(又名补肺散)
治小儿肺虚气粗喘促。
阿胶(一两五钱麸炒) 黍粘子(炒香) 甘草(炙各二钱五分) 马兜铃(五钱焙)
杏仁(七个去皮尖炒) 糯米(一两炒)
上为末,每服一、二钱,水一盏,煎至六分,食后温服。
治小儿心热,视其睡,口中气温,或合面睡,及上窜切牙,皆心热也。心气热则心胸亦
热,欲言不能,而有就冷之意,故合面睡。
生地黄 甘草(生) 木通(各等分)
上同为末,每服三钱,水一盏,入竹叶同煎至五分,食后温服。一本不用甘草,用黄芩
(又名补脾散)
治脾胃虚弱及治脾疳,腹大,身瘦。
陈皮(去白一两) 丁香(二钱,一方用木香) 诃子(炮去核) 青皮(去白) 甘草(炙各
五钱)
上为末,三岁儿一钱半,水半盏,煎三分,食前服。
(又名泻脾散)
治脾热弄舌。
藿香叶(七钱) 山栀子仁(一钱) 石膏(五钱) 甘草(三两) 防风(四两去芦切焙)
上锉,同蜜酒微炒香为细末,每服一钱至二钱,水一盏,煎至五分,温服。清汁,无时
学海案∶“聚珍本”山栀仁一两,甘草三两云一作三分。方后有附论石膏文云,南方以
石为石膏,以石膏为寒水石,正与京师相反,乃大误也。盖石膏洁白,坚硬有墙壁,而寒水
石则软烂,以手可碎,外维青黑,中有细文,方书中寒水石则火锻用之。石膏则坚硬不可入
火,如白虎汤用石膏,则能解肌热,破痰,治头痛。若用寒水石则误矣。又有一等,坚白全
类石膏,而方敲之,亦皆成方者,名方解石也,可代石膏用之。南人有不信此说者,季忠尝
相与同就京师大药肆中,买石膏、寒水石、方解石三种,又同诣惠民和剂局,及访诸国医询
之,皆合此说,乃信季忠顷编《保生信效方》,已为辨论,恐小儿尤不可误,故复见于此。
(又名补肺散)
治疗小儿肺气虚弱、呼吸粗重、气喘急促。
阿胶(一两五钱,用麦麸炒制)、黍粘子(即牛蒡子,炒至香)、甘草(炙制,各二钱五分)、马兜铃(五钱,焙干)、杏仁(七个,去皮尖后炒制)、糯米(一两,炒制)。
以上药物研为细末,每次服用一钱或二钱,加水一盏,煎煮至六分量的药液,饭后温服。
治疗小儿心经有热,观察其睡眠状态:口中气息温热,或者趴着睡,以及睡觉时身体向上窜动、咬切牙齿,这些都是心热的表现。心气热则心胸也感到发热,想要说话却说不出来,并且有寻求凉爽的意愿,所以趴着睡。
生地黄、甘草(生用)、木通(各等分)。
以上药物共同研为细末,每次服用三钱,加水一盏,加入竹叶一同煎煮至五分量的药液,饭后温服。另一版本不用甘草,改用黄芩。
(又名补脾散)
治疗脾胃虚弱以及治疗脾疳(一种以腹部胀大、身体消瘦为特征的儿科疾病),症状表现为腹部胀大、身体消瘦。
陈皮(去白,一两)、丁香(二钱,另一版本用木香)、诃子(炮制后去核)、青皮(去白)、甘草(炙制,各五钱)。
以上药物研为细末,三岁儿童服用一钱半,加水半盏,煎煮至三分量的药液,饭前服用。
(又名泻脾散)
治疗脾热引起的弄舌(舌头伸出舔弄嘴唇或外伸)。
藿香叶(七钱)、山栀子仁(一钱)、石膏(五钱)、甘草(三两)、防风(四两,去芦头,切碎后焙干)。
以上药物切碎,与蜂蜜和酒一起微炒至香,研为细末,每次服用一钱至二钱,加水一盏,煎煮至五分量的药液,温服。取清汁,随时可服。
学海案:“聚珍本”中记载山栀仁一两,甘草三两,另有一说为三分。方后有附论关于石膏的文字云:南方人把石头称为石膏,把真正的石膏称为寒水石,这与京师(京城)的说法正好相反,这是很大的错误。因为石膏洁白、坚硬且有棱角如墙壁,而寒水石则软烂,用手可以捏碎,外表青黑,内部有细纹。方书中记载寒水石需要火锻使用。石膏则坚硬不可入火,如白虎汤中使用石膏,能解除肌表之热,破除痰浊,治疗头痛。如果误用寒水石那就错了。又有一种石头,坚硬洁白完全像石膏,但敲击后会成方形块状,名叫方解石,可以代替石膏使用。南方有人不相信这种说法,季忠曾与他们同往京城的各大药肆,购买石膏、寒水石、方解石三种药材,又一同前往惠民和剂局,并拜访各位国医询问,结果都与这个说法相符,于是相信了。季忠先前编纂《保生信效方》时,已经对此进行过辨论,恐怕对小儿用药尤其不能出错,所以再次在此说明。
(Also known as Bufeisan [Lung-Supplementing Powder])
Treats pediatric lung deficiency with coarse breathing, wheezing, and rapid panting.
