小儿疳眼灸合谷二穴各一壮取法在手大指次指两骨间陷中是穴
小儿疳痢脱肛体瘦渴饮形容憔悴诸般医治不瘥灸尾翠骨上三寸骨陷间三壮岐伯云兼三伏
内用桃枝柳枝煎水浴孩子午正时当日灸之后用清帛拭兼有似见疳虫随汗出也此法神效
小儿羸瘦饮食少进不生肌肉灸胃俞二穴各一壮取法在十二椎下两傍各一寸半陷中是穴
脉经曰小儿脉沉而数者骨间有热欲以腹按清冷也○难经曰热病之脉阴阳俱浮浮之而滑沉
之散涩○脉诀启蒙曰小儿脉八至九至为发热○浮大数为风热
全婴方论云凡人之热必乘阳邪而发经云邪之所凑其气必虚留而不去其病则实邪正分争客
搏于
皮肤或恍惚而啼叫或闷乱而喘粗其变多端或在表或在里或似实或似虚或半表而半里或半实而
半虚盖小儿气禀纯阳脏腑生热阴阳气变熏蒸于外致令身热也夫肝热则两眼赤痛流泪羞明或生
翳障心热则口内生疮小便赤肿淋沥不通肺热则鼻衄不止大腑秘结脾热则多涎沫口内长流心脾
热
则生重舌木舌胃热则口作臭肾热则耳聋或出脓汁至于五脏蕴蓄风热毒瓦斯则令面赤如绯五心烦
热四肢温壮痰涎壅盛目涩多渴若上冲咽喉则与气血相搏结聚壅盛而成喉闭危在顷刻也内经刺
热篇云脾热病者左颊先赤心热病者额上先赤肺热病者鼻上先赤肝热病者右颊先赤肾热病者颐
间先赤虽未发见赤色者刺之名曰治未病其五脏所主热各不同是不可以概论也大抵热则生风风
则生悸矣
For pediatric gan eye disease (malnutrition with eye involvement), moxa the Hegu (LI4) acupoint on both sides, one mound each. The method for locating this point: it is located in the depression between the two bones of the thumb and index finger of the hand.
For pediatric gan dysentery, rectal prolapse, emaciation, thirst with drinking, haggard appearance, when various treatments fail to cure, moxa the depression between the bones three cun above the coccyx, three mounds. Qibo stated: combine with the Sanfu days (Dog Days). Internally, decoct peach branches and willow branches to bathe the child at noon; after moxibustion on that day, wipe with clean silk cloth, sometimes resembling gan worms are discharged with sweat. This method is miraculous.
For pediatric emaciation, poor appetite, failure to gain muscle mass, moxa the Weishu (BL21) acupoint on both sides, one mound each. The method for locating this point: it is located in the depression 1.5 cun lateral to the spinous process of the twelfth thoracic vertebra.
The Mai Jing (Pulse Classic) states: If a child's pulse is deep and rapid, there is heat in the bones; one desires to press the abdomen to perceive coldness. ○ The Nan Jing (Classic of Difficult Issues) states: For heat diseases, the yin and yang pulses are both floating; superficial palpation feels slippery, while deep palpation feels scattered and choppy. ○ The Mai Jue Meng Qi (Enlightenment of Pulse Secrets) states: A child's pulse beating eight or nine times per respiration indicates fever. ○ Floating, large, and rapid pulses indicate wind-heat.
The Quan Ying Fang Lun (Treatise on Formulas for Infants) states: Generally, human fever must arise by riding upon yang pathogenic factors. The classic states: Where pathogenic factors gather, qi is necessarily deficient; if they remain and do not depart, the disease becomes excess. Pathogenic and righteous qi contend, external pathogens clash with the skin, causing either恍惚 (trance-like crying) or stifled confusion with coarse breathing; its variations are numerous. It may be in the exterior, in the interior, appear like excess, appear like deficiency, be half-exterior and half-interior, or half-excess and half-deficiency. Basically, because children possess pure yang constitution, internal organs generate heat, yin and yang qi transform and steam outward, causing body heat. Liver heat causes red and painful eyes, tearing, photophobia, or formation of corneal opacities; Heart heat causes sores in the mouth, red and swollen urine, dribbling obstruction; Lung heat causes persistent epistaxis, constipation; Spleen heat causes excessive saliva and drooling from the mouth; Heart-Spleen heat causes double tongue and wooden tongue; Stomach heat causes foul breath; Kidney heat causes deafness or discharge of pus. As for wind-heat toxic vapors accumulated in the five zang organs, it causes the face to turn red like crimson, five-palm heat, warmth of the four limbs, phlegm-saliva congestion, dry eyes and excessive thirst. If it rushes upward to the throat, it clashes with blood and qi, accumulating and congesting to form throat closure (hou bi), which is critical within moments. The Ci Re Pian (Acupuncture for Heat Chapter) of Nei Jing states: Patients with Spleen heat disease have redness first appearing on the left cheek; patients with Heart heat disease have redness first appearing on the forehead; patients with Lung heat disease have redness first appearing on the nose; patients with Liver heat disease have redness first appearing on the right cheek; patients with Kidney heat disease have redness first appearing on the chin. Although the disease has not yet manifested, seeing redness warrants acupuncture, called treating before disease arises. The heat governed by each of the five zang organs is different and cannot be generalized. Broadly speaking, heat generates wind, and wind generates palpitations (ji).