木香、甘草、茯苓、干姜、木爪、丁香、陈皮各等
分,共为细末,每用一字,水煎绵兼,滴与食之。
脐风者,由断脐之后,被水湿风冷之气所乘,流入心脾,令腹
胀脐肿,四肢强直,日夜多啼,不能吮乳。甚则发为风搐,若脐
边青肿,撮口不开者,是为内搐,不治。爪甲黑者,死。
撮口者,由胎气挟热,兼风邪入脐,流入心脾二经,故令舌
强唇青,口撮喘急,啼声不出,不乳。若口出白沫,四肢冷者,
不治。最为急侯,一腊之内尤甚。
噤风者,眼闭口噤。啼声渐少,吮乳不得,口注白沫,大小
便皆不通。亦由胎中受热,热毒流入心脾,故形于喉舌间也。
以上三症,其名虽异,受病则一。初生七日之内,得此症者
多死。若不急救,坐以待毙,良可悯焉!
但见小儿喷嚏多啼,身热不乳,急看儿上愕,有小泡子如粟
米大,或以指甲,或以挖耳。轻轻刮去,以绵绢缠指,蕴温水拭
净其血,勿令下咽,即便安妥,不必服药,诚良方也。
凡小儿牙关紧急,已成撮口惊搐者,先用撮风散以开其关,
次用控痰散以吐其痰,然后用益脾散和胃,保命丹祛惊,即愈。若
手足挛拳,口噤不开者,不治。
金脚蜈蚣(炙,令毒不明),全蝎(炒,去毒)五个,直
僵蚕(炒,去嘴),麝香(少许)。共为末,每用一字,以猪乳
和之,搅匀。以绵绢醮清入口中即开,或用金银簪挑亦
可。
木香、甘草、茯苓、干姜、木瓜、丁香、陈皮各取等量,共同研磨成细粉。每次使用一字(古代容量单位),加水煎煮绵茵陈(此处原文“绵兼”疑为“绵茵陈”或特定辅料,依字面译为绵类植物煎液),滴入其中喂服。
脐风病,是由于断脐之后,受到水湿和风冷之邪的侵袭,邪气流入心经和脾经,导致腹部胀满、肚脐肿胀,四肢强直,日夜啼哭不止,无法吮吸乳汁。严重时发展为风搐(惊厥抽搐),如果脐部周围青紫肿胀,口唇撮缩不能张开,这属于内搐,难以治愈。指甲发黑的,预后不良,主死。
撮口病,是由于胎中热气挟带风邪侵入脐部,流入心经和脾经,因此导致舌体僵硬、嘴唇青紫,口唇撮缩、呼吸急促,啼哭无声,拒绝吃奶。如果口吐白沫,四肢冰冷,则难以治愈。这是最为急重的证候,出生后一周内病情尤为严重。
噤风病,表现为眼睛闭合、牙关紧闭。啼哭声逐渐减少,无法吮乳,口中流出白沫,大小便均不通畅。这也是由于胎中受热,热毒流入心经和脾经,反映在喉舌部位所致。
以上三种病症,名称虽然不同,但致病原因相同。新生儿在出生七天内患上这些病症的,大多死亡。如果不进行急救,坐以待毙,实在令人怜悯!
只要见到小儿频繁打喷嚏、多啼哭、身体发热、不肯吃奶,急忙查看小儿上颚,若有小米粒大小的水泡,可以用指甲或挖耳勺轻轻刮去,用棉绢缠住手指,蘸温水擦拭干净血迹,不要让血咽下去,孩子立刻就会安稳,不必服药,这确实是良方。
凡是小儿牙关紧急,已经形成撮口、惊搐症状的,先用撮风散来开通牙关,接着用控痰散来吐出痰涎,然后用益脾散调和胃气,服用保命丹祛除惊风,即可痊愈。如果手足蜷曲握拳,口噤不能张开,则难以治愈。
金脚蜈蚣(炙烤,使其毒性不明显),全蝎(炒制,去除毒性)五个,直僵蚕(炒制,去掉嘴部),麝香(少许)。共同研磨成粉末,每次使用一字,用猪乳调和,搅拌均匀。用棉绢蘸取药液入口中,牙关即刻张开,或者用金银簪挑涂也可。
Muxiang (Radix Aucklandiae), Gancao (Radix Glycyrrhizae), Fuling (Poria), Ganjiang (Rhizoma Zingiberis), Mugua (Fructus Chaenomelis), Dingxiang (Flos Caryophylli), and Chenpi (Pericarpium Citri Reticulatae) are taken in equal parts, ground together into a fine powder. Each dose is one "zi" (a traditional unit of measurement). It is decocted with water and Mianjian (likely referring to *Polyporus* or a specific herbal adjunct), and the liquid is dripped into the mouth for feeding.
Qifeng (Umbilical Tetanus) arises after the umbilical cord is cut, when pathogenic factors such as dampness, cold, and wind invade the body and enter the Heart and Spleen meridians. This leads to abdominal distension, swelling of the umbilicus, rigidity of the four limbs, incessant crying day and night, and an inability to suckle milk. In severe cases, it develops into Fengchu (Wind-induced convulsions). If the area around the umbilicus becomes cyanotic and swollen, and the mouth is puckered shut and cannot open, this is classified as Neichu (Internal Convulsion), which is difficult to cure. Blackening of the fingernails indicates death.
Cuokou (Puckered Mouth) is caused by fetal heat combined with wind pathogens entering the umbilicus and flowing into the Heart and Spleen meridians. Consequently, the tongue becomes stiff, the lips turn cyanotic, the mouth puckers, breathing becomes rapid, the cry is silent, and the infant refuses milk. If white foam issues from the mouth and the four limbs are cold, the condition is incurable. This is the most critical emergency, particularly severe within the first week of life.
Jinfeng (Lockjaw Wind) presents with closed eyes and locked jaws. The crying sound gradually diminishes, suckling is impossible, white foam flows from the mouth, and both urination and defecation are obstructed. This is also due to heat acquired in the womb; heat toxins flow into the Heart and Spleen, manifesting in the throat and tongue.
Although these three syndromes have different names, their etiology is identical. Infants who contract these conditions within seven days of birth often die. If not treated urgently, waiting passively for death is truly pitiable!
If an infant sneezes frequently, cries excessively, has a fever, and refuses to nurse, immediately examine the upper palate. If small blisters the size of millet grains are present, gently scrape them off using a fingernail or an ear pick. Wrap a finger with cotton silk, dip it in warm water, wipe away the blood cleanly, and ensure the blood is not swallowed. The infant will immediately stabilize without the need for medication; this is indeed an excellent prescription.
For infants with tight jaw muscles who have already developed Cuokou and Jingchu (Convulsive Tetanus), first use Cuofeng San (Seizure-Relieving Powder) to open the jaw, then use Kongtan San (Phlegm-Controlling Powder) to induce vomiting of phlegm, followed by Yipi San (Spleen-Nourishing Powder) to harmonize the Stomach, and Baoming Dan (Life-Preserving Pill) to dispel fright. Recovery will follow. If the hands and feet are curled into fists and the jaw is locked shut, the condition is incurable.
Jinjiao Wugong (Toxicopteris annulata, roasted until toxicity is reduced), Quanxie (Scorpio, fried to remove toxicity) five pieces, Zhijiangcan (Bombyx Batryticatus, fried and cleaned) , and Shexiang (Moschus, a small amount). These are ground into a powder. Each dose is one "zi", mixed evenly with pig's milk. Apply with cotton silk dipped in the mixture into the mouth to instantly relax the jaw, or apply using a silver hairpin.