小儿疳眼灸合谷二穴各一壮取法在手大指次指两骨间陷中是穴
小儿疳痢脱肛体瘦渴饮形容憔悴诸般医治不瘥灸尾翠骨上三寸骨陷间三壮岐伯云兼三伏
内用桃枝柳枝煎水浴孩子午正时当日灸之后用清帛拭兼有似见疳虫随汗出也此法神效
小儿羸瘦饮食少进不生肌肉灸胃俞二穴各一壮取法在十二椎下两傍各一寸半陷中是穴
脉经曰小儿脉沉而数者骨间有热欲以腹按清冷也○难经曰热病之脉阴阳俱浮浮之而滑沉
之散涩○脉诀启蒙曰小儿脉八至九至为发热○浮大数为风热
全婴方论云凡人之热必乘阳邪而发经云邪之所凑其气必虚留而不去其病则实邪正分争客
搏于
皮肤或恍惚而啼叫或闷乱而喘粗其变多端或在表或在里或似实或似虚或半表而半里或半实而
半虚盖小儿气禀纯阳脏腑生热阴阳气变熏蒸于外致令身热也夫肝热则两眼赤痛流泪羞明或生
翳障心热则口内生疮小便赤肿淋沥不通肺热则鼻衄不止大腑秘结脾热则多涎沫口内长流心脾
热
则生重舌木舌胃热则口作臭肾热则耳聋或出脓汁至于五脏蕴蓄风热毒瓦斯则令面赤如绯五心烦
热四肢温壮痰涎壅盛目涩多渴若上冲咽喉则与气血相搏结聚壅盛而成喉闭危在顷刻也内经刺
热篇云脾热病者左颊先赤心热病者额上先赤肺热病者鼻上先赤肝热病者右颊先赤肾热病者颐
间先赤虽未发见赤色者刺之名曰治未病其五脏所主热各不同是不可以概论也大抵热则生风风
则生悸矣
小儿疳眼,灸合谷穴两侧各一壮。取穴方法:在手部大拇指与食指两骨之间的凹陷处即是该穴。
小儿疳痢、脱肛、身体消瘦、口渴饮水、面容憔悴,各种治疗方法均无效时,灸尾骶骨上方三寸处的骨陷间,施灸三壮。岐伯说:兼用三伏天(初伏、中伏、末伏)进行。内服桃枝、柳枝煎水给患儿洗澡,时间在中午时分;当天施灸后,用干净的丝帛擦拭,有时可见类似疳虫随汗液排出。此法神效。
小儿羸瘦、饮食减少、不长肌肉,灸胃俞穴两侧各一壮。取穴方法:在第十二胸椎棘突下旁开一寸半的凹陷处即是该穴。
《脉经》说:小儿脉象沉而数的,是骨间有热,想要通过用手按压腹部来感知冷热。○《难经》说:热病的脉象,阴部和阳部的脉搏都浮大,轻取感觉滑利,重按感觉散涩。○《脉诀启蒙》说:小儿脉搏每呼吸一次跳动八至九次,属于发热。○脉象浮大数,主风热。
《全婴方论》说:凡是人的发热,必定是乘着阳邪而发作。经文说:邪气聚集的地方,正气必然虚弱;邪气停留不去,病势就会变得实盛。邪正分争,客邪搏结于皮肤,或者恍惚啼叫,或者闷乱喘粗,其变化多种多样。有的在表,有的在里,有的似实,有的似虚,有的在半表半里,有的在半实半虚。大概因为小儿禀赋纯阳,脏腑生热,阴阳之气变化,熏蒸于外,导致身体发热。肝热则两眼红痛、流泪、羞明,或者生翳障;心热则口中生疮、小便赤肿、淋漓不通;肺热则鼻衄不止、大便秘结;脾热则多涎沫、口内流涎;心脾热则生重舌、木舌;胃热则口作臭气;肾热则耳聋或流出脓汁。至于五脏蕴蓄风热毒瓦斯,则令面色红如绯色,五心烦热,四肢温热,痰涎壅盛,眼睛干涩多渴。如果上冲咽喉,则与气血相搏结聚,壅盛而成喉闭,危在顷刻。《内经·刺热篇》说:脾热病患者左颊先红,心热病患者额上先红,肺热病患者鼻上先红,肝热病患者右颊先红,肾热病患者颐间先红。虽然尚未发病,但见赤色就针刺,这叫治未病。这五脏所主的热各不相同,不可以一概而论。大体上说,热则生风,风则生悸。
For pediatric gan eye disease (malnutrition with eye involvement), moxa the Hegu (LI4) acupoint on both sides, one mound each. The method for locating this point: it is located in the depression between the two bones of the thumb and index finger of the hand.
