形瘦,胁中有形,五心烦热盗汗,虽是童真,久延疳劳。
使君子 广皮 胡莲 楂肉 砂仁 白术 茯苓 白芍 浓朴 鸡肫皮
久病腹膨,目眶下紫,是脾虚夹积,即疳热之症。
干蟾丸。
利后阴伤,五心烦热。稚年恐致疳病,最宜薄味调养,夏、冬可与清热肥儿丸之属。
白芍 胡黄连 南桥山楂 干荷叶 茯苓 牡丹皮 炒泽泻
汗后泄泻不解,非因表里客邪。初起呕吐而泻,今噫气尚然秽浊,知平素过爱杂食。屡
伤脾胃,两旬不愈,为幼科疳蚀瘦蒸之症。乳汁甘美,虑热化痰,再吐便有惊厥矣。
胡黄连 枳实 猪苓 广皮白 楂肉 泽泻 犀角尖 白金汁 鲜石菖蒲 连翘心 鲜
生地 金银花
温邪入肺,肺移热于大肠为泻,泻白散清其受病之源颇是,但上焦气壅热聚,气逆则咳
吐。幼年最怕有痉厥,进辛寒解邪,竖抱令卧,勿使肺叶张举,易得安痊,乃百试百中快捷方式
杏仁 米仁 荷叶梗 连翘 橘红(蜜炙)
稚年食物不节,胃土受伤,热蒸于里,肝胆木火化风,遂成痫厥。口 肢牵,皆风火燥
及络脉,若仍乱食,厥逆不止,有五痫不治沉 。
川连 胆星 远志 枳实 黑栀 橘红 桔梗 莱菔子
稚年形消脉小,食物日少,晡热早凉,汗出,损劳难治。幼科门内损,必皮毛血肉之伤
起因,议调营卫。
黄 归身 米糖 南枣
幼年,冬月短气烦闷,寐中筋惕肉 ,乃因未充长,阳浮则动,当用六味丸加麦冬、五
稚年脾胃气弱,夏秋疟痢,宜顾恋中土,医不明此理,惟发散消导,致元气衰惫,肝风
内鼓,爰成慢脾惊搐,遂令无药可挽。勉议一方。
犀角尖 白金汁 鲜石菖蒲 连翘心 鲜生地 金银花
形体消瘦,胁下有积块,五心烦热且夜间盗汗,虽然身体未受房事之损(童真),但病程迁延日久,已发展为疳劳病。
处方:使君子、广陈皮、胡黄连、山楂肉、砂仁、白术、茯苓、白芍、厚朴、鸡内金皮。
久病导致腹部膨隆,眼眶下方发紫,这是脾虚兼夹食积的症状,即疳热证。
处方:干蟾丸。
利下之后阴液受损,出现五心烦热。年幼患儿恐怕会演变为疳病,最适宜清淡饮食调养,夏、冬两季可服用清热肥儿丸之类的方剂。
处方:白芍、胡黄连、南桥山楂、干荷叶、茯苓、牡丹皮、炒泽泻。
出汗后泄泻不止,并非因为表里受邪。起初呕吐并伴有腹泻,如今打嗝气味依然秽浊,可知平时过度喜爱杂乱食物。多次损伤脾胃,二十天不愈,属于儿科疳蚀、消瘦蒸热的病症。乳汁甘甜美味,担心其生热化痰,再次呕吐就会引发惊厥抽搐。
处方:胡黄连、枳实、猪苓、广陈皮白、山楂肉、泽泻、犀角尖、白金汁、鲜石菖蒲、连翘心、鲜生地、金银花。
温邪侵入肺脏,肺将热邪传导至大肠导致腹泻,使用泻白散清解病源颇为恰当,但上焦气机壅滞、热邪聚集,气机上逆则引起咳嗽呕吐。幼年患儿最怕发生痉厥,应给予辛寒药物以解除邪气,竖抱使其卧倒,不要使肺叶过度张举,这样容易痊愈,这是百试百灵快捷有效的方法。
处方:杏仁、薏苡仁、荷叶梗、连翘、橘红(蜜炙)。
年幼时饮食不节制,损伤胃土,热气蒸腾于体内,肝胆木火化生风邪,遂成痫厥证。口眼歪斜、肢体牵引,都是风火燥邪波及络脉所致,如果仍然乱吃东西,厥逆不止,会有五种痫病不治而陷入沉疴。
处方:川黄连、胆南星、远志、枳实、黑栀子、橘红、桔梗、莱菔子。
年幼时形体消瘦、脉象细小,食物摄入日渐减少,傍晚发热早晨转凉,出汗,属于虚损劳病,难以治疗。儿科中的虚损,必定起因于皮毛肉血的损伤,建议调理营卫。
处方:黄芪、当归身、米糖、南枣。
幼年期,冬季短气烦闷,睡眠中筋惕肉瞤,这是因为生长发育未充盛,阳气浮越而动,应当使用六味丸加麦冬、五味子。
年幼时脾胃气弱,夏秋季节患疟疾痢疾,应当顾护中焦脾胃之气。医生不明白此理,只用发散消导之法,导致元气衰惫,肝风内动鼓荡,于是形成慢脾风惊搐,最终令无药可救。勉强拟定一方。
处方:犀角尖、白金汁、鲜石菖蒲、连翘心、鲜生地、金银花。
Emaciated body, palpable masses in the hypochondrium, five-palm heat (heat sensation in the palms, soles, and chest) with night sweats; although the child is pure of essence (pre-pubertal), prolonged duration has led to *Gan* Lao (Childhood Malnutrition and Consumption).
