○脐风撮口
一小儿初生之后便看脐带如粗大色白者七日之间定有撮风病速用眉掠柄将脐带离脐寸上
破开以柔帛揩净盘住待三日内艾火蒸过可无此患不然此症初见看儿牙龈上有小泡子如粟米即
以温水蘸热帛裹指轻轻擦破开口便安不消用药此良法也
一撮口风宜用 撮风散 保命丹 猪乳膏
方见惊门
治胎惊
琥珀(一钱) 朱砂(五分) 防风(一钱)
上为细末用猪乳调抹口内
治变蒸发热因受风寒咳嗽鼻塞或发痘疹
人参(一分) 白术(五分) 茯苓(六分) 甘草(一分) 芍药(五分) 桔梗(三
分) 细
辛(一分) 天花粉(四分) 防风(三分) 川芎(三分)
每贴用水一钟姜一片黑枣一枚煎至四分不拘时服
治变蒸发热因乳食不化大便酸臭呕吐乳食
代赭石(火 醋淬七次) 赤石脂(各五钱)杏仁(去皮尖炒二十五个) 巴豆(十五
粒去油
膜)
上为细末蒸饼为丸如粟米大一岁每服五丸清米饮送下
一急惊忽然牙关紧急目瞪直视不能作声者宜用通关散 嚏惊散
一急惊痰盛发热手足搐搦气粗颊赤宜用
保命丹 牛黄镇心丸 金箔镇心丸 保生锭子 镇惊锭子
一痰涎壅盛风热上攻喘粗发搐宜用 牛黄清心丸 紫金锭子 辰砂抱龙丸 珍珠丸
一惊风发热痰盛宜用 柴胡黄芩汤 人参羌活散 至宝天麻丹
一急惊久而渐传慢候宜用 全生保寿丹
如果一个婴儿出生后,观察其脐带根部粗大且颜色发白,那么在七天内必定会患上撮风病。此时应迅速使用眉掠柄(一种刮拭工具),在距离肚脐一寸处将脐带切断、破开,用柔软的布擦拭干净并盘绕好。等待三天后,用艾火熏蒸患处,就可以避免这种祸患。如果不这样做,当此症初现时,观察婴儿牙龈上是否有像粟米一样的小水泡,如果有,就用温水浸湿热毛巾包裹手指,轻轻擦破这些水泡,口腔开口后即可安定,不需要用药。这是很好的方法。
撮风散的用法:取直条的白僵蚕,炒制后研成粉末,加入少许朱砂,共同研磨均匀细腻,涂抹于口腔内部。
(该方剂详见“惊门”章节)
治疗胎惊(胎儿期受惊或先天惊风):
琥珀(一钱)、朱砂(五分)、防风(一钱)。
以上药材研成细末,用猪乳调和后涂抹于口腔内部。
一变蒸期间,若表证未解,适宜使用惺惺散。
一变蒸期间,若里气不和,适宜使用紫霜丸。
治疗变蒸期间发热,因感受风寒导致咳嗽、鼻塞,或者发出痘疹的情况:
人参(一分)、白术(五分)、茯苓(六分)、甘草(一分)、芍药(五分)、桔梗(三分)、细辛(一分)、天花粉(四分)、防风(三分)、川芎(三分)。
每贴药用水一杯,生姜一片,黑枣一枚,煎煮至剩余四分之三水量,不拘时间服用。
治疗变蒸期间发热,因乳食不消化导致大便酸臭、呕吐乳汁和食物的情况:
代赭石(经火煅烧并用醋淬炼七次)、赤石脂(各五钱)、杏仁(去皮尖,炒制二十五个)、巴豆(十五粒,去除油膜)。
以上药材研成细末,用蒸饼制作成如粟米大小的丸剂。一岁的婴儿每次服用五丸,用清米饮送服。
急惊风突然发作,牙关紧急紧闭,眼睛瞪大直视,不能发声者,适宜使用通关散、嚏惊散。
急惊风痰多、发热、手足抽搐、呼吸粗重、脸颊发红者,适宜使用保命丹、牛黄镇心丸、金箔镇心丸、保生锭子、镇惊锭子。
痰涎壅盛,风热上攻,导致呼吸急促、发生抽搐者,适宜使用牛黄清心丸、紫金锭子、辰砂抱龙丸、珍珠丸。
○ Umbilical Wind and Mouth Grasping (Neonatal Tetanus with Trismus)
If an infant, after birth, is observed to have a thickened and whitish umbilical cord stump, they will certainly develop "Mouth Grasping Disease" within seven days. At this time, one should quickly use the handle of a brow scraper to sever the umbilical cord about one cun away from the navel, break it open, wipe it clean with soft cloth, and coil it up. After waiting three days, fumigating the area with moxa fire can prevent this affliction. If this is not done, when the symptoms first appear, observe whether there are small blisters on the infant's gums resembling millet grains. If present, dip a hot cloth in warm water, wrap it around a finger, and gently rub to break the blisters. Once the mouth opens, the condition will stabilize without the need for medication. This is an excellent method.
