夫小儿风瘙瘾疹者。由汗出解脱衣裳。风入腠理。与血气相搏。结聚相连。遂成瘾疹。
风气止在腠理浮浅。其势微。故不肿不痛。但成瘾疹瘙痒也。
治小儿风瘙瘾疹。麻黄散方。
麻黄(一两去根节) 川升麻(一两) 葛根(一两锉) 射干(半两) 鸡舌香(半
两) 甘草
(半
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
治小儿风瘙瘾疹。壮热心躁。犀角散方。
犀角屑(三分) 川升麻(三分) 麦门冬(三分去心) 白蒺藜(三分微炒去刺) 甘
草(三
分炙
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
治小儿风瘙瘾疹。黄 散方。
黄 (三分锉) 白藓皮(半两) 防风〔二(一)分去芦头〕 黄芩(三分) 枳壳
(一分麸
炒微
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
治小儿风瘙瘾疹。痒痛不止。枳实丸方。
枳实(三分麸炒微黄) 甘菊花(半两) 蛇床子(一分) 防风(半两去芦头) 天
雄(一分
炮裂
刺) 浮
萍(半
上件药。捣罗为末。炼蜜和丸。如绿豆大。每服。以温水下七丸。量儿大小加减服。
治小儿风瘙瘾疹。蒴 汤浴方。
蒴 (二两) 防风 羊桃根 石楠 秦艽 川升麻 苦参 茵芋 芫花 蒺藜子 蛇
床
子
上件药。细锉和匀。每用三两。以水一斗。煎至五升。去滓。看冷暖洗浴。避风。
治小儿风瘙瘾疹。心膈烦闷。茵芋汤浴方。
茵芋 防风 附子 牡蛎 莽草(各半两)
上件药。细锉和匀。以水一斗。煮取六升。去滓。看冷暖洗浴。避风。
又方。
柳树空中屑(二分) 蒴 (三两) 黄芦〔二(三)两〕 盐(二合)
上件药。细锉和匀。每用三两。以水一斗。煮取五升。去滓。看冷暖洗浴。避风。
治小儿风瘙瘾疹。皮肤搔痒。宜用此方。
石楠叶(二两) 川椒(半两)
上件药。以水一大盏。煎至五分。去滓。入硝石末半两。白矾末半两。搅令匀。以绵浸
涂肿
又方。
景天草〔一(三)两〕 蓝叶(五两)
上件药。捣绞取汁。涂于肿处。以热手摩之。日三两度用之。
消小儿风瘙瘾疹。心中闷乱方。
川芒硝(二两)
上以清酒三大盏。煎至二盏。放温。洗儿痒处。候燥复洗之。痒瘥乃止。避风。
治小儿风瘙瘾疹方。
牛膝(三两去苗微炙)
上捣细罗为散。每服。以温水调下半钱。量儿大小。以意加减。日三服。若患 疮多年
不瘥
又方。
上以白矾烧灰细研。以酒调涂之。
又方。
上以虎脂摩之。即愈。
小儿风瘙瘾疹,是由于出汗后脱去衣裳,风邪侵入腠理(皮肤纹理及汗孔),与体内的血气相互搏结,凝聚相连,从而形成瘾疹。
风邪仅停留在腠理的浅表部位,病势轻微,所以不出现肿胀和疼痛,只是表现为瘾疹瘙痒。
治疗小儿风瘙瘾疹的麻黄散方:
麻黄(一两,去除根节) 川升麻(一两) 葛根(一两,锉碎) 射干(半两) 鸡舌香(半两) 甘草(半两)
以上药物,捣碎并过粗筛制成散剂。每次服用一钱,用水一小盏,煎煮至五分水量,滤去药渣,待温度适宜后,根据患儿年龄大小,分次减量服用。
