胎中素挟风热,生下乳哺越常,头皮光急,满头饼疮,脑热如火,发结如穗,
遍身多汗,腮肿囟高是也。
《仙人水鉴》小儿三岁以下,多睡卧合面在地者,便是脑中疳气,宜服此方。
黄葵花 菊花 釜下墨 消石 柏叶(各等分)
上为散,吹入鼻中,永不合面卧地也。吹鼻中有恶物似泥泄数条,即便是脑中疳气,此是杀人之本。
小儿脑疳,乳母宜服此方。
柏叶 松叶 黄葵花 鼓子花 鳖甲 虎骨 槟榔 大黄(各二两)
上并生为末,与醋三升煎膏,丸如绿豆大。每日空心,饮下三丸,效。
《药性论》治小儿脑疳方
上,研芦荟不以多少,为细末。每用少许吹鼻中,杀脑疳鼻中痒。
《圣惠》牛黄丸 治小儿脑疳,身热发枯。
牛黄 芦荟(各细研) 熊胆(研入) 胡黄连 木香 犀角(屑。各一分) 龙脑 麝香(各细研) 蟾
酥(研入。各半分) 青黛(细研,半两)
上件药捣,罗为末,都研令匀,以面糊和丸,如黄米大。每服以温水下五丸,
日三服,量儿大小,以意加减。
龙脑丸 治小儿脑疳,羸瘦烦热。
龙脑 麝香 雄黄(各一钱) 胡黄连(末) 牛黄 朱砂 熊胆 芦荟 干虾蟆(灰。各一分)
上件药都研令如粉,以水化熊胆和丸,如麻子大。若硬,更入糯米饭同丸。每
服用薄荷温汤下三丸,日三服,量儿大小,以意加减。
吹鼻龙脑散 治小儿脑疳,鼻塞头痛,眼目昏暗,羞明怕日。
龙脑 麝香(各细研少许) 蜗牛壳(炒令黄) 虾蟆(灰) 瓜蒂 黄连(去须) 细辛(各一分)
上件药捣,细罗为散,入瓷合内贮之。每取少许,吹于鼻中,每日两上用之。
治小儿合面卧地多睡,或气急面黄,哭声高叫,或心痛口干,盖是因曾吃生肉如此,腹内有虫方。
鹤虱(二分) 茯苓(一两,煨) 木香(一分) 苦楝根(三两) 桧株根(半两)
上先将二味根,用水一斗煎成膏,然后将三味为末,搜和成丸黍粒大。每服三
五丸米饮下。(庄氏第十三候用此方)
第七脑疳,鼻下赤烂,身心烦躁,鼻内生疮,头发自落,日夜痛无休歇,状似鬼形,
安息丸
安息香 丁香 胡黄连 麝香 雄黄(各一钱) 肉豆蔻 金银箔(各五片)
上末,炼蜜丸,如麻子大。每服三丸,米汤下。
龙胆丸 治脑疳脑热疮。
龙胆草 升麻 苦楝根皮(焙) 赤茯苓 防风 芦荟 油发灰(各二钱) 青黛(干) 黄连(净。各三钱)
上为末, 猪胆汁浸糕糊、丸麻子大。薄荷汤下。仍以芦荟末入鼻。
胎儿在母体内原本就挟带风热,出生后吃奶和喂养超过正常限度,导致头皮光亮紧绷,满头都是像饼一样的疮疡,脑部发热如火烧,头发结成穗状,全身多处出汗,面颊肿胀、囟门高突,这就是脑疳的症状。
《仙人水鉴》记载:三岁以下的小儿,如果多喜欢趴着脸睡在地上,这就是脑中疳气,适宜服用这个方子。
黄葵花、菊花、釜下墨(锅底灰)、消石、柏叶(各等分)
以上药物研成散剂,吹入鼻中,以后就不会再趴着脸睡在地上了。吹鼻后如果有恶臭的分泌物像泥一样排出几条,就可以确诊是脑中疳气,这是致病之本。
小儿患脑疳,乳母适宜服用这个方子。
柏叶、松叶、黄葵花、鼓子花、鳖甲、虎骨、槟榔、大黄(各二两)
以上药物均生用研成粉末,加入三升醋煎制成膏,制成如绿豆大小的丸药。每天空腹时,用温水送服三丸,见效。
《药性论》治疗小儿脑疳的方子
取芦荟不限多少,研成细末。每次取少许吹入鼻中,可杀灭脑疳引起的鼻痒。
《圣惠方》牛黄丸:治疗小儿脑疳,身体发热、毛发干枯。
牛黄、芦荟(各细研)、熊胆(研入)、胡黄连、木香、犀角(锉屑,各一分)、龙脑、麝香(各细研)、蟾酥(研入,各半分)、青黛(细研,半两)
以上药物捣碎,过筛成粉末,混合研磨均匀,用面糊调和做成如黄米大小的丸药。每次用温水送服五丸,每日三次,根据患儿大小酌情加减。
龙脑丸:治疗小儿脑疳,形体消瘦、烦热。
龙脑、麝香、雄黄(各一钱)、胡黄连(末)、牛黄、朱砂、熊胆、芦荟、干虾蟆(烧灰,各一分)
以上药物都研磨成粉状,用水化开熊胆来调和做丸,如麻子大小。如果药丸太硬,可加入糯米饭一起制作。每次服用时,用薄荷温汤送服三丸,每日三次,根据患儿大小酌情加减。
吹鼻龙脑散:治疗小儿脑疳,鼻塞头痛,眼睛昏暗,畏光怕日。
龙脑、麝香(各细研少许)、蜗牛壳(炒至黄色)、虾蟆(烧灰)、瓜蒂、黄连(去须)、细辛(各一分)
以上药物捣碎,细细过筛成散剂,放入瓷盒中储存。每次取少许,吹入鼻中,每天早晚各使用一次。
治疗小儿趴脸睡觉多、嗜睡,或者气急面色发黄,哭声高叫,或者心痛口干,这是因为曾经吃过生肉所致,腹内有虫的方子。
鹤虱(二分)、茯苓(一两,煨制)、木香(一分)、苦楝根(三两)、桧株根(半两)
先将前两种根部药材,用水一斗煎成膏状,然后将后三种药材研成粉末,掺入膏中调和成如黍粒大小的丸药。每次服用三五丸,用米饮送下。(庄氏第十三候使用此方)
第七种脑疳,鼻子下方红肿溃烂,身心烦躁,鼻内生疮,头发脱落,日夜疼痛无休止,症状怪异似鬼形,安息丸
安息香、丁香、胡黄连、麝香、雄黄(各一钱)、肉豆蔻、金银箔(各五片)
以上药物研成粉末,炼蜜为丸,如麻子大小。每次服用三丸,用米汤送下。