For treating Mouth Grasping Wind, Cuofeng San (Mouth-Grasping Powder), Baoming Dan (Life-Preserving Pill), and Zhu Rugao (Pig Milk Ointment) are suitable.
Usage of Cuofeng San: Take straight Bai Jiangcan (Bombyx Batryticatus, 白僵蚕), stir-fry until dry, grind into powder, add a small amount of Zhusha (Cinnabar, 朱砂), grind together until fine and uniform, and apply inside the mouth.
(See the "Jing Men" chapter for the formula.)
For treating Tai Jing (Fetal Startle/Innate Convulsions):
Hupo (Amber, 琥珀, 1 qian), Zhusha (Cinnabar, 朱砂, 0.5 qian), Fangfeng (Saposhnikoviae Radix, 防风, 1 qian).
Grind the above ingredients into a fine powder, mix with pig milk, and apply to the inside of the mouth.
During Bian Zheng (physiological fever in infants), if the exterior syndrome is unresolved, Xingxing San (Stirring-Up Powder) is suitable.
During Bian Zheng, if the interior harmony is disturbed, Zishuang Wan (Purple Frost Pill) is suitable.
For treating fever during Bian Zheng caused by wind-cold invasion leading to cough, nasal congestion, or eruption of pox/rashes:
Renshen (Ginseng Radix, 人参, 1 fen), Baizhu (Atractylodis Macrocephalae Rhizoma, 白术, 5 fen), Fuling (Poria, 茯苓, 6 fen), Gancao (Licorice Root, 甘草, 1 fen), Shaoyao (Peony Root, 芍药, 5 fen), Jiegeng (Platycodon Root, 桔梗, 3 fen), Xixin (Asarum Root, 细辛, 1 fen), Tianhuafen (Trichosanthes Root, 天花粉, 4 fen), Fangfeng (Saposhnikoviae Radix, 防风, 3 fen), Chuanxiong (Ligusticum Chuanxiong Rhizoma, 川芎, 3 fen).
For each dose, use one cup of water, one slice of fresh ginger, and one black date. Decoct until three-quarters of the liquid remains. Take at any time.
For treating fever during Bian Zheng caused by undigested milk and food, leading to sour-smelling stool and vomiting of milk/food:
Daizheshi (Hematitum, 代赭石, calcined and quenched in vinegar seven times), Chishizhi (Halloysitum Rubrum, 赤石脂, 5 qian each), Xingren (Armeniacae Semen Amarum, 杏仁, peeled, de-seeded, and fried, 25 pieces), Badou (Crotonis Fructus, 巴豆, 15 grains, oil membrane removed).
Grind the above ingredients into a fine powder. Use steamed wheat cake dough to make pills the size of millet grains. For a one-year-old infant, administer five pills per dose, washed down with clear rice drink.
For acute convulsions suddenly presenting with tight jaw clenching, staring eyes, inability to make sound, Tongguan San (Pass-the-Gate Powder) and Ti Jing San (Sneeze-to-Awaken Powder) are suitable.
For acute convulsions with excessive phlegm, fever, twitching of hands and feet, coarse breathing, and red cheeks, Baoming Dan (Life-Preserving Pill), Niuhuang Zhenxin Wan (Calming Heart Pill with Calculus Bovis, 牛黄镇心丸), Jinpo Zhenxin Wan (Calming Heart Pill with Gold Leaf, 金箔镇心丸), Baosheng Dingzi (Life-Preserving Tablet, 保生锭子), and Zhenjing Dingzi (Calming Convulsion Tablet, 镇惊锭子) are suitable.
For conditions with abundant saliva and phlegm, wind-heat attacking upwards, leading to coarse breathing and convulsions, Niuhuang Qingxin Wan (Clearing Heart Pill with Calculus Bovis, 牛黄清心丸), Zijin Dingzi (Purple Gold Tablet, 紫金锭子), Chensha Baolong Wan (Dragon-Holding Pill with Cinnabar, 辰砂抱龙丸), and Zhenzhu Wan (Pearl Pill, 珍珠丸) are suitable.
For convulsions with fever and excessive phlegm, Chaihu Huangqin Tang (Bupleurum and Scutellaria Decoction, 柴胡黄芩汤), Renshen Qianghuo San (Ginseng and Notopterygium Powder, 人参羌活散), and Zhibao Tianma Dan (Precious Heaven Hemp Seed Pill, 至宝天麻丹) are suitable.
For acute convulsions that persist for a long time and gradually transform into chronic convulsion patterns, Quansheng Baoshou Dan (Complete Life Longevity Pill, 全生保寿丹) is suitable.