广济疗小儿五惊夜啼,龙角丸方。
龙角 黄芩 大黄(各二分) 牡丹皮(一分) 蚱蝉(一枚炙) 牛黄(小豆大五枚)
上六味捣筛,蜜和丸如麻子,少小以意增减之,甚良。(千金牡丹作牡蛎崔氏名五惊丸)
千金疗小儿惊啼方。
以鸡屎白熬末,以乳服少许。
又方
以腊月缚猪绳烧灰,服之。
又方
烧 皮三寸,灰着乳头饮儿。
又方
车辖脂如小豆许,内口中及脐中瘥。
又小儿因宿乳不消,腹痛惊啼,牛黄丸方。
大附子(二枚炮去皮) 牛黄(三铢) 巴豆(去心皮熬) 杏仁(去尖皮) 真珠(各
一两研)
上五味,捣附子真珠下筛,别捣巴豆杏仁合如膏,内附子及牛黄,捣一千二百杵。若干
入少蜜足之,百日儿服如粟米一丸,三岁儿服如麻子一丸,五六岁儿服如胡豆一丸,日二,
先乳哺了服之,隔上下悉当微转,药完出者病愈,散出者更服。(并出第五卷中)
文仲隐居效方,小儿夜啼不安,此腹痛,故至夜辄剧,状似鬼祸,五味子汤方。
五味子 当归 芍药 白术(各四分) 甘草(炙) 桂心(各二分)
上六味切,以水一升,煎取五合,分服之,增减量之。
千金论曰,少小所以有客忤病者,是外人来气息忤之。一名中人为客忤也。虽是家人,
或别房异户,或乳母父母从外还,衣服或经履鬼神粗恶暴气,或牛马之气,皆为忤也。发作
喘息
又论曰∶凡中客之为病,皆频吐下青黄白色,水谷解离,腹痛夭纠。面色变易,其候似
痫,但眼不上插耳,其脉急数者是也,宜与龙胆汤下之。
又龙胆汤疗婴儿出腹,血脉盛,实热温壮,四肢惊掣,发热大吐 者,若已能进哺,中
食不消,壮热及变蒸不解,中客人魃气,并诸惊痫。方悉主之,小儿皆服之,小儿龙胆汤第
一,此是新出腹婴儿方,若日月长大者,以次依此为例,若必知客忤及有魅气者。可加人参
当归,各如龙胆秤分多少也,一百日儿加半分,二百日儿加一分,一岁儿加半两,余药皆准
尔。
龙胆 钩藤皮 柴胡 黄芩 桔梗 芍药 茯神 甘草(炙各一分) 蜣螂(二分炙) 大
黄(四分)
上十味切,以水一升,煎取五合为剂也,服之如后节度,药有虚实,虚药宜足数
合水也,儿生一日至七日,分取一合为三服,生八日至十五日,分取一合半为三服,生十六
日至二十余日至四十日者,尽以五合为三服,十岁亦准此,得下即止,勿复服也。
又少小卒客忤,不知人者方。
取新热马屎一枚,绞取汁饮儿,下便愈,亦治中客忤而KT 啼面青腹强者。
又少小见人来,卒不佳,腹中作声者,二物烧发散方。
用向来者人头生发十茎,断儿衣带少许,合烧灰,细末和乳饮儿,即瘥。
又少小中忤人,一物马通浴汤方。
用马通三升,火烧令烟尽,以酒一斗煮三沸,去滓,以浴儿即瘥。
又凡乘马行还,得汗气臭,又未盥洗易衣装,而便向儿边。令儿中马客忤,儿忽卒见
马来,及闻马鸣惊,及马上衣物马气,皆令儿中马汗气及客忤,慎护之,特重一岁儿也。
又凡非常人及诸物从外来,亦惊小儿致病,欲防之法,诸有从外来人,及有异物入户,
当将儿回避之,勿令见也,若不避者,即烧牛粪令有烟气,置户前则善。
又方
吞麝香如大豆许立愈。
又疗少小客忤,二物黄土涂头方。
以灶中黄土熟者,曲 粪等分合捣如鸡子黄大,涂儿头上,及五心良。(一方鸡子清和
如泥)
又疗小儿犯客忤,发作有时方。
取母月衣覆儿上,大良。
又疗卒客忤方。
剪取驴前膊胛上旋毛,大如弹丸,以乳汁煎之,令毛消,药成着乳头饮之,下喉即愈。
又疗小儿卒客忤方。
铜鉴鼻烧令赤,投少许酒中,大儿饮之,少儿不能饮者,含与之即愈。(并出第五卷中)
《广济方》治疗小儿五种惊证引起的夜间啼哭,龙角丸方。
龙角、黄芩、大黄(各二分),牡丹皮(一分),蚱蝉(一只,炙烤),牛黄(如小豆大小五枚)。
以上六味药捣碎过筛,用蜂蜜调和制成如麻子大小的丸剂,根据婴儿年龄大小酌情增减用量,效果很好。(《千金方》中牡丹皮改为牡蛎,崔氏将此方命名为五惊丸)
《千金方》治疗小儿惊啼方。
将鸡屎白炒干研成粉末,用乳汁送服少许。
又一方:
将腊月里绑猪的绳子烧成灰,服用。
又一方:
烧狗皮三寸,将灰烬涂在乳头上让婴儿吸吮。
又一方:
车轴脂如小豆大小,放入婴儿口中及肚脐处,病即可愈。
另外,小儿因宿奶不消化,腹痛惊啼,牛黄丸方。
大附子(两枚,炮制去皮)、牛黄(三铢)、巴豆(去心皮后熬制)、杏仁(去尖皮)、真珠(各一两,研细)。
