小儿乳后不宜与食,食后不宜哺乳。乳食相并,则难以消下,癖积、疳块,皆自此始,消食散主之(方见下)。
小儿常流清涎者,名曰滞颐,乃胃有蛔虫之渐,苦楝根汤(方见下)主之。
小儿变蒸,即益精神长知觉之候。其证或汗,或吐,烦
啼微惊,与伤寒相似。轻者五、六日,重者七、八日,治法宜用和平之剂,惺惺散(方见下)主之。
小儿乍有寒气,身热昏睡,头汗微发,或间日,或逐日。如是者,乃疟母之候,柴胡清肝汤(方见下)主之。
小儿未断乳前,母有娠,则乳儿黄瘦有病如疟痢,名曰 病。红纱袋盛夜明砂令儿佩之。
一方,蝙蝠烧灰细研,令儿粥饮调下三分,日三、四次为妙。
小儿形瘦腹饱,青络满腹,乃脾疳之证,肥儿丸(方见下)主之。
小儿颈项、手足强亘不屈,或无气不仁者,乃触风伤湿,气血壅滞而然,终为中风可虑,宜急治之。下部猝然无
气,坐地不迁,乃中湿而然,六味丸(方见下)主之。
小儿足趾相叠,乃风渐,各随经治之。第一拇趾属肝脾,第二趾属胃,第三趾属肾,第四趾属胆,第五趾属膀
胱。假如肝脾所属之趾叠于胃趾,则宜用肝脾治风湿之剂。(针治恐损元气,且气弱,不能引经,祛风汤主之。方见下)
小儿性喜用刀,多伤手指,血或过出(络血行指时致伤,则血出不止)。急以大黄烂捣敷之。
一方,药艾烂捣敷之。
一方,马通敷之,血竭尤妙。
小儿跌仆致伤,面部鼻唇血出不止,治宜上同。
小儿肺热鼻衄,以芜艾塞鼻孔,冷水滴脑后,血止为度。
一方∶蒲黄微炒,一钱许,和山栀子研,干汁炒二钱煎汤饮下,立止。九窍出血,亦宜服此。
小儿肿处或刀伤处干无水气(宜频察伤处),身冷,气不平者,乃破伤风之候,急以新放人粪浓覆伤处,艾灸其
上,以当处出水为度。
一方∶煎紫檀香和蜜温服。
一方∶黄蜡入清酒煎服。
一方∶蜷汁极效。
小儿外肾皮腐破而脱,只悬双睾子者,乃湿处所伤。以白早米粉涂睾子,以青荷叶裹之,则皮生如旧。
小儿外肾无睾子者,乃疝气上升,睾子随而入腹之故。茴香(研,猪胆汁拌炒)、川楝肉(炒)、乌药(去皮心,
酒浸,洗)等分作丸,服之为妙。 疝灸筑宾(穴在肾经内踝上三寸)甚妙。一二岁三四壮,四岁五壮。
小儿伤处,未及生肌,轻先皮合如常者,亦犯风之致,追后或痛或不仁,转为风脾之证,宜预服疏风汤(方见下)。
又以针裂破前伤处,雄黄炒盐作饼敷之。
小儿外肾、肛门、大股内侧多汗湿,且常渍粪尿汁,鲜有干时,故常有赤色。因此发胎毒、丹毒或腐伤成疮,皆
可虑,须频频细察,洗以温水,俾无湿气为妙。但勿使久坐汤水之中。且水温风冷内渗,变成搐搦症,可虑。洗儿水
中,入猪胆汁煎之,则不生疮疥。
小儿 疝,外肾如鹅卵大(俗称王阆)。碧梧桐皮浓煎温洗,疝气自消如常(痢疾亦然)。壮者王阆亦效云。
小儿阴茎缩入,取硫黄、吴茱萸各五钱为末,大蒜汁调涂脐腹上,仍以蛇床子烧烟微熏之。
小儿阳头猝浮,外皮腐伤者,亦湿热所伤,蛇床子煎
水,频洗之涂鸡子黄油最效。又蚯蚓粪调葱涎涂之亦妙。
小儿阴茎腐伤,内消难治,胆矾、黎芦、黄丹、孩儿茶等分为末,和清涂之,生肌。(壮老人病亦效)
一方∶涂蛇胆亦效。
一方∶莴苣茎、木通、枳壳、黄菊沙等分作末,和清敷之,神效。(诸无名恶疮,皆效也)
小儿初生肛门皮塞者,以 针或金玉簪尖穿孔,苏合丸作铤纳孔中,勿令再合。
小儿放尿时痛不堪忍,淋沥不善出者,乃阳甲孔小而然,常以手按引阳头皮,则自然孔阔,否则以针裂之无妨。
若非孔小,则乃淋疾之候,鹊脑髓五、六个,和木通去节,茶空心连服三、四次,奇效。
小儿大便不通,乃热甚便燥而然,饮香油数匙许,一日三、四次,肠润则尿下(日寒时,香油去冷服之)。色白
商陆长五、六分许,插入肛门,则亦引粪而下。
一方∶朱砂(水飞)和清服之,即通。
小便不通,亦由湿热雍滞,蒜饼敷之脐中,即通。
一方∶大葱白一寸,四破之,以乳汁同煎,沙石器灌入口中,即效。
小儿虚热泛上,口内糜烂,或生疮,枯矾、黄柏作末,和清掺之。或齿疳,先以白盐,手擦腐伤处,出毒血,次以
人中白、黄柏末掺之,以瘥为度。鼻孔内外、唇上、舌下或上 猝有浮气,仍为腐伤,皆是疳类,治宜上同。
一方∶柏木皮削如马蹄,灸于火,待其脂出,烙腐伤
处,极效。
一方∶土鼠干肉作末,和清涂之为妙。
一方∶蛇胆涂之。
一方∶寒水石、白盐和清涂之,亦效。
小儿悬雍垂不能吮乳,白清和盐掺之。
小儿咽喉浮痛或烂伤,玄参、桔梗、甘草各七、八分,煎服之。两耳尖灸三壮,神效。(长老人病,亦效)
小儿脐封犯风,或烂疮,或猝浮突起,名曰旋螺。荆芥穗、艾叶同煎,频洗之。王不留行烧存性,父脱鳞并调蜡
油涂之。小儿断脐防风,且无腹痛。
一方∶石雄黄、乳香和香油涂之妙。脐封烂疮,灭瘢膏涂之奇效(方见下)。
小儿伤于风寒,失音声嘶,久而不瘥,多服清音散(方见下),以瘥为度。
小儿断脐后,和面作饼,围脐裹之,艾灸三壮,防脐风。
小儿喉痰有声者,乃气虚,痰将为癖积或痰厥。人参、黄连、贝母、甘草各二、三分煎服(或加玄胡索)。肥儿丸
亦主之。
小儿处过温之壤,则血燥损元,面色萎黄,昏睡无气,升葛汤葛根(二钱)、升麻、白芍药各一钱、甘草(五分)
加当归身(一钱)、人参(三分)服之。以解肌热,兼补津液为妙。
小儿触暑昏倒,急取路中热土和童便,去滓灌口。绞肠腹痛(治上同)。暑感寒热,症涉危重,小柴胡汤为妙。暑
伤诸症,生脉散主之(麦门冬去心三钱、人参一钱、五味子九粒研用)。
小儿两目猝浮不能开,见浊汁流出,乃伤于湿热而然,
泻青丸加贝母、草决明各三、四分,人参、桑白皮各二、三分作汤服之。
小儿游戏,眼被撞刺,血痕疼痛,仍生翳膜,刮取水青木皮,浸水去冷,频频洗之。黄连煎水调初男乳(白芍药乳
