{"resource_id":14670,"title":"保幼新编","format":"md","encoding":"utf-8","chapters":[{"id":"chapter-1","title":"保幼新編","sections":[{"id":"chapter-1-section-1","title":"正文","paragraphs":["保幼新編","目錄表"]},{"id":"chapter-1-section-2","title":"序","paragraphs":[]},{"id":"chapter-1-section-3","title":"凡例","paragraphs":[]},{"id":"chapter-1-section-4","title":"運氣流行法","paragraphs":[]},{"id":"chapter-1-section-5","title":"小兒病源總論","paragraphs":[]},{"id":"chapter-1-section-6","title":"辨實熱","paragraphs":[]},{"id":"chapter-1-section-7","title":"辨虛熱","paragraphs":[]},{"id":"chapter-1-section-8","title":"胎熱預治方","paragraphs":[]},{"id":"chapter-1-section-9","title":"初生危證","paragraphs":["驚風之候","丹毒之候"]},{"id":"chapter-1-section-10","title":"腹痛之候","paragraphs":[]},{"id":"chapter-1-section-11","title":"雜證","paragraphs":[]},{"id":"chapter-1-section-12","title":"三關脈法","paragraphs":[]},{"id":"chapter-1-section-13","title":"觀形察色法","paragraphs":[]},{"id":"chapter-1-section-14","title":"聽聲音法","paragraphs":[]},{"id":"chapter-1-section-15","title":"胎熱","paragraphs":["急驚","慢驚"]},{"id":"chapter-1-section-16","title":"慢脾風","paragraphs":["天吊","客忤","中惡","痙","癇","癲狂","丹毒","遍身胎腫","瘰","癭瘤"]},{"id":"chapter-1-section-17","title":"腹痛","paragraphs":["腹脹","吐瀉","脫肛"]},{"id":"chapter-1-section-18","title":"下疳瘡","paragraphs":[]},{"id":"chapter-1-section-19","title":"痔疾治方","paragraphs":[]},{"id":"chapter-1-section-20","title":"大便不通治方","paragraphs":[]},{"id":"chapter-1-section-21","title":"小便不通治方","paragraphs":[]},{"id":"chapter-1-section-22","title":"疳積","paragraphs":["瘧母","黃瘦"]},{"id":"chapter-1-section-23","title":"痰厥","paragraphs":[]},{"id":"chapter-1-section-24","title":"中風","paragraphs":["迭指","龜背","龜胸","解顱","五軟"]},{"id":"chapter-1-section-25","title":"眼病","paragraphs":[]},{"id":"chapter