《圣惠》小儿因汗,为风邪热毒所伤,与血气相搏,热气蒸发于外,其肉赤而壮
热也。
治小儿身上有赤,引于颊上或口旁、眼下,赤如胭脂,向上皮即皴剥,渐渐引多,
此是心热血凝所为,其治法,宜以小刀子锋头镰破,令血出后,宜服丹参散
丹参 黄芩 枳壳(去白,麸炒) 葛根 犀角(镑。各一分) 麻黄(去根节,半两)
上为末。每一钱,水一小盏,入竹叶十片,竹茹半钱,煎五分,去滓,放温,量儿加减,无时服。
治小儿身上有赤烦热。麦门冬散
麦门冬(去心) 芦根(锉) 葛根(锉) 犀角屑 漏芦 甘草(炙微赤。各半两)
上为末。每服一钱,水一盏,竹叶十片,去滓,放温,量儿加减,无时服。
治小儿身上有赤或瘀肿,或如火丹,烦渴,浑身赤,壮热。铅霜散
铅霜(研) 绿豆粉(各半两) 用芸苔菜自然汁调涂。
又方 伏龙肝(一两,为末) 乱头发(二两 ,灰研) 水调涂赤处。
又方 桃仁去皮研烂,以面脂和涂。水煮黄蒿穗浓汁,入盐少许温服。细研白矾
末,生油调涂。杵芭蕉根汁涂。杵水中苔,水调涂。水调芒硝末涂。炒米
粉令焦黑,为末,津唾调涂。生蛇衔草,捣烂涂。
治蛇缠丹、匝腰则死。捣莴苣烂涂,或研莴苣子涂之。《戴氏家传》用芦箔上草绳
经子烧灰,同生油调涂。《广利方》杵马齿苋敷之。
《圣惠方》记载,小儿因出汗后,受到风邪热毒的侵袭,与体内的血气相互搏结,热气向外蒸腾,导致皮肤肌肉发红且伴有高热。
治疗小儿身上出现红斑,并蔓延至脸颊或口旁、眼下,颜色像胭脂一样红,向上发展的部位皮肤就会干裂脱皮,并且逐渐扩散增多,这是由心经热血凝滞所致。治疗方法,适宜用小刀的锋刃处挑破患处,让血液流出后,适宜服用丹参散。
丹参 黄芩 枳壳(去除白色部分,用麦麸炒制) 葛根 犀角(镑成薄片。各一分) 麻黄(去除根部节段,半两)
以上药物研为细末。每次取一钱药末,加入一小盏水,放入十片竹叶、半钱竹茹,煎煮至剩余五分水量,滤去药渣,待温度适宜后,根据患儿年龄大小调整剂量,不拘时服用。
麦门冬(去除心部) 芦根(切碎) 葛根(切碎) 犀角屑 漏芦 甘草(炙至微红。各半两)
以上药物研为细末。每次服用一钱,加入一盏水,十片竹叶,滤去药渣,待温度适宜后,根据患儿年龄大小调整剂量,不拘时服用。
治疗小儿身上有红斑或瘀肿,或者像火丹一样,烦躁口渴,全身发红,高热。铅霜散
铅霜(研磨) 绿豆粉(各半两) 用芸苔菜的自然汁液调和涂抹。
又一方:伏龙肝(一两,研为细末) 乱头发(二两,在灰中研磨) 用水调匀涂抹发红处。
又一方:桃仁去皮后研烂,用面脂调和涂抹。水煮黄蒿穗制成浓汁,加入少许盐温服。细研白矾末,用生油调和涂抹。捣碎芭蕉根汁液涂抹。捣碎水中苔藓,用水调匀涂抹。用水调匀芒硝末涂抹。将米粉炒至焦黑,研为细末,用唾液调匀涂抹。新鲜蛇衔草,捣烂后涂抹。
治疗蛇缠丹,如果环绕腰部一圈则会导致死亡。捣烂莴苣涂抹,或者研磨莴苣子涂抹。《戴氏家传》使用芦席上的草绳经过子烧成的灰,同生油调和涂抹。《广利方》捣碎马齿苋敷贴患处。
According to *Shenghui Fang*, when infants sweat and are injured by wind-pathogenic heat-toxins, these pathogens contend with the blood and qi. The heat steams outward, causing the flesh to become red and accompanied by high fever.
