巢氏云∶小儿肠胃虚弱,受风冷(圣惠作挟疳气)则下利,利断后,脾胃尚虚,谷气犹少,不能荣血气,故羸瘦。
《外台·刘氏》疗小儿痢后虚,手足心热,痢纵未断,亦可服之方。
橘皮 生姜(各三分)
上二味,切。以牛乳半升,煎取四合,去滓分温服之。
《圣惠》桔梗丸 治小儿久痢不断,肌体羸瘦,食不消。
桔梗(去芦头) 神曲(微炒。各一两) 麦 乌梅肉(微炒) 浓朴(去粗皮,涂生姜汁
炙令香熟) 白术 人参(去芦头) 赤石脂 黄芩 龙骨 桂心 甘草(炙微赤,锉。各半两) 黄连(一两半,
去须,微炒) 黄雌鸡骨(一具,净洗、去肉,酒浸一宿,炙令黄)
上件药捣,罗为末,炼蜜丸,如绿豆大。每服以粥饮下五丸,日三服,量儿大小,加减服之。
雄黄散 治小儿久痢不瘥,羸瘦壮热,毛发干焦,不能饮食。
雄黄 芦荟 青黛 朱砂 熊胆 麝香(各细研) 龙胆(去芦头) 黄连(去须,微炒) 黄柏(微
炙,锉) 当归(锉,微炒) 白芷 细辛 甘草(炙微赤,锉。各一分) 蚱蝉(七枚,去足) 干虾蟆
(一两,涂酥、炙令黄焦)
上件药捣,细罗为散。入研了药,更研令匀。每服以井华水调下半钱,日三四服,量儿大小,以意加减。
鸡子粥 治小儿下痢不止,瘦弱。
鸡子(一枚) 糯米(一合)
上,煮粥,临熟破鸡子相和搅匀。空腹,入少醋食之。
〔张涣〕龙骨汤 治小儿痢久成疳,渐渐黄瘦。
龙骨 诃梨勒皮(炮) 赤石脂(各半两) 醋石榴皮(炒黄) 木香 使君子仁(各一分)
上件捣,罗为细末。每服半字至一钱,点麝香汤调下。
巢元方说:小儿肠胃虚弱,感受风冷(《太平圣惠方》作挟带疳气)则导致下利,痢疾停止后,脾胃仍然虚弱,水谷之气尚少,不能滋养气血,所以身体消瘦。
《外台秘要·刘氏》治疗小儿痢疾后虚证,手足心发热,即使痢疾尚未完全停止,也可以服用此方。
橘皮 生姜(各三分)
以上两味药,切碎。用牛乳半升,煎取四合,去渣滓,分次温服。
《太平圣惠方》桔梗丸 治疗小儿久痢不止,身体消瘦,食物不消化。
桔梗(去掉芦头) 神曲(微炒。各一两) 麦芽 乌梅肉(微炒) 厚朴(去掉粗皮,涂生姜汁炙至香气熟透) 白术 人参(去掉芦头) 赤石脂 黄芩 龙骨 桂心 甘草(炙至微红,锉碎。各半两) 黄连(一两半,去掉须根,微炒) 黄雌鸡骨(一具,洗净、去掉肉,酒浸泡一夜,炙至黄色)
以上药物捣碎,过筛成粉末,炼蜜为丸,如绿豆大小。每次用米汤送服五丸,每日三次,根据孩子的大小调整剂量服用。
雄黄散 治疗小儿久痢不愈,身体消瘦且壮热,毛发干枯焦黄,不能进食。
雄黄 芦荟 青黛 朱砂 熊胆 麝香(各细研) 龙胆(去掉芦头) 黄连(去掉须根,微炒) 黄柏(微炙,锉碎) 当归(锉碎,微炒) 白芷 细辛 甘草(炙至微红,锉碎。各一分) 蚱蝉(七枚,去掉足) 干虾蟆(一两,涂酥油、炙至焦黄)
以上药物捣碎,细罗成散剂。加入已研好的药物,再次研磨均匀。每次用井华水调服半钱,每日三四次,根据孩子的大小,酌情加减。
鸡子粥 治疗小儿下痢不止,瘦弱。
鸡蛋(一枚) 糯米(一合)
以上,煮粥,临熟时打破鸡蛋混合搅匀。空腹时,加少许醋食用。
〔张涣〕龙骨汤 治疗小儿痢疾日久形成疳积,渐渐面色萎黄消瘦。
龙骨 诃梨勒皮(炮制) 赤石脂(各半两) 醋石榴皮(炒黄) 木香 使君子仁(各一分)
以上药物捣碎,过筛成细末。每次服半字至一钱,点入麝香汤调服。
Chao Yuanfang stated: Children's intestines and stomachs are weak; upon contracting wind-cold (recorded as "accompanied by malnutrition qi" in *Taiping Shenghui Fang*), it leads to diarrhea. After the dysentery ceases, the spleen and stomach remain deficient, and the vital energy from grain and food is still scant, unable to nourish the blood and qi, thus resulting in emaciation.
