青州白丸子
南星(三两) 半夏(七两) 白附子(二两) 川乌(半两各生用)
上为末绢袋盛井水摆尽为度别换水浸三五日晒干糯米粉丸
按此治寒痰风痰药也
抱龙丸治风痰壅盛惊搐昏睡
雄黄 辰砂 天竺黄(各四钱) 麝香(一钱) 牛胆南星(八钱入腊月牛胆中阴干百日内
用如无生者水浸二日焙用)
上为末煮甘草糊丸如皂子大三岁一丸量大小与服薄荷汤下
按此治风痰热痰药也
宣风散
槟榔(二个) 陈皮 甘草(各半两) 牵牛(四两半生半熟)
上为末每一钱量大小与服汤调下
按此下湿痰之剂也
褊银丸治风涎膈实上热及乳食不消胀气喘
巴豆(半两去油研) 好墨(八钱烧醋碎) 水银(半两) 黑铅(一钱半与水银结砂子) 麝
香(半钱别研)
上将巴豆末并墨再研和匀入砂子等陈米粥和丸如绿豆大捻作饼子一岁一丸薄荷汤下
按此下食痰癖积药也
谨按小儿多痰热宜用抱龙丸与化毒丹等兼服故兹例不多录
治内伤及癖积之剂
钱氏白饼子治腹中有癖但饮乳嗽而吐痰涎
方见痰饮门
按此下痰积食积药也义见痰饮门
消积丸
丁香(九个) 砂仁(十二个) 巴豆(二个去油) 乌梅肉(三个)
上为末面糊丸黍米大三岁以上三五丸以下三二丸温水下
消坚丸消乳癖及下交奶又治痰热膈实取积
砂末 巴豆(去油净) 轻粉(各一钱) 水银砂子(两皂子大) 黄明胶末(五钱)
上同研匀入面糊丸如麻子大倒流水下一岁儿一丸食后服
按此二方有寒热轻重之分宜选用后法同
宝鉴三棱煎丸治小儿饮食过多痞闷疼痛宿食不化久而成癖
广术(黑角者) 荆三棱(二味湿纸裹煨为末各一两) 大黄(去皮八两)
上将大黄为末石器内以好醋浸令透慢火熬成膏和二药为丸麻子大或绿豆大每一二十丸食
后温水下
鳖甲猪肚丸治癖发热
鳖甲(九肋者七钱醋煮黄色) 青蒿 黄连(各七钱) 青皮 枳实(炒) 木香(各半两)
柴胡(一两)
上细末 猪肚一个去脂贮药蒸熟同和梧子大每一三十丸食后人参汤下
广术化癖丸治乳食不消心腹饱胀壮热喘粗呕吐痰逆食症乳癖
代赭石(醋淬) 当归 朱砂(研) 枳壳(炒) 广术(炮) 荆山棱(炮各半两) 木香(一
两) 麝香 巴豆(去油各一分)
上末研匀糊丸如麻子大每一岁儿二丸米饮下
青州白丸子
生南星(三两) 生半夏(七两) 生白附子(二两) 生川乌(半两,各为生用)
将上述药材研为细末,装入丝绢袋中,在井水中反复摆动直至水清为止,然后更换清水浸泡三至五日,晒干后,用糯米粉制成丸剂。
按语:此方是治疗寒痰、风痰的药物。
抱龙丸
雄黄 辰砂 天竺黄(各四钱) 麝香(一钱) 牛胆南星(八钱,放入腊月牛的胆囊中阴干,一百日内使用;如果没有生的,用水浸泡两天后焙干使用)
将上述药材研为细末,煮甘草糊作为粘合剂,制成如皂角子大小的丸剂。三岁儿童服用一丸,根据患儿大小调整剂量,用薄荷汤送服。
按语:此方是治疗风痰、热痰的药物。
宣风散
槟榔(二个) 陈皮 甘草(各半两) 牵牛子(四两半,一半生用,一半炒熟)
将上述药材研为细末,每次取一钱,根据患儿大小调整剂量,用汤药调服。
按语:此方是下泄湿痰的药剂。
褊银丸
巴豆(半两,去油后研碎) 好墨(八钱,烧醋淬后捣碎) 水银(半两) 黑铅(一钱半,与水银结成砂状) 麝香(半钱,另研)
先将巴豆末和墨再次研匀,加入汞砂等成分,用陈年米粥调和,制成如绿豆大小的丸剂,搓成饼状。一岁儿童服用一丸,用薄荷汤送服。
按语:此方是下泄食积痰癖的药物。
谨按:小儿多患痰热证,适宜使用抱龙丸与化毒丹等药物兼服,因此此类例子不多收录。
治内伤及癖积之剂
钱氏白饼子
主治腹中有癖积,仅饮乳汁却咳嗽并吐出痰涎。
方剂见“痰饮门”。
按语:此方是下泄痰积、食积的药物,义理见“痰饮门”。
消积丸
丁香(九个) 砂仁(十二个) 巴豆(二个,去油) 乌梅肉(三个)
将上述药材研为细末,用面糊制成如黍米大小的丸剂。三岁以上儿童服用三至五丸,以下年龄的儿童服用二至三丸,用温水送服。
消坚丸
主治乳癖及下交奶,又治疗痰热膈实、积聚。
砂末 巴豆(去油净) 轻粉(各一钱) 水银砂子(两个皂角子大小) 黄明胶末(五钱)
将上述成分共同研匀,加入面糊制成如麻子大小的丸剂,用倒流水送服。一岁儿童服用一丸,饭后服用。
按语:这两个方剂有寒热轻重的区别,宜选用。后续方法相同。
宝鉴三棱煎丸
主治小儿饮食过多导致痞闷疼痛、宿食不化,久而形成癖积。
广术(以黑角者为佳) 荆三棱(这两味药用湿纸包裹煨制后研为细末,各一两) 大黄(去皮八两)
先将大黄研为细末,在石器中用好醋浸泡使其透彻,用慢火熬成膏状,再与另外两种药末混合制成如麻子或绿豆大小的丸剂。每次服用二十丸,饭后用温水送服。
鳖甲猪肚丸
主治癖积发热。
鳖甲(九肋者七钱,用醋煮至黄色) 青蒿 黄连(各七钱) 青皮 枳实(炒) 木香(各半两) 柴胡(一两)
将上述药材研为细末。取一个猪肚,去除脂肪,装入药末,蒸熟后连同猪肚一起捣烂,制成如梧桐子大小的丸剂。每次服用三十丸,饭后用人参汤送服。
广术化癖丸
主治乳食不消、心腹饱胀、壮热、喘粗、呕吐、痰逆、食症、乳癖。
代赭石(醋淬) 当归 朱砂(研) 枳壳(炒) 广术(炮) 荆山棱(炮,各半两) 木香(一两) 麝香 巴豆(去油,各一分)
