夜啼寒热因胎受,须将形色辨分明,寒属脾经面青白,手腹俱冷曲腰疼,面赤溺闭属心热。热用导赤
寒钩藤,若无寒热表里证,古法蝉花散最精。
【注】小儿初生夜啼,其因有二∶一曰脾寒,一曰心热。皆受自胎中,观其形色便知
病情矣。如面色青白,手腹俱冷,不欲吮乳,曲腰不伸者,脾寒也,钩藤饮主之;面赤唇
红,身腹俱热,小便不利,烦躁多啼者,心热也,导赤散主之,若无以上形证,但多啼
者,用蝉花散最当。
导赤散(方见小便不通)
钩藤饮
川芎 白当归 茯神 白芍(炒) 茯苓 甘草(炙) 木香(煨) 钓藤钩
引用红枣水煎服。
【方歌】夜啼之证因脾寒,须服钩藤饮可痊,芎归神芍苓甘草,木香钩藤红枣煎。
蝉花散
蝉蜕(下半截,不拘多少)
上研细末,每服少许,薄荷煎汤调下。
儿生遍体黄如金,湿热熏蒸胎受深,法当渗湿兼清热,地黄犀角二方神。
【注】胎黄者,遍体面目皆黄,其色如金,乃孕妇湿热太盛,小儿在胎受母热毒,故生
则有是证也。法当渗湿清热,须分轻重治之,色微黄者生地黄汤,深黄者犀角散。
生地黄汤
生地黄 赤芍药 川芎 当归 天花粉 赤茯苓 泽泻 猪苓 生甘草 茵陈蒿
引用灯心,水煎,食前服。
【方歌】胎黄须用地黄汤,四物花粉赤苓良,泽泻猪苓甘草等,茵陈加入水煎尝。
犀角散
犀角(镑) 茵陈蒿 栝蒌根 升麻 甘草(生) 龙胆草 生地黄 寒水石( )
水煎,不拘时服。
【方歌】胎黄又有犀角散,甘草犀角与茵陈,升麻胆草生地共,寒水石同栝蒌根。
夜啼的寒热症状源于胎儿时期所受的影响,必须通过观察面色和形体来仔细辨别。属于脾经寒证的面色青白,手脚和腹部都发冷,身体蜷曲腰部疼痛;面色红赤、小便闭塞不通则属于心经热证。热证使用导赤散,寒证使用钩藤饮。如果没有明显的寒热或表里证候,古法中的蝉花散最为精妙。
【注】小儿出生后夜间啼哭,原因主要有两种:一是脾寒,二是心热。这些情况都是受自母体胎中,通过观察其面色和形体就能知晓病情了。如果面色青白,手脚和腹部都冷,不想吃奶,身体蜷曲不能伸直,这是脾寒,用钩藤饮主治;如果面色红赤嘴唇红,身体和腹部都热,小便不利,烦躁多哭,这是心热,用导赤散主治。如果没有上述形色证候,只是单纯多啼哭的,用蝉花散最合适。
导赤散(方剂见“小便不通”章节)
钩藤饮
川芎、白当归、茯神、白芍(炒制)、茯苓、甘草(炙烤)、木香(煨制)、钓藤钩
引用红枣水煎服。
【方歌】夜啼之证因脾寒,须服钩藤饮可痊,芎归神芍苓甘草,木香钩藤红枣煎。
蝉花散
蝉蜕(取下半截,数量不限)
上药研成细末,每次服用少许,用薄荷煎汤调服。
婴儿出生全身皮肤黄如金色,是湿热熏蒸且胎中感受较深所致,治疗应当采用渗湿兼清热的法则,地黄汤和犀角散两方效果神奇。
【注】胎黄病,表现为全身面目皆黄,颜色像金子一样,是因为孕妇体内湿热太盛,小儿在胎中接受了母亲的胎毒热邪,所以出生后就有这种病症。治疗方法应当渗湿清热,必须根据病情轻重分别治疗,颜色微黄的用生地黄汤,深黄色的用犀角散。
生地黄汤
生地黄、赤芍药、川芎、当归、天花粉、赤茯苓、泽泻、猪苓、生甘草、茵陈蒿
引用灯心草,水煎,饭前服用。
【方歌】胎黄须用地黄汤,四物花粉赤苓良,泽泻猪苓甘草等,茵陈加入水煎尝。
Night crying's cold and heat patterns stem from influences received in the womb; one must clearly distinguish them by observing facial color and body form. Cold involving the Spleen Meridian presents with a cyanotic-white face, cold hands and abdomen, and pain causing the child to curl the waist. A red face and urinary retention indicate Heart Heat. For Heat, use Daochi San (Cinchona Decoction); for Cold, use Gouteng Yin (Uncaria Decoction). If there are no obvious exterior or interior cold-heat signs, the ancient method of Chanhua San (Cicada Flower Powder) is most exquisite.
