喉痹是风毒之气客于喉间,与血气相结而成肿塞。水浆不可下,甚者脓溃,名缠喉风。
毒攻心腹而死,攻心则闷懊,闷懊则死矣。或
为单双乳蛾,最为急症,多属痰热。先用吐法,甚者针刺去毒血,服甘桔汤。
甘桔汤
甘草 桔梗 元参 连翘 防风 荆芥
小儿脾胃虚弱,腠理开疏,暑气乘虚而入,有似惊风者,宜香薷饮,黄连解毒汤俱可,
六一散调服。
夫肺与大肠为表里。肛者,大肠之门。肺经实热则秘结不通,肺若虚寒则肠头出露。有
因泻痢久,脾土虚,不能生肺金,故肛门脱而不收。宜补脾温胃,使金受母之益而气实,次
则内投固肠之剂,外用敷洗之药。
敷肛散
龙骨( ) 赤石脂( ) 诃子肉(各三钱)
共为末,每用四五分敷上,每日敷三次即愈。先用荆芥穗、香附煎汤洗之。
又方 五倍子灰、鳖头灰,敷妙。用净旧鞋底烘热托上。
小儿禀赋纯阳,血气热,易生热。有五脏热,五心烦热,四肢壮热,痰涎壅盛,目涩多渴。若上冲咽
喉则与气血相搏结成喉闭,宜凉膈散。
凉膈散
山栀 薄荷 黄芩 连翘 元参 桔梗 陈皮 花粉 甘草 石膏 竹叶
甚者朴硝、大黄可加,或止加大黄。
此皆湿热蒸于脾胃,如合面相似。脾胃象土,其色黄,故发于外。生下黄名胎疸,母脏有热熏蒸于胎故
也。若黄胆变黑疸,难治。治疸以利小便为主,小便利则黄自退,从食积来者亦可行,方内加食积药。
赤茯苓 陈皮 猪苓 泽泻 木通 茵陈 黄芩 黄连 枳壳 山栀 山楂 苍术
重加大黄、槟榔。
Throat Bi (throat obstruction) is caused by wind-toxic qi invading and lodging in the throat, binding with blood and qi to form swelling and blockage. It prevents the swallowing of water and food; in severe cases, it suppurates and ulcerates, a condition named Chan Hou Feng (Coiling Throat Wind).
If the toxin attacks the heart and abdomen, death ensues; if it attacks the heart, it causes mental restlessness and distress (Men Ao), and the presence of Men Ao leads to death. Alternatively, it may manifest as single or double Ru E (tonsillar hypertrophy), which is a critical condition mostly belonging to Phlegm-Heat. Initially, an emetic method should be used; in severe cases, acupuncture can be employed to release toxic blood, followed by the administration of Gan Jie Tang.
Gan Jie Tang (Licorice and Platycodon Decoction)
Gan Cao (Radix Glycyrrhizae), Jie Geng (Radix Platycodi), Yuan Shen (Radix Scrophulariae), Lian Qiao (Fructus Forsythiae), Fang Feng (Radix Saposhnikoviae), Jing Jie (Herba Schizonepetae).
Children have weak Spleen and Stomach, and their Cou Li (interstices/skin pores) are loose. Summer-heat qi enters through the deficiency, presenting symptoms similar to Convulsive Wind (Jing Feng). Xiang Ru Yin (Mosla Decoction) or Huang Lian Jie Du Tang (Coptis Decoction for Detoxification) are suitable, both can be taken with Liu Yi San (Six-to-One Powder).
The Lung and Large Intestine are exterior-interior related. The anus is the gate of the Large Intestine. Excess-Heat in the Lung Meridian leads to constipation and blockage; if the Lung is deficient and cold, the rectum may prolapse. Some cases result from prolonged diarrhea and dysentery causing Spleen Earth deficiency, failing to generate Lung Metal, thus causing anal prolapse that cannot retract. Treatment should focus on tonifying the Spleen and warming the Stomach, allowing Lung Metal to benefit from its mother (Spleen) so that Qi becomes solid. Subsequently, internal administration of intestinal-astringent agents and external application of washing medicines are indicated.
Fu Gang San (Poultice for Anus)
Long Gu (Fossilia Ossis Mastodi), Chi Shi Zhi (Halloysit Rubra), He Zi Rou (Endocarpus Chebulae) (each 3 qian).
Grind into fine powder. Apply 4-5 fen each time to the affected area, three times daily until healed. First, wash the area with a decoction of Jing Jie Sui (Ament of Schizonepetae) and Xiang Fu (Rhizoma Cyperi).
Another prescription: Ash of Wu Bei Zi (Galla Chinensis) and ash of Bie Tou (Carapax et Plastrum Testudinis head), applied externally, yields excellent results. Use a clean old shoe sole, heated, to support the prolapsed part back up.
Children possess pure Yang constitution, with hot blood and qi, making them prone to Heat syndromes. If there is Heat in the Five Zang organs, it manifests as heat in the five centers (palms, soles, and chest), high fever in the four limbs, abundant phlegm-saliva, dry eyes, and excessive thirst. If the heat rushes upward to the throat, it binds with blood and qi to form Hou Bi (throat closure), treated with Liang Ge San.
Liang Ge San (Cooling the Diaphragm Powder)
Shan Zhi (Fructus Gardeniae), Bo He (Herba Menthae), Huang Qin (Radix Scutellariae), Lian Qiao (Fructus Forsythiae), Yuan Shen (Radix Scrophulariae), Jie Geng (Radix Platycodi), Chen Pi (Pericarpium Citri Reticulatae), Hua Fen (Radix Bletillae), Gan Cao (Radix Glycyrrhizae), Shi Gao (Gypsum Fibrosum), Zhu Ye (Leaf of Bambusa).
In severe cases, Pu Xiao (Natrii Sulfas) and Da Huang (Radix et Rhizoma Rhei) can be added, or only Da Huang is added.
These jaundices are all due to damp-heat steaming within the Spleen and Stomach, resembling a face covered with dust. The Spleen corresponds to Earth, whose color is yellow, hence the manifestation externally. Jaundice appearing immediately after birth is called Tai Dan (Fetal Jaundice), caused by maternal organ heat steaming the fetus. If Yellow Jaundice transforms into Black Jaundice, it is difficult to treat. The treatment of Dan (jaundice) focuses primarily on promoting urination; when urine flow improves, the yellow color naturally recedes. If caused by Food Stagnation, digestive-resolving methods can also be used, adding food-stagnation resolving herbs to the formula.
Chi Fu Ling (Poria with Red Host), Chen Pi (Pericarpium Citri Reticulatae), Zhu Ling (Poria), Ze Xie (Rhizoma Alismatis), Mu Tong (Caulis Akebiae), Yin Chen (Herba Artemisiae Scopariae), Huang Qin (Radix Scutellariae), Huang Lian (Rhizoma Coptidis), Zhi Ke (Fructus Aurantii), Shan Zhi (Fructus Gardeniae), Shan Zha (Fructus Crataegi), Cang Zhu (Rhizoma Atractylodis).
Use heavy doses of Da Huang (Radix et Rhizoma Rhei) and Bing Lang (Areca Seed).