钱乙论夜啼云∶脾藏冷而痛也,当与温中药及以法禳之,花火膏主之。
花火膏 取灯火一颗,涂乳上,令儿吮之。
〔钱氏〕当归丸 凡小儿夜啼者,脏寒而腹痛也,面青手冷,不吮乳者是也,宜此方。
当归 白芍药 人参(各一分) 甘草(炙,半分) 桔梗 陈橘皮(不去白。各一钱)
上为细末。水煎半钱,时时少与服。又有热痛,亦啼叫不止,夜发面赤,唇焦,
小便黄赤,与三黄丸、人参汤下。(三黄丸方见实热。)
〔张涣〕万金散 治婴儿藏寒,禀气怯弱,或多囟解,面色青白,遇夜多啼,甚者烦
闷,状若神祟,亦由触犯禁忌所致,此名曰夜啼,宜用此方。
沉香(锉) 丁香 人参 五味子 当归(各一两) 赤芍药 白术(各半两) 桂心(一分)
上件捣,罗为细末。每服一钱,用淡温浆水一小盏,煎至五分,放温,时时滴儿口中,立效。
〔田氏〕五味子散 治小儿夜啼及腹痛,至夜辄剧,状似鬼祟。
五味子 当归 赤芍药 白术(各半两) 茯神 陈皮 桂心 甘草(炙。各二钱半)
上为粗末,水煎。量儿大小加减。
钓藤膏 治百日内婴孩面青腹痛夜啼,及周岁以上者盘肠内吊诸疝气疾。
钓藤(和钩) 玄胡索 当归(酒洗) 粉草(炙) 乳香(各五钱) 肉桂(去粗皮,二钱) 麝香(一字)
上,前四味焙干,桂不过火,同为末,乳香 叶裹,熨斗盛火熨透,候冷,入
乳钵同麝细杵,后入前药末再杵匀,炼蜜丸芡实大。每用一丸至二丸,白汤空心
化服。
钓藤饮 治小儿夜啼,乃脏冷也,阴盛于夜则冷动,冷动则为阴极发躁,寒盛作疼,
所以夜啼不歇也,钓藤散主之,治惊啼,加蝉蜕、防风、天麻。
钓藤钩 茯神 茯苓 川芎 当归 木香 甘草 白芍药(各一钱)
上为末,每服一钱,姜枣略煎服。其或心热而烦,啼必有脸红舌白,小便赤涩
之证,钓藤饮去木香,加朱砂末一钱,研和,每服一钱,木通汤调下,或锉散煎服亦可。
《圣惠》乳头散 治小儿夜啼不止,腹中痛。
黄 (锉) 甘草(炙) 当归 赤芍药 木香
上,各等分,捣细,罗为散。每服取少许着乳头上,因儿吃乳,服之。
蒜乳丸治腹痛夜啼。(方见腹痛。)
钱乙论述夜啼说:这是脾脏受寒导致疼痛,应当给予温中药物,并用法术驱邪,使用花火膏主治。
花火膏 取灯芯草一颗,涂抹在乳头(或乳汁)上,让婴儿吮吸。
〔钱氏〕当归丸 凡是小儿夜间啼哭的,是内脏寒冷而腹痛,表现为面色青、手脚冷、不吮吸乳汁,适宜使用此方。
当归 白芍药 人参(各一分) 甘草(炙,半分) 桔梗 陈橘皮(不去白色内层。各一钱)
以上药材研为细末。用水煎煮半钱药量,不时少量喂服。又有因热痛而啼叫不止的,夜间发作时面红、嘴唇焦裂,小便黄赤,用三黄丸送服人参汤。(三黄丸方剂见实热证章节。)
〔张涣〕万金散 治疗婴儿脏腑寒冷,禀赋之气怯弱,或者囟门宽大未闭,面色青白,到了夜晚多啼哭,严重的烦躁闷乱,状如被鬼神作祟,这也是由触犯禁忌所致,这名叫夜啼,适宜使用此方。
沉香(锉碎) 丁香 人参 五味子 当归(各一两) 赤芍药 白术(各半两) 桂心(一分)
以上药材捣碎,过筛成细末。每次服用一钱,用淡温浆水一小盏,煎至五分水量,放温后,不时滴入婴儿口中,立即见效。
〔田氏〕五味子散 治疗小儿夜啼及腹痛,到了夜晚病情加重,状似鬼祟作怪。
五味子 当归 赤芍药 白术(各半两) 茯神 陈皮 桂心 甘草(炙。各二钱半)
以上药材研为粗末,用水煎煮。根据婴儿大小调整剂量加减。
钓藤膏 治疗百日内婴儿面色青、腹痛、夜间啼哭,以及周岁以上的婴儿盘肠内吊等各种疝气疾病。
钓藤(带钩) 玄胡索 当归(酒洗) 粉草(炙) 乳香(各五钱) 肉桂(去掉粗皮,二钱) 麝香(一字)
以上,前四味药焙干,桂心不过火,共同研为细末;乳香用叶包裹,放在盛有火的熨斗上熨透,待冷却后,放入乳钵中与麝香一起细细研磨,然后加入前面的药末再次研磨均匀,用炼蜜制成如芡实大小的丸药。每次用一至二丸,空腹时用白开水化服。
钓藤饮 治疗小儿夜啼,这是由于脏腑寒冷,阴气在夜间旺盛则寒气发动,寒气发动则为阴极生躁动,寒盛则疼痛,所以夜间啼哭不停,用钓藤散主治,治疗惊啼,加蝉蜕、防风、天麻。
钓藤钩 茯神 茯苓 川芎 当归 木香 甘草 白芍药(各一钱)
以上药材研为末,每次服用一钱,加生姜、大枣略煎后服用。如果是心热而烦躁,啼哭必然伴有脸红、舌苔白、小便赤涩的症状,钓藤饮去掉木香,加朱砂末一钱,研磨混合,每次服用一钱,用木通汤调下,或者将散剂锉碎煎服也可以。
《圣惠》乳头散 治疗小儿夜啼不止,腹中疼痛。
黄芪(锉碎) 甘草(炙) 当归 赤芍药 木香
以上各等分,捣碎细,过筛成散剂。每次取少许涂在乳头上,趁婴儿吃奶时服下。
蒜乳丸 治疗腹痛夜啼。(方剂见腹痛证章节。)
