治疳积,眼合不开,翳障遮睛。
谷精草(晒燥,研细,四分) 石燕( 醋淬研,六分) 紫口蛤蜊( ,研,一钱)
用不见水雄猪肝,竹刀剖开,将药入内,线扎煮之,去药食肝。
治疳积,初起红障。
雄黄(一钱) 石膏 (一两) 共为细末,雄鸡软肝一个,酒酿顿熟,醮药钱余,食之。
耳者,宗脉之所聚,肾气之所通也。有小儿肾经气实,其热上冲于耳,遂使津液壅
而为脓,或为清汁,然则厥阳之与足阳明,手少阴之与足太阳,为症尤甚。推其所致之
由,其原有七,有实热有阴虚;有因痰;有因火;有气闭;有肝风,有胎元及发而为病
也。症有五焉,鸣、痛、聋、肿、 、是也。实热者何?即肾气有余,积热上冲,津
液壅结,故成 耳。 耳之名,更有五般。常出黄脓者,谓之 耳;常出红脓者,谓之
脓耳;耳内疳臭者,谓之冱耳;白脓出者,谓之缠耳;耳内虚鸣,时出青脓者,谓之囊
耳。其名虽异,总由积热上壅,或风水入耳所致。若不速治,久则成聋,法宜清火养
血,或去湿化毒,阴虚者何?其候手足心热,体瘦色黑,口渴肠燥,两尺脉大,时或
作痒,耳聋及鸣,所主在滋阴疏肝。因痰者何?其候气壅口燥,不痛而痒,体重脉弦,
耳鸣 耳者是也。所主在二陈竹沥之类。因火者何?或暴怒之乍乘,或情欲之自肆,
或因有余之火,或因不足之火,故耳聋及痛者,所主在芩连归芍之类。气闭者何?有因
怒伤及肝,痰生于火,或一时卒中,或久病气虚,故耳聋及鸣者,所主在舒郁调血,外
用导引宣通之法。肝风者何?有因火壅上焦,忽作大痛,或流或胀者,有因纵怒纵
酒,湿热相乘,耳肿及痛者,所主在平肝,除热疏风。胎元者何?是因父母不谨,故先
天之毒攻冲,脓臭流处成疮,四傍肿赤,时发时愈,所生在化毒滋肾,更有风入于脑,
停滞于手太阳之脉,则令气塞耳聋。若风湿相搏,则生耳疮。更有以手指月,遂使两耳
之后生疮者,名曰月蚀疮,及冻耳虫伤拨损之类。外因者,并从外治。更有耳根及牙床
肿痛者,属上焦风热,阳明、少阳二经受病也,当用清胃辛凉而散之。实热盛者,酒蒸
大黄,微利之。至若大病后,而耳聋者,是血枯而气弱也,当服地黄丸以疗之。若耳中
忽作大痛,如有虫在内奔走殊痛,或出血或水或干,痛不可忍者,用蛇蜕火烧存性为
末,鹅管吹入立止。取蛇之善脱,以解散郁火也。
治疗疳积,眼睛闭合无法睁开,翳障遮蔽瞳孔。
谷精草(晒干干燥,研成细粉,四分) 石燕(用醋淬炼后研磨,六分) 紫口蛤蜊(研磨,一钱)
取未接触过水的雄猪肝,用竹刀剖开,将药物放入肝内,用线扎紧煮熟,去掉药物,食用猪肝。
治疗疳积初起,眼睑边缘出现红色翳障。
雄黄(一钱) 石膏(一两) 共同研成细末,取雄鸡柔软的肝脏一个,用酒酿炖熟,蘸取药末约一枚钱币的量,食用。
耳朵,是全身经脉汇聚之处,也是肾气通达的器官。有些小儿肾经气盛,热气上冲至耳,导致津液壅滞化为脓液,或成为清稀汁液,然而厥阳经与足阳明经、手少阴经与足太阳经受邪时,症状尤为严重。推究其致病原因,主要有七种:有实热,有阴虚;有因痰湿引起;有因火邪引起;有气机闭塞;有肝风内动;有胎毒及发病所致。病症表现为五种:耳鸣、耳痛、耳聋、耳肿、耳流脓,即是这五种。什么是实热?即肾气有余,积热上冲,津液壅结,从而形成脓耳。脓耳的名称,又有五种分别。经常流出黄色脓液的,称为脓耳;经常流出红色脓液的,称为血耳(注:原文“红脓”对应中医常称血耳或类似变名,此处依文意直译描述);耳内有疳蚀臭味的,称为冱耳;流出白色脓液的,称为缠耳;耳内虚鸣,时常流出青色脓液的,称为囊耳。名称虽然不同,总归是由积热上壅,或风水侵入耳窍所致。