(天吊 客忤 夜啼)
中恶天吊者。为恶鬼之气所中。两目上撺。吊起而不能 也。此因胎气不足。精神失守
。
而
鬼得以犯之矣其症面白带青。或土色。目睛上视。口吐白沫。手足拘挛。身冷如冰。有似于
惊风。而实非惊风也。又有所谓客忤者。非中恶之谓也。乃偶见生人异物。卒然惊骇。啼哭
不止。心志恍惚。闻响即跳。常欲躲避之状者是也。如为所忤犯。故为客忤。岂以客为鬼乎
。又有所谓夜啼者。非客忤之谓。乃心经受热也。其症至夜即啼。百计安之。而不能止。盖
心为君火。而主于血。夜则血归于肝。而心虚火炽。故烦燥不宁。而多啼也。
定神散 治中恶天吊。
茯神 远志 胆星 麦门冬(各五钱) 石菖蒲(二钱) 琥珀(一钱五分) 为上末。每服
二钱。滚汤调下。
抱龙丸 治中恶天吊。夜啼客忤等症。每一丸。姜汤下。(方见惊风门)
安魂汤 治客忤立效。
枣仁 茯神 远志(各一钱) 当归 胆星(各七分) 灯心二十茎煎服。
保安丸 治夜啼。
人参 麦门冬 黄连 茯神 龙齿 远志(各五钱) 朱砂(一钱五分) 金箔(二十片)
上为末蜜丸。朱砂金箔为衣。每服一丸。滚汤化下。
(附食积伤食)
小儿吐泻交作。人皆以为脾胃受寒。不能容饮食。故上则为吐。下则为泻。此据其病形而言
耳。而不知脾胃受寒者。止于腹中偎偎作痛。或微泄或吐痰涎而已。其势殊无可畏。至于大
吐大泻。一时发越。津液顿亡。面目乍瘦。岂受寒之为病哉。必是平素先伤饮食。郁蒸作
热。蓄之既久。将发未发。一感外之风势。势不可遏。故攻击脏腑。一齐而至。遂令小儿困
惫。当此之时。若以为吐泻空虚。即投补剂。尽温热之药。立见危亡。慎之慎之。如有吐而
无泻。或有泻而无吐者。乃有寒热之分。吐酸臭而苦者热也。清痰则非热矣。泻臭秽而不可
中恶天吊,是由于受到恶鬼之气的侵袭所致。表现为双眼向上翻白,眼球吊起而不能转动。这是因为胎儿时期禀赋不足,精神失守,导致鬼神得以侵犯身体。其症状表现为面色苍白中带青色,或呈土黄色,眼睛向上视,口吐白沫,手足拘挛抽搐,身体冰冷如冰,看起来类似惊风,但实际上并非惊风。
另外有所谓“客忤”的病症,这不同于中恶。是因为偶然见到陌生人或奇异事物,突然受到惊吓,导致啼哭不止,心神恍惚,听到声响就惊恐跳跃,常表现出想要躲避的样子。因为被外来的邪气所触犯,所以称为客忤,怎么能把客人当作鬼怪呢?
又有所谓“夜啼”的病症,这也不同于客忤,而是心经受热所致。其症状是到了夜晚就啼哭,用各种方法安抚都不能停止。因为心属君火,主司血液,夜间血液回归肝脏,导致心虚而火气炽盛,所以烦躁不宁,从而多啼哭。
定神散:治疗中恶天吊。
药材:茯神、远志、胆南星、麦门冬(各五钱),石菖蒲(二钱),琥珀(一钱五分)。
制法与用法:将上述药材研为细末。每次服用二钱,用滚开的热水调服。
抱龙丸:治疗中恶天吊、夜啼、客忤等症状。每次服用一丸,用姜汤送下。(方剂详见惊风门)
安魂汤:治疗客忤,效果显著。
药材:酸枣仁、茯神、远志(各一钱),当归、胆南星(各七分),灯心草二十茎。
制法与用法:煎汤服用。
保安丸:治疗夜啼。
药材:人参、麦门冬、黄连、茯神、龙齿、远志(各五钱),朱砂(一钱五分),金箔(二十片)。
制法与用法:将上述药材研为细末,用蜂蜜制成丸药,以朱砂和金箔为衣。每次服用一丸,用滚开水化开服用。
(附:食积伤食)
小儿呕吐和腹泻同时发作,人们都认为是脾胃受寒,不能容纳饮食,所以上面表现为呕吐,下面表现为腹泻。这只是根据病状表象来说的,却不知道脾胃受寒的症状,仅限于腹部隐隐作痛,或者轻微泄泻或吐出痰涎而已,这种病情并不可怕。至于大吐大泻,一时剧烈发作,津液瞬间耗亡,面目突然消瘦,这难道是受寒引起的疾病吗?必定是平时先损伤了饮食,导致郁结蒸腾产生内热,积蓄久了,在将要发作还未完全发作时,一旦感受外界的风邪之气,病势便不可遏制,于是攻击脏腑,一齐发作,致使小儿困倦疲惫。在这个时候,如果认为吐泻导致身体空虚,就立即投用补益剂,全部使用温热性质的药物,病人会立刻面临危亡。务必谨慎,务必谨慎。如果有呕吐而没有腹泻,或者有腹泻而没有呕吐的情况,这就有寒证和热证的区分。呕吐物酸臭且味苦的是热证;如果是清稀的痰涎,则不是热证。腹泻物臭秽且不可……
(Tian Diao, Ke Wu, Night Crying)
Zhong E Tian Diao (Severe Qi Invasion with Upward Gaze) is caused by the invasion of malignant ghostly qi. It manifests as eyes rolling upward and staring fixedly without movement. This occurs due to insufficient prenatal constitution and loss of spiritual guarding, allowing evil spirits to invade the body. The symptoms include a pale complexion with a bluish or earthy hue, upward gaze, foaming at the mouth, spasm and contraction of the limbs, and a body cold as ice. It resembles Jing Feng (Convulsive Disease/Infantile Convulsion) but is essentially different from it.
