张涣三香丹方 治挟惊呕吐不止。
藿香叶 丁香(各一两) 半夏(汤洗七遍,焙干,半两)
以上捣,罗为末,次入∶腻粉 龙脑 麝香(当门子。各一钱)
上件同拌匀,生姜取汁,打白面为糊和丸黍米大。每服十粒,人参薄荷汤下。量儿大小加减。
《谭氏殊圣》方∶小儿惊膈吐还频,昼夜连连不暂停,绿水槐黄泔淀汁,和虫乳食一时喷,丁香研共生犀服,五
胆牛黄立有勋,若有得逢如此药,直饶命困却还魂。
归命丹
丁香 藿香(各一分) 生犀(末) 牛黄(各半分) 猪 鲫 狗 熊胆 鱼胆(等分,或多些无妨,共研
半两)
上为末,丸如绿豆大。量儿大小,一岁以下煎苦楝汤,研下二丸。
《谭氏殊圣》治小儿惊食,胃管不快,吐逆乳食或心胸发热。定吐丸方
丁香(二十一枚,为末) 蝎梢(四十九条) 半夏(三个,洗,焙干为末)
上件研匀,煮枣肉如小黍米大。每服七丸至十丸,金银煎汤吞下。如伤暑,霍乱吐泻,煎香茸散送下,神效。
《良方》治久患翻胃及小儿惊吐,诸吐并医。田季散
上好硫黄(细研半两) 水银(与硫黄再研无星,一分)
上同研如黑煤色。每服三钱,生姜四两取汁,酒一盏同姜汁煎,熟调药,空心服。衣被盖覆,当自足指间
汗出,迤逦遍身,汗彻即瘥。常有人患反胃,食辄吐出,午后即发,经三年不瘥,国医如孙兆辈,皆治疗
百端无验,消羸殆尽,枯黑骨立,有守藏卒季吉见之,日此易治也,一服可瘥。始都不信之,一日试令合药,
与少钱市药,次日持药至,止一服,如法服之。污出皆如胶,腥秽不可近,当日更不复吐,遂又楚人田医,
善治小儿诸吐,亦用此药,量儿长少服一钱至一字,冷水调下,吐立定。此散极浮,难调,须先滴少水,以
指缓缓研杀。稍稍增汤,使令调和。若添入汤酒,即药浮泛,不可服。
《王氏手集》睡惊丸 治热化涎,镇心神,治惊悸吐逆方。
半夏(末,制者) 乳香 犀角(末。各一钱)
上件同为末,用生姜自然汁煮面糊为丸如绿豆大。每服七粒至十粒,薄荷水夜卧服。
张涣的三香丹方,用于治疗因受惊导致的呕吐不止。
藿香叶、丁香(各一两);半夏(用汤水清洗七遍,焙干,半两)。
将以上药材捣碎,过筛成粉末,然后加入:腻粉、龙脑、麝香(当门子,各一钱)。
将上述成分混合均匀,取生姜汁,调和白面制成糊状,再与药末混合制成如黍米大小的丸剂。每次服用十粒,用人参薄荷汤送服。根据患儿年龄大小酌情增减剂量。
《谭氏殊圣》中的方剂:小儿因惊导致膈间不适,呕吐频繁,昼夜连续不停,吐出绿水、槐黄及泔淀样液体,甚至伴有虫和未消化的乳食一起喷出。此时服用研细的丁香与生犀角,配合五胆牛黄,立刻见效。若遇到这样的药物,即使病情危重也能挽回生命。
归命丹
配方:丁香、藿香(各一分);生犀角(研末)、牛黄(各半分);猪胆、鲫鱼胆、狗胆、熊胆、鱼胆(等分,或多一些也无妨,共研磨成半两粉末)。
将上述药材研成细末,制成如绿豆大小的丸剂。根据患儿年龄大小,一岁以下者煎煮苦楝汤,将两丸研碎后服用。
《谭氏殊圣》治疗小儿因惊吓和饮食积滞导致胃脘部不适,呕吐逆出乳食或心胸发热。定吐丸方:
丁香(二十一枚,研成粉末);蝎梢(四十九条);半夏(三个,洗净,焙干后研成粉末)。
将上述成分研磨均匀,用煮熟的枣肉调和,制成如小黍米大小的丸剂。每次服用七至十丸,用金银花煎汤吞服。如果是伤暑引起的霍乱吐泻,则用香茸散煎汤送服,效果极佳。
《良方》治疗长期患翻胃症及小儿惊吐,各种呕吐病症均可医治。田季散:
上好硫黄(细研半两);水银(与硫黄再次研磨直至无星点闪烁,一分)。
将两者共同研磨至黑煤色。每次服用三钱,取生姜四两榨汁,加酒一盏,同姜汁一起煎煮,待熟后调匀药粉,空腹服用。服药后用衣被覆盖身体,汗液会从足趾间开始渗出,逐渐蔓延至全身,汗出透彻后疾病即愈。曾有人患反胃症,进食后立即吐出,午后发作,病程三年未愈,国医孙兆等人,尝试了各种治疗方法均无效,患者消瘦殆尽,枯黑骨立。守藏卒季吉见到此情况后说:“这病容易治。”称只需服用一次即可痊愈。起初众人都不相信。有一天试着让他配药,给了少量钱财去买药,第二天他拿着药来了,仅服用一次,按方法服用后。排出的污物像胶一样,腥臭难闻,当天不再呕吐。于是楚地医生田医也擅长治疗小儿各种呕吐,也使用此药,根据儿童身高长短,服用一钱至一字,冷水调服,呕吐立即停止。此散极轻浮,难以调配,必须先滴入少量水,用手指缓缓研磨以减轻其浮性。然后逐渐增加汤液,使其调和。如果直接加入汤酒,药物会漂浮在水面上,不可服用。
《王氏手集》中的睡惊丸,用于治疗热邪化涎,镇安心神,治疗惊悸呕吐逆出的方剂。
半夏(粉末,已炮制者)、乳香、犀角(粉末,各一钱)。
将上述成分共同研成粉末,用生姜自然汁煮面糊制成如绿豆大小的丸剂。每次服用七至十粒,夜间睡前用薄荷水送服。
Zhang Huan's Sanxiang Dan (Three Fragrances Pill) formula is used to treat persistent vomiting caused by fright.
