脱肛因下痢肠虚冷兼用驱气故也。脱囊者,阴核肿大坠下即溃也。小儿多因啼怒驱气(云云),阴气
结聚不散所成也。阴气者,厥气也。二气下流纳于厥阴,与大人之 治法无异。大抵囊因寒则缩,因热
则纵,因湿则重也。
心气蕴热,上气随脉上至于舌,则血脉胀起,渐肿满口塞喉。若不急治,便至危殆。宜先砭射,用紫
雪、朴硝、蒲黄之属饮之。
即惊啼。由风邪乘心,心脏精神不定,故卧不安也;夜啼,脏冷故也。夜,阴气盛,与冷相搏,则冷
动,与脏气相并,或烦或痛,故夜啼。亦有触犯禁忌而啼,可以法术断之。躯啼者,胎伤风冷,邪气与正
气相搏则腹痛,故躯胀蹙而啼。大率治惊啼,则以清肝心、镇神安魂之剂;治夜啼,则以温平和利气血之
剂;治躯啼亦然。《三因》以夜啼有四∶曰寒,曰热,曰重舌口疮,曰客忤。腹痛,其啼面青白,口有冷气,
腹亦冷,曲腹而啼,此寒症也;心燥面赤,小便赤,口中热,腹暖,啼或有汗,仰身而啼,此热症也;客忤
见生人之气,忤犯而啼也。治冷症以大蒜、乳香和丸服,热症以灯花散;重舌以炒蒲黄掺舌,口疮以牡蛎、
甘草掺口中;客忤以灶中土、蚯蚓粪,水和涂儿头上及五心。由此而言,方不在备也。
脱肛是因为下痢导致肠道虚弱寒冷,再加上使用行气药物所致。脱囊是指阴囊肿大下垂甚至溃烂。小儿多因啼哭愤怒导致气机逆乱(原文省略),加上阴气结聚不散而形成。所谓阴气,就是厥气。这两种气下行进入厥阴经,其治疗方法与成人无异。大抵而言,阴囊遇寒则收缩,遇热则松弛,遇湿则沉重。
心气蕴积热邪,上行之气随经脉上行至舌部,导致血脉胀起,逐渐肿胀充满口腔甚至堵塞咽喉。如果不紧急治疗,就会危及生命。应当先用砭石刺破出血,然后服用紫雪、朴硝、蒲黄等药物。
钱乙(字仲阳)用地黄丸来补肾,这与前文所述治法不同,但实质上是相同的。
惊啼是由于风邪侵袭心脏,导致心脏精神不安定,所以睡眠不安稳;夜啼则是由于内脏寒冷所致。夜间阴气旺盛,与寒气相搏结,导致寒气发动,与脏气相结合,引起烦躁或疼痛,所以在夜间啼哭。也有因为触犯禁忌而啼哭的,可以用法术来制止。躯啼是因为胎中受风冷伤害,邪气与正气相搏结导致腹痛,所以身体蜷缩紧缩而啼哭。大致来说,治疗惊啼,用清肝心、镇神安魂的药物;治疗夜啼,用温和平利气血的药物;治疗躯啼也是如此。《三因方》认为夜啼有四种情况:寒证、热证、重舌口疮、客忤。如果腹痛,啼哭时面色青白,口中呼出冷气,腹部也冷,蜷曲腹部啼哭,这是寒证;如果心躁面赤,小便赤红,口中发热,腹部温暖,啼哭时可能有汗,仰身啼哭,这是热证;客忤是因见到生人的气息,被冲犯而啼哭。治疗寒证用大蒜、乳香和丸服用,治疗热证用灯花散;重舌用炒过的蒲黄撒在舌上,口疮用牡蛎、甘草撒在口中;客忤用灶心土、蚯蚓粪,用水调和涂抹在婴儿头部及手心、脚心。由此看来,方剂并不在于齐全完备。
Hemorrhoid prolapse (Tuogang) occurs due to intestinal deficiency and cold resulting from dysentery, compounded by the use of Qi-moving medications. Scrotal prolapse (Tuonang) refers to the swelling, descent, and subsequent ulceration of the scrotum. In infants, this is often caused by crying and anger leading to rebellious Qi (Qiqu), combined with the accumulation and failure to disperse of Yin Qi. The so-called Yin Qi is Jue Qi. These two types of Qi flow downward into the Jueyin meridian, and its treatment method is no different from that for adults. Generally speaking, the scrotum contracts when exposed to cold, relaxes when exposed to heat, and feels heavy when exposed to dampness.
When Heart Qi accumulates heat, ascending Qi follows the meridians upward to the tongue, causing blood vessels to swell. This gradually leads to swelling filling the mouth and blocking the throat. If not treated urgently, it becomes critical. One should first use bian stone (Bianshi) to prick and bleed, then administer substances such as Zixue (Purple Snow), Puxiao (Mirabilite), and Puhuang (Pollen Typhae).
Qian Zhongyang (Qian Yi) uses Dihuang Wan (Rehmannia Pill) to tonify the Kidney. Although this differs from the aforementioned method, the essence is the same.
Jingti (Startle Crying) arises when Wind Evil attacks the Heart, causing the Heart Spirit to become unsettled, leading to restless sleep. Yeti (Night Crying) is due to internal cold. At night, Yin Qi is abundant; when it combats with Cold, the Cold moves and combines with the Zang Qi, causing irritability or pain, hence the crying at night. There are also cases where crying results from violating taboos, which can be stopped using magical methods. Quti (Body Crying) is caused by fetal injury from Wind and Cold; when Evil Qi combats with Healthy Qi, abdominal pain occurs, causing the body to curl up and cry. Generally, Jingti is treated with formulas that clear the Liver and Heart, and calm the Spirit and anchor the Soul. Yeti is treated with formulas that warm and harmonize Qi and Blood. Quti is treated similarly. *San Yin Fang* states there are four types of Yeti: Cold, Heat, Chongshe (Heavy Tongue) and Mouth Sores, and Keyu (Guest Intoxication/Stranger Shock). If accompanied by abdominal pain, with a bluish-white face, cold breath, cold abdomen, and crying while curling the abdomen, this is a Cold pattern. If the Heart is restless with a red face, dark urine, hot mouth, warm abdomen, crying with possible sweating, and crying while lying on the back, this is a Heat pattern. Keyu involves crying due to being offended by the aura of strangers. Cold patterns are treated with pills made of Garlic and Ruxiang (Frankincense); Heat patterns are treated with Denghuasan (Lamp Wick Powder); Chongshe is treated by sprinkling stir-fried Puhuang on the tongue; Mouth Sores are treated by sprinkling Muli (Oyster Shell) and Gancao (Licorice Root) in the mouth; Keyu is treated by mixing Zaotongtu (Stove Earth) and Qiuyinfen (Earthworm Feces) with water and applying it to the infant's head and five centers (palms and soles). Thus, it can be seen that formulas need not be exhaustive.