剪脐之法,已详达生编。然或剪脐带太短,或退出不紧,或浴儿牵动脐带客风乘虚而入
,皆能致此。其症有五,儿喜啼叫者,心病;手足微搐者,肝病;唇青白缩、痰涎壅塞者,
脾病;牙关紧急者,肾病;啼哭不止者,肺病。五脏之症,略见一二者,犹可治,全见则不
内因者,禀受父母所致,病发于六七日之间,难治。外因者,病生于六腑,发于二三四
五日之间,可治。但看小儿不时喷嚏,更多啼哭,吮乳口松,是脐风将发之候也,急宜治之
。其治法及满身灯火,俱详《幼幼集成》。
一曰脐风∶由断脐后,为水湿风寒所乘入于脐,而流于心脾,令胸腹胀满,吮乳口松,
多啼不乳,此初起之时,即看小儿脐上定有隐起青筋一条,自脐至腹,或开两叉,上指心口
,若此筋已至心口,则十难活二三矣。须早看此筋未至心口,时用香油灯草火,在此青筋头
上灸三次。有两叉,则向两叉处各灸三次,实时缩下寸许,再从缩下筋头上灸三次,脐上灸
三次,筋消则病愈,灸屡验。
一曰噤口∶其症眼闭口噤,啼声渐小,舌上聚肉如粟米状,吮乳不得,口吐白沫,小便
不通,遇此先看其上 有点子,或齿根边生白点,即用针挑破,或以指甲刮破出脓血,用薄
荷煎汤,磨京墨调匀,以指搅过,再以产母乱发蘸墨,满口搽之。另用青布蘸温水展口即效
。如未愈,用紫苏、前胡、僵蚕各八分,水煎,俟温以帛裹指蘸拭儿口,并用棉蘸药滴口中
,频滴数次,以开口为度,口开后切勿即合饮乳。并细看脐上如有青筋,照前法急烧之。又
方,用完全生葱二根,捣烂取汁,用直僵蚕三个,去嘴,炒去丝,研极细末,以葱汁调匀,
涂母乳头上,合儿吮之,或灌儿口内亦效。又方,治脐风撮口,以艾叶烧灰填脐上,以帛缚
之。若脐带已落,用蒜切薄片贴脐上,以艾灰灸之,候口中有艾气,立愈。又方,乌梅一个
,煎汤灌之。撮口脐风,面黄色,气喘声不出,唇青舌强,聚口发噤,用直僵蚕二枚,去嘴
略炒,为细末,蜜调纳儿口中。小儿十日内,口噤不吮乳,取大蜘蛛一个,去足炙焦,研末
,入猪乳一小杯和匀,分作三次,徐徐灌之,神效无比。又方,生甘草一钱,水煎浓,以绵
球蘸吮含,出痰涎后,以猪乳点入口中即瘥。
一曰锁肚∶由肚中热毒壅盛,结于肛门,大便不通,急令妇人吮儿之前后心并脐下及手
足心共七处,凡四五次。如再不通,以中样葱白约三四寸长,用麻油抹润,轻透谷道,纳入
二寸许,约片时取出。另用葱白蘸麻油纳之,以通为度。
以上治法,俱就《集验简便方》录之,余详《幼幼集成》。
剪断脐带的方法,已在《达生编》中详细说明。然而,如果剪断脐带过短,或者退出不紧,或者给婴儿洗澡时牵动了脐带,导致客风(外感风邪)乘虚而入,都能导致此病。其症状有五种:婴儿喜欢啼叫的,是心病;手足轻微抽搐的,是肝病;嘴唇青白收缩、痰涎壅塞的,是脾病;牙关紧急的,是肾病;啼哭不止的,是肺病。五脏的症状,只见到一两种的,还可以治疗,全部见到则无法治愈。
内因导致的,是由于禀受于父母所致,疾病发作在出生后六七天之间,难以治疗。外因导致的,疾病生于六腑,发作在出生后二三四天之间,可以治疗。只要看小儿不时打喷嚏,更多啼哭,吮乳时口松,这是脐风将要发作的征兆,应当立即治疗。其治疗方法及满身灯火疗法,都详细记载在《幼幼集成》中。
第一种称为脐风:由于断脐后,被水湿风寒所侵袭,侵入脐部,进而流注于心脾,导致胸腹胀满,吮乳时口松,多啼哭而不吃奶。这是初起之时,此时要看小儿脐上必定有一条隐起的青筋,从脐部延伸至腹部,有的分为两叉,向上指向心口。如果这条筋已经到达心口,那么十个人里难得救活两三个。必须尽早观察,在这条筋未到达心口时,经常用香油灯草火,在此青筋头上灸三次。如果有两叉,则向两叉处各灸三次,立刻会缩回一寸左右,再从缩回的筋头上灸三次,在脐上灸三次,筋消则病愈,多次艾灸验证有效。
第二种称为噤口:其症状是眼睛紧闭、牙关紧闭,啼哭声逐渐变小,舌上聚集的肉像粟米状,无法吮乳,口吐白沫,小便不通。遇到这种情况,先看其上是否有红点,或者齿根边生白点,立即用针挑破,或者用指甲刮破流出脓血,用薄荷煎汤,磨京墨调匀,用手指搅过,再用产母乱发蘸墨,涂满口腔。另外用青布蘸温水展开嘴巴即见效。如果未痊愈,用紫苏、前胡、僵蚕各八分,水煎,待温后用丝巾包裹手指蘸拭婴儿口腔,并用棉花蘸药滴入口中,频繁滴几次,以张开嘴巴为度,嘴巴张开后切勿立即喂奶。并仔细查看脐上如有青筋,照前面的方法紧急烧灼。另一个方子,用完整的生葱两根,捣烂取汁,用直僵蚕三个,去掉嘴,炒去丝,研成极细末,用葱汁调匀,涂在母乳头上,让婴儿吮吸,或者灌入婴儿口中也有效。又一个方子,治疗脐风撮口,将艾叶烧成灰填在脐上,用布绑住它。如果脐带已经脱落,用蒜切薄片贴在脐上,用艾灰灸它,等到口中有艾气,立刻痊愈。又一个方子,乌梅一个,煎汤灌服。撮口脐风,面色黄,气喘声音出不来,嘴唇青舌头僵硬,聚口发噤,用直僵蚕二枚,去掉嘴稍微炒一下,研成细末,蜂蜜调匀放入婴儿口中。婴儿十日内,口噤不吮乳,取大蜘蛛一个,去掉脚烤焦,研成末,加入猪乳一小杯和匀,分作三次,慢慢灌服,神效无比。又一个方子,生甘草一钱,水煎浓,用棉球蘸取吮含,吐出痰涎后,用猪乳点入口中即痊愈。
