《外台》疗儿吃奶不稳，七日以来壮热，颜色赤，鼻孔黄，恐作撮口及牙关，虫
似蜗牛，亦似黄头白蚌螺，用竹沥半合和少许牛黄服，瘥。又猪肉拭口，即虫出。
巢氏云∶儿口内忽结聚生舌上如黍，不能取乳，名噤，由在胎热入脏，心偏受热。
《圣惠》初生儿须防三病，一撮口、二着噤、三脐风，皆急病，着噤尤甚，过一腊方
免。牙关紧急，吃乳不稳，啼声渐小，口吐涎沫（茅有闭眼，）人见大小便通，以为冷热所
得，不知病在喉舌，状亦极重，善救疗者十不得三四，根据将护法防于事先，必无此
患。但有此证，急看儿上 有点子，先以指甲轻轻刮破，次服定命散、辰砂全蝎
散之类，如口噤不开，服诸药不效者，生南星去皮脐，研为极细末，龙脑少许合
和，用指蘸生姜汁于大牙根上擦之，立开。凡脐风、撮口、噤风、三者虽异，其受
病之源则一也，大抵里气郁结，壅闭不通，并宜服煎豆豉汁与吃，取下胎毒。《千
金》云∶小儿初生，其气高盛，若有微患，即须下之，若不时下，则成大疾，难为
疗矣，紫霜丸、量而与之。
定命散 治初生儿口噤不乳。
蝉蜕（二七枚，去嘴脚） 全蝎（二七个，去毒）
上为极细末，入轻粉少许和研。用乳汁乳远调化服。
辰砂全蝎散 治初生儿口噤。
辰砂（水飞，半钱） 全蝎（头尾全去毒，二十枚，炙） 硼砂 龙脑 麝香（各一字）
上为极细末。用乳母唾调涂口唇里及牙齿上，或用猪乳少许，调入口内。
紫霜丸 （方见变蒸。）
〔张涣〕立圣散 治妊娠之时，母服热药过多，或食炙爆热物等，致令婴儿初生下口
噤不乳，口舌上疮如黍粟大，KT 多啼，名曰口噤。
干蜘蛛（一个，去口足，以新竹火上炙，取油一蚬壳许，浸一宿，炙令焦，取末） 干蝎稍（七个，为末）
腻粉（末，一钱）
上件，并同研极细。每服一字，乳汁调，时时滴口中。
《千金》治口噤，赤者心噤，白者肺噤。
鸡粪白、枣大，绵裹，水一合，煮二沸，分再服。（《圣惠》用豆大三枚，水下）
又 雀粪四枚，末之，着乳头饮。儿大，十枚。
《外台》着噤，病在咽，如麻豆许，令儿吐沫不乳。
水银，如黍，与服，下咽便愈，以意量之，不过小麻子许。（事急用）
《食疗》茶莓研汁，灌口中，死亦生。（生下湿茎端三叶，花黄，子赤，似覆盆子）
《圣惠》川椒一两，搜面裹三角HT 样，烧黄熟，以绵盖儿口，掐去尖如箸头，使
椒气入口，效，未觉再作。
蜈蚣方 治小儿口噤不开，不能吮乳。
赤脚蜈蚣（半条，去足，炙令焦，为末） 麝香（少许）
上以猪乳和之。盖猪乳能独主小儿口噤不开。
蜘蛛方 治小儿口噤不开，不能吮乳。
蜘蛛（一枚，去足及口，炙令焦，细研）
用猪乳一合和，为三服，徐徐灌之，神妙。入麝香、治牙疳极好。
牛涎方
取东行牛口沫，涂小儿口及额上，即效。
治噤搐鼻法 用郁金、藜芦、瓜蒂、为末，水调，搐之。
茅先生云∶儿生一百二十日内犯风噤（病同着噤，）因母受胎有疾，故受毒瓦斯，生来血气
未调，又被风邪所击致之。治法，先与夺命散吐风涎（见急慢惊门，）后下醒脾散（一见胃气不和
门，一见慢脾风门）夹匀气散与服（见胃气不和门，）又下雄朱散（见赤白痢）夹朱砂膏（见急惊）
常服即愈。如手提拳，噤口不开，死。
《外台秘要》治疗婴儿吃奶不稳，发病七日以来出现高热，面色红赤，鼻孔分泌物呈黄色，担心发展为撮口风及牙关紧闭。口中可见虫体，形状似蜗牛，也似黄头白蚌螺。可用竹沥半合（约50毫升）配合少量牛黄服用，病可痊愈。另外用猪肉擦拭口腔，虫子即可排出。
巢元方说：婴儿口腔内突然在舌头上结聚生长出像黍米大小的颗粒，导致无法吸吮乳汁，称为“噤”。这是由于胎儿时期热邪入脏，心经偏受热邪所致。
《太平圣惠方》指出初生婴儿必须预防三种疾病：一是撮口风，二是着噤风，三是脐风。这些都是急症，其中着噤风最为严重，若超过一个月才能免除危险。症状表现为牙关紧急，吃奶不稳，啼哭声逐渐变小，口吐涎沫（茅先生注：伴有闭眼症状）。人们见其大小便通畅，误以为是冷热之气所致，却不知道病位在喉舌，病情也非常严重。善于救治的医生十人中救不活三四成。如果在事前做好防护护理，必定不会发生这种祸患。一旦有此证候，急忙查看婴儿上颚是否有小点，先用指甲轻轻刮破，然后服用定命散、辰砂全蝎散之类的药物。如果口噤不能张开，服用各种药物无效，可将生南星去皮脐，研成极细粉末，加入少许龙脑混合均匀，用手指蘸生姜汁在大牙根上擦拭，立刻就能张开。大凡脐风、撮口风、噤风这三种病虽然表现不同，但其致病根源是一致的，大体都是里气郁结，壅塞不通，都适宜服用煎煮的大豆豉汁给婴儿喝，以排出胎毒。
