〔钱〕初生下吐,因秽恶下咽故也,用木瓜丸主之。凡初生,急须拭净口中,否
则啼声一发,秽物咽下,致生诸病。〔田〕月里生呕,先用朱砂丸下之,如利后,
用朱沉煎坠其邪气,使秽物自下而不呕也。
〔钱〕木瓜丸
木瓜 麝香 腻粉 木香 槟榔(各等分)
上同研细末,面糊、丸如小黄米大。每服一二丸,甘草水下,无时。
〔薛〕芽儿初生之患,多因乳母不慎七情,不节浓味,传儿为病,当审其因以
调治其母,前所用之药,恐脏腑脆嫩,不能胜受,用者审之。
《圣惠》藿香散 治儿生,至半月,呕逆不止。
藿香 紫菀(洗去苗土,各一分) 甘草(炙赤,半两) 麦门冬(三分,去心,焙) 桂心(半分)
上为散。每服一钱,水一盏,煎五分,去滓,温,绵点滴口中。
小儿初生不尿者,多因在胎时母恣食啖,热毒之气,流入胎中,儿饮其血,是
以生而脐腹肿胀,如觉脐四旁有青黑气色及口撮,即不可救也,如未有青黑色不饮
乳者,宜服葱乳汤。
葱乳汤
葱白三四寸,四破之。以乳汁半盏煎灌。一方,葱生用,捣烂,人乳拌,入儿
口内,再与乳吮,咽下即通。
豆豉膏
黑豆(一勺) 田螺(十九个) 葱(一大把)
上捣烂。芭蕉汁调,贴脐下。
按∶观丹溪治郑廉使之子患淋病,乃因父服下部热药,遗毒在胎,留于子之
命门而然,以紫雪和黄柏末为丸投之,下如黍如粟者碗许而安,则初生不尿症,
其当审因而处治,不言可知也。
【钱乙】婴儿初生即呕吐,是因为吞咽了污秽恶浊之物所致,主治方剂为木瓜丸。凡是新生儿出生时,必须立即擦净口腔,否则一旦啼哭,污物就会被咽下,从而导致各种疾病。
【田氏】婴儿满月内出现呕吐,先用朱砂丸进行攻下治疗;如果腹泻之后,再用朱沉煎剂坠降邪气,使污秽之物自然下行而不再呕吐。
【钱乙】木瓜丸
配方:木瓜、麝香、腻粉、木香、槟榔(各等分)。
制法:以上药物共同研磨成细末,用面糊调和,制成如小黄米大小的丸药。每次服用一至二丸,用甘草汤送服,不拘时间。
【薛己】新生儿初期的疾患,多因乳母不慎于七情(喜、怒、忧、思、悲、恐、惊),或不能节制食用浓烈厚味的食物,这些病邪传给婴儿导致生病。应当审察病因并调理母亲的身体,之前所用的药物,恐怕婴儿脏腑娇嫩脆弱,无法承受药力,使用者需谨慎斟酌。
《太平圣惠方》藿香散:治疗婴儿出生后半个月,呕吐逆止不住的情况。
配方:藿香、紫菀(洗去苗土,各一分)、甘草(炙至赤色,半两)、麦门冬(三分,去心,焙干)、桂心(半分)。
制法:以上药物研成散剂。每次服用一钱,用水一盏,煎煮至五分水量,滤去药渣,温热后,用丝绵蘸取点滴入口中。
小儿初生不排尿的,多因为在胎儿时期,母亲恣意饮食,热毒之气流入胎中,婴儿饮用了含有热毒的母血,因此出生后脐腹部肿胀。如果发觉脐部四周有青黑色气色以及口唇撮缩(口撮),就不可救治了;如果尚未出现青黑色,只是不吸吮乳汁的,适宜服用葱乳汤。
葱乳汤
配方:葱白三四寸长,将其破开四瓣。用半盏乳汁煎煮后灌服。另一方法:葱生用,捣烂,与人乳混合,放入婴儿口中,再让婴儿吸吮乳汁,咽下后小便即可通畅。
豆豉膏
配方:黑豆(一勺)、田螺(十九个)、葱(一大把)。
制法:以上药物捣烂。用芭蕉汁调匀,贴敷于脐下部位。
按语:观察丹溪治疗郑廉使之子患淋病(小便不利、涩痛之症)的案例,是因为父亲服用了下部热性药物,遗毒留在胎中,留存于儿子的命门(肾间动气,生命之本)所致,用紫雪和黄柏末制成丸药投喂,排出如黍米、粟米大小的结石约一碗,病情得以安宁。那么对于初生不尿的症状,其应当审察病因进行治疗,不言自明。
[Qian Yi] Vomiting immediately after birth in infants is caused by the swallowing of foul and impure substances. The primary treatment formula is Mugua Wan (Quince Pill). For all newborns, it is urgent to clean the mouth thoroughly; otherwise, upon crying, impure matter will be swallowed, leading to various diseases.
[Tian Shi] For vomiting occurring within the first month of life, first administer Zhusha Wan (Cinnabar Pill) to purge. If diarrhea ensues, then use Zhuchen Jian (Cinnabar-Sinking Decoction) to sink and eliminate pathogenic factors, allowing impurities to descend naturally without vomiting.
[Qian Yi] Mugua Wan (Quince Pill)
Ingredients: Fructus Chaenomelis (Mugua), Moschus (Shexiang), Nifen (Calomel/White Mercury Compound), Radix Aucklandiae (Muxiang), Semen Arecae (Binglang) (equal parts).
Preparation: Grind all ingredients into a fine powder. Mix with wheat paste to form pills the size of small millet grains. Administer one or two pills per dose, washed down with Licorice Water (Gancao Shui), at any time.
[Xue Ji] Illnesses affecting newborns often arise because the wet nurse fails to regulate her emotions (Seven Emotions: Joy, Anger, Worry, Thought, Sorrow, Fear, Fright) or cannot restrain her consumption of rich and heavy foods. These pathological factors are transmitted to the infant. One should investigate the cause and treat the mother. The previously mentioned medications may be too harsh for the infant's fragile and tender Zang-Fu organs; practitioners must exercise caution.
Taiping Shenghui Fang Huoxiang San (Agastache Powder): Treats persistent regurgitation and vomiting in infants up to half a month old.
Ingredients: Herba Agastachis (Huoxiang), Radix Asteris (Ziwan) (washed to remove roots and soil, 1 fen each); Radix Glycyrrhizae Preparata (Zhigancao) (stir-fried until reddish-brown, 0.5 liang); Radix Ophiopogonis (Mamendong) (3 fen, heart removed, dried); Cortex Cinnamomi (Guixin) (0.5 fen).
Preparation: Grind into a powder. Take 1 qian per dose, decoct with 1 cup of water until reduced to 0.5 cup. Strain the dregs. Warm the liquid and apply dropwise into the mouth using silk cotton.
Infants who do not urinate upon birth often suffer because, during gestation, the mother indulged in excessive eating, allowing heat-toxin qi to enter the womb. The fetus ingests this blood, resulting in abdominal distension around the umbilicus after birth. If bluish-black discoloration appears around the umbilicus accompanied by puckering of the lips (Kou Cuo), the condition is incurable. If there is no bluish-black color but the infant refuses to suckle, Congru Tang (Scallion-Milk Decoction) is indicated.
Congru Tang (Scallion-Milk Decoction)
Ingredients: Scallion white (Congbai), 3-4 cun long, cut into four pieces. Decoct in half a cup of milk and administer.
Alternative method: Use raw scallion, crush it, mix with human milk, place in the infant's mouth, and allow the infant to suckle again. Swallowing will promote urination.
Douchi Gao (Fermented Soybean Paste)
Ingredients: Black soybeans (Heidou), 1 spoon; Freshwater snails (Tianluo), 19 pieces; Scallions (Cong), a large handful.
Preparation: Crush all ingredients into a paste. Mix with juice from Musa basjoo (Bajiao) and apply to the area below the umbilicus.
Commentary: Observing Danxi’s treatment of the son of Commissioner Zheng Lianshi, who suffered from Lin syndrome (dysuria with pain), reveals that the cause was heat-toxic residue from the father’s ingestion of lower-jiao warming herbs, which remained in the fetus and lodged in the child’s Mingmen (Gate of Life). Treatment with Zixue (Purple Snow) and Radix Phellodendri (Huangbai) pills resulted in the expulsion of gravel-like stones resembling millet and broomcorn, resolving the condition. Thus, for the symptom of non-urination at birth, it is self-evident that one must ascertain the etiology and treat accordingly.