{"resource_id":15310,"title":"陈氏幼科秘诀","format":"md","encoding":"utf-8","chapters":[{"id":"chapter-1","title":"陳氏幼科秘訣","sections":[{"id":"chapter-1-section-1","title":"陳氏幼科秘訣","paragraphs":[]},{"id":"chapter-1-section-2","title":"目錄","paragraphs":["初生","沐浴"]},{"id":"chapter-1-section-3","title":"噤風","paragraphs":["撮口"]},{"id":"chapter-1-section-4","title":"臍風","paragraphs":["氣閉","啼"]},{"id":"chapter-1-section-5","title":"傷風","paragraphs":[]},{"id":"chapter-1-section-6","title":"咳嗽","paragraphs":["瘧","吐","吐瀉"]},{"id":"chapter-1-section-7","title":"霍亂","paragraphs":["積","痢"]},{"id":"chapter-1-section-8","title":"疳","paragraphs":["腫脹"]},{"id":"chapter-1-section-9","title":"驚風","paragraphs":[]},{"id":"chapter-1-section-10","title":"驚風死症歌","paragraphs":[]},{"id":"chapter-1-section-11","title":"脈法","paragraphs":[]},{"id":"chapter-1-section-12","title":"慢驚慢脾","paragraphs":["風毒驚癱鶴膝候","癇"]},{"id":"chapter-1-section-13","title":"腹痛","paragraphs":["蟲"]},{"id":"chapter-1-section-14","title":"心痛","paragraphs":[]},{"id":"chapter-1-section-15","title":"咽喉","paragraphs":["暑","脫肛"]},{"id":"chapter-1-section-16","title":"熱","paragraphs":["黃膽"]},{"id":"chapter-1-section-17","title":"淋症（附白尿）","paragraphs":[]},{"id":"chapter-1-section-18","title":"眼目赤腫","paragraphs":[]},{"id":"chapter-1-section-19","title":"痧疹","paragraphs":["初生","小兒生下，以甘草、黃連、馬料豆多煎湯與之服。蓋穢吞胸中，吐以甘草；穢入腹中，利以黃連也。茯苓丸能治初生小兒腹滿氣短，不能飲乳。是穢物入腹所致，若胎中受寒，令小兒腹痛亦治。","茯苓丸","赤茯苓　黃連（寒症不用，宜用芍藥）","蜜丸桐子大，乳汁下一丸。","沐浴","宜益母草湯。令兒體滑，血脈流通，免生瘡疾。","益母草　黃連（各一兩）　蛇床子　苦參（各二兩）　本（五錢）　硃砂　雄黃（各一錢）","又方　桃枝　梓枝。","煎湯臨浴時加豬膽一個入內。"]},{"id":"chapter-1-section-20","title":"噤風","paragraphs":["噤風者，初生七日內忽然目閉、口噤，啼聲不出，下青糞，舌上有　肉如慄，吃乳不得，口吐白沫，大小便皆通。由在胎受熱毒流入心脾，故見於喉舌之間。或初生時為風邪搏擊所致，名犯風噤。口中白慄用綿裹，指蘸水擦破。百二十日內俱有此患。一口噤不乳，腹急多啼，牙關緊閉與撮口相似，赤者心噤，白者肺噤。","撮口","撮口者，面目黃腫或赤，喘急啼聲不出，由胎受熱氣兼風熱入臍，流毒於心脾，故舌強唇青，聚口撮而飲乳有妨，若口吐白沫，四肢冷，不治。