初生儿,脐风、着噤、撮口最为急证,十难救一,预治之法,宜时用软帛包指,拭
口中,牙龈上有筋两条,便用苇刀轻轻割断,以猪乳点。
黄连(去须,半钱) 豆豉(二十四粒) 甘草(一寸) 葱白(二寸)
上用童子小便煎。绵蘸,拭口中。
抱儿向明,看脐上有赤脉直上,便赤脉头上灸三壮者,生。
初生之儿有热在胸堂,则频频伸引,呃呃作声,努胀其气,抑入根本之中,所
以脐突肿亦,虚大可畏,无识之夫,将谓断脐不利而使之然者,非也。此由胎中母
多惊悸,或恣食热毒之物所致,宜对症与药,其热自散,其脐归本,不必以药敷之,
恐反为害。曾氏曰∶脐突一证,又非脐风,此亦因初生洗浴,系脐不紧,秽水侵入
于内,产后旬日,外脐忽光浮如吹,捻动微响,间或惊悸作啼,治用白芍药汤加薏
苡仁水煎,空心温服,次以外消散涂贴,自然平复。
白芍药汤(见疝)
外消散 治婴孩初生旬日外脐突,或痛或不痛,痛则啼声不已。及疗小儿因感湿热
搏,致阴器、肤囊浮肿。
大黄 牡蛎(各半两) 朴硝(二钱)
上,前二味锉焙为末,仍入朴硝,乳钵内同杵匀。抄一钱或二钱,取田螺净洗,
再以水半碗、活过一宿,去螺,用水调涂肿处,即消。其螺仍放水中,勿害之,
昔贤有曰∶杀生救生,去生远矣,物命虽微,亦可戒也。治阴器、肤囊肿,车前
子煎汤,候冷,调敷。
二豆散 治婴孩小儿脐突肿。
赤小豆(不去皮) 豆豉 天南星(去皮脐) 白蔹(各一钱)
上为极细末。半钱,用芭蕉自然汁调,敷脐四傍,一日一次,二日二次,若得
小腑下白,即安。
初生婴儿中,脐风、锁口(牙关紧闭)、撮口(口唇紧缩)是最为危急的病证,十例中难得救活一例。预防和治疗的方法,应当及时用柔软的布包裹手指,擦拭婴儿口腔;若发现牙龈上有两条筋脉,便用苇叶刀轻轻割断,然后滴入猪乳。
黄连(去除须根,半钱) 豆豉(二十四粒) 甘草(一寸长) 葱白(二寸长)
以上药材用男童的小便煎煮。用绵絮蘸取药液,擦拭婴儿口腔。
将抱着的婴儿面向光亮处,观察脐部是否有红色脉络直向上行,若有,便在红脉的尽头施灸三壮,如此可获生机。
初生婴儿若胸膈有热,则会频繁伸展肢体,发出呃逆之声,用力鼓胀气息,使气陷入根本之中,因此导致脐部突出肿胀,虚大令人畏惧。无知的人,往往认为是断脐不当所致,这是错误的。此病是由于胎儿在母体内时,母亲多受惊悸,或恣意食用热毒之物所引起。应当对症给药,体内的热邪自然消散,脐部即可恢复原状,不必用药粉外敷,恐怕反而造成危害。曾氏说:脐突这一病证,又不是脐风,这也是因为初生洗浴时,系脐不紧,污秽之水侵入内部,产后十天,外部脐部忽然光亮浮肿如吹起一般,按压时有轻微响声,间或有惊悸啼哭现象。治疗使用白芍药汤加薏苡仁水煎,空腹温服,随后外用“外消散”涂贴,自然平复。
白芍药汤(见疝气章节)
外消散 治疗婴儿出生十天后出现的脐突,或者痛或不痛,痛则啼哭不止。以及治疗小儿因感受湿热搏结,导致阴器、阴囊浮肿。
大黄 牡蛎(各半两) 朴硝(二钱)
以上药物,前两种切碎焙干研为细末,再加入朴硝,在乳钵内一同捣匀。取一钱或二钱药粉,取田螺洗净,再放入半碗水中养过一夜,去掉田螺,用水调匀药粉涂抹于肿胀处,肿胀即消。那只田螺仍放回水中,不要伤害它,从前贤人说:杀生来救人,离道义就远了,虽然生物生命微小,也可作为警戒。治疗阴器、阴囊肿胀,用车前子煎汤,待冷却后,调药粉敷贴。
二豆散 治疗婴幼儿脐突肿胀。
赤小豆(不去皮) 豆豉 天南星(去皮和脐部) 白蔹(各一钱)
以上药物研成极细粉末。取半钱,用芭蕉自然汁调和,敷在脐部四周,一天一次,两天两次,如果大便排出白色物质,病情即安。
In newborn infants, umbilical tetanus (Qifeng), lockjaw (Zuojin), and puckered mouth (Cuekou) are the most critical conditions, with a survival rate of less than one in ten. The method for prevention and treatment is to promptly wrap a finger with soft cloth, wipe the infant's mouth; if two tendons are found on the gums, gently cut them with a reed knife, then apply pig milk.