Huoxiang Ye (Agastache Leaf), Dingxiang (Clove) (each 1 liang); Banxia (Pinellia Rhizome) (washed seven times with decoction, dried by roasting, 0.5 liang).
The above ingredients are crushed, sifted into powder, then added with: Nifen (Calomel), Longnao (Borneol), Shexiang (Musk) (Dangmenzi variety, each 1 qian).
These components are mixed uniformly. Ginger juice is extracted and used to make a paste from white flour, which is then combined with the medicinal powder to form pills the size of millet seeds. Each dose consists of ten pills, taken with Ginseng and Mint Decoction. The dosage should be adjusted according to the child's age and size.
From *Tan Shi Shu Sheng*: When infants suffer from fright-induced phrenic discomfort with frequent vomiting, continuing day and night without pause, expelling green water, locust-yellow fluid, and starch-like sediment, or even spitting out parasites and undigested milk and food together, one should take finely ground Dingxiang (Clove) and raw Xijiao (Rhinoceros Horn), combined with Niuhuang (Calculus Bovis) from five gallbladders. This brings immediate merit. If such medicine is encountered, it can restore life even in critical conditions.
Guiming Dan (Life-Returning Pill)
Ingredients: Dingxiang (Clove), Huoxiang (Agastache) (each 1 fen); Shengxi (Raw Rhinoceros Horn, powdered), Niuhuang (Calculus Bovis) (each 0.5 fen); Zhu Dan (Pig Gallbladder), Ji Dan (Crucian Carp Gallbladder), Gou Dan (Dog Gallbladder), Xiong Dan (Bear Gallbladder), Yu Dan (Fish Gallbladder) (equal parts, or more is acceptable, ground together to half a liang).
Grind the above into fine powder and form pills the size of mung beans. Adjust dosage based on the child's age: for children under one year old, decoct Kuchuan Tang (Melia Decoction), grind two pills, and administer.
*Tan Shi Shu Sheng* also treats infantile fright-food stagnation causing gastric discomfort, regurgitation of milk/food, or heat sensation in the chest and heart. Dingtu Wan (Anti-Vomiting Pill):
Dingxiang (Clove) (21 pieces, powdered); Xieshao (Scorpion Tail) (49 pieces); Banxia (Pinellia Rhizome) (3 pieces, washed, dried by roasting, powdered).
Grind these evenly, mix with cooked jujube flesh, and form pills the size of small millet seeds. Take 7 to 10 pills per dose, swallowed with Yinchen Decoction (Silver Flower Decoction). For summerheat injury causing cholera-like vomiting and diarrhea, administer with Xiangrong San (Fragant Antler Powder) decoction; this yields miraculous effects.
*Liang Fang* treats chronic fanwei (reverted stomach) and infantile fright vomiting, applicable to various types of vomiting. Tianji San (Tian Ji Powder):
Shanghao Liuhuang (High-quality Sulfur) (finely ground, 0.5 liang); Shuiyin (Mercury) (ground again with sulfur until no starry particles remain, 1 fen).
Grind them together until they resemble black coal dust. Take 3 qian per dose. Extract juice from 4 liang of fresh ginger, add one zhan of wine, boil with the ginger juice, mix thoroughly with the medicine when cooked, and take on an empty stomach. Cover the body with clothing and blankets; sweat will emerge from between the toes, spreading gradually over the whole body. Once sweating is thorough, the disease resolves. There was once a patient suffering from reverted stomach, vomiting immediately after eating, with attacks occurring every afternoon, lasting three years without cure. Imperial physicians like Sun Zhao tried numerous treatments without success. The patient became emaciated, withered, blackened, and skeletal. A guard named Ji吉 saw him and said, "This is easy to treat." He claimed one dose would suffice. Initially, no one believed him. One day, he was asked to prepare the medicine, given some money to buy ingredients, and returned the next day with the prepared powder. Taking only one dose as directed, the patient expelled foul-smelling, glue-like substances. Vomiting ceased that very day. Subsequently, Dr. Tian from Chu, skilled in treating pediatric vomiting, also used this powder. Dosage ranged from 1 qian to 1 zi depending on the child's height, mixed with cold water and administered, stopping vomiting immediately. This powder is extremely light and difficult to mix; one must first add a few drops of water and grind slowly with fingers to reduce its buoyancy. Then gradually increase the liquid to achieve proper consistency. If soup or wine is added directly, the medicine will float and cannot be taken.
Wangshi Shouji's Shuijing Wan (Sleep-Calming Fright Pill) treats heat transforming into phlegm-fluid, calms the heart spirit, and addresses fright palpitations and vomiting.
Banxia (Pinellia Rhizome, powdered, processed), Ruxiang (Frankincense), Xijiao (Rhinoceros Horn, powdered) (each 1 qian).
Grind these together into powder. Use natural ginger juice to cook a flour paste, forming pills the size of mung beans. Take 7 to 10 pills per dose, administered with mint water before sleep at night.