(第三十八)
经曰∶诸痛痒疮疡,皆属心火。小儿脏腑,本是火多,况有失调,外受风寒,郁而为热,
内袭母乳、五味、七情之火。发于内者,则为内惊,发于皮肤之间,则为疮癣疖毒。治法当先清
其乳母,谨忌食味,次调和小儿气血。不可峻用攻发之剂,当缓以和之,得其治道也。
小儿勿指月,耳后生疮,名曰月蚀,用虾蟆末敷。
蔷薇散 治小儿月蚀疮。
蔷薇根(四钱) 地榆皮(二钱) 轻粉(五分)
上为细末,先用盐汤洗过,后敷之。
小儿眉间生疮,名曰链银疮。
金银散
金银锅(一个) 轻粉(五分)
为细末,麻油调敷。
小儿热壅伤肺,肺开窍于鼻,故鼻上生疮,红点集集,名曰肺风。或鼻下两傍及人
中湿烂痒溃,名曰鼻 。
其疮有不痛者,疮汁流处却又成疮,名淫沥疮,后方神效。
秘验方 治黄水浸湿,流汁成疮。
枯矾 海螵蛸(各一钱) 赤石脂 铅粉(各二钱) 雄黄(一钱) 黄丹(二钱) 轻粉
孩儿茶(各五分)
上为末,干搽上。不粘者,香油调敷。
清金散敷鼻下烂疮。
铜青 白矾(各一钱)
为末,敷患处。
一方用熊胆泡汁汤,以鸡翎扫上。
泽泻散小儿肺经积热,鼻上生疮及鼻下赤烂。
泽泻 郁金 山栀仁 甘草
上为细末,用甘草煎汤,食后调服。量大小与之。
(第三十八)
《内经》说:各种疼痛、瘙痒、疮疡,都归属于心火。小儿的脏腑,本来就容易产生过多的火邪,再加上饮食起居失调,外感风寒之邪,郁结而化为热,内里又受到母乳中残留的火气、五味偏嗜以及七情波动所引发的火邪影响。火热之邪发于体内,就会引起内惊;发于皮肤之间,就会形成疮癣、疖肿和毒疮。治疗时应当先调理乳母,严格忌口,避免食用刺激性食物,其次再调和小儿的气血。不可猛烈使用攻伐发散的药物,应当用温和的方法缓缓调和,这才是掌握了治疗的正道。
小儿不要用手指去指月亮,否则耳后会长出疮疡,这种病名叫“月蚀”,可以用蛤蟆(虾蟆)研成的粉末外敷。
蔷薇散:治疗小儿月蚀疮。
药材及用量:蔷薇根(四钱)、地榆皮(二钱)、轻粉(五分)。
制法与用法:将上述药物研成细末,先用盐水汤清洗患处,然后再敷上药粉。
小儿眉间长出疮疡,名叫“链银疮”。
金银散
药材及用量:金银锅(一个,注:此处疑为古籍传抄异体或特定称谓,保留原名)、轻粉(五分)。
制法与用法:研成细末,用麻油调和后外敷。
小儿因热邪壅盛损伤肺脏,因为肺开窍于鼻,所以鼻子上会长出疮疡,呈现红点聚集的样子,名叫“肺风”。或者鼻子下方两侧及人中部位潮湿糜烂、瘙痒溃破,名叫“鼻䵟”(原文缺字,据语境推测为鼻部湿烂之症,此处依原文留白或通假处理,译为鼻下赤烂)。
有些疮疡不痛,但流出的疮汁流淌到其他地方又会生出新的疮疡,名叫“淫沥疮”,后面的方子效果极佳。
秘验方:治疗黄水浸湿、流汁导致生疮的情况。
药材及用量:枯矾、海螵蛸(各一钱)、赤石脂、铅粉(各二钱)、雄黄(一钱)、黄丹(二钱)、轻粉、孩儿茶(各五分)。
制法与用法:将上述药物研成粉末,直接干撒在患处。如果药粉不粘附,则用香油调和后外敷。
清金散:敷治鼻子下方糜烂的疮疡。
药材及用量:铜青、白矾(各一钱)。
制法与用法:研成粉末,敷在患处。
另一个方子是用熊胆泡制的汁液,用鸡毛扫涂抹在患处。
泽泻散:治疗小儿肺经积热,导致鼻上生疮以及鼻下红肿糜烂。
药材:泽泻、郁金、山栀仁、甘草。
制法与用法:将上述药物研成细末,用甘草煎煮成汤剂,饭后调服。根据患儿年龄大小决定剂量给予服用。
(38)
The *Classic of Internal Medicine* states: "All pain, itching, sores, and ulcers belong to Heart Fire." The viscera and bowels of children inherently possess excessive fire. Furthermore, due to irregularities in diet and lifestyle, external contraction of wind-cold stagnates and transforms into heat. Internally, this is compounded by the fire from breast milk, the five flavors, and the seven emotions. When this pathogenic factor manifests internally, it causes internal fright; when it manifests between the skin and muscles, it results in sores, tinea, boils, and toxic swellings. The treatment method should first focus on regulating the nursing mother, strictly avoiding certain foods, and subsequently harmonizing the child's Qi and Blood. One must not use harsh purgative or dispersing agents abruptly; instead, gentle harmonization should be employed to adhere to the correct therapeutic principles.
