胎赤胎中受毒热,生后遍体若丹涂,清热解毒汤极妙,蒋氏化毒功效殊。
【注】胎赤者,因孕妇过食辛热之物,以致毒热凝结,蕴于胞中,遂令小儿生下头面、
肢体赤若丹涂,故名曰胎赤。当以清热解毒汤主之。热盛便秘者,蒋氏化毒丹主之。
清热解毒汤
生地黄 黄连 金银花 薄荷叶 连翘(去心) 赤芍 木通 甘草(生)
引用灯心,水煎服。
【方歌】清热解毒汤堪夸,生地黄连金银花,薄荷连翘赤芍药,木通甘草灯心加。
蒋氏化毒丹
犀角 黄连 桔梗 元参 薄荷叶 甘草(生) 大黄(生,各一两) 青黛(五钱)
上为细末,炼白蜜为丸,重六分,每服一丸,灯心汤化服。
赤游胎中毒热成,皮肤赤肿遍身行,头面四肢犹可治,若归心腹命难生。内服犀角蓝叶散,
外用砭法敷神功,百日之内忌砭血,贴涂二法可安宁。
【注】小儿赤游风证,多由胎中毒热而成。或生后过于温暖,毒热蒸发于外,以致皮肤
赤热而肿,色若丹涂,游走不定,行于遍身,故名曰赤游风。多发于头面、四肢之间,若
内归心腹则死。治法当服犀角解毒饮。如不愈,继以蓝叶散,外用砭法刺出毒血。毒甚
者,敷以神功散;毒轻者,不用敷药。在百日内者,小儿忌砭血,以其肌肉难任也。须
用猪肉贴法,或以赤小豆末,鸡子清调涂之,甚效。
犀角解毒饮
牛蒡子(炒) 犀角 荆芥穗 防风 连翘(去心) 金银花 赤芍药 生甘草 川黄连 生地
黄
引用灯心,水煎服。
【方歌】犀角解毒药最良,牛蒡犀角合荆防,连翘银花赤芍药,甘草川连生地黄。
蓝叶散
蓝叶(五钱) 黄芩 犀角屑 川大黄(锉,微炒) 柴胡 栀子(生,各二钱) 川升麻(一钱) 石
膏(一钱) 生甘草(一钱)
上为粗末,每服一钱,水一小盏,煎五分,去渣,兑竹沥一酒杯,煎三两沸,放温,量儿大小用之,气怯弱者,可
去大黄。
砭血法
口吮毒血各聚一处,用细瓷器击碎,取锋芒者,将箸头(即筷子)劈开夹住,用线缚定,两指轻撮箸
梢,令瓷芒对聚血处,再用箸一根频击,刺出毒血。砭后毒甚者,以神功散敷之;毒轻者,砭后不可用,恐皮肤既破,
草乌能作痛也。如患在头者,不用砭法,只宜卧针倒挑患处,出毒血则愈。
神功散
黄柏(炒) 草乌(生)
上各为末,等分,用漱口水调敷(按:
以不用为佳),频以漱口水润之。
猪肉贴法
用生猪肉切片,贴于赤肿处,数数更换。
涂法
生赤小豆不拘多少,研为细末,用鸡子清调涂患处,干则再涂。
Tongchi (Neonatal Erythema) results from toxic heat acquired in the womb. After birth, the entire body appears red as if painted with cinnabar. Qingre Jiedu Tang (Clear Heat and Detoxify Decoction) is extremely effective, while Jiangshi Huadu Wan (Jiang's Toxin-Resolving Pill) has remarkable efficacy.
[Note] Tongchi refers to a condition caused by the pregnant woman consuming excessive spicy and hot foods, leading to the condensation of toxic heat that accumulates in the uterus. Consequently, the newborn's head and limbs appear red like cinnabar paint, hence the name Tongchi. The primary treatment should be Qingre Jiedu Tang. If there is excess heat accompanied by constipation, Jiangshi Huadu Dan should be used.
Qingre Jiedu Tang (Clear Heat and Detoxify Decoction)
Sheng Dihuang (Rehmanniae Radix Preparata), Huanglian (Coptidis Rhizoma), Jinyinhua (Lonicerae Japonicae Flos), Bohe Ye (Menthae Haplocalycis Folium), Lianqiao (Forsythiae Fructus, heart removed), Chishao (Paeoniae Radix Rubra), Mutong (Akebiae Caulis), Gancao (Glycyrrhizae Radix et Rhizoma, raw).
Use Dengxin (Junci Medulla) as a guide, decoct in water, and take orally.
[Formula Song] Qingre Jiedu Tang is praiseworthy, containing Sheng Dihuang, Huanglian, and Jinyinhua; Bohe, Lianqiao, and Chishao; plus Mutong, Gancao, and Dengxin.
