治小儿变蒸,发热不解;并挟伤寒温壮,汗后热不歇;及腹中有痰癖,哺乳不进
,乳则吐 ;食痫,先寒后热者。
代赭石 赤石脂(各一两) 巴豆(三十粒,去壳压油) 杏仁(五十粒,去皮尖)
上以上二味为末,别研巴豆、杏仁为膏,相和更捣一二千杵,当自相得;若硬,入少蜜
同杵之,密器中收三十日。儿服如麻子大一粒,与少乳汁令下,食顷后,与少乳勿令多,至
日中当小下热除;若未全除,明日更与一粒。百日儿服如小豆一粒,以此准定增减。夏月多
热,喜令发疹,二三十日辄一服佳。紫丸无所不治,虽下不虚人。
小儿夜啼有四证∶一曰寒,二曰热,三曰重舌口疮,四曰客忤。寒则腹痛而啼,面青白
,口有冷气,腹亦冷,曲腰而啼,此寒证也。热则心躁而啼,面赤,小便赤,口中热,腹暖
,啼时或有汗,仰身而啼,此热证也。若重舌口疮,则要乳不得,口到乳上即啼,身额皆微
热,急取灯照口,若无疮,舌必肿也。客忤者,见生人气忤犯而啼也。
治冷证腹痛夜啼。
大蒜(一颗,慢火煨香熟,取出细切,稍研,日中或火上焙半干,研) 乳香(半钱,别研)
上研匀,丸如芥子大。每服七粒,以乳汁送下。
治疗小儿变蒸(婴幼儿生长发育过程中出现的生理性发热现象),发热不退;以及夹杂伤寒温病壮热,发汗后热势仍未消退;还有腹中有痰饮积聚癖块,吃奶时不进,一吃就吐;食痫(因饮食不当引发的癫痫样发作),先出现寒战随后发热的症状。
代赭石、赤石脂(各一两) 巴豆(三十粒,去掉外壳并压榨去油) 杏仁(五十粒,去掉皮和尖)
以上药材,将代赭石和赤石脂研成粉末,另外单独研磨巴豆和杏仁制成膏状,两者混合后再捣击一二千下,直到药料自然融合均匀;如果药团太硬,加入少量蜂蜜一同捣匀,装入密封容器中收藏三十天。婴儿服用如麻子大一粒的药丸,给予少量乳汁送服,进食片刻后,再喂少量乳汁,不要过多,到中午时分应当轻微腹泻,热邪随之消除;如果热邪未完全清除,第二天再给一粒。百日内的婴儿服用如小豆大一粒的药丸,以此为基础根据情况增减剂量。夏季天气多热,容易使孩子出疹子,每隔二三十天服用一次效果较好。紫丸没有治不好的病,虽然具有泻下作用但不会损伤正气。
小儿夜间啼哭有四种证型:一是寒证,二是热证,三是重舌口疮,四是客忤(外邪惊吓所致)。寒证则腹痛而啼哭,面色青白,口中呼出冷气,腹部也冷,弯腰屈体而啼,这是寒证。热证则心中烦躁而啼哭,面色红赤,小便颜色深黄,口中感觉热,腹部温暖,啼哭时有时出汗,仰身挺肚而啼,这是热证。如果是重舌或口疮,想要吃奶却吃不下,嘴唇碰到乳头就啼哭,身体和额头都有微热,急忙用灯照看口腔,如果没有疮口,舌头必定肿胀。客忤证,是见到生人气息冲犯而啼哭。
治疗寒证引起的腹痛夜啼。
大蒜(一颗,用慢火煨至香熟,取出细细切碎,稍加研磨,在中午阳光下或火上焙至半干,再研磨) 乳香(半钱,单独研磨)
以上药材研匀,制成如芥菜籽大小的丸剂。每次服用七粒,用乳汁送服。
以上药材研细。用灯芯草煎汤调匀涂抹于口中,并用乳汁送服,每日三次。
Treats infant *bianzheng* (physiological fever associated with growth and development) where fever does not resolve; combined with cold damage or warm disease causing high fever, where heat persists after sweating; as well as phlegm accumulation and masses in the abdomen, refusal to nurse, vomiting upon nursing; food-induced epilepsy (*shipian*) characterized by initial chills followed by fever.
Daizheshi (Hematitum), Chishizhi (Halloysitum Rubrum) (each 1 liang). Badou (30 seeds, husked and pressed to remove oil). Xingren (50 seeds, skin and tips removed).
Grind Daizheshi and Chishizhi into powder separately. Grind Badou and Xingren into a paste separately. Mix the powders and the paste together, and pound for one to two thousand strokes until they blend naturally. If the mixture is too hard, add a small amount of honey and pound together. Store in a sealed container for thirty days. For infants, administer one pill the size of a hemp seed, washed down with a little breast milk. After a short while, give a little more milk, but do not overfeed. By noon, there should be mild diarrhea, and the heat will be eliminated. If the heat is not completely cleared, administer another pill the next day. For infants under one hundred days old, administer a pill the size of a mung bean, adjusting the dosage accordingly. In summer, when heat is prevalent and rashes are prone to occur, it is advisable to administer this medicine once every twenty to thirty days. Ziwan (Purple Pill) can treat all ailments; although it has a purgative effect, it does not weaken healthy individuals.
There are four types of nocturnal crying in infants: first, Cold; second, Heat; third, Double Tongue and Mouth Ulcers; fourth, Ke Wu (fright caused by external influences). In Cold syndrome, abdominal pain causes crying, the face is cyanotic and pale, breath is cold, the abdomen is cold, the infant cries with a curved waist—this is Cold syndrome. In Heat syndrome, heart restlessness causes crying, the face is red, urine is dark, the mouth feels hot, the abdomen is warm, the infant may sweat while crying and cries with an arched back—this is Heat syndrome. If there is Double Tongue or Mouth Ulcers, the infant wants to nurse but cannot, crying as soon as the lips touch the nipple, with slight fever on the body and forehead. Quickly examine the mouth with a lamp; if no ulcers are seen, the tongue must be swollen. Ke Wu syndrome involves crying due to being startled by unfamiliar people or energies.
Treats nocturnal crying caused by Cold syndrome and abdominal pain.
Dasuan (One clove, slow-roasted until fragrant and cooked, taken out, finely chopped, slightly ground, baked until half-dry at noon or over fire, then ground). Ruxiang (Olibanum Resina) (half qian, ground separately).
Grind evenly and form pills the size of mustard seeds. Administer seven pills per dose, taken with breast milk.
Treats nocturnal crying caused by Heat syndrome and heart restlessness.
Denghua (Lamp wick ash) (three or two pieces).
Grind finely. Decoct Dengxincao (Junci Medulla) in water to make a decoction, mix with the powder, apply to the mouth, and administer with breast milk. Three doses daily.