用羊蹄根、明矾少许同捣烂,以绢帛包,搓疮上,三次尽愈。
一方用川槿皮末,醋调和水银不见星,掺疮上效。
疮头黑深,破之黄水出,四畔淳浆,用蛇蜕皮烧存性,细研,鸡子渍调敷。
(第三十九)
《明堂灸经》曰∶小儿之患,详悉幽玄,默而抱疾,自不能言也,故曰哑科。或胎中受
病,或生后伤风,动
发无时,寒温各异,证候多端。治疗之法,皆有凭于灸艾。然诸家穴法不同,则治法亦多舛谬。
今按《明堂》之内,精选小儿应验七十二穴,曾是并经用治,累验神功。大抵穴法与大人无异,艾
炷大小之别耳。凡儿灸艾,其小如麦炷许,今附穴法于下云。
小儿惊痫者,先惊悸啼叫后乃发也,灸顶上旋中三壮及耳后青络脉,炷如小麦大。
小儿慢惊风,灸尺泽各一壮,在肘下横纹约上动脉中。
小儿风痫,先屈指如数物,乃发病也,灸鼻柱上发际宛宛中三壮。
小儿二、三岁忽发两眼大小 俱赤,灸手大指次指间后一寸五分陷中各三壮。
小儿囟门不合,灸脐上、脐下各五分,二穴各三壮,灸疮未发,囟门先合最效。
小儿夜啼,上灯啼,鸡鸣止者,灸中指甲后一分中冲一壮。
小儿喉中鸣,咽乳不利,灸璇玑一穴三壮,在天突下一寸陷中。
痫病者,小儿恶疾也。呼吸之间,不及求师,致困者不少。谚云∶国无良医,枉死者半。
小儿猪痫病,如口秽吐沫,灸巨阙穴三壮,在鸠尾下一寸陷中。
小儿睡中惊,目不合,灸屈肘横纹中上三分各一壮。
小儿口有疮蚀龈,臭秽气冲人,灸劳宫二穴各一壮,在手心中,以名指屈指尖到处是也。
小儿鸡痫,惊搐自摇,灸手少阴三壮,在掌后去腕半寸。
小儿久疟不愈者,灸足大指次指外间陷中各一壮。
小儿身强,角弓反张,灸鼻上入发际三分三壮,次灸大椎下节间。
小儿龟胸,缘肺热胀满,攻胸膈所生,又缘乳母过食五辛之致。灸两乳前各一寸半上两
行,三骨罅间六处各三壮。
小儿疳眼,灸合谷二穴各一壮,在手大指次指两骨间陷中,灸三壮。
小儿秋后冷痢不止者,灸脐下二寸三寸间动脉中。
小儿惊痫,灸鬼禄穴,在上唇内中央弦上,以快剪断更佳。
小儿水肿腹大,灸脐上一寸三壮,名水分穴。
小儿热毒风盛,眼睛疼痛,灸手中指本节头三壮,名拳尖也。
小儿龟背,初生时被客风吹着脊骨所致,肺俞、心俞、膈俞各三壮。取法∶肺俞(在三椎
下两旁各开一寸五分。)心俞在五椎下两旁各开一寸五分。)膈俞(七惟下两旁一寸半。)
小儿脐肿,灸腰节脐骨间,灸三壮,名命门穴。
小儿急惊风,灸前顶一穴三壮。取法∶在百会前一寸,若不愈,须灸两眉头及鼻下人
中一穴。
小儿风痫治不瘥,灸耳上入发际一寸五分,嚼而取之,名率谷也。
小儿呕吐乳汁,灸中庭一穴一壮,在膻中穴下一寸陷中。
小儿目涩怕明,状如青盲,灸中渚二穴各一壮,在手小指次指大节后陷中。
小儿雀目,夜不见物,灸手大指甲后一寸,内节横纹头白肉际各一壮。
小儿睡中惊掣,灸足大指次指之端,去甲如韭叶各一壮。
小儿多疳者,是脑门被风拍着及肺寒也,灸囟会一穴二壮,在上星上一寸直鼻上。
小儿急喉痹,天突一穴灸一壮,在结喉下三寸耳骨间。
小儿食痫者,前发热洒淅乃恶发也,灸鸠尾上五分,灸三壮。
小儿牛痫,目直视,腹胀乃欲发也,鸠尾一穴灸二壮。
小儿马痫,张口摇头,身反张,马鸣也。仆参二穴,灸各三壮,在足跟骨下白肉际陷中,
拱足取之。
小儿阴肿,灸内昆仑二穴各三壮,在内踝后五分,筋骨间陷中。
小儿脱肛泻血,每厕脏腑撮痛不可忍,灸百会一穴三壮,在颠中旋毛间。
小儿初生三四日、七日内噤不吮奶,多啼者,是客风中脐,循流至心脾二经,遂舌强唇
。灸承浆一穴七壮,在下唇宛宛中,次灸颊车二穴,在耳下曲颊骨后。
小儿三、五岁,两眼每至春秋忽生白翳,遮瞳子,疼痛不可忍。灸九椎上一壮。
小儿五、六岁不语者,心气不足,舌本无力,发转难。灸心俞穴三壮,在五椎下两傍各
一寸半陷中。
小儿痢下赤白,秋末脱肛。灸十二椎下节间,名接脊穴,灸一壮。
黄帝疗小儿疳痢脱肛,体瘦渴饮,形容憔悴,诸医不效者。灸尾骨上三寸陷中三壮。岐
伯云∶兼三伏时内用柽柳水浴孩子,午正时当日灸之。后用青帛拭,兼有似见疳虫子随汗出也。
此法神效。
小儿脱肛泻血不愈,灸龟尾一壮,脊端穷骨也。
小儿斑疮入眼,灸大椎二穴,项后第一椎下两傍各一寸半。
小儿奶避,目不明者,灸肩中俞二穴各一壮,在肩甲内廉去脊二寸陷中。