《千金方》说：小儿刚出生时，气血旺盛，如果有轻微病患，就必须使用泻下法治疗。如果不及时泻下，就会发展成严重的疾病，难以治疗了，可使用紫霜丸，根据情况适量给予。
定命散：治疗初生婴儿口噤不能吸乳。
蝉蜕（十四枚，去掉嘴和脚），全蝎（二十七个，去毒）。
以上药物研成极细末，加入少量轻粉调和研磨。用乳汁调匀后喂服。
辰砂全蝎散：治疗初生婴儿口噤。
辰砂（水飞法处理，半钱），全蝎（头尾完整，去毒，二十枚，炙烤），硼砂，龙脑，麝香（各一字）。
以上药物研成极细末。用母乳唾液调和涂抹于嘴唇内侧及牙齿上，或用少量猪乳汁调匀送入口内。
紫霜丸（方剂见“变蒸”章节）。
〔张涣〕立圣散：治疗妊娠期间，母亲服用过多热性药物，或食用炙烤爆裂的热性食物等，导致婴儿初生下地后口噤不能吸乳，口舌上长出像黍粟大小的疮疡，哭闹不止，称为口噤。
干蜘蛛（一个，去掉口足，用新竹子架火烘烤，取出一蚬壳许的油，浸泡一夜，再烤焦，研成末），干蝎梢（七个，研成末），腻粉（研末，一钱）。
以上药物一同研成极细末。每次服用一字量，用乳汁调匀，时时滴入口中。
《千金方》治疗口噤，口唇色赤的为心噤，色白的为肺噤。
鸡粪白（如枣大），用棉布包裹，加水一合（约20毫升），煮两沸，分两次服用。（《圣惠方》用豆大三枚，温水送下）
又方：雀粪四枚，研成末，涂在乳头让婴儿吸饮。婴儿稍大，可用十枚。
《外台秘要》治疗着噤，病位在咽喉，如有麻豆大小的病变，使婴儿吐涎沫而不能吸乳。
水银（如黍米大小），给婴儿服用，咽下即愈，需酌情控制剂量，不超过小芝麻粒大小。（紧急情况时使用）
《食疗本草》茶莓研汁，灌入口中，即使已死也能救活。（茶莓指生下时湿润茎端有三叶，花黄，果实红色，类似覆盆子的植物）
《太平圣惠方》川椒一两，用面粉包裹做成三角形类似HT的形状，烧至黄熟，用棉布盖住婴儿口部，掐去尖端如筷子头大小，使椒气进入口中，有效，未见效再制作一次。
蜈蚣方：治疗小儿口噤不开，不能吮吸乳汁。
赤脚蜈蚣（半条，去足，烤焦，研成末），麝香（少许）。
以上用猪乳汁调和。因为猪乳汁能专门主治小儿口噤不开。
蜘蛛方：治疗小儿口噤不开，不能吮吸乳汁。
蜘蛛（一枚，去足及口，烤焦，细研）。
用猪乳汁一合调和，分三次服用，慢慢灌入，效果神妙。加入麝香，治疗牙疳极好。
牛涎方：
取向东行走的牛口沫，涂抹在婴儿口部及额头，立即见效。
治噤搐鼻法：
用郁金、藜芦、瓜蒂，研成末，用水调匀，搐鼻吸入。
茅先生说：婴儿出生后一百二十天内患风噤（病症同着噤），是因为母亲受孕时有疾病，导致受毒瓦斯影响，出生后血气未调和，又被风邪侵袭所致。治疗方法，先给予夺命散吐出风涎（见急慢惊门），随后服用醒脾散（一见胃气不和门，一见慢脾风门）夹匀气散一起服用（见胃气不和门），再服用雄朱散（见赤白痢门）夹朱砂膏（见急惊门）常服即可痊愈。如果手提握拳，口噤不开，则为死证。
The *Waitai Mi Yao* (Secret Essentials of the Imperial Library) treats infants with unstable breastfeeding, high fever persisting for seven days, red facial complexion, and yellow nasal discharge. There is a fear of developing *Cuokou Feng* (Sucking-Mouth Wind / Tetanus-like condition involving mouth closure) and trismus. Insects resembling snails or yellow-headed white clam shells may be seen in the mouth. Use half a he (approx. 50ml) of *Zhuli* (Bamboo Sap) mixed with a small amount of *Niuhuang* (Calculus Bovis, Ox Gallstone) to administer orally; the disease will heal. Additionally, wiping the mouth with pork meat causes the insects to exit.
