小儿夜啼者。证候甚多。其所专者。不出三种。一者冷。谓脾藏寒则腹痛而啼。其候面青白。手冷腹肚冷。
口中气亦冷。曲腰而啼。不肯吮乳。又有从生下多啼。入夜则甚者。此胃寒也。亦曰胎寒。圣济经言积冷而夜
啼。夜则为阴。冷则作痛。故夜间痛甚。令儿啼哭也。二者热。谓心藏热则烦躁而啼。其候面赤。小便赤。口中
气热。心腹亦暖。仰身而啼。不肯吮乳。又有多饶惊悸惕跳。或睡中忽然叫啼。此风热也。亦曰惊啼。心主热。
其候惊。故热则生惊。又心为火。热则火旺。故热邪燥甚。令儿啼哭也。三者邪祟。谓有鬼气所持。其
候睡卧不稳。或作疼痛。且鬼祟者。阴物也。入夜则旺。小儿精神怯弱。血气嫩微。夜间被鬼所持。故令儿啼哭
也。以外客忤虫动。重舌口疮等病。亦皆能为夜啼。其治方各逐本项下具之。非若此三等之为专也。今叙方于
后。
蒜香膏
治冷证腹痛夜啼。以大蒜一颗。慢火煨香熟。取出切细研烂。于日中爆。或火上炕半干，可丸时即以好乳
香秤半钱。研细如粉拌入。再研极匀。丸如芥子大。每服七丸。乳头粘服。或乳汁送下。食空。
当归丸
治如前。
当归（去芦洗净焙干秤） 白芍药 人参（去芦各一分） 甘草（炙） 桔梗（去芦） 陈皮（不去白半分）
上为细末。每半钱。水煎时时服之。
龙角丸
治小儿五惊夜啼。
龙角（一分） 黄芩（半两） 牡蛎（一分半火 一作牡丹） 蚱蝉（去土二枚） 牛黄（小豆大五块）
川大黄（一分半）
上为末。炼蜜和丸麻子大。蓐中儿二丸。大小以意加减。
芎 散
治小儿夜啼。至明则安。芎 白术防己各半两。为末。以乳和与儿服。以意量大小多少。又母用手掩入儿
脐中。及摩儿头脊。大验。儿生二十日以内。未能服者。以乳和麻子大一丸。置儿口中。乳汁送下。
又方 取道中土伏龙肝各一把。同研细。水调少许饮之。
治小儿夜啼 以蝉蜕去土为细末。用生姜蜜水调涂儿下唇。
又方 治小儿惊啼夜啼。以腊月缚猪绳烧灰。水调服。以 皮三寸烧灰。着乳饮之。疗如物刺啼。
灯花丸
治如前。能祛邪止痛。以灯花二十个。乳香皂子大两块。同为末。粟米饮和丸芥子大。每服七丸。桃心汤
下。无时。
万金散
治藏寒气弱。面色青白，遇夜多啼。状若神祟。
沉香（锉） 丁香 人参（去芦） 五味子（去枝梗炒） 当归（去芦洗焙各一两） 白术（锉） 赤芍药
（各半两） 桂心（一分）
上为细末。每用一钱，淡浆水一小盏。煎至五分。放温。时时滴口中。儿大稍稍饮，立效。
当归散
治胎寒气啼不止。久能变痫。以当归为末，每用小豆许。乳汁调抹儿口中。日夜五服。
三黄丸
治热证心燥。夜啼及诸热证。
黄芩（半两） 大黄（去皮湿纸裹煨熟一分） 黄连（去须一分）
上为细末。面糊和丸绿豆大。每服五七丸。人参汤下。亦治昼啼。
又方 治热烦腹痛夜啼。以真牛黄少许。如小豆大。乳汁化服。
又方 治热证心燥夜啼。以灯花三两颗。用灯心煎汤。调抹儿口中。乳汁送下。日三。钱氏亦治脏冷夜啼。
但顿乳上。令儿吮之。又经验方。以灯心烧灰。涂乳上吮儿。
红桃散
治风热体如汤火。夜啼不乳。
天南星（二个每个中心剜作窝子入朱砂装满用木盖盖之水调取下中心末涂缝掘一地坑顿在内以炭盖之用火
赤放冷取出研末） 全蝎（半钱为末） 白附子（大者二十个为末） 腻粉（一钱）
上拌研匀。每用一字。金银薄荷汤调下。
绿霞散
治如前。
柏叶（二钱末） 蝎末（一钱） 天南星（炮过为末一分） 白僵蚕（去丝嘴末一钱） 郁金（末一钱）
雄黄（末一钱水飞）
上拌匀细。每服一字或半钱。薄荷蜜水调下。无时。
前胡丸
治风热气啼。以去芦前胡为末。炼蜜和丸小豆大。日服一丸。熟水下。服至五六丸。即瘥。
牛黄膏
治儿睡着时。忽然乍惊哭而觉。面赤口干。状若神祟。此虽夜啼。非名夜啼也。乃风热邪气乘心藏而作，名
曰惊啼。
真牛黄（研） 过牡蛎粉 朱砂（研水飞） 雄黄（研飞各一分） 人参（去芦） 甘草（炙各半两）
龙脑（半分研）
上为末拌匀。炼蜜和膏鸡头子大。每服半粒或一粒。薄荷汤化下。乳食后。
安神丸
治如前。
麦门冬（去心焙） 马牙硝 白茯苓 干山药 甘草（半两） 寒水石（研各半两） 朱砂（一两研水飞）
龙脑（一字研）
上为细末。炼蜜和丸鸡头子大。每服半丸，砂糖水化下。无时。
虎睛散
治惊惕夜啼。以虎睛为散。竹沥调少许。抹口中。
又方 治如前。取车辖脂小豆许。纳口中。又取纳脐中。
又方 治如前。以父乱头发烧灰研末，酒调服一字。更量大小。温水亦得。
又方 治如前。以鸡粪白烧灰研末。米饮调服。
明砂丸
治心神不宁多惊。心腹疼痛。夜啼不止。
朱砂（通明者一钱） 杏仁（十四个去皮尖炒黄） 好坯子（半钱即胭脂）
上为末。软饭和丸黍米大。每服三五丸。薄荷汤下。
麝香散
治惊啼夜哭。发歇不止。以麝香研细，用半字。清水调下。日二三服。
铁涎膏
治诸惊夜啼。
丁头代赭石（半两火 醋淬不记遍数以易碎为度） 铁胤粉（一钱即铁华粉） 白附子（一钱） 辰砂（一
钱水飞） 麝香（一字研） 龙脑（一字研）
上为细末。拌匀。蒸枣烂和成膏。旋用。婴孩半皂子许。至二三岁一皂子许。金银薄荷汤化下。不拘时候。
七宝轻青丹