尤效),寝时入眼,兼服轻咳散(方见下)。
小儿眼胞猝浮大如拳,眼睛亦凸然突出者,乃脾胃湿热上升,结核之致,平胃散加石膏、草决明各七、八分或人参
三分服之。
小儿鼻塞不通,乳不得下,取猪牙皂角、草乌(姜制)等分为末,调葱涎作膏,贴囟门上。
一方∶南星末调姜汁敷囟门上。
鼻孔生息肉者,肺热。上星(穴在前顶发际上一寸)灸五壮或七壮。
一方∶巴豆去油作末,裹纸如管形,插入鼻孔,稍久黄水流出,以水尽为度,则鼻通肉消。巴豆甚毒,勿令其屑衬
鼻内肌。
浊汁恒流者,名曰鼻渊,乃脑消之候(治法上同)。兼用防风汤(方见下)。或流清涕者,亦同治。
小儿 耳,浓汁恒流,久而不瘥,成聋难治。生银杏作汁滴入耳孔(干银杏磨醋香油)略入麝香末,为妙。
一方∶干胭脂或绵胭脂,调鲤鱼胆滴入亦妙。防风通圣散(方见下)加减服之,奇效。
小儿未经痘疹之时,瘾疹数发者,乃表热夹风湿而然。预服升葛汤(方见上)以防行痘时添重之患。 斑疹,热毒
甚而然。加连翘,防风,牛蒡子各五、六分。 白色疹,气虚热多而然。加羌活,苍术,人参各五、六分。
小儿移去他处,水土扰肠,痰饮猝盛,转成痰积、痰厥
可虑。薏苡仁、桔梗、白茯苓、贝母等分,入干干少许,作茶和清常常服之。
一方∶生槐木上自生耳煎服,治土疾最效。
小儿误吞牟稻尾刺,饮鹅涎或狗涎(鹅与狗一足缚绳倒悬,则涎自流出)。 鱼刺着口内,鱼网罨口而饮水,则刺
自下。又鱼网烧存性,和水服之。 刺着项内难拔,生姜捣作饼,微焙,熨于刺着边项外(饼冷改焙敷之),刺自耸
出。 刺着手足,深入难出,榛子去壳捣作饼,敷于刺着处对冲,刺自耸出(误敷刺入处则刺入益深)。 刺着手足及
肌肤,蔷薇根浓煎,沉刺着处,刺自耸出。 如或刺着足底,而上煎水过多,沉没足趺,则刺耸出足背,须如榛子敷
法。如铅铁等刺入肌亦然。一方石花敷对冲,如榛子法。针入肌不可拔,指南石敷之,则自然引出。一方螳螂烂捣,略
入麝香末敷之。盖螳螂前引者敷针入当处,后推者敷对冲为妙。
小儿耳孔虫入,以竹管插入耳孔,用力吸之,虫自出矣。一方滴入香油,虫即死,括出之。 豆太入耳孔,绳头掺
明胶汁插耳孔,良久出之,物自附出。
小儿为他儿所咬,龟板或鳖甲烧存性,和香油涂咬处。一方粘饭敷之。 狂犬咬处,初灸七壮,后日灸一壮至百壮。
一方虎骨作末,调酒服之。一方斑猫去头翅足,炒作末,和温酒。男子则自背后越肩受其酒饮之,毒物从大便出;若自
前直受而饮之,则毒物从小便出,痛不堪。盖毒物者,狂犬毒瓦斯自成物形也。一方葛根二、三钱,杏仁七、八分煎服之。
猫咬,薄荷嚼敷之。 蛇咬,以针乱刺咬处,逐日出毒血,以瘥为度。一方猪肉敷咬处,兼食之。一方贝母、木香各一、
二钱,石雄黄三、四分,并作末,调酒服之。 蜈蚣咬,生鸡肉敷之咬处。一方独头蒜敷之。一方,付生蜘蛛咬之,
吸去其毒。 蜂螫,醋滓或薄荷汁涂之。蛇入鼻口中,火烧其尾,则蛇惊出。一方姜汁擦猫鼻,则必放尿,滴于蛇入孔
中,则自出。
小儿误食诸果诸菜,或踯躅花中毒,香油多饮之。一方甘草、黑豆煎服之。一方人粪多饮之。 误食草乌,治方
上同。一方鸱羽煮于香油,服半盏即效。 牛肉毒尤验焉。
痘疹鸱张时,令小儿预服稀痘兔红丸、人参败毒散(并见下方),以防危重难救之患。
窃观牛黄抱龙丸,乃小儿百病之良剂。火丹、惊风未瘥之前,连服无妨,而未及生病之前,为其预防。一、二月
之内过服七、八丸,则肠胃暴冷,寒痰猝盛,甚危。须人参、白术、贝母、肉桂各三、四分服之为可。
经曰∶大火食气。又曰∶火与元气不两立,一胜则一负。凡小儿之病,专出于火热,而一线脆弱之气,不能抵当其
消铄,何能免其为火之所食(大火食气,气食大小),而亦望其两立一胜哉?苟非一味参力补虚回元之功,万万无拨乱反
正之势矣。或曰人参助热,热症不可用。此意稽之言也。经曰∶热虽甚不死。注曰∶气尽而死,然则凡热病至死者,非
热甚而死也,乃气尽而死也。盖金旺土中则木自衰而火自退矣。保养小儿之家,须以人参为瞽者之相,而察其虚实,酌
量用之可也。
小儿在哺乳后不宜立即进食,进食后也不宜立即哺乳。乳食同时摄入,则难以消化,癖积、疳块等病症皆由此引发,可用消食散治疗(方剂见下文)。
小儿经常流清口水,称为“滞颐”,这是胃中有蛔虫的征兆,可用苦楝根汤治疗(方剂见下文)。
小儿“变蒸”时期,是精神增长、知觉发育的阶段。其症状或有出汗,或有呕吐,烦躁啼哭伴轻微惊悸,与伤寒相似。轻者持续五、六天,重者持续七、八天,治疗方法宜用平和之剂,以惺惺散为主(方剂见下文)。
小儿突然感受寒气,身体发热、昏睡,头部微汗,或隔日发作,或每日发作。如果是这种情况,是疟母的症状,可用柴胡清肝汤治疗(方剂见下文)。
小儿在断奶前,若母亲怀孕,乳汁会导致婴儿面色发黄消瘦,患病如疟疾或痢疾,称为“哺露病”。用红纱袋盛装夜明砂让婴儿佩戴。
另一方法,将蝙蝠烧成灰研细,让婴儿用米粥调服三分,每天三到四次效果最好。
小儿形体消瘦但腹部胀满,腹部青色脉络显露,这是脾疳的症状,可用肥儿丸治疗(方剂见下文)。
小儿颈项、手足僵硬不能弯曲,或者感觉迟钝无气,这是触风伤湿,导致气血壅滞所致,最终可能发展为中风,令人担忧,应紧急治疗。下部突然无力,坐地不动,这是中湿所致,可用六味丸治疗(方剂见下文)。
小儿脚趾重叠,这是风邪渐侵的表现,应根据经络分别治疗。第一拇趾属肝脾,第二趾属胃,第三趾属肾,第四趾属胆,第五趾属膀胱。假如肝脾所属的脚趾叠在胃经所属的脚趾上,则宜使用治疗肝脾风湿的药剂。(针灸治疗恐怕损伤元气,且气弱无法引经,故用祛风汤治疗。方剂见下文)
小儿喜欢玩刀,容易伤手指,如果出血过多(络血行于指端时受伤,则血流不止)。应立即将大黄捣烂敷在伤口上。