Chao Yuanfang stated: If lumps like millet grains suddenly form on the tongue inside an infant's mouth, preventing suckling, it is named *Jin* (Lockjaw). This is caused by fetal heat entering the zang organs, causing the Heart to be excessively heated.
The *Taiping Shenghui Fang* (Imperial Grace Formulas of the Taiping Era) states that newborns must be guarded against three diseases: one is *Cuokou* (Sucking-Mouth), two is *Zhuojin* (Fixed Lockjaw), and three is *Yufeng* (Umbilical Wind). All are acute conditions, with *Zhuojin* being the most severe; if not resolved within one lunar month, death may ensue. Symptoms include tight jaw, unstable feeding, diminishing cry, and drooling (Mao noted accompanying closed eyes). Observers seeing normal urination and defecation might mistakenly attribute this to cold or heat pathogens, not realizing the pathology lies in the throat and tongue, where the condition is extremely serious. Skilled physicians save less than three out of ten cases. If preventive care were taken beforehand, such misfortune would certainly be avoided. Upon observing this syndrome, urgently examine the infant's palate for small spots. First, gently scrape them open with fingernails, then administer formulas such as *Dingming San* (Life-Determining Powder) or *Chensha Quanxie San* (Cinnabar and Whole Scorpion Powder). If trismus persists and oral medications fail, take raw *Nanxing* (Arisaema Cum Bile, Rhizoma Arisaematis Preparatum), remove skin and navel, grind into an ultra-fine powder, mix with a little *Longnao* (Borneolum Syntheticum, Synthetic Borneol). Dip a finger in fresh ginger juice and rub the gums at the molar roots; the mouth will open immediately. Although *Yufeng*, *Cuokou*, and *Jinfeng* differ in presentation, their root cause is identical: generally, internal qi stagnation and blockage. It is advisable to have them drink decocted soybean vinegar juice to expel fetal toxins.
The *Qianjin Fang* (Essential Prescriptions Worth a Thousand Gold) states: Newborns have vigorous qi and blood; if even minor ailments occur, purgative therapy should be applied promptly. If not purged in time, they develop into major diseases difficult to treat. Use *Zishuang Wan* (Purple Frost Pill), administered in measured doses.
*Dingming San*: Treats newborn trismus preventing suckling.
*Cantbrua* (Periostracum Cicadae, Cicada Slough) (14 pieces, remove head and legs), *Quanxie* (Scorpio, Whole Scorpion) (27 pieces, detoxified).
Grind all into an ultra-fine powder, add a little *Qingfen* (Calomel, Hydrargyri Chloridum), and mix well. Mix with breast milk and administer.
*Chensha Quanxie San*: Treats newborn trismus.
*Chensha* (Cinnabaris, Cinnabar) (processed by water flotation, half qian), *Quanxie* (Whole Scorpion, detoxified, heads and tails intact, 20 pieces, roasted), *Pengsha* (Borax, Borax), *Longnao* (Borneolum, Borneol), *Shexiang* (Moschus, Musk) (each one zi).
Grind all into an ultra-fine powder. Mix with mother's saliva and apply to the inner lips and teeth, or mix with a little porcine milk and introduce into the mouth.