或肚脹青筋，吊腸卵疝，內氣引痛，皆腸胃鬱結所致，十救二三，月內尤急，週歲始免。用白殭蠶直而明亮者佳二條，去絲嘴，炙脆為末，蜜調敷人中即瘥。或研牛黃一錢和竹瀝抹口中亦治。（按：牛黃要嫩黃輕虛，重迭可揭，氣息微香，摩指甲竟透者。）"]},{"id":"chapter-1-section-21","title":"臍風","paragraphs":["臍風者，斷臍後水溼風冷入臍，流於心肺，甚則發搐成驚。若臍凸四傍青黑，撮口不開，是為內撮。爪黑者死。用赤腳蜈蚣一條，蠍尾四個，殭蠶七條，瞿麥五分，為末。先以鵝羽管吹鼻內，得噴嚏啼哭為可治。後用薄荷湯調服，三者名雖不同，其原則一。皆因裡氣鬱結壅閉不通，由斷臍太短，結得不緊，外風入臍或牽動臍帶，水入生瘡所致。撮口尤其治當疏利，並用餘家小紅丸下之後，用抱龍丸、牛黃丸等。","心熱發驚，面青啼不出，吐白沫，腹脹硬，臍四邊浮腫，舌強不進乳，不與噤風同。初生小兒熱在胸膛頻頻作聲，弩脹，治法宜去風。此症眉青臉赤，勿用藥。治兒口噤牙關閉者，用天南星去皮臍為細末，加龍腦少許和均，指蘸薑汁，同藥擦牙上。","小紅丸","（又名辰砂丸）","全蠍（去毒洗淨，一兩）　南星（一兩）　珍珠（一錢）　硃砂（四錢五分）　巴霜（二錢五分）","為末，糯米糊丸如芥子大，每歲三五丸，看小兒強弱用。十歲以外百丸方效，燈心湯下。須要活法加減用之，方稱弄斧之手。如六七十丸、四五十丸。在用之者才酌。","抱龍丸","天竺黃（一兩）　膽星（四兩）　雄黃（五錢）","蜜丸，圓眼核大，約重一錢，硃砂為衣，每服一丸，薄荷湯化下，辰砂為衣亦可。","牛黃丸","枳實　黃連（各一兩）　膽星（二兩）　天竺黃（五錢）　天麻（五錢）　殭蠶　金蠍（各三錢）　雄黃（三錢）　龍齒（　，三錢）　牛黃（一錢）　麝香　冰片（各錢半）","蜜丸蠟封，用則去蠟，薄荷湯、燈心湯化下。","氣閉","兒生一二日，大小便不通，腹脹滿而欲絕，此胎毒之氣鬱閉所致。急令婦人溫水漱口，吸兒前後心、臍下及手足心，共七處，各吸五七口，赤紅色為度。氣散而自通，不然救亦無用。服餘家小黑丸及蔥白散。蔥白四寸，人乳內同搗如泥，敷入兒口，與乳，使吐後用當歸散。","當歸散","當歸（八分）　木通（六分）　連翹（五分）　滑石（六分）　甘草梢（三分）","水一鍾煎，不時服。","小黑丸","木香（一兩五分）　丁香（七錢五分）　肉蔻（曲包煨，十個）　杏仁（去皮尖，百二十粒）　百草霜（一兩）","巴霜前藥每一兩加巴霜一錢，丸法用法與小紅丸同。","啼","兒生下體青白無血色，日夜啼不止，體仰而　，腹滿不乳，大便青白，是在胎為風冷所傷而然。時時吐　，或腹中如雞子黃，接之如小雞聲而後出，若不急治則成癇，宜用餘家小黑丸及養髒湯。","養髒湯","白朮（八分）　芍藥（六分）　茯神（七分）　川芎（五分）　藿香（六分）　甘草（四分）　木香（三分）","鉤藤（三分）　澤瀉　肉豆蔻（各七分）","水一鍾，姜三片，煎服。"]},{"id":"chapter-1-section-22","title":"傷風","paragraphs":["風邪感於腠理，先入於肺，肺主皮毛，其身日夜發熱無汗，鼻塞氣粗，不惡寒而惡風，當風乃憎寒，呵欠煩悶，口中氣熱，當表散，宜加減芎蘇飲。","芎蘇飲","黃芩　柴胡　紫蘇　前胡　枳殼　半夏　桔梗　防風　山楂　茯苓　陳皮　甘草　幹葛頭痛加川芎或白芷；偏身及肢節痛加羌活；夾食去枳殼加青皮、枳實或蒼朮；四五日熱不退加麻黃，服麻黃又不退，熱入裡也，去紫蘇、枳殼、防風，加枳實、竹葉、石膏，用餘家小紅丸下之。","有痰，前飲內加貝母、天花粉或膽星；熱稍退而嗽，前飲內去紫蘇、防風，加桑白皮、杏仁或貝母，先當用小紅丸下之；嗽不轉者，熱鬱在肺，而氣不得宣通，加麻黃、石膏；嗽甚見血，加山梔、石膏；嗽久雖無血，亦加山梔；略有餘熱，前飲內去紫蘇、柴胡、防風，加石膏。","兒百日內身熱，當用脫甲散，四五日不止用小紅丸。","脫甲散","銀柴胡　龍膽草　知母　麻根（各三錢）","川芎　當歸（各二錢）　茯苓　人參（各一錢）　甘草（一錢）　蔥白頭（一個）","煎服。"]},{"id":"chapter-1-section-23","title":"咳嗽","paragraphs":["咳嗽屬肺，風熱鬱於肺則生痰，故嗽有喉間作小雞聲者，先用小紅丸下之。不惟下痰，且肺與大腸相為表裡，腑不實髒不能實也。