浓朴、甘草水煮各二钱半，附子、犀角各一钱，全蝎七个，每个用薄荷叶裹，汤泡一时，炙黄为末，竹沥丸黑
豆大。每一丸，金银、薄荷煎汤，随儿大小加减化服。痫后喑不能言者，用南星湿纸煨香为末，每一字，雄猪
胆汁调服，效。痫愈后复作者，断痫丹。久痫气血不足者，活虎丹。
一身强硬为 痉，终日不醒分刚柔；
先谵语而发者名刚 ，当发汗；先肢冷而发者名柔 ，当解肌。
柔 理中刚麻葛，
柔痉理中汤、三生饮；刚 麻黄葛根汤。
通用断痫续命投。
断痫丹、小续命汤，详杂病及伤寒门。
客忤
客忤异物暴触惊。
心气不足，遇人客或异物，则忤而惊，脾脏冷而痛，多夜啼。
状若痫风眼不窜；吐沫螈 喘腹疼，雄麝千金龙胆灌。
雄麝散∶雄黄一钱，乳香五分，麝香一字，为末。每一字，刺鸡冠血调灌之，仍以母衣覆身即愈。或钩
藤散、千金龙胆汤、保命丹。外用灶心土、蚯蚓等分为末，醋调为丸，摩儿头及五心，详前夜啼条。有中马汗
气臭忤，或马鸣惊忤者，用马尾烧烟，频熏儿面，以瘥
为度；或先用姜汤调下苏合香丸，次用豆豉水湿捣丸，鸡子大，摩儿囟上及足心各五六遍，次摩脐心及上下，
良久擘开自有毛，即掷之。
天钓
天风外触内热痰，痰因乳母爱酸咸；
天钓属阳，由乳母酒食煎炒咸酸过度，毒瓦斯入乳，遂令芽儿心肺生热，痰郁气滞，加之外感，天风触动，
卒然目直身强，如鱼上钩之状，故曰天钓。
搐热眼翻如邪祟，
壮热惊搐，手足抽掣，眼目翻腾，或啼或笑，喜怒不常，如邪祟状。
甚者爪甲亦青蓝；通用钩藤并保命，
钩藤散∶人参、犀角各五分，全蝎、天麻各二分，甘草一分，水煎温服。风热胜者，保命丹；痰盛者，
抱龙丸；热痰者，滚痰丸。
挟食疏通和胃兼。
挟积受惊，肚热胀硬，睡中腹内跳动，宜宽热饮，泄下恶臭，然后与调和脾胃之药治之。此等不可误作
惊风。
内钓
内钓五内抽掣痛（即钓肠气），原因胎惊胎风动（胎中风气壅结，兼惊而得）；
眼有红筋（血点）身反张，唇黑偃啼外肾肿。吐泻方子外搐来，内外兼攻实可恐；谁知至宝钩藤膏，调
（气）镇（惊）疏风内外共。
惊风内钓，腹中极痛，偃啼，面青肢冷，尿如米泔者，钩藤膏∶乳香、没药各三钱，木香、姜黄各四钱，
木鳖肉十一个，为末；蜜调成剂，收砂罐内。量儿大小加减，钩藤煎汤或四磨汤化下。次服五味木香散∶川楝
肉七个，用巴豆三十五粒去皮同炒，豆黄去巴豆，木香、使君子、玄胡索、茴香各一钱，为末。量儿大小加减，
米饮调下。内钓冷痛者，古芎归汤加干姜、肉桂等分，丁香、沉香、青皮、小茴减半，水煎服。痛甚者，魏
术散∶莪术五钱，阿魏一钱，先用温水化阿魏浸莪术一昼夜，焙干为末。每一字，紫苏煎汤或米饮调下。内钓
腹痛惊啼者，乳香丸∶乳香五分，没药、沉香各一钱，蝎梢十四个，槟榔一钱半，为末蜜丸梧子大。每一二丸，
菖蒲、钩藤煎汤化下。内钓阴肿便秘者，归牛散。以上皆调气疏风之剂，若惊重者，宜定魄丸以镇之。
盘肠腰干虫呕攻，
盘肠痛，因寒郁小肠，亦腹痛多啼，与内钓相似，但痛则曲腰、干啼、额汗为异。古方用白豆蔻、砂仁、
青皮、陈皮、香附、莪术、甘草等分为末、紫苏煎汤下。虫证亦与内钓相似，但虫痛攻心，叫哭合眼，呕吐涎
沫清水，四肢羸瘦，面青黄，或寒或热，沉默不知病处，发作有时为异，化虫丸主之。一切积痛、盘肠、虫痛
者，通用沉乳感应丸∶沉香、乳香、杏仁、木香、丁香各一钱，肉豆蔻一个，百草霜一分，巴豆十四粒，为末，
酒煮过黄蜡和丸绿豆大，每四丸，姜汤或钩藤煎汤下。痢疾亦宜。
中风不语似三种。
盘肠、虫证、中风，三种俱似内钓，但中风不语为异，治与大人一同。小儿有中风后，喑不能言者，用
木香、陈皮、甘草煎汤吞肥儿丸，内有黄连，能去心窍恶血故也。有肺风喘促涎潮，窜视者，用阿胶、紫苏、
乌梅、人参煎服。盖阿胶能育神，惊风后眼中瞳子不正者最宜。
疝气
疝气亦因胎患得，
有因父服热药，以致气滞于下者；有因孕妇伤啼哭，冷气入胎中而成此疾者；有久坐湿地而得者。
多啼冷气传肾经；
有因儿多啼不已，冷气吸入，小肠钓痛传流肾经而得者。又有木肾、有肾肿、有肾痈、有偏坠、有 疝、
有奔豚、有疝瘕，与大
科同。
面青吐沫阴囊肿，
甚则小便淋涩，阴囊肿痛者，用甘草汁调地龙粪涂之。风热外肾 赤肿痛，日夜啼叫，不数日退皮如鸡卵
