小儿口疮,由血气盛,兼将养过温,心有客热,熏上焦,令口生疮也。
小儿初生,口里白屑起,乃至舌上生疮,如鹅口里,世谓之鹅口。此由在胎时,受谷气
盛,心脾热气熏发于口故也。
此由脾胃有客热,热气熏发于口,两吻生疮。其疮白色,如燕子之吻,故名为燕口疮也
小儿有涎唾多者,其汁流溢,浸渍于颐,生疮,黄汁出,浸淫肥烂。挟热者,疮汁则多
小儿初生,口里忽结聚,生于舌上,如黍粟大,令儿不能取乳,名之曰噤。此由在胎时
,热入儿脏,心气偏受热故也。
小儿冬月,为寒气伤于肌肤,搏于血气,血气壅涩,因即生疮。其疮亦 肿而难瘥,乃
至皮肉烂,谓之为冻烂疮也。
小儿为金刃所伤,谓之金疮。若伤于经脉,则血出不止,乃至闷顿;若伤于诸脏俞募,
亦不可治;自余腹破肠出,头碎脑露,并亦难治;其伤于肌肉,浅则成疮,终不虑死。而金
疮得风,则变痉。
When a newborn infant is born, sores immediately appear on the head and may spread to the entire body. Since these sores contain worms (parasites), it is named "Chong Bao" (Womb Sores).
Infant oral ulcers are caused by vigorous blood and qi, combined with excessive warmth in nursing care. This leads to exogenous heat in the Heart, which steams upward to the Upper Jiao (Upper Burner), causing sores to form in the mouth.
At birth, white flakes appear in the infant's mouth, and sores may form on the tongue, resembling the inside of a goose's mouth. The world calls this "E Kou" (Goose Mouth). This occurs because during fetal development, an excess of grain qi (nutritive energy from food) causes heat from the Heart and Spleen to steam upward to the mouth.
This condition arises from exogenous heat in the Spleen and Stomach, where heat steams upward to the mouth, causing sores at the corners of the lips. The sores are white and shaped like a swallow's beak, hence named "Yan Kou Chuang" (Swallow Mouth Ulcer).
If an infant has excessive saliva that flows and irritates the cheeks, sores may form, oozing yellow fluid and becoming macerated and rotting. If accompanied by heat, the discharge from the sores will be more abundant.
The Heart manifests in the tongue. If there is heat in the Heart, sores will form on the tongue.
The Heart manifests in the tongue, and the collateral vessels of the Spleen emerge beneath the tongue. When both the Heart and Spleen have heat, the qi emanates from the mouth, resulting in tongue swelling.
Immediately after birth, clusters may suddenly form in the infant's mouth, appearing on the tongue like millet grains or broomcorn millet seeds. This prevents the infant from suckling milk and is named "Jin" (Lockjaw/Clamped Mouth). This is caused by heat entering the infant's zang organs during fetal development, causing the Heart qi to be disproportionately affected by heat.
In winter, cold qi damages the skin and muscles of infants, combusting with blood and qi. This causes blood and qi to become stagnant and sluggish, leading to the formation of sores. These sores are swollen and difficult to heal, potentially causing the skin and flesh to rot; this is called "Dong Lan Chuang" (Frostbite Rotting Sores).
Injuries caused by metal blades to infants are called "Jin Chuang" (Metal Wounds). If meridians and collaterals are injured, bleeding may not stop, leading to fainting or stupor. If the Shu (Transport) and Mu (Alarm) points of the zang-fu organs are injured, it is incurable. Other severe injuries such as abdominal rupture with evisceration, or crushed skull with exposed brain matter, are also difficult to treat. However, superficial injuries limited to the muscle layer result in sores but are not fatal. Nevertheless, if Jin Chuang is exposed to wind, it may transform into Jing Bing (Spasm Disease/Tetanus).
This condition arises when Jin Chuang has not yet healed and is suddenly touched by external objects or when the infant cries out loudly; this is called "Jing Chuang" (Startle Wound). Whenever a wound is subjected to fright, bleeding resumes.
Sores appearing between the ears, nose, and mouth of infants are called "Yue Shi Chuang" (Moon-Eating Ulcers) by the world. Their course follows the phases of the moon, hence the name. It is said that if an infant sees the newly born moon and points at it with their finger, sores will develop below the ear, thus earning the name Yue Shi Chuang.