小儿夜啼,其症有拾,当辨是何症,随病治之。有客忤夜啼、有 啼、有邪于心痛啼、有胎热伏心啼、有盘肠内钓
啼、有胎寒啼、有乳食作痛啼、有惊啼、有天钓啼、有受寒肚痛啼。利惊丸、琥珀抱龙丸、利惊丹、治诸夜啼并效。
千金龙胆汤 治胎惊发热,四肢惊掣及变蒸未解,夜啼诸症,诸风惊痫,脐风撮口并效。
龙胆草 钩藤 柴胡 黄芩 桔梗 白芍 茯苓(各一钱) 甘草(五分) 大黄(一钱五分,酒煨)
生姜三片,水二钟,煎钟半,母子同服。
惊搐加天麻、僵蚕(各六分,) 病加青黛(五分)
酸枣仁汤 治心惊不宁,恍惚恐怖,及夜啼诸症。
人参(五分) 茯神(一钱) 麦冬(一钱) 甘草(五分) 钩藤(六分) 远志(肉,一钱) 茯苓(一钱) 木
通(七分) 酸枣(七分,炒) 朱砂(末,临服入)
灯心二十寸,生姜三片,水二钟,煎钟半,母子同服。为末,灯心汤调服一钱,加麝(少许)
琥珀丹 安心神,镇惊邪,治一切夜啼,胎惊变蒸,并效。
胆星(二钱) 琥珀(三钱) 天麻(八钱) 僵蚕(五钱) 白芷(五钱) 白附子(二钱,煨热)
为末蜜丸,芡实大,每服一丸。生姜、薄荷汤化下。
安眠散 治夜啼不止,状若鬼祟。
蝉蜕(七个,只用下半段)
乳细,薄荷汤加酒少许,临睡调服。如不信,服上半节仍旧啼。
灯花散 治夜啼。
灯花(七个) 硼砂(三分) 朱砂(少许)
为末,蜜汤调下,临睡服。抹乳头,令儿吮之亦可。
二土膏 治儿客忤,惊啼夜睡不宁。
灶中黄土 蚯蚓粪。
为末,新汲水调涂五心,即效。
禁儿夜啼诀
用黄纸朱书彼处巡按名字,上写敕令二字;四边写虎字,贴在床上。口念咒曰∶小儿夜啼几时休,门管先生在床头,
今夜若还再啼哭,飞剑斩了鬼驴头。
小儿夜间啼哭,其症状有多种,应当辨别是哪种病症,根据病情进行治疗。有因客忤(外邪侵扰)引起的夜啼、有因腹痛引起的啼哭、有心痛引起的啼哭、有因胎热伏于心经引起的啼哭、有因盘肠内钓(肠道痉挛牵引)引起的啼哭、有因胎寒引起的啼哭、有因乳食积滞作痛引起的啼哭、有因受惊引起的啼哭、有天钓(惊风的一种,目上视如瞪眼)引起的啼哭、有因受寒导致肚痛引起的啼哭。利惊丸、琥珀抱龙丸、利惊丹,治疗各种夜啼均有效。
千金龙胆汤:治疗胎惊发热、四肢抽搐及变蒸(婴儿生长发育过程中的生理现象)未解、夜啼等各种症状,以及诸风惊痫、脐风撮口(新生儿破伤风或类似症状,口唇紧缩)均有效。
药物组成:龙胆草、钩藤、柴胡、黄芩、桔梗、白芍、茯苓(各一钱)、甘草(五分)、大黄(一钱五分,酒煨制)。
煎服法:生姜三片,水二钟,煎至钟半,母子同服。
加减法:若出现惊搐,加天麻、僵蚕(各六分);若病重,加青黛(五分)。
酸枣仁汤:治疗心惊不宁、恍惚恐怖,以及夜啼等各种症状。
药物组成:人参(五分)、茯神(一钱)、麦冬(一钱)、甘草(五分)、钩藤(六分)、远志(肉,一钱)、茯苓(一钱)、木通(七分)、酸枣(七分,炒制)、朱砂(末,临服用时加入)。
煎服法:灯心草二十寸,生姜三片,水二钟,煎至钟半,母子同服。也可研为细末,用灯心草汤调服一钱,加入少许麝香。
琥珀丹:安定心神,镇惊祛邪,治疗一切夜啼、胎惊变蒸,均有效。
药物组成:胆星(二钱)、琥珀(三钱)、天麻(八钱)、僵蚕(五钱)、白芷(五钱)、白附子(二钱,煨热)。
用法:研为细末,用蜂蜜制成丸剂,大小如芡实,每次服用一丸。用生姜、薄荷汤化开送服。
安眠散:治疗夜啼不止,状似鬼祟作怪。
药物组成:蝉蜕(七个,只用下半段)。
用法:乳汁细嚼,或用薄荷汤加少许酒,临睡前调服。如果不信,可试服上半节,孩子仍会啼哭。
灯花散:治疗夜啼。
药物组成:灯花(七个)、硼砂(三分)、朱砂(少许)。
用法:研为细末,用蜜汤调下,临睡前服用。也可以涂抹在乳头,让婴儿吮吸。
二土膏:治疗小儿客忤,惊啼夜睡不宁。
药物组成:灶中黄土、蚯蚓粪。
用法:研为细末,用新汲水调匀,涂敷于五心(两手心、两足心及胸口),即见效。
禁儿夜啼诀
用黄纸朱砂书写当地巡按的名字,上方写“敕令”二字;四边写“虎”字,贴在床上。口中念咒曰:“小儿夜啼几时休,门管先生在床头,今夜若还再啼哭,飞剑斩了鬼驴头。”
Infantile nocturnal crying presents with various symptoms; one must differentiate the specific syndrome and treat according to the disease. There is nocturnal crying due to *Ke Wu* (sudden fright from external influences), crying due to abdominal pain, crying due to heart pain, crying due to fetal heat lodged in the Heart meridian, crying due to *Pan Chang Nei Diao* (intestinal spasm/twisting), crying due to fetal cold, crying due to pain from milk and food stagnation, crying due to fright, crying due to *Tian Gou* (a type of convulsive disorder with upward staring eyes), and crying due to abdominal pain caused by cold invasion. Li Jing Wan (Detoxification Pill), Hu Po Bao Long Wan (Amber Dragon-Embracing Pill), and Li Jing Dan (Detoxification Pellet) are all effective for treating various forms of nocturnal crying.