壳，愈而复作者，用老杉木烧灰，入腻粉、清油调敷，神效。
小腹痛连腰背倾；
诸疝皆因肾虚，寒邪冷湿之气，侵入膀胱之经，留而不散，故阴核肿硬沉坠。治法∶先宜疏利，次用逐寒温
脏之药。按穴灸之。惟木肾、肾痈、疮毒之气入于肾经，久则成脓。治法∶外用拔毒之药敷贴，内服消散痈毒、
排脓、利水道等药。
先宜疏导归牛散，
肉桂、牵牛各五钱，当归、大黄、桃仁各二钱半，全蝎一钱。每一钱入蜜煎服。利后，以青皮、陈皮、茯苓、
木香、砂仁、甘草、生姜煎服，和胃。唇青者，死。治疝气便闭，小腹阴囊牵引痛甚，夜啼。
次与和胃羡金铃（散）。
金铃肉一两，砂仁七钱半，荜澄茄、木香各五钱，为末。每一钱，大者二钱，盐汤或酒调服。治疝痛时，
先曲腰干啼，脚冷唇干，额汗，或外肾钓上，阴囊偏大。通用∶钩藤膏、魏术散。
变蒸
变则气升蒸则热，
变者，变生五脏；蒸者，蒸养六腑。故变则上气，蒸则体热。
八蒸十变长气血；
小儿初生，形体虽具，脏腑气血尚未成就，而精、神、志、意、魂、魄俱未生全，故三十二日一变，六十四
日一蒸，凡遇一变，即觉性情有异于前，上唇中心有一点白者是也。初生至三十二日，一变生癸水，属足少阴肾
主精；至六十四日，一蒸二变生壬水，属足太阳膀胱，其发，耳与尻冷；至九十六日，三变生丁火，属手少阴
心，主藏神，其性为喜；至一百二十八日，二蒸四变生丙火，属手太阳小肠，其发，汗出而微惊；至一百六十
日，五变生乙木，属足厥阴肝，主藏魂，喜笑；至一百九十二日，三蒸六变生甲木，属足少阳胆，其发，两目不
闭而赤；至二百二十四日，七变生辛金，属手太阴肺，主藏魄，生声；至二百五十六日，四蒸八变生庚金，属
手阳明大肠，其发，肤热而汗，或不汗；至二百八十八日，九变生己土，属足太阴脾，主藏意与智；至三百二
十日，五蒸十变生戊土，属足阳明胃，其发，不食肠痛而吐乳。又手厥阴心包络，与手少阳三焦，二经俱无形状，
故不变而不蒸。十变五蒸者，天地之数以生成之。然后生意志、能言语、知喜怒，故云始全也。十变后六十四
日为一大蒸，计三百八十四日，长其经脉手足，故手受血而能持物，足受血而能行立；又六十四日为二大蒸，
计四百四十八日，则言语、意志有异于前；又六十四日为三大蒸，计五百一十二日，变蒸既毕，学语倚立，扶步
能食，血脉筋骨皆牢。禀气盛者，暗合而无外证；禀气弱者，乃有蒸病。
轻则潮汗微似惊，
轻则发热微汗似惊，五日乃解。
重则壮热吐且渴；
重则壮热，脉乱而数，或吐或汗，或烦啼燥渴，七八日始解，与伤寒相似。亦有变蒸之后，续感寒邪者，
如蒸于肝，则目昏微赤；蒸于肺，则嚏嗽毛耸，随证调治。
治贵平和汗下微，
不汗而热，微发其汗；若吐下者，微止之。不可妄治，宜平和饮子∶白茯苓一钱半，人参、甘草各五分，
升麻二分。禀受弱者，加白术一钱，水煎服。变蒸前后三日各进一服，可免百病，及百日内亦宜。吐泻不乳多
啼者，和气散∶木香、香附、浓朴、人参、陈皮、藿香、甘草各等分，姜枣前服。宿乳者，紫霜丸。痰热者，
惺惺散。
柴胡当归寒热遏。
骨热心烦，啼叫不已者，柴胡饮∶柴胡、人参、麦门冬、甘草各二分，龙胆草、防风各一分，水煎服。
有寒无热者，当归汤∶当归四分，木香、辣桂、人参、甘草各二分，姜枣煎服。蒸热甚者，紫阳黑散。积热寒
热如疟者，梨浆饮。
龟胸龟背
（附解颅囟填囟陷滞颐）
龟胸肺热百合丹，
妊孕及乳子时，多食五辛炙爆淹藏，生下婴孩，或胸前高起，形如龟状，此肺经受热也。行动喘乏，但遇
风寒，或多食，则痰嗽气急喘满，肢体瘦悴，久而不治，将成疳痨之疾，百合丹主之∶大黄三分，天门冬、杏
仁、百合、木通、桑白皮、甜葶苈、石膏各五钱，为末，炼蜜丸，如绿豆大。每服一十五丸，食后临卧熟水
吞下。
龟背客风松蕊验。
婴儿生下不能护背，客风吹脊，入于骨髓所致。或小儿坐早，伛偻，背高如龟，多成痼疾。间有灸肺俞、
膈俞，炷粟米大艾，三五壮收功。内服松蕊丹∶松花、枳壳、防风、独活各一两，麻黄，前胡、大黄、桂心各
五钱，为末炼蜜丸，如黍米大。每服十丸或二十丸，粥饮下，量儿大小加减用之。或外以乌龟尿点脊骨缝中，效。
解颅原是肾家虚，
