撮如囊口吮乳难,舌强唇青吐沫痰,面色赤黄胎热极,四肢厥冷命难全。痰盛宜用僵蚕散,
便秘须进紫霜丸,惊热龙胆汤极妙,抽搐撮风散自安。
【注】撮口者,口撮如囊口也。吮乳不得,舌强唇青,面色黄赤,乃心脾之热,受自胎
中而然也。其证为危候,急当随证治之。如气高痰盛者,辰砂僵蚕散主之;二便秘结者,
紫霜丸主之;身热多惊者,龙胆汤主之;手足抽搐者,撮风散主之。若更口吐白沫,四
肢厥冷,虽有神丹,终属无济。
辰砂僵蚕散
辰砂(水飞,五分) 僵蚕(直的去系嘴炒,一钱) 蛇蜕皮(炒,一钱) 麝香(五分)
上为末,用蜜调敷唇口。
紫霜丸(方见二便不通)
龙胆汤(方见噤口)
撮风散
赤脚蜈蚣(炙,半条) 钓藤钩(一钱五分) 朱砂(水飞) 直僵蚕(焙) 全蝎尾(各一钱) 麝
香(一字)
上为末,每服一字,竹沥调下。
浴儿不慎水浸脐,或因绷袍湿渍之,脐间淋漓多痛痒,甚则 肿作疮痍,脐湿必用渗脐散,疮肿金
黄散最宜,治疗之法须如此,临证施之不可疑。
【注】儿生洗浴,不可久在水中,任意洗濯。既包裹毕,宜时常留意,勿令尿湿浸脐。
如不知慎,遂致肚脐浸渍不干,名曰脐湿,须以渗脐散敷之。甚则 赤成疮,名曰脐疮,须
以金黄散敷之,庶不致寒湿之气内攻也。
渗脐散
枯矾 龙骨( ,各二钱) 麝香(少许)
研细末,干撒脐中。
金黄散
川黄连(二钱半) 胡粉 龙骨( ,各一钱)
上为末敷患处。
口唇收缩如囊口状,吮吸乳汁困难,舌体僵硬、嘴唇发青、吐出泡沫痰涎,面色红黄是胎热极盛的表现,四肢厥冷则预示生命垂危。若痰液壅盛适宜使用僵蚕散,大便秘结必须服用紫霜丸,惊悸发热用龙胆汤效果极佳,抽搐症状服用撮风散即可安宁。
【注】所谓“撮口”,是指口唇收缩如同囊口。无法吮乳,舌体僵硬、嘴唇发青、面色黄赤,这是心脾有热,由胎中遗传所致。此证属于危重候症,应当紧急根据具体证候进行治疗。如果气逆痰多,以辰砂僵蚕散为主治方;大小便不通畅的,以紫霜丸为主治方;身体发热且易受惊吓的,以龙胆汤为主治方;手足抽搐的,以撮风散为主治方。如果再出现口吐白沫、四肢厥冷的情况,即使有神效丹药,最终也无济于事。
辰砂僵蚕散
辰砂(水飞法处理,五分) 僵蚕(直挺的去掉丝嘴炒制,一钱) 蛇蜕皮(炒制,一钱) 麝香(五分)
以上药物研为细末,用蜂蜜调和后敷于唇口处。
紫霜丸(方剂见“二便不通”章节)
龙胆汤(方剂见“噤口”章节)
撮风散
赤脚蜈蚣(炙烤,半条) 钓藤钩(一钱五分) 朱砂(水飞法处理) 直僵蚕(焙干) 全蝎尾(各一钱) 麝香(一字)
以上药物研为细末,每次服用“一字”量,用竹沥水送服。
给婴儿洗澡时不慎让水浸渍肚脐,或者因为包裹衣服的湿渍导致,肚脐间淋漓不尽且多有疼痛瘙痒,严重时肿胀形成疮疡。脐湿症必须使用渗脐散治疗,疮肿症金黄散最为适宜,治疗方法应当如此,临证施治时不可犹豫。
【注】婴儿出生后洗浴,不可长时间在水中,随意清洗。包裹完毕后,应时常留意,不要让尿液浸湿肚脐。如果不加谨慎,致使肚脐浸渍不干,称为“脐湿”,需要用渗脐散外敷。严重时红肿成疮,称为“脐疮”,需要用金黄散外敷,这样才不会导致寒湿之气内攻脏腑。
The mouth contracts like the opening of a bag, making breastfeeding difficult; the tongue is stiff, lips are cyanotic, and frothy phlegm is expectorated. A red-yellow complexion indicates extreme fetal heat, while cold limbs signal a critical condition with little hope for survival. If phlegm is excessive, Jiangcan San (Silkworm Powder) is appropriate; if constipation occurs, Zishuang Wan (Purple Frost Pill) must be administered; for fright-heat, Longdan Tang (Gentian Decoction) is highly effective; for convulsions, Cufeng San (Wind-Grasping Powder) brings peace.
