天钓者，发时头目仰视，惊悸壮热，两目反张，泪出不流，手足搐掣，不时悲笑，如鬼祟所
附，甚者爪甲皆青。盖因乳母浓味积毒在胃，致儿心肺生热痰郁滞，或外挟风邪为患。法当
解利其邪，用钩藤饮。上气喘粗者，用乌蝎四君子汤。内钓者，腹痛多喘，唇黑囊肿，伛偻
反张眼尾赤，此胎中受风及外惊所致。若五内抽掣，作痛狂叫，或泄泻缩脚，内症一作
，外症亦然，极难调理。内症服聚宝丹，外症服钩藤饮，进乳食者可治。若腹痛唇黑囊肿之
类，用聚宝丹。若外惊五内抽搐之类，用钩藤饮。若因乳母醇酒浓味积毒在胃，用加味清胃
散。若因乳母郁怒积热，在肝用加味逍遥散，加味归脾汤，俱加漏芦，子母俱服。凡母食膏
粱浓味，饲儿之时，先挤去宿乳，然后吮之。
治验
一小儿因乳母受惊发搐，时目赤壮热，腹痛哭而曲腰。用四物加柴胡、防风，又用加味逍遥
散加熟地黄以清肝热，生肝血；再用地黄丸滋肾水以生肝木，母子俱安。
一小儿曲腰而啼，面青唇黑，此寒气所乘内钓腹痛也。用五味异功散加木香、干姜一剂，与
母服之顿愈。后因母感寒腹痛而啼，用人参理中汤一剂，与母服其子亦安。
一小儿曲腰干啼，手足并冷，用六君子加干姜、木香服之，未应，又加肉桂，母子俱服而安
。
一小儿忽干啼作泻，睡中搐，手足冷，此脾土虚寒，肝木侮之，而作发搐，乃内钓也。用益
黄散一剂而安，用四君子加柴胡、升麻，乳食渐进而安。
一小儿干啼，面青或赤，手足并热。或用清热之剂，久不愈。诊其乳母，有肝火气滞，用加
味逍遥散、越鞠丸以治其母，时灌子数滴，不旬日，子母并愈。
一小儿患前症，服魏香散而愈，后复作，服祛风镇惊之药，上气喘粗，此元气虚寒也。余先
用乌蝎四君子汤，稍愈；但倦怠殊甚，用补中益气汤，及五味异功散而痊。
一小儿因母每感寒腹痛，饮烧酒，发热痰盛，面赤，手足并热，属胃经实热之天钓也。用清
胃散，子母服之并愈。后因伤乳吐泻，面色或青或白，手足并冷，属脾气虚寒，用六君子、
木香、干姜而愈。三岁后伤食腹痛，唇黑作泻，数去后而无粪，或粪少而青，此元气虚寒下
陷，用补中益气汤渐愈。
一小儿啼哭，阴囊肿大，眼目上翻，赤脉流泪，此肝热内钓，用柴胡清肝散加钩藤钩治之，
诸症渐愈，又用钩藤饮而痊。后复发，或用祛病根之药，致乳食日少，肚中胀痛，手足浮肿
。余先用六君子、升麻、柴胡数剂，诸症稍愈，又伤乳食吐泻，用平胃散一服即愈。
一小儿因乳母怀抱郁结，腹痛发搐，久而不愈，用加味归脾汤加漏芦，母子并服渐愈。又母
大怒发厥而苏，儿遂食乳，腹痛作泻，面青作呕，先用小柴胡汤二剂，母子并服少愈；其母
又咽酸腹胀，用越鞠丸、加味归脾汤，佐以加味逍遥散而痊。
钩藤膏 治腹痛干啼作呕，名盘肠内钓。
乳香 没药 木香 姜黄（各一钱） 木鳖子（三个去油）
上为末，蜜丸皂角子大，钩藤钩汤磨半丸入蜜服，未止再服魏香散。
魏香散
阿魏（二钱，先用温酒溶化） 蓬术（五钱）
上将蓬术浸阿魏酒中一伏时，焙干为末，每服二三分，紫苏米饮调下。
钩藤饮 治小儿脏寒夜啼，阴极发躁，此方主之。
钩藤 茯神 茯苓 川芎 当归 木香 甘草 芍药（各一钱）
上为末，每服一钱，姜枣水煎。若心经热，脸红舌白，小便赤涩，用钩藤饮去木香，加朱砂
末一钱，木通汤下。
乳香丸 治惊风内钓，腹痛惊啼。
乳香（半钱） 没药 沉香（各一钱） 蝎稍（十四个） 鸡心槟榔（一钱半）
上为末，蜜丸桐子大。每服二三钱，菖蒲钩藤钩煎汤送下。
木香丸 治病同前。
木香 全蝎（各五分） 没药 茴香 钩藤钩（各一钱）
上各别为末，以大蒜捣烂和丸桐子大，晒干，每服二丸，钩藤煎汤下。
清胃散 治胃火牙痛，或连头面。
升麻（五分） 生地黄 牡丹皮 黄连 当归（各三分）
上水煎服。加柴胡、山栀，即加味清胃散。
愚按∶前方治脾胃实火作渴，口舌生疮，或唇口肿痛，齿龈溃烂， 连头面，或恶寒发热，
或重舌马牙，吐舌流涎等症，子母并宜服之。若因脾胃气虚，寒凉克伐，或虚热上行，口舌
生疮，弄舌发热，饮食少思，或呕吐困睡，大便不实，流涎龈烂者，用五味异功散。
四君子汤 治脾气虚损，吐泻少食。
人参 白术 茯苓 甘草（各等分）
上每服二钱，姜枣水煎。（添加）
愚按∶前方若胃气虚弱，克伐伤脾，饮食少思，或食而难化，若作呕作泄，尤宜用之。如兼
痰嗽气逆，肢体倦怠，面目浮肿者，宜六君子汤。
六君子汤 即四君子加陈皮、半夏。治脾胃气虚，吐泻不食，肌肉消瘦，或肺虚痰嗽，喘促
恶寒，或肝虚惊搐，目眩自汗，诸症并宜服之，以滋化源。（方见内钓）
钱氏异功散 治吐泻不食，脾胃虚冷者，先与数服，以益中州之气。
人参 茯苓 白术 甘草（炒） 陈皮（各等分）
上为末，每服二三钱，姜枣水煎。
愚按∶前方治脾胃虚弱，吐泻不食，或惊搐痰盛，或睡而露睛，手足指冷，或脾肺虚弱，咳
嗽吐痰，或虚热上攻，口舌生疮，弄舌流涎。若母有症致儿患此者，子母并服之。
加味归脾汤 去丹皮、山栀，即归脾汤治脾虚弱损，健忘惊悸等症。
人参 黄 茯神（去木。各一钱） 甘草 白术（炒。各一钱） 木香（五分） 远志（去心） 酸枣仁
龙眼肉 当归 牡丹皮 山栀（炒。各一钱）
上水煎服。
