(方三十六首)
治小儿夏月积冷,洗浴过度,及乳母亦将冷洗浴,以冷乳饮,儿儿壮热忽值豪雨凉加
之儿,下如水,胃虚弱,则面青肉冷、目陷、干呕,宜先与此调其胃气下即止方。
干姜 浓朴(各一分) 当归 桂心 甘草(各三分) 人参 白术 茯苓 桔梗(各
二分)
上九味 咀,以水二升煮取九合,六十日至百日儿一服二合半,余皆随儿大小。
治小儿暴冷,水谷下或乳冷下青结不消,或冷实吐下,干呕烦闷,及冷滞赤白下者,
若已服诸利汤去实,胃中虚冷,下如水,干呕、目陷、烦扰不宜利者,可除大黄。若中乳,
乳母洗浴水气未消,饮儿遂为霍乱,宜利者便用大黄,不须利宜温者除之方。
大黄(六分) 桂心 浓朴 甘草 干姜(各一分) 人参 白术 茯苓 当归(各二
分)
桔梗(三分)
上十味,以水二升半煮取八合,凡儿三十日至六十日一服二合,七十日至百日一服二合
半,二百日者服三合。
治小儿夏月伤暴寒,寒折大热,热入胃,下赤白滞如鱼脑,壮热头痛身热手足烦,此
太阳之气外伤寒,使热气入胃,服此方良。误以利药下之,或以温脾汤下之,则热痢。以利
药下之,便数去赤汁如烂肉者;或下之不瘥,复以涩热之药断之,下既不止,倍增壮热者服
之即效。或者温病热盛,复遇暴寒折之,热入腹中,下血如鱼脑者,服之良方。
黄柏 黄连 黄芩 升麻 当归 白头翁(一作白蔹) 牡蛎 石榴皮 寄生 甘草(各
二分) 犀角 艾叶(各一分)
上十二味 咀,以水三升煮取一升二合。百日儿至二百一日,一服三合。
凡是出现便血症状的,属于蛊毒病,用此方治疗(该方见后文第二十六卷蛊毒门)。
(共三首方剂)
治疗小儿夏季体内积有寒邪,因洗浴过度,或者乳母也进行冷水洗浴,并用冷奶喂养婴儿,导致小儿突然高热,又恰逢大雨降温,致使大便稀薄如水样。若胃气虚弱,则见面色青暗、肌肉发凉、眼窝凹陷、干呕等症状,适宜先用此方调理胃气,服下后腹泻即可停止。
干姜、厚朴(各一分)、当归、桂心、甘草(各三分)、人参、白术、茯苓、桔梗(各二分)。
以上九味药,切碎,用水二升煎煮至九合,六十天至一百天的婴儿每次服用二合半,其他年龄段的婴儿剂量根据大小酌情调整。
治疗小儿突发受寒,水谷或乳汁因寒冷而下泄,青色凝结不消化;或因寒实导致的呕吐腹泻,伴有干呕、心烦闷乱;以及寒邪停滞导致的赤白痢疾。如果已经服用各种泻下药去除了实邪,但胃中虚冷,大便仍像水一样,伴有干呕、眼窝凹陷、烦躁不安,此时不宜再用泻下药,可以去除方中的大黄。如果是母乳喂养,乳母洗浴后水湿寒气未消,喂奶给婴儿导致霍乱,若适宜用泻下药则加入大黄,若不适宜泻下而适宜温补则去除大黄。
大黄(六分)、桂心、厚朴、甘草、干姜(各一分)、人参、白术、茯苓、当归(各二分)、桔梗(三分)。
以上十味药,用水二升半煎煮至八合,三十天至六十天的婴儿每次服用二合,七十天至一百天的婴儿每次服用二合半,二百天的婴儿服用三合。
治疗小儿夏季遭受暴寒侵袭,寒气遏制了体内的郁热,热气内陷入胃,导致排出赤白相间的黏液状物如鱼脑般,伴有高热、头痛、全身发热、手足烦热。这是太阳之气在外受到寒邪侵袭,使热气内陷入胃,服用此方效果良好。如果误用泻下药攻下,或者用温脾汤攻下,会导致热痢。如果用泻下药攻下,导致频繁排出红色汁液如烂肉状;或者泻下后病未愈,又用收敛固涩的热性药物强行止泻,导致腹泻不止,反而加倍出现高热,服用此方即见效。或者是温病热势亢盛,又遭遇暴寒遏制,热气进入腹中,导致便血如鱼脑状,服用此方是良方。
黄柏、黄连、黄芩、升麻、当归、白头翁(一作白蔹)、牡蛎、石榴皮、桑寄生、甘草(各二分)、犀角、艾叶(各一分)。
以上十二味药,切碎,用水三升煎煮至一升二合。一百天至二百零一天的婴儿,每次服用三合。
Any case involving hematochezia (blood in stool) is classified as Gu poison (a category of toxic diseases characterized by parasitic or mysterious symptoms). Treat with this formula (see the subsequent Volume 26, Section on Gu Poison).
