夜啼者，脏冷也，阴盛于夜则冷动，冷动则为阴极发躁，寒盛作疼，所以夜啼不歇也，钩藤散主之。或心热烦啼，
必有脸红舌白，小便赤涩之症，钩藤饮去当归、木香，加朱砂、木通，煎汤调下。又有触犯禁忌而夜啼者，用醋炭熏，
可服苏合香丸。客忤者，小儿神气嫩弱，外邪客气，兽畜异物，暴触而忤之，其候，惊啼，口出青黄白沫，水谷鲜杂，
面色变易，喘息腹痛，反侧螈 ，状似惊痫，但眼不上窜，脉来弦急而数，视其口中悬痈左右，若有小小肿核，即以竹
针刺溃之，或以爪甲摘破亦佳，治法辟邪正气，散惊定心为上，延久则难为力也。凡客忤、中恶，急作醋炭，或降真香、
皂角，并用熏之，仍服苏合香丸即自痊愈。治惊啼拗哭，本事方龙齿散主之，又有花火膏亦卒急可用也。论曰∶心藏神，
神安则脏和，故小儿昼得精神安、而夜得稳睡，若心气不和，邪气乘之，则精神不得安定，故暴惊而啼叫也，安神散等
剂治之。又有 啼之症，小儿胞胎中，其母将养失宜，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，牛黄丸等剂主之，冷甚者理中丸主之。
钩藤饮 见第二十一问。
苏合香丸 见第六十问。
龙齿散 治拗哭肚痛惊热。
龙齿 蝉蜕 钩藤 羌活 茯苓 人参（各等分）
上锉散，每二钱，姜枣煎服。
碧霞散 治小儿浑身壮热夜啼。
柏叶（半两） 南星 僵蚕 全蝎 郁金 雄黄（各一钱）上为末和匀，每服一钱，用薄荷蜜水调下。
六神散 治腹痛啼哭，面青口中冷气，四肢亦冷，曲腰而啼，或大便泄泻，及不吮乳。
人参 山药 白术（各半两） 甘草（二钱） 白茯苓 白扁豆（炒、各一两）
上为末，每服二钱，姜二片，
枣一枚，煎服。一方用当归、白芍药、人参各二钱半，甘草、桔梗、陈皮各一钱为散，每服二钱，水煎时时服。
花火膏 治夜啼，脾脏冷而痛。
灯花（一颗，百一选加硼砂一字，朱砂、蜜调成膏子）
上取涂乳上，令儿吮乳。
牛黄丸 见第十九问。
理中丸 见第五十三问。
安神散 治婴孩夜啼。
蝉蜕（四十九个、只用后一截、除去前一截并咀脚）
上为极细末，作四服，用钩藤汤调下，不拘时服。
夜啼，是由于脏腑寒冷所致。夜间阴气旺盛则寒气发动，寒气发动导致阴极生躁动，寒盛引起疼痛，因此孩子整夜啼哭不止，治疗以钩藤散为主方。如果是心热烦躁而啼哭，必然伴有脸红、舌苔白、小便赤涩等症状，可用钩藤饮去掉当归和木香，加入朱砂和木通，煎汤调服。又有因触犯禁忌而导致夜啼的，可用醋炭熏蒸，并可服用苏合香丸。
所谓客忤，是因为小儿神气稚嫩虚弱，外来的邪气或异类之气（如兽畜异物）突然接触冲撞了孩子，其症状表现为惊叫啼哭，口吐青黄白色的泡沫，呕吐出的水谷混杂不清，面色改变，呼吸急促且腹痛，身体翻侧抽搐，状似惊痫，但眼球不上窜，脉象弦急而数。观察孩子口腔内的悬雍垂左右两侧，若有小小的肿核，立即用竹针刺破溃烂，或者用指甲掐破也可以，治疗方法以辟除邪气、扶正安神、驱散惊恐、定心安神为最高原则，拖延久了就难以治愈了。凡是遇到客忤、中恶的情况，紧急时制作醋炭，或者使用降真香、皂角，一起熏蒸，同时服用苏合香丸即可自然痊愈。治疗惊啼、拗哭（哭闹不止），以《本事方》中的龙齿散为主方，另外花火膏在紧急情况下也可以使用。
论述说：心藏神，神志安宁则脏腑调和，所以小儿白天精神安定，夜晚能安稳睡眠。如果心气不和，邪气乘虚而入，则精神不得安定，所以突然受惊而啼叫，可用安神散等方剂治疗。又有“胎寒”之症，小儿在母体胞胎中时，母亲调养失当，受风冷伤害，则邪气进入胞胎，出生后冷气停留体内，再加上哺乳不节制，邪气与正气相互搏结，所以腹痛紧缩气息而啼哭，以牛黄丸等方剂为主治，寒气严重的用理中丸主治。
钩藤饮 见第二十一问。
苏合香丸 见第六十问。
龙齿散 治疗拗哭、肚痛、惊热。
组成：龙齿、蝉蜕、钩藤、羌活、茯苓、人参（各等分）。
制法用法：以上药材切碎成散剂，每次取二钱，加生姜、大枣煎服。
碧霞散 治疗小儿浑身高热、夜啼。
组成：柏叶（半两）、南星、僵蚕、全蝎、郁金、雄黄（各一钱）。
制法用法：以上药材研为细末混合均匀，每次服用一钱，用薄荷蜜水调服。
六神散 治疗腹痛啼哭，面色青，口中呼出冷气，四肢也冷，弯腰啼哭，或者大便泄泻，以及不吃奶。
组成：人参、山药、白术（各半两）、甘草（二钱）、白茯苓、白扁豆（炒，各一两）。
制法用法：以上药材研为细末，每次服用二钱，加生姜两片、大枣一枚，煎服。另一配方用当归、白芍药、人参各二钱半，甘草、桔梗、陈皮各一钱研为散剂，每次服用二钱，水煎后随时服用。
花火膏 治疗夜啼，因脾脏寒冷而疼痛。
组成：灯花（一颗，按《百一选方》可加硼砂一字，朱砂、蜂蜜调成膏状）。
制法用法：取此膏涂抹在乳头/乳房上，让孩子吮吸乳汁。
牛黄丸 见第十九问。
理中丸 见第五十三问。
安神散 治疗婴孩夜啼。
组成：蝉蜕（四十九个，只用后半截，去掉前半截及足部）。
制法用法：以上药材研为极细末，分为四次服用，用钩藤汤调服，不拘泥于固定时间。
