田氏云∶月里生赤,肌肤如赤丹涂者,先用牛黄散托里,续用蓝叶散涂外。乳
母服清凉饮子三大剂。(牛黄散,或即牛黄夺命散,方见喘门;清凉饮,方见腹痛。)张涣云∶婴
儿初生,须洗目令净,若洗不净,则秽汁浸渍于眼 中,使睑赤烂,至长大不瘥者,名
曰胎赤,宜用二金散。〔曾〕纯阳之子,始生旬月,忽两目俱红,弦烂涩痒成翳,
此因在胎为母感受风热,传于心肝而得,先以百解散加当归散、水姜、灯心煎服,
次导赤散及牛蒡汤加黄连、木贼、蝉壳水煎服,自效。有因难产胎气颇涩,转侧
差缓,其血压于儿首,遂至溅血渗下,盛则灌注其眼,不见瞳人,轻则外胞肿赤,
上下弦烂,若投凉药,必寒脏府,宜与生地黄汤主之。
百解散(方见惊搐) 当归散 导赤散(方见心脏) 牛蒡汤(方见喉痹)
二金散方
黄连(去须) 黄柏(各一钱)
上,捣为粗末,以乳汁浸一宿,焙干。每用少许,以新绵裹,用荆芥汤浸,放
温热,时时洗之。
真金散 治小儿初生,洗眼不净,则秽汁浸渍于眼 中,使睑赤烂,至长不瘥,母
食热物热药,名曰胎赤。
黄连(去须) 黄柏 当归 赤芍药(各一钱) 杏仁(去皮、尖,半钱)
上,锉散,乳汁浸一宿,晒干,为极细末。用生地黄汁调一字,频频点眼,新
绵裹,荆芥汤浸温,时时洗浴。母服洗心散。
洗心散
甘草(生) 当归 麻黄 芍药 白术 荆芥穗 大黄(煨。各半钱)
上,为极细末。用生姜、薄荷煎汤调化,食远服。
生地黄汤 (见眼不开)
田氏说:婴儿出生后出现全身皮肤发红,如同涂了丹砂一样,应先用牛黄散内服以托毒护里,接着用蓝叶散外涂患处。乳母需服用清凉饮子三剂。(注:牛黄散可能即牛黄夺命散,其方见“喘证”门;清凉饮的方剂见“腹痛”门。)
张涣说:婴儿刚出生时,必须将眼睛洗净,如果洗不干净,污秽汁液会浸泡侵蚀眼中,导致眼睑红肿溃烂,甚至长大也不痊愈,这种情况称为胎赤(新生儿眼病),适宜使用二金散。
〔曾〕纯阳之子(指婴儿),出生一个月左右,忽然双眼都变红,眼角糜烂、干涩发痒并生成翳膜,这是因为在母体内受到母亲感受的风热之邪,传变至心、肝两经所致。应先以百解散加当归散,配合生姜、灯心草煎服;随后再用导赤散及牛蒡汤加黄连、木贼、蝉蜕,用水煎服,自有疗效。
另有因难产导致胎气运行滞涩,胎儿转动缓慢,头部受压,致使血液溢出渗入下方,若血量多则灌注于眼部,看不见瞳孔;若量少则表现为外胞(眼睑)肿胀发红,上下眼睑糜烂。此时若投用寒凉药物,必定损伤脏腑阳气,适宜用生地黄汤主治。
百解散(方见惊风抽搐门) 当归散 导赤散(方见心脏门) 牛蒡汤(方见喉痹门)
二金散方:
黄连(去须) 黄柏(各一钱)
以上药材捣成粗末,用乳汁浸泡一夜,焙干。每次取少许,用新棉包裹,用荆芥汤浸泡,待温热后,时时清洗患处。
真金散:治疗小儿初生时,洗眼不净,导致污秽汁液浸泡眼中,使眼睑红肿溃烂,长大也不痊愈。此因母亲食用热性食物或药物所致,名为胎赤。
黄连(去须) 黄柏 当归 赤芍药(各一钱) 杏仁(去皮、尖,半钱)
以上药材切碎成散剂,用乳汁浸泡一夜,晒干,研成极细粉末。用生地黄汁调取一字量,频频点入眼中;另用新棉包裹药材,用荆芥汤浸温,时时洗浴患处。母亲需服用洗心散。
洗心散:
甘草(生用) 当归 麻黄 芍药 白术 荆芥穗 大黄(煨制。各半钱)
以上药材研成极细粉末。用生姜、薄荷煎汤调和服用,在饭后久时服用。
Tian stated: When an infant is born with generalized skin redness resembling the application of cinnabar, first administer Niuhuang San (Cow Bezoar Powder) internally to support the interior and expel toxins, followed by external application of Lanye San (Isatis Leaf Powder). The nursing mother should take Qingliang Yinzi (Cooling Decoction) for three doses. (Note: Niuhuang San may refer to Niuhuang Duoming San [Cow Bezoar Life-Snatching Powder], see the "Wheezing" section; Qingliang Yin is found in the "Abdominal Pain" section.)
Zhang Huan stated: Upon birth, an infant's eyes must be washed clean. If not cleaned thoroughly, impure fluids will soak and erode the eyes, causing the eyelids to become red and ulcerated, potentially persisting into adulthood without healing. This condition is named Tai Chi (Fetal Redness/Newborn Ophthalmia), and Erjin San (Two Golds Powder) is appropriate.
Zeng noted: A child of pure yang nature, within a month of birth, may suddenly present with both eyes red, angular canthi ulcerated, dry, itchy, and developing nebulae. This results from wind-heat pathogens contracted by the mother during pregnancy, transmitting to the Heart and Liver meridians. Initially, Baijie San (Hundred Resolutions Powder) combined with Danggui San (Angelica Sinensis Powder), along with Shengjiang (Fresh Ginger) and Dengxincao (Juncus Effusus), should be decocted and administered. Subsequently, Daochi San (Guide Out Redness Powder) and Niubang Tang (Arctium Decoction) added with Huanglian (Coptis Rhizome), Muzei (Equisetum Hiemale), and Chanqiao (Cicada Slough) should be decocted with water and taken, yielding effective results.
In cases of difficult labor where fetal qi stagnates and movement is slow, pressure on the infant's head causes blood extravasation and seepage downward. If severe, blood floods the eyes, obscuring the pupil; if mild, it presents as swelling and redness of the outer eyelids with upper and lower angular ulceration. In such instances, administering cold-natured medicines would damage the zang-fu organs' yang qi; instead, Shengdi Huang Tang (Rehmannia Root Decoction) should be prescribed.
Baijie San (See "Convulsions" section) Danggui San Daochi San (See "Heart" section) Niubang Tang (See "Sore Throat" section)
Erjin San Formula:
Huanglian (Coptidis Rhizoma, remove stamens) Huangbai (Phellodendri Cortex, each 1 qian)
Pulverize these into coarse powder. Soak in breast milk overnight, then bake dry. For each use, take a small amount, wrap in new cotton, soak in Jingjie Tang (Schizonepeta Decoction), warm slightly, and wash frequently.
Zhenjin San: Treats newborns whose eyes were not washed clean at birth, leading to impure fluid erosion causing eyelid redness and ulceration that persists into adulthood. This is caused by the mother consuming hot-natured foods or medicines and is named Tai Chi.
Huanglian (Coptidis Rhizoma, remove stamens) Huangbai (Phellodendri Cortex) Danggui (Angelicae Sinensis Radix) Chishao (Paeoniae Rubra Radix) (each 1 qian) Xingren (Pruni Semen, remove skin and tips, 0.5 qian)
Chop into pieces, soak in breast milk overnight, sun-dry, and grind into an extremely fine powder. Mix with Sheng Dihuang Zhi (Juice of Rehmanniae Radix Fresh) equivalent to one character dose, instill frequently into the eyes. Alternatively, wrap herbs in new cotton, soak in warm Jingjie Tang, and wash frequently. The mother should take Xixin San.
Xixin San:
Gancao (Licorice Root, raw) Danggui (Angelicae Sinensis Radix) Mahuang (Ephedrae Herba) Shaoyao (Paeoniae Radix) Baizhu (Atractylodis Macrocephalae Rhizoma) Jingjiesui (Schizonepetae Spica) Dahuang (Rhei Radix et Rhizoma, baked) (each 0.5 qian)
Grind into an extremely fine powder. Take with decoction of Shengjiang (Fresh Ginger) and Bohe (Menthae Haplocalycis Herba) after meals.
Shengdi Huang Tang (See "Failure of Eyes to Open" section)