将上述药材研为细末,用糊剂制成如麻子大小的丸剂。每岁儿童服用二丸,用米饮送服。
Qingzhou Bai Wan Zi (Green Zhou White Pills)
Rhizoma Arisaematis Cum Bile (Nanxing, 3 liang), Rhizoma Pinelliae Preparatum (Banxia, 7 liang), Radix Bolbostemonis (Baifuzi, 2 liang), Radix Aconiti Kusnezoffii (Chuanwu, 0.5 liang; all used raw).
Grind the above ingredients into fine powder, place in a silk bag, and agitate in well water until the water runs clear. Change the water and soak for three to five days, then dry in the sun. Form pills using glutinous rice flour.
Note: This formula is used to treat cold phlegm and wind-phlegm.
Bao Long Wan (Embrace Dragon Pills)
Realgar (Xionghuang), Cinnabar (Chensha), Fructus Trichosanthis Giganthei Semen (Tianzhuhuang, 4 qian each), Moschus (Shexiang, 1 qian), Ox-gallstone-treated Rhizoma Arisaematis (Niudan Nanxing, 8 qian; dried in the shade inside an ox gallbladder collected in the twelfth lunar month, to be used within one hundred days; if fresh material is unavailable, soak in water for two days and bake before use).
Grind the above ingredients into fine powder. Boil liquorice paste as a binder to form pills the size of soap pods. For children aged three, administer one pill per dose, adjusting according to the child's size, with mint decoction as the vehicle.
Note: This formula is used to treat wind-phlegm and heat-phlegm.
Xuan Feng San (Disperse Wind Powder)
Areca Seed (Binglang, 2 pieces), Exocarpium Citri Reticulatae (Chenpi), Radix Glycyrrhizae Preparata (Gancao, 0.5 liang each), Semen Kochiae (Qianniu, 4.5 liang; half raw, half stir-fried).
Grind the above ingredients into fine powder. Administer 1 qian per dose, adjusting according to the child's size, taken with herbal decoction.
Note: This is a formula to drain damp-phlegm.
Bian Yin Wan (Narrow Silver Pills)
Fructus Crotonis Tiglii (Badou, 0.5 liang, oil removed and ground), Good Ink (Hamo, 8 qian, calcined with vinegar and crushed), Hydrargyrum (Shuiyin, 0.5 liang), Plumbum Nigrum (Heiqian, 1.5 qian, amalgamated with mercury to form cinnabar-like grains), Moschus (Shexiang, 0.5 qian, separately ground).
