盘肠气者,痛则腰曲干啼,额上有汗,是小肠为冷气所搏然耳,其口闭脚冷上唇干是也。此是生下洗迟感受风冷,
或青粪不实,却有此证,当服钩藤膏、魏香散、苏合香丸、当归散,乳母服乌沉汤或沉香降气汤便定。
钩藤膏 见第二十一问。
魏香散 见第二十二问。
苏合香丸 见第六十问。
当归散 治小儿夜啼者,脏寒而肠痛也,面青手冷不吮乳是也。宜用此方。
当归(去芦) 白芍药 人参(各二钱半) 甘草(炙) 桔梗 桔皮(去白、各一钱)
上为末,水煎半盏,时时少与服,又有热痛亦啼叫不止,夜发面赤唇焦,小便黄赤与三黄丸,人参汤下。
乌沉汤 见第十六问。
沉香降气汤 治阴阳壅滞,气不升降,胸膈痞塞,心腹胀满,喘促短气,干哕烦满,咳嗽痰涎,口中无味,嗜
卧不安减食。
香附子(二两半、炒、去毛) 沉香(一钱) 砂仁(三钱) 甘草(七钱半)
上为末,每服一钱,入盐少许,沸汤点之,清晨雾露空心服之,去邪恶气,使无瘴疫。
胎惊风者,以胎妇调适乖常,饮酒嗜欲,忿怒惊扑,母有所触,胎必感之,或外挟风邪,有伤于胎,故子乘母气,
生下即发也。其候,月内温壮,翻眼握拳噤口,身腰强直,涎潮呕吐,搐掣惊怖啼哭,腮缩囟开,或颊赤面青眼合,不
可误作慢脾眼合,妄用温药。视其眉间气色,红赤鲜碧者可治,若色黯黑、青黑者不治,虎口指纹曲入里者可治,反出
外者不治。其治法解散风邪,利惊化涎,调气贴囟,甚则以朱银丸利之。面青拳搐者,当服保命丹、钩藤散、全蝎散。
朱银丸 见第三问。
保命丹 见第十四问至圣保命丹。
钩藤散 见第十六问。
全蝎散 见第二十四问。
盘肠气,是指婴儿腹痛时腰部弯曲、干哭不止,额头出汗,这是小肠受冷气侵袭所致。其表现为口紧闭、脚冷、上唇干燥。此证多因出生后洗澡过晚感受风冷,或大便呈青色且不成形而出现。应当服用钩藤膏、魏香散、苏合香丸、当归散;乳母则需服用乌沉汤或沉香降气汤,症状即可平息。
钩藤膏(详见第二十一问)。
魏香散(详见第二十二问)。
苏合香丸(详见第六十问)。
当归散:用于治疗小儿夜啼,病机为脏腑虚寒导致肠痛。症状表现为面色青、手脚冷、不吸吮乳汁。适宜使用此方。
药材组成:当归(去除芦头)、白芍药、人参(各二钱半)、甘草(炙烤)、桔梗、桔皮(去白色内层,各一钱)。
将上述药材研为细末,加水煎煮至半盏,频繁少量喂服。若又有热痛导致啼叫不止,夜间发作、面红唇焦、小便黄赤者,应服用三黄丸,用人参汤送下。
乌沉汤(详见第十六问)。
沉香降气汤:用于治疗阴阳气机壅滞,气机升降失常,胸膈痞闷堵塞,心腹胀满,气喘急促、呼吸短浅,干呕烦闷,咳嗽痰涎,口中无味,嗜睡不安、食欲减退。
药材组成:香附子(二两半,炒制,去毛)、沉香(一钱)、砂仁(三钱)、甘草(七钱半)。
将上述药材研为细末,每次服用一钱,加入少许盐,用沸水冲服。清晨空腹、雾气未散时服用,可祛除邪恶之气,预防瘟疫。
胎惊风,是因为孕妇调养失当,如饮酒、纵欲、愤怒受惊等,母亲受到刺激,胎儿必然感应;或者外感风邪,损伤胎儿,致使子代承袭母体之气,出生后即刻发病。其症状表现为:满月内体温升高,眼球上翻、握拳、牙关紧闭,身体和腰部强直,口水涌流、呕吐,抽搐惊恐啼哭,腮部收缩、囟门开大,或者脸颊红赤、面色青暗、眼睛闭合。不可误认为是慢脾风(一种慢性虚损性惊风)的眼睛闭合而妄用温补药物。观察患儿眉间的气色,若红赤鲜亮或碧绿色者可治;若颜色黯黑、青黑色者不可治。观察虎口指纹,若弯曲向里者可治,若反向伸出指外者不可治。其治疗方法为疏散风邪、镇惊化痰、调理气机并贴敷囟门,重症则用朱银丸通利治疗。若见面色青、握拳抽搐者,应当服用保命丹、钩藤散、全蝎散。
Pan Chang Qi (Intestinal Colic) refers to a condition where the infant bends the waist and cries without tears due to abdominal pain, with sweat on the forehead. This is caused by cold qi invading the small intestine (Small Intestine). The manifestations include closed mouth, cold feet, and dry upper lip. This syndrome often occurs due to exposure to wind-cold after delayed bathing following birth, or when stools are green and unformed. One should administer Gouteng Gao (Uncaria Decoction), Weixiang San (Weixiang Powder), Suhexiang Wan (Suxiang Pill), and Danggui San (Angelica Powder); the nursing mother should take Wuchen Tang (Wu Chen Decoction) or Chenxiang Jiangqi Tang (Aucklandia Descending Qi Decoction), and the symptoms will subside.