Night crying is caused by coldness in the zang-organs. Yin qi prevails at night, causing cold to stir; when cold stirs, it leads to restlessness due to extreme yin, and pain due to severe cold, hence the unceasing night crying. Gouteng San (Uncaria Decoction) is the primary formula. If the crying is due to heart heat and irritability, there must be symptoms such as a red face, white tongue coating, and dark, scanty urination. In this case, use Gouteng Yin (Uncaria Drink), removing Danggui (Angelica Sinensis Root) and Muxiang (Aucklandiae Radix), adding Zhusha (Cinnabar) and Mutong (Akebiae Caulis), decocting in water for administration. There are also cases of night crying caused by violating taboos; these can be treated with fumigation using charcoal soaked in vinegar, and Suhe Xiang Wan (Styrax Pills) may be taken.
Ke Wu (External Intrusion) occurs because a child's Shen (Spirit) is tender and weak. External pathogenic qi or alien influences (such as animals or strange objects) suddenly contact and offend the child. The manifestations include startled crying, expulsion of green, yellow, and white froth from the mouth, mixed vomiting of food and fluids, alteration of facial complexion, rapid breathing, abdominal pain, tossing and turning with convulsions, resembling Jing Xian (Startled Epilepsy), but without upward rolling of the eyes. The pulse is wiry, rapid, and tense. Inspect the sides of the uvula in the mouth; if small nodules are present, puncture them immediately with a bamboo needle, or breaking them with fingernails is also effective. The treatment principle is to expel evil qi, support righteous qi, scatter fright, and calm the heart/mind. This is the superior approach; if delayed, it becomes difficult to treat. For any case of Ke Wu or Zhong E (Sudden Evil Invasion), urgently prepare charcoal soaked in vinegar, or use Jiangzhen Xiang (Aquilariae Lignum Resinatum) and Zao Jiao (Gleditsiae Fructus), fumigating with them, while administering Suhe Xiang Wan (Styrax Pills), which will lead to spontaneous recovery. For treating startled crying and persistent wailing, Longchi San (Dragon Bone Powder) from *Ben Shi Fang* is the primary formula; Huahuo Gao (Flower Fire Ointment) is also useful in emergencies.
