一是书以普及儿科医学常识为职志,凡家置一编披览记忆,便得保赤诚求之要道。
一小儿病证共分三十六门,每门先有详细讲解,次则各证必分其种类,各病必究其原因,对证下药,无庸
假借,古方固不可磨灭,然参以数十年临证经验治之而应如桴鼓者,不敢不笔之于书。
一总论中护胎并脏腑生成诸说,为父母者不可不知,寿夭之征,勿疑为伪,变蒸之日,莫信为真,此亦育
儿者所当领悟也。
一儿之初生调护得宜,易于抚养,自能出险境而入坦途,本门所列诸证颇详,足供采择。
一儿之身体诸病彰明较着,然面部之五脏部位颜色苗窍及五声之如何能听,指纹之如何能验,周岁脉之如
何能切,病状之如何能勘,皆详述于本门之首数节,并附图说以方参考。
一风寒暑湿燥火六淫之气,小儿最易感受,各门各有区别,细阅各本门证治自有把握。
一小儿感冒风寒,或夹食,或夹热,或夹惊,皆非单纯触受六淫之气,其治法亦各不相同,故另立一门
以醒眉目。
一小儿时疫之病最不耐受,稍一延误,蜂起变端。其时以疫为名,即疫因时而异。本门分时疫、瘟 、痧
疹暨风温、暑温、秋疫、冬温诸病证较易辨认。
一惊风为小儿要证,此名讹传已久,难于更改,故虽辨其实之非仍沿其名之旧。但不特天钓内钓不得谓之惊,
即慢脾风亦不得谓之惊,审证关头不容含混。
一小儿痫证,时俗多误认为惊风者,不足道矣。然以痫论痫,除惊痫一证外,尚有阴阳风痰食及心肝脾肺肾
五脏诸痫,均详本门。
一小儿种痘之简单,可免出痘之危险。其法至善,然未种之先既种之后有宜特别注意者,本门分条罗列,层
次不紊。即未种而自出之痘,法亦不能偏废,本门又列专条以括其全。
一小儿麻疹再无种法,为小儿万不能免之一大宗,本门证治条列详明,知此则不必惊慌,不容疏忽。若瘙疹、
瘾疹,盖痘疹皆与正疹治法不同,特为揭出,以示区别。
一小儿霍乱一证,与寻常偶吐偶泻悬殊,非徒干与湿殊,即先泻后吐与先吐后泻亦殊。细阅本门,便分泾渭。
一小儿疳症种类繁多,且最易成此疾,不特五脏暨眼鼻脑脊蛔有疳之名,即疳热、疳渴、疳泻、疳痢、亦有
疳之实,其他无辜、丁奚、哺露诸疳,均宜杜渐防微,为未雨绸缪之计。
一小儿疟轻于痢,痢重于疟,人皆知之。然疟有风寒暑湿食之分,痢有寒热血噤口休息之分,更有一种时痢
及痢脱肛者,并先痢后泻,先泻后痢诸名目,各本门列举无遗,阅者察之。
一小儿疝证,有属寒者,有属湿热兼寒者,有属胎者,以及阴肿、小肠气诸名目。本门逐一缕晰,以便揣摩。
一小儿淋证往往有之,本门分寒热右血四种,根据法施治,皆有途径可循。
一小儿黄胆,有阴阳之别,理所至明,然相差一黍,不但观其外表,且须察其内因。本门解释已无余蕴。
一小儿之痰血汗,皆不宜多外溢。然痰有燥湿,血有衄吐便溺,汗有自盗之分,各本门阐发无遗,且汗本门
附有外治一法。
一小儿咳嗽,极易发生,然肺寒肺热食积风寒,认证不差,尚称易治,独百 嗽一证,每至纠缠不愈,肺脏
损伤本门,此证举一简便治法,根据法治之,甚有灵效。
一小儿喘证,或因火热,或因肺虚,或因风寒,或因痰饮,治之合法,均不足虑,惟马脾风一证,最急最危,
稍迟不救,若照本门治法,则可转危为安。
一小儿寻常吐泻,皆所恒有,然吐有伤食伤乳,夹惊痰饮,虚实寒热虫之分,泻有伤乳中寒,脾虚脐寒,惊
飧水火之分,一切证治,均详于各本门。
一小儿食积为轻,癖积为重,皆不能混乱杂治,致体已虚而积仍未消,以濒于危,参看各本门证治,自觉胸
有成竹。
一小儿水肿,或上身肿,或下体肿,或通身肿,且有阳水阴水之分,宜细体认,始免差错,更有气虚浮肿一证,
切勿误认为水肿,特另附于本门之末,以昭郑重。
