撮口最为急候,治法贵乎疏利,以辰砂膏利之而愈,一腊之内见之尤甚。
辰砂僵蚕散 治初生撮口。
辰砂(水飞,五分) 僵蚕(直的,去绿嘴炒,一钱) 蛇蜕(炒,一钱) 麝香(研,半分)
上为细末少许,用蜜调,敷唇口。
龙胆汤 治婴孩月内胎惊气盛发热,脐风撮口。
龙胆草 钩藤 柴胡 黄芩(炒) 桔梗 赤芍药(炒) 茯苓(各五分) 甘草(炙,五分)
蜣螂(二枚,去翅足炙) 大黄(一两,湿纸包火煨)
上为极细末,用枣去核煎或加防风、麦门冬煎汤调服。
撮风散 治小儿撮口。
赤脚蜈蚣(半条,炙) 钩藤(一分) 朱砂 全蝎梢(各一钱) 麝香(一字)
上为末,每服一字,竹沥调下。
《巢氏病源》云∶小儿在胎母吃热物,热入脏腑,儿生之后热毒结聚,满口舌上其形如粟,
令儿不能开口,名曰口噤。
《圣惠方》云∶初生儿须防三病,一曰口噤,二曰撮口,三曰脐风,皆是急病。就中噤
口尤甚,若过一腊,方免此病。但看牙关紧急,不能吃奶,啼声渐小,口吐涎沫,便是此证。急
看儿上 有白点子,先以指甲刮去,次后服药。
治口噤噤风之证,看儿上 有点子,以指甲轻轻割破,次服定命散,辰砂全蝎散之类。
如口噤不开诸药不效者,生南星研为极细末,龙脑少许合和,用指蘸生姜汁于大牙根上擦之,
立开。凡脐风撮口噤口等风,数证虽异,受病之源一同。大抵里气郁结,壅闭不通,并宜服淡
豆豉汁,取下胎毒。《千金方》云∶小儿气高,若有微热,即须下之,若不时下,则成大患,
难为疗矣。紫霜九量与之。
撮口证是最为危急的证候,治疗原则贵在疏通利窍,服用辰砂膏后往往能痊愈,若在出生一腊(三十天)之内出现此证则尤为严重。
辰砂僵蚕散:治疗新生儿撮口证。
药材组成:辰砂(水飞法处理,五分)、僵蚕(直挺者,去除绿色头部并炒制,一钱)、蛇蜕(炒制,一钱)、麝香(研磨,半分)。
用法:将上述药物研成极细末,取少量药粉,用蜂蜜调和,涂抹于嘴唇和口腔内。
龙胆汤:治疗婴儿满月内因胎惊气盛导致发热、脐风及撮口证。
药材组成:龙胆草、钩藤、柴胡、黄芩(炒制)、桔梗、赤芍药(炒制)、茯苓(各五分)、甘草(炙制,五分)、蜣螂(二枚,去除翅膀和足部后炙制)、大黄(一两,用湿纸包裹在火中煨制)。
用法:将上述药物研成极细末,用去核的大枣煎煮成的汤剂调服;也可加入防风、麦门冬煎汤调服。
撮风散:治疗小儿撮口证。
药材组成:赤脚蜈蚣(半条,炙制)、钩藤(一分)、朱砂、全蝎梢(各一钱)、麝香(一字)。
用法:将上述药物研成粉末,每次服用“一字”量的药粉,用竹沥水送服。
《巢氏病源》记载:小儿在母胎中时,母亲食用热性食物,热气侵入脏腑,婴儿出生后热毒结聚,满布于口腔和舌头上,形状像粟米一样,导致婴儿无法开口,这种病症称为“口噤”。
《圣惠方》记载:初生婴儿必须防范三种疾病,一是口噤,二是撮口,三是脐风,这些都是急症。其中口噤证最为严重,如果超过一腊(三十天),才能免除这种病。只要看到牙关紧急,不能吃奶,啼哭声逐渐变小,口吐涎沫,就是这种证候。急查婴儿上腭是否有白点子,先用指甲刮去,然后再服药。
治疗口噤、噤风等证候,观察婴儿上腭如有白点,用指甲轻轻割破,然后服用定命散、辰砂全蝎散之类的药物。
如果口噤不开,服用各种药物无效,可将生南星研成极细末,加入少许龙脑(冰片)混合,用手指蘸生姜汁在大牙根上擦拭,牙齿立刻就能张开。凡是脐风、撮口、噤口等风证,虽然症状各异,但致病根源相同。大体上是体内气机郁结,壅塞闭阻不通,都适宜服用淡豆豉汁,以排出胎毒。《千金方》记载:小儿气息高促,若有轻微发热,就必须使用泻下法,如果不及时泻下,就会酿成大患,难以治疗。此时应给予紫霜丸,按剂量服用。
Chukou (mouth contraction) is the most critical condition. The treatment principle prioritizes unblocking and promoting free flow; administering Chensha Gao (Cinnabar Paste) often leads to recovery. If this condition appears within one *la* (a lunar month of thirty days) after birth, it is particularly severe.