First, grind the Badou powder and ink together until uniform, then add the mercury-lead amalgam. Mix with old rice porridge to form pills the size of mung beans, shaping them into cakes. For one-year-old children, administer one pill with mint decoction.
Note: This formula is used to drain food stagnation and phlegm masses.
General Note: Children often suffer from phlegm-heat conditions; it is advisable to combine Bao Long Wan with Huadu Dan and similar formulas. Therefore, such examples are not extensively recorded here.
Formulas for Treating Internal Injury and Phlegm Masses
Qian Shi Bai Bing Zi (Master Qian’s White Cake Pills)
Indicated for abdominal phlegm masses, characterized by coughing and vomiting phlegm-saliva despite only consuming breast milk.
See the "Phlegm-Fluids Section" for the prescription.
Note: This formula drains phlegm accumulation and food accumulation; its rationale is discussed in the "Phlegm-Fluids Section."
Xiao Ji Wan (Eliminate Accumulation Pills)
Caryophylli Flos (Dingxiang, 9 pieces), Amomi Fructus Rotundus (Sharen, 12 pieces), Fructus Crotonis Tiglii (Badou, 2 pieces, oil removed), Sarcotesta Pruni Mume (Wumei Rou, 3 pieces).
Grind the above ingredients into fine powder. Form pills the size of millet seeds using wheat paste. For children over three years old, administer 3–5 pills; for younger children, 2–3 pills, taken with warm water.
Xiao Jian Wan (Eliminate Hardness Pills)
Indicated for milk masses and lower chest congestion, as well as phlegm-heat with diaphragmatic fullness and accumulation.
Sandarac Powder (Shamo), Fructus Crotonis Tiglii (Badou, oil removed), Calomelas (Qingfen, 1 qian each), Mercury-Amalgam Grains (size of two soap pods), Gelatinum Corii Asini (Huangmingjiao, 5 qian).
Grind these ingredients uniformly together. Form pills the size of hemp seeds using wheat paste. Take with flowing water. For one-year-old children, administer one pill after meals.
Note: These two formulas differ in their cold/heat properties and intensity; select appropriately. The subsequent methods are similar.
Baojian San Leng Jian Wan (Precious Mirror Three-Spindle Decoction Pills)
Indicated for excessive food intake leading to epigastric distension and pain, indigestion of retained food, which over time forms phlegm masses.
Curcuma Zedoaria Rhizome (Guangzhu, preferably black-horned type), Curcuma Phaeocaulis Rhizome (Jingsanleng); wrap these two in wet paper and roast until done, then grind into powder (each 1 liang), Rhubarb Radix et Rhizoma (Dahuang, peeled, 8 liang).
First, grind Dahuang into powder. Soak thoroughly in good vinegar in a stone mortar, then slowly simmer into a paste. Mix with the other two powders to form pills the size of hemp or mung beans. Administer 10–20 pills after meals with warm water.
Biejia Zhudu Wan (Softshell Turtle Pig Stomach Pills)
Indicated for fever caused by phlegm masses.
Testudinis Carapax et Plastrum (Biejia, seven-ribbed variety, 7 qian, boiled in vinegar until yellow), Artemisiae Annuae Herba (Qinghao), Coptidis Rhizoma (Huanglian, 7 qian each), Exocarpium Citri Reticulatae Viride (Qingpi), Aurantii Fructus Immaturus (Zhishi, stir-fried), Aucklandiae Radix (Muxiang, 0.5 liang each), Bupleuri Radix (Chaihu, 1 liang).
Grind the above ingredients into fine powder. Take one pig stomach, remove the fat, stuff it with the medicine, and steam until cooked. Mash together with the stomach meat to form pills the size of lucerne seeds. Administer 30 pills after meals with Ginseng Radix decoction.
Guangzhu Hua Pi Wan (Zedoaria Resolve Mass Pills)
Indicated for indigestion of milk and food, epigastric and abdominal fullness, high fever, coarse breathing, vomiting, reverse flow of phlegm, food pathology, and milk masses.
Haematitum (Daizheshi, quenched in vinegar), Angelicae Sinensis Radix (Danggui), Cinnabaris (Zhusha, ground), Aurantii Fructus Immaturus (Zhike, stir-fried), Curcuma Zedoaria Rhizome (Guangzhu, processed), Curcuma Phaeocaulis Rhizome (Jingshanleng, processed, 0.5 liang each), Aucklandiae Radix (Muxiang, 1 liang), Moschus (Shexiang), Fructus Crotonis Tiglii (Badou, oil removed, 1 fen each).
Grind the above ingredients into fine powder. Form pills the size of hemp seeds using a paste binder. For each year of age, administer two pills with rice drink.