另一方,用药艾捣烂敷在伤口上。
另一方,用马粪敷在伤口上,用血竭效果更好。
小儿跌倒摔伤,面部鼻唇处血流不止,治疗方法同上。
小儿肺热导致鼻出血,用芜艾塞住鼻孔,在脑后滴冷水,直到血止为止。
另一方:蒲黄微炒约一钱,与山栀子一起研磨,用干汁炒二钱煎汤饮用,可立即止血。九窍出血,也适宜服用此方。
小儿肿胀处或刀伤处干燥无水气(应频繁检查伤口),身体发冷,呼吸不平稳,这是破伤风的征兆,应立即用新排的人粪浓敷在伤口上,并在上面艾灸,以伤口处渗出液体为度。
另一方:煎煮紫檀香加蜂蜜温服。
另一方:黄蜡加入清酒煎服。
另一方:蜷蛇汁效果极佳。
小儿外生殖器皮肤腐烂破损脱落,仅剩下两个睾丸悬垂,这是在潮湿环境中受伤所致。用白早米粉涂抹睾丸,用青荷叶包裹,则皮肤会像以前一样再生。
小儿外生殖器没有睾丸,这是疝气上升,睾丸随之进入腹腔的缘故。茴香(研磨,用猪胆汁拌炒)、川楝肉(炒制)、乌药(去皮心,酒浸洗)等分制成丸药,服用效果很好。疝气灸筑宾穴(穴位在肾经内踝上三寸)非常有效。一两三四岁的患儿灸三壮,四岁灸五壮。
小儿伤口尚未生肌愈合,表皮先像平常一样闭合者,也是受风邪所致,随后可能会疼痛或感觉麻木,转为风脾证,应预先服用疏风汤(方剂见下文)。
另外,用针将之前闭合的伤口重新刺破,用雄黄炒盐做成饼敷在上面。
小儿外生殖器、肛门、大腿内侧多汗湿,且常浸泡在粪尿汁中,很少有干燥的时候,所以常有红色。因此容易引发胎毒、丹毒或腐烂成疮,都令人担忧,必须频繁仔细检查,用温水清洗,以去除湿气为妙。但不要让孩子长时间坐在汤水中。且水温风冷内渗,会变成抽搐症,令人担忧。洗儿水中加入猪胆汁煎煮,则不会生疮疥。
小儿疝气,外生殖器肿大如鹅卵大(俗称王阆)。碧梧桐皮浓煎温洗,疝气自然消退如常(痢疾也是如此)。成年人的王阆也有效。
小儿阴茎缩入,取硫黄、吴茱萸各五钱研末,用大蒜汁调匀涂在脐腹上,仍用蛇床子燃烧烟雾微微熏烤。
小儿阳头突然浮肿,外皮腐烂受伤,也是湿热所伤,用蛇床子煎水,频繁清洗并涂抹鸡蛋黄油效果最好。另外用蚯蚓粪调葱涎涂抹也很妙。
小儿阴茎腐烂受伤,内部消退难治,用胆矾、黎芦、黄丹、孩儿茶等分研末,调和清液涂抹,可促进生肌。(壮年老人患病也有效)
另一方:涂抹蛇胆也有效。
另一方:莴苣茎、木通、枳壳、黄菊沙等分研末,调和清液敷在上面,神效。(各种无名恶疮也都有效)
小儿初生时肛门皮堵塞,用针或金玉簪尖穿孔,将苏合丸做成栓剂纳入孔中,不要让孔再闭合。
小儿排尿时痛苦不堪,淋漓不畅,这是因为阳甲孔小而造成的,常用手按压引导阳头皮,则自然孔变大,否则用针裂开也无妨。
如果不是孔小,则是淋疾的症状,取鹊脑髓五六个,配合去节的木通,空腹喝茶连服三到四次,有奇效。
小儿大便不通,是因为热盛便燥所致,饮用香油数匙,一天三到四次,肠道润滑则大便排出(天气寒冷时,香油需去冷后服用)。色白的商陆长五到六分许,插入肛门,也能引导粪便下行。
另一方:朱砂(水飞法处理)调和清液服用,即可通畅。
小便不通,也是由湿热壅滞所致,用蒜饼敷在脐中,即可通畅。
另一方:大葱白一寸,剖开四瓣,与乳汁同煎,用沙石器灌入口中,即见效。
小儿虚热上浮,口腔内糜烂,或生疮,用枯矾、黄柏研末,调和清液掺撒患处。或者是齿疳,先用白盐,用手擦拭腐伤处,排出毒血,再用牛人中白、黄柏末掺撒,以痊愈为度。鼻孔内外、嘴唇上、舌头下或上颚突然有浮气,仍然是腐伤,都是疳类疾病,治疗方法同上。
另一方:将柏木皮削成马蹄形,在火上灸烤,待其油脂流出,烙烫腐伤处,极有效。
另一方:土鼠干肉研末,调和清液涂抹很妙。
另一方:涂抹蛇胆。
另一方:寒水石、白盐调和清液涂抹,也有效。
小儿悬雍垂(小舌头)不能吮乳,用白清液和盐掺撒。
小儿咽喉浮痛或烂伤,玄参、桔梗、甘草各七、八分,煎服。两耳尖各灸三壮,神效。(壮年老人患病也有效)
小儿脐带封口处受风,或烂疮,或突然浮肿突起,称为“旋螺”。荆芥穗、艾叶同煎,频繁清洗。王不留行烧存性,配合父脱鳞并调蜡油涂抹。小儿断脐后可防风邪,且无腹痛。
另一方:石雄黄、乳香和香油涂抹很妙。脐封烂疮,用灭瘢膏涂抹奇效(方剂见下文)。
小儿受风寒侵袭,失音声嘶,久不痊愈,多服用清音散(方剂见下文),以痊愈为度。
小儿断脐后,用面和成饼,围在脐部包裹,艾灸三壮,预防脐风。
小儿喉间痰鸣有声,这是气虚,痰将形成癖积或痰厥。人参、黄连、贝母、甘草各二、三分煎服(可加玄胡索)。肥儿丸也可主治。
小儿处于过热的环境中,则血燥损元,面色萎黄,昏睡无力,可用升葛汤(葛根二钱、升麻、白芍药各一钱、甘草五分)加当归身(一钱)、人参(三分)服用。以解肌热,兼补津液为妙。
小儿中暑昏倒,急忙取路中的热土混合童便,去渣灌入口中。绞肠腹痛(治疗方法同上)。暑感寒热,症状涉及危重,用小柴胡汤效果最好。暑伤各种症状,用生脉散主治(麦门冬去心三钱、人参一钱、五味子九粒研磨使用)。
小儿两眼突然浮肿不能睁开,有浑浊液体流出,这是受湿热所致,用泻青丸加贝母、草决明各三、四分,人参、桑白皮各二、三分煎汤服用。
小儿游戏时,眼睛被撞刺,有血痕疼痛,又生翳膜,刮取水青木皮,浸水去冷,频繁清洗。黄连煎水调初生男婴的乳汁(白芍药乳汁尤其有效),睡觉时滴入眼中,兼服轻咳散(方剂见下文)。
小儿眼睑突然浮肿大如拳头,眼睛也凸出,这是脾胃湿热上升,结核所致,用平胃散加石膏、草决明各七、八分或人参三分服用。
小儿鼻塞不通,无法吃奶,取猪牙皂角、草乌(姜制)等分研末,调葱涎做成膏,贴在囟门上。
另一方:南星末调姜汁敷在囟门上。
