赤白顺气与和中;
顺气则腹痛自止,和中则里急自除。纯赤者,积热毒也,宜导滞汤。或赤或白,冷热不调,腹痛后重,肠胃
虚滑,食少困倦,宜小驻车丸∶黄连六两,干姜一两,当归二两,阿胶三两,为末,醋糊丸,黍米大。每三十丸,
米饮下。大人亦宜。久不止及 痢者,没石子丸,鸡子煎。
妄下肿胀渴随至,
脾虚有积,积化成痢,妄下脾胃重虚,变成浮肿胀满作渴,不可为矣。
误补脱肛色 红。
热者,黄连阿胶丸,薄荷煎。有服凉药过度,或久痢脏寒脱肛者,钓肠丸,木香煎汤下;或真人养脏汤。
有痢频脱肛,黑色生壳者,用巴豆壳烧灰,芭蕉自然汁煮,入朴硝少许洗软,用清油点三滴,放三角白矾 过,
龙骨少许,为末干糁肛头,用芭蕉叶托上,勿令便去,出入令大儿抱定。
乳嗽百日内不宜,恋膈损胃肺孤危;
或因啼叫未定吃乳,或饮乳过度,以致停蓄胸膈胃口,上干于肺,故发咳嗽呃逆,肺胃俱病,百日内见者,
为恶候。
热嗽面赤丸葶苈,
其有四时感冒嗽者,当用参苏饮、惺惺散之类微表。如挟热暴嗽,面赤壮热便闭者,宜葶牛丸下之。
虚者阿胶散可医。
阿胶七分半,白茯苓、马兜铃、糯米各二分半,杏仁十粒,甘草二分,水煎。治久嗽肺虚,气促有痰,
恶心。
二三岁时欲断乳,夜静用药画儿眉。
画眉膏∶山栀炒黑三个,雄黄、朱砂、轻粉各少许,为末,清油调匀,候儿睡着,浓沫画儿两眉上,醒来自
不吃乳,未效再画。仍墨搽乳头。
喘因吃乳啼未定,或挟风冷肺家病。
或因啼叫未定,吃乳与咸酸,以致气逆不下,或因饮乳过度,内挟风冷伤肺而喘,或 呃逆者,宜
紫苏子汤∶苏子、诃子、萝卜子、杏仁、木香、人参各等分,甘草、青皮各减半,姜煎温服。
呕吐不食胃家虚,痰壅发热火炎盛。
呕吐惊悸,困倦自汗者为虚,面赤气粗痰盛发热者为实。俱二陈汤主之,虚加参、术,热加芩、连。
尿白成疳积中热,
尿白如泔,脾经有积,久则成疳,亦兼心膈伏热得之,宜茯苓散∶赤茯苓、三棱、莪术、砂仁各五钱,
青皮、陈皮、滑石、甘草各二钱半,为末。每一钱,麦门冬、灯芯煎汤调服。
淋沥有惊气下结。
十余岁因惊之候,心气下行,小便淋沥,日夕三四十次,渐觉黄瘦,宜顺经散∶韭子、琥珀、益智仁、
金毛狗脊、白茯苓、石燕各五钱,石苇一钱,为末。每一钱,韭汤调,日二服。
汗多胃怯兼惊惕,
胃怯出汗,上至颈,下至脐者,益黄散;有因惊惕心虚,以致脾弱少食,心腋汗多者,大温惊丸;惊热
者,小凉惊丸,俱牡蛎、麻黄根煎汤下。全因惊惕盗汗者,古芷砂散;脾胃弱者,钱氏白术散。
或有气弱心血溢;
盗汗不止,气弱体瘦,乃心血溢盛为汗,非虚也,宜人参、当归各一钱半,猪心一大片,水煎服,以收敛
心血。如手掌心汗多者,亦效。
额汗阳虚蒲扇灰,
头汗绕颈而止,本属阳虚,但小儿纯阳,或因浓衣被而额汗出,或睡中盗出者,用古蒲扇烧灰为末,每
三钱,温酒调服。轻者,不
药自止。如满口生疮及久病额汗如油者,不治。
遍体香瓜痰火熄。
遍身汗出者,痰火盛也,宜香瓜丸∶胡黄连、大黄、柴胡、鳖甲、黄柏、黄连、芦荟、青皮各等分为末,
用大黄栝蒌一个去头,填入诸药至满,却盖口用柴插定,慢火内煨熟,取出捣烂,入面糊丸,绿豆大。每三丸
或五七丸,食后冷浆水下。腋下、手足掌心、阴汗,煎地骨皮汤洗,白矾炉底末敷之。
赤白痢疾顺气与和中;
顺气则腹痛自然停止,调和脾胃(中焦)则里急后重自然消除。纯红色者,是积热毒邪所致,适宜使用导滞汤。或红或白,冷热不调,腹痛且伴有后重感,肠胃虚弱滑脱,饮食减少、困倦乏力,适宜小驻车丸:黄连六两,干姜一两,当归二两,阿胶三两,研为细末,用醋糊制成丸剂,大小如黍米。每次三十丸,米汤送服。成人也适宜服用。久治不愈及患痢疾者,可用没石子丸,配合鸡子煎服用。
妄用攻下法导致肿胀口渴随之而来,
脾虚且有积滞,积滞转化为痢疾,若妄用攻下法会使脾胃再次受损,演变成浮肿、胀满、作渴,这就难以治愈了。
误用补益法导致脱肛且颜色发红。
