小便不通胎热壅,导赤八正二方从,外用豆豉贴脐法,须臾小便自能通。
[注]
小儿初生不小使者,乃胎热流于下也,宜导赤散热,盛者八正散主之,
外用豆豉膏贴脐上,则小便自通矣。
(导赤散)
生地黄 木通 甘草生 引用灯心竹叶水煎服,加黄连滑石赤苓更妙。
(方歌)
方名导赤妙难言,生地木通甘草煎,引用灯心共竹叶,清热利水便如泉。
(八正散)
扁蓄 瞿麦 滑石飞 木通 赤苓 车前子 生大黄 栀子生 引用灯心水煎服。
(方歌)
八正散治小便柲,扁蓄瞿麦车前利,木通滑石赤茯苓,大黄栀子合成剂。
(豆豉膏)
淡豆豉一勺 田螺十九个 葱一大束 以上捣烂,用芭蕉汁,调贴脐上。
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初生门
大便不通名锁肛,皆缘热毒受胎中,朱蜜捻金俱可用,急咂五心脐下通。
[注]
小儿初生之日或吹日,即大便者,俗云下脐屎,此肠胃通和,幽门润泽也,
若至二三日不大使者,名日锁肛,乃胎中受辛热之毒,气滞不通也,
其儿必面赤腹胀,不乳多啼,宜先用朱蜜法治之,
设若不应,用一捻金量儿与之,继令妇人以温水漱口,
咂儿前后心手足心并脐下,共七处,以皮见红赤色为度,须臾大使自通矣。
(朱蜜法)方见拭口
(一捻金)方见不乳。
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初生门
小便不通,多因胎热壅滞所致,治疗应遵循导赤散或八正散两方。此外还可外用豆豉贴敷脐部的方法,片刻之后小便自然通畅。
[注]
小儿出生后不排尿的,是由于胎热流注于下焦所致,适宜使用导赤散清热利湿;若病情较重者,以八正散为主治方剂。
同时外用豆豉膏贴敷于脐上,小便即可自行通畅。
(导赤散)
生地黄、木通、甘草(生用),以灯心草、竹叶煎汤为引,水煎服用。若加入黄连、滑石、赤茯苓,效果更佳。
(方歌)
导赤散之名妙处难以言表,由生地、木通、甘草煎煮而成,
以灯心草和竹叶作为药引,具有清热利水之功,服后小便如泉水般通畅。
(八正散)
扁蓄、瞿麦、飞滑石、木通、赤茯苓、车前子、生大黄、栀子(生用),以灯心草煎汤为引,水煎服用。
(方歌)
八正散主治小便不通,扁蓄、瞿麦、车前子有利尿作用,
配合木通、滑石、赤茯苓,与大黄、栀子共同组成此方剂。
(豆豉膏)
淡豆豉一勺、田螺十九个、葱一大束,以上药材捣烂,用芭蕉汁调和,贴敷于脐上。
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初生门
大便不通称为“锁肛”,皆因在母体胎中受热毒所致。朱砂蜜法或一捻金均可使用,紧急时可让妇人吸吮患儿五心及脐下部位,使大便通畅。
[注]
小儿出生当日或次日排出大便的,俗称“下脐屎”,这是肠胃气机通畅、幽门润泽的表现。
如果到了二三天仍不排便的,称为“锁肛”,这是由于在胎中感受了辛热之毒,导致气机阻滞、传导失司。
患儿必然面色红赤、腹部胀满、不吃奶且多啼哭,适宜先用朱蜜法治疗。
倘若无效,则根据患儿年龄给予适量的一捻金。随后让妇女用温水漱口,
吸吮患儿前心、后背、双手足心以及脐下,共七处,以皮肤呈现红赤色为度,片刻之后大便自然通畅。
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初生门
Urinary obstruction is often caused by the stagnation of fetal heat. Treatment should follow either Daochi San (Carpesium Powder) or Bazheng San (Eight Rectifications Powder). Additionally, an external method using fermented soybean paste applied to the umbilicus can be employed; within a short time, urination will naturally resume.
[Note]
When a newborn infant fails to urinate, it is due to fetal heat flowing downward into the lower jiao. It is appropriate to use Daochi San (Carpesium Powder) to clear heat and promote diuresis; in severe cases, Bazheng San (Eight Rectifications Powder) is the primary formula.
Externally applying Douchi Gao (Fermented Soybean Paste Ointment) to the umbilicus will allow urination to resume spontaneously.
(Daochi San / Carpesium Powder)
Sheng Di Huang (Rehmanniae Radix), Mutong (Akebiae Caulis), Gancao (Glycyrrhizae Radix et Rhizoma - raw). Decoct with Dengxincao (Junci Medulla) and Zhuye (Bambusae Folium) as guides, using water for decoction. Adding Huanglian (Coptidis Rhizoma), Huashi (Talcum), and Chifuling (Poria cum Ligno Quercus) yields better results.
(Formula Song)
The efficacy of Daochi San is profound and hard to describe;
It is decocted from Shengdi, Mutong, and Gancao;
Using Junci Medella and Bambusae Folium as guides,
It clears heat and promotes diuresis, making urination flow like a spring.
(Bazheng San / Eight Rectifications Powder)
Bianxu (Polygoni Avicularis Herba), Qumai (Dianthi Herba), Fei Huashi (Talcum - flown), Mutong (Akebiae Caulis), Chifuling (Poria cum Ligno Quercus), Cheqianzi (Plantaginis Semen), Sheng Dahuang (Rhei Radix et Rhizoma - raw), Zhizi (Gardeniae Fructus - raw). Decoct with Dengxincao (Junci Medulla) as a guide in water.
(Formula Song)
Bazheng San treats urinary obstruction;
Bianxu, Qumai, and Cheqianqi promote diuresis;
Mutong, Huashi, and Chifuling assist,
Combined with Dahuang and Zhizhi to form this prescription.
(Douchi Gao / Fermented Soybean Paste Ointment)
Dan Douchi (Sojae Semens Praeparatum) one spoonful, Tianluo (Cipangari Chalceus) nineteen pieces, Congbai (Allii Fistulosi Bulbus) one large bundle. Mash the above ingredients thoroughly, mix with Bajiaozhi (Musa Sapientis Cortex Juice), and apply to the umbilicus.
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Newborn Section
Failure to pass stool is named "Suo Gang" (Locked Anus), all originating from heat-toxins contracted in the womb. Both Zhumi Fa (Cinnabar Honey Method) and Yini Jin (One Pinch Gold) may be used. In emergencies, sucking the five centers and below the umbilicus can restore bowel movement.
[Note]
If a newborn passes stool on the day of birth or the following day, commonly called "passing umbilical stool," this indicates harmonious gastrointestinal qi and moistened Hanyuan (pylorus).
However, if stool is not passed after two or three days, it is termed "Suo Gang" (Locked Anus). This results from contracting acrid-heat toxins in the fetus, leading to qi stagnation and obstruction of transmission.
The infant will necessarily exhibit a red face, abdominal distension, refusal to nurse, and excessive crying. One should first employ the Zhumi Fa (Cinnabar Honey Method).
If ineffective, administer an age-appropriate dose of Yini Jin (One Pinch Gold). Subsequently, have a woman rinse her mouth with warm water,
and suck the anterior chest, posterior back, both hands, both feet, and below the umbilicus—seven areas in total—until the skin turns red. Within a short time, defecation will occur spontaneously.
(Zhumi Fa / Cinnabar Honey Method) See section on Cleaning the Mouth.
(Yini Jin / One Pinch Gold) See section on Refusal to Nurse.
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Newborn Section