脾脏微热,令舌络微紧,时时舒舌。治之勿用冷药及下之,当少与泻黄散,渐服之。亦
或饮水,医疑为热,必冷药下之者,非也。饮水者,脾胃虚,津液少也。又加面黄肌瘦,五心烦
热,即为疳瘦,宜胡黄连丸辈。大病未已,弄舌者凶。
热毒瓦斯客于腠理,搏于血气,发于外皮,上赤如丹,当以白玉散涂之。
年大而囟不合,肾气不成也,长必少笑。更有目白睛多, 白色瘦者,多愁少喜也。余
见肾虚。
上至头,下至项,不过胸也,不须治之。
小儿筋骨血脉未成,多哭者,至小所有也。
生下肌肉浓,遍身血色红。盈月以后,渐渐肌瘦,目白睛粉红色,五心热,大便难,时
时生涎,浴体法主之。
生下面色无精光,肌肉薄,大便白水,身无血色,时时哽气多哕,目无精彩,当浴体法
主之。
生下有血气,时叫哭,身壮热如淡茶色,目赤,小便赤黄,粪稠,急食乳,浴体法主之
。更别父母肥瘦,肥不可生瘦,瘦不可生肥也。
穿着厚衣服睡觉而额头出汗的,用止汗散主治。
睡觉时自然出汗的,是肌肉虚弱所致,用止汗散主治。全身出汗的,用香瓜丸主治。
脾脏寒冷引起疼痛的,应当给予温中药治疗,并用相应的方法进行禳解,用花火膏主治。
脾脏有轻微的热象,导致舌络微微紧绷,不时伸出舌头。治疗时不要用寒凉药及泻下药,应当少量给予泻黄散,逐渐服用。也有因为饮水,医生误认为是热证,必然使用寒凉药攻下的,这是错误的。饮水是因为脾胃虚弱,津液不足。再加上面色发黄、肌肉消瘦、五心烦热,就是疳瘦病,适宜用胡黄连丸之类的方剂。大病未愈,出现弄舌现象的预后凶险。
热毒之气客居在腠理,与血气搏结,发于体表皮肤,上部发红如同丹砂,应当用白玉散涂抹患处。
年龄大了囟门仍不闭合的,是肾气未充盛所致,长大后必定少笑。还有眼白部分较多、面色苍白消瘦的,多愁少喜。我见到的是肾虚的情况。
汗出从头部到颈部,不超过胸部,不需要治疗。
小儿筋骨血脉尚未形成,经常啼哭的,是婴幼儿常见的现象。
出生时肌肉厚实,全身血色红润。满月以后,渐渐肌肉消瘦,眼白呈粉红色,五心烦热,大便困难,时常流涎,用浴体法主治。
出生后面色没有神采,肌肉薄弱,大便稀如水,身体无血色,时常噎气且多呃逆,目光无精彩,用浴体法主治。
出生时有血气表现,时常叫哭,身体壮热如淡茶色,眼睛发红,小便赤黄,粪便稠厚,急切想吃乳,用浴体法主治。还要分辨父母体型的肥瘦,肥胖者不可生出瘦弱儿,瘦弱者不可生出肥胖儿。
When a child sleeps in thick clothing and sweats on the forehead, Zhihan San (Stop Sweat Powder) is indicated.
Spontaneous sweating during sleep indicates deficiency of the muscles; Zhihan San (Stop Sweat Powder) is indicated. Generalized sweating is treated with Xianggua Wan (Melon Pill).
Pain caused by cold in the Spleen organ should be treated with warming medicines and appropriate exorcistic rituals; Huahuo Gao (Flower Fire Ointment) is indicated.
When pathogenic heat invades the Heart, the mind should be calmed; Anshen Wan (Calm Spirit Pill) is indicated.
Slight heat in the Spleen causes the tongue collaterals to tighten slightly, resulting in frequent protrusion of the tongue. Treatment should avoid cold medicines and purgatives. Instead, Xiehuang San (Drain Yellow Powder) should be administered in small amounts gradually. Some cases involve drinking water; if physicians mistakenly suspect heat and administer cold purgatives, this is incorrect. Drinking water occurs due to deficiency of the Spleen and Stomach and scanty body fluids. If accompanied by sallow complexion, emaciation, and five-palm heat, it constitutes Gan Emaciation (Infantile Malnutrition); Hu Huang Lian Wan (Coptis Pill) or similar formulas are suitable. If severe illness persists and the child exhibits tongue-playing, the prognosis is ominous.
When toxic heat lodges in the cou li (interstitial spaces), contends with blood and qi, and manifests on the skin as redness resembling cinnabar above, Baiyu San (White Jade Powder) should be applied topically.
If the fontanelle remains open at an advanced age, it indicates incomplete development of Kidney Qi; the child will likely laugh less when grown. Additionally, excessive white sclera and pale, emaciated appearance suggest a disposition of much sorrow and little joy. I observe this as Kidney Deficiency.
Sweating extending from the head to the neck but not exceeding the chest requires no treatment.
Sweating extending from the neck to the umbilicus indicates Stomach Deficiency; the Stomach should be tonified using Yihuang San (Benefit Yellow Powder).
Children's bones, sinews, blood, and vessels are not yet fully formed; frequent crying is common in infants.
At birth, if muscles are thick and the body has a rosy color, but after one month the muscles gradually become thin, the sclera turns pinkish-red, there is five-palm heat, difficult defecation, and frequent salivation, the Bathing Method is indicated.
At birth, if the face lacks luster, muscles are thin, stools are watery, the body lacks color, there is frequent choking and hiccups, and the eyes lack brilliance, the Bathing Method is indicated.
At birth, if there is abundant qi and blood, frequent crying, high fever with a tea-colored hue, red eyes, dark yellow urine, thick stools, and urgent desire to nurse, the Bathing Method is indicated. One must also consider the parents' constitutions: fat parents do not typically produce thin children, nor do thin parents produce fat children.
When external wind-heat enters the infant's umbilicus and flows into the Heart and Spleen meridians, it causes a swollen tongue and dry lips, preventing the mouth from grasping the nipple. The Heart and Spleen should be cooled.