巢氏云∶小儿在胎时,其母将养,伤于风冷,邪气入胞伤儿脏腑,故儿生之后,
邪犹在儿腹内,邪动与正气相搏,则腹痛,故儿 张蹙气而啼。
钓藤膏 治小儿干啼后 。(方见腹痛)
〔张涣〕婴儿在胎之时,其母将养一切不如法,及取凉饮冷过度,冷气入儿肠胃,使
胎气不强,致生下羸弱多病,俯仰多啼,名曰 啼,宜用
养脏汤方
川当归(一两) 沉香 丁香 白术 桂心 川芎(各半两)
上件捣,罗为细末。每服一钱,水八分,入生姜二片,煎至四分,去渣放温,
时时滴儿口中。
《婴孺》黄 散 治少小胎寒,腹痛 啼。
黄 当归 芎 干姜(各四分) 甘草(三分) 黄芩(六分铢)
上为末。二十日儿用乳汁和一胡豆大,一日三夜一,五十日儿一小豆大,百
日二小豆大。药温中无毒,若无黄 ,可阙也。儿生便服,使寒气不得生,亦不
吐,服之期年,止服妙。若寒气 痛,啼不可忍,以水煮饮之,如服理中丸法,
服药补益之可数十倍节度无苦。
〔刘氏〕治胎气弱,阴阳不调,昼夜 啼不已。
好乳香(水中坐乳钵,细研) 没药(细研) 木香 姜黄(各四钱) 木鳖子(二十个,去壳)
上,先将后三味同为细末,次研入上二味,炼蜜和成剂收之。每一岁儿,可服
半皂子大,余以意加减,煎钓藤汤化下,无时。次用魏香散。
魏香散
蓬莪术(半两,湿纸裹煨) 真阿魏(一钱)
上,先用温水化阿魏,浸蓬莪术一昼夜,切,焙干为末。每服半钱,煎紫苏米
饮空心调下。 啼稍愈,服开胃丸。
开胃丸
白术 木香 蓬莪术 人参 当归(各半两) 白芍药(一分)
上为细末,汤浸炊饼为丸,如黍米大。每服五七丸,空心食前,煎麝香汤下。
白术当归煎丸 治胎寒腹痛,遇夜啼叫,身体 张,有如痫状,吐 不止,大便酸
臭,乳食虽多,不生肌肤。
白术 当归 木香
上等分,为细末,炼蜜为丸,如桐子大。每服一丸,煎木香汤化下。
六神散 治腹痛啼哭,面青口中冷气,四肢亦冷,曲腰而啼,或大便泄泻,及不吮乳。
人参 山药 白术(各半两) 甘草(二钱) 茯苓 扁豆(炒。各一两)
上为末。每服二钱,姜二片,枣一枚,煎服。一方,用当归、白芍药、人参各
二钱半,甘草、桔梗、陈皮各一钱,为散,每服二钱,水煎,时时服。
Chao Yuanfang stated: When a child is in the womb, if the mother's nursing and care are improper and she is injured by wind-cold pathogens, the pathogenic qi enters the uterus and damages the fetus's zang-fu organs. Therefore, after birth, the pathogenic qi remains within the infant's abdomen. When the pathogenic qi moves and contends with the healthy qi (Zheng Qi), it causes abdominal pain, leading the infant to frown, hold their breath, and cry.
Douteng Gao (Uncaria Decoction): Treats dry crying (crying without tears) in infants... (Formula see "Abdominal Pain").
Zhang Huan stated: When an infant is in the womb, if the mother's nursing and care are all irregular, and there is excessive indulgence in cooling foods and cold drinks, cold qi enters the infant's stomach and intestines. This weakens the fetal qi, resulting in an infant who is born frail, prone to illness, and cries frequently while moving up and down. This is called "Fetal Cold Crying," and one should use Yangzang Tang (Nourish Viscera Decoction).
Yangzang Tang (Nourish Viscera Decoction):
Chuan Dang Gui (Radix Angelicae Sinensis, 1 liang), Chen Xiang (Aquilariae Lignum Resinatum), Ding Xiang (Caryophylli Flos), Bai Zhu (Atractylodis Macrocephalae Rhizoma), Gui Xin (Cinnamomi Cortex), Chuan Xiong (Ligustici Chuanxiong Rhizoma) (each 0.5 liang).
Crush and sieve the above ingredients into fine powder. Take 1 qian per dose, add 8 fen of water and 2 slices of fresh ginger, decoct until 4 fen of liquid remains, filter out the dregs, let cool to warm temperature, and drip occasionally into the infant's mouth.
Huangqi San (Astragalus Powder) from *Yingru* treats fetal cold in young children, causing abdominal pain and crying.
