感冒病时触惊异,心惊胆怯睡不安,身热烦躁面青赤,疏解散与凉惊丸,
和以柴胡温胆剂,宁神定志效通仙.
[注]
小儿感冒邪气未解,复为惊异所触,
故见心惊胆怯,睡卧不安,身热烦躁,面色青赤之证,
先以疏解散疏散之,再以凉惊丸清镇之,
如病虽退,尚觉心惊不寐者,宜用柴胡温胆汤和解之。
(疏解散)
羌活 苏叶 防风 枳壳麸炒 桔梗 前胡 赤芍药 杏仁炒去皮尖 僵蚕炒
甘草生 黄连酒炒 引用生姜水煎服。
(方歌)
疏解散治感冒惊,羌活苏叶及防风,枳前胡黄连芍,杏仁僵蚕甘草同。
(凉惊丸) 方见急惊风
(柴胡温胆汤)
柴胡 陈皮 半夏姜制 茯苓 甘草生 竹茹 枳实麸炒 引用生姜水煎服。
(方歌)
柴胡温胆感冒惊,病后余邪尚未宁,柴胡陈半茯芩草,竹茹枳实姜用生。
%
瘟病伤寒传变同,感寒即病伤寒名,冬受寒邪春复感,因感而发瘟病成,
至夏感发为热病,逐户相传乃天行,四时不正为时气,痧疹瘟□要详明。
[注]
瘟病之传变与伤寒无异,有冬感于寒而即病者,名曰伤寒,
有冬伤于寒而末即病者,寒邪藏于肌肤之内,伏于荣卫之间,
至春复感春风,发为瘟病,至夏复感暑热,发为热病,
若逐户阖门老幼相传,乃天行瘟疫,其害更烈,
或春夏应暖热而反寒,秋冬应寒凉而反热,此为四时不正之气,
名曰时气,相感为病,亦与伤寒同其治也,其
间或发□发痧发疹,要当详明其证,治法在后。
%
瘟疫门
感冒夹惊:小儿在患感冒期间,若突然受到惊吓或目睹奇异事物,会出现心惊胆怯、睡眠不安的症状;伴随身体发热、烦躁不安、面色青赤。治疗应先使用疏解散(一种疏散外邪的方剂)配合凉惊丸(一种清热镇惊的方剂),并辅以柴胡温胆汤(调和少阳、理气化痰的方剂),以达到宁心安神、定志的效果,疗效神奇。
[注]
小儿感冒后,外邪尚未解除,又因受到惊吓刺激,因此出现心惊胆怯、睡卧不安、身体发热、烦躁、面色青赤等症状。治疗上,先用疏解散来疏散表邪,再用凉惊丸来清热镇惊。如果病势虽退,但仍感到心惊、失眠,则适宜使用柴胡温胆汤进行和解调理。
(疏解散)
组成:羌活、苏叶、防风、麸炒枳壳、桔梗、前胡、赤芍药、炒去皮尖的杏仁、炒僵蚕、生甘草。
用法:引用生姜水煎服。
(方歌)
疏解散主治感冒夹惊,药物包括羌活、苏叶和防风,还有枳壳、前胡、黄连、芍药,以及杏仁、僵蚕、甘草共同组成。
(柴胡温胆汤)
组成:柴胡、陈皮、姜制半夏、茯苓、生甘草、竹茹、麸炒枳实。
用法:引用生姜水煎服。
(方歌)
柴胡温胆汤主治感冒夹惊,病后余邪未清导致心神不宁。药物包括柴胡、陈皮、半夏、茯苓、甘草,以及竹茹、枳实,需用生姜煎煮。
瘟疫总括:瘟疫病的传变规律与伤寒相同。感受寒邪立即发病的称为伤寒;冬季感受寒邪,到春季再次感受风邪而引发的,称为瘟病;到了夏季感受暑热而引发的,称为热病;如果一家一户、老幼相传,则是天行瘟疫,危害更为猛烈。四季气候反常称为时气,对于痧疹、瘟疫等病症需要详细辨明。
[注]
瘟疫病的传变过程与伤寒没有区别。有冬季感受寒邪而立即发病的,名叫伤寒;有冬季感受寒邪而没有立即发病的,寒邪潜伏在肌肤之内,藏在营卫之间,到春季再次感受春风,发作成为瘟病;到夏季再次感受暑热,发作成为热病。如果是逐户、阖门老幼相互传染,这就是天行瘟疫,其危害更加剧烈。或者春夏季节本该温暖炎热却反而寒冷,秋冬季节本该寒冷凉爽却反而温热,这叫做四时不正之气(时气),相互感染致病,治疗方法也与伤寒相同。其间如果出现发斑、发痧、发疹等情况,必须详细辨明证候,具体治法在后面章节论述。
瘟疫门
**Cold with Fright:** When a child suffers from a cold and is suddenly startled by frightening events or strange sights, symptoms such as fright, timidity, and restless sleep may occur. These are accompanied by fever, irritability, and a bluish-red complexion. Treatment should first involve using *Shujie San* (Dispersion Decoction to relieve exterior pathogens) combined with *Liangjing Wan* (Cooling Fright Pill to clear heat and calm fright), supplemented by *Chaihu Wendan Tang* (Bupleurum and Pinellia Decoction to harmonize Shaoyang and regulate qi/phlegm), to achieve the effect of calming the mind and stabilizing the will, with miraculous efficacy.
