钱氏方乃小儿方之祖,其立例极好,医者能守而增损之,用无不验。治小儿杂病,其药品与大人同者多,但不
可过剂耳,兹故不赘。乳下小儿,常湿热多。小儿食积痰热,伤乳为病,大概肝与脾病多。小儿易怒,故肝病最
多,肝只有余,肾只不足。病因有二,曰饱曰暖。小儿冬月易受寒,夏月易受热。
儿在胎中,口有恶物,生下啼声未出,急用绵裹指拭净后,用甘草法。小儿初生,休与乳,取甘草一指节长,炙
脆以二合煎,蘸儿口中,可蚬壳止,儿当快吐胸中恶汁,待后儿饥渴更与两服,不吐尽一合止,得吐恶汁后,儿智
慧无病。儿生三日开肠胃,研粳米浓水饮,如乳儿先与豆许含之,频与二豆许,六七日可与哺之。儿生下时以猪胆一
个,水五升煎四升,澄清浴儿无疮疥。生下不饮乳,小便不通,乳汁三合,葱白一寸,分四破,银石器煎浓,灌之立
愈。小儿生下七日,忽患脐风撮口者,百无一活。凡此时,当舌上有泡子,如粟米状,以温汤蘸帛干擦破便安,如
神。生下舌有膜如榴子连于舌根,令儿语言不发,可摘断,微有血,如血不止,烧发灰渗之。又白矾灰、釜底墨,
酒调敷。生十日口噤,牛黄少许细研,淡竹沥调一字,猪乳和酒滴入口中。儿生百日之内,伤风鼻塞,服药不退,乃
是出浴时被风吹,所以有此,用天南星末、姜汁调,贴囟门
上,鼻不塞去之。
钱乙的方剂是儿科方剂的始祖,其立法体例极好。医者若能遵循并加以增减变化,使用没有不灵验的。治疗小儿杂病,其中使用的药物与成人相同的很多,只是不可用药过量罢了,这里就不再赘述了。吃奶的小儿,常常湿热较多。小儿因食积、痰热或损伤乳食而致病,大体上是肝和脾的病居多。小儿容易发怒,所以肝病最多,因为小儿“肝常有余,肾常不足”。病因主要有两个方面,一是过饱,二是过暖。小儿在冬天容易受寒,在夏天容易受热。
婴儿在母胎中,口中会有秽浊之物,出生后啼哭之声未出时,急忙用绵布包裹手指擦拭干净后,采用甘草法。婴儿刚出生,不要立即喂奶,取一指节长短的甘草,炙脆后用二合水煎煮,蘸取药液涂擦婴儿口中,大约可以用到蚬壳盛药的量为止,婴儿应当会吐出胸中的恶汁,待之后婴儿感到饥渴时再给予两次服用,直到吐尽一合药液为止,吐出恶汁后,婴儿就会聪慧无病。婴儿出生三天后肠胃开通,研磨粳米浓汁喂饮,像喂乳儿一样先给一粒豆大小的量含在口中,频繁给予两粒豆大小的量,六七天后可以开始喂食辅食。婴儿出生时用猪胆一个,加水五升煎至四升,澄清后用来给婴儿洗澡,可预防疮疥。出生后不喝奶,小便不通,用乳汁三合,葱白一寸,分成四段,用银器或石器煎浓,灌服后立即痊愈。婴儿出生七天后,忽然患上脐风撮口症(新生儿破伤风),一百个中没有能活下来的。凡是这个时候,应当看到舌上有泡子,像粟米状,用温水沾湿布巾擦干并擦破泡子便安然无恙,效果如神。出生时舌头上有膜像石榴籽一样连在舌根上,导致婴儿不能说话,可以摘断它,会有少量出血,如果血不止,烧头发成灰撒在上面止血。也可以用白矾灰、锅底墨,用酒调匀敷贴。出生十天出现口噤(牙关紧闭),取少许牛黄细细研末,用淡竹沥调成一字量的药粉,混合猪乳和酒滴入口中。婴儿出生百日内,伤风鼻塞,服药不退,这是因为出浴时被风吹所致,所以有此症状,用天南星粉末、姜汁调和,贴在囟门上,鼻子不通气时取下即可。
Qian Yi's prescriptions are the ancestors of pediatric formulas, and their principles are excellent. If physicians can adhere to them and make appropriate modifications, they will invariably be effective. In treating miscellaneous diseases in children, many of the medicinal materials used are the same as those for adults; however, dosages must not be excessive. This point is therefore not elaborated upon here. Infants who are still nursing often suffer from damp-heat. Diseases caused by food stagnation, phlegm-heat, or damage from milk intake generally involve the Liver and Spleen most frequently. Children are prone to anger, so Liver disorders are the most common, based on the principle that "the Liver is always in excess, while the Kidney is always deficient." There are two main causes of disease: overfeeding and overheating. Children are susceptible to cold in winter and heat in summer.
While in the womb, the infant accumulates foul substances in the mouth. Immediately after birth, before the first cry, one should quickly wipe the mouth clean with a cotton-wrapped finger, then apply the Licorice method. Do not nurse the newborn immediately. Take a piece of *Gancao* (Licorice Root, *Glycyrrhizae Radix et Rhizoma*) about one finger-joint long, roast it until crisp, decoct it in two *he* (a traditional unit of volume) of water, and dip it into the infant's mouth. This amount may suffice for a shell-full. The infant should vomit the foul juices from the chest. Afterward, when the infant is hungry and thirsty, administer two more doses, continuing until one *he* has been vomited out. Once the foul juices are expelled, the infant will be healthy and intelligent. On the third day after birth, when the gastrointestinal tract opens, give thick rice water made from polished rice (*Jingmi*, *Oryzae Sativae Semen*). Similar to nursing, start with a bean-sized amount held in the mouth, frequently offering two bean-sized amounts. By six or seven days, solid foods can be introduced. Upon birth, boil one pig gallbladder in five *sheng* (a traditional unit of volume) of water until reduced to four *sheng*. Strain the liquid and use it to bathe the infant to prevent sores and scabies. If the newborn does not drink milk and has no urination, decoct three *he* of breast milk with one inch of green onion white (*Congbai*, *Allii Fistulosi Bulbus*), split into four pieces, using a silver or ceramic vessel until concentrated, and instill it to effect an immediate cure. Seven days after birth, if the infant suddenly suffers from umbilical wind and locked jaw (neonatal tetanus), survival rates are extremely low. At this stage, look for blisters on the tongue resembling millet grains. Wipe them dry with a cloth dipped in warm water and break them open; this brings relief as if by magic. If a membrane like a pomegranate seed is attached to the root of the tongue at birth, preventing speech, it can be severed. There may be slight bleeding; if it does not stop, apply ash from burnt hair. Alternatively, mix alum ash or soot from the bottom of a cauldron with wine and apply topically. If locked jaw occurs ten days after birth, finely grind a small amount of *Niuhuang* (Calculus Bovis, Aetatis Bovis Calculus), mix with a measure equivalent to "one character" (*Yi Zi*) of light bamboo juice (*Zhulv*, *Bambusae Caulis in Taedia*), combine with pig milk and wine, and drip into the mouth. Within the first hundred days, if an infant suffers from wind-cold with nasal congestion that does not respond to oral medication, it is likely due to exposure to wind during bathing. Apply a paste of *Tiannanxing* powder (Arisaematis Rhizoma Preparatum) mixed with ginger juice to the fontanelle; remove it when the nasal congestion subsides.