千金论曰,夫小儿未能冒涉霜雪,乃不病伤寒也。大人解脱之久,伤于寒冷,则不论耳
,然天行非节之气,其亦得之,有时行疾疫之年,小儿出腹便患斑者也,治其时行节度,故
如大人法,但用药分剂少异,药小冷耳。
又疗小儿伤寒方。
生葛汁 淡竹沥(各六分)
上二味相和,二三岁儿分三服,不宜煮,生服佳。
又疗少小未满百日,伤寒鼻衄,身热呕逆麦门冬汤方。
麦门冬(三分) 桂心(八铢) 寒水石 石膏(碎) 甘草(炙各二分)
上五味切,以水二升半,煮取一升,分服一合,日三。
又疗少小伤寒,芍药四物解肌汤方。
芍药 黄芩 升麻 葛根(各二分)
上药切,以水二升,煮取九合,去滓,分四服,期岁以上分三服。(并出第五卷中)
广济疗小儿天行壮热咳嗽,心腹胀妨方。
人参 甘草(炙各一分) 生地黄 麦门冬(去心) 茅根(各六分)
上五味切,以水二升,煮取七合,去滓,以意量之,分温与服,忌如常法。
又方
麦门冬(去心) 茅根(各六分) 甘草(炙) 人参(各二分) 紫菀 升麻 贝母 竹
沥(各
二分)
上八味切,以水二升,煮取八合,分服,忌如常法。
千金疗少小有热不汗,二味通汗散方。
雷丸(四两) 粉(半斤)
上药捣筛,以粉儿身,以瘥为度。
又疗小儿生一月至五月乍寒乍热方。
细锉柳枝,煮取汁,以洗儿立效,若渴,绞冬瓜汁服之。
又疗小儿寒热,及赤气中人,猪蹄散方。
取猪后脚悬蹄烧灰末,以乳汁饮一撮立效。(并出第五卷中)
刘氏疗小儿天行头痛壮热方。
青木香(六分) 白檀香(三分)
上二味捣散,以清水和服之,以水调涂顶,头痛立瘥。
又方
吴蓝 大青(各十分) 甘草(炙) 生麦门冬(去心) 生姜(各六分) 茵陈(三
分) 栀子
仁(十枚) 芦根(一握洗)
上八味切,以水二升,煮取九合,分温服之,忌如常法。
又疗小儿天行五日以后,热不歇方。
枣叶(一握) 麻黄(一两去节) 葱白(切一合) 豉(一合)
上四味切,以童子小便二升煎,取九合去滓,分服之。
《千金方》论述说,小儿因为尚未经历过霜雪的侵袭,所以不会患伤寒病。大人由于已经脱离母体很久,受到寒冷伤害,那就另当别论了。然而,如果是非时之气(反常的气候)引起的天行病(流行性传染病),小儿也会感染。在发生季节性疾疫的年份,有的小儿出生后不久就会患上斑疹类疾病。治疗这种时行病的法则,与成人相同,只是用药的分量略有不同,药性稍微偏凉罢了。
又有一首治疗小儿伤寒的方子。
生葛汁、淡竹沥(各六分)
以上两味药混合,二三岁的小儿分三次服用,不宜煎煮,生服效果更佳。
又有一首治疗未满百日婴儿,因伤寒导致鼻出血、身体发热、呕吐逆气的麦门冬汤方。
麦门冬(三分)、桂心(八铢)、寒水石、石膏(捣碎)、甘草(炙制,各二分)
以上五味药切碎,用水二升半,煎煮取一升药液,每次服用一合,每日三次。
又有一首治疗婴幼儿伤寒的芍药四物解肌汤方。
芍药、黄芩、升麻、葛根(各二分)
以上药物切碎,用水二升,煎煮取九合药液,滤去药渣,分四次服用;周岁以上的儿童分三次服用。(均出自《外台秘要》第五卷)
《广济方》治疗小儿天行病出现高热、咳嗽、心胸腹部胀满不适的方子。
人参、甘草(炙制,各一分)、生地黄、麦门冬(去心)、白茅根(各六分)
以上五味药切碎,用水二升,煎煮取七合药液,滤去药渣,根据患儿情况适量分次温服,禁忌事项如常规方法。
又一方
麦门冬(去心)、白茅根(各六分)、甘草(炙制)、人参(各二分)、紫菀、升麻、贝母、竹沥(各二分)
以上八味药切碎,用水二升,煎煮取八合药液,分次服用,禁忌事项如常规方法。
《千金方》治疗婴幼儿有热无汗症的二味通汗散方。
雷丸(四两)、米粉(半斤)
将上述药物捣碎过筛,用米粉扑擦患儿全身,以出汗病愈为度。
又有一首治疗小儿出生一个月至五个月期间忽冷忽热的方子。
将柳枝细切,煎煮取汁,用来给患儿洗浴,立即见效;如果患儿口渴,可绞取冬瓜汁服用。
又有一首治疗小儿寒热往来,以及赤气中人(感受温热毒邪)的猪蹄散方。
取猪后脚悬蹄烧成灰末,用乳汁调服一撮,立即见效。(均出自《外台秘要》第五卷)
刘氏治疗小儿天行病头痛高热的方子。
青木香(六分)、白檀香(三分)
以上两味药捣碎成散剂,用清水调和服用;也可用水调匀涂敷头顶,头痛立即痊愈。
又一方
吴蓝、大青(各十分)、甘草(炙制)、生麦门冬(去心)、生姜(各六分)、茵陈(三分)、栀子仁(十枚)、芦根(一握,洗净)
以上八味药切碎,用水二升,煎煮取九合药液,分次温服,禁忌事项如常规方法。
又有一首治疗小儿天行病五日以后,热势不退的方子。
枣叶(一握)、麻黄(一两,去节)、葱白(切,一合)、豆豉(一合)
以上四味药切碎,用童子小便二升煎煮,取九合药液,滤去药渣,分次服用。
The *Qianjin Fang* (Essential Prescriptions Worth a Thousand Gold) states that infants, having not yet been exposed to frost and snow, do not contract Shanghan (Cold Damage). Adults, having been separated from the womb for a long time, may suffer from cold injury, which is a different matter. However, regarding Tianxing Bing (Seasonal Epidemic Diseases) caused by irregular climatic factors, infants are also susceptible. In years when seasonal epidemics occur, some infants develop maculopapular rashes shortly after birth. The treatment principles for these seasonal diseases are the same as those for adults, except that the dosages of herbs are slightly smaller and the medicinal properties are slightly cooler.