-1-section-26","title":"雀目","paragraphs":[]},{"id":"chapter-1-section-27","title":"夜啼（附咳喘）","paragraphs":["變蒸","臍風（附旋螺風等）","鼻淵","愛吃泥土","滯頤","齒久不生（附發久不生）","行遲","語遲"]},{"id":"chapter-1-section-28","title":"稀痘法","paragraphs":[]},{"id":"chapter-1-section-29","title":"序","paragraphs":["經曰：寧醫十丈夫，難醫一小兒。夫小兒也，臟腑脆嫩，氣血未定，經絡脈息軟弱如絲毫，易虛易實，乍冷乍熱，口不能言證情，手不能指病處，苟不考其方，而先為之所，則當局者迷，終不免束手待盡。其為病，　施姑舍，是自家之薦遭兒　，心常痛之。昨年秋，浮屠正訓，袖示一冊子，曰：此古皇明成斯文，逸其名號，無忌先生所撰《保幼新編》也。論症制方最為詳備，而世醫之等視文具流傳爛紙。訓恐久而漫滅，蕩瓶缽，付剞劂，幸先生之惠一言，弁諸首也。","餘於醫學實昧昧焉，不能有以測其說之淺深，重以衰病倥傯，經歲不遑。近於舊簏中間閱其所傳本，蓋其說原於古經，附以新方，刪繁撮要，無浩　難尋之患。參運氣，化五行，察陰陽，看日時，對證輒效，如持左契。今得廣其流佈，家藏而人誦之。雖非學為方者，開卷瞭然，及時投劑，俾赤子既殊而回蘇之，共登慈航，同躋壽域。夫儒之斥佛，以其用功於虛無寂滅而止耳。今乃於瓶水枯淡中，有此竭心力念及壽民之方，孰謂吾儒之所未能者，以浮屠氏而能之乎？餘於是益痛其見之之晚，而僕僕愧而敘。"]},{"id":"chapter-1-section-30","title":"龍集乙巳七夕勿齋病夫盧光履撰","paragraphs":[]},{"id":"chapter-1-section-31","title":"凡例","paragraphs":["一小兒急病，臨時考方，有若當局者迷，常有不及治之患。迨其病未發，宜熟覽此一通，使心目瞭然於諸證，而預備緊入之材，然後庶可趁其證情之未危而治之也。","一小兒急病皆入重材，鄉鄙貧家，卒難覓用，終未免束手待盡，非所以濟夭之意也。今者諸方湯散丸中，擇其妙緊之劑，減其難得之材，而另加鄉產之性相近者，更為制方。雖涉僭越，而庶可為活命之一助焉。","一古人治病，用意不同，立方甚煩，猝當危急之證，未及精擇其當劑，雜施諸方，使標本失次，經緯錯亂，或救或不救，寧不懼哉！小兒之病，不過曰驚、熱、風、痰而已，制方雖殊，而所入之材，大同小異。故敢以管見，刪其峻毒之材，取其和平之味，合為通治之劑。而如有別訂可以兼治者，則別書加減法；若不可兼治，則別立一、二方，以為便考之地爾。","一湯劑分錢太過，一、二歲兒，則一帖分五、六次飲之；五、六歲兒，則分二、三次飲之，酌量用之可也。"]},{"id":"chapter-1-section-32","title":"運氣流行法","paragraphs":["（幹曰運，支曰氣）","化氣五行","甲己土　乙庚金　丙辛水　丁壬木　戊癸火　子午火　醜未土　寅申火　卯酉金　辰戌水　巳亥木","看日","運氣同，曰天符，得病危同困。","氣生運，曰順化。","氣克運，曰天刑。","運生氣，曰小逆。","運克氣，曰不和。","運臨氣，曰歲會。得病執持。（甲辰、甲戌、丙子、丁卯之年是也）","符會合，曰太乙。得病立死。（戊午、乙酉、己未、己丑之年是也）","客氣旁通","看年","子午太陽初之氣　醜未厥陰初之氣寅申少陰初之氣　卯酉太陰初之氣辰戌少陽初之氣　巳亥陽明初之氣","看節","大寒初，春分前，初之氣主之。","春分初，小滿前，二之氣主之。","小滿初，大暑前，三之氣主之。","大暑初，秋分前，四之氣主之。","秋分初，小雪前，五之氣主之。","小雪初，大寒前，六之氣主之。","計法先考年之屬某之支，某經初之氣；次考月之屬某節，某之氣主之，次考下輪圖，則知某經客氣之為某病也。","看日時","圖","子屬膽　胞胎□　醜屬肝　水土生起巳　寅屬肺　木生起申　卯屬大腸　金生起寅　辰屬胃　火生起亥　巳屬脾午屬心　未屬小腸　申屬膀胱　酉屬腎　戌屬心胞　亥屬三焦少陽（手：三焦，足：膽）　熱疾陽明（手：大腸，足：胃）　厲疾太陽（手：小腸，足：膀胱）　寒疾少陰（手：心，足：腎）　心疾厥陰（手：心包，足：肝）　末疾太陰（手：肺，足：脾）　腸疾","《入門》曰：醫而不知運氣，如面牆而立。