小儿胎病凡二端,在胎时母失爱护,或劳动气血相干,或坐卧饥饱相役,饮酒食肉,冷热相制,恐怖惊悸,血脉相
乱,蕴毒于内,损伤胎气,此胎热胎寒,胎肥胎怯,胎惊胎黄诸症,所由作也。又有落地时,浴体拭口,断脐灸囟之不
得法,绷袍惊恐,寒温乳哺之乖其宜,此嘬口、脐风、锁肚、不乳等症所由生也。黄帝云∶吾不能察其幼小,亦唯小
儿脏腑娇嫩,血气懦弱,肌体不密,精神未充,而用药消息之难耳。
胎热者,生后气急喘满,眼闭或目赤,眼胞浮肿,神困呵欠,呢呢作声,遍体壮热,小
便赤,大便涩,时复惊烦,宜至宝丹研服之,木通散与乳母服之。目不开,以二妙散温洗
之。不治,则生鹅口、木舌、重舌、紫赤丹瘤。
至宝丹
滑石(六两) 甘草 木香 陈皮 莪术 三棱(各一两) 茯神 白术 山药 远志 青
皮(各一两五钱) 甘松(五钱) 益智仁(七钱五分) 麝香(一钱五分)
一方,加人参一两。
蜜丸芡实大,朱砂为衣,灯心汤调化服。
此实时下所常用秘方也,不论内伤外感,变蒸寒热,一切治之。予谓此药,唯蒸症相
宜,次则郁热伏暑神剂。小儿夏月,宜多服之。补而不滞,泻而不偏,殊有妙用。
木通散 兼治小儿脐热,小腑闭,诸疮丹毒,母子同饮。
木通 蓄 大黄 甘草 瞿麦 赤茯 滑石 黄芩 薄荷 炒桅子 车前子
补中益气用升、柴天道之方也;此方车、茯、瞿、 ,地道之方也。小儿稚阳气纯,天道完全,故唯此法出入调理。
二妙散 大人翳膜血丝俱治。
文蛤(一两) 黄柏(二钱)
煎水熏洗。
There are two main aspects to fetal diseases in infants. During pregnancy, if the mother fails to provide proper care, or if physical exertion causes disturbance of Qi and Blood, or if sitting and lying postures, along with irregular eating habits (hunger and fullness), strain the body, or if alcohol and meat consumption lead to a conflict between cold and hot influences, or if fear and fright cause disorder of the blood vessels, toxins accumulate internally, damaging the fetal Qi. This is the origin of various conditions such as fetal heat, fetal cold, fetal obesity, fetal weakness, fetal fright, and fetal jaundice. Furthermore, upon birth, improper methods for bathing the body, wiping the mouth, cutting the umbilical cord, or moxibustion on the fontanelle, combined with fright from swaddling, inappropriate regulation of cold and warmth, or improper breastfeeding, give rise to conditions such as beaked mouth (Cuo Kou), neonatal tetanus (Qi Feng), abdominal locking (Suo Du), and failure to suckle (Bu Ru). The Yellow Emperor said, "I cannot fully observe the young ones; it is precisely because infants have delicate Zang-Fu organs, weak Qi and Blood, loose integument, and unfulfilled spirit, making the dosage and administration of medicine difficult to manage."
Fetal heat refers to symptoms appearing after birth, including rapid breathing and wheezing, eyes closed or red sclera, swollen eyelids, lethargy with yawning, muttering sounds, generalized high fever, dark red urine, constipation, and frequent fright and irritability. It is appropriate to administer Zhibao Dan (Precious Treasure Pill) ground and taken orally, while the nursing mother should take Mutong San (Wood-Through Powder). If the eyes do not open, wash them gently with warm Ermiao San (Two Marvels Powder). If left untreated, these may develop into goose mouth thrush (Go Kou), wooden tongue (Mu She), double tongue (Chong She), or purple-red carbuncles (Zi Chi Dan Liu).
Zhibao Dan (Precious Treasure Pill)
Ingredients: Talcum (Liu Liang), Licorice Root, Aucklandia Root, Tangerine Peel, Curcuma Zedoaria Rhizome, Sparganium Rhizome (each Yi Liang), Poria with Hostwood, Atractylodes Macrocephala Rhizome, Dioscorea Opposite Rhizome, Polygala Root, Immature Tangerine Peel (each Yi Liang Wu Qian), Nardostachys Radix (Wu Qian), Alpinia Oxyphylla Fruit (Qi Qian Wu Fen), Moschus (Yi Qian Wu Fen).
Alternative prescription: Add Ginseng Root (Yi Liang).
Form honey pills the size of Euryale seeds, coated with Cinnabar, and dissolve/administer using Juncus Decoction.
This is a commonly used secret formula among people at present, effective for internal injuries, external contractions, Bian Zheng (infantile developmental fever) with alternating chills and fever, and all other conditions. I believe this medicine is most suitable for Bian Zheng, and secondarily serves as a divine remedy for stagnant heat and latent summerheat. Infants should take more of this during summer. It tonifies without stagnation and purges without bias, possessing remarkable efficacy.
Mutong San (Wood-Through Powder)
Also treats infant navel heat, urinary obstruction, and various sores and erysipelas. Mother and child drink together.
Ingredients: Akebia Stem, Plantago Seed, Rhubarb Root, Licorice Root, Dianthus Flower, Red Poria, Talcum, Scutellaria Root, Mint Leaf, Stir-fried Gardenia Fruit, Plantago Seed.
Bu Zhong Yi Qi Decoction (Tonify the Middle and Augment the Qi Decoction) uses Cimicifuga Rhizome and Bupleurum Root as a method following the Heavenly Dao; this formula uses Plantago Seed, Poria, Dianthus Flower, and Plantago Seed as a method following the Earthly Dao. Since infants possess pure稚 Yang Qi and complete Heavenly Dao, only this method is suitable for regulating their condition through entry and exit.
Ermiao San (Two Marvels Powder)
Treats corneal opacity and blood vessels in adults.
Ingredients: Clam Shell (Yi Liang), Phellodendron Bark (Er Qian).
Decoct water for fumigation and washing.