愚按∶前方若乳母忧思伤脾，血虚发热，食少体倦；或脾虚不能统摄，以致阴血妄行；或健
忘怔忡，惊悸少寐；或心脾作痛，自汗盗汗；或肢体肿痛，大便不调；或妇人经候不调，晡
热内热；或茧唇流注等症，致儿为患者，令子母俱服之。
加味逍遥散 去牡丹皮、山栀，即逍遥散。治肝脾血虚等症。
当归 甘草（炙） 芍药（酒炒） 茯苓 白术（炒） 柴胡（各一钱） 牡丹皮 山栀（炒。各七分）
上水煎服。
愚按∶前方若乳母肝脾血虚，内热寒热，遍身搔痒，肢体作痛，头目昏重，怔忡颊赤，口燥
咽干。或发热盗汗，食少不寐，或口舌生疮，耳内作痛，胸乳腹胀，小便不利，致儿为患，
尤宜用之。又治妇人阴虚发热，儿饮其乳，以致患疮者。
越鞠丸 治六郁饮食少思，或胸满吐酸，齿痛疮疥等症。
苍术 抚芎 香附 神曲（炒） 山栀（炒） 麦芽（炒） 山楂（各等分）
上各为末，水煮神曲、麦芽末糊丸，粟米大。每服百丸，白汤送下。
镇心丸 治急惊化痰镇心。
朱砂 龙齿 牛黄（各一钱） 铁粉 琥珀 人参 茯苓 防风（各二钱） 全蝎（七个，焙）
上为末，蜜丸，桐子大。每服一二丸，薄荷汤送下。
聚宝丹
乌蝎四君子汤（二方见慢惊）
平胃散（方见胃气虚寒）
益黄散（方见噤风）
人参理中汤（方见伤寒）
补中益气汤（方见虚羸）
六君子汤（方见内钓）
钩藤散（方见慢惊）
地黄丸（方见肾脏）
柴胡清肝散（方见热症）
四物汤（方见急惊）
小柴胡汤（方见痉症）
Tiandiao (Heavenly Hook) manifests with the head and eyes looking upward during attacks, palpitations, high fever, eyes rolling back, tears flowing but not stopping, convulsions of the hands and feet, intermittent crying and laughing as if possessed by evil spirits, and in severe cases, cyanosis of the fingernails and toenails. This is caused by accumulated toxins from rich foods in the stomach of the wet nurse, leading to heat-phlegm stagnation in the infant's heart and lungs, or external wind pathogenic factors inducing the disease. The treatment method should be to resolve and dispel the pathogen, using Gouteng Yin (Uncaria Decoction). If there is wheezing and coarse breathing, use Wuxie Sijunzi Tang (Black Scorpion and Four Gentlemen Decoction).
Neidiao (Internal Hook) presents with abdominal pain, frequent panting, black lips, scrotal swelling, stooping posture, backward arching of the body, and redness at the corners of the eyes. This is caused by wind contraction in the womb and external fright. If there are internal spasms of the five zang organs accompanied by painful manic screaming, or diarrhea with legs drawn up, when internal symptoms occur, external symptoms also appear, making it extremely difficult to regulate. For internal symptoms, administer Jubao Dan (Treasure Gathering Pill); for external symptoms, administer Gouteng Yin. Cases where the infant can take milk and food are treatable. For symptoms such as abdominal pain, black lips, and scrotal