先君初明有曰∶如儿体不近肥,痰不甚盛,不省人事,张目视人者,在精威二穴对拿紧
,了不知痛,竟无挣声模样,惟咬齿摇头,此肺经已绝。肺,金也,如钟磬之类,空则声亮,
碎则声无,治之无益。
夏禹铸曰∶惊之为症,症属有余。语云∶宁医有余,不医不足。既曰有余胡亦有死,我
知之矣,此乃肺气先弱,肺主皮毛,淫邪一犯,肺实受之,是已弱又加弱也。由肺犯肝,由
肝犯脾,理应犯肾。奈肾只虚位,却无实地,亦且水乡,风则可动而热与燥火俱不得下,其
势又难中阻,只得又顺传入肺,嗟嗟,肺气几何而能堪此重困耶。到此地位,须得聚窟中返
魂树、西域内更生香,庶乎可活。
初明曰∶如惊痰筑甚盛,昏昏不省人事,于不抽掣时把精威二穴对拿紧,不咬齿,不摇头
,不直视人,亦无挣声的模样,将儿面向我,以我两手骑儿肩,大指握前,以第二两指并狠
狠揉肺俞两穴,声虽不出,一挣一挣,恰似那蜾裸在窠中唤化螟蛉,却不是开口叫类我,
类我有声有音的样子,却是个紧闭着口挣不出累累如贯珠,有声无音的样子。此乃肺被痰筑,如钟
磬中以物塞之即重叩亦不响,定是活症,急灸肺俞穴各三壮,只用天保采薇汤,不必用推。
若发惊拿醒便知人事,即用后推法并灯火及药。
推法∶开天门二十四下。(从眉心推上发际)分阴阳九下。(用两大指从眉心分推至太阳、太阴,
此不论寒热虚实皆用。)如感寒,在太阳上重揉发汗,体弱感寒,亦揉太阳发汗,并揉太阴以留
汗,使发汗在皮里膜外之间,庶免汗失亡阳,更加虚弱之弊。(女则揉太阴发汗,揉太阳止汗。)随
向天庭、眉心、山根、准头、人中、承浆。各掐一下,以代针法。男在左手三关推上三十回。
六腑五、六下,以应之;又将我两手握儿左右掌向上,于总筋穴分推六、七下;又在左手掌
上运八卦,从艮宫推往坎宫二、三十回,曲儿左手小指重揉外劳宫,名曰黄蜂入洞,三十下
;即于五指节逐一捻揉两次,在左脚委中穴往下捋三十下以上,男女各推左手左脚,即用元
宵火定之;随服天保采薇汤,邪即解,惊即退,而烧热即除矣,此祛邪之法也。如症重烧极
,再加一剂,从未有不效者,烧热退定在五更鼓。以上法不论肺热、肺寒、肝旺、肝热、脾湿并用。
我的父亲夏初明曾说:如果患儿身体不肥胖,痰湿也不特别壅盛,出现神志昏迷、双目张开注视他人,此时紧掐精穴与威灵穴(位于背部,第1胸椎棘突下旁开0.5寸及3寸处),患儿对疼痛毫无知觉,完全没有挣扎发出的声音,只是咬牙摇头,这是肺经之气已绝的表现。肺属