咽瘀者,是因产际艰难,生下浴迟,以致胃寒,瘀而咽下,其候四肢寒 ,啼声不
出,面脸青紫,舌上白苔,牙关紧急,手足牵拘,频哕多啼者是也。宜用淡豆豉、生
姜、葱头之类,温胃疏解为主。若日久不痊,乳噎不下,手足时搐者,死。
鬼胎者,因父精不足,母气衰弱,护养不调,神虚气怯,有七八月而生,或过十月
而产,所言鬼者,即胎气怯弱。荣卫不充,萎削猥亵,禀赋不足,恒多夭死谓耳。岂言
纳鬼气而成胎耶!间有形虽不足,筋骨坚强者,得善乳哺,亦有成人。
满口生疮者,是名口麋。若白细点子,生于上 者,名七星疮也。总不外乎心。
肺、胃三经之蕴热,随所经而清利之。间有泄泻,脾元衰弱,不能按纳下焦阴火,是以
土乘为口疮麋烂者,不可误投凉剂,宜用六君子理中汤之类。
小儿生下啼哭不乳,宜看牙龈之上,有白点如粞大者,名为马牙,急以银针挑去,
即血出不妨。磨京墨浓搽,间日再看,再生再挑即安,否则脾元中气败绝,面青口撮而死。
一方
治口麋。
青黛(二钱) 芒硝(一钱) 为末,用少许
敷口中,吐咽俱宜。
治三焦积热,二便不利,眼目赤肿,胎毒口疮,重舌木舌,咽痛疮疡蕴热等症。
连翘 瞿麦穗 滑石 牛蒡子 车前子 木通 防风 山栀子 黄芩 荆芥穗 川
当归 柴胡 赤芍 甘草 蝉蜕 竹叶(十片) 灯心(十茎) 水煎服。
咽瘀症,是因为分娩过程艰难,出生后洗澡延迟,导致胃中受寒,寒气与瘀血上逆至咽喉。其症状表现为四肢发凉、啼哭无声、面部和嘴唇青紫、舌苔白、牙关紧闭、手足抽搐拘挛、频繁干呕且多啼哭。治疗应以淡豆豉、生姜、葱头之类药物为主,旨在温补胃部、疏散寒邪。如果病程日久不愈,出现乳汁难以下咽、手足不时抽搐的症状,则预后不良,属死证。
鬼胎,是由于父亲精气不足、母亲气血衰弱,孕期养护不当,导致胎儿神气虚弱、元气怯弱。这种胎儿可能在怀孕七八个月时出生,也可能超过十月才生产。所谓“鬼”,并非指鬼神作祟,而是形容胎气怯弱。因营卫之气不充盛,胎儿形体消瘦怪异,先天禀赋不足,往往容易夭折。这哪里是说接纳了鬼气而形成的胎儿呢!偶尔也有虽然形体瘦小,但筋骨坚强的,若能得到良好的哺乳喂养,也能长大成人。
满口生疮,称为“口糜”。如果是白色细小斑点生于上颚的,称为“七星疮”。这些病症总归离不开心、肺、胃三经蕴积的热邪,应根据热邪所在的经络进行清热利湿治疗。间或有因泄泻导致脾元衰弱,无法制约下焦阴火,致使土气乘虚克制(此处指脾胃功能失调引发口疮糜烂)的情况,此时不可误用寒凉药剂,宜使用六君子汤合理中汤之类的方剂。
小儿出生后啼哭但不吃奶,应查看牙龈上方是否有如米粒大小的白点,名为“马牙”。应立即用银针挑破,即使出血也无妨。随后用浓墨研磨涂抹患处,隔日再观察,若再生出则再次挑破,如此即可痊愈;否则脾元和中气败绝,面色青紫、口唇撮缩而死。
另一方治疗口糜:
青黛(二钱)、芒硝(一钱),研为细末,取少许敷于口中,无论吐出还是咽下均可。
大连翘饮主治:三焦积热,大小便不通利,眼目红肿,胎毒引起的口疮,重舌、木舌,咽喉疼痛及疮疡蕴热等症状。
处方组成:连翘、瞿麦穗、滑石、牛蒡子、车前子、木通、防风、山栀子、黄芩、荆芥穗、川当归、柴胡、赤芍、甘草、蝉蜕、竹叶(十片)、灯心草(十茎)。水煎服。
Yan Yu Syndrome (Pharyngeal Stasis), caused by difficult labor and delayed bathing after birth, leads to cold in the stomach. Cold qi and blood stasis ascend to the pharynx. The manifestations include cold limbs, absence of crying sound, cyanosis of the face and lips, white tongue coating, trismus (lockjaw), spasms and contractures of the hands and feet, frequent retching, and excessive crying. Treatment should primarily focus on warming the stomach and dispersing cold using herbs such as Fermented Soybean (Dan Dou Chi), Fresh Ginger (Sheng Jiang), and Scallion Bulb (Cong Tou). If the condition persists for a long time without recovery, accompanied by inability to swallow milk and intermittent convulsions of the extremities, it is a fatal prognosis.
