是证非因急惊变成,必因大病之后,吐泻之余。或久痢滑脱;或气虚暴吐;或久嗽成痫;或
峻攻癖积。感受之由不同,无出脾胃虚损,风邪相乘。肺为脾子,子母皆虚,津液不运,变为痰
涎,喉如锯声,昏睡盗汗,睛露唇掀,烦躁引饮,四肢浮肿,大小便秘,口鼻气冷,时复螈 (
似搐搦而不甚) 胃痛啼叫,哭如鸦声。若发直睛定,便溺自遗,形骸似瘫者,并皆不治。治宜
回阳补气,理脾调中。有惊,造命丹;有寒,苏合丸。
主方 人参 白术 茯苓 甘草(炙) 天麻 僵蚕 白附子 木香(另磨)
寒加干姜,甚加附子。寒呕加丁香、藿香;痰呕加陈皮、半夏;久泻加肉果,诃子;痰多加胆星。
上加姜、枣,水煎服;或加全蝎(洗,焙)共为细末,调服。
有阴阳二证。阴者,脏冷也,夜则阴盛,与冷相搏;阳者,脏热也,夜则阳衰,皆致腹病而啼
。先宜母吮咂眉心,次服主方。
主方 当归 赤芍 五味子 白术(各五分) 茯神 陈皮 官桂 甘草(各二分) 水煎服。
治一百二十日内啼∶蝉蜕(四十九个。只用下半截,)为细末,钩藤煎汤下。
又 灯花(七个) 朱砂(二分) 为末,蜜调,儿睡抹唇内或乳头上。
小儿心虚神弱,生人卒至,或父母家人远来,未宜儿见。恐经履神庙、丧门、坟冢、病家,
有带来秽恶之气,或饮酒骑马汗气,触犯于儿,面变五色,口吐涎沫,喘急腹痛,倒仆不省,状
若惊痫,脉来急数。口中有悬壅,左右有小泡,即以竹刺溃之,或银簪刺,或指甲摘破。治宜辟
邪气、扶正气、镇心安神之药。如造命丹、苏合丸、玉枢丹(可服可烧。) 或烧沉、檀、速降
诸香。或艾灸百会、印堂二穴。有因小儿心爱之物,大人强取之,则神逐物迁,昏愦口噤,宜先
与其物,次服安神镇心之药。如无前项药,只用煎方。(百会穴,头顶心;印堂穴,眉中心。)
主方 人参 茯神 麦门冬 天麻 钩藤 藿香 紫苏 远志(甘草煮、剥) 甘草(等
分) 水煎成,调朱砂
又方 灶心土(二两,研) 鸡子(一枚) 和水少许,调匀,涂胸、手足心、顶门。
这种病证并非由急惊风转变而来,必定是在大病之后,或者在剧烈呕吐、腹泻之后。或者是久痢导致滑脱不禁;或者是气虚引起突然呕吐;或者是久咳发展为癫痫;或者是经过猛烈攻下治疗癖积(腹中结块)。感受病因各不相同,但不出脾胃虚损、风邪乘虚而入的范围。肺是脾的子脏,子母两脏皆虚,津液运行失常,转化为痰涎,喉咙发出像拉锯一样的声音,昏睡且盗汗,眼睛外露、嘴唇外翻,烦躁并想喝水,四肢浮肿,大小便不通畅,口鼻气息寒冷,时常出现抽搐(类似搐搦但不严重),因胃痛而啼叫,哭声像乌鸦声。如果出现头发直竖、眼睛固定不动、大小便失禁,身体形态像瘫痪一样的,都属于不治之症。治疗应当回阳补气,调理脾胃、调和中焦。如果伴有惊风症状,使用造命丹;如果有寒象,使用苏合丸。
主方:人参、白术、茯苓、甘草(炙)、天麻、僵蚕、白附子、木香(另磨成粉)。
若有寒象加干姜,寒重加附子。寒性呕吐加丁香、藿香;痰多呕吐加陈皮、半夏;久泻加肉豆蔻、诃子;痰多加胆南星。
上方加入生姜、大枣,用水煎服;或者加入全蝎(洗净,焙干)共同研为细末,调服。
分为阴证和阳证两种。阴证,是脏腑寒冷,夜间阴气盛,与寒气相搏结;阳证,是脏腑有热,夜间阳气衰,都会导致腹部疼痛而啼哭。先宜让母亲吮吸其眉心部位,然后服用主方。
主方:当归、赤芍、五味子、白术(各五分)、茯神、陈皮、官桂、甘草(各二分),用水煎服。
治疗一百二十日内的婴儿啼哭:蝉蜕(四十九个,只用下半截),研为细末,用钩藤煎汤送服。
又方:灯花(七个)、朱砂(二分),研为末,用蜂蜜调和,在孩子睡觉时涂抹于唇内或乳头上。
小儿心气虚弱、神志不固,陌生人突然到来,或者父母家人从远方归来,不宜让孩子见到。恐怕他们经过神庙、丧门方位、坟墓、病人家,带来了污秽恶劣之气,或者是饮酒后骑马带来的汗气,触犯了孩子,面色变为五色不定,口吐涎沫,气喘急促、腹痛,跌倒仆地不省人事,症状像惊痫,脉象急数。口腔中有悬雍垂,左右有小水泡,立即用竹针刺破,或用银簪刺破,或用指甲掐破。治疗应当使用辟除邪气、扶助正气、镇心安神的药物。如造命丹、苏合丸、玉枢丹(可内服也可烧烟熏)。或者焚烧沉香、檀香、速降香等各种香料。或者艾灸百会穴、印堂穴两个穴位。有的因为小儿心爱的物品,被大人强行拿走,导致神志随物迁移,昏乱牙关紧闭,应当先给予该物品,然后服用安神镇心的药物。如果没有上述药物,只使用煎剂。(百会穴,位于头顶正中;印堂穴,位于眉毛中心。)
