治小儿手足极细,项小骨高,尻削体痿,腹大脐突,号哭胸陷,或生谷症,是名丁
虚热往来。头骨分开,翻食吐虫,烦渴呕哕,是为哺露。两者皆因脾胃久虚,不能消化
水谷以荣血气,致肌肉销铄;肾气不足,复为风冷所伤,柴骨枯露。亦有胎中受毒,脏腑少
血致之。此皆无辜种类之疾,并难治。宜服!
青皮(去穣) 陈皮(去白) 蓬术(煨) 川芎 北五灵脂 白豆蔻仁 鸡心槟榔 芦
荟
(各半
上为末,猪胆汁浸糕糊丸,麻子大。每服三十丸,米饮下。有热,薄荷汤下。
治孕妇被恶祟导其腹中,令儿病也。其证下利,寒热去来,毫毛鬓发不悦泽。及治
有儿未能行时复有孕,使儿饮此乳,亦作此病。
龙胆草 北柴胡(去芦及苗) 黄芩 桔梗 钩藤皮 芍药 甘草(炙) 茯苓(各二
钱半)
蜣
上锉散。以水一升,煮取五合为一剂,十岁以下小儿皆可服。若儿生一日至七日,分一
合为
生十六日至二十日,分二合为三服。二十日至三十日、四十日,尽以五合为三服。皆以
得
人
治积,神效。
巴豆(二十五粒,用水浸一宿,五更初去水,后去皮壳心膜,不去油,另研) 轻粉(半
钱)
上为末,研饭为丸如粟米大。周岁以下每用三丸,以上四丸。未效,再加丸数。膈上有
涎,
此取
乳汁
治疗小儿手足极其细小,颈部瘦小且骨骼突出,臀部消瘦、身体痿软,腹部胀大且肚脐外突,啼哭时胸部凹陷,或者出现“谷症”(因长期积滞导致的严重营养不良),这被称为“丁奚”。
伴有虚热往来不定。头骨缝分开,进食后呕吐并吐出虫体,烦躁口渴、恶心干呕,这被称为“哺露”。这两种病症都是因为脾胃长期虚弱,不能消化水谷以滋养气血,导致肌肉消损消瘦;肾气不足,又受到风冷邪气的伤害,导致肋骨枯瘦显露。也有的是因为胎中受毒,脏腑血液亏少所致。这些都属于“无辜疳”一类的疾病,都难以治疗。适宜服用以下方剂:
青皮(去除瓤)、陈皮(去除白)、蓬术(煨制)、川芎、北五灵脂、白豆蔻仁、鸡心槟榔、芦荟(各半两)。
以上药物研为细末,用猪胆汁浸透的糕粉糊制成丸药,大小如麻子。每次服用三十丸,米汤送下。若有热象,用薄荷汤送下。
治疗孕妇被恶祟干扰腹中,致使胎儿患病的情况。其症状表现为腹泻,寒热往来,毫毛和鬓发失去光泽润泽。以及治疗已有孩子尚未能行走时再次怀孕,让该幼儿饮用此乳汁,也会发生此类疾病。
龙胆草、北柴胡(去芦及苗)、黄芩、桔梗、钩藤皮、芍药、甘草(炙)、茯苓(各二钱半)。
蜣螂(原文此处似有缺字或排版错误,通常指蜣螂丸或相关成分,依原文仅列药材名处理,若指蜣螂则补入,但根据上下文“上锉散”,推测可能漏掉一味药或指代不明,此处按原文列出可见药材,注:原文“蜣”后接换行,疑似蜣螂,但无剂量,暂不列入标准提取或视为残缺信息,但在翻译中需体现。鉴于任务要求忠实原文,此处译为“蜣螂”或保留单字,考虑到中医常识及下文“上锉散”,极大概率为蜣螂。为严谨起见,翻译中列出“蜣螂”)。
*修正:仔细查看原文结构,“蜣”字单独一行,且前文有“各二钱半”的括号范围似乎只覆盖了前面的药,或者“蜣”是下一句的开始?不,看格式,“上锉散”在“蜣”之后。通常这种古籍排版,“蜣”指蜣螂。但无剂量。此处翻译为“蜣螂”。*
以上药物切碎成散剂。用水一升,煮取五合作为一剂,十岁以下的小儿均可服用。如果婴儿出生一日至七日,将一合药液分为三次服用。出生十六日至二十日,将二合药液分为三次服用。出生二十日至三十日、四十日,将全部五合药液分为三次服用。皆以大便通畅为度(原文“得”后缺字,通常为“得利”或“得汗”,结合儿科泻下法,多为“得利”即排便正常/通畅之意,但原文仅“得”字结尾,故译为“达到治疗效果”或保留“得”字的未完成状态,此处意译为“直至见效”)。
治疗积滞,神效。
巴豆(二十五粒,用水浸泡一夜,五更初倒掉水,然后去皮壳及心膜,不去油,另行研磨)、轻粉(半钱)。
以上药物研为细末,用米饭研烂制成丸药,大小如粟米。周岁以下的每次用三丸,一周以上的每次用四丸。如果未见效,再增加丸数。膈上有涎沫者(原文“膈上有涎,此取”后缺字,意为通过吐法或下法祛除),乳汁...(原文截断)
Treats infants with extremely thin hands and feet, a small neck with prominent bones, emaciated buttocks and flaccid body, distended abdomen with protruding umbilicus, chest depression when crying, or the occurrence of "Gu Syndrome" (severe malnutrition due to long-term food stagnation), which is named "Ding Xi".
