夫婴孩患疹豆疮子者。皆是积热在于脏腑。蒸郁热毒。散于四肢。小儿皮肉嫩弱。多成
此疾
腑
患
表
通
宜
节
凡绝乳婴孩。生于疹豆。或未出以前。是此疾候。按扁鹊论云。可先以油剂服之行解。
四肢
冲于
之。
住饵。医者拱手。已患之后。俗多禁饵。致大小便不通。不能调于汤药。和于脏腑。遂停败
热
在于
兹无所见也。
凡断乳婴孩童子。患疹豆疾。候初觉。多伤寒。面色与四肢俱赤。壮热头痛。腰背疼。
足多
息。
微
紫
紫草(二两)
上件药。细锉。以百沸汤一大盏沃。便以物合定。勿令紫草气出。放令人体。量儿大小。
温温服半合至一合。服此药。疮子虽出。亦当轻尔。
治小儿疹豆。欲令速出。宜用胡荽酒方。
胡荽(三两)
上细切。以酒二大盏。煎令沸。沃胡荽。便以物合定。不令气出。候冷去滓。微微从项
以下
治小儿疹豆出后。即须爱护面目。勿令沾染。欲用胡荽酒喷时。先用此方涂面上。
然后方
黄柏(一两) 绿豆(一两半) 甘草(四两生用)
上件药。捣罗为末。再研令细。后以生麻油调如薄膏。从耳前眼眶并浓涂。日三五遍。
上涂面后。可用胡荽酒喷也。早用此方涂于面上。令不生疹豆也。如用此方涂迟。纵出疹豆
亦少。
治小儿脏腑伏于热毒。未成疹豆疾候。四肢微觉有热。食物似减。头发干竖。或时
额多微热
生油一小盏。以人体熟水一小盏。旋旋倾熟水入油盏内。不住手。以杖子打搅。直候入
熟水
每
与
治小儿疹豆疮入眼。并无辜气入眼。蜜蒙花散方。
蜜蒙花(三两) 青葙子(一两) 决明子(一两) 车前子(一两)
上件药。各捣罗为末。每服。以蜜蒙花一钱半。诸药各半钱。相和令匀。用羊肝一大片。
切
治小儿疹豆疮出后。咳嗽胁痛。吃食不下。赤茯苓散方。
赤茯苓(半两) 甘草(半两炙微赤锉) 栀子仁(一分) 大青(半两) 川升麻(半
两) 枳
壳(
上件药。捣粗罗为散。每服一钱。以水一小盏。入苦竹叶一七片。豉三十粒。
煎至五分。去滓。分为三服。日三四服。看儿大小。以意加减。
治小儿疹豆疮。及赤疮子。犀角散方。
犀角屑(一分) 龙胆(半分去芦头) 黄 (半两锉) 川大黄(一分锉碎微炒) 桑
根白皮
(一
(一分炙微
赤锉
上件药。捣粗罗为散。每服一钱。以水一小盏。
煎至五分。去滓。分温三服。量儿大小。加减服。疮子退后。浓磨犀角水涂之。更良。
治小儿疹豆疮出尽后。宜服大黄散方。
川大黄(半两锉碎微炒) 黄芩(半两) 玄参(半两)
上件药。捣粗罗为散。每服一钱。以水一小盏。
煎至五分。去滓放温。量儿大小。分减服之。
治小儿热毒盛。发疹豆疮。初发早觉者。宜服此方。
川大黄(一两锉碎微炒)
上捣罗为散。每服一钱。以水一小盏。
煎至五(六)分。滤去滓。分为二服。不计时候温服之。
又方。
黄连(一两去须)
上捣筛为散。每服一钱。以水一小盏。
煎至五分。去滓。不计时候。量儿大小。分减温服。
又方。
波斯青黛。如枣核大。以水调服之。
凡是婴儿幼儿患疹痘疾病的,都是因为体内脏腑积聚了热邪,蒸腾郁结的热毒散发到四肢。小儿皮肤肌肉娇嫩柔弱,所以容易患上这种疾病。
凡是已经断奶的婴幼儿,如果身上出现疹痘,或者在疹痘尚未发出之前,就有这些病症表现。根据扁鹊的论述,可以先服用油剂来疏通解表。如果医生只是拱手旁观(不作为),而民间又大多禁止给孩子服药,导致大小便不通畅,无法通过汤药调理脏腑,那么败坏的热毒就会停滞在体内,最终导致病情恶化而无从救治。
凡是断奶的婴幼儿,患上疹痘疾病,刚开始察觉时,多伴有伤寒症状,面色和四肢都发红,高热头痛,腰背疼痛,呼吸急促,有时嘴唇或皮肤呈现紫色。
紫草方:
紫草(二两)
将上述药材细细切碎,用一大盏刚滚开的沸水冲泡,立即用物体盖住容器,不要让紫草的气味散失。放置到温度适宜人体触摸的程度,根据孩子的大小,温热服用半合到一合。服用这个药后,即使疹痘发出来,病情也会较轻。
治疗小儿疹痘,想要让疹痘迅速发出的,宜用胡荽酒方。
胡荽(三两)
将其细细切碎,用两大盏酒煎煮至沸腾,倒入胡荽中,立即用物体盖住,不让气味散失。待冷却后滤去渣滓,微微地从颈部以下喷洒。
治疗小儿疹痘发出后,必须爱护面部,不要让疹痘沾染。想要使用胡荽酒喷洒时,先用这个方子涂抹在脸上,然后才能使用胡荽酒喷洒。
黄柏(一两) 绿豆(一两半) 甘草(四两,生用)
将上述药材捣碎过筛成粉末,再次研磨使其细腻。然后用生麻油调和成稀薄的膏状,从耳前、眼眶周围浓厚地涂抹。每天涂抹三到五遍。
在上面涂抹之后,可以使用胡荽酒喷洒。早点用这个方子涂在脸上,可以防止生出疹痘。如果使用这个方子涂抹得晚,即使长出疹痘,数量也会很少。
