小儿生下面色无精光,肌肉薄,大便白水,身无血色,时时哽气多哕,目无精彩,当
如前法浴体。
巢氏曰∶小儿在胎,因母惊悸有所触扑,惊气入胎,子乘母气,降生之后,其儿精神不
爽,颜色虚白。初则温温有热,其后颊赤多惊。物动则恐,声响则悸。印堂青色,壮热 乳,
睡中多惊,手足微掣,久则成痫。受惊之轻者,青龙汤、全蝎饼、至圣保命丹。重者用夺命
丹治之。钱氏曰∶小儿壮热吐乳,心神不宁,手足抽掣,身体强直,眼目反张,则是胎惊风证。
小儿胎惊,视其眉间气色,赤而鲜碧者可治,若黯青黑者不可治。虎口指纹曲入里者
可治,交出外者不治。
先宜解表风邪,利惊化痰,调气贴囟,甚则以朱银丸利之。凡初生婴儿难以用药,如遇此候,
急取猪乳细研牛黄、麝香,各少许,调末入口中,则愈矣。
青龙丸 治小儿胎热,化痰镇惊。
人参 天麻 茯神 白附子(炮) 牛胆南星(烙。各一两) 甘草(炙,钱半) 青黛(一钱)
朱砂(水飞,半钱) 麝香(一钱)
上为细末,炼蜜为丸,如梧桐子大,用钩藤、皂荚子煎汤研化,不拘时服。
参蝎散 治小儿胎惊,定心神。
天浆子 天竺黄 人参 朱砂 全蝎 天麻 蝉蜕 麝香(少许)
上为末,炼蜜为丸,如梧桐子大,每服一丸,金银汤下。
猪乳膏 治小儿诸惊胎痫。
全蝎(一个,焙) 琥珀 朱砂(少许)
上为末,每服一字,麦门冬煎汤调下。
独活汤 治胎惊,发散风邪。
羌活 独活(各一分) 槟榔 天麻 麻黄(去节) 甘草(各半分)
上锉散,每服半钱煎服,于内加南星末,蜜调下,可贴囟用。
小儿出生后面色缺乏神采光泽,肌肉瘦薄,大便呈白色水样,身体苍白无血色,时常出现噎气、频繁呃逆,眼睛没有神采,应当像前面所述的方法给婴儿洗浴身体。
巢元方说:小儿在母胎中时,因为母亲受到惊吓或惊恐触动,惊气侵入胎儿,胎儿承受了母亲的气机影响,出生之后,这个孩子精神不振,面色虚白。起初会有隐隐的低热,后来脸颊发红且容易受惊。遇到物体移动就恐惧,听到声响就心悸。印堂部位发青,高热吃奶时,睡眠中多梦易惊,手脚轻微抽搐,时间久了就会发展成痫证。受惊较轻的,用青龙汤、全蝎饼、至圣保命丹治疗;病情严重的用夺命丹治疗。钱乙说:小儿高热吐乳,心神不宁,手足抽搐,身体强直,眼目上翻,这就是胎惊风证。
小儿患胎惊,观察其眉间的气色,如果颜色赤红而鲜亮碧绿的可以治愈,如果是暗青黑色的则不可治愈。虎口指纹弯曲向里的可以治愈,伸出指外的则不可治愈。
先宜采用解表祛风邪、利窍定惊化痰、调理气机并外贴囟门的方法,病情严重的则以朱银丸通利治疗。凡是刚出生的婴儿难以服用药物,如果遇到这种情况,急忙取猪乳汁细细研磨牛黄、麝香,各取少许,调和药末放入婴儿口中,病就能痊愈了。
青龙丸 治疗小儿胎热,化痰镇惊。
人参 天麻 茯神 白附子(炮制) 牛胆南星(烙制。各一两) 甘草(炙烤,一钱半) 青黛(一钱)
朱砂(水飞法处理,半钱) 麝香(一钱)
以上药材研成细末,用炼蜜制成丸剂,大小如梧桐子,用钩藤、皂荚子煎汤化开,不限时间服用。
参蝎散 治疗小儿胎惊,安定心神。
天浆子 天竺黄 人参 朱砂 全蝎 天麻 蝉蜕 麝香(少许)
以上药材研成粉末,用炼蜜制成丸剂,大小如梧桐子,每次服用一丸,用金银汤送服。
猪乳膏 治疗小儿各种惊风和胎痫。
全蝎(一个,焙干) 琥珀 朱砂(少许)
以上药材研成粉末,每次服用“一字”量,用麦门冬煎汤调下。
独活汤 治疗胎惊,发散风邪。
羌活 独活(各一分) 槟榔 天麻 麻黄(去节) 甘草(各半分)
以上药材切碎成散剂,每次取半钱煎服,在内加入南星粉末,用蜂蜜调下,也可以用于外贴囟门。
The newborn infant has a facial complexion lacking luster and vitality, thin muscles, watery white stools, a body devoid of rosy color, frequent choking gasps and hiccups, eyes lacking brilliance. One should bathe the infant's body as described in the preceding method.
