初发壮热,腮红面赤,毛焦色枯,烦躁,渴欲饮水,啼哭不宁,喜卧凉处,揭去衣被,大便
秘结,小便赤涩,宜升麻葛根汤合十神解毒汤服。热证悉平,太乙保和汤助浆;浆足后,保婴百
补汤。八、九日紫黑干陷,独胜、人牙之类。惟泄泻后热证已除,见虚寒证,异功散、木香散可
用矣。
凡儿久病之后,或元气极弱,发热和缓,或乍热乍凉,手足时冷,面青神倦,食少昏睡,二
便清利。轻用发表,宜紫苏、川芎、防风、白芷、桔梗、大腹皮,少加白术、茯苓、甘草,略佐
升麻。痘出齐后,即加参、 、芎、桔之类。如浆清,痘灰白色、自汗,保元汤为主,或十全大
补去川芎,加山楂。如见泄泻,足冷寒战,切牙,虚寒证,则异功、木香可择用。
初发壮热,犹如火烙,红赤毛焦,气粗燥渴,腹胀怒哭,狂言谵语,二便秘涩,面浮眼肿,
宜升麻葛根汤加发表药一服,随用羌活散郁汤。热毒已平,益元透肌汤、保婴百补汤。后治法与
血热同。表里
热盛者,但宜安表、和中、匀气、透肌、解毒,五者不失,虽甚可痊。
音声出于肺,肺金为火所克,毒壅气道,音不出也。作痛者亦由此耳。甘桔汤、玄参、牛蒡
之类。水呛者,盖气喉居前,食喉在后,气喉有痘壅碍,茶汤误入,故嗽也。甘桔汤解毒为主,
加玄参、牛蒡、麦门冬、杏仁、荆芥之类。但痘敛自安矣。
初起时出现高热,腮部发红、面色赤红,毛发干枯焦黄,烦躁不安,口渴想喝水,啼哭不止难以安宁,喜欢躺在凉快的地方,掀开衣服和被子,大便干结不通,小便短少且颜色深黄、排尿涩痛,适宜服用升麻葛根汤配合十神解毒汤。当热证全部消退后,使用太乙保和汤帮助痘浆生成;待痘浆充足后,再服用保婴百补汤。若在第八、九日出现痘色紫黑、干枯下陷的情况,可使用独胜散、人牙(人牙齿)之类的药物。只有在泄泻之后,热证已经清除,显现出虚寒证候时,异功散、木香散才可以应用。
凡是小儿久病之后,或者元气极度虚弱,发热较为缓和,或忽冷忽热,手足时而发冷,面色青暗、精神疲倦,食欲减退、昏沉嗜睡,大小便清长通畅。此时若需轻微解表,宜用紫苏、川芎、防风、白芷、桔梗、大腹皮,少量加入白术、茯苓、甘草,略微佐以升麻。痘疹发出齐整后,立即加入人参、黄芪、川芎、桔梗之类的药物。如果痘浆清稀,痘色灰白、自汗出,以保元汤为主方,或者使用十全大补汤去掉川芎,加入山楂。如果出现泄泻、脚冷、寒战咬牙等虚寒证候,则可以选择使用异功散或木香散。
初起时高热,如同火烙一般,面红赤、毛发焦枯,呼吸粗重、口干舌燥,腹部胀满、愤怒啼哭,胡言乱语、说梦话,大小便干结涩滞,面部浮肿、眼睛肿胀,适宜服用加了解表药的升麻葛根汤一剂,随后使用羌活散郁汤。当热毒已经平息,使用益元透肌汤、保婴百补汤。后续治法与血热证相同。对于表里热盛的患者,只适宜采用安表、和中、匀气、透肌、解毒这五种方法,只要不偏离这五点,即使病情严重也可以痊愈。
声音由肺产生,肺金被火热之邪克制,毒邪壅塞气道,导致声音不能发出。咽喉疼痛也是由此引起。可用甘桔汤、玄参、牛蒡子之类的药物。饮水呛咳的原因,是因为气管在前,食管在后,气管中有痘疹壅塞阻碍,茶汤误入气管,所以引发咳嗽。治疗以甘桔汤解毒为主,加入玄参、牛蒡子、麦门冬、杏仁、荆芥之类的药物。等到痘疹收敛,自然就会安宁痊愈。
At the initial stage, there is high fever, redness of the cheeks and face, dry and withered hair, restlessness, thirst with desire to drink water, incessant crying and inability to calm down, preference for lying in cool places, removing clothes and blankets, constipation, and scanty, dark, and dysuric urine. It is appropriate to administer Shengma Gegen Tang (Cimicifugae Rhizoma and Puerariae Radix Decoction) combined with Shishen Jiedu Tang (Ten-God Detoxification Decoction). Once all heat symptoms have subsided, Taiyi Baohe Tang (Great Unity Harmonizing Preservation Decoction) is used to assist in the formation of pustules; after the pustules are full, Baoying Baibu Tang (Infant Protection Hundred-Tonics Decoction) is administered. If on the eighth or ninth day the pustules turn purple-black and become dry and depressed, drugs such as Dusheng San (Sole Victory Powder) and Renya (Human Tooth) can be used. Only when diarrhea occurs and heat symptoms have been eliminated, revealing deficiency-cold patterns, Yigong San (Yi Gong Powder) and Muxiang San (Aucklandia Powder) may be applied.
