小儿脐风,腹胀四肢硬直,多啼不乳,唇青口撮,或吐白沫,肚生青筋,上行分岔,细
心审详,行至心者不治。看青筋尽头处,用灯火散之。或以艾火灸脐,先用姜切片。或蒜切
片,隔脐上加艾火灸之。或元宵灯火散之。或看小儿上 ,有白泡者用银针轻轻挑破。若出
血必愈。
小儿脐风马牙奇方
枯矾(二钱) 硼砂(五分) 洋片 寸香(各五厘) 共为细末,凡小儿下地洗过,即用此末掺脐
眼上,换尿布时仍然掺上,掺完一料,永无脐风等症。
元宵灯火 治小儿脐风撮口风或面青黑角弓反张,两目斜视。一切风闭火闭痰闭,乍然
卒死者,急宜以此灯火散之。惟久病虚弱,形骸消瘦,自汗盗汗,吐泻痘麻,失血之后,精
神疲倦者,切忌此火攻。
元宵灯火歌∶元宵灯火本十五,囟门眉心两合骨,脐轮脐心共七焦,鞋带四焦救儿
苦。又惊风灯火仰向后者,灯火 其囟门、两眉心、脐之上下。眼翻不下者, 其脐之上下
。不
沫者, 其口上下,手足心。出惊风秘诀。
脐风服药,看小儿口中气热,唇红眼生眵结,关纹紫青,粗浮。速用∶
钩藤 蝉蜕 天麻 僵虫 黄芩 西风 广皮 连翘 甘草(各一钱) 胆星(三分) 车前草
引,水煎服。
若是面青唇白,手足厥冷,口中气冷,牙关紧急,眼上视,关纹青黑不浮而淡者,速用
∶
党参 箭 天麻 怀山药(各二钱) 雄片 干姜 法夏 广皮 茯苓 僵虫 当归(各一
钱) 甘草(五分) 大枣(二枚,为引)
小儿脐风,表现为腹部胀满、四肢僵硬挺直,经常啼哭但不吃奶,嘴唇发青、口唇收缩(撮口),有时吐出白色泡沫,肚皮下出现青色筋脉,向上延伸并分岔。需仔细审视观察,若青筋行至心窝处,则属不治之症。查看青筋的尽头处,用灯火疗法消散。或者用艾火灸脐部,先用生姜切片,或用蒜片,隔在脐上加艾火灸治。或者用元宵节的灯火疗法消散。或者看小儿囟门部位,若有白泡,用银针轻轻挑破。如果出血,必定痊愈。
治疗小儿脐风的马牙奇方:
枯矾(二钱) 硼砂(五分) 洋片(冰片) 寸香(麝香,各五厘)。共研为细末。凡是小儿落地洗过澡后,立即将此药末掺入脐眼中,每次更换尿布时仍然掺上,用完一料药,可永久预防脐风等病症。
元宵灯火疗法:
治疗小儿脐风、撮口风或面色青黑、角弓反张(身体向后弯曲如弓状)、两眼斜视。一切因风闭、火闭、痰闭导致的突然卒死情况,急宜使用此灯火疗法消散。唯独对于久病体虚、形体消瘦、自汗盗汗、吐泻痘疹麻疹、失血之后、精神疲倦者,切忌使用此火攻法。
元宵灯火歌诀:
元宵灯火本十五(指常用穴位数量或操作要点,此处依原文直译),囟门、眉心两合骨(指前囟门及眉心印堂穴区域)、脐轮、脐心共七焦(指脐周及脐中心共七个施术点),鞋带四焦救儿苦(指沿腹股沟至下肢的四条线路或四个点位以解救患儿痛苦)。另外惊风灯火疗法中,若患儿仰面后者,灯火灸其囟门、两眉心、脐之上下。若眼翻不下者,灸其脐之上下。若不流涎沫者,灸其口上下、手足心。此为出惊风秘诀。
服用治疗脐风的药物,需观察小儿口中气息是否发热,嘴唇是否红赤,眼睛是否有分泌物结块,指纹(关纹)是否呈紫青色且粗浮。迅速使用以下方剂:
钩藤 蝉蜕 天麻 僵蚕 黄芩 西风(可能指西河柳或特定地方药材,保留原名) 广皮(陈皮) 连翘 甘草(各一钱) 胆南星(三分)。用车前草为引,水煎服。
若是面色青、嘴唇白,手足厥冷,口中气息寒冷,牙关紧急,眼球上视,指纹青黑且不浮而淡者,迅速使用以下方剂:
党参 箭竹(或指箭杆风/某药材,原文“箭”字孤立,结合语境多为药材名,此处保留“箭”或推测为箭杆风,但依规则不推测,故保留“箭”作为药材实体提取时的模糊项,翻译时暂译为“Jian [Herb]”或根据常见配伍推测为“箭杆风”,鉴于严谨性,白话文中保留“箭”字或注为药材) 天麻 怀山药(各二钱) 雄片(附子) 干姜 法半夏 广皮(陈皮) 茯苓 僵蚕 当归(各一钱) 甘草(五分) 大枣(二枚,为引)。
Infantile umbilical tetanus presents with abdominal distension, stiffness and straightening of the four limbs, frequent crying but refusal to suckle, cyanosis of the lips, perioral contraction (crouching mouth), occasional spitting of white foam, and the appearance of bluish veins on the abdomen extending upward and branching. Careful examination is required; if the bluish veins reach the heart region, it is considered intractable. Observe the end point of the bluish veins and dissipate them using lamp-wick therapy. Alternatively, moxibustion can be applied to the umbilicus, first placing a slice of fresh ginger or garlic over the umbilicus before applying moxa. Lamp-wick therapy from the Lantern Festival period may also be used to dissipate the condition. If white blisters are observed on the fontanelle of the infant, gently puncture them with a silver needle. Healing is certain if bleeding occurs.
Ma Ya Qi Fang (Marble Tooth Miraculous Formula) for Infantile Umbilical Tetanus:
Borneol (Yang Pian), Musk (Cun Xiang), Alum (Ku Fan, 2 qian), Borax (Peng Sha, 5 fen). Grind all into a fine powder. After bathing the newborn upon landing, immediately apply this powder to the umbilical stump. Reapply during each diaper change. Upon completion of one dose, umbilical tetanus and related syndromes will be permanently prevented.
Lantern-Wick Therapy:
Indicated for infantile umbilical tetanus, crouching mouth syndrome, cyanotic or blackish complexion, opisthotonos (body arched backward like a bow), and strabismus. It is urgently indicated for sudden death caused by wind-closure, fire-closure, or phlegm-closure. However, it is strictly contraindicated for patients with chronic illness and weakness, emaciation, spontaneous sweating, night sweats, vomiting and diarrhea due to smallpox/measles, post-hemorrhagic states, or mental fatigue.
Song of Lantern-Wick Therapy:
The fifteen points of lantern-wick therapy include the fontanelle, the two bones at the glabella, the seven areas around the umbilical wheel and center, and the four areas along the shoe-lace lines to relieve the child's suffering. For convulsive wind where the infant lies supine, apply wick therapy to the fontanelle, both sides of the glabella, and above and below the umbilicus. For inverted eyes that cannot look down, apply to above and below the umbilicus. For those without salivation, apply to above and below the mouth, and the palms and soles. This reveals the secret method for treating convulsive wind.
When administering medicine for umbilical tetanus, observe if the breath from the mouth is hot, if the lips are red, if there is ocular discharge and crusting, and if the fingerprint (Guan Wen) is purple-blue, coarse, and floating. Quickly use the following prescription:
Uncaria rhynchophylla (Gouteng), Cicada slough (Chantui), Gastrodia elata (Tianma), Bombyx batryticatus (Jiangcan), Scutellaria baicalensis (Huangqin), Xi Feng (Xifeng), Exocarpium citri grandis (Guangpi), Forsythia suspensa (Lianqiao), Glycyrrhiza uralensis (Gancao) (each 1 qian), Arisaema cum bile (Danning) (3 fen). Use Plantago asiatica (Cheqian Cao) as a guide, decoct in water and administer.
If the complexion is cyanotic, lips pale, extremities cold, breath from the mouth is cold, jaw is rigid, eyes are looking upward, and the fingerprint is blue-black, not floating but faint, quickly use the following prescription:
Codonopsis pilosula (Dangshen), Jian [Herb], Gastrodia elata (Tianma), Dioscorea opposita (Huai Shanyao) (each 2 qian), Aconitum carmichaelii preparatum (Xiong Pian), Zingiber officinale (Ganjiang), Pinellia ternata preparata (Faxia), Exocarpium citri grandis (Guangpi), Poria cocos (Fuling), Bombyx batryticatus (Jiangcan), Angelica sinensis (Danggui) (each 1 qian), Glycyrrhiza uralensis (Gancao) (5 fen), Jujube (Dazao, 2 pieces, as a guide).