(Thirty-six formulas included)
To treat infants suffering from accumulated cold in summer due to excessive bathing, or when the nursing mother also bathes in cold water and feeds the infant cold milk. This may cause the infant to suddenly develop high fever, which is exacerbated by heavy rain and cooling weather, leading to watery diarrhea. If the stomach qi is weak, symptoms include a bluish complexion, cold flesh, sunken eyes, and dry retching. It is appropriate to first administer this formula to regulate stomach qi; upon administration, the diarrhea will cease.
Ganjiang (Dried Ginger), Houpo (Magnolia Bark) (each 1 fen); Danggui (Angelica Sinensis), Guixin (Cinnamon Twig), Gancao (Licorice Root) (each 3 fen); Renshen (Ginseng), Baizhu (Atractylodes Macrocephala Rhizome), Fuling (Poria), Jiegeng (Platycodon Root) (each 2 fen).
The above nine ingredients are coarsely crushed. Decoct in two sheng of water until reduced to nine he. For infants aged sixty to one hundred days, administer two and a half he per dose. For other ages, adjust the dosage according to the infant's size.
To treat infants suffering from sudden cold exposure, where food, grain, or milk passes through the intestines coldly, appearing as undigested green clumps; or cold excess causing vomiting and diarrhea, accompanied by dry retching, vexation, and oppression; as well as red-and-white dysentery caused by cold stagnation. If various purgative decoctions have already been used to remove excess pathogenic factors, but the stomach remains deficient and cold, with watery diarrhea, dry retching, sunken eyes, and restlessness, purgatives are contraindicated. In such cases, Dahuang (Rhubarb) should be omitted. If the infant is breastfed and the mother has recently bathed, allowing damp-cold qi to remain, which causes Huoluan (cholera-like syndrome) in the infant: if purgation is indicated, add Dahuang; if warming is indicated instead of purgation, omit it.
Dahuang (Rhubarb) (6 fen); Guixin (Cinnamon Twig), Houpo (Magnolia Bark), Gancao (Licorice Root), Ganjiang (Dried Ginger) (each 1 fen); Renshen (Ginseng), Baizhu (Atractylodes Macrocephala Rhizome), Fuling (Poria), Danggui (Angelica Sinensis) (each 2 fen); Jiegeng (Platycodon Root) (3 fen).
The above ten ingredients are decocted in two and a half sheng of water until reduced to eight he. For infants aged thirty to sixty days, administer two he per dose; for those aged seventy to one hundred days, two and a half he per dose; for those aged two hundred days, three he per dose.
To treat infants who suffer from sudden cold exposure in summer, where cold constrains internal heat, forcing heat into the stomach. This results in the passage of red-and-white mucus resembling fish brains, accompanied by high fever, headache, generalized body heat, and irritability of the hands and feet. This condition arises because the Qi of the Taiyang (Greater Yang) channel is externally constrained by cold, allowing heat to enter the stomach. Administering this formula yields good results. If mistakenly treated with purgatives or Wentai Tang (Warm the Spleen Decoction), it may lead to heat-dysentery. If purgatives are used, it may result in frequent passage of red fluid resembling rotting meat. If purgation fails to cure, and astringent-hot medicines are subsequently used to stop the diarrhea, the diarrhea may persist and high fever may intensify. In such cases, this formula is effective. Alternatively, if a warm disease with intense heat is constrained by sudden cold, forcing heat into the abdomen and causing bloody stools resembling fish brains, this formula is excellent.
Huangbai (Phellodendron Bark), Huanglian (Coptis Rhizome), Huangqin (Scutellaria Root), Shengma (Cimicifuga Rhizome), Danggui (Angelica Sinensis), Baitouweng (Pulsatilla Root) (alternatively Bai Lian/Ampelopsis Rhizome), Muli (Oyster Shell), Shiliupi (Pomegranate Peel), Jisheng (Taxillus Branch), Gancao (Licorice Root) (each 2 fen); Xijiao (Rhino Horn - *Note: Substitute with Buffalo Horn in modern practice*), Aiye (Mugwort Leaf) (each 1 fen).
The above twelve ingredients are coarsely crushed. Decoct in three sheng of water until reduced to one sheng and two he. For infants aged one hundred to two hundred and one days, administer three he per dose.