鼻孔生息肉者,是肺热。上星穴(穴位在前顶发际上一寸)灸五壮或七壮。
另一方:巴豆去油研末,裹纸做成管形,插入鼻孔,稍久后黄水流出,以水流尽为度,则鼻子通畅息肉消除。巴豆毒性很大,不要让药屑接触鼻内肌肉。
浑浊液体常流,称为“鼻渊”,这是脑消的症状(治疗方法同上)。兼用防风汤(方剂见下文)。或者流清涕的,也用同样的方法治疗。
小儿耳道流脓,浓汁常流,久不痊愈,导致耳聋难治。生银杏榨汁滴入耳孔(干银杏磨醋香油)略入麝香末,很妙。
另一方:干胭脂或绵胭脂,调鲤鱼胆滴入也很妙。防风通圣散(方剂见下文)加减服用,有奇效。
小儿未经痘疹之时,瘾疹多次发作,这是表热夹风湿所致。预先服用升葛汤(见上文)以防出痘时病情加重。斑疹,是热毒甚所致。加连翘、防风、牛蒡子各五、六分。白色疹,是气虚热多所致。加羌活、苍术、人参各五、六分。
小儿移居他处,水土不服扰乱肠胃,痰饮突然旺盛,转成痰积、痰厥,令人担忧。薏苡仁、桔梗、白茯苓、贝母等分,加入少许干姜,做成茶调和清液经常服用。
另一方:生槐树上自生的木耳煎服,治疗水土不服最有效。
小儿误吞禾稻尾刺,饮用鹅涎或狗涎(将鹅与狗的一足绑绳倒悬,则涎液自然流出)。鱼刺卡在口内,用鱼网罩住口喝水,则刺自行落下。又将鱼网烧存性,加水服用。刺卡在颈部难拔,生姜捣成饼,微焙,熨烫在刺入处的颈部外侧(饼冷了再焙敷),刺会自动耸出。刺扎入手足,深入难出,榛子去壳捣成饼,敷在刺入处的对侧,刺会自动耸出(误敷在刺入处则刺入更深)。刺扎入手足及肌肤,蔷薇根浓煎,沉没刺入处,刺会自动耸出。如果刺扎在脚底,而上煎水过多,沉没足背,则刺耸出足背,须按榛子敷法。如铅铁等刺入肌肉亦然。另一方用石花敷在对侧,按榛子法。针入肌肉不可拔,敷指南石,则自然引出。另一方用螳螂捣烂,略入麝香末敷上。螳螂前引者敷在针入处,后推者敷在对侧很妙。
小儿耳孔有虫进入,用竹管插入耳孔,用力吸之,虫子自然出来。另一方滴入香油,虫子即死,括出。豆子太大入耳孔,绳头掺明胶汁插耳孔,良久取出,物体自然附着出来。
小儿被其他孩子咬伤,龟板或鳖甲烧存性,和香油涂在咬处。另一方粘饭敷上。狂犬咬处,初灸七壮,之后每天灸一壮至一百壮。
另一方虎骨研末,调酒服用。另一方斑猫去头翅足,炒成末,和温酒。男子则从背后越过肩膀接其酒饮下,毒物从大便排出;若从前面直受而饮,则毒物从小便排出,痛苦不堪。因为毒物是狂犬毒瓦斯自成物形。另一方葛根二、三钱,杏仁七、八分煎服。
猫咬,嚼薄荷敷上。蛇咬,用针乱刺咬处,逐日排出毒血,以痊愈为度。另一方猪肉敷在咬处,兼吃。另一方贝母、木香各一、二钱,石雄黄三、四分,并作末,调酒服用。蜈蚣咬,生鸡肉敷在咬处。另一方独头蒜敷上。另一方,付生蜘蛛咬之,吸去其毒。蜂螫,醋渣或薄荷汁涂之。蛇入鼻口中,火烧其尾,则蛇惊出。另一方姜汁擦猫鼻,则必放尿,滴于蛇入孔中,则自出。
小儿误食诸果诸菜,或踯躅花中毒,多喝香油。另一方甘草、黑豆煎服。另一方人粪多喝。误食草乌,治疗方法同上。另一方鸱羽煮于香油,服半盏即效。牛肉毒尤验焉。
痘疹鸱张时,令小儿预先服用稀痘兔红丸、人参败毒散(并见下方),以防危重难救之患。
窃观牛黄抱龙丸,乃小儿百病之良剂。火丹、惊风未瘥之前,连服无妨,而未及生病之前,为其预防。一、二月之内过服七、八丸,则肠胃暴冷,寒痰猝盛,甚危。须人参、白术、贝母、肉桂各三、四分服之为可。
经曰∶大火食气。又曰∶火与元气不两立,一胜则一负。凡小儿之病,专出于火热,而一线脆弱之气,不能抵当其消铄,何能免其为火之所食(大火食气,气食大小),而亦望其两立一胜哉?苟非一味参力补虚回元之功,万万无拨乱反正之势矣。或曰人参助热,热症不可用。此意稽之言也。经曰∶热虽甚不死。注曰∶气尽而死,然则凡热病至死者,非热甚而死也,乃气尽而死也。盖金旺土中则木自衰而火自退矣。保养小儿之家,须以人参为瞽者之相,而察其虚实,酌量用之可也。
Infants should not be fed solid food immediately after breastfeeding, nor should they be breastfed immediately after eating. If milk and food are ingested simultaneously, digestion becomes difficult, leading to conditions such as *pi ji* (accumulation masses) and *gan kuai* (malnutrition masses), which originate from this cause; treat with *Xiaoshi San* (Digestion-Dispersing Powder) (formula see below).
If an infant frequently flows clear saliva, it is named "Zhi Yi" (Saliva Retention), which indicates the onset of roundworms in the stomach; treat with *Kulian Gen Tang* (Fructus Toosendan Decoction) (formula see below).
