(此证由慢惊后吐泻损脾,病传已极,总归虚处,惟脾所受,故曰脾风。若逐风则无风可逐,疗惊则无惊可疗,但
脾间痰涎凝滞,虚热往来,其眼合者,乃脾益困,气之神迷之)
补脾益真汤(此大补脾胃虚损之圣剂)
丁香 木香 诃子皮 陈皮 浓朴(姜炒) 草果(面包煨) 肉豆蔻(炮制) 白茯苓 人参 白术 桂枝 半
夏(炮,干炒) 甘草(炙,各二分) 全蝎(一枚) 干二 枣一
服讫,令标心下,以助药力。凡小儿脾风之候(见上脾风有五症条),宜预服此剂。
(此证亦惊风之类,但天吊发时,头目仰视,惊风则无也。小儿螈 不定,翻眼戴睛状若神祟,头目仰视,手足抽
掣,如鱼之上钩,故亦曰天钓。甚者,爪甲青。宜服苏合丸。如由乳母过食热毒物,心肺生热,加以外感风邪所致,
则钩藤散主之。热胜则保命丹主之,痰盛则胆星抱龙丸主之)
钩藤散(名曰钩藤散,而不入钩藤,恐或有阙也)
人参 犀角(各五分) 全蝎 天麻(各二分) 甘草(一分)
一方∶有钩藤一味。
(小儿神气软弱,忽有非常之物,未识见之人触之,或见神庙佛寺,神气相忤。其状口吐青黄白沫,或下水谷解杂,
面变五色,腹痛反侧,螈 如惊痫,但眼不上窜。即以苏合丸姜汤调下,频服。次服雄黄散,兼敷黄土散)
雄黄散
雄黄(一钱) 乳香(五分) 麝香(一字)
每一字刺雄鸡冠血调下,仍以母衣覆儿身,即愈。
黄土散
伏龙肝、蚯蚓粪等分,细研水调,涂头上及五心,最良。
一方∶熊胆、雄黄、乌药,治注忤鬼气,三味合服,单服亦可。
如中马汗气,马鸣惊忤,取马尾烧烟,熏儿面,以瘥为度。
一方∶客忤,故汗衣烧灰,每二钱白沸汤调下。男用女衣,女用男衣。
(此证是由于慢惊风之后,呕吐腹泻损伤了脾胃,病情传变已至极点,最终都归于虚损之处,唯独脾脏受累,所以称为脾风。如果去驱逐风邪,则体内并无实风可逐;如果去治疗惊悸,则体内并无实惊可疗。仅仅是脾间痰涎凝滞,虚热往来。那些眼睛闭合的症状,是因为脾脏更加困顿,导致气的神志迷乱。)
补脾益真汤(这是大补脾胃虚损的圣剂)
丁香、木香、诃子皮、陈皮、浓朴(姜炒)、草果(面包煨)、肉豆蔻(炮制)、白茯苓、人参、白术、桂枝、半夏(炮制,干炒)、甘草(炙,各二分)、全蝎(一枚)、干姜二枚、大枣一枚。
服用完毕后,让患者用手按压心下部位,以助药力发挥。凡是小儿出现脾风的症状(见上文“脾风有五症”条),应当预先服用此方。
(此证也属于惊风一类,但天吊发作时,头目向上仰视,而普通惊风则没有这个症状。小儿身体抽搐不定,翻白眼、戴眼珠,状若被神灵附体,头目向上仰视,手足抽掣,像鱼上钩一样,所以也称为天钓。严重的,指甲发青。适宜服用苏合丸。如果是由于乳母过食热毒之物,导致心肺生热,再加上外感风邪所致,则以钩藤散为主治。热邪盛则用保命丹主治,痰湿盛则用胆星抱龙丸主治。)
钩藤散(名叫钩藤散,但不入钩藤这味药,恐怕是有遗漏吧)
人参、犀角(各五分)、全蝎、天麻(各二分)、甘草(一分)。
另一处方:有一味钩藤。
(小儿神气软弱,忽然遇到不寻常的事物,或被不认识的人触碰,或者见到神庙佛寺,神气相冲犯。其症状表现为口吐青、黄、白色的泡沫,或者吐出未消化的食物残渣,面色变幻五色,腹痛辗转反侧,抽搐如同惊痫,只是眼睛不上窜。立即用苏合丸,用姜汤调服,频繁服用。随后服用雄黄散,兼敷黄土散。)
雄黄散
雄黄(一钱)、乳香(五分)、麝香(一字)。
每一字剂量,用刺破的雄鸡冠血调服,仍然用母亲的衣物覆盖患儿身体,即可痊愈。
黄土散
伏龙肝、蚯蚓粪等分,细细研磨,用水调匀,涂抹在头部及五心(两手心、两脚心、心口),效果最好。
另一处方:熊胆、雄黄、乌药,治疗注忤鬼气,三味药合服,单服其中一味也可以。
如果是中了马汗的气味,或因马鸣声惊吓导致的客忤,取马尾烧烟,熏烤患儿面部,以病愈为度。
另一处方:对于客忤,将旧汗衣烧成灰,每次二钱,用沸水调服。男孩用女孩的汗衣,女孩用男孩的汗衣。
(This syndrome arises from damage to the Spleen following vomiting and diarrhea after chronic convulsions. The disease has progressed to an extreme stage, ultimately returning to deficiency, specifically affecting the Spleen; hence it is called "Spleen Wind" (Pi Feng). If one attempts to expel wind, there is no pathogenic wind to expel; if one attempts to treat fright, there is no pathogenic fright to treat. It is merely stagnation of phlegm and saliva in the Spleen, with alternating deficiency-heat. The symptom of closed eyes indicates that the Spleen is increasingly exhausted, leading to confusion of the Spirit associated with Qi.)