況未語小兒之病，尤難辨其某經之所屬，保幼之家不可以不知此也。"]},{"id":"chapter-1-section-33","title":"小兒病源總論","paragraphs":["小兒之病，皆出於熱，何也？蓋男多腎火，女多肝火，腎有火則精熱，肝有火則血熱。小兒稟受父母之精血而成胎，故小兒之病，皆由於胎熱也。","經曰：熱生風。又曰：熱生痰。蓋胎熱挾風上升則為頭瘡、　耳、齒疳、雀目之證；外散則為丹毒、癮疹、遍身胎腫之證。胎熱挾風與痰而流注於頭項、胸背、腋脅、肢節，則為瘰　、癭瘤、走馬、飛□、痰厥、不仁、不遂、龜胸、龜背之證。風痰火乘虛（氣□所虛，邪□湊焉）。而聚合於五內，則為急驚（實熱）、慢驚（虛熱）、狂（實熱）、癲（虛熱）、癇、釣、　（柔）、痙（強）、疝、淋、浮、脹之證。是以胎熱變生六證（風、熱、痰、火、燥、溼），六證養成百病，百病根委不過曰胎熱而已（熱生痰者，熱多則津液煎熬而成痰也）。","凡小兒稟氣有虛實。氣實則熱亦實，氣虛則熱亦虛。虛熱甚而痰多風小，則為慢驚（氣虛則熱愈增勢，熱甚則痰愈增勢）；實熱甚而痰少風多，則為急驚。凡治急驚，先以清熱為主；治慢驚，先以補氣消痰為主。","驚有三證：急驚、慢驚、慢脾風也（眼半開半合，將成脾風之候。驚風三次復發則為癇也）。","驚有八候：一搐（臂肘伸縮）、二搦（十指皆合）、三掣（勢如提掣）、四顫（頭身顫動）、五反（身首反張）、六引（手如挽弓）、七竄（目直上竄）、八視（晴露斜視）。","搐有五證：身熱力大者，急驚；身冷力小者，慢驚；仆地作聲，醒時吐沫者，癇；頭仰視者，天吊；角弓反張者，。","脾風有五證：頭雖熱，眼珠青白而足冷；頭雖熱，或腹脹而足冷；頭雖熱，或洩瀉而足冷；頭雖熱，或嘔吐而足冷；頭雖熱，或渴而足冷者，脾風之候。（凡頭熱足冷者，皆真元不足，而虛熱上升之致）","驚搐無聲者，順；有聲者，逆。男為陽屬木，故發搐之時，左視水位（肺）則無聲，右視金位（肺）則有聲。女人反是。蓋金木相擊故也。","心主驚，實則多叫哭驚悸，手足動搖，發熱飲水；心氣熱則合面而臥；熱實則仰臥目上竄，舌強不能語，虛則困臥驚悸不安。","肝主風，實則目直視，大叫，呵欠，項急，煩悶。甚則兩　俱緊，不轉目睛，發驚切牙，手循衣亂捻物，身強反張。","脾主困，實則困睡，身熱飲水，洩瀉赤"]}]}],"toc":[{"id":"chapter-1-section-1","chapter_title":"保幼新編","section_title":"正文","is_available":true},{"id":"chapter-1-section-2","chapter_title":"保幼新編","section_title":"序","is_available":true},{"id":"chapter-1-section-3","chapter_title":"保幼新編","section_title":"凡例","is_available":true},{"id":"chapter-1-section-4","chapter_title":"保幼新編","section_title":"運氣流行法","is_available":true},{"id":"chapter-1-section-5","chapter_title":"保幼新編","section_title":"小兒病源總論","is_available":true},{"id":"chapter-1-section-6","chapter_title":"保幼新編","section_title":"辨實熱","is_available":true},{"id":"chapter-1-section-7","chapter_title":"保幼新編","section_title":"辨虛熱","is_available