《外台》∶《短剧》论疗小儿误吞铁珠子如狸豆大者,经年不以为害,后病瘦瘠,食不生肌肤,时下痢,或寒
热,服诸药自疗来反剧不效。有师诊之云∶是吞物不消作,法服众药所吞物不去,终不瘥。今其家中察之云∶
儿近岁常弄十六具铁珠,觉失一颗,虑是吞之,从来积岁实不以为疑。师出诊,乃信是故令病矣,为处汤药,
所患即瘥。复与将疗,其儿肌肤充悦,而忘说其方,且记之。又有一家女子六七岁许,患腹痛,其母与摩按之,
觉手下有一横物在儿肉里正平横尔,问儿曰∶那得针在肉中。大惊怪,脱衣看之,肉全净无有刺处,按之儿亦
不患针痛,惟觉腹里痛耳,其母即以爪用重重介之,乃横物折爪下两段,亦不偏痛。迎师诊之,共察。若吞铁
刺物者,其婴儿不经鲠碍。惟恐养儿时,母常带针身抱儿体,针入儿肌肤中,儿纵觉痛啼呼,与乳卧息便止,
遂成不觉,今因腹痛摩之知耳。铁得土木湿皆生屑易朽,针在人肉中,经数岁,因得血气,皆朽也,故介之即
折,令患腹痛不安。但疗腹痛,服温中汤下,心腹痛瘥。后长大嫁,因产乳不闻道针处为患,故记之。
《千金》治小儿误吞针。
上取磁石如枣核大,吞之及含之,其针立出。《圣惠》磨磁石如枣核大钻窍,以丝线穿,令吞之吸出。
《千金》治小儿误吞铁等物方。
上用艾蒿一把锉,以水五升,煮取一升半,服之即下。
《千金》治吞钱方。
上以艾蒿五两,以水五升,煮取一升,顿服之即下。
《千金》又方
上末木炭,酒服方寸匕,水服亦得。
《千金》又方
上服蜜二升即出。
《千金》治吞金银环及钗方。
上以白糖二斤,一顿渐渐食之,多食益佳也。
《千金》又方
上吞水银一两,再服之。
《千金》误吞环及指驱方。
上烧雁毛二、七枚末服之。鹅羽亦得。《圣惠》用粥饮调服半钱。
《千金》误吞钗方。
上曝韭令萎,蒸熟勿切,食一束即出。或生麦叶筋缕如薤法皆可用,但立意多食自消。
《千金》误吞铜铁而哽者方。
上烧铜弩牙令赤,内酒中,饮之立愈。(《婴孺》用水中滓饮之。)
《千金》误吞钉针及箭镞等方。
上但多食脂肥肉令饱,自裹出。
《千金》治误吞针方。
上取悬针磁石末,饮服方寸匕即下。(古本《录验》云∶今吞针在喉中而服磁石末入腹,即含碎石口中或吸针出耳。)
《外台》∶《肘台》疗小儿误吞梅李方。
上以少水灌小儿,头盛其水与饮之即出,良。
《外台》∶《近效》疗小儿误吞钱在喉中不出方。
上取麸炭末,以指弹入喉中,其儿当便咯出如。
日华子治小儿误吞针钱等方。
上末磁石同筋膜肉,莫令抹断,与磁石少许同下之。
《药性论》治恶疮小儿吞钱不出方。
上煮冬葵根饮之即出,神妙。
《圣惠》治小儿误吞咽铜铁物在喉内不下方。
上取南烛根,烧灰细研,以熟水调下一钱瘥。
《圣惠》又方
上用貘齿骨烧灰,细研如粉,每服以磨刀水调服一钱止。
《圣惠》治小儿误食发绕咽喉方。
上用梳头梳烧灰,细研如粉,以粥饮调下半钱。
《圣惠》治小儿误吞钩绳方。
上凡小儿若误吞钩绳,绳犹在手中者,莫引之,但以珠当若穿了薏苡子之辈就贯着绳,稍稍令推至钩处,
小小引之则出。
《圣惠》又方
上以常思草头一把,水一大盏,捣绞取汁,分三、四遍饮之即效。
《圣惠》治小儿误吞钩方。
上以琥珀珠穿贯钩绳上,推令前入至钩所,又复推以牵引出矣。
《灵苑》玉错散 治大人小儿一切骨鲠或竹木签刺喉中不下方。
蓖麻(一两,去壳) 寒水石(细研如粉)
上入蓖麻乳钵内,研如膏,旋入石末同研,但旋添入石末衮得干成粉即止,不拘分两也。有被鲠者,只取
一捻致舌根深处,以冷水咽之,其鲠物自然不见,可用竹木片于舌深处用药试之,立验。
《婴孺》治小儿吞下钱方。
上取 头一把,水二升,灌水中十余度,饮之立下。
《婴孺》治小儿吞针方。
上以炭末水服立出。
《婴孺》治小儿鲠若吞钱不下。半夏散方
半夏(二分,洗) 白蔹(一分)
上为末,酒或姜汁服方寸匕,再服立下。
《婴孺》治小儿食饮发绕咽喉方。
上取梳头发烧灰,服之一钱瘥。
张涣通气散方 治误吞铜钱物及钩绳之类在咽喉不下方。
象牙(末,烧存性) 鹅毛(烧灰。各一钱) 磁石(一皂皂大,烧灰)
上件捣,罗为细末。每服半钱,新汲水调下。
《庄氏家传》误吞钱方。
上用锻石为末,酒调服。
《庄氏家传》治小儿误吞钱。神应丸方
朱砂(三钱精研) 半夏(大者三枚,以浆水煮过,研) 石脑油(真者须小,但
斟量稀稠抹和得朱砂、半夏二味为度,切勿令稀,旋旋滴少许在乳钵内,研拌二味药。)
上三件同入乳钵内研令匀腻,丸如豌豆大。每服三丸,空心并食前以酒吞下,一日之间吃三服,不过一、