主方:人参、茯神、麦门冬、天麻、钩藤、藿香、紫苏、远志(用甘草煮过、剥去心)、甘草(等分),水煎成,调入朱砂。
又方:灶心土(二两,研碎)、鸡蛋(一枚),加少许水,调匀,涂抹于胸部、手足心、顶门。
This syndrome does not transform from acute convulsion (Jing Feng), but must occur after a severe illness, or following excessive vomiting and diarrhea. It may result from chronic dysentery leading to incontinence; sudden vomiting due to Qi deficiency; chronic cough developing into epilepsy; or aggressive purgation for abdominal masses (Pi Ji). Although the causes of contraction differ, they all fall within the scope of Spleen and Stomach deficiency with Wind pathogen taking advantage of the weakness. The Lung is the child organ of the Spleen; when both mother and child organs are deficient, body fluids fail to circulate properly and transform into phlegm-saliva. Symptoms include a sawing sound in the throat, lethargy with night sweats, protruding eyes and everted lips, irritability with thirst, edema of the four limbs, constipation and urinary retention, cold breath from mouth and nose, occasional spasms (similar to convulsions but less severe), crying due to stomach pain with a crow-like voice. If hair stands erect, eyes become fixed, urination and defecation are involuntary, and the body resembles paralysis, these are all untreatable cases. Treatment should focus on restoring Yang and tonifying Qi, regulating the Spleen and harmonizing the Middle Jiao. If accompanied by convulsive symptoms, use Zaoming Dan (Life-Sustaining Pill); if there are signs of Cold, use Suhe Wan (Styrax Pill).
Main Formula: Renshen (Ginseng Radix), Baizhu (Atractylodis Macrocephalae Rhizoma), Fuling (Poria), Gancao (Licorice Root, honey-fried), Tianma (Gastrodiae Rhizoma), Jiangcan (Bombyx Batryticatus), Baifuzi (Typhonii Rhizoma), Muxiang (Aucklandiae Radix, separately ground).
