乌犀丸(曾氏) 主诸积滞,夹惊夹风,温胃调脾,消进饮食,吐逆醋馊气,面黄肌瘦,
不拘孩儿生后岁月远近,并宜可投。
乌犀(即皂角,锉三寸长皮,灰火中见青烟起为度,取出地上,瓦盆盖定,存性冷用,七钱) 硫黄 白姜(各三
钱半) 陈皮(去白) 川乌(炮去皮脐。各五钱) 巴豆(去壳膜心,存油,七十七粒)
上先研硫黄细,除巴豆外,余四味同焙为末,却薄切巴豆细研,同前五味药末
杵匀,用粳米饭包作一大粽子,小瓦瓶盛水熟煮,候冷取出,沙钵内烂杵,细布
兜紧,绞出如稠糊,安在别器内,以药末亭分同杵细软,丸粟粒大。取诸积,每
服,十五丸或五丸或二十一丸至三十三丸,并用淡姜汤泡冷饭取汁小盏,五更初
空心送下,通利三五行,以匀气散止补。治积吐有醋馊气,每服三丸至五丸,用
淡姜汤入米醋少许,候温,空心下。
水晶丹(曾氏) 治惊积、食积、虫积,腹胀烦啼,心恶食减,面黄,并宜通利。此药有
顽积,惊重风紧,涎多热极,乃可服,非常用之剂。及急惊后风痰未尽,免生痴疾,宜再投。
南星(锉作小块,汤煮少时) 半夏(汤泡去滑。各三钱) 滑石(四钱) 轻粉(五十帖) 净芜荑(二百片) 巴
豆(五十粒,去壳,汤泡七次,又去心膜,作两半,水煮少时,晒干碎切)
上,前三味焙为末,拌和轻粉外,芜荑、巴豆同碎切,在乳钵内细杵,入前
药末再拌匀,如乌犀丸内制糊丸麻仁大。每服十五丸至二十五丸或三十五丸,
糯米汤泡葱白,取汁小盏,五更初空心下,过三五行,进匀气散调补。下风痰,淡姜汤空心服。
《聚宝方》圣饼子 取一切积及虚中积、下风涎药,取病甚稳,全不搜搅。
轻粉 粉霜(各四钱) 石燕子(大者二枚,先为细末) 延胡索(大者二十八个,为末)
上四味同研匀,滴水和丸如大棋子大,仍放浓,阴干。每服一饼,先用熟水浸
软,冷浆水调下,临卧更深服,后急漱口。此药只取积滞,并不损气,更临时加
减。若下惊积,则每料更入朱砂、生龙脑各一钱重,小儿一饼作四服,或便捏成小饼子。
〔吉氏〕追魂散 治果子伤积。
白丁香 轻粉 官桂(去粗皮。各三钱)
上为末。冷水调下半钱。睡时服,来日取下所伤物,用异功散煎紫苏、木瓜汤
调,三服,和气。(异功散方见吐泻。)
沉香槟榔丸 和脾助胃,进食清神,宽胸快膈,顺气调中,悦颜色,壮筋骨,理面
带痿黄,肌肤瘦弱,过食生果停寒在里,乳癖腹胀作疼,及吐利疟肿瘥后,诸疳虫积。
沉香 槟榔 檀香 南木香 丁皮 三棱(炮,锉) 神曲(炒) 莪术(炮) 麦芽(洗,炒) 浓
朴(刮去粗皮,姜汁炙) 苍术(米泔浸,锉,炒黄) 使君肉(锉瓦上焙干) 青皮 陈皮(各去白) 缩砂仁
益智仁 净香附 枳壳(去穣,麸炒燥) 良姜(制。各半两) 甘草(炙,一两半)
上,除前五味不见火,余十五味锉焙,仍同沉香等为末,水煮面糊丸麻仁大。
每服三十丸至五十丸,温米汤无时送下。儿小不能吞咽,炼蜜丸如芡实大,每以
一丸至二丸温汤化服。
《集验》蓬术丸 治乳食不化,心腹胀满,一切所伤。
三棱 莪术(并煨) 净陈皮 净香附(炒) 萝卜子(炒。各半两) 砂仁 净青皮 净枳壳(麸
炒) 胡黄连 芦荟(各三钱) 胡椒(二钱半)
上细末,糊丸黄米大。每三十丸加至四五十丸,温米饮下,日三二服。忌生冷硬物。
乌犀丸(曾氏方)主治各种积滞证,兼夹惊风或风邪,能温养胃腑、调理脾脏,促进饮食消化,治疗呕吐逆气及吐出物带有酸腐气味,面色萎黄、肌肉消瘦。不论小儿出生后时间长短,均适宜服用。
配方:乌犀(即皂角,切成三寸长的皮,在灰火中烧至冒出青烟为度,取出置于地面,用瓦盆盖住,保留药性但不过焦,冷却后使用,用量七钱)、硫黄、白姜(各三钱半)、陈皮(去除白色内层)、川乌(炮制后去皮和脐,各五钱)、巴豆(去除壳、膜和心,保留油脂,七十七粒)。
制作与服用方法:先将硫黄研细,除巴豆外,其余四味药共同焙干研成粉末;然后将巴豆薄切并细细研磨,与前五味药粉混合,在沙钵中捣匀。用粳米饭包裹做成一个大粽子形状,放入盛水的小瓦瓶中煮熟,待冷却后取出,在沙钵中再次捣烂,用细布紧紧兜住,绞出如稠糊状的汁液,装入其他容器中,将药末均匀分入其中,一同杵捣至细软,制成粟米大小的丸剂。治疗各种积滞,每次服用十五丸、五丸、二十一丸至三十三丸不等,均用淡姜汤浸泡冷饭取汁,在小盏中,于五更初空腹送服。服药后通利大便三至五次,随后服用匀气散以停止泻下并进行补益。若治疗积滞引起的呕吐且伴有酸腐气味,每次服用三至五丸,用淡姜汤加入少许米醋,待温热后空腹服用。