二日或三、四日内自然随大便下来,此药大有神效。不取转,不搜觉,但趁逐钱下来。
《庄氏家传》又方(此与次方吃了,令咽喉并胸中不噎闷,便吃得物。)
上羊胫炭不计多少,捣、罗极细,再于乳钵内研令极匀腻。每服三满大钱,以砂糖温水调下,不计时候,
日五服,临睡更一服。
《庄氏家传》又方
上以旧经穿钱者麻索子二十对(须是元金者,逐旋讨得旋烧旋用。)于熨斗内,以精炭火些小,吹去灰,烧麻索子作
灰,乳钵内研令极细,只以砂糖温水调三大钱,不拘时,一日五服,钱索若带青色者为上。
《玉氏手集》治小儿误吞钱在腹方。
上用榆白皮湿者,捣烂如泥,用新水调打半匙许,服之自下。或干者,捣、罗亦得。
《外台秘要》引用《短剧》论述治疗小儿误吞铁珠,大小如狸豆,经过一年并不造成危害,但后来身体消瘦羸弱,饮食不能转化为肌肤营养,时常出现痢疾,或寒热交替,服用各种药物自我治疗反而病情加重且无效。有位医师诊断后说:这是吞下的异物无法消化所致,按照常规方法服用各种药物,吞下的异物排不出去,病终究不会痊愈。如今他家中观察发现:孩子近年来经常玩弄十六颗铁珠,发觉少了一颗,担心是吞下去了,多年来一直未起疑心。医师出诊后,才相信确实是这个原因导致生病,于是开具汤药,患病随即痊愈。后来又给予调理,孩子的肌肤变得丰满润泽,只是忘记了记录那个方子,姑且记下此事。
另外有一户人家,有个六七岁的女孩,患腹痛,她的母亲给她按摩腹部,感觉手下有一横状物体在孩子的肉里平放着,问孩子说:“怎么有针在肉里?”非常惊讶怪异,脱衣查看,皮肤完好无损没有刺入的痕迹,按压时孩子也不觉得针刺痛,只觉得肚子里痛。母亲就用指甲重重地掐按,那横物在指甲下折断成两段,也没有偏向哪一侧疼痛。请来医师诊断,共同检查。如果是吞下铁刺等物,婴儿通常不会有噎塞阻碍感。只恐怕是在养育孩子时,母亲常带着针身抱着孩子,针扎入孩子的肌肤中,孩子虽然觉得痛而啼哭呼叫,但吃奶休息后就停止了,于是成了无意识的状态,现在因为腹痛按摩才发现。铁遇到树木和湿气都会生锈产生碎屑容易腐朽,针在人肉中,经过几年,因为得到血气的滋养,也会腐朽,所以掐按时就会折断,导致患腹痛不安。只要治疗腹痛,服用温中汤剂,心腹疼痛就会痊愈。后来孩子长大出嫁,因分娩哺乳未曾听说针处成为祸患,所以记录下来。
《千金方》治疗小儿误吞针。
取磁石如枣核大小,吞服或含在口中,针立刻就能出来。《太平圣惠方》将磁石磨成如枣核大小并钻出孔窍,用丝线穿好,让孩子吞服以吸附排出。
《千金方》治疗小儿误吞铁等物的方子。
取艾蒿一把切碎,用水五升,煮取一升半,服用后即能排出。
《千金方》治疗吞钱方。
取艾蒿五两,用水五升,煮取一升,一次性服用即能排出。
《千金方》又一方
取木炭末,用酒送服一方寸匕,用水送服也可以。
《千金方》又一方
服用蜂蜜二升即可排出。
《千金方》治疗吞金银环及发钗方。
取白糖二斤,一次性慢慢吃完,多吃效果更好。
《千金方》又一方
吞服一两水银,再次服用。
《千金方》误吞环及指环驱除方
烧雁毛二至七枚研末服用。鹅毛也可以。《太平圣惠方》用米汤调服半钱。
《千金方》误吞发钗方
将韭菜晒蔫,蒸熟不要切,吃一束即可排出。或者生麦叶的筋缕像小葱的方法都可以使用,只要立意多吃自然能消除。
《千金方》误吞铜铁而哽住方
烧铜弩牙使其通红,放入酒中,饮下立刻痊愈。(《婴孺书》用水中的沉淀物饮用。)
《千金方》误吞钉针及箭头等方
只要多吃肥腻的肉直到吃饱,自己会包裹排出。
《千金方》治疗误吞针方
取悬针磁石末,用水送服一方寸匕即能排出。(古本《录验方》说:现在吞针在喉中而服用磁石末进入腹部,即含着碎石在口中,或者能吸出针来。)
《外台秘要》引用《肘后备急方》治疗小儿误吞梅李方。
用少量水润湿小儿口腔,头低盛水让其喝下即能排出,效果良好。
《外台秘要》引用《近效方》治疗小儿误吞钱在喉中不出方。
取麸皮炭末,用手指弹入喉中,孩子应当立即咯出。
日华子治疗小儿误吞针钱等方
将磁石与筋膜肉同研末,不要让抹断,与少许磁石一同吞下。
《药性论》治疗恶疮小儿吞钱不出方
煮冬葵根饮用即能排出,神妙。
《太平圣惠方》治疗小儿误吞咽铜铁物在喉内不下方
取南烛根,烧成灰细研,用熟水调服一钱即愈。
《太平圣惠方》又一方
取貘的牙齿骨头烧成灰,细研如粉,每次用磨刀水调服一钱即止。
《太平圣惠方》治疗小儿误食头发缠绕咽喉方
