千金疗少小宿食癖气痰饮,往来寒热,不欲食,消瘦芒硝紫丸方。
芒硝(四分熬) 大黄(四两) 半夏(二两洗) 代赭(一两) 甘遂(二两熬) 巴豆
(三百枚去
心皮熬) 杏仁(一百二十枚)
上七味捣筛,别治巴豆杏仁,令如膏,捣数千杵,令相和,如强内少蜜,百日儿服如胡
豆十丸,过百日至一岁,服二十丸,随儿大小,以意节度之,当候儿大便中药出为愈,若不
出,复与加初。(出第五卷中)
古今录验疗八岁以上儿热结痰实,不能下食方。
大黄(十二分) 柴胡(九分) 黄芩 知母(各十二分) 升麻(十分) 枳实(炙)
杏仁(
各六分) 芍药 栀子(各八分) 细辛(二分半) 竹叶(切一升)
上十一味切,以水六升,煮取一升八合,分四服,十岁儿分三服以下,以意消息多少量
之。(千金有桔梗黄连无枳实杏仁)
短剧疗四五岁儿因食及在胎中宿热,乳母饮食粗恶辛苦,乳汁不起儿,哺不为肌肤,心
腹痞满,痿黄瘦瘠,四肢痿 缭戾,服之令充悦方。
芍药(十分炙令黄) 黄 鳖甲(炙) 人参(各四分) 柴胡(八分) 茯苓(六
分) 甘草
(炙) 干姜(各二分如热以枳实代)
上八味捣筛,蜜和为丸如大豆,服五丸,日二服,忌如常法。(千金有大黄无黄 云服
一丸一岁以上乳服三丸七岁儿服十丸日二)
千金疗少小伤寒,久病不除,瘥复剧,羸瘦骨立,五味子汤方。
五味子(十铢) 大黄(六铢) 芒硝(五分) 麦门冬(六分去心) 石膏(一两) 甘
草(炙) 当归 黄芩 黄连 前胡(各一分)
上十味切,以水三升,煮取一升半,服二合,下利即止效。
又疗小儿羸瘦 ,常服不妨乳方。
甘草(五两炙)
上一味捣筛,蜜丸如小豆,一岁儿服十丸,日三,尽即更合。(并出第五卷中)
刘氏疗小儿肚胀,渐瘦不食,四肢热不调方。
甘草(炙) 鳖甲(炙) 柴胡 茯神 子芩(各六分) 诃黎勒皮(十分) 槟榔(兼
皮三颗
研) 芍药 橘皮(各三分) 生姜 当归(各四分) 知母(五分) 大黄(八分)
上十三味切,以水一升半,煎取七合,分为数服,得泻病瘥。
《千金方》治疗婴幼儿宿食、癖气及痰饮,症见寒热往来、食欲不振、身体消瘦的芒硝紫丸方。
芒硝(四分,熬制) 大黄(四两) 半夏(二两,洗净) 代赭石(一两) 甘遂(二两,熬制) 巴豆(三百枚,去心皮后熬制) 杏仁(一百二十枚)
以上七味药捣碎过筛,另外单独处理巴豆和杏仁,研磨成膏状,捣数千杵,使其混合均匀。若患儿体质较强,可加入少量蜂蜜。百日以内的婴儿服用如胡豆大小的十丸;超过百日至一岁的婴儿,服用二十丸。根据患儿大小,酌情调整剂量。应当观察患儿大便,待药渣排出即为痊愈。如果药渣未排出,再次给予并增加初始剂量。(出自第五卷中)
《古今录验》治疗八岁以上儿童因热结痰实导致无法进食的方剂。
大黄(十二分) 柴胡(九分) 黄芩 知母(各十二分) 升麻(十分) 枳实(炙烤) 杏仁(各六分) 芍药 栀子(各八分) 细辛(二分半) 竹叶(切段,一升)
以上十一味药切碎,用水六升,煎煮取汁一升八合,分四次服用。十岁儿童分三次服用以下,根据情况斟酌增减剂量。(《千金方》中有桔梗、黄连,无枳实、杏仁)
《短剧方》治疗四五岁儿童因饮食及胎中宿热所致病症。若乳母饮食粗糙辛苦,导致乳汁不足,喂养不当致使肌肤失养,症见心腹痞满、面色萎黄瘦弱、四肢痿软扭曲,服用此方可使身体充盈喜悦的方剂。
芍药(十分,炙至黄色) 黄芪 鳖甲(炙烤) 人参(各四分) 柴胡(八分) 茯苓(六分) 甘草(炙烤) 干姜(各二分,若有热象则用枳实代替)
以上八味药捣碎过筛,用蜂蜜调和制成如大豆大小的丸剂。每次服用五丸,每日两次。忌口遵循常规方法。(《千金方》中有大黄无黄芪,记载服用一丸,一岁以上乳儿服三丸,七岁儿童服十丸,每日两次)
《千金方》治疗婴幼儿伤寒,久病不愈,病愈后反而加重,身体极度消瘦、骨立形销的五味子汤方。
五味子(十铢) 大黄(六铢) 芒硝(五分) 麦门冬(六分,去心) 石膏(一两) 甘草(炙烤) 当归 黄芩 黄连 前胡(各一分)
以上十味药切碎,用水三升,煎煮取汁一升半,服用二合,腹泻停止即见效。
又方治疗小儿消瘦,常服不妨碍哺乳的方剂。
甘草(五两,炙烤)
以上一味药捣碎过筛,用蜂蜜制成如小豆大小的丸剂。一岁儿童服用十丸,每日三次,服完后重新制作。(均出自第五卷中)
刘氏治疗小儿肚胀,逐渐消瘦、食欲不振、四肢发热不调的方剂。
甘草(炙烤) 鳖甲(炙烤) 柴胡 茯神 子芩(各六分) 诃黎勒皮(十分) 槟榔(带皮三颗,研碎) 芍药 橘皮(各三分) 生姜 当归(各四分) 知母(五分) 大黄(八分)