水晶丹(曾氏方)治疗惊积、食积、虫积,症见腹胀烦躁啼哭、心中厌恶食物且食欲减退、面色萎黄,均宜通过通利大便来治疗。此药适用于顽固性积滞、惊重风急、痰涎多、热极重的情况方可服用,并非日常常用药剂。以及在急惊风发作后,风痰未尽,为避免产生痴疾,适宜再次服用。
配方:南星(切成小块,用水煮片刻)、半夏(用水泡去滑腻感,各三钱)、滑石(四钱)、轻粉(五十帖)、净芜荑(二百片)、巴豆(五十粒,去壳,用水泡七次,再去心膜,对半切开,水煮片刻,晒干后切碎)。
制作与服用方法:前三味药焙干研成粉末,拌和轻粉之外,将芜荑、巴豆一同切碎,在乳钵中细细捣碎,加入前药粉再拌匀,参照乌犀丸的方法制成糊丸,大小如麻仁。每次服用十五丸至二十五丸或三十五丸,用糯米汤浸泡葱白,取汁一小盏,于五更初空腹服用。服药后通利大便三至五次,随后服用匀气散调补。若用于降下风痰,用淡姜汤空腹服用。
《聚宝方》圣饼子:用于取除一切积滞以及虚中积、下风涎等病症,取病效果稳固,完全不会扰动正气。
配方:轻粉、粉霜(各四钱)、石燕子(大的两枚,先研为细末)、延胡索(大的二十八个,研为末)。
制作与服用方法:以上四味药同研均匀,滴水泛丸,如大棋子大小,质地仍保持稍软,阴干。每次服用一饼,先用热水浸软,用冷浆水调服,临睡前深夜服用,服后立即急漱口。此药只取积滞,并不损伤正气,可根据情况临时加减。若用于治疗惊积,则每料药中加入朱砂、生龙脑各一钱重,小儿将一饼分为四次服用,或者直接捏成小饼子。
制作与服用方法:研为粉末。用冷水调服半钱。睡前服用,次日排出所伤之物,用异功散煎紫苏、木瓜汤调服,共三服,以调和气血。(异功散方见吐泻章节。)
沉香槟榔丸:调和脾脏、辅助胃气,促进进食、清利神志,宽胸快膈,顺气调中,悦泽颜色,强壮筋骨,调理面带痿黄、肌肤瘦弱,以及过食生果导致寒气停滞体内、乳癖腹胀疼痛,以及吐利疟疾肿胀痊愈后,各种疳积、虫积。
配方:沉香、槟榔、檀香、南木香、丁皮、三棱(炮制,锉碎)、神曲(炒制)、莪术(炮制)、麦芽(洗净,炒制)、浓朴(刮去粗皮,用姜汁炙烤)、苍术(米泔水浸泡,锉碎,炒黄)、使君肉(锉碎后在瓦上焙干)、青皮、陈皮(各去除白色内层)、缩砂仁、益智仁、净香附、枳壳(去除瓤,麸炒燥)、良姜(炮制,各半两)、甘草(炙烤,一两半)。
制作与服用方法:以上药物,除前五味药不经过火处理外,其余十五味药锉碎焙干,仍与沉香等同研为粉末,用水煮面糊制成丸剂,大小如麻仁。每次服用三十丸至五十丸,随时可用温米汤送服。幼儿较小不能吞咽者,炼蜜制成如芡实大小的丸剂,每次以一丸至二丸用温水化开服用。
配方:三棱、莪术(均煨制)、净陈皮、净香附(炒制)、萝卜子(炒制,各半两)、砂仁、净青皮、净枳壳(麸炒)、胡黄连、芦荟(各三钱)、胡椒(二钱半)。
制作与服用方法:研为细末,用糊丸制成如黄米大小的丸剂。每次三十丸,加至四五十丸,用温米饮送下,每日二至三次服用。忌食生冷硬物。
Wuxi Pill (Zeng's Formula) Indicated for various types of accumulation stagnation, complicated by fright or wind pathogen. It warms the stomach and regulates the spleen, promotes digestion, treats vomiting with regurgitation of sour and rancid odor, sallow complexion, and emaciation. It is suitable for children regardless of the time elapsed since birth.