[Note]
When a child has a cold where the exterior pathogen has not yet resolved, and is subsequently triggered by fright, symptoms such as fright, timidity, restless sleep, fever, irritability, and a bluish-red complexion appear. In treatment, *Shujie San* is used first to disperse the exterior pathogen, followed by *Liangjing Wan* to clear heat and settle fright. If the disease subsides but the child still feels frightened and cannot sleep, *Chaihu Wendan Tang* is appropriate for harmonization.
*(Shujie San)*
Ingredients: *Qianghuo* (Notopterygii Rhizoma et Radix), *Suye* (Perillae Folium), *Fangfeng* (Saposhnikoviae Radix), *Zhike* fried with bran (Aurantii Fructus), *Jiegeng* (Platycodonis Radix), *Qianhu* (Peucedani Radix), *Chishao* (Paeoniae Radix Rubra), *Xingren* fried and peeled/pitted (Armeniacae Semen Amarum), *Jiangcan* fried (Bombyx Batryticatus), *Gancao* raw (Glycyrrhizae Radix et Rhizoma).
Usage: Decoct with ginger water.
*(Formula Song)*
*Shujie San* treats cold complicated by fright; it contains Qianghuo, Suye, and Fangfeng, along with Zhike, Qianhu, Huanglian, Shaoyao, Xingren, Jiangcan, and Gancao.
*(Liangjing Wan)*
See the section on "Acute Convulsive Disease" (Ji Jing Feng).
*(Chaihu Wendan Tang)*
Ingredients: *Chaihu* (Bupleuri Radix), *Chenpi* (Citri Reticulatae Pericarpium), *Banxia* processed with ginger (Pinelliae Rhizoma), *Fuling* (Poria), *Gancao* raw (Glycyrrhizae Radix et Rhizoma), *Zhuru* (Bambusae Caulis in Taenia), *Zhishi* fried with bran (Aurantii Fructus Immaturus).
Usage: Decoct with ginger water.
*(Formula Song)*
*Chaihu Wendan Tang* treats cold complicated by fright; residual pathogens remain unsettled after illness. It contains Chaihu, Chenpi, Banxia, Fuling, Gancao, Zhuru, and Zhishi, boiled with fresh ginger.
**General Overview of Plague Diseases:** The transmission and progression of plague diseases are similar to those of Shanghan (Cold Damage). Immediate onset after contracting cold is named Shanghan; contracting cold in winter and then being affected by wind in spring leads to Wenyi (Plague); contracting summer-heat in summer leads to Rebing (Heat Disease); if it spreads household by household among young and old, it is Tianxing Wenyi (Heavenly Epidemic), which is more severe. Abnormal climate conditions in the four seasons are called Shiqi (Seasonal Qi). One must clearly distinguish between Sha Zhen (Miasma and Rash) and Wenyi.
[Note]
The progression of plague diseases is no different from Shanghan. Some contract cold in winter and fall ill immediately, named Shanghan. Others contract cold in winter but do not fall ill immediately; the cold pathogen hides within the skin and muscles, lying dormant between Ying (Nutritive) and Wei (Defensive) levels. In spring, re-exposure to spring wind causes it to erupt as Wenyi. In summer, re-exposure to summer-heat causes it to erupt as Rebing. If it transmits from house to house, affecting all ages, it is Tianxing Wenyi, with even greater harm. Alternatively, if spring and summer should be warm but are cold, or autumn and winter should be cool but are hot, this is referred to as abnormal Qi of the four seasons (Shiqi). Contracting disease through mutual infection follows the same treatment principles as Shanghan. Regarding cases involving eruption of macules, sand-rash, or rashes, the syndromes must be carefully distinguished; treatment methods are detailed later.
Section on Plague Diseases