Ghost Fetus (Gui Tai) results from insufficient paternal essence and weak maternal qi, combined with improper prenatal care. This leads to spiritual deficiency and timidity in the fetus. Such fetuses may be born at seven or eight months of gestation or even beyond ten months. The term "ghost" here refers not to supernatural entities but to the weakness of fetal qi. Due to insufficient Ying and Wei (nutritive and defensive) qi, the fetus appears emaciated and deformed, suffering from congenital insufficiency, often resulting in early death. It is certainly not about conceiving through the absorption of ghostly qi! Occasionally, some infants, though physically small, possess strong bones and sinews; if they receive proper nursing and feeding, they can grow up to adulthood.
Ulcers covering the entire mouth are called Kou Mi (Mouth Mildew). If fine white spots appear on the hard palate, it is named Qi Xing Chuang (Seven-Star Ulcer). These conditions generally stem from accumulated heat in the Heart, Lung, and Stomach meridians. Treatment involves clearing and draining heat according to the affected meridian. In cases where diarrhea occurs due to weakened Spleen Yuan (Spleen origin), failing to control the Yin fire of the lower Jiao, leading to oral ulcers and erosion via Earth element imbalance, cold-natured medicines must not be used mistakenly. Instead, formulas like Liu Jun Zi Tang (Six Gentlemen Decoction) combined with Li Zhong Tang (Regulate the Middle Decoction) are appropriate.
When a newborn cries but refuses to nurse, examine the upper gums for white spots resembling rice grains, known as Ma Ya (Horse Teeth). These should be promptly punctured with a silver needle; slight bleeding is acceptable. Apply thick ink paste to the area. Re-examine every other day; if new spots form, puncture them again until healed. Otherwise, the collapse of Spleen Yuan and Middle Qi will lead to cyanosis, puckering of the mouth, and death.
Another prescription for Kou Mi:
Qing Dai (Indigo Naturalis, 2 qian) and Mang Xiao (Mirabilite, 1 qian), ground into powder. Apply a small amount to the mouth; it is suitable whether expectorated or swallowed.
Da Lian Qiao Yin (Large Forsythia Decoction) treats: Accumulated heat in the San Jiao (Triple Burner), difficulty in urination and defecation, redness and swelling of eyes, mouth ulcers caused by fetal toxins, Chong She (Double Tongue), Mu She (Wooden Tongue), sore throat, and heat accumulation in sores and ulcers.
Ingredients: Lian Qiao (Forsythiae Fructum), Qu Mai Sui (Agrimoniae Herba Spike), Hua Shi (Talcum), Niu Bang Zi (Arctii Fructus), Che Qian Zi (Plantaginis Semen), Mu Tong (Akebiae Caulis), Fang Feng (Saposhnikoviae Radix), Shan Zhi Zi (Gardeniae Fructus), Huang Qin (Scutellariae Radix), Jing Jie Sui (Schizonepetae Spica), Chuan Dang Gui (Angelicae Sinensis Radix), Chai Hu (Bupleuri Radix), Chi Shao (Paeoniae Radix Rubra), Gan Cao (Glycyrrhizae Radix et Rhizoma), Chan Tui (Cicadae Periostracum), Zhu Ye (Bambusae Folium, 10 leaves), Deng Xin Cao (Junci Medullia, 10 stems). Decoct in water and take orally.