In cases where children suffer from prolonged illness or extreme weakness of Yuan Qi (Primordial Qi), the fever is mild, alternating between hot and cold, with hands and feet occasionally cold, cyanotic complexion, mental fatigue, poor appetite, lethargy, and clear, free urination and defecation. If mild exterior-releasing treatment is needed, Zi Su (Perilla Leaf), Chuanxiong (Ligusticum Rhizome), Fangfeng (Saposhnikovia Root), Baizhi (Angelica Dahurica Root), Jiegeng (Platycodon Root), Dafupi (Areca Peel) are suitable, with small amounts of Baizhu (Atractylodes Macrocephala Rhizome), Fuling (Poria), and Gancao (Licorice Root), slightly assisted by Shengma (Cimicifuga Rhizome). After the pox are fully erupted, herbs such as Renshen (Ginseng Root), Huangqi (Astragalus Root), Chuanxiong (Ligusticum Rhizome), and Jiegeng (Platycodon Root) should be added. If the pus is thin, the pox are ash-white, and spontaneous sweating occurs, Baoyuan Tang (Preserve Origin Decoction) is the main formula, or Shiquan Dabu Tang (Complete Great Tonifying Decoction) with Chuanxiong removed and Shanzha (Hawthorn Fruit) added. If diarrhea, cold feet, chills, and teeth grinding appear, indicating a deficiency-cold pattern, Yigong San (Yi Gong Powder) or Muxiang San (Aucklandia Powder) can be selected.
At the onset, high fever feels like burning iron, with red face, withered hair, coarse breathing, dry mouth and thirst, abdominal distension, angry crying, delirium, and constipated and difficult urination and defecation, along with facial edema and swollen eyes. One dose of Shengma Gegen Tang (Cimicifugae Rhizoma and Puerariae Radix Decoction) with exterior-releasing herbs is appropriate, followed by Qianghuo San Yu Tang (Notopterygium Dispersing Depression Decoction). Once heat toxins are pacified, Yiyuan Touji Tang (Benefit Origin Muscle-Penetrating Decoction) and Baoying Baibu Tang (Infant Protection Hundred-Tonics Decoction) are used. Subsequent treatments are the same as for blood-heat patterns. For patients with excessive heat in both interior and exterior, only An Biao (Stabilize Exterior), He Zhong (Harmonize Middle), Yun Qi (Regulate Qi), Tou Ji (Penetrate Muscle), and Jie Du (Detoxify) methods should be employed. As long as these five principles are not deviated from, even severe cases can recover.
Voice originates from Fei (Lung); when Lung Metal is constrained by Fire, and toxins obstruct the airway, voice cannot be produced. Throat pain also arises from this cause. Ganjie Tang (Licorice and Platycodon Decoction), Xuanshen (Scrophularia Root), Niubangzi (Arctium Fruit), etc., are indicated. Water choking occurs because the respiratory tract is anterior and the esophagus posterior; if the respiratory tract is obstructed by pox, tea or water enters mistakenly, causing coughing. Treatment focuses on detoxification with Ganjie Tang (Licorice and Platycodon Decoction), adding Xuanshen (Scrophularia Root), Niubangzi (Arctium Fruit), Maidong (Ophiopogon Tuber), Xingren (Apricot Seed), Jingjie (Schizonepeta Spike), etc. Once the pox heal and contract, peace will naturally return.