〔汤〕木舌者,舌肿渐渐粗大满口,不急治即塞,杀人也。
〔田〕木舌治法。用《局方》中紫雪一分,竹沥半合和之,时时抹入口中,自消。
〔丹〕小儿木舌。百草霜、滑石、芒硝为末,酒调敷。
〔汤〕地黄汤 治荣中热,及肺壅,鼻血生疮,一切丹毒。
生地 赤芍药 当归 川芎(各等分)
上 咀,水煎去渣,量大小加减服。如鼻衄,临熟入生蒲黄少许。生疮,加黄 等分。丹毒,加防风等分。
同煎,累验。
春冬衄者,用生地黄研取汁,加生蒲黄少许,砂糖井花水浸,服之愈。秋夏衄者,用车前草一握。洗净,
同生姜一处研取汁,入生蜜一匙,先拌渣塞鼻,次用新汲水和蜜,并车前草、生姜汁饮之,即愈。
又方 生萝卜取根捣自然汁,仰头滴入鼻管中,即止。次以新汲水和蜜、萝卜汁饮之,良。
〔钱〕菖蒲丸 治小儿心气不足,五六岁不能言。
石菖蒲(三分) 人参(五钱) 丹参(三钱) 天麦门冬(去心。各一两) 赤石脂(二钱) 《直指》有
当归、川芎、朱砂。
上为细末,炼蜜丸如绿豆大。温水下十丸至二十丸,日二三服,久服效。又有病后肾虚不语,宜兼服六味
地黄丸。(海藏云∶地黄丸足少阴也,与菖蒲丸上下通经。)
鸡头丸 治小儿诸病后不能语。
雄鸡头(炙,一个) 鸣蝉(炙焦,三个) 大黄(煨,一两) 甘草(一两) 当归(三分)
木通 黄 (各半两) 川芎 远志(去心) 麦门冬(去心。各三分)
上同为细末,炼蜜丸如小绿豆大。平旦米饮下五丸,空心日三四服。儿大者加之,久服取效。鸡、蝉二物,
宜求死者用之,不可旋杀。孙真人所谓杀生求生,去生更远矣。
〔海〕百舌鸟,今之莺也,名反舌,主小儿不语,炙食之。又治虫咬。
〔钱〕肾怯失音相似,病吐泻及大病后,虽有声而不能语,此非失音,为肾怯不能上接于阳故也,当补肾
地黄丸主之。失音乃猝病耳。口噤不止则失音。声迟亦同。
〔《明》〕五六岁不语者∶心 (三壮。)
【汤】木舌病,是指舌头肿胀并逐渐增大,充满整个口腔,如果不及时救治就会堵塞气道,导致死亡。
【田】治疗木舌的方法。使用《太平惠民和剂局方》中的紫雪一分,与半合竹沥混合,不时地涂抹在口中,症状自然消退。
【丹】小儿木舌。将百草霜、滑石、芒硝研成粉末,用酒调匀后敷贴患处。
【丹】舌上长出像粥粒一样的东西。用桑白皮的汁液外敷,两三次即可,效果奇妙。
【汤】地黄汤:治疗营分有热,以及肺气壅滞、鼻出血生疮、一切丹毒(一种急性感染性皮肤病)。
处方组成:生地黄、赤芍药、当归、川芎(各等分)。
制法用法:将药材切碎,加水煎煮,去渣滓,根据患者年龄大小调整剂量服用。如果伴有鼻衄(鼻出血),在即将煎好时加入少许生蒲黄。如果生疮,加入黄芩等量。如果是丹毒,加入防风等量。
共同煎煮,屡试有效。
春季和冬季发生鼻衄的,用生地黄研磨取汁,加入少许生蒲黄,用井水浸泡砂糖后服用,即可痊愈。秋季和夏季发生鼻衄的,取一把车前草,洗净后与生姜一起研磨取汁,加入一匙生蜜,先用拌有蜜的草药渣塞住鼻孔,然后用新汲水和蜂蜜,连同车前草汁、生姜汁一起饮用,即可痊愈。
又一方:取新鲜萝卜根部捣烂取自然汁,让患者仰头滴入鼻腔中,出血即止。随后用新汲水和蜂蜜、萝卜汁饮用,疗效良好。
【钱】菖蒲丸:治疗小儿心气不足,导致五至六岁还不能说话。
处方组成:石菖蒲(三分)、人参(五钱)、丹参(三钱)、天冬和麦门冬(去心,各一两)、赤石脂(二钱)。《直指方》中还有当归、川芎、朱砂。
制法用法:将药材研成细末,用炼蜜制成如绿豆大小的丸剂。每次用温水送服十丸至二十丸,每日二至三次,长期服用见效。又有病后肾虚导致不能说话的,应当兼服六味地黄丸。(张元素云:地黄丸补益足少阴肾经,与菖蒲丸上下通经。)
鸡头丸:治疗小儿各种疾病后不能说话。
处方组成:雄鸡头(炙烤,一个)、鸣蝉(炙焦,三个)、大黄(煨制,一两)、甘草(一两)、当归(三分)、木通、黄芩(各半两)、川芎、远志(去心)、麦门冬(去心,各三分)。
制法用法:将上述药材共同研成细末,用炼蜜制成如小绿豆大小的丸剂。清晨用米饮送服五丸,空腹时每日三四次。儿童较大者可增加剂量,长期服用可获效。鸡和蝉这两种药材,宜选用自然死亡的动物使用,不可现杀。正如孙思邈所说,杀生以求生,反而离生命更远。
