〔海〕小儿 病,母有娠乳儿,有病如疟痢,他日亦相继腹大,或瘥或发,他人相近,亦能相继。
北人未识其病。怀妊者取百劳鸟毛带之,又取其蹋枝鞭小儿令速语。《郑礼》注云∶ ,博劳也。《楚辞》
云∶在外见鸣 ,言其鸣恶也。《白泽图》云∶屋间斗不祥,即百劳也,以此治继病。《本草》云∶
百劳味平有毒,其毛用之,治小儿继病。
〔《圣》〕治小儿生十余月后,母又有妊,令儿精神不爽,身体萎瘁,名为 病。用伏翼烧灰细研,
以粥饮调下五分,日四五服效。若炙令香熟,嚼哺儿亦效。(即蝙蝠。)
〔《无》〕《千金》论小儿有 病者,是娠妇被恶神导其胎中,妒疾小儿,令生此病。 亦小鬼也。其
证微微下利,寒热往来,毫毛发鬓 HT 不悦者是也。宜服龙胆汤。凡妇人先有小儿未能行,而母更有
娠,使儿饮此
乳,亦作 也。令儿黄瘦骨立,发热发落。
龙胆汤 治婴儿出腹,血脉盛实,寒热温壮,四肢惊掣,吐 者。若已能进哺,中满食不消,
壮热,及变蒸不解,中客人鬼气,并诸惊痫,方悉主之。
龙胆草 柴胡 黄芩 桔梗 钩藤皮 芍药 甘草(炙) 茯苓(各二钱半) 蜣螂(二枚)
大黄(煨,一两)
上为锉散,以水一升,煮取五合为一剂,十岁以下小儿皆可服。若儿生一日至七日,分一合为三服;
八日至十五日,分一合半为三服;十六日至二十日,分二合为三服;二十日至三十日,分三合为三服,
皆以得下即止,此剂为出腹婴儿所作。若日月长大者,亦根据此为例。必知客忤及有鬼气者,可加人参、
当归各二钱半,一百日儿加一钱一字,二百日儿加二钱半,一岁加半两,余药皆仿此。
〔海〕生者为相继。死者为传尸。有脉而无气,谓之尸厥。有气而无脉,谓之行尸。丁奚、哺露、客忤、
无辜,四异病也。阳易、阴易、百合、狐惑,四奇病也。
【海藏】小儿“痎”病,若母亲怀孕时哺乳婴儿,婴儿患病症状类似疟疾或痢疾,日后其他孩子接触后也会相继出现腹部胀大,病情时好时坏。即使与外人相近接触,也能相互传染。
北方人不认识这种病。孕妇取百劳鸟(伯劳鸟)的羽毛佩戴在身上,又用其踩踏树枝的鞭子抽打小儿,以促使小儿早日学会说话。《郑礼》注解说:“鸲,即博劳鸟。”《楚辞》说:“在外听到鸣叫的鸲”,是形容它的叫声难听。《白泽图》说:“屋间斗是不祥之兆”,指的就是百劳鸟,用此来治疗“痎”病。《本草》记载:百劳鸟味平、有毒,其羽毛入药,可治疗小儿“痎”病。
【《圣济总录》】治疗小儿出生十个月后,母亲再次怀孕,导致小儿精神不振,身体消瘦枯萎,称为“痎”病。使用伏翼(蝙蝠)烧成灰,细细研磨,用米粥汤送服五分,每日服用四五次见效。如果烤熟闻着香,嚼碎喂给小儿吃也有效。(即蝙蝠。)
【无择】《千金方》论述小儿患有“痎”病,认为是孕妇被恶神引导胎中,嫉妒小儿,导致生出此病。“痎”也是小鬼之名。其症状表现为轻微腹泻,寒热往来,毛发鬓角枯黄不润泽。适宜服用龙胆汤。凡是妇人先有未能行走的小儿,而母亲又有身孕,让小儿饮用此乳,也会患上“痎”病。导致小儿面色发黄消瘦,骨骼突出,发热脱发。
龙胆汤 治疗婴儿出生后,血脉盛实,寒热壮盛,四肢惊厥抽搐,呕吐者。如果已经能进食辅食,但胸中胀满食物不消化,高热,以及变蒸期不解,感受客忤及人鬼之气,以及各类惊痫,本方均主治。
龙胆草 柴胡 黄芩 桔梗 钩藤皮 芍药 甘草(炙) 茯苓(各二钱半) 蜣螂(二枚) 大黄(煨,一两)
以上药物锉散,用水一升,煮取五合作为一剂,十岁以下小儿均可服用。若婴儿出生一日至七日,将一合分为三次服用;八日至十五日,将一合半分为三次服用;十六日至二十日,将二合分为三次服用;二十日至三十日,将三合分为三次服用,均以大便通畅为度即停止服药,此剂量是为刚出生的婴儿制定的。若日月长大者,也依照此例类推。必须确认是客忤及有鬼气者,可加人参、当归各二钱半,一百天大的婴儿加一钱一分,二百天大的婴儿加二钱半,一岁大的婴儿加半两,其余药物都仿照此法加减。
【海藏】活着的称为“相继”。死去的称为“传尸”。有脉搏但没有气息,称为“尸厥”。有气息但没有脉搏,称为“行尸”。丁奚、哺露、客忤、无辜,是四种不同的病。阳易、阴易、百合、狐惑,是四种奇特的病。
[Haizang] The "Jie" disease (a type of infectious childhood disease characterized by abdominal distension and relapsing symptoms) in infants: if the mother is pregnant while breastfeeding, the infant may fall ill with symptoms resembling malaria or dysentery. Later, other children who come into contact will also sequentially develop abdominal distension, with the condition remitting or recurring. Even proximity to others can lead to transmission.
