内热头痛属阳明,鼻干目痛齿颊疼,清热加味茶调治,便秘加入大黄攻。
【注】胃热头痛,病在阳明。因小儿肥甘无节,胃火上炎,故发时鼻干,目痛,上至
头,下至齿,颊痛无定时。宜加味茶调散清之。
加味茶调散
荆芥穗 薄荷 黄芩 青茶叶 石膏(生) 白芷 川芎
引用生姜,水煎服。便秘者加川大黄。
【方歌】加味茶调治头疼,胃经积热上攻冲,荆穗薄荷芩茶叶,石膏生用芷川芎。
小儿腹痛有四因,食寒虫动痛相侵,停食感寒相兼痛,临证医治要详分。
【注】小儿腹痛,其证有四∶如寒痛、食痛、虫痛、停食感寒痛也,须随证施治。寒
则温中,食则消导,虫则安虫,停食感寒则消散。调治合宜,其痛自除矣。
食痛伤食心胃痛,食入即痛喜饮凉,恶食腹满吐便秘,承气平胃酌量尝。
【注】食痛者,皆因饮食不节,积滞不化所致,故食入即痛也。其候喜饮凉水,恶食
腹满,吐酸便秘。宜先以小承气汤下之。若下后仍痛者,以香砂平胃散消导可也。
小承气汤
大黄 枳实(麸炒) 浓朴(姜炒)
引用生姜,水煎服。
【方歌】小承气汤治腹痛,腹硬烦渴便不通,枳实浓朴大黄共,煎服便利立时松。
香砂平胃散
苍术(米泔水浸炒) 陈皮 甘草(炙) 浓朴(姜炒) 缩砂(研) 南山楂 香附(醋炒) 神
曲(炒) 麦芽(炒) 枳壳(麸炒) 白芍(炒)
引用生姜,水煎服。
【方歌】香砂平胃伤食痛,下后仍痛用此和,苍陈朴草缩香附,山楂曲麦枳壳芍。
内热头痛归属于阳明经,症状表现为鼻干、目痛以及牙齿和脸颊疼痛。治疗应使用清热加味茶调散,若伴有便秘则加入大黄以攻下通便。
【注】胃热引起的头痛,病位在阳明经。由于小儿饮食肥甘厚味没有节制,导致胃火向上炎升,因此发作时出现鼻干、目痛,疼痛范围上至头部,下至牙齿和脸颊,且疼痛时间不固定。适宜使用加味茶调散来清解胃热。
加味茶调散
组成药物包括:荆芥穗、薄荷、黄芩、青茶叶、生石膏、白芷、川芎。
煎服方法为引用生姜,加水煎煮后服用。若有便秘情况,加入川大黄。
【方歌】加味茶调散治疗头痛,因胃经积热向上冲逆所致,方中包含荆芥穗、薄荷、黄芩和茶叶,石膏需生用,配合白芷和川芎。
小儿腹痛有四种病因,分别是食积、受寒、虫动相互侵袭,临床诊治时需要详细区分。
【注】小儿腹痛的证候有四种:如寒痛、食痛、虫痛、停食感寒痛,必须根据具体证候施治。受寒则温中散寒,食积则消食导滞,虫动则安蛔驱虫,停食兼感寒邪则消散积滞与寒邪。只要调治得当,疼痛自然消除。
食积导致的疼痛位于心窝部和胃部,进食后立即疼痛,喜欢喝凉水,厌恶食物,腹部胀满,呕吐,便秘。治疗应根据情况斟酌使用承气汤或平胃散。
【注】食痛,都是由于饮食不节制,积滞无法消化所致,所以进食后立即疼痛。其症状表现为喜欢喝凉水,厌恶食物,腹部胀满,吐酸水,便秘。适宜先用小承气汤攻下积滞。如果攻下后疼痛仍未缓解,可以使用香砂平胃散进行消食导滞。
小承气汤
组成药物包括:大黄、麸炒枳实、姜炒浓朴。
煎服方法为引用生姜,加水煎煮后服用。
【方歌】小承气汤治疗腹痛,针对腹部硬满、烦躁口渴、大便不通的症状,由枳实、浓朴、大黄共同组成,煎服后大便通畅,疼痛立即缓解。
香砂平胃散
组成药物包括:米泔水浸炒苍术、陈皮、炙甘草、姜炒浓朴、研碎缩砂仁、南山楂、醋炒香附、炒神曲、炒麦芽、麸炒枳壳、炒白芍。
煎服方法为引用生姜,加水煎煮后服用。
【方歌】香砂平胃散治疗伤食引起的疼痛,如果在攻下后疼痛仍然存在,使用此方调和,方中包含苍术、陈皮、浓朴、甘草、缩砂仁、香附、山楂、神曲、麦芽、枳壳和白芍。
Headache due to internal heat belongs to the Yangming channel, presenting with dry nose, eye pain, and pain in the teeth and cheeks. Treatment should employ Jiawei Chatiao San (Modified Tea-Regulating Powder) to clear heat; if constipation is present, add Dahuang (Rhei Radix et Rhizoma) to purge accumulation.