swelling, use Jubao Dan. For symptoms such as internal spasms due to external fright, use Gouteng Yin. If the cause is accumulated toxins in the stomach from the wet nurse consuming strong wine and rich foods, use Jiawei Qingwei San (Modified Stomach-Clearing Powder). If the cause is accumulated heat in the liver due to the wet nurse's depression and anger, use Jiawei Xiaoyao San (Modified Free and Easy Wanderer Powder) and Jiawei Guipi Tang (Modified Heart-Nourishing Decoction), both added with Loulu (Radix Euphorbiae Humifusae), taken by both mother and child. Whenever the mother consumes rich and greasy foods, before feeding the infant, she should first squeeze out the retained milk, then allow the infant to suckle.
Clinical Records:
An infant suffered from convulsions because the wet nurse was frightened. The infant frequently had red eyes, high fever, abdominal pain, cried while bending the waist. Siwu Tang (Four Substances Decoction) was used with Chaihu (Radix Bupleuri) and Fangfeng (Radix Saposhnikoviae). Additionally, Jiawei Xiaoyao San was used with Shudihuang (Prepared Radix Rehmanniae) to clear liver heat and generate liver blood; Dihuang Wan (Rehmannia Pill) was used to nourish kidney water to generate liver wood, resulting in peace for both mother and child.
An infant bent his waist while crying, with a blue complexion and black lips. This was Neidiao abdominal pain caused by cold qi invasion. Wuwei Yigong San (Five-Ingredient Extraordinary Merit Powder) was used with Muxiang (Radix Aucklandiae) and Ganjiang (Rhizoma Zingiberis). One dose given to the mother resulted in immediate recovery. Later, when the mother felt cold and had abdominal pain causing crying, Renshen Lizhong Tang (Ginseng and Middle-Warming Decoction) was administered to the mother, and her child also became peaceful.
An infant cried without tears, with cold hands and feet. Liujunzi Tang (Six Gentlemen Decoction) was used with Ganjiang and Muxiang, but there was no response. Rougui (Cortex Cinnamomi) was added, and both mother and child took it, resulting in peace.