取梳下来的头发烧成灰,细研如粉,用米汤调服半钱。
《太平圣惠方》治疗小儿误吞钩绳方
凡是小儿若误吞钩绳,如果绳子还在手中,不要拉扯它,只用珠子或者穿了薏苡仁之类的东西顺着绳子穿过去,稍稍推至钩处,轻轻牵引即可取出。
《太平圣惠方》又一方
取常思草头一把,水一大盏,捣烂绞取汁液,分三到四次饮用即见效。
《太平圣惠方》治疗小儿误吞钩方
用琥珀珠穿贯在钩绳上,推令向前进入至钩处,再反复推引即可取出。
《灵苑方》玉错散 治疗大人小孩一切骨鲠或竹木签刺喉中不下方。
蓖麻(一两,去壳) 寒水石(细研如粉)
将蓖麻放入乳钵内,研如膏状,随即加入石末同研,只要不断添加石末滚压至干成粉末即停止,不拘泥于分量。被卡住的人,只取一捻放在舌根深处,用冷水咽下,其卡住的异物自然消失,可以用竹木片在舌深处用药试探,立刻见效。
《婴孺书》治疗小儿吞下钱方
取某物(原文缺字,推测为某种草药或物品)一把,水二升,在水中灌洗十余次,饮水即立效。
《婴孺书》治疗小儿吞针方
用炭末和水送服立刻排出。
《婴孺书》治疗小儿骨鲠或吞钱不下半夏散方
半夏(二分,洗净) 白蔹(一分)
研为末,用酒或姜汁送服一方寸匕,再服即立效。
《婴孺书》治疗小儿饮食头发缠绕咽喉方
取梳下来的头发烧成灰,服用一钱即愈。
张涣通气散方 治疗误吞铜钱物及钩绳之类在咽喉不下方。
象牙(末,烧存性) 鹅毛(烧灰。各一钱) 磁石(一块皂荚大小的量,烧灰)
以上捣碎,过筛为细末。每次服半钱,用新汲水调下。
《庄氏家传》误吞钱方。
取锻石为末,用酒调服。
《庄氏家传》治疗小儿误吞钱。神应丸方
朱砂(三钱精研) 半夏(大者三枚,用浆水煮过,研) 石脑油(真品须适量,只需斟酌稀稠度调和朱砂、半夏两味药的程度,切勿太稀,随时滴少许在乳钵内,研磨拌和二味药。)
以上三件同入乳钵内研令均匀细腻,丸如豌豆大。每次服三丸,空腹及食前用酒吞下,一天之内吃三服,不过一、二日或三、四日内自然随大便下来,此药大有神效。不追求呕吐,不寻求感觉,只是趁势跟随钱一起下来。
《庄氏家传》又方(此方与下一方吃了,令咽喉并胸中不噎闷,便能进食。)
羊胫炭不计多少,捣、罗极细,再于乳钵内研令极均匀细腻。每次服三大满钱,用砂糖温水调下,不限时候,一天五服,临睡再加一服。
《庄氏家传》又方
用旧经穿钱的麻索子二十对(必须是原金的,逐根讨得现烧现用。)在熨斗内,用精炭火稍微吹去灰,烧麻索子作灰,在乳钵内研令极细,只用砂糖温水调三大钱,不限时间,一天五服,钱索若带青色者为上品。
《玉氏手集》治疗小儿误吞钱在腹方。
取榆白皮湿润者,捣烂如泥,用新水调打半匙许,服用之后自然排出。或者干燥的,捣、罗也可以使用。
*Waitai Mi Yao* cites *Duan Ju* discussing the treatment of children who accidentally swallowed iron beads, the size of a civet cat's bean. After a year, it caused no harm, but later the child became emaciated and weak, food failed to nourish the flesh and muscles, and there were frequent episodes of dysentery or alternating chills and fever. Taking various medicines for self-treatment only worsened the condition without effect. A physician diagnosed: "This is due to the indigestion of the swallowed foreign body. According to standard methods, taking various medicines will not expel the swallowed object, so the illness will not resolve." Upon inquiry, the family observed that the child had been playing