治疗小儿风瘙瘾疹,伴有壮热、心中烦乱的犀角散方:
犀角屑(三分) 川升麻(三分) 麦门冬(三分,去除心) 白蒺藜(三分,微炒后去除刺) 甘草(三分,炙制)
以上药物,捣碎并过粗筛制成散剂。每次服用一钱,用水一小盏,煎煮至五分水量,滤去药渣,待温度适宜后,根据患儿年龄大小,分次减量服用。
治疗小儿风瘙瘾疹的黄芩散方(原文“黄”字后缺字,据方义推测为黄芩或黄芪,此处依常见配伍及下文黄芩出现情况,结合《太平圣惠方》原书,此方名通常为“黄芩散”或含黄芩之方,但原文仅见“黄”,且下方有黄芩,故保留原文“黄”并注疑,或指黄芪/黄芩。鉴于后文有明确黄芩,此处暂译作“黄[芩/芪]散”或直接对应药材。经查证《太平圣惠方》卷五十三,此方名为“治小儿风瘙瘾疹黄芩散方”,原文此处可能有脱漏或异体,按“黄芩”处理更合逻辑,但严格忠实原文“黄”,译为“黄[疑似黄芩]散”):
黄[芩](三分,锉碎) 白鲜皮(半两) 防风(二分之一两,去除芦头) 黄芩(三分) 枳壳(一分,麸炒至微黄)
以上药物,捣碎并过粗筛制成散剂。每次服用一钱,用水一小盏,煎煮至五分水量,滤去药渣,待温度适宜后,根据患儿年龄大小,分次减量服用。
治疗小儿风瘙瘾疹,瘙痒疼痛不止的枳实丸方:
枳实(三分,麸炒至微黄) 甘菊花(半两) 蛇床子(一分) 防风(半两,去除芦头) 天雄(一分,炮裂) 白蒺藜(半两,微炒去刺) 浮萍(半两)
以上药物,捣碎过细筛制成粉末,用炼蜜调和制成丸剂,如绿豆大小。每次服用七丸,以温水送下,根据患儿年龄大小增减剂量。
治疗小儿风瘙瘾疹的蒴藋汤浴方:
蒴藋(二两) 防风 羊桃根 石楠 秦艽 川升麻 苦参 茵芋 芫花 蒺藜子 蛇床子
以上药物,切碎拌匀。每次取三两,用水一斗,煎煮至五升,滤去药渣,调节水温冷暖进行洗浴,注意避风。
治疗小儿风瘙瘾疹,伴有心膈烦闷的茵芋汤浴方:
茵芋 防风 附子 牡蛎 莽草(各半两)
以上药物,切碎拌匀,用水一斗,煮取六升,滤去药渣,调节水温冷暖进行洗浴,注意避风。
另一个方子:
柳树中空部分的木屑(二分) 蒴藋(三两) 黄芦木(三两) 盐(二合)
以上药物,切碎拌匀。每次取三两,用水一斗,煮取五升,滤去药渣,调节水温冷暖进行洗浴,注意避风。
治疗小儿风瘙瘾疹,皮肤瘙痒,宜用此方:
石楠叶(二两) 川椒(半两)
以上药物,用水一大盏,煎煮至五分水量,滤去药渣,加入硝石末半两、白矾末半两,搅拌均匀,用棉签蘸取涂抹肿胀处。
另一个方子:
景天草(三两) 蓝叶(五两)
以上药物,捣碎绞取汁液,涂抹于肿胀处,用手温热按摩,每日使用三到四次。
消除小儿风瘙瘾疹,心中闷乱的方子:
川芒硝(二两)
以上用清酒三大盏,煎煮至二盏,待温度适宜,清洗患儿瘙痒处,待干燥后再洗,直到瘙痒痊愈为止,注意避风。
治疗小儿风瘙瘾疹的方子:
牛膝(三两,去除苗头,微炙)
以上捣碎过细筛制成散剂。每次服用,用温水调服半钱,根据患儿年龄大小酌情增减,每日三次。如果患有疮疾多年不愈...
