〔无〕小儿夜啼有四证∶一曰寒,二曰热,三曰重舌口疮,四曰客忤。寒则腹痛而啼,面青白,口有
冷气,腹亦冷,曲腰而啼,此寒证也。热则心躁而啼,面赤,小便赤,口中热,腹暖,啼时或有汗,仰身
而啼,此热也。若重舌口疮,要吮乳不得,口到乳上即啼,身额皆微热,急取灯照口,若无疮,舌必
重也。客忤者,见生人气忤犯而啼也,各随证治之。
蒜乳丸治腹痛夜啼。当归丸治脏寒腹痛。(二方见腹痛。)
〔田〕五味子散 治小儿夜啼,及腹痛,至夜辄剧,状似鬼祟。
五味子 当归 赤芍药 白术(各半两) 茯神 陈皮 桂心 甘草(炙。各二钱半)
上为粗末,水煎,量儿大小加减。
〔钱〕三黄丸治腹热痛,夜啼,面赤唇焦,便赤,用人参汤吞下。(热痛腰不曲,肢不冷也。)
〔无〕灯花散 治热证心燥夜啼。
以灯花三四颗,研细,用灯心煎汤调涂口中,以乳汁送下,日三服。一法,用灯花涂乳上,令小
儿吮之。无灯花,用灯心烧灰亦妙。又一法,灯花七枚,硼砂一字,辰砂少许,研细,蜜调,抹唇
上,立安。
〔丹〕小儿夜啼
人参(二钱半) 黄连(一钱半) 甘草(炙,五分) 竹叶(二十片) 生姜(一片) 水煎服。
〔《澹寮》〕龙齿散治小儿夜啼不止。(方见拗哭 即上《本事》龙齿散,但无羌活一味。)
〔世〕又方 蝉蜕二七枚,去足,为末,入朱砂一字,蜜调送下。
〔丹〕马齿烧研细,敷乳上吮之,妙。小儿夜啼,黄连姜汁炒,甘草、竹叶煎服。
〔世〕治小儿夜啼。青黛半钱,细研,清水调下。
〔无〕蒲黄散治小儿重舌。(方见舌。)牡蛎散治小儿口疮。(方见疮。)
治客忤夜啼法,用本家厨下烧残火柴头一个,以火焦头为上,朱书云∶吾是天上五雷公,将来作神
将,能收夜啼儿,一缚永不放,急急如太上老君律令敕,书了,勿令儿知,立在床下,倚床前脚里立之,
男左女右,效。
〔《明》〕夜啼,灸中冲,一壮即止。
【无】小儿夜间啼哭有四种证型:一是寒证,二是热证,三是重舌或口疮,四是客忤。寒证表现为腹痛而啼哭,面色青白,口中呼出冷气,腹部发凉,弯腰屈曲而啼,这是寒证。热证表现为心中烦躁而啼哭,面色红赤,小便颜色深黄,口中发热,腹部温暖,啼哭时有时出汗,身体后仰而啼,这是热证。如果是重舌或口疮,导致婴儿想要吃奶却吃不到,嘴唇碰到乳头就啼哭,身体和额头都微微发热,应立即取灯火照亮口腔检查,如果没有疮疡,舌头必定是重舌。客忤是指受到陌生人气息冲犯而啼哭,治疗应分别根据具体证候进行。
蒜乳丸用于治疗因腹痛引起的夜间啼哭。当归丸用于治疗脏寒引起的腹痛。(这两个方剂见“腹痛”章节。)
【田】五味子散,用于治疗小儿夜间啼哭,以及腹痛,到了夜晚症状加剧,状似被鬼祟侵扰。
药物组成:五味子、当归、赤芍药、白术(各半两);茯神、陈皮、桂心、甘草(炙,各二钱半)。
制法用法:将上述药材捣成粗末,用水煎煮,根据患儿年龄大小调整剂量。
【钱】三黄丸用于治疗腹热痛、夜间啼哭、面色红赤、嘴唇焦裂、大便色黄赤,用人参汤送服。(注:热痛则腰部不弯曲,四肢不冷。)
【无】灯花散,用于治疗热证引起的心烦意乱及夜间啼哭。
用法:取灯花三四颗,研细,用灯心草煎汤调匀涂抹于口中,或用乳汁送服,每日三次服用。另一种方法,将灯花涂抹在乳头上,让小儿吮吸。若无灯花,将灯心草烧成灰使用也很好。又一种方法,取灯花七枚,硼砂一字,辰砂少许,研细,用蜂蜜调和,涂抹在嘴唇上,可立即安宁。
【丹】治疗小儿夜间啼哭的方剂:
人参(二钱半)、黄连(一钱半)、甘草(炙,五分)、竹叶(二十片)、生姜(一片),水煎服。
【《澹寮》】龙齿散,用于治疗小儿夜间啼哭不止。(该方剂见“拗哭”条目,即上文《本事方》中的龙齿散,只是缺少羌活一味药。)
【世】另一个方剂:蝉蜕十四枚,去掉足部,研成粉末,加入朱砂一字,用蜂蜜调和送服。
【丹】马齿苋烧成灰研细,敷在乳头上让小儿吮吸,效果很好。治疗小儿夜间啼哭,也可用黄连经姜汁炒制,配合甘草、竹叶煎服。
【无】蒲黄散,用于治疗小儿重舌。(该方剂见“舌”章节。)牡蛎散,用于治疗小儿口疮。(该方剂见“疮”章节。)
治疗客忤引起夜间啼哭的方法:取自家厨房下燃烧剩余的火柴头一个,以火焦黑的头部为上端,用朱砂书写文字:“吾是天上五雷公,将来作神将,能收夜啼儿,一缚永不放,急急如太上老君律令敕。”写好后,不要让小孩知道,将其立在床下,倚靠在床前的腿旁站立,男孩放在左边,女孩放在右边,有效。
[Wu] There are four syndromes of infantile nocturnal crying: one is Cold, two is Heat, three is double tongue or mouth sores, and four is Ke Wu (sudden fright caused by unfamiliar people or objects). In the Cold syndrome, the infant cries due to abdominal pain, with a cyanotic and pale complexion, cold breath from the mouth, a cold abdomen, and bending the waist while crying; this is the Cold syndrome. In the Heat syndrome, the infant cries with mental restlessness, a red face, dark yellow urine, heat in the mouth, a warm abdomen, sometimes sweating during crying, and extending the body backward while crying; this is the Heat syndrome. If it is double tongue or mouth sores, the infant desires to suckle but cannot, crying immediately upon touching the nipple with the lips, with slight heat on the body and forehead. One should urgently use a lamp to illuminate the mouth for examination; if there are no sores, the tongue must be double. Ke Wu refers to crying caused by being offended by the qi of strangers; treatment should follow each specific syndrome.
