巢氏云∶小儿肠胃虚弱,受风冷(圣惠作挟疳气)则下利,利断后,脾胃尚虚,谷气犹少,不能荣血气,故羸瘦。
《外台·刘氏》疗小儿痢后虚,手足心热,痢纵未断,亦可服之方。
橘皮 生姜(各三分)
上二味,切。以牛乳半升,煎取四合,去滓分温服之。
《圣惠》桔梗丸 治小儿久痢不断,肌体羸瘦,食不消。
桔梗(去芦头) 神曲(微炒。各一两) 麦 乌梅肉(微炒) 浓朴(去粗皮,涂生姜汁
炙令香熟) 白术 人参(去芦头) 赤石脂 黄芩 龙骨 桂心 甘草(炙微赤,锉。各半两) 黄连(一两半,
去须,微炒) 黄雌鸡骨(一具,净洗、去肉,酒浸一宿,炙令黄)
上件药捣,罗为末,炼蜜丸,如绿豆大。每服以粥饮下五丸,日三服,量儿大小,加减服之。
雄黄散 治小儿久痢不瘥,羸瘦壮热,毛发干焦,不能饮食。
雄黄 芦荟 青黛 朱砂 熊胆 麝香(各细研) 龙胆(去芦头) 黄连(去须,微炒) 黄柏(微
炙,锉) 当归(锉,微炒) 白芷 细辛 甘草(炙微赤,锉。各一分) 蚱蝉(七枚,去足) 干虾蟆
(一两,涂酥、炙令黄焦)
上件药捣,细罗为散。入研了药,更研令匀。每服以井华水调下半钱,日三四服,量儿大小,以意加减。
鸡子粥 治小儿下痢不止,瘦弱。
鸡子(一枚) 糯米(一合)
上,煮粥,临熟破鸡子相和搅匀。空腹,入少醋食之。
〔张涣〕龙骨汤 治小儿痢久成疳,渐渐黄瘦。
龙骨 诃梨勒皮(炮) 赤石脂(各半两) 醋石榴皮(炒黄) 木香 使君子仁(各一分)
上件捣,罗为细末。每服半字至一钱,点麝香汤调下。
巢元方说:小儿肠胃虚弱,感受风冷(《太平圣惠方》作挟带疳气)则导致下利,痢疾停止后,脾胃依然虚弱,水谷之气仍然不足,不能滋养气血,所以身体消瘦。
《外台秘要》引刘氏方治疗小儿痢疾后的虚证,表现为手足心发热,即使痢疾尚未完全停止,也可以服用此方。
橘皮、生姜(各三分)
以上两味药,切碎。用半升牛乳,煎取四合药液,滤去药渣,分次温服。
《太平圣惠方》桔梗丸 治疗小儿久痢不止,身体消瘦,食物不消化。
桔梗(去除芦头)、神曲(微炒,各一两)、麦蘖、乌梅肉(微炒)、浓朴(去除粗皮,涂生姜汁炙至香熟)、白术、人参(去除芦头)、赤石脂、黄芩、龙骨、桂心、甘草(炙至微红,锉碎,各半两)、黄连(一两半,去除须根,微炒)、黄雌鸡骨(一具,洗净,去掉肉,酒浸一夜,炙至黄色)。
以上药物捣碎,过筛成细末,用炼蜜制成梧桐子大小的丸剂。每次用米汤送服五丸,每日三次,根据患儿年龄大小,增减剂量服用。
雄黄散 治疗小儿久痢不愈,身体消瘦且壮热,毛发干枯焦黄,不能进食。
雄黄、芦荟、青黛、朱砂、熊胆、麝香(各细研)、龙胆(去除芦头)、黄连(去除须根,微炒)、黄柏(微炙,锉碎)、当归(锉碎,微炒)、白芷、细辛、甘草(炙至微红,锉碎,各一分)、蚱蝉(七枚,去除足)、干虾蟆(一两,涂酥油,炙至黄焦)。
以上药物捣碎,细罗成散剂。加入已研细的药物,再次研磨均匀。每次用井华水调服半钱,每日三到四次,根据患儿年龄大小,酌情增减。
鸡子粥 治疗小儿下痢不止,身体瘦弱。
鸡蛋(一枚)、糯米(一合)。
以上药物煮粥,临熟时打破鸡蛋混合搅匀。空腹时,加少许醋食用。
〔张涣〕龙骨汤 治疗小儿痢疾日久形成疳积,逐渐面色萎黄消瘦。
龙骨、诃梨勒皮(炮制)、赤石脂(各半两)、醋石榴皮(炒黄)、木香、使君子仁(各一分)。
以上药物捣碎,过筛成细末。每次服用半字至一钱,用含麝香的汤剂调服。
Chao Yuanfang stated: Children's intestines and stomachs are weak; upon contracting wind-cold (recorded in *Taiping Shenghui Fang* as "accompanied by malnutrition qi") they suffer from diarrhea. After the dysentery ceases, the spleen and stomach remain deficient, and the qi of grain is still insufficient, failing to nourish the blood and qi, thus resulting in emaciation.
