夜啼小儿藏冷也阴盛于夜则冷动冷动则为阴极发燥寒盛作疼所以夜啼而日歇也钓藤散主
之
钓藤散
钓藤 茯神 茯苓 川芎 当归 木香(各一钱) 甘草(半钱)
上末每服一钱姜枣略煎服其或心热而烦啼必有脸红舌白小便赤涩之证钓藤散去当归木香
加朱砂末一钱研和每服一钱木香煎汤调下又
有触犯禁忌而夜啼者醋炭熏服苏合香丸急以术驱之
胸高肿满其状如龟此肺经受热所致也乳母酒面无度或夏月热烦热乳与儿得之或乳母多食
五辛亦成此候
川大黄(三分焙) 天门冬(去心) 杏仁(去皮尖) 百合 木通 桑白皮(炒) 甜葶苈(
炒烂) 石膏
上末炼蜜丸绿豆大每服五丸食后临卧熟水化下
婴儿生下不能保护客风吹脊入于骨髓故也或小儿坐早亦致伛偻背高如龟背矣然此多成痼
疾间
有灼艾收功肺俞穴第三椎骨下两傍各一寸半膈俞穴第七椎骨下各一寸半以小儿中指中节为一
寸艾炷如小麦大但三五壮为止
安脐散 治脐中汁出或赤肿
白石脂末(焙出火气敷之日三度或油发灰敷或当归末敷)
脐疮
当归末敷或虾蟆灰敷亦好
小儿禀受不足血气不充故肌肉瘦薄骨节呈露如鹤之膝抑亦肾虚得之肾虚则精髓内耗肤革
不荣
易为邪气所袭日就枯悴其殆鹤膝之节乎钱氏地黄丸本方加鹿茸酥炙牛膝各三钱修合服饵一同
三岁以上与十五丸
小儿夜间啼哭,是因为体内寒邪潜伏。阴气在夜间旺盛,寒气随之发动;寒气发动则导致阴极生燥,寒盛作痛,因此出现夜间啼哭、白天停止的症状。治疗以钓藤散为主方。
钓藤散
组成:钓藤、茯神、茯苓、川芎、当归、木香(各一钱),甘草(半钱)。
用法:将上述药物研为细末,每次服用一钱,加入生姜、大枣,略加煎煮后服用。如果患儿因心热而烦躁啼哭,必定伴有脸红、舌苔白、小便赤涩等症状,此时应去掉钓藤散中的当归和木香,加入朱砂末一钱,研磨混合均匀,每次服用一钱,用木香煎汤调服。另外,也有因触犯禁忌而导致夜间啼哭的,可用醋炭熏蒸,并服用苏合香丸,急迫地驱除邪气。
胸高肿满,形状像乌龟,这是肺经受热所致。乳母饮酒无度,或在夏季天气炎热烦躁时给婴儿哺乳,或者乳母多吃五辛食物,也会导致这种病症。
处方:川大黄(三分,焙干)、天门冬(去心)、杏仁(去皮尖)、百合、木通、桑白皮(炒制)、甜葶苈(炒烂)、石膏。
用法:将上述药物研为细末,用炼蜜制成如绿豆大小的丸剂,每次服用五丸,饭后及临睡前用温开水化开服用。
婴儿出生后未能得到妥善保护,客风侵入脊柱进入骨髓,因此导致此病。或者小儿坐得过早,也会导致背部弯曲高耸,状如龟背。然而这大多形成顽固性疾病,间或有通过艾灸取得疗效的案例。取肺俞穴(位于第三椎骨下两旁各一寸半处)、膈俞穴(位于第七椎骨下两旁各一寸半处),以小儿中指中节长度为一寸标准,艾炷大小如小麦粒,仅灸三至五壮即止。
安脐散:治疗肚脐渗液或红肿。
用法:使用白石脂末(焙干去除火气)敷贴,每日三次;或使用油发灰敷贴,或使用当归末敷贴。
小儿先天禀赋不足,血气不充盈,因此肌肉瘦薄,骨节显露,如同鹤膝之状,这也是肾虚所致。肾虚则精髓内耗,皮肤失去荣养,容易受到邪气侵袭,日渐枯槁憔悴,这大概就是鹤膝风这一关节病变吧。采用钱乙的地黄丸原方,加入鹿茸(酥炙)、牛膝各三钱,按规定方法配制服用。三岁以上的儿童,每次服用十五丸。
Infants crying at night is due to latent cold in the body. Yin qi prevails at night, causing cold to move; when cold moves, it leads to extreme yin generating dryness, and excessive cold causes pain, hence the crying at night and cessation during the day. The primary treatment is *Dianteng San* (Uncaria Decoction).
