儿在胎,受母热毒,生下遍身,面目俱黄,大便闭,小便赤,多啼,不乳。
主方 (母子同服) 生地黄 赤芍药 天花粉 赤茯苓 川芎 当归 猪苓 泽泻 茵陈
甘草(等分) 水煎。
多因断脐带后,风湿伤脐而成。风入脐者,令脐肿腹胀,口撮多啼,不能饮乳。若入经络,
多变为痫。如脐边青黑,撮口不开,为内搐。爪甲黑者死。如热在胸臆,伸缩努气,亦令脐肿。
治宜千金龙胆汤(方见撮口、)稀涎散吐痰(方见中风,)或降痰药化服。
主方 (治脐风) 羌活 防风 白芷 川芎 当归 甘草(等分) 上为细末,每二分灯心
汤调。抹儿口内。
宣风散 治断脐后,外伤风湿,唇青不乳,多喘,脐风撮口。
全蝎(二十一个。头足全者,洗净,无灰酒拌炒,研末) 麝香(二分。另研,和匀) 为末
每二分金银煎汤,或麦门冬汤调服。
儿在母胎,或于风热,生后血气未调,洗浴冒风而成。口吐白沫,四肢俱冷,必难救矣。此
证最急,虽有多种,皆由内结郁热。干于肠胃,闭闷不通,气不得化,腹中满胀,肚下青筋,撮
口不乳,证候甚急,若不速与气通利下,无可救疗,少缓即毙。
主方 僵蚕(直者,去绵,炒研。一钱) 蛇蜕(炒、研。一钱) 朱砂(水飞,五分) 麝
香(五厘)和匀,每二分蜜调服。
千金龙胆汤 脐风撮口(胎惊。)
大黄(湿纸包煨。一钱) 桔梗 柴胡 龙胆草 黄芩(炒) 赤芍药 钩藤 甘草(炙)
茯苓(各八分)
上为细末,每三分,黑枣煎汤;或防风麦门冬汤调服。
撮风散 (治撮口) 蜈蚣(干,赤足者半条,炙研。) 钩藤(五分) 麝香(二分) 全
蝎梢(洗净,炙、研) 朱砂(水飞,各一钱)
上为末,每服二分,竹沥调下。
婴儿在母胎中时,受到母亲体内热毒的影响,出生后全身及面目均呈现黄色,大便闭塞不通,小便颜色深红,经常啼哭,拒绝吃奶。
主方(母子同时服用):生地黄、赤芍药、天花粉、赤茯苓、川芎、当归、猪苓、泽泻、茵陈、甘草(各等分)。加水煎煮服用。
多因剪断脐带后,风湿之邪侵袭脐部而引发。风邪侵入脐部,会导致脐部肿胀、腹部胀满,口唇收缩紧闭、频繁啼哭,无法吸吮乳汁。如果病邪深入经络,大多会转变为痫证。如果脐周皮肤呈现青黑色,口唇紧闭不开,属于内风抽搐。指甲发黑的预后不良,主死症。如果热邪积聚在胸膈部位,导致身体伸缩用力、努气挣扎,也会引起脐部肿胀。治疗适宜使用千金龙胆汤(方剂见“撮口”章节)、稀涎散以涌吐痰涎(方剂见“中风”章节),或者使用降痰药物化开服用。
主方(治疗脐风):羌活、防风、白芷、川芎、当归、甘草(各等分)。将上述药材研成细末,每次取二分,用灯心草煎汤调服。也可涂抹于婴儿口腔内部。
宣风散:治疗剪断脐带后,因外伤风湿,出现嘴唇发青、拒奶、喘息急促、脐风撮口等症状。全蝎(二十一个,要求头足齐全者,洗净后用无灰酒拌炒,研成粉末)、麝香(二分,单独研磨,混合均匀)。制成粉末,每次取二分,用金银花煎汤或麦门冬汤调服。
婴儿在母胎中,或因感受风热,出生后气血尚未调和,洗浴时受风侵袭而发病。表现为口吐白沫,四肢冰冷,病情必定难以救治。此证最为危急,虽然表现有多种,但都是由内部郁结的热邪所致。热邪干犯肠胃,导致闭塞闷阻不通,气机无法运化,腹部胀满,肚皮下显露青色筋脉,口唇紧闭拒奶,证候非常紧急。如果不迅速给予通利气机、导滞下行的治疗,便无可救疗,稍一迟缓即会导致死亡。
主方:僵蚕(选取直条的,去除丝绵,炒后研碎,一钱)、蛇蜕(炒后研碎,一钱)、朱砂(水飞法处理,五分)、麝香(五厘)。混合均匀,每次取二分,用蜂蜜调服。
千金龙胆汤:治疗脐风撮口(胎惊)。大黄(用湿纸包裹煨制,一钱)、桔梗、柴胡、龙胆草、黄芩(炒)、赤芍药、钩藤、甘草(炙)、茯苓(各八分)。将上述药材研成细末,每次取三分,用黑枣煎汤送服;或用防风麦门冬汤调服。
撮风散(治疗撮口):蜈蚣(干燥的,赤足的半条,炙烤后研碎)、钩藤(五分)、麝香(二分)、全蝎梢(洗净,炙烤后研碎)、朱砂(水飞法处理,各一钱)。将上述药材研成粉末,每次服用二分,用竹沥调下。
While in the womb, the infant is affected by the mother's heat-toxin. After birth, the whole body and face appear yellow, the stool is constipated, the urine is dark red, there is frequent crying, and refusal to suckle milk.
