【方歌】婴儿垂痈上〔月咢〕生,喉前结肿色红疼,积热凝结宜
刺破,服五福丹抹冰硼。
【注】此证生于喉前上〔月咢〕,下垂如珠,红肿胀痛,不能
吮乳。三、四日后,宜用针刺一、二分,放出脓血,其
肿痛即减。由积热凝结而成,宜服五福化毒丹,兼用冰
硼散,抹于痈处,日三抹之。乳母常忌鱼腥、辣物。
方剂:五福化毒丹(见赤游单毒)
冰硼散(见口部鹅口疮)
【方歌】胎风初起皮色红,状如汤泼火烧同,证由孕母多积热,
清胃汤服即有功。
【注】此证又名胎赤,婴儿初生,身热皮红,状如汤泼火烧,
由孕母过食辛香热物,以致脾胃积热。乳母宜服清胃汤
,婴儿亦饮少许,外皮焮赤,用〔火段〕石膏研细敷之
。如无焮赤,乃孕母脾虚,用粳米粉敷之。若儿大能食
米面,身热皮红者,系腑热内蒸,湿气外乘之故,即名
玉烂疮。宜如意金黄散,蜜水调敷,内服导赤汤即效。
方剂:清胃汤(见齿部牙衄)
如意金黄散(见肿疡门)
导赤汤(见口部口衄)
【方歌】脐疮儿脐破水伤,草纸烧灰敷最良,久而不愈风邪袭,
恐发风痫紧紧防。
【注】此证由水湿伤脐所致。若久不愈,则发抽搐,又因风邪
外袭也,恐变风痫。宜大草纸烧灰敷之,或加枯矾;或
再加龙骨烧上等分,入麝香少许,撒之即效。
【方歌】婴儿的垂痈生于上腭,喉前结块肿胀,颜色发红且疼痛,因积热凝结所致,适宜刺破,服用五福丹并涂抹冰硼散。
【注】此证生于喉前的上腭处,下垂如珠状,红肿胀痛,导致婴儿无法吮吸乳汁。三、四日后,宜用针刺入一、二分深,放出脓血,其肿痛即可减轻。此病由积热凝结而成,适宜服用五福化毒丹,同时使用冰硼散,涂抹于痈肿处,每日涂抹三次。乳母常需忌食鱼腥及辛辣食物。
方剂:五福化毒丹(见赤游单毒章节)
冰硼散(见口部鹅口疮章节)
【方歌】胎风初起时皮色发红,症状如同被热水浇烫或火烧一般,病因在于孕妇体内多有积热,服用清胃汤即能奏效。
【注】此证又名胎赤,婴儿刚出生时,身体发热、皮肤发红,状如被热水浇烫或火烧,这是由于孕妇过食辛香温热之物,导致脾胃积热所致。乳母宜服用清胃汤,让婴儿也饮用少许;若外皮红肿炽热,可用煅石膏研成细粉外敷。若无红肿炽热现象,则是由于孕妇脾虚所致,可用粳米粉外敷。如果婴儿稍大能吃米面,出现身热皮红的情况,属于腑热内蒸、湿气外侵的缘故,这就名叫玉烂疮。适宜使用如意金黄散,用蜜水调匀后外敷,内服导赤汤即可见效。
方剂:清胃汤(见齿部牙衄章节)
如意金黄散(见肿疡门章节)
导赤汤(见口部口衄章节)
【方歌】脐疮是婴儿脐部破损受水湿所伤,用草纸烧成的灰敷贴最为良好,若久不愈合则风邪侵袭,恐怕引发风痫,需紧紧防范。
【注】此证由水湿损伤脐部所致。若长久不愈,则会引发抽搐,又因风邪外袭,恐怕演变为风痫。适宜用大张草纸烧成灰后敷贴,或者加入枯矾;或者再加龙骨烧制后等分混合,加入少许麝香,撒在患处即见效。
[Verse] Infant's drooping carbuncle (Chui Yong) arises on the hard palate; a red, swollen nodule forms in front of the throat causing pain. Due to accumulated heat coagulation, it is suitable to puncture and lacerate, administer Wufu Dan (Five Blessings Pill), and apply Bingpeng San (Bingpang Powder).
[Note] This condition arises on the anterior hard palate, hanging down like a bead, with redness, swelling, and pain, preventing the infant from suckling milk. After three or four days, it is appropriate to use a needle to prick one or two fen deep, draining pus and blood, which will reduce the swelling and pain. It is caused by accumulated heat coagulation; it is suitable to take Wufu Huadu Dan (Five Blessings Detoxifying Pill), and concurrently apply Bingpeng San (Bingpang Powder) to the abscess site, applying it three times daily. The nursing mother should consistently avoid fishy odors and spicy foods.
Formula: Wufu Huadu Dan (See section on Chi You Dan Du)
Bingpeng San (See section on Mouth Ulceration - Eruption Mouth)
[Verse] At the onset of Tai Feng (Fetal Wind), the skin color is red; the appearance is similar to being scalded by boiling water or burned by fire. The syndrome results from excessive accumulated heat in the pregnant mother; administering Qingwei Tang (Stomach-Clearing Decoction) yields merit.
[Note] This condition is also known as Tai Chi (Fetal Redness). When the infant is first born, the body is hot and the skin is red, resembling scalding or burning. This is due to the pregnant mother overeating pungent, aromatic, and hot-natured foods, leading to accumulated heat in the Spleen and Stomach. The nursing mother should take Qingwei Tang (Stomach-Clearing Decoction), and the infant should drink a small amount. If the external skin is inflamed and red, calcined Gypsum Fibrosum (Duan Shigao) ground into fine powder should be applied externally. If there is no inflammation and redness, it is due to Spleen deficiency in the pregnant mother, and Rice Flour (Jingmi Fen) should be applied externally. If the child is older and can eat rice and flour, presenting with body heat and red skin, this is due to internal steaming of Fu-organ heat and external invasion of dampness; this is named Yulan Chuang (Jade-Rotting Ulcer). It is suitable to use Ruyi Jinhuang San (Ruyi Golden Yellow Powder), mixed with honey water for external application, and internally taking Daochi Tang (Guide Out Redness Decoction) for effectiveness.
Formula: Qingwei Tang (See section on Teeth - Gum Bleeding)
Ruyi Jinhuang San (See section on Swollen Ulcers Gate)
Daochi Tang (See section on Mouth - Oral Bleeding)
[Verse] Umbilical ulcer (Qi Chuang) involves the infant's umbilicus breaking and injury from water; applying ash from burnt straw paper is best. If it does not heal for a long time, wind pathogen invades; fearing the onset of Wind Epilepsy (Feng Xian), strict prevention is required.
[Note] This condition is caused by water-dampness injuring the umbilicus. If it does not heal for a long time, it may develop into convulsions, and due to external invasion of wind pathogen, it fears transforming into Wind Epilepsy. It is suitable to apply ash from large sheets of straw paper, or add Alum (Kufan); or additionally mix equal parts of calcined Dragon Bone (Longgu) and sprinkle with a small amount of Musk (Shexiang) on the lesion for immediate effect.