〔海〕脾胃不和,四君子加白术一倍,姜枣煎。脾困,四君子加木香、砂仁、人参各半钱煎。脾胃虚弱,
生气多困,四君子加炒半夏曲、没石子等分为末,入冬瓜子少许同煎。
〔《本》〕治脾风多困,用人参散。入慢惊参用。
人参 冬瓜仁(各半两) 南星(切片,用浆水姜汁煮存性,一两)
上为细末,每一钱,水半盏,煎二三分,温服。
〔洁〕渴有三种∶一者,乘热积于心脾,烦躁,大渴引饮,宜白汤,谓不因吐泻大病忽然而作。二者,因
久病或取转过度,致脾虚引饮,宜白术散。(方见消瘅。)海藏云∶治发渴,四君子加干葛、枇杷叶(先以
枣汤煮过,炙干用。)各等分,入木瓜少许,同煎服,亦治虚渴法也。三者,因患湿热病,热结膀胱,小
便不利,大渴引饮,有表里症者,宜五苓散主之。
〔《无》〕小儿初生,大小便不通,腹胀欲绝者。急令妇人以温水先漱口了,吸咂儿前后心,并脐下、手
足心共七处,每一处凡三五次,漱口吸咂,取赤红为度,须臾自通,不尔,无生意。有此证者,遇此方可得再
生矣。
〔田〕生下不大便治法。先以硬葱针 入肛门,如大便不下,后用牛黄散送朱砂丸,一时自见。
握宣丸 治小儿便难燥结,或服涩药,腹胀闷乱,命在须臾。可用此丸,不移时大小便自利。
巴豆(一钱半) 硫黄 良姜 附子 槟榔 甘遂(各等分)
上为细末,粟米饭和丸如绿豆大。用椒汤洗小儿男左女右手,握之,用绵裹定,看行数多少,置
药洗去不用即止。
〔钱〕郁李仁丸 治襁褓小儿,大小便不通,并惊热痰实欲得溏动者。
大黄(一两,酒浸半日,炒干,为细末) 郁李仁(去皮,研,二两) 滑石(细研,十两)
上先将郁李仁研成膏,和大黄、滑石,丸如黍米大。二岁儿服三二丸,量大小与之,或乳汁或薄
荷汤下,食前。
【李东垣】脾胃不和,用四君子汤加一倍的白术,加生姜、大枣煎服。脾脏困倦,用四君子汤加木香、砂仁、人参各半钱煎服。脾胃虚弱,生气后容易困倦,用四君子汤加炒半夏曲、没石子等分为末,加入少许冬瓜子同煎。
【《本草》】治疗脾风导致的困倦,用人参散。(若伴有慢惊风则使用人参散。)
药材:人参、冬瓜仁(各半两)、南星(切片,用浆水姜汁煮至存性,一两)。
以上研为细末,每次取一钱,加水半盏,煎至二三分量,温服。
【张元素】口渴有三种情况:第一种,热邪积聚于心脾,烦躁,极度口渴想喝水,适宜饮用白汤(指不加药料的清水或米汤),这种情况是指不因吐泻大病而突然发生的。第二种,因久病或过度攻下,导致脾虚引水自救,适宜用白术散。(方剂见消瘅篇。)海藏(张元素号)说:治疗发渴,用四君子汤加干葛、枇杷叶(先用枣汤煮过,炙干使用)各等分,加入少许木瓜,同煎服用,这也是治疗虚渴的方法。第三种,因患湿热病,热结于膀胱,小便不利,极度口渴想喝水,有表证和里证者,宜用五苓散主治。
【无名师/民间法】小儿初生时,大小便不通,腹胀欲绝者。急忙让妇人先用温水漱口,吸吮婴儿的前心、后背、脐下、双手足心共七处,每一处吸吮三到五次,每吸吮一次需漱口,以皮肤出现赤红色为度,不久自然通畅,否则就没有生机了。有此症状者,遇到此法才可能获得再生。
【田氏】新生儿不大便的治疗方法。先用硬葱针插入肛门,如果大便仍不下,后用牛黄散送服朱砂丸,一时辰左右自然见效。
握宣丸:治疗小儿大便困难燥结,或因服用涩药导致腹胀闷乱,生命垂危。可用此丸,不到一个时辰大小便自然通利。
药材:巴豆(一钱半)、硫黄、良姜、附子、槟榔、甘遂(各等分)。
以上研为细末,用粟米饭调和制成如绿豆大的丸药。用椒汤清洗小儿男左女右手,让孩子握住药丸,用棉布包裹固定,观察行走步数多少,放置药物,洗去不用即停止。
【钱乙】郁李仁丸:治疗襁褓中的小儿,大小便不通,以及惊热痰实想要通过溏动来缓解者。
药材:大黄(一两,酒浸半天,炒干,研为细末)、郁李仁(去皮,研碎,二两)、滑石(细研,十两)。
以上先将郁李仁研成膏,与大黄、滑石混合,制成如黍米大的丸药。两岁儿童服用二三丸,根据年龄大小调整剂量,或用乳汁或薄荷汤送服,饭前服用。
[Li Dongyuan] For disharmony between the spleen and stomach, use Sijunzi Tang (Four Gentlemen Decoction) with double the amount of Baizhu (Atractylodis Rhizoma), decocted with Shengjiang (Zingiberis Rhizoma Recens) and Dazao (Jujubae Fructus). For spleen fatigue, use Sijunzi Tang (Four Gentlemen Decoction) with Muxiang (Aucklandiae Radix), Sharen (Amomi Fructus), and Renshen (Ginseng Radix et Rhizoma), each half qian, decocted. For deficiency and weakness of the spleen and stomach, especially fatigue after anger, use Sijunzi Tang (Four Gentermen Decoction) with Chao Banxia Qu (Fried Pinelliae Fermented Powder) and Meishizi (Myrobalani Fructus) in equal parts, ground into powder, with a small amount of Dongguazi (Benincasae Semen) added for decoction.
