《外台》疗儿吃奶不稳，七日以来壮热，颜色赤，鼻孔黄，恐作撮口及牙关，虫
似蜗牛，亦似黄头白蚌螺，用竹沥半合和少许牛黄服，瘥。又猪肉拭口，即虫出。
巢氏云∶儿口内忽结聚生舌上如黍，不能取乳，名噤，由在胎热入脏，心偏受热。
《圣惠》初生儿须防三病，一撮口、二着噤、三脐风，皆急病，着噤尤甚，过一腊方
免。牙关紧急，吃乳不稳，啼声渐小，口吐涎沫（茅有闭眼，）人见大小便通，以为冷热所
得，不知病在喉舌，状亦极重，善救疗者十不得三四，根据将护法防于事先，必无此
患。但有此证，急看儿上 有点子，先以指甲轻轻刮破，次服定命散、辰砂全蝎
散之类，如口噤不开，服诸药不效者，生南星去皮脐，研为极细末，龙脑少许合
和，用指蘸生姜汁于大牙根上擦之，立开。凡脐风、撮口、噤风、三者虽异，其受
病之源则一也，大抵里气郁结，壅闭不通，并宜服煎豆豉汁与吃，取下胎毒。《千
金》云∶小儿初生，其气高盛，若有微患，即须下之，若不时下，则成大疾，难为
疗矣，紫霜丸、量而与之。
定命散 治初生儿口噤不乳。
蝉蜕（二七枚，去嘴脚） 全蝎（二七个，去毒）
上为极细末，入轻粉少许和研。用乳汁乳远调化服。
辰砂全蝎散 治初生儿口噤。
辰砂（水飞，半钱） 全蝎（头尾全去毒，二十枚，炙） 硼砂 龙脑 麝香（各一字）
上为极细末。用乳母唾调涂口唇里及牙齿上，或用猪乳少许，调入口内。
紫霜丸 （方见变蒸。）
〔张涣〕立圣散 治妊娠之时，母服热药过多，或食炙爆热物等，致令婴儿初生下口
噤不乳，口舌上疮如黍粟大，KT 多啼，名曰口噤。
干蜘蛛（一个，去口足，以新竹火上炙，取油一蚬壳许，浸一宿，炙令焦，取末） 干蝎稍（七个，为末）
腻粉（末，一钱）
上件，并同研极细。每服一字，乳汁调，时时滴口中。
《千金》治口噤，赤者心噤，白者肺噤。
鸡粪白、枣大，绵裹，水一合，煮二沸，分再服。（《圣惠》用豆大三枚，水下）
又 雀粪四枚，末之，着乳头饮。儿大，十枚。
《外台》着噤，病在咽，如麻豆许，令儿吐沫不乳。
水银，如黍，与服，下咽便愈，以意量之，不过小麻子许。（事急用）
《食疗》茶莓研汁，灌口中，死亦生。（生下湿茎端三叶，花黄，子赤，似覆盆子）
《圣惠》川椒一两，搜面裹三角HT 样，烧黄熟，以绵盖儿口，掐去尖如箸头，使
椒气入口，效，未觉再作。
蜈蚣方 治小儿口噤不开，不能吮乳。
赤脚蜈蚣（半条，去足，炙令焦，为末） 麝香（少许）
上以猪乳和之。盖猪乳能独主小儿口噤不开。
蜘蛛方 治小儿口噤不开，不能吮乳。
蜘蛛（一枚，去足及口，炙令焦，细研）
用猪乳一合和，为三服，徐徐灌之，神妙。入麝香、治牙疳极好。
牛涎方
取东行牛口沫，涂小儿口及额上，即效。
治噤搐鼻法 用郁金、藜芦、瓜蒂、为末，水调，搐之。
茅先生云∶儿生一百二十日内犯风噤（病同着噤，）因母受胎有疾，故受毒瓦斯，生来血气
未调，又被风邪所击致之。治法，先与夺命散吐风涎（见急慢惊门，）后下醒脾散（一见胃气不和
门，一见慢脾风门）夹匀气散与服（见胃气不和门，）又下雄朱散（见赤白痢）夹朱砂膏（见急惊）
常服即愈。如手提拳，噤口不开，死。
《外台秘要》治疗婴儿吃奶不稳，发热七天以上，面色红赤，鼻孔发黄，担心发展为撮口风及牙关紧闭。口中虫体似蜗牛，也像黄头白蚌螺，用竹沥半合配合少许牛黄服用，病愈。又用猪肉擦拭口腔，虫子即会出来。
巢元方说：婴儿口中突然结聚，舌上长出像黍米大小的东西，不能吸吮乳汁，称为“噤”，这是由于胎热入脏，心受热偏盛所致。
《太平圣惠方》指出初生婴儿须防范三种疾病：一是撮口，二是着噤，三是脐风，都是急症，其中着噤最为严重，超过一个月才能免除危险。表现为牙关紧急，吃奶不稳，啼哭声逐渐变小，口吐涎沫（茅先生认为伴有闭眼症状）。人们见其大小便通畅，以为是冷热邪气所致，不知道病位在喉舌，病情也极其严重。善于救治的医生十人中救不活三四成。如果在事前做好防护护理，必定不会发生这种祸患。一旦出现此证，急忙查看婴儿上颚是否有小点，先用指甲轻轻刮破，然后服用定命散、辰砂全蝎散之类的药物。如果口噤不开，服用各种药物无效，取生南星去皮脐，研成极细粉末，加入少许龙脑混合，用手指蘸生姜汁在大牙根上擦拭，立刻就能张开。大凡脐风、撮口、噤风这三种病虽然表现不同，但其致病根源是一致的，大体上是里气郁结，壅塞不通，都适宜服用煎煮的大豆豉汁给婴儿喝，以排出胎毒。
《千金方》说：小儿刚出生时，正气旺盛，如果有轻微病患，就必须攻下，如果不及时攻下，就会变成大病，难以治疗了，可用紫霜丸，根据情况适量给予。
定命散：治疗初生婴儿口噤不能吸乳。
蝉蜕（十四枚，去掉嘴和脚） 全蝎（二十七个，去毒）