Huang Qi (Astragali Radix), Dang Gui (Angelicae Sinensis Radix), Xiong (Chuan Xiong, Ligustici Chuanxiong Rhizoma), Gan Jiang (Zingiberis Rhizoma), Gan Cao (Glycyrrhizae Radix et Rhizoma) (3 fen), Huang Qin (Scutellariae Radix) (6 fen-zhu).
Grind into powder. For a 20-day-old infant, mix with breast milk to the size of a broad bean; administer once day and night, three times a day. For a 50-day-old infant, the size of a small bean. For a 100-day-old infant, two small beans. The medicine warms the middle and is non-toxic. If Huang Qi is unavailable, it may be omitted. Administer immediately after birth to prevent the generation of cold qi and avoid vomiting. Continue for one year; stopping is optimal. If cold qi stagnation causes unbearable pain and crying, decoct in water and drink, similar to the method for Lizhong Wan (Regulate the Middle Pill). The nourishing effect of this medication can be dozens of times greater than standard doses without causing distress.
Shi Shi Formula: Treats weak fetal qi and disharmony of Yin and Yang, causing incessant crying day and night.
Ru Xiang (Frankincense, finely ground in water using a stone mortar), Mo Yao (Myrrha, finely ground), Mu Xiang (Aucklandiae Radix), Jiang Huang (Curcumae Longae Rhizoma) (each 4 qian), Mu Bie Zi (Strychni Semen, 20 seeds, shell removed).
First, grind the last three ingredients into fine powder. Then incorporate the first two ground ingredients. Mix with refined honey to form a pill mass. For each year of age, administer half the size of a soap pod. Adjust other ages according to judgment. Dissolve in Douteng Tang (Uncaria Decoction) and administer at any time. Subsequently, use Weixiang San.
Weixiang San (Agarwood Powder):
Peng E Zhu (Curcumae Zedoariae Rhizoma, 0.5 liang, wrapped in wet paper and roasted), True A Wei (Ferulae Resina, 1 qian).
First, dissolve A Wei in warm water, soak Peng E Zhu for one day and night. Slice, bake dry, and grind into powder. Take 0.5 qian per dose, mix with Zisu Mi Yin (Perilla Seed Drink) on an empty stomach. Once crying subsides slightly, administer Kaicai Wan.
Kaicai Wan (Appetizing Pill):
Bai Zhu (Atractylodis Macrocephalae Rhizoma), Mu Xiang (Aucklandiae Radix), Peng E Zhu (Curcumae Zedoariae Rhizoma), Ren Shen (Ginseng Radix), Dang Gui (Angelicae Sinensis Radix) (each 0.5 liang), Bai Shao Yao (Paeoniae Radix Alba, 1 fen).
Grind into fine powder. Use steamed dough soaked in hot water to make pills the size of millet seeds. Take 5-7 pills per dose, before meals on an empty stomach, taken down with She Xiang Tang (Musk Decoction).
Baizhu Danggui Jian Wan (Atractylodes and Angelica Decoction Pill): Treats fetal cold abdominal pain, nighttime crying, body stiffness resembling epilepsy, incessant vomiting, sour-smelling diarrhea, and failure to gain flesh despite adequate milk intake.
Bai Zhu (Atractylodis Macrocephalae Rhizoma), Dang Gui (Angelicae Sinensis Radix), Mu Xiang (Aucklandiae Radix).
Equal parts of the above ingredients, ground into fine powder. Form pills with refined honey, sized like paulownia seeds. Take one pill per dose, dissolved in Muxiang Tang (Aucklandia Decoction).
Liushen San (Six Spirits Powder): Treats abdominal pain with crying, bluish complexion, cold breath, cold limbs, crying with bent waist, or diarrhea and refusal to suckle.
Ren Shen (Ginseng Radix), Shan Yao (Dioscoreae Rhizoma), Bai Zhu (Atractylodis Macrocephalae Rhizoma) (each 0.5 liang), Gan Cao (Glycyrrhizae Radix et Rhizoma, 2 qian), Fu Ling (Poria), Bian Dou (Viciae Craccae Semen, stir-fried) (each 1 liang).
Grind into powder. Take 2 qian per dose, with 2 slices of ginger and 1 jujube, decoct and drink. Another prescription uses Dang Gui (Angelicae Sinensis Radix), Bai Shao Yao (Paeoniae Radix Alba), and Ren Shen (Ginseng Radix) (each 2.5 qian), Gan Cao (Glycyrrhizae Radix et Rhizoma), Jie Geng (Platycodonis Radix), and Chen Pi (Citri Reticulatae Pericarpium) (each 1 qian), ground into powder. Take 2 qian per dose, decoct in water, and administer frequently.