(小儿叠指者,乃所属经络之虚,而风湿流注之致,宜用祛风汤,预防风渐可也)
加减祛风汤
当归 防风 独活 陈皮 白芍药(酒炒) 白术 乌药(去皮心,酒洗) 甘草(各五分)
如足拇指次指相叠,加山药,黄 (姜炒),川芎、草龙胆(酒炒)、柴胡各五分,泽泻、青皮各三分,人参二分
半,附子(炮制)一分半。
如足中指、次指相叠,加山药、黄 (姜炒)、熟地(姜炒)各五分,肉桂、泽泻各三分,黄柏(酒炒)二分
半,附子一分半。
如足中指、第四指相叠,加熟地、山茱萸、酸枣仁(另炒)各五分,草龙胆、泽泻各三分,黄柏二分半,附子一分
半。
如足第四指、五指相叠,加山茱萸、酸枣仁各五分,益智仁、泽泻各三分,黄柏二分半,附子一分半。附子雄壮之
资,有斩关夺将之势,驱散在表之风寒。况其无经不入,下至指节者乎,治风家宜略入二、三分,藉其通行指节之力可
也。
足五指无气而曳地者,气虚夹湿而然,加参、 、独活、泽泻。
足后跟无气而曳地者,气虚夹痰而然,加参、 、二陈之属。
破伤风。鱼胶烧存性,作末,和温酒服之。角弓反张亦治之。
一方∶紫檀香或白檀香,及黄蜡同煎服之,极效。
松蕊丹
松花 枳壳(麸炒) 防风 独活(各一两) 麻黄 大黄(酒煨) 前胡 桂心(各五分)
蜜丸黍米大,饮下。
脊骨夹湿,则大筋缩短,夹热则小筋弛张,宜加生地(干炒)、汉防己、苍术各五钱,泽泻三钱,黄柏(酒炒)
一钱半。
小儿出现手指重叠的症状,是由于所属经络虚弱,导致风湿之邪流注所致,适宜使用祛风汤进行预防和治疗,这样风气逐渐消散即可痊愈。
加减祛风汤的组成如下:当归、防风、独活、陈皮、白芍药(用酒炒制)、白术、乌药(去除皮和心,用酒清洗)、甘草(每味各五分)。
如果足部拇指与次指(第二趾)相互重叠,需加入山药、黄芪(用姜炒制)、川芎、草龙胆(用酒炒制)、柴胡各五分,泽泻、青皮各三分,人参二分半,附子(经过炮制)一分半。
如果足部中指与次指相互重叠,需加入山药、黄芪(用姜炒制)、熟地黄(用姜炒制)各五分,肉桂、泽泻各三分,黄柏(用酒炒制)二分半,附子一分半。
如果足部中指与第四指相互重叠,需加入熟地黄、山茱萸、酸枣仁(单独炒制)各五分,草龙胆、泽泻各三分,黄柏二分半,附子一分半。
如果足部第四指与第五指相互重叠,需加入山茱萸、酸枣仁各五分,益智仁、泽泻各三分,黄柏二分半,附子一分半。附子具有雄壮的性质,有斩关夺将的气势,能够驱散在表的风寒。况且它无处不到,下至指节部位,治疗风病时应当略微加入二、三分,借助其通行指节的力量即可。
足部五指无力而拖地行走的,是气虚夹杂湿邪所致,需加入人参、黄芪、独活、泽泻。
足部后跟无力而拖地行走的,是气虚夹杂痰浊所致,需加入人参、黄芪以及二陈汤之类的药物。
对于破伤风,可将鱼胶烧至存性(保留部分药效的炭化状态),研成粉末,配合温酒服用。角弓反张(一种肌肉强直痉挛的症状)也可以用此法治疗。
另一个方剂:使用紫檀香或白檀香,以及黄蜡一同煎煮后服用,效果极佳。
松蕊丹的组成如下:松花、枳壳(用麦麸炒制)、防风、独活(各一两),麻黄、大黄(用酒煨制)、前胡、桂心(各五分)。制成蜜丸,大小如黍米,用温水送服。
脊骨夹杂湿邪,会导致大筋缩短;夹杂热邪,则会导致小筋弛缓松弛。适宜加入生地黄(干炒)、汉防己、苍术各五钱,泽泻三钱,黄柏(用酒炒制)一钱半。
In infants, overlapping fingers result from deficiency in the corresponding meridians and channels, causing wind-dampness to flow and accumulate. It is appropriate to use Qufeng Tang (Wind-Expelling Decoction) for prevention and treatment; as the wind pathogen dissipates gradually, recovery can be expected.
