不乳,谓初出胞胎不吮乳也,其故有二,(甲)因脐粪未下,能令小儿腹满气短,呕吐不乳,古法用一捻金
(如大黄、黑丑、白丑、人参、槟榔,各等分),研为细末,以少许蜜水调服。(乙)因儿母过食寒凉,胎受其
气,儿必腹痛多啼,面色青白,古法用匀气散(如陈皮、桔梗,炮姜、砂仁、木香、炙甘草,研末),每服五分,
红枣煎汤调服。若四肢厥逆者,古法用理中汤(如人参、土白术、干姜、炙甘草,引用红枣肉等味),随症分别治之。
〔真按〕(甲)证用一捻金,药力过猛,只宜用生甘草末一
分,黄连末少许,煎服以下脐粪。(乙)证用匀气散,散气伤元,即兼厥逆,只宜用淡干姜炙甘草煎汤,徐徐与
饮,可以回阳,不伤元气,更有一法,用葱管一寸长者三段,即将产母乳一小杯,同葱放杓内熬滚,稍候与饮,
便能吮乳。
不小便者,乃胎热流于下也,古法用导赤散(如生地、木通、生甘草、引用竹叶、灯芯等味)。热盛者,古
法用八正散(如 蓄、瞿麦、滑石、木通、赤苓、车前子、生大黄、生栀子,引用灯芯等味),外贴脐上,用豆
豉膏(如淡豆豉、田螺、葱,共三味,共捣烂,以芭蕉汁调贴脐上)。
〔真按〕初生虽属热盛,不宜用八正散大剂,损儿脏腑,亦不必用外贴豆豉膏,反引脐风,即导赤散原方,
古称木通,即今之通草,气味悬殊,不可不辨,只须用通草、生甘草、灯芯三味,自无不利小便矣。
不乳,是指婴儿刚离开母体后不能吸吮乳汁。其原因有两个方面:(甲)因为胎便尚未排出,会导致小儿腹部胀满、气短、呕吐而不能吃奶,古法使用一捻金(由大黄、黑丑、白丑、人参、槟榔各等分组成),研成细末,用少量蜜水调服。(乙)因为母亲过食寒凉食物,胎儿受其寒气影响,婴儿必定腹痛多啼哭,面色青白,古法使用匀气散(由陈皮、桔梗、炮姜、砂仁、木香、炙甘草研成粉末组成),每次服用五分,用红枣煎汤调服。如果出现四肢厥逆(手脚冰凉)的情况,古法使用理中汤(由人参、土白术、干姜、炙甘草组成,引用红枣肉等药味),根据症状分别治疗。
〔陈守真按语〕对于(甲)证使用一捻金,药力过于猛烈,只宜用生甘草末一分,黄连末少许,煎服以排出胎便。(乙)证使用匀气散,会耗散正气损伤元气,即使兼有四肢厥逆,也只宜用淡干姜和炙甘草煎汤,慢慢喂饮,可以回阳救逆而不伤元气。另外还有一种方法,取一寸长的葱管三段,加上即将分娩的母乳一小杯,同葱一起放在勺里煮沸,稍候片刻喂饮,婴儿便能吸吮乳汁。
不小便,是由于胎热流注于下焦所致,古法使用导赤散(由生地、木通、生甘草组成,引用竹叶、灯芯等药味)。热势亢盛者,古法使用八正散(由萹蓄、瞿麦、滑石、木通、赤茯苓、车前子、生大黄、生栀子组成,引用灯芯等药味),外用贴脐上,使用豆豉膏(由淡豆豉、田螺、葱共三味,捣烂后用芭蕉汁调匀贴在脐上)。
〔陈守真按语〕初生婴儿虽然属于热盛,但不宜使用八正散大剂量,以免损伤婴儿脏腑,也不必使用外贴豆豉膏,反而可能引发脐风(新生儿破伤风)。即使是导赤散原方,古时所说的“木通”,即是现在的“通草”,气味差异巨大,不可不辨别,只需使用通草、生甘草、灯芯三味药,自然能通利小便。
Bu Ru (Failure to Suckle) refers to the condition where a newborn fails to suckle breast milk immediately after birth. There are two causes: (A) Due to the retention of meconium, it can cause abdominal distension, shortness of breath, vomiting, and inability to suckle in the infant. The ancient method employs Yinianjin (One-Grain Gold Decoction), composed of Dahuang (Rhei Radix et Rhizoma), Heiqiu (Strychni Semen), Baiqiu (Strychni Semen), Renshen (Ginseng Radix et Rhizoma), and Binglang (Arecae Semen) in equal parts, ground into fine powder and taken with a small amount of honey water. (B) Due to the mother consuming excessive cold and cooling foods, the fetus is affected by this qi, causing the infant to suffer from abdominal pain, frequent crying, and a bluish-white complexion. The ancient method employs Yunqi San (Uniform Qi Powder), composed of Chenpi (Citri Reticulatae Pericarpium), Jiegeng (Platycodonis Radix), Paojiang (Zingiberis Rhizoma Preparatum), Sharen (Amomi Fructus), Muxiang (Aucklandiae Radix), and Zhigancao (Glycyrrhizae Radix et Rhizoma Preparatum), ground into powder. Each dose is five fen, taken with decoction of red dates. If there is Jue Ni (Reversal Cold/Extremity Cold), the ancient method employs Lizhong Tang (Regulate the Middle Decoction), composed of Renshen (Ginseng Radix et Rhizoma), Tu Baizhu (Atractylodis Macrocephalae Rhizoma), Ganjiang (Zingiberis Rhizoma), and Zhigancao (Glycyrrhizae Radix et Rhizoma Preparatum), with Hongzaorou (Date Flesh) as an adjuvant, treating according to specific symptoms.