以上研成极细末，加入少许轻粉调和研磨。用乳汁调匀后喂服。
辰砂全蝎散：治疗初生婴儿口噤。
辰砂（水飞法处理，半钱） 全蝎（头尾完整，去毒，二十枚，炙烤） 硼砂 龙脑 麝香（各一字）
以上研成极细末。用乳母的唾液调涂在嘴唇内侧及牙齿上，或者用少许猪乳，调入婴儿口中。
紫霜丸（方剂见变蒸篇。）
〔张涣〕立圣散：治疗妊娠期间，母亲服用过多热性药物，或食用炙烤爆炒的热性食物等，导致婴儿刚生下时口噤不能吸乳，口舌上生出疮疡如黍粟大小，哭闹多，称为口噤。
干蜘蛛（一个，去掉口足，用新竹火烘烤，收取油脂约一蚬壳量，浸泡一夜，再烤焦，取末） 干蝎稍（七个，研末） 腻粉（研末，一钱）
以上一同研成极细末。每次服用一字，用乳汁调匀，时时滴入口中。
《千金方》治疗口噤，面赤的是心噤，面白的是肺噤。
鸡粪白（枣核大小），用棉布包裹，加水一合，煮两沸，分两次服用。（《圣惠方》用豆大三枚，温水送下）
另外，雀粪四枚，研末，涂在乳头让婴儿吸饮。婴儿较大者，可用十枚。
《外台秘要》治疗着噤，病位在咽喉，如有麻豆大小之物，令婴儿吐沫不能吸乳。
水银，如黍米大小，给婴儿服用，咽下即愈，凭心意衡量用量，不超过小芝麻粒大小。（情况紧急时使用）
《食疗本草》茶莓研汁，灌入口中，即使死亡也能救活。（指生下时带有湿茎端三叶，花黄，子赤，类似覆盆子的植物）
《太平圣惠方》川椒一两，揉入面粉中裹成三角形馄饨样，烧至黄熟，用棉布盖住婴儿口鼻，掐去尖角如筷子头大小，使椒气进入口中，有效，未见效可再做一次。
蜈蚣方：治疗小儿口噤不开，不能吮乳。
赤脚蜈蚣（半条，去足，炙烤至焦，研末） 麝香（少许）
以上用猪乳调和。因为猪乳能单独主治小儿口噤不开。
蜘蛛方：治疗小儿口噤不开，不能吮乳。
蜘蛛（一枚，去足及口，炙烤至焦，细研）
用猪乳一合调和，分三次服用，慢慢灌入，效果神妙。加入麝香，治疗牙疳极好。
牛涎方：
取向东行走的牛的口水，涂抹在小儿口部及额头，即见效。
治噤搐鼻法：用郁金、藜芦、瓜蒂，研为末，用水调匀，搐鼻吸入。
茅先生说：婴儿出生后一百二十天内犯风噤（病症同着噤），是因为母亲受孕时有疾病，故受毒瓦斯影响，出生后血气未调和，又被风邪侵袭所致。治疗方法，先给予夺命散吐出风涎（见急慢惊门），随后服用醒脾散（一见胃气不和门，一见慢脾风门）夹匀气散与服（见胃气不和门），又服用雄朱散（见赤白痢门）夹朱砂膏（见急惊门）。常服即可痊愈。如果手提拳，口噤不开，则死。
The *Waitai Mi Yao* treats infants with unstable breastfeeding, high fever for seven days or more, red facial complexion, and yellow nostrils, fearing the development of *cuokou* (mouth contraction) and trismus. The worms in the mouth resemble snails or yellow-headed white clam shells. Administer half a he of bamboo sap (*Zhuli*) mixed with a small amount of realgar (*Niuhuang*), which leads to recovery. Additionally, wiping the mouth with pork meat causes the worms to exit.
Chao Yuanfang states: Sudden aggregation in an infant's mouth, forming millet-sized growths on the tongue that prevent suckling, is named "Jin" (Lockjaw), caused by fetal heat entering the zang organs, resulting in excessive heat in the heart.