[Note] Headache caused by stomach heat occurs in the Yangming channel. Due to children's unregulated consumption of rich and sweet foods, stomach fire flares upward, causing symptoms such as dry nose and eye pain upon onset. The pain extends from the head down to the teeth and cheeks, occurring at irregular intervals. It is appropriate to use Jiawei Chatiao San (Modified Tea-Regulating Powder) to clear the heat.
Jiawei Chatiao San (Modified Tea-Regulating Powder)
Ingredients: Jingjie Sui (Schizonepetae Spica), Bohe (Menthae Haplocalycis Herba), Huangqin (Scutellariae Radix), Qing Chaye (Tea Leaf), Shigao (Gypsum Fibrosum, raw), Baizhi (Angelicae Dahuricae Radix), Chuanxiong (Chuanxiong Rhizoma).
Preparation: Add fresh ginger as a guide, decoct with water, and take orally. If constipated, add Chuan Dahuang (Rhei Radix et Rhizoma).
[Folk Song] Jiawei Chatiao San treats headache, caused by accumulated heat in the Stomach channel rushing upward; it contains Schizonepetae Spica, Menthae Haplocalycis Herba, Scutellariae Radix, and tea leaves; Gypsum Fibrosum should be used raw, combined with Angelicae Dahuricae Radix and Chuanxiong Rhizoma.
There are four causes of abdominal pain in children: food stagnation, cold invasion, and intestinal parasites invading each other; clinical diagnosis and treatment require detailed differentiation.
[Note] Abdominal pain in children presents in four types: cold pain, food pain, parasitic pain, and pain from food stagnation combined with cold invasion. Treatment must be administered according to the specific syndrome. For cold, warm the middle; for food stagnation, promote digestion and guide out stagnation; for parasites, calm and expel them; for food stagnation with cold, dissipate both. With appropriate regulation and treatment, the pain will naturally subside.
Food stagnation pain affects the epigastrium and stomach; pain occurs immediately after eating, with a preference for cool drinks, aversion to food, abdominal fullness, vomiting, and constipation. Treat by酌情 (discretionarily) using Chengqi Tang or Pingwei San.
[Note] Food pain is caused by unregulated diet leading to undigested accumulation, resulting in immediate pain after eating. Symptoms include a preference for drinking cool water, aversion to food, abdominal distension, sour regurgitation, and constipation. It is appropriate to first use Xiao Chengqi Tang (Minor Order the Qi Decoction) to purge downward. If pain persists after purgation, use Xiangsha Pingwei San (Aucklandia and Amomum Powder to Regulate the Stomach) to promote digestion.
Xiao Chengqi Tang (Minor Order the Qi Decoction)
Ingredients: Dahuang (Rhei Radix et Rhizoma), Zhishi (Aurantii Fructus Immaturus, bran-fried), Houpo (Magnoliae Officinalis Cortex, ginger-fried).
Preparation: Add fresh ginger as a guide, decoct with water, and take orally.
[Folk Song] Xiao Chengqi Tang treats abdominal pain, characterized by abdominal hardness, irritability, thirst, and bowel obstruction; composed of Aurantii Fructus Immaturus, Magnoliae Officinalis Cortex, and Rhei Radix et Rhizoma; once taken, bowel movement becomes smooth, and relief comes instantly.
Xiangsha Pingwei San (Aucklandia and Amomum Powder to Regulate the Stomach)
Ingredients: Cangzhu (Atractylodis Rhizoma, soaked in rice water and stir-fried), Chenpi (Citri Reticulatae Pericarpium), Gancao (Glycyrrhizae Radix et Rhizoma, honey-roasted), Houpo (Magnoliae Officinalis Cortex, ginger-fried), Suansha (Amomi Fructus Rotundus, crushed), Shanzha (Crataegi Fructus), Xiangfu (Cyperi Rhizoma, vinegar-fried), Shenqu (Massa Medicata Fermentata, stir-fried), Maiya (Hordei Fructus Germinatus, stir-fried), Zhiqiao (Aurantii Fructus Immaturus, bran-fried), Baishao (Paeoniae Radix Alba, stir-fried).
Preparation: Add fresh ginger as a guide, decoct with water, and take orally.
[Folk Song] Xiangsha Pingwei San treats pain from food injury; if pain persists after purgation, use this formula to harmonize; it contains Atractylodis Rhizoma, Citri Reticulatae Pericarpium, Magnoliae Officinalis Cortex, Glycyrrhizae Radix et Rhizoma, Amomi Fructus Rotundus, Cyperi Rhizoma, Crataegi Fructus, Massa Medicata Fermentata, Hordei Fructus Germinatus, Aurantii Fructus Immaturus, and Paeoniae Radix Alba.