《巢氏病源》小儿中风口噤候∶小儿中风口噤者，是风入颔颊之筋故也。手三阳之筋入结颔颊，足阳明之筋
上夹于口。肤腠虚，受风冷，客于诸阳之筋，筋得寒冷则挛急，故机关不利而口噤也。
《婴童宝鉴》小儿中风口 及口噤歌∶
三阳连口颊，风伤口必 。诸筋风若中，噤急不能开。
《葛氏肘后》治中风口噤方。
鸡屎白如大豆三枚，末，以水饮之当瘥。（《圣惠》以温酒研下大豆许。）
《千金》雀屎丸 主小儿卒中风，口噤不下一物方。
雀屎如麻之大，丸之，饮下即愈。大良。（《圣惠》用雄雀粪，以面糊和丸，薄荷汤下麻子大三丸。）
《子母秘录》小儿中风口噤，乳不下。
白棘
上烧末，水服一钱匕。
《圣惠》治小儿中风，卒口噤不开，昏沉冥冥如醉。防风散方
防风（去芦头） 川升麻 羚羊角（屑） 羌活 石膏（各半两）
上件药捣，粗罗为散。每服一钱，以水一小盏煎至五分，去滓；入竹沥半合更煎一两沸。不计时候，量儿
大小以意分减，温服。
《圣惠》治小儿中风口噤，四肢拘急。桂枝散方
桂枝 独活 麻黄（去根、节） 赤芍药 川大黄（锉，微炒） 防风（去芦头） 细辛（各一分）
上件药捣，细罗为散。不计时候，以薄荷温酒调下半钱。量儿大小以意加减。
《圣惠》治小儿中风口噤，腰背强硬，搐搦。犀角散方
犀角（屑） 独活 麻黄（去根节） 白附子（炮裂） 干蝎（微炒） 牛黄（细研。各一分） 天麻（半两） 天
南星（炮裂，半两） 麝香（半分，细研）
上件药捣，细罗为散，入研了药，都研令匀。不计时候，以薄荷酒调下半钱，盖覆汗出，立验。量儿大小
加减服之。
《圣惠》治小儿中风口噤，不知人事欲死。宜服此神验方
瓜蒂（七枚） 赤小豆（二、七粒） 干蝎（一枚，尾全者，微炒）
上件药捣，细罗为散。每服以粥饮调下半钱，服后以吐为效。量儿大小加减服之。
《圣惠》治小儿中风口噤。抵圣丸方
腻粉（二钱） 羌活 白附子（炮裂） 干蝎（微炒） 天南星（炮裂。各一分）
上件药捣，罗为末，入腻粉都研令匀，炼蜜和丸如绿豆大。不计时候，用薄荷水研破三丸，服后吐出风涎，
或泻出如葵汁相似即效。量儿大小以意加减。
《圣惠》治小儿中风口噤，体热，筋脉拘急。乌犀丸方
犀角（屑） 羚羊角（屑） 防风（去芦头） 黄芩（各一分） 麝香（一钱，细研） 朱砂（半两，研，水飞过）
上件药捣，罗为末，都研令匀，炼蜜和丸如绿豆大。不计时候，以薄荷酒研下三丸。量儿大小以意加减。
《圣惠》又方。
上以竹沥半合，微温灌之。
张涣石膏汤 治小儿中风口噤，颔颊挛急，冥冥如醉。
石膏 川升麻 独活（各一两） 麻黄（去根节，秤） 赤芍药 防风 细辛 桂枝（各半两） 甘草（炙，一分）
上件捣，罗为细末。每服一大钱，水一盏，入薄荷、竹叶各少许，煎五分，去滓，温服。
《王氏手集》治小儿牙关紧，不语，不入乳。开关散方
蜈蚣（一条） 白僵蚕 天南星（炒。各一钱） 麝香（当门子二个） 猪牙皂角（二锭，烧灰）
上件为末，用生姜汁醮药末少许，擦牙关及舌根下，涎出自开。
《吉氏家传》治口噤不开。吐风散
僵蚕（直者） 蝎（大者，全用。各一个） 天南星（末，一钱）
上末。每服一字，腊茶调下。
长沙医者郑愈传 治小儿牙关紧、口噤不开。还魂丹
麝香（一字） 蝎梢（三七个） 朱砂（二钱，别研） 天南星（一个，去心）
上各细研后，却入乳钵内再研，同重罗面少许，滴水为丸如绿豆大。每遇小儿有此病状，口噤不开，急令
水研化一丸，滴入口中令活；后却以金银薄荷汤灌下二、三丸，如定后，方将别药调理。
《诸病源候论》中关于小儿中风口噤的论述：小儿出现中风口噤的症状，是因为风邪侵入下颌和面颊部位的筋脉所致。手三阳经的筋脉汇聚结于下颌和面颊，足阳明经的筋脉上行夹持于口部。若肌肤腠理空虚，受到风冷之邪侵袭，邪气客居于各阳经的筋脉之中，筋脉因受寒冷而收缩痉挛，导致关节机关活动不利，从而出现口噤（牙关紧闭）的症状。
《婴童宝鉴》中关于小儿中风口僻及口噤的歌诀：
手、足三阳经均联系口颊，风邪侵袭口部必然导致口眼歪斜（口僻）。如果风邪中伤诸筋，就会导致牙关紧急、不能张开。
《葛氏肘后备急方》治疗中风口噤的方剂。
鸡屎白（公鸡粪便的白色部分）如大豆大小的三枚，研成末，用水送服即可痊愈。（《太平圣惠方》建议用温酒研磨后吞服如大豆大小的药量。）
《千金方》中的雀屎丸主治小儿突然中风，口噤不能吞咽任何食物。
取麻雀屎如麻子大小，制成丸剂，用水送下即愈。效果极佳。（《太平圣惠方》使用雄麻雀粪，用面糊调和做成丸剂，用薄荷汤送服如麻子大小的三丸。）