Chensha Jiangcan San (Cinnabar and Silkworm Powder): Treats Chukou in newborns.
Ingredients: Zhensha (Cinnabaris, processed by water flotation, 5 fen), Jiangcan (Bombyx Batryticatus, straight specimens, remove green heads and stir-fry, 1 qian), Shetui (Cocoon of Bombyx, stir-fried, 1 qian), Shexiang (Moschus, ground, 0.5 fen).
Usage: Grind the above ingredients into a fine powder. Take a small amount, mix with honey, and apply to the lips and oral cavity.
Longdan Tang (Gentian Decoction): Treats infants within their first month suffering from fever due to excessive fetal shock qi, as well as Qifeng (umbilical wind) and Chukou.
Ingredients: Longdancao (Radix Gentianae), Gouteng (Ramulus Uncariae cum Uncis), Chaihu (Radix Bupleuri), Huangqin (Radix Scutellariae, stir-fried), Jiegeng (Radix Platycodonis), Chi Shaoyao (Radix Paeoniae Rubra, stir-fried), Fuling (Poria, each 5 fen), Gancao (Radix Glycyrrhizae, honey-fried, 5 fen), Danglang (Scarabaeus, two beetles, remove wings and legs and roast), Dahuang (Radix et Rhizoma Rhei, 1 liang, wrapped in wet paper and roasted in fire).
Usage: Grind the above ingredients into an extremely fine powder. Administer with decoction of pitted jujubes; alternatively, add Fangfeng (Radix Saposhnikoviae) and Maidong (Radix Ophiopogonis) for decoction before mixing with the powder.
Chuo Feng San (Wind-Grasping Powder): Treats Chukou in children.
Ingredients: Chijiao Wugong (Scolopendra subspinipes mutilans, half a strip, roasted), Gouteng (Ramulus Uncariae cum Uncis, 1 fen), Zhusha (Cinnabaris), Quanxie Shao (Scorpio tip, 1 qian each), Shexiang (Moschus, 1 zi).
Usage: Grind into powder. For each dose, take 1 zi, administered with Zhuli (Nodus Bambusae in Taenia juice).
*Nshi Bingyuan* (Source Book of Chenmi's Diseases) states: When a fetus is in the womb, if the mother consumes hot-natured foods, heat enters the zang-fu organs. After birth, heat-toxin accumulates, covering the mouth and tongue with lesions resembling millet grains, preventing the infant from opening the mouth. This condition is named Koujin (lockjaw).
*Shenghui Fang* (Prescriptions of Holy Empathy) states: Newborns must be guarded against three diseases: one is Koujin (lockjaw), two is Chukou (mouth contraction), and three is Qifeng (umbilical wind); all are acute conditions. Among them, Koujin is the most severe. If the infant survives past one *la* (month), they may escape this disease. Observe for tightness of the jaw, inability to suckle milk, gradually diminishing cries, and foaming at the mouth; these indicate this syndrome. Urgently examine the infant's palate for white spots. First, scrape them off with fingernails, then administer medicine.
To treat Koujin and Jingfeng syndromes, if white spots are observed on the palate, gently puncture them with fingernails, then administer Dingming San or Chensha Quanxie San.
If Koujin persists and various medicines fail, grind Sheng Nanxing (Rhizoma Arisaematis Cum Bile) into an extremely fine powder, mix with a small amount of Longnao (Borneolum Syntheticum). Dip a finger in Shengjiang Zhi (Zingiberis Rhizoma Recens juice) and rub it on the upper gum roots; the mouth will open immediately. Although Qifeng, Chukou, and Jingkou present differently, their pathological origin is identical. Generally, internal qi stagnation and blockage occur. It is advisable to administer Danshichiji (Juncus Decoctio) to expel fetal toxins. *Qianjin Fang* (Essential Prescriptions Worth a Thousand Gold) states: If a child exhibits high-pitched breathing and slight fever, purgative methods must be employed immediately. If not purged promptly, major complications will arise, making treatment difficult. In such cases, Zishuang Wan (Purple Frost Pills) should be administered according to dosage.