复生饮 治一切脐风撮口。
牙皂 僵蚕 穿山甲(各六分) 麻黄 防风 胆星 半夏(各五分) 甘草(三分) 大黄
(一钱后入略煎一滚)
先即以此儿脱下脐带。煎五六沸去带。再入前药煎。临服加入姜汁竹沥各二茶匙。麝香
少许调匀。徐徐以匙灌之。以通利则有生机。
又方 前药不效。再服此剂。
牛黄 僵蚕(各一钱) 胆星(八分) 麝香(一分) 上为末。每服五分。姜汁调灌下。
封脐散 生南星为末。封脐。不可再见风。
舌者。心之苗也。以为君火。其体本热。而况小儿以纯阳之躯。先受于胎。复感热于外
。其
之症。未必皆儿之自病。或者其母有以致之也。古人云。若要小儿安。常令饥与寒。饥则不
致于伤脾。寒则不致于生热。此保婴之道乎。所谓寒者。亦非使之冻也。惟令常温。不至甚
暖
耳。冷暖得宜。岂复有鹅口重舌之患耶。然何以名之曰重舌。重者舌下肿突。其状又若一层
。故谓之重。非真有两舌也。何以名之曰鹅口。鹅口者。满口皆白。有似鹅之口中。俗谓之
雪口是也。分而言之。重舌属心。鹅舌属脾。合而言之。总为心热。何者。心统于脾。故
曰治于口也。使不由于心热。则口虽白。而舌自赤。何为而舌上皆白耶。大法内服泻心清热
之剂。而外敷凉药。则重者可消。白者可退矣。
复生饮:治疗各种脐风撮口(新生儿破伤风引起的牙关紧闭、口唇收缩)。
药材及用量:牙皂、僵蚕、穿山甲(各六分);麻黄、防风、胆星(天南星经胆汁制)、半夏(各五分);甘草(三分);大黄(一钱,后下,煮沸一次即可)。
用法:先用婴儿脱下的脐带煎煮五六沸,去掉脐带。再加入上述药物煎煮。服用前加入姜汁、竹沥各两茶匙,以及少许麝香,调匀。用勺子慢慢灌服。如果服药后大便通畅,则还有生机。
又方:如果前面的药无效,再服用此剂。
药材及用量:牛黄、僵蚕(各一钱);胆星(八分);麝香(一分)。
制法与用法:以上药物研成细末。每次服用五分,用姜汁调匀后灌服。
舌是心的外候(苗窍)。心属于君火,其体质本热,何况小儿身体纯阳,先天受之于胎,后天又感受外热。出现这种症状,未必都是婴儿自身生病,也许是母亲的原因导致的。古人说:“要使小儿平安,常让他保持饥饿和寒冷。”饥饿就不会损伤脾胃,寒冷就不会产生内热。这是保护婴儿的方法。所谓的“寒”,并不是让婴儿受冻,只是让温度保持常温,不至于太暖而已。冷暖适宜,怎么还会有鹅口疮、重舌的祸患呢?
然而为什么叫“重舌”呢?“重”是指舌下肿胀突起,形状像多了一层,所以叫重,并不是真的长了两个舌头。
为什么叫“鹅口”呢?鹅口是指满口皆白,很像鹅的嘴巴,俗称雪口病。
分开来说,重舌属于心,鹅口疮属于脾。合起来说,总归是心热。为什么呢?因为心统摄于脾(注:此处原文逻辑可能有误或特指五行相生相克关系,通常认为舌为心之苗,口为脾之窍,但原文强调心热导致口舌病变),所以说治疗在于口部。如果不是由于心热,那么口腔虽然发白,但舌头自然应该是红色的,怎么会舌头上也全是白色呢?
基本治法是内服泻心清热的方剂,外用敷凉性药物,那么重舌可以消退,白色可以退去。
Fusheng Yin (Revival Decoction): Treats all types of umbilical wind with mouth closure (neonatal tetanus characterized by trismus and opisthotonos).
Ingredients: Ya Zao (Gleditsiae Sinensis Fructus Spinosus), Jiang Can (Bombyx Batryticatus), Chuan Shan Jia (Manis Pentadactyla Scale) (each 6 fen); Ma Huang (Ephedrae Herba), Fang Feng (Saposhnikoviae Radix), Dan Xing (Arisaematis Cum Bile Rhizoma), Ban Xia (Pinelliae Tuber) (each 5 fen); Gan Cao (Glycyrrhizae Radix et Rhizoma) (3 fen); Da Huang (Rhei Radix et Rhizoma) (1 qian, added later, boiled briefly once).
Usage: First, boil the infant's detached umbilical cord in this decoction for five or six boils, then remove the cord. Add the aforementioned herbs and continue boiling. Before administration, add two teaspoons each of Jiang Zhi (Ginger Juice) and Zhu Li (Bamboo Sap), along with a small amount of She Xiang (Musk), mix well, and slowly administer via spoon. If bowel movement becomes unobstructed, there is hope for survival.
Another Prescription: If the above prescription is ineffective, administer this formula next.
Ingredients: Niu Huang (Calculus Bovis), Jiang Can (Bombyx Batryticatus) (each 1 qian); Dan Xing (Arisaematis Cum Bile Rhizoma) (8 fen); She Xiang (Musk) (1 fen).
Preparation and Usage: Grind the above ingredients into fine powder. Take 5 fen per dose, mixed with Ginger Juice for administration.
Feng Qi San (Umbilicus-Sealing Powder): Grind Sheng Nan Xing (Arisaema Cum Bile Rhizoma, raw) into powder and apply to the umbilicus. Avoid exposure to wind.
The tongue is the sprout of the Heart. The Heart belongs to Ministerial Fire (Jun Huo), and its nature is inherently hot. Moreover, infants possess a pure Yang constitution, inheriting heat from the womb and easily contracting external heat postnatally. The occurrence of E Kou (Goose Mouth) and Chong She (Double Tongue) may not necessarily be due to the infant's own pathology but could stem from maternal factors. Ancients said, "To keep an infant safe, often let them be hungry and cold." Hunger prevents damage to the Spleen, and cold prevents the generation of internal heat. This is the way to nurture infants. The term "cold" here does not mean freezing the infant, but merely maintaining a normal temperature, avoiding excessive warmth. With appropriate temperature regulation, how could one suffer from E Kou or Chong She?
Why is it called "Chong She" (Double Tongue)? "Chong" refers to swelling and protrusion under the tongue, resembling an extra layer; thus it is called double, not that there are literally two tongues. Why is it called "E Kou" (Goose Mouth)? E Kou describes a condition where the entire mouth is white, resembling the inside of a goose's mouth, commonly known as Snow Mouth.
Analytically, Chong She belongs to the Heart, while E Kou belongs to the Spleen; collectively, they are attributed to Heart Heat. Why? Because the Heart governs the Spleen (in this context implying their interconnectedness in oral pathology), hence the disease manifests in the mouth. If it were not due to Heart Heat, although the mouth might appear white, the tongue itself would be red. How could the tongue be entirely white?
The general treatment principle is to internally administer formulas that drain Heart Heat and externally apply cooling medications. In this way, Chong She can subside, and the white coating can recede.