《病源论》云∶小儿所以有魃病者,妇人怀娠,有恶神道(导)其腹中胎,如娠(妒)
嫉而制伏他小儿令病也。妊娠妇不必悉能(制)魃,人时有此耳。魃之为疾,喜生微下,寒
热有去来,毫毛发KT KT 不悦,是其证也。魃音制。
《千金方》灸(炙)伏翼,熟嚼哺之。
篇KT 〔切,一升(斤)〕 冬瓜〔切,一升(斤)〕
以水五六升,煮六七沸,去滓,稍以浴之出。(出《新录方》。)
《苏敬本草注》云∶白马眼疗小儿魃,母带之。
《病源论》云∶小儿中客忤者,是小儿神气嫩(软)弱,忽有非常之物,或者未经识见
之人触之,与儿(鬼)神气相忤而发病,谓之客忤也。又名中客,又名中人。其状吐下青黄
白色水谷,解离,腹痛反倒夭矫,面变易五色,状似痫,但眼不上,摇耳,其脉弦(强)急
数者是也。若失时不治,小久则难治。若乳母饮酒过醉及房劳喘后乳者最剧,能杀儿也。
《千金方》云∶少小所以有客忤病者,是外人来气息忤之,一名中人,是为客忤也。虽
是家人或别房异户,虽是乳人父母,或从外还,衣服或经履鬼神,粗恶异气,牛马之气,皆
为忤也。
又云∶凡小儿衣,布帛绵中不得有头发,履中亦尔,白衣青带,青衣白带,皆令儿中忤。
又云∶凡非常人及物从外来,亦惊小儿。欲防之法,诸有从外来人及异物,当持儿避之,
勿令儿见也。若不避者,烧牛屎灰令常烟,置户前,则善。治之方∶
马屎三升,烧令烟绝,以酒三升煮三沸,去滓,浴儿。
又方∶烧母衣带三寸并发,合服汁,服之。
《极要方》∶蚯蚓屎,灶中黄土,等分为散,水和涂儿头上及手心。
又方∶取铜镜鼻烧令赤,着小许酒中代饮之,小儿又能饮合之,即愈。取热马屎一丸,
注取汁饮之,儿下便愈。
《短剧方》∶吞麝香如大豆,立愈。
又方∶取衣中白鱼十枚,末,以涂母乳头令儿饮之,入咽即愈。
《葛氏方》∶令儿仰卧,以小盆着胸上,烧甑蔽于盆中,火减即愈。
《产经》云∶牛黄如大豆研,饮之即效。
《诸病源候论》说:小儿之所以患魃病,是因为妇女怀孕时,有恶神引导腹中的胎儿,如同嫉妒一般去克制、伤害其他小儿,使他们生病。并非所有孕妇都能制造魃病,只是偶尔会有这种情况。魃这种疾病,喜欢发生在地位卑微或年幼的人身上,症状表现为寒热往来,毛发竖立且神情不悦,这就是它的证候。“魃”读音为“制”。
《千金方》记载:灸治伏翼穴(位于背部第七胸椎棘突下旁开1.5寸),煮熟后细细咀嚼喂给患儿吃。
篇KT〔切,一升〕冬瓜〔切,一升〕
用五六升水,煮六七沸,去掉药渣,稍微用来给患儿洗浴。(出自《新录方》。)
《苏敬本草注》说:白马的眼珠可以治疗小儿魃病,母亲佩戴在身上即可。
《诸病源候论》说:小儿患客忤病,是因为小儿的神气柔弱,忽然遇到不寻常的事物,或者被未曾见过的人触碰,与小儿的鬼神之气相抵触而发病,这叫做客忤。又叫做中客,又叫做中人。其症状表现为呕吐和腹泻青色、黄色或白色的水谷,身体松弛无力,腹痛并伴有身体反折、扭曲挣扎,面色变幻五色,状似癫痫,但眼睛不上翻,摇动耳朵,脉象弦急数快,就是这种病。如果错过时机不治疗,时间久了就难以治愈。如果是乳母饮酒大醉以及房事劳累喘息之后哺乳,病情最为严重,甚至能杀死婴儿。
《千金方》说:幼小之所以患客忤病,是因为外人的气息冲撞了它,一名中人,这就是客忤病。即使是家人或其他房屋不同门户的人,即使是乳母的父母,或者从外面回来,衣服上可能沾染了鬼神的气息,粗恶怪异的气,牛马的气味,都会造成冲撞。
又说:凡是小儿的衣服,布帛绵絮中不能有头发,鞋子里也是这样;白衣配青带,青衣配白带,都会导致小儿中忤。
又说:凡是异常的人和物从外面来,也会惊吓小儿。预防的方法是,凡是有从外面来的人及异物,应当抱着孩子躲避它们,不要让小儿看见。如果不躲避,烧牛粪灰使其常冒烟,放在门口前,就好了。治疗的方法:
又一个方子:烧母亲的衣带三寸和头发,混合服用汁液,服用后见效。
《极要方》:蚯蚓屎,灶中的黄土,等分研成散剂,用水调和涂抹在小儿头部及手心。
又一个方子:取铜镜的鼻部烧得通红,放入少许酒中代替饮水给小儿喝,如果小儿还能喝下去混合的药液,就会痊愈。取一团热马屎,榨取汁液给小儿饮用,小儿排便后就痊愈了。
又一个方子:取衣中的白鱼十枚,研末,涂在母乳头上让小儿吸吮,咽下即愈。
The *Zhubing Yuanhou Lun* (Treatise on the Pathogenesis and Manifestations of All Diseases) states: The reason why infants suffer from *ba* disease is that during pregnancy, evil spirits guide the fetus in the womb, acting out of jealousy to suppress or harm other children, causing them to fall ill. Not all pregnant women can produce *ba*; it occurs only occasionally. This illness tends to affect those of low status or young age. Its symptoms include alternating chills and fever, hair standing on end, and a displeased demeanor; these constitute its clinical presentation. "Ba" is pronounced as "zhi".
