论曰心为言,肝为语,其经属手少阴足厥阴。其气上通于舌,舌者声之机,若禀受之初
。母怀惊怖,则子之心火不足,而肝木弱,故令机关不利,气不宣扬而语迟。甚者有经数岁
不能言者。
治小儿心气不足,舌本无力,语迟。芍药汤方
赤芍药(一两) 黄 (锉三分) 犀角(镑) 槟榔(锉) 甘草(炙各半两)
上五味,粗捣筛,每服一钱匕。水一小盏,煎至五分去滓,量儿大小,不计时候,加减
温服。
治小儿诸病后,六七岁不能语。鸡头丸方
雄鸡头(烧灰一枚) 鸣蝉(去翅足炒三枚) 甘草(炙半两) 大黄(锉炒) 麦门
冬(去心
焙各一两半) 当归(切焙) 黄 (锉) 芎 (各三分) 远志(去心) 木通(锉各
半两) 人
参(一两)
上一十一味,捣罗为末,炼蜜丸如绿豆大。每服以粥饮下五丸至七丸,量儿大小加减,
不计时候。
治小儿五六岁不语。菖蒲丸方
菖蒲 人参 黄连(去须各半两) 丹参 赤石脂(各三分) 天门冬(去心焙) 麦
门冬(
去心焙各一两)
上七味,捣罗为末,炼蜜丸如绿豆大。每服五七丸,温水下,不拘时候,日三。量儿大
小,以意加减。
论曰牙齿者,是骨之所终,髓之所养,手阳明足太阳之脉,并入于齿。若血气充实,则
骨髓强盛,虽其齿损落,犹能更生也。若虚弱者,血气衰耗,风冷乘之,致令齿久不生。假
令生者,或龋或虫落,不能复生也。
治小儿齿不生,或因落不生。方
牛粪中黑豆
上一味,取二七枚,小开去头上皮,用此豆头开处注齿根上,时时用之当效。
治小儿牙齿不生。方
雄鼠粪(二七枚)
上一味,每日用粪一枚,齿根上拭,至二十一日,其齿当生。
又方
道傍遗稻粒
上一味,于齿落处,点三七下,其齿自生。
治小儿齿不生,无问远近,皆得便生,神效。方
雄鸡粪(二七枚头尖者) 雌鸡粪(二七枚头圆者)
上二味,烧灰存性,先用针挑开齿 上,以鸡粪灰点之。
论述:心主言语,肝主话语,其经络归属于手少阴心和足厥阴肝。气血上通于舌,舌是发声的关键机关。如果在胎儿禀受之初,母亲受到惊吓恐惧,就会导致胎儿心火不足,肝木虚弱,从而使得发声机关不利,气机不能宣发畅达,导致语言发育迟缓。严重的甚至经过数年仍不能说话。
治疗小儿心气不足,舌根无力,语言迟缓的芍药汤方:
赤芍药(一两) 黄芪(锉碎三分) 犀角(镑片) 槟榔(锉碎) 甘草(炙制各半两)
以上五味药,粗捣筛过,每次服用一钱匕。用水一小盏,煎煮至五分,去渣,根据患儿年龄大小,不限时间,酌情加减后温服。
治疗小儿各种疾病之后,到了六七岁还不能说话的鸡头丸方:
雄鸡头(烧成灰一枚) 蝉蜕(去翅足炒制三枚) 甘草(炙制半两) 大黄(锉碎炒制) 麦门冬(去心焙干各一两半) 当归(切焙) 黄芪(锉碎) 川芎(各三分) 远志(去心) 木通(锉碎各半两) 人参(一两)
以上十一味药,捣碎过罗成细末,用炼蜜制成如绿豆大小的丸剂。每次用米粥汤送服五丸至七丸,根据患儿年龄大小酌情加减,不限时间。
治疗小儿五六岁还不说话的菖蒲丸方:
石菖蒲 人参 黄连(去须各半两) 丹参 赤石脂(各三分) 天门冬(去心焙干) 麦门冬(去心焙干各一两)
以上七味药,捣碎过罗成细末,用炼蜜制成如绿豆大小的丸剂。每次服用五到七丸,温水送下,不限时间,每日三次。根据患儿年龄大小,酌情加减。
论述:牙齿是骨骼的终点,由骨髓滋养,手阳明大肠经和足太阳膀胱经的脉气,都并入于牙齿。如果气血充实,则骨髓强盛,即使牙齿损坏脱落,仍然能够再生。如果体质虚弱,气血衰耗,风冷邪气侵袭,导致牙齿长期不生。假使长出的牙齿,或者蛀蚀或者虫落,也不能再重新生长。
治疗小儿牙齿不生,或因脱落而不生的方子:
牛粪中的黑豆
以上一味药,取十四枚,轻轻剥去顶端的皮,用豆子顶端开口处涂抹在牙根上,经常使用应当有效。
治疗小儿牙齿不生的方子:
雄鼠粪(十四枚)
以上一味药,每天用一枚粪便,擦拭牙根,直到二十一天,牙齿应当长出。
又一方:
路边遗落的稻粒
以上一味药,在牙齿脱落的地方,点涂三七次,牙齿自然生长。
治疗小儿牙齿不生,无论时间远近,都能方便生牙,神效的方子:
雄鸡粪(十四枚头部尖锐者) 雌鸡粪(十四枚头部圆润者)
以上两味药,烧成灰但保留药性,先用针挑开牙龈,用鸡粪灰点涂在上面。
Commentary: The Heart governs speech (Yan), and the Liver governs discourse (Yu); their meridians belong to the Hand-Shaoyin (Heart) and Foot-Jueyin (Liver). Their Qi connects upward to the tongue, which is the mechanism of voice. If, at the time of initial endowment, the mother experiences fright or terror, it results in insufficient Heart Fire and weak Liver Wood in the child. Consequently, the mechanisms become uncoordinated, Qi fails to circulate freely, leading to delayed speech. In severe cases, a child may be unable to speak for several years.
