小儿新生,阴囊甚大,名曰胎疝,日后长成,恐变水疝,古法俟儿过盈月后,遇端午日午时,以脚盆盛热水,
安于中堂,随抱小儿将阴囊放水内一浸,再将小儿在于中门槛上中间一搁,其阴囊上之水,印痕于槛,将艾火在
槛上湿印处烧三次,其囊逐渐收小,其效如神。
〔真按〕此法固甚简便,不能尽信,但用石蟹磨好醋常常擦之,以收小为度。
儿初生六七日后,阴囊忽然收缩入腹,啼哭不止者,此受寒所致,古法用硫磺、吴茱萸,为末,和大蒜调涂
脐下,仍以蛇床子微炒布包熨脐即下。
〔真按〕硫磺大毒,不宜轻用,但以吴茱萸、小茴香,共研细末,和大蒜同捣如泥,俟不冷不热时,贴于脐
下,以软帛束之,外再以热水袋熨之,至阴囊垂下而止。
儿生遍体丹毒赤肿,游走不定,多由胎中毒热而成,亦有因生后过于温暖,毒热蒸发于外,致皮肤赤热而肿,
色若丹涂,名曰赤游风,先发于头面四肢之间,若内归心腹则不治,此症不可以针刺血,古法用犀角解毒散(如
犀角、牛蒡子、荆芥穗、防风、连翘、银花、赤芍、生甘草、黄连、生地,引用灯芯等味),或用兰叶散(如兰
叶、黄芩、犀角、大黄、柴胡、栀子、升麻、石膏、甘草,引用竹沥等味),外以生赤小豆末调鸡子清涂之,或
用猪精肉切薄片,贴于患处。
〔真按〕丹毒乃热毒之气,与血相搏,而风乘之,故游走赤肿。此毒自腹内生出四肢,则易愈,自四肢入腹
则难治,须趁其毒未入肾未入腹之先,内服以桑叶、金银花、生地、生甘草煎汤,兑入竹沥汁少许,徐徐送之。
外以寒水石、生黄柏、生甘草,共为末,调芭蕉汁敷之,无芭蕉汁改用新汲水亦可,再仿移花接木之法,以黄牛
肉切薄片,先用黄连水浸过,贴患处干即易之,以吸收其丹毒,比用猪精肉更佳。
When a newborn infant has an abnormally large scrotum, it is called fetal hernia (Tai Shan). As the child grows, there is a fear that it may transform into hydrocele (Shui Shan). The ancient method waits until the infant is over one month old, then on the noon hour of the Dragon Boat Festival (Duanwu), fills a foot basin with hot water and places it in the center of the main hall. The infant is held so that the scrotum is immersed in the water for a moment, then placed on the middle of the threshold. The water marks from the scrotum are left on the threshold. Moxa fire is burned three times at the wet marks on the threshold, causing the scrotum to gradually shrink, with miraculous efficacy.
[Chen Shouzhen's Note] This method is indeed simple but should not be fully trusted. Instead, grind stone crab (Shi Xie) with vinegar and apply it frequently to the area until the scrotum shrinks.
Six or seven days after birth, if the infant's scrotum suddenly retracts into the abdomen accompanied by incessant crying, this is caused by cold invasion. The ancient method uses sulfur (Liu Huang) and Evodia fruit (Wu Zhu Yu) ground into powder, mixed with garlic paste and applied below the umbilicus. Additionally, lightly stir-fried Cnidium fruit (She Chuang Zi) wrapped in cloth is used to moxa-iron the umbilicus, which causes the scrotum to descend.
[Chen Shouzhen's Note] Sulfur is highly toxic and should not be used lightly. Use only Evodia fruit (Wu Zhu Yu) and Fennel seed (Xiao Hui Xiang) ground into fine powder, mashed together with garlic into a paste. When the temperature is neither too hot nor too cold, apply it below the umbilicus and bind with soft cloth. Externally, use a hot water bottle to warm the area until the scrotum descends.
If an infant presents with generalized erysipelas-like redness and swelling that migrates unpredictably, it is mostly due to toxic heat inherited from the fetus. It can also result from excessive warmth after birth, causing toxic heat to evaporate outward, leading to red, hot, and swollen skin resembling cinnabar paint. This condition is called wandering wind rash (Chi You Feng). It typically starts between the head, face, and limbs. If it moves inward to the heart and abdomen, it is incurable. This condition must not be treated with bloodletting via acupuncture. The ancient method uses Rhinoceros Horn Detoxification Decoction (Xi Jiao Jie Du San, containing Rhinoceros Horn [Xi Jiao], Burdock Seed [Niu Bang Zi], Schizonepeta Spike [Jing Jie Sui], Saposhnikovia Root [Fang Feng], Forsythia Fruit [Lian Qiao], Honeysuckle Flower [Yin Hua], Red Peony Root [Chi Shao], Raw Licorice Root [Sheng Gan Cao], Coptis Rhizome [Huang Lian], Raw Rehmannia Root [Sheng Di Di], referencing Ramulus Nymphaeae [Deng Xin]) or Orchid Leaf Powder (Lan Ye San, containing Orchid Leaf [Lan Ye], Scutellaria Root [Huang Qin], Rhinoceros Horn [Xi Jiao], Rhubarb Root [Da Huang], Bupleurum Root [Chai Hu], Gardenia Fruit [Zhi Zi], Cimicifuga Rhizome [Sheng Ma], Gypsum Fibrosum [Shi Gao], Licorice Root [Gan Cao], referencing Bamboo Sap [Zhu Li]). Externally, apply raw Adzuki Bean (Chi Xiao Dou) powder mixed with egg white to the affected area, or apply thin slices of lean pork to the lesion.
[Chen Shouzhen's Note] Erysipelas is caused by toxic heat qi battling with blood, with wind pathogens taking advantage, resulting in migrating redness and swelling. If the toxin originates internally from the abdomen and spreads to the limbs, it is easy to cure; if it enters the abdomen from the limbs, it is difficult to treat. One must act before the toxin enters the Kidney or abdomen. Internally, decoct Mulberry Leaf (Sang Ye), Honeysuckle Flower (Jin Yin Hua), Raw Rehmannia Root (Sheng Di), and Raw Licorice Root (Sheng Gan Cao), mix with a small amount of Bamboo Sap (Zhu Li), and administer slowly. Externally, grind Cold Water Stone (Han Shui Shi), Raw Phellodendron Bark (Sheng Huang Bai), and Raw Licorice Root (Sheng Gan Cao) into powder, mix with Banana Juice (Ba Jiao Zhi) for application. If banana juice is unavailable, fresh well water can be used. Furthermore, imitate the "grafting" method: slice yellow ox meat thinly, soak it in Coptis Rhizome (Huang Lian) water, and apply it to the affected area, replacing it when dry, to absorb the toxic heat. This is superior to using lean pork.