Qian Yi discussed night crying, stating: "It is pain caused by cold in the Spleen Zang. One should administer warming middle-jiao herbs and use ritual methods to exorcise evil spirits; Huohuo Gao (Flower Fire Paste) is indicated."
Huohuo Gao (Flower Fire Paste): Take one lamp wick, apply it to the nipple or milk, and let the infant suckle it.
[Qian's Formula] Danggui Wan (Angelica Sinensis Pill): For infants who cry at night, this indicates cold in the internal organs causing abdominal pain. The presentation includes a cyan complexion, cold hands and feet, and refusal to suckle milk. This formula is appropriate.
Ingredients: Danggui (Radix Angelicae Sinensis), Baishao Yao (Radix Paeoniae Alba), Renshen (Radix Ginseng) [each 1 fen], Gancao (Radix Glycyrrhizae Preparata with honey) [0.5 fen], Jiegeng (Radix Platycodi), Chenjupi (Pericarpium Citri Reticulatae without white pith) [each 1 qian].
Preparation: Grind all ingredients into a fine powder. Decoct half a qian of the powder in water, and administer small amounts frequently.
Note: If the crying is due to heat-pain, resulting in incessant crying, red face upon nocturnal onset, dry lips, and yellow-red urine, administer Sanhuang Wan (Three-Yellow Pill) washed down with Renshen Tang (Ginseng Decoction). (See Sanhuang Wan formula under Excess-Heat conditions.)
[Zhang Huan's Formula] Wanjing San (Myriad-Gold Powder): Treats infant organ-cold, weak congenital qi, wide fontanelles, cyan-white complexion, and excessive night crying. Severe cases present with irritability and restlessness, resembling possession by spirits. This may also result from violating taboos. This condition is named Night Crying, and this formula is indicated.
Ingredients: Chenxiang (Lignum Aquilariae Resinatum, sliced), Dingxiang (Flos Caryophylli), Renshen (Radix Ginseng), Wuweizi (Fructus Schisandrae Chinensis), Danggui (Radix Angelicae Sinensis) [each 1 liang], Chishaoyao (Radix Paeoniae Rubra), Baizhu (Rhizoma Atractylodis Macrocephalae) [each 0.5 liang], Guixin (Cortex Cinnamomi) [1 fen].
