初生口中舌上,白屑如鹅之口。由在胎受谷气盛,心脾热气熏发,用发缠指,
蘸井花水揩拭之。睡时, 黄丹出火气,掺舌上。如屑不脱,可浓煮栗 汁,绵缠
指蘸拭。如无栗 ,栗木皮代之。
其证舌强唇青,聚口撮面,面目黄赤,喘急声不出,饮乳有妨。若口出白沫,
四肢冷,不治。其或肚胀青筋,吊肠卵疝,内气引痛,皆肠胃郁结不通所致。治宜
疏利,过七日乃免。(宜辰砂、僵蚕散之类。)
此皆因断脐不慎,为风冷、水湿所乘。入于脐,流入心脾,令腹胀、脐肿,四
肢不收,多啼不乳,甚者发搐。久不瘥,为脐疮。入于经脉,多变为痫。若脐凸肚
紧,微有青色,口撮不开,肝气盛而克脾土,不可施治。纵使得安,亦非长寿。(宜
五苓散之类。)又法∶小儿七日内患脐风撮口,百无一愈。但看儿齿龈上,有小泡子如
粟米状,以熟帛裹指,蘸温水轻轻擦破即安。又灸然谷穴,在内踝前,大骨下陷中。
灸三壮,针入三分,不宜见血。《颅囟经》治脐湿,用枯矾、龙骨为末,入麝少许,
拭脐干用。避风,绛帛灰敷妙。盖破屋烂草为末掺之亦好。气脐,大如栗,虚肿而
软疼,用竹沥涂,日数上,消。脐疮宜龙骨散。凸脐,因儿有热在胸,频频伸引,
呃呃作声,努张其气,抑入根本之中,所以凸起,虚大可畏。不必以药敷之,恐反
为害(宜白芍药汤加米仁煎汤,空心温服,以外消散涂贴自平。)
新生儿口腔和舌面上出现白色碎屑,状如鹅口。这是由于胎儿在母体内时谷气过盛,导致心脾热气熏蒸发作所致。可用丝棉缠绕手指,蘸取井花水(清晨收集的露水或井水)轻轻揩拭。患儿睡眠时,可将经过火煅去毒的黄丹粉末撒在舌上。如果白屑不易脱落,可用浓煮的栗子汁,用丝棉缠指蘸取擦拭。如果没有栗子,可用栗木皮代替。
其症状表现为舌体僵硬、嘴唇发青,口唇聚拢、面部肌肉抽搐,面目发黄且赤红,呼吸急促、声音嘶哑或不出声,吃奶困难。如果口中流出白色泡沫,四肢冰冷,则属不治之症。若是腹部胀大、腹壁青筋暴露,脐带扭转或睾丸疝气,内脏气机牵引疼痛,这些都是由于肠胃郁结不通所致。治疗应当采用疏利的方法,过了七天之后病情方可缓解。(适宜使用辰砂、僵蚕散之类的方剂。)
这些病症多因断脐时不慎,被风冷、水湿邪气侵袭所致。邪气进入脐部,流入心脾,导致腹胀、脐部肿胀,四肢无力不能收持,啼哭不止且不吸吮乳汁,严重的会出现抽搐。久治不愈,形成脐疮。邪气侵入经脉,多转变为痫证。如果脐部凸起、肚脐周围皮肤紧绷,微现青色,口唇撮紧无法张开,这是肝气旺盛克制脾土的表现,此时不可施治。即使侥幸痊愈,也难以长寿。(适宜使用五苓散之类的方剂。)另一种方法:新生儿七日内患脐风撮口症,百无一活。只需查看婴儿牙龈上是否有粟米状的小水泡,用熟布包裹手指,蘸温水轻轻擦破即可安顿。另外可艾灸然谷穴,该穴位于内踝前侧,大骨下方的凹陷处。灸三壮,针刺深度三分,不宜见血。《颅囟经》治疗脐湿,使用枯矾、龙骨研为细末,加入少许麝香,涂抹于脐部使其干燥。注意避风,用绛帛灰敷贴效果极佳。将破旧屋顶的烂草烧成末掺入也是好办法。气脐,肿大如栗子,虚肿而软痛,用竹沥涂抹,每日数次,即可消退。脐疮适宜使用龙骨散。凸脐,是因为婴儿胸中有热,频繁伸展引气,发出呃呃声响,用力努张使气陷入根本之中,所以导致凸起,看起来虚大令人畏惧。不必用药敷贴,恐怕反而有害(适宜用白芍药汤加薏苡仁煎汤,空腹温服,外用消散药膏涂贴自然平复。)
White flakes appear on the tongue and inside the mouth of a newborn, resembling the beak of a goose. This is caused by excessive grain qi (nutritive energy from food) during fetal development, leading to heat and fire in the Heart and Spleen steaming outward. Use silk cotton wrapped around a finger, dipped in well water (Jinghua Shui, collected dew or well water), to gently wipe the area. When the infant sleeps, sprinkle calcined Huangdan (Red Lead Powder, processed to remove toxicity) onto the tongue. If the flakes do not detach easily, boil chestnut juice thickly, wrap silk cotton around a finger, dip it in the juice, and wipe. If chestnuts are unavailable, use chestnut tree bark as a substitute.