Ingredients: Wuxi (i.e., Gleditsiae Sinensis Pericarpium, cut into three-cun long pieces of peel, roasted in ash fire until blue smoke rises, taken out and placed on the ground, covered with a clay pot to retain its nature but avoid charring, used when cool, 7 qian), Shihuang (Sulfur), Baijiang (White Ginger, each 3.5 qian), Chenpi (Tangerine Peel, pith removed), Chuanwu (Aconiti Radix, processed, skin and umbilical scar removed, each 5 qian), Badou (Crotonis Fructus, shell, membrane, and heart removed, oil retained, 77 seeds).
Preparation and Administration: First, grind Sulfur finely. Except for Crotonis Fructus, roast the remaining four ingredients and grind them into powder. Then, thinly slice and finely grind Crotonis Fructus, mixing it with the powders of the previous five ingredients. Pound evenly in a mortar. Wrap in a ball of Japonicae Oryzae Semen (rice) shaped like a large zongzi (sticky rice dumpling). Boil in a small clay bottle filled with water until cooked. Take out when cool, pound thoroughly in a mortar again, strain tightly through fine cloth to extract a thick paste-like liquid, and store in another container. Divide the medicinal powder equally into this paste, pound until soft and fine, and form pills the size of millet grains. For treating various accumulations, administer 15, 5, 21, or up to 33 pills per dose. Use a small cup of juice extracted from cold rice soaked in light ginger decoction to deliver the pills early in the morning (around 5-7 AM) on an empty stomach. After bowel movements occur 3-5 times, stop the purgative effect and tonify using Yunqi San (Harmonizing Qi Powder). To treat accumulation-induced vomiting with sour/rancid odor, administer 3-5 pills per dose, mixed with a little vinegar in light ginger decoction, warm, and taken on an empty stomach.
Shuijing Dan (Crystal Pill, Zeng's Formula) Indicated for fright accumulation, food accumulation, and worm accumulation, presenting with abdominal distension, irritability, crying, aversion to food, decreased appetite, and sallow complexion. It promotes bowel movement and unblocking. This formula is suitable only for stubborn accumulations, severe fright with urgent wind, excessive phlegm-saliva, and extreme heat; it is not a routine daily medication. It is also indicated after acute fright convulsions if wind-phlegm remains, to prevent cognitive impairment.
Ingredients: Nanxing (Arisaematis Rhizoma, cut into small pieces, boiled briefly in water), Banxia (Pinelliae Rhizoma, soaked in water to remove slipperiness, each 3 qian), Huashi (Talcum), Qingfen (Calomelas, 50 tie), Jingwuyi (Elaeagnus Fructus, cleaned, 200 slices), Badou (Crotonis Fructus, 50 seeds, shelled, soaked in water seven times, heart and membrane removed, halved, boiled briefly, dried, and crushed).
Preparation and Administration: Roast the first three ingredients and grind into powder. Mix with Calomelas. Crush Elaeagnus Fructus and Crotonis Fructus together in a mortar, then mix with the previous powder. Form pills using a starch paste method similar to Wuxi Pill, sized like hemp seeds. Administer 15-25 or 35 pills per dose. Use a small cup of juice from glutinous rice soup soaked with scallion white, delivered early in the morning on an empty stomach. After 3-5 bowel movements, tonify with Yunqi San. For descending wind-phlegm, take with light ginger decoction on an empty stomach.
Shengbingzi (Holy Cake) from "Jubao Fang" Used to eliminate all types of accumulation, including deficiency-type accumulation and lower wind-phlegm. It removes pathogens steadily without disturbing healthy qi.
Ingredients: Qingfen (Calomelas), Fenshuang (Sublimated Mercury Compound, each 4 qian), Shiyanzi (Swallow's Nest Stone, two large ones, pre-ground to fine powder), Yanhusuo (Corydalis Rhizoma, twenty-eight large ones, ground to powder).