治惊啼夜哭。及诸热等疾。
螺青（半两） 蛤粉（一分） 钩藤（炒为末一钱） 白附子（三字） 铅锡灰（二钱） 丁香（一字炒）
天竺黄（一钱）
上为细末。入麝香半皂子许。研细拌匀。米粉煮糊和丸豌豆大。每服一丸。薄荷汤磨水下。无时。
又方 治夜间卒惊啼哭。似有痛处。而不知疾状。取雄鸡冠血。沥儿口上。滴少许入口中。即瘥。
又方 治如前。以乱发烧灰为末。涂乳上。令儿吮之。能食者饮调亦得。
甑带法
治鬼祟邪厉夜啼。取甑带悬户上。
又法 治如前。以胡粉水调二大豆许与服。日三。
马骨末 治小儿诸夜啼。以马骨为细末。敷母乳上。令小儿吮服。即止。
又方 治如前。取野狼粪中骨烧灰。研为细末。服黍米许。便止。
又方 治如前。取鸡窝中草。安于乳母卧席之下。
Night crying in infants presents with various syndromes. The primary types fall into three categories: First, Cold Syndrome, where cold in the Spleen causes abdominal pain and crying. Signs include a cyanotic or pale complexion, cold hands and feet, a cold abdomen, and cold breath from the mouth. The infant cries with a curved waist and refuses to suckle. Another type involves frequent crying since birth that worsens at night; this is Stomach Cold, also known as Fetal Cold. The *Shengji Jing* states that accumulated cold leads to night crying. Night belongs to Yin, and cold generates pain, so pain is severe at night, causing the infant to cry. Second, Heat Syndrome, where heat in the Heart causes irritability and crying. Signs include a red face, dark urine, hot breath, and warmth in the heart and abdomen. The infant cries while lying on their back and refuses to suckle. Many cases involve palpitations, startles, or sudden crying during sleep, caused by Wind-Heat, also called Startle Crying. The Heart governs Heat, and its manifestation is startle; thus, heat generates startle. Since the Heart corresponds to Fire, heat makes the Fire vigorous, and the dryness of pathogenic heat causes the infant to cry. Third, Evil Influence (Gui Su), attributed to ghostly qi invasion. Signs include restless sleep and occasional pain. Ghostly influences are Yin entities and are potent at night. Infants have weak spirit and delicate Qi and Blood; being invaded by ghostly qi at night causes crying. Additionally, external shocks (Ke Wu), intestinal parasites, double tongue, and mouth ulcers can also cause night crying. Treatment formulas are listed under respective categories, distinct from these three main types. The formulas are presented below.