Ejiao (Donkey-Hide Gelatin) (1 liang 5 qian, stir-fried with wheat bran), Niu Bang Zi (Fructus Arctii) (stir-fried until fragrant), Gancao (Radix Glycyrrhizae) (honey-roasted, each 2 qian 5 fen), Ma Dou Ling (Fructus Aristolochiae) (5 qian, baked), Xingren (Semen Pruni Armeniacae) (7 seeds, peeled and removed of kernels, stir-fried), Nuomi (Oryza Sativa Glutinosa) (1 liang, stir-fried).
Grind the above ingredients into fine powder. Take 1 or 2 qian per dose, add 1 zhan of water, decoct until 6 fen remains, and take warm after meals.
Treats pediatric heart heat. Observe the child's sleep: warm breath from the mouth, sleeping face down, upward tossing movements, and teeth grinding during sleep are all signs of heart heat. Heat in heart qi causes heat in the chest and heart region; the child may wish to speak but cannot, and has a desire for coolness, hence sleeping face down.
Sheng Dihuang (Radix Rehmanniae Preparata) [Note: Text says Sheng Dihuang, usually implies raw Rehmannia root, i.e., Sheng Di Huang], Gancao (Radix Glycyrrhizae) (raw), Mutong (Caulis Akebiae) (equal parts).
Grind the above ingredients together into fine powder. Take 3 qian per dose, add 1 zhan of water, include Zhu Ye (Folium Bambusae) to decoct together until 5 fen remains, and take warm after meals. Another version uses Huangqin (Radix Scutellariae) instead of Gancao.
(Also known as Bupisan [Spleen-Supplementing Powder])
Treats spleen and stomach weakness, and treats Pi Gan (Spleen-related malnutrition characterized by abdominal distension and emaciation), presenting with abdominal distension and body emaciation.
Chenpi (Pericarpium Citri Reticulatae) (peeled white, 1 liang), Dingxiang (Flos Caryophylli) (2 qian, another version uses Muxiang (Radix Aucklandiae)), Hezi (Fructus Chebulae) (processed, pitted), Qingpi (Pericarpium Citri Reticulatae Viride) (peeled white), Gancao (Radix Glycyrrhizae) (honey-roasted, each 5 qian).
Grind the above ingredients into fine powder. For a three-year-old child, take 1 qian 5 fen, add half a zhan of water, decoct until 3 fen remains, and take before meals.
(Also known as Xiapisan [Spleen-Draining Powder])
Treats tongue protrusion and licking caused by spleen heat.
Huoxiangye (Folium Agastaches) (7 qian), Shanzhiren (Semen Gardeniae) (1 qian), Shigao (Gypsum Fibrosum) (5 qian), Gancao (Radix Glycyrrhizae) (3 liang), Fangfeng (Radix Saposhnikoviae) (4 liang, remove rhizome, cut, and bake).
Cut into pieces, stir-fry slightly with honey and wine until fragrant, then grind into fine powder. Take 1 to 2 qian per dose, add 1 zhan of water, decoct until 5 fen remains, and take warm. Strain to obtain clear liquid, available at any time.
Academic Note from Xuehai: The "Juzhen Ben" edition records Shanzhiren as 1 liang and Gancao as 3 liang, while another version states 3 fen. There is an appendix discussing Gypsum, stating that in the South, stones are called Shigao, and true gypsum is called Hanshui Shi, which is exactly opposite to the usage in the Capital, representing a major error. Shigao is white, hard, and block-like, whereas Hanshui Shi is soft and crumbly, breakable by hand, with a dark green-black exterior and fine internal veins. Formulary texts state that Hanshui Shi should be used after fire calcination. Shigao is hard and cannot be subjected to fire; for example, when used in Baihu Tang [White Tiger Decoction], it resolves muscle heat, breaks phlegm, and treats headaches. Using Hanshui Shi instead would be a mistake. Furthermore, there is a type of stone that is hard, white, and resembles Shigao, but breaks into square fragments when struck, named Fangjie Shi [Calcite]. It can be used as a substitute for Shigao. Some people in the South do not believe this theory. Ji Zhong once went with them to major pharmacies in the Capital to purchase Shigao, Hanshui Shi, and Fangjie Shi, and visited the Huimin Heji Bureau and consulted various imperial physicians, all confirming this view. Thus, it was believed. Ji Zhong had previously debated this issue when compiling *Bao Sheng Xin Xiao Fang* [Prescriptions Ensuring Safety and Efficacy for Life Preservation], fearing that errors in pediatric medication are particularly dangerous, so he reiterates this here.