The period of "Bian Zheng" (Physiological Growth and Development) in infants is a time when spirit increases and perception develops. Symptoms may include sweating, vomiting, irritability, crying, and slight palpitations, resembling *Shang Han* (Cold Damage disease). Mild cases last five or six days, severe cases seven or eight days. The treatment method should use mild agents; treat primarily with *Xingxing San* (Awakening Star Powder) (formula see below).
If an infant suddenly feels cold, has fever, lethargy, slight head sweating, and symptoms occur either every other day or daily, this indicates signs of *Nuo Mu* (Malaria Mother); treat with *Chaihu Qinggan Tang* (Bupleurum Liver-Clearing Decoction) (formula see below).
Before weaning, if the mother is pregnant, the milk may cause the infant to become yellow and thin, suffering from illness resembling malaria or dysentery, named "Bu Lu Bing" (Nursing Illness). Hang a red gauze bag containing *Yeming Sha* (Cacumen Phoenicis) for the infant to wear.
Another method: Burn bats to ash, grind finely, and let the infant take 3 fen mixed with rice gruel, three to four times a day for best results.
If an infant is emaciated but the abdomen is full, with green veins covering the abdomen, this is a sign of *Pi Gan* (Spleen Malnutrition); treat with *Fei'er Wan* (Child-Nourishing Pills) (formula see below).
If an infant's neck and limbs are stiff and cannot bend, or feel numb and lifeless, this is caused by wind and dampness invasion leading to Qi and Blood stagnation. This may eventually develop into *Zhong Feng* (Wind Stroke), which is concerning, and requires urgent treatment. Sudden weakness in the lower body, sitting on the ground unable to move, is caused by Dampness invasion; treat with *Liujun Wan* (Six-Ingredient Rehmannia Pill) (formula see below).
Overlapping toes in infants indicate gradual Wind pathogen invasion; treat according to the meridians. The first toe belongs to the Liver and Spleen, the second to the Stomach, the third to the Kidney, the fourth to the Gallbladder, and the fifth to the Bladder. If the toe belonging to the Liver/Spleen overlaps the toe belonging to the Stomach, use formulas treating Wind-Dampness of the Liver and Spleen. (Acupuncture is avoided as it may damage Yuan Qi, and weak Qi cannot guide the pathogen; use *Qufeng Tang* (Wind-Expelling Decoction). Formula see below.)
