一平素产子有脐风,则胎胎不爽。于产下第二日,勿待其发,先以此火散之,百不失一。
一胎婴生下,多啼不乳,喷嚏呵欠,吮乳口松,是即脐风作矣。急以此火散之。
一凡儿病面青面黑,扭项摇头,仰身擦面,或眼青怒视,或左右斜视,或上下窜视,或两目连扎,或头项
牵强,蜷舌露筋,嘘风撮口,啼哭咬人,或手如数物,或两手牵引,或两足跳掣,忽扰忽乱,失张失志,但
觉神情与常有异者。由从前表里不清,将欲作痉,此火至妙。
一伤寒已痉,角弓反张,眼目斜视,左右搐搦,并中恶、客忤、痫证,与食填太阴,及一切风闭、火闭、
痰闭、气闭,乍然卒死者,此火最神。
一食伤脾胃,肚大青筋,于端午日午时,用全身灯火,复于青筋开叉处,以火载之,一
叉一点,其病自消。
一风寒痰气闭塞之证,此火实有神功。凡用灯火既完,候儿啼哭已停,即以金粟丹半丸,姜汤化服。服后,
以衣裹之,蒙其头面,令之安卧片时,以复其神志,其病如失。
一小儿四时伤风感冒,身热自汗,大小便调,唇舌如常,口不作渴,此表病轻证也,疏解之则愈。愚人妄
用,是谓轻病重治,反为不详。
一小儿邪已入里,身热面赤口渴,大小便秘,唇焦舌紫眼红,或手足心热,夜热焦烦,舌上黄胎,扬手掷
足,掀衣揭覆,此里证内热也。清利之自愈,不可用火,强用,不特不能使热邪从里以达表,适足以助热而耗
阴,致身热不退,在夏秋燥令,尤为大忌。
一小儿大病久病,身体怯弱,面目青黄,唇舌白莹,摇头斜视,昏睡露眼,形骸消瘦,声息轻微,自汗盗
汗,或一切呕吐泻利,痘麻疮痈,久疟久嗽,失血之后,精神疲倦,乳食减少,指纹沉细,六脉无神,此皆虚
极之证。切忌火攻,虑其升故也。
一切久热消渴疳证,形骸黑瘦,毛发焦枯,由阴亏血弱,虚热所为。误用灯火,愈增其病,慎之!
一灯火为儿科切要。今医家不特不明火穴,而并不辨寒热虚实,不当用而用之,反为大害。惟根据以前辨法,
则用之无不当矣。
夏禹铸曰∶脐风初发,吮乳必口松,两眼角挨眉心处,忽有黄色,宜急治之,治之最易;黄色到鼻,治之
仍易;到人中、承浆,治之稍难,口不撮,微有吹嘘,犹可治也。至唇口收束锁紧,舌头强直,不必治矣。一
见眉心鼻准有黄色,即用灯火于囟门一 ,人中、承浆,两手大拇指端少商各一 ,脐轮绕脐六 ,脐带未落,
于带口一 ,既落,于落处一 ,共一十三 ,风便止而黄即退矣。
予按∶古今灯火,惟上全身火,有经有
府,有理有法,无有出其右者。第火穴多,恐仓卒之际,在娴熟者不难,倘素未经练者,一时不能用,故附夏
氏脐风火图于此,庶忙迫之时,可以济急。此火亦曾经验,第不及全身灯火耳。
\r夏禹铸脐风火图\p03-b34a4.bmp\r
一、如果婴儿平素患有脐风,那么每一胎出生时都不顺畅。在婴儿出生的第二天,不要等待病症发作,先用这种灯火疗法来驱散病邪,几乎百发百中。
二、刚出生的婴儿,如果多啼哭而不吃奶,打喷嚏、打哈欠,吸吮乳汁时口唇松弛,这就是脐风即将发作的征兆。应立即用这种灯火疗法治疗。
三、凡是患儿面色青黑,颈部僵硬摇头,身体后仰擦面,或者眼睛发青怒视,或向左右斜视,或上下窜动视物,或两眼频繁眨动,或头项强直拘急,卷舌露筋,发出吹嘘声并撮口,啼哭咬人,或者手像数东西一样抽动,或两手牵引抽搐,或两足跳跃掣动,忽而扰乱忽而混乱,失神失志,只要觉得神情与平时不同。这是由于此前表里不清,将要发生痉病,这种灯火疗法极为巧妙有效。
四、伤寒已经发生痉病,出现角弓反张,眼目斜视,左右抽搐,以及中恶、客忤、痫证,还有食积填塞太阴脾经,以及一切风闭、火闭、痰闭、气闭导致的突然死亡,这种灯火疗法最为神奇。
五、饮食损伤脾胃,导致腹部胀大且皮下青筋暴露,在端午日午时,使用全身灯火疗法,然后在青筋分叉的地方,用灯火灸治,一个分叉灸一点,疾病自然消除。
六、风寒痰气闭塞的证候,这种灯火确实有神奇功效。凡是用完灯火疗法后,等候婴儿啼哭停止,立即给半丸金粟丹,用姜汤化开服用。服药后,用衣服包裹住婴儿,蒙住其头面部,让其安静躺卧片刻,以恢复其神志,疾病就像消失了一样。
一、小儿四季伤风感冒,身体发热自汗,大小便正常,嘴唇舌头如常,口不渴,这是表证的轻症,疏风解表即可痊愈。愚昧之人胡乱使用(灯火),这叫轻病重治,反而带来不祥。
一、小儿病邪已入里,身体发热面赤口渴,大小便秘结,嘴唇焦裂舌头紫暗眼睛红,或者手足心热,夜间烦躁发热,舌苔黄厚,扬手掷足,掀衣揭被,这是里证内热。清热利湿即可自愈,不可用火,强行用火,不仅不能使热邪从里达表,反而助长热邪耗伤阴液,导致身热不退,在夏秋燥令时节,尤为大忌。