Garlic Fragrant Plaster
Treats night crying due to abdominal pain from Cold Syndrome. Take one clove of garlic, slow-roast until fragrant and cooked, remove, chop finely, and mash. Sun-dry or bake over fire until half-dry. When ready for pill formation, add half a qian of high-quality Frankincense (Ruxiang, 乳香) ground into fine powder, mix thoroughly, and grind until uniform. Form pills the size of mustard seeds. Administer seven pills per dose, applying to the nipple for sucking or giving with milk water, on an empty stomach.
Danggui Pill
Treats as above.
Angelicae Sinensis Radix (Danggui, 当归) (remove root head, wash, dry, weigh) White Peony Root (Baishao, 白芍药) Ginseng Radix (Renshen, 人参) (remove root head, each 1 fen) Licorice Root (Gancao, 甘草) (roasted) Platycodon Root (Jiegeng, 桔梗) (remove root head) Tangerine Peel (Chenpi, 陈皮) (do not remove white pith, half fen)
Grind all into fine powder. Take half a qian per dose, decoct in water, and administer frequently.
Longjiao Pill
Treats five types of startle-induced night crying in infants.
Dragon Horn (Longjiao, 龙角) (1 fen) Scutellaria Root (Huangqin, 黄芩) (0.5 liang) Oyster Shell (Muli, 牡蛎) (1.5 fen, calcined; alternatively Peony Root Bark Mudanpi, 牡丹皮) Grasshopper (Zachan, 蚱蝉) (remove soil, 2 specimens) Calculus Bovis (Niuhuang, 牛黄) (5 pieces, size of mung bean) Rhubarb (Dahuang, 大黄) (1.5 fen)
Grind into powder, mix with refined honey to form pills the size of hemp seeds. For newborns, administer two pills; adjust dosage according to age and condition.
Xiong San Powder
Treats infant night crying, which resolves by morning. Ligusticum Rhizome (Xiongnu, 芎䓖), Atractylodes Rhizome (Baizhu, 白术), and Premna Root (Fangji, 防己) each 0.5 liang. Grind into powder. Mix with milk water for administration, adjusting dosage based on infant size. Alternatively, mother applies medicine to her hand and presses into infant's umbilicus, massaging head and spine. Highly effective. For infants under 20 days unable to take oral medication, mix with milk water into a pill the size of a hemp seed, place in mouth, and guide down with milk water.
Alternative method: Take earth from under the stove (Fulonggan, 伏龙肝) from roadsides, grind finely, mix with water, and give a small amount to drink.
Treatment for infant night crying: Use Cicada Slough (Chanui, 蝉蜕) de-soiled and ground into fine powder. Mix with ginger and honey water, apply to lower lip.
Alternative method: Treats startle crying and night crying. Burn rope used to tie pigs in the twelfth lunar month to ash, mix with water, and administer. Burn three cun of unspecified skin to ash, mix with milk water. Treats crying resembling injury from foreign bodies.
Denghua Pill
Treats as above. Expels evil and relieves pain. Take 20 lamp wick flowers (Denghua, 灯花) and two pieces of Frankincense (Ruxiang, 乳香) the size of soap nuts. Grind together into powder. Mix with millet water to form pills the size of mustard seeds. Administer seven pills per dose with Peach Heart Decoction, anytime.
Wanjing San Powder
Treats internal cold and weakness, cyanotic/pale complexion, excessive night crying resembling supernatural influence.
Agarwood (Chenxiang, 沉香) (chopped) Clove (Dingxiang, 丁香) Ginseng Radix (Renshen, 人参) (remove root head) Schisandra Fruit (Wuweizi, 五味子) (remove stems, stir-fried) Angelicae Sinensis Radix (Danggui, 当归) (remove root head, wash, dry, 1 liang each) Atractylodes Rhizome (Baizhu, 白术) (chopped) Red Peony Root (Chishaoyao, 赤芍药) (0.5 liang each) Cassia Twig (Guixin, 桂心) (1 fen)
Grind into fine powder. Take 1 qian per dose, decoct in light sour water (one small cup) until reduced to 0.5 cup. Warm and drip into mouth frequently. Older infants may drink slightly more; effect is immediate.