If Cold is present, add Ganjiang (Zingiberis Rhizoma); if Cold is severe, add Fuzi (Aconiti Lateralis Radix Praeparata). For cold-induced vomiting, add Dingxiang (Caryophylli Flos) and Huoxiang (Agastaches Herba); for phlegm-induced vomiting, add Chenpi (Citri Reticulatae Pericarpium) and Banxia (Pinelliae Rhizoma); for chronic diarrhea, add Rouguou (Myristicae Semen) and Hezi (Terminaliae Chebulae Fructus); for excessive phlegm, add Dansheng (Arisaematis Cum Bile).
Add Shengjiang (Zingiberis Rhizoma Recens) and Dazao (Jujubae Fructus) to the above formula, decoct in water and take orally; or add Quanxie (Scorpion, washed and dried), grind all into fine powder, and take with liquid.
There are two types: Yin syndrome and Yang syndrome. Yin syndrome refers to cold internal organs; at night, Yin Qi is abundant and clashes with Cold. Yang syndrome refers to heat in the internal organs; at night, Yang Qi declines. Both lead to abdominal pain and crying. Initially, allow the mother to suckle the area between the eyebrows (Meixin), then administer the main formula.
Main Formula: Danggui (Angelicae Sinensis Radix), Chishao (Paeoniae Radix Rubra), Wuweizi (Schisandrae Chinensis Fructus), Baizhu (Atractylodis Macrocephalae Rhizoma, each 5 fen), Fushen (Poria cum Radix), Chenpi (Citri Reticulatae Pericarpium), Guigui (Cinnamomi Cortex), Gancao (Licorice Root, each 2 fen). Decoct in water and take orally.
For infantile crying within 120 days of birth: Chantui (Cicadae Periostracum, 49 pieces, using only the lower half), grind into fine powder, and take with Gouteng (Uncariae Ramulus cum Uncis) decoction.
Another prescription: Denghua (Lamp wick carbon, 7 pieces), Zhusha (Cinnabaris, 2 fen), grind into powder, mix with honey, and apply to the inner lip or nipple while the infant sleeps.
Infants have weak Heart Qi and fragile Shen (Spirit). If strangers arrive suddenly, or parents/relatives return from afar, it is advisable not to let the infant see them immediately. They may have passed through temples, Shaomen (Ghost Door) directions, graves, or sickhouses, bringing foul qi, or carrying sweat odor from drinking and horseback riding, which offends the infant. Symptoms include fluctuating facial colors, foaming at the mouth, rapid breathing, abdominal pain, collapse with loss of consciousness, resembling convulsive epilepsy, with a rapid and hurried pulse. There may be a uvula with small blisters on either side; puncture them immediately with a bamboo needle, silver hairpin, or fingernail. Treatment requires herbs that expel evil qi, support righteous qi, and calm the Heart and settle the Shen. Examples include Zaoming Dan (Life-Sustaining Pill), Suhe Wan (Styrax Pill), Yushu Dan (Jade Pivot Pill - can be ingested or burned as incense). Alternatively, burn Chenxiang (Aquilariae Resina), Tanxiang (Santal Albae Lignum), and Sujiang Xiang (Dipterocarpi Resina). Or moxa-burn the Baihui (GV20) and Yintang (EX-HN3) acupoints. If the cause is an adult forcibly taking away an infant's beloved object, causing the Shen to wander and resulting in confusion and locked jaw, first return the object, then administer herbs to calm the Shen and settle the Heart. If the aforementioned medicines are unavailable, use the following decoction. (Baihui GV20 is located at the vertex of the head; Yintang EX-HN3 is located in the center of the glabella.)
Main Formula: Renshen (Ginseng Radix), Fushen (Poria cum Radix), Maidong (Ophiopogonis Tuber), Tianma (Gastrodiae Rhizoma), Gouteng (Uncariae Ramulus cum Uncis), Huoxiang (Agastaches Herba), Zisu (Perillae Folium), Yuanzhi (Polygalae Radix, boiled with Gancao and peeled), Gancao (Licorice Root, equal parts). Decoct in water, and mix in Zhusha (Cinnabaris).
Another prescription: Zaoshentu (Furnace Hearth Earth, 2 liang, ground), Jizi (Galli Ovum Oviparum, one egg), mix with a little water until uniform, and apply to the chest, palms, soles, and top of the head.