一小儿腹胀,不可视为故常,宜分虚实寒热,其或虚者兼寒,实者兼热,真寒似热,真热似寒之类,极要认
清,细阅本门,解释分证,自能一目了然。
一小儿三消之证,上消为消渴,中消为消饥,下消为消浊,及早施治,断不至由上消而传变为中下二消,
则无不愈矣。
一小儿头痛,与成人不同,只有风寒内热二证,其余小儿虽无,各证亦详叙于本门,解释之首段以资研究。
一小儿腹痛之证,不外伤食感寒虫积及内食外寒四种,尤以虫积为最要,盖此证治法,不但止其痛,且当化
其虫,最后更当培其脾土,则虫不再生矣。
一杂证一门,兼收并蓄,凡不属于各专门者,皆列本门,以补其缺,外治九法,以辅内药之进行,最简最捷,
有益无损,故附列杂证门之后,以便翻阅。
一小儿误服反药时,或有之不得不思解救之法,以策万全,亦附于外治法之后。
一是书各门列方,皆从多年经验而得,所患何病,可服何药,但求中病之适可而止。盖小儿之病,参互错
综,惟不误证不误药,虽病仍可转为无病。区区一片婆心,尚冀高明匡其不逮,阅者谅之。
一是本书以普及儿科医学常识为宗旨,只要家中备有一册,阅读并记忆,便能掌握保护婴儿健康、寻求救治的关键之道。
一小儿病证共分为三十六门,每门先有详细讲解,随后对每种证候必分其种类,每种疾病必究其原因,针对证候用药,无需借他法。古方固然不可磨灭,但结合数十年临证经验治疗而效如桴鼓(形容药效迅速,像鼓槌敲鼓一样立刻有反应)的,不敢不记录在书中。
一总论中关于护胎及脏腑生成的各种说法,做父母的不可不知。关于寿命长短的征象,不要怀疑是伪说;关于“变蒸”(古代中医认为婴幼儿生长发育过程中出现的周期性生理现象)之日,不要轻信为真。这也是养育儿童者应当领悟的道理。
一婴儿初生时调护得当,易于抚养,自然能脱离险境步入坦途。本门所列诸证颇为详尽,足以供人参考选择。
一小儿身体上的各种病症明显易见,然而面部五脏部位的颜色苗窍(指目、舌、口、鼻、耳等五官及其反映内脏状况的特征)以及五声(指呼、笑、歌、哭、呻五种声音,对应五脏)如何听辨,指纹(望小儿食指络脉)如何查验,周岁脉象如何切诊,病状如何勘察,都在本门的前几节中详细叙述,并附有图说以供参考。
一风寒暑湿燥火六淫之气,小儿最容易感受,各门各有区别,仔细阅读各本门的证治内容,自然心中有把握。
一小儿感冒风寒,或夹带食积,或夹带热邪,或夹带惊风,都不是单纯感受六淫之气,其治疗方法也各不相同,因此另立一门以醒目提神。
一小儿患时疫之病最不耐受,稍有延误,便会蜂拥而起各种变故。当时称为“疫”,即病因随时间而异。本门将时疫、瘟病、痧疹以及风温、暑温、秋疫、冬温等病证较容易辨认的内容列出。
一惊风是小儿的重要证候,此名讹传已久,难以更改,因此虽然辨别其实际并非真正的“惊”,但仍沿用旧名。但不特指天钓、内钓不得称为惊,即使是慢脾风也不得称为惊,审察证候的关键时刻不容含糊。
一小儿痫证,世俗多误认为是惊风,这不足为道。然而以痫证论痫证,除惊痫一证外,尚有阴阳风痰食及心肝脾肺肾五脏诸痫,均在本门详述。
一小儿种痘方法简单,可避免出痘的危险。其法至善,但在未种之前和种之后都有宜特别注意的事项,本门分条罗列,层次不乱。即使未种痘而自然出痘的,治疗方法也不能偏废,本门又列专条以概括全部情况。
一小儿麻疹再无种法,是小儿万不能免的一大类疾病,本门证治条理分明,知晓这些便不必惊慌,不容疏忽。若瘙疹、瘾疹,大概痘疹都与正疹(指天花或麻疹等典型出疹性疾病)治疗方法不同,特别提出以示区别。
一小儿霍乱一证,与寻常偶尔呕吐腹泻悬殊很大,不仅是干霍乱与湿霍乱不同,就是先泻后吐与先吐后泻也不同。仔细阅读本门,便能分清界限。
