(初生不大便附)
《惠眼观证》∶小儿生下中脐风,撮口。此因受胎后母食鸡、猪、酒、面、姜、醋之毒,热气流入胎中,儿
因饮血,是以生下肚膨胀,脐肾肿。所治以豆豉膏贴脐,(方见本门中。)及服牛黄丸。(方见风热门中。)
如觉脐四边青黑,口
撮即死矣,不须用药。豆豉膏(亦名葱涎膏)贴初生儿脐下,治大小便不通。
《外台》∶刘氏治小儿初生不小便方(《圣惠》兼治初生不饮乳,云∶服此即小便通及饮乳也。)
人乳(四合) 葱白(一寸)
上二味相和煎,分为四服,即小便利,神效。
《婴孺》治未满十日不小便方。
上以蒲黄一升,以水和,封横骨上立通。
《惠眼观证》豆豉膏(亦名葱涎膏)
黑豆(一匀) 田螺(十九个) 葱(一大把)
上捣烂,用芭蕉汁调,贴脐下。
《吉氏家传》治小儿生下三、五日,脏腑不通,并六十日内诸患。粉蜜膏
轻粉(一钱)
上用蜜少许,熟水解开。调粉时点在儿口中极少许,令泻下一、二行,不可再服。
《千金》论曰∶小儿出腹六、七日后,其血气收敛成肉,则口舌喉颊里清净也。若喉里舌上有物,如芦箨盛
水状者,名悬痈。有胀起者,可以绵缠长针,留刃处如粟米许大,以刺决之,令气泻,去青黄赤血汁也。一刺
之止消息,一日未消者,来日又刺之,不过三刺自消尽。余小小未消,三刺亦止,自然得消也。有着舌下,如
此者名重舌。有着颊里及上 。如此者名重 。有着齿龈上者,名重龈,皆刺去血汁也。
(初生不大便附)
《惠眼观证》记载:小儿出生后患上脐风、撮口(嘴唇紧缩如囊口状)。这是因为受孕后,母亲食用了鸡、猪、酒、面食、姜、醋等带有“毒”性(指易生湿热或刺激性)的食物,热气流入胎中,胎儿因饮用母血而受其害,因此出生后腹部膨胀,肚脐及肾脏部位肿胀。治疗方法是用豆豉膏贴敷肚脐(方剂见本门类中),并服用牛黄丸(方剂见风热门中)。如果发觉肚脐四周呈现青黑色,且出现撮口症状,则患儿必死无疑,无需再用药。豆豉膏(又名葱涎膏)贴敷于初生婴儿的肚脐下方,可治疗大小便不通。
《外台秘要》记载:刘氏治疗新生儿小便不通的方子(《太平圣惠方》兼治新生儿不吸吮乳汁,称:服用此方即可通利小便并能吸吮乳汁)。
人乳(四合) 葱白(一寸长)
以上两味药混合煎煮,分为四次服用,小便即可通畅,效果神妙。
《婴孺书》治疗未满十天的小儿小便不通的方子。
取蒲黄一升,用水调和,封敷在横骨(耻骨联合上方)之上,立竿见影地使小便通畅。
《惠眼观证》中的豆豉膏(又名葱涎膏)
黑豆(适量) 田螺(十九个) 葱(一大把)
以上药物捣烂,用芭蕉汁调匀,贴敷于脐下。
《吉氏家传》治疗小儿出生三至五天,脏腑气机不通,以及六十日内各种疾患的粉蜜膏。
轻粉(一钱)
用少许蜂蜜和熟水将轻粉化开。调制好的药粉点在婴儿口中极少量,使其排泄一两次,不可再次服用。
《千金方》论述说:小儿出生六、七日后,其气血收敛形成肌肉组织,此时口腔、舌头、咽喉、面颊内部就会变得清净。如果喉咙里或舌头上有东西,像芦笋壳盛水的样子,这种病名叫悬痈。如果有胀起的部分,可以用丝绵缠绕长针,露出针尖部分像粟米那么大,用来刺破它,让气体排出,流出青、黄、赤色的血汁。刺一次后观察情况,如果一天后未消退,第二天再刺,不超过三次自然就会完全消退。其余小的未消退部分,刺三次也就停止了,自然会自行消退。有的长在舌头下面,这种情况名叫重舌。有的长在内颊及上颚,这种情况名叫重腭(或重龈)。有的长在齿龈上,名叫重龈,都要刺破以放出血汁。
(Attached: Neonatal Inability to Defecate)
*Huiyan Guanzheng* records: After birth, infants may suffer from umbilical wind (wind syndrome affecting the navel region) and cuokou (contracted mouth). This is caused by the mother consuming foods with "toxic" properties (referring to those generating damp-heat or irritation), such as chicken, pork, alcohol, wheat flour, ginger, and vinegar, after conception. The heat enters the fetus, and the infant, nourished by maternal blood, suffers thereby. Consequently, upon birth, the abdomen becomes distended, and the umbilicus and kidney area swell. The treatment involves applying Douchi Gao (Fermented Soybean Paste) to the umbilicus (formula see in this category) and administering Niuhuang Wan (Calculus Bovis Pill) (formula see in Wind Fever category). If the areas around the umbilicus turn cyanotic-black and cuokou occurs, death is inevitable, and medication is unnecessary. Douchi Gao (also known as Congxian Gao/Scallion Saliva Paste) applied below the umbilicus of a newborn treats urinary and fecal retention.
*Waitai Miyao* records: Liu's formula for treating neonatal urinary retention (*Taiping Shenghui Fang* also notes it treats failure to suckle milk, stating that administration leads to patent urination and ability to suckle).
Human Milk (4 he) Scallion White (1 cun long)
Mix the above two ingredients and decoct. Divide into four doses. Urination will become patent; the effect is miraculous.
*Yingru Shu* records a formula for infants under ten days old suffering from urinary retention.
Take Puhuang (Polygoni Pollen) one sheng, mix with water, and apply as a poultice over the Henggu (above the pubic symphysis). Urination will become patent immediately.
Douchi Gao from *Huiyan Guanzheng* (also known as Congxian Gao)
Black Soybeans (appropriate amount) River Snails (19 pieces) Scallions (one large bunch)
Mash the above ingredients thoroughly, blend with Banana Stem Juice, and apply below the umbilicus.
*Jishi Jiazhuang* records Fenmi Gao for treating infants aged three to five days with obstruction of zang-fu qi mechanism, and various ailments within sixty days.
Qingfen (Calomel) (1 qian)
Dissolve Qingfen with a small amount of honey and cooked water. Dip a tiny amount of the prepared powder into the infant's mouth to induce one or two bowel movements. Do not administer again.
*Qianjin Fang* states: Six or seven days after birth, the infant's qi and blood consolidate to form flesh, resulting in a clean interior of the mouth, tongue, throat, and cheeks. If there are lesions in the throat or on the tongue resembling water held in a bamboo husk, this condition is named Xuan Yong (Hanging Abscess). If there is swelling, wrap a long needle with silk, exposing only a tip size of a millet grain, and puncture it to release qi and drain green, yellow, or red bloody fluid. After one puncture, observe the condition. If not resolved after one day, puncture again the next day. It will resolve completely within no more than three punctures. Minor residual swelling will also resolve after three punctures naturally. Lesions located under the tongue are named Chong She (Double Tongue). Lesions located in the inner cheeks and upper palate are named Chong E (Double Palate). Lesions located on the gums are named Chong Yin (Double Gingiva); all should be punctured to drain bloody fluid.