初生小儿病症。许多名状不同。马牙鹅口与脐风。重舌木舌肿痛。啼哭夜间不已。丹疡心火上攻。未曾盈月病
多凶。好似风前烛弄。
夫胎毒者。乃自胎中受母热血。故热盛生痰。痰盛生风。风盛则口噤唇撮。胸腹胀满。咽喉不利。乳食不进。初起
则啼哭不已。病甚则啼哭无声。盖小儿血气薄弱。不能制伏其毒。以致心火上炎。牙龈遍生白色。名曰马牙。
或上 有白点。状如粟米。名曰鹅口。或断脐之后。风湿所伤。侵于心脾。以致不乳口撮。肚胀青筋。名曰脐风。
致于胎毒上攻。舌下像有一舌。名曰重舌。舌肿如木。名曰木舌。又或胎热脏寒。腹痛夜啼。客忤惊窜。或孕母
过食辛热。积热于胎。遗热于儿。血与热相搏。而风邪乘之。遍身赤肿。名曰丹毒。其热如火。痛痒难当。或发于
头面。或发于四肢胸背。俱宜急治。否则毒瓦斯入腹。即难救矣。儿病初起。父母失于提防。或医者误投热剂。往
往莫救。殊为可悯。业斯术者。可不慎欤。
风邪早受入脐中。七日之间验吉凶。若见腹疼脐湿烂。噤声口撮是为风。
凡婴孩始生一七之内。腹肚胀硬。脐畔四围浮肿。口撮眉攒。牙关不开。名脐风证。乃因剪脐带短。或结缚不紧。
致水湿侵脐。客风乘虚而入。传之于心。蕴蓄其邪。复传脾络。致舌强唇青。手足微搐。口噤不乳。啼声似哑。喉
中痰涎潮响。是其候也。
治法 推三关 肺经(各一百二十) 运八卦 脾土(各一百) 分阴阳
如口撮只用灯火。口角两边各一 。左右虎口各一 。两小指四节各一 。脑门四 。如肚上青筋胀硬。脐
周遭七 。每筋上一 。青筋开了处一 。涌泉穴一 。脐肿翻出。神脱气冷者不治。
初生婴儿的病症。名称和表现多种多样。如马牙、鹅口与脐风,重舌、木舌引起的肿痛,夜间持续啼哭不止,丹毒因心火上攻所致。未满月的婴儿患病多属凶险,如同风中烛火般摇曳不定。
所谓胎毒,是因为在母胎中接受了母亲的热血,导致热盛生痰,痰盛生风,风盛则出现口噤(牙关紧闭)、唇撮(嘴唇收缩内陷)、胸腹胀满、咽喉不利、乳食不进等症状。初起时表现为啼哭不止,病重时则啼哭无声。这是因为小儿气血薄弱,不能制约体内的毒素,致使心火上炎,牙龈上遍生白色颗粒,称为“马牙”。或者口腔上部有白点,形状像粟米,称为“鹅口”。或者是断脐之后,受到风湿侵袭,邪气侵入心脾,导致不吸吮乳汁、口唇收缩、腹部胀大且可见青筋,称为“脐风”。
若是胎毒上攻,舌下仿佛多长了一舌,称为“重舌”;舌头肿胀僵硬如木头,称为“木舌”。又或者是胎热而脏腑虚寒,导致腹痛、夜间啼哭,或因受惊窜动(客忤惊窜)。如果孕妇过食辛辣温热食物,积热于胎儿,将余热遗留给婴儿,血与热相互搏结,风邪趁机入侵,导致全身赤肿,称为“丹毒”。其热度如火,痛痒难忍,可能发于头面,也可能发于四肢胸背,都应当紧急治疗,否则毒瓦斯进入腹内,就难以救治了。婴儿发病初期,父母疏忽防范,或者医生误用热性药物,往往无法挽救,实在令人怜悯。从事这一行业的人,能不谨慎吗?