一小儿疳症种类繁多,且最容易形成此疾,不仅五脏及眼鼻脑脊蛔有疳之名,即疳热、疳渴、疳泻、疳痢,也有疳的实质,其他无辜疳、丁奚疳、哺露疳等,都应防微杜渐,做未雨绸缪之计。
一小儿疟疾轻于痢疾,痢疾重于疟疾,人们都知道。然而疟疾有风寒暑湿食之分,痢疾有寒热、血痢、噤口痢、休息痢之分,更有一种时行痢疾及痢疾脱肛者,并有先痢后泻、先泻后痢等各种名目,各本门列举无遗,读者请察看。
一小儿疝证,有属寒的,有属湿热兼寒的,有属胎元的,以及阴肿、小肠气等各种名目。本门逐一梳理清晰,以便揣摩研究。
一小儿淋证往往有之,本门分寒、热、石、血四种,根据法则施治,皆有途径可循。
一小儿黄疸,有阴阳之别,道理至明,然而相差毫厘,不但要观察外表,且须察知内因。本门解释已穷尽其理。
一小儿之痰、血、汗,皆不宜过多外溢。然而痰有燥湿之分,血有衄血、吐血、便溺出血之分,汗有自汗、盗汗之分,各本门阐发无遗,且汗证本门附有外治一法。
一小儿咳嗽极易发生,然而肺寒、肺热、食积、风寒,辨证不差,尚称易治,唯独百日咳一证,每每纠缠不愈,损伤肺脏。本门对此证举出一个简便治法,根据法治之,甚有灵验效果。
一小儿喘证,或因火热,或因肺虚,或因风寒,或因痰饮,治疗合法,均不足虑,惟独马脾风一证,最急最危,稍迟不救,若照本门治法,则可转危为安。
一小儿寻常吐泻,皆所恒有,然而吐有伤食、伤乳、夹惊、痰饮、虚实、寒热、虫积之分,泻有伤乳、中寒、脾虚、脐寒、惊飧、水火之分,一切证治,均详于各本门。
一小儿食积为轻,癖积为重,皆不能混乱杂治,导致体质已虚而积滞仍未消除,以致濒临危险。参看各本门证治,自觉胸有成竹。
一小儿水肿,或上身肿,或下体肿,或通身肿,且有阳水、阴水之分,宜细细体会认识,始免差错。更有气虚浮肿一证,切勿误认为水肿,特别另附于本门之末,以昭郑重。
一小儿腹胀,不可视为常事,宜分虚实寒热。其虚者兼寒,实者兼热,真寒假热、真热假寒之类,极要认清。细阅本门,解释分证,自能一目了然。
一小儿三消之证,上消为消渴,中消为消饥,下消为消浊,及早施治,断不至由上消传变为中下二消,则无不愈矣。
一小儿头痛,与成人不同,只有风寒、内热二证,其余小儿虽无,各证亦详叙于本门,解释之首段以资研究。
一小儿腹痛之证,不外伤食、感寒、虫积及内食外寒四种,尤以虫积为最要。盖此证治法,不但止其痛,且当化其虫,最后更当培补脾土,则虫不再生矣。
一杂证一门,兼收并蓄,凡不属于各专门者,皆列本门,以补其缺。外治九法,以辅内服药物之进行,最简最捷,有益无损,故附列杂证门之后,以便翻阅。
一小儿误服反药时,或有之,不得不思解救之法,以策万全,亦附于外治法之后。
一是书各门所列方剂,皆从多年经验而得,所患何病,可服何药,但求中病(击中病症,指药证相符)之适可而止。盖小儿之病,参互错综,惟不误证、不误药,虽病仍可转为无病。区区一片婆心,尚冀高明匡其不逮,阅者谅之。
The first principle is that this book aims to popularize common knowledge of pediatric medicine. As long as a copy is kept at home and read and memorized, one can grasp the essential way to protect infants' health and seek medical help.
