小儿疟疾,缘乳母解脱冒风,或感暑湿,尤多因于伤食,用药必兼消导,与大人同治法。初
患者(俗名胎疟,)始以散邪发表,次清解表里,分利阴阳。如下午、夜间阴分发者,加养阴药
,提转阳分,令其渐轻自止,尤无后患。若骤截之,即脐腹胀大而变诸患,不可测度。如微见腹
胀,仍服散邪之药,服神佑
丸(方见痰门)二、三分,微利。
主方 (初起) 柴胡 羌活 苍术 川芎 白芷 半夏 陈皮 防风 紫苏(各六分)
细辛 甘草(各三分)
上加生姜三片,葱头二个,水煎热服,取微汗至足。有食加山楂、麦芽。
汗后热多,清脾饮加猪苓、泽泻。寒多,养胃汤(方见大人疟门)。
凡皮肤、面目俱黄者,黄病也。一身面目指甲皆黄,大小便涩,溺如屋尘色,着物皆如染黄
者,黄胆也。百日、半岁身微黄者,胃热也,脉多沉。
主方 山茵陈 栀子仁 川大黄(等分) 日进三服。小便如皂荚汁,赤色而安。
又(服前方病减半后,宜服此方) 泽泻 猪苓 白术 茯苓 茵陈 黄连 黄芩 栀子(等
分) 水煎服。
多因居处近于湿地,或坐于土石上,致感风寒湿气,或内有湿热。常坐冷处,寒湿凝结,内
热为外寒所束,湿热相搏,为肿为痛。或啼叫怒气,闭击抑遏不散,聚于脬囊,加以水窦不行,
即成是证。
主方 泽泻 猪苓 白术 茯苓 牡丹皮 防风(等分) 官桂(少许) 加生姜,水煎服。
又 防风、丹皮为末,调服。
又方 牡蛎研极细末,津唾调,或鸡子清调,敷肿处。
小儿疟疾,是由于乳母在哺乳时受风邪侵袭,或感受暑湿之邪,尤其多因饮食积滞所致。用药时必须兼顾消食导滞,治疗方法与成人相同。初起时(俗称为胎疟),先用发散邪气、解表透邪的药物,随后清解表里之邪,分利阴阳之气。如下午或夜间阴分发作者,加入养阴药物,引导病邪转至阳分,使其逐渐减轻并自然停止,这样就不会留下后患。如果骤然使用截疟药强行止疟,会导致脐腹部胀大并引发其他变证,后果难以预测。如果轻微出现腹胀,仍应服用散邪的药物,并配合服用神佑丸(方剂见痰证章节)二到三分,使大便微通。
主方(初起阶段):柴胡、羌活、苍术、川芎、白芷、半夏、陈皮、防风、紫苏(各六分),细辛、甘草(各三分)。上方加生姜三片、葱头二个,用水煎煮后热服,以全身微微出汗直至足部为度。若有食积,加山楂、麦芽。
汗出之后若热象明显,用清脾饮加猪苓、泽泻。若寒象明显,用养胃汤(方剂见成人疟疾章节)。
凡是皮肤、面目都发黄者,称为黄病。如果一身、面目、指甲皆黄,大小便涩滞不通,小便颜色如屋尘色,沾染衣物如同被染黄者,称为黄疸。婴儿百日或半岁时身体微黄者,属于胃热,脉象多沉。
主方:山茵陈、栀子仁、川大黄(等分),每日进服三次。服药后小便若呈皂荚汁样的赤色,病情即可安定。
又方(服用前方病势减半后,宜服用此方):泽泻、猪苓、白术、茯苓、茵陈、黄连、黄芩、栀子(等分),用水煎服。
阴肿、疝气多因居住靠近湿地,或坐于土石之上,导致感受风寒湿气,或体内素有湿热。常坐冷处,寒湿凝结,体内的热被外寒所束缚,湿热相互搏结,形成肿胀疼痛。或因啼哭叫骂、怒气郁结,气机闭阻抑遏不得疏散,积聚于膀胱囊袋,加上水道不通行,即形成此证。
主方:泽泻、猪苓、白术、茯苓、牡丹皮、防风(等分),官桂(少许),加生姜,用水煎服。
又方:将防风、丹皮研为细末,调服。
Pediatric malaria is caused by the wet nurse being exposed to wind pathogens during breastfeeding, or contracting summerheat-dampness, and is particularly often due to food retention. Medication must simultaneously address digestion and elimination, following the same treatment principles as for adults. At the initial stage (colloquially known as "fetal malaria"), one should first use herbs to disperse pathogens and release the exterior, followed by clearing and resolving both interior and exterior pathogenic factors, and differentiating and regulating Yin and Yang. If symptoms manifest in the Yin aspect during the afternoon or night, add Yin-nourishing herbs to guide the pathogen back to the Yang aspect, allowing it to gradually subside and stop naturally, thereby preventing sequelae. If antimalarial herbs are used abruptly to forcibly arrest the fever, it will lead to abdominal distension and various other complications with unpredictable consequences. If mild abdominal distension appears, continue using dispersing herbs, and administer Shenyu Wan (see Phlegm section) 2-3 fen to induce mild purgation.