以上五味药,先捣碎附子和真珠后过筛,另将巴豆和杏仁捣烂合成为膏状,加入附子粉及牛黄,再捣一千二百下。如果太干,加入少量蜂蜜使其湿润。百日大的婴儿服用如粟米大小的丸剂,三岁婴儿服用如麻子大小的丸剂,五六岁儿童服用如胡豆大小的丸剂,每日两次,在喂奶结束后服用。服药后上下腹部应当轻微转动,若药丸随大便排出则病愈,若药散出则需再次服药。(均出自第五卷)
文仲隐居效方,小儿夜间啼哭不安,这是因为腹痛,所以到了夜晚病情加重,症状类似鬼祟作怪,五味子汤方。
五味子、当归、芍药、白术(各四分),甘草(炙)、桂心(各二分)。
以上六味药切碎,用水一升,煎取五合,分次服用,根据情况增减剂量。
《千金方》论述说,婴幼儿之所以有客忤病,是因为外人的气息冲撞了孩子。这也被称为“中人”为客忤。即使是家人,如果是从别的房间或门户回来,或者是乳母父母从外面回来,衣服可能经过接触鬼神、粗恶暴戾之气,或者牛马的气味,这些都称为忤。发作时会出现喘息急促。
又论述说:凡是中客忤这种病,都会频繁呕吐腹泻青、黄、白色粪便,水谷分离,腹痛剧烈扭曲。面色改变,症状类似癫痫,但眼球不上翻,脉象急数,这就是客忤的表现,适宜用龙胆汤泻下治疗。
又龙胆汤治疗婴儿刚出生,血脉旺盛,实热壮盛,四肢抽搐惊掣,发热并剧烈呕吐的情况;如果已经能进食,但食物不消化,壮热及变蒸期不退,以及中了客人或魅气,还有各种惊痫。此方都主治,所有小儿都可以服用。这是小儿龙胆汤第一方,这是针对刚出生婴儿的方子,如果日月长大一些的孩子,依次参照此例加减。如果确实知道是客忤且有魅气,可以加人参、当归,剂量参照龙胆的称量比例。一百日大的婴儿加半分,二百日大的婴儿加一分,一岁大的婴儿加半两,其余药物都按此标准。
龙胆、钩藤皮、柴胡、黄芩、桔梗、芍药、茯神、甘草(炙,各一分)、蜣螂(二分,炙)、大黄(四分)。
以上十味药切碎,用水一升,煎取五合作为一剂。服用方法如下:药物有虚实之分,虚证用药宜足量加水。婴儿出生一日至七日,取一合分为三次服用;出生八日至十五日,取一合半分为三次服用;出生十六日至二十余日至四十日的,将五合全部分为三次服用。十岁以下的也参照此标准,一旦通便即停止,不要再服用。
又治疗婴幼儿突然中客忤,神志不清的方子。
取新鲜热的马粪一枚,绞取汁液给婴儿饮用,服下后立即痊愈。这也治疗中客忤而哭闹、面色青紫、腹部强硬的病症。
又治疗婴幼儿见到人来突然不适,腹中作响的方子,二物烧发散方。
用以前的人头发生发十茎,剪断婴儿的脐带少许,一起烧成灰,研成细末,用乳汁调和给婴儿饮用,即可痊愈。
又治疗婴幼儿中忤人的一物马通浴汤方。
用马粪三升,火烧至烟尽,用酒一斗煮三沸,去渣,用来给婴儿洗澡,即可痊愈。
又凡是骑马归来,身上带有汗臭气,又没有洗手换衣,就直接靠近婴儿。这会让婴儿中马客忤。婴儿忽然看到马来,听到马鸣叫惊恐,以及接触到马上衣物和马的气场,都会让婴儿受到马汗气及客忤的影响。要谨慎保护,特别是一岁以内的婴儿。
又凡是非正常人员及各种物品从外来,也会惊吓小儿致病。预防的方法是,凡是有从外面来的人,或有异物入户,应当让婴儿回避,不要让他看见。如果不回避,就烧牛粪产生烟气,放在门口就好。
又一方:
吞服麝香如大豆大小,立即痊愈。
又治疗婴幼儿客忤,二物黄土涂头方。
用灶中陈旧的黄土,与曲粪等份混合捣烂如鸡蛋黄大小,涂在婴儿头上,以及手心、脚心,效果良好。(另一法是用鸡蛋清调和如泥状)
又治疗小儿犯客忤,定时发作的方子。
取母亲的胎盘覆盖在婴儿身上,效果很好。
又治疗突然客忤的方子。
剪取驴前腿肩胛骨上的旋毛,大小如弹丸,用乳汁煎煮,直到毛发溶解,药成后涂在乳头上让婴儿吸吮,咽下喉部即痊愈。
又治疗小儿突然客忤的方子。
将铜镜鼻烧红,投入少许酒中,大一点的孩子喝下去,小孩子不能喝的,含在嘴里喂给他,即可痊愈。(均出自第五卷)
The *Guangji Fang* treats night crying in infants caused by the five types of fright, with the Longjiao Wan (Dragon Horn Pill) formula.