【海】百舌鸟,即现在的黄莺,别名反舌,主治小儿不语症,炙烤后食用。也可用于治疗虫咬伤。
【钱】肾怯失音与此相似,多见于呕吐腹泻及大病之后,虽然有声带但无法说话,这不是失音症,而是因为肾气虚弱不能上接于阳气所致,应当用地黄丸补肾治疗。失音症则是突然发生的疾病。如果口噤不止(牙关紧闭)则会导致失音。声音迟缓也类似此理。
【《明》】五至六岁还不会说话的:艾灸心俞穴(三壮)。
[Tang] Mu She (Wooden Tongue) refers to a condition where the tongue swells and gradually enlarges until it fills the entire mouth. If not treated urgently, it can cause airway obstruction and death.
[Tian] Treatment for Mu She: Use one fen of Zixue (Purple Snow) from the *Tai Ping Hui Min He Ji Ju Fang*, mixed with half he of Zhuli (Bamboo Sap). Apply this mixture to the mouth frequently; the swelling will subside naturally.
[Dan] For pediatric Mu She: Powder Baicaoshuang (Charred Grass), Huashi (Talcum), and Mangxiao (Mirabilite). Mix with wine and apply topically.
[Dan] When rice-grain-like lesions appear on the tongue: Apply juice extracted from Sangbaipi (Morus Alba Root Bark). Two or three applications yield excellent results.
[Tang] Dihuang Tang (Rehmannia Decoction): Treats heat in the Ying (Nutritive) level, Lung Qi stagnation, epistaxis with ulceration, and all types of Danshu (Red Toxic Heat/Cellulitis).
Ingredients: Shengdihuang (Fresh Rehmanniae Radix), Chishao Yao (Red Peony Root), Danggui (Angelicae Sinensis Radix), Chuanxiong (Ligustici Chuanxiong Rhizoma) — equal parts.
Preparation and Administration: Coarsely crush the herbs, decoct in water, strain, and adjust dosage according to age. If epistaxis is present, add a small amount of Sheng Puhuang (Raw Pollen Typhae) near the end of decoction. If ulcers are present, add Huangqin (Scutellariae Radix) in equal proportion. For Danshu, add Fangfeng (Saposhnikoviae Radix) in equal proportion.