An infant suddenly cried without tears and had diarrhea, with convulsions during sleep and cold hands and feet. This was spleen earth deficiency-cold, with liver wood overacting, causing convulsions, classified as Neidiao. Yihuang San (Yellow Protecting Powder) was administered for one dose, bringing peace. Then, Sijunzi Tang was used with Chaihu and Shengma (Rhizoma Cimicifugae), allowing milk and food intake to gradually recover, resulting in peace.
An infant cried without tears, with a blue or red complexion and hot hands and feet. Clearing-heat agents were used by others, but the condition persisted for a long time. Upon examining the wet nurse, liver fire and qi stagnation were found. Jiawei Xiaoyao San and Yueju Wan (Pill Resolving Six Stagnations) were used to treat the mother, while several drops of the medicine were instilled into the infant. Within ten days, both mother and child recovered.
An infant suffered from the aforementioned symptoms and recovered after taking Weixiang San (Asafoetida Powder). The condition recurred later. After taking wind-dispelling and spirit-calming medicines, the infant developed wheezing and coarse breathing, indicating deficiency-cold of yuan qi (original qi). I first used Wuxie Sijunzi Tang, which slightly improved the condition; however, fatigue was severe. Buzhong Yiqi Tang (Middle-Boosting and Qi-Enriching Decoction) and Wuwei Yigong San were used, leading to complete recovery.
An infant suffered because the mother repeatedly contracted cold and had abdominal pain, drank liquor, had high fever with abundant phlegm, a red face, and hot hands and feet. This belonged to Tiandiao of excess heat in the stomach meridian. Qingwei San was used, taken by both mother and child, leading to recovery. Later, due to milk injury causing vomiting and diarrhea, with a complexion that was either blue or white and cold hands and feet, this belonged to spleen qi deficiency-cold. Liujunzi Tang, Muxiang, and Ganjiang were used, leading to recovery. After age three, abdominal pain due to food injury, black lips, and diarrhea with frequent urges but little stool, or scanty green stool, indicated sinking of deficiency-cold yuan qi. Buzhong Yiqi Tang was used for gradual recovery.
An infant cried with scrotal swelling, eyes rolling upward, red vessels, and tearing. This was liver heat Neidiao. Chaihu Qinggan San (Bupleurum Liver-Clearing Decoction) was used with Goutenggou (Uncaria Rhynchophylla), leading to gradual improvement of all symptoms. Gouteng Yin was then used for complete recovery. Later, it recurred. Someone used drugs to remove the root of the disease, causing reduced milk and food intake, abdominal distension and pain, and edema of the hands and feet. I first used Liujunzi Tang, Shengma, and Chaihu for several doses, slightly improving the symptoms. Then, milk and food injury caused vomiting and diarrhea. Pingwei San was used, leading to recovery with one dose.
An infant suffered from abdominal pain and convulsions due to the wet nurse's emotional constraint, persisting for a long time without recovery. Jiawei Guipi Tang was used with Loulu, taken by both mother and child, leading to gradual improvement. Later, the mother became furious, fainted, and regained consciousness. The infant then suckled, resulting in abdominal pain, diarrhea, blue complexion, and vomiting. Xiaochaihu Tang (Minor Bupleurum Decoction) was administered for two doses to both mother and child, resulting in slight improvement. The mother then experienced acid regurgitation and abdominal distension. Yueju Wan, Jiawei Guipi Tang, assisted by Jiawei Xiaoyao San, led to recovery.
Gouteng Gao (Uncaria Ointment): Treats abdominal pain, crying without tears, and vomiting, named Panchang Neidiao (Intestine-Twisting Internal Hook).
Ruxiang (Resina Frankincense), Moyao (Resina Myrrha), Muxiang, Jianghuang (Rhizoma Curcumae Longae) each 1 qian; Mubiezi (Semen Strychnos) 3 pieces, oil removed.
Grind into powder, form pills with honey the size of soap beans. Grind half a pill in Goutenggou decoction, add honey, and take. If symptoms do not stop, take Weixiang San again.
Weixiang San:
Awei (Resina Asafoetidae) 2 qian, first dissolved in warm wine; Pengzhu (Rhizoma Curcumae Phaeocaulis) 5 qian.
Soak Pengzhu in Awei wine for one shichen (two hours), dry by roasting, grind into powder. Take 2-3 fen each time, mixed with Perilla rice drink.
Gouteng Yin: Treats infant night crying due to visceral cold, extreme yin restlessness. This formula is the main treatment.