Danggui San Powder
Treats incessant crying due to fetal cold, which may long-term transform into epilepsy. Grind Angelicae Sinensis Radix (Danggui, 当归) into powder. Take amount the size of a mung bean per dose, mix with milk water, smear inside infant's mouth. Administer five times daily and nightly.
Sanhuang Pill
Treats Heat Syndrome causing heart irritability, night crying, and other heat conditions.
Scutellaria Root (Huangqin, 黄芩) (0.5 liang) Rhubarb (Dahuang, 大黄) (peeled, wrapped in wet paper, roasted, 1 fen) Coptis Rhizome (Huanglian, 黄连) (remove roots, 1 fen)
Grind into powder, mix with flour paste to form pills the size of mung beans. Administer 5-7 pills per dose with Ginseng Decoction. Also treats daytime crying.
Alternative method: Treats heat-induced irritability, abdominal pain, and night crying. Use real Calculus Bovis (Niuhuang, 牛黄), amount the size of a mung bean, dissolve in milk water and administer.
Alternative method: Treats Heat Syndrome heart irritability and night crying. Use 2-3 lamp wick flowers (Denghua, 灯花), decoct with Centum Segments Herb (Dengxincao, 灯心草), mix, smear in mouth, guide down with milk water. Three times daily. Qian Yi also treated cold-viscera night crying by placing medicine on nipple for infant to suck. Another empirical formula: burn Centum Segments Herb (Dengxincao, 灯心草) to ash, apply to nipple for infant to suck.
Hongtao San Powder
Treats Wind-Heat syndrome with body feeling like fire, night crying, and refusal to suckle.
Arisaema Tuber (Tiannanxing, 天南星) (2 specimens, hollow center filled with Cinnabar (Zhusha, 朱砂), covered with wood cap, water applied to detach center powder, apply to seam, dig pit, place inside, cover with charcoal, roast red, cool, grind) Full-body Scorpion (Quanxie, 全蝎) (half qian, ground) Typhonii Rhizoma (Baifuzi, 白附子) (large ones, 20, ground) Calomelas (Nifen, 腻粉) (1 qian)
Mix and grind uniformly. Take one zi amount per dose, administer with Silver Flower and Mint Decoction.
Luxia San Powder
Treats as above.
Cupressus Leaf (Baiye, 柏叶) (2 qian, ground) Scorpion Powder (Xie mo, 蝎末) (1 qian) Prepared Arisaema Tuber (Pao Tiannanxing, 天南星) (ground, 1 fen) Whiteworm (Baijiangcan, 白僵蚕) (remove silk mouth, ground, 1 qian) Curcuma Tuber (Yujin, 郁金) (ground, 1 qian) Realgar (Xionghuang, 雄黄) (ground, 1 qian, water flotation)
Mix well and grind finely. Take one zi or half qian per dose, administer with Mint and Honey Water, anytime.
Qianhu Pill
Treats Wind-Heat Qi crying. Grind prepared Peucedani Radix (Qianhu, 前胡) (remove root head) into powder. Mix with refined honey to form pills the size of soybeans. One pill daily, taken with warm water. After taking 5-6 pills, condition improves.
Niuhuang Ointment
Treats infants who suddenly wake up crying with startle while sleeping, with red face and dry mouth, resembling supernatural influence. Although night crying, it is not classified as simple night crying but as Startle Crying caused by Wind-Heat pathogenic qi invading the Heart.
Real Calculus Bovis (Niuhuang, 牛黄) (ground) Sieved Oyster Shell Powder (Guo Muli Fen, 过牡蛎粉) Cinnabar (Zhusha, 朱砂) (ground, water flotation) Realgar (Xionghuang, 雄黄) (ground, floated, each 1 fen) Ginseng Radix (Renshen, 人参) (remove root head) Licorice Root (Gancao, 甘草) (roasted, 0.5 liang each) Borneol (Longnao, 龙脑) (half fen, ground)
Grind into powder, mix well. Combine with refined honey to form ointment the size of a cockle. Take half or one grain per dose, dissolve in Mint Decoction. Administer after milk/food.
Anshen Pill
Treats as above.