属热证者,用黄连阿胶丸,薄荷煎汤送服。有因服用寒凉药物过度,或久痢导致脏腑虚寒而脱肛者,用钓肠丸,木香煎汤送服;或者使用真人养脏汤。
若有痢疾频繁发作导致脱肛,肛门黑色且生有硬壳者,用巴豆壳烧成灰,用芭蕉自然汁煮,加入少许朴硝洗软,再用清油点三滴,放入过量的三角白矾,加少许龙骨,研为细末干撒在肛头上,用芭蕉叶托住肛门,不要让大便排出,让大孩子抱紧固定。
百日内的婴儿咳嗽不宜断乳,恋膈损伤胃肺,病情孤危;
有的因为啼哭未定就吃奶,或者饮奶过度,导致乳汁停蓄在胸膈胃口,上犯于肺,所以引发咳嗽呃逆,肺和胃都患病,百日内出现这种情况的,属于恶候。
热嗽面赤用葶苈丸,
那些四季感冒引起的咳嗽,应当使用参苏饮、惺惺散之类轻微解表。如果挟带热邪突发咳嗽,面赤壮热便秘者,适宜用葶牛丸攻下。
虚证者可用阿胶散医治。
阿胶七分半,白茯苓、马兜铃、糯米各二分半,杏仁十粒,甘草二分,水煎。治疗久咳肺虚,气促有痰,恶心。
二三岁时想要断乳,夜晚安静时用药画孩子的眉毛。
画眉膏:山栀炒黑三个,雄黄、朱砂、轻粉各少许,研为细末,用清油调匀,等孩子睡着后,浓涂在孩子两眉上,醒来后自然不吃奶,未见效可再画。仍用墨涂抹乳头。
喘是因为吃奶时啼哭未定,或者挟带风冷导致肺家生病。
有的因为啼哭未定,吃奶并食用咸酸食物,导致气逆不下,或者因为饮奶过度,内挟风冷伤肺而气喘,或者呃逆者,适宜紫苏子汤:苏子、诃子、萝卜子、杏仁、木香、人参各等分,甘草、青皮各减半,生姜煎煮温服。
呕吐不食是胃家虚,痰壅发热是火炎盛。
呕吐惊悸,困倦自汗的是虚证,面赤气粗痰盛发热的是实证。都用二陈汤主治,虚证加人参、白术,热证加黄芩、黄连。
尿白形成疳积是中焦有热,
尿白如米泔水,脾经有积滞,久了形成疳积,也是兼有心膈伏热所致,适宜茯苓散:赤茯苓、三棱、莪术、砂仁各五钱,青皮、陈皮、滑石、甘草各二钱半,研为细末。每一钱,用麦门冬、灯芯煎汤调服。
淋沥不尽是有惊气下结。
十余岁因受惊的症状,心气下行,小便淋沥,日夕三四十次,渐渐觉得黄瘦,适宜顺经散:韭子、琥珀、益智仁、金毛狗脊、白茯苓、石燕各五钱,石苇一钱,研为细末。每一钱,用韭菜汤调服,每日两次。
汗多是因为胃怯兼受惊惕,
胃气虚弱出汗,上至颈部,下至肚脐的,用益黄散;有因惊惕导致心虚,以致脾弱少食,心窝腋下汗多者,用大温惊丸;惊热者,用小凉惊丸,都用牡蛎、麻黄根煎汤送服。全因惊惕导致的盗汗者,用古芷砂散;脾胃弱者,用钱氏白术散。
或者有气弱心血溢;
盗汗不止,气弱体瘦,乃心血溢盛化为汗,并非虚证,适宜人参、当归各一钱半,猪心一大片,水煎服,以收敛心血。如果是手掌心汗多者,也有效。
额汗是阳虚,用蒲扇灰,
头汗绕颈而止,本属阳虚,但小儿纯阳之体,或因穿盖厚衣被而导致额头出汗,或者睡中盗汗者,用古蒲扇烧灰为末,每次三钱,温酒调服。轻者,不用药自然停止。如果满口生疮及久病额头汗出如油者,无法治愈。
遍体汗出用香瓜丸熄痰火。
遍身汗出者,是痰火盛也,适宜香瓜丸:胡黄连、大黄、柴胡、鳖甲、黄柏、黄连、芦荟、青皮各等分为末,用一个大冬瓜(注:原文“大黄栝蒌”疑为冬瓜或栝楼,此处依语境保留原名或意译,通常指冬瓜或栝楼,结合方义多为冬瓜或栝楼实,此处暂译为冬瓜/栝楼)一个去头,填入诸药至满,盖上口用柴插定,慢火内煨熟,取出捣烂,入面糊丸,绿豆大。每次三丸或五七丸,食后冷浆水下。腋下、手足掌心、阴部出汗,煎地骨皮汤清洗,用白矾炉底末敷之。
Smooth Qi and Harmonize the Middle for Red and White Dysentery;
