议曰∶儿生七日之内,大小便有血出者,此由胎气热盛之所致也。母食酒面炙爆热物,流入心肺,儿在胎内受其热
毒,亦传心肺,且女子热入心,故小便有之,男子热入肺,故大肠有之,血出淡淡,有似坯水,盛则其血如鲜。凡遇有
此,不可以他药,只以生地黄根,取自然汁,入蜜少许和匀,温温与服,移时自安,男女皆效。甘露饮宜兼与服,茅根、
茅花煎浓汤服亦妙,犀角地黄汤亦可服,脏毒聚金丸用之效,地黄丸亦可用。有瘀血者,桃仁承气汤下之。
甘露饮 治小儿胃中客热,牙宣口气,齿龈肿烂,时出浓血,常欲合闭,或饥烦不欲饮食,及赤目肿痛不任凉
药,口舌生疮,咽喉肿疼,疮疹已发未发,皆可服之。疗身面皆黄肿,体微肿,胸膈气满,大便不调,小便黄涩,或时
身热,并皆治之。
熟地黄 麦门冬(去心,焙) 枳壳(炒) 甘草(炙) 山茵陈 枇杷叶(刷去毛、净) 石斛(去芦) 黄芩
生干地黄 天门冬(去心、焙、各等分)
上锉散,每服二钱,水一盏,煎七分,去滓,食后临卧温服。小儿一服、分作二服,仍量岁数加减服。
聚金丸 治大便下血,发热烦躁,腹中热痛作渴,脉来弦数。或惊热目赤昏涩,或有酒毒去血,并治之。
黄连(四两、一两水浸晒干、一两炒、一两炮、一两生用) 黄芩 防风(去芦、各一两)
上件为细末,煮面糊为丸,如梧子大,每服五十丸,量意加减,以米泔浸枳壳水下,不拘时候。夏月入大黄一两,
三时不须用。或枳壳为末,入前药为末亦效,小儿丸绿豆大,亦治血痢。
犀角地黄汤 治伤寒及温病,应发汗而不发汗、内有瘀血,吐血鼻衄,面黄大便黑。此方主消化瘀血,兼治疮
疹出得太盛以解之。
生犀角屑(如无、以升麻代之) 牡丹皮(去骨、各一两) 生地黄(半斤) 芍药(七钱半)
上锉散,每服三钱,水一盏煎服。
千金地黄丸 治心热肠风,脏毒去血。
黄连(四两、粗末) 生地黄(半斤、研取汁、连滓二味拌匀、日中晒极干)
上为细末,炼蜜为丸,如梧桐子大,每三十丸,食后麦门冬汤下,量大小加减。
桃仁承气汤 治大便瘀积,下鲜血或黑。
川大黄(四两) 桂枝 甘草 芒硝(各二两) 桃仁(五十枚、去皮尖双仁、诸本皆同惟外书用一百五十)
上锉散,每三钱,水煎服,以快利为度,未利再投。
议曰:婴儿出生七天之内,大小便中有血液排出的,这是由于胎内热气过盛所导致的。母亲食用了酒类、面食以及烤炸等热性食物,这些热毒流入心肺;胎儿在母体内受到这种热毒的影响,热邪也传至心肺。因为女子的心与小肠相表里(心主血),所以表现为小便出血;男子的肺与大肠相表里(肺主气,通调水道),所以表现为大肠出血。出血颜色淡红,类似洗肉水样,严重时血色鲜红。凡是遇到这种情况,不要使用其他药物,只用生地黄根,榨取自然汁液,加入少许蜂蜜调和均匀,温热后服用,不久即可安定,男女患儿均有效。也可以配合服用甘露饮,用白茅根、茅花煎煮浓汤服用也很奇妙,犀角地黄汤也可以服用,脏毒聚金丸使用它效果显著,地黄丸也可以使用。如果有瘀血阻滞的,用桃仁承气汤攻下瘀血。
甘露饮:治疗小儿胃中有客居之热,牙龈溃烂口臭,齿龈肿胀腐烂,时常流出脓血,经常想要闭口(因疼痛或不适),或者感到饥饿烦躁但不想饮食,以及眼睛红肿疼痛不耐受寒凉药物,口舌生疮,咽喉肿痛,痘疹已经发出或尚未发出的情况,都可以服用此方。治疗身体和面部发黄浮肿,身体轻微肿胀,胸膈部气机壅满,大便不调,小便黄而涩滞,或者偶尔身体发热,都能治疗。
配方:熟地黄、麦门冬(去心,焙干)、枳壳(炒)、甘草(炙)、山茵陈、枇杷叶(刷去毛,洗净)、石斛(去芦头)、黄芩、生干地黄、天门冬(去心,焙干),以上各等分。
用法:将上述药材切碎成散剂,每次服用二钱,加水一盏,煎至七分,滤去药渣,饭后临睡前温服。小儿一次服药量,分作两次服用,并根据年龄大小酌情增减剂量。
聚金丸:治疗大便下血,发热烦躁,腹中热痛且口渴,脉象弦数。或者惊热导致眼睛发红昏涩,或者有酒毒引起的出血,都能治疗。
配方:黄连(四两,其中一两用水浸泡后晒干,一两炒制,一两炮制,一两生用)、黄芩、防风(去芦头),以上各一两。
用法:将上述药材研为细末,用煮面糊制作成丸剂,如梧桐子大小,每次服用五十丸,根据病情酌情增减,用米泔水浸泡过的枳壳水送服,不限时候。夏季加入大黄一两,春、秋、冬三季不需要加。或者将枳壳研为末,加入前面的药末中也有效,小儿丸剂做成绿豆大小,也能治疗血痢。