小儿羊痫,目瞪吐舌,羊鸣,灸第九椎下节间。
小儿饮水不歇,面目黄者,灸阳刚二穴各一壮,在十四椎下两傍各开一寸陷中。
小儿禀胎疝卵偏肿者,灸囊下十字缝中三壮,春灸夏效,冬灸春效。
小儿羸瘦,饮食少进,不生肌肉,灸胃俞二穴各一壮,在十二椎下两傍各开一寸半陷中。
用羊蹄根、明矾少许一起捣烂,用绢帛包裹,在疮上搓擦,三次即可痊愈。
另一方法是用川槿皮粉末,用醋调和水银至不见星点状,撒在疮上有效。
瘭疮方:治疗突然患上的瘭疮,红肿溃烂,将牛粪烧至存性(保留药性)后敷贴。
疮头颜色黑且深,破溃后有黄水流出,四周有浓稠浆液,用蛇蜕皮烧至存性,细细研磨,用鸡蛋清浸泡调和后敷贴。
(第三十九)
《明堂灸经》说:小儿的病患,详细情况幽深玄妙,默默承受病痛,自己不能言语,所以称为“哑科”。有的胎中受病,有的出生后伤风,发作没有定时,寒热症状各异,证候多种多样。治疗方法,都有依据于艾灸。然而各家穴位方法不同,则治疗方法也多有误谬。现在按照《明堂》内的内容,精选小儿应验有效的七十二个穴位,这些都是曾经经过使用治疗,屡次验证有神效。大体上穴位方法与大人无异,只是艾炷大小的区别罢了。凡是给小儿艾灸,其大小如麦粒大的艾炷,现将穴位方法附在下面。
小儿惊痫,先惊悸啼叫然后发病,灸头顶旋毛中心三壮,以及耳后青色络脉,艾炷如小麦大。
小儿慢惊风,灸尺泽穴各一壮,在肘下横纹约上方动脉处。
小儿风痫,先屈指像数东西一样,然后发病,灸鼻柱上发际凹陷处三壮。
小儿二、三岁忽然两眼大小都红,灸手大指次指间后方一寸五分凹陷处各三壮。
小儿囟门不合,灸脐上、脐下各五分,两个穴位各三壮,灸疮未发出时,囟门先闭合最见效。
小儿夜啼,点上灯就哭,鸡鸣时停止,灸中指甲后方一分处的中冲穴一壮。
小儿喉中鸣响,吃奶不利,灸璇玑穴一穴三壮,在天突穴下一寸凹陷处。
痫病,是小儿的恶疾。呼吸之间,来不及求师,导致困苦的不少。谚语说:国家没有好医生,枉死的人占一半。
小儿猪痫病,如口中有秽气吐沫,灸巨阙穴三壮,在鸠尾穴下一寸凹陷处。
小儿睡中惊醒,眼睛不闭,灸屈肘横纹中上方三分处各一壮。
小儿口中有疮蚀牙龈,臭秽气味冲人,灸劳宫二穴各一壮,在手心中,以无名指弯曲指尖到处即是。
小儿鸡痫,惊搐自摇,灸手少阴经三壮,在掌后去腕半寸处。
小儿久疟不愈者,灸足大指次指外侧凹陷处各一壮。
小儿身体强直,角弓反张,灸鼻上入发际三分处三壮,接着灸大椎下节间。
小儿龟胸,因为肺热胀满,攻冲胸膈所致,又因为乳母过食五辛引起。灸两乳前各一寸半上方两行,三骨缝隙间六处各三壮。
小儿疳眼,灸合谷二穴各一壮,在手大指次指两骨间凹陷处,灸三壮。
小儿秋后冷痢不止者,灸脐下二寸三寸间的动脉处。
小儿惊痫,灸鬼禄穴,在上唇内中央弦上,用快剪切断更好。
小儿水肿腹大,灸脐上一寸三壮,名叫水分穴。
小儿热毒风盛,眼睛疼痛,灸手中指本节头三壮,名叫拳尖。
小儿龟背,初生时被客风吹着脊骨所致,灸肺俞、心俞、膈俞各三壮。取法:肺俞(在三椎下两旁各开一寸五分。)心俞(在五椎下两旁各开一寸五分。)膈俞(七椎下两旁一寸半。)
小儿脐肿,灸腰节脐骨间,灸三壮,名叫命门穴。
小儿急惊风,灸前顶一穴三壮。取法:在百会前一寸,若不愈,须灸两眉头及鼻下人中一穴。
小儿风痫治不好,灸耳上入发际一寸五分,嚼碎取之,名叫率谷。
小儿呕吐乳汁,灸中庭一穴一壮,在膻中穴下一寸凹陷处。
小儿目涩怕光,状如青盲,灸中渚二穴各一壮,在手小指次指大节后凹陷处。
小儿雀目,夜里看不见东西,灸手大指甲后一寸,内节横纹头白肉际各一壮。
小儿睡中惊掣,灸足大指次指之端,去甲如韭菜叶宽各一壮。
小儿多疳者,是脑门被风拍着及肺寒所致,灸囟会一穴二壮,在上星上一寸直对鼻上。
小儿急喉痹,天突一穴灸一壮,在结喉下三寸耳骨间。
小儿食痫者,先前发热洒淅然后恶发,灸鸠尾上五分,灸三壮。
小儿牛痫,目直视,腹胀然后欲发,灸鸠尾一穴二壮。
小儿马痫,张口摇头,身体反张,发出马叫声。灸仆参二穴,各三壮,在足跟骨下白肉际凹陷处,拱足取穴。
小儿阴肿,灸内昆仑二穴各三壮,在内踝后五分,筋骨间凹陷处。
