《千金》论∶小儿初出腹有连舌,舌下有膜如石榴子,中膈连其舌下后喜,令儿言语不发不转也。可以摘断
之,微有血出无害。若血出不止,可烧发作灰末敷之,血便止。
《小儿集验方》云∶小儿语吃,本于心气不足,舌本无力,故欲有言而舌不能运。又有成于积习而然者,是
生而不吃,一旦小儿相较而吃,俗谚所谓∶学吃三日,改吃三年是也。心气不足而舌本无力,可调之以药。若
其积习而成,则初习之时,令详缓而语,急改之为上。
陈藏器《本草》云∶鸲鹆主吃,取炙食之,小儿吃不过一枚瘥也。腊月得者,主老嗽。
《明堂针灸经》灸翳风二穴,在耳后陷中,按之引耳中,手足少阳三会。治耳聋、口眼 斜,失欠脱颌,
口噤不开,吃不能言,颊肿,牙车急痛。
《龙木论》论小儿通睛外障,此眼初患时,皆因失误筑打着头面,额角兼倒蹙扑下,令小儿肝受惊风,遂使
眼目通睛。宜服牛黄丸、犀角饮子、通顶石南散立效。牛黄丸方
牛黄 白附子 肉桂 干蝎 芎 石膏(各一两) 白芷 藿香(各半两) 朱砂 麝香(各少许)
上为末,炼蜜为丸梧桐子大。临卧薄荷汤下三丸。乳母忌热面、猪肉等。小儿化服亦得。
又犀角饮子方
犀角(一两) 射干 草龙胆(各半两) 钩藤(三分) 黄芩 人参 茯苓 甘草(炙) 远志(各一分)
上为末,水一盏,散一钱,煎至五分。食后去滓温服。
通顶石南散
石南(一两) 藜芦(三分) 瓜蒂(五、七个)
上为末,每用一粳米许,一日两度,通顶为妙。
安师传治小儿通睛眼方。
竹叶(四十九片) 黑豆(四十九粒) 石决明(研极细,一钱)
上三物用水一盏半同煎至半盏,遂旋随儿大小与温服少许。令两日尽,再煎服之。
The *Qianjin Fang* discusses: When infants are first born, some have a short lingual frenulum (Ankyloglossia), where a membrane under the tongue resembles a pomegranate seed. The central septum connects to the underside of the tongue, which may cause the child to be unable to speak clearly or articulate properly. It can be cut off; slight bleeding is harmless. If bleeding does not stop, it can be burned into ash and applied as a powder to stop the bleeding.
The *Xiao'er Jiyuan Fang* states: Infantile stuttering originates from insufficiency of Heart Qi and weakness of the root of the tongue, thus the desire to speak exists but the tongue cannot move freely. There are also cases resulting from habitual practice, where the child did not stutter at birth but began to do so after comparing and imitating other children. This is what the common saying refers to: "Three days to learn stuttering, three years to correct it." For stuttering caused by Heart Qi insufficiency and tongue weakness, it can be regulated with medicine. For those resulting from habit, when the habit is first formed, instructing the child to speak slowly and deliberately, while hastening correction, is the best approach.
Chen Cangqi in the *Bencao* states: The myna bird (*Quyu*) treats stuttering; take it roasted and eat it. An infant with stuttering will recover after consuming no more than one bird. Those obtained in the twelfth lunar month treat chronic cough in the elderly.
The *Mingtang Zhenjiu Jing* records moxibustion on two points of Yifeng (TE17), located in the depression behind the ear, where pressure induces sensation in the ear canal. It is the convergence point of the Hand-Shaoyang Sanjiao Meridian and Foot-Shaoyang Gallbladder Meridian. It treats deafness, facial paralysis (deviation of mouth and eye), jaw dislocation upon yawning, trismus (lockjaw), inability to speak due to stuttering, cheek swelling, and severe pain in the mandible.
The *Longmu Lun* discusses exogenous obstructions causing strabismus (convergent/divergent squint) in infants. Initially, this condition arises from accidental blows to the head and face, or falls striking the forehead and temples, causing the Liver to be affected by Wind from shock, thereby leading to strabismus. It is suitable to administer Niuhuang Wan (Calculus Bovis Pill), Xijiao Yinzi (Rhinoceros Horn Decoction), and Tongdingshinan San (Tongding Shinan Powder) for immediate effect.
Formula for Niuhuang Wan (Calculus Bovis Pill): Calculus Bovis (Niuhuang), Fuzi Bai (Aconitum Carmichaelii Preparatum), Cinnamomi Ramulus (Guizhi), Scorpio dried (Ganxie), Ligusticum Chuanxiong Rhizoma (Chuanxiong), Gypsum Fibrosum (Shigao) (each 1 liang); Angelica Dahurica Radix (Baizhi), Agastache Rugosa Herba (Huoxiang) (each 0.5 liang); Cinnabar (Zhusha), Moschus (Shexiang) (each a small amount). Grind the above into powder, mix with refined honey to make pills the size of paulownia seeds. Take three pills with mint decoction before sleep. The nursing mother should avoid hot noodles, pork, etc. Infants may also take it dissolved.
Another formula for Xijiao Yinzi (Rhinoceros Horn Decoction): Rhinoceros Cornu (Xijiao) (1 liang), Belamcanda Chinensis Rhizoma (Shegan), Gentiana Scabra Root (Caolongdan) (each 0.5 liang), Uncaria Rhynchophylla (Gouteng) (3 fen), Scutellaria Baicalensis Root (Huangqin), Ginseng Radix (Renshen), Poria (Fuling), Glycyrrhiza Uralensis Radix (Gancao, prepared), Polygala Tenuifolia Radix (Yuanzhi) (each 1 fen). Grind the above into powder. Use one cup of water and one qian of the powder, decoct until half remains. Strain and take warm after meals.
Formula for Tongdingshinan San (Tongding Shinan Powder): Rubus Coreanus Stem (Shinan) (1 liang), Veratrum Nigrum Rhizome (Lilu) (3 fen), Momordica Cochinchinensis Fruit (Gua Di) (5-7 pieces). Grind the above into powder. Each time use an amount roughly the size of a rice grain, twice a day. Blowing it up the nasal passage to reach the top of the head is ideal.
Master An's transmitted formula for treating infantile strabismus: Bambusa Leaves (Zhuye) (49 leaves), Glycine Max Seed (Heidou) (49 grains), Argo Concha (Shijueming, ground extremely fine, 1 qian). Decoct the above three ingredients together with one and a half cups of water until half a cup remains. Administer a small amount warm according to the child's age. Finish within two days, then decoct and administer again.