小儿年大，头缝开解而不合，肾主髓，脑为髓海，肾气有亏，脑髓不足所致。凡脑髓欠少，如木无根，不过
千日，终成废人，宜肾气丸，或八物汤加酒炒芩、连，外用南星、白蔹为末，醋调摊红帛上，烘热贴之；或颅头
骨烧灰，油调敷缝中，外作头布遮护。其父母宜服肾气丸、虎潜丸，俾精血充足，后育子女，无是患也。
风热囟填脾亏陷。
囟填者，囟门肿起也。脾主肌肉，乳哺不常，饥饱无度，或寒或热乘脾，以致脏腑不调，其气上冲填胀，
囟高而突，毛发短黄自汗。若寒气上冲则牢 ，宜温之；热气上冲则柔软，宜凉之，剂量轻重，兼与调气。又有
肝盛，风热交攻，以致囟填突起者，泻青丸。如因惊热者，惊风即至。囟陷者，囟门成坑也。始因脏腑有热，
渴饮水浆，致成泄利，久则气血虚弱，不能上充脑髓，故囟陷如坑，不得平满，宜黄狗头骨，炙黄为末，鸡子
清调敷。
滞颐热者胃火炎，冷涎胃弱不收饮。
滞颐者，口涎流出而渍于颐间也。热涎稠粘者，乃胃火炎上也，宜通心饮，或泻黄散加减。冷涎自流者，
乃胃虚不能收约也，宜木香半夏丸∶木香、半夏、丁香各五钱，白姜、白术、青皮、陈皮各二钱半，为末，
蒸饼丸，麻子大。一岁十丸，二岁倍之，米汤灌下。
五软五硬
五软皆因禀受亏，行迟语迟齿发迟；
五软者，头项软、手软、脚软、身软、口软是也。头软，头不能正，详肾疳条。项软，天柱倒也。有吐泻
久弱者，宜补脾胃；有伤寒不及发表成者，难治。有肝胆伏热，面红唇红肌热者，羊角散∶羚羊角、白茯苓、
虎胫骨、酸枣仁、桂心、熟地、防风、甘草各等分为末。每一钱，酒调服，或凉肝丸∶防风三钱，人参、赤茯
苓各一钱半，黄芩、茺蔚子、黑参、大黄、知母各一两，为末，蜜丸绿豆大。量儿大小，食后茶清下。兼治痘
后目赤肿痛。有风气入肝，筋舒头项软者，天柱丸∶蛇含石一块，火 醋淬七次，郁金、麝香各少许，为末，
饭丸龙眼核大。
每一丸，荆芥煎汤，或金银、薄荷煎汤化下。通用健骨散∶单僵蚕炒为末。每三五分，薄荷泡酒调服。治久患痿，
体虚不食，及诸病后天柱骨倒。外用生筋散∶木鳖子六个，蓖麻子六十个俱去壳捣烂，先抱起儿头，摩项上令
热，后用津液调匀贴之，效。贴项方∶生附子、南星等分为末，生姜自然汁调，敷颈项软处。手软，无力以动也，
所受肝弱，两手筋缩不能舒伸。
薏苡丸∶薏苡仁、当归、秦艽、酸枣仁、防风、羌活各一两，为末，蜜丸芡实大。每一丸至二丸，麝香、荆芥
煎汤化下。脚软行迟，乃骨髓不满，气血不充，筋弱不能束骨，宜肾气丸加牛膝、五加皮、鹿茸。五六岁不能
行者，羊角丸∶羚羊角、虎胫骨、生地，酸枣仁、白茯苓各五钱，桂心、防风、当归、黄 各二钱半，为末，
蜜丸皂子大。每一丸或三丸，温酒化下。三岁不能行者，用五加皮一两，牛膝、木瓜各五钱，为末，每二钱，
米饮入酒少许调服。有脚指蜷缩无力，不能展伸者，海桐散∶海桐皮、牡丹皮、当归、熟地、牛膝各二分，
山茱萸、补骨脂各一分，葱煎服。有鹤节风，俗云鼓槌风。乃肾虚精髓内耗，为风邪所袭，皮肤不荣，日渐枯
瘁，如鹤脚之节，宜肾气丸，加五加皮、鹿茸、牛膝。身软肉少，皮肤自离，饮食不为肌肤，四君子汤、紧皮丸。
遍身筋软者，鹿茸四斤丸，加当归、青盐各等分，口软语迟，婴儿在胎，母卒有惊怖，惊气乘胞络之经，使
生子心神不足，舌本不通，四五岁犹不能言，菖蒲丸∶石菖蒲、人参、麦门冬、远志、川芎、当归各二钱，
乳香、朱砂各一钱，为末，蜜丸麻子大。每十丸，米饮下。诸病后不能语者，鸡头丸∶雄鸡头一个、鸣蝉三个
Cortex Magnoliae Officinalis (Houpo) and Radix Glycyrrhizae Preparata (Gancao) are boiled in salt water, each taking two qian half; Radix Aconiti Lateralis Preparata (Fuzi) and Cornu Rhinocerotis (Xijiao) each take one qian; Scorpio (Quanxie) seven pieces, each wrapped with Folium Menthae Haplocalycis (Bohe), soaked in decoction for one shichen (two hours), roasted until yellow, then ground into fine powder, made into pills the size of black beans using Bamboo Sap (Zhuli). One pill per dose, taken with decoction of Flos Lonicerae Japonicae (Jinyinhua) and Folium Menthae Haplocalycis (Bohe), dosage adjusted according to the child's age. For aphonia after epilepsy, use Rhizoma Pinelliae Preparata (Nanting) roasted in wet paper until fragrant, ground into powder, one zi (approx. 0.5-1g) per dose, mixed with bile of Sus Scrofa domestica masculus (Xiongzhu dan). Effective. For relapse after epilepsy recovery, use Duanxian Dan. For chronic epilepsy causing Qi and Blood deficiency, use Huohu Dan.
General stiffness of the body is called "Jing" (Spasm); unresponsiveness all day distinguishes between Gang Jing (Yang Spasm) and Rou Jing (Yin Spasm).
Gang Jing presents first with delirium before onset, treated by inducing sweating; Rou Jing presents first with cold limbs before onset, treated by releasing the muscle layer.
Rou Jing uses Lizhong Tang or Mahuang Gegen Tang;
Rou Jing uses Lizhong Tang or Sansheng Yin; Gang Jing uses Mahuang Gegen Tang.
Generally, Duanxian Dan or Xiao Xuming Tang can be used.
Duanxian Dan and Xiao Xuming Tang are detailed in the Miscellaneous Diseases and Shanghan sections.
Ke Wu (External Shock)
Ke Wu refers to sudden fright caused by contact with foreign objects.
Insufficient Heart Qi leads to fright upon encountering people or objects; Cold in the Spleen causes pain and frequent night crying.
Symptoms resemble epilepsy but without eye rolling; foaming at the mouth, convulsions, wheezing, abdominal pain; treat with Xiong She San or Qianjin Longdan Tang.