Main Formula (Initial Stage): Chai Hu (Bupleuri Radix), Qiang Huo (Notopterygii Rhizoma et Radix), Cang Zhu (Atractylodis Rhizoma), Chuan Xiong (Ligustici Chuanxiong Rhizoma), Bai Zhi (Angelicae Dahuricae Radix), Ban Xia (Pinelliae Tuber), Chen Pi (Citri Reticulatae Pericarpium), Fang Feng (Saposhnikoviae Radix), Zi Su (Perillae Folium) (each 6 fen), Xi Xin (Asari Radix et Rhizoma), Gan Cao (Glycyrrhizae Radix et Rhizoma) (each 3 fen). Add three slices of fresh ginger and two scallion heads to the above, decoct in water, and take hot. Aim for a mild sweat extending to the feet. If there is food retention, add Shan Zha (Crataegi Fructus) and Mai Ya (Hordei Fructus Germinatus).
After sweating, if heat predominates, use Qing Pi Yin (Clear the Spleen Decoction) with added Zhu Ling (Polyporus) and Ze Xie (Alismatis Rhizoma). If cold predominates, use Yang Wei Tang (Nourish the Stomach Decoction) (see Adult Malaria section).
When the skin and face are yellow, it is termed Huang Bing (Yellow Disease). When the entire body, face, eyes, and nails are yellow, accompanied by difficult urination and defecation, urine resembling the color of house dust, and staining clothes like dyed fabric, it is termed Huang Dan (Jaundice). In infants aged one hundred days or half a year, slight yellowing of the body indicates Stomach Heat, with a typically deep pulse.
Main Formula: Shan Yin Chen (Artemisiae Scopariae Herba), Zhi Zi Ren (Gardeniae Semen), Chuan Da Huang (Rhei Radix et Rhizoma) (equal parts). Take three doses per day. The condition will stabilize when the urine becomes red like soap pod juice.
Another Formula (To be taken after the previous formula reduces symptoms by half): Ze Xie (Alismatis Rhizoma), Zhu Ling (Polyporus), Bai Zhu (Atractylodis Macrocephalae Rhizoma), Fu Ling (Poria), Yin Chen (Artemisiae Scopariae Herba), Huang Lian (Coptidis Rhizoma), Huang Qin (Scutellariae Radix), Zhi Zi (Gardeniae Fructus) (equal parts). Decoct in water and take.
Yin swelling and hernia are often caused by living near damp places or sitting on stone and earth, leading to contraction of wind-cold-dampness, or internal damp-heat. Frequently sitting in cold places causes cold-dampness to coagulate; internal heat is constrained by external cold, and damp-heat struggles together, resulting in swelling and pain. It may also result from crying, shouting, or anger causing Qi stagnation and suppression that fails to dissipate, accumulating in the bladder sac, combined with obstruction of the water passages, thus forming this syndrome.
Main Formula: Ze Xie (Alismatis Rhizoma), Zhu Ling (Polyporus), Bai Zhu (Atractylodis Macrocephalae Rhizoma), Fu Ling (Poria), Mu Dan Pi (Moutan Cortex), Fang Feng (Saposhnikoviae Radix) (equal parts), Guan Gui (Cinnamomi Cortex) (a small amount). Add fresh ginger, decoct in water, and take.
Another Formula: Powder Fang Feng (Saposhnikoviae Radix) and Dan Pi (Moutan Cortex), mix with liquid and ingest.
Another Method: Grind Mu Li (Ostreae Concha) into an extremely fine powder, mix with saliva or egg white, and apply to the swollen area.