Preparation: Crush and sieve the ingredients into a fine powder. Administer 1 qian per dose. Mix with a small cup of warm, light fermented rice water, decoct until reduced to 0.5 cup volume, allow to cool to warm temperature, and drip into the infant's mouth occasionally. Immediate effect is expected.
[Tian's Formula] Wuweizi San (Schisandra Powder): Treats infant night crying and abdominal pain, which worsens at night, resembling spirit possession.
Ingredients: Wuweizi (Fructus Schisandrae Chinensis), Danggui (Radix Angelicae Sinensis), Chishaoyao (Radix Paeoniae Rubra), Baizhu (Rhizoma Atractylodis Macrocephalae) [each 0.5 liang], Fushen (Poria Cum Radix Pini), Chenpi (Pericarpium Citri Reticulatae), Guixin (Cortex Cinnamomi), Gancao (Radix Glycyrrhizae Preparata with honey) [each 2.5 qian].
Preparation: Grind into a coarse powder. Decoct in water. Adjust dosage according to the infant's size.
Diaoteng Gao (Uncaria Paste): Treats infants within 100 days presenting with cyan complexion, abdominal pain, and night crying; and for infants over one year old, treats various hernia diseases such as Panchang Neidiao (Intestinal Coiling Upward).
Ingredients: Diaoteng (Ramulus Uncariae cum Uncis, with hooks), Xiansu (Rhizoma Corydalis Yanhusuo), Danggui (Radix Angelicae Sinensis, wine-washed), Fencacao (Radix Glycyrrhizae Preparata with honey), Ruxiang (Resina Olibani) [each 5 qian], Rougui (Cortex Cinnamomi Cassiae, bark removed) [2 qian], Shexiang (Moschus) [1 zi].
Preparation: Dry-bake the first four ingredients. Do not over-roast the Rougui. Grind them together into a fine powder. Wrap Ruxiang in leaves and heat thoroughly using an iron heated on a fire. Once cooled, grind finely with Shexiang in a mortar. Then add the previous powder and mix uniformly. Form pills using refined honey, sized like Euryale seeds. Administer 1 to 2 pills per dose, dissolved in warm water on an empty stomach.
Diaoteng Yin (Uncaria Drink): Treats infant night crying caused by cold in the viscera. Yin qi dominates at night, activating cold; extreme cold generates agitation (Yin extreme produces Yang-like restlessness), and cold excess causes pain, leading to incessant night crying. Diaoteng San (Uncaria Powder) is indicated. For fright-induced crying, add Chanui (Periostracum Cicadae), Fangfeng (Radix Saposhnikoviae), and Tianma (Rhizoma Gastrodiae).
Ingredients: Diaotenggou (Ramulus Uncariae cum Uncis), Fushen (Poria Cum Radix Pini), Fuling (Poria), Chuanxiong (Rhizoma Chuanxiong), Danggui (Radix Angelicae Sinensis), Muxiang (Radix Aucklandiae), Gancao (Radix Glycyrrhizae), Baishao Yao (Radix Paeoniae Alba) [each 1 qian].
Preparation: Grind into powder. Administer 1 qian per dose, decocted briefly with fresh ginger and jujube.
Modification: If there is Heart-heat causing irritability, with symptoms of red face, white tongue coating, and dark, scanty urination, remove Muxiang from Diaoteng Yin. Add 1 qian of Zhusha Mo (Cinnabar Powder), mix well, and administer 1 qian per dose, taken with Mutong Tang (Akebia Decoction). Alternatively, the powder can be decocted directly.
[Shenghui] Runtou San (Nipple Powder): Treats incessant infant night crying and abdominal pain.
Ingredients: Huangqi (Radix Astragali Membranacei, sliced), Gancao (Radix Glycyrrhizae Preparata with honey), Danggui (Radix Angelicae Sinensis), Chishaoyao (Radix Paeoniae Rubra), Muxiang (Radix Aucklandiae).
Preparation: Use equal parts. Grind finely and sieve into a powder. Apply a small amount to the nipple so that the infant ingests it while suckling.
Suanru Wan (Garlic Milk Pill): Treats abdominal pain and night crying. (See formula under Abdominal Pain section.)