夫小儿夜啼不止者,当用灯花一枚,研细,随乳汁下,并三服。则每服用灯花一
枚,服罢此药,于静室中卧一两日,则止也。
夫小儿丹瘤,浮赤走引或遍身者,乃邪热之毒在于皮肤,以磁盘撤出血则愈,
如不愈,则以拔毒散,扫三、二十度必愈矣。《内经》曰∶丹
赤瘤,火之色也,相火之病是也。
夫小儿疳涩眼,数日不开者,乃肝木风热之致然也。可调服凉膈散数服,眼开而愈。
夫小儿身瘦肌热,面黄腹大,或吐泻,腹有青筋,两胁结硬如碗之状,名乳痈癖
,俗呼曰奶脾是也。乳痈得之绵帛太浓,乳食伤多。
大热则病生肌,大饱则必伤于肠胃。生
于肌表者,赤眼、丹瘤、疥癣、痈疖、眉炼、赤白口疮、牙疳宣烂及寒热往来。此乳
母抱不下怀,积热熏蒸之故,两手脉浮而数也。伤于肠胃者,吐泻惊疳,哽气腹胀,肌瘦面黄,肚
大筋青,喜食泥土,揉鼻窍,头发作穗,乳瓣不化,此皆大饱之致然也,久而不愈,则成乳
痈,两手脉沉而紧也,此其辨也。以上诸症,皆乳母怀抱,奉养过度之罪。癖之疾,可以丁
香化痹散,取过数服,牛黄通膈丸、甘露散、益黄散等药磨之。如不愈者,有揉脾一法。
咒曰∶
日精月华,
助吾手法,
斩减消,
驱毒敕摄。
上用法之人,每念一遍,望日取气一口,吹在手心,自揉之。如小儿病在左臂上,用法之人
亦左手揉之,在右臂以右手揉之。亦吹在乳脾上,令母揉之。男孩儿用单日,女孩儿用双日
。大忌风雨、阴晦、产妇、孝子见之。用之时宜于日中前,晴明好日色可矣。
凡是小儿夜间啼哭不止的,应当使用灯花一枚,研成细末,随乳汁送服,共服用三次。每次服用灯花一枚,服完此药后,在安静的房间中躺卧一两天,啼哭就会停止。
凡是小儿患丹瘤(一种皮肤红肿如涂丹砂的急性感染性疾病),红肿浮赤且游走全身或遍布全身的,这是邪热毒气蕴结在皮肤所致,用磁碟刮拭放出瘀血即可痊愈;如果不见好转,则使用拔毒散,扫擦三、二十次必定痊愈。《黄帝内经》说:丹赤瘤,是火的色泽,属于相火(寄居于肝肾,与君火相对,主司人体机能活动的动力)为病的范畴。
凡是小儿患疳涩眼(因脾胃虚弱、肝经风热导致的眼部干涩难睁病症),几天都睁不开的,这是由肝木风热引起的。可以调服凉膈散(具有清热泻火、通便解毒功效的方剂)数次,眼睛睁开即愈。
凡是小儿身体消瘦、肌肉发热、面色发黄、腹部胀大,或者呕吐腹泻、腹部有青筋暴露、两胁结块坚硬如同碗状,这种病名叫乳痈癖,俗称奶脾。乳痈癖是由于绵帛衣物太厚、乳食喂养过多造成的。
体内有大热则生病于肌肤,吃得过饱则必然损伤肠胃。病发于肌表的,表现为赤眼、丹瘤、疥癣、痈疖、眉炼(眉毛脱落)、赤白口疮、牙疳宣烂以及寒热往来等症状。这都是因为乳母怀抱不当,积热熏蒸的缘故,此时两手脉象浮而数。病伤于肠胃的,表现为吐泻、惊疳、噫气腹胀、肌肉消瘦面色发黄、肚子大筋脉青紫、喜欢吃泥土、揉搓鼻窍、头发结成穗状、乳瓣不化等,这些都是饮食过饱导致的,如果久治不愈,就会形成乳痈癖,此时两手脉象沉而紧,这就是两者的区别。以上各种症状,都是乳母怀抱不当、奉养过度的罪过。对于癖积之疾,可以使用丁香化痹散,取过量服用,再用牛黄通膈丸、甘露散、益黄散等药物磨汁外敷。如果仍不见效,有一种揉脾的方法。咒语说:日精月华,助吾手法,斩减消,驱毒敕摄。使用此法的人,每念一遍咒语,对着月亮吸气一口,吹在手心,自行揉搓患儿。如果小儿病在左臂上,施术者也用左手揉搓;在右臂则以右手揉搓。也可以将气吹在患儿的奶脾部位,让母亲进行揉搓。男孩儿选用单日,女孩儿选用双日。大忌风雨天、阴暗晦涩的天气、产妇和孝子见到。使用时宜在中午之前,天气晴朗好时方可进行。
For infants whose night crying persists, one lamp wick flower (Denghua) should be ground into a fine powder and administered with breast milk. This constitutes three doses. Each dose consists of one lamp wick flower. After completing this medication, the infant should rest in a quiet room for one or two days, at which point the crying will cease.
