脐风者,断脐后水湿风冷入脐,流于心肺,甚则发搐成惊。若脐凸四傍青黑,撮口不
开,是为内撮。爪黑者死。用赤脚蜈蚣一条,蝎尾四个,僵蚕七条,瞿麦五分,为末。先以鹅
羽管吹鼻内,得喷嚏啼哭为可治。后用薄荷汤调服,三者名虽不同,其原则一。皆因里气郁
结壅闭不通,由断脐太短,结得不紧,外风入脐或牵动脐带,水入生疮所致。撮口尤其治当
疏利,并用余家小红丸下之后,用抱龙丸、牛黄丸等。
心热发惊,面青啼不出,吐白沫,腹胀硬,脐四边浮肿,舌强不进乳,不与噤风同。初生
小儿热在胸膛频频作声,弩胀,治法宜去风。此症眉青脸赤,勿用药。治儿口噤牙关闭者,
用天南星去皮脐为细末,加龙脑少许和均,指蘸姜汁,同药擦牙上。
小红丸(又名辰砂丸)
全蝎(去毒洗净,一两) 南星(一两) 珍珠(一钱) 朱砂(四钱五分) 巴霜(二钱五分)
为末,糯米糊丸如芥子大,每岁三五丸,看小儿强弱用。十岁以外百丸方效,灯心汤
下。须要活法加减用之,方称弄斧之手。如六七十丸、四五十丸。在用之者才酌。
抱龙丸
天竺黄(一两) 胆星(四两) 雄黄(五钱)
蜜丸,圆眼核大,约重一钱,朱砂为衣,每服一丸,薄荷汤化下,辰砂为衣亦可。
牛黄丸
枳实 黄连(各一两) 胆星(二两) 天竺黄(五钱) 天麻(五钱) 僵蚕 金蝎(各三钱) 雄黄
(三钱) 龙齿( ,三钱) 牛黄(一钱) 麝香 冰片(各钱半)
蜜丸蜡封,用则去蜡,薄荷汤、灯心汤化下。
脐风,是指婴儿断脐后,水湿、风邪和寒气侵入脐部,流注于心肺,严重时引发抽搐、惊厥。如果脐部凸起且四周呈现青黑色,口唇紧缩无法张开,这称为“内撮”。若指甲发黑,则预后不良,属死证。治疗可用赤脚蜈蚣一条、蝎尾四个、僵蚕七条、瞿麦五分,研成细末。先用鹅毛管将药粉吹入鼻腔,若能引起喷嚏、啼哭,说明尚可救治。随后用薄荷汤调服药物。虽然这三种方剂名称不同,但其治疗原则一致。皆因体内气机郁结壅滞不通所致,原因多为断脐过短、结扎不紧,导致外风侵入脐部或牵动脐带,以及水湿进入引发疮疡。对于撮口症状,尤其应当疏利气机,并配合使用我家的“小红丸”攻下,之后再用抱龙丸、牛黄丸等药物治疗。
心热引发惊风,表现为面色青紫、啼哭不出、呕吐白沫、腹部胀硬、脐周浮肿、舌体僵硬不能吮乳,这与噤风(新生儿破伤风引起的牙关紧闭)不同。初生婴儿若胸膛有热,频频发出声音,身体弩张膨大,治疗宜祛风。此症见眉间青色、面部赤红,不宜用药。治疗小儿口噤、牙关紧闭者,用天南星去皮脐研为细末,加入少许龙脑(冰片)混合均匀,用手指蘸姜汁,调和药粉擦拭牙齿。
小红丸(又名辰砂丸)
全蝎(去毒洗净,一两) 南星(一两) 珍珠(一钱) 朱砂(四钱五分) 巴豆霜(二钱五分)
研为细末,用糯米糊制成如芥子大小的丸药,每岁服用三至五丸,需根据小儿体质强弱调整用量。十岁以上儿童需服用一百丸才见效,用灯心草汤送服。必须灵活加减运用,才能称得上是熟练的儿科医生。如服用六七十丸、四五十丸,由使用者自行斟酌决定。
抱龙丸
天竺黄(一两) 胆南星(四两) 雄黄(五钱)
炼蜜为丸,大小如桂圆核,约重一钱,以朱砂为衣,每次服用一丸,用薄荷汤化开送服,用辰砂为衣也可以。
牛黄丸
枳实 黄连(各一两) 胆南星(二两) 天竺黄(五钱) 天麻(五钱) 僵蚕 金蝎(各三钱) 雄黄(三钱) 龙齿(三钱) 牛黄(一钱) 麝香 冰片(各半钱)
炼蜜为丸并用蜡密封,用时去掉蜡封,用薄荷汤或灯心草汤化开送服。
Umbilical wind (Qifeng) refers to a condition where water-dampness, wind-cold pathogenic factors enter the umbilicus after cord cutting, flowing into the heart and lungs. In severe cases, it leads to convulsions and fright. If the umbilicus protrudes with cyanosis around its periphery, and the mouth is tightly closed (Neicuo), it indicates an internal contraction. Blackening of the fingernails signifies a fatal prognosis. Treatment involves using one red-footed centipede, four scorpion tails, seven silkworms (Jiangcan), and five fen of Dianthera (Qumai), ground into powder. First, blow the powder into the nasal cavity using a goose feather tube; if sneezing and crying occur, the condition is treatable. Subsequently, administer the medicine mixed with Mint Decoction (Bohe Tang). Although these three remedies have different names, their therapeutic principles are identical. The etiology stems from the stagnation and obstruction of interior qi, often caused by the umbilical cord being cut too short or tied loosely, allowing external wind to invade the umbilicus, traction on the cord, or water entering causing sores. For mouth closure symptoms, it is crucial to unblock and regulate qi, followed by administering "Xiaohong Wan" (Little Red Pill) to purge, and then using Bao Long Wan (Embrace Dragon Pill) or Niuhuang Wan (Calculus Bovis Pill).
Fright induced by heart heat presents with a cyanotic face, inability to cry, vomiting of white foam, abdominal distension and hardness, edema around the umbilicus, stiff tongue preventing suckling, and differs from Jin Feng (lockjaw). Newborns with heat in the chest making frequent sounds and exhibiting body rigidity/distension should be treated by dispelling wind. This presentation features blue eyebrows and a red face; medication is not recommended. For treating infant lockjaw and closed teeth, use peeled and de-navelled Arisaema Rhizome (Tiannanxing) ground into fine powder, mixed with a small amount of Borneol (Longnao). Dip a finger in ginger juice, mix with the powder, and rub onto the teeth.
Xiaohong Wan (also known as Zhensha Wan)
Scorpio (Quandu, cleaned, 1 liang) Arisaema Rhizome (Tiannanxing, 1 liang) Pearl (Zhenzhu, 1 qian) Cinnabar (Zhusha, 4.5 qian) Croton Seed Frost (Bashuang, 2.5 qian)
Grind into powder, form pills with glutinous rice paste the size of mustard seeds. Administer 3-5 pills per year of age, adjusting according to the child's strength. For children over ten years old, 100 pills are effective, taken with Juncus Decothesis (Dengxin Cao Tang). Dosage must be adjusted flexibly; only skilled practitioners can determine appropriate doses such as 60-70 or 40-50 pills.
Bao Long Wan (Embrace Dragon Pill)
Tropical Bamboo Slime (Tianzhuhuang, 1 liang) Arisaema with Bile (Dansheng, 4 liang) Realgar (Xionghuang, 5 qian)
Form honey pills the size of longan seeds, weighing approximately 1 qian each, coated with Cinnabar (Zhusha). Take one pill per dose, dissolved in Mint Decoction (Bohe Tang). Coating with Zhensha (Cinnabar) is also acceptable.
Niuhuang Wan (Calculus Bovis Pill)
Immature Bitter Orange (Zhishi) Scutellaria Root (Huanglian) (each 1 liang) Arisaema with Bile (Dansheng, 2 liang) Tropical Bamboo Slime (Tianzhuhuang, 5 qian) Gastrodia Tuber (Tianma, 5 qian) Silkworm (Jiangcan) Scorpio (Jinxie) (each 3 qian) Realgar (Xionghuang, 3 qian) Dragon Teeth (Longchi, 3 qian) Calculus Bovis (Niuhuang, 1 qian) Moschus (Shexiang) Borneol (Bingpian) (each 0.5 qian)
Form honey pills sealed with wax. Remove wax before use, dissolve in Mint Decoction (Bohe Tang) or Juncus Decoction (Dengxin Cao Tang).