此谓囟陷下不平也。由肠内有热,热气熏脏,脏热,即渴引饮。而小便泄痢者,即腑脏
血气虚弱,不能上充髓脑,故囟陷也。
小儿重舌者,心脾热故也。心候于舌,而主于血;脾之络脉,又出舌下。心火、脾土二
脏,母子也,有热即血气俱盛。其状,附舌下,近舌根,生形如舌而短,故谓之重舌。
滞颐之病,是小儿多涎唾,流出渍于颐下,此由脾冷液多故也。脾之液为涎,脾气冷,
不能收制其津液,故令涎流出,滞渍于颐也。
小儿血气未定,肌肤脆弱,若将养乖宜,寒温失度,腠理虚开,即为风所中也。
凡中风,皆从背诸脏俞入。
若心中风,但得偃卧,不得倾侧,汗出,若唇赤汗流者,可治,急灸心俞;若唇或青或
白,或黄或黑,此是心坏为水,面目亭亭,时悚动者,皆不复可治,五六日而死。
若肝中风,踞坐不得低头,若绕两目连额上色微有青,唇色青而面黄,可治,急灸肝俞
;若大青黑,面一黄一白者,是肝已伤,不可复治,数日而死。
若脾中风,踞而腹满,身通黄,吐咸汁出者,可治,急灸脾俞;若手足青者,不可复治
若肾中风,踞而腰痛,视胁左右,未有黄色如饼KT 大者,可治,急灸肾俞;若齿黄
赤,鬓发直,面土色,不可治也。
肺中风,偃卧而胸满短气,冒闷汗出,视目下鼻上下两边下行至口色白者,可治,急灸
肺俞;若色黄者,为肺已伤,化为血,不可复治也。其人当妄掇空,或自拈衣,如此数日而
死。如此五脏之中风也。其年长成童者,灸皆百壮;若五六岁以下,至于婴儿灸者,以意消息
之。凡婴儿若中于风,则的成癫痫也。
这说的是囟门凹陷不平。这是由于肠内有热,热气熏蒸脏腑,导致脏腑发热,从而口渴想喝水。如果同时出现小便不利或泄痢,说明腑脏的血气虚弱,不能向上充养髓脑,所以导致囟门凹陷。
小儿重舌(舌下生赘生物如小舌),是因为心脾有热。心开窍于舌,主司血液;脾的络脉,又出于舌下。心和脾这两个脏腑,是母子关系,如果有热,就会导致血气都亢盛。其症状表现为:在舌下靠近舌根处,长出形状像舌头但较短小的赘生物,所以称为重舌。
滞颐病,是指小儿口水过多,流出并浸渍在下巴颏下方,这是由脾寒且津液过多造成的。脾的液为涎,脾气虚冷,不能收摄控制津液,所以导致涎水流出,停滞浸渍在颐部。
小儿血气尚未定型,肌肤脆弱,如果养育不当,寒温调节失度,腠理空虚开放,就会被风邪所中。
凡是中风,都是从背部各脏腑的俞穴侵入。
如果是心中风,只能仰卧,不能侧身翻身,出汗,如果嘴唇红润、汗出者,可以治疗,应紧急灸治心俞穴;如果嘴唇发青、发白、发黄或发黑,这是心气败坏化为水饮之证,面目呆滞不动,时常惊悸颤动者,都不可治愈,五六天后死亡。
如果是肝中风,蹲坐时不能低头,如果环绕双眼连及额头颜色微带青色,嘴唇色青而面色黄,可以治疗,应紧急灸治肝俞穴;如果颜色大青大黑,面色一半黄一半白,这是肝脏已受损,不可再治,数日后死亡。
如果是脾中风,蹲坐且腹部胀满,全身发黄,吐出咸味汁液者,可以治疗,应紧急灸治脾俞穴;如果手脚发青,则不可再治。
如果是肾中风,蹲坐且腰痛,观察胁肋左右两侧,如果没有黄色如饼块大小的斑块,可以治疗,应紧急灸治肾俞穴;如果牙齿黄赤,鬓发直立,面色如泥土色,则不可治愈。
肺中风,仰卧且胸部胀满、呼吸短促,头昏闷、出汗,观察眼下、鼻翼上下两侧向下延伸至口部的颜色若发白,可以治疗,应紧急灸治肺俞穴;如果颜色发黄,说明肺已受损,化为瘀血,不可再治。此人会出现胡乱抓取空中物体,或手指抓捏衣被的症状,如此数日后死亡。这就是五脏之中风的病症。对于年龄长成童子的患者,艾灸均为百壮;如果是五岁以下至婴儿进行艾灸,应根据具体情况斟酌决定灸量。凡是婴儿如果中了风邪,就会确凿地形成癫痫。
This refers to the depression and unevenness of the fontanelle. It is caused by heat in the intestines, where pathogenic heat steams the Zang-Fu organs, causing organ heat, which leads to thirst and a desire to drink. If accompanied by dysuria or diarrhea/dysentery, it indicates that the blood and Qi of the Fu and Zang organs are deficient and weak, unable to ascend and nourish the marrow and brain, thus resulting in the depression of the fontanelle.
The condition of double tongue (Chong She) in children is due to heat in the Heart and Spleen. The Heart opens into the tongue and governs the Blood; the collateral vessels of the Spleen also emerge from under the tongue. The Heart and Spleen are mother-son organs; when there is heat, both Blood and Qi become hyperactive. The manifestation is a growth attached under the tongue, near the root, shaped like a tongue but shorter, hence called "double tongue."
The disease known as Zhi Yi involves excessive salivation in children, flowing out and soaking the area below the chin. This is caused by cold in the Spleen leading to excessive fluids. The fluid of the Spleen is saliva; when Spleen Qi is cold, it cannot control and retain body fluids, causing saliva to flow out and stagnate in the Yi region.
Children's Blood and Qi are not yet settled, and their skin and muscles are fragile. If nursing is improper, and regulation of cold and warmth is inappropriate, the Cou Li (pores/interstices) become open and deficient, allowing Wind pathogen to strike.
Generally, Wind strikes enter through the Shu points on the back corresponding to the various organs.
If Wind strikes the Heart, the patient can only lie supine and cannot turn sideways, with sweating. If the lips are red and sweating occurs, it is treatable; urgently moxa the Xinshu (BL-15) point. If the lips are blue, white, yellow, or black, this indicates Heart failure transforming into Water pathology; if the face appears vacant and immobile, with occasional tremors, it is untreatable, and death will occur within five to six days.
If Wind strikes the Liver, the patient sits hunched and cannot lower the head. If the color around both eyes extending to the forehead is slightly blue, and the lips are blue while the face is yellow, it is treatable; urgently moxa the Ganshu (BL-18) point. If the color is deeply blue/black, and the face is half yellow and half white, the Liver is already damaged, and it is untreatable, with death occurring in a few days.
If Wind strikes the Spleen, the patient sits hunched with abdominal fullness, the whole body turns yellow, and sour/salty fluid is vomited. It is treatable; urgently moxa the Pishu (BL-20) point. If the hands and feet turn blue, it is untreatable.
If Wind strikes the Kidney, the patient sits hunched with lower back pain. If observing the left and right hypochondriac regions, there are no yellow patches the size of a cake, it is treatable; urgently moxa the Shenshu (BL-23) point. If the teeth are yellow-red, the sideburn hair stands straight, and the face has an earthy color, it is untreatable.
If Wind strikes the Lung, the patient lies supine with chest fullness and shortness of breath, experiencing dizziness, stuffiness, and sweating. If the color running down from below the eyes and on both sides of the nose to the mouth is white, it is treatable; urgently moxa the Feishu (BL-13) point. If the color is yellow, the Lung is already damaged and transformed into Blood stasis, making it untreatable. The person will exhibit hallucinations of grabbing at empty air or picking at clothes, and will die after several days. These are the conditions of Wind striking the Five Zang organs. For adolescents who have reached maturity, moxibustion consists of one hundred Zhu units; for those aged five and below down to infants, the dosage should be adjusted according to judgment. Whenever an infant suffers from Wind strike, it definitively develops into Epilepsy (Dian Xian).