《巢氏病源》小儿脐疮候∶脐疮由初生断脐,洗浴不即拭燥,湿气在脐中,因解脱遇风,风湿相搏,故脐疮
久不瘥也。脐疮不瘥,风气入伤经脉,则变为痫也。
《葛氏肘后》治风脐及脐疮久不瘥方。
上用干虾蟆烧为灰敷之,日三、四佳。(《千金翼》脐有汁,亦用此方,见裹脐法。)
《千金》治小儿脐中生疮方。
上用桑汁敷乳上,使儿饮之。
《千金》又方
上用 羊乳及血令饮之。
《千金》治小儿风脐,遂作恶疮,历年不瘥,汁出不止方。
上烧苍耳子粉之。
《千金》又方
上用干蛴螬虫末粉之,不过三、四度瘥。
《千金》治小儿脐不合方。
上用大车辖脂烧灰,日二敷之。
《千金》治小儿脐中生疮方。
上用甑带烧灰,和膏敷之。
《子母秘录》小儿脐疮不合方。
上用黄柏末涂之。
《圣惠》治小儿脐疮,久不瘥方。
干虾蟆(一分,烧灰) 白矾(一分,烧灰)
上件药合研令细,以敷脐中。
《圣惠》又方
黄连(末) 胡粉(各半两)
上件药合研令细,以敷脐中。
《圣惠》又方
上用马齿苋,曝干为末敷之。
《圣惠》又方
上用龙骨烧,细研为末敷之。
《圣惠》又方
上用香豉,炒令黄焦,捣、罗为末敷之。
《圣惠》又方
上用伏龙肝,细研敷之。
张涣∶婴儿脐疮不瘥,风气传于经络,变为痫疾者,宜急用金黄散方
川黄连(一分,别为末) 胡粉(别研) 龙骨(烧灰,别研。各五钱)
上件同再研,为细末。每用少许敷脐中,时时用。
《诸病源候论》中关于小儿脐疮的论述:脐疮是因为婴儿出生时剪断脐带后,洗浴时没有立即擦干,湿气滞留于脐部,加之解开包裹时受到风邪侵袭,风湿二气相互搏结,导致脐疮长期不愈。如果脐疮久治不愈,风邪之气侵入并损伤经脉,就会转变为痫证(癫痫)。
《葛氏肘后备急方》治疗风脐及脐疮长期不愈的方剂。
取干蟾蜍烧成灰,外敷患处,每日三至四次为宜。(《千金翼方》中提到脐部有渗出液时,也使用此方,详见裹脐法。)
《备急千金要方》治疗小儿脐中生疮的方剂。
取桑树汁涂抹在乳头上,让婴儿吮吸饮用。
《备急千金要方》治疗小儿风脐,进而发展为恶疮,多年不愈,渗出不止的方剂。
将苍耳子烧制成粉末。
《备急千金要方》又一方
取干蛴螬(金龟子幼虫)研成细末外敷,不超过三四次即可痊愈。
《备急千金要方》治疗小儿脐部愈合不良的方剂。
取大车轮轴上的油脂烧成灰,每日两次外敷。
《备急千金要方》治疗小儿脐中生疮的方剂。
取蒸锅用的布带烧成灰,调和膏状物外敷。
《子母秘录》治疗小儿脐疮久不合拢的方剂。
取黄柏研成末涂抹患处。
《太平圣惠方》治疗小儿脐疮,长期不愈的方剂。
干蟾蜍(一分,烧成灰),白矾(一分,烧成灰)。
将上述药物混合研磨至极细,敷于脐中。
《太平圣惠方》又一方
黄连(研成末),胡粉(各半两)。
将上述药物混合研磨至极细,敷于脐中。
《太平圣惠方》又一方
取马齿苋,晒干后研成末外敷。
《太平圣惠方》又一方
取淡豆豉,炒至焦黄色,捣碎并过筛成末外敷。
张涣:婴儿脐疮久治不愈,风邪传入经络,转变为痫疾的,应当紧急使用金黄散方。
川黄连(一分,单独研成末),胡粉(单独研磨),龙骨(烧成灰,单独研磨。各五钱)。
将上述药物再次共同研磨,成为细末。每次取少量敷于脐中,经常使用。
According to *Zhu Bing Yuan Hou Lun* (General Treatise on the Pathogenesis and Symptoms of All Diseases) regarding the condition of umbilical sores in infants: Umbilical sores occur because, after the umbilical cord is cut at birth, it is not dried immediately after bathing. Moisture remains in the umbilicus, and when the wrapping is loosened, wind pathogens invade. The combination of wind and dampness causes the umbilical sore to fail to heal for a long time. If the umbilical sore does not heal, wind qi enters and damages the meridians and collaterals, transforming into epilepsy (Xian Zheng).