The symptoms include a stiff tongue, cyanotic lips, puckered mouth, facial muscle spasms, yellowish-red complexion, rapid breathing, hoarseness or inability to speak, and difficulty nursing. If white foam issues from the mouth and the four limbs are cold, the condition is incurable. If there is abdominal distension with visible subcutaneous veins on the abdomen, umbilical torsion, or hernia, and internal qi causes pulling pain, these are all due to stagnation and obstruction in the intestines and stomach. The treatment should focus on dredging and purging; after seven days, the condition may resolve. (Formulas such as Chen Sha Jiang Can San [Cinnabar and Silkworm Powder] are suitable.)
These conditions often arise from careless umbilical cord cutting, allowing wind-cold and dampness pathogens to invade. Entering the navel, they flow into the Heart and Spleen, causing abdominal distension, umbilical swelling, weakness of the four limbs, incessant crying, refusal to nurse, and in severe cases, convulsions. If not cured for a long time, it becomes Umbilical Ulcer (Qi Chuang). If the pathogens enter the meridians, they often transform into Epilepsy (Xian Zheng). If the umbilicus protrudes, the surrounding skin is tight, slightly cyanotic, and the mouth is puckered shut, this indicates Liver Qi excess overcoming Spleen Earth. Treatment should be avoided at this stage. Even if recovery occurs, longevity is unlikely. (Formulas such as Wu Ling San [Five-Ingredient Poria Pill] are suitable.) Another method: For infants within seven days suffering from Umbilical Wind and Puckered Mouth syndrome, survival is rare. Examine the infant's gums for small blisters resembling millet grains. Wrap a finger with cooked cloth, dip in warm water, and gently rupture the blisters to bring relief. Additionally, moxa can be applied to the Ran Gu (KI2) acupoint, located anterior to the medial malleolus in the depression below the large bone. Apply three moxa cones; acupuncture depth should be 0.3 cun, avoiding bleeding. *Lun Xin Jing* treats Umbilical Dampness using dried alum and dragon bone powdered together, with a small amount of musk added, applied to dry the umbilicus. Keep away from wind; applying ash from crimson silk is excellent. Powdered remains of old roof thatch are also beneficial. Qi Umbilicus presents as a swelling the size of a chestnut, soft, swollen, and painful. Apply bamboo sap daily several times until it subsides. Umbilical Ulcer is treated with Long Gu San [Dragon Bone Powder]. Protruding Umbilicus occurs when heat resides in the chest, causing frequent stretching and drawing of qi, producing hiccup-like sounds. Straining forces the qi into the root, causing protrusion, which appears dangerously large and empty. Do not apply external medicines, as this may cause harm. (Boiling Bai Shao Yao Tang [White Peony Decoction] with Yi Yi Ren [Coix Seed] and taking it warm on an empty stomach is suitable, along with external application of dispersing ointment to naturally flatten the condition.)