Smoothing Qi will naturally stop abdominal pain, and harmonizing the Middle Jiao (Spleen and Stomach) will naturally eliminate tenesmus. Pure red stools indicate accumulation of heat and toxic pathogens; Daoshi Tang (Drain Stasis Decoction) is appropriate. Mixed red and white stools with disharmony of cold and heat, abdominal pain with tenesmus, weak and slippery intestines and stomach, reduced appetite, fatigue, and lassitude call for Xiao Chuche Wan (Minor Stop-Discharge Pill): Huanglian (Coptidis Rhizoma) 6 liang, Ganjiang (Zingiberis Rhizoma Recens) 1 liang, Danggui (Angelicae Sinensis Radix) 2 liang, Ejiao (Colla Corii Asini) 3 liang, ground into fine powder, formed into pills with vinegar paste, size of millet seeds. Take 30 pills per dose, washed down with rice water. Adults may also use it. For chronic cases not resolving or suffering from dysentery, Meishi Zi Wan (Myristica Seed Pill) combined with Ji Zi Jian (Egg Decoction) is indicated.
Indiscriminate Purging Leads to Swelling, Distension, and Thirst,
Spleen deficiency with accumulation transforms into dysentery. Indiscriminate purging further damages the Spleen and Stomach, leading to edema, distension, and thirst, which becomes incurable.
Mistaken Tonification Causes Rectal Prolapse with Redness.
For heat patterns, Huanglian Ejiao Wan (Coptis and Donkey-Hide Gelatin Pill) taken with Bohe (Menthae Haplocalycis Herba) decoction is used. For those who have overused cold-natured medicines or suffer from rectal prolapse due to long-term dysentery causing internal cold, Diaochang Wan (Hook Intestine Pill) taken with Muxiang (Aucklandiae Radix) decoction, or Zhenren Yangzang Tang (True Person's Nourish Viscera Decoction), are indicated.