Main Formula (taken by both mother and infant): Shengdi Huang (Rehmanniae Radix), Chishao Yao (Paeoniae Radix Rubra), Tianhuafen (Trichosanthis Radix), Chi Fuling (Poria cum Ligno), Chuanxiong (Ligustici Chuanxiong Rhizoma), Danggui (Angelicae Sinensis Radix), Zhuling (Polyporus), Zexie (Alismatis Rhizoma), Yichen (Artemisiae Scopariae Herba), Gancao (Glycyrrhizae Radix et Rhizoma) (equal parts). Decoct in water and take.
This condition often arises after cutting the umbilical cord, due to wind-dampness invading the navel. If wind enters the navel, it causes swelling of the navel and abdominal distension, mouth closure with frequent crying, and inability to drink milk. If the pathogen enters the meridians, it often transforms into epilepsy. If the area around the navel turns blue-black, and the mouth is tightly closed, it indicates internal convulsion. Blackening of the fingernails signifies a fatal prognosis. If heat accumulates in the chest and diaphragm, causing extension and flexion efforts and straining, it also leads to navel swelling. Treatment should utilize Qianjin Longdan Tang (see "Cuokou" section), Xixian San to induce vomiting for phlegm (see "Zhongfeng" section), or administer descending-phlegm medicines dissolved for ingestion.
Main Formula (treating Umbilical Wind): Qianghuo (Notopterygii Rhizoma et Radix), Fangfeng (Saposhnikoviae Radix), Baizhi (Angelicae Dahuricae Radix), Chuanxiong (Ligustici Chuanxiong Rhizoma), Danggui (Angelicae Sinensis Radix), Gancao (Glycyrrhizae Radix et Rhizoma) (equal parts). Grind into fine powder. Take 2 fen each time, mixed with Dengxin Cao (Junci Medullae Decoction). Alternatively, apply inside the infant's mouth.
Xuanfeng San: Treats post-umbilical-cutting conditions caused by external wind-dampness injury, presenting with cyanotic lips, refusal to suckle, rapid breathing, umbilical wind, and mouth closure. Quanxie (Scorpio) (21 pieces, complete heads and feet, washed, stir-fried with wine without ash, ground into powder); Shexiang (Moschus) (2 fen, separately ground and mixed evenly). Make into powder. Take 2 fen each time, taken with Yinjin Hua (Flos Lonicerae Japonicae Decoction) or Maidong Tang (Ophiopogonis Decoction).
The infant, while in the maternal womb, may have been exposed to wind-heat. After birth, if the blood and qi are not yet regulated, bathing and exposure to wind can cause the disease. Symptoms include foaming at the mouth and cold limbs throughout the body; this condition is invariably difficult to save. This syndrome is most critical. Although there are various manifestations, all stem from internally accumulated and stagnant heat. The heat harasses the intestines and stomach, causing blockage and obstruction, preventing qi transformation, leading to abdominal fullness and distension, visible green veins under the abdomen, mouth closure, and refusal to suckle. The symptoms are extremely urgent. If one does not quickly provide treatment to unblock qi and promote downward drainage, there is no hope for rescue; any delay will result in death.
Main Formula: Jiangcan (Bombyx Batryticatus) (straight ones, remove silk, stir-fry and grind, 1 qian); Shutui (Serpentis Ecdysis) (stir-fry and grind, 1 qian); Zhusha (Cinnabaris) (water-triturated, 5 fen); Shexiang (Moschus) (5 li). Mix evenly. Take 2 fen each time, mixed with honey.
Qianjin Longdan Tang: Treats Umbilical Wind and Mouth Closure (Fetal Convulsion). Dahuang (Rhei Radix et Rhizoma) (wrapped in wet paper and baked, 1 qian); Jiegeng (Platycodonis Radix); Chaihu (Bupleuri Radix); Longdancao (Gentianae Radix); Huangqin (Scutellariae Radix) (stir-fried); Chishao Yao (Paeoniae Radix Rubra); Gouteng (Uncariae Ramulus cum Uncis); Gancao (Glycyrrhizae Radix et Rhizoma) (roasted); Fuling (Poria) (each 8 fen). Grind into fine powder. Take 3 fen each time, taken with Heizao (Zizyphi Fructus Decoction); or mixed with Fangfeng Maidong Tang (Saposhnikoviae and Ophiopogonis Decoction).
Cuofeng San (Treating Mouth Closure): Wugong (Scolopendra) (dried, half a strip with red legs, roasted and ground); Gouteng (Uncariae Ramulus cum Uncis) (5 fen); Shexiang (Moschus) (2 fen); Quanxie Shao (Scorpio tail tip) (washed, roasted, and ground); Zhusha (Cinnabaris) (water-triturated, each 1 qian). Grind into powder. Take 2 fen each time, taken down with Zhuli (Bambusa Textilis Sap).