Children should not point at the moon with their fingers; otherwise, sores may appear behind the ears, a condition named "Moon Erosion" (Yueshi). Apply powder made from Bufo bufo gargarizans (Xiamu) topically.
*Rosae Ramulus Powder* (Qiangwei San): Treats pediatric Moon Erosion sores.
Ingredients: Rosae Tenuifoliae Radix et Rhizoma (Qiangweigen, 4 qian), Sanguisorbae Radix Cortex (Diyupi, 2 qian), Calomelas (Qingfen, 5 fen).
Preparation and Administration: Grind the above ingredients into a fine powder. First wash the affected area with salt water solution, then apply the powder.
Sores appearing on the glabella of children are named "Chain Silver Sores" (Lianyin Chuang).
*Gold and Silver Powder* (Jinyin San)
Ingredients: Jin Yin Guo (1 unit), Calomelas (Qingfen, 5 fen).
Preparation and Administration: Grind into a fine powder and mix with Sesame Oil for topical application.
When children suffer from heat accumulation damaging the Lungs, since the Lung opens into the nose, sores may appear on the nose with clustered red spots, a condition named "Wind of the Lung" (Feifeng). Alternatively, dampness, erosion, itching, and ulceration may occur on both sides below the nose and at the philtrum, a condition referred to as nasal erosion.
Some sores are painless, but the exudate flowing from them causes new sores to form elsewhere, named "Dripping Leech Sores" (Yinli Chuang). The following prescription is highly effective.
Secret Effective Prescription: Treats yellow fluid exudation causing erosive sores.
Ingredients: Alum Calcined (Kufan), Cuttlebone (Haipiaoxiao) (each 1 qian), Red Halloysite (Chishizhi), Lead White (Qianfen) (each 2 qian), Realgar (Xionghuang, 1 qian), Lithargyrum (Huandan, 2 qian), Calomelas (Qingfen), Camelliae Seed (Hairecha) (each 5 fen).
Preparation and Administration: Grind into powder and dust dry onto the lesion. If it does not adhere, mix with Sesame Oil for application.
*Clear Metal Powder* (Qingjin San): For applying to eroded sores below the nose.
Ingredients: Verdigris (Tongqing), Alum (Baifan) (each 1 qian).
Preparation and Administration: Grind into powder and apply to the affected area.
Another method involves soaking Bear Bile (Xiongdan) in water to create a solution, which is applied using a chicken feather.
*Alisma Powder* (Zexie San): Treats accumulated heat in the Lung meridian of children, resulting in sores on the nose and erythema/erosion below the nose.
Ingredients: Alismatis Rhizoma (Zexie), Curcumae Aromatae Rhizoma (Yujin), Gardeniae Fructus (Shanzhiren), Glycyrrhizae Radix et Rhizoma (Gancao).
Preparation and Administration: Grind into a fine powder. Decoct Glycyrrhiza in water, take the decoction after meals to mix with the powder. Adjust the dosage according to the child's age and size.