Pediatric diseases and syndromes are divided into thirty-six categories. Each category begins with a detailed explanation, followed by a classification of each syndrome and an investigation into the causes of each disease. Medication should be prescribed according to the syndrome without resorting to other methods. Although ancient prescriptions are invaluable, those treatments that have proven effective like "a drumstick striking a drum" (immediate effect) based on decades of clinical experience must not fail to be recorded in this book.
The theories regarding fetal protection and the formation of Zang-Fu organs in the general discussion are indispensable for parents. Do not doubt the signs indicating longevity or shortness of life, nor should you believe in the authenticity of the "Bianzheng" (periodic physiological changes in infant growth and development). These are insights that child-rearers should comprehend.
If an infant receives proper care after birth, they will be easier to raise and naturally avoid dangerous situations while entering a smooth path of growth. The syndromes listed in this section are quite detailed and sufficient for reference.
While various physical ailments in children are obvious, the color patterns of the five Zang organs reflected in facial features and orifices, the method of listening to the five sounds, the technique of examining finger veins (infant pulse diagnosis via the radial vein), how to palpate the pulse at one year old, and how to assess symptoms are all described in detail in the first few sections of this chapter, accompanied by diagrams and explanations for reference.
The six pathogenic factors—Wind, Cold, Summer-heat, Dampness, Dryness, and Fire—are most easily contracted by children. Each category has its distinctions; carefully reading the treatment protocols in each section will provide confidence.
When children catch Wind-Cold, it may be complicated by Food Stagnation, Heat, or Convulsion. It is not merely a simple contraction of the six pathogenic factors, and the treatment methods vary accordingly. Therefore, a separate category is established to clarify these points.
Children are particularly susceptible to epidemic diseases. Slight delays can lead to numerous complications. Since the etiology varies with time, this section lists epidemic fevers, plague-like illnesses, sand-rashes, Wind-Warmth, Summer-Warmth, Autumn epidemics, and Winter-Warmth, which are relatively easy to identify.
Convulsion is a critical syndrome in children. Although the name has been misused for a long time and is difficult to change, we retain the old name despite recognizing its inaccuracy. Specifically, Tian Gou (Heavenly Hook) and Nei Gou (Internal Hook) should not be called convulsions, nor should Slow Pi Wind (Chronic Spleen Wind). The key moment of syndrome differentiation allows no ambiguity.
It is trivial to say that laypeople often mistake epilepsy for convulsion. However, discussing epilepsy, apart from the syndrome of Epilepsy due to Convulsion, there are also syndromes of Yin-Epilepsy, Yang-Epilepsy, Wind-Phlegm, Food-Epilepsy, and the Five Zang organ epilepsies (Heart, Liver, Spleen, Lung, Kidney), all of which are detailed in this section.
Smallpox vaccination is simple and avoids the dangers of natural smallpox. The method is excellent, but there are specific precautions before and after vaccination. This section lists them item by item in an orderly manner. Even for natural smallpox cases where vaccination was not performed, the treatment cannot be neglected; thus, a special clause is added to cover the entire scope.
Measles has no vaccine and is a major unavoidable disease for children. The treatment protocols in this section are clear and detailed. Understanding this prevents panic and negligence. Rashes such as Saizhen (itchy rash) and Yinzhen (urticaria) differ significantly from typical exanthematous diseases like smallpox and measles; they are highlighted separately to show the distinction.
Infantile cholera differs significantly from ordinary occasional vomiting and diarrhea. It is not only different between dry cholera and wet cholera but also between diarrhea preceding vomiting and vomiting preceding diarrhea. Careful reading of this section will clarify these distinctions.
Infantile malnutrition (Gan Syndrome) is diverse and easily developed. Not only do the Five Zang organs and sensory orifices have names associated with Gan, but conditions like Gan-Heat, Gan-Thirst, Gan-Diarrhea, and Gan-Dysentery also possess the nature of Gan. Other types such as Wugu Gan, Dingxi Gan, and Bulu Gan require early prevention and preparation.
It is well known that malaria is milder than dysentery, and dysentery is more severe than malaria. However, malaria can be caused by Wind-Cold, Summer-heat, Dampness, or Food, while dysentery can be Cold, Heat, Bloody, Jin Kou (closed mouth/difficulty swallowing), or Resting Dysentery. There are also seasonal dysentery and prolapse of the rectum due to dysentery, as well as sequences of dysentery followed by diarrhea or vice versa. All these are listed in their respective sections for readers to examine.