For pediatric gan dysentery, rectal prolapse, emaciation, thirst with drinking, haggard appearance, when various treatments fail to cure, moxa the depression between the bones three cun above the coccyx, three mounds. Qibo stated: combine with the Sanfu days (Dog Days). Internally, decoct peach branches and willow branches to bathe the child at noon; after moxibustion on that day, wipe with clean silk cloth, sometimes resembling gan worms are discharged with sweat. This method is miraculous.
For pediatric emaciation, poor appetite, failure to gain muscle mass, moxa the Weishu (BL21) acupoint on both sides, one mound each. The method for locating this point: it is located in the depression 1.5 cun lateral to the spinous process of the twelfth thoracic vertebra.
The Mai Jing (Pulse Classic) states: If a child's pulse is deep and rapid, there is heat in the bones; one desires to press the abdomen to perceive coldness. ○ The Nan Jing (Classic of Difficult Issues) states: For heat diseases, the yin and yang pulses are both floating; superficial palpation feels slippery, while deep palpation feels scattered and choppy. ○ The Mai Jue Meng Qi (Enlightenment of Pulse Secrets) states: A child's pulse beating eight or nine times per respiration indicates fever. ○ Floating, large, and rapid pulses indicate wind-heat.
The Quan Ying Fang Lun (Treatise on Formulas for Infants) states: Generally, human fever must arise by riding upon yang pathogenic factors. The classic states: Where pathogenic factors gather, qi is necessarily deficient; if they remain and do not depart, the disease becomes excess. Pathogenic and righteous qi contend, external pathogens clash with the skin, causing either恍惚 (trance-like crying) or stifled confusion with coarse breathing; its variations are numerous. It may be in the exterior, in the interior, appear like excess, appear like deficiency, be half-exterior and half-interior, or half-excess and half-deficiency. Basically, because children possess pure yang constitution, internal organs generate heat, yin and yang qi transform and steam outward, causing body heat. Liver heat causes red and painful eyes, tearing, photophobia, or formation of corneal opacities; Heart heat causes sores in the mouth, red and swollen urine, dribbling obstruction; Lung heat causes persistent epistaxis, constipation; Spleen heat causes excessive saliva and drooling from the mouth; Heart-Spleen heat causes double tongue and wooden tongue; Stomach heat causes foul breath; Kidney heat causes deafness or discharge of pus. As for wind-heat toxic vapors accumulated in the five zang organs, it causes the face to turn red like crimson, five-palm heat, warmth of the four limbs, phlegm-saliva congestion, dry eyes and excessive thirst. If it rushes upward to the throat, it clashes with blood and qi, accumulating and congesting to form throat closure (hou bi), which is critical within moments. The Ci Re Pian (Acupuncture for Heat Chapter) of Nei Jing states: Patients with Spleen heat disease have redness first appearing on the left cheek; patients with Heart heat disease have redness first appearing on the forehead; patients with Lung heat disease have redness first appearing on the nose; patients with Liver heat disease have redness first appearing on the right cheek; patients with Kidney heat disease have redness first appearing on the chin. Although the disease has not yet manifested, seeing redness warrants acupuncture, called treating before disease arises. The heat governed by each of the five zang organs is different and cannot be generalized. Broadly speaking, heat generates wind, and wind generates palpitations (ji).