[Note] Night crying in newborns has two main causes: Spleen Cold and Heart Heat. Both originate from the fetal period. Observing facial color and physical form reveals the condition. If the face is cyanotic-white, hands and abdomen are cold, the infant refuses to suckle milk, and curls the waist unable to extend, it is Spleen Cold, treated primarily with Gouteng Yin (Uncaria Decoction). If the face is red, lips are crimson, body and abdomen are hot, urination is difficult, and the infant is irritable and cries frequently, it is Heart Heat, treated primarily with Daochi San (Cinchona Decoction). If none of the above signs appear, but the infant simply cries frequently, Chanhua San (Cicada Flower Powder) is most appropriate.
Daochi San (Formula see "Urinary Obstruction")
Gouteng Yin (Uncaria Decoction)
Chuanxiong Rhizoma (Chuanxiong), Angelicae Sinensis Radix Alba (Baiguiwei), Poria (Fushen), Paeoniae Radix Alba (Shaoyao, stir-fried), Poria (Fuling), Glycyrrhizae Radix et Rhizoma Preparata (Gancao, honey-fried), Aucklandiae Radix (Muxiang, baked), Uncariae Ramulus cum Uncis (Doutenggou).
Decoct with Red Dates (Hongzao) water for administration.
[Formula Song] Night crying arises from Spleen Cold, Gouteng Yin can cure it well; Chuanxiong, Guizhi, Fushen, Shaoyao, Fuling, Gancao, Muxiang, and Gouteng decocted with Red Dates.
Chanhua San (Cicada Flower Powder)
Periostracum Cicadae (Chantui, take the lower half, quantity unrestricted)
Grind into fine powder. Take a small amount per dose, mixed with Mint (Bohe) decoction.
Infants born with yellow skin all over like gold suffer from deep-seated damp-heat steaming and toxic influence received in the womb. The treatment method should be to leach out dampness and clear heat simultaneously; Dihuang Tang (Rehmannia Decoction) and Xijiao San (Rhinoceros Horn Powder) are miraculous formulas.
[Note] Congenital Jaundice (Taihuang) manifests as yellowing of the whole body and face, with a golden hue. This occurs because the pregnant woman had excessive damp-heat, and the fetus absorbed the mother's toxic heat. Therefore, this condition appears after birth. The treatment principle is to leach out dampness and clear heat, distinguishing severity. For mild yellowing, use Shengdihuang Tang (Fresh Rehmannia Decoction); for deep yellowing, use Xijiao San (Rhinoceros Horn Powder).
Shengdihuang Tang (Fresh Rehmannia Decoction)
Shengdihuang (Fresh Rehmanniae Radix), Chi Shaoyao (Red Peony Root), Chuanxiong Rhizoma (Chuanxiong), Danggui (Angelicae Sinensis Radix), Tianhuafen (Trichosanthis Radix), Chi Fuling (Red Poria), Ze Xie (Alismatis Rhizoma), Zhu Ling (Polyporus), Sheng Gancao (Raw Licorice Root), Yinchenshao (Artemisiae Scopariae Herba).
Decoct with Jiedixin (Centellae Herba/Verticella) water, take before meals.
[Formula Song] For congenital jaundice, Dihuang Tang is needed; Four Substances, Tianhuafen, and Chi Fuling are good; Ze Xie, Zhu Ling, and Gancao, add Yinchenshao and decoct in water.
Xijiao San (Rhinoceros Horn Powder)
Xijiao (Rhinocerotis Cornu, sliced), Yinchenshao (Artemisiae Scopariae Herba), Gualougen (Trichosanthis Radix), Shengma (Cimicifugae Rhizoma), Gancao (Licorice Root, raw), Longdancao (Gentianae Radix), Shengdihuang (Fresh Rehmanniae Radix), Hanshuishi (Calcitum, crushed).
Decoct in water, take at any time.
[Formula Song] For congenital jaundice, there is also Xijiao San; Gancao, Xijiao, and Yinchenshao; Shengma, Longdancao, and Shengdihuang together; Hanshuishi combined with Gualougen.