Bu Pi Yi Zhen Tang (Tonify Spleen and Restore True Qi Decoction) (This is a supreme remedy for greatly tonifying Spleen and Stomach deficiency and damage.)
Dingxiang (Clove), Muxiang (Aucklandiae Radix), Hezi Pi (Chebulae Pericarpium), Chenpi (Citri Reticulatae Pericarpium), Houpo (Magnoliae Officinalis Cortex) (stir-fried with ginger juice), Caoguo (Tsaoko Fructus) (roasted wrapped in flour), Roudoukou (Myristicae Semen) (processed), Baifuling (Poria), Renshen (Ginseng Radix et Rhizoma), Baizhu (Atractylodis Macrocephalae Rhizoma), Guizhi (Cinnamomi Ramulus), Banxia (Pinelliae Rhizoma) (processed, dry-fried), Gancao (Glycyrrhizae Radix et Rhizoma) (honey-fried, each 2 fen), Quanxie (Scorpio) (one piece), Ganjiang (Zingiberis Rhizoma) (two pieces), Dazao (Jujubae Fructus) (one piece).
After taking the medicine, press the area below the heart to assist the medicinal power. For any signs of pediatric Spleen Wind (see the section "Five Symptoms of Spleen Wind" above), this formula should be taken prophylactically.
(This syndrome also belongs to the category of convulsive disorders. However, during an attack of Tiandiao (Heavenly Suspension), the head and eyes look upward, which is not seen in ordinary convulsions. The child experiences constant tremors, rolling back the eyes and staring fixedly, appearing as if possessed by spirits, with the head and eyes looking upward, and spasms of the hands and feet resembling a fish hooked on a line; thus it is also called Tiandiao. In severe cases, the fingernails turn cyan. Suhe Wan (Styrax Pill) is suitable. If caused by the wet nurse overeating heat-toxic substances, generating heat in the Heart and Lungs, compounded by external contraction of Wind Pathogen, Gouteng San (Uncaria Decoction) is the primary treatment. If Heat is predominant, Baoming Dan (Life-Preserving Pill) is used; if Phlegm is abundant, Dansing Baolong Wan (Calculus Bovis and Dragon Pill) is used.)
Gouteng San (Uncaria Decoction) (Named Uncaria Decoction, yet it does not contain Gouteng [Uncariae Ramulus cum Uncis], suggesting a possible omission.)
Renshen (Ginseng Radix et Rhizoma), Xijiao (Rhino Ceratops Horn) (each 5 fen), Quanxie (Scorpio), Tianma (Gastrodiae Rhizoma) (each 2 fen), Gancao (Glycyrrhizae Radix et Rhizoma) (1 fen).
Another prescription: Includes one ingredient, Gouteng (Uncariae Ramulus cum Uncis).
(Children have weak Shen [Spirit] and Qi. Suddenly encountering unusual objects or being touched by unfamiliar people, or visiting temples and Buddhist shrines, can cause their Shen to clash. Symptoms include spitting out green, yellow, or white foam, or vomiting undigested food residues, changes in facial color through five hues, abdominal pain with turning and tossing, tremors similar to convulsions, but without upward deviation of the eyes. Immediately administer Suhe Wan [Styrax Pill] mixed with Ginger Decoction, and give frequently. Subsequently administer Xionghuang San (Realgar Powder) and apply Huangtu San (Yellow Earth Powder externally).)
Xionghuang San (Realgar Powder)
Xionghuang (Realgar) (1 qian), Ruxiang (Olibanum), Shexiang (Moschus) (1 zi).
For each dose (1 zi), mix with blood from a pierced rooster's comb and take orally. Cover the infant with the mother's clothing immediately thereafter, and recovery will follow.
Huangtu San (Yellow Earth Powder)
Fulonggan (Dragon's House Earth) and Qiuyin Fen (Earthworm Excrement) in equal parts, finely ground and mixed with water. Apply to the head and the Five Centers (both palms, both soles, and the epigastrium); this is most effective.
Another prescription: Xiongdan (Ursi Bile), Xionghuang (Realgar), Wuyao (Linderae Radix). Treats Zhuwu Guiqi (Intruding Evil Qi). The three ingredients may be taken together, or singly.
If affected by the smell of horse sweat or startled by the neighing of a horse (Ke Wu), burn horse tail hair to produce smoke and fumigate the infant's face until cured.
Another prescription: For Ke Wu (Guest Clashing), burn old sweat-stained garments to ash. Take 2 qian each time, mixed with boiling water. Use a female garment for a male patient, and a male garment for a female patient.