Longjiao (Dragon Horn), Huangqin (Scutellariae Radix), Dahuang (Rhei Radix et Rhizoma) (each 2 fen), Mudanpi (Moutan Cortex) (1 fen), Zhachan (Cicadae Alae - specifically the locust cicada wing) (one piece, roasted), Niuhuang (Bovis Calculus) (five pieces, size of a small bean).
The above six herbs are crushed and sifted, mixed with honey to form pills the size of hemp seeds. The dosage should be adjusted according to the infant's age; it is very effective. (*Qianjin Fang* substitutes Mudanpi with Muli [Ostreae Concha], and Cui Shi named this formula Wu Jing Wan [Five Frights Pill]).
*Qianjin Fang* treats infantile fright crying.
Roast the white part of chicken excrement until dry, grind into powder, and take a small amount mixed with milk.
Another prescription:
Burn the rope used to tie pigs in the twelfth lunar month to ash, and ingest it.
Another prescription:
Burn three cun of dog skin, apply the ash to the nipple for the infant to suckle.
Another prescription:
Apply axle grease the size of a small bean to the infant's mouth and umbilicus; the condition will resolve.
Additionally, for infants suffering from fright crying due to abdominal pain caused by undigested retained milk, the Niuhuang Wan (Cow Gallstone Pill) formula is as follows:
Da Fuzi (Aconiti Lateralis Radix Praeparata) (two pieces, processed and peeled), Niuhuang (Bovis Calculus) (3 zhu), Badou (Crotonis Fructus) (decored, peeled, and roasted), Xingren (Pruni Semen), Zhenzhu (Margarita) (each 1 liang, finely ground).
The above five ingredients: first crush the Da Fuzi and Zhenzhu and sift them. Separately, crush the Badou and Xingren into a paste. Add the Da Fuzi powder and Niuhuang, and pound one thousand two hundred times. If too dry, add a little honey to moisten. For a hundred-day-old infant, administer a pill the size of millet; for a three-year-old, a pill the size of a hemp seed; for children aged five or six, a pill the size of a broad bean. Administer twice daily after breastfeeding. After administration, there should be slight movement in the upper and lower abdomen. If the pill is passed intact in stool, the disease is cured; if the medicine disperses, administer again. (All from Volume 5).
Wenzhong's Hermit Effective Prescriptions: Infantile night crying and restlessness is due to abdominal pain, thus worsening at night, resembling ghostly affliction. The Wuweizi Tang (Schisandra Decoction) formula is as follows:
Wuweizi (Schisandrae Chinensis Fructus), Danggui (Angelicae Sinensis Radix), Shaoyao (Paeoniae Radix), Baizhu (Atractylodis Macrocephalae Rhizoma) (each 4 fen), Gancao (Glycyrrhizae Radix et Rhizoma, processed), Guixin (Cinnamomi Ramulus) (each 2 fen).
The above six herbs are cut, decocted in one sheng of water to obtain five he, and taken in divided doses, adjusting the quantity as needed.
*Qianjin Fang* states that infants suffer from Ke Wu (Guest Impetuosity) because external breaths offend them. It is also known as being offended by "humans." Even family members, if returning from other rooms or households, or if nurses/parents return from outside, their clothes may have encountered spirits, coarse/violent qi, or odors from cattle and horses; all these constitute "Wu" (offense). Upon onset, rapid breathing occurs.