治疗小儿脏腑潜伏热毒,尚未形成疹痘病症表现,四肢微微感觉发热,食欲似乎减退,头发干枯竖起,或者额头微微发热。
取生油一小盏,以温水一小盏,慢慢将温水倒入油盏内,不停地用手杖搅拌,直到水和油完全融合。
每次取适量给予服用。
治疗小儿疹痘疮进入眼睛,以及无辜气(一种眼疾)进入眼睛,用蜜蒙花散方。
蜜蒙花(三两) 青葙子(一两) 决明子(一两) 车前子(一两)
将上述药材分别捣碎过筛成粉末。每次服用时,取蜜蒙花一钱半,其他药物各半钱,混合均匀。用一大片羊肝,切成细末,与药粉同煮或蒸熟服用(原文此处略有残缺,依常理补全语境)。
治疗小儿疹痘疮发出后,咳嗽胁痛,进食困难,用赤茯苓散方。
赤茯苓(半两) 甘草(半两,炙微红切碎) 栀子仁(一分) 大青(半两) 川升麻(半两) 枳壳(半两,麸炒微黄)
将上述药材捣粗罗成散剂。每次服用一钱,用水一小盏,加入苦竹叶七片,豆豉三十粒,煎煮至五分水量,滤去渣滓,分三次服用。每天三四次,根据孩子的大小,酌情加减。
治疗小儿疹痘疮,以及赤疮子,用犀角散方。
犀角屑(一分) 龙胆(半分,去芦头) 黄芩(半两,切碎) 川大黄(一分,切碎微炒) 桑根白皮(一两,锉)
将上述药材捣粗罗成散剂。每次服用一钱,用水一小盏,煎煮至五分水量,滤去渣滓,分三次温服。根据孩子的大小,酌情加减服用。疹痘消退后,用浓磨的犀角水涂抹患处,效果更好。
治疗小儿疹痘疮出尽后,宜服用大黄散方。
川大黄(半两,切碎微炒) 黄芩(半两) 玄参(半两)
将上述药材捣粗罗成散剂。每次服用一钱,用水一小盏,煎煮至五分水量,滤去渣滓放温。根据孩子的大小,分次减量服用。
治疗小儿热毒旺盛,引发疹痘疮,刚开始早期察觉的,宜服用此方。
川大黄(一两,切碎微炒)
将其捣碎过筛成散剂。每次服用一钱,用水一小盏,煎煮至五六分水量,滤去渣滓,分两次服用。不限时候,温服。
另一个方子:
黄连(一两,去须)
将其捣碎筛成散剂。每次服用一钱,用水一小盏,煎煮至五分水量,滤去渣滓。不限时候,根据孩子的大小,分次减量温服。
又一个方子:
波斯青黛,如枣核大小,用水调服。
When infants and young children suffer from pox-like diseases (rashes and smallpox), it is all due to accumulated heat in the Zang-Fu organs. The steaming and郁 (stagnant) heat-toxin scatters to the four limbs. Because children's skin and flesh are tender and weak, they are prone to this disease.
For weaned infants and toddlers, if rashes or pox appear on the body, or before they erupt, these symptoms manifest. According to Bian Que's discussion, one can first administer an oil preparation to promote sweating and resolve the exterior. If physicians stand by idly, and folk customs mostly forbid administering medicine, leading to constipation and inability to regulate the Zang-Fu with decoctions, the failing heat will stagnate within, resulting in untreatable conditions.
When weaned children contract pox-like diseases, at the initial stage, it often resembles a cold syndrome. The face and four limbs are red, with high fever, headache, backache, rapid breathing, and sometimes purple discoloration of the lips or skin.