with sixteen iron beads in recent years and noticed one missing, suspecting ingestion, though they had not doubted this over the years. After the physician examined the child, he confirmed this was the cause of the illness and prescribed a decoction, after which the patient recovered. Subsequent treatment restored the child's flesh and skin to a plump and lustrous state. The formula was forgotten, but the case is recorded here.
In another household, a girl of about six or seven suffered from abdominal pain. Her mother massaged her abdomen and felt a horizontal object lying flat within the flesh. Asking the child, she wondered how a needle could be in the flesh. Surprised, they undressed the child to inspect; the skin was intact with no puncture marks. Pressing did not cause needle-like pain, only deep abdominal pain. The mother pressed firmly with her fingernails, causing the horizontal object to break into two pieces under her nails, without pain on either side. A physician was summoned to diagnose and examine together. If an infant had swallowed an iron thorn, there would typically be no sensation of obstruction. It is more likely that while nursing, the mother carried a needle against the child's body, piercing the skin. Although the child cried from pain, feeding and resting stopped the crying, leading to unconsciousness of the injury. Now, the pain during massage revealed it. Iron rusts and decays when exposed to wood and moisture; a needle inside human flesh, nourished by blood and qi over several years, also corrodes. Thus, it breaks when pressed, causing abdominal discomfort. Treating the abdominal pain with a warming middle-jiao decoction resolved the heart and abdominal pain. Later, the girl married and gave birth without any complications from the needle site, hence this record.
