议曰婴孩口古生疮乃心脾受热流沫烦啼盛则不乳妙药良方已载于后然牙儿吻乳之初口内
生白
烦躁骇人者莫知其由将谓神祟使之究竟其理母于未诞之月恣饮酣酗贪食肥腻热毒胎气所受其
儿脱胎之后所袭热毒之气悉皆散出于表舌系于心唇于于脾所言心脾热是也欲以下其气未可利
脏腑但以吴茱萸末米醋调敷脚心移夜即愈药性虽热能引热就下其功至良又有心肺热者疮溃颐
颡初作数点胭脂红渐散斑驳如丹加之身体有热连翘饮主之但禁火气余无恙矣
议曰婴孩变蒸作热按法应期(三十二日方初变又三十二日乃作蒸)所受相参有造化之令者
脉气
得之烦助也其或大过不及所发变不应脉蒸不顺时荣卫逆之流行脏腑失之安益胎气蕴伏诞降伤
和儿与母俱劳其神脉洪身总受其热善调理者循其法度调而理之法以度之七日之内初生胃弱不
必加饵少顷即愈法以父母各呵儿囟七遍父先咒之曰尔为吾儿顺适其宜我精我气受夭弗迷阴阳
纲纪圣力扶持薄有违令随呵愈之急急如律令母复呵咒之曰尔为吾子胎气充汝我血我脉母艰母
阻万神唱生有福为主稍失调度随呵而愈急急如律令次煎葱白玄参汤或五木汤候温浴立效
议曰胎气充足儿将分降胞囊已破先行清水其儿既诞血即送下缘由胞气颇涩转侧差缓其血
压瘀
眶皆遂致溅渗盛则灌注其睛不见瞳人轻则外胞赤肿上下烂眩若投凉药必寒脏腑宜与服生熟地
黄汤流行气血或用杏仁二枚细嚼乳汁三五匙腻粉少许蒸熟以绢片包蘸频点功效重盛者加黄连
朴消最良
议曰:婴儿口中生疮,乃是心脾受热所致,表现为流口水、烦躁啼哭。病情严重时甚至无法吃奶。妙药良方已在后文记载。然而,有些婴儿在吮吸乳汁之初,口腔内生出白色斑点,令人烦躁惊恐,人们不知其原因,往往认为是鬼神作祟。究其道理,是因为母亲在未分娩的月份里,肆意饮酒酣醉,贪食肥腻之物,导致热毒胎气被胎儿所受。婴儿脱离母体之后,所袭受的热毒之气全部散发于体表。舌系于心,唇属于脾,所以所说的“心脾热”正是此理。想要通过泻下法来降气,此时不可轻易通利脏腑,只需用吴茱萸粉末,用米醋调匀敷贴于脚心,过一夜即可痊愈。吴茱萸药性虽热,但能引热下行,其功效极好。又有心肺有热的情况,疮口溃烂于面颊和咽喉部位,初起时为数点胭脂红色,逐渐扩散斑驳如丹砂,加之身体发热,宜用连翘饮主治。只需禁忌火气(艾灸等温热疗法),其余无碍。
议曰:婴儿发生变蒸现象而发热,按照法则应在相应时期出现(三十二天开始初次变,再过三十二天才开始蒸)。这种变化与生长参合,有着造化自然的规律,脉气得到它便烦助生长。如果太过或不及,发作的变化不应合脉象,蒸腾不顺,导致营卫之气逆乱流行,脏腑失去安宁,胎气蕴伏,出生时损伤了和谐。婴儿与母亲都劳累,其神气脉象洪大,身体总受其热。善于调理的人遵循其法度进行调和治理。方法是以度数来衡量,七日内初生胃气虚弱,不必额外加喂药物,稍停片刻即愈。方法是用父母各自对着婴儿囟门呵气七遍。父亲先念咒语说:“你是我的儿子,顺适其适宜。我的精、我的气,承受夭折而不迷乱阴阳纲纪。圣力扶持,稍有违令,随着呵气而痊愈。急急如律令。”母亲再念咒语说:“你是我的孩子,胎气充盈你。我的血、我的脉,母亲艰难不阻碍。万神唱生,有福为主,稍失调度,随着呵气而痊愈。急急如律令。”随后煎煮葱白玄参汤或五木汤,待温度适宜时给婴儿洗浴,立刻见效。
议曰:胎气充足,婴儿即将分娩,胞囊已破,先行流出清水。婴儿既已诞生,血液随即下行。缘由胞气颇为涩滞,转动侧身较差且缓慢,导致血液压迫瘀积在眼眶周围,致使溅渗严重则灌注于眼睛,看不见瞳仁;轻微则外眼睑赤肿,上下腐烂眩晕。如果投用凉药,必定寒伤脏腑。宜给予服用生熟地黄汤以流行气血。或者用杏仁两枚细嚼,配合乳汁三五匙,加上少许腻粉,蒸熟后用绢片包裹蘸取,频繁点眼,功效显著。重症者加黄连、朴硝最为良好。
Translation:
It is said that sores appearing in an infant's mouth are caused by heat accumulating in the Heart and Spleen (Zang-Fu organs), manifesting as drooling, irritability, and crying. In severe cases, the infant may refuse to nurse. Excellent remedies and prescriptions have been recorded subsequently. However, when infants begin to suckle milk, white spots may appear inside the mouth, causing irritability and fright. People often do not know the cause and attribute it to spiritual influences. Upon examining the principle, during the months before birth, if the mother indulges in excessive drinking and consumes rich, greasy foods, heat-toxin fetal qi is absorbed by the fetus. After the infant is born, the heat-toxin qi absorbed is entirely dispersed to the exterior. The tongue is connected to the Heart, and the lips belong to the Spleen; thus, what is referred to as "Heart and Spleen Heat" applies here. To reduce qi via purgation, one should not hastily drain the Zang-Fu organs. Instead, use powder of Evodiae Fructus (Wuzhuyu) mixed with rice vinegar applied to the sole of the foot. It will heal overnight. Although Evodiae Fructus is hot in nature, it guides heat downward, achieving excellent results. In cases of heat in the Heart and Lungs, ulcers may appear on the cheeks and palate, initially starting as a few points of rouge-red, gradually spreading mottled like cinnabar, accompanied by body heat. This should be treated primarily with Lianqiao Yin (Forsythia Decoction). One must only avoid fire-based therapies (such as moxibustion); otherwise, there are no other issues.
