多述论症候编者方药究竟推详各
有确实奥见其有无辜疳积异作症候着千篇集或有罕见其症未详其理者尽世难测难知如龟胸决
肋猢狲禁是也又复有坏症恶候自服诸家丸散轻重桐投愈之不得全功疾之加为他害提脾风之类
是也悠悠既久方法何宜学医之士遇此等病未尝告辞而屈若能此附触类调理虽则未效犹尚庶几
多是肆臆勉强而为稍或得失利害甚重今议救生丹方载谭氏所疗无辜积
议效验至良晚进后生闻而知之且惊且喜盖渠未尝知用若也参究而又意到即参功以副全
功然后乃谓神乎微乎其妙至理医工于此等症候须当至诚施设活幼起孩十举十全百发百中矣
To regulate pediatric edema causing wheezing, shortness of breath with rapid respiration, inability to sit or lie comfortably, generalized edema of the four limbs, vomiting and regurgitation of food, mental fatigue, and excessive sleepiness, it is appropriate to administer Fenqi Yinzi (Qi-Dividing Decoction).
Schisandrae Fructus (Wuweizi), Platycodonis Radix (Jiegeng), Poria (Fuling), Glycyrrhizae Radix et Rhizoma (Gancao, processed with honey), Citri Reticulatae Pericarpium (Chenjupi), Morus Cortex (Sangbaipi), Tsaoko Fructus (Caoguo, dehusked), Arecae Pericarpium (Dafupi), Atractylodis Macrocephalae Rhizoma (Baizhu), Aurantii Fructus Immaturus (Zhike, pith removed, sliced, and stir-fried), Angelicae Sinensis Radix (Chuan Danggui), Perillae Folium (Zisu), Perillae Fructus (Su Zi), and Pinelliae Preparatio (Banxia Qu).
Take equal parts of the above herbs, coarsely crush them. For each dose, take two large teaspoonfuls, add one small cup of water, two thin slices of fresh ginger, and half a jujube. Decoct until the liquid reduces by half, strain, and drink warm through the mouth at any time without restriction. Concurrently, decoct Bawei Lizhong Wan (Eight-Ingredient Pill for Regulating the Middle) to swallow the powder with.
For the above conditions, it is appropriate to use Jiusheng Dan (Divine Efficacy Life-Saving Pill) to promote unblocking and purgation.
Discussion: When clear and turbid qi do not mix, and pathogenic and righteous qi do not interfere with each other, if the upper jiao receives cooling and the lower jiao receives warmth, qi stagnation leads to impaired ascending and descending, while blood deficiency leads to excessive flow and deposition. Although infants have only one breath per respiration, their pulse beats slowly and responds to the finger without violating the normal rate, similar to adults, differing only in depth due to age. If the pulse remains stagnant, with excessive slowness or rapidness, or being too weak or too strong, pathology arises. A skilled practitioner treats stagnation by dispersing it, reversals by smoothing them, accumulations by draining them, and blockages by descending them. The method of regulation first involves facilitating qi flow. Generally, infants are easy to treat if their qi flows smoothly, and easy to manage if their pulse is robust. If symptoms slightly transmit and show stagnation and reversal, one must clarify the pathology beforehand, rather than waiting for transmission to investigate thoroughly. This formula, "Fenqi" (Dividing Qi), is intended to benefit qi in advance; its function differs from that which separates fluids and grains, as discerning individuals will observe.
To treat pediatric qi deficiency causing wheezing, edema of the four limbs, abdominal distension and urgency, flank heat alternating with cold, diarrhea or constipation, all caused by long-standing deficiency accumulation and disharmony of Ying and Wei (Nutritive and Defensive qi), it is appropriate to use pushing methods to expel toxic qi. Shen Gong Jiusheng Dan (Divine Efficacy Life-Saving Pill) is recommended.
Realgar (Xionghuang, finely ground), Cinnabar (Zhusha, 1 fen each, finely ground), Croton Seed (Badou, 21 seeds, dehusked), and Zingiberis Rhizoma Recens (Ganjiang, 2 qian).
Take one cup of water and vinegar, boil the Badou and Ganjiang together until dry. Remove the Ganjiang and discard it. Take out the Badou, mix with oil, grind evenly, add Zhusha, and grind uniformly. Use snow ice cream (or a specific binding agent implied by context, literally 'snow ice') to knead into pills the size of hemp seeds. Administer three pills per year of age. Use Chishao (Red Peony Root soaked in wine) as an adjuvant, taking a small amount to send down the pills.
Discussion: Diseases in young children originate primarily from fright-wind, phlegm-heat, malnutrition accumulation (Ganji), vomiting, and diarrhea. Many former sages discussed symptoms, and editors compiled prescriptions, each offering profound insights. Conditions such as Wugu Ganji (Innocent Malnutrition Accumulation) present various manifestations recorded in thousands of texts. Some rare syndromes lack detailed theoretical explanation, making them difficult to predict or understand throughout history, such as Turtle Chest, Splitting Ribs, and Macaque Confinement. Furthermore, severe complications arise when patients self-administer various pills and powders from different schools; improper dosing fails to achieve full recovery and exacerbates the disease, leading to conditions like Pi Feng (Spleen Wind). Over time, what methods are suitable? Medical practitioners encountering such diseases should not decline or retreat. By applying analogical reasoning and regulation, even if efficacy is not immediate, there is still hope. However, many act on subjective speculation and force treatments, where slight errors lead to significant harm. Regarding the Jiusheng Dan prescription, it records Tan Shi's treatment of Wugu Ji.
The efficacy is excellent. Younger generations who learn of this may be surprised and delighted, as they may not have known its use. If studied deeply and understood correctly, it can achieve complete efficacy, becoming miraculous and subtle, embodying the highest principles. Practitioners dealing with such syndromes must act with utmost sincerity. In treating and saving infants, success rates can reach ten out of ten, and hundred shots hitting the target every time.