钱乙论肾虚。若儿本虚怯,由胎气不成,则神不足,目中白睛多,其颅即解(囟门也)。面色 白,此皆难养,
纵长不过八八之数,若恣色欲多,不及四旬而亡。或有因病而致肾虚者,非也。又肾气不足则下串,盖骨重惟
欲坠于下,而缩身也。肾水阴也,肾虚则畏明。皆宜补肾地黄丸主之。(方见本门。)
张涣论∶小儿脾胃虚弱,不能饮食,或经诸大病,已渐损伤荣卫。致令肌体羸瘦,时时下痢,面色青白,
变成虚羸病。宜用丁香黄 散。(方见本门。)
钱乙地黄丸方
熟干地黄(焙,秤八钱) 山茱萸 干山药 泽泻 牡丹皮 白茯苓(去皮。各三分)
上为末,炼蜜和丸如梧桐子大。三岁以下一、二丸至三丸,温水空心化下。
张涣丁香黄 散方
绵黄 (锉) 丁香 人参(去芦头) 当归(洗,焙干) 白术(炮) 鳖甲(涂醋炙黄,去
裙。各一两) 胡黄连 甘草(炙。各半两)
上件捣,罗为细末。每服一钱,水一盏,入生姜二片枣二枚,同煎五分,去滓温服,食前。
《惠眼观证》附子散 治吐泻及伤寒脾虚腹热,或手足冷,虚汗不已,喉内虚喘。此药能回阳(一名)回阳散。
附子(炮,去皮尖) 北前胡 甘草 人参 桔梗(各半两) 麻黄(去节,一两)
上为末。随大小加减,每服半钱至一钱,淡淡姜汤调下。此药能补虚。
《宝童方》治腹内虚鸣乌药丸
天台乌药 苍术(各二两,细锉,炒令黄色用) 木香 甘草(各一分) 肉豆蔻(二枚)
上为末,醋糊为丸如此○大。每服七丸至十丸,姜炒葱酒下。
《刘氏家传》水仙丹 童男室女一切损病皆可服。
好辰砂(四两,细研,水飞过)
上用白芨一两,木通半两,白蔹半两,清麻油四两。将上件药三味同熬,用文武火,时以箸点药在水中,
候油晕不致散漫,即去药存油,摊冷,旋旋取,和前项朱砂末一如面剂,候和成,即用新水一盆,揉皂角在
内,将和成朱砂洗去油为度,别用净器,以新水浸之。每服五、七丸至十丸。旋丸如梧桐子大,水一日一易,
上用湿纸蒙盖,以防尘土。治男子丈夫、妇人及童男室女五劳七伤,一切损病,骨蒸瘴疠,三消水肿,香港脚
瘫痪。凡药不能效者,悉能治之。
《张氏家传》三洞白丹 治脾胃重伤,虚羸短气,泄泻痢疾,水谷不化,全不入食,脾胃欲绝。服之见效如神。
琥珀 砒(一分,研如粉) 白石脂(一两,研)
上同研,令匀腻,以糯米煮浆,拌匀为丸,如○○○大。阴干令透,排铺新瓦上,安红熟炭排满, 成灰,
放冷取出。大人每服三粒,甚者五粒,各以清饭下,小儿用小丸子。服了忌吃热物半时。
《吉氏家传》和气散 小儿或面青黄,手足逆冷,不思食方。
浓朴(半两,姜煨) 人参 茯苓 甘草(炮。各一两) 茴香(二钱)
上件为末,加减用水煎。
长沙医者郑愈传治虚寒吐泻,或取转后皆可服补药。
人参 茯苓(各二钱) 硫黄(半钱) 诃子肉(一分)
上为末。每服半钱,水一小盏,姜枣同煎六分,连进二服。忌生冷。
钱乙论述肾虚。如果小儿原本体虚怯弱,由于胎气未成,则神气不足,眼中白睛较多,其囟门即会开解(指囟门)。面色苍白,这些情况都难以养育,即使长大也不过活到八八六十四岁之数;如果父母纵欲过度,孩子甚至不及四十岁就死亡。或者有的因为患病而导致肾虚的,并非此理。另外肾气不足则气向下窜,因为骨骼沉重只想下坠,所以身体蜷缩。肾水属阴,肾虚则畏光怕亮。这些都适宜用补肾地黄丸为主治疗。(方剂见本门类。)
张涣论述:小儿脾胃虚弱,不能进食,或者经过各种大病之后,逐渐损伤了营卫之气。导致身体消瘦,时常腹泻痢疾,面色青白,变成虚羸病。适宜使用丁香黄芪散。(方剂见本门类。)
钱乙地黄丸方
熟干地黄(焙干,称八钱) 山茱萸 干山药 泽泻 牡丹皮 白茯苓(去皮。各三分)
以上药物研为细末,用炼蜜调和制成如梧桐子大小的药丸。三岁以下每次一至二丸至三丸,空腹时温水送服化下。
张涣丁香黄芪散方
绵黄芪(锉碎) 丁香 人参(去芦头) 当归(洗净,焙干) 白术(炮制) 鳖甲(涂醋炙黄,去裙边。各一两) 胡黄连 甘草(炙。各半两)
以上药材捣碎,过筛为细末。每次服用一钱,用水一盏,加入生姜两片、大枣二枚,同煎至五分水量,去渣温服,饭前服用。
《惠眼观证》附子散 治疗呕吐腹泻以及伤寒脾虚腹部发热,或者手脚冰冷,虚汗不止,喉间虚喘。此药能回阳(又名回阳散)。
附子(炮制,去皮尖) 北前胡 甘草 人参 桔梗(各半两) 麻黄(去节,一两)
以上药物研为细末。根据年龄大小加减用量,每次服用半钱至一钱,用淡淡的姜汤调服。此药能补虚。
《宝童方》治疗腹内虚鸣乌药丸
天台乌药 苍术(各二两,细锉,炒至黄色使用) 木香 甘草(各一分) 肉豆蔻(二枚)
以上药物研为细末,用醋糊制成如圆圈○大小的药丸。每次服用七丸至十丸,用姜炒葱酒送服。
《刘氏家传》水仙丹 童男童女一切损病皆可服用。
好辰砂(四两,细研,水飞法处理)
上面用白芨一两,木通半两,白蔹半两,清麻油四两。将上述三种药材一同熬煮,用文武火,不时用筷子蘸药水滴入水中,等到油晕不散漫,即去掉药材保留油,摊开冷却,随时取用,与前述朱砂末如同和面一样混合,候和成后,即用一盆新水,在其中揉皂角,将和成的朱砂洗去油脂为度,另用干净容器,以新水浸泡。每次服用五、七丸至十丸。随时制成如梧桐子大小的药丸,水每天更换一次,上面用湿纸蒙盖,以防尘土。治疗男子、妇人及童男童女的五劳七伤,一切损病,骨蒸瘴疠,三消水肿,香港脚瘫痪。凡是药物不能见效的,都能治疗。
