治数岁不语。
菖蒲(一十九节者,佳) 远志 桂心 人参 黄连 枣仁(各五钱) 为末,蜜
丸,枣汤下。
卒然失声者,有因寒气客于会厌,会厌不发,发而无声。或风热聚于心胸,舌为心
亩,故不能转运而无声。更有痰厥而喉中声嘶,亦有食厥而清气不升,复有中恶客忤,
或尸厥或 而然者。至若惊风衔沫,颐赤额青,目直睛白无声者,及诸久病之后,而
卒然不语者,俱为不治。
治中恶惊搐失声。一方加薄荷。
石菖蒲 天麻 全蝎 僵蚕 附子(制) 羌活 人参 甘草(炙) 远志
荆芥 桔梗(各等分) 水煎服。
治牙关紧急,失声不语。
竹沥、生地取汁,蜜各半,协议拌匀,桂为末,菖蒲为末各一两,上拌匀,慢火熬
成膏,取梨汁化下。
治病后失声。
枣仁(一钱,炒) 茯苓(五分) 朱砂(二钱)
为末,细丸,人参汤下。
小儿三百六十日,则膝骨成,乃能行期也。有数岁不能行者,禀受肾元不足也。夫
骨属肾,凭髓所养,肾气有亏,则不能充髓满骨,故软弱不能行者。复有重帏深闭,不
见风日,或终日怀抱,筋骨不舒,是以难行者。又有离胎多病。肝肾俱虚,肝虚则筋
弱,肾虚则骨柔,而不能行者,复有过食甘肥,有伤脾胃。乃绝化源,致成疳症。气血
日惫而不行者,随症调治,亦有可复之天。
治疗数岁仍不能说话的情况。
石菖蒲(以有十九节的为佳) 远志 桂心 人参 黄连 枣仁(各五钱),研为细末,用蜂蜜制成丸剂,用大枣煎汤送服。
突然失声的,有的因为寒气侵袭会厌,导致会厌开合不利,张开却发不出声音。有的是风热邪气聚集在心胸,舌为心之苗窍,因此不能灵活运转而无声。还有因痰厥导致喉中声音嘶哑的,也有因食积厥逆导致清气不升的,此外还有因中恶、客忤,或者尸厥等情况而导致失声的。至于像惊风口吐白沫,面颊红赤额头青紫,眼睛直视、眼珠发白且无声的,以及各种久病之后突然不能说话的,都属于难治或不治之症。
治疗因中恶惊吓抽搐导致的失声。在上述方剂基础上加薄荷。
石菖蒲 天麻 全蝎 僵蚕 附子(制) 羌活 人参 甘草(炙) 远志 荆芥 桔梗(各等分),水煎服用。
治疗牙关紧闭、失声不语。
取竹沥和生地黄汁,与蜂蜜各半,调和拌匀,加入肉桂末、石菖蒲末各一两,再次拌匀,用慢火熬制成膏状,用梨汁化开服用。
治疗病后失声。
枣仁(一钱,炒) 茯苓(五分) 朱砂(二钱)
研为细末,制成小丸,用人参汤送服。
小儿满三百六十天时,膝骨发育成形,才开始具备行走的能力。有几岁还不能行走的,是因为先天禀受肾元不足所致。骨骼归属于肾,依靠骨髓滋养,肾气亏损,就不能充盈骨髓、充实骨骼,所以软弱无力而不能行走。又有因深居重帷密室,不见风吹日晒,或者整天被抱在怀里,筋骨得不到舒展,因而难以行走的。还有因离母胎后多病,导致肝肾俱虚,肝虚则筋脉柔弱,肾虚则骨骼柔软,从而不能行走的;又有因过食甘甜肥腻食物,损伤脾胃,断绝了气血生化之源,导致形成疳症,气血日渐疲惫而不能行走的,这些随症状调理治疗,也有恢复的可能。
Treatment for children of several years old who cannot speak.
Shichangpu (Acori Tatarinowii Rhizoma, preferably with nineteen nodes) Yuanzhi (Polygalae Radix), Guixin (Cinnamomi Cortex), Renshen (Ginseng Radix et Rhizoma), Huanglian (Coptidis Rhizoma), Zaoren (Ziziphi Spinosae Semen) (each 5 qian). Grind into fine powder, make pills with honey, and take with Jujube Decoction.
Sudden loss of voice may be caused by cold pathogen invading the epiglottis, causing dysfunction of the epiglottis; when it opens, no sound is produced. Or wind-heat accumulating in the heart and chest; since the tongue is the sprout of the heart, it cannot move freely, resulting in silence. There are also cases of phlegm-jue (Phlegm Obstruction Syndrome) causing hoarseness in the throat, or food-jue (Food Obstruction Syndrome) causing clear qi to fail to ascend. Additionally, there are cases due to Zhong'e (Malignant Evil Invasion), Kewu (Guest Malevolence), Shijue (Corpse-like Fainting), etc., leading to loss of voice. However, conditions such as convulsions with foaming at the mouth, red cheeks and blue forehead, staring eyes with white sclera and no voice, as well as sudden mutism after prolonged illness, are all considered untreatable or incurable.
Treatment for loss of voice due to Zhong'e (Malignant Evil Invasion) and frightful convulsions. Add Bohe (Menthae Haplocalycis Herba) to the above formula.
Shichangpu (Acori Tatarinowii Rhizoma), Tianma (Gastrodiae Rhizoma), Quanxie (Scorpio), Jiangcan (Bombyx Batryticatus), Fuzi (Aconiti Lateralis Radix Praeparata), Qianghuo (Notopterygii Rhizoma et Radix), Renshen (Ginseng Radix et Rhizoma), Gancao (Glycyrrhizae Radix et Rhizoma Praeparata cum Melle), Yuanzhi (Polygalae Radix), Jingjie (Schizonepetae Herba), Jiegeng (Platycodonis Radix) (equal parts). Decoct in water and take orally.
Treatment for trismus (lockjaw), loss of voice, and mutism.
Take juice from Zhuli (Bambusae Caulis in Taenia) and Shengdi (Rehmanniae Radix), mix equally with honey. Add Rougui (Cinnamomi Cortex) powder and Shichangpu (Acori Tatarinowii Rhizoma) powder, each 1 liang. Mix well, simmer slowly over low heat until a paste forms. Take with Pear Juice.
Treatment for loss of voice after illness.
Zaoren (Ziziphi Spinosae Semen) (1 qian, stir-fried), Fuling (Poria), Zhusha (Cinnabar) (2 qian).
Grind into fine powder, make small pills, and take with Renshen (Ginseng Radix et Rhizoma) decoction.
When a child reaches three hundred and sixty days, the knee bones mature, marking the time when they can begin to walk. Children of several years old who cannot walk suffer from insufficient congenital Kidney Essence (Yuan). Bones belong to the Kidney and are nourished by marrow. If Kidney Qi is deficient, it cannot fill the marrow and solidify the bones, resulting in weakness and inability to walk. Others may have deep confinement in curtained rooms, lacking exposure to wind and sunlight, or being held constantly, preventing the stretching of muscles and bones, thus making walking difficult. Some suffer from frequent illnesses after leaving the womb, leading to deficiency of both Liver and Kidney. Liver deficiency causes weak sinews, and Kidney deficiency causes soft bones, rendering them unable to walk. Others may have damaged the Spleen and Stomach by overeating sweet and fatty foods, cutting off the source of transformation and generation, leading to Gan syndrome (Infantile Malnutrition). As Qi and Blood become increasingly exhausted, walking becomes impossible. These cases should be treated according to symptoms, and recovery is possible.