There is also what is called "Ke Wu" (Guest Intrusion), which is distinct from Zhong E. It arises when one suddenly encounters strangers or strange objects, leading to sudden fright, incessant crying, mental confusion, startle response to sounds, and a constant desire to hide. Because it is triggered by external intrusion, it is termed Ke Wu; how can guests be equated with ghosts?
Furthermore, there is "Ye Ti" (Night Crying), which differs from Ke Wu and is caused by heat in the Heart Meridian. Its symptom is crying specifically at night, which cannot be stopped by various soothing methods. Since the Heart governs King Fire and rules over Blood, and blood returns to the Liver at night, this leads to Heart deficiency and blazing fire, resulting in restlessness and frequent crying.
Ding Shen San (Calm Spirit Powder): Treats Zhong E Tian Diao.
Ingredients: Fu Shen (Poria with Hostwood), Yuan Zhi (Polygalae Radix), Dan Xing (Arisaema cum Bile), Mai Men Dong (Ophiopogonis Tuber) (each 5 qian); Shi Chang Pu (Acori Tatarinowii Rhizoma) (2 qian); Hu Po (Amber) (1.5 qian).
Preparation and Administration: Grind the above ingredients into fine powder. Take 2 qian per dose, mixed with boiling water.
Bao Long Wan (Dragon-Embracing Pill): Treats Zhong E Tian Diao, Ye Ti, Ke Wu, and other conditions. Take one pill per dose, washed down with ginger decoction. (Formula see section on Jing Feng).
An Hun Tang (Soul-Anchoring Decoction): Highly effective for treating Ke Wu.
Ingredients: Zao Ren (Ziziphi Spinosae Semen), Fu Shen (Poria with Hostwood), Yuan Zhi (Polygalae Radix) (each 1 qian); Dang Gui (Angelicae Sinensis Radix), Dan Xing (Arisaema cum Bile) (each 0.7 qian); Deng Xin Cao (Junci Medulla) (20 stems).
Preparation and Administration: Decoct and take orally.
Bao An Wan (Security-Preserving Pill): Treats Ye Ti.
Ingredients: Ren Shen (Ginseng Radix), Mai Men Dong (Ophiopogonis Tuber), Huang Lian (Coptidis Rhizoma), Fu Shen (Poria with Hostwood), Long Chi (Dentis Mammoth), Yuan Zhi (Polygalae Radix) (each 5 qian); Zhu Sha (Cinnabaris) (1.5 qian); Jin Bo (Gold Leaf) (20 pieces).
Preparation and Administration: Grind the above ingredients into fine powder and form pills with honey. Coat with Zhu Sha and Jin Bo. Take one pill per dose, dissolved in boiling water.
(Attachment: Food Stagnation and Injury from Diet)
When infants suffer from simultaneous vomiting and diarrhea, people generally attribute it to Spleen and Stomach Cold, unable to accommodate food and drink, thus causing vomiting above and diarrhea below. This view is based merely on the appearance of the disease. However, one should not know that Spleen and Stomach Cold typically presents only with dull abdominal pain, mild diarrhea, or vomiting of phlegm-saliva, which is not particularly alarming. In cases of severe vomiting and diarrhea occurring suddenly, where fluids are instantly depleted and the face and eyes appear sunken, this cannot be attributed to cold injury alone. It must be that previously, dietary injury led to stagnation and steaming heat accumulation. After a long period of storage, just before eruption, an external wind pathogen triggers an unstoppable force, attacking the Zang-Fu organs simultaneously, leaving the infant exhausted. At this moment, if one assumes that vomiting and diarrhea cause emptiness and immediately administers tonifying agents or purely warming herbs, the patient will face immediate danger. One must be extremely cautious. If there is vomiting without diarrhea, or diarrhea without vomiting, there is a distinction between Cold and Heat. Vomiting sour, foul-smelling, and bitter contents indicates Heat; vomiting clear phlegm indicates non-Heat. Diarrhea with foul odor and unbearable smell...