Xiong She San: Realgar (Xionghuang) one qian, Resina Draconis (Ruxiang) five fen, Moschus (Shexiang) one zi, ground into powder. One zi per dose, mixed with blood from a rooster's comb and administered. Cover the infant with the mother's clothing to cure. Alternatively, use Gouteng San, Qianjin Longdan Tang, or Baoming Dan. Externally, apply powder of Caulis Cinnamomi (Zaoxintu) and Earthworm (Qiuyin) equal parts mixed with vinegar as pills, rubbing on the head and five centers (palms, soles, chest). Refer to Night Crying section. For shock from horse sweat odor or horse neighing, burn horse tail hair and smoke frequently near the infant's face until cured. Or first administer Suhexiang Wan with ginger decoction, then make pills the size of an egg from fermented soybean paste, rub on fontanelle and soles 5-6 times, then navel area. If hairs appear when opened, discard.
Tian Diao (Heavenly Hook)
External Heavenly Wind combined with internal Heat-Phlegm; Phlegm arises from the nursing mother consuming excessive sour and salty foods.
Tian Diao is a Yang syndrome caused by the mother's consumption of alcohol, fried, salty, and sour foods, transmitting toxins through milk, causing Heat in the infant's Heart and Lung, stagnation of Phlegm and Qi, triggered by external Heavenly Wind. Sudden upward gaze and stiff body resemble a fish hooked, hence the name.
High fever, convulsions, eyes rolling back like possession;
Severe fever, convulsions, limb jerking, eye rolling, crying or laughing, mood swings resembling possession.
Severe cases show blue fingernails; generally use Gouteng San and Baoming Dan.
Gouteng San: Ginseng Radix et Rhizoma (Renshen) and Cornu Rhinocerotis (Xijiao) each five fen, Scorpio (Quanxie) and Rhizoma Gastrodiae (Tianma) each two fen, Radix Glycyrrhizae Preparata (Gancao) one fen, decocted and taken warm. For excess Wind-Heat, use Baoming Dan; for excess Phlegm, use Baolong Wan; for Heat-Phlegm, use Tun Tan Wan.
For concurrent food stagnation, regulate the Stomach and promote digestion.
For stagnation with fright, hot and hard abdomen, pulsating during sleep, use Kuanre Yin to purge foul stool, then regulate the Spleen and Stomach. Do not mistake for Convulsive Disease.
Nei Diao (Internal Hook)
Nei Diao involves internal cramping pain (intestinal hook qi), caused by fetal fright and wind (stagnation of wind in the womb plus fright).
Red veins in eyes, opisthotonos, black lips, supine crying, swollen genitals. Vomiting/diarrhea formulas with convulsions indicate severe internal/external attack; Zhibao Gouteng Gao regulates Qi, calms fright, and dispels wind internally and externally.
For severe abdominal pain, supine crying, cyanotic face, cold limbs, rice-water urine due to Fright-Wind Nei Diao, use Gouteng Gao: Resina Draconis (Ruxiang) and Resina Burseraceae (Moyao) each three qian, Radix Aucklandiae (Muxiang) and Rhizoma Curcumae Longae (Jianghuang) each four qian, Semen Momordicae (Mubiezi) eleven pieces, ground into powder, formed into cakes with honey, stored in a clay jar. Dosage adjusted by age, taken with Gouteng decoction or Simo Tang. Follow with Wuwei Muxiang San: Fructus Toosendan (Chuanlianrou) seven pieces stir-fried with Semen Crotonis Tiglii (Badou) thirty-five pieces, remove Badou, Radix Aucklandiae (Muxiang), Fructus Quisqualis (Shijunzi), Rhizoma Corydalis Yanhusuo (Yanhusuo), Fructus Foeniculi (Huixiang) each one qian, ground into powder. Dosage adjusted by age, taken with rice drink. For Cold Pain Nei Diao, use Gu Xiongui Tang plus Ganjiang and Rougui equal parts, reduce Dingxiang, Chenxiang, Cortex Mangguo (Qingpi), Xiaohui by half, decocted. For severe pain, use Weishu San: Rhizoma Curcumae Phaeocaulis (Ezhu) five qian, Resina Ferulae (Awei) one qian, soak Ezhu in melted Awei overnight, dry and powder. One zi per dose, taken with Perilla Decoction or rice drink. For abdominal pain and crying, use Ruxiang Wan: Resina Draconis (Ruxiang) five fen, Resina Burseraceae (Moyao) and Resina Aquilariae (Chenxiang) each one qian, Scorpio tail (Xeshao) fourteen pieces, Fructus Arecae (Binglang) one and a half qian, ground into powder, honey pills. One or two pills per dose, taken with Anemarrhenae Rhizoma (Changpu) and Gouteng decoction. For scrotal swelling and constipation, use Guiniu San. These are Qi-regulating and Wind-dispelling agents. For severe fright, use Dingpo Wan to calm.