The discussion states: The Heart stores the Shen (Spirit). When the Shen is peaceful, the zang-organs harmonize. Thus, children have stable spirits during the day and sleep soundly at night. If Heart Qi is disharmonious and pathogenic qi takes advantage, the spirit cannot remain stable, leading to sudden fright and crying. Anshen San (Calming the Spirit Powder) and similar formulas should be used. There is also the syndrome of "Tai Han" (Fetal Cold). During gestation, if the mother’s care is improper and she suffers wind-cold invasion, pathogenic qi enters the fetus. After birth, cold qi lingers in the body. Combined with irregular breastfeeding, pathogenic qi struggles with righteous qi, causing abdominal pain, tightness, and sighing/crying. Niuhuang Wan (Calculus Bovis Pills) and similar formulas are indicated; for severe cold, Lizhong Wan (Regulate the Middle Pill) is used.
Gouteng Yin (Uncaria Drink) - See Question 21.
Suhe Xiang Wan (Styrax Pills) - See Question 60.
Longchi San (Dragon Bone Powder): Treats persistent wailing, abdominal pain, and heat from fright.
Ingredients: Longchi (Dragon Bone), Chantui (Cicada Slough), Gouteng (Uncaria Rhynchophylla), Qianghuo (Notopterygii Rhizoma et Radix), Fuling (Poria), Renshen (Ginseng Radix et Rhizoma) (equal parts).
Preparation and Administration: Coarsely powder the above ingredients. Take 2 qian per dose, decoct with Shengjiang (Fresh Ginger) and Dazao (Jujube) and take orally.
Bixia San (Green Cloud Powder): Treats high fever all over the body and night crying in infants.
Ingredients: Baiye (Biota Top) (half liang), Nanxing (Arisaematis Tuber), Jiangcan (Bombyx Batryticatus), Quanxie (Scorpio), Yujin (Curcumae Radix), Xionghuang (Realgar) (each 1 qian).
Preparation and Administration: Grind into fine powder and mix evenly. Take 1 qian per dose, mixed with Bohe (Menthae Haplocalycis Herba) honey water.
Liushen San (Six Gods Powder): Treats abdominal pain with crying, bluish complexion, cold breath from the mouth, cold limbs, bending over while crying, diarrhea, and refusal to suckle.
Ingredients: Renshen (Ginseng Radix et Rhizoma), Shanyao (Dioscoreae Rhizoma), Baizhu (Atractylodis Macrocephalae Rhizoma) (each half liang), Gancao (Licorice Root) (2 qian), Bai Fuling (Poria), Bian Dou (Dolichoris Semen) (stir-fried, each 1 liang).
Preparation and Administration: Grind into powder. Take 2 qian per dose, decoct with 2 slices of Shengjiang (Fresh Ginger) and 1 Dazao (Jujube) and take orally. Another prescription uses Danggui (Angelica Sinensis Root), Baishao (White Peony Root), and Renshen (Ginseng Radix et Rhizoma) each 2.5 qian, Gancao (Licorice Root), Jiegeng (Platycodon Root), and Chenpi (Citri Reticulatae Pericarpium) each 1 qian, ground into powder. Take 2 qian per dose, decocted in water and taken frequently.
Huahuo Gao (Flower Fire Ointment): Treats night crying due to spleen cold and pain.
Ingredients: Denghua (Lighting Wick Flower) (one piece; according to *Bai Yi Xuan*, add Pengsha (Borax) one zi, Zhusha (Cinnabar), and Honey to form an ointment).
Preparation and Administration: Apply this ointment to the nipple/breast for the infant to suckle.
Niuhuang Wan (Calculus Bovis Pills) - See Question 19.
Lizhong Wan (Regulate the Middle Pill) - See Question 53.
Anshen San (Calming the Spirit Powder): Treats night crying in infants.
Ingredients: Chantui (Cicada Slough) (49 pieces; use only the posterior segment, removing the anterior segment and legs).
Preparation and Administration: Grind into extremely fine powder. Divide into four doses. Take with Gouteng Tang (Uncaria Decoction). Administer at any time.