小儿在胎,禀阴阳五行之气,以生脏腑百骸,借胎液以滋养,受气既足,自然生育。分娩之
时,口含血块,啼声一出,随即咽下,而毒伏于命门,遇天行时气久热,或饮食停滞,或外
感风寒,惊风发热等因发为疮疹。须急于未啼时,用软帛裹指,挖去其血,用黄连、豆豉、
朱、蜜、甘草解之,后虽出痘亦轻矣。有咽入实时腹胀、呕吐、短气、不乳者,用茯苓丸治
之。但黄连性寒,若禀母气膏粱积热者,宜服;若滋味淡薄,胎气元弱者,又不宜用。其朱
砂固能解毒,恐金石镇坠,不若只以牛黄分许,蜜调与吮为佳。世多用犀角解毒丸,其胎气
虚寒虚弱者,反伤脾胃生气,甚致不育。又有婴儿因其难产,或冒风寒而垂危者,切不可便
断脐带,急烘绵絮包抱怀中,急以胎衣置火中煨烧,更用大纸捻于脐带上,往来燎之,使暖
气入腹,须臾气复自苏。尤戒沐浴,恐腠理不密,元气发泄,而外邪乘之也。
黄连法 临月用黄连细切为末,绵裹百沸,汤拭口。
甘草法 预以甘草细切少许,临产时,以绵裹沸汤泡盏内覆温,收生之际,以软棉裹指,蘸
甘草汁拭其口。次用黄连法、朱蜜法。
朱蜜法 用黄连细切,沸汤泡良久,滤净拭儿口中,吐去恶汁;更与朱砂一大豆许,细研以
蜜一蚬壳抹于儿口。服之非独镇心定魄安神解毒,更能益肝胆除烦热辟邪气也。
又牛黄法与朱蜜同,少加牛黄,能益肝胆,除热定精神,止惊邪,辟邪气,除小儿百病。
茯苓丸
赤茯苓 黄连(胎冷用芍药) 枳壳(炒。各等分)
上为末炼蜜丸,如桐子大。每服一丸,乳汁化下。
小儿在母胎中,禀受阴阳五行之气,从而生成脏腑和骨骼形体,依靠羊水滋养,当元气充足后,便自然出生。分娩之时,婴儿口中含着血块,啼哭一声后随即咽下,导致毒邪潜伏于命门(人体生命活动的原动力所在,位于两肾之间)。遇到天时流行的时气久热,或饮食停滞,或外感风寒,惊风发热等原因,便会引发疮疹。必须在婴儿尚未啼哭之前,用柔软的布包裹手指,挖去口中的血块,并用黄连、豆豉、朱砂、蜂蜜、甘草来解毒,这样即使后来出痘疹,病情也会较轻。如果有婴儿将血块咽下后立即出现腹胀、呕吐、呼吸短促、不肯吃奶的症状,可用茯苓丸治疗。但是黄连性寒,如果婴儿禀受母亲体内膏粱厚味积热者,适宜服用;如果母亲饮食滋味淡薄,胎气原本虚弱者,又不宜使用。朱砂固然能解毒,但担心金石类药物镇坠伤正,不如只用少许牛黄,用蜂蜜调匀让婴儿吮吸为佳。世人多使用犀角解毒丸,对于胎气虚寒虚弱者,反而损伤脾胃的生气,甚至导致不育。又有婴儿因为难产,或冒受风寒而处于垂危状态者,切不可立即剪断脐带,应急忙用烘热的棉絮包裹抱在怀中,迅速将胎衣放在火中煨烧,再用大纸捻在脐带上往来燎烤,使暖气进入腹部,片刻之后气息恢复,婴儿自然苏醒。尤其要禁止给婴儿洗澡,恐怕腠理(皮肤纹理及汗孔)不紧密,元气发泄,导致外邪乘虚而入。
黄连法:临近预产期时,用黄连细切为末,用绵布包裹,在百沸水中烫洗,擦拭婴儿口腔。
甘草法:预先将少许甘草细切,临产时,用绵布包裹放入沸水泡过的盏内覆盖保温,接生之际,用软棉包裹手指,蘸取甘草汁擦拭婴儿口腔。接着使用黄连法、朱蜜法。
朱蜜法:用黄连细切,用沸水浸泡良久,过滤干净后擦拭婴儿口中,吐出恶浊之汁;再给婴儿如大豆大小的朱砂,细研后用一蚬壳量的蜂蜜抹于婴儿口中。服用此法不仅能镇心安神定魄解毒,更能补益肝胆、清除烦热、辟除邪气。
另外牛黄法与朱蜜法相同,稍加牛黄,能补益肝胆,清除热邪安定精神,制止惊邪,辟除邪气,消除小儿各种疾病。
茯苓丸
赤茯苓 黄连(若胎冷则用芍药代替) 枳壳(炒制。各等分)
以上药物研为细末,用炼蜜制成丸剂,大小如梧桐子。每次服用一丸,用乳汁化开送服。
During gestation, the infant receives the Qi of Yin and Yang and the Five Elements (Wood, Fire, Earth, Metal, Water) to form the Zang-Fu organs and skeletal structure, nourished by amniotic fluid. When the prenatal Qi is sufficient, birth occurs naturally. At the time of delivery, the infant holds a blood clot in the mouth; upon crying, it is immediately swallowed, causing toxin to lie dormant in the Mingmen (Gate of Life). If triggered by prolonged heat from epidemic pathogens, food stagnation, external contraction of Wind-Cold, or convulsions with fever, sores and rashes may erupt. It is urgent to use a soft cloth-wrapped finger to remove the blood before the infant cries, and to resolve the toxicity using Huanglian (Coptis Rhizome), Douchi (Fermented Soybean), Zhusha (Cinnabar), honey, and Gancao (Licorice Root). Even if smallpox later appears, the condition will be mild. If the infant swallows the blood and immediately presents with abdominal distension, vomiting, shortness of