一小儿尾骨痛者。乃阴虚痰火所致也。
滋阴化痰汤
当归(酒炒) 川芎 白芍(好酒炒) 熟地黄 黄柏(酒炒) 知母(酒炒) 陈皮 半夏
(姜炒) 白茯苓(去皮) 甘草(各等分)
上锉。少用官桂为引。或以前胡、木香为引。如痛不止。加乳香、没药。
一论小儿阴肿疝气者。寒邪所郁也。五倍子烧存性为末。好酒调服。出汗而愈。
一治疝气偏坠。肿痛不可忍者。槐子炒为末。每服一钱。入盐三分。黄酒调下。立止。
一治小儿疝气。小腹痛引腰脊挛曲。身不能直。京师传。
青皮 陈皮 三棱 莪术(炮) 木香 槟榔 川楝肉 芫花(醋炒各五钱) 辣桂 牵牛
(生取末各三钱) 巴豆肉(不去油一钱)
上为细末。面糊为丸。如麻子大。每三丸。空心一服。午前一服。姜汤下。
一治小儿阴囊忽肿。或坐地多时。或风邪。或虫蚁咬者。蝉蜕半两。水一大碗。煎汤洗
肿处。其痛立止。若不消。再煎再洗。内服五苓散。灯草煎服。(方见中暑)
又方。用葱园内蚯蚓屎。用甘草汁调涂肿痛处。或薄荷汁调涂。亦可。
一论小儿盘肠气痛。则腰曲干啼。额上有汗。是小儿为冷气所搏而然也。其口闭脚冷。
或大
便青色不实。上唇干者是也。此多因生下洗迟。感受风冷而致也。急用葱汤淋洗其腹。揉葱
熨脐腹间良久。尿且涌出。其痛自止。
乳香散 治盘肠气痛。
乳香 没药(各等分)
共为细末。以木香煎汤调服。
滋阴化痰汤
当归(用酒炒制)、川芎、白芍(用好酒炒制)、熟地黄、黄柏(用酒炒制)、知母(用酒炒制)、陈皮、半夏(用姜炒制)、白茯苓(去皮)、甘草(以上药材各等分)。
将上述药材切碎。少量使用官桂作为药引。或者使用前胡、木香作为药引。如果疼痛不止,加入乳香、没药。
另一种论述关于小儿阴囊肿大及疝气的情况。这是由寒邪郁结所致。将五倍子烧至存性(即外部焦黑内部保留药效)后研成粉末,用好酒调服。服用后出汗即可痊愈。
一种治疗疝气导致睾丸偏坠、肿痛剧烈难以忍受的方法。将槐子炒制后研成粉末,每次服用一钱,加入盐三分,用黄酒送服。疼痛可立即停止。
一种治疗小儿疝气,表现为小腹痛并牵引腰脊拘挛弯曲,身体无法挺直的情况。这是京城流传的方子。
青皮、陈皮、三棱、莪术(炮制)、木香、槟榔、川楝肉、芫花(醋炒,各五钱)、辣桂、牵牛子(生取粉末,各三钱)、巴豆仁(不去油,一钱)。
将上述药材研成细末,用面糊制成丸剂,大小如麻子。每次服用三丸,空腹时服一次,上午再服一次,用姜汤送下。
一种治疗小儿阴囊突然肿胀的方法。可能是因为长时间坐地,或因风邪侵袭,或被虫蚁叮咬所致。取蝉蜕半两,加水一大碗,煎煮成汤,用来清洗肿胀部位。疼痛可立即停止。如果不消退,再次煎煮再次清洗。内服五苓散,用灯心草煎汤送服。(该方见中暑章节)
又一方:使用菜园里的蚯蚓粪便,用甘草汁调和涂抹在肿痛处。或者用薄荷汁调和涂抹也可以。
另一种论述关于小儿盘肠气痛。症状表现为腰部弯曲、干哭无泪、额头出汗。这是因为小儿受到冷气冲击所致。其口紧闭、脚冷,或者大便青色且不成形,上唇干燥就是这种病症的表现。这多是因为出生后洗澡较晚,感受风寒所致。紧急情况下应用葱汤淋洗腹部,揉搓葱段熨烫脐腹部位良久,尿液随即涌出,疼痛自然停止。
A case of a child suffering from pain in the coccyx (tailbone). This is caused by Yin deficiency accompanied by Phlegm-Fire.