Pediatric hernia syndromes may be due to Cold, Damp-Heat combined with Cold, or congenital factors, including conditions like Yin Swelling and Intestinal Qi Hernia. This section details them one by one for study.
Pediatric strangury (Lin Syndrome) is common. This section divides it into Cold, Heat, Stone, and Blood types, providing treatment pathways based on these classifications.
Jaundice in children has Yin and Yang distinctions, which are self-evident. However, a slight difference requires observing not only external signs but also internal causes. This section explains these thoroughly.
Excessive loss of Phlegm, Blood, and Sweat is inadvisable in children. Phlegm can be Dry or Damp; blood loss can occur via nosebleed, vomiting, or urination/defecation; sweat can be spontaneous or night sweat. These are fully elaborated in their respective sections. Additionally, the Sweat section includes an external treatment method.
Cough is very common in children. If differentiated correctly as Lung-Cold, Lung-Heat, Food Stagnation, or Wind-Cold, it is relatively easy to treat. However, Pertussis (Whooping Cough) tends to be persistent and damages the Lungs. This section offers a simple treatment method for this condition, which is highly effective.
Asthma in children may result from Fire-Heat, Lung Deficiency, Wind-Cold, or Phlegm-Fluid Retention. If treated appropriately, these are not worrying. However, Ma Pi Feng (Horse Spleen Wind, a severe form of asthma) is acute and critical; delay can be fatal. Following the treatment methods in this section can turn danger into safety.
Occasional vomiting and diarrhea are common in children. Vomiting may stem from Food Injury, Milk Injury, Convulsion, Phlegm-Fluid, Deficiency, Excess, Cold, Heat, or Parasites. Diarrhea may stem from Milk Injury, Middle Jiao Cold, Spleen Deficiency, Umbilical Cold, Convulsion, or Water/Fire imbalance. All syndromes and treatments are detailed in their respective sections.
Food stagnation is mild, whereas mass accumulation (Pi Ji) is severe. They must not be treated indiscriminately, as this could lead to bodily deficiency without resolving the accumulation, causing danger. Referring to the treatment protocols in each section will ensure confidence.
Edema in children may affect the upper body, lower body, or the whole body, and is classified as Yang Edema or Yin Edema. Careful identification is necessary to avoid errors. Additionally, Qi Deficiency Edema should not be mistaken for regular edema; it is appended to the end of this section for emphasis.
Abdominal distension in children should not be taken for granted. It must be differentiated into Deficiency, Excess, Cold, and Heat. Deficiency may combine with Cold, Excess with Heat, and True Cold may mimic Heat, while True Heat may mimic Cold. Clear recognition is crucial. Reading this section will make the syndrome differentiation clear at a glance.
The Three Xiao (Consumption) syndromes in children are: Upper Xiao (Thirst/Polydipsia), Middle Xiao (Hunger/Polyphagia), and Lower Xiao (Turbidity/Polyuria). Early treatment prevents progression from Upper Xiao to Middle and Lower Xiao, ensuring recovery.
Pediatric headache differs from adults, primarily involving Wind-Cold and Internal Heat. Although other syndromes are rare in children, they are described in this section for research purposes in the introductory paragraph.
Abdominal pain in children is generally caused by Food Injury, Cold Invasion, Parasites, or a combination of Internal Food Stagnation and External Cold. Parasite accumulation is the most critical. Treatment should not only stop pain and eliminate parasites but also strengthen the Spleen Earth to prevent recurrence.
The Miscellaneous Syndromes section is comprehensive, collecting cases not belonging to other specialized categories to fill gaps. Nine external treatment methods are included to assist internal medication. These are simple, quick, beneficial, and harmless, so they are appended after the Miscellaneous Syndromes section for convenience.
In cases of accidental ingestion of incompatible herbs (Anti-drugs), rescue methods are provided to ensure safety, appended after the external treatment methods.
All prescriptions listed in this book are derived from years of experience. For any disease, appropriate medicines can be selected, aiming for precise efficacy without excess. Pediatric diseases are complex; as long as the syndrome and medication are correct, illness can be resolved. With sincere intentions, I hope experts will correct any shortcomings. Readers are asked to understand.