(小儿无指的形症,而自然黄瘦,乃伤于乳食也,肥儿丸主之)
养元粥
莲实肉 山药 薏苡仁 硬米等分为末作粥,常常服之,加入砂糖为妙。
(痰随气火而上升成厥也)
夏术天麻汤(治痰厥,脾胃虚弱,头痛如裂,身重如山,四肢厥冷,呕吐眩晕,目不敢开,如在风云下)
半夏曲 陈皮 麦芽(炒,各一钱) 白术 神曲(姜炒,各七分) 人参 苍术 黄 (蜜炙) 天麻 白茯苓
泽泻(各五分) 黄柏(酒炒,二分) 干干(三分) 姜(三片)
如瘦人多火血燥,去苍术、泽泻,加当归、白芍药(酒
炒)各七分为妙。半夏性燥,不可久服,代入贝母一钱。枳实,治痰有冲墙倒壁之功,宜加五、六分。
如火降则痰自消,加山栀子五分。(山栀能降火,从小便出故也)
如气降则痰自下,加乌药、附子各五分。
如脾胃虚弱,倍入参、 加白豆蔻(面炮煨)三分。
如腹痛如裂,加白芷五分,川芎、细辛各三分。
如身重如山,倍入泽泻、干干。
如呕吐甚,加藿香(酒洗)、砂仁(碎,炒)各五分。
如眩晕甚,倍入天麻,加川芎五分。
如四肢厥冷,加官桂五分。
白附子能引诸药上行头部,且有引痰之力,痰在头部者,非白附不能除,治痰厥者,宜略入二、三分可也。新得
此症者,以行气降火消痰为主,久者以补气血,顺气为主可也。
如头痛如裂,灸百会、上星各五壮,针太渊、列缺,泻。凡痰疾,吐为上,宜服雀舌茶,探吐甚妙,但虚弱之人
不可试。余儿时患急惊,多服诸方而持久不瘥。过九岁后转成痰厥,头痛如碎,眩晕亦甚,多服导痰之剂而终未见效,
渐至戍削肉脱骨立。余想痰厥之治未暇论,而血气枯竭似难枝梧,遂服八物二陈汤五十余帖,肌肤稍胜,病势自减,得
免为病废之人。古云∶正气实则邪气退者,此之谓也。
(小儿没有明显的致病指征,却自然出现面色萎黄、身体消瘦的症状,这是由于乳食损伤所致,主用肥儿丸治疗)
养元粥
将莲子肉、山药、薏苡仁、粳米等量研磨成粉末煮成粥,经常服用,加入砂糖效果更佳。
(痰浊随着气火上升导致厥证)
夏术天麻汤(治疗痰厥,症见脾胃虚弱,头痛剧烈如裂开,身体沉重如山,四肢冰冷,呕吐眩晕,眼睛不敢睁开,感觉如同处于风雨云雾之中)
半夏曲、陈皮、麦芽(炒制,各一钱)、白术、神曲(姜汁炒制,各七分)、人参、苍术、黄芪(蜜炙)、天麻、白茯苓、泽泻(各五分)、黄柏(酒炒制,二分)、干姜(三分)、生姜(三片)。
如果是形体消瘦且体内有火、血燥的患儿,去掉苍术和泽泻,加入当归、白芍药(酒炒制)各七分效果更佳。半夏性质燥烈,不可长期服用,可用贝母一钱替代。枳实具有极强的化痰功效,建议加入五到六分。
如果火势下降则痰液自消,可加入山栀子五分。(山栀能降火,通过小便排出)
如果气机下行则痰液自降,可加入乌药、附子各五分。
如果脾胃虚弱,加倍使用人参,并加入白豆蔻(面粉包裹煨制)三分。
如果腹痛剧烈如裂开,加入白芷五分,川芎、细辛各三分。
如果身体沉重如山,加倍使用泽泻、干姜。
如果呕吐严重,加入藿香(酒洗)、砂仁(捣碎,炒制)各五分。
如果眩晕严重,加倍使用天麻,加入川芎五分。
如果四肢冰冷,加入官桂五分。
白附子能引导诸药上行至头部,且具有引痰外出的作用,痰浊位于头部的,非白附子不能清除,治疗痰厥者,宜略加二到三分即可。
新得的这种病症,以行气、降火、消痰为主;病程较长的,以补益气血、顺气为主即可。
如果头痛剧烈如裂开,可灸百会穴、上星穴各五壮,针刺太渊穴、列缺穴,采用泻法。凡是痰疾,催吐为上策,宜服用雀舌茶来探吐,效果极佳,但体质虚弱的人不可尝试。我小时候患急惊风,服用了许多方剂却久治不愈。过了九岁后转为痰厥,头痛如碎裂,眩晕也很严重,服用了多种导痰药物最终未见成效,逐渐变得极度消瘦,皮包骨头。我想痰厥的治疗暂且不谈,而气血枯竭似乎难以支撑,于是服用八物二陈汤五十多帖,肌肤稍有好转,病势自然减轻,得以避免成为废人。古语说:“正气充实则邪气退去”,说的就是这个道理。
(In infants and young children, without specific pathological signs, yet naturally presenting with sallow complexion and emaciation, this is due to damage from milk and food; Fei'er Wan (Fattening Infant Pill) is the primary prescription.)