小儿脱肛泻血,每次上厕所脏腑撮痛不可忍受,灸百会一穴三壮,在颠顶旋毛间。
小儿初生三四日、七日内噤口不吮奶,多啼哭者,是客风中脐,循流至心脾二经,遂舌强唇紧。灸承浆一穴七壮,在下唇凹陷处,接着灸颊车二穴,在耳下曲颊骨后。
小儿三、五岁,两眼每到春秋忽然生白翳,遮蔽瞳仁,疼痛不可忍受。灸九椎上一壮。
小儿五、六岁不语者,心气不足,舌本无力,发音困难。灸心俞穴三壮,在五椎下两傍各一寸半凹陷处。
小儿痢下赤白,秋末脱肛。灸十二椎下节间,名叫接脊穴,灸一壮。
黄帝治疗小儿疳痢脱肛,体瘦渴饮,形容憔悴,诸医无效者。灸尾骨上三寸凹陷处三壮。岐伯说:兼三伏时内用柽柳水浴孩子,午正时当日灸之。后用青帛擦拭,兼有似见疳虫子随汗出也。此法神效。
小儿脱肛泻血不愈,灸龟尾一壮,脊端穷骨也。
小儿斑疮入眼,灸大椎二穴,项后第一椎下两傍各一寸半。
小儿奶避,目不明者,灸肩中俞二穴各一壮,在肩甲内廉去脊二寸凹陷处。
小儿羊痫,目瞪吐舌,羊鸣,灸第九椎下节间。
小儿饮水不歇,面目黄者,灸阳刚二穴各一壮,在十四椎下两傍各开一寸凹陷处。
小儿禀胎疝卵偏肿者,灸囊下十字缝中三壮,春灸夏效,冬灸春效。
小儿羸瘦,饮食少进,不生肌肉,灸胃俞二穴各一壮,在十二椎下两傍各开一寸半凹陷处。
Use *Rumex japonicus* root (Yangti Gen) and alum (Mingfan) in small amounts, pound them together until mushy, wrap in silk gauze, and rub on the sores. Three applications will result in complete healing.
Another method uses powder of *Hibiscus mutabilis* bark (Chuanjinpi), mixed with vinegar and mercury until no stars are visible, then sprinkled on the sores; this is effective.
Formula for Biao Chuang: Treats sudden onset of Biao Chuang characterized by redness and ulceration. Apply cow dung burned to retain its properties (Cunxing).
When the sore head is black and deep, breaks open with yellow fluid discharge, and has thick pus around the edges, use snake skin burned to retain its properties, finely ground, and mixed with egg white for application.
Mix half a liang of Baijiaoxiang (Liquidambar resin) and two qian of Qingfen (Calomel), blend with pig fat or pig bone marrow, and apply.
(39)
The *Mingtang Jiu Jing* states: Children's ailments are detailed and profound; they silently endure illness and cannot speak for themselves, hence it is called the "Mute Department" (Ya Ke). Some diseases are contracted in the womb, others from wind invasion after birth. Attacks occur at unpredictable