People in the North were unfamiliar with this disease. Pregnant women would take the feathers of the Shrike (Bailao bird, *Lanius* spp.) and wear them, or use a whip made from branches trodden by the bird to strike the child, aiming to hasten speech development. The commentary on *Zheng Li* states: "Qu, is the Bolao bird." The *Chu Ci* says: "Hearing the Qu calling outside," referring to its unpleasant cry. The *Baize Tu* states: "Dust fighting in the house is an ill omen," referring to the Shrike; thus it was used to treat the "Jie" disease. The *Bencao* records: The Shrike has a neutral flavor and is toxic; its feathers are used to treat pediatric "Jie" disease.
[Shengji Zonglu] To treat infants over ten months old whose mothers become pregnant again, causing the child to suffer from mental dullness and physical emaciation, termed "Jie" disease. Use Fu Yi (Bat, *Vespertilionidae*) burned to ash, finely ground, and administered with rice gruel, 5 fen per dose, four to five times daily for efficacy. If roasted until fragrant and chewed to feed the child, it is also effective. (i.e., Bat.)
[Wuze] The *Qianjin Fang* discusses pediatric "Jie" disease, attributing it to evil spirits guiding the fetus during pregnancy, envying the child, and causing this illness. "Jie" is also the name of a little ghost. Symptoms include mild diarrhea, alternating chills and fever, and hair/eyebrows that are yellow, thin, and lack luster. Longdan Tang (Gentian Decoction) is suitable. Whenever a woman has an infant who cannot yet walk, and she becomes pregnant again, allowing the infant to drink this milk will also induce "Jie" disease. This results in the child becoming sallow, emaciated with prominent bones, suffering from fever and hair loss.
Longdan Tang (Gentian Decoction) treats newborns with abundant blood and qi, high fever/chills, limb convulsions, and vomiting. If the child can already take supplementary food but suffers from abdominal fullness and indigestion, high fever, unresolved "bianzheng" (physiological fever in infants), invasion by external malevolent qi, and various convulsions/epilepsy, this formula governs all such cases.
Ingredients:
Longdan Cao (Radix Gentianae, 2.5 qian each)
Chaihu (Radix Bupleuri, 2.5 qian each)
Huangqin (Radix Scutellariae, 2.5 qian each)
Jiegeng (Radix Platycodi, 2.5 qian each)
Gouteng Pi (Cortex Uncariae, 2.5 qian each)
Shaoyao (Radix Paeoniae Alba, 2.5 qian each)
Gancao (Radix Glycyrrhizae Preparata, 2.5 qian each)
Fuling (Sclerotium Poriae Cocos, 2.5 qian each)
Dinglang (Coleopterus Silphidae, 2 specimens)
Dahuang (Radix et Rhizoma Rhei Prepared by baking, 1 liang)
Grind the above into coarse powder. Boil in one sheng of water until reduced to five he, constituting one dose. Children under ten years old may take this. For infants aged one to seven days, divide one he into three doses; eight to fifteen days, divide 1.5 he into three doses; sixteen to twenty days, divide two he into three doses; twenty to thirty days, divide three he into three doses. Stop administration once bowel movements are achieved. This dosage is designed for newborns. For older children, follow this example proportionally. If confirmed as invasion by external malevolent qi (Kewu) or ghostly qi, add Renshen (Radix Ginseng) and Danggui (Radix Angelicae Sinensis), each 2.5 qian. For a 100-day-old infant, add 1 qian 1 fen; for a 200-day-old infant, add 2.5 qian; for a one-year-old, add half a liang. Other herbs should be adjusted similarly.
[Haizang] Living transmission is called "Xiangji" (Successive Infection). Death from it is called "Chuanshi" (Corpse Transmission). Having pulse but no breath is called "Shijue" (Corpse Syncope). Having breath but no pulse is called "Xingshi" (Walking Corpse). Dingxi, Bulu, Kewu, and Wugu are four distinct diseases. Yangyi, Yinyi, Baihe, and Huhuo are four peculiar diseases.