Panchang (Coiled Intestine) pain involves bending waist, dry crying, forehead sweating; similar to Nei Diao but distinct. Ancient formula uses Bai Doukou, Sha Ren, Qing Pi, Chen Pi, Xiang Fu, Ezhu, Gancao equal parts, taken with Zisu decoction. Worm infestation is similar but involves heart-pain, closing eyes while crying, vomiting clear saliva, emaciation, alternating cold/heat, silence, periodic attacks; treat with Huachong Wan. For all stagnation pain, Panchang, and worm pain, use Chenru Yinggan Wan: Agarwood (Chenxiang), Resina Draconis (Ruxiang), Semen Armeniacae Amarum (Xingren), Radix Aucklandiae (Muxiang), Flos Caryophylli (Dingxiang) each one qian, Fructus Myristicae (Roudoukou) one, Caulis Pini (Baicaoshuang) one fen, Semen Crotonis Tiglii (Badou) fourteen pieces, ground, cooked in wine, mixed with beeswax into green bean-sized pills. Four pills per dose, taken with ginger or Gouteng decoction. Also suitable for dysentery.
Stroke aphonia resembles these three conditions.
Panchang, worm disease, and stroke all resemble Nei Diao, but stroke aphonia is distinct; treatment is same as adults. For post-stroke aphonia, use Muxiang, Chenpi, Gancao decoction to swallow Fei'er Wan (contains Huanglian to remove evil blood from Heart orifices). For Lung Wind with wheezing and phlegm, staring eyes, use Ejiao, Zisu, Wumei, Renshen decoction. Ejiao nourishes Spirit, best for misaligned pupils after convulsions.
Shan Qi (Hernia)
Often congenital; caused by father's heat drugs causing lower Jiao Qi stagnation, mother's crying allowing Cold into fetus, or sitting on damp ground.
Excessive crying inhales Cold into Kidney Meridian.
Frequent crying inhales Cold, Small Intestine hook pain transmits to Kidney Meridian. Also includes Mu Shen, Kidney swelling, abscess, hernia, Ben Tun, Shan Jia, same as adult medicine.
Cyanotic face, foaming, scrotal swelling;
Severe urinary difficulty, painful scrotal swelling: apply Dilong feces mixed with Gancao juice. For Wind-Heat external genital redness/swelling, crying day/night, peeling like eggshell, recur: apply Lao Shanmu ash mixed with Nifen and sesame oil. Effective.
Lower abdominal pain radiating to back;
All hernias due to Kidney Deficiency, Cold-Damp invading Bladder meridian, lingering causing swollen/hard scrotum. Treatment: First dredge and promote, then expel Cold and warm Zang organs. Moxibustion on acupoints. Only Mu Shen, abscess, toxin entering Kidney meridian becomes pus over time. Treat externally with detoxifying plasters, internally with dispersing/toxin-expelling/diuretic herbs.
First use Guidou Guiniu San: Rougui, Qianniuge each five qian, Danggui, Dahuang, Taoren each two qian half, Quanxie one qian. One qian per dose with honey. After purging, use Qingpi, Chenpi, Fuling, Muxiang, Sharen, Gancao, Shengjiang decoction to harmonize Stomach. Cyanotic lips indicate death. For hernia constipation, severe牵引 pain, night crying.
Next use Hewei Xian Jinling San: Jinlingrou one liang, Sharen seven qian half, Bichengqie, Muxiang each five qian, powder. One qian (two qian for strong constitution) with salt water or wine. For hernia pain, bending waist, dry crying, cold feet, dry lips, sweating, retracted genitals, enlarged scrotum. General: Gouteng Gao, Weishu San.
Bian Zheng (Transformation and Steaming)
Bian means Qi rising, Zheng means Heat steaming.
Bian transforms the Five Zang; Zheng nourishes the Six Fu. Thus Bian raises Qi, Zheng generates body heat.
Eight Zhengs and Ten Bians grow Qi and Blood.
Newborns have form but immature Zang-Fu/Qi-Blood/Spirit. Every 32 days is a Bian, every 64 days is a Zheng. Temperament changes at each Bian; white spot on upper lip center indicates this.
32 days: 1st Bian, Gui Water, Foot Shaoyin Kidney, essence.
64 days: 1st Zheng, 2nd Bian, Ren Water, Foot Taiyang Bladder, ears/tailbone cold.
96 days: 3rd Bian, Ding Fire, Hand Shaoyin Heart, spirit, joy.
128 days: 2nd Zheng, 4th Bian, Bing Fire, Hand Taiyang Small Intestine, sweating/mild fright.
160 days: 5th Bian, Yi Wood, Foot Jueyin Liver, soul, laughter.