风邪早被吸入脐中,七天内可以验证吉凶。如果见到腹痛、脐部湿烂,声音嘶哑、口唇收缩,这就是脐风。
凡是婴儿出生后的第一周内,腹部胀硬,脐周四周浮肿,口唇收缩、眉头紧锁,牙关紧闭,这称为脐风证。这是由于剪断脐带过短,或者结扎不紧,导致水湿侵入脐部,外感风邪乘虚而入,传变至心脏,蕴蓄邪气,再传变至脾络,导致舌头僵硬、嘴唇发青,手足轻微抽搐,牙关紧闭不能吸乳,啼哭声像哑了一样,喉中有痰涎潮涌的声音,这是其征候。
治疗方法:推三关、清肺经(各一百二十次),运八卦、补脾土(各一百次),分阴阳。
如果只有口唇收缩症状,仅使用灯火灸法:口角两边各灸一壮,左右手虎口各灸一壮,两手小指四节处各灸一壮,脑门(前额)灸四壮。如果肚子上青筋显露、胀硬,脐周绕灸七壮,每根青筋上各灸一壮,青筋散开之处灸一壮,涌泉穴灸一壮。如果脐部肿胀翻出,神志涣散、气息冰冷者,属于不治之症。
Diseases in newborn infants vary in name and manifestation. These include Ma Ya (horse's teeth), E Kou (goose's mouth), Qi Feng (umbilical tetanus), Chong She (double tongue), Mu She (wooden tongue) causing swelling and pain, incessant crying at night, and Dan Du (erysipelas/toxic heat rash) caused by the upward attack of Heart Fire. Diseases occurring before one month of age are often ominous, resembling a candle flickering in the wind.
"Tai Du" (Fetal Toxin) arises from receiving excessive maternal blood-heat during gestation. This leads to excessive heat generating phlegm; excessive phlegm generates wind; and excessive wind causes Jing Jin (jaw clenching/lockjaw) and Chun Cuo (lip retraction/puckering). Symptoms include chest and abdominal distension, difficulty in the throat, and inability to feed. Initially, the infant cries incessantly; when severe, the cry becomes silent. This is because the infant's Qi and Blood are weak and cannot subdue the toxin, causing Heart Fire to flare upward. White spots appear all over the gums, named "Ma Ya" (Horse's Teeth). Alternatively, white spots on the upper palate resembling millet grains are named "E Kou" (Goose's Mouth). If, after umbilical cord separation, Wind-Dampness invades and affects the Heart and Spleen, leading to refusal to nurse, lip puckering, abdominal distension with visible blue veins, it is named "Qi Feng" (Umbilical Tetanus).
If fetal toxin attacks upward, a second tongue-like structure appears under the tongue, named "Chong She" (Double Tongue); if the tongue swells and stiffens like wood, it is named "Mu She" (Wooden Tongue). Alternatively, due to fetal heat and cold viscera, abdominal pain and night crying occur, or there is sudden fright movement (Ke Wu Jing Cuan). If the pregnant mother consumes excessive spicy and hot foods, accumulating heat in the fetus and transmitting residual heat to the child, blood and heat contend, allowing Wind Pathogens to invade. This results in red swelling all over the body, named "Dan Du" (Toxic Heat Rash/Erysipelas). The heat is like fire, with unbearable pain and itching. It may manifest on the head and face, or on the limbs, chest, and back. Urgent treatment is required for all cases; otherwise, toxic vapors entering the abdomen will make rescue difficult. In the early stages of infant illness, if parents fail to take precautions or physicians mistakenly administer hot-natured remedies, rescue is often impossible, which is truly pitiable. Practitioners of this art must be cautious.
Wind pathogens enter the umbilicus early; auspiciousness or misfortune can be verified within seven days. If abdominal pain, wet and ulcerated umbilicus, silence, and lip puckering are observed, it is Wind (Tetanus).
Within the first week after birth, if the abdomen is distended and hard, the area around the umbilicus is swollen, lips are puckered, brows are knitted, and the jaw is locked, it is called the Qi Feng syndrome. This occurs because the umbilical cord was cut too short or tied loosely, allowing water-dampness to invade the umbilicus and external Wind pathogens to enter through deficiency. The pathogen transmits to the Heart, accumulates, and then spreads to the Spleen collaterals, causing a stiff tongue, cyanotic lips, slight convulsions of the hands and feet, lockjaw preventing nursing, a hoarse cry, and tidal sounds of phlegm in the throat. These are its signs.
Treatment Methods: Push San Guan (Three Gates) and Clear Fei Jing (Lung Meridian) (120 times each); Yun Ba Gua (Eight Trigrams) and Tonify Pi Tu (Spleen Earth) (100 times each); Fen Yin Yang (Divide Yin and Yang).
If only lip puckering is present, use only Fire Lamp Moxibustion: One application on each side of the mouth corners, one on each Tiger's Mouth (Hegu area), one on each of the four joints of the little fingers, and four on the Nao Men (Forehead). If blue veins are prominent and the abdomen is distended and hard, apply seven applications around the umbilicus, one on each vein, and one where the veins diverge. Apply one application to Yong Quan (KI1). If the umbilicus swells and everts, accompanied by scattered spirit and cold breath, it is incurable.