*Qian Jin Fang* treats accidental swallowing of needles by children.
Take magnetite (Cishi) the size of a jujube pit, swallow or hold it in the mouth; the needle will emerge immediately. *Taiping Shenghui Fang* grinds magnetite to the size of a jujube pit, drills a hole, threads it with silk, and administers it orally to attract and expel the needle.
*Qian Jin Fang* prescription for accidental swallowing of iron and other objects.
Take one bunch of mugwort herb (Ai Ye), chop it, boil in five sheng of water until reduced to one and a half sheng, and administer; it will be expelled.
*Qian Jin Fang* prescription for swallowing coins.
Take five liang of mugwort herb (Ai Ye), boil in five sheng of water until reduced to one sheng, take in one dose; it will be expelled.
*Qian Jin Fang*, another prescription.
Take charcoal powder (Mutan), administer with wine using a measure of one cun bi; water administration is also acceptable.
*Qian Jin Fang*, another prescription.
Administer two sheng of honey; it will be expelled.
*Qian Jin Fang* prescription for swallowing gold/silver rings and hairpins.
Take two jin of white sugar, eat slowly in one sitting; consuming more is beneficial.
*Qian Jin Fang*, another prescription.
Swallow one liang of quicksilver (Shuiyin); repeat the dose.
*Qian Jin Fang* prescription for expelling swallowed rings or finger rings.
Burn two to seven goose feathers, grind to powder, and administer. Goose feathers are also suitable. *Taiping Shenghui Fang* uses rice broth to mix and administer half a qian.
*Qian Jin Fang* prescription for swallowing hairpins.
Wither leeks by sun-drying, steam until cooked but do not cut; eat one bundle to expel. Alternatively, raw wheat leaf veins similar to shallots can be used; simply consume generously to dissolve naturally.
*Qian Jin Fang* prescription for choking on swallowed copper/iron.
Heat a bronze crossbow trigger until red-hot, immerse in wine, and drink; cure is immediate. (*Yingru Shu* suggests drinking the sediment from water.)
*Qian Jin Fang* prescription for swallowing nails, needles, and arrowheads.
Eat plenty of fatty meat until full; it will wrap around and pass naturally.
*Qian Jin Fang* prescription for swallowing needles.
Take powdered suspended-magnetite (Xuanzhen Cishi), administer with water using a measure of one cun bi; it will be expelled. (Ancient edition of *Lu Yan Fang* states: If the needle is stuck in the throat, taking magnetite powder into the stomach may allow holding crushed stones in the mouth to attract the needle out.)
*Waitai Mi Yao* cites *Zhou Hou Bei Ji Fang* for treating children swallowing plums or peaches.
Moisten the child's mouth with a little water, have them drink with their head lowered; it will be expelled effectively.
*Waitai Mi Yao* cites *Jin Xiao Fang* for treating children with coins stuck in the throat.
Take bran-charcoal powder, flick into the throat with a finger; the child should cough it up immediately.
Ri Hua Zi's prescription for children swallowing needles or coins.
Grind magnetite (Cishi) with fascia/meat into powder, ensuring it is not broken apart, and swallow with a small amount of magnetite.
*Yao Xing Lun* prescription for children with malignant sores swallowing coins that won't come out.
Decoct winter okra root (Dong Kui Gen) and drink; effect is miraculous.
*Taiping Shenghui Fang* prescription for children swallowing copper/iron objects stuck in the throat.
Take southern candleberry root (Nan Zhu Gen), burn to ash, grind finely, mix with warm water, and administer one qian; cured.
*Taiping Shenghui Fang*, another prescription.
Burn tapir tooth bone (Mo Chi Gu) to ash, grind to fine powder, mix with whetstone water, and administer one qian per dose.
