〔钱〕初生下吐,因秽恶下咽故也,用木瓜丸主之。凡初生,急须拭净口中,否
则啼声一发,秽物咽下,致生诸病。〔田〕月里生呕,先用朱砂丸下之,如利后,
用朱沉煎坠其邪气,使秽物自下而不呕也。
〔钱〕木瓜丸
木瓜 麝香 腻粉 木香 槟榔(各等分)
上同研细末,面糊、丸如小黄米大。每服一二丸,甘草水下,无时。
〔薛〕芽儿初生之患,多因乳母不慎七情,不节浓味,传儿为病,当审其因以
调治其母,前所用之药,恐脏腑脆嫩,不能胜受,用者审之。
《圣惠》藿香散 治儿生,至半月,呕逆不止。
藿香 紫菀(洗去苗土,各一分) 甘草(炙赤,半两) 麦门冬(三分,去心,焙) 桂心(半分)
上为散。每服一钱,水一盏,煎五分,去滓,温,绵点滴口中。
小儿初生不尿者,多因在胎时母恣食啖,热毒之气,流入胎中,儿饮其血,是
以生而脐腹肿胀,如觉脐四旁有青黑气色及口撮,即不可救也,如未有青黑色不饮
乳者,宜服葱乳汤。
葱乳汤
葱白三四寸,四破之。以乳汁半盏煎灌。一方,葱生用,捣烂,人乳拌,入儿
口内,再与乳吮,咽下即通。
豆豉膏
黑豆(一勺) 田螺(十九个) 葱(一大把)
上捣烂。芭蕉汁调,贴脐下。
按∶观丹溪治郑廉使之子患淋病,乃因父服下部热药,遗毒在胎,留于子之
命门而然,以紫雪和黄柏末为丸投之,下如黍如粟者碗许而安,则初生不尿症,
其当审因而处治,不言可知也。
【钱乙】新生儿出生后呕吐,是因为吞咽了污秽恶浊之物所致,治疗以木瓜丸为主方。凡是刚出生的婴儿,必须立即擦拭干净口腔,否则一旦啼哭,污物就会被咽下,从而导致各种疾病。
【田氏】婴儿满月内出现呕吐,先用朱砂丸进行攻下;如果排便后,再用朱沉煎剂坠降邪气,使污物自然下行而不再呕吐。
【钱乙】木瓜丸配方:木瓜、麝香、腻粉、木香、槟榔(各等分)。以上药材共同研磨成细末,用面糊制作成如小黄米大小的药丸。每次服用一至二丸,用甘草汤送服,不拘时间。
【薛己】新生儿初生的疾患,多因乳母不慎于七情(喜怒忧思悲恐惊),或不能节制食用浓烈厚味的食物,将病气传给婴儿所致。应当审察病因并调理母亲的身体,之前所用的药物,恐怕婴儿脏腑娇嫩脆弱,无法承受,使用者需谨慎斟酌。
《太平圣惠方》藿香散:治疗婴儿出生至半月期间,呕吐逆乱不止。
配方:藿香、紫菀(洗去苗土,各一分)、甘草(炙至赤色,半两)、麦门冬(三分,去心,焙干)、桂心(半分)。
以上药材研为散剂。每次服用一钱,用水一盏,煎煮至五分水量,滤去药渣,温热后,用绵花蘸取点滴入口中。
小儿出生后不排尿的,多因为在胎儿时期,母亲恣意饮食,热毒之气流入胎中,婴儿饮用了含有热毒的血液,因此出生后脐腹部肿胀。如果发觉脐部四周有青黑色气色以及口撮(嘴唇收缩紧缩),即不可救治。如果尚未出现青黑色且能吮吸乳汁的,适宜服用葱乳汤。
葱乳汤配方:葱白三四寸长,将其四破开。用乳汁半盏煎煮后灌服。另一方法,生葱捣烂,与人乳混合,放入婴儿口中,再让婴儿吮吸乳汁,咽下后即可通畅。
豆豉膏配方:黑豆(一勺)、田螺(十九个)、葱(一大把)。
以上药材捣烂。用芭蕉汁调和,贴敷于脐下部位。
按语:观察丹溪治疗郑廉使之子患淋病的情况,是因为父亲服用了下焦热药,遗毒留在胎中,留存于儿子的命门所致,使用紫雪和黄柏末制成丸剂投服,排出如黍米、粟米大小的结石约一碗,病情得以安宁。那么对于初生不尿的症状,应当审察病因进行治疗,这一点不言自明。
[Qian] Vomiting immediately after birth in infants is caused by the swallowing of foul and impure substances. The primary treatment is Mugua Wan (Quince Pill). For all newborns, it is urgent to thoroughly clean the mouth; otherwise, upon crying, impurities will be swallowed, leading to various diseases.