times, with varying cold and heat symptoms, and diverse clinical manifestations. Treatment methods rely heavily on moxibustion. However, different schools have varying acupoint prescriptions, leading to many errors in treatment. Now, based on the *Mingtang*, we have carefully selected 72 verified acupoints for children, all of which have been used and proven efficacious through repeated trials. Generally, the acupoint selection is similar to that for adults, differing only in the size of the moxa cone. For children, the moxa cones should be as small as a wheat grain. The following acupoint methods are attached.
For pediatric convulsive epilepsy (Jing Xian), which begins with fright, palpitations, and crying before onset, moxibustion is applied to the center of the vertex hair whorl (Baihui area) for three cones, and to the blue collateral vessels behind the ears. The moxa cone should be the size of a wheat grain.
For pediatric slow convulsion (Man Jing Feng), moxibustion is applied to Chize (LU5) once on each side, located in the artery approximately above the transverse crease of the elbow.
For pediatric wind epilepsy (Feng Xian), which begins with flexing fingers as if counting objects before onset, moxibustion is applied to the depression at the hairline of the nasal bridge for three cones.
If a child aged two or three suddenly develops redness in both eyes, moxibustion is applied to the depression 1.5 cun posterior to the web between the thumb and index finger, three cones on each side.
For fontanelle non-closure in children, moxibustion is applied 0.5 cun above and below the umbilicus, three cones per acupoint. It is most effective if the fontanelle closes before the moxa blister forms.