Qian Jin Long Dan Tang (Golden Thousand Gentian Decoction): Effective for fetal fright with fever, convulsions of the four limbs, unresolved *Bian Zheng* (physiological changes during infant growth), various night-crying syndromes, wind-induced convulsions and epilepsy, and *Qi Feng Cuo Kou* (umbilical wind with mouth tightening).
Ingredients: Long Dan Cao (Gentianae Radix), Gou Teng (Uncariae Ramulus cum Uncis), Chai Hu (Bupleuri Radix), Huang Qin (Scutellariae Radix), Jie Geng (Platycodonis Radix), Bai Shao (Paeoniae Radix Alba), Fu Ling (Poria), each 1 qian; Gan Cao (Glycyrrhizae Radix et Rhizoma) 0.5 qian; Da Huang (Rhei Radix et Rhizoma) 1.5 qian, stir-fried with wine.
Preparation and Administration: Add three slices of Sheng Jiang (Zingiberis Rhizoma Recens), two zhong of water, decoct until half a zhong remains. The mother and infant take it together.
Modifications: If convulsions occur, add Tian Ma (Gastrodiae Rhizoma) and Jiang Can (Bombyx Batryticatus), each 0.6 qian; if the condition is severe, add Qing Dai (Indici Folium) 0.5 qian.
Suan Zao Ren Tang (Ziziphi Spinosae Semen Decoction): Treats mental unrest due to Heart fright,恍惚 (trance-like state) and terror, as well as various night-crying syndromes.
Ingredients: Ren Shen (Ginseng Radix) 0.5 qian; Fu Shen (Poria with Hostwood) 1 qian; Mai Dong (Ophiopogonis Tuber) 1 qian; Gan Cao (Glycyrrhizae Radix et Rhizoma) 0.5 qian; Gou Teng (Uncariae Ramulus cum Uncis) 0.6 qian; Yuan Zhi (Polygalae Radix, flesh part) 1 qian; Fu Ling (Poria) 1 qian; Mu Tong (Akebiae Caulis) 0.7 qian; Suan Zao (Ziziphi Spinosae Semen) 0.7 qian, stir-fried; Zhu Sha (Cinnabaris), powdered, added just before administration.
Preparation and Administration: Deng Xin Cao (Junci Medulla) 20 cun, three slices of Sheng Jiang (Zingiberis Rhizoma Recens), two zhong of water, decoct until half a zhong remains. The mother and infant take it together. Alternatively, grind into powder, administer 1 qian mixed with Deng Xin Cao (Junci Medulla) decoction, adding a small amount of She Xiang (Moschus).
Hu Po Dan (Amber Pellet): Calms the Spirit (Shen), subdues fright and expels evil pathogens, effective for all types of nocturnal crying, fetal fright, and *Bian Zheng*.
Ingredients: Dan Xing (Arecae Semen Preparatum) 2 qian; Hu Po (Electrum) 3 qian; Tian Ma (Gastrodiae Rhizoma) 8 qian; Jiang Can (Bombyx Batryticatus) 5 qian; Bai Zhi (Angelicae Dahuricae Radix) 5 qian; Bai Fu Zi (Typhonii Rhizoma) 2 qian, roasted until hot.
Usage: Grind into fine powder, mix with honey to form pills the size of an Euryale Seed (Qian Shi). Take one pill per dose. Dissolve in a decoction of Sheng Jiang (Zingiberis Rhizoma Recens) and Bo He (Menthae Haplocalycis Herba) and swallow.
An Mian San (Sleep-Promoting Powder): Treats incessant nocturnal crying, resembling demonic possession.
Ingredients: Chan Tui (Cicadae Periostracum) seven pieces, using only the lower half segment.
Usage: For infants with fine milk, chew finely or use Bo He (Menthae Haplocalycis Herba) decoction with a little wine, taken just before sleep. If skeptical, try the upper segment; the child will continue to cry.
Deng Hua San (Lamp Flower Powder): Treats nocturnal crying.
Ingredients: Deng Hua (Lamp Wick Ash) seven pieces; Peng Sha (Borax) 0.3 fen; Zhu Sha (Cinnabaris) a small amount.
Usage: Grind into powder, take with honey water just before sleep. It can also be applied to the nipple for the infant to suckle.
Er Tu Gao (Two Earths Ointment): Treats infant *Ke Wu* (sudden fright), frightful crying, and restless sleep at night.
Ingredients: Zao Zhong Huang Tu (Yellow Earth from the Hearth); Qiu Yin Fen (Earthworm Excrement).
Usage: Grind into powder, mix with fresh drawn water, apply to the "Five Centers" (both palms, both soles, and the chest), effective immediately.
Spell to Prohibit Infant Nocturnal Crying
Write the name of the local Inspector on yellow paper with cinnabar ink, write "Chi Ling" (Imperial Edict) at the top; write the character "Hu" (Tiger) on all four sides, and paste it on the bed. Chant the spell: "When will the infant's night crying cease? Master Men Guan stands at the bedside. If he cries again tonight, his ghost donkey head shall be severed by flying swords."