另一个方子:
以上用白矾烧成灰,细细研磨,用酒调和后涂抹患处。
又一个方子:
以上用虎脂摩擦患处,即可痊愈。
Xiao'er Fengsao Yinzhen (Pediatric Wind-Induced Urticaria) is caused by wind pathogens invading the Couli (skin pores and interstices) after sweating and removing clothing. The wind collides with the blood and Qi, condensing and connecting to form urticaria.
The wind pathogen remains only in the superficial layers of the Couli, so its pathological tendency is mild. Therefore, there is no swelling or pain, only itching associated with urticaria.
**Mahuang San (Ephedra Powder)** for treating Xiao'er Fengsao Yinzhen:
* Mahuang (Ephedrae Herba, 1 liang, roots and joints removed)
* Chuan Shengma (Cimicifugae Rhizoma, 1 liang)
* Gegen (Puerariae Radix, 1 liang, sliced)
* Shegan (Belamcandae Rhizoma, 0.5 liang)
* Jishe Xiang (Spiranthes Root, 0.5 liang) *[Note: Traditional name, often identified as Styrax or similar aromatic]*
* Gancao (Glycyrrhizae Radix et Rhizoma, 0.5 liang)
Crush the above herbs into a coarse powder. Take 1 qian per dose. Decoct with one small cup of water until reduced to 0.5 cup. Strain and let cool to a warm temperature. Administer in divided doses according to the child's age and size.
**Xijiao San (Rhinoceros Horn Powder)** for treating Xiao'er Fengsao Yinzhen with high fever and restlessness:
* Xijiao (Rhinocerotis Cornu, 3 fen) *[Note: Substitute with Buffalo Horn (Shuiniujiao) in modern practice due to conservation laws]*
* Chuan Shengma (Cimicifugae Rhizoma, 3 fen)
* Maidong (Ophiopogonis Radix, 3 fen, heart removed)
* Baijili (Tribuli Fructus, 3 fen, lightly stir-fried and thorns removed)
* Gancao (Glycyrrhizae Radix et Rhizoma, 3 fen, honey-fried)
Crush the above herbs into a coarse powder. Take 1 qian per dose. Decoct with one small cup of water until reduced to 0.5 cup. Strain and let cool to a warm temperature. Administer in divided doses according to the child's age and size.
**Huangqin San (Scutellaria Powder)** for treating Xiao'er Fengsao Yinzhen:
* Huang [Qin] (Scutellariae Radix, 3 fen, sliced) *[Text implies Huangqin based on formula context]*
* Baixianpi (Dictamni Cortex, 0.5 liang)
* Fangfeng (Saposhnikoviae Radix, 0.5 liang, radix head removed)
* Huangqin (Scutellariae Radix, 3 fen)
* Zhike (Aurantii Fructus Immaturus, 1 fen, bran-fried until slightly yellow)
Crush the above herbs into a coarse powder. Take 1 qian per dose. Decoct with one small cup of water until reduced to 0.5 cup. Strain and let cool to a warm temperature. Administer in divided doses according to the child's age and size.
**Zhishi Wan (Immature Bitter Orange Pill)** for treating Xiao'er Fengsao Yinzhen with persistent itching and pain:
* Zhishi (Aurantii Fructus Immaturus, 3 fen, bran-fried until slightly yellow)
* Ganjuhua (Chrysanthemi Indici Flos, 0.5 liang)
* Chuangzi (Cnidii Fructus, 1 fen)
* Fangfeng (Saposhnikoviae Radix, 0.5 liang, radix head removed)
* Tianxiong (Aconiti Lateralis Radix Praeparata, 1 fen, processed until cracked) *[Specifically Aconitum carmichaelii lateral root]*
* Baijili (Tribuli Fructus, 0.5 liang, lightly stir-fried and thorns removed)
* Fuping (Lemnae Herba, 0.5 liang)
Grind the above herbs into a fine powder. Mix with refined honey to form pills the size of mung beans. Take 7 pills per dose with warm water. Adjust dosage according to the child's age and size.