龙胆丸:治疗脑疳导致的脑部发热疮疡。
龙胆草、升麻、苦楝根皮(焙干)、赤茯苓、防风、芦荟、油发灰(各二钱)、青黛(干品)、黄连(净选,各三钱)
以上药物研成粉末,用猪胆汁浸泡糕糊,制成如麻子大小的丸药。用薄荷汤送服。同时仍需用芦荟末吹入鼻中。
The fetus originally harbored wind-heat within the womb. After birth, excessive breastfeeding and feeding beyond normal limits resulted in a scalp that was smooth and tight, covered with crust-like sores resembling cakes across the entire head. The brain felt hot as if on fire, hair matted into tufts like tassels, profuse sweating over the whole body, swollen cheeks, and a bulging fontanelle. This is known as Brain Gan (Brain Malnutrition/Atrophy).
According to *Xianren Shuijian* (Mirror of the Immortal), children under three years old who frequently sleep lying face down on the ground suffer from Gan Qi (malnourishment qi) in the brain. They are suitable for taking this prescription:
Huang Kui Hua (Abutilon pictum flower), Ju Hua (Chrysanthemum Flower), Fu Xia Mo (Soot from the pot bottom), Xiao Shi (Niter/Potassium Nitrate), Bai Ye (Cacumen Platycladi) (equal parts).
Grind these into a powder and insufflate into the nose. This will prevent them from sleeping face down on the ground forever. If foul matter resembling mud is discharged in several strands upon insufflation, it confirms Brain Gan Qi; this is the root cause of the disease.
For pediatric Brain Gan, the nursing mother is suitable for taking this prescription:
Bai Ye (Cacumen Platycladi), Song Ye (Pinus Needle), Huang Kui Hua (Abutilon pictum flower), Guzhi Hua (Ipomoea nil flower), Bie Jia (Carapax et Plastrum Testudinis), Hu Gu (Os Tigris), Bing Lang (Areca Seed), Da Huang (Radix et Rhizoma Rhei) (each 2 liang).
All ingredients should be used raw, ground into powder, and decocted with 3 sheng of vinegar to form a paste. Form pills the size of mung beans. Take 3 pills on an empty stomach daily with warm water for efficacy.
From *Yao Xing Lun*, a prescription for treating pediatric Brain Gan:
Take Lu Hui (Aloe), any quantity, and grind into a fine powder. Insufflate a small amount into the nose each time to kill the nasal itching caused by Brain Gan.