Regarding infant Danliu (a type of acute skin infection characterized by redness like cinnabar), if the swelling is floating, crimson, wandering, or covering the entire body, it is caused by toxic heat pathogens residing in the skin. Healing can be achieved by scraping the area with a porcelain plate to release blood stasis. If there is no improvement, Baidu San (Poison-Extracting Powder) should be applied; sweeping the affected area thirty to twenty times will ensure recovery. The *Huangdi Neijing* states: "Danchi liu [cinnabar-red swelling] reflects the color of fire; it is a disease of Xianghuo [Ministerial Fire]."
When infants suffer from Ganse Yan [dry, difficult-to-open eyes due to deficiency and wind-heat], unable to open them for several days, this is caused by Wind-Heat in the Liver Wood. Administering Liangge San (Cool the Chest Powder) several times will allow the eyes to open and the condition to resolve.
Infants who are emaciated, have hot muscles, sallow complexions, distended abdomens, vomiting, diarrhea, visible cyanotic veins on the abdomen, and hard, bowl-shaped masses in the hypochondrium are suffering from Ruyongpi [breast abscess癖], commonly known as Naispi [milk spleen]. Ruyongpi results from wearing thick silk garments and excessive breastfeeding. Excessive internal heat generates pathology in the muscle layer, while overeating inevitably damages the intestines and stomach. Manifestations on the body surface include red eyes, Danliu, scabies, tinea, furuncles, eyebrow loss, red-and-white mouth ulcers, gingival gangrene with ulceration, and alternating chills and fever. These are caused by improper holding by the nurse and steaming accumulation of heat, presenting with floating and rapid pulses in both hands. Pathology damaging the intestines and stomach manifests as vomiting, diarrhea, fright-gan, belching, abdominal distension, emaciation with sallow complexion, large belly with blue veins, pica (eating dirt), nose rubbing, tufted hair, and undigested milk curds. These result from overfeeding. If prolonged without resolution, it becomes Ruyongpi, presenting with deep and tight pulses in both hands; this distinguishes the two conditions. All aforementioned symptoms are attributed to improper holding and excessive indulgence by the nurse. For Pi accumulation disorders, Dingxiang Huabi San (Clove-Dissolving Obstruction Powder) may be taken in excess, followed by topical application of Niuhuang Tongge Wan (Calculus Bovis-Unblocking Chest Pills), Ganlu San (Sweet Dew Powder), and Yihuang San (Benefit Spleen Powder). If ineffective, a method of massaging the spleen is employed. The incantation reads: "Essence of Sun and Moon, aid my manual technique; cut down and eliminate, expel poison and command control." The practitioner recites the incantation once per breath, inhales air towards the moon, blows it into their palm, and massages the infant. If the illness is on the left arm, the practitioner uses the left hand; if on the right, the right hand. Alternatively, blow onto the infant's Naispi area and let the mother massage. Male infants use odd-numbered days; female infants use even-numbered days. Strictly avoid rainy/windy weather, gloomy conditions, postpartum women, and mourners witnessing the procedure. Perform before noon on clear, sunny days.