风毒者,因惊风之后,风从气行,血从气使,毒瓦斯蓄于皮肤,流结而为肿毒,遂成
顽核赤色,多在腮颊之间,或耳根骨节之处,重则成痈成疖,谓之遁毒风。宜以百解散、牛
蒡汤及当归散倍加枳壳、大黄,水煎服。或用皂角子、薄荷同煎,续投雄黄散、消毒饮。
结在腮颊者,治用乌豉膏,以护咽喉,外则敷以拂毒散及外消散。若因跌扑破损皮肤,风
邪侵袭,伤寒而发毒肿,谓之破血伤风,可投疏风散、活血散及黄芩四物汤调治。若发
于喉下,如带横缠者,乃缠喉风也,三因方乌喉风,此证宜投化毒汤及乌豉膏,熔化护
喉,却不可于喉外用药涂贴,但根据前遁毒风内治法如服药后散止不定,或上头项,或游
于面目,而又复来喉下,如赤紫微浮,中有白突者,阳证变阴,亢则必害,谓之赤游风毒,亦难治矣。
凡婴孩所患积证,皆因乳哺不节。过餐生冷坚硬之物,脾胃不能克化,积停中脘,外
为风寒所袭,或因吃卧失盖,致头疼面黄,身热眼胞微肿,腹痛膨胀,足冷肚热不安,昏
神饮食不思,或呕或哕,口噫酸气,大便酸臭,此为陈积所伤,如觉一二日,先以百伤
饮发表,次当归散入姜煎服,温动积滞,方下乌犀丸、六圣丸,重与宽利,后用匀气散
调补。有食饱伤脾,脾气稍虚,物难消化,留而成积,积败为痢,腹肚微痛,先调胃气,次
理积,却止痢,则病根自除。和中散理虚养胃,三棱散、乌犀丸。助脾化积,沉香槟榔
丸、守中汤。进食止痢,仍忌生冷粘腻之物,不致复作。有时时泄青水。如生菜汁,是受
惊而后有积,烦闷啾唧,常似生嗔,名为惊积。先解惊,后理积。解惊五苓散或百解散,
理积三棱散或乌犀丸及三解散,炒神曲、生姜,煎汤调服。醒脾散、沉香槟榔丸,宁惊
化积,壮气和胃,仍节冷乳,自然平治。
风毒,是指在惊风发作之后,风邪随气机运行,血液受气机驱使,毒邪蕴结于皮肤,流动聚集而形成肿毒。表现为顽固的核状肿块,颜色赤红,多出现在腮颊之间,或者耳根、骨节等部位。病情严重的会发展成痈或疖,这种病症称为“遁毒风”。适宜使用百解散、牛蒡汤以及当归散(倍加枳壳、大黄),用水煎煮后服用。或者使用皂角子、薄荷共同煎煮,随后继续投服雄黄散、消毒饮。如果肿块结在腮颊部位,治疗应使用乌豉膏,以保护咽喉;外部则敷贴拂毒散及外消散。如果是由于跌打损伤导致皮肤破损,风邪侵袭,引发伤寒并出现毒肿,这称为“破血伤风”,可以投服疏风散、活血散以及黄芩四物汤进行调治。如果病变发于喉下,像带子一样横缠环绕,这是“缠喉风”,《三因方》中记载了乌喉风的治法,此证适宜投服化毒汤及乌豉膏,熔化后护住咽喉。切不可在喉部外部用药涂贴。只要根据前述“遁毒风”的内治法处理即可。如果服药后肿块消散但病势不止,或者向上蔓延至头项,或者游走于面目,然后又复发于喉下,呈现赤紫色且微微浮肿,中间有白色突起,这是阳证转为阴证,亢盛之邪必然造成危害,称为“赤游风毒”,这也属于难治之症。
凡是婴幼儿所患的积证,都是因为乳食喂养没有节制。过量食用生冷坚硬的食物,脾胃无法消化运化,食物停滞在中脘(胃脘部)。外部受到风寒侵袭,或者因为吃奶睡觉时未能妥善遮盖,导致头疼、面色发黄、身体发热、眼睑微肿、腹痛腹胀、脚冷肚子热而烦躁不安、精神昏沉、饮食不思、呕吐或干哕、口中嗳出酸气、大便酸臭。这是被陈旧的积滞所伤。如果在发病一两天内,先用百伤饮发表,接着用当归散加入生姜煎服,温动积滞,然后才给予乌犀丸、六圣丸,重剂宽利通便,最后用匀气散调理补益。如果有进食过饱损伤脾气的情况,脾气稍显虚弱,食物难以消化,停留而成积滞,积滞败坏则变为痢疾,腹部轻微疼痛。此时应先调理胃气,其次处理积滞,最后止住痢疾,病根自然消除。使用中和管理虚损、养护胃气的和中散,以及三棱散、乌犀丸来助脾化积;使用沉香槟榔丸、守中汤来促进进食并止痢。仍然要忌口生冷粘腻的食物,以免疾病复发。有时会出现时时排泄青色水样便,如同生菜汁的颜色,这是受惊之后产生积滞,表现为烦闷、低声呻吟,常常好像生气发怒的样子,名为“惊积”。治疗应先解除惊恐,后处理积滞。解惊可用五苓散或百解散,理积可用三棱散或乌犀丸及三解散,配合炒神曲、生姜,煎汤调服。也可以使用醒脾散、沉香槟榔丸,宁心安神以化解积滞,强壮气血和顺胃气,同时节制冷乳,自然就能平复治愈。
Wind-toxin refers to a condition where, following an attack of wind-stroke (convulsions in infants), wind pathogen follows the movement of Qi, and blood is driven by Qi. Toxins accumulate in the skin, flow and knot together to form swelling and toxic masses, resulting in stubborn nodules that are red in color. These typically appear between the cheeks or at the roots of the ears and joints. In severe cases, it develops into carbuncles or boils, known as "Dun Du Feng" (Escaping Wind-Toxin). It is suitable to use Baijie San (Hundred-Resolving Powder), Niubang Tang (Arctostaphylos Decoction), and Danggui San (Angelica Powder) with added Zhiqiao (Bitter Orange) and Dahuang (Rhubarb), decocted in water for oral administration. Alternatively, Zaojiazi (Gleditsia Seed) and Bohe (Mint) can be decocted together, followed by continuous administration of Xionghuang San (Realgar Powder) and Xiaodu Yin (Detoxifying Drink). If the nodule forms in the cheek area, treatment should employ Wu Chi Gao (Black Bean Paste) to protect the throat; externally, Fudu San (Toxin-Removing Powder) and Waixiao San (External-Resolving Powder) should be applied. If caused by falls or trauma damaging the skin, allowing wind pathogen invasion leading to cold-induced toxic swelling, it is called "Po Xue Shang Feng" (Broken Blood Wounded by Wind). One may administer Shufeng San (Wind-Dispersing Powder), Huoxue San (Blood-Invigorating Powder), and Huangqin Siwu Tang (Scutellaria Four-Substance Decoction) for regulation. If the lesion appears below the throat, winding around like a belt, it is "Chan Hou Feng" (Throat-Winding Wind). The *San Yin