Chao Yuanfang stated: While in the womb, if the mother experiences fright or palpitations due to sudden shocks, the Qi of fright enters the fetus. The fetus inherits the mother's Qi constitution. After birth, the child exhibits poor spirit and a pale, deficient complexion. Initially, there is a lingering low-grade fever, followed by red cheeks and susceptibility to fright. The child fears moving objects and startles at sounds. The area between the eyebrows (Yintang) appears cyanotic; during high fever while nursing, the child is easily startled during sleep, with slight twitching of the hands and feet. If prolonged, this may develop into epilepsy (Xian syndrome). For mild cases of fright, Qinglong Tang (Blue Dragon Decoction), Quanxie Bing (Whole Scorpion Cake), or Zhisheng Baoming Dan (Supreme Holy Life-Preserving Pill) are used. For severe cases, Duoming Dan (Life-Seizing Pill) is employed. Qian Yi stated: When an infant presents with high fever, vomiting milk, restless mind, convulsions of the limbs, rigidity of the body, and upward deviation of the eyes, this constitutes the syndrome of Congenital Fright Wind (Tai Jing Feng).
For infants suffering from congenital fright, observe the Qi color on the glabella. If the color is bright red and vividly greenish-blue, it is treatable; if it is dark cyan-black, it is untreatable. If the fingerprint on the tiger's mouth (web between thumb and index finger) curves inward, it is treatable; if it extends outward beyond the joint, it is untreatable.
Initially, one should release the exterior and dispel wind pathogens, clear phlegm and settle fright, regulate Qi, and apply external patches to the fontanelle. In severe cases, use Zhu Yin Wan (Cinnabar-Silver Pill) to promote purgation. Since newborns find it difficult to take oral medications, upon encountering this condition, immediately take pig milk, finely grind Niuhuang (Calculus Bovis) and Shexiang (Musk), mix a small amount of each, and apply the powder to the infant's mouth, which will result in recovery.
Qinglong Wan (Blue Dragon Pill): Treats congenital heat in infants, resolves phlegm, and settles fright.
Renshen (Ginseng Radix et Rhizoma), Tianma (Gastrodiae Rhizoma), Fushen (Poria with Hostwood), Baifuzi (Aconiti Kusnezoffii Radix Praeparata [prepared]), Niudan Nanting (Arisaema cum Bile Bulbus [roasted], each 1 liang), Gancao (Glycyrrhizae Radix et Rhizoma [honey-fried], 1.5 qian), Qingdai (Indigo Naturalis, 1 qian), Zhusha (Cinnabaris [water-ground], 0.5 qian), Shexiang (Moschus, 1 qian).
Grind all ingredients into a fine powder. Form pills using refined honey, sized like sophora seeds. Administer by dissolving in decoction of Gouteng (Uncariae Ramulus cum Uncis) and Zaojiazi (Gleditsiae Sinensis Fructus Spina), taken at any time.
Shenxie San (Ginseng and Scorpion Powder): Treats congenital fright in infants, calms the mind and spirit.
Tianjiangzi (Ficus Microcarpa Fruit), Tianzhuhuang (Bambusae Caulis in Taenia), Renshen (Ginseng Radix et Rhizoma), Zhusha (Cinnabaris), Quanxie (Scorpio), Tianma (Gastrodiae Rhizoma), Chantui (Cicadae Periostracum), Shexiang (Moschus, a small amount).
Grind into powder. Form pills using refined honey, sized like sophora seeds. Take one pill per dose, administered with Yinjin Tang (Gold and Silver Decoction).
Zhuru Gao (Pig Milk Ointment): Treats various types of fright and congenital epilepsy in infants.
Quanxie (Scorpio, one piece, roasted), Hupo (Succinum), Zhusha (Cinnabaris, a small amount).
Grind into powder. Take a dose equivalent to "one character" (approx. 1-2 grams), mixed with decoction of Maimendong (Ophiopogonis Radix).
Duhuo Tang (Angelicae Pubescentis Decoction): Treats congenital fright, disperses wind pathogens.
Qianghuo (Notopterygii Rhizoma et Radix), Duhuo (Angelicae Pubescentis Radix, each 1 fen), Binglang (Arecae Semen), Tianma (Gastrodiae Rhizoma), Mahuang (Ephedrae Herba [devoid of joints]), Gancao (Glycyrrhizae Radix et Rhizoma, each 0.5 fen).
Cut into coarse pieces for decoction. Take half a qian per dose, boiled in water. Add Nanxing powder to the decoction, mix with honey, and administer. This mixture can also be applied externally to the fontanelle.