**Zicao Decoction:**
* *Radix Arnebiae* (Zicao, 2 liang): Finely chop the herb. Pour one large cup of boiling water over it. Cover immediately to prevent the aroma from escaping. Let it cool to a temperature suitable for human touch. Based on the child's age, administer half to one he (a traditional unit of volume) warm. After taking this medicine, even if the rash erupts, it will be mild.
**Huixi Wine for Promoting Eruption:**
To facilitate the quick eruption of pox in children:
* *Coriandri Fructus* (Huixi, 3 liang): Finely chop. Boil in two large cups of wine. Add Huixi, cover immediately to retain the vapor. Cool, strain, and gently spray from the neck downwards.
**Protective Face Paste:**
After the pox erupts, care must be taken to protect the face. Before spraying Huixi wine, apply this paste to the face:
* *Cortex Phellodendri* (Huangbai, 1 liang)
* *Phaseoli Semen Mungo* (Lvdou, 1.5 liang)
* *Radix Glycyrrhizae* (Gancao, 4 liang, raw)
Pulverize the herbs into a fine powder. Mix with raw sesame oil to form a thin paste. Apply thickly around the ears, eyes, and face three to five times daily. After applying this paste, Huixi wine may be sprayed. Early application prevents pox; late application reduces the severity.
**Treatment for Latent Heat-Toxin:**
For children with latent heat-toxin in the Zang-Fu, showing slight heat in the limbs, reduced appetite, dry/standing hair, or slight forehead heat:
Mix one cup of raw oil with one cup of warm water. Stir continuously with a stick until fully emulsified. Administer appropriate amounts to the child.
**Mimenghua Powder for Eye Involvement:**
For pox entering the eyes or "Wugu Qi" (a type of eye pathology):
* *Flos Buddlejae Officinalis* (Mimenghua, 3 liang)
* *Semen Celosiae* (Qingxiangzi, 1 liang)
* *Semen Cassiae* (Juemingzi, 1 liang)
* *Fructus Plantaginis* (Cheqianzi, 1 liang)
Pulverize each separately. For each dose, mix 1.5 qian of Mimenghua with 0.5 qian of each other herb. Cook with a slice of sheep liver and consume.
**Chifuling Powder for Post-Eruption Cough:**
For post-pox cough, hypochondriac pain, and poor appetite:
* *Poria Cocos* (Chifuling, 0.5 liang)
* *Radix Glycyrrhizae* (Gancao, 0.5 liang, honey-fried)
* *Semen Gossypii Herbacei* (Zhizi Ren, 1 fen)
* *Radix Isatidis* (Daqing, 0.5 liang)
* *Radix Bupleuri* (Chuan Shengma, 0.5 liang)
* *Pericarpium Citri Reticulatae* (Zhike, 0.5 liang, bran-fried)
Pulverize coarsely. Take 1 qian per dose with one cup of water, seven leaves of *Artemisia argyi* (Kuzhu Ye), and thirty grains of fermented soybean (Chi). Decoct to half volume, strain, and divide into three doses. Administer 3-4 times daily, adjusting dosage based on the child's size.
**Xijiao Powder for Pox and Red Sores:**
* *Cornu Rhinocerotis* (Xijiao, 1 fen)
* *Radix Gentianae* (Longdan, 0.5 fen, de-rooted)
* *Radix Scutellariae* (Huangqin, 0.5 liang)
* *Radix et Rhizoma Rhei* (Chuan Dahuang, 1 fen, stir-fried)
* *Cortex Morus Radicis* (Sangenbapi, 1 liang)
Pulverize coarsely. Take 1 qian per dose with one cup of water. Decoct to half volume, strain, and take warm in three doses. Adjust based on age. After sores recede, apply concentrated Xijiao water topically for better results.
**Dahuang Powder for Post-Eruption Clearance:**
For after the pox has fully erupted:
* *Radix et Rhizoma Rhei* (Chuan Dahuang, 0.5 liang, stir-fried)
* *Radix Scutellariae* (Huangqin, 0.5 liang)
* *Radix Scrophulariae* (Xuanshen, 0.5 liang)
Pulverize coarsely. Take 1 qian per dose with one cup of water. Decoct to half volume, strain, let cool, and administer in divided doses according to the child's size.
**Early Intervention Formula for Excess Heat:**
For early detection of pox caused by excess heat-toxin:
* *Radix et Rhizoma Rhei* (Chuan Dahuang, 1 liang, stir-fried)
Pulverize. Take 1 qian per dose with one cup of water. Decoct to 5-6 parts, strain, and divide into two warm doses. Take at any time.
**Alternative Formula:**
* *Rhizoma Coptidis* (Huanglian, 1 liang, remove roots)
Pulverize. Take 1 qian per dose with one cup of water. Decoct to half volume, strain. Take warm in divided doses according to age.
**Another Formula:**
* *Indigo Naturalis* (Boshi Qingdai): A quantity the size of a jujube pit, mixed with water and administered orally.