一论小儿龟背者。由儿生下。风邪客入于脊。入于骨髓。致成龟背也。龟胸龟背。并用
龟尿点其骨节。自愈。取龟尿法。用青莲叶按龟上。用镜照之。其尿自出。
龟背丸
枳壳(麸炒) 防风(去芦) 独活 大黄(煨) 前胡(去芦) 当归 麻黄(去节各三钱)
上为细末。面糊为丸。如黍米大。每服十五六丸。看儿大小。以米汤食后服。仍灸肺俞
穴。
在三椎下两傍各一寸半。心俞穴。在五椎下两傍 各一寸半。膈俞穴。在七椎之下。两傍各
一寸半。各灸三壮。以小儿中指节为一寸。艾炷以小麦大。灸五壮愈。
一治小儿龟背。儿生下客风入脊。透于骨髓。致成龟背。治以龟尿点骨节即平。
一论滞颐。乃涎流出而溃于颐间也。涎者脾之液。脾胃虚冷。故涎自流。不能收约。法
当温脾为主。宜服
温脾丸
半夏(姜汁炒一两) 木香(五钱) 丁香(二钱) 益智仁(炒五钱) 白术(去芦炒一两)
青皮(去白五钱) 陈皮(五钱)
上为细末。姜汁打稀糊丸。麻子大。每二三十丸。米饮送下。
一论囟陷。乃脏腑有热。渴饮水浆。致成泄痢。久则血气虚弱。不能上交脑骨。故囟如
坑。不得满平。宜用黄狗头骨炙黄为末。鸡蛋清调敷之即合。
一论囟填者。囟门肿也。脾主肌肉。乳食不常。饥饱无度。或热或寒。乘于脾家。致脏
与腑
不调。其气上冲。为之填胀。囟突而高。如物堆垛。毛发短黄自汗是也。若寒气上冲则牵硬
热气上冲则柔软。寒者温之。热者凉之。剂量轻重。
论述小儿龟背的成因。这是由于婴儿出生后,风邪侵入脊柱,深入骨髓,从而导致形成龟背。对于龟胸和龟背,都可以用龟尿点涂其骨节部位,即可自愈。获取龟尿的方法是:用青莲叶覆盖在龟背上,并用镜子照射它,龟尿就会自然流出。
龟背丸
药材包括:枳壳(麸皮炒)、防风(去除芦头)、独活、大黄(煨制)、前胡(去除芦头)、当归、麻黄(去除节段,各三钱)。
将上述药材研成细末,用面糊制成丸剂,大小如黍米。每次服用十五六丸,根据患儿年龄大小调整,饭后用米汤送服。同时艾灸肺俞穴。
定位方法:第三椎骨下方两侧各一寸半处为心俞穴;第五椎骨下方两侧各一寸半处为膈俞穴;第七椎骨下方两侧各一寸半处。每穴灸三壮。以小儿中指中间关节的长度作为一寸的标准。艾炷大小如小麦粒,每穴灸五壮即可痊愈。
另一种治疗小儿龟背的方法:婴儿出生后风邪侵入脊柱,透入骨髓,导致龟背。治疗时用龟尿点涂骨节部位,症状即可平复。
论述滞颐症。这是指唾液流出并溃烂于腮颊之间。涎液是脾的外液,因脾胃虚寒,所以涎液自流,无法收摄控制。治疗方法应当以温补脾脏为主,适宜服用温脾丸。
温脾丸
药材包括:半夏(姜汁炒,一两)、木香(五钱)、丁香(二钱)、益智仁(炒,五钱)、白术(去芦头炒,一两)、青皮(去白,五钱)、陈皮(五钱)。
将上述药材研成细末,用姜汁调和稀糊制成丸剂,大小如麻子。每次服用二三十丸,用米饮送下。
论述囟门凹陷。这是由于脏腑有热,口渴饮水过多,导致腹泻痢疾。日久则气血虚弱,不能上充脑骨,因此囟门像坑一样凹陷,不能饱满平整。适宜使用黄狗头骨烧焦研成粉末,用鸡蛋清调匀后敷贴,囟门即可闭合。
论述囟门突起。这是指囟门肿胀。脾主肌肉,若哺乳饮食不规律,饥饱无度,或受寒或受热,邪气侵袭脾脏,导致脏腑功能不调,气机上冲,造成囟门填胀突起,如同物体堆叠,伴有毛发短黄、自汗等症状。如果是寒气上冲,囟门摸起来牵拉僵硬;如果是热气上冲,囟门摸起来柔软。寒证用温法治疗,热证用凉法治疗,需根据病情轻重斟酌药量。
Discussion on Infant Torticollis (Gui Bei, Turtle Back). This condition arises when wind-pathogens invade the spine after birth and penetrate into the bone marrow, resulting in a deformity resembling a turtle's back. For both torticollis (Gui Bei) and pigeon chest (Gui Xiong), applying turtle urine to the joints can lead to spontaneous recovery. The method for obtaining turtle urine is as follows: cover the turtle with green lotus leaves and shine a mirror upon it; the urine will flow out naturally.