Gouteng, Fushen (Poria with Hostwood), Fuling (Poria), Chuanxiong (Rhizoma Ligustici Chuanxiong), Danggui (Radix Angelicae Sinensis), Muxiang, Gancao (Radix Glycyrrhizae), Shaoyao (Radix Paeoniae Alba) each 1 qian.
Grind into powder. Take 1 qian each time, decoct with ginger and jujube in water. If there is heat in the heart meridian, with red face, white tongue, and dark/scanty urination, use Gouteng Yin removing Muxiang, add 1 qian Zhusha (Cinnabar) powder, and take with Mutong (Caulis Akebiae) decoction.
Ruxiang Wan (Frankincense Pill): Treats wind-stroke Neidiao, abdominal pain, and frightened crying.
Ruxiang 0.5 qian; Moyao, Chenxiang (Lignum Aquilariae Resinatum) each 1 qian; Xieshao (Tail of Scorpio) 14 pieces; Jixin Binglang (Areca Seed) 1.5 qian.
Grind into powder, form pills with honey the size of paulownia seeds. Take 2-3 qian each time, send down with Changpu (Rhizoma Acori Tatarinowii) and Goutenggou decoction.
Muxiang Wan: Treats the same conditions as above.
Muxiang, Quanxie (Scorpio) each 0.5 fen; Moyao, Huixiang (Fructus Foeniculi), Goutenggou each 1 qian.
Grind each separately into powder. Mash garlic, mix with powder, form pills the size of paulownia seeds. Dry in the sun. Take 2 pills each time, send down with Gouteng decoction.
Qingwei San: Treats toothache due to stomach fire, or extending to the head and face.
Shengma 0.5 fen; Shengdihuang (Radix Rehmanniae Recens), Mudanpi (Cortex Moutan), Huanglian (Rhizoma Coptidis), Danggui each 0.3 fen.
Decoct in water and take. Adding Chaihu and Shanzhi (Fructus Gardeniae) makes Jiawei Qingwei San.
Commentary: The preceding formulas treat thirst caused by excess fire in the spleen and stomach, sores in the mouth and tongue, or swelling and pain of the lips and mouth, ulceration of the gums, extending to the head and face, or aversion to cold and fever, double tongue, horse teeth, protruding tongue, and drooling. Both mother and child are suitable to take them. If the cause is spleen and stomach qi deficiency, suppression by cold-cooling herbs, or rising deficiency heat, with sores in the mouth and tongue, playing with the tongue, fever, poor appetite, vomiting and drowsiness, loose stools, drooling, and gum erosion, use Wuwei Yigong San.
Sijunzi Tang: Treats spleen qi damage, vomiting, diarrhea, and poor appetite.
Renshen, Baizhu (Rhizoma Atractylodis Macrocephalae), Fuling, Gancao each in equal proportions.
Take 2 qian each time, decoct with ginger and jujube in water. (Added)
Commentary: If the preceding formula is used for weak stomach qi, suppression damaging the spleen, poor appetite, or difficulty digesting food, especially if accompanied by vomiting and diarrhea, it is particularly suitable. If accompanied by phlegm cough and rebellious qi, limb fatigue, and facial/ocular edema, Liujunzi Tang is appropriate.
Liujunzi Tang: Is Sijunzi Tang plus Chenpi (Pericarpium Citri Reticulatae) and Banxia (Rhizoma Pinelliae). Treats spleen and stomach qi deficiency, vomiting, diarrhea, anorexia, emaciation, or lung deficiency with phlegm cough, panting, and aversion to cold, or liver deficiency with convulsions, vertigo, and spontaneous sweating. It is suitable for all these symptoms to nourish the source of transformation. (Formula seen in Neidiao)
Qianshi Yigong San: Treats vomiting, diarrhea, anorexia, and cold-spleen deficiency. Administer several doses first to benefit the qi of the middle jiao.
Renshen, Fuling, Baizhu, Gancao (stir-fried), Chenpi each in equal proportions.
Grind into powder. Take 2-3 qian each time, decoct with ginger and jujube in water.