Accompanied by alternating deficiency-heat. The cranial sutures are separated, food is vomited up along with parasites, accompanied by irritability, thirst, nausea, and retching, which is named "Bu Lu". Both conditions arise because the Spleen and Stomach have been deficient for a long time, failing to digest food and fluids to nourish Qi and Blood, leading to muscle wasting; Kidney Qi is insufficient, and further injured by Wind-Cold pathogens, causing the ribs to become withered and exposed. There are also cases caused by toxicity received in the womb and insufficient blood in the Zang-Fu organs. These all belong to diseases of the "Wugu" (Innocent) category and are difficult to treat. It is suitable to take the following prescription:
Qingpi (Green Tangerine Peel, removed pith), Chenpi (Aged Tangerine Peel, removed white pith), Pengzhu (Curcuma zedoaria Rhizoma, roasted), Chuanxiong (Ligusticum chionantiflorum Rhizome), Beiwulingzhi (Trogopterus Dung), Baidoukou Ren (Cardamomi Fructus seed), Jixinbingle (Arecae Semen), Lvhui (Aloe). (Each half tael).
The above herbs are ground into fine powder. Form pills using cake paste soaked in Pig Bile (Su Dan Huang), sized like hemp seeds. Take 30 pills each time, washed down with Rice Decoction (Mi Yin). If there is heat, wash down with Mint Decoction (Bohe Tang).
Treats the condition where a pregnant woman is disturbed by evil spirits affecting her abdomen, causing illness in the fetus. The symptoms include diarrhea, alternating chills and fever, and lackluster hair and eyebrows. It also treats the situation where a mother who has a child unable to walk yet becomes pregnant again, and allows that child to drink this milk, resulting in the same disease.
Longdancao (Gentianae Radix), Beichaihu (Bupleuri Radix, removed rhizome and sprouts), Huangqin (Scutellariae Radix), Jiegeng (Platycodonis Radix), Gouteng Pi (Uncariae Ramulus Cum Uncis Cortex), Shaoyao (Paeoniae Radix), Gancao (Licorice Root, honey-fried), Fuling (Poria). (Each two qian and half).
Qianglang (Scarabaeus).
The above herbs are cut into pieces for decoction. Use one sheng of water, boil to obtain five he as one dose. Children under ten years old can take it. If the infant is one to seven days old, divide one he into three doses. If sixteen to twenty days old, divide two he into three doses. If twenty to thirty days, or forty days old, use the entire five he divided into three doses. All should be taken until [therapeutic effect is achieved] (Original text ends abruptly at "De").
Treats food stagnation, with miraculous effect.
Badou (Crotonis Fructus, 25 grains, soak in water overnight, discard water at dawn, remove skin, shell, heart membrane, but do not remove oil, grind separately), Qingfen (Calomelas).
The above are ground into powder, mixed with rice paste to form pills sized like millet grains. For infants under one year old, use 3 pills each time; for those over one year old, use 4 pills each time. If ineffective, increase the number of pills. For phlegm-fluid retention above the diaphragm, this method takes [to induce vomiting/purgation] (Original text cuts off after "Ci Qu"). Breast milk...