昏睡口中气热,呵欠顿闷,当发散,与大青膏解。不散,有下证,当下,大黄丸主之。
大饮水不止而善食者,可微下。余不可下也。
脾脏虚怯也,当补脾,益黄散;发散,大青膏主之。未差,调中丸主之。有下证,大黄
丸下之。下后服温惊丸。
脾脏虚也,当补脾,必不喘后发散,仍补脾也。去胀,塌气丸主之;发散,大青膏主之
兼心则惊悸。
兼肺则闷乱,喘息哽气,长出气,嗽。
兼肾则畏明。
各随补母,脏虚见故也。
以药下之太过,胃中虚热,饮水无力也。当生胃中津液,多服白术散。
伤寒男体重、面黄;女面赤、喘急、憎寒。各口中气热、呵欠顿闷、项急也。疮疹则腮
、多喷嚏、悸动、昏倦、四肢冷也。伤寒,当发散之。治疮疹,行温平之功,有大热者解毒
。余见前说。
不思乳食,大便乳食不消或白色,是伤食。当下之,后和胃。下用白饼子;和胃用益黄
散主之。
不思乳食,大便青白色,乳食不消,此上实下虚也。更有兼见证。
肺睡露睛、喘气。
心惊悸、饮水。
脾困倦、饶睡。
肝呵欠、顿闷。
肾不语、畏明。
当泻,见儿兼脏,补脾,益黄散主之。此二证。多病于秋夏也。
患儿昏睡、口中气息发热、频繁打哈欠且神情困顿,应当采用发散法治疗,使用大青膏解除表邪。若表邪未解并出现里实热证(如下便秘结等),则应采用攻下法,以大黄丸为主方。
若患儿大量饮水不止且食欲旺盛,可轻微攻下。其余情况不可轻易使用攻下法。
若是脾脏功能怯弱所致,应当先调和脾胃,然后再进行发散治疗。调和脾胃用益黄散;发散解表用大青膏为主方。
若是脾脏虚怯,应当补益脾胃,用益黄散;若兼有表证需发散,用大青膏为主方。若病情未愈,改用调中丸调理。若出现里实热证,用大黄丸攻下。攻下后服用温惊丸。
若是脾脏虚弱,应当补益脾胃,必须在喘息平息后再进行发散治疗,且发散后仍需继续补脾。若伴有腹胀,用塌气丸消除胀满;发散解表用大青膏为主方。
若病邪兼及心脏,则会出现惊悸症状。
若病邪兼及肺脏,则会出现胸闷烦乱、喘息、呼吸有声、喜欢长出气、咳嗽等症状。
若病邪兼及肾脏,则会出现畏光症状。
各脏腑的病变应遵循“虚则补其母”的原则进行治疗,这是因为脏腑虚弱而表现出相应的症状。
由于用药攻下太过,导致胃中虚热、饮水后无力运化。应当滋生胃中的津液,多服用白术散。
伤寒症在男童表现为身体沉重、面色发黄;在女童表现为面色发红、喘息急促、憎恶寒冷。无论男女,均伴有口中气息发热、打哈欠、神情困顿、颈部僵硬等症状。若为疮疹(如天花、麻疹等),则表现为腮部肿胀、频繁打喷嚏、心悸跳动、昏沉疲倦、四肢发冷。对于伤寒,应当采用发散法治疗。治疗疮疹,主要发挥温和平调的作用,若有高热则需解毒。其他内容见前文论述。
不思吃奶进食,大便中含有未消化的乳食或呈白色,这是伤食(饮食积滞)。应当攻下积滞,之后调和胃气。攻下使用白饼子;调和胃气用益黄散为主方。
不思吃奶进食,大便呈青白色,乳食不消化,这是上实下虚的证候。此外还有兼夹的症状表现。
肺系症状:睡眠时眼睛睁开(露睛)、喘息气促。
心系症状:心惊悸、想喝水。
脾系症状:困倦乏力、嗜睡。
肝系症状:打哈欠、神情困顿。
肾系症状:不说话、畏光。
应当采取泻法,根据患儿兼夹的脏腑病变,以补脾为主,用益黄散为主方。这是上述两种证候。这类疾病多在秋季和夏季多发。
婴儿刚出生时,擦拭清理口腔内的污秽物若不彻底,污秽咽入喉中故引起呕吐,用木瓜丸为主方。凡是新生儿,必须立即彻底擦拭清理口腔,使其洁净,如果啼哭一声便将污秽咽下,容易引发多种疾病。
The infant sleeps drowsily, breathes hot air from the mouth, yawns frequently, and appears listless. It is necessary to apply a dispersing method (releasing the exterior) using Daqing Gao (Great Blue Paste). If the exterior pathogen is not resolved and signs of interior excess (such as constipation) appear, a purgative method should be applied, primarily using Dahuang Wan (Rhubarb Pill).