《子母秘录》记载小儿中风口噤，乳汁无法咽下。
白棘（一种植物根皮或茎皮）
上药烧成炭后研末，用水服用一钱匕的量。
《太平圣惠方》治疗小儿中风，突然口噤不能张开，神志昏沉迷糊如同醉酒状态。防风散方
防风（去除芦头） 川升麻 羚羊角（锉屑） 羌活 石膏（各半两）
将上述药物捣碎，粗筛成散剂。每次服用一钱，用水一小盏煎至五分水量，去渣；加入竹沥半合再次煎煮一两沸。不分时候，根据患儿年龄大小酌情减量，温服。
《太平圣惠方》治疗小儿中风口噤，四肢拘挛紧急。桂枝散方
桂枝 独活 麻黄（去除根、节） 赤芍药 川大黄（锉碎，微炒） 防风（去除芦头） 细辛（各一分）
将上述药物捣碎，细筛成散剂。不分时候，用薄荷温酒调服半钱。根据患儿年龄大小酌情加减。
《太平圣惠方》治疗小儿中风口噤，腰背僵硬强直，抽搐。犀角散方
犀角（锉屑） 独活 麻黄（去除根节） 白附子（炮裂） 干蝎（微炒） 牛黄（细研。各一分） 天麻（半两） 天南星（炮裂，半两） 麝香（半分，细研）
将上述药物捣碎，细筛成散剂，加入已研好的药物，共同研磨均匀。不分时候，用薄荷酒调服半钱，服药后覆盖衣被使汗出，立即见效。根据患儿年龄大小调整剂量服用。
《太平圣惠方》治疗小儿中风口噤，神志不清似死状。适宜服用此神验方
瓜蒂（七枚） 赤小豆（十四粒） 干蝎（一枚，尾部完整的，微炒）
将上述药物捣碎，细筛成散剂。每次用米粥饮调服半钱，服药后以呕吐为有效指标。根据患儿年龄大小调整剂量服用。
《太平圣惠方》治疗小儿中风口噤。抵圣丸方
腻粉（轻粉，二钱） 羌活 白附子（炮裂） 干蝎（微炒） 天南星（炮裂。各一分）
将上述药物捣碎，过筛成末，加入腻粉共同研磨均匀，用炼蜜调和做成如绿豆大小的丸剂。不分时候，用薄荷水研磨破开三丸服用，服药后吐出风涎，或者排出像葵菜汁一样的大便即为有效。根据患儿年龄大小酌情加减。
《太平圣惠方》治疗小儿中风口噤，身体发热，筋脉拘挛紧急。乌犀丸方
犀角（锉屑） 羚羊角（锉屑） 防风（去除芦头） 黄芩（各一分） 麝香（一钱，细研） 朱砂（半两，研，水飞法处理）
将上述药物捣碎，过筛成末，共同研磨均匀，用炼蜜调和做成如绿豆大小的丸剂。不分时候，用薄荷酒研磨送服三丸。根据患儿年龄大小酌情加减。
张涣石膏汤 治疗小儿中风口噤，下颌和面颊筋脉拘挛紧急，神志昏沉如同醉酒。
石膏 川升麻 独活（各一两） 麻黄（去除根节，称量） 赤芍药 防风 细辛 桂枝（各半两） 甘草（炙，一分）
将上述药物捣碎，过筛成细末。每次服用一大钱，用水一盏，加入少许薄荷、竹叶，煎至五分水量，去渣，温服。
《王氏手集》治疗小儿牙关紧闭，不语，不能吸吮乳汁。开关散方
蜈蚣（一条） 白僵蚕 天南星（炒。各一钱） 麝香（当门子二个） 猪牙皂角（二锭，烧灰）
将上述药物研成末，用生姜汁蘸取少量药末，擦拭牙关及舌根下方，待涎液流出后牙关自然张开。
《吉氏家传》治疗口噤不能张开。吐风散
僵蚕（直的） 蝎（大的，全用。各一个） 天南星（末，一钱）
将上述药物研成末。每次服用一字量的药粉，用腊茶调服。
长沙医生郑愈传授 治疗小儿牙关紧闭、口噤不能张开。还魂丹
麝香（一字） 蝎梢（三七个） 朱砂（二钱，单独研） 天南星（一个，去心）
将上述药物分别细研后，放入乳钵中再次研磨，加入少许过罗的面粉，滴水泛丸如绿豆大小。每当遇到小儿有此病症，口噤不能张开，急忙令用水研磨化开一丸，滴入口中使其苏醒；之后再用金银花薄荷汤灌服二、三丸，待病情稳定后，再使用其他药物进行调理。
According to *Zhu Bing Yuan Hou Lun* (Treatise on the Pathogenesis and Symptoms of All Diseases) regarding infantile wind-stroke with trismus: When infants suffer from wind-stroke manifesting as trismus, it is because wind pathogen has invaded the tendons of the mandible and cheek. The tendons of the three Yang meridians of the hand converge