第三种称为锁肚:由于肚中热毒壅盛,结于肛门,大便不通,急忙令妇人吮吸婴儿的前后心以及脐下及手足心共七处,凡四五次。如果再不通,用中等大小的葱白约三四寸长,用麻油抹润,轻轻透入谷道(肛门),纳入约二寸许,大约片刻后取出。另外用葱白蘸麻油纳入,以通畅为度。
以上治疗方法,都是从《集验简便方》中录来的,其余详细内容见《幼幼集成》。
The method of cutting the umbilical cord has been detailed in *Dasheng Bian*. However, if the umbilical cord is cut too short, or not retracted tightly, or if bathing the infant causes traction on the umbilical cord, allowing Ke Feng (external pathogenic wind) to enter through the deficiency, all can lead to this condition. There are five types of symptoms: infants who frequently cry indicate Heart disease; those with slight twitching of hands and feet indicate Liver disease; those with cyanotic and pale lips, contraction, and phlegm-saliva obstruction indicate Spleen disease; those with tight jaw indicate Kidney disease; and those who cry incessantly indicate Lung disease. If only one or two of the Five Zang organ symptoms are present, it is still treatable; if all are present, it is untreatable.
Internal causes stem from congenital endowment inherited from parents; the disease manifests between the sixth and seventh days after birth and is difficult to treat. External causes involve pathogens affecting the Six Fu organs; the disease manifests between the second and fifth days after birth and is treatable. Observe whether the infant sneezes occasionally, cries more than usual, and has a loose mouth when suckling; these are signs that Umbilical Wind is about to manifest, requiring immediate treatment. The treatment methods and full-body moxibustion/lamp-fire therapies are detailed in *Youyou Jicheng*.