The *Qianjin Fang* (Essential Prescriptions Worth a Thousand Gold) records: Moxibustion at the Fuyi acupoint (located 1.5 cun lateral to the lower border of the spinous process of the seventh thoracic vertebra), cooked thoroughly, chewed finely, and fed to the patient.
Piant KT [sliced, one sheng] Winter Melon [sliced, one sheng]
Boil in five or six sheng of water for six or seven boils, remove the dregs, and use slightly to bathe the infant. (From *Xinlu Fang*.)
Su Jing's *Bencao Zhu* (Commentary on Materia Medica) states: The eye of a white horse can treat infant *ba* disease; the mother should wear it.
The *Zhubing Yuanhou Lun* states: Infants suffering from *kewu* disease have weak spirit and qi. When suddenly exposed to unusual objects or touched by people they have never seen, their spirit clashes with external spiritual forces, leading to illness, known as *kewu*. It is also called *zhongke* or *zhongren*. Symptoms include vomiting and diarrhea of green, yellow, or white undigested food and water, physical laxity, abdominal pain accompanied by body retroflexion and twisting struggles, facial color changes among five hues, resembling epilepsy but without upward deviation of the eyes, ear shaking, and a wiry, forceful, rapid pulse. If treatment is delayed, prolonged illness becomes difficult to cure. If the wet nurse has consumed excessive alcohol to intoxication or engaged in sexual activity causing panting before breastfeeding, the condition is most severe and can be fatal to the infant.
The *Qianjin Fang* states: Young children suffer from *kewu* disease because external breath clashes with them, also known as *zhongren*, which is *kewu*. Even if the source is family members or people from other households, or even the parents of the wet nurse returning from outside, their clothes may carry spiritual odors, coarse and strange airs, or the smell of cattle and horses, all of which cause clash.
It further states: In any infant clothing, cloth, silk, or cotton padding must not contain human hair; the same applies to shoes. White clothes with green belts, or blue clothes with white belts, will cause infants to suffer from *kewu*.
It also states: Any abnormal person or object coming from outside can startle the infant. To prevent this, when people or foreign objects arrive from outside, one should hold the child away to avoid letting the infant see them. If avoidance is not possible, burning cow dung ash to produce constant smoke and placing it in front of the door is beneficial. Treatment methods:
Three sheng of horse manure, burned until no smoke remains, boiled in three sheng of wine for three boils, dregs removed, used to bathe the infant.
Another prescription: Burn three inches of the mother's sash and hair, mix, and administer the juice orally.
The *Jiyao Fang* (Extremely Important Prescriptions): Earthworm excrement and loess from the stove hearth, mixed in equal parts into powder, applied to the infant's head and palms with water.
Another prescription: Take the nose of a bronze mirror, burn until red hot, place in a small amount of wine, and give to the infant to drink. If the infant can consume the mixture, recovery ensues. Take a ball of hot horse manure, extract the juice, and feed to the infant; recovery occurs after defecation.
The *Duanju Fang*: Swallow musk the size of a soybean, and immediate recovery follows.
Another prescription: Take ten white fish found in clothes, grind into powder, apply to the nipple so the infant suckles it; recovery occurs upon swallowing.
The *Ge Shi Fang*: Have the infant lie supine, place a small basin on the chest, cover with a steamer lid over the basin; when the fire diminishes, the illness resolves.
The *Chan Jing* (Obstetrics Classic) states: Grind bovine calculus (Niuhuang) to the size of a soybean and administer orally for immediate effect.