Infants fond of playing with knives often injure their fingers. If bleeding is excessive (injury to collateral vessels at the fingertips causes unceasing blood flow), immediately apply mashed *Dahuang* (Radix et Rhizoma Rhei) to the wound.
Another method: Apply mashed medicinal mugwort (*Ai Ye*).
Another method: Apply horse manure; *Xuexie* (Resina Draconis) is even better.
For facial nose-lip injuries from falls where blood does not stop, use the same treatment as above.
For epistaxis due to Lung Heat, plug the nostrils with *Wu Ai* (Artemisia argyi), drip cold water on the back of the head, until bleeding stops.
Another method: Lightly stir-fry *Puhuang* (Pollen Typhae) about 1 qian, grind with *Shanzhizi* (Fructus Gardeniae), stir-fry with dry juice to 2 qian, decoct in water and drink; bleeding stops immediately. This is also suitable for bleeding from the nine orifices.
If swelling or knife wounds are dry without moisture (check wounds frequently), accompanied by cold body and irregular breathing, these are signs of *Poshang Feng* (Tetanus); immediately cover the wound thickly with fresh human feces and moxa-burn above it, until fluid exudes from the wound.
Another method: Decoct *Zitan Xiang* (Lignum Santali Rubrum) with honey and take warm.
Another method: Decoct *Huang La* (Cera Flava) in clear wine and take.
Another method: Juice of *Quanshe* (Trimeresurus stejnegeri) is extremely effective.
If the skin of the external genitalia of an infant rots and peels off, leaving only the two testes suspended, this is injury from damp environments. Apply white early rice flour to the testes and wrap with green lotus leaves; the skin will regenerate as before.
Absence of testes in the external genitalia is due to *Shan Qi* (Hernia) rising and pulling the testes into the abdominal cavity. Mix equal parts of *Huixiang* (Fructus Foeniculi) (ground, stir-fried with pig bile), *Chuanlian Rou* (Pericarpium Toosendan) (stir-fried), and *Wuyao* (Radix Linderae) (peeled, soaked in wine, washed) into pills; taking them is excellent. Moxa-burning *Zhubin* acupoint (located 3 cun above the medial malleolus on the Kidney Meridian) is very effective for hernia. Three moxa cones for one-to-four-year-olds, five cones for four-year-olds.
If a wound in an infant closes superficially before granulation tissue forms, it is due to Wind invasion. Later, it may become painful or numb, transforming into *Feng Pi* (Wind Spleen) syndrome; pre-emptively administer *Shufeng Tang* (Wind-Dispersing Decoction) (formula see below).
Additionally, puncture the previously closed wound with a needle and apply a cake made of fried *Xionghuang* (Realgar) and salt.
Excessive sweating and wetness in the external genitalia, anus, and inner thighs of infants, often soaked in urine and feces, rarely stay dry, resulting in redness. This predisposes to *Tai Du* (Embryonic Toxin), *Dan Du* (Erysipelas), or ulceration, all of which are concerning. Inspect frequently, wash with warm water to remove dampness. Do not let the child sit in water for long periods. Cold wind penetrating warm water can lead to convulsions, which is dangerous. Add pig bile to bath water to prevent sores.
Infantile hernia where the scrotum swells like a goose egg (commonly called Wang Lang): Decoct *Bi Wutong Pi* (Cortex Firmianaee) and wash warmly; the hernia will subside naturally (also effective for dysentery). Effective for adults too.
For retracted penis, take 5 qian each of *Huang* (Sulfur) and *Wuzhuyu* (Fructus Evodiae), grind to powder, mix with garlic juice, and apply to the umbilicus and abdomen. Smoke with burning *Shechuangzi* (Fructus Cnidii) gently.
For sudden swelling and rotting of the glans due to Damp-Heat, wash frequently with decoction of *Shechuangzi* (Fructus Cnidii) and apply chicken egg yolk oil; this is most effective. Alternatively, apply earthworm dung mixed with onion juice.
For gangrenous injury to the penis that is difficult to heal internally, mix equal parts of *Danfan* (Alumen), *Lilu* (Radix Veratri Nigri), *Huandan* (Minium), and *Haiercha* (Camellia Seed Tea) into powder, mix with clear liquid and apply to promote tissue regeneration. (Effective for adults too).
Another method: Applying snake gall is effective.
Another method: Mix equal parts of *Wuju Sheng* (Stem Lactucae Scabrae), *Mutong* (Caulis Akebiae), *Zhiqiao* (Fructus Aurantii), and *Huangjushasha* (Flower Chrysanthemi Indici) into powder, mix with clear liquid and apply; miraculous effect. (Effective for various unnamed malignant sores).
For newborns with anal membrane obstruction, perforate with a needle or gold/jade hairpin tip. Insert a suppository made of *Suhe Wan* (Styrax Pill) into the hole; do not allow it to close again.
If an infant suffers unbearable pain during urination with dribbling, it is due to a small urethral opening. Press and guide the foreskin manually to widen the opening naturally; otherwise, puncturing with a needle is acceptable.
If the opening is not small, it is a sign of *Lin Ji* (Strangury). Take 5-6 pigeon brains, combine with de-jointed *Mutong* (Caulis Akebiae), and drink continuously on an empty stomach with tea for 3-4 times; miraculous effect.
Constipation in infants is caused by excess heat and dry stools. Drink several spoons of sesame oil, 3-4 times a day; lubricating the intestines facilitates bowel movement. (In cold weather, consume warmed sesame oil). Insert a 5-6 fen piece of white *Shanglu* (Radix Menispermi) into the anus to induce defecation.
Another method: Consume *Zhusha* (Cinnabar) (water-ground) mixed with clear liquid; passage occurs immediately.
Urinary retention is also caused by Damp-Heat stagnation. Apply garlic cake to the umbilicus; urination resumes immediately.
Another method: Take 1 cun of white part of green onion, split into four, decoct with milk, and instill into the mouth using a sand vessel; effective immediately.
