伤食发丹者,因脾胃之气未充,乳食过多,不能运化,蕴热于内而达于肌表也。
若因乳食停滞者,先用保和丸消之;大便秘结,量加大黄通之。乳食既消,而丹尚
作者,用清中解郁汤治之。丹邪既去,而乳食不思者,用五味异功散补之。发热作
渴,或饮食少思者,用七味白术散补之。大凡饮食浓味所致者,赤晕或行而缓慢。
若饮烧酒,或误吞信石所致者,遍身赤晕,其行甚速。又有疮疡发 ,周遭有赤晕,
其热消散,或脓出自退,凡此俱忌砭法,皆宜安里为主,不可攻伐。若自吐泻,亦
不可止之,吐泻中有发散之意。因饮烧酒者,饮冷米醋一二杯解之,此神妙之法也。
因母多食炙爆膏粱,或饮烧酒,或服辛热燥药,或郁怒伤肝脾,致儿为患者,当参
胎热毒疮疡治之。
〔曾〕婴孩生后百日之内,半岁以上,忽两眼胞红晕微起,面带青黯色,向夜烦
啼,或脸如胭脂,此伏热在内。亦有脸不红者,始因居胎之时,母受重惊,惊邪伤
胎,递相传袭,形发于外,初发时散生满面,状如水豆,脚微红而不壮,出没休息
无定,次到颈项,赤如朱砂,名为惊丹。用四圣散先洗其目,次百解散加五和汤同
煎,与解惊热丹毒,牛蒡汤、当归散、三解散、黄芩四物汤,皆可为治。如惊丹发
至胸乳间,微有痰喘作搐,急宜宣热拔毒,免致内流,为害不浅,五和汤加升麻、
生干地黄、水姜灯心煎服,则自消除,仍用前数药调治,不生他证。或投万安饮。
黄芩四物汤 治诸疮、丹毒、赤瘤、燥痒。
黄芩(一两) 当归(酒洗) 生干地黄 赤芍药 川芎(四味各半两) 何首乌(去粗皮)
草乌(炮,去皮) 玄参(三味各二钱半) 甘草(六钱) 薄荷(二钱)
上 咀。每服,水一盏,煎七分,无时,温服。
四圣散(初生目不开) 石解散(惊) 五和汤(发热) 牛蒡汤(咽喉) 当归散
三解散(俱发热)
Danthu (carbuncle-like rash) caused by food stagnation occurs because the Qi of the Spleen and Stomach is not yet sufficient. Excessive intake of milk and food cannot be transformed and transported, leading to heat accumulation internally that reaches the muscle surface.
If caused by food stagnation, first use Baohe Wan (Preserve Harmony Pill) to dissipate it; if there is constipation, add Rhubarb (Da Huang) in appropriate amounts to unblock the bowels. Once the food stagnation has been resolved but the Danthu persists, treat with Qingzhong Jieyu Tang (Clear the Middle and Resolve Depression Decoction). After the Danthu pathogen is eliminated but the infant still lacks appetite, tonify with Wuyi Yigong San (Five-Ingredient Powder for Extraordinary Merit). If there is fever with thirst, or reduced desire for food, tonify with Qiwei Baizhu San (Seven-Ingredient Powder for White Atractylodes). Generally, those caused by rich and greasy foods present with a red halo spreading slowly. Those caused by drinking distilled spirits or accidentally ingesting arsenic trioxide (Xinshi) present with a red halo all over the body, spreading very rapidly. Additionally, when sores and ulcers erupt, they are surrounded by a red halo; when the heat dissipates or pus discharges, they subside naturally. All such cases contraindicate Bianfa (scarification therapy), and treatment should primarily focus on stabilizing the interior rather than using attacking methods. If spontaneous vomiting and diarrhea occur, do not forcibly stop them, as vomiting and diarrhea contain the mechanism of dispersing pathogens. For cases caused by drinking distilled spirits, drink one or two cups of cold rice vinegar to detoxify, which is a miraculous method.
If the infant suffers due to the mother consuming excessive roasted, fried, or rich foods, drinking distilled spirits, taking pungent-hot dry drugs, or suffering Liver-Spleen injury from depression and anger, treat according to the principles for fetal heat toxic sores.
[Zeng's experience] Within one hundred days after birth, or after half a year, an infant suddenly presents with slightly raised red halos on both eyelids, a cyan-dark facial complexion, nighttime irritability and crying, or a face red like rouge, indicating latent heat within. There are also cases where the face is not red; initially, this is because during gestation, the mother suffered severe fright, causing fright pathogen to injure the fetus, transmitting sequentially, manifesting externally. Initially, it scatters across the whole face, resembling water blisters, with slightly red but not prominent bases, appearing and disappearing irregularly, then spreading to the neck, red like cinnabar, named Jingdan (Fright Danthu). First wash the eyes with Sixian San (Four Holy Powders); then decoct Baixie San (Hundred Resolving Powder) together with Wuhe Tang (Five Harmonizing Decoction) to resolve fright heat, Danthu, and toxicity. Niubang Tang (Arctium Decoction), Danggui San (Angelica Powder), Sansjie San (Three Resolving Powders), and Huangqin Siwu Tang (Scutellaria Four Substances Decoction) can all be used for treatment. If Jingdan spreads to the chest and breast area, accompanied by slight phlegm-wheeze and convulsions, urgently scatter heat and extract toxins to prevent internal flow, which would cause significant harm. Decoct Wuhe Tang with Shengma (Cimicifugae Rhizoma), Sheng Gan Dihuang (Rehmanniae Radix Recens), Shengjiang (Zingiberis Rhizoma Recens), and Dengxincao (Junci Medulla) to take warm, which will resolve spontaneously; subsequently regulate with the aforementioned medicines to prevent other complications. Alternatively, administer Wan'an Yin (Ten Thousand Peace Drink).
Huangqin Siwu Tang: Treats various sores, Danthu, red tumors, and dry itching.
Scutellariae Radix (Huangqin, 1 liang), Angelicae Sinensis Radix (Danggui, wine-washed), Rehmanniae Radix Recens (Sheng Gan Dihuang), Paeoniae Radix Rubra (Chishao), Chuanxiong Rhizoma (Chuanxiong) [each of these four is 0.5 liang], Polygoni Multiflori Caulis (Heshouwu, remove coarse skin), Aconiti Lateralis Radix Preparata (Caowu, processed, remove skin), Scrophulariae Radix (Xuanshen) [each of these three is 2.5 qian], Glycyrrhizae Radix et Rhizoma (Gancao, 6 qian), Menthae Haplocalycis Herba (Bohe, 2 qian).
Coarsely crush the herbs. For each dose, use one cup of water, decoct to seven-tenths, take warm at any time.
Sixian San (for newborns whose eyes do not open), Shijie San (for fright), Wuhe Tang (for fever), Niubang Tang (for throat conditions), Danggui San, Sansjie San (all for fever).