论曰小儿胞胎,全仰母气,母将养失宜,伤于风冷,则邪气入于胞胎,既生之后。冷气
停留,复因乳哺不节,邪气与正气相搏,故腹痛 张蹙气而啼也。
治小儿 啼腹痛。牡蛎散方
牡蛎(烧过研) 伏龙肝(研) 甘草(炙锉) 苍术(锉炒各一分) 麝香(研分半)
上五味,先于木臼内,捣甘草苍术成末,次与三味再同研令匀,每服半钱匕,研陈米泔
澄清,煎竹茹汤调下,量儿大小增减。
治小儿 啼,脾胃伤风冷,心下虚痞,腹中疼痛。胸胁逆满。白术丸方
白术 干姜(炮) 人参 甘草(炙锉各一两)
上四味,捣罗为末,炼蜜和丸,如绿豆大,每服五丸,沸汤化下,量儿大小加减。
治小儿 啼不止。牛黄丸方
牛黄(研一分) 代赭( 过研三分) 麝香(研一钱) 牡丹(三分)
上四味,捣研为末,炼蜜和丸,如绿豆大,每服两丸,温水下。
治小儿 啼,腹坚满。雀屎丸方
雀屎(一两一分) 当归(切焙一两)
上二味,捣罗为末,炼蜜和丸,如麻子大,五十日儿每服一丸,以乳汁下,空心午后,
各一服,量儿大小,以意加减。
治小儿 啼,及一切气逆,心腹刺痛。紫苏子丸方
紫苏子(拣炒) 陈橘皮(汤浸去白焙各一两) 高良姜 桂(去粗皮) 人参(各半
两)
上五味,捣罗为末,炼蜜和丸,如绿豆大,每服五丸,米饮或温酒化下,不计时候。乳
母亦可加丸数服。
治小儿 啼,脾胃虚冷,心腹 痛,胸膈满闷。养脾丸方
干姜(炮) 缩沙蜜(去皮各一两) 白茯苓(去黑皮半两) 甘草(炙三分) 大麦
(炒)
上七味,捣罗为末,炼蜜和丸,如绿豆大,每服五丸,生姜汤化下,不计时候。乳母亦
可加丸数服。
治小儿胎寒。 啼惊痫,腹胀满。不嗜食,大便青黄色,或有实不可吐下,马齿矾石
方
马齿矾石(烧作灰二两)
上一味细研,以枣肉和丸,如绿豆大,每服三丸,米饮下,加至五丸,以意增减。以腹
中温暖为度。
治小儿 啼方
上取柏子仁末,温水调半钱匕服之。
论述说:小儿的胞胎,完全依赖母体的气息。如果母亲在孕期调养不当,受到风冷邪气的伤害,那么邪气就会侵入胞胎。婴儿出生后,冷气滞留体内,再加上哺乳喂养没有节制,邪气与正气相互搏结,导致腹部疼痛、身体蜷缩,从而啼哭。
治疗小儿因腹痛而啼哭的牡蛎散方:
牡蛎(烧过研碎) 伏龙肝(研碎) 甘草(炙后锉碎) 苍术(锉碎炒制,各一分) 麝香(研碎,半钱)
以上五味药,先在木臼中,将甘草和苍术捣成粉末,再与其他三味药一起反复研磨均匀。每次服用半钱匕的量,用陈米泔水澄清后,煎煮竹茹汤来调服,根据患儿的大小增减剂量。
治疗小儿啼哭,因脾胃受风冷损伤,心下虚痞闷,腹中疼痛,胸胁部气逆胀满的白术丸方:
白术 干姜(炮制) 人参 甘草(炙后锉碎,各一两)
以上四味药,捣碎过筛成粉末,用炼蜜调和做成丸药,如绿豆大小。每次服用五丸,用沸水化开送服,根据患儿大小加减用量。
治疗小儿啼哭不止的牛黄丸方:
牛黄(研碎,一分) 代赭石(煅过研碎,三分) 麝香(研碎,一钱) 牡丹皮(三分)
以上四味药,捣碎研细成粉末,用炼蜜调和做成丸药,如绿豆大小。每次服用两丸,温水送服。
治疗小儿啼哭,腹部坚硬胀满的雀屎丸方:
麻雀粪便(一两一分) 当归(切后焙干,一两)
以上二味药,捣碎过筛成粉末,用炼蜜调和做成丸药,如麻子大小。五十天大的婴儿每次服用一丸,以乳汁送服,空腹时及午后各服一次,根据患儿大小酌情加减。
治疗小儿啼哭,以及一切气机逆乱,心腹刺痛症状的紫苏子丸方:
紫苏子(拣选炒制) 陈皮(汤浸去白后焙干,各一两) 高良姜 桂枝(去除粗皮) 人参(各半两)
以上五味药,捣碎过筛成粉末,用炼蜜调和做成丸药,如绿豆大小。每次服用五丸,用米饮或温酒化开送服,不限时间。乳母也可以增加丸数服用。
治疗小儿啼哭,因脾胃虚冷,心腹疼痛,胸膈满闷的养脾丸方:
干姜(炮制) 缩砂仁(去皮,各一两) 白茯苓(去除黑皮,半两) 甘草(炙,三分) 大麦(炒制)
以上七味药,捣碎过筛成粉末,用炼蜜调和做成丸药,如绿豆大小。每次服用五丸,用生姜汤化开送服,不限时间。乳母也可以增加丸数服用。
治疗小儿胎寒引起的啼哭、惊痫,腹胀满,食欲不振,大便呈青黄色,或者病情属实不宜使用吐法或下法的马齿矾石方:
马齿矾石(烧成灰,二两)
以上一味药,细细研碎,用枣肉调和做成丸药,如绿豆大小。每次服用三丸,米饮送服,可加至五丸,酌情增减。以腹部感到温暖为度。
It is discussed that the fetus relies entirely on the mother's Qi. If the mother fails to nurture herself properly during pregnancy and is injured by wind-cold, pathogenic factors enter the fetus. After birth, cold qi lingers in the body. Coupled with irregular breastfeeding, pathogenic factors contend with healthy Qi, causing abdominal pain and bodily contraction, leading to crying.