Huanglian (Coptidis Rhizoma, remove roots, half qian) Douchi (Fermented Soybean, twenty-four grains) Gancao (Glycyrrhizae Radix et Rhizoma, one cun long) Congbai (Scallion White, two cun long)
Decoct the above ingredients in urine from a young boy. Dip cotton wool in the liquid and wipe the infant's mouth.
Hold the infant facing a light source; observe if there are red meridians extending straight upward from the umbilicus. If present, apply three moxa cones at the head of the red meridian, which ensures survival.
If a newborn has heat in the chest and diaphragm, they will frequently stretch their limbs, make hiccuping sounds, and strain to inflate their qi, causing the qi to sink into the root. Consequently, the umbilicus protrudes and swells, appearing dangerously large and flaccid. Ignorant people often attribute this to improper umbilical cord cutting, which is incorrect. This condition is caused by the mother experiencing frequent fright or palpitations during pregnancy, or by indulging in foods with hot toxicity. One should administer medicine according to the symptoms; once the internal heat dissipates, the umbilicus will return to its normal state. There is no need to apply external powders, as this may cause harm. Zeng stated: Umbilical protrusion is not umbilical tetanus. It is also caused by loose binding of the umbilical cord during bathing after birth, allowing filthy water to enter internally. Ten days postpartum, the external umbilicus suddenly becomes shiny and swollen like an inflated bag, making a slight sound when pressed, sometimes accompanied by fright and crying. Treatment involves decocting Baishaoyao Tang with Yiyiren (Coicis Semen) in water, taken warm on an empty stomach, followed by external application of Waixiaosan, which naturally leads to recovery.
Baishaoyao Tang (See Hernia section)
Waixiaosan Treats umbilical protrusion occurring ten days after birth in infants, whether painful or painless; if painful, the infant cries incessantly. It also treats pediatric cases where damp-heat binds together, causing swelling of the genitalia and scrotum.
Dahuang (Rhei Radix et Rhizoma) Muli (Ostreae Concha, each half liang) Puxiao (Natrii Sulfas, two qian)
Crush and roast the first two ingredients into powder, then add Puxiao and grind uniformly in a mortar. Take one or two qian of the powder. Wash a field snail thoroughly, place it in half a bowl of water overnight, remove the snail, mix the powder with the water, and apply to the swollen area; the swelling will subside. Return the snail to the water and do not harm it. As the sages said: Killing life to save life is far from the Way; although the life of a creature is minute, it serves as a warning. For swelling of the genitalia and scrotum, decoct Cheqianzi (Plantaginis Semen), let it cool, and use it to mix and apply the powder externally.
Erdou San Treats umbilical protrusion and swelling in infants and young children.
Chixiaodou (Vigna angularis, keep skin intact) Douchi (Fermented Soybean) Tiannanxing (Arisaematis Rhizoma, remove skin and navel) Bailing (Ampelopsis Radix, each one qian)
Grind the above ingredients into an extremely fine powder. Take half a qian, mix with natural juice of Bajiao (Musa basjoo), and apply around the four sides of the umbilicus. Once daily, twice over two days. If white stool is passed, the condition will stabilize.