If the infant drinks excessive amounts of water yet has an increased appetite, a mild purgation may be considered. In other cases, purgation should not be used.
If it is due to Spleen Qi deficiency (weakness of the Spleen organ), the Spleen should first be harmonized, followed by dispersing the exterior. Harmonizing the Spleen is treated with Yihuang San (Yellow Protecting Powder); dispersing the exterior is primarily treated with Daqing Gao (Great Blue Paste).
If it is due to Spleen deficiency and timidity, the Spleen should be tonified using Yihuang San (Yellow Protecting Powder); if exterior dispersion is needed, Daqing Gao (Great Blue Paste) is primarily used. If the condition does not improve, Tiaozhong Wan (Middle Regulating Pill) is used. If there are signs of interior excess, Dahuang Wan (Rhubarb Pill) is used for purgation. After purgation, Wenjing Wan (Warming Calming Pill) is administered.
If it is due to Spleen deficiency, the Spleen must be tonified. Dispersing the exterior should only be done after panting has ceased, and the Spleen should continue to be tonified afterward. For abdominal distension, Taqi Wan (Qi Collapsing Pill) is used to reduce bloating; for dispersing the exterior, Daqing Gao (Great Blue Paste) is primarily used.
If the pathogen involves the Heart, palpitations and fright occur.
If the pathogen involves the Lung, chest stuffiness and confusion, panting, noisy breathing, sighing, and coughing occur.
If the pathogen involves the Kidney, photophobia occurs.
Each affected organ should be treated according to the principle of "tonifying the mother when deficient," as these symptoms arise from organ deficiency.
Excessive use of purgatives leads to empty heat in the Stomach and inability to transform ingested water. The fluids of the Stomach should be generated by administering Baizhu San (Atractylodes Macrocephala Powder) frequently.
In Shanghan (Cold Damage) syndrome, male infants present with heavy body weight and sallow complexion; female infants present with red face, rapid panting, and aversion to cold. Both genders exhibit hot breath, yawning, listlessness, and neck stiffness. In Chuangzhen (exanthematous diseases such as smallpox or measles), symptoms include swollen cheeks, frequent sneezing, palpitations, drowsiness, and cold limbs. Shanghan should be treated with dispersing methods. Treatment for Chuangzhen focuses on gentle and balanced actions; if high fever is present, detoxification is required. See previous discussions for other details.
Lack of desire for milk and food, with undigested milk/food or white stool in feces, indicates Shangshi (Food Injury/Stagnation). Purgation should be applied first, followed by harmonizing the Stomach. Bai Bing Zi (White Cake Pill) is used for purgation; Yihuang San (Yellow Protecting Powder) is primarily used for harmonizing the Stomach.
Lack of desire for milk and food, with greenish-white stool and undigested milk/food, indicates Upper Excess and Lower Deficiency. There are also accompanying syndromes:
Lung symptoms: Sleeping with eyes open (exposed eyeballs) and panting.
Heart symptoms: Frightened palpitations and thirst.
Spleen symptoms: Fatigue and excessive sleepiness.
Liver symptoms: Yawning and listlessness.
Kidney symptoms: Mutism and photophobia.
Purgation should be applied based on the involved organs, but tonifying the Spleen is prioritized, primarily using Yihuang San (Yellow Protecting Powder). These are the two syndromes mentioned. Such illnesses commonly occur in autumn and summer.
Upon birth, if oral secretions are not thoroughly wiped away and swallowed into the throat, vomiting occurs. Mugua Wan (Papaya Pill) is primarily used. For all newborns, it is urgent to thoroughly clean the mouth immediately. If the infant cries and swallows secretions, various diseases may arise.