*Dianteng San* (Uncaria Decoction)
Ingredients: Uncariae Ramulus cum Uncis (*Gouteng*), Poria (*Fushen*), Poria (*Fuling*), Ligusticum Chuanxiong Rhizoma (*Chuanxiong*), Angelicae Sinensis Radix (*Danggui*), Aucklandiae Radix (*Muxiang*) (each 1 qian), Glycyrrhizae Radix et Rhizoma (*Gancao*) (0.5 qian).
Usage: Powder the above ingredients. Take 1 qian per dose, add fresh ginger and jujube, simmer slightly, and administer. If the infant cries with restlessness due to Heart heat, symptoms such as facial redness, white tongue coating, and dark, scanty urine will necessarily be present. In this case, remove *Danggui* and *Muxiang* from *Dianteng San*, add 1 qian of Cinnabar powder (*Zhusha*), grind and mix well. Take 1 qian per dose, mixed with water decocted from *Muxiang*. Additionally, some infants cry at night due to violating taboos; fumigate with vinegar-charcoal and administer *Suhe Xiang Wan* (Styrax Pill) to urgently expel the pathogenic factor.
Chest protrusion and fullness, resembling a turtle's shell, is caused by Heat affecting the Lung Meridian. This can result from the nursing mother drinking excessively, breastfeeding during summer heat and irritability, or the nursing mother consuming too much of the "Five Pungent Spices" (*Wuxin*).
Prescription: Rhei Radix et Rhizoma (*Chuan Dahuang*) (3 fen, roasted), Asparagi Radix (*Tianmendong*) (core removed), Armeniacae Semen Amarum (*Xingren*) (skin and tips removed), Lilii Bulbus (*Baihe*), Akebiae Caulis (*Mutong*), Morus Alba Cortex (*Sangbaipi*) (stir-fried), Descurainiae Semen (*Tian Tingli*) (stir-fried and crushed), Gypsum Fibrosum (*Shigao*).
Usage: Powder the above ingredients, bind with refined honey into pills the size of mung beans. Take 5 pills per dose after meals and before bed, dissolved in warm water.
If an infant is not properly protected after birth, exogenous wind may invade the spine and enter the bone marrow. Alternatively, sitting too early can also lead to kyphosis with a high back resembling a turtle shell. However, this often becomes a chronic disease; occasionally, moxibustion yields results. Locate Feishu (BL13) [located 1.5 cun lateral to the lower border of the spinous process of the 3rd thoracic vertebra] and Geshu (BL17) [located 1.5 cun lateral to the lower border of the spinous process of the 7th thoracic vertebra]. Use the middle segment of the infant's middle finger as 1 cun standard. Moxa cones should be the size of a wheat grain, stopping after 3-5 moxa cones (zhuang).
*Anqi San* (Navel-Anchoring Powder): Treats oozing or redness and swelling of the umbilicus.
Usage: Apply calcined Halloysitum Rubrum (*Baishizhi*) powder (roasted to remove fire toxicity) to the area, three times daily; or apply ash from burnt hair (*Youfa Hui*); or apply *Danggui* powder.
Umbilical Ulcer:
Usage: Apply *Danggui* powder, or ash from toad (*Hamagui Hui*), which is also effective.
Infants with insufficient congenital endowment have deficient Qi and Blood, resulting in thin muscles and exposed joints, resembling the knees of a crane. This is also attributed to Kidney deficiency. Kidney deficiency leads to internal depletion of essence and marrow, causing the skin and integument to lose nourishment. They are easily attacked by pathogenic factors, becoming increasingly emaciated and withered. This is likely the joint pathology known as Crane-Knee Disease (*He Xi*). Use Qian Yi's *Dihuang Wan* (Rehmannia Pill) as the base formula, adding processed Antler (*Lurong*) and Achyranthes Bidentata Root (*Niuxi*) (each 3 qian). Prepare and administer according to standard methods. For children over three years old, administer 15 pills per dose.