For frequent rectal prolapse during dysentery where the anus is black and hardened, burn Baidu Ke (Crotonis Fructus Shell) to ash, boil in Bajiao (Musa Paradisiaca Fruit Juice), add a little Xiaoyan (Natrii Sulfas), soften, add three drops of Qingyou (Sesame Oil), place over Sanjiao Baifan (Alumen), add a little Longgu (Fossilia Ossis Mastodi), grind into powder, apply dry to the anus, support with a banana leaf, prevent defecation, and have an older child hold firmly.
Infantile Cough within 100 Days Should Not Be Weaned; Clinging to Chest Damages Stomach and Lung, Leading to Critical Condition;
Some infants cough and hiccup because milk is given while crying, or due to excessive feeding, causing milk stagnation in the chest and epigastrium, affecting the Lung. This results in lung and stomach disease. Appearance within 100 days is a malignant sign.
Heat Cough with Red Face Treated with Tingli Pill,
For coughs due to seasonal exogenous pathogens, mild releasing formulas like Shensu Yin (Ginseng and Perilla Drink) or Xingxing San (Awakening Powder) should be used. For sudden cough with heat, red face, high fever, and constipation, Tingniu Wan (Tingli and Areca Pill) is indicated to purge.
Deficiency Patterns Can Be Treated with Ejiao San.
Ejiao (Colla Corii Asini) 7.5 fen, Baifuling (Poria with Hostwood) 2.5 fen, Madouling (Aristolochiae Radix) 2.5 fen, Nuomici (Oryza Sativa Glutinosa) 2.5 fen, Xingren (Armeniacae Semen Amarum) 10 kernels, Gancao (Glycyrrhizae Radix et Rhizoma) 2 fen, decocted in water. Treats chronic cough with Lung deficiency, shortness of breath, phlegm, and nausea.
Weaning at Two or Three Years: Apply Medicine to Child's Eyebrows at Night.
Huamei Gao (Eyebrow Painting Paste): Zhizi (Gardeniae Fructus) charred black, 3 pieces; Xionghuang (Realgar); Zhusha (Cinnabaris); Qingfen (Calomelas), each a small amount. Grind into powder, mix with Qingyou (Sesame Oil). When the child sleeps, apply thickly to both eyebrows. Upon waking, the child will naturally refuse milk. Repeat if ineffective. Also apply ink to the nipple.
Wheezing Due to Feeding While Crying or Wind-Cold Invading the Lung.
Wheezing or hiccups caused by feeding while crying, consuming salty/sour foods leading to rebellious Qi, or excessive feeding causing wind-cold injury to the Lung, are treated with Zisu Zi Tang (Perilla Seed Decoction): Suzi (Perillae Fructus), Hezi (Terminaliae Chebulae Fructus), Luobozhi (Raphani Semen), Xingren (Armeniacae Semen Amarum), Muxiang (Aucklandiae Radix), Renshen (Ginseng Radix et Rhizoma) in equal parts; Gancao (Glycyrrhizae Radix et Rhizoma) and Qingpi (Citri Reticulatae Pericarpium Viride) halved. Decoct with ginger and take warm.
Vomiting and Anorexia Indicate Stomach Deficiency; Phlegm Obstruction and Fever Indicate Excess Fire.
Vomiting, palpitations, fatigue, and spontaneous sweating indicate deficiency. Red face, rough breathing, profuse phlegm, and fever indicate excess. Both are primarily treated with Erchen Tang (Two-Cured Decoction). Add Renshen (Ginseng) and Baizhu (Atractylodis Macrocephalae Rhizoma) for deficiency; add Huangqin (Scutellariae Radix) and Huanglian (Coptidis Rhizoma) for heat.
