小儿胎症∶谓胎热、胎寒、胎黄、胎肥、胎弱是也。胎热者,初生旬日之间,目闭色赤,眼
胞肿,啼叫惊烦,壮热溺黄。此在胎中受热,及膏粱内蕴,宜用清胃散之类。胎寒者,初生
百日内,或手足挛屈,或口噤不开,此在胎母过食生冷,或感寒气,宜用五味异功散之类。
胎黄者,体目俱黄,小便秘涩,不乳啼叫,或腹膨泄泻,此在胎母过食炙 辛辣,致生湿热
,宜用生地黄汤之类,热盛者,泻黄散之类。胎肥者,肌肉禀浓,遍身血色,弥月后渐瘦,
五心烦热,大便不利,口吻流涎,此受母胃热所致也。乳母服大连翘饮,儿用浴体法,以疏
通其腠理。胎弱者面无精光,肌体瘦薄,身无血色,大便白水,时时哽气,目无精神,亦宜
用浴体法。
消风散 治诸风上攻,头目昏眩,项背拘急,肢体烦疼,肌肉颤动,耳若蝉鸣,鼻塞多嚏,
皮肤顽麻,瘙痒瘾疹,目涩昏困。
白茯苓 芎 羌活 荆芥穗 防风 藿香叶 白僵蚕(炒,去丝嘴) 蝉蜕(微炒) 甘草 浓朴
(去皮,姜汁制) 陈皮(炒)
上为末,每服半钱,茶清或薄荷汤调下,荆芥汤亦可。
生地黄汤 治妊娠食酒面,五辛积热,小儿生下,遍体面目皆黄也。乳母仍忌酒面五辛等物
。
生地黄 芍药 川芎 当归(各等分)
上每服五钱,水煎产妇服,仍滴儿口数滴。
大连翘饮(方见噤风撮口)
泻黄散(方见脾脏)
清胃散
异功散(二方见内钓)
浴体法(方见发搐)
所谓胎热,是指婴儿出生十天左右,出现眼睛紧闭且面色发红,眼睑肿胀,啼哭惊叫且烦躁不安,高热且小便发黄的症状。这是因为胎儿在母体内受热,加上母亲饮食中膏粱厚味内蕴所致,适宜使用清胃散(Clear the Stomach Powder)之类的方剂。
所谓胎寒,是指婴儿出生一百天内,出现手足拘挛屈曲,或者牙关紧闭无法张开。这是因为胎儿在母体时,母亲过食生冷食物,或感受寒气所致,适宜使用五味异功散(Five-Ingredient Powder for Extraordinary Function)之类的方剂。
所谓胎黄,是指身体和眼睛都发黄,小便短少涩滞,不吃奶且啼哭惊叫,或者腹部膨隆并伴有腹泻。这是因为胎儿在母体时,母亲过食烧烤辛辣食物,导致湿热内生所致,适宜使用生地黄汤(Rehmannia Decoction)之类的方剂;若热势炽盛,则使用泻黄散(Drain the Spleen Powder)之类的方剂。
所谓胎肥,是指肌肉禀赋浓厚,全身皮肤血色红润,满月之后逐渐消瘦,五心(两手心、两足心及心胸)烦热,大便不通畅,口角流涎。这是受到母亲胃热的缘故所致。乳母应服用大连翘饮(Large Scutellaria and Forsythia Decoction),婴儿采用浴体法(Body Bathing Method),以疏通其腠理(皮肤毛孔及纹理)。
所谓胎弱,是指面部缺乏神采光泽,肌体瘦弱单薄,身上没有血色,大便呈白色水样,时常哽气(打嗝或呼吸不畅),眼神无精神。也适宜使用浴体法。
消风散(Eliminate Wind Powder):治疗各种风邪上攻引起的头目昏眩,项背部拘急不舒,肢体烦痛,肌肉颤动,耳朵像蝉鸣一样响,鼻塞多喷嚏,皮肤顽固麻木,瘙痒及瘾疹(荨麻疹),眼睛干涩昏沉困倦。
药物组成:白茯苓(Poria)、川芎(Ligusticum Chuanxiong Rhizome)、羌活(Notopterygium Root)、荆芥穗(Schizonepeta Spike)、防风(Saposhnikovia Root)、藿香叶(Agastache Leaf)、白僵蚕(Bombyx Batryticatus,炒制,去除丝嘴)、蝉蜕(Cicada Slough,微炒)、甘草(Licorice Root)、浓朴(Magnolia Bark,去皮,姜汁炮制)、陈皮(Tangerine Peel,炒制)。
以上药材研为细末,每次服用半钱,用茶清或薄荷汤调服,荆芥汤也可以。
生地黄汤(Rehmannia Decoction):治疗孕妇食用酒类和面食,以及五辛(大蒜、芸苔、胡荽、小蒜、兴渠等五种有刺激性气味的蔬菜)积热,导致小儿出生后遍体面目皆黄的情况。乳母仍须忌食酒类、面食及五辛等物。
药物组成:生地黄(Rehmannia Root)、芍药(Peony Root)、川芎(Ligusticum Chuanxiong Rhizome)、当归(Angelica Sinensis Root)(各等分)。
以上每剂取五钱,加水煎煮供产妇服用,同时滴几滴给婴儿入口。
大连翘饮(Large Scutellaria and Forsythia Decoction)(方剂见“噤风撮口”章节)
泻黄散(Drain the Spleen Powder)(方剂见“脾脏”章节)
清胃散(Clear the Stomach Powder)
异功散(Extraordinary Function Powder)(两个方剂见“内钓”章节)
浴体法(Body Bathing Method)(方剂见“发搐”章节)
Pediatric Fetal Disorders: These refer to five conditions: fetal heat (Tai Re), fetal cold (Tai Han), fetal jaundice (Tai Huang), fetal obesity (Tai Fei), and fetal weakness (Tai Ruo).