and knot at the mandible and cheek, while the tendon of the Foot-Yangming Meridian ascends to flank the mouth. If the skin and interstices are deficient and vulnerable, cold-wind pathogen invades and lodges in the tendons of the various Yang meridians. The tendons contract and spasm due to the cold, leading to dysfunction of the joint mechanisms and resulting in trismus (lockjaw).
The song in *Yingtong Baojian* (Precious Mirror for Infants and Children) regarding infantile facial paralysis and trismus:
The three Yang meridians connect to the mouth and cheeks; wind attacking the mouth inevitably causes facial deviation. If wind strikes the tendons, it leads to tightness and inability to open the mouth.
*Ge Shi Zhou Hou Bei Ji Fang* (Emergency Prescriptions Kept up the Sleeve) prescription for treating wind-stroke with trismus.
Three grains of white chicken droppings (the white part of rooster feces), roughly the size of soybeans, ground into powder, taken with water, will cure the condition. (*Taiping Shenghui Fang* suggests grinding a soybean-sized amount with warm wine and swallowing.)
The *Queshi Wan* (Sparrow Dropping Pill) in *Qianjin Fang* (Essential Prescriptions Worth a Thousand Gold) treats sudden infantile wind-stroke with trismus and inability to swallow anything.
Take sparrow droppings the size of hemp seeds, form into pills, and swallow with water for immediate recovery. Highly effective. (*Taiping Shenghui Fang* uses male sparrow droppings, mixed with flour paste into pills, administered with mint decoction, three pills the size of hemp seeds.)
*Zimu Milu* (Secret Record of Mother and Child) records infantile wind-stroke with trismus and inability to suckle milk.
Baiji (White Spine Tree Bark/Root)
Burn the material into ash, grind into powder, and take one qianbi dose with water.