White Urine Forms Gan Accumulation Due to Middle Heat,
Urine as white as rice wash indicates Spleen accumulation, which over time forms Gan syndrome (malnutrition), often accompanied by latent heat in the Heart and Diaphragm. Fuling San (Poria Powder) is indicated: Chifuling (Poria with Red Hostwood), Sanleng (Sparganii Rhizoma), Ezhu (Curcumae Rhizoma), Sharen (Amomi Fructus) each 5 qian; Qingpi (Citri Reticulatae Pericarpium Viride), Chenpi (Citri Reticulatae Pericarpium), Huashi (Talcum), Gancao (Glycyrrhizae Radix et Rhizoma) each 2.5 qian. Grind into powder. Take 1 qian, mixed with Ouydong (Ophiopogonis Radix) and Dengxincao (Junci Medullae) decoction.
Dribbling Urination Due to Shock Qi Binding Below.
In children over ten years old, shock causes Heart Qi to descend, resulting in dribbling urination, 30-40 times day and night, gradually leading to emaciation and yellow complexion. Shunjing San (Smooth Meridian Powder) is indicated: Jiu Zi (Allii Tuberosi Semen), Hupo (Succinum), Yizhiren (Alpiniae Oxyphyllae Fructus), Jinmao Gouji (Cibotii Rhizoma), Baifuling (Poria with Hostwood), Shiyan (Lithostyx) each 5 qian, Shiwei (Pyrosiae Folium) 1 qian. Grind into powder. Take 1 qian, mixed with Leiqiu Tang (Chinese Chive Decoction), twice daily.
Excessive Sweating Due to Stomach Weakness and Shock,
Sweating due to Stomach weakness extending from neck to navel is treated with Yihuang San (Yellow-Protecting Powder). Shock-induced Heart deficiency leading to Spleen weakness, poor appetite, and sweating in the Heart pit and axillae is treated with Dawen Jing Wan (Great-Warming Shock Pill). Shock-heat is treated with Xiaoliang Jing Wan (Minor-Cooling Shock Pill). All are taken with Mumli (Ostreae Concha) and Mahuanggen (Ephedrae Radix et Rhizoma without Epidermis) decoction. Night sweats solely due to shock are treated with Gu Zhisasha San (Ancient Angelica and Amomum Powder). Spleen-Stomach weakness is treated with Qian Shi Baizhu San (Master Qian's Atractylodes Powder).
Or Qi Deficiency with Overflowing Heart Blood;
Persistent night sweats with Qi deficiency and emaciation indicate overflowing Heart blood transforming into sweat, not true deficiency. Ren Shen (Ginseng Radix et Rhizoma) and Dang Gui (Angelicae Sinensis Radix) each 1.5 qian, plus one large slice of Zhu Xin (Porcoris Cor), decocted in water, to consolidate Heart blood. Effective for excessive palm sweating as well.
Forehead Sweat Indicates Yang Deficiency, Use Burnt Fan Ash,
Head sweat stopping at the neck indicates Yang deficiency. However, children are pure Yang. Forehead sweat due to heavy clothing/bedding or night sweats can be treated with Gu Pushan (Ancient Bamboo Fan) ash. Take 3 qian, mixed with warm wine. Mild cases resolve spontaneously without medicine. Mouth ulcers and forehead sweat like oil in chronic illness are incurable.
Generalized Sweating Treated with Xianggua Wan to Extinguish Phlegm-Fire.
Generalized sweating indicates abundant Phlegm-Fire. Xianggua Wan (Melon Pill) is indicated: Huhuanglian (Coicis Rhizoma with Coptidis Rhizoma? Note: Usually refers to specific preparation), Dahuang (Rhei Radix et Rhizoma), Chaihu (Bupleuri Radix), Biejia (Testudinis Carapax et Plastrum), Huangbai (Phellodendri Cortex), Huanglian (Coptidis Rhizoma), Lvhui (Aloe), Qingpi (Citri Reticulatae Pericarpium Viride) in equal parts. Grind into powder. Fill into a hollowed-out Dagongua (Benincasae Fructus / Winter Melon) or Gualou (Trichosanthis Fructus), seal with wood stick, simmer slowly until cooked, mash, form pills with flour paste, size of mung beans. Take 3-5 pills after meals, washed down with cool starch water. Axillary, palm, sole, and genital sweating: wash with Digupi (Lycii Cortex) decoction, apply Bailuan Ludi (White Alum Furnace Bottom Residue).