Floating deficiency heat causing oral erosion or sores: Grind *Kufan* (Alumen) and *Huangbai* (Cortex Phellodendri) into powder, mix with clear liquid and sprinkle on lesions. For dental *Gan* (Malnutrition), first wipe the lesion with white salt to drain toxic blood, then sprinkle *Renzhongbai* (Urinae Calcina) and *Huangbai* (Cortex Phellodendri) powder until healed. Floating gas appearing suddenly inside/outside nostrils, lips, under tongue, or palate indicates similar malnutrition-type sores; treat as above.
Another method: Shape *Baimu Pi* (Cortex Platycladi) like a horseshoe, roast over fire until oil exudes, and cauterize the lesion; extremely effective.
Another method: Grind dried soil mouse meat into powder, mix with clear liquid and apply; excellent.
Another method: Apply snake gall.
Another method: Apply mixture of *Han Shui Shi* (Aqua Halloysitae) and white salt in clear liquid; also effective.
If the uvula prevents suckling, sprinkle white clear liquid mixed with salt.
For floating pain or ulceration of the throat: Decoct *Xuanshen* (Radix Scrophulariae), *Jiegeng* (Radix Platycodonis), and *Gancao* (Radix Glycyrrhizae) (7-8 fen each) and drink. Moxa-burn both ear tips three cones each; miraculous effect. (Effective for adults too).
Wind invasion at the umbilical stump, ulcers, or sudden protrusion named "Xuan Luo" (Whirlwind Screw): Decoct *Jingjie Sui* (Spica Schizonepetae) and *Ai Ye* (Folium Artemisiae Argyi) and wash frequently. Burn *Wangbuliuxing* (Semen Vaccariae) to retain nature, mix with father's shed scales and wax oil for application. Prevents umbilical wind and abdominal pain after cord separation.
Another method: Mix *Shi Xionghuang* (Realgar) and *Ruxiang* (Resina Boswelliae) with sesame oil for application. For umbilical ulcers, apply *Miecan Gao* (Scar-Extinguing Ointment); miraculous effect (formula see below).
Hoarseness and voice loss due to Wind-Cold invasion that persists: Take *Qinyin San* (Voice-Clearing Powder) frequently until healed (formula see below).
After cord separation, make a dough cake around the umbilicus and moxa-burn three cones to prevent Umbilical Wind.
Phlegm rales in the throat indicate Qi deficiency, potentially leading to phlegm accumulation or phlegm syncope. Decoct *Renshen* (Radix Ginseng), *Huanglian* (Rhizoma Coptidis), *Beimu* (Bulbus Fritillariae Cirrhosae), and *Gancao* (Radix Glycyrrhizae) (2-3 fen each) and drink (add *Yanhusuo* if needed). *Fei'er Wan* (Child-Nourishing Pills) is also indicated.
Living in overly warm environments dries the blood and damages Yuan Qi, causing sallow complexion, lethargy, and lack of energy. Take *Shengge Tang* (Kudzu and Cimicifuga Decoction) (*Gegen* 2 qian, *Shengma* 1 qian, *Baishao* 1 qian, *Gancao* 0.5 qian) plus *Danggui Shen* (Radix Angelicae Sinensis) 1 qian and *Renshen* (Radix Ginseng) 0.3 fen. This resolves muscle heat and replenishes fluids.
Syncope due to summerheat: Immediately take hot soil from the road mixed with *Tongbian* (Children's Urine), strain, and instill into the mouth. For intestinal colic (treat as above). For severe summerheat-cold complex symptoms, *Xiaochaihu Tang* (Minor Bupleurum Decoction) is excellent. For various summerheat injuries, *Shengmai San* (Generate Pulse Powder) (*Maidong* 3 qian, *Renshen* 1 qian, *Wuweizi* 9 grains, ground) is indicated.
Sudden bilateral eye swelling preventing opening, with turbid discharge, is due to Damp-Heat injury. Take *Xieqing Wan* (Drain Green Pill) plus *Beimu* (Bulbus Fritillariae Cirrhosae) and *Caojueming* (Semen Cassiae) (3-4 fen each), *Renshen* (Radix Ginseng) and *Sangbaipi* (Cortex Mori Radicis) (2-3 fen each) as a decoction.
Eye injury from blunt force with blood stasis, pain, and pterygium formation: Scrape *Shuiqingmu Pi* (Bark of Water Green Tree), soak in water to cool, and wash frequently. Decoct *Huanglian* (Rhizoma Coptidis) in water, mix with colostrum (white goat milk is especially effective), instill before sleep, and concurrently take *Qingke San* (Light Cough Powder) (formula see below).
Sudden massive eyelid swelling like a fist with bulging eyes is due to ascending Spleen-Stomach Damp-Heat and nodulation. Take *Pingwei San* (Peace the Middle Powder) plus *Shigao* (Gypsum Fibrosum) and *Caojueming* (Semen Cassiae) (7-8 fen each) or *Renshen* (Radix Ginseng) 3 fen.
Nasal congestion preventing feeding: Mix equal parts of *Zhuya Zaojiao* (Fructus Gleditsiae Sinensis) and *Caowu* (Radix Aconiti Kusnezoffii) (processed with ginger) into powder, mix with onion juice to form a paste, and apply to the anterior fontanelle.
Another method: Apply *Nanxing* (Rhizoma Pinelliae Preparata) powder mixed with ginger juice to the anterior fontanelle.
Nasal polyps indicate Lung Heat. Moxa-burn *Shangxing* acupoint (1 cun above anterior hairline) five or seven cones.
Another method: Remove oil from *Badou* (Semen Crotonis), grind to powder, wrap in paper tube, insert into nostril. Wait until yellow fluid drains out until clear; nasal passage clears and polyps disappear. Badou is highly toxic; ensure no residue touches nasal mucosa.
Constant turbid discharge is named "Bi Yuan" (Nasal Sinusitis), indicating brain depletion (treat as above). Concurrently use *Fangfeng Tang* (Saposhnikovia Decoction) (formula see below). Clear rhinorrhea is treated similarly.