Commentary: The preceding formula treats spleen and stomach weakness, vomiting, diarrhea, anorexia, or convulsions with abundant phlegm, sleeping with eyes open, cold fingers and toes, or spleen-lung weakness with cough and expectoration, or rising deficiency heat with sores in the mouth and tongue, playing with the tongue, and drooling. If the mother has symptoms causing the infant to suffer, both mother and child should take it.
Jiawei Guipi Tang: Removing Mudanpi and Shanzhi, it is Guipi Tang. Treats spleen weakness and damage, forgetfulness, palpitations, etc.
Renshen, Huangqi (Radix Astragali), Fushen (remove wood core) each 1 qian; Gancao, Baizhu (stir-fried) each 1 qian; Muxiang 0.5 fen; Yuanzhi (remove heart), Suanzaoren (Semen Ziziphi Spinosae), Longyanrou (Arillus Longan), Danggui, Mudanpi, Shanzhi (stir-fried) each 1 qian.
Decoct in water and take.
Commentary: If the preceding formula is used for the wet nurse whose worry and thought damage the spleen, causing blood deficiency fever, poor appetite, and body fatigue; or spleen weakness failing to control blood, leading to reckless bleeding of yin blood; or forgetfulness, palpitations, startled anxiety, and insomnia; or heart-spleen pain, spontaneous and night sweats; or limb swelling and pain, irregular bowel movements; or women with irregular menstruation, afternoon fever, and internal heat; or silkworm lip and flowing abscesses, causing illness in the infant, let both mother and child take it.
Jiawei Xiaoyao San: Removing Mudanpi and Shanzhi, it is Xiaoyao San. Treats liver and spleen blood deficiency, etc.
Danggui, Gancao (roasted), Shaoyao (wine-fried), Fuling, Baizhu (stir-fried), Chaihu each 1 qian; Mudanpi, Shanzhi (stir-fried) each 0.7 qian.
Decoct in water and take.
Commentary: If the preceding formula is used for the wet nurse with liver and spleen blood deficiency, internal heat alternating with chills, generalized itching, limb pain, heavy head and eyes, palpitations, red cheeks, dry mouth and throat. Or fever, night sweats, poor appetite, insomnia, sores in the mouth and tongue, ear pain, chest/breast/abdominal distension, and difficult urination, causing illness in the infant, it is particularly suitable. It also treats women with yin deficiency fever; if the infant drinks their milk, it causes sores.
Yueju Wan: Treats six stagnations, poor appetite, chest fullness, acid regurgitation, toothache, sores, and scabies.
Cangzhu (Rhizoma Atractylodis Lanceae), Fuxiong (Rhizoma Ligustici Chuanxiong), Xiangfu (Rhizoma Cyperi Rotundi), Shenqu (Massa Medicata Fermentata - stir-fried), Shanzhi (stir-fried), Maiya (Fructus Hordei Germinatus - stir-fried), Shanzha (Fructus Crataegi) each in equal proportions.
Grind each separately into powder. Boil water with Shenqu and Maiya powder paste to form pills the size of millet seeds. Take 100 pills each time, send down with plain water.
Zhenxin Wan: Treats acute wind-stroke by resolving phlegm and calming the heart.
Zhusha (Cinnabar), Longchi (Os Draconis), Niuhuang (Calculus Bovis) each 1 qian; Tiefen (Pulvis Ferri), Hupo (Resina Succini), Renshen, Fuling, Fangfeng each 2 qian; Quanxie 7 pieces (roasted).
Grind into powder, form pills with honey the size of paulownia seeds. Take 1-2 pills each time, send down with mint decoction.
Jubao Dan
Wuxie Sijunzi Tang (Two formulas seen in Slow Convulsion)
Pingwei San (Formula seen in Stomach Qi Deficiency-Cold)
Yihuang San (Formula seen in Lockjaw Wind)
Renshen Lizhong Tang (Formula seen in Cold Damage)
Buzhong Yiqi Tang (Formula seen in Emaciation)
Liujunzi Tang (Formula seen in Neidiao)
Gouteng San (Formula seen in Slow Convulsion)
Dihuang Wan (Formula seen in Kidney Disease)
Chaihu Qinggan San (Formula seen in Heat Syndromes)
Siwu Tang (Formula seen in Acute Convulsion)
Xiaochaihu Tang (Formula seen in Spasm Syndromes)