192 days: 3rd Zheng, 6th Bian, Jia Wood, Foot Shaoyang Gallbladder, eyes open/red.
224 days: 7th Bian, Xin Metal, Hand Taiyin Lung,魄 (Po), voice.
256 days: 4th Zheng, 8th Bian, Geng Metal, Hand Yangming Large Intestine, skin heat/sweat.
288 days: 9th Bian, Ji Earth, Foot Taiyin Spleen, Yi/Zhi.
320 days: 5th Zheng, 10th Bian, Wu Earth, Foot Yangming Stomach, no eating/intestinal pain/vomiting.
Pericardium and Sanjiao have no shape, thus no Bian/Zheng.
Ten Bians/Five Zhengs follow heaven-earth numbers. Then will/language/emotions develop.
After 10 Bians, +64 days = Great Zheng 1 (384 days): meridians/limbs mature, holding/walking.
+64 days = Great Zheng 2 (448 days): language/will change.
+64 days = Great Zheng 3 (512 days): Bian Zheng complete, speech/standing/eating solid, sinews/bones strong.
Strong constitution: silent/no symptoms. Weak constitution: Zheng disease.
Mild: tidal fever/sweat resembling fright, resolves in 5 days.
Severe: high fever, chaotic rapid pulse, vomiting/sweating/restlessness/thirst, resolves in 7-8 days, resembles Shanghan. Post-Zheng cold invasion: Liver heat (red eyes), Lung heat (cough/chills), treat accordingly.
Treatment favors mildness, slight sweating/purging.
No sweat/heat: slight sweating. Vomit/purge: stop slightly. Do not abuse treatment. Use Pinghe Yinzi: Fuling one qian half, Renshen, Gancao each five fen, Shengma two fen. Weak constitution add Baizhu one qian. Take 3 days before/after Bian Zheng to prevent disease, also within 100 days. For vomiting/diarrhea/refusal to nurse/crying, use Heqi San: Muxiang, Xiangfu, Houpo, Renshen, Chenpi, Huoxiang, Gancao equal parts, Ginger/Jujube. For retained milk, use Zishuang Wan. For Phlegm-Heat, use Xingxing San.
Chaihu Danggui treats chills/fever obstruction.
Bone heat, irritability, incessant crying: Chaihu Yin: Chaihu, Renshen, Maidong, Gancao each two fen, Longdancao, Fangfeng each one fen, decocted.
Chills without fever: Danggui Tang: Danggui four fen, Muxiang, Lagui, Renshen, Gancao each two fen, Ginger/Jujube.
Severe Zheng heat: Ziyang Heisan. Accumulated Heat chills/fever like malaria: Li Jiang Yin.
Gui Xiong (Turtle Chest) & Gui Bei (Turtle Back)
(Attached: Jie Lu, Xitian, Xixian, Zhiyi)
Gui Xiong due to Lung Heat, use Baihe Dan.
Mother's diet of pungent/fried/preserved foods during pregnancy/nursing causes infant chest elevation like turtle shell, Lung Heat. Wheezing, fatigue, worse with wind/cold/overeating, phlegm cough, emaciation, eventually consumptive disease. Baihe Dan: Dahuang three fen, Tianmendong, Xingren, Baihe, Mutong, Sangbaipi, Tinglizi, Shigao each five qian, powder, honey pills green bean size. 15 pills per dose after meals/bed with warm water.
Gui Bei due to External Wind, Songrui Dan effective.
Infant cannot protect back, external wind enters spine/marrow. Early sitting causes hunchback. Moxibustion Feishu, Geshu with millet-sized moxa, 3-5 sessions. Internally Songrui Dan: Songhua, Zhike, Fangfeng, Duhuo each one liang, Mahuang, Qianhu, Dahuang, Guixin each five qian, powder, honey pills millet size. 10-20 pills per dose with porridge drink. Externally, turtle urine applied to spine gaps.
Jie Lu originally Kidney Deficiency.
Older infants with open skull sutures. Kidney governs Marrow, Brain is Sea of Marrow. Kidney Qi deficiency leads to insufficient Marrow. Like tree without roots, becomes invalid within 1000 days. Use Shenqi Wan or Babawu Tang plus Jiu Chao Huangqin/Huanglian. Externally Nanxing, Bailian powder mixed with vinegar on red silk, heated and applied; or skull bone ash mixed with oil in gaps, covered with cloth. Parents should take Shenqi Wan, Huyian Wan to replenish Essence/Blood for future children.
Wind-Heat causes Xitian (Fontanelle Bulging), Spleen Deficiency causes Xixian (Fontanelle Depression).