Chronic purulent otorrhea leading to deafness is difficult to treat. Instill juice of raw *Yinxing* (Semen Ginkgo) (grind dry ginkgo with vinegar and sesame oil) with a little *Shexiang* (Moschus).
Another method: Instill dry or cotton rouge mixed with carp bile; also effective. Modify *Fangfeng Tongsheng San* (Saposhnikovia Unblocking Interior and Exterior Powder) (formula see below) for administration; miraculous effect.
Urticaria recurring before varicella/chickenpox is due to exterior heat夹杂着 Wind-Damp. Pre-emptively take *Shengge Tang* (Kudzu and Cimicifuga Decoction) (see above) to prevent worsening during eruption. Macules/rashes are due to severe Heat-Toxin. Add *Lianqiao* (Fructus Forsythiae), *Fangfeng* (Radix Saposhnikoviae), *Niubangzi* (Fructus Arctii) (5-6 fen each). White rashes are due to Qi deficiency with excess heat. Add *Qianghuo* (Rhizoma Notopterygii), *Cangzhu* (Rhizoma Atractylodis Lanceae), *Renshen* (Radix Ginseng) (5-6 fen each).
Relocation causing水土不服 (local incompatibility) disrupts intestines, causing sudden phlegm-fluid accumulation, transforming into phlegm accumulation or syncope. Take equal parts of *Yiyiren* (Semen Coicis), *Jiegeng* (Radix Platycodonis), *Baifuling* (Poria), and *Beimu* (Bulbus Fritillariae Cirrhosae) with a little dried ginger, brew as tea, and drink regularly.
Another method: Decoct self-grown fungus on live locust wood; most effective for local incompatibility.
Swallowing grain awns: Drink goose or dog saliva (suspend goose/dog by one leg to induce salivation). Fish bone stuck in mouth: Cover mouth with fish net while drinking water to dislodge bone. Burn fish net to ash, mix with water and drink. Bone stuck in neck: Apply ginger cake (lightly roasted) to side of neck; replace when cool; bone pops out. Deep bone in extremities: Apply hickory nut cake to opposite side; bone pops out (do not apply directly over insertion point). Rose root decoction immersion for skin/muscle splinters. For sole splinters submerged in water, apply hickory cake method to dorsum foot. Lead/iron splinters: Same method. Another method: Apply *Shihua* (Corallium) to opposite side. Needle embedded in muscle: Apply lodestone to draw it out. Another method: Apply crushed mantis with musk. Anterior mantis applied to entry site, posterior to opposite site.
Insect in ear canal: Use bamboo tube to suction insect out. Another method: Instill sesame oil to kill insect, then remove. Large bean in ear: Tie string coated with gelatin to end, insert into ear, wait, and pull out; object adheres and exits.
Child bite: Burn turtle shell or softshell turtle carapace to ash, mix with sesame oil and apply. Another method: Apply sticky rice. Rabies bite: Moxa-burn seven cones initially, then one cone daily up to 100 cones.
Another method: Tiger bone powder mixed with wine. Another method: *Banmao* (Mylabris) (remove head/wings/legs), stir-fry to powder, mix with warm wine. Men drink from behind shoulder; toxin exits via stool. Drinking from front causes toxin to exit via urine with severe pain (toxin takes physical form). Another method: *Gegen* (Radix Puerariae) 2-3 qian, *Xingren* (Semen Armeniacae Amarum) 7-8 fen, decoct and drink.
Cat bite: Chew mint and apply. Snake bite: Prick wound randomly with needle, drain toxic blood daily until healed. Another method: Apply pork to bite and eat. Another method: *Beimu* (Bulbus Fritillariae Cirrhosae) and *Muxiang* (Radix Aucklandiae) 1-2 qian, *Shi Xionghuang* (Realgar) 3-4 fen, powder, mix with wine. Centipede bite: Apply raw chicken meat. Another method: Apply single-head garlic. Another method: Let live spider bite area to absorb toxin. Bee sting: Apply vinegar dregs or mint juice. Snake in nose/mouth: Burn tail to scare snake out. Another method: Rub cat nose with ginger juice to induce urination, drip into snake entry hole.
Poisoning from fruits/vegetables or *Zhizhu Hua* (Azalea): Drink plenty of sesame oil. Another method: Decoct *Gancao* (Radix Glycyrrhizae) and black beans. Another method: Drink human feces. Poisoning from *Caowu* (Radix Aconiti Kusnezoffii): Treat as above. Another method: Boil owl feathers in sesame oil, take half cup. Beef poisoning: Highly effective treatments exist.
During severe varicella/chickenpox eruption, pre-emptively administer *Xidou Tu Hong Wan* (Varicella-Thinning Rabbit Red Pill) and *Renshen Baidu San* (Ginseng Detoxification Powder) (see below) to prevent critical complications.
*Niu Huang Bao Long Wan* (Calculus Bovis Dragon-Embracing Pill) is a good remedy for infant ailments. Safe to take consecutively before resolution of Fire Erysipelas or Convulsions, and for prevention before illness. However, overdosing (7-8 pills within 1-2 months) causes sudden cold intestines/stomach and acute cold-phlegm, which is dangerous. Must balance with *Renshen* (Radix Ginseng), *Baizhu* (Rhizoma Atractylodis Macrocephalae), *Beimu* (Bulbus Fritillariae Cirrhosae), and *Rougui* (Cortex Cinnamomi) (3-4 fen each).
The Classics state: "Great Fire consumes Qi." Also: "Fire and Yuan Qi cannot coexist; as one wins, the other loses." Infant diseases stem primarily from Fire-Heat. The fragile Qi line cannot withstand consumption. How can it avoid being eaten by Fire? Unless *Renshen* (Radix Ginseng) tonifies deficiency and restores Yuan Qi, there is no power to restore order. Some say Renshen aids heat and is contraindicated in heat syndromes; this is erroneous reasoning. The Classics state: "Even severe heat does not cause death." Commentary: "Death occurs when Qi is exhausted." Thus, death from heat disease is due to Qi exhaustion, not heat severity. When Metal prospers in Earth, Wood declines and Fire retreats. Families caring for infants must use Renshen (Radix Ginseng) as a guide to assess deficiency/excess and use it judiciously.