【注】惊泻者,因气弱受惊,致成此证。其候夜卧不安,昼则惊惕,粪稠若胶,色青
如苔。治宜镇心抑肝,先以益脾镇惊散定其惊,次以养脾丸理其脾,庶可愈矣。
惊泻因惊成泄泻,夜卧不安昼惕惊,粪稠若胶带青色,镇惊养脾服通灵。
益脾镇惊散
人参(钱半) 白术(土炒) 茯苓(各三钱) 朱砂(八分) 钩藤(二钱) 甘草(炙五分)
上研细末,每服一钱,灯心汤调服。
养脾丸
人参 白术(土炒) 当归 川芎(各三钱) 青皮(醋炒) 木香(煨) 黄连(姜炙) 陈皮(各
二两) 神曲(炒) 山楂 缩砂仁 麦芽(炒各一钱)
上研细末,神曲糊为丸,如麻子大,每服二十丸,陈仓米饮下。
剪脐失护受寒冷,粪色青白腹痛鸣,散寒和气饮极效,温补调中汤最灵。
【注】脐寒泻者,多因断脐失护,风冷乘入,传于大肠,遂成寒泻之证。其候粪色青
白,腹痛肠鸣。先用和气饮温散之,再以调中汤温补之,庶治得其要矣。
和气饮
苍术 紫苏 防风 赤苓 豆豉 藿香 陈皮 浓朴(姜炒) 炙甘草
引用生姜灯心,水煎服。
【方歌】和气饮具温散功,苍术紫苏共防风,赤苓豆豉藿香叶,陈皮浓朴甘草同。
调中汤
人参 茯苓 藿香 白术(土炒) 炙甘草 木香(煨) 香附(制) 缩砂仁
引用煨姜,水煎服。
【方歌】脐寒泻用调中汤,人参白术煨木香,藿香茯苓同香附,缩砂炙草引煨姜。
【注释】惊泻,是因为小儿元气虚弱受到惊吓,从而导致此证。其表现为夜间睡眠不安稳,白天容易惊恐惕动,大便稠厚像胶一样,颜色青得像苔藓。治疗应当镇心安神、抑制肝风,先用益脾镇惊散来安定惊悸,再用养脾丸调理脾胃,这样才可以痊愈。
惊泻是由于受惊引起的泄泻,夜间睡卧不安白天易惊惕,大便稠厚带青色,服用通灵之药以镇惊养脾。
益脾镇惊散
人参(一钱半) 白术(土炒) 茯苓(各三钱) 朱砂(八分) 钩藤(二钱) 甘草(炙五分)
以上药材研成细末,每次服用一钱,用灯心草汤调服。
养脾丸
人参 白术(土炒) 当归 川芎(各三钱) 青皮(醋炒) 木香(煨制) 黄连(姜汁炙) 陈皮(各二两) 神曲(炒制) 山楂 缩砂仁 麦芽(炒制,各一钱)
以上药材研成细末,用神曲糊作为粘合剂制成丸药,大小如麻子,每次服用二十丸,用陈仓米饮送下。
剪断脐带时失去保护受寒冷侵袭,大便颜色青白腹痛肠鸣,散寒和气的方剂效果极佳,温补调理中焦的汤药最为灵验。
【注释】脐寒泻,多因为断脐后护理不当,风寒冷邪乘虚侵入,传导至大肠,于是形成寒性泄泻的证候。其表现为大便颜色青白,腹部疼痛且肠鸣音亢进。先使用和气饮进行温散治疗,再使用调中汤进行温补治疗,这样治疗就抓住了关键要点。
和气饮
苍术 紫苏 防风 赤茯苓 豆豉 藿香 陈皮 浓朴(姜炒) 炙甘草
引用生姜和灯心草为药引,加水煎煮服用。
【方歌】和气饮具有温散的功效,苍术、紫苏共同配合防风,赤茯苓、豆豉、藿香叶,陈皮、浓朴、甘草一同使用。
[Note] Jingxie (Diarrhea due to fright) occurs when a child with weak vital qi is frightened, leading to this syndrome. The manifestations include restless sleep at night and easy startle during the day; the stool is thick and sticky like glue, with a green color resembling moss. The treatment should focus on calming the heart and suppressing liver wind. First, use Yipi Zhenjing San (Spleen-Nourishing and Fright-Calming Powder) to settle the fright, followed by Yangpi Wan (Spleen-Nourishing Pill) to regulate the spleen, so that recovery can be achieved.