For nocturnal crying in children (crying when lights are lit, stopping at cockcrow), moxibustion is applied to Zhongchong (PC9), one cone, located 0.1 cun posterior to the center of the middle fingernail.
For wheezing in the throat and difficulty suckling in children, moxibustion is applied to Xuanji (CV15), three cones, located in the depression 1 cun below Tiantu (CV22).
Epilepsy is a severe disease in children. In the brief moment of respiration, there is often no time to seek a physician, leading to much suffering. As the proverb says: "Without good physicians in the country, half of the dead die in vain."
For pediatric swine epilepsy (Zhu Xian), characterized by foul breath and foaming at the mouth, moxibustion is applied to Juque (CV14), three cones, located in the depression 1 cun below Jiutui (CV15).
For startles during sleep with eyes remaining open in children, moxibustion is applied to the upper third of the transverse cubital crease, one cone on each side.
For oral ulcers eroding the gums with foul odor in children, moxibustion is applied to Laogong (PC8), one cone on each side, located in the palm, corresponding to the tip of the ring finger when curled.
For pediatric chicken epilepsy (Ji Xian), characterized by convulsions and self-shaking, moxibustion is applied to the Hand Shaoyin meridian, three cones, located 0.5 cun proximal to the wrist crease on the palm.
For persistent malaria in children, moxibustion is applied to the depression between the first and second toes of the foot, one cone on each side.
For stiff neck and opisthotonos (body arched backward like a bow) in children, moxibustion is applied 0.3 cun inside the hairline on the nose, three cones, followed by moxibustion at the interspace below Dazhui (GV14).
For turtle chest (Guixiong), caused by lung heat and distension attacking the chest and diaphragm, or due to the nursing mother consuming excessive pungent foods, moxibustion is applied to six points in the gaps between the bones, two rows above 1.5 cun anterior to each nipple, three cones per point.
For pediatric phthisis eye (Gan Yan), moxibustion is applied to Hegu (LI4), one cone on each side, located in the depression between the first and second metacarpal bones, three cones total.
For persistent cold dysentery in autumn in children, moxibustion is applied to the arterial pulse between 2 and 3 cun below the umbilicus.
For pediatric convulsive epilepsy, moxibustion is applied to Guilu, on the central string inside the upper lip; cutting it with sharp scissors is better.
For edema and abdominal distension in children, moxibustion is applied to Shuifen (CV9), three cones, located 1 cun above the umbilicus.
For excess heat-toxic wind causing eye pain in children, moxibustion is applied to the head of the proximal phalanx of the middle finger, three cones, known as Quanjian.
For turtle back (Guibei), caused by wind invasion striking the spine at birth, moxibustion is applied to Feishu (BL13), Xinshu (BL15), and Geshu (BL17), three cones each. Method: Feishu (1.5 cun lateral to the lower border of the 3rd thoracic vertebra); Xinshu (1.5 cun lateral to the lower border of the 5th thoracic vertebra); Geshu (1.5 cun lateral to the lower border of the 7th thoracic vertebra).
For umbilical swelling in children, moxibustion is applied between the lumbar segment and umbilical bone, three cones, named Mingmen (GV4).
For acute convulsion (Ji Jing Feng) in children, moxibustion is applied to Qanding (GV21), three cones. Method: 1 cun anterior to Baihui (GV20). If ineffective, also moxibustion at the inner ends of the eyebrows and Renzhong (GV26).
For refractory wind epilepsy in children, moxibustion is applied 1.5 cun inside the hairline above the ear, chewed and applied, named Lvgu (GB8).
For vomiting of milk in children, moxibustion is applied to Zhongting (CV13), one cone, located in the depression 1 cun below Danzhong (CV17).
For dry, light-sensitive eyes resembling blindness in children, moxibustion is applied to Zhongzhu (TE3), one cone on each side, located in the depression distal to the metacarpophalangeal joint of the fourth and fifth fingers.
For night blindness (Que Mu) where vision is lost at night, moxibustion is applied 1 cun posterior to the nail of the thumb, at the junction of the white flesh and the transverse crease of the inner joint, one cone.