breath, and refusal to nurse, Fuling Wan (Poria Pill) should be used. However, Huanglian is cold in nature; it is suitable for infants inheriting maternal internal heat from rich diet, but unsuitable for those with bland maternal diet and weak prenatal Qi. Although Zhusha can detoxify, its heavy mineral nature may suppress vital energy; it is better to use a small amount of Niuhuang (Calculus Bovis), mixed with honey for the infant to suck. Many people use Xijiao Jiedu Wan (Rhinoceros Horn Detoxification Pill), which may damage the Spleen-Stomach's generating Qi in infants with deficient-cold prenatal Qi, potentially leading to failure to thrive. For infants in critical condition due to difficult labor or exposure to Wind-Cold, the umbilical cord must not be cut immediately. Quickly wrap the infant in heated cotton and hold them close. Place the placenta in fire to roast, and use a large paper wick to cauterize the umbilical cord repeatedly, allowing warmth to enter the abdomen. After a moment, Qi returns, and the infant revives. Bathing must be strictly avoided to prevent open pores (Couli) from leaking Yuanqi (Original Qi) and allowing external pathogens to invade.
Huanglian Method: Near term, finely chop Huanglian into powder, wrap in cotton, dip in boiling water, and wipe the mouth.
Gancao Method: Finely chop a small amount of Gancao in advance. At delivery, wrap in cotton, soak in a cup of boiling water to keep warm. During birth, use a soft cotton-wrapped finger dipped in Gancao juice to wipe the infant's mouth. Follow with the Huanglian Method and Zhumi Method.
Zhumi Method: Finely chop Huanglian, steep in boiling water for a long time, filter, and wipe the infant's mouth to expel foul fluids. Then give a bean-sized amount of finely ground Zhusha, applied to the mouth with honey from a clam shell. This not only calms the Heart, stabilizes the Spirit, and detoxifies, but also benefits the Liver and Gallbladder, clears irritability and heat, and dispels evil Qi.
The Niuhuang Method is similar to Zhumi, adding a small amount of Niuhuang to benefit the Liver and Gallbladder, clear heat, stabilize the Spirit, stop convulsions, dispel evil Qi, and cure various pediatric diseases.
Fuling Wan
Chifuling (Red Poria)
Huanglian (use Shaoyao if fetal coldness is present)
Zhiqiao (Stir-fried Bitter Orange Peel). Equal parts.
Grind into powder, mix with refined honey to make pills the size of tung tree seeds. Take one pill per dose, dissolved in breast milk.