《巢氏病源》小儿难乳候∶凡小儿初生,看产人见儿出,急以手料拭儿口,无令恶血得入儿口,则儿腹内调
和,无有病疾。若料拭不及时,则恶血秽露儿咽入腹,令心腹痞满短气,儿不能饮乳,谓之难乳。又儿在胎之
时,母取冷过度,冷气入胞,令儿着冷,至儿生出,则喜腹痛,不肯饮乳,此则胎寒,亦名难乳也。
《仙人水鉴》∶子初生七日内不开口,滴乳不下,宜服此方。
土虫三个水研之,少许牙硝力莫欺。雄黄少使须宜上,一片金箔分四时。(用一角半。)不论四季调冷水,一滴入
口命能追。此方自有仙人力,偏能立救小新儿。
《外台》∶刘氏又疗小儿初生不吃奶方。
上以乳两合,葱白一寸,和煎一两沸,去葱与吃,即能吃乳,立效。以蛤 灌之。
《圣惠》治小儿壮热肚胀,不饮乳。龙胆散方
龙胆(去芦头) 川升麻(各半两) 犀角(屑) 槟榔 川大黄(锉碎,微炒) 甘草(炙微赤,
锉) 鳖甲(涂醋,炙令黄,去裙HT 。各一分)
上件药捣,粗罗为散。每服一钱,以水一小盏,煎至五分去滓,放温,分减渐渐与服之。
《圣惠》治小儿腹痛不食乳。人参丸方
人参 龙胆(各去芦头) 黄连(去须) 马牙硝 甘草(炙微赤,锉) 枳实(麸炒微黄。以上各半两)
上件药捣、罗为末,炼蜜和丸如梧桐子大。每服以乳汁研二丸,灌口中,日四、五服瘥。
《圣惠》治小儿三岁以下,胃口闭,不吃乳。朱砂丸方。
朱砂 牛黄 麝香(并细研) 丁香 甘草(炙微赤,锉) 人参(去芦头。各一分) 犀角(
屑) 黄 (锉) 石膏(细研,水飞过) 五灵脂(以上各半两)
上件药捣、罗为末,入研了药,都研令匀,炼蜜和丸如绿豆大。每服以熟水下三丸,日四、五服。
《圣惠》治小儿腹胀,不吃乳方。
赤茯苓 黄连(去须) 枳壳(麸炒微黄,去瓤。以上各半两)
上件药捣、罗为末,炼蜜和丸如梧桐子大。三岁以下儿,以乳汁化三丸灌之,日四、五服。
《圣惠》治小儿腹痛,不肯哺乳方。
赤茯苓 甘草(炙微黄,锉) 黄连(去须。各一分)
上件药捣、罗为末,炼蜜和丸如梧桐子大。每一丸研破,着奶头上令儿吮奶,或研点口中亦得。
《孔氏家传》∶新生小儿牙关紧,不食乳。
上以麝香一字,研细,乳汁下。
《圣惠》灸法∶小儿初生二、七日内着噤,不吮奶,多啼者。是客风中于脐,循流至心脾二脏之经,遂使舌
强,唇痉,嗍奶不得。此疾若施方药,不望十全尔,大抵以去客风无过。灸承浆一穴七壮,在下唇棱下宛宛中
是也。次灸颊车二穴各七壮,在耳下曲颊骨后,炷并如雀屎大。
《圣惠》又灸法∶小儿喉中鸣,咽乳不利。灸璇玑一穴三壮,在天突下一寸陷者中,炷如小麦大。
《庄氏集》俞穴灸法∶小儿喉中鸣,咽乳不利。灸璇玑三壮,在天突下一寸陷者中。
《巢氏病源》中关于小儿难乳的论述:凡是新生儿刚出生时,接生的人看到婴儿娩出后,应立即用手清理擦拭婴儿的口部,不要让恶血进入婴儿口中,这样婴儿的腹部就能调和,不会生病。如果清理擦拭不及时,导致恶血和污秽的露液被婴儿咽下进入腹部,会引起心腹痞满、气短,婴儿无法吃奶,这称为“难乳”。另外,胎儿在母体时,母亲过度贪凉,寒气侵入胞宫,使胎儿受寒,等到婴儿出生后,就会喜欢腹痛,不肯吃奶,这是胎寒,也称为难乳。
《仙人水鉴》记载:婴儿出生七天内不开口,滴入乳汁不下,适宜服用此方。
土虫三个,用水研磨;少许牙硝,效力不可轻视。少量雄黄,必须使用;一片金箔,分为四次服用。(每次用一角半的量。)不论哪个季节,都用冷水调服,滴入口中便能挽回生命。此方自有仙人的神力,特别能立即救助新生的婴儿。
《外台秘要》记载:刘氏治疗新生儿不吃奶的方子。
取乳汁两合,葱白一寸,一起煎煮一两沸,去掉葱白给婴儿服用,婴儿就能吃奶,立见功效。也可以用蛤蜊汁灌服。
《太平圣惠方》治疗小儿高热腹胀,不喝奶的龙胆散方:
龙胆(去除芦头) 川升麻(各半两) 犀角(锉成屑) 槟榔 川大黄(锉碎,微炒) 甘草(炙至微红,锉碎) 鳖甲(涂醋,炙至黄色,去除裙边)。各一分。
将上述药物捣碎,粗筛为散剂。每次服用一钱,用水一小盏,煎至五分,去渣,放温,分次逐渐喂服。
《太平圣惠方》治疗小儿腹痛不食乳的人参丸方:
人参 龙胆(各去除芦头) 黄连(去除须根) 马牙硝 甘草(炙至微红,锉碎) 枳实(麸炒至微黄。以上各半两)。
将上述药物捣碎、过筛为末,用炼蜜和药制成梧桐子大小的丸剂。每次用乳汁化开两丸,灌入口中,每天四到五次,痊愈。
《太平圣惠方》治疗三岁以下小儿胃口闭塞,不吃奶的朱砂丸方:
朱砂 牛黄 麝香(均细研) 丁香 甘草(炙至微红,锉碎) 人参(去除芦头。各一分) 犀角(锉成屑) 黄芩(锉碎) 石膏(细研,水飞) 五灵脂(以上各半两)。
将上述药物捣碎、过筛为末,加入已研好的药物,共同研磨均匀,用炼蜜和药制成绿豆大小的丸剂。每次用温水送服三丸,每天四到五次。
《太平圣惠方》治疗小儿腹胀,不吃奶的方子:
赤茯苓 黄连(去除须根) 枳壳(麸炒至微黄,去除瓤。以上各半两)。
将上述药物捣碎、过筛为末,用炼蜜和药制成梧桐子大小的丸剂。三岁以下的小儿,用乳汁化开三丸灌服,每天四到五次。
《太平圣惠方》治疗小儿腹痛,不肯哺乳的方子:
赤茯苓 甘草(炙至微黄,锉碎) 黄连(去除须根。各一分)。
将上述药物捣碎、过筛为末,用炼蜜和药制成梧桐子大小的丸剂。每次取一丸研破,放在奶头上让婴儿吮吸,或者研碎点入口中也可以。