《张氏家传》三洞白丹 治疗脾胃重伤,虚羸短气,泄泻痢疾,水谷不化,完全不想进食,脾胃欲绝。服用后见效如神。
琥珀 砒霜(一分,研如粉) 白石脂(一两,研)
以上共同研磨,令均匀细腻,用糯米煮浆,拌匀制成药丸,如○○○大小。阴干透后,排列铺在新瓦上,安放红熟炭排满,烧成灰,放冷取出。成人每次服用三粒,严重者五粒,各用清稀饭送下,小儿用小丸子。服完后忌吃热物半个时辰。
《吉氏家传》和气散 小儿或面色青黄,手足逆冷,不思食方的方剂。
浓朴(半两,姜煨) 人参 茯苓 甘草(炮制。各一两) 茴香(二钱)
以上药材研为细末,加减用水煎服。
长沙医者郑愈传授治疗虚寒吐泻,或者取转后皆可服用补药。
人参 茯苓(各二钱) 硫黄(半钱) 诃子肉(一分)
以上研为细末。每次服用半钱,水一小盏,姜枣同煎至六分,连续进服两次。忌生冷。
Qian Yi discussed Kidney Deficiency. If a child is originally deficient and timid, due to incomplete fetal Qi, then the Spirit (Shen) is insufficient, there is much white sclera in the eyes, and the fontanelle (anterior fontanelle) will be open/splayed. The complexion is pale; all these conditions are difficult to nurture. Even if they grow up, they will not live beyond the age of sixty-four (eight times eight); if parents indulge in sexual desires excessively, the child may die before reaching forty. Or, some cases of Kidney Deficiency caused by illness are not this type. Furthermore, when Kidney Qi is insufficient, Qi descends/collapses downward, because the bones feel heavy and desire to fall downward, causing the body to curl up. Kidney Water belongs to Yin; Kidney Deficiency leads to fear of light. All these should be primarily treated with Bu Shen Di Huang Wan (Tonify the Kidney Rehmannia Pill). (Formula see this section.)
Zhang Huan discussed: When a child's Spleen and Stomach are weak and unable to eat, or after suffering from various major illnesses, Ying and Wei (Nutritive and Defensive Qi) have been gradually damaged. This leads to emaciation of the body, frequent dysentery/diarrhea, a cyanotic-pale complexion, transforming into a deficiency-emaciation disease. Ding Xiang Huang Qi San (Clove and Astragalus Powder) should be used. (Formula see this section.)
Qian Yi's Di Huang Wan Formula
Prepared Rehmanniae Radix (roasted, weighed 8 qian) Cornus Officinalis Fructus (Shanzhuyu) Dried Dioscoreae Rhizoma (Shanyao) Alisma Orientalis Rhizoma (Zexie) Moutan Cortex (Mudanpi) Poria Cocos (Baifuling, peeled. Each 3 fen)
Grind the above into powder, mix with refined honey to form pills the size of Sophora japonica seeds. For children under three years old, administer one to two or three pills at a time, dissolve and take on an empty stomach with warm water.