[Chen Shouzhen's Note] For syndrome (A), using Yinianjin is too potent; it is advisable to use only Yigancao (Licorice Root) powder, one fen, and a small amount of Huanglian (Coptidis Rhizoma) powder, decocted and taken to expel meconium. For syndrome (B), using Yunqi San disperses qi and damages yuan qi (primordial qi). Even if accompanied by Jue Ni, it is advisable to use Dan Jiangyan Cao (Light Ginger and Licorice) decoction, administered slowly to restore yang without damaging primordial qi. Another method involves taking three segments of green onion tubes, each one cun long, mixed with one cup of colostrum from a woman about to give birth. Boil them together in a spoon, let it cool slightly, and administer for drinking, which will enable the infant to suckle.
Xiao Bian Niao (Oliguria/Anuria) is caused by fetal heat flowing downward. The ancient method employs Daochi San (Guide Out Red Powder), composed of Shengdi (Rehmanniae Radix), Mutong (Akebiae Caulis), and Sheng Gancao (Raw Licorice Root), with Zhuye (Bamboo Leaf) and Dengxin (Typhae Stamen) as adjuvants. In cases of excess heat, the ancient method employs Bazheng San (Eight Righteousnesses Powder), composed of Pian Xu (Parsley Herb), Qumai (Diantherae Herba), Huashi (Talcum), Mutong (Akebiae Caulis), Chiling (Poria with Hostwood), Cheqianzi (Plantaginis Semen), Sheng Dahuang (Raw Rhubarb), and Sheng Zhizi (Gardeniae Fructus), with Dengxin (Typhae Stamen) as an adjuvant. Externally, apply Dou Chi Gao (Fermented Soybean Paste) on the umbilicus, composed of Dan Dou Chi (Prepared Soybean), Tianluo (Apple Snail), and Congbai (Scallion White), mashed together and applied to the umbilicus with Banana Juice.
[Chen Shouzhen's Note] Although newborns often present with excess heat, it is inappropriate to use large doses of Bazheng San, as it may damage the zang-fu organs. It is also unnecessary to use external Dou Chi Gao, as it may induce Qi Feng (Umbilical Wind/Newborn Tetanus). Even in the original Daochi San formula, the "Mutong" mentioned in ancient texts refers to Tongcao (Tetrapanacis Medulla) in modern times; their properties differ significantly and must be distinguished. One need only use Tongcao (Tetrapanacis Medulla), Sheng Gancao (Raw Licorice Root), and Dengxin (Typhae Stamen); this will naturally promote urination.