《孔氏家传》记载:新生婴儿牙关紧闭,不吃奶。
取麝香一字量,研细,用乳汁送服。
《太平圣惠方》灸法:新生儿出生二到七天内出现脐风(噤风),不吮吸乳汁,多啼哭的。这是客风邪气侵袭脐部,循经流注至心脾二脏的经络,致使舌强直,嘴唇痉挛,无法吮吸乳汁。此病如果使用方药治疗,难以保证十全十美,大体上以祛除客风为主。灸承浆穴七壮,位于下唇棱下方的凹陷处。其次灸颊车穴两个,各七壮,位于耳下曲颊骨后方,艾炷大小如雀屎。
According to *Chao Shi Bing Yuan* (Source of Diseases in Chao's Work) regarding the syndrome of difficult breastfeeding in infants: Whenever a newborn is delivered, the midwife or attendant should immediately wipe and clean the infant's mouth with their hand upon seeing the baby emerge, preventing foul blood from entering the infant's mouth. This ensures the harmony of the infant's abdomen and prevents disease. If cleaning is not timely, foul blood and impure lochia may be swallowed into the abdomen, causing epigastric and abdominal fullness, shortness of breath, and an inability to suckle milk; this is termed "Nan Ru" (Difficult Breastfeeding). Furthermore, if the mother excessively consumes cold substances during pregnancy, cold qi enters the uterus, causing the fetus to become cold. After birth, the infant will suffer from abdominal pain and refuse to suckle; this is known as "Tai Han" (Fetal Cold), also called "Nan Ru".
*Xian Ren Shui Jian* (Immortal's Water Mirror) states: If an infant does not open its mouth within seven days after birth and cannot take milk, this prescription is suitable.
Three earthworms, ground with water; a small amount of Yaxiao (Mirabilite) should not be underestimated. A little Xionghuang (Realgar) must be used; one piece of Jinbo (Gold Leaf) divided into four doses. (Use half a tael per dose.) Regardless of the season, mix with cold water; a single drop entering the mouth can restore life. This prescription possesses the power of immortals, specifically capable of instantly rescuing newborns.
*Waitai Miyao* (Secret Essentials from the Imperial Library) records Liu's prescription for treating newborns who do not suckle.
Take two he of breast milk and one cun of scallion white (white part of the green onion), boil together for one boiling point, remove the scallion, and administer to the infant. The infant will then be able to suckle, with immediate effect. Alternatively, administer using clam juice.