[Note] "Cufeng" refers to the contraction of the mouth like a bag's opening. Inability to breastfeed, stiff tongue, cyanotic lips, and yellow-red complexion indicate heat in the Heart and Spleen, inherited from the fetus. This syndrome is a critical sign, requiring urgent treatment based on specific symptoms. For cases with Qi rebellion and abundant phlegm, Chensha Jiangcan San (Cinnabar and Silkworm Powder) is the primary formula; for urinary and fecal obstruction, Zishuang Wan (Purple Frost Pill) is used; for body heat and frequent fright, Longdan Tang (Gentian Decoction) is indicated; for limb convulsions, Cufeng San (Wind-Grasping Powder) is applied. If white foam is vomited and limbs become cold, even divine medicines will ultimately be ineffective.
Chensha Jiangcan San (Cinnabar and Silkworm Powder)
Chensha (Cinnabris, water-ground, 5 fen) Jiangcan (Bombyx Batryticatus, straight ones without silk mouths, stir-fried, 1 qian) Shetui (Morpho Butterfly Skin, stir-fried, 1 qian) Shexiang (Moschus, 5 fen)
Grind into fine powder, mix with honey, and apply to the lips and mouth.
Zishuang Wan (Purple Frost Pill) (See formula under "Obstruction of Urination and Defecation")
Longdan Tang (Gentian Decoction) (See formula under "Locked Mouth")
Cufeng San (Wind-Grasping Powder)
Chi Jiao Wu Gong (Scolopendra Subspinipes, roasted, half strip) Gouteng (Uncaria Rhynchophylla, 1.5 qian) Zhusha (Cinnabris, water-ground) Zhi Jiangcan (Bombyx Batryticatus, baked) Quan Xie Wei (Scorpio Tail, each 1 qian) Shexiang (Moschus, 1 zi)
Grind into fine powder. Take 1 zi per dose, washed down with Zhuli (Bamboo Sap).
If bathing the infant is careless and water soaks the umbilicus, or due to wetness from swaddling clothes, the umbilical area drips continuously with pain and itching. Severe cases result in swelling and ulceration. Umbilical dampness (Qi Shi) requires Shenqi San (Umbilical Oozing Powder); umbilical sores and swelling are best treated with Jinhuang San (Golden Yellow Powder). Treatment methods must follow this principle; clinical application should not be doubted.
[Note] After birth, infants should not remain in water for long periods during bathing. After wrapping, care must be taken to prevent urine from soaking the umbilicus. Negligence leads to the umbilicus remaining wet and macerated, termed "Umbilical Dampness" (Qi Shi), which should be treated with Shenqi San (Umbilical Oozing Powder) externally. If it worsens into redness and sores, termed "Umbilical Ulcer" (Qi Chuang), Jinhuang San (Golden Yellow Powder) should be applied to prevent the invasion of Cold-Dampness pathogens into the interior.
Shenqi San (Umbilical Oozing Powder)
Kufan (Alumen, calcined) Longgu (Fossilia Ossis Mastodi et Scapulae, calcined, each 2 qian) Shexiang (Moschus, a small amount)
Grind into fine powder and sprinkle directly into the umbilicus.
Jinhuang San (Golden Yellow Powder)
Chuan Huanglian (Coptidis Rhizoma, 2.5 qian) Hufen (Cerussa) Longgu (Fossilia Ossis Mastodi et Scapulae, calcined, each 1 qian)
Grind into powder and apply to the affected area.