典藏书目

The ear is the external manifestation of the Kidney. When a child's Kidney Qi is substantial, heat rushes upward to the ear, causing body fluids to stagnate and accumulate, resulting in thick pus or clear fluid; this is the cause of otorrhea (ear discharge). There are also cases where water enters the ear during bathing, moisture lingers, interacts with Blood and Qi, generates heat, and also leads to purulent discharge from the ear. If not cured for a long time, it may develop into deafness; Longgu San (Dragon Bone Powder) should be used as the primary treatment. Furthermore, Tang Shi stated there are five types of "Ting Er" (stagnant ear) syndromes: Ting Er is characterized by frequent yellow pus discharge; Nong Er (Pus Ear) is characterized by frequent red pus discharge; Chan Er (Entangled Ear) is characterized by frequent white pus discharge; Wu Er (Five Ears) presents with foul odor resembling gangrene inside the ear; Zhen Er (Vibrating Ear) presents with empty ringing in the ear and intermittent green pus discharge. Although these five conditions present differently, their source is identical: they all result from water entering the ear combined with accumulated heat obstructing upward. If not treated early, it will eventually lead to deafness. Yanzhi Gao (Carmine Ointment) is suitable for treatment, along with administering detoxifying and antipyretic agents, which will lead to recovery.

Qian Yi said: Redness inside the eyes indicates accumulated heat in the Heart attacking upward; Daochi San (Guiding Out Redness Decoction) should be used. Pale yellow color indicates deficient Heat in the Heart; Shengxi San (Fresh Rhinoceros Horn Powder) should be used. Greenish hue indicates Liver Heat; Xiegan Wan (Drain the Liver Pill) should be used. Yellow color indicates Spleen Heat; Xiehuang San (Drain the Yellow Powder) should be used. Blurred vision without swelling, pain, redness, or pterygium, or seeing black spots and lacking luster in the eyes, indicates deficiency of both the Liver and Kidney. Cool-natured medicines should not be administered immediately; Dihuang Wan (Rehmannia Pill) should be used. If varicella lesions invade the eyes, Jueming San (Cassia Seed Powder) or Mimenghua San (Blossom of Calycophyllum Powder) should be used. For newborns whose eyes remain closed, this is caused by the mother consuming hot or toxic foods during pregnancy. The treatment involves washing the eyes with steam-distilled water containing a small amount of Bear Bile (Xiong Dan), seven times a day. If the eyes do not open after three days, Shengdihuang Tang (Fresh Rehmannia Root Decoction) should be taken orally, and the nursing mother should consume Shan Yinchen Tang (Mountain Artemisia Decoction). All newborns must be cleaned thoroughly; if not cleaned properly, impure fluids will soak into the eyes, causing redness and ulceration that persists for a long time. Maternal consumption of hot foods or drugs is termed "Tai Chi" (Fetal Redness). Additionally, difficult labor can cause stagnant fetal Qi and slow movement, leading to blood pressure on the infant's head, causing blood to splash and seep downward. Severe cases involve blood flooding the eyes, obscuring the pupil; mild cases involve swelling and redness of the eyelids and marginal ulceration. Administering cool-natured medicines will inevitably chill the Zang-Fu organs; Shengdihuang Tang should be used instead.

Koumi (Mouth Ulcer/Mucositis) results from Heat transferring from the Bladder to the Small Intestine, causing obstruction in the diaphragm and intestines, with Heat rising to form mouth ulcers. Stagnation in the Heart and Stomach prevents food and water from descending into the Small Intestine. Daochi San is used to clear Heat from the Small Intestine, and Wuling San (Five-Ingredient Powder with Poria) is used to drain Heat from the Bladder; therefore, Daochi San combined with Wuling San is used. Egukou (Goat Mouth/Thrush) refers to white patches covering the tongue in newborns, resembling a goat's mouth, hence the name. This is due to Fetal Heat being most prevalent in the Heart and Spleen, manifesting severely in the mouth. Wrap cotton around a finger, dip it in natural Mint Juice (Bohe Ziran Zhi), and wipe the inside of the mouth. If the patches do not detach, wipe with concentrated cooked millet juice, then apply Huangdan (Lead Oxide, processed to remove toxicity) to the affected area. Kou Chuang (Mouth Sores) occurs because infants are overdressed/warmed excessively, causing accumulated Heat in the Heart to steam upward. Nanxing Mo (Arisaema Powder) mixed with vinegar should be applied to the soles of the feet. The nursing mother should take Xixin San (Cleanse the Heart Powder), primarily using Xixin Tang (Drain the Heart Decoction). Zhu Danxi stated: A child suffered from mouth sores and could not eat. Others treated it as Huhuo Disease (Fox Infestation Syndrome), which would certainly lead to death. Instead, soaking the feet in Fan Tang (Alum Water) for half a day provided immediate relief. Then, Huangbai (Phellodendron Bark, honey-fried) and Jiangcan (Silkworm, stir-fried) were ground into powder and applied to the site, leading to immediate recovery and safe breastfeeding.

The nose is the orifice of the Lung. Obstruction arises when diseases affect the Heart and Lung located above. Cold and Heat indicate that pathogenic factors have damaged the skin and hair, causing Qi mechanism dysfunction and obstruction of the clear pathways. Thus, nasal congestion in children occurs because Lung Qi connects to the nose. Since Qi is Yang, if it is stagnated by Wind-Cold, the nostrils open, resulting in congestion. Cold Qi fails to retain body fluids, leading to excessive runny nose. If Cold Qi lingers, purulent mucus accumulates, causing anosmia (loss of smell); this is Bi Yuan (Nasal Sinusitis). If accompanied by Heat, the nose becomes dry, hindering feeding. Furthermore, a child's innate constitution and fetal Qi are substantial. The Three Passages, Nine Orifices, Five Zang, and Six Fu organs communicate internally and externally, breathe up and down, and circulate through the hundred vessels. When Zheng Qi (Upright Qi) is smooth and the San Jiao (Triple Burner) is unobstructed, it is due to the natural Qi coordinating with Yuan Ming (Original Life). However, newborns at three days, five days, six mornings, or one month old may suddenly experience nasal congestion, inability to open the mouth to suckle, and breathing difficulties. This is often caused by the nursing mother exhaling breath onto the infant's fontanelle while sleeping unaware, or by using cold water for bathing without adequate ventilation, allowing Wind-Cold pathogens to enter and cause nasal congestion.