":true},{"id":"chapter-1-section-8","chapter_title":"保幼新編","section_title":"胎熱預治方","is_available":true},{"id":"chapter-1-section-9","chapter_title":"保幼新編","section_title":"初生危證","is_available":true},{"id":"chapter-1-section-10","chapter_title":"保幼新編","section_title":"腹痛之候","is_available":true},{"id":"chapter-1-section-11","chapter_title":"保幼新編","section_title":"雜證","is_available":true},{"id":"chapter-1-section-12","chapter_title":"保幼新編","section_title":"三關脈法","is_available":true},{"id":"chapter-1-section-13","chapter_title":"保幼新編","section_title":"觀形察色法","is_available":true},{"id":"chapter-1-section-14","chapter_title":"保幼新編","section_title":"聽聲音法","is_available":true},{"id":"chapter-1-section-15","chapter_title":"保幼新編","section_title":"胎熱","is_available":true},{"id":"chapter-1-section-16","chapter_title":"保幼新編","section_title":"慢脾風","is_available":true},{"id":"chapter-1-section-17","chapter_title":"保幼新編","section_title":"腹痛","is_available":true},{"id":"chapter-1-section-18","chapter_title":"保幼新編","section_title":"下疳瘡","is_available":true},{"id":"chapter-1-section-19","chapter_title":"保幼新編","section_title":"痔疾治方","is_available":true},{"id":"chapter-1-section-20","chapter_title":"保幼新編","section_title":"大便不通治方","is_available":true},{"id":"chapter-1-section-21","chapter_title":"保幼新編","section_title":"小便不通治方","is_available":true},{"id":"chapter-1-section-22","chapter_title":"保幼新編","section_title":"疳積","is_available":true},{"id":"chapter-1-section-23","chapter_title":"保幼新編","section_title":"痰厥","is_available":true},{"id":"chapter-1-section-24","chapter_title":"保幼新編","section_title":"中風","is_available":true},{"id":"chapter-1-section-25","chapter_title":"保幼新編","section_title":"眼病","is_available":true},{"id":"chapter-1-section-26","chapter_title