*Ge Shi Zhou Hou Bei Ji Fang* (Emergency Prescriptions Kept up the Sleeve) provides a formula for treating wind umbilicus and umbilical sores that have failed to heal for a long time.
Take dry toads, burn them to ash, and apply externally. Three to four times daily is optimal. (*Qian Jin Yi Fang* notes that this formula is also used when there is exudate from the umbilicus; see the method for swaddling the umbilicus.)
*Bei Ji Qian Jin Yao Fang* (Essential Prescriptions Worth a Thousand Gold for Emergencies) provides a formula for treating sores growing in the umbilicus of infants.
Apply mulberry sap to the nipple, allowing the infant to suckle and drink it.
*Bei Ji Qian Jin Yao Fang*, another prescription
Allow the infant to drink goat milk and blood.
*Bei Ji Qian Jin Yao Fang* provides a formula for treating wind umbilicus in infants, which progresses to malignant sores, fails to heal for years, and has continuous exudation.
Burn Xanthii Fructus (Cang Er Zi) and grind it into powder.
*Bei Ji Qian Jin Yao Fang*, another prescription
Grind dry larvae of scarab beetles (Qi Lao) into fine powder and apply externally. Healing can be expected within three or four applications.
*Bei Ji Qian Jin Yao Fang* provides a formula for treating poor healing of the umbilicus in infants.
Burn the grease from the axle of a large cart into ash and apply twice daily.
*Bei Ji Qian Jin Yao Fang* provides a formula for treating sores growing in the umbilicus of infants.
Burn the cloth straps used for steamers into ash, mix with ointment base, and apply externally.
*Zi Mi Mi Lu* (Secret Records of Mother and Child) provides a formula for treating umbilical sores in infants that fail to close.
Apply powder of Phellodendri Cortex (Huang Bo) topically.
*Tai Ping Sheng Hui Fang* (Holy惠民 Formulas of the Taiping Era) provides a formula for treating umbilical sores in infants that fail to heal for a long time.
Dry Toad (1 fen, burned to ash), Alum (Bai Fan, 1 fen, burned to ash).
Grind the above ingredients together until fine and apply to the umbilicus.
*Tai Ping Sheng Hui Fang*, another prescription
Coptidis Rhizoma (Huang Lian, powdered), Lead Carbonate (Hu Fen, half tael each).
Grind the above ingredients together until fine and apply to the umbilicus.
*Tai Ping Sheng Hui Fang*, another prescription
Dry Portulaca Oleracea (Ma Chi Xian) until dry, grind into powder, and apply externally.
*Tai Ping Sheng Hui Fang*, another prescription
Burn Ochra (Long Gu), grind finely into powder, and apply externally.
*Tai Ping Sheng Hui Fang*, another prescription
Stir-fry Fermented Soybean Paste (Xiang Chi) until yellow and scorched, crush, sieve into powder, and apply externally.
*Tai Ping Sheng Hui Fang*, another prescription
Grind Caulis Longan (Fu Long Gan / Hearth Soil) finely and apply externally.
Zhang Huan: For infants whose umbilical sores fail to heal, if wind pathogens transmit to the meridians and collaterals and transform into epilepsy, one should urgently use the Golden Yellow Powder formula.
Coptidis Rhizoma (Chuan Huang Lian, 1 fen, ground separately into powder), Lead Carbonate (Hu Fen, ground separately), Ochra (Long Gu, burned to ash and ground separately. Each 5 qian).
Grind the above ingredients together again into a fine powder. Apply a small amount to the umbilicus frequently.