Suan Ru Wan (Garlic Milk Pill) treats nocturnal crying due to abdominal pain. Dang Gui Wan (Angelica Sinensis Pill) treats abdominal pain due to Zang Cold. (These two formulas are seen under "Abdominal Pain".)
[Tian] Wu Wei Zi San (Schisandra Powder) treats infantile nocturnal crying, as well as abdominal pain that worsens at night, resembling possession by evil spirits.
Ingredients: Wu Wei Zi (Fructus Schisandrae Chinensis), Dang Gui (Radix Angelicae Sinensis), Chi Shao Yao (Radix Paeoniae Rubra), Bai Zhu (Rhizoma Atractylodis Macrocephalae) (each 0.5 liang); Fu Shen (Poria Cum Radix), Chen Pi (Pericarpium Citri Reticulatae), Gui Xin (Cortex Cinnamomi), Gan Cao (Radix Glycyrrhizae Uralensis, prepared) (each 2.5 qian).
Preparation and administration: Grind the above into coarse powder, decoct in water, and adjust dosage according to the child's age and size.
[Qian] San Huang Wan (Three Yellows Pill) treats abdominal heat-pain, nocturnal crying, red face, cracked lips, and dark urine; swallow with Ren Shen Tang (Ginseng Decoction). (Note: Heat-pain does not cause bending of the waist or coldness of the limbs.)
[Wu] Deng Hua San (Lamp Wick Ash Powder) treats nocturnal crying due to mental restlessness from Heat syndrome.
Usage: Take three or four lamp wick ashes (Deng Hua), grind finely, mix with decoction of Deng Xin Cao (Herba Junci Effusi) to apply in the mouth, or administer with milk, three times daily. Another method: apply lamp wick ash to the nipple for the infant to suckle. If lamp wick ash is unavailable, burning Juncus effusus to ash is also excellent. Yet another method: take seven lamp wick ashes, Peng Sha (Borax), and a small amount of Chen Sha (Cinnabar), grind finely, mix with honey, and smear on the lips for immediate calm.
[Dan] Formula for infantile nocturnal crying:
Ren Shen (Radix Ginseng) (2.5 qian), Huang Lian (Rhizoma Coptidis) (1.5 qian), Gan Cao (Radix Glycyrrhizae Uralensis, prepared) (5 fen), Zhu Ye (Folium Bambusae), Sheng Jiang (Rhizoma Zingiberis Recens) (one slice). Decoct in water and take orally.
[Dan Liao] Long Chi San (Dragon Tooth Powder) treats incessant infantile nocturnal crying. (This formula is seen under "Ao Ku" [Stubborn Crying], which is the Long Chi San from Ben Shi Fang mentioned above, lacking only Qiang Huo.)
[Shi] Another formula: Chan Tui (Periostracum Cicadae), fourteen pieces, remove legs, grind into powder, add Zhu Sha (Cinnabar), one zi, and administer with honey.
[Dan] Ma Chi Xian (Portulaca oleracea) burned to ash and ground finely, applied to the nipple for the infant to suckle, is effective. For infantile nocturnal crying, Huang Lian stir-fried with Jiang Zhi (Ginger Juice), combined with Gan Cao and Zhu Ye, can be decocted and taken.
[Shi] Treating infantile nocturnal crying: Qing Dai (Indigo Naturalis), half qian, finely ground, mixed with clear water and taken orally.
[Wu] Pu Huang San (Lygodii Pollen Powder) treats infantile double tongue. (This formula is seen under "Tongue".) Mu Li San (Oyster Shell Powder) treats infantile mouth sores. (This formula is seen under "Sores".)
Method for treating nocturnal crying due to Ke Wu: Take one burnt matchstick head from the family kitchen, using the charred tip as the top. Write with cinnabar ink: "I am the Five Thunder Deity of Heaven, coming to become a divine general, capable of capturing the nocturnal crying child, binding him forever without release. Urgently obey the decree of Taishang Laojun." After writing, do not let the child know. Place it standing under the bed, leaning against the front leg of the bed. For boys, place on the left; for girls, on the right. This is effective.
[Ming] For nocturnal crying, moxa-accumulate on Zhongchong (PC9), one moxa cone stops it immediately.