Formula Shaoyao Tang (Peony Decoction) for treating children with insufficient Heart Qi, weakness at the root of the tongue, and delayed speech:
Chi Shaoyao (Radix Paeoniae Rubra, 1 liang) Huangqi (Radix Astragali, minced, 3 fen) Xijiao (Cornu Rhinocerotis, shaved) Binglang (Semen Arecae, minced) Gancao (Radix Glycyrrhizae, honey-fried, 0.5 liang each)
Crush and sieve the above five herbs coarsely. For each dose, take one qianbi (approx. 3-5g). Add one small cup of water, decoct until reduced to 0.5 cup, strain, and administer warm according to the child's age, adjusting the dosage as needed, without strict timing restrictions.
Formula Jitou Wan (Rooster Head Pill) for treating children who cannot speak at six or seven years of age after various illnesses:
Xiongjitou (Head of male chicken, burnt to ash, 1 unit) Mingchan (Periostracum Cicadae, wings and feet removed, stir-fried, 3 units) Gancao (Radix Glycyrrhizae, honey-fried, 0.5 liang) Dahuang (Radix et Rhizoma Rhei, minced and stir-fried) Maimendong (Radix Ophiopogonis, core removed, baked, 1.5 liang each) Danggui (Radix Angelicae Sinensis, sliced and baked) Huangqi (Radix Astragali, minced) Xiong (Radix Chuanxiong, 3 fen each) Yuanzhi (Radix Polygalae, core removed) Mutong (Caulis Akebiae, minced, 0.5 liang each) Renshen (Radix Ginseng, 1 liang)
Pulverize the above eleven herbs into fine powder. Mix with refined honey to form pills the size of mung beans. Administer 5 to 7 pills per dose with millet gruel broth, adjusting based on the child's age, without strict timing restrictions.
Formula Changpu Wan (Acorus Pill) for treating children aged five or six who do not speak:
Changpu (Rhizoma Acori Tatarinowii) Renshen (Radix Ginseng) Huanglian (Rhizoma Coptidis, roots removed, 0.5 liang each) Danshen (Radix Salviae Miltiorrhizae) Chishizhi (Lapis Kaolinitis, 3 fen each) Tianmendong (Radix Asparagi, core removed, baked) Maimendong (Radix Ophiopogonis, core removed, baked, 1 liang each)
Pulverize the above seven herbs into fine powder. Mix with refined honey to form pills the size of mung beans. Administer 5 to 7 pills per dose with warm water, three times daily, without strict timing restrictions. Adjust dosage according to the child's age.
Commentary: Teeth are the culmination of bones and are nourished by marrow. The meridians of Hand-Mingyang (Large Intestine) and Foot-Taiyang (Bladder) enter into the teeth. When Blood and Qi are abundant, marrow is strong; even if teeth are damaged or fall out, they can regenerate. If the body is weak, Blood and Qi are depleted, and Wind-Cold pathogens invade, causing teeth to fail to emerge for a long time. Even if they do emerge, they may suffer from caries or decay and cannot regenerate properly.
Formula for treating children whose teeth do not grow or have failed to regrow after falling out:
Heidou within cow dung (Black beans found in cow manure)
Take fourteen beans of this type. Gently remove the skin from the tip. Apply the open tip of the bean to the tooth root repeatedly. This method should be effective.
Formula for treating children whose teeth do not grow:
Xiongshufen (Feces of male mouse, 14 units)
Use one fecal pellet daily to wipe the tooth root. After twenty-one days, the teeth should emerge.
Another Formula:
Daoliang Yidaoli (Rice grains left by the roadside)
Apply this grain to the site of the lost tooth thirty-seven times. The tooth will naturally grow.
Divine Effect Formula for treating children whose teeth do not grow, effective regardless of duration:
Xiongjifen (Feces of male chicken, 14 units with pointed heads) Cijifen (Feces of female chicken, 14 units with round heads)
Burn the above two substances to ash while preserving their medicinal properties. First, use a needle to gently open the gum tissue, then apply the chicken feces ash to the area.