The *Taiping Shenghui Fang* advises guarding against three diseases in newborns: one is *cuokou*, two is *zhejin* (fixed lockjaw), and three is *umbilical wind*. All are acute conditions, with *zhejin* being the most severe, lasting until after one month to be avoided. Symptoms include tight jaw, unstable feeding, gradually diminishing cries, and drooling (Mao notes closed eyes). Observers seeing normal urination and defecation may attribute it to cold or heat pathogens, not realizing the pathology lies in the throat and tongue, where the condition is extremely serious. Skilled practitioners save fewer than three out of ten cases. If preventive care were taken beforehand, such misfortune would certainly be avoided. Upon appearance of this syndrome, urgently inspect the infant's upper palate for spots; first gently scrape them open with fingernails, then administer formulas such as *Dingming San* or *Chensha Quanxie San*. If trismus persists and other medicines fail, take raw *Arisaema Cum Bile* (*Sheng Nantianxing*) peeled and de-umbilicated, grind into ultra-fine powder, mix with a little borneol (*Longnao*), dip a finger in ginger juice, and rub the roots of the large teeth; the mouth will open immediately. Although *Umbilical Wind*, *Cuokou*, and *Jinfeng* differ in presentation, their root cause is identical: generally, interior qi stagnation and blockage. It is suitable to administer decocted soybean paste juice for drinking to expel fetal toxins.
The *Qianjin Fang* states: Newborns have vigorous qi; if minor ailments occur, purgatives must be used promptly. If not purged in time, they become major illnesses difficult to treat. Use *Zishuang Wan* according to dosage.
*Dingming San*: Treats newborn trismus preventing suckling.
*Cicada Slough* (*Chantui*) (14 pieces, remove head and feet) *Scorpio* (*Quanxie*) (27 pieces, remove venom)
Grind into ultra-fine powder, add a little calomel (*Qingfen*), and mix. Dissolve and administer using breast milk.
*Chensha Quanxie San*: Treats newborn trismus.
