如 已出只时时与之快咽喉宽利胸膈
桔梗(二钱) 甘草(一钱炙)
上为粗末每服三钱水一大盏煎至六分去渣大温时时服之不可计服数
如见伤食证又见 证先与不犯大黄巴豆药克化过再与升麻汤
如食重伤前药不能过再与犯大黄巴豆药过
如大便行当即便与升麻汤服之恐 子内陷以后临时作罪过
如 子已出稠密身表热急与下项
如 子已出稠密身表热急与此药服之防后青干黑陷
黍粘子(炒香) 当归身(酒洗) 炙甘草(各一钱) 柴胡 连翘 黄 黄芩(各一钱五
分) 地骨皮(二钱)
上同为粗末每服二钱水一大盏煎至六分去渣温服空腹服药毕且休与乳食
治小儿寒郁而喘喉鸣腹满鼻流清涕脉沉急而数
麻黄 草豆蔻仁 益智仁(各一钱五分) 吴茱萸 浓朴(各二分) 当归梢 甘草 柴胡
生黄芩(各一分) 升麻 神曲 苏木(各半分) 全蝎(二个) 红花(少许)
上锉如麻豆大分作二服水一大盏煎至七分去渣食远服忌风寒微有汗则效
如果疹子已经发出,只是偶尔给予药物以通畅咽喉、宽利胸膈。
桔梗(二钱) 甘草(一钱,炙)
以上药材捣成粗末,每次服用三钱,加水一大盏,煎煮至六分,去渣,大温时随时服用,不计算具体服数。
如果见到伤食证,又见到[疹子]证,先给予不含有大黄、巴豆等攻下药物的方剂,待积滞化解后再给予升麻汤。
如果饮食损伤严重,前面的药物无法通过,再给予含有大黄、巴豆的药物,待积滞过后。
如果大便通行,应当立即给予升麻汤服用,恐怕疹毒内陷,以免日后临时造成过错。
如果疹子已经发出且稠密,身体表面发热急迫,立即给予以下方剂。
如果疹子已经发出且稠密,身体表面发热急迫,服用此药以防后续出现青色、干枯、黑色下陷的危象。
黍粘子(炒香) 当归身(酒洗) 炙甘草(各一钱) 柴胡 连翘 黄芩 黄芩(各一钱五分) 地骨皮(二钱)
*注:原文此处“黄 黄芩”疑为衍文或排版错误,结合上下文及常用配伍,通常指黄芩,或可能意指黄芪与黄芩,但根据剂量“各一钱五分”及后文列举,此处依原文字面处理,若按常规理解多为黄芩。鉴于要求忠实原文,保留“黄 黄芩”字样,但在翻译中需体现。考虑到“黄”后无字,极可能是“黄芩”二字被拆分或漏字,或者指“黄芪”。但在李东垣方中,治疹常含黄芩。此处暂译为 Huang Qin (Scutellariae Radix, 黄芩),若前一字为黄芪则另当别论。观察原文“黄 黄芩”,中间有空格,可能是OCR识别错误,原意大概率为“黄芩”。为了严谨,我将把“黄 黄芩”视为一个整体条目或修正为最可能的“黄芩”。参考WHO术语,Huangqi是Astragali Radix,Huangqin是Scutellariae Radix。此处暂定为黄芩,因为前后文多清热药。*
*更正:仔细看图/文本,“黄 黄芩”中间有空格,且后面还有“黄芩(各一钱五分)”。这非常奇怪。让我们再看一遍:“柴胡 连翘 黄 黄芩(各一钱五分)”。这可能意味着柴胡、连翘、黄[芪?]、黄芩各一钱五分?或者“黄”是多余的?在《兰室秘藏》中,治疗小儿痘疹的方剂里常有黄芩。假设“黄”是“黄芩”的前缀误写,或者指“黄芪”。但看剂量分配,“各一钱五分”通常指前面列出的所有药材。如果包括柴胡、连翘、黄、黄芩,那就是四种药。如果“黄”是笔误,那就是三种。鉴于“黄芩”在后,且重复出现,极有可能是“黄芩”二字被断开。此处我将按“黄芩”处理,并在英文中注明。*
*再次核对:原文是“柴胡 连翘 黄 黄芩(各一钱五分)”。这在古籍整理中常见错误,往往“黄”后缺字,或“黄芩”重复。李东垣治疹方中,黄芩是主药之一。暂译为 Scutellariae Radix (Huangqin, 黄芩)。*
上药同为粗末,每次服用二钱,加水一大盏,煎煮至六分,去渣,温服。服药完毕后暂时不要给予乳食。
治疗小儿因寒邪郁闭导致的喘息、喉间鸣响、腹部胀满、鼻流清涕、脉象沉急而数。
麻黄 草豆蔻仁 益智仁(各一钱五分) 吴茱萸 浓朴(各二分) 当归梢 甘草 柴胡 生黄芩(各一分) 升麻 神曲 苏木(各半分) 全蝎(二个) 红花(少许)
以上药材锉碎如麻豆大小,分为两服,加水一大盏,煎煮至七分,去渣,在饭后远隔时间服用。忌受风寒,微微出汗则见效。
If the rash has already erupted, simply administer medicine occasionally to unblock the throat and relieve the chest and diaphragm.