Fang* records treatments for Wu Hou Feng; this condition is suitable for Huadu Tang (Toxin-Transforming Decoction) and Wu Chi Gao, melted to protect the throat. Medication should absolutely not be applied topically to the external throat. Treatment should follow the internal methods described for "Dun Du Feng." If after taking medicine the swelling dissipates but the pathology persists, or spreads upward to the head and neck, wanders through the face and eyes, and then recurs below the throat appearing reddish-purple, slightly swollen, with white protrusions in the center, this indicates a transformation from Yang syndrome to Yin syndrome. Excessive pathogenic factors will inevitably cause harm, known as "Chi You Feng Du" (Red Roaming Wind-Toxin), which is also difficult to treat.
All accumulation syndromes suffered by infants are due to irregular feeding. Overconsumption of raw, cold, hard, or solid foods overwhelms the Spleen and Stomach's ability to digest and transform, causing food stagnation in the Zhongwan (Middle Jiao/Stomach region). External contraction of wind-cold, or improper covering during eating and sleeping, leads to headache, sallow complexion, fever, slight eyelid swelling, abdominal pain and distension, cold feet with a hot abdomen causing restlessness, mental dullness, loss of appetite, vomiting or hiccups, sour belching, and sour-smelling stools. This is injury caused by old accumulations. If detected within one or two days, first use Baishang Yin (Hundred-Injury Drink) to release the exterior, then administer Danggui San decocted with fresh ginger to warm and move the stagnation. Only then should Wuxi Wan (Rhino Horn Pill) and Liusheng Wan (Six-Sage Pill) be given to strongly promote bowel movement. Finally, use Yunqi San (Qi-Balancing Powder) for regulation and tonification. If overeating damages the Spleen Qi, making it slightly deficient, food becomes difficult to digest, remains, and forms accumulation. When the accumulation deteriorates, it transforms into dysentery with mild abdominal pain. One should first regulate Stomach Qi, then address the accumulation, and finally stop the dysentery, so the root of the disease is eliminated. Use Hezhong San (Harmonize-Middle Powder) to manage deficiency and nourish the Stomach; Sanleng San (Curcuma Powder) and Wuxi Wan to assist the Spleen in transforming accumulation; Chenxiang Binglang Wan (Aucklandia and Areca Nut Pill) and Shouzhong Tang (Maintain-Middle Decoction) to promote appetite and stop dysentery. Raw, cold, and sticky/greasy foods must still be avoided to prevent recurrence. Sometimes, there is frequent passage of green watery stool resembling raw vegetable juice; this is "Jing Ji" (Fright Accumulation) occurring after fright, characterized by irritability, whimpering, and constant signs of anger. Treatment should first resolve the fright, then address the accumulation. To resolve fright, use Wuling San (Five-Ling Powder) or Baijie San; to address accumulation, use Sanleng San, Wuxi Wan, or Sandisai (Three-Dispersing Powder), mixed with fried Shenqu (Medicated Leaven) and fresh ginger, decocted in water for administration. Xingpi San (Spleen-Awakening Powder) and Chenxiang Binglang Wan can calm fright and transform accumulation, strengthen Qi, harmonize the Stomach, while regulating cold milk intake, leading to natural recovery.