Muli San (Oyster Shell Powder) for treating infant crying due to abdominal pain:
Calcitritum Ostreae Concha (burned and ground), Longgu Fulonggan (Dragon Bone Fulonggan, ground), Zhi Gancao (Honey-fried Licorice Root, chopped), Chao Cangzhu (Stir-fried Atractylodis Rhizoma, chopped, each 1 fen), She Xiang (Musk, ground, 0.5 qian).
Take the above five ingredients. First, pound Gancao and Cangzhu into powder in a wooden mortar. Then, mix with the other three ingredients and grind thoroughly until uniform. Administer half a qianbi per dose. Clarify old rice washing water, decoct Zhuru (Bamboo Shavings), and take the medicine mixed with this liquid. Adjust dosage according to the infant's size.
Baizhu Wan (Atractylodis Macrocephalae Pill) for treating infant crying caused by spleen-stomach injury from wind-cold, deficiency-type fullness below the heart, abdominal pain, and rebellious Qi causing chest and hypochondriac distension:
Baizhu (Atractylodis Macrocephalae Rhizoma), Pao Ganjiang (Pounded Ginger Root), Renshen (Ginseng Radix), Zhi Gancao (Honey-fried Licorice Root, chopped, each 1 liang).
Pound the above four ingredients into powder. Mix with refined honey to form pills the size of mung beans. Take five pills per dose, dissolved in boiling water. Adjust dosage according to the infant's size.
Niuhuang Wan (Calculus Bovis Pill) for treating incessant infant crying:
Yan Niuhuang (Prepared Calculus Bovis, ground, 1 fen), Yan Daizhe (Burned Haematitum, ground, 3 fen), She Xiang (Musk, ground, 1 qian), Mudan Pi (Tree Peony Bark, 3 fen).
Pound and grind the above four ingredients into fine powder. Mix with refined honey to form pills the size of mung beans. Take two pills per dose with warm water.
Que Shi Wan (Sparrow Dropping Pill) for treating infant crying with hard and distended abdomen:
Que Shi (Sparrow Droppings, 1 liang 1 fen), Danggui (Angelica Sinensis Radix, sliced and dried, 1 liang).
Pound and sieve the above two ingredients into powder. Mix with refined honey to form pills the size of hemp seeds. For a fifty-day-old infant, administer one pill per dose with breast milk. Take once on an empty stomach and once in the afternoon. Adjust dosage according to the infant's size.
Zisuzi Wan (Perilla Seed Pill) for treating infant crying, all types of Qi rebellion, and stabbing pain in the heart and abdomen:
Chao Zisuzi (Stir-fried Perillae Fructus), Chenpi (Dried Tangerine Peel, soaked in water, white pith removed, and dried, each 1 liang), Gaoliangjiang (Galangal Rhizome), Guizhi (Cinnamon Twig, bark removed), Renshen (Ginseng Radix, each 0.5 liang).
Pound and sieve the above five ingredients into powder. Mix with refined honey to form pills the size of mung beans. Take five pills per dose, dissolved in rice drink or warm wine. No specific timing required. The nursing mother may also take increased doses.
Yangpi Wan (Spleen-Nourishing Pill) for treating infant crying due to spleen-stomach deficiency-cold, heart and abdominal pain, and chest diaphragm fullness:
Pao Ganjiang (Pounded Ginger Root), Suoqinmi (Cardamomi Fructus, peeled, each 1 liang), Baifuling (Poria, black skin removed, 0.5 liang), Zhi Gancao (Honey-fried Licorice Root, 3 fen), Chao Damai (Stir-fried Hordei Fructus).
Pound and sieve the above seven ingredients into powder. Mix with refined honey to form pills the size of mung beans. Take five pills per dose, dissolved in ginger soup. No specific timing required. The nursing mother may also take increased doses.
Machi Fanshi Fang (Portulaca Alum Stone Formula) for treating infant fetal cold causing crying, fright-epilepsy, abdominal distension, poor appetite, greenish-yellow stool, or cases where the condition is excess type not suitable for emesis or purgation:
Shao Machi Fanshi (Burned Portulaca Alum Stone to ash, 2 liang).
Finely grind the single ingredient. Mix with jujube flesh to form pills the size of mung beans. Take three pills per dose with rice drink, increasing up to five pills as appropriate. Stop when warmth is felt in the abdomen.
Formula for treating infant crying:
Take powder of Baizi Ren (Biota Seed), mix with warm water, and administer half a qianbi.