治吐泻后,感寒囟陷。
人参(五分) 附子(制,三分) 木通 茯苓(各七分) 升麻(煨,三分)
川芎 枣仁(炒,各四分) 甘草(炙,一分) 姜水煎服。
治囟陷。
棉川乌(生用) 雄黄(二钱) 附子(生用,五钱) 各为末,用生葱连根叶打成
膏,空心贴囟上。
鹅口者,乃胎热蕴蓄心脾,上蒸于口,舌上遍生白屑,如鹅之口。更有小儿舌下有
膜,如石榴子样,连于舌根,令儿言语不发不转,可摘破之。若血出无害。不止,烧发灰掺之。
垂痈、悬痈者,宛如芦箨盛水之状,治宜刺之,令泄去青黄赤血,盐汤洗拭,蜜调
一字散少许,敷之,再生再刺可也。
重 者,附生上 ,有物胀起,宛如悬痈者是也。如着齿龈者,即名重龈。是脾胃
挟热,气血不能收敛,治法速宜绵缠长针露锋,刺肿之处,去其恶血则消。若再生再
刺,否则有妨乳食。总小儿出胎之后,血气收敛成血,则口肉舌上喉颊皆净。若血气不
敛,胎毒上攻,则乃成矣。
脾液为涎,脾胃虚冷,不能收摄,故涎流出,而溃于颐间也,宜用温脾敛温为主。
《经》又曰∶舌纵涎下,皆属于热,当兼脉俗参详可也。更有时时吐唾者,由肾气先天
禀受不足,玄池不能收摄精华,宜用地黄丸服之。
治脾冷滞颐,廉泉穴不能收摄所致。
丁香 木香(各一两) 半夏(一两) 同生姜六两,捣细,炒,令黄,去姜,青橘皮、
白米、干姜(炒)各五钱,为末,面糊丸饮下。一方加人参、肉豆蔻。甘草。又方加益智仁。
治疗吐泻之后,因感受寒邪导致囟门凹陷。
人参(五分) 附子(炮制,三分) 木通 茯苓(各七分) 升麻(煨制,三分)
川芎 酸枣仁(炒制,各四分) 甘草(炙制,一分) 用生姜水煎服。
治疗囟门凹陷。
绵川乌头(生用) 雄黄(二钱) 附子(生用,五钱) 分别研为细末,用带根叶的生葱捣烂成膏,空腹时贴敷于囟门上。
鹅口疮,是由于胎热蕴结在心脾,向上熏蒸于口腔,舌面上遍布白色碎屑,形状像鹅的嘴巴。更有甚者,小儿舌下有一层薄膜,像石榴籽的样子,连接在舌根处,导致孩子说话不清、不能转动舌头,可以将其挑破。如果出血则无大碍。若出血不止,可将头发烧成灰撒在患处止血。
垂痈、悬痈,形状宛如芦苇壳中盛水的样子,治疗应当针刺,放出青、黄、赤色的血液,用盐水清洗擦拭,再用蜂蜜调匀一字散少许,敷在患处,如果再生再刺即可。
重龈症,是指牙龈上赘生物肿胀突起,宛如悬痈的情况。如果附着在齿龈上的,就称为重龈。这是脾胃挟有热邪,气血不能收敛所致,治疗方法应迅速使用绵缠长针露出锋刃,刺入肿胀之处,排出恶血则能消退。如果再生再刺,否则会影响吃奶进食。总之,小儿出生后,气血收敛形成正常的血色,那么口内肌肉、舌头、喉咙和脸颊都会干净清爽。如果气血不收敛,胎毒上攻,就会形成这种病症。
脾液表现为涎唾,脾胃虚冷,不能收摄固持,所以涎唾流出,溃溢在两腮之间,适宜以温脾敛摄为主治原则。《黄帝内经》又说:舌体纵缓流涎,都归属于热证,应当结合脉象等世俗经验参详判断。又有时常吐唾沫的,是由于肾气先天禀赋不足,玄池(指肾或精室)不能收摄精华,适宜服用地黄丸。
治疗脾冷导致涎唾滞留两腮,以及廉泉穴不能收摄所致。
丁香 木香(各一两) 半夏(一两) 同生姜六两一起,捣碎细腻,炒至黄色,去掉生姜,加入青橘皮、白米、干姜(炒制)各五钱,研为细末,用面糊做成丸剂,温水送服。另一配方加入人参、肉豆蔻、甘草。又一方加入益智仁。
Treats post-emesis and diarrhea, where cold pathogen invasion causes the fontanelle to sink.