*Taiping Shenghui Fang* prescription for children swallowing hair tangled in the throat.
Burn combed hair to ash, grind to fine powder, mix with rice broth, and administer half a qian.
*Taiping Shenghui Fang* prescription for children swallowing hooks and cords.
If a child swallows a hook and cord, and the cord remains in hand, do not pull. Instead, thread a bead or coix seed through the cord, push gently towards the hook, and lightly pull to extract.
*Taiping Shenghui Fang*, another prescription.
Take one bunch of Chansi grass heads, add one large cup of water, crush and squeeze juice, divide into three or four doses to drink; effective.
*Taiping Shenghui Fang* prescription for children swallowing hooks.
Thread an amber bead onto the hook/cord, push forward to the hook's location, then pull back to extract.
*Ling Yuan Fang* Yu Cuo San treats adults and children with bone splinters or bamboo/wood sticks stuck in the throat.
Castor seed (Bima, 1 liang, husked) and Halloysitum Rubrum (Hanshuishi, ground to powder).
Place castor seeds in a mortar, grind into paste, then gradually add Halloysitum Rubrum powder, grinding until dry and powdery. For obstruction, take a pinch, place deep at the root of the tongue, and swallow with cold water; the obstruction disappears. Test with a bamboo stick deep in the tongue; effect is immediate.
*Yingru Shu* prescription for children swallowing coins.
Take [missing character] one bunch, two sheng of water, rinse the herb in water ten times, drink the water; effect is immediate.
*Yingru Shu* prescription for children swallowing needles.
Administer charcoal powder with water; expelled immediately.
*Yingru Shu* Banxia San for children with bone splinters or swallowed coins.
Pinellia ternata (Banxia, 2 fen, washed) and Ampelopsis japonica (Bailian, 1 fen).
Grind to powder, administer with wine or ginger juice using one cun bi; repeat dose for immediate effect.
*Yingru Shu* prescription for children with hair tangled in throat from eating/drinking.
Burn combed hair to ash, administer one qian; cured.
Zhang Huan's Tongqi San treats coins, hooks, and cords stuck in the throat.
Ivory powder (Ya Xiang, calcined to retain nature), Goose feather ash (E Mao, calcined, each 1 qian), Magnetite (Cishi, size of a soap pod, calcined).
Grind and sieve to fine powder. Administer half a qian mixed with fresh well water.
*Zhuang Shi Jia Chuan* prescription for swallowing coins.
Grind lime (Duanshi) to powder, mix with wine and administer.
*Zhuang Shi Jia Chuan* Shenying Wan for children swallowing coins.
Cinnabar (Zhusha, 3 qian, finely ground), Pinellia ternata (Banxia, 3 large bulbs, boiled in starch water, ground), Naphtha (Shinao, real quality, adjust viscosity to mix with Zhusha and Banxia, do not make too thin, add drop by drop to mortar).
Grind all three ingredients in a mortar until smooth and uniform, roll into pills the size of pea seeds. Take three pills before meals and empty stomach with wine. Three doses a day; expelled naturally with stool within 1-4 days. This medicine is highly effective. Do not induce vomiting or seek sensation; just follow the coin down.
*Zhuang Shi Jia Chuan*, another prescription (relieves chest/throat oppression, allowing food intake).
Sheep shin bone charcoal (Yang Jing Tan), amount unspecified, grind and sieve extremely fine, then grind in mortar until smooth. Take three large coins' worth, mix with brown sugar and warm water,不限 time, five doses daily, plus one before sleep.
*Zhuang Shi Jia Chuan*, another prescription.
Use twenty pairs of old hemp ropes used for threading coins (must be original hemp, prepare fresh as needed). Burn in an ironing pan with charcoal fire, blowing away ash, until rope turns to ash. Grind in mortar until extremely fine. Mix with brown sugar and warm water, three large coins' worth,不限 time, five doses daily. Ropes with a bluish tint are superior.
*Yu Shi Shou Ji* prescription for children swallowing coins into the abdomen.
Take fresh elm bark (Yu Bai Pi), mash into paste, mix with fresh water, take half a spoonful; expelled naturally. Dried bark, mashed and sieved, is also acceptable.