Gui Bei Wan (Turtle Back Pill)
Ingredients: Zhiqiao (Bupleuri Fructus, bran-fried), Fangfeng (Saposhnikoviae Radix, de-rhizome), Duhuo (Angelicae Pubescentis Radix), Dahuang (Rhei Radix et Rhizoma, baked), Qianhu (Peucedani Radix, de-rhizome), Danggui (Angelicae Sinensis Radix), Mahuang (Ephedrae Herba, nodes removed; each 3 qian).
Grind the above ingredients into a fine powder. Form pills using wheat paste, sized like millet seeds. Administer 15–16 pills per dose, adjusted according to the child's age, taken after meals with rice soup. Additionally, moxa-heat the Feishu (BL13) acupoint.
Location: Xinshu (BL15) is located 1.5 cun lateral to the lower border of the third thoracic vertebra. Geshu (BL17) is located 1.5 cun lateral to the lower border of the fifth thoracic vertebra. Another point (implied Geshu or similar based on context, text says "at seventh vertebra...") is located 1.5 cun lateral to the lower border of the seventh thoracic vertebra. Moxa three cones at each point. Use the middle interphalangeal joint of the child's middle finger as one cun. The moxa cone should be the size of a wheat grain. Moxa five cones per point for cure.
Another treatment for infant torticollis: When wind-pathogens invade the spine and penetrate the bone marrow after birth, causing torticollis, applying turtle urine to the joints will flatten the deformity.
Discussion on Drooling (Zhi Yi). This refers to saliva flowing out and ulcerating in the cheek area. Saliva is the fluid of the Spleen. Due to deficiency-cold of the Spleen and Stomach, saliva flows freely and cannot be controlled. The treatment principle should focus on warming the Spleen. It is suitable to administer Wen Pi Wan (Warm the Spleen Pill).
Wen Pi Wan (Warm the Spleen Pill)
Ingredients: Banxia (Pinelliae Rhizoma, fried with ginger juice, 1 liang), Muxiang (Aucklandiae Radix, 5 qian), Dingxiang (Caryophylli Flos, 2 qian), Yizhiren (Alpiniae Oxyphyllae Fructus, fried, 5 qian), Baizhu (Atractylodis Macrocephalae Rhizoma, de-rhizome and fried, 1 liang), Qingpi (Citri Reticulatae Pericarpium Viride, albedo removed, 5 qian), Chenpi (Citri Reticulatae Pericarpium, 5 qian).
Grind the above ingredients into a fine powder. Form pills using ginger juice and thin paste, sized like hemp seeds. Administer 20–30 pills per dose, swallowed with rice drink.
Discussion on Sunken Fontanelle (Xi Xian). This results from heat in the Zang-Fu organs, excessive thirst and drinking, leading to diarrhea and dysentery. Over time, Qi and Blood become deficient and fail to ascend to nourish the cranial bones, causing the fontanelle to appear sunken like a pit and unable to fill flat. It is suitable to use the skull of a yellow dog, roasted until charred and ground into powder, mixed with egg white and applied topically to close the fontanelle.
Discussion on Protruding Fontanelle (Xi Tian). This refers to swelling of the fontanelle. The Spleen governs muscles. Irregular feeding, excessive hunger or fullness, or exposure to heat or cold pathogens invading the Spleen, cause disharmony between the Zang and Fu organs. Pathogenic Qi rushes upward, causing distension and protrusion of the fontanelle, resembling a pile of objects, accompanied by short yellow hair and spontaneous sweating. If cold Qi rushes upward, the fontanelle feels tense and hard; if heat Qi rushes upward, it feels soft. Cold patterns are treated with warming methods, and heat patterns are treated with cooling methods. Dosage should be adjusted according to severity.