Decoct together; this formula has proven effective repeatedly.
For epistaxis occurring in spring and winter: Grind Shengdihuang to extract juice, add a small amount of Sheng Puhuang, mix with rock sugar soaked in well water, and drink to cure.
For epistaxis occurring in autumn and summer: Take a handful of Cheqiancao (Plantaginis Herba), wash clean, and grind together with Shengjiang (Zingiberis Rhizoma Recens) to extract juice. Add one spoonful of Shengmi (Raw Honey). First, pack the residue mixed with honey into the nostrils. Then, drink the mixture of fresh water, honey, Cheqiancao juice, and Shengjiang juice. This yields immediate recovery.
Another prescription: Extract natural juice from fresh Luobo (Raphani Fructus) root. Have the patient tilt their head back and drip the juice into the nasal cavity to stop bleeding immediately. Subsequently, drink fresh water mixed with honey and Luobo juice for good effect.
[Qian] Changpu Wan (Acorus Pill): Treats children who cannot speak at five or six years of age due to Heart Qi deficiency.
Ingredients: Shichangpu (Acori Tatarinowii Rhizoma, 3 fen), Renshen (Ginseng Radix et Rhizoma, 5 qian), Danshen (Salviae Miltiorrhizae Radix et Rhizoma, 3 qian), Tianmendong (Asparagi Radix) and Maidong (Ophiopogonis Radix, both de-core, 1 liang each), Chishizhi (Halloysit Rubra, 2 qian). The *Zhizhi Fang* also includes Danggui, Chuanxiong, and Zhusha (Cinnabaris).
Preparation and Administration: Grind into fine powder, mix with refined honey to form pills the size of mung beans. Administer 10–20 pills with warm water, two to three times daily. Long-term use yields efficacy.
For post-illness muteness due to Kidney deficiency, combine with Liuwei Dihuang Wan (Six-Ingredient Pill with Rehmannia). (Zhang Yuansu stated: Dihuang Wan tonifies the Foot-Shaoyin [Kidney] meridian, working in conjunction with Changpu Wan to unblock the meridians vertically.)
Jitou Wan (Chicken Head Pill): Treats post-illness muteness in children.
Ingredients: Xiongjitou (Rooster’s head, roasted, one), Mingchan (Cicada slough, roasted until scorched, three), Dahuang (Rhei Radix et Rhizoma, baked, 1 liang), Gancao (Licorice Root, 1 liang), Danggui (3 fen), Mutong (Akebiae Caulis), Huangqin (Scutellariae Radix, 0.5 liang each), Chuanxiong, Yuanzhi (Polygalae Radix, de-core), Maidong (de-core, 3 fen each).
Preparation and Administration: Grind all ingredients into fine powder, mix with refined honey to form pills the size of small mung beans. Take five pills with rice broth at dawn, and three to four times on an empty stomach. Increase dosage for older children; long-term use yields results. Regarding chickens and cicadas, use those that have died naturally; do not kill them freshly. As Sun Simiao said, killing life to seek life moves one further away from life.
[Hai] Bai She Niao (Thrush/Song Thrush), now known as Ying (Oriole), alias Fanshe (Reverse Tongue), treats pediatric muteness when roasted and eaten. It also treats insect bites.
[Qian] Shen Qie Shi Yin (Kidney Weakness causing Loss of Voice) is similar. It occurs after vomiting, diarrhea, or severe illness. Although the voice box functions, speech is impaired because Kidney Qi is too weak to connect upward with Yang. This should be treated with Dihuang Wan to tonify the Kidney. Shi Yin (Loss of Voice) is typically a sudden onset disease. Persistent Jing Jin (Trismus/Jaw Lock) leads to Shi Yin. Chi Yan (Slurred Speech) is similar.
[Ming] For children aged five to six who cannot speak: Moxibustion on Xinshu (BL-15, Heart Shu point), 3 moxa cones.