Yangyuan Porridge (Nourishing Origin Porridge)
Grind Lotus Seed Flesh (Lianzi Rou), Chinese Yam (Shanyao), Coix Seed (Yiyiren), and Glutinous Rice (Jingmi) in equal parts into powder to make porridge. Take it frequently; adding rock sugar is beneficial.
(Phlegm rises with Qi and Fire, leading to Jue syndrome.)
Xiashu Tianma Decoction (Treats Phlegm Jue, Spleen-Stomach deficiency, headache as if splitting, heaviness of body as if weighed down by mountains, coldness of four limbs, vomiting, vertigo, inability to open eyes, feeling as if under wind and clouds)
Prepared Pinellia Curd (Banxia Qu), Tangerine Peel (Chenpi), Malt (Maiya, stir-fried, each 1 qian), Atractylodes Macrocephala Rhizome (Baizhu), Medicated Leaven (Shenqu, stir-fried with ginger juice, each 7 fen), Ginseng Radix et Rhizoma (Renshen), Atractylodes Lancea Rhizome (Cangzhu), Astragalus Membranaceus Root (Huangqi, honey-fried), Gastrodia Elata Rhizome (Tianma), Poria Cocos (Baifuling), Alisma Orientale Rhizome (Zexie, each 5 fen), Phellodendron Amurense Bark (Huangbai, wine-fried, 2 fen), Dried Ginger (Ganjiang, 3 fen), Fresh Ginger (Shengjiang, 3 slices).
For those who are thin with internal fire and dry blood, remove Cangzhu and Zexie, and add Angelica Sinensis Radix (Danggui) and White Peony Root (Baishaoyao, wine-fried) each 7 fen for better effect. Banxia is drying in nature and should not be taken for a long time; substitute with Fritillaria Cirrhosa Bulb (Beimu) 1 qian. Imperata Cylindrica Rhizome (Zhishi) has powerful phlegm-resolving properties; add 5-6 fen.
If Fire descends, Phlegm will dissipate on its own; add Gardenia Fruit (Shanzhizi) 5 fen. (Shanzhi can descend Fire, expelling it through urination.)
If Qi descends, Phlegm will settle on its own; add Lindera Aggregate Root (Wuyao) and Aconitum Lateralis Preparata Radix (Fuzi) each 5 fen.
If Spleen-Stomach is weak, double the dosage of Renshen, and add Cardamom Seed (Baidoukou, roasted in flour) 3 fen.
If abdominal pain is severe as if splitting, add Angelica Dahurica Radix (Baizhi) 5 fen, Ligusticum Chuanxiong Rhizome (Chuanxiong) and Asarum Europaeum Radix et Rhizoma (Xixin) each 3 fen.
If body heaviness is severe, double the dosage of Zexie and Ganjiang.
If vomiting is severe, add Agastache Rugosa Herba (Huoxiang, washed with wine) and Amomum Villosum Fruit (Sharen, crushed, stir-fried) each 5 fen.
If vertigo is severe, double the dosage of Tianma, and add Chuanxiong 5 fen.
If four limbs are cold, add Cassia Twig (Guangui) 5 fen.
Aconitum Carmichaelii Preparatum Radix (Baifuzi) guides other herbs upward to the head and has the power to draw out Phlegm. For Phlegm located in the head, only Baifuzi can eliminate it. In treating Phlegm Jue, add 2-3 fen appropriately.
For newly acquired cases, the main treatment is moving Qi, descending Fire, and resolving Phlegm. For chronic cases, the main treatment is tonifying Qi and Blood, and smoothing Qi.
If headache is severe as if splitting, moxa Baihui (GV20) and Shangxing (GV23) each 5 cones. Acupuncture Taiyuan (LU9) and Lieque (LU7), using reducing method. For all Phlegm diseases, inducing vomiting is superior; drinking Sparrow Tongue Tea (Queshe Cha) to induce vomiting is excellent, but not suitable for those with deficiency. When I was a child, I suffered from acute convulsions (Jijing Feng). I took many prescriptions but did not recover for a long time. After age nine, it transformed into Phlegm Jue. My headache felt like my head was shattering, and vertigo was severe. I took many phlegm-resolving agents but saw no effect. Gradually, I became emaciated, with skin clinging to bones. Regarding the treatment of Phlegm Jue, I had no time to discuss, but my Qi and Blood were depleted, making support difficult. Thus, I took Bawu Erchen Decoction (Eight Substances and Two Ingredients Decoction) for over fifty doses. My skin and flesh slightly improved, and the disease condition naturally subsided, sparing me from becoming disabled. The ancients said: "When Righteous Qi is substantial, Evil Qi retreats." This is what they meant.