客忤者。口中吐青黄白沫。水谷鲜杂。面色变异。喘息腹痛。反侧螈 。状似惊痫
。但眼不上窜耳。治法宜辟邪正气。散惊安神。苏合丸至圣保命丹主之。
客忤者。谓客气忤犯主气之病也。如五气之邪。自鼻而入。则忤其心肝。五味之邪。自
入。则忤其脾胃。有所惊恐。则忤其神。有所拂逆。则忤其意。当博求之。故曰。心诚求之
。虽不中不远矣。详见育婴家秘。
一儿半岁。忽日惨然不乐。昏睡不乳。予曰。形色无病。将谓外感风寒。则无外感之证。将
谓内伤乳食。则无内伤乳食之证。此儿莫非有所思。思则伤脾。乃昏睡不乳也。其父母悟云
。有一小 相伴者。吾使他往。今三日矣。乳母亦云。自小 去后。便不欣喜。不吃乳。父
急命呼之归。儿见其童嘻笑。父曰。非翁之妙术。不能知也。
一儿一岁。啼哭不止。予审察之。非病也。其父母曰。无病何以啼哭异常。予问其乳母
。此儿平日戏玩者何物。乳母曰。马鞭子。即以取至。儿见大笑。击人而哭止。
一儿九月。吐乳便黄。身有微热。予曰。此伤热乳也。吐作腥气。今已成积。母曰。未
物。予密语其父曰。必伤交奶得之。父问何谓交奶。予曰。父母交感之后。以乳哺儿。此淫
火之邪。忤脾胃正气也。不治之必成癖矣。何以致。曰。淫火者。肝火也。病则发搐。癖者
脾病也。积不消则为癖。父问何以治之。曰泻肝补脾。乃以泻火胃苓丸服之。
Ke Wu (Guest Intrusion) is characterized by the expulsion of green, yellow, and white froth from the mouth, mixed with undigested food residues. The facial complexion changes abnormally, accompanied by panting, abdominal pain, body turning and convulsions, resembling Jing Xian (Startling Epilepsy). However, the eyes do not roll upward. The treatment method should focus on dispelling evil qi, supporting righteous qi, scattering fright, and calming the spirit. The principal formulas are Su He Wan (Styrax Pill) or Zhi Sheng Bao Ming Dan (Supreme Sage Life-Preserving Pill).
Ke Wu refers to a disease caused by external guest qi (pathogenic factors) invading and offending the host qi. For instance, the pathogenic factors of the Five Qi entering through the nose will offend the Heart and Liver; the pathogenic factors of the Five Flavors entering through the mouth will offend the Spleen and Stomach; being startled will offend the Shen (Spirit); encountering contrariety will offend the Yi (Intent). One should extensively investigate the etiology. Thus it is said: "If one sincerely seeks the cause, even if one does not hit the mark exactly, one will not be far off." For details, see *Yu Ying Jia Mi*.
A six-month-old infant suddenly appeared miserable and unhappy, sleeping deeply and refusing breast milk. I examined him and said: "The child's color and form show no signs of illness. If we attribute it to Exogenous Wind-Cold, there are no exogenous symptoms; if we attribute it to Internal Injury from Milk and Food, there are no internal injury symptoms. Could this child be preoccupied with thoughts? Overthinking injures the Spleen, leading to lethargy and refusal to nurse." His parents realized and said, "There was a young boy accompanying him, whom I sent away three days ago." The wet nurse also stated that since that boy left, the child had become unhappy and refused milk. The father urgently ordered the boy to be called back. Upon seeing the companion playing and laughing, the father remarked, "Without your profound medical skill, this cause could not have been known."
A one-year-old child cried incessantly. After careful examination, I determined it was not an illness. The parents asked, "Why is he crying so abnormally if he is not ill?" I asked the wet nurse, "What toys does this child usually play with?" She replied, "A horsewhip." The whip was brought forth, and upon seeing it, the child laughed heartily, slapped others, and his crying stopped.
A nine-month-old infant vomited milk, had yellow stools, and presented with slight fever. I said, "This is due to injury from hot milk. The vomit has a fishy odor, and accumulation has already formed." The mother said, "No other food was consumed before nursing." I whispered to the father, "This must be caused by 'Jiao Nai' (nursing immediately after parental intercourse)." The father asked what 'Jiao Nai' meant. I explained, "After parents engage in sexual intercourse, breastfeeding the infant immediately introduces the pathogenic factor of Yin Fire, which offends the Righteous Qi of the Spleen and Stomach. If untreated, it will inevitably lead to Pi Masses (abdominal masses). Why is this so? Yin Fire refers to Liver Fire. When Liver Fire manifests, it causes convulsions. Pi is a disease of the Spleen. Accumulation that does not dissipate becomes Pi Masses." The father asked how to treat it. I said, "One must drain the Liver and tonify the Spleen." Therefore, Xie Huo Wei Ling Wan (Fire-Draining Stomach-Ling Decoction) was administered.