鸭嘴 胆矾(一钱匕, 红研) 麝香(少许)
上研匀,每以少许敷牙齿龈上。又一方用蟾酥一字,加麝香和匀敷之。议曰∶血之流行
也,气之循环者卫也。变蒸足后,饮食之间,深恐有伤于荣卫而作众疾。其或气伤于毒,血
伤于热,热毒攻之。虚脏所受,何脏为虚?盖小儿肾之一脏常主虚,不可令受热毒,攻及肾
脏,伤乎筋骨。惟齿受骨之余气,故先作疾,名曰走马,非徐徐而作。所宜服药,甘露饮地
黄膏、化毒丹、消毒饮。其外证以前件立效散、及麝酥膏敷之。切忌与食热毒之物。此疳不
同常证,医宜深究保全为上。若用常方,难于痊愈。
治小儿五疳,八痢,乳食不节,寒温调适乖违,毛发焦黄,皮肤枯悴,脚细肚大,颅解
,渐觉 羸,时发寒热,盗汗,咳嗽,脑后核起,腹内块生,小便泔浊,脓痢淀青, 眉咬
指,吃土甘酸,吐食不化,烦渴并频,心神昏瞀,鼻赤唇燥,小虫既出,蛔虫咬心,疳眼雀
目,名曰丁奚。此药效验如神。
蚵皮(酒浸去骨焙) 白芜荑(去皮) 黄连(去须) 胡黄连(各一两半) 青黛(半两为衣)
上件研为细末,猪胆汁面和丸,如粟米大。每服三十丸,用饭饮吞下,食后,临卧,日
进三服。
鸭嘴(即鸭嘴贝)、胆矾(一钱匕,研磨成红色粉末)、麝香(少量)。
以上药材研匀,每次取少许敷在牙齿和牙龈上。另一处方用蟾酥(一字量),加入麝香调和均匀后敷用。议论说:血的流行,气的循环称为卫气。变蒸(小儿生长发育过程中的生理现象)结束后,在饮食过程中,深恐损伤营卫之气而引发各种疾病。如果气被毒邪所伤,血被热邪所伤,热毒就会侵袭。虚弱的脏腑受到侵害,哪一脏最虚弱呢?大概小儿的肾脏这一脏常主虚弱,不可让它受热毒侵袭,导致病邪攻及肾脏,损伤筋骨。只有牙齿承受了骨骼的余气,所以先发病,名叫“走马疳”,不是慢慢形成的。适宜服用的药物有甘露饮、地黄膏、化毒丹、消毒饮。其外部症状用前述的立效散、以及麝酥膏外敷。切忌食用具有热毒性质的食物。这种疳证不同于一般病症,医生应当深入探究,以保全患儿为上策。如果使用常规方剂,难以痊愈。
治疗小儿五种疳证、八种痢疾、乳食不节制、寒温调适不当,导致毛发焦黄、皮肤枯槁憔悴、腿细肚子大、囟门不合、逐渐觉得身体消瘦羸弱、时常发作寒热、盗汗、咳嗽、脑后淋巴结肿大、腹内出现肿块、小便浑浊如米泔、脓痢沉淀物呈青色、咬眉毛手指、吃土或甘酸之物、呕吐食物不消化、烦躁口渴频繁、心神昏乱、鼻子红嘴唇干燥、小虫已出、蛔虫咬心、疳眼雀目(夜盲症),名叫“丁奚疳”。此药疗效神奇。
蚵皮(酒浸泡去骨后焙干)、白芜荑(去皮)、黄连(去须)、胡黄连(各一两半)、青黛(半两作为包衣)。
以上药材研为细末,用猪胆汁和面制成丸剂,大小如粟米。每次服用三十丸,用米汤送下,饭后、临睡前服用,每日进服三次。
Ya Zui (Duck-bill Shell), Dan Fan (Chalcanthite, one qian bi, ground into red powder), She Xiang (Musk, a small amount).
The above are ground uniformly. Apply a small amount to the teeth and gums each time. Another prescription uses Chan Su (Toad Venom, a yi zi amount), mixed with She Xiang (Musk) uniformly for application. It is discussed that: The circulation of blood and the cycle of qi constitute Wei Qi (Defensive Qi). After the completion of Bian Zheng (a physiological phenomenon in infant development involving fever and growth spurts), during dietary intake, there is deep concern about injury to Ying and Wei (Nutritive and Defensive Qi), leading to various diseases. If qi is injured by toxic pathogens and blood by heat pathogens, Heat-Toxin attacks. Which deficient zang organ is affected? Generally, the Kidney (Zang Organ) in children is often prone to deficiency; it must not be subjected to Heat-Toxin, which could attack the Kidney and damage sinews and bones. Only the teeth, receiving the residual qi of bone, are the first to manifest disease, named "Zou Ma Gan" (Gangrenous Stomatitis progressing rapidly like a running horse), rather than developing slowly. Suitable internal medications include Gan Lu Yin (Sweet Dew Decoction), Di Huang Gao (Rehmannia Ointment), Hua Du Dan (Detoxifying Pill), Xiao Du Yin (Disinfecting Decoction). For external symptoms, apply the aforementioned Li Xiao San (Instant Efficacy Powder) and She Su Gao (Toad Venom Musk Ointment). Strictly avoid consuming foods with Heat-Toxic properties. This type of Gan syndrome differs from ordinary conditions; physicians should investigate deeply, prioritizing the preservation of the child's health. Using standard prescriptions makes complete recovery difficult.
Treating five types of Gan syndromes, eight types of dysentery, irregular milk and food intake, improper adjustment of cold and warmth, resulting in scorched yellow hair, withered and emaciated skin, thin legs and large abdomen, open fontanelle, gradual emaciation, intermittent chills and fever, night sweats, cough, swelling of lymph nodes behind the ear, abdominal masses, turbid urine resembling rice water, purulent dysentery with bluish-green sediment, biting eyebrows and fingers, geophagia or craving sweet/sour tastes, vomiting undigested food, frequent irritability and thirst, mental confusion, red nose and dry lips, emergence of intestinal parasites, Ascaris attacking the heart, Gan eye disorders such as Nyctalopia (Night Blindness), named "Ding Xi Gan". The efficacy of this prescription is miraculous.
Ke Pi (Oyster Shell, soaked in wine, bones removed, baked), Bai Wu Ti (White Melia Toosendan Fruit, peeled), Huang Lian (Coptis Rhizome, stamens removed), Hu Huang Lian (Picrorhiza Rhizome, each 1.5 liang), Qing Dai (Indigo Naturalis, 0.5 liang used as coating).
The above ingredients are ground into fine powder. Form pills using pig bile and flour, sized like millet seeds. Take thirty pills per dose, swallowed with rice gruel, after meals and before bedtime, administered three times daily.