如果不迅速治疗,日久则会导致耳聋,治法适宜清热泻火、滋养血液,或者祛湿解毒。什么是阴虚?其表现为手足心发热,身体消瘦面色黑,口渴肠燥,两尺脉大,时而发痒,耳聋及耳鸣,主治在于滋阴疏肝。因痰湿引起的怎样?其表现为气机壅滞口燥,不痛而痒,身体沉重脉弦,耳鸣耳流脓者即是。主治在于二陈汤加竹沥之类。因火邪引起的怎样?或因暴怒突然乘袭,或因情欲放纵,或因有余之火,或因不足之火,导致耳聋及疼痛的,主治在于黄芩、黄连、当归、白芍之类。气机闭塞的怎样?有因愤怒伤肝,痰生于火,或一时卒中,或久病气虚,导致耳聋及耳鸣的,主治在于舒解郁结、调和血液,外用导引宣通的方法。肝风内动的怎样?有因火邪壅塞上焦,忽然发生剧烈疼痛,或流脓或肿胀的,有因纵欲酗酒,湿热相乘,导致耳肿及疼痛的,主治在于平肝、除热、疏风。胎毒引起的怎样?是因父母不慎,导致先天之毒攻冲,脓液臭味流出处结成疮疡,四周红肿,时发时愈,所生之病在于化毒滋肾。更有风邪侵入脑部,停滞于手太阳经脉,则导致气塞耳聋。若风湿相互搏结,则产生耳疮。更有用手指月亮,致使两耳后方生疮的,名叫月蚀疮,以及冻伤、虫咬损伤之类。外感病因,都从外部治疗。更有耳根及牙床肿痛者,属于上焦风热,是阳明、少阳二经受病,应当使用清胃辛凉发散的方法。实热炽盛的,用酒蒸大黄,使其轻微腹泻以泄热。至于大病之后,出现耳聋的,这是血枯气弱,应当服用地黄丸来治疗。如果耳中忽然发生剧烈疼痛,如有虫子在内部奔走造成极大痛苦,或出血或流水或干燥,疼痛难以忍受的,用蛇蜕烧存性研为细末,用鹅管吹入耳中,立即可止。取蛇善于蜕皮之意,以解散郁结之火。
Treats gan accumulation (malnutrition with abdominal distension), eyes unable to open, nebula (corneal opacity) obscuring the pupil.
Gu Jing Cao (Sparganii Flos, dried and finely powdered, 4 fen), Shi Yan (Swallow's Egg Stone, quenched in vinegar and ground, 6 fen), Zi Kou Ge Li (Clam Shell, ground, 1 qian).
Take a male pig liver that has never touched water, cut it open with a bamboo knife, insert the herbs inside, tie it securely with thread, boil it, remove the herbs, and consume only the liver.
Treats early-stage gan accumulation with initial red nebula.
Xiong Huang (Realgar, 1 qian), Shi Gao (Gypsum Fibrosum, 1 liang). Grind both into fine powder. Take one soft liver from a male chicken, stew it with fermented rice wine, dip a coin-sized amount of the powder into it, and consume.