For startles during sleep in children, moxibustion is applied to the tip of the second toe, 0.1 cun from the nail (width of a leek leaf), one cone.
For children with excessive phthisis (Gan), caused by wind striking the forehead and lung cold, moxibustion is applied to Xinhui (GV22), two cones, located 1 cun above Shangxing (GV23) directly above the nose.
For acute throat obstruction (Ji Hou Bi), moxibustion is applied to Tiantu (CV22), one cone, located between the ear bone 3 cun below the laryngeal prominence.
For food-induced epilepsy (Shi Xian), preceded by chills and fever, moxibustion is applied 0.5 cun above Jiutui (CV15), three cones.
For bovine epilepsy (Niu Xian), characterized by staring eyes and abdominal distension before onset, moxibustion is applied to Jiutui (CV15), two cones.
For equine epilepsy (Ma Xian), characterized by gaping mouth, shaking head, opisthotonos, and neighing sounds, moxibustion is applied to Puxen (BL60), three cones on each side, located in the depression between the white flesh and the calcaneus with the foot arched.
For阴肿 (Yin Zhong - scrotal swelling), moxibustion is applied to Neikunlun, three cones on each side, located 0.5 cun posterior to the medial malleolus in the depression between tendons and bones.
For rectal prolapse and bloody diarrhea in children, accompanied by unbearable anal pain, moxibustion is applied to Baihui (GV20), three cones, located in the hair whorl on the vertex.
For infants aged 3-4 days or within 7 days who do not suckle, cry excessively, and have locked jaws, caused by external wind invading the navel and flowing to the Heart and Spleen meridians, resulting in a stiff tongue and tight lips, moxibustion is applied to Chengjiang (CV24), seven cones, located in the depression below the lower lip, followed by Jiache (ST6), two cones, located posterior to the angle of the mandible below the ear.
If children aged 3-5 develop white films covering the pupils with unbearable pain in spring and autumn, moxibustion is applied to the level above the 9th thoracic vertebra, one cone.
If children aged 5-6 are mute due to insufficient heart qi and weak tongue base, moxibustion is applied to Xinshu (BL15), three cones, located in the depression 1.5 cun lateral to the lower border of the 5th thoracic vertebra.
For dysentery with red and white discharge and rectal prolapse in late autumn, moxibustion is applied to the interspace below the 12th thoracic vertebra, named Jieji (GV12), one cone.
Yellow Emperor treats pediatric phthisis dysentery with rectal prolapse, emaciation, thirst, and haggard appearance, refractory to other doctors. Moxibustion is applied to the depression 3 cun above the coccyx, three cones. Qibo states: During the Sanfu period, bat the child in Tiliang (Tamarix) water, and perform moxibustion at noon. Wipe with green silk afterward; phthisis worms may appear in the sweat. This method is miraculous.
For persistent rectal prolapse and bloody diarrhea, moxibustion is applied to Weitui (GV1), one cone, at the end of the sacrum.
For pustular eruptions entering the eyes, moxibustion is applied to Dazhui (GV14), two cones, located 1.5 cun lateral to the lower border of the first thoracic vertebra at the nape.
For poor vision due to nursing issues, moxibustion is applied to Jianzhongshu (SI11), one cone on each side, located in the depression 2 cun medial to the shoulder blade edge.
For ovine epilepsy (Yang Xian), characterized by staring eyes, protruding tongue, and bleating sounds, moxibustion is applied to the interspace below the 9th thoracic vertebra.
For incessant drinking and yellow complexion, moxibustion is applied to Yanggang, one cone on each side, located 1 cun lateral to the lower border of the 14th thoracic vertebra.
For congenital hernia with unilateral testicular swelling, moxibustion is applied to the cross seam below the scrotum, three cones. Effective if performed in spring for summer results, or in winter for spring results.
For emaciation, poor appetite, and failure to gain muscle mass, moxibustion is applied to Weishu (BL21), one cone on each side, located 1.5 cun lateral to the lower border of the 12th thoracic vertebra.