Zhang Huan's Ding Xiang Huang Qi San Formula
Astragali Membranacei Radix (cut into pieces) Clove Ginseng Radix et Rhizoma (remove rhizome) Angelicae Sinensis Radix (wash, roast dry) Atractylodis Macrocephalae Rhizoma (processed) Testudinis et Chelydrae Carapax et Plastrum (coat with vinegar, roast yellow, remove skirt edge. Each 1 liang) Picrorhizae Rhizoma (Huhuanglian) Glycyrrhizae Radix et Rhizoma (roasted. Each half liang)
Pulverize the above ingredients and sift into fine powder. Take 1 qian per dose, add one cup of water, two slices of fresh ginger, and two jujubes, decoct together until reduced to half a cup. Strain and take warm before meals.
"Hui Yan Guan Zheng" Fuzi San treats vomiting and diarrhea, as well as cold damage with Spleen deficiency and abdominal heat, or cold hands and feet, incessant deficiency sweating, and deficiency wheezing in the throat. This medicine can restore Yang (also known as Hui Yang San).
Aconiti Lateralis Radix Praeparata (processed, remove skin and bud) Peucedani Radix (Beiqianhu) Glycyrrhizae Radix et Rhizoma Ginseng Radix et Rhizoma Platycodonis Radix (Each half liang) Ephedrae Herba (remove joints, 1 liang)
Grind the above into powder. Adjust dosage according to age/size, take half to one qian per dose, mixed with mild ginger soup. This medicine can tonify deficiency.
"Bao Tong Fang" Wu Yao Wan for treating abdominal rumbling due to deficiency-cold
Tiantai Litseae Fructus (Wuyao) Atractylodis Rhizoma (Each 2 liang, finely cut, stir-fry until yellow for use) Costi Rhizoma Glycyrrhizae Radix et Rhizoma (Each 1 fen) Myristicae Semen (2 pieces)
Grind the above into powder, make pills using vinegar paste the size of a circle ○. Take seven to ten pills per dose, swallow with wine prepared with stir-fried ginger and scallion.
"Liu Shi Jia Chuan" Shui Xian Dan can be taken by boys and girls for all types of damage diseases.
Good Cinnabar (4 liang, finely ground, processed by water flotation)
Take Bletillae Rhizoma (Baiji) 1 liang, Tetrapanacis Medulla (Mutong) half liang, Ampelopsis Radix (Bailian) half liang, and pure sesame oil 4 liang. Boil the above three herbs together using moderate fire. Occasionally dip a chopstick into the medicine and touch it to water; when the oil halo does not disperse, remove the herbs and keep the oil. Spread out to cool. Take as needed, mix with the aforementioned cinnabar powder like dough. Once mixed, use a basin of fresh water, rub soap pod inside, wash the mixed cinnabar until the oil is removed. Place in a clean vessel and soak in fresh water. Take five, seven to ten pills per dose. Form pills the size of Sophora japonica seeds as needed. Change the water daily. Cover with wet paper to prevent dust. Treats five labors and seven injuries in men, women, boys, and girls; all damage diseases; bone-steaming malarial fevers; three consumptions and edema; beriberi paralysis. Whatever medicines fail to work, this can treat.
"Zhang Shi Jia Chuan" San Dong Bai Dan treats severe injury to Spleen and Stomach, deficiency-emaciation and shortness of breath, diarrhea and dysentery, inability to digest food and water, complete loss of appetite, and impending failure of Spleen and Stomach. Takes effect miraculously.
Electrum (Hupo) Arsenicum Trioxide (Pi, 1 fen, ground to powder) Halloysitum Rubrum (Baishizhi, 1 liang, ground)
Grind together until uniform and smooth. Mix with rice gruel made from glutinous rice, form pills the size of ○○○. Dry thoroughly in shade. Arrange on new tiles, cover completely with red-hot charcoal, burn to ash, let cool and remove. Adults take three pills per dose, severe cases five pills, each swallowed with clear rice gruel. Children take small pills. After taking, avoid hot foods for half a shichen (one hour).
"Ji Shi Jia Chuan" He Qi San for children with cyanotic-yellow complexion, cold extremities, and loss of appetite.
Magnoliae Officinalis Cortex (Noupu, half liang, roasted with ginger) Ginseng Radix et Rhizoma Poria Cocos Glycyrrhizae Radix et Rhizoma (processed. Each 1 liang) Foeniculi Fructus (Huixiang, 2 qian)
Grind the above into powder, adjust dosage and decoct with water.
Zheng Yu, a physician from Changsha, transmitted the treatment for deficiency-cold vomiting and diarrhea, or after evacuation, tonic medicines can be taken.
Ginseng Radix et Rhizoma Poria Cocos (Each 2 qian) Sulphur (Ban qian) Terminalia Chebulae Fructus (Hezi Rou, 1 fen)
Grind into powder. Take half qian per dose, one small cup of water, decoct with ginger and jujube to six-tenths volume. Administer continuously for two doses. Avoid raw and cold foods.