The first type is called Umbilical Wind: After cutting the umbilical cord, invasion by water-dampness, wind, and cold enters the navel and flows into the Heart and Spleen, causing chest and abdominal distension, loose mouth during suckling, frequent crying without feeding. At this initial stage, observe a hidden green vein rising on the infant's navel, extending to the abdomen, sometimes bifurcating upwards towards the heart region. If this vein reaches the heart region, only two or three out of ten may survive. One must act early, before the vein reaches the heart region. Frequently apply moxibustion using an oil-soaked rush light at the head of this green vein three times. If bifurcated, apply three times at each branch. It will immediately retract by about one cun. Then apply moxibustion three times at the new tip of the retracted vein, and three times on the navel itself. When the vein disappears, the illness heals; repeated moxibustion has proven effective.
The second type is called Lockjaw (Jinkou): Symptoms include closed eyes and jaw, gradually diminishing cry, flesh on the tongue resembling millet grains, inability to suckle, foaming at the mouth, and urinary retention. Upon encountering this, first check for red spots on the upper area or white spots near the gum line. Immediately puncture them with a needle or scrape them with fingernails until pus and blood emerge. Prepare a decoction of Mint (*Bohe*), grind Peking ink (*Jingmo*) into it, stir well with a finger, then use hair from the mother's head dipped in the mixture to smear inside the mouth. Alternatively, use blue cloth soaked in warm water to gently open the mouth, which yields immediate results. If unresolved, decoct Perilla (*Zisu*), Peucedanum (*Qianhu*), and Silkworm (*Jiangcan*), each 8 fen, in water. Once warm, wrap a finger in silk, dip it in the medicine, and wipe the infant's mouth. Also, drip the medicine into the mouth using cotton, repeating frequently until the mouth opens. Do not feed immediately after opening the mouth. Carefully check the navel for green veins; if present, burn them urgently as described above. Another prescription: Take two whole raw scallions, mash them to extract juice. Use three straight silkworms (*Jiangcan*), remove heads, stir-fry to remove silk threads, and grind into fine powder. Mix with scallion juice and apply to the nipple for the infant to suckle, or administer directly into the mouth. Another prescription for Umbilical Wind and Lockjaw: Burn Mugwort leaves (*Aiye*) to ash, fill the navel with it, and bind securely. If the umbilical cord has already fallen off, slice garlic thinly, apply to the navel, and moxibustion with mugwort ash. When the scent of mugwort is detected in the mouth, recovery is immediate. Another prescription: Decoct one sour plum (*Wumei*) and administer the liquid. For Lockjaw Umbilical Wind presenting with yellowish complexion, wheezing, inability to vocalize, cyanotic lips, stiff tongue, and clenched jaws: Take two straight silkworms (*Jiangcan*), remove heads, lightly stir-fry, grind into fine powder, mix with honey, and place in the infant's mouth. For infants within ten days showing lockjaw and refusal to suckle: Take one large spider, remove legs, roast until charred, grind into powder, mix with a small cup of pig milk, divide into three doses, and slowly administer; this is extremely effective. Another prescription: Decoct one qian of Raw Licorice Root (*Sheng Gancao*) until concentrated. Dip a cotton ball in it for the infant to suckle. After phlegm-saliva is expelled, instill pig milk into the mouth for cure.
The third type is called Locked Belly (Suodu): Caused by excessive heat-toxin in the abdomen accumulating at the anus, resulting in constipation. Urgently have a woman suckle seven points on the infant: anterior chest, posterior back, below the navel, and both palms and soles. Repeat four or five times. If still obstructed, take a medium-sized scallion white segment about 3-4 cun long, lubricate with sesame oil, gently insert into the rectum (Gu Dao) to a depth of about 2 cun, leave for a moment, then remove. Re-insert scallion white dipped in sesame oil until bowel movement is achieved.
The above treatments are recorded from *Jiyan Jianbian Fang*; further details are found in *Youyou Jicheng*.