（第二十三）
论曰∶小儿初生，七日内大、小便有血出者，此由胎气热盛所致也。母食酒面炙爆热物，
流入心肺，儿在胎内，禀受热毒，亦传心肺。且女子热入于心，故小便有之；男子热入于肺，
故大肠有之。血出淡淡有水，胚红色，盛则其血鲜。凡有此证，不可以他药，只以生地黄取自
然汁，入蜜少许和匀，温服自愈，男女皆效。甘露饮兼服茅根及茅花汤煎浓服亦好，犀角地
黄汤可服。脏毒，聚金丸、地黄丸主之。瘀血，桃仁承气汤主之。
甘露饮 治小儿胃中客热，牙宣口气，齿龈肿烂，时出脓血，或肌烦不欲饮食，及赤目
肿痛，不住凉药，口舌生疮，咽喉肿痛，及治身面皆黄，肢体肿，大便不调，小便涩黄并治。
熟地黄 麦门冬（去心） 枳壳（炒） 甘草（炙） 茵陈 枇杷叶（拭去毛） 石斛
黄芩 生地黄 天门冬（去心。各等分）
上咀，每服二钱，水煎，食后服。
聚金丸 治大便下血，发热烦躁，腹中热痛作渴，脉来弦数。或惊热，目赤昏涩；或有酒毒
去血，并治之。
黄连（一两，水浸晒干，一两炒，一两泡，一两生用） 黄芩 防风（各一两）
上末，面糊丸，绿豆大。每服五十丸，白汤下。
千金地黄丸 治心热肠风，脏毒去血。
生地黄（半斤，研，取汁连渣，二味拌匀晒干） 黄连（四两）
上未，炼蜜丸，绿豆大。每服二十丸，食后麦门冬汤下。
（第二十三）
论述说：新生儿在出生七天内，大便或小便中有血液排出，这是由于胎内热气过盛所导致的。母亲食用了酒、面食以及烤炸等热性食物，这些热毒流入心肺；胎儿在母体内禀受了这种热毒，同样会传至心肺。而且女子热邪入心，所以表现为小便出血；男子热邪入肺，所以表现为大肠（大便）出血。血液颜色淡且混有水样液体，呈胚胎般的红色，严重时血色鲜红。凡是出现这种证候，不可使用其他药物，只需取生地黄的自然汁液，加入少许蜂蜜调和均匀，温服即可自愈，男女皆有效。也可以兼服甘露饮，或者用白茅根及茅花煎煮浓汤服用也很好，犀角地黄汤也可以服用。对于脏毒，以聚金丸、地黄丸为主治方剂。对于瘀血，以桃仁承气汤为主治方剂。
甘露饮 治疗小儿胃中客热，牙龈出血口臭，齿龈肿胀腐烂，时常流出脓血，或者身体烦热不想饮食，以及眼睛红肿疼痛，长期服用凉药无效，口舌生疮，咽喉肿痛，以及治疗全身面目发黄，肢体浮肿，大便不调，小便涩滞发黄等症。
熟地黄 麦门冬（去心） 枳壳（炒） 甘草（炙） 茵陈 枇杷叶（拭去毛） 石斛 黄芩 生地黄 天门冬（去心。各等分）
以上药材切碎，每次服用二钱，加水煎煮，饭后服用。
聚金丸 治疗大便下血，发热烦躁，腹中热痛口渴，脉象弦数。或者惊热，眼睛红赤昏涩；或者有酒毒导致便血，均适用此方治疗。
黄连（一两，用水浸泡后晒干，一两炒制，一两泡制，一两生用） 黄芩 防风（各一两）
以上研为细末，用面糊制成丸剂，大小如绿豆。每次服用五十丸，用白开水送服。
千金地黄丸 治疗心热肠风，脏毒便血。
生地黄（半斤，研磨，取汁连渣，与另一味药拌匀晒干） 黄连（四两）
以上研为细末，用炼蜜制成丸剂，大小如绿豆。每次服用二十丸，饭后用麦门冬汤送服。
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Discussion: When a newborn infant passes blood in stool or urine within seven days after birth, this is caused by excessive heat in the fetal qi. If the mother consumes alcohol, wheat products, and roasted or fried hot-natured foods, these heat toxins flow into the Heart and Lung Meridians. The fetus, while in the womb, inherits this heat toxin, which also transmits to the Heart and Lungs. In females, heat enters the Heart, resulting in hematuria; in males, heat enters the Lungs, resulting in hematochezia (blood in stool). The blood appears pale with watery fluid, resembling an embryonic red color; when severe, the blood is bright red. For any such presentation, other medications should not be used. Instead, take the natural juice of Sheng Di Huang (Rehmanniae Radix), mix it with a small amount of honey until uniform, and administer warm orally for spontaneous recovery; it is effective for both males and females. Gan Lu Yin (Sweet Dew Decoction) can be taken concurrently, or decocting concentrated tea from Bai Mao Gen (Imperatae Rhizoma) and Mao Hua (Mao's Flower) is also beneficial. Xi Jiao Di Huang Tang (Rhinoceros Horn and Rehmannia Decoction) may also be administered. For Zang Du (Visceral Toxin), Ju Jin Wan (Gathering Gold Pill) and Di Huang Wan (Rehmannia Pill) are indicated. For Yu Xue (Blood Stasis), Tao Ren Cheng Qi Tang (Peach Kernel and Magnolia Bark Decoction) is indicated.
