按疳症皆因饮食无节、饥饱失调,以致腹大、面
黄,重则伤命,轻则伤目。勿治其目,竟治其疳,目
病自愈。切忌油面、炙爆等物。
按小儿疳眼,无论肥瘦,但见白珠先带黄兼白色
皱起,后微红生眵,怕亮不睁,上下眼皮频频 动不
定,黑珠上有白膜,成如此样HT 圈,堆起白晕,晕内
一黑一白,亦有肥瘦不同,疳眼无疑也。但肥疳大便
如豆腐渣糟粕相似,瘦疳大便小如粟,硬结燥,乃疳
积入眼矣。宜照后方治之。
小儿疳眼,流脓生湿热。宜服∶
羌活 黄芩(炒) 龙胆草 青蛤粉(各五分) 谷精草
蛇蜕 甘草(炙) 川郁金(各四分) 麻黄(分半) 升麻(二分)
茶清下二钱。点元灵丹。
小儿易饥而渴,瘦瘠腹胀不利,作嘶嘶声,目
病生翳,睫闭不开,眵泪如糊,久而流脓,俗为疳
毒。宜用∶
柴胡(四分) 白术 甘草(炙) 蔓荆子 人参 枳壳(麸炒)
茯苓 薄荷叶(各二分) 前胡 独活 苍术(各三分) 羌
活真川芎 防风(各三分半) 泽泻(一分半)
水一钟半,煎至六分,去滓温服。洗白玉锭。
小儿疳毒,眼生白膜翳。宜服∶
雄鸡一只(重一斤三、四两者,取其塔脊血一块,即名鸡肺,将肺同
后药共研烂) 辰砂(三分) 冰片(三厘)
研细如膏,用无灰酒炖滚,入药搅匀,食之即愈。点扫雾丹。
小儿龈毒成疳,肝经积热,齿蚀烂龈,透颊腮,
耳内生疮出水,小便出津,大便不调,消瘦,眼中
生翳。宜服∶
According to the mechanism of Gan syndrome (a chronic consumptive disease in children caused by malnutrition or irregular diet), it is all due to unregulated diet and imbalance between hunger and fullness, resulting in abdominal distension and sallow complexion. Severe cases may endanger life, while mild cases may damage the eyes. Do not treat only the eyes; instead, directly treat the Gan syndrome, and the eye disease will heal spontaneously. It is strictly forbidden to consume fried dough products, roasted, or deep-fried foods.
Regarding pediatric Gan eye (ocular lesions caused by Gan accumulation), regardless of whether the child is fat or thin, if the sclera (white part of the eye) first shows yellowish discoloration accompanied by white wrinkling and elevation, followed by slight redness and discharge of eye secretion, photophobia with inability to open the eyes, frequent twitching of the upper and lower eyelids, and a white membrane on the cornea (black pupil), forming such symptoms: a white halo piled up around the eye ring, within which there is one black and one white area, with variations depending on body constitution, this is undoubtedly Gan eye. However, for fat-type Gan accumulation, the stool resembles dregs like tofu residue; for thin-type Gan accumulation, the stool is small like millet seeds, hard, dry, and knotted. This indicates that Gan accumulation has entered the eyes. Treatment should follow the subsequent prescription.
Pediatric Gan eye involves pus discharge and generation of damp-heat. It is suitable to take:
Qianghuo (Notopterygii Rhizoma et Radix), Huangqin (Scutellariae Radix) (stir-fried), Longdancao (Gentianae Radix), Qinggefen (Concha Meretricis et Cyprini Pulvis) (each 5 fen), Gujingcao (Evodiae Fructus), Shetui (Ophichthidis Cutis Corneum), Gancao (Liquoritis Radix et Rhizoma) (honey-fried), Chuanyujin (Curcumae Radix) (each 4 fen), Mahuang (Ephedrae Herba) (0.5 fen), Shengma (Cimicifugae Rhizoma) (2 fen).
Take 2 qian with tea infusion. Apply Yuanling Dan topically to the eyes.
Children are prone to hunger and thirst, emaciation, abdominal distension with difficult defecation, emitting a hissing sound, ocular lesions generating nebulae (corneal opacity), eyelids closed and unable to open, eye discharge and tears resembling paste, which over time turn into pus, commonly known as Gan toxin. It is suitable to use:
Chaihu (Bupleuri Radix) (4 fen), Baizhu (Atractylodis Macrocephalae Rhizoma), Gancao (Liquoritis Radix et Rhizoma) (honey-fried), Manjingzi (Vittadiniae Fructus), Renshen (Ginseng Radix), Zhike (Aurantii Fructus) (bran-fried), Fuling (Poria), Boheye (Menthae Haplocalycis Folium) (each 2 fen), Qianhu (Peucedani Radix), Duhuo (Angelicae Pubescentis Radix), Cangzhu (Atractylodis Rhizoma) (each 3 fen), Qianghuo (Notopterygii Rhizoma et Radix), Zhen Chuanxiong (Ligustici Chuanxiong Rhizoma), Fangfeng (Saposhnikoviae Radix) (each 3.5 fen), Zexie (Alismatis Rhizoma) (1.5 fen).
Add 1.5 zhong of water, decoct until 6 fen remains, filter out the dregs, and take warm. Wash the eyes with Baiyu Ding.
Pediatric Gan toxin causes white membrane nebulae in the eyes. It is suitable to take:
One male chicken (weighing around 1 jin 3 liang to 4 liang, take a piece of its spinal blood, named Jifei [Chicken Lung], and grind the lung together with the following herbs thoroughly): Chensha (Cinnabar), Bingpian (Borneolum Syntheticum) (3 li).
Grind into a fine powder like paste, boil in pure wine without ash impurities, mix the medicine evenly, and consume it to achieve immediate cure. Apply Saowu Dan topically to the eyes.
Pediatric gingival toxin transforms into Gan syndrome, liver meridian accumulates heat, teeth corrode and rot the gums, penetrating through the cheeks and parotid region, sores form inside the ears with fluid discharge, abnormal urinary excretion, irregular defecation, emaciation, and nebulae form in the eyes. It is suitable to take: