新产月内小儿,有噤口不乳,啼声难出,两腮肿硬有核,名螳螂子,又曰 腮。熟谙稳
婆将利刃于口内两腮剖开,挖出坚光恶肉,形象颇肖桑螵蛸。伤处搽药自愈。若割治少迟时
刻,则肿延喉鼻,不可救矣。多有割伤致命者,终非良法。今得一方,用麝香一钱,朱砂五
分,螺蛳七个,同捣如泥,敷囟门上,俟干时自落,切勿剥去。若重者,将针微刺患处出血
,以好陈墨搽之自愈。或溏鸡粪涂之更妙。切勿妄用刀割,致伤儿命。后有芙蓉花诸方,最
为神妙。
又方∶蜒蚰一条(查《药物备要》便知),银朱钱半,同研烂,搽肿硬处,勿令擦去,
即
又方∶桑柴炭少许,入雄鸡冠血二三滴,再加盐卤一匙和匀,时时搽之,亦效。
又方∶青橄榄核(又名青榄,如无,以盐橄榄核泡去盐味用亦可),好醋磨汁搽之。
又方∶红饭豆(扁小微红者)七粒,研末,好醋调敷,效。
方见口部。
小儿口中肿起如菌,名乳菌。牙龈生白泡子,名马牙疳,致小儿不能吃乳。以指摘去其
头,倘有血出,以绵拭去,轻者京墨搽之即愈。重者急以僵蚕三条(去丝嘴),人中白四分
,冰片一分,共研细,搽患处,略停片刻,用绢蘸茶洗净再擦,一日三四次,自愈。如未愈
,方中加硼砂、血竭、青黛各三分,儿茶分半,药珠一分,各为细末,和入前药,每日洗擦
三四次,无不愈者。或用马齿苋根,瓦上焙干,少加雄黄研末吹之。并用后芙蓉花诸方更妙
刚出生一个月内的婴儿,有的出现口噤不能吮乳、啼哭声音难以发出的症状,两腮肿胀坚硬且有硬结,这种病症称为“螳螂子”,又叫做“腮”。经验丰富的稳婆会用利刃在患儿口腔内的两腮处剖开,挖出坚硬光滑的恶肉,其形状很像桑螵蛸(桑蚕的虫茧)。伤口涂抹药物后即可自愈。如果割治稍微延迟片刻,肿胀就会蔓延至喉部和鼻部,那就无法救治了。有很多因割伤导致死亡的案例,这终究不是良法。如今得到一方,使用麝香一钱,朱砂五分,螺蛳七个,一同捣碎成泥状,敷在囟门(婴儿头顶前部中央未合拢的骨缝处)上,等到药干时自然脱落,千万不要强行剥去。如果病情较重,用针轻微刺破患处出血,用好陈墨涂抹即可自愈。或者用湿鸡粪涂抹效果更好。千万不要胡乱用刀切割,以免伤害婴儿性命。后面还有芙蓉花等方剂,最为神妙。
另一首方剂:蜒蚰(即蜗牛)一条(查阅《药物备要》可知),银朱半钱,一同研磨烂,涂抹在肿胀坚硬处,不要让它擦掉,(原文此处似有缺漏,意指持续涂抹或等待吸收)。
又一首方剂:桑柴炭少许,加入雄鸡冠血二三滴,再加盐卤一匙调和均匀,时时涂抹,也有效。
又一首方剂:青橄榄核(又名青榄,如果没有,可以用盐渍过的橄榄核泡去盐味后使用),用好醋磨成汁涂抹。
又一首方剂:红饭豆(扁小且微红的)七粒,研成粉末,用好醋调匀敷贴,有效。
此方见“口部”章节。
小儿口中肿起如菌状,称为“乳菌”。牙龈生出白色小泡,称为“马牙疳”,导致小儿不能吃奶。用手指挑破其顶端,如果有血流出,用棉絮擦拭干净,轻症用京墨涂抹即可痊愈。重症急用僵蚕三条(去掉丝和嘴),人中白四分,冰片一分,共同研细,涂抹患处,稍停片刻,用绢蘸茶水洗净后再擦,一日三四次,即可自愈。如果未愈,方中加硼砂、血竭、青黛各三分,儿茶半分,药珠一分,各自研为细末,混合入前面的药中,每天清洗并涂抹三四次,没有不愈的。或者用马齿苋根,在瓦上焙干,少加雄黄研末吹入患处。并用后面的芙蓉花诸方更为神妙。
For infants within one month after birth, some present with trismus (lockjaw) preventing suckling and difficulty in crying. The cheeks are swollen, hard, and contain nodules; this condition is named "Tanglangzi" (Mantis Child), also referred to as "Saier". Experienced midwives would use a sharp blade to incise the inside of the cheeks, excavating hard, smooth necrotic tissue resembling the pod of *Bombyx batryticatus* (Mantis Egg-case). Applying medicine to the wound allows it to heal spontaneously. If the incision is delayed even slightly, the swelling may spread to the throat and nose, becoming incurable. Many have died from such incisions, proving it is ultimately not a good method. Now, a prescription is obtained: use 1 qian of Moschus (Shexiang), 5 fen of Cinnabar (Zhusha), and 7 river snails (*Cipangopaludina chinensis*), pound them together into a paste, and apply it to the anterior fontanelle (Xinmen). Wait for it to dry and fall off naturally; do not forcibly peel it off. For severe cases, gently prick the affected area with a needle to release blood, then apply aged ink (Chenmo) to heal. Alternatively, applying fresh chicken manure is even better. Do not recklessly use knives to cut, as this may endanger the infant's life. Later, prescriptions involving Hibiscus mutabilis flower (Furonghua) are described as most miraculous.
Another prescription: One land snail (Yanyou, see *Yaowu Bei Yao* for details) and half a qian of Vermilion (Yinzhu), grind them thoroughly together, and apply to the swollen and hardened area without wiping it off.
Another prescription: A small amount of charcoal from mulberry wood, add two or three drops of blood from a rooster's comb, plus one spoonful of salt brine, mix well, and apply frequently; this is also effective.
Another prescription: Green olive pits (Qingganlanhe, also known as Qinglan; if unavailable, salted olive pits soaked to remove saltiness can be used), grind with good vinegar into juice and apply.
Another prescription: Seven red rice beans (small, flat, and slightly reddish), grind into powder, mix with good vinegar, and apply topically; effective.
Burn chaotic hair to ash, mix with lard (Zhuyou), and apply.
See the section on "Mouth".
When a tumor rises like a mushroom in an infant's mouth, it is called "Rujun" (Milk Mushroom). When white blisters appear on the gums, it is called "Mayagan" (Horse Tooth Canker), causing the infant to refuse milk. Pick off the head with a finger; if bleeding occurs, wipe it clean with cotton. For mild cases, applying Beijing ink (Jingmo) heals it immediately. For severe cases, urgently use three silkworms infected by *Beauveria bassiana* (Jiangcan, remove silk and mouthparts), 4 fen of human bone ash (Renzhongbai), and 1 fen of Borneol (Bingpian). Grind them finely, apply to the affected area, let sit for a moment, then wash with tea using silk cloth before reapplying. Do this three to four times a day for spontaneous healing. If not healed, add 3 fen each of Borax (Pengsha), Dragon's Blood (Xuejie), and Indigo Naturalis (Qingdai); half a fen of Camellia catechu (Ercha); and 1 fen of Pearl (Yaozhu). Grind each into fine powder, mix into the previous medicine, wash and apply three to four times daily; all will heal. Alternatively, use roots of Portulaca oleracea (Machixian), bake on tiles until dry, add a little Realgar (Xionghuang), grind into powder, and insufflate into the lesion. Using the subsequent Hibiscus mutabilis prescriptions is even more miraculous.