To treat infants with redness on the body that spreads to the cheeks, beside the mouth, or under the eyes, appearing red like rouge, where the skin above cracks and peels as it gradually spreads, this is caused by stagnant hot blood in the Heart. The treatment method involves using the sharp edge of a small knife to lacerate the affected area to allow blood to flow out, followed by administering Danshen San (Salvia Miltiorrhiza Powder).
Danshen (Salviae Miltiorrhizae Radix et Rhizoma), Huangqin (Scutellariae Radix), Zhike (Aurantii Fructus, white pith removed and stir-fried with bran), Gegen (Puerariae Lobatae Radix), Xijiao (Rhinocerotis Cornu, shaved; each 1 fen), Mahuang (Ephedrae Herba, roots and nodes removed; 0.5 liang).
Grind the above ingredients into fine powder. Take 1 qian of the powder, add one small cup of water, ten leaves of Zhuye (Bambulae Folium), and 0.5 qian of Zhuru (Bambusae Caulis in Taeniam), decoct until five parts remain. Strain the dregs, let cool to a warm temperature, and adjust the dose according to the child's age. Administer at any time.
To treat infants with redness on the body accompanied by irritability and fever: Maidong San (Ophiopogon Decoction).
Maidong (Ophiopogonis Tuber, heart removed), Lugen (Phragmitis Rhizoma, chopped), Gegen (Puerariae Lobatae Radix, chopped), Xijiao Xie (Rhinocerotis Cornuti Pulvis), Loulu (Euphorbiae Humifusae Radix), Gancao (Glycyrrhizae Radix et Rhizoma, honey-fried until slightly red; each 0.5 liang).
Grind the above ingredients into fine powder. Take 1 qian per dose, add one cup of water and ten leaves of Zhuye (Bambulae Folium). Strain the dregs, let cool to a warm temperature, and adjust the dose according to the child's age. Administer at any time.
To treat infants with redness or bruising/swelling on the body, resembling Huodan (Fire Erysipelas), accompanied by irritability and thirst, generalized erythema, and high fever: Qianshuang San (Lead Frost Powder).
Qianshuang (Plumbum Nitricum, ground), Lvdoufen (Phaseoli Radiati Semen Amylum; each 0.5 liang). Mix with natural juice from Yuntaicai (Brassica campestris var. oleifera) and apply topically.
Another prescription: Fulonggan (Dragon's House Earth, 1 liang, ground into powder), Luantoufa (Human Hair, 2 liang, ground in ash). Mix with water and apply to the red areas.
Another prescription: Peel Tao Ren (Persicae Semen), grind into a paste, and mix with Mianzhi (Wheat Germ Oil) for topical application. Decoct Huanghao Sui (Artemisia scoparia flower spikes) to make a concentrated decoction, add a little salt, and take warm. Grind Baifan (Alumen) into fine powder, mix with Shengyou (Raw Sesame Oil) for topical application. Crush Bajiao Gen (Musa basjoo Root Juice) and apply. Crush Shuizhong Tai (Aquatic Moss) and mix with water for topical application. Mix Mangxiao (Natrii Sulfas) powder with water for topical application. Stir-fry Mi Fen (Rice Flour) until charred black, grind into powder, and mix with saliva for topical application. Fresh Sheyan Cao (Patrinia Herb), crush and apply.
Treat Shechandan (Snake-wrapping Erysipelas); if it encircles the waist, it is fatal. Crush Letu (Lactuca Sativa) and apply, or grind Letu Zi (Lactuca Sativa Seed) and apply. *Dai Shi Jia Chuan* prescribes burning grass ropes from reed mats through the zodiac sign period into ash, mixing with raw oil for topical application. *Guangli Fang* prescribes crushing Machixian (Portulacae Herba) and applying as a poultice.