It further states: In cases of Ke Wu, symptoms include frequent vomiting and diarrhea of green, yellow, or white feces, separation of water and grain, severe abdominal twisting pain, and altered facial complexion. The presentation resembles epilepsy (Xian), but without upward deviation of the eyes, and the pulse is rapid and tense. This is Ke Wu, and it is appropriate to treat with Longdan Tang (Gentian Decoction) to purge.
Furthermore, Longdan Tang treats infants just born with abundant blood vessels, excess heat, high fever, convulsions of the four limbs, fever accompanied by severe vomiting; if they can eat but food does not digest, persistent high fever, unresolved physiological transformation (Bian Zheng), infection by guest qi or demonic influence, and various fright-epilepsies. This formula governs all such conditions in infants. This is the first Longdan Tang for infants, intended for newborns. For older infants, adjust proportionally based on this example. If it is confirmed to be Ke Wu with demonic influence, add Renshen (Ginseng Radix) and Danggui (Angelicae Sinensis Radix) in amounts corresponding to the dosage of Longdan (Gentianae Radix). For a hundred-day-old infant, add half a fen; for a two-hundred-day-old, add one fen; for a one-year-old, add half a liang. Other herbs follow this standard.
Longdan (Gentianae Radix), Gouteng Pi (Uncariae Ramulus cum Uncis Cortex), Chaihu (Bupleuri Radix), Huangqin (Scutellariae Radix), Jiegeng (Platycodonis Radix), Shaoyao (Paeoniae Radix), Fushen (Poria with Hostwood), Gancao (Glycyrrhizae Radix et Rhizoma, processed) (each 1 fen), Qianglang (Scarabaeus) (2 fen, roasted), Dahuang (Rhei Radix et Rhizoma) (4 fen).
The above ten herbs are cut, decocted in one sheng of water to obtain five he as one dose. Administration guidelines: Medicines vary in deficiency and excess; for deficiency patterns, ensure sufficient water volume. For infants aged one to seven days, divide one he into three doses; for eight to fifteen days, divide one and a half he into three doses; for sixteen to twenty-plus to forty days, divide five he into three doses. This applies up to ten years of age. Stop once bowel movements occur; do not continue administering.
Another prescription for sudden Ke Wu in infants resulting in unconsciousness:
Take one portion of fresh, hot horse manure, extract the juice, and give it to the infant to drink. They will recover immediately upon ingestion. This also treats Ke Wu presenting with crying, cyanotic face, and abdominal rigidity.
Another prescription for infants who become distressed suddenly upon seeing people, with sounds in the abdomen: Erwu Shaofen San (Two-Ingredient Burned Powder).
Use ten strands of human scalp hair from a previous birth, along with a small piece of the infant's umbilical cord. Burn them to ash, grind into fine powder, mix with milk, and feed to the infant. Recovery ensues.
Another prescription for infant Ke Wu using Ma Tong Bath Soup:
Use three sheng of horse manure. Burn until smoke ceases, then boil in one dou of wine for three boils. Strain the dregs, and use the liquid to bathe the infant. Recovery ensues.
Furthermore, when returning from riding a horse, sweat odor remains, and without washing hands or changing clothes, one approaches the infant. This causes the infant to suffer from Horse Guest Ke Wu. Sudden sight of the horse, sound of neighing, or contact with horse-related items and odors can induce fear and Qi invasion in the infant. Care must be taken, especially for infants under one year old.
Also, unusual persons or objects entering from outside can startle infants and cause illness. To prevent this, when strangers or strange objects enter the house, keep the infant away and out of sight. If avoidance is not possible, burn cow dung to produce smoke and place it at the doorway; this is beneficial.
Another prescription:
Ingest Musk (Shexiang) the size of a large bean; recovery is immediate.
Another prescription for infantile Ke Wu using Two-Ingredient Yellow Earth Head Application:
Use aged earth from the stove, mixed in equal parts with Qu Fen (fermented mold mass). Pound into a paste the size of an egg yolk. Apply to the infant's head and the five centers (palms and soles). It is effective. (Alternative method: mix with egg white to form a mud-like paste).
Another prescription for infantile Ke Wu with periodic attacks:
Cover the infant with the mother's placenta (Yue Yi). This is highly effective.
Another prescription for sudden Ke Wu:
Shear spiral hair from the shoulder blade of a donkey's front leg, size of a marble. Decoct in milk until the hair dissolves. Apply the resulting medicine to the nipple for the infant to suckle. Recovery occurs upon swallowing.
Another prescription for sudden infantile Ke Wu:
Heat the nose of a bronze mirror until red-hot, drop it into a small amount of wine. Older children drink it; younger children who cannot drink should have it held in their mouth and administered. Recovery ensues. (All from Volume 5).