Fetal Heat refers to symptoms appearing within ten days after birth, such as eyes closed with a red complexion, swollen eyelids, crying with fright and restlessness, high fever, and yellow urine. This is caused by heat acquired in the womb and the accumulation of rich, greasy foods in the mother's diet. It is appropriate to use formulas similar to Qingwei San (Clear the Stomach Powder).
Fetal Cold refers to symptoms occurring within one hundred days after birth, such as flexion and contracture of the hands and feet, or trismus (lockjaw) where the mouth cannot open. This is caused by the mother consuming excessive raw and cold foods during pregnancy or being exposed to cold pathogens. It is appropriate to use formulas similar to Wuwei Yigong San (Five-Ingredient Powder for Extraordinary Function).
Fetal Jaundice refers to yellowing of both the body and the eyes, scanty and difficult urination, refusal to nurse accompanied by crying, abdominal distension with diarrhea. This is caused by the mother consuming excessive roasted and spicy foods during pregnancy, leading to the generation of damp-heat. It is appropriate to use formulas similar to Shengdi Huang Tang (Rehmannia Decoction); if the heat is severe, formulas similar to Xiehuang San (Drain the Spleen Powder) may be used.
Fetal Obesity refers to a condition where the infant has thick muscle constitution and ruddy skin color all over the body, but gradually becomes emaciated after one month. Symptoms include vexatious heat in the five centers (palms, soles, and chest), difficulty in defecation, and drooling from the corners of the mouth. This is caused by the transmission of stomach heat from the mother. The nursing mother should take Dalianqiao Yin (Large Scutellaria and Forsythia Decoction), and the infant should undergo the Body Bathing Method (Yuti Fa) to unblock the couli (skin pores and interstices).
Fetal Weakness refers to a lack of luster on the face, thin and emaciated body, absence of ruddy color in the skin, watery white stools, frequent hiccupping or sighing, and listless eyes. The Body Bathing Method is also appropriate here.
Xiaofeng San (Eliminate Wind Powder): Treats various wind pathogens attacking upwards, causing dizziness and vertigo of the head and eyes, stiffness and tension in the neck and back, painful limbs, muscle tremors, tinnitus resembling cicada chirping, nasal congestion with frequent sneezing, numb and tough skin, itching and urticaria, dry and dim vision with fatigue.
Ingredients: Bai Fuling (Poria), Xiong Qiang (Notopterygium Root), Jingjie Sui (Schizonepeta Spike), Fangfeng (Saposhnikovia Root), Huoxiang Ye (Agastache Leaf), Bai Jiangcan (Bombyx Batryticatus, stir-fried, silk removed), Chan Tui (Cicada Slough, lightly stir-fried), Gancao (Licorice Root), Houpo (Magnolia Bark, peeled and processed with ginger juice), Chenpi (Tangerine Peel, stir-fried).
Grind the above ingredients into powder. Take half a qian per dose, mixed with clear tea water or mint decoction; Jingjie decoction is also acceptable.
Shengdi Huang Tang (Rehmannia Decoction): Treats cases where the pregnant woman consumed alcohol, wheat products, and accumulated heat from "Five Pungent Spices" (Wu Xin), resulting in the newborn having yellowing of the entire body and face. The nursing mother must still avoid alcohol, wheat products, and the Five Pungent Spices.
Ingredients: Sheng Di Huang (Rehmannia Root), Shaoyao (Peony Root), Chuanxiong (Ligusticum Chuanxiong Rhizome), Danggui (Angelica Sinensis Root) (in equal proportions).
Take five qian per dose, decoct with water for the mother to drink, and drip a few drops into the infant's mouth.
Dalianqiao Yin (Large Scutellaria and Forsythia Decoction) (See formula under "Jinfeng Cuokou").
Xiehuang San (Drain the Spleen Powder) (See formula under "Pizang").
Qingwei San (Clear the Stomach Powder).
Yigong San (Extraordinary Function Powder) (Both formulas see under "Neidiao").
Yuti Fa (Body Bathing Method) (See formula under "Faxu").