当归散(见悲哭门夜啼条。)
当归丸 治小儿冷热不调,大便青黄,心腹多痛,或腹中气满,或时呕逆,不欲饮
食。(加枳壳尤妙)
当归 白芍药 人参 川芎(各三钱) 甘草(炙) 白术(各半两)
上为末,水煮面糊为丸,如麻子大。三岁儿每服十丸,粥饮下,日三服,量大
小加减。冷甚,加陈皮。
小半夏汤 治黄胆,小便色不异,欲自利腹满而喘者,不可除热,热去必哕。
半夏(汤洗七次)
上锉散,每服三钱,水一盏,姜十片,煎七分,去滓温服。
茯苓渗湿汤 治小儿黄胆,寒热呕吐而渴欲饮水,身体面目俱黄,小便不利,不得
安卧,不思饮食。
茯苓(五分) 泽泻(三分) 茵陈(六分) 猪苓 黄芩 山栀 黄连 防己 白术 苍术 陈皮 青皮 枳壳
(各二钱)
上 咀,水煎。徐徐温服。
消食丸 治小儿脾胃不和,常服、宽中快气,消乳食,正颜色。
缩砂仁 陈皮 三棱 蓬术 神曲(炒) 麦芽(炒) 香附子(米泔浸,炒) 枳壳 槟榔 乌
梅(各半两) 丁香(二钱半)
上为末,面糊丸绿豆大。食后紫苏汤下二三十丸。
〔丹溪〕治小儿吐泻黄胆方
三棱 蓬术 青皮 陈皮 神曲 麦芽 黄连 甘草 白术 茯苓(各等分)
上为末。温熟水调服。若伤乳食吐泻加山楂。时气吐泻加滑石。发热加薄荷。
当归丸:治疗小儿因冷热失调引起的大便呈青黄色,心腹部经常疼痛,或者腹部胀气满闷,有时出现呕吐逆气,不想进食。(加入枳壳效果更佳)
药材组成:当归、白芍药、人参、川芎(各三钱),甘草(经蜜炙处理)、白术(各半两)。
制法与用法:将上述药材研磨成细末,用水煮面糊作为粘合剂制成丸剂,大小如麻子。三岁儿童每次服用十丸,用米粥汤送服,每日三次,具体用量可根据患儿年龄大小进行增减。若寒邪较重,可加入陈皮。
小半夏汤:治疗黄疸病,小便颜色无明显异常,想要自行腹泻,伴有腹部胀满和喘息的患者。此类情况不可使用清热法,因为热邪去除后必然会导致呃逆。
药材组成:半夏(经过热水清洗七次)。
制法与用法:将药材切碎成散剂,每次服用三钱,加水一盏,生姜十片,煎煮至剩余七分药液,滤去药渣,温服。
茯苓渗湿汤:治疗小儿黄疸,症状表现为寒热交替、呕吐且口渴想喝水,身体和面目均发黄,小便不利,无法安稳躺卧,没有食欲。
药材组成:茯苓(五分)、泽泻(三分)、茵陈(六分),猪苓、黄芩、山栀、黄连、防己、白术、苍术、陈皮、青皮、枳壳(各二钱)。
制法与用法:将药材捣碎,加水煎煮。慢慢温热服用。
消食丸:治疗小儿脾胃不和,常服可宽胸理气,消除乳食积滞,改善面色。
药材组成:缩砂仁、陈皮、三棱、蓬术、神曲(炒制)、麦芽(炒制)、香附子(米泔水浸泡后炒制)、枳壳、槟榔、乌梅(各半两),丁香(二钱半)。
制法与用法:将上述药材研磨成细末,用面糊制成如绿豆大小的丸剂。饭后用紫苏汤送服二三十丸。
〔朱丹溪〕治疗小儿吐泻型黄疸的方剂
药材组成:三棱、蓬术、青皮、陈皮、神曲、麦芽、黄连、甘草、白术、茯苓(各等分)。
制法与用法:将药材研磨成细末。用温热的熟水调服。如果是因损伤乳食导致的吐泻,加入山楂;如果是时气病引起的吐泻,加入滑石;如果伴有发热,加入薄荷。
Danggui San (See the section on Night Crying in the Chapter of Sad Crying.)
Danggui Wan: Treats children with disharmony of cold and heat, presenting with greenish-yellow stools, frequent pain in the heart and abdomen, abdominal distension and fullness, occasional vomiting and regurgitation, and anorexia. (The addition of Zhike is particularly effective.)