一、小儿大病久病,身体怯弱,面目青黄,嘴唇舌头白润,摇头斜视,昏睡露睛,形体消瘦,声音气息轻微,自汗盗汗,或者一切呕吐泻利,痘疹疮痈,久疟久咳,失血之后,精神疲倦,乳食减少,指纹沉细,六脉无神,这些都是极度虚弱的证候。切忌用火攻,担心其升散太过。
一、一切久热消渴疳证,形体黑瘦,毛发焦枯,由阴亏血弱,虚热所致。误用灯火,会加重病情,务必谨慎!
一、灯火是儿科的关键要法。现在的医生不仅不明白火穴,而且不辨别寒热虚实,不该用的时候用了,反而造成大害。只有根据前面的辨证方法,使用才没有不当之处。
夏禹铸说:脐风初发时,吸吮乳汁必然口唇松弛,两眼角靠近眉心处,忽然出现黄色,应当紧急治疗,治疗最容易;黄色蔓延到鼻子,治疗仍然容易;到达人中、承浆穴,治疗稍难,口不撮紧,微有吹嘘声,还可以治疗。到了唇口收束锁紧,舌头强直,就不必治疗了。一见眉心鼻准有黄色,就用灯火在囟门灸一壮,人中、承浆各一壮,两手大拇指端少商穴各一壮,脐轮绕脐灸六壮,脐带未脱落,在带口灸一壮,既已脱落,在脱落处灸一壮,共十三壮,风邪便止而黄色即退。
我按语:古今的灯火疗法,只有上述全身火法,有经络脏腑之分,有理法依据,没有能超过它的。只是火穴较多,恐怕仓促之间,对熟练者不难,如果平时未曾练习的人,一时无法运用,所以附上夏氏脐风火图于此,以便在忙迫之时可以救急。此法也曾经验过,只是不及全身灯火全面罢了。
One, if an infant has historically suffered from neonatal tetanus (Umbilical Wind), every birth may be obstructed. On the second day after birth, do not wait for symptoms to manifest; first apply this lamp-moxibustion therapy to disperse the pathogen, with nearly 100% efficacy.
Two, newborn infants who cry excessively without nursing, sneeze, yawn, and have loose lips when attempting to suckle are showing early signs of impending neonatal tetanus (Umbilical Wind). Immediately treat with this lamp-moxibustion therapy.
Three, in cases where a child presents with cyanotic or dark facial complexion, neck stiffness with head shaking, hyperextension of the body with face rubbing, cyanotic eyes with angry staring, lateral or vertical gaze deviations, frequent blinking, nuchal rigidity, tongue retraction with visible tendons, whistling sounds with puckered mouth, crying while biting, hand movements resembling counting or pulling, leg jerking, sudden agitation or confusion, loss of spirit and will, provided the demeanor differs from usual: these indicate that prior exterior-interior disharmony is about to develop into convulsions (Jing Syndrome). This lamp-moxibustion therapy is extremely effective.