":"保幼新編","section_title":"雀目","is_available":true},{"id":"chapter-1-section-27","chapter_title":"保幼新編","section_title":"夜啼（附咳喘）","is_available":true},{"id":"chapter-1-section-28","chapter_title":"保幼新編","section_title":"稀痘法","is_available":true},{"id":"chapter-1-section-29","chapter_title":"保幼新編","section_title":"序","is_available":true},{"id":"chapter-1-section-30","chapter_title":"保幼新編","section_title":"龍集乙巳七夕勿齋病夫盧光履撰","is_available":true},{"id":"chapter-1-section-31","chapter_title":"保幼新編","section_title":"凡例","is_available":true},{"id":"chapter-1-section-32","chapter_title":"保幼新編","section_title":"運氣流行法","is_available":true},{"id":"chapter-1-section-33","chapter_title":"保幼新編","section_title":"小兒病源總論","is_available":true}],"plain_text":"# 保幼新編\n保幼新編\n目錄表\n## 序\n## 凡例\n## 運氣流行法\n## 小兒病源總論\n## 辨實熱\n## 辨虛熱\n## 胎熱預治方\n## 初生危證\n驚風之候\n丹毒之候\n## 腹痛之候\n## 雜證\n## 三關脈法\n## 觀形察色法\n## 聽聲音法\n## 胎熱\n急驚\n慢驚\n## 慢脾風\n天吊\n客忤\n中惡\n痙\n癇\n癲狂\n丹毒\n遍身胎腫\n瘰\n癭瘤\n## 腹痛\n腹脹\n吐瀉\n脫肛\n## 下疳瘡\n## 痔疾治方\n## 大便不通治方\n## 小便不通治方\n## 疳積\n瘧母\n黃瘦\n## 痰厥\n## 中風\n迭指\n龜背\n龜胸\n解顱\n五軟\n## 眼病\n## 雀目\n## 夜啼（附咳喘）\n變蒸\n臍風（附旋螺風等）\n鼻淵\n愛吃泥土\n滯頤\n齒久不生（附發久不生）\n行遲\n語遲\n## 稀痘法\n## 序\n經曰：寧醫十丈夫，難醫一小兒。夫小兒也，臟腑脆嫩，氣血未定，經絡脈息軟弱如絲毫，易虛易實，乍冷乍熱，口不能言證情，手不能指病處，苟不考其方，而先為之所，則當局者迷，終不免束手待盡。其為病，　施姑舍，是自家之薦遭兒　，心常痛之。昨年秋，浮屠正訓，袖示一冊子，曰：此古皇明成斯文，逸其名號，無忌先生所撰《保幼新編》也。論症制方最為詳備，而世醫之等視文具流傳爛紙。訓恐久而漫滅，蕩瓶缽，付剞劂，幸先生之惠一言，弁諸首也。\n餘於醫學實昧昧焉，不能有以測其說之淺深，重以衰病倥傯，經歲不遑。近於舊簏中間閱其所傳本，蓋其說原於古經，附以新方，刪繁撮要，無浩　難尋之患。參運氣，化五行，察陰陽，看日時，對證輒效，如持左契。今得廣其流佈，家藏而人誦之。雖非學為方者，開卷瞭然，及時投劑，俾赤子既殊而回蘇之，共登慈航，同躋壽域。夫儒之斥佛，以其用功於虛無寂滅而止耳。今乃於瓶水枯淡中，有此竭心力念及壽民之方，孰謂吾儒之所未能者，以浮屠氏而能之乎？餘於是益痛其見之之晚，而僕僕愧而敘。\n## 龍集乙巳七夕勿齋病夫盧光履撰\n## 凡例\n一小兒急病，臨時考方，有若當局者迷，常有不及治之患。迨其病未發，宜熟覽此一通，使心目瞭然於諸證，而預備緊入之材，然後庶可趁其證情之未危而治之也。\n一小兒急病皆入重材，鄉鄙貧家，卒難覓用，終未免束手待盡，非所以濟夭之意也。今者諸方湯散丸中，擇其妙緊之劑，減其難得之材，而另加鄉產之性相近者，更為制方。