The *Waitai Miyao*, citing Liu's formula, treats deficiency after pediatric dysentery, characterized by heat in the palms and soles. This formula may be administered even if the dysentery has not completely ceased.
Tangerine Peel (*Citri Reticulatae Pericarpium*), Fresh Ginger Root (*Zingiberis Rhizoma Recens*) (each 3 fen).
The above two ingredients are sliced. Decoct with half a sheng of cow's milk until four he of liquid remain. Strain the dregs and administer warm in divided doses.
*Taiping Shenghui Fang* Jiegeng Wan (Platycodon Pill) treats prolonged dysentery in children, physical emaciation, and indigestion.
Platycodon Root (*Platycodonis Radix*) (remove rhizome), Medicated Leaven (*Shenqu*) (lightly stir-fried, each 1 liang), Malt (*Maimaiya*), Dried Plum Flesh (*Wumei Rou*) (lightly stir-fried), Magnolia Bark (*Houpo*) (remove rough bark, coat with ginger juice, roast until fragrant), Atractylodes Macrocephala Rhizome (*Baizhu*), Ginseng Root (*Renshen*) (remove rhizome), Red Kaolin (*Chishizhi*), Scutellaria Root (*Huangqin*), Dragon Bone (*Longgu*), Cinnamon Twig (*Guixin*), Licorice Root (*Gancao*) (roast until slightly red, cut into small pieces, each 0.5 liang), Coptis Rhizome (*Huanglian*) (1.5 liang, remove roots, lightly stir-fried), Skeleton of Yellow Hen (*Huangji Gu*) (one piece, clean thoroughly, remove meat, soak in wine overnight, roast until yellow).
Pound the above herbs, sieve into fine powder, and mix with refined honey to form pills the size of mung beans. Administer five pills per dose with rice broth, three times daily. Adjust dosage according to the child's age and size.
Xionghuang San (Realgar Powder) treats persistent dysentery in children that has not healed, accompanied by emaciation, high fever, dry and brittle hair, and anorexia.
Realgar (*Xionghuang*), Aloe (*Luhui*), Indigo Naturalis (*Qingdai*), Cinnabar (*Zhusha*), Bear Bile (*Xiongdan*), Musk (*Shexiang*) (each finely ground), Gentian Root (*Longdan*) (remove rhizome), Coptis Rhizome (*Huanglian*) (remove roots, lightly stir-fried), Phellodendron Bark (*Huangbai*) (lightly roasted, cut into small pieces), Angelica Sinensis Root (*Danggui*) (cut into small pieces, lightly stir-fried), Angelica Dahurica Root (*Baizhi*), Asarum Root (*Xixin*), Licorice Root (*Gancao*) (roast until slightly red, cut into small pieces, each 1 fen), Locust (*Zachan*) (seven, remove legs), Dried Toad (*Gan Xama*) (1 liang, coat with butter, roast until yellow and crisp).
Pound the above herbs and sieve into a fine powder. Incorporate the previously ground ingredients and grind uniformly. Administer half a qian per dose mixed well-water, three to four times daily. Adjust dosage according to the child's age and condition.
Jizi Zhou (Egg Congee) treats continuous diarrhea in children and physical weakness.
Chicken Egg (*Jizi*), Glutinous Rice (*Nuomi*) (1 he).
Cook the congee. Just before it is done, break the egg into the pot and stir evenly. Consume on an empty stomach with a little vinegar.
[Zhang Huan] Longgu Tang (Dragon Bone Decoction) treats pediatric dysentery persisting for a long time leading to malnutrition syndrome (*gan*), characterized by gradual sallow complexion and emaciation.
Dragon Bone (*Longgu*), Chebula Fruit Epidermis (*Helile Pi*) (processed), Red Kaolin (*Chishizhi*) (each 0.5 liang), Vinegar-treated Pomegranate Peel (*Cu Shiliupi*) (stir-fried until yellow), Aucklandia Root (*Muxiang*), Quisqualis Seed Kernel (*Shijunzi Ren*) (each 1 fen).
Pound the above herbs and sieve into a fine powder. Administer half a zi to one qian per dose, mixed with decoction containing Musk (*Shexiang*).