Ingredients: Danggui (Radix Angelicae Sinensis), Baishaoyao (Radix Paeoniae Alba), Renshen (Radix Ginseng), Chuanxiong (Rhizoma Chuanxiong) (each 3 qian); Gancao (Radix Glycyrrhizae Preparata, honey-fried), Baizhu (Rhizoma Atractylodis Macrocephalae) (each 0.5 liang).
Preparation and Administration: Grind the above ingredients into fine powder. Use a paste made from boiled flour and water as a binder to form pills the size of hemp seeds. For a three-year-old child, administer 10 pills per dose, taken with rice gruel broth, three times daily. Adjust the dosage according to the child's age and condition. If cold pathogen is severe, add Chenpi.
Xiao Banxia Tang: Treats jaundice where urine color is unremarkable, the patient desires spontaneous diarrhea, accompanied by abdominal fullness and wheezing. In such cases, clearing heat is contraindicated; if heat is cleared, hiccups will inevitably occur.
Ingredients: Banxia (Rhizoma Pinelliae Praeparatum, washed seven times with boiling water).
Preparation and Administration: Cut the herbs into pieces to make a powder. Take 3 qian per dose, add one cup of water and ten slices of Shengjiang (Rhizoma Zingiberis Recens), decoct until approximately 70% of the liquid remains. Strain and take warm.
Fuling Shen Shi Tang: Treats pediatric jaundice characterized by alternating chills and fever, vomiting, thirst with desire to drink water, yellow discoloration of the body and face, dysuria, inability to lie down comfortably, and loss of appetite.
Ingredients: Fuling (Poria), Zexie (Rhizoma Alismatis), Yinchen (Herba Artemisiae Scopariae), Zhuling (Polyporus), Huangqin (Radix Scutellariae), Shanzhi (Fructus Gardeniae), Huanglian (Rhizoma Coptidis), Fangji (Radix Stephaniae Tetrandrae), Baizhu (Rhizoma Atractylodis Macrocephalae), Cangzhu (Rhizoma Atractylodis), Chenpi (Pericarpium Citri Reticulatae), Qingpi (Pericarpium Citri Reticulatae Viride), Zhike (Fructus Aurantii) (each 2 qian); Fuling (5 fen), Zexie (3 fen), Yinchen (6 fen).
Preparation and Administration: Coarsely crush the herbs and decoct in water. Take slowly while warm.
Xiaoshi Wan: Treats spleen and stomach disharmony in children. Regular use can broaden the middle jiao, promote qi circulation, digest milk and food accumulation, and improve complexion.
Ingredients: Suosharen (Fructus Amomi Rotundus), Chenpi (Pericarpium Citri Reticulatae), Sanleng (Rhizoma Sparganii), Pengze (Rhizoma Curcumae), Shenqu (Massa Medicata Fermentata, stir-fried), Maiya (Fructus Hordei Germinatus, stir-fried), Xiangfuzi (Rhizoma Cyperi, soaked in rice wash water and stir-fried), Zhike (Fructus Aurantii), Binglang (Semen Arecae), Wumei (Fructus Mume) (each 0.5 liang); Dingxiang (Flos Caryophylli) (2.5 qian).
Preparation and Administration: Grind into fine powder. Form pills using flour paste, sized like mung beans. After meals, take 20-30 pills with Zisu Tang (Perilla Leaf Decoction).
[Zhu Danxi] Prescription for Pediatric Jaundice due to Vomiting and Diarrhea
Ingredients: Sanleng (Rhizoma Sparganii), Pengze (Rhizoma Curcumae), Qingpi (Pericarpium Citri Reticulatae Viride), Chenpi (Pericarpium Citri Reticulatae), Shenqu (Massa Medicata Fermentata), Maiya (Fructus Hordei Germinatus), Huanglian (Rhizoma Coptidis), Gancao (Radix Glycyrrhizae), Baizhu (Rhizoma Atractylodis Macrocephalae), Fuling (Poria) (equal parts).
Preparation and Administration: Grind into fine powder. Mix with warm, boiled water for oral administration. If vomiting and diarrhea are caused by milk or food injury, add Shanzha (Fructus Crataegi). If caused by epidemic qi, add Huashi (Talcum). If accompanied by fever, add Bohe (Herba Menthae).