以上十三味药切碎,用水一升半,煎煮取汁七合,分多次服用,通过泻下使疾病痊愈。
*Qianjin Fang* (Essential Prescriptions Worth a Thousand Gold) treats infantile retained food, *pi qi* (masses or accumulations), and phlegm-fluids, with symptoms of alternating chills and fever, anorexia, and emaciation. Formula: Mangxiao Ziwan (Sodium Sulfate Purple Pill).
Mangxiao (Natrii Sulfas, 4 fen, calcined); Dahuang (Rhei Radix et Rhizoma, 4 liang); Banxia (Pinelliae Rhizoma Praeparatum, 2 liang, washed); Daizhe (Haematitum, 1 liang); Gansui (Kansui Radix, 2 liang, calcined); Badou (Crotonis Fructus, 300 seeds, dehearted and decorticated, calcined); Xingren (Persicae Semen, 120 seeds).
The above seven herbs are crushed and sieved. separately process the Badou and Xingren, grinding them into a paste, pounding for thousands of strokes until thoroughly mixed. If the child's constitution is strong, add a small amount of honey. For infants under one hundred days old, administer ten pills the size of a broad bean; for infants from over one hundred days to one year old, administer twenty pills. Adjust the dosage according to the child's size and condition. The treatment is considered effective when the medicinal residue is expelled in the stool. If not expelled, administer again and increase the initial dose. (From Volume 5)
*Gujin Luyan* (Ancient and Modern Recorded Experiences) treats children over eight years old suffering from inability to eat due to heat accumulation and phlegm-solidity.
Dahuang (Rhei Radix et Rhizoma, 12 fen); Chaihu (Bupleuri Radix, 9 fen); Huangqin (Scutellariae Radix); Zhimu (Anemarrhenae Rhizoma, each 12 fen); Shengma (Cimicifugae Rhizoma, 10 fen); Zhishi (Aurantii Fructus Immaturus, stir-fried); Xingren (Persicae Semen, each 6 fen); Shaoyao (Paeoniae Radix Alba); Zhizi (Gardeniae Fructus, each 8 fen); Xixin (Asari Radix et Rhizoma, 2.5 fen); Zhuye (Phyllostachys Folium, cut, 1 sheng).