Modified Qufeng Tang (Wind-Expelling Decoction):
Danggui (Angelicae Sinensis Radix), Fangfeng (Saposhnikoviae Radix), Duhuo (Angelicae Pubescentis Radix), Chenpi (Citri Reticulatae Pericarpium), Baishao Yao (Paeoniae Radix Alba, stir-fried with wine), Baizhu (Atractylodis Macrocephalae Rhizoma), Wuyao (Linderae Radix, skin and heart removed, washed with wine), Gancao (Glycyrrhizae Radix et Rhizoma) [each 5 fen].
If the hallux overlaps with the second toe, add Shanyao (Dioscoreae Rhizoma), Huangqi (Astragali Radix, stir-fried with ginger), Chuanxiong (Ligustici Chuanxiong Rhizoma), Caolongdan (Gentianae Scabrae Radix, stir-fried with wine), Chaihu (Bupleuri Radix) [each 5 fen], Zexie (Alismatis Rhizoma), Qingpi (Citri Reticulatae Pericarpium Viride) [each 3 fen], Renshen (Ginseng Radix et Rhizoma) 2.5 fen, Fuzi (Aconiti Lateralis Radix Praeparata, processed) 1.5 fen.
If the middle toe overlaps with the second toe, add Shanyao (Dioscoreae Rhizoma), Huangqi (Astragali Radix, stir-fried with ginger), Shudi (Rehmanniae Radix Preparata, stir-fried with ginger) [each 5 fen], Rougui (Cinnamomi Cortex), Zexie (Alismatis Rhizoma) [each 3 fen], Huangbai (Phellodendri Cortex, stir-fried with wine) 2.5 fen, Fuzi (Aconiti Lateralis Radix Praeparata, processed) 1.5 fen.
If the middle toe overlaps with the fourth toe, add Shudi (Rehmanniae Radix Preparata), Shanzhuyu (Corni Fructus), Suanzaoren (Ziziphi Spinosae Semen, stir-fried separately) [each 5 fen], Caolongdan (Gentianae Scabrae Radix), Zexie (Alismatis Rhizoma) [each 3 fen], Huangbai (Phellodendri Cortex) 2.5 fen, Fuzi (Aconiti Lateralis Radix Praeparata, processed) 1.5 fen.
If the fourth toe overlaps with the fifth toe, add Shanzhuyu (Corni Fructus), Suanzaoren (Ziziphi Spinosae Semen) [each 5 fen], Yizhiren (Alpiniae Oxyphyllae Fructus), Zexie (Alismatis Rhizoma) [each 3 fen], Huangbai (Phellodendri Cortex) 2.5 fen, Fuzi (Aconiti Lateralis Radix Praeparata, processed) 1.5 fen. Fuzi possesses vigorous properties and has the momentum of breaking through gates and defeating generals, capable of dispersing wind-cold on the exterior. Moreover, it enters every meridian, reaching down to the finger joints. In treating wind disorders, a slight addition of two or three fen is sufficient to leverage its power to unblock the finger joints.
If the five toes of the foot lack qi and drag on the ground, this is due to qi deficiency complicated by dampness; add Renshen (Ginseng Radix et Rhizoma), Huangqi (Astragali Radix), Duhuo (Angelicae Pubescentis Radix), Zexie (Alismatis Rhizoma).
If the heel lacks qi and drags on the ground, this is due to qi deficiency complicated by phlegm; add Renshen (Ginseng Radix et Rhizoma), Huangqi (Astragali Radix), and herbs belonging to Erchen Tang (Two-Aged Decoction).
For Po Shang Feng (Traumatic Tetanus), burn Yujiao (Colla Corii Asini, prepared) until it retains its nature (charred but not ashed), grind into powder, and take with warm wine. Jiao Gong Fan Zhang (Opisthotonos) is also treated with this method.
Another prescription: Boil Zitan Xiang (Pterocarpus Santalinus Lignum) or Baitan Xiang (Santalum Album Lignum) together with Huangla (Cera Flava) and take orally; it is extremely effective.
Songrui Dan (Pine Stamen Pill):
Songhua (Pinus Pollen), Zhike (Aurantii Fructus Immaturus, stir-fried with bran), Fangfeng (Saposhnikoviae Radix), Duhuo (Angelicae Pubescentis Radix) [each 1 liang], Mahuang (Ephedrae Herba), Dahuang (Rhei Radix et Rhizoma, stir-baked with wine), Qianhu (Peucedani Radix), Guixin (Cinnamomi Ramulus) [each 5 fen].
Make honey pills the size of millet seeds, and swallow with water.
If the spinal column is complicated by dampness, the large tendons shorten; if complicated by heat, the small tendons become flaccid and relaxed. It is appropriate to add Shengdi (Rehmanniae Radix, dry-stir-fried), Han Fangji (Stephaniae Tetrandrae Radix), Cangzhu (Atractylodis Rhizoma) [each 5 qian], Zexie (Alismatis Rhizoma) 3 qian, Huangbai (Phellodendri Cortex, stir-fried with wine) 1.5 qian.