大率順氣化痰清肺為主，宜清金貝母湯。","清金貝母湯","貝母　杏仁　桑皮　花粉　桔梗　枳殼　甘草　黃芩　木通　蘇子　陳皮　茯苓痰甚加膽星；食積痰去貝母，加制半夏、山楂；痰而嗽甚加山梔；喘加馬兜鈴或紫菀；嗽而血加山梔、石膏；嗽而氣逆，倍蘇子；嗽不轉加麻黃、石膏；嗽久加款冬花、馬兜鈴，或瓜蔞仁、紫菀、五味、烏梅。","食枳痰須用制半夏、枳實、青皮、枳殼，嗽甚，眼白上有　肉生者，此嗽傷血分也，宜服生地、當歸入血分，檳榔下其氣。","瘧","瘧者有暑、有痰、有風、有溼、有食。兒病多食風痰，無汗要有汗，散風邪為主。大人兼補，小兒不必，宜清脾退熱飲。"]},{"id":"chapter-1-section-24","title":"清脾退熱飲","paragraphs":["柴胡　黃芩　枳殼　半夏　花粉　青皮　檳榔　山楂　常山　草果　茯苓　陳皮　甘草暑加香薷，渴甚加石膏，溼加蒼朮。","有汗要無汗，扶正氣為主。大人小兒俱帶發散，用加減補中益氣湯。","補中益氣湯","人參　白朮　黃　柴胡　歸身　升麻　黃"]}]}],"toc":[{"id":"chapter-1-section-1","chapter_title":"陳氏幼科秘訣","section_title":"陳氏幼科秘訣","is_available":true},{"id":"chapter-1-section-2","chapter_title":"陳氏幼科秘訣","section_title":"目錄","is_available":true},{"id":"chapter-1-section-3","chapter_title":"陳氏幼科秘訣","section_title":"噤風","is_available":true},{"id":"chapter-1-section-4","chapter_title":"陳氏幼科秘訣","section_title":"臍風","is_available":true},{"id":"chapter-1-section-5","chapter_title":"陳氏幼科秘訣","section_title":"傷風","is_available":true},{"id":"chapter-1-section-6","chapter_title":"陳氏幼科秘訣","section_title":"咳嗽","is_available":true},{"id":"chapter-1-section-7","chapter_title":"陳氏幼科秘訣","section_title":"霍亂","is_available":true},{"id":"chapter-1-section-8","chapter_title":"陳氏幼科秘訣","section_title":"疳","is_available":true},{"id":"chapter-1-section-9","chapter_title":"陳氏幼科秘訣","section_title":"驚風","is_available":true},{"id":"chapter-1-section-10","chapter_title":"陳氏幼科秘訣","section_title":"驚風死症歌","is_available":true},{"id":"chapter-1-section-11","chapter_title":"陳氏幼科秘訣","section_title":"脈法","is_available":true},{"id":"chapter-1-section-12","chapter_title":"陳氏幼科秘訣","section_title":"慢驚慢脾","is_available":true},{"id":"chapter-1-section-13","chapter_title":"陳氏幼科秘訣","section_title":"腹痛","is_available":true},{"id":"chapter-1-section-14","chapter_title":"陳氏幼科秘訣","section_title":"心痛","is_available":true},{"id":"chapter-1-section-15","chapter_title":"陳氏