*Waitai Miyao · Liu Shi* treats deficiency after pediatric dysentery, with heat in the palms and soles. Even if the dysentery has not completely ceased, this formula may be administered.
Citrus Reticulatae Pericarpium (Ju Pi) Fresh Ginger Root (Sheng Jiang) (each 3 fen)
The above two ingredients are sliced. Decoct in half sheng of cow's milk until four he remain, strain, and administer warm in divided doses.
*Taiping Shenghui Fang* Jiegeng Wan treats prolonged pediatric dysentery that does not cease, emaciation of the body, and indigestion.
Platycodonis Radix (Jie Geng) (remove the rhizome head) Mass Medicamentosa Fermentata (Shen Qu) (lightly stir-fried. each 1 liang) Hordeum Fructus Germinatus (Mai Ya) Semen Pruni Mume (Wu Mei Rou) (lightly stir-fried) Magnoliae Officinalis Cortex (Hou Po) (remove the rough bark, apply ginger juice, roast until fragrant and cooked) Atractylodis Macrocephalae Rhizoma (Bai Zhu) Ginseng Radix et Rhizoma (Ren Shen) (remove the rhizome head) Halloysit Rubrum (Chi Shi Zhi) Scutellariae Radix (Huang Qin) Os Draconis (Long Gu) Cinnamomi Ramulus (Gui Xin) Glycyrrhizae Radix et Rhizoma (Gan Cao) (roasted until slightly red, crushed. each 0.5 liang) Coptidis Rhizoma (Huang Lian) (1.5 liang, remove the rootlets, lightly stir-fried) Os Gallinae Feminae Flavidae (Huang Ci Ji Gu) (one whole unit, thoroughly washed, meat removed, soaked in wine overnight, roasted until yellow)
The above medicines are pounded, sifted into powder, and formed into pills with refined honey, sized like mung beans. Each dose consists of five pills taken with gruel broth, three times daily. Adjust the dosage according to the child's age and size.
Xionghuang San treats prolonged pediatric dysentery that does not heal, accompanied by emaciation, high fever, dry and scorched hair, and inability to eat.
Realgar (Xiong Huang) Aloe (Lu Hui) Indigo Naturalis (Qing Dai) Cinnabar (Zhu Sha) Ursi Bile (Xiong Dan) Moschus (She Xiang) (each finely ground) Gentianae Radix (Long Dan) (remove the rhizome head) Coptidis Rhizoma (Huang Lian) (remove the rootlets, lightly stir-fried) Phellodendri Chinensis Cortex (Huang Bo) (lightly roasted, crushed) Angelicae Sinensis Radix (Dang Gui) (crushed, lightly stir-fried) Angelicae Dahuricae Radix (Bai Zhi) Asari Radix et Rhizoma (Xi Xin) Glycyrrhizae Radix et Rhizoma (Gan Cao) (roasted until slightly red, crushed. each 1 fen) Tettigidae Intestinum (Zha Chan) (seven specimens, remove legs) Bufo Vulgaris Skin Dryum (Gan Xia Ma) (1 liang, coated with butter, roasted until yellow and charred)
The above medicines are pounded and finely sifted into a powder. Add the already-ground medicines and grind uniformly. Each dose is half qian mixed well with water from a well drawn at dawn (Jing Hua Shui), administered three to four times daily. Adjust according to the child's size and discretion.
Jizi Zhou treats pediatric dysentery that does not stop, resulting in weakness and emaciation.
Egg (one) Glutinose Rice (Nuo Mi) (1 he)
Cook the rice into porridge. Just before completion, break the egg into the pot and stir evenly. Consume on an empty stomach with a small amount of vinegar.
[Zhang Huan] Longgu Tang treats pediatric dysentery lasting long enough to develop into malnutrition syndrome (Kan), leading to gradual sallow complexion and emaciation.
Os Draconis (Long Gu) Terminalia Chebulae Pericarpium (He Li Le Pi) (processed) Halloysit Rubrum (Chi Shi Zhi) (each 0.5 liang) Punicae Granati Cortex (Cu Shi Liu Pi) (stir-fried until yellow) Aucklandiae Radix (Mu Xiang) Quisqualis Fructus (Shi Jun Zi Ren) (each 1 fen)
The above medicines are pounded and sifted into fine powder. Each dose ranges from half zi to one qian, mixed with Muscus-infused liquid for administration.