儿生能乳本天然,若不吮兮必有缘,腹中秽恶未下净,或在胎中素禀寒。秽恶不净一捻效,胎寒不
乳匀气先,若更面青肢冷厥,此是寒虚理中煎。
【注】不乳,谓初出胞胎不吮乳也。其故有二,不可不辨
儿生腹中脐粪未下,能令
小儿腹满气短,呕吐不乳,当用一捻金治之。若儿母过食寒凉,胎受其气,儿必腹痛多啼,
面色青白,宜匀气散主之;若四肢厥逆者,理中汤主之。
一捻金
大黄(生) 黑丑 白丑 人参 槟榔(各等分)
上为细末,每少许蜜水调服。
匀气散
陈皮 桔梗(各一钱) 炮姜 砂仁 炙甘草(各五分) 木香(三分)
共为细末,每服五分,红枣煎汤调服。
理中汤
人参 白术(土炒) 干姜 甘草(炙)
引用红枣肉,水煎服。
【方歌】理中人参并干姜,白术甘草共为汤,胎寒诸疾皆当服,不乳肢冷更堪尝。
儿生眼闭不能开,皆因脾热受于胎,内用地黄汤最妙,熊胆洗目效灵哉。
【注】小儿初生眼不开者,因孕妇饮食不节,恣情浓味,热毒熏蒸,以致热蕴儿脾,眼
胞属脾,其脉络紧束,故不能开也。内服生地黄汤,外用熊胆汤洗之自愈。
生地黄汤
生地黄 赤芍药 川芎 当归 天花粉 甘草(生)
水煎服
【方歌】目闭不开胎热成,生地黄汤赤芍芎,当归花粉生地草,水煎速服莫消停。
熊胆洗法
熊胆 黄连(各少许)
用滚汤淬洗,其目自开。(药物 红投水中叫淬)
婴儿出生后能够吃奶本是天然本能,如果不吮吸乳汁必定有原因。若是腹中胎便秽物未排净,或者在母胎中素来禀受寒气。对于秽物不净的情况,用一捻金见效;对于胎寒导致的不乳,先用匀气散治疗。如果再加上面色青紫、四肢冰冷厥逆,这是寒虚证,应当服用理中汤煎剂。
【注】“不乳”,是指婴儿刚离开胞胎还不肯吃奶。其原因有两种,不可不加以辨别。
婴儿出生时腹中脐带残留的粪便未排出,会导致小儿腹部胀满、气短、呕吐而不吃奶,应当使用一捻金来治疗。如果母亲过度食用寒凉食物,胎儿受到这种寒气影响,婴儿必然腹痛且多啼哭,面色青白,适宜用匀气散主治;如果出现四肢厥逆的症状,则用理中汤主治。
一捻金
大黄(生用) 黑丑 白丑 人参 槟榔(各等分)
以上药物研为细末,每次取少许,用蜂蜜水调服。
匀气散
陈皮 桔梗(各一钱) 炮姜 砂仁 炙甘草(各五分) 木香(三分)
共研为细末,每次服用五分,用红枣煎汤调服。
理中汤
人参 白术(土炒) 干姜 甘草(炙)
引用红枣肉,加水煎服。
【方歌】理中汤由人参和干姜组成,加上白术和甘草共同煎成汤剂,凡是胎寒引起的各种疾病都应当服用,对于不吃奶且四肢冰冷的症状更是适宜尝试。
婴儿出生后眼睛闭合不能睁开,都是因为脾热从母体遗传所致,内服用地黄汤最为巧妙,外用熊胆水洗眼效果灵验。
【注】小儿初生时眼睛不开,是因为孕妇饮食没有节制,恣意食用浓烈厚味的食物,热毒熏蒸,导致热气蕴结于胎儿的脾脏。眼睑属于脾,其脉络紧束,所以眼睛不能睁开。内服生地黄汤,外用熊胆汤清洗,即可自愈。
生地黄汤
生地黄 赤芍药 川芎 当归 天花粉 甘草(生用)
加水煎服。
It is natural for a newborn infant to suckle; if they do not suckle, there must be a reason. If the foul meconium in the abdomen has not been completely discharged, or if the fetus was constitutionally cold during gestation, these are the causes. For cases of retained meconium, Yi Nian Jin (One-Pinch Gold) is effective; for failure to suckle due to fetal coldness, Yun Qi San (Harmonizing Qi Powder) should be used first. If accompanied by a cyanotic complexion and cold, inverted limbs, this indicates a deficiency-cold syndrome, and Li Zhong Tang (Regulate the Middle Decoction) should be administered.