Preparation and Administration: Grind all four ingredients uniformly. Add water dropwise to form pills the size of large chess pieces, keeping them slightly soft. Dry in the shade. Administer one cake per dose. Soak in hot water until soft, mix with cold grain water, and take late at night before sleep. Rinse mouth immediately after taking. This formula only removes accumulation stagnation and does not damage qi; dosage can be adjusted as needed. If treating fright accumulation, add Cinnabar and Raw Borneol (Longnao) each 1 qian per batch. Divide one cake into four doses for children, or shape into smaller cakes.
Zhuihun San (Soul-Chasing Powder) [Ji's Formula] Indicated for accumulation caused by fruit injury.
Ingredients: Baixiangding (Vermis Silkworm Excrement), Qingfen (Calomelas), Guangui (Cinnamon Twig, bark removed, each 3 qian).
Preparation and Administration: Grind into powder. Mix with cold water and administer half a qian. Take before sleep. The injured matter will be discharged the next day. Follow up with Yigong San decocted with Perillae Folium and Chaenomelis Fructus tea, administered three times to harmonize qi. (Yigong San formula see Vomiting/Diarrhea section.)
Chenxiang Binglang Wan (Agarwood and Areca Nut Pill) Harmonizes the spleen, assists the stomach, promotes eating, clears the mind, broadens the chest and diaphragm, smooths qi and regulates the middle jiao, improves complexion, strengthens sinews and bones, treats sallow complexion and emaciation due to internal cold from overeating raw fruits, breast abscesses with abdominal distension and pain, and post-recovery conditions of vomiting, diarrhea, malaria, and swelling, as well as various childhood malnutrition (gan syndrome) and worm accumulation.
Ingredients: Chenxiang (Aquilaria Lignum Resinatum), Binglang (Arecae Semen), Tanxiang (Santalum Album Lignum), Nanmuxiang (Costi Rhizoma), Dingpi (Syzygdii Caryophyllati Cortex), Sanleng (Sparganii Rhizoma, processed, crushed), Shenqu (Massa Medicata Fermentata, stir-fried), Ezhu (Curcumae Rhizoma, processed), Maiya (Hordei Fructus Germinatus, washed, stir-fried), Houpo (Magnoliae Officinalis Cortex, scraped, ginger juice processed), Cangzhu (Atractylodis Rhizoma, soaked in rice wash water, crushed, stir-fried yellow), Shijunrou (Quisqualis Fructus Meat, crushed and roasted on tile), Qingpi (Citri Reticulatae Pericarpium Viride), Chenpi (Citri Reticulatae Pericarpium, both pith removed), Suasharen (Amomi Fructus Rotundus), Yizhiren (Alpiniae Oxyphyllae Fructus), Jingxiangfu (Cyperi Rhizoma, cleaned), Zhike (Aurantii Fructus Immaturus, pulp removed, bran-stir-fried dry), Liangjiang (Alpiniae Katsumadai Rhizoma, processed, each half liang), Gancao (Glycyrrhizae Radix et Rhizoma, honey-processed, 1.5 liang).
Preparation and Administration: Except for the first five ingredients which are not heated, process the remaining fifteen ingredients by crushing and roasting. Grind all together with Agarwood into powder. Use water-boiled wheat flour paste to form pills sized like hemp seeds. Administer 30-50 pills per dose, delivered with warm rice soup at any time. For young children unable to swallow, refine with honey to form pills the size of Chinese bayberries. Dissolve 1-2 pills in warm water for administration.
Pengzhu Wan (Curcuma Pill) from "Ji Yan" Indicated for indigestion of milk and food, epigastric and abdominal fullness, and all types of dietary injury.
Ingredients: Sanleng (Sparganii Rhizoma), Ezhu (Curcumae Rhizoma, both baked), Jingchenpi (Cleaned Tangerine Peel), Jingxiangfu (Cleaned Cyperi Rhizoma, stir-fried), Luobozhongzi (Raphani Semen, stir-fried, each half liang), Sharen (Amomi Fructus Rotundus), Jingqingpi (Cleaned Green Tangerine Peel), Jingzhike (Cleaned Aurantii Fructus Immaturus, bran-stir-fried), Huhuanglian (Coptidis Rhizoma var. chinensis), Lvhui (Aloe), Hujiao (Piperis Longi Fructus, 2.5 qian).
Preparation and Administration: Grind into fine powder. Form pills using paste, sized like yellow millet. Administer 30 pills initially, increasing to 40-50 pills, delivered with warm rice drink. Take twice or three times daily. Avoid raw, cold, and hard foods.