木香、甘草、茯苓、干姜、木爪、丁香、陈皮各等
分,共为细末,每用一字,水煎绵兼,滴与食之。
脐风者,由断脐之后,被水湿风冷之气所乘,流入心脾,令腹
胀脐肿,四肢强直,日夜多啼,不能吮乳。甚则发为风搐,若脐
边青肿,撮口不开者,是为内搐,不治。爪甲黑者,死。
撮口者,由胎气挟热,兼风邪入脐,流入心脾二经,故令舌
强唇青,口撮喘急,啼声不出,不乳。若口出白沫,四肢冷者,
不治。最为急侯,一腊之内尤甚。
噤风者,眼闭口噤。啼声渐少,吮乳不得,口注白沫,大小
便皆不通。亦由胎中受热,热毒流入心脾,故形于喉舌间也。
以上三症,其名虽异,受病则一。初生七日之内,得此症者
多死。若不急救,坐以待毙,良可悯焉!
但见小儿喷嚏多啼,身热不乳,急看儿上愕,有小泡子如粟
米大,或以指甲,或以挖耳。轻轻刮去,以绵绢缠指,蕴温水拭
净其血,勿令下咽,即便安妥,不必服药,诚良方也。
凡小儿牙关紧急,已成撮口惊搐者,先用撮风散以开其关,
次用控痰散以吐其痰,然后用益脾散和胃,保命丹祛惊,即愈。若
手足挛拳,口噤不开者,不治。
金脚蜈蚣(炙,令毒不明),全蝎(炒,去毒)五个,直
僵蚕(炒,去嘴),麝香(少许)。共为末,每用一字,以猪乳
和之,搅匀。以绵绢醮清入口中即开,或用金银簪挑亦
可。
Muxiang (Radix Aucklandiae), Gancao (Radix Glycyrrhizae), Fuling (Poria), Ganjiang (Rhizoma Zingiberis), Mugua (Fructus Chaenomelis), Dingxiang (Flos Caryophylli), and Chenpi (Pericarpium Citri Reticulatae) are taken in equal parts, ground together into a fine powder. Each dose is one "zi" (a traditional unit of measurement). It is decocted with water and Mianjian (likely referring to *Polyporus* or a specific herbal adjunct), and the liquid is dripped into the mouth for feeding.
Qifeng (Umbilical Tetanus) arises after the umbilical cord is cut, when pathogenic factors such as dampness, cold, and wind invade the body and enter the Heart and Spleen meridians. This leads to abdominal distension, swelling of the umbilicus, rigidity of the four limbs, incessant crying day and night, and an inability to suckle milk. In severe cases, it develops into Fengchu (Wind-induced convulsions). If the area around the umbilicus becomes cyanotic and swollen, and the mouth is puckered shut and cannot open, this is classified as Neichu (Internal Convulsion), which is difficult to cure. Blackening of the fingernails indicates death.
Cuokou (Puckered Mouth) is caused by fetal heat combined with wind pathogens entering the umbilicus and flowing into the Heart and Spleen meridians. Consequently, the tongue becomes stiff, the lips turn cyanotic, the mouth puckers, breathing becomes rapid, the cry is silent, and the infant refuses milk. If white foam issues from the mouth and the four limbs are cold, the condition is incurable. This is the most critical emergency, particularly severe within the first week of life.
Jinfeng (Lockjaw Wind) presents with closed eyes and locked jaws. The crying sound gradually diminishes, suckling is impossible, white foam flows from the mouth, and both urination and defecation are obstructed. This is also due to heat acquired in the womb; heat toxins flow into the Heart and Spleen, manifesting in the throat and tongue.
Although these three syndromes have different names, their etiology is identical. Infants who contract these conditions within seven days of birth often die. If not treated urgently, waiting passively for death is truly pitiable!
If an infant sneezes frequently, cries excessively, has a fever, and refuses to nurse, immediately examine the upper palate. If small blisters the size of millet grains are present, gently scrape them off using a fingernail or an ear pick. Wrap a finger with cotton silk, dip it in warm water, wipe away the blood cleanly, and ensure the blood is not swallowed. The infant will immediately stabilize without the need for medication; this is indeed an excellent prescription.
For infants with tight jaw muscles who have already developed Cuokou and Jingchu (Convulsive Tetanus), first use Cuofeng San (Seizure-Relieving Powder) to open the jaw, then use Kongtan San (Phlegm-Controlling Powder) to induce vomiting of phlegm, followed by Yipi San (Spleen-Nourishing Powder) to harmonize the Stomach, and Baoming Dan (Life-Preserving Pill) to dispel fright. Recovery will follow. If the hands and feet are curled into fists and the jaw is locked shut, the condition is incurable.
Jinjiao Wugong (Toxicopteris annulata, roasted until toxicity is reduced), Quanxie (Scorpio, fried to remove toxicity) five pieces, Zhijiangcan (Bombyx Batryticatus, fried and cleaned) , and Shexiang (Moschus, a small amount). These are ground into a powder. Each dose is one "zi", mixed evenly with pig's milk. Apply with cotton silk dipped in the mixture into the mouth to instantly relax the jaw, or apply using a silver hairpin.