[From "Bencao"] To treat spleen wind causing fatigue, use Renshen San (Ginseng Powder). Use this when accompanied by slow convulsions.
Ingredients: Renshen (Ginseng Radix et Rhizoma), Dongguaren (Benincasae Semen) (each ban liang), Nanxing (Arisaematis Rhizoma) (sliced, boiled in jiangshui [fermented water] and Jiangzhi [ginger juice] until retaining its nature, 1 liang).
Grind all into fine powder. Take 1 qian each time, add half zhan of water, decoct to reduce to two or three fen, and take warm.
[Zhang Yuansu] There are three types of thirst:
First, heat accumulates in the heart and spleen, causing irritability and extreme thirst with a desire to drink. It is suitable to drink baitang (plain water or rice soup). This refers to sudden onset not caused by severe vomiting or diarrhea.
Second, due to chronic illness or excessive purgation, leading to spleen deficiency and a desire to drink water to compensate. It is suitable to use Baizhu San (Atractylodes Macrocephala Powder). (Formula see Xiaodan chapter.) Haicang (Zhang Yuansu's pseudonym) said: To treat thirst, use Sijunzi Tang (Four Gentlemen Decoction) with Gan Ge (Puerariae Lobatae Radix) and Pipaye (Loquat Leaf) (boiled first in jujube soup, then dried by roasting) in equal parts, with a small amount of Mugua (Chaenomelis Fructus) added, decocted and taken together. This is also a method for treating deficiency-type thirst.
Third, due to damp-heat disease, where heat binds in the bladder, causing difficult urination, extreme thirst with a desire to drink, and presenting both exterior and interior symptoms. Wuling San (Five-Ingredient Powder with Poria) should be used as the main treatment.
[Anonymous/Folk Method] For infants born with obstruction of both stool and urine, and abdominal distension nearing death: Urgently have a woman rinse her mouth with warm water, then perform cupping-suction (absorptive suction) on seven areas of the infant: anterior chest, posterior back, below the umbilicus, and palms and soles of hands and feet. Perform suction 3 to 5 times on each area. Rinse mouth before each suction. Continue until the skin turns reddish. The obstruction will naturally resolve shortly; otherwise, there is no hope of life. For such cases, applying this method may offer a chance of survival.
[Tian Shi] Treatment for newborns with constipation: First, insert a hard scallion stalk into the anus. If stool does not pass, subsequently administer Niuhuang San (Calculus Bovis Powder) to deliver Zhusha Wan (Cinnabar Pill). Relief should occur within one shichen (two hours).
Woxuan Wan: Treats infantile difficult and dry defecation, or abdominal distension and confusion caused by astringent medicines, where life is in imminent danger. This pill can be used; bowel movements will naturally become free within a short time.
Ingredients: Badou (Crotonis Fructus) (1.5 qian), Liuhuang (Sulfur), Liangjiang (Alpiniae Officinarum Rhizoma), Fuzi (Aconiti Lateralis Radix Praeparata), Binglang (Arecae Semen), Gansui (Kansui Radix) (equal parts).
Grind into fine powder, mix with millet rice paste to form pills the size of mung beans. Wash the left hand of male infants or right hand of female infants with pepper soup. Have the child hold the pill, wrap securely with cotton. Observe the number of steps walked. Remove the medicine and wash off when appropriate.
[Qian Yi] Yuliren Wan: Treats infants in swaddling clothes with obstruction of both stool and urine, as well as conditions involving fright-heat, phlegm-stasis, requiring softening and movement.
Ingredients: Dahuang (Rhei Radix et Rhizoma) (1 liang, soaked in wine for half a day, stir-fried dry, ground to fine powder), Yuliren (Pruni Semen) (skin removed, pounded, 2 liang), Huashi (Talcum) (finely ground, 10 liang).
First, pound Yuliren into a paste. Mix with Dahuang and Huashi powder. Form pills the size of millet grains. Children aged two years take 2-3 pills, adjusted according to size. Administer with breast milk or Bohe Tang (Mint Decoction) before meals.