*Taiping Shenghui Fang* prescription for treating infantile wind-stroke with sudden trismus, unconsciousness, and a state of confusion resembling drunkenness. Fangfeng San (Saposhnikovia Powder)
Fangfeng (Saposhnikovia Root, radix Saposhnikoviae, removed rhizome head) Chuan Shengma (Cimicifugae Rhizoma, Cimicifuga Rhizome) Lingyangjiao (Antelope Horn, Cornu Saigae Tataricae, shaved) Qianghuo (Notopterygii Rhizoma et Radix, Notopterygium Rhizome and Root) Shigao (Gypsum Fibrosum, Gypsum, half liang each)
Crush the above herbs, sift coarsely to make a powder. Take one qian per dose, decoct in one small cup of water until reduced to five fen volume, strain; add Banlizhi (Betel Nut Juice / Bamboo Sap, half he) and boil for one or two more boils. Administer at any time, adjusting the dose according to the child's age, and take warm.
*Taiping Shenghui Fang* prescription for treating infantile wind-stroke with trismus and spasmodic rigidity of the four limbs. Guizhi San (Cinnamon Twig Powder)
Guizhi (Cinnamon Twig, Ramulus Cinnamomi) Duhuo (Angelicae Pubescentis Radix, Pubescent Angelica Root) Mahuang (Ephedra Herb, Herba Ephedrae, remove roots and nodes) Chishao (Red Peony Root, Radix Paeoniae Rubra) Chuan Dahuang (Rhubarb Root, Radix et Rhizoma Rhei, crushed, slightly stir-fried) Fangfeng (Saposhnikovia Root, radix Saposhnikoviae, remove rhizome head) Xixin (Asarum Root, Radix Asari, one fen each)
Crush the above herbs, sift finely to make a powder. At any time, mix half a qian with warm wine infused with mint. Adjust dosage according to the child's age.
*Taiping Shenghui Fang* prescription for treating infantile wind-stroke with trismus, stiff back and waist, and convulsions. Xijiao San (Rhino Horn Powder)
Xijiao (Rhino Horn, Cornu Rhinocerotis, shaved) Duhuo (Angelicae Pubescentis Radix, Pubescent Angelica Root) Mahuang (Ephedra Herb, Herba Ephedrae, remove roots and nodes) Baifuzi (Aconiti Kusnezoffii Radix, Prepared Aconite Root, processed until cracked) Ganxie (Dried Scorpion, Scorpio, slightly stir-fried) Niuhuang (Calculus Bovis, Calculus Bovis, finely ground. One fen each) Tianma (Gastrodiae Rhizoma, Gastrodia Rhizome, half liang) Tiannanxing (Arisaematis Rhizoma, Arisaema Rhizome, processed until cracked, half liang) Shexiang (Moschus, Musk, half fen, finely ground)
Crush the above herbs, sift finely, add the already ground ingredients, and grind uniformly. At any time, mix half a qian with mint-infused wine. Cover the patient to induce sweating for immediate effect. Adjust dosage according to the child's age.
*Taiping Shenghui Fang* prescription for treating infantile wind-stroke with trismus, unresponsiveness, and near-death state. This miraculous prescription is suitable.
Gouti (Melon Pedicle, Fructus Momordicae Semen Exocarpium, seven pieces) Chixiaodou (Adzuki Bean, Vigna Angularis Seed, fourteen pieces) Ganxie (Dried Scorpion, Scorpio, one piece with intact tail, slightly stir-fried)
Crush the above herbs, sift finely to make a powder. Each dose: mix half a qian with rice broth. Efficacy is indicated by vomiting. Adjust dosage according to the child's age.
*Taiping Shenghui Fang* prescription for treating infantile wind-stroke with trismus. Disheng Wan (Miracle-Working Pill)
Nifen (Calomelas, Hydrargyri Chloridum Corrosivum, two qian) Qianghuo (Notopterygii Rhizoma et Radix, Notopterygium Rhizome and Root) Baifuzi (Aconiti Kusnezoffii Radix, Prepared Aconite Root, processed until cracked) Ganxie (Dried Scorpion, Scorpio, slightly stir-fried) Tiannanxing (Arisaematis Rhizoma, Arisaema Rhizome, processed until cracked. One fen each)
Crush the above herbs, sieve into powder, add Nifen, and grind uniformly. Mix with refined honey to form pills the size of mung beans. At any time, crush three pills with mint water and administer. Efficacy is shown by vomiting out wind-phlegm or passing stool resembling okra juice. Adjust dosage according to the child's age.