Ophiopogon Tuber (Mendong, 麦门冬) (remove heart, dry) Sodium Nitrate (Mayaxiao, 马牙硝) Poria (Fuling, 白茯苓) Dried Yam (Shanyao, 干山药) Licorice Root (Gancao, 甘草) (0.5 liang) Calcite (Hanshuishi, 寒水石) (ground, 0.5 liang each) Cinnabar (Zhusha, 朱砂) (1 liang, ground, water flotation) Borneol (Longnao, 龙脑) (one zi, ground)
Grind into fine powder. Mix with refined honey to form pills the size of a cockle. Take half a pill per dose, dissolve in sugar water, anytime.
Hujing San Powder
Treats startle-induced night crying. Grind Tiger Eye (Hujing, 虎睛) into powder. Mix with Bamboo Sap (Zhuli, 竹沥) in small amount, smear in mouth.
Alternative method: Treats as above. Take axle grease (Chekexi, 车辖脂) the size of a mung bean, insert into mouth. Also insert small amount into umbilicus.
Alternative method: Treats as above. Burn father's shed hair to ash, grind to powder, mix with wine, administer one zi amount. Adjust for size; warm water is also acceptable.
Alternative method: Treats as above. Burn chicken droppings (white part) to ash, grind to powder, mix with rice water and administer.
Mingsha Pill
Treats restless mind with frequent startles, abdominal pain, and incessant night crying.
Transparent Cinnabar (Zhusha, 朱砂) (1 qian) Almond (Xingren, 杏仁) (14, remove skin and tips, stir-fry yellow) Good坯子 (Hao Peizi, 好坯子) (half qian, i.e., Rouge Yanzhi, 胭脂)
Grind into powder. Mix with soft rice to form pills the size of millet grains. Take 3-5 pills per dose with Mint Decoction.
Shexiang San Powder
Treats startle crying and night weeping, recurring incessantly. Grind Musk (Shexiang, 麝香) finely, take half a zi amount, dissolve in clear water and administer. Two to three times daily.
Tiexian Ointment
Treats various startle-induced night crying.
Iron Nodular Hematite (Dingtou Daizheshi, 丁头代赭石) (0.5 liang, calcined and quenched in vinegar repeatedly until brittle) Iron Flower Powder (Tieyin Fen, 铁胤粉) (1 qian, i.e., Tiehua Fen, 铁华粉) Typhonii Rhizoma (Baifuzi, 白附子) (1 qian) Cinnabar (Chensha, 辰砂) (1 qian, water flotation) Musk (Shexiang, 麝香) (one zi, ground) Borneol (Longnao, 龙脑) (one zi, ground)
Grind into fine powder, mix well. Combine with mashed steamed dates to form ointment. Apply as needed. Infants: half soap nut size. Children 2-3 years: one soap nut size. Dissolve in Silver Flower and Mint Decoction, anytime.
Qibao Qingqing Dan
Treats startle crying, night weeping, and various heat diseases.
Vermilion Blue (Luoqing, 螺青) (0.5 liang) Clam Powder (Gafen, 蛤粉) (1 fen) Uncaria Ramulus with Hook (Gouteng, 钩藤) (stir-fried, ground, 1 qian) Typhonii Rhizoma (Baifuzi, 白附子) (three zi) Lead-Tin Ash (Qianxi Hui, 铅锡灰) (2 qian) Clove (Dingxiang, 丁香) (one zi, stir-fried) Himalayan Beech Pollen (Tianzhuhuang, 天竺黄) (1 qian)
Grind into fine powder. Add half soap nut size of Musk (Shexiang, 麝香), grind fine and mix. Boil rice flour into paste, mix to form pills the size of peas. Take one pill per dose, grind in Mint Decoction and administer, anytime.
Alternative method: Treats sudden night startle crying, seemingly painful but unknown condition. Take rooster comb blood, drip on infant's mouth, let enter mouth; condition improves immediately.
Alternative method: Treats as above. Burn shed hair to ash, apply to nipple for infant to suck. If able to eat, water mixture is also acceptable.
Zengdai Method
Treats ghostly evil night crying. Hang strap from steamer (Zengdai, 甑带) on door frame.
Another method: Treats as above. Mix Hu Fen (Hufen, 胡粉) with water, give amount of two soybeans, three times daily.
Magu Powder
Treats various infant night crying. Grind Horse Bone (Magu, 马骨) into fine powder, apply to breast milk, let infant suck. Stops crying immediately.
Alternative method: Treats as above. Burn bones from wild wolf feces to ash, grind fine, administer amount the size of millet grain; stops immediately.
Alternative method: Treats as above. Place grass from chicken nest under nursing mother's sleeping mat.