Xitian: Fontanelle bulges. Spleen governs flesh. Irregular feeding, hunger/fullness extremes, Cold/Heat attacking Spleen cause organ dysfunction, Qi rushing up causing bulging, short yellow hair, spontaneous sweat. Cold Qi rush = hard, warm it. Heat Qi rush = soft, cool it. Adjust dosage, regulate Qi. Liver excess/Wind-Heat attack: Xieqing Wan. Fright-Heat: Convulsions ensue.
Xixian: Fontanelle sinks. Initial organ Heat, thirst, diarrhea leads to Qi/Blood deficiency, unable to fill Brain Marrow, sunken pit. Use Huanggoutou bone roasted/powdered, mixed with egg white applied.
Zhiyi Heat due to Stomach Fire, Cold Saliva due to Spleen/Stomach Weakness.
Zhiyi: Saliva flowing onto cheeks. Thick/sticky saliva = Stomach Fire, use Tongxin Yin or Xiehuang San modified. Free-flowing cold saliva = Stomach Deficiency inability to control, use Muxiang Banxia Wan: Muxiang, Banxia, Dingxiang each five qian, Baijiang, Baizhu, Qingpi, Chenpi each two qian half, powder, steamed cake pills sesame size. 10 pills at 1 year, double at 2 years, rice soup.
Wu Ruan Wu Ying (Five Softnesses, Five Stiffnesses)
Five Softnesses due to constitutional deficiency: delayed walking, speech, teeth, hair.
Five Softnesses: Head/Neck, Hands, Feet, Body, Mouth soft.
Head soft: head cannot hold upright (see Kidney Guan). Neck soft: Tianzhu collapse. Chronic vomiting/diarrhea weakness: tonify Spleen/Stomach. Post-Shanghan failure to release exterior: difficult. Liver/Gallbladder latent heat, red face/lips/muscles: Yangjiao San: Lingyangjiao, Fuling, Hu Jinggu, Suanzaoren, Guixin, Shudi, Fangfeng, Gancao equal parts powder. One qian with wine, or Liangan Wan: Fangfeng three qian, Renshen, Chi Fuling each one qian half, Huangqin, Chongweizi, Heishen, Dahuang, Zhimu each one liang, powder, honey pills. Tea wash after meal. Treats post-varicella eye redness/swelling. Wind entering Liver, loose sinews neck soft: Tianzhu Wan: Shehanshi quenched in vinegar 7 times, Yujin, Shexiang small amount, rice pills dragon eye size. One pill with Jingjie or Jinyinhua/Bohe decoction. General Jianggu San: Cang'er fried powder. 3-5 fen with mint wine. Treats chronic flaccidity, weak appetite, post-illness Tianzhu collapse. Externally Shengjin San: Mubiezi 6, Bambooshoot 60 peeled/mashed, massage neck hot, apply with saliva. Neck paste: Sheng Fuzi, Nanxing equal parts, fresh ginger juice.
Hand soft: weak movement, Liver weakness, contracted sinews. Yiyi Wan: Yiyiren, Danggui, Qinjiao, Suanzaoren, Fangfeng, Qianghuo each one liang, powder, honey pills euryale size. 1-2 pills with Shexiang/Jingjie decoction.
Foot soft/delayed walking: marrow insufficiency, Qi/Blood deficiency, weak sinews. Shenqi Wan plus Niuxi, Wujiaopi, Lurong. 5-6 years unable to walk: Yangjiao Wan: Lingyangjiao, Hu Jinggu, Shengdi, Suanzaoren, Fuling each five qian, Guixin, Fangfeng, Danggui, Huang [missing char] each two qian half, powder, honey pills soap size. 1-3 pills warm wine. 3 years unable to walk: Wujiaopi one liang, Niuxi, Mugua each five qian, powder, two qian with rice drink/wine. Curling toes weakness: Haitong San: Haitongpi, Mudanpi, Danggui, Shudi, Niuxi each two fen, Shanzhuyu, Buguzhi each one fen, scallion decoction. Crane joint wind (drumstick wind): Kidney deficiency, wind invasion, emaciation. Shenqi Wan plus Wujiaopi, Lurong, Niuxi.
Body soft/flesh thin, skin separation, food not transforming to flesh: Sijunzi Tang, Jinpi Wan.
Whole body sinew soft: Lurong Si Jin Wan plus Danggui, Qingyan equal parts.
Mouth soft/delayed speech: Maternal fright affects fetus Pericardium meridian, Heart Spirit deficiency, tongue root blockage. At 4-5 years still unable to speak: Changpu Wan: Shichangpu, Renshen, Maidong, Yuanzhi, Chuanxiong, Danggui each two qian, Ruxiang, Zhusha each one qian, powder, honey pills sesame size. 10 pills rice drink. Post-illness aphonia: Jitou Wan: Rooster head one, Cicada slough three