*Taiping Shenghui Fang* (Prescriptions of the Taiping Era Benevolent Sages) Longdan San (Gentian Powder) for treating infants with high fever, abdominal distension, and refusal to suckle:
Longdan (Gentianae Radix et Rhizoma, remove rhizome head) and Chuan Shengma (Cimicifugae Rhizoma, each half liang); Xijiao (Rhinocerotis Cornu, shaved); Binglang (Arecae Semen); Chuan Dahuang (Rhei Radix et Rhizoma, shaved and lightly stir-fried); Gancao (Glycyrrhizae Radix et Rhizoma, honey-fried until slightly red and shaved); Biejia (Testudinis Carapax et Plastrum, coated with vinegar, fried until yellow, remove skirt). Each one fen.
Pound the above ingredients, sift coarsely to make a powder. Take one qian per dose, decoct with one small cup of water until reduced to five fen, strain, allow to cool to warm temperature, and administer gradually in divided doses.
*Taiping Shenghui Fang* Renshen Wan (Ginseng Pill) for treating infants with abdominal pain and refusal to suckle:
Renshen (Ginseng Radix), Longdan (Gentianae Radix et Rhizoma, remove rhizome heads); Huanglian (Coptidis Rhizoma, remove roots); Mayaxiao (Mirabilite); Gancao (Glycyrrhizae Radix et Rhizoma, honey-fried until slightly red and shaved); Zhishi (Aurantii Fructus, bran-fried until slightly yellow). Each half liang.
Pound and sieve the above ingredients into powder, mix with refined honey to form pills the size of paulownia seeds. For each dose, crush two pills in breast milk and instill into the mouth. Administer four to five times daily until recovery.
*Taiping Shenghui Fang* Zhusha Wan (Cinnabar Pill) for treating infants under three years old with closed stomach gate and refusal to suckle:
Zhusha (Cinnabaris), Niuhuang (Bovis Calculus), Shexiang (Moschus) (all finely ground); Dingxiang (Eugeniae Flos); Gancao (Glycyrrhizae Radix et Rhizoma, honey-fried until slightly red and shaved); Renshen (Ginseng Radix, remove rhizome head). Each one fen; Xijiao (Rhinocerotis Cornu, shaved); Huangqin (Scutellariae Radix, shaved); Shigao (Gypsum Fibrosum, finely ground and water-sedimented); Wulingzhi (Trogopterori Faeces). Each half liang.
Pound and sieve the above ingredients into powder, add the already ground medicines, grind uniformly, mix with refined honey to form pills the size of mung beans. For each dose, swallow three pills with cooked water. Administer four to five times daily.
*Taiping Shenghui Fang* Prescription for treating infants with abdominal distension and refusal to suckle:
Chi Fuling (Polyporus umbellatus, red skin), Huanglian (Coptidis Rhizoma, remove roots), Zhike (Aurantii Fructus, bran-fried until slightly yellow, remove pulp). Each half liang.
Pound and sieve the above ingredients into powder, mix with refined honey to form pills the size of paulownia seeds. For infants under three years old, dissolve three pills in breast milk and instill. Administer four to five times daily.
*Taiping Shenghui Fang* Prescription for treating infants with abdominal pain and refusal to suckle:
Chi Fuling (Polyporus umbellatus, red skin), Gancao (Glycyrrhizae Radix et Rhizoma, honey-fried until slightly yellow and shaved), Huanglian (Coptidis Rhizoma, remove roots). Each one fen.
Pound and sieve the above ingredients into powder, mix with refined honey to form pills the size of paulownia seeds. For each dose, crush one pill, place on the nipple for the infant to suckle, or crush and apply to the mouth.
*Kong Shi Jia Chuan* (Family Tradition of the Kong Family) states: Newborns with tight jaw clenching (trismus) refusing to suckle.
Take one zi (a traditional weight measure approximating the size of a sesame seed) of Shexiang (Moschus), grind finely, and administer with breast milk.
*Taiping Shenghui Fang* Moxibustion Method: For newborns presenting with Jing Feng (Lockjaw/Neonatal Tetanus) within two to seven days after birth, characterized by inability to suckle and excessive crying. This is caused by external wind pathogens invading the navel, flowing along meridians to the Heart and Spleen organs, resulting in tongue stiffness, lip spasms, and inability to suckle. Pharmacological treatment rarely achieves complete cure; the primary approach is expelling external wind. Moxibustate Chengjiang (CV24) with seven moxa cones, located in the depression below the lower lip border. Next, moxibustate Jiache (ST6) bilaterally, seven moxa cones each, located posterior to the mandible angle below the ear, with moxa cone size resembling bird droppings.
*Taiping Shenghui Fang* Another Moxibustion Method: For infants with hoarse sounds in the throat and difficulty swallowing milk. Moxibustate Xuanji (RN21) with three moxa cones, located in the depression one cun below Tiantu (RN22), with moxa cone size resembling wheat grains.
*Zhuang Shi Ji* (Collection of Master Zhuang) Acupoint Moxibustion Method: For infants with hoarse sounds in the throat and difficulty swallowing milk. Moxibustate Xuanji (RN21) with three moxa cones, located in the depression one cun below Tiantu (RN22).