幼科秘訣","section_title":"咽喉","is_available":true},{"id":"chapter-1-section-16","chapter_title":"陳氏幼科秘訣","section_title":"熱","is_available":true},{"id":"chapter-1-section-17","chapter_title":"陳氏幼科秘訣","section_title":"淋症（附白尿）","is_available":true},{"id":"chapter-1-section-18","chapter_title":"陳氏幼科秘訣","section_title":"眼目赤腫","is_available":true},{"id":"chapter-1-section-19","chapter_title":"陳氏幼科秘訣","section_title":"痧疹","is_available":true},{"id":"chapter-1-section-20","chapter_title":"陳氏幼科秘訣","section_title":"噤風","is_available":true},{"id":"chapter-1-section-21","chapter_title":"陳氏幼科秘訣","section_title":"臍風","is_available":true},{"id":"chapter-1-section-22","chapter_title":"陳氏幼科秘訣","section_title":"傷風","is_available":true},{"id":"chapter-1-section-23","chapter_title":"陳氏幼科秘訣","section_title":"咳嗽","is_available":true},{"id":"chapter-1-section-24","chapter_title":"陳氏幼科秘訣","section_title":"清脾退熱飲","is_available":true}],"plain_text":"# 陳氏幼科秘訣\n## 陳氏幼科秘訣\n## 目錄\n初生\n沐浴\n## 噤風\n撮口\n## 臍風\n氣閉\n啼\n## 傷風\n## 咳嗽\n瘧\n吐\n吐瀉\n## 霍亂\n積\n痢\n## 疳\n腫脹\n## 驚風\n## 驚風死症歌\n## 脈法\n## 慢驚慢脾\n風毒驚癱鶴膝候\n癇\n## 腹痛\n蟲\n## 心痛\n## 咽喉\n暑\n脫肛\n## 熱\n黃膽\n## 淋症（附白尿）\n## 眼目赤腫\n## 痧疹\n初生\n小兒生下，以甘草、黃連、馬料豆多煎湯與之服。蓋穢吞胸中，吐以甘草；穢入腹中，利以黃連也。茯苓丸能治初生小兒腹滿氣短，不能飲乳。是穢物入腹所致，若胎中受寒，令小兒腹痛亦治。\n茯苓丸\n赤茯苓　黃連（寒症不用，宜用芍藥）\n蜜丸桐子大，乳汁下一丸。\n沐浴\n宜益母草湯。令兒體滑，血脈流通，免生瘡疾。\n益母草　黃連（各一兩）　蛇床子　苦參（各二兩）　本（五錢）　硃砂　雄黃（各一錢）\n又方　桃枝　梓枝。\n煎湯臨浴時加豬膽一個入內。\n## 噤風\n噤風者，初生七日內忽然目閉、口噤，啼聲不出，下青糞，舌上有　肉如慄，吃乳不得，口吐白沫，大小便皆通。由在胎受熱毒流入心脾，故見於喉舌之間。或初生時為風邪搏擊所致，名犯風噤。口中白慄用綿裹，指蘸水擦破。百二十日內俱有此患。一口噤不乳，腹急多啼，牙關緊閉與撮口相似，赤者心噤，白者肺噤。\n撮口\n撮口者，面目黃腫或赤，喘急啼聲不出，由胎受熱氣兼風熱入臍，流毒於心脾，故舌強唇青，聚口撮而飲乳有妨，若口吐白沫，四肢冷，不治。或肚脹青筋，吊腸卵疝，內氣引痛，皆腸胃鬱結所致，十救二三，月內尤急，週歲始免。用白殭蠶直而明亮者佳二條，去絲嘴，炙脆為末，蜜調敷人中即瘥。或研牛黃一錢和竹瀝抹口中亦治。（按：牛黃要嫩黃輕虛，重迭可揭，氣息微香，摩指甲竟透者。）\n## 臍風\n臍風者，斷臍後水溼風冷入臍，流於心肺，甚則發搐成驚。若臍凸四傍青黑，撮口不開，是為內撮。爪黑者死。用赤腳蜈蚣一條，蠍尾四個，殭蠶七條，瞿麥五分，為末。先以鵝羽管吹鼻內，得噴嚏啼哭為可治。後用薄荷湯調服，三者名雖不同，其原則一。