Jingxie is diarrhea caused by fright; restless sleep at night and daytime startle are present; the stool is thick and green; administer effective agents to calm fright and nourish the spleen.
Yipi Zhenjing San (Spleen-Nourishing and Fright-Calming Powder)
Renshen (Ginseng Radix et Rhizoma, 1.5 qian) Baizhu (Atractylodis Macrocephalae Rhizoma, earth-fried) Fuling (Poria, 3 qian each) Zhusha (Cinnabar, 8 fen) Gouteng (Uncariae Ramulus cum Uncis, 2 qian) Gancao (Licorice Root, honey-fried, 5 fen)
Grind all ingredients into a fine powder. Take 1 qian per dose, mixed with Dengxin Tang (Juncus Decoction).
Yangpi Wan (Spleen-Nourishing Pill)
Renshen (Ginseng Radix et Rhizoma) Baizhu (Atractylodis Macrocephalae Rhizoma, earth-fried) Danggui (Angelicae Sinensis Radix) Chuanxiong (Ligustici Chuanxiong Rhizoma, 3 qian each) Qingpi (Citri Reticulatae Pericarpium Viride, vinegar-fried) Muxiang (Aucklandiae Radix, baked) Huanglian (Coptidis Rhizoma, ginger-juice fried) Chenpi (Citri Reticulatae Pericarpium, 2 liang each) Shenqu (Massa Medicata Fermentata, fried) Shanzha (Crataegi Fructus) Suasharen (Amomi Fructus Rotundus) Maiya (Hordei Fructus Germinatus, fried, 1 qian each)
Grind all ingredients into a fine powder. Use Massa Medicata Fermentata paste as a binder to form pills the size of hemp seeds. Take 20 pills per dose, washed down with Chen Cang Mi Yin (aged rice decoction).
When the umbilical cord is cut without proper protection against cold, the stool becomes greenish-white accompanied by abdominal pain and borborygmus; Sanhan Heqi Yin (Cold-Dispersing and Qi-Harmonizing Decoction) is highly effective, while Wenzhu Tiaozhong Tang (Warming-Nourishing and Middle-Joint-Regulating Decoction) is most efficacious.
[Note] Qihan Xie (Umbilical Cold Diarrhea) is mostly caused by improper care after cutting the umbilical cord, allowing wind-cold pathogens to invade and transmit to the large intestine, resulting in cold-type diarrhea. The manifestations include greenish-white stool, abdominal pain, and hyperactive borborygmus. First, use Heqi Yin (Qi-Harmonizing Decoction) for warming dispersal, then use Tiaozhong Tang (Middle-Joint-Regulating Decoction) for warming tonification, thereby grasping the key point of treatment.
Heqi Yin (Qi-Harmonizing Decoction)
Cangzhu (Atractylodis Rhizoma) Zisu (Perillae Folium) Fangfeng (Saposhnikoviae Radix) Chiling (Poria with Red Hostwood) Douchi (Sojae Semen Praeparatum) Huoxiang (Agastaches Herba) Chenpi (Citri Reticulatae Pericarpium) Nongpo (Magnoliae Officinalis Cortex, ginger-fried) Zhigancao (Glycyrrhizae Radix et Rhizoma, honey-fried)
Use Shengjiang (Zingiberis Rhizoma Recens) and Dengxin (Junci Medulla) as guides. Decoct in water and take orally.
[Formula Song] Heqi Yin possesses warming-dispersing functions; Cangzhu and Zisu together with Fangfeng; Chiling, Douchi, and Huoxiang leaves; Chenpi, Nongpo, and Gancao are used together.
Tiaozhong Tang (Middle-Joint-Regulating Decoction)
Renshen (Ginseng Radix et Rhizoma) Fuling (Poria) Huoxiang (Agastaches Herba) Baizhu (Atractylodis Macrocephalae Rhizoma, earth-fried) Zhigancao (Glycyrrhizae Radix et Rhizoma, honey-fried) Muxiang (Aucklandiae Radix, baked) Xiangfu (Cyperi Rhizoma, processed) Suasharen (Amomi Fructus Rotundus)
Use Weijiang (Zingiberis Rhizoma, baked) as a guide. Decoct in water and take orally.
[Formula Song] For umbilical cold diarrhea, use Tiaozhong Tang; Renshen, Baizhu, and baked Muxiang; Huoxiang and Fuling combined with Xiangfu; Suasharen and Zhigancao, guided by baked ginger.