*Zishuang Wan* (Formula see "Bianzheng" chapter).
[Zhang Huan] *Lisheng San*: Treats newborn trismus and inability to suckle caused by the mother consuming excessive hot-natured medicines or roasted/fried hot foods during pregnancy, leading to sores on the tongue and mouth the size of millet grains and excessive crying in the infant.
*Ganzhizhu* (Dry Spider, Dried Spider) (one piece, remove mouth and legs, roast over new bamboo fire until oil extracts into a shell-sized amount, soak overnight, roast until charred, grind to powder), *Ganxieshao* (Dry Scorpion Tip, Dried Scorpio Tip) (seven pieces, ground to powder), *Nifen* (Calomel, Hydrargyri Chloridum) (ground, one qian).
Grind all ingredients together into an ultra-fine powder. Administer one zi dose each time, mixed with breast milk, dripping into the mouth frequently.
The *Qianjin Fang* treats trismus: Red indicates Heart Trismus (*Xin Jin*), White indicates Lung Trismus (*Fei Jin*).
*Jifenbai* (Chicken Droppings White, White part of chicken feces) (date-sized), wrap in cotton, boil in one he (approx. 20ml) of water for two boils, divide into two doses. (*Shenghui Fang* uses three bean-sized pieces, taken with water).
Another method: Four bird droppings, ground to powder, applied to the nipple for the infant to suck. For older infants, use ten pieces.
The *Waitai Mi Yao* treats *Zhuojin*, where the pathology is in the pharynx, resembling hemp or bean seeds, causing the infant to drool and refuse milk.
*Shuiyin* (Mercurius, Mercury) (millet-sized), administer orally; healing occurs upon swallowing. Dosage must be judged carefully, not exceeding a small sesame seed size. (For emergencies only).
The *Shiliao Bencao* (Food Therapy Materia Medica): Grind *Chamei* (Rubus Chamaemorus Fruit, likely referring to a specific Rubus species) into juice and pour into the mouth; it can revive even the dead. (*Chamei* refers to a plant with moist stems, three leaves at the tip, yellow flowers, and red fruits resembling raspberries).
The *Taiping Shenghui Fang*: One liang of *Chuanjiao* (Zanthoxyllum Bungeanum Fructus, Sichuan Pepper), wrapped in dough into a triangular shape similar to 'HT', baked until yellow and cooked. Cover the infant's mouth with cotton, pinch off the tip the size of a chopstick head, allowing the pepper aroma to enter the mouth. Effective; repeat if necessary.
*Wugong Fang* (Centipede Formula): Treats pediatric trismus where the mouth cannot open and suckling is impossible.
*Chijiaowugong* (Scolopendra Subspinipes mutilans, Red-legged Centipede) (half a strip, remove legs, roast until charred, grind to powder), *Shexiang* (Moschus, Musk) (a little).
Mix with porcine milk. Porcine milk is said to specifically treat pediatric trismus.
*Zhizhu Fang* (Spider Formula): Treats pediatric trismus where the mouth cannot open and suckling is impossible.
*Zhizhu* (Araneus, Spider) (one piece, remove legs and mouth, roast until charred, finely grind).
Mix with one he of porcine milk, divide into three doses, and slowly instill. The effect is miraculous. Adding *Shexiang* is excellent for treating *Yagan* (Gum Rot/Noma).
*Niu Xian Fang* (Ox Saliva Formula):
Collect saliva from an ox walking eastward, apply to the infant's mouth and forehead. Immediate effect.
*Treatment for Trismus and Convulsions via Nasal Insufflation*:
Use *Yujin* (Curcumae Radix, Turmeric Root), *Lilu* (Veratri Rhizoma, Veratrum Root), and *Gua Di* (Cucumeris Fructus, Melon Seed) ground to powder. Mix with water and insufflate into the nose.
Mr. Mao stated: Infants suffering from Wind Trismus within 120 days after birth (symptoms same as *Zhuojin*) result from maternal illness during conception, leading to toxin exposure. Post-birth, the blood and qi are unregulated, and wind pathogen strikes. Treatment: First administer *Duoming San* to vomit out wind-phlegm (see Acute/Chronic Convulsion section), then administer *Xingpi San* (see Stomach Qi Disharmony section or Slow Spleen Wind section) combined with *Jia Yunqi San* (see Stomach Qi Disharmony section), followed by *Xiongzhu San* (see Red/White Dysentery section) combined with *Zhusha Gao* (see Acute Convulsion section). Regular administration leads to recovery. If the hands are clenched and the mouth remains locked, it is a sign of death.