The above eleven herbs are chopped, boiled in six sheng of water to obtain one sheng and eight he of decoction, divided into four doses. For ten-year-old children, divide into three doses or fewer; adjust the quantity according to clinical judgment. (*Qianjin Fang* contains Jiegeng and Huanglian, but lacks Zhishi and Xingren).
*Duanju Fang* (Short Drama Formulas) treats four- to five-year-old children suffering from retained heat in the womb and due to diet. If the nursing mother consumes rough or harsh foods, leading to insufficient milk production, improper feeding results in poor nourishment of the skin and muscles, presenting as epigastric and abdominal fullness, sallow and emaciated complexion, and flaccid, twisted limbs. This formula promotes physical vigor and well-being.
Shaoyao (Paeoniae Radix Alba, 10 fen, stir-fried until yellow); Huangqi (Astragali Radix); Biejia (Testudinis Carapax et Plastrum, stir-fried); Renshen (Ginseng Radix, each 4 fen); Chaihu (Bupleuri Radix, 8 fen); Fuling (Poria, 6 fen); Gancao (Glycyrrhizae Radix et Rhizoma, stir-fried); Ganjiang (Zingiberis Rhizoma, each 2 fen; replace with Zhishi if there is heat).
The above eight herbs are crushed and sieved, mixed with honey to form pills the size of soybeans. Administer five pills per dose, twice daily. Observe usual dietary restrictions. (*Qianjin Fang* contains Dahuang instead of Huangqi; it states: one pill for infants over one year old, three pills for breastfed infants over one year, ten pills for seven-year-olds, twice daily).
*Qianjin Fang* treats infantile *shanghan* (cold damage) that persists for a long time without resolution, worsening after apparent recovery, resulting in severe emaciation and skeletal prominence. Formula: Wuweizi Tang (Schisandra Decoction).
Wuweizi (Schisandrae Chinensis Fructus, 10 zhu); Dahuang (Rhei Radix et Rhizoma, 6 zhu); Mangxiao (Natrii Sulfas, 5 fen); Maimendong (Ophiopogonis Radix, 6 fen, dehearted); Shigao (Gypsum Fibrosum, 1 liang); Gancao (Glycyrrhizae Radix et Rhizoma, stir-fried); Danggui (Angelicae Sinensis Radix); Huangqin (Scutellariae Radix); Huanglian (Coptidis Rhizoma); Qianhu (Peucedani Radix, each 1 fen).
The above ten herbs are chopped, boiled in three sheng of water to obtain one sheng and half a sheng of decoction. Administer two he per dose. Diarrhea will cease, indicating efficacy.
Another formula treats pediatric emaciation; regular use does not interfere with breastfeeding.
Gancao (Glycyrrhizae Radix et Rhizoma, 5 liang, stir-fried).
The single herb is crushed and sieved, mixed with honey to form pills the size of small beans. One-year-old children take ten pills, three times daily. Prepare anew when finished. (Both from Volume 5)
Liu Shi (Physician Liu) treats pediatric abdominal distension, progressive emaciation, anorexia, and irregular heat in the four limbs.
Gancao (Glycyrrhizae Radix et Rhizoma, stir-fried); Biejia (Testudinis Carapax et Plastrum, stir-fried); Chaihu (Bupleuri Radix); Fushen (Poria cum Radice); Ziqin (Scutellariae Radix, each 6 fen); Helilepi (Terminaliae Chebulae Pericarpium, 10 fen); Binglang (Arecae Semen, three pieces with peel, ground); Shaoyao (Paeoniae Radix Alba); Ju pi (Citri Reticulatae Pericarpium, each 3 fen); Shengjiang (Zingiberis Rhizoma Recens); Danggui (Angelicae Sinensis Radix, each 4 fen); Zhimu (Anemarrhenae Rhizoma, 5 fen); Dahuang (Rhei Radix et Rhizoma, 8 fen).
The above thirteen herbs are chopped, boiled in one and a half sheng of water to obtain seven he of decoction, divided into several doses. The disease resolves through purgation.