Ziyin Huatan Decoction (Nourish Yin and Resolve Phlegm Decoction)
Danggui (Angelicae Sinensis Radix, stir-fried with wine), Chuanxiong (Ligusticum Chuanxiong Rhizoma), Baishao (Paeoniae Radix Alba, stir-fried with good wine), Shudihuang (Rehmanniae Radix Praeparata), Huangbai (Phellodendri Cortex, stir-fried with wine), Zhimu (Anemarrhenae Rhizoma, stir-fried with wine), Chenpi (Citri Reticulatae Pericarpium), Banxia (Pinelliae Rhizoma Praeparatum, stir-fried with ginger), Baifuling (Poria, peeled), Gancao (Glycyrrhizae Radix et Rhizoma) — all in equal parts.
Crush the above herbs. Use a small amount of Guigui (Cinnamomi Ramulus) as a guiding herb. Alternatively, use Qianhu (Peucedani Radix) or Muxiang (Aucklandiae Radix) as a guiding herb. If the pain persists, add Ruxiang (Olibanum) and Moyao (Myrrha).
Another discussion regarding scrotal swelling and hernia in children. This is due to the stagnation of Cold pathogen. Burn Wubeizi (Galae Chinensis) until it retains its medicinal properties (charred on the outside but retaining internal efficacy), grind it into powder, and take it mixed with good wine. Recovery occurs after sweating.
For treating hernia causing unilateral testicular descent with severe swelling and pain that is unbearable: Stir-fry Huaizi (Stemonae Rhizoma) until charred, grind into powder. Take one qian per dose, add three fen of salt, and swallow with yellow wine. The pain will stop immediately.
For treating pediatric hernia presenting with lower abdominal pain radiating to the waist and spine, causing spasms and curvature, making the body unable to straighten. This is a formula circulated in the capital.
Qingpi (Tangerine Green Peel), Chenpi (Tangerine Orange Peel), Sanleng (Sparganii Rhizoma), Ezhu (Curcumae Rhizoma, processed), Muxiang (Aucklandiae Radix), Binglang (Arecae Semen), Chuanlianrou (Toosendan Fructus), Yuanhua (Genkwa Flos, vinegar-fried, each 5 qian), Lagui (Cinnamomi Ramulus), Qianniu (Pharbitidis Semen, raw powder taken, each 3 qian), Badouren (Crotonis Semen, oil not removed, 1 qian).
Grind the above herbs into fine powder. Make pills using wheat paste, sized like hemp seeds. Take three pills at a time. One dose on an empty stomach, another dose before noon. Swallow with Ginger Decoction.
For treating sudden swelling of the infant's scrotum, possibly due to sitting on the ground for a long time, exposure to Wind pathogen, or insect/ant bites: Take half a liang of Chantui (Cicadae Periostracum), add one large bowl of water, decoct to make a soup, and wash the swollen area with it. The pain stops immediately. If it does not subside, decoct again and wash again. Internally administer Wuling San (Five-Ingredient Powder with Poria), taken with Dengcao (Junci Medullae) decoction. (See the section on Heatstroke for the formula).
Another prescription: Use earthworm excrement from onion gardens. Mix with Licorice juice and apply to the swollen and painful area. Alternatively, mixing with Mint juice for application is also effective.
Another discussion on "Pan Chang Qi Tong" (Coiled Intestine Qi Pain) in children. Symptoms include a curved waist, dry crying without tears, and sweating on the forehead. This is caused by the attack of Cold Qi on the child. Signs include closed mouth, cold feet, green and unformed stools, and a dry upper lip. This often results from delayed bathing after birth and exposure to Wind-Cold. Urgently wash the abdomen with Scallion Soup, rub scallions and apply heat (ironing/moxibustion-like technique) to the umbilical and abdominal area for a prolonged period. Urine will then flow freely, and the pain will cease spontaneously.
Ruxiang San (Frankincense Powder) for treating Pan Chang Qi Tong.
Ruxiang (Olibanum), Moyao (Myrrha) — equal parts.
Grind together into fine powder. Take mixed with Muxiang (Aucklandiae Radix) decoction.