*Ren Shen* (Ginseng Radix et Rhizoma) (2.5g) *Fu Zi* (Prepared Aconiti Lateralis Radix) (1.5g) *Mu Tong* (Akebiae Caulis) *Fu Ling* (Poria) (each 3.5g) *Sheng Ma* (Cimicifugae Rhizoma) (roasted, 1.5g)
*Chuan Xiong* (Ligusticum Chuanxiong Rhizoma) *Zao Ren* (Ziziphi Spinosae Semen) (fried, each 2g) *Gan Cao* (Licorice Root) (honey-fried, 0.5g). Decoct with ginger water and take orally.
Treats sinking of the fontanelle.
*Mian Chuan Wu Tou* (Sichuan Aconite Root, raw) *Xiong Huang* (Realgar) (6g) *Fu Zi* (Aconite Root, raw) (15g). Grind each into powder. Use fresh green onion with roots and leaves, pounded into a paste, apply topically on an empty stomach to the anterior fontanelle.
Eagle-mouth disease (Oral Candidiasis in infants) arises from fetal heat accumulating in the Heart and Spleen, steaming upwards to the mouth. White debris covers the entire tongue, resembling the beak of a goose. In more severe cases, there is a membrane under the infant's tongue, resembling a pomegranate seed, attached to the root of the tongue, causing speech impediment and inability to move the tongue; it can be lanced. If bleeding occurs, it is harmless. If bleeding does not stop, burn hair to ash and sprinkle it on the lesion.
Drooping abscess (Chui Yong) and hanging abscess (Xuan Yong) resemble water held within a reed husk. Treatment requires puncturing to drain blue, yellow, or red blood. Wash and wipe with salt water, then apply a small amount of *Yi Zi San* (One-Character Powder) mixed with honey to the area. Repeat puncturing if necessary.
Heavy gums (Zhong Yin) refers to swelling and protrusion of tissue on the gums, resembling a hanging abscess. When attached to the gum line, it is named "Heavy Gums." This is caused by Heat in the Spleen and Stomach, preventing Qi and Blood from consolidating. The treatment should urgently use a long needle wrapped in cotton with exposed tip to puncture the swollen area, evacuating evil blood to resolve the swelling. Repeat if necessary; otherwise, it will interfere with nursing. Generally, after birth, when Qi and Blood consolidate into normal blood, the oral mucosa, tongue, throat, and cheeks become clean. If Qi and Blood fail to consolidate, and fetal toxins attack upwards, this condition forms.
Spleen fluid manifests as saliva. Due to deficiency-cold in the Spleen and Stomach, retention fails, causing saliva to flow out and accumulate between the cheeks. Treatment should focus on warming the Spleen and consolidating retention. The *Classic* states: "Flaccidity of the tongue with drooling belongs to Heat." One must also consider pulse patterns for accurate diagnosis. For those who frequently spit saliva, the cause is insufficient congenital Kidney Qi, where the *Xuan Chi* (metaphor for the Kidney essence reservoir) fails to retain essence. *Di Huang Wan* (Rehmannia Pill) is appropriate.
Treats spleen-cold stagnation in the cheeks and failure of the *Lian Quan* acupoint to retain fluids.
*Ding Xiang* (Caryophylli Flos) *Mu Xiang* (Aucklandiae Radix) (each 30g) *Ban Xia* (Pinelliae Tuber) (30g). Mix with 300g fresh ginger, pound finely, fry until yellow, remove ginger. Add *Qing Ju Pi* (Green Tangerine Peel), *Bai Mi* (Rice), and *Gan Jiang* (Fried Ginger Root) (each 15g). Grind into powder, form pills with wheat paste, and swallow with water. Another formula adds *Ren Shen* (Ginseng), *Rou Dou Kou* (Nutmeg), and *Gan Cao* (Licorice). Yet another adds *Yi Zhi Ren* (Alpinia Oxyphylla Fruit).