The ear is the gathering place of the zong vessels (major meridians) and the passage for Kidney Qi. In some children, excess Qi in the Kidney meridian causes heat to rush upward to the ear, leading to the stagnation of body fluids which transform into pus or clear fluid. The conditions involving Jue Yin, Foot Yangming, Hand Shaoyin, and Foot Taiyang are particularly severe. Investigating the causes, there are seven primary origins: excess heat, yin deficiency; phlegm; fire; qi obstruction; Liver wind; fetal origin toxins; and disease manifestation. There are five main symptoms: tinnitus, otalgia, deafness, ear swelling, and otorrhea. What is excess heat? It refers to surplus Kidney Qi and accumulated heat rushing upward, causing fluid stagnation and condensation, resulting in purulent otitis (Nong Er). The term "purulent otitis" encompasses five types: those constantly discharging yellow pus are called Nong Er; those discharging red pus are called Nong Er (Note: Text says Nong Er, context implies blood-related); those with a gangrenous odor are called Hu Er; those discharging white pus are called Chan Er; those with empty tinnitus and occasional green pus are called Nang Er. Although the names differ, they all stem from accumulated heat obstructing upward or wind-water entering the ear. If not treated promptly, it may lead to long-term deafness. The treatment method should focus on clearing fire, nourishing blood, or removing dampness and resolving toxicity. What is yin deficiency? Symptoms include heat in the palms and soles, emaciation with dark complexion, thirst, dry intestines, large pulses at the cun position of both chi positions, occasional itching, deafness, and tinnitus. The treatment principle is to nourish yin and soothe the Liver. What is caused by phlegm? Symptoms include qi stagnation, dry mouth, no pain but itching, heavy body, and wiry pulse, accompanied by tinnitus and otorrhea. The treatment involves Er Chen Tang with Zhu Li (Bamboo Sap). What is caused by fire? Whether due to sudden anger, indulgence in desires, excess fire, or deficient fire, leading to deafness and pain, the treatment uses Huang Qin (Scutellariae Radix), Lian Zi (Coptidis Rhizoma), Dang Gui (Angelicae Sinensis Radix), and Bai Shao (Paeoniae Radix Alba). What is qi obstruction? Caused by anger injuring the Liver, phlegm generated by fire, sudden stroke, or qi deficiency from chronic illness, leading to deafness and tinnitus. The treatment focuses on relieving depression and regulating blood, with external methods for guiding and unblocking. What is Liver wind? Caused by fire obstructing the upper jiao, leading to sudden severe pain, discharge, or swelling; or due to excessive anger and alcohol consumption, where damp-heat combines, causing ear swelling and pain. The treatment aims to calm the Liver, clear heat, and dispel wind. What is fetal origin? Due to parental negligence, congenital toxins attack and rush, causing pus and odor to flow, forming sores with surrounding redness and swelling, recurring intermittently. The treatment involves resolving toxicity and nourishing the Kidney. Additionally, wind entering the brain and stagnating in the Hand Taiyang meridian can cause qi blockage and deafness. If wind-dampness combats, ear sores arise. Pointing at the moon with a finger may cause sores behind both ears, known as Yue Shi Chuang (Moon Erosion Sore), along with frostbite or insect bite injuries. External causes are treated externally. Swelling and pain at the ear root and gum belong to upper jiao wind-heat, affecting the Yangming and Shaoyang meridians; treat with Stomach-clearing, acrid-cool dispersing methods. For intense excess heat, use Jiu Zheng Da Huang (Wine-processed Rheum Palmatum Rhizome) to induce mild purgation. Deafness after a major illness indicates blood depletion and qi weakness; treat with Di Huang Wan (Rehmannia Pill). Sudden severe pain in the ear, feeling like insects running inside, bleeding, discharge, or dryness, unbearable pain, can be stopped immediately by burning She Tui (Ophichus Skin) until carbonized, grinding it, and blowing it into the ear using a goose quill. This utilizes the snake's ability to shed skin to resolve dispersed fire.