[Tian] For vomiting occurring within the first month of life, first use Zhusha Wan (Cinnabar Pill) to purge. If purgation occurs, follow with Zhuchen Jian (Cinnabar and Lead Decoction) to descend the pathogenic qi, allowing impurities to pass naturally without vomiting.
[Qian] Mugua Wan (Quince Pill):
Mugua (Chaenomeles Fruit), Shexiang (Musk), Nifen (Calomel), Muxiang (Aucklandia Root), Binglang (Areca Seed) (equal parts).
Grind all ingredients into a fine powder. Use wheat paste to form pills the size of small millet grains. Administer one or two pills per dose, taken with Licorice Water (Gancao Shui), at any time.
[Xue] Illnesses affecting newborns often arise because the nursing mother fails to regulate her emotions (Seven Emotions: joy, anger, worry, thought, sadness, fear, fright) or does not moderate her consumption of rich and heavy foods, transmitting the pathology to the infant. One should investigate the cause and treat the mother. The previously mentioned medications may be too harsh for the infant's fragile and tender zang-fu organs; practitioners must exercise caution.
Huoxiang San (Agastache Powder) from *Taiping Shenghui Fang*: Treats persistent vomiting and regurgitation in infants from birth up to half a month old.
Ingredients: Huoxiang (Patchouli Herb), Ziwan (Aster Root) (washed to remove roots and soil, 1 fen each), Gancao (Licorice Root) (honey-fried until reddish-brown, 0.5 liang), Maidong (Ophiopogon Tuber) (3 fen, heart removed, dried), Guixin (Cinnamon Twig) (0.5 fen).
Process the above into a powder. Take 1 qian per dose, decoct with 1 sheng of water down to 0.5 sheng. Strain the dregs. Warm the liquid and apply dropwise into the mouth using cotton wool.
Infants who do not urinate after birth often suffer because, during gestation, the mother indulged in excessive eating, allowing heat-toxin qi to enter the womb. The fetus ingests this contaminated blood, resulting in abdominal distension and swelling around the umbilicus after birth. If bluish-black discoloration appears around the umbilicus accompanied by "kou cuo" (contracted lips/mouth), the condition is incurable. If there is no bluish-black coloration and the infant can suckle milk, Congru Tang (Scallion and Milk Decoction) is indicated.
Congru Tang (Scallion and Milk Decoction):
Take scallion whites 3-4 cun long, cut them into four sections. Decoct in half a sheng of milk and administer. Another method: use raw scallions, mash them, mix with human milk, place in the infant's mouth, and allow the infant to suckle again. Swallowing will promote urination.
Douchi Gao (Fermented Soybean Paste):
Heidou (Black Soybean) (1 spoon), Tianluo (Field Snail) (19 pieces), Cong (Scallion) (one large handful).
Mash all ingredients thoroughly. Mix with Bajiao Zhi (Banana Juice) and apply as a plaster below the umbilicus.
Commentary: Observing Danxi’s treatment of the son of Commissioner Zheng Lian, who suffered from Lin syndrome (dysuria/painful urinary frequency), reveals that the cause was the father’s ingestion of lower-jiao heating herbs, leaving residual toxins in the womb that remained in the child's Mingmen (Gate of Life). Treatment with Zixue (Purple Snow) and Huangbai end (Phellodendron Bark powder) formed into pills resulted in the passage of approximately one bowl of gravel-like stones, bringing relief. Thus, for the condition of newborn non-urination, it is self-evident that one must examine the etiology and treat accordingly.