Prescription: *Qianshi Junzi* (Fructus Quisqualis), *Guangpi* (Exocarpium Citri Reticulatae), *Hulian* (Rhizoma Coptidis / Cortex Coptidis - Note: Context implies Huhuanglian), *Zharou* (Sarcocarpus Crataegi), *Sharen* (Fructus Amomi Rotundus), *Baizhu* (Rhizoma Atractylodis Macrocephalae), *Fuling* (Poria), *Baishao* (Radix Paeoniae Alba), *Nongpo* (Cortex Magnoliae Officinalis), *Jizhenpi* (Endothelium Corneum Gigeriae Galli).
Abdominal distension after long-term illness, purplish discoloration under the eye orbits; this indicates Spleen deficiency with retained food accumulation, i.e., *Gan* Heat syndrome.
Prescription: *Ganchan Wan* (Dry Toad Pill).
Post-dysenteric injury to Yin, manifesting as five-palm heat. In young children, there is fear of progression to *Gan* disease; light diet is most suitable for nourishment. In summer and winter, formulas such as *Qingre Fei'er Wan* (Heat-Clearing Child-Nourishing Pill) may be used.
Prescription: *Baishao* (Radix Paeoniae Alba), *Huhuanglian* (Rhizoma Coptidis), *Nanqiao Zhazha* (Fructus Crataegi), *Ganheyedie* (Folium Nelumbinis), *Fuling* (Poria), *Mudanpi* (Cortex Moutan), *Chao Zexie* (Rhizoma Alismatis).
Diarrhea persists after sweating, not due to exterior or interior pathogenic factors. Initially vomiting and diarrhea; now belching still smells foul, indicating habitual overindulgence in mixed foods. Repeated damage to the Spleen and Stomach, unresolved for twenty days, constitutes pediatric *Gan* erosion, emaciation, and steaming consumption. Sweet milk risks generating heat and phlegm; subsequent vomiting may trigger convulsions.
Prescription: *Huhuanglian* (Rhizoma Coptidis), *Zhishi* (Fructus Aurantii Immaturus), *Zhuling* (Poria), *Guangpi Bai* (Albedo Exocarpium Citri Reticulatae), *Zharou* (Sarcocarpus Crataegi), *Zexie* (Rhizoma Alismatis), *Xijiaojian* (Cornu Rhinocerotis - Note: Substitute often used in modern context, e.g., Water Buffalo Horn), *Baijin Zhi* (Platinum Water Juice), *Xian Shichangpu* (Rhizoma Acori Tatarinowii), *Lianqiao Xin* (Flos Forsythiae), *Xian Shengdi* (Radix Rehmanniae Preparata), *Jinyinhua* (Flos Lonicerae Japonicae).
Warm pathogens enter the Lung; the Lung transmits heat to the Large Intestine causing diarrhea. Using *Xiebai San* (White Powder for Draining the Lung) to clear the source of disease is appropriate. However, upper Jiao Qi stagnation and heat aggregation cause Qi rebellion leading to cough and vomiting. Young children are most afraid of spasm and convulsion. Administer acrid-cold herbs to resolve pathogens; hold upright to lie down, avoiding excessive expansion of lung lobes, facilitating recovery. This is a tried-and-true method.
Prescription: *Xingren* (Semen Pruni Armeniacae), *Yiyiren* (Semen Coicis), *Heyegeng* (Petiole Nelumbinis), *Lianqiao* (Flos Forsythiae), *Juhong* (Pericarpium Citri Reticulatae Chienpiao) (honey-fried).
Dietary irregularity in childhood damages Stomach Earth; heat steams internally, Liver-Gallbladder Wood-Fire transforms into Wind, resulting in epilepsy and convulsion. Mouth deviation and limb traction indicate wind-fire dryness affecting collaterals. If dietary indiscretion continues, convulsions will persist, leading to untreatable severe forms of the five epilepsies.
Prescription: *Chuanlian* (Rhizoma Coptidis), *Danning* (Spilanthus Nodulus / Arisaema cum Bile), *Yuanzhi* (Radix Polygalae), *Zhishi* (Fructus Aurantii Immaturus), *Heizhi* (Fructus Gardeniae Praeparatus), *Juhong* (Pericarpium Citri Reticulatae Chienpiao), *Jiegeng* (Radix Platycodonis), *Laifuzi* (Semen Raphani).
Childhood emaciation with fine pulse, decreasing food intake, evening fever with morning coolness, sweating; this is consumptive labor, difficult to treat. Pediatric consumption originates from damage to skin, hair, flesh, and blood. Proposal: Regulate Ying and Wei (Nutritive and Defensive Qi).
Prescription: *Huangqi* (Radix Astragali Membranacei), *Guishen* (Radix Angelicae Sinensis), *Mitang* (Saccharum officinarum juice/crystal), *Nanzao* (Fructus Jujubae).
In early youth, during winter, shortness of breath and irritability, muscle twitching during sleep occur due to incomplete development and floating Yang. Use *Liuyun Wan* (Six-Ingredient Pill with Rehmannia) plus *Maidong* (Radix Ophiopogonis) and *Wuweizi* (Fructus Schisandrae Chinensis).
In childhood, weak Spleen-Stomach Qi; malaria and dysentery in summer/autumn require protecting the Middle Earth. Physicians ignorant of this principle use only dispersing and digesting methods, depleting Yuan Qi (Original Qi), causing internal drumming of Liver Wind, resulting in Slow Spleen Wind convulsions, ultimately incurable. Tentatively propose a formula.
Prescription: *Xijiaojian* (Cornu Rhinocerotis), *Baijin Zhi* (Platinum Water Juice), *Xian Shichangpu* (Rhizoma Acori Tatarinowii), *Lianqiao Xin* (Flos Forsythiae), *Xian Shengdi* (Radix Rehmanniae Preparata), *Jinyinhua* (Flos Lonicerae Japonicae).