小儿腋气者。血气不荣。腋下有孔。一如毛孔而稍大。臭秽之
气。从其中出。若狐气之臭。故俗呼曰狐臭也,亦有父母遗体相传者。又有乳养之人而有染着者。今叙方于后。
绿银散
治腋气。
铜绿 密陀僧(各三钱) 白芨(一个烧存性九钱)
上为细末。每用半钱。津唾调涂腋下。三五日一次。以效为度。
又方 以轻粉一钱匕。分两处。麝香酒调一半服之。好酒调一半涂腋下。以不臭为度。
又方 以左桃开通钱五文。火烧通赤。纳醋中 之。凡七次。杵罗为末。用老生姜一块。刀背斫断。将生
姜以斫断处擦腋下。有毛擦不倒者。乃是病也。拔去其毛。以生姜自然汁调药涂之。屡验。若些小腋气汗气。只
以生姜擦涂腋下亦可。
小儿初生。皆有囟门者。藏气未充。骨髓未完。滋养未备故也。脏腑皆以脾胃为养。儿自生以后。得五壳所
滋。则藏气充而骨髓完。所以儿至能食。则囟门合也。囟门者系于脾胃,圣济经言。卫囟之天五。五者土也。脾
胃属焉。小儿有囟肿者。由脾胃不和。冷热不调。或怒啼饮乳。或喘急咳嗽,致阴阳气逆。上冲而囟肿也。热则
肿而软。冷则肿而硬。又有囟陷者。或因泻痢。或小便频数。或曾服清药以利小便。或本怯气弱。或别病缠绵。
皆使脏虚而不能上荣于囟。故令囟陷也。此皆小儿恶证。得愈者鲜矣。
治小儿囟肿软 以青黛冷水调敷之。及兼服化毒丹。方已具前。
治小儿囟肿硬及陷。
干熟地黄(八钱焙秤) 山茱萸(去肉) 干山药(各四钱) 泽泻 牡丹皮(去心) 白茯苓(去皮各三
钱)
上为末。炼蜜和丸绿豆大。三岁下者三五丸。温水化下。空心兼服钱氏益黄散。
治小儿囟陷 以狗头骨炙黄杵末。鸡子清调敷。
Axillary odor in infants is caused by the failure of blood and qi to nourish the area. A pore appears in the axilla, slightly larger than a regular hair follicle, from which a foul, musky odor emanates, resembling that of a fox; hence it is commonly called "fox odor" (Hugu). This condition may be inherited from parents or contracted from caregivers. The following prescriptions are provided:
Lüyin San (Green Silver Powder)
Indicated for axillary odor.
Tonglü (Malachite), Mituoseng (Lead Monoxide) (each 3 qian); Baiji (Bletilla Rhizome) (one piece, calcined until carbonized, 9 qian).
Grind all ingredients into a fine powder. Apply half a qian per dose, mixed with saliva, to the axilla. Apply once every three to five days, or until effective.
Another prescription: Take Qingfen (Calomel, Calomelas) one qian-bi (a measure roughly equivalent to a small spoonful). Divide into two parts: take half orally mixed with Shexiang (Musk) wine, and apply the other half topically to the axilla mixed with good wine. Use until the odor disappears.
Another prescription: Take five Wutong coins (historical currency) made of Zuo Tao (left peach wood/branch material used for currency), heat them until red-hot, then quench them in vinegar. Repeat this process seven times. Crush and sieve the material into a fine powder. Take a piece of old ginger, crush it with the back of a knife, and rub the crushed surface against the axilla. If the hairs lie down and do not stand up after rubbing, it indicates pathology. Pluck the hairs, mix the powder with fresh ginger juice, and apply to the axilla. This method has proven effective repeatedly. For mild axillary odor or sweat odor, rubbing the axilla with ginger alone is also sufficient.
All newborns have a fontanelle because their zang-fu qi is not yet full, marrow is not fully formed, and nourishment is incomplete. The nourishment of all zang-fu organs depends on the Spleen and Stomach. After birth, infants rely on milk and other nutrients to nourish themselves; as these accumulate, zang-fu qi becomes full and marrow completes its formation. Therefore, when an infant begins to eat solid food, the fontanelle closes. The fontanelle is connected to the Spleen and Stomach. The *Shengji Jing* states: "The 'Heavenly Five' protecting the fontanelle corresponds to Earth, which governs the Spleen and Stomach." Fontanelle swelling in infants results from disharmony between the Spleen and Stomach, imbalance of cold and heat, or upward rebellion of yin and yang qi due to angry crying, overfeeding, wheezing, or coughing. Heat-induced swelling is soft; cold-induced swelling is hard. Fontanelle depression may result from diarrhea or dysentery, frequent urination, prior use of diuretic drugs, congenital weakness, or lingering chronic diseases. These conditions cause visceral deficiency, preventing qi from ascending to nourish the fontanelle, leading to depression. These are considered severe syndromes in infants, with few recoveries.
For soft fontanelle swelling in infants: Apply Qingdai (Indigo Naturalis) mixed with cold water externally, and internally administer Huadu Dan (Detoxification Pill) (prescription listed previously).
For hard fontanelle swelling and depression in infants:
Gan Shudi Huang (Prepared Rehmannia Root, dried, 8 qian, baked and weighed); Shanzhuyu (Cornus Fruit, flesh removed); Gan Shanyao (Dried Dioscorea Rhizome, 4 qian); Zexie (Alisma Rhizome); Mudanpi (Tree Peony Bark, heart removed); Baifuling (Poria, skin removed, 3 qian each).
Grind into powder, mix with refined honey, and form pills the size of mung beans. Children under three years old take 3–5 pills per dose, dissolved in warm water. Administer Qianshi Yihuang San (Qian's Spleen-Strengthening Powder) on an empty stomach concurrently.
For fontanelle depression in infants: Roast dog head bone until yellow, grind into powder, and apply externally mixed with egg white.