皆因裡氣鬱結壅閉不通，由斷臍太短，結得不緊，外風入臍或牽動臍帶，水入生瘡所致。撮口尤其治當疏利，並用餘家小紅丸下之後，用抱龍丸、牛黃丸等。\n心熱發驚，面青啼不出，吐白沫，腹脹硬，臍四邊浮腫，舌強不進乳，不與噤風同。初生小兒熱在胸膛頻頻作聲，弩脹，治法宜去風。此症眉青臉赤，勿用藥。治兒口噤牙關閉者，用天南星去皮臍為細末，加龍腦少許和均，指蘸薑汁，同藥擦牙上。\n小紅丸\n（又名辰砂丸）\n全蠍（去毒洗淨，一兩）　南星（一兩）　珍珠（一錢）　硃砂（四錢五分）　巴霜（二錢五分）\n為末，糯米糊丸如芥子大，每歲三五丸，看小兒強弱用。十歲以外百丸方效，燈心湯下。須要活法加減用之，方稱弄斧之手。如六七十丸、四五十丸。在用之者才酌。\n抱龍丸\n天竺黃（一兩）　膽星（四兩）　雄黃（五錢）\n蜜丸，圓眼核大，約重一錢，硃砂為衣，每服一丸，薄荷湯化下，辰砂為衣亦可。\n牛黃丸\n枳實　黃連（各一兩）　膽星（二兩）　天竺黃（五錢）　天麻（五錢）　殭蠶　金蠍（各三錢）　雄黃（三錢）　龍齒（　，三錢）　牛黃（一錢）　麝香　冰片（各錢半）\n蜜丸蠟封，用則去蠟，薄荷湯、燈心湯化下。\n氣閉\n兒生一二日，大小便不通，腹脹滿而欲絕，此胎毒之氣鬱閉所致。急令婦人溫水漱口，吸兒前後心、臍下及手足心，共七處，各吸五七口，赤紅色為度。氣散而自通，不然救亦無用。服餘家小黑丸及蔥白散。蔥白四寸，人乳內同搗如泥，敷入兒口，與乳，使吐後用當歸散。\n當歸散\n當歸（八分）　木通（六分）　連翹（五分）　滑石（六分）　甘草梢（三分）\n水一鍾煎，不時服。\n小黑丸\n木香（一兩五分）　丁香（七錢五分）　肉蔻（曲包煨，十個）　杏仁（去皮尖，百二十粒）　百草霜（一兩）\n巴霜前藥每一兩加巴霜一錢，丸法用法與小紅丸同。\n啼\n兒生下體青白無血色，日夜啼不止，體仰而　，腹滿不乳，大便青白，是在胎為風冷所傷而然。時時吐　，或腹中如雞子黃，接之如小雞聲而後出，若不急治則成癇，宜用餘家小黑丸及養髒湯。\n養髒湯\n白朮（八分）　芍藥（六分）　茯神（七分）　川芎（五分）　藿香（六分）　甘草（四分）　木香（三分）\n鉤藤（三分）　澤瀉　肉豆蔻（各七分）\n水一鍾，姜三片，煎服。\n## 傷風\n風邪感於腠理，先入於肺，肺主皮毛，其身日夜發熱無汗，鼻塞氣粗，不惡寒而惡風，當風乃憎寒，呵欠煩悶，口中氣熱，當表散，宜加減芎蘇飲。\n芎蘇飲\n黃芩　柴胡　紫蘇　前胡　枳殼　半夏　桔梗　防風　山楂　茯苓　陳皮　甘草　幹葛頭痛加川芎或白芷；偏身及肢節痛加羌活；夾食去枳殼加青皮、枳實或蒼朮；四五日熱不退加麻黃，服麻黃又不退，熱入裡也，去紫蘇、枳殼、防風，加枳實、竹葉、石膏，用餘家小紅丸下之。\n有痰，前飲內加貝母、天花粉或膽星；熱稍退而嗽，前飲內去紫蘇、防風，加桑白皮、杏仁或貝母，先當用小紅丸下之；嗽不轉者，熱鬱在肺，而氣不得宣通，加麻黃、石膏；嗽甚見血，加山梔、石膏；嗽久雖無血，亦加山梔；略有餘熱，前飲內去紫蘇、柴胡、防風，加石膏。\n兒百日內身熱，當用脫甲散，四五日不止用小紅丸。\n脫甲散\n銀柴胡　龍膽草　知母　麻根（各三錢）\n川芎　當歸（各二錢）　茯苓　人參（各一錢）　甘草（一錢）　蔥白頭（一個）\n煎服。\n## 咳嗽\n咳嗽屬肺，風熱鬱於肺則生痰，故嗽有喉間作小雞聲者，先用小紅丸下之。不惟下痰，且肺與大腸相為表裡，腑不實髒不能實也。大率順氣化痰清肺為主，宜清金貝母湯。\n清金貝母湯\n貝母　杏仁　桑皮　花粉　桔梗　枳殼　甘草　黃芩　木通　蘇子　陳皮　茯苓痰甚加膽星；食積痰去貝母，加制半夏、山楂；痰而嗽甚加山梔；喘加馬兜鈴或紫菀；嗽而血加山梔、石膏；嗽而氣逆，倍蘇子；嗽不轉加麻黃、石膏；嗽久加款冬花、馬兜鈴，或瓜蔞仁、紫菀、五味、烏梅。\n食枳痰須用制半夏、枳實、青皮、枳殼，嗽甚，眼白上有　肉生者，此嗽傷血分也，宜服生地、當歸入血分，檳榔下其氣。\n瘧\n瘧者有暑、有痰、有風、有溼、有食。兒病多食風痰，無汗要有汗，散風邪為主。大人兼補，小兒不必，宜清脾退熱飲。\n## 清脾退熱飲\n柴胡　黃芩　枳殼　半夏　花粉　青皮　檳榔　山楂　常山　草果　茯苓　陳皮　甘草暑加香薷，渴甚加石膏，溼加蒼朮。\n有汗要無汗，扶正氣為主。大人小兒俱帶發散，用加減補中益氣湯。\n補中益氣湯\n人參　白朮　黃　柴胡　歸身　升麻　黃","is_preview":true,"preview_page_limit":10}