Another prescription for treating infant Shanghan:
Sheng Ge Zhi (Fresh Kudzu Juice), Dan Zhu Li (Bamboo Sap) (each 6 fen).
Mix the above two ingredients. For children aged two or three, divide into three doses. Do not boil; it is best taken raw.
Another prescription for infants under one hundred days old suffering from Shanghan with epistaxis, fever, and vomiting:
Maimen Dong (Ophiopogon Tuber) (3 fen), Guixin (Cinnamon Twig Heart) (8 zhu), Hanshui Shi (Calcitum), Shigao (Gypsum Fibrosum) (crushed), Gancao (Licorice Root) (roasted, each 2 fen).
Chop the above five herbs. Add 2.5 sheng of water, decoct to obtain 1 sheng of liquid. Divide into doses of 1 he, taken three times daily.
Another prescription for infant Shanghan, Shaoyao Siwu Jieji Tang (Peony Four-Ingredient Muscle-Releasing Decoction):
Shaoyao (Peony Root), Huangqin (Scutellaria Root), Shengma (Cimicifugae Rhizoma), Gegen (Kudzu Root) (each 2 fen).
Chop the above herbs. Add 2 sheng of water, decoct to obtain 9 he of liquid. Strain and divide into four doses. For children over one year old, divide into three doses. (All from Volume 5)
Guangji Fang (Guangji Prescriptions) treats infant Tianxing with high fever, cough, and chest/abdominal distension:
Renshen (Ginseng Radix), Gancao (Licorice Root) (roasted, each 1 fen), Sheng Dihuang (Rehmannia Root), Maimen Dong (Ophiopogon Tuber) (core removed), Maogen (Imperata Rhizome) (each 6 fen).
Chop the above five herbs. Add 2 sheng of water, decoct to obtain 7 he of liquid. Strain and administer warm in appropriate amounts according to the child's condition. Observe usual dietary restrictions.
Another prescription:
Maimen Dong (Ophiopogon Tuber) (core removed), Maogen (Imperata Rhizome) (each 6 fen), Gancao (Licorice Root) (roasted), Renshen (Ginseng Radix) (each 2 fen), Ziwan (Aster Root), Shengma (Cimicifugae Rhizoma), Beimu (Fritillaria Bulb), Zhuli (Bamboo Sap) (each 2 fen).
Chop the above eight herbs. Add 2 sheng of water, decoct to obtain 8 he of liquid. Divide into doses. Observe usual dietary restrictions.
Qianjin Fang treats infants with heat but no sweating using Erwei Tonghan San (Two-Ingredient Sweating Powder):
Leiwuan (Polyporus Umbellatus), Fen (Rice Flour) (half jin).
Pound and sieve the above herbs. Apply the powder to the infant's body until sweating occurs and the condition resolves.
Another prescription for infants aged one to five months experiencing alternating chills and fever:
Finely chop willow branches, decoct to obtain juice, and use to wash the infant for immediate effect. If thirsty, administer juice extracted from winter melon.
Another prescription for infant chills and fever, and "Red Qi" invasion (warm-toxic pathogen invasion), Zhuti San (Pig Trotter Powder):
Burn the hooves of pig hind legs to ash and powder. Administer one tuoh (a pinch) mixed with milk for immediate effect. (All from Volume 5)
Liu Shi treats infant Tianxing with headache and high fever:
Qingmuxiang (Aucklandiae Radix), Baitanxiang (Santalum Album Lignum) (each 6 fen).
Pound the above two herbs into powder. Mix with clear water and ingest. Alternatively, mix with water and apply to the vertex of the head; headache will resolve immediately.
Another prescription:
Wulan (Isatidis Folium et Radix), Daqing (Indigo Naturalis) (each 10 fen), Gancao (Licorice Root) (roasted), Sheng Maimen Dong (Ophiopogon Tuber) (core removed), Shengjiang (Zingiberis Rhizoma Recens) (each 6 fen), Yichen (Artemisiae Scopariae Herba) (3 fen), Zhizi Ren (Gardeniae Fructus) (10 seeds), Lugeng (Phragmitis Rhizoma) (one handful, washed).
Chop the above eight herbs. Add 2 sheng of water, decoct to obtain 9 he of liquid. Divide into warm doses. Observe usual dietary restrictions.
Another prescription for infant Tianxing where fever persists after five days:
Zaoye (Jujube Leaf) (one handful), Mahuang (Ephedrae Herba) (1 liang, nodes removed), Congbai (Allii Fistulosi Bulbus) (chopped, 1 he), Chi (Fermented Soybean) (1 he).
Chop the above four herbs. Decoct in 2 sheng of urine from an uncircumcised boy, reduce to 9 he of liquid. Strain and divide into doses.