Gouteng Gao (See Question 21).
Weixiang San (See Question 22).
Suhexiang Wan (See Question 60).
Danggui San: Used to treat night crying in infants caused by visceral cold and intestinal pain. Symptoms include cyanotic face, cold hands and feet, and refusal to suckle milk. This formula is appropriate.
Ingredients: Dang Gui (Radix Angelicae Sinensis, remove rhizome), Bai Shao Yao (Radix Paeoniae Alba), Ren Shen (Radix Ginseng) (each 2.5 qian), Zhi Gan Cao (Prepared Radix Glycyrrhizae), Jie Geng (Radix Platycodonis), Ju Pi (Pericarpium Citri Reticulatae, remove white pith) (each 1 qian).
Grind the above ingredients into powder. Decoct with water until half a cup remains. Administer frequently in small amounts. If there is heat-pain causing incessant crying, with nocturnal onset, red face, scorched lips, and yellow-red urine, administer San Huang Wan (Three Yellows Pill), taken down with Ren Shen Tang (Ginseng Decoction).
Wuchen Tang (See Question 16).
Chenxiang Jiangqi Tang: Treats stagnation of yin and yang qi, failure of qi to ascend and descend, chest and diaphragm fullness and obstruction, epigastric and abdominal distension, panting and shortness of breath, dry retching, irritability and fullness, cough with phlegm-saliva, tastelessness in the mouth, lethargy, restlessness, and reduced appetite.
Ingredients: Xiang Fu Zi (Rhizoma Cyperi, 2.5 liang, stir-fried, remove hairs), Chen Xiang (Lignum Aquilariae Resinatum, 1 qian), Sha Ren (Fructus Amomi, 3 qian), Gan Cao (Radix Glycyrrhizae, 7.5 qian).
Grind the above ingredients into powder. Take 1 qian per dose, add a little salt, and brew with boiling water. Take on an empty stomach in the early morning before the mist dissipates. It expels evil qi and prevents epidemics.
Tai Jing Feng (Fetal Convulsion) arises from improper regulation of the pregnant woman, such as drinking alcohol, indulging desires, anger, or fright. When the mother is stimulated, the fetus inevitably responds; or if external wind-pathogens injure the fetus, the child inherits the maternal qi and manifests immediately after birth. The manifestations include fever within the first month, eyes rolling upward, clenched fists, trismus (lockjaw), rigidity of the body and waist, flooding of saliva, vomiting, convulsions, fright, crying, retracted cheeks, open fontanelle, or red cheeks with a cyanotic face and closed eyes. Do not mistake this for Man Pi Feng (Slow Spleen Wind) with closed eyes and rashly use warm-tonifying medicines. Observe the color between the eyebrows: bright red or fresh green indicates a treatable condition; dark black or blue-black indicates an untreatable condition. Observe the fingerprint at the Tiger's Mouth (Hukou): curving inward indicates treatability; extending outward indicates untreatability. The treatment method involves dispersing wind-pathogens, relieving fright and transforming phlegm-saliva, regulating qi, and applying patches to the fontanelle. In severe cases, Zhu Yin Wan (Cinnabar Silver Pill) is used to purge. For those with a cyanotic face and clenched-hand convulsions, Baoming Dan (Life-Preserving Pill), Gouteng San (Uncaria Powder), and Quanxie San (Scorpion Powder) should be administered.
Zhu Yin Wan (See Question 3).
Baoming Dan (See Questions 14–15, Zhisheng Baoming Dan).
Gouteng San (See Question 16).
Quanxie San (See Question 24).