Jiangshi Huadu Dan (Jiang's Toxin-Resolving Pill)
Xijiao (Rhinocerotis Cornu), Huanglian, Jiegeng (Platycodonis Radix), Yuan Shen (Scrophulariae Radix), Bohe Ye, Gancao (raw), Dahuang (raw, each 1 liang), Qingdai (Indigo Naturalis, 5 qian).
Grind into fine powder, mix with refined white honey to form pills weighing 6 fen each. Take one pill per dose, dissolved in Dengxin soup.
Chiyou Feng (Wandering Red Wind) is formed by toxic heat from the fetus. It manifests as red swelling on the skin that moves throughout the body. If it affects the head and limbs, it is treatable; if it returns inward to the heart and abdomen, death is likely. Internally administer Xijiao Lanye San (Rhino Horn and Isatis Leaf Powder); externally apply Bianfa (Bloodletting with needle) and apply Shengong San (Divine Merit Powder). Infants within 100 days are contraindicated for bloodletting; applying paste and topical methods can bring peace.
[Note] Pediatric Chiyou Feng syndrome is mostly caused by toxic heat retained from the fetus. Alternatively, excessive warmth after birth causes toxic heat to evaporate outward, resulting in red, hot, and swollen skin resembling cinnabar paint. It wanders不定ly across the body, hence the name Chiyou Feng. It commonly occurs between the head/face and limbs. If the pathogen enters the heart and abdomen internally, it is fatal. The treatment method is to take Xijiao Jiedu Yin (Rhino Horn Detoxifying Decoction). If ineffective, follow up with Lanye San, and externally use Bianfa to prick out toxic blood. For severe toxicity, apply Shengong San; for mild toxicity, no external application is needed. For infants within 100 days, Bianfa (bloodletting) is contraindicated because their muscles cannot withstand it. Instead, use the Raw Pork Paste Method or apply a mixture of Chixiaodou (Adzuki Bean) powder and egg white to the affected area, which is very effective.
Xijiao Jiedu Yin (Rhino Horn Detoxifying Decoction)
Niubangzi (Arctii Fructus, stir-fried), Xijiao, Jingjie Sui (Schizonepetae Spica), Fangfeng (Saposhnikoviae Radix), Lianqiao (heart removed), Jinyinhua, Chishao Yao, Sheng Gancao, Chuan Huanglian, Sheng Dihuang.
Use Dengxin as a guide, decoct in water, and take orally.
[Formula Song] Xijiao Jiedu medicine is excellent, combining Niubang and Xijiao with Jingjie and Fangfeng; Lianqiao, Yinhua, and Chishao; along with Gancao, Chuan Lian, and Sheng Dihuang.
Lanye San (Isatis Leaf Powder)
Lanye (Isatidis Folium, 5 qian), Huangqin (Scutellariae Radix), Xijiao Xie (Rhinocerotis Cornu shavings), Chuan Dahuang (rhubarb rhizome, crushed, slightly stir-fried), Chaihu (Bupleuri Radix), Zhizi (Gardeniae Fructus, raw, each 2 qian), Chuan Shengma ( Cimicifugae Rhizoma, 1 qian), Shigao (Gypsum Fibrosum, 1 qian), Sheng Gancao (1 qian).
Grind into coarse powder. Take 1 qian per dose, add one small cup of water, decoct until reduced to half, strain, add one wine glass of Zhuli (Bamboo Sap), boil three times, let cool to warm, and administer according to the child's age and size. For those with weak Qi, remove Dahuang.
Bianxue Fa (Bloodletting Method)
Suck the accumulated toxic blood to one spot. Break a fine porcelain vessel, select the sharp fragments, split the tip of a chopstick to clamp the shard, tie it securely. Hold the chopstick tip lightly with two fingers, align the porcelain edge with the blood accumulation, and strike frequently with another chopstick to prick out the toxic blood. After Bianfa, if toxicity is severe, apply Shengong San; if mild, do not use Shengong San after pricking, as the broken skin may cause pain from Caowu (Aconiti Lateralis Radix Preparata). If the lesion is on the head, do not use Bianfa; instead, use a horizontal needle to puncture and lift the affected area to release toxic blood for cure.
Shengong San (Divine Merit Powder)
Huangbai (Phellodendri Cortex, stir-fried), Caowu (Aconiti Lateralis Radix, raw).
Grind each into powder separately, mix in equal parts. Apply mixed with mouthwash (Note: Avoiding its use is preferred). Keep moistening with mouthwash frequently.
Raw Pork Paste Method
Slice raw pork thinly and apply to the red and swollen area. Change frequently.
Topical Application Method
Take an unspecified amount of raw Chixiaodou (Adzuki Beans), grind into fine powder. Mix with egg white and apply to the affected area. Reapply when dry.