Jiegeng (Platycodonis Radix, 桔梗) (2 qian) Gancao (Glycyrrhizae Radix et Rhizoma Praeparata cum Melle, 炙甘草) (1 qian, honey-fried)
The above herbs are crushed into a coarse powder. For each dose, take 3 qian, add one large cup of water, decoct until reduced to 60%, remove the dregs, and take warm at any time. Do not limit the number of doses.
If signs of food stagnation are observed along with [rash] symptoms, first administer a formula that does not contain purgatives such as Dahuang (Rhei Radix et Rhizoma, 大黄) or Badou (Crotonis Fructus, 巴豆). After the stagnation is resolved, then administer Shengma Tang (Cimicifugae Decoction, 升麻汤).
If the dietary injury is severe and the previous medicine cannot pass through, then administer medicine containing Dahuang (Rhei Radix et Rhizoma, 大黄) or Badou (Crotonis Fructus, 巴豆). After the stagnation passes...
When the stool moves, immediately administer Shengma Tang (Cimicifugae Decoction, 升麻汤) for consumption, lest the pathogenic factor of the rash sink inward, causing fault later when dealing with emergencies.
If the rash has already erupted densely and the body surface heat is urgent, immediately administer the following prescription.
If the rash has already erupted densely and the body surface heat is urgent, administer this medicine to prevent subsequent complications such as cyanosis, dryness, blackening, and sinking.
Shuniuzi (Arctii Fructus, 黍粘子) (stir-fried until fragrant) Dangguishen (Angelicae Sinensis Radix, 当归身) (washed with wine) Zhigancao (Glycyrrhizae Radix et Rhizoma Praeparata cum Melle, 炙甘草) (each 1 qian) Chaihu (Bupleuri Radix, 柴胡) Lianqiao (Forsythiae Fructus, 连翘) Huangqin (Scutellariae Radix, 黄芩) (each 1.5 qian) Digupi (Lycii Cortex, 地骨皮) (2 qian)
*Note: The source text "Huang Huangqin" appears to be a textual error or duplication; translated here as Huangqin based on context.*
The above herbs are made into a coarse powder together. For each dose, take 2 qian, add one large cup of water, decoct until reduced to 60%, remove the dregs, and take warm. After taking the medicine, temporarily refrain from giving milk or food.
Treat pediatric asthma due to cold constraint, wheezing in the throat, abdominal fullness, clear nasal discharge, and a pulse that is deep, rapid, and hurried.
Mahuang (Ephedrae Herba, 麻黄) Caodoukouren (Alpiniae Katsumadai Semen, 草豆蔻仁) Yizhiren (Alpiniae Oxyphyllae Semen, 益智仁) (each 1.5 qian) Wuzhuyu (Evodiae Fructus, 吴茱萸) Houpo (Magnoliae Officinalis Cortex, 浓朴) (each 2 fen) Dangguishaoshao (Angelicae Sinensis Radix, 当归梢) Gancao (Glycyrrhizae Radix et Rhizoma, 甘草) Chaihu (Bupleuri Radix, 柴胡) Sheng Huangqin (Scutellariae Radix, 生黄芩) (each 1 fen) Shengma (Cimicifugae Rhizoma, 升麻) Shenqu (Massa Medicata Fermentata, 神曲) Sumu (Sappan Lignum, 苏木) (each 0.5 fen) Quanxie (Scorpio, 全蝎) (2 units) Honghua (Carthami Flos, 红花) (a small amount)
The above herbs are cut into pieces the size of hemp seeds, divided into two doses. Add one large cup of water, decoct until reduced to 70%, remove the dregs, and take well after meals. Avoid wind and cold; slight sweating indicates efficacy.