*Cinnabar* (*Chensha*) (water-washed, half qian) *Scorpio* (*Quanxie*) (head and tail intact, de-venomed, 20 pieces, roasted) *Borax* (*Pengsha*) *Borneol* (*Longnao*) *Musk* (*Shexiang*) (each 1 zi)
Grind into ultra-fine powder. Apply inside lips and on teeth using mother's saliva, or mix with a little pig milk and introduce into the mouth.
*Zishuang Wan* (Formula seen in Bianzheng section.)
[Zhang Huan] *Lisheng San*: Treats newborn trismus and inability to suckle caused by the mother consuming too many hot-natured drugs during pregnancy or eating roasted/fried hot foods, leading to sores like millet grains on the tongue and mouth, with frequent crying, named "Kou Jin".
*Dried Spider* (*Gan Zhizhu*) (1 piece, remove mouth and feet, roast over new bamboo fire to extract oil approx. one shell volume, soak overnight, roast until charred, take powder) *Dried Scorpion* (*Gan Xieshao*) (7 pieces, powdered) *Calomel* (*Nifen*) (powdered, 1 qian)
Grind all together into ultra-fine powder. Take 1 zi per dose, mix with breast milk, and drip into the mouth occasionally.
The *Qianjin Fang* treats trismus: Red indicates Heart Trismus; White indicates Lung Trismus.
Chicken manure white (date-sized), wrapped in cotton, boiled in one he of water for two boils, divided into two doses. (*Shenghui Fang* uses bean-sized 3 pieces, taken with water.)
Alternatively, four sparrow droppings, powdered, applied to nipple for infant to suck. For older infants, use ten pieces.
The *Waitai Mi Yao* treats *Zhejin*, pathology in the pharynx, obstruction size of hemp/mustard seed, causing infant to drool and refuse milk.
Mercury (*Shuiyin*), size of millet grain, administered orally; heals upon swallowing. Measure by intent, not exceeding small sesame size. (Use only in emergencies.)
*Shiliao Bencao*: Crush tea berries (*Chamei*) for juice, pour into mouth; can revive even if dead. (Refers to plant with wet stem end, three leaves, yellow flowers, red fruit resembling raspberry.)
*Taiping Shenghui Fang*: Sichuan pepper (*Chuanjiao*) 1 liang, kneaded into dough wrapped in triangular wonton shape, roasted until yellow and cooked. Cover infant's mouth with cotton, trim tip to chopstick-head size, allowing pepper aroma to enter mouth. Effective; repeat if no effect.
Wormwood Formula: Treats pediatric trismus unable to suckle.
Red-legged centipede (*Chijiao Wugong*) (half strip, remove feet, roast until charred, powder) Musk (*Shexiang*) (small amount)
Mix with pig milk. Pig milk alone can treat pediatric trismus.
Spider Formula: Treats pediatric trismus unable to suckle.
Spider (1 piece, remove feet and mouth, roast until charred, fine powder)
Mix with one he of pig milk, divide into three doses, slowly灌 (pour/administer). Miraculous effect. Adding musk is excellent for treating dental gangrene.
Cow Saliva Formula:
Take saliva from cattle walking eastward, apply to infant's mouth and forehead; effective immediately.
Method for Treating Trismus/Twitching via Nasal Insufflation:
Use *Curcuma Aromatica* (*Yujin*), *Veratrum* (*Lilu*), *Melon Seed* (*Gua Di*), powdered, mixed with water, insufflated into nose.
Mr. Mao states: Infants contracting Wind Trismus within 120 days of birth (same pathology as *Zhejin*) result from maternal disease during conception leading to toxin exposure, unregulated blood/qi at birth, and attack by wind pathogen. Treatment: First administer *Duoming San* to vomit wind-phlegm (see Ji Man Jing Men), then administer *Xingpi San* (see Wei Qi Bu He Men / Man Pi Feng Men) combined with *Jia Yunqi San* (see Wei Qi Bu He Men), and *Xiongzhu San* (see Chi Bai Li) combined with *Zhusha Gao* (see Ji Jing Men). Regular administration leads to cure. If hands are clenched and mouth locked shut, death ensues.