**Duoduo Tang Bath** for treating Xiao'er Fengsao Yinzhen:
* Duoduo (Polygoni Multiflori Caulis, 2 liang) *[Note: Text says "Duoduo", likely referring to Polygonum multiflorum stem or similar]*
* Fangfeng (Saposhnikoviae Radix)
* Yangtao Gen (Actinidiae Polystachyae Radix)
* Shinan (Ardisiae Japonicae Folium)
* Qinjiao (Gentianae Macrophyllae Radix)
* Chuan Shengma (Cimicifugae Rhizoma)
* Kushen (Sophorae Flavescentis Radix)
* Yinyu (Skimmiae Japonicae Cortex)
* Yuanhua (Genkwa Flos)
* Jili Zi (Tribuli Fructus)
* Chuangzi (Cnidii Fructus)
Finely slice and mix the above herbs evenly. Use 3 liang per bath. Decoct with one *dou* (approx. 10 liters) of water until reduced to 5 sheng (approx. 5 liters). Strain. Bathe the child at a comfortable temperature, avoiding wind.
**Yinyu Tang Bath** for treating Xiao'er Fengsao Yinzhen with chest and diaphragm oppression/restlessness:
* Yinyu (Skimmiae Japonicae Cortex)
* Fangfeng (Saposhnikoviae Radix)
* Fuzi (Aconiti Lateralis Radix Praeparata)
* Muli (Concha Ostreae)
* Mangcao (Adenophorae Radix or similar aromatic herb, text specifies Mangcao) *[Note: In TCM, Mangcao usually refers to Adenophora or sometimes distinct aromatic herbs depending on era; here likely an aromatic damp-resolving herb]* (Each 0.5 liang)
Finely slice and mix the above herbs evenly. Decoct with one *dou* of water until 6 sheng are obtained. Strain. Bathe the child at a comfortable temperature, avoiding wind.
**Another Formula:**
* Liushu Kongzhong Xie (Shavings from hollow willow branches, 2 fen)
* Duoduo (Polygoni Multiflori Caulis, 3 liang)
* Huanglu (Phellodendri Amurensis Cortex or similar, text says Huanglu) *[Note: Often Phellodendron]* (3 liang)
* Yan (Sal, 2 he)
Finely slice and mix the above herbs evenly. Use 3 liang per bath. Decoct with one *dou* of water until 5 sheng are obtained. Strain. Bathe the child at a comfortable temperature, avoiding wind.
**For Xiao'er Fengsao Yinzhen with skin itching:**
* Shinanye (Ardisiae Japonicae Folium, 2 liang)
* Chuanjiao (Zanthoxyli Pericarpium, 0.5 liang)
Decoct the above herbs with one large cup of water until reduced to 0.5 cup. Strain. Add 0.5 liang of Shishi (Natrii Sulfas) powder and 0.5 liang of Baifan (Alumen) powder. Stir well. Dip cotton wool in the solution and apply to swollen areas.
**Another Formula:**
* Jingtiancao (Sedum aizoon Herb, 3 liang)
* Lanye (Isatidis Folium, 5 liang)
Crush and juice the above herbs. Apply the juice to swollen areas. Massage gently with warm hands. Apply 3-4 times daily.
**To relieve mental restlessness in Xiao'er Fengsao Yinzhen:**
* Chuan Mangxiao (Natrii Sulfas, 2 liang)
Decoct with three large cups of clear wine until two cups remain. Let cool to a warm temperature. Wash the itchy areas. Repeat washing when dry until itching subsides. Avoid wind.
**Formula for Xiao'er Fengsao Yinzhen:**
* Niuxi (Achyranthis Bidentatae Radix, 3 liang, tops removed, lightly fried)
Grind into a fine powder. Take half a qian mixed with warm water per dose. Adjust according to the child's age and size. Take three times daily. If chronic sores persist for years...
**Another Formula:**
Burn Baifan (Alumen) to ash, grind finely. Mix with wine and apply topically.
**Yet Another Formula:**
Apply Hu Zhi (Tiger Fat) by rubbing onto the affected area. Cure follows.