*Taiping Shenghui Fang* prescription for treating infantile wind-stroke with trismus, body heat, and spasmodic rigidity of tendons and vessels. Wuxi Wan (Black Rhino Pill)
Xijiao (Rhino Horn, Cornu Rhinocerotis, shaved) Lingyangjiao (Antelope Horn, Cornu Saigae Tataricae, shaved) Fangfeng (Saposhnikovia Root, radix Saposhnikoviae, remove rhizome head) Huangqin (Scutellaria Root, Radix Scutellariae, one fen each) Shexiang (Moschus, Musk, one qian, finely ground) Zhusha (Cinnabar, Cinabrium, half liang, ground, washed with water)
Crush the above herbs, sieve into powder, and grind uniformly. Mix with refined honey to form pills the size of mung beans. At any time, crush three pills with mint-infused wine and administer. Adjust dosage according to the child's age.
*Taiping Shenghui Fang* another prescription.
Warm half a he of Banlizhi (Bamboo Sap, Succus Bambusae) slightly and instill/give orally.
Zhang Huan's Shigao Tang (Gypsum Decoction) treats infantile wind-stroke with trismus, spasmodic rigidity of the mandible and cheeks, and a confused state resembling drunkenness.
Shigao (Gypsum Fibrosum, Gypsum) Chuan Shengma (Cimicifugae Rhizoma, Cimicifuga Rhizome) Duhuo (Angelicae Pubescentis Radix, Pubescent Angelica Root, one liang each) Mahuang (Ephedra Herb, Herba Ephedrae, remove roots and nodes, weighed) Chishao (Red Peony Root, Radix Paeoniae Rubra) Fangfeng (Saposhnikovia Root, radix Saposhnikoviae) Xixin (Asarum Root, Radix Asari) Guizhi (Cinnamon Twig, Ramulus Cinnamomi, half liang each) Gancao (Licorice Root, Radix Glycyrrhizae, roasted, one fen)
Crush the above herbs, sieve into fine powder. Each dose: one large qian, decoct in one cup of water with a little mint and bamboo leaves until reduced to five fen volume, strain, and take warm.
*Wangshi Shouji* (Wang Family Hand Collection) prescription for treating infantile lockjaw, aphasia, and inability to suckle. Kaiguan San (Opening Lock Powder)
Wugong (Centipede, Scolopendra, one piece) Baijiangcan (Bombyx Batryticatus, Silkworm, dried) Tiannanxing (Arisaematis Rhizoma, Arisaema Rhizome, stir-fried. One qian each) Shexiang (Moschus, Musk, two Dangmenzi pieces) Zhuya Zaojiao (Gleditsiae Sinensis Fructus, Chinese Honeylocust Pod, two pieces, burnt to ash)
Grind the above into powder. Dip a small amount of powder in fresh ginger juice and rub it on the jaw joint and under the root of the tongue. Saliva discharge will naturally lead to the opening of the jaw.
*Jishi Jiazhan* (Ji Family Heritage) prescription for treating trismus with inability to open the mouth. Tufeng San (Expel Wind Powder)
Jiangcan (Bombyx Batryticatus, Silkworm, straight ones) Xie (Scorpion, large ones, whole. One each) Tiannanxing (Arisaematis Rhizoma, Arisaema Rhizome, powder, one qian)
Grind the above into powder. Each dose: one zi amount, taken with aged tea.
Zheng Yu, a physician from Changsha, passed down the method for treating infantile lockjaw and trismus with inability to open the mouth. Huanhun Dan (Return Soul Pill)
Shexiang (Moschus, Musk, one zi) Xieshao (Scorpion Tail Tip, three to seven pieces) Zhusha (Cinnabar, Cinabrium, two qian, separately ground) Tiannanxing (Arisaematis Rhizoma, Arisaema Rhizome, one piece, remove heart)
Grind each ingredient finely separately, then place in a mortar and grind again together. Add a little sifted flour, drop water to form pills the size of mung beans. Whenever an infant presents with this condition, unable to open the mouth due to trismus, urgently crush one pill in water, drip into the mouth to revive; afterwards, administer two or three pills using Yinchen Bohe Tang (Silverweed and Mint Decoction). Once stabilized, use other medicines for conditioning.