雖涉僭越，而庶可為活命之一助焉。\n一古人治病，用意不同，立方甚煩，猝當危急之證，未及精擇其當劑，雜施諸方，使標本失次，經緯錯亂，或救或不救，寧不懼哉！小兒之病，不過曰驚、熱、風、痰而已，制方雖殊，而所入之材，大同小異。故敢以管見，刪其峻毒之材，取其和平之味，合為通治之劑。而如有別訂可以兼治者，則別書加減法；若不可兼治，則別立一、二方，以為便考之地爾。\n一湯劑分錢太過，一、二歲兒，則一帖分五、六次飲之；五、六歲兒，則分二、三次飲之，酌量用之可也。\n## 運氣流行法\n（幹曰運，支曰氣）\n化氣五行\n甲己土　乙庚金　丙辛水　丁壬木　戊癸火　子午火　醜未土　寅申火　卯酉金　辰戌水　巳亥木\n看日\n運氣同，曰天符，得病危同困。\n氣生運，曰順化。\n氣克運，曰天刑。\n運生氣，曰小逆。\n運克氣，曰不和。\n運臨氣，曰歲會。得病執持。（甲辰、甲戌、丙子、丁卯之年是也）\n符會合，曰太乙。得病立死。（戊午、乙酉、己未、己丑之年是也）\n客氣旁通\n看年\n子午太陽初之氣　醜未厥陰初之氣寅申少陰初之氣　卯酉太陰初之氣辰戌少陽初之氣　巳亥陽明初之氣\n看節\n大寒初，春分前，初之氣主之。\n春分初，小滿前，二之氣主之。\n小滿初，大暑前，三之氣主之。\n大暑初，秋分前，四之氣主之。\n秋分初，小雪前，五之氣主之。\n小雪初，大寒前，六之氣主之。\n計法先考年之屬某之支，某經初之氣；次考月之屬某節，某之氣主之，次考下輪圖，則知某經客氣之為某病也。\n看日時\n圖\n子屬膽　胞胎□　醜屬肝　水土生起巳　寅屬肺　木生起申　卯屬大腸　金生起寅　辰屬胃　火生起亥　巳屬脾午屬心　未屬小腸　申屬膀胱　酉屬腎　戌屬心胞　亥屬三焦少陽（手：三焦，足：膽）　熱疾陽明（手：大腸，足：胃）　厲疾太陽（手：小腸，足：膀胱）　寒疾少陰（手：心，足：腎）　心疾厥陰（手：心包，足：肝）　末疾太陰（手：肺，足：脾）　腸疾\n《入門》曰：醫而不知運氣，如面牆而立。況未語小兒之病，尤難辨其某經之所屬，保幼之家不可以不知此也。\n## 小兒病源總論\n小兒之病，皆出於熱，何也？蓋男多腎火，女多肝火，腎有火則精熱，肝有火則血熱。小兒稟受父母之精血而成胎，故小兒之病，皆由於胎熱也。\n經曰：熱生風。又曰：熱生痰。蓋胎熱挾風上升則為頭瘡、　耳、齒疳、雀目之證；外散則為丹毒、癮疹、遍身胎腫之證。胎熱挾風與痰而流注於頭項、胸背、腋脅、肢節，則為瘰　、癭瘤、走馬、飛□、痰厥、不仁、不遂、龜胸、龜背之證。風痰火乘虛（氣□所虛，邪□湊焉）。而聚合於五內，則為急驚（實熱）、慢驚（虛熱）、狂（實熱）、癲（虛熱）、癇、釣、　（柔）、痙（強）、疝、淋、浮、脹之證。是以胎熱變生六證（風、熱、痰、火、燥、溼），六證養成百病，百病根委不過曰胎熱而已（熱生痰者，熱多則津液煎熬而成痰也）。\n凡小兒稟氣有虛實。氣實則熱亦實，氣虛則熱亦虛。虛熱甚而痰多風小，則為慢驚（氣虛則熱愈增勢，熱甚則痰愈增勢）；實熱甚而痰少風多，則為急驚。凡治急驚，先以清熱為主；治慢驚，先以補氣消痰為主。\n驚有三證：急驚、慢驚、慢脾風也（眼半開半合，將成脾風之候。驚風三次復發則為癇也）。\n驚有八候：一搐（臂肘伸縮）、二搦（十指皆合）、三掣（勢如提掣）、四顫（頭身顫動）、五反（身首反張）、六引（手如挽弓）、七竄（目直上竄）、八視（晴露斜視）。\n搐有五證：身熱力大者，急驚；身冷力小者，慢驚；仆地作聲，醒時吐沫者，癇；頭仰視者，天吊；角弓反張者，。\n脾風有五證：頭雖熱，眼珠青白而足冷；頭雖熱，或腹脹而足冷；頭雖熱，或洩瀉而足冷；頭雖熱，或嘔吐而足冷；頭雖熱，或渴而足冷者，脾風之候。（凡頭熱足冷者，皆真元不足，而虛熱上升之致）\n驚搐無聲者，順；有聲者，逆。男為陽屬木，故發搐之時，左視水位（肺）則無聲，右視金位（肺）則有聲。女人反是。蓋金木相擊故也。\n心主驚，實則多叫哭驚悸，手足動搖，發熱飲水；心氣熱則合面而臥；熱實則仰臥目上竄，舌強不能語，虛則困臥驚悸不安。\n肝主風，實則目直視，大叫，呵欠，項急，煩悶。甚則兩　俱緊，不轉目睛，發驚切牙，手循衣亂捻物，身強反張。\n脾主困，實則困睡，身熱飲水，洩瀉赤","is_preview":true,"preview_page_limit":10}