Gan Lu Yin (Sweet Dew Decoction) treats guest-heat in the stomach of children, bleeding gums with bad breath, swelling and ulceration of the gingiva with occasional discharge of pus and blood, bodily restlessness with loss of appetite, red and swollen painful eyes unresponsive to cooling herbs, sores on the mouth and tongue, and swelling and pain of the throat. It also treats general yellowing of the body and face, limb edema, irregular bowel movements, and astringent, yellow urine.
Shu Di Huang (Prepared Rehmanniae Radix) Mai Men Dong (Ophiopogonis Tuber, heart removed) Zhi Ke (Aurantii Fructus, stir-fried) Gan Cao (Licorice Root, honey-fried) Yin Chen (Artemisiae Scopariae Herba) Pi Pa Ye (Loquat Leaf, hairs wiped off) Shi Hu (Dendrobii Caulis) Huang Qin (Scutellariae Radix) Sheng Di Huang (Rehmanniae Radix) Tian Men Dong (Asparagi Tuber, heart removed). All in equal parts.
Crush the ingredients. Take two qian per dose, decoct in water, and administer after meals.
Ju Jin Wan (Gathering Gold Pill) treats hematochezia, fever with irritability, abdominal heat-pain with thirst, and a wiry-rapid pulse. It also treats fright-heat, red and dim/harsh eyes, and bleeding due to alcohol toxicity.
Huang Lian (Coptidis Rhizoma): one liang soaked in water then dried, one liang stir-fried, one liang soaked, one liang raw. Huang Qin (Scutellariae Radix) Fang Feng (Saposhnikoviae Radix). Each in one liang.
Grind into powder, form pills with wheat paste, size of mung beans. Take fifty pills per dose, wash down with plain boiled water.
Qian Jin Di Huang Wan (Thousand Years Rehmannia Pill) treats Heart-heat with Chang Feng (Intestinal Wind) and Zang Du (Visceral Toxin) causing bleeding.
Sheng Di Huang (Rehmanniae Radix): half jin, ground, juice extracted including dregs, mixed with the second ingredient and sun-dried. Huang Lian (Coptidis Rhizoma): four liang.
Grind into powder, form pills with refined honey, size of mung beans. Take twenty pills per dose, wash down with Mai Men Dong Tang (Ophiopogon Decoction) after meals.