It is said that fever occurring during the "Bian Zheng" (transformation and steaming) process in infants follows specific timing rules (the first transformation occurs at 32 days, and steaming begins after another 32 days). These changes correspond with natural creative laws, where pulse qi assists growth. If the manifestation exceeds or falls short of expectations, the changes do not match the pulse, steaming is unsmooth, leading to counter-flow of Ying and Wei (Defensive and Nutritive Qi) and disharmony in the Zang-Fu organs. Fetal qi remains latent, and birth damages harmony. Both infant and mother exert themselves; the spirit and pulse become surging, and the body generally receives heat. Those skilled in regulation follow these principles for harmonization. Within seven days of birth, stomach qi is weak, so additional medication is unnecessary; it resolves shortly on its own. The method involves the father and mother each blowing air over the infant's fontanelle seven times. The father chants first: "You are my son,顺应 your suitability. My essence and qi accept destiny without confusing the principles of Yin and Yang. Holy power supports you; slight deviation heals with this blowing. Hurry, as per the decree." The mother then chants: "You are my child, filled with fetal qi. My blood and vessels, though maternal hardship exists, do not obstruct. All spirits sing life, blessed as master. Slight mismanagement heals with this blowing. Hurry, as per the decree." Subsequently, decoct Congbai Xuanshen Tang (Scallion White and Scrophulariae Decoction) or Wumu Tang (Five Woods Decoction). When warm, bathe the infant for immediate effect.
It is said that when fetal qi is sufficient and the infant is about to be delivered, the amniotic sac breaks, and clear fluid flows out first. Once born, blood descends immediately. Due to sluggishness in the uterine qi and slow turning/movement, blood becomes compressed and stasis forms around the eye sockets. Severe cases result in blood flooding the eyes, obscuring the pupil; mild cases present as redness and swelling of the outer eyelids, with rotting and dizziness above and below. Administering cooling medicines will inevitably chill the Zang-Fu organs. Instead, administer Shengshu Dihuang Tang (Raw and Prepared Rehmannia Decoction) to promote the flow of Qi and Blood. Alternatively, chew two Almond seeds (Xingren) finely, mix with three to five spoonfuls of breast milk, add a small amount of Nifen (Calomel/Mercurous Chloride), steam until cooked, wrap in silk cloth, dip, and frequently apply to the eyes for significant efficacy. For severe cases, adding Coptidis Rhizoma (Huanglian) and Mirabilite (Puxiao) is most effective.