[Note] "Failure to suckle" refers to the newborn's refusal to breastfeed immediately after birth. There are two causes, which must be distinguished.
If the meconium in the umbilical region has not been expelled after birth, it can cause abdominal distension, shortness of breath, vomiting, and refusal to suckle in infants. Yi Nian Jin (One-Pinch Gold) should be used to treat this. If the mother consumed excessive cold and cooling foods during pregnancy, transmitting this qi to the fetus, the infant will likely suffer from abdominal pain, excessive crying, and a bluish-white complexion. In such cases, Yun Qi San (Harmonizing Qi Powder) is indicated. If limb inversion (cold extremities) occurs, Li Zhong Tang (Regulate the Middle Decoction) is the primary treatment.
Yi Nian Jin (One-Pinch Gold)
Rhei Radix et Rhizoma (raw), Strychni Semen (black), Strychni Semen (white), Ginseng Radix et Rhizoma, Arecae Semen (equal parts).
Grind into a fine powder. Take a small amount each time, mixed with honey water for oral administration.
Yun Qi San (Harmonizing Qi Powder)
Chenpi (Citri Reticulatae Pericarpium), Jiegeng (Platycodonis Radix) (1 qian each), Paojiang (Prepared Zingiberis Rhizoma), Sharen (Amomi Fructus), Zhigancao (Prepared Glycyrrhizae Radix et Rhizoma) (5 fen each), Muxiang (Aucklandiae Radix) (3 fen).
Grind together into a fine powder. Take 5 fen per dose, mixed with decoction of red dates.
Li Zhong Tang (Regulate the Middle Decoction)
Ginseng Radix et Rhizoma, Atractylodis Macrocephalae Rhizoma (stir-fried with soil), Ganjiang (Zingiberis Rhizoma), Gancao (Prepared Glycyrrhizae Radix et Rhizoma).
Add flesh of red dates, decoct in water, and take orally.
[Formula Song] Li Zhong Tang consists of Ginseng and Dried Ginger, combined with Atractylodes and Licorice as a decoction; it should be taken for various diseases caused by fetal coldness, and is especially suitable for symptoms of failure to suckle and cold limbs.
When an infant is born with eyes closed and unable to open them, it is due to spleen heat transmitted from the mother. Internally administering Di Huang Tang (Rehmannia Decoction) is most excellent, and externally washing the eyes with Xiong Dan (Bear Bile) solution yields miraculous results.
[Note] When a newborn’s eyes do not open, it is because the pregnant woman did not regulate her diet, indulging in rich and strong flavors. The resulting heat toxin steams upward, causing heat to accumulate in the fetus's spleen. Since the eyelids belong to the spleen, their meridians become tight and bound, preventing the eyes from opening. Internal administration of Sheng Di Huang Tang (Raw Rehmannia Decoction) and external washing with Xiong Dan Tang (Bear Bile Decoction) will lead to self-healing.
Sheng Di Huang Tang (Raw Rehmannia Decoction)
Shengdihuang (Rehmanniae Radix), Chishao (Paeoniae Radix Rubra), Chuanxiong (Ligustici Chuanxiong Rhizoma), Danggui (Angelicae Sinensis Radix), Tianhuafen (Trichosanthis Radix), Gancao (Raw Glycyrrhizae Radix et Rhizoma).
Decoct in water and take orally.
[Formula Song] Eyes closed and unable to open are formed by fetal heat; Sheng Di Huang Tang contains Chishao and Chuanxiong, along with Danggui, Tianhuafen, Shengdi, and Gancao; decoct in water and take quickly without delay.
Xiong Dan Washing Method
Xiongdan (Bovis Calculus), Huanglian (Coptidis Rhizoma) (small amounts of each).
Pour boiling water over them to steep/wash (the act of throwing herbs into water is called "cuì"), and the eyes will naturally open.