Four, for tetanus resulting from Cold Damage (Shanghan) presenting with opisthotonos, lateral gaze deviation, and lateral convulsions, as well as for sudden death due to Evil Invasion (Zhong E), Guest Anger (Ke Wu), epilepsy, food stagnation filling the Taiyin Spleen, and all types of closure syndromes caused by Wind, Fire, Phlegm, or Qi obstruction, this lamp-moxibustion therapy is most miraculous.
Five, for dietary injury to the Spleen and Stomach causing abdominal distension with visible subcutaneous veins, on the noon hour of the Dragon Boat Festival (Duanwu Day), apply the full-body lamp-moxibustion regimen. Then, at each bifurcation point of the visible veins, apply one moxa cone per branch; the disease will naturally resolve.
Six, for syndromes of obstruction caused by Wind-Cold and Phlegm-Qi, this lamp-moxibustion possesses miraculous efficacy. After completing the lamp-moxibustion, wait until the infant stops crying, then administer half a pill of Jin Su Dan (Golden Grain Pill) dissolved in Ginger Decoction. After ingestion, wrap the infant in clothing, cover the head and face, and allow them to lie quietly for a moment to restore their spirit and consciousness; the illness will vanish as if it never existed.
One, for children suffering from common colds in any season, presenting with fever and spontaneous sweating, normal bowel and bladder functions, normal lip and tongue appearance, and no thirst, this is a mild Exterior Syndrome. It resolves with dispersing and resolving methods. Fools mistakenly use lamp-moxibustion here, treating a mild condition severely, which brings misfortune.
One, when pathogens have entered the Interior, presenting with fever, red face, thirst, constipation of urine and stool, cracked lips, purple tongue, red eyes, heat in the palms and soles, night fever with irritability, yellow thick tongue coating, flailing limbs, kicking off covers, this indicates Interior Heat Syndrome. It resolves with clearing and draining methods. Lamp-moxibustion must not be used; forcing fire will not drive heat from the interior to the exterior but will instead assist heat and consume Yin fluids, leading to persistent fever. This is especially taboo during the dry seasons of summer and autumn.
One, for children with severe or chronic illnesses presenting with physical frailty, cyanotic-yellow complexion, white and moist lips and tongue, head shaking with lateral gaze, sleeping with eyes open, emaciation, faint voice and breath, spontaneous and night sweats, or all vomiting and diarrhea, pox/measles/carbuncles, chronic malaria/cough, post-hemorrhagic fatigue, mental exhaustion, reduced milk/food intake, deep and fine pulse patterns, and spiritless six pulses: these are all extreme Deficiency Syndromes. Lamp-attack (fire therapy) is strictly contraindicated, fearing excessive ascending dispersion.
One, for all chronic fevers, Xiao Ke (Wasting and Thirsting), and Gan Syndrome (Infantile Malnutrition) presenting with blackish-thin physique and scorched-dry hair, caused by Yin deficiency and Blood weakness with deficient heat: Misusing lamp-moxibustion will worsen the condition. Be cautious!
One, lamp-moxibustion is crucial in pediatrics. However, modern physicians not only fail to understand the fire acupoints but also fail to differentiate Cold, Heat, Excess, and Deficiency. Using it when inappropriate causes great harm. Only by following the aforementioned differentiation methods can its use be appropriate.
Xia Yuzhu stated: At the onset of Umbilical Wind, sucking implies loose lips. If yellow discoloration suddenly appears near the eyebrows at the inner canthi, urgent treatment is needed and is easiest to cure; if the yellow spreads to the nose, treatment remains easy; if it reaches Renzhong (GV26) and Chengjiang (CV24), treatment becomes slightly difficult, but if the mouth is not puckered and there is slight whistling, it is still treatable. Once the lips and mouth lock tightly and the tongue becomes rigid, treatment is futile. Upon seeing yellow at the glabella and nasal tip, apply one moxa cone at Fontanelle (Baihui/Dazhui area depending on context, here likely referring to anterior fontanelle region), one at Renzhong (GV26), one at Chengjiang (CV24), one at Shaoshang (LU11) on both thumbs, six around the umbilicus, one at the umbilical cord stump before separation, and one at the healing site after separation. Total thirteen cones. The wind will cease and the yellow will recede.
My commentary: Among ancient and modern lamp-moxibustion methods, only the aforementioned full-body regimen has meridians and zang-fu distinctions, principles and methods, surpassing all others. However, the number of points is large. While not difficult for experts in haste, those unpracticed may fail to execute it quickly. Therefore, I append Xia’s Umbilical Wind Fire Diagram here to aid in emergencies. This method has been experienced, though it is less comprehensive than the full-body lamp-moxibustion.