From *Shenghui Fang*, Niuhuang Wan (Calculus Bovis Pill): Treats pediatric Brain Gan with body heat and dry, withered hair.
Niuhuang (Calculus Bovis), Lu Hui (Aloe) (each finely ground), Xiong Dan (Bile Ursi), Hudahuang (Rhizoma Coptidis), Muxiang (Radix Aucklandiae), Xi Jiao (Cornu Rhinocerotis) (shredded, each 1 fen), Long Nao (Borneolum Syntheticum), Shexiang (Moschus) (each finely ground), Chansu (Venenum Bufonis) (ground, each 0.5 fen), Qingdai (Indicum) (finely ground, 0.5 liang).
Pulverize and sieve all medicines, mix thoroughly, and bind with wheat flour paste to form pills the size of yellow millet grains. Administer 5 pills per dose with warm water, three times daily. Adjust dosage according to the child's age and condition.
Longnao Wan (Borneol Pill): Treats pediatric Brain Gan with emaciation and vexatious heat.
Long Nao (Borneolum Syntheticum), Shexiang (Moschus), Xionghuang (Realgar) (each 1 qian), Hudahuang (Rhizoma Coptidis) (powder), Niuhuang (Calculus Bovis), Zhusha (Cinnabaris), Xiong Dan (Bile Ursi), Lu Hui (Aloe), Gan Xama (Dried Bufo Skin Ash) (each 1 fen).
Grind all ingredients into a powder. Dissolve Xiong Dan (Bile Ursi) in water and use it to bind the pills, forming them the size of sesame seeds. If too hard, add glutinous rice flour during processing. Take 3 pills per dose with mint-infused warm water, three times daily. Adjust dosage according to the child's age and condition.
Choubi Longnao San (Insufflating Borneol Powder): Treats pediatric Brain Gan with nasal congestion, headache, dim vision, photophobia, and fear of sunlight.
Long Nao (Borneolum Syntheticum), Shexiang (Moschus) (each finely ground, small amount), Wo Niuke (Testudo Cochlearia Shell) (stir-fried until yellow), Xama (Bufo Skin Ash), Gudi (Fructus Momordicae), Huanglian (Rhizoma Coptidis) (remove roots), Xixin (Radix Asari) (each 1 fen).
Pulverize and sieve finely into a powder. Store in a porcelain container. Insufflate a small amount into the nose twice daily (morning and evening).
Prescription for infants who sleep face down, are lethargic, have rapid breathing and sallow complexion, cry loudly, or suffer from heart pain and dry mouth due to consuming raw meat and intestinal parasites:
Leshi (Semen Carpesii), Fuling (Poria) (1 liang, baked), Muxiang (Radix Aucklandiae) (1 fen), Kulian Gen (Radix Meliae Toosendan) (3 liang), Huai Zhu Gen (Root of Juniperus chinensis) (0.5 liang).
First, decoct the two root materials in one dou of water until reduced to a paste. Then, grind the remaining three herbs into powder and mix with the paste to form pills the size of millet grains. Take 3–5 pills per dose with rice drink. (Used by Zhu Shi's Thirteenth Observation).
Seventh type of Brain Gan: redness and erosion below the nose, mental restlessness, sores inside the nose, hair loss, ceaseless day-and-night pain, and strange appearances resembling ghosts. Anxi Wan (Benzoin Pill):
Anxi Xiang (Benzoin), Dingxiang (Flos Caryophylli), Hudahuang (Rhizoma Coptidis), Shexiang (Moschus), Xionghuang (Realgar) (each 1 qian), Roudoukou (Arillus Myristicae), Jin Yin Bo (Gold and Silver Leaf) (each 5 pieces).
Grind into powder, bind with refined honey to form pills the size of sesame seeds. Take 3 pills per dose with rice soup.
Longdan Wan (Gentian Pill): Treats Brain Gan with brain heat and sores.
Longdan Cao (Radix Gentianae), Shengma (Rhizoma Cimicifugae), Kulian Genpi (Cortex Radicis Meliae Toosendan) (baked), Chi Fuling (Poria with Red Heart), Fangfeng (Radix Saposhnikoviae), Lu Hui (Aloe), Youfa Hui (Ash of Oily Hair) (each 2 qian), Qingdai (Indicum) (dry), Huanglian (Rhizoma Coptidis) (cleaned) (each 3 qian).
Grind into powder. Soak cake paste in Pig Bile (Bile Suilla) and bind to form pills the size of sesame seeds. Take with mint tea. Additionally, insufflate Lu Hui (Aloe) powder into the nose.