犀角地黄汤:治疗伤寒及温病,应当发汗却没有发汗,导致体内有瘀血,出现吐血、鼻衄,面色黄,大便黑色。此方主要作用是消化体内的瘀血,兼治痘疹发出过于旺盛以解除其毒。
配方:生犀角屑(如果没有,可以用升麻代替)、牡丹皮(去骨),以上各一两;生地黄(半斤);芍药(七钱半)。
用法:将上述药材切碎成散剂,每次服用三钱,加水一盏煎服。
千金地黄丸:治疗心热引起的肠风,以及脏毒导致的出血。
配方:黄连(四两,粗末)、生地黄(半斤,研磨取汁,连同药渣将两味药拌匀,在日中晒至极干)。
用法:将上述药材研为细末,用炼蜜制作成丸剂,如梧桐子大小,每次三十丸,饭后用麦门冬汤送服,根据患者大小酌情增减。
桃仁承气汤:治疗大便瘀积,排出鲜血或黑便。
配方:川大黄(四两)、桂枝、甘草、芒硝(以上各二两)、桃仁(五十枚,去皮尖及双仁,各种版本都相同,只有外书用一百五十枚)。
用法:将上述药材切碎成散剂,每次三钱,加水煎服,以大便通畅泻下为度,如果未通利再投药。
Remarks: If an infant passes blood in stool or urine within seven days after birth, this is caused by excessive heat in the fetal qi. When the mother consumes alcohol, wheat products, and roasted or fried hot-natured foods, the heat toxin flows into the Heart and Lung meridians. The fetus, while in the womb, absorbs this heat toxin, which also transmits to the Heart and Lungs. Since the Heart governs blood (in relation to the Small Intestine), it manifests as hematuria in females; since the Lung governs Qi and connects with the Large Intowel (in relation to the Large Intestine), it manifests as hematochezia in males. The blood may appear pale red, resembling meat-washing water; when severe, the blood is bright red. For such cases, do not use other medicines. Instead, use fresh Rehmanniae Radix (Sheng Dihuang), extract its natural juice, mix with a small amount of honey, and administer warm. The condition will stabilize shortly. This method is effective for both male and female infants. Ganlu Yin can be taken concurrently. Decocting dense decoctions of Imperatae Rhizoma (Maogen) and Imperatae Flos (Maohua) is also excellent. Xijiao Dihuang Tang can also be used. Zangdu Ju Jin Wan is effective. Dihuang Wan can also be applied. In cases with blood stasis, Taoren Chengqi Tang should be used to purge the stasis.
Ganlu Yin: Treats guest-heat in the stomach of children, causing bleeding gums with foul breath, swelling and ulceration of the gingiva, frequent discharge of pus and blood, a constant desire to keep the mouth closed (due to pain/discomfort), hunger with irritability but loss of appetite, red and swollen eyes intolerant to cold-cold medicines, sores on the mouth and tongue, and swollen/painful throat. It is suitable for cases where pox/rashes have erupted or are about to erupt. It treats yellowish edema of the body and face, slight general edema, chest and diaphragm fullness of Qi, irregular bowel movements, yellow and obstructive urination, and occasional fever.
Ingredients: Shu Dihuang (Prepared Rehmanniae Radix), Maimendong (Ophiopogonis Radix, heart removed, baked), Zhike (Aurantii Fructus, stir-fried), Gancao (Licorice Root, honey-fried), Shanyinyinchen (Artemisiae Scopariae Herba), Pipaye (Loquat Leaf, brushed clean of hairs), Shihu (Dendrobii Caulis, rhizome removed), Huangqin (Scutellariae Radix), Sheng Gan Dihuang (Raw Dry Rehmanniae Radix), Tianmendong (Asparagi Radix, heart removed, baked). All ingredients in equal proportions.
Usage: Coarsely powder the above ingredients. Take 2 qian per dose, add one cup of water, decoct to 0.7 cups, filter dregs, and take warm after meals before bedtime. For children, divide one dose into two servings, adjusting according to age.
Ju Jin Wan: Treats hematochezia, fever with irritability, abdominal heat-pain with thirst, and wiry-rapid pulse. It also treats fright-heat with red, dim, and gritty eyes, or bleeding due to alcohol toxicity.
Ingredients: Huanglian (Coptidis Rhizome, 4 liang total: 1 liang soaked in water then dried, 1 liang stir-fried, 1 liang processed/pao, 1 liang raw); Huangqin (Scutellariae Radix, 1 liang); Fangfeng (Saposhnikoviae Radix, rhizome removed, 1 liang).
Usage: Grind into fine powder, bind with wheat paste into pills the size of wutong seeds. Take 50 pills per dose, adjust as needed, swallow with Zhiqiao (Aurantii Fructus) water soaked in rice wash water, at any time. In summer, add 1 liang of Dahuang (Rhei Radix et Rhizoma); not needed in spring, autumn, and winter. Alternatively, powder Zhiqiao and mix with the above powder; also effective. For children, make pills the size of mung beans; also treats bloody dysentery.
Xijiao Dihuang Tang: Treats Shanghan (Cold Damage) and Wenbing (Warm Diseases) where sweating was indicated but not performed, leading to internal blood stasis, manifesting as hematemesis (vomiting blood) or epistaxis (nosebleed), sallow complexion, and black stool. This formula primarily resolves blood stasis and also treats excessive eruption of rashes/pox to resolve toxicity.
Ingredients: Sheng Xijiao (Rhino Horn, shaved; substitute with Shengma if unavailable, 1 liang); Mudanpi (Moutan Cortex, bone removed, 1 liang); Sheng Dihuang (Raw Rehmanniae Radix, 8 liang); Shaoyao (Paeoniae Radix, 7.5 qian).
Usage: Coarsely powder. Take 3 qian per dose, decoct with one cup of water.
Qianjin Dihuang Wan: Treats intestinal wind due to Heart heat, and bleeding due to Zangdu (visceral toxin).
Ingredients: Huanglian (Coptidis Rhizome, 4 liang, coarse powder); Sheng Dihuang (Raw Rehmanniae Radix, 8 liang, ground to extract juice, mixed with dregs, sun-dried until extremely dry).
Usage: Grind into fine powder, bind with refined honey into pills the size of wutong seeds. Take 30 pills per dose, swallow with Maimendong Tang after meals, adjust according to patient's size/age.
Taoren Chengqi Tang: Treats fecal impaction due to blood stasis, passing bright red or black blood.
Ingredients: Chuan Dahuang (Rhei Radix et Rhizoma, 4 liang); Guizhi (Cinnamomi Ramulus, 2 liang); Gancao (Licorice Root, 2 liang); Mangxiao (Natrii Sulfas, 2 liang); Taoren (Persicae Semen, 50 kernels, skin and tip removed, non-double kernels; most texts agree, only external books use 150).
Usage: Coarsely powder. Take 3 qian per dose, decoct with water. Stop when bowel movement is unobstructed; if not relieved, administer again.