《病源论》云∶小儿盗汗者,眠睡而汗自出也。若将养过温,因于睡卧阴阳气交,津液
发泄,而眠卧汗自出也。
《葛氏方》;以干姜末一分,粉三分,合以粉之。
又方∶石膏一两,麻黄二两,蜜和如小豆,服一丸。
《短剧方》∶黄连三分,贝母三分,牡蛎二分。凡三物,粉一升,合捣下筛,以粉身。
《集验方》∶麻黄根三分,故扇烧作屑一分。冶合乳汁,饮三分匕,大人方寸匕,日三。
(《短剧方》同之。)
《病源论》云∶小儿因汗而解脱衣裳,风入腠理。与血气相搏成之,结聚起相连,成隐
疹。风气止在腠理浮浅,其势微,故不肿不痛,但成隐疹痒耳。
《千金方》治隐疹方∶
盐汤极咸,洗,绞蓼涂之。
又方∶蚕砂(二升),水(二升),煮,去滓,洗之。
《产经》云∶治小儿风瘙隐疹入腹,身体肿强舌干燥。肿方∶
末芜菁子,酒服方寸匕,日三。
《极要方》∶芒硝二两,清酒三升,煮取二升,洗痒上,良。菁子酒服存匕日三。
《病源论》云∶风热毒客在腠理,热毒搏于血,蒸发于外,其皮上热而赤,如涂丹,故
谓之丹也。若久不歇,则肌肉烂伤也。
《产经》云∶夫丹者,恶毒之气,五色无常,不即治,转坏肌肉,治之方;则去脓血。
或发于节解间,多断人四肢,治之方∶赤小豆作屑以甘草汤和涂之。
今按∶《录验方》∶和麻油(经温)涂之。
又方∶升麻汤,大黄汤主之。
《录验方》治小儿丹毒方∶
取甘蕉根敷之,亦宜服少许汁。
又方∶捣慎火草敷之。
又方∶取白鹅血敷之。
《千金方》捣赤小豆和鸡子白涂之。
又方∶
牛屎涂之(干复易)。
又方∶伏龙肝下筛,鸡子白和油敷之。
又方∶和油涂之。
《短剧方》∶水中苔捣敷之。
又方∶芒硝纳汤中取汁拭上。
《新录方》∶水若油研(和)栀子仁,采汁洗之。( 取浓汁,洗涂,日二三易)。
又方∶生蓝汁涂之。
《范汪方》∶以生鱼血涂之。(《葛氏方》干更涂之。)
《苏敬本草注》涂鲤血,良。
又云∶捣 菜敷之。
又方∶煮栗毛壳洗之。
《本草拾遗》云∶鲫鱼脍,主小儿大人丹毒。
又云∶淬铁水,主小儿丹毒,饮一合,是打铁槽中水也。
《诸病源候论》记载:小儿盗汗,是指在睡眠中汗水自然流出的症状。如果养育时保暖过度,导致在睡卧时阴阳之气相交,津液外泄,从而出现睡眠中出汗的现象。
《葛氏方》记载:用干姜末一份,米粉三份,混合后用来扑洒身体。
另一个方子:石膏一两,麻黄二两,用蜂蜜调和成小豆大小的丸剂,每次服用一丸。
《短剧方》记载:黄连三分,贝母三分,牡蛎二分。将这三种药材与一升米粉一起捣碎过筛,混合后用此粉扑洒全身。
《集验方》记载:麻黄根三分,旧扇子烧成的灰一分。研磨混合后加入乳汁,服用三分匕(古代量器),成人则服用一方寸匕,每日三次。
(《短剧方》中的方法与此相同。)
《诸病源候论》记载:小儿因出汗而脱去衣裳,风邪侵入腠理(皮肤纹理及皮下组织间隙)。风邪与血气相互搏结形成隐疹,结节聚集相连,形成隐疹。风气仅停留在腠理的浅表部位,病势轻微,所以不肿不痛,只是形成隐疹并伴有瘙痒。
《千金方》治疗隐疹的方子:
用极咸的盐汤清洗患处,然后绞取蓼草汁涂抹。
另一个方子:蚕砂(二升),水(二升),煎煮,去除药渣,用药液清洗患处。
《产经》记载:治疗小儿风瘙隐疹入腹,身体肿胀僵硬、舌苔干燥的症状。治疗肿胀的方子:
将芜菁子研成粉末,用酒送服一方寸匕,每日三次。
《极要方》记载:芒硝二两,清酒三升,煎煮至剩余二升,用药液清洗瘙痒处,效果良好。芜菁子酒服保留上述剂量,每日三次。
《诸病源候论》记载:风热毒邪客居在腠理,热毒与血液搏结,向外蒸腾,导致皮肤发热发红,如同涂了丹砂,所以称为“丹”。如果长时间不愈,会导致肌肉腐烂损伤。
《产经》记载:所谓丹毒,是恶毒之气所致,颜色五色无常,如果不立即治疗,会进一步破坏肌肉。治疗的方子应当去除脓血。
有的发于关节之间,多会断绝人的四肢。治疗此症的方子:将赤小豆研成屑,用甘草汤调和后涂抹。
《录验方》治疗小儿丹毒的方子:
取甘蕉根(芭蕉根)敷贴患处,也适宜服用少许汁液。
另一个方子:取白鹅血敷贴患处。
另一个方子:和油一起涂抹。
另一个方子:将芒硝放入水中取汁液擦拭患处。
The *Bingyuan Lun* (Treatise on the Causes and Manifestations of Diseases) states: Pediatric nocturnal sweating refers to spontaneous perspiration during sleep. If the child is kept too warm during care, leading to an interaction of Yin and Yang Qi during sleep and lying down, body fluids are released, resulting in sweating while sleeping.
The *Ge Shi Fang* (Prescriptions by Master Ge) records: Mix one part dried ginger powder with three parts rice flour, and apply this mixture as a dusting powder to the body.
Another prescription: One tael of gypsum, two taels of Ephedrae Herba (Mahuang, 麻黄), mixed with honey into pills the size of small beans. Take one pill per dose.
The *Duanju Fang* (Short Drama Prescriptions) records: Three parts Coptidis Rhizoma (Huanglian, 黄连), three parts Fritillariae Bulbus (Beimu, 贝母), two parts Ostreae Concha (Muli, 牡蛎). Grind these three substances together with one sheng of rice flour, sift them, and use the powder to dust the body.
The *Jiyan Fang* (Experienced Prescriptions) records: Three parts Radix Glycyrrhizae Preparata (Gancao, 甘草 - Note: Text says Mahuang Gen, corrected to Ephedrae Radix et Rhizoma (Mahuanggen, 麻黄根)), one part ash from burnt old fans. Grind and mix, add milk, and take three fen bi (ancient measuring spoon); for adults, take one cun bi (square-inch spoon), three times daily.
(The method in the *Duanju Fang* is the same.)
The *Bingyuan Lun* states: When children sweat and remove their clothes, wind pathogens enter the Couli (interstices of skin and muscles). The wind interacts and contends with Blood and Qi, forming nodules that cluster and connect, resulting in urticaria (hidden rashes). Since the wind pathogen remains only in the superficial layers of the Couli, the condition is mild; thus, there is no swelling or pain, only the appearance of hidden rashes accompanied by itching.
The *Qianjin Fang* (Essential Prescriptions Worth a Thousand Gold) provides a prescription for treating urticaria:
Wash with extremely salty salt water, then wring out Polygoni Multiflori Vine (Liaocao, 蓼) and apply the juice.
Another prescription: Two sheng of Bombyx Batryticatus (Can Sha, 蚕砂), two sheng of water. Boil, remove the dregs, and wash the affected area with the decoction.
The *Chan Jing* (Obstetrics Classic) states: To treat pediatric wind-induced itching and urticaria entering the abdomen, causing body swelling, stiffness, and dry tongue. For the swelling prescription:
Grind Brassicae Napus Seed (Wujingzi, 芜菁子) into powder, take one cun bi with wine, three times daily.
The *Jiyao Fang* (Extremely Important Prescriptions) records: Two taels of Natrii Sulfas (Mangxiao, 芒硝), three sheng of clear wine. Boil until two sheng remain, and use the liquid to wash the itchy areas; this is effective. Retain the dosage for Wujingzi taken with wine, three times daily.
The *Bingyuan Lun* states: Wind-heat toxic pathogens reside in the Couli. Heat-toxic pathogens contend with blood and evaporate outward, causing the skin to become hot and red, resembling applied cinnabar; hence it is called "Dan" (erysipelas/carbuncle). If not resolved for a long time, it will cause muscle rot and injury.
The *Chan Jing* states: Dan toxicity is caused by malignant toxic qi, presenting with variable colors. If not treated immediately, it will further destroy muscles. The treatment should focus on removing pus and blood.
Some cases manifest between joints and may lead to the severance of limbs. A prescription for this: Grind Vigna Angularis Seed (Chixiaodou, 赤小豆) into powder, mix with Licorice Decoction (Gancao Tang, 甘草汤), and apply topically.
Current analysis: The *Lu Yan Fang* (Verified Prescriptions) records: Apply warm Sesame Oil (Mazhi You, 麻油) to the affected area.
Another prescription: Shengma Decoction (Shengma Tang, 升麻汤) and Dahuang Decoction (Dahuang Tang, 大黄汤) are indicated.
The *Lu Yan Fang* provides a prescription for pediatric erysipelas:
Apply fresh Musa Basjoo Root (Ganjiao Gen, 甘蕉根) to the lesion; it is also advisable to ingest a small amount of its juice.
Another prescription: Crush Pilea Nummularia (Shenhuocao, 慎火草) and apply topically.
Another prescription: Apply white goose blood topically.
The *Qianjin Fang* crushes Vigna Angularis Seeds (Chixiaodou, 赤小豆), mixes them with egg white, and applies the mixture.
Another prescription:
Apply cow dung (replace when dry).
Another prescription: Sieve Longgu Fictile (Fulonggan, 伏龙肝 - fired clay from the center of the cooking stove), mix with egg white and oil, and apply.
Another prescription: Mix with oil and apply.
The *Duanju Fang*: Crush aquatic moss and apply topically.
Another prescription: Dissolve Natrii Sulfas (Mangxiao, 芒硝) in water, take the juice, and wipe it onto the affected area.
The *Xinlu Fang*: Grind Gardeniae Fructus (Zhizi Ren, 栀子仁) with water or oil, extract the juice, and wash the area. (Use concentrated juice, wash and apply, changing two to three times daily).
Another prescription: Apply fresh Isatis Leaf Juice (Lanzhi, 蓝汁).
The *Fan Wang Fang*: Apply raw fish blood topically. (The *Ge Shi Fang* records using dried fish blood).
Su Jing's Commentary on Materia Medica states: Applying carp blood is effective.
It also states: Crush [missing character] vegetables and apply topically.
Another prescription: Wash with water boiled from chestnut husks/spikes.
The *Bencao Shiyi* (Supplement to Materia Medica) states: Raw sliced crucian carp meat (Jiyu Kuai, 鲫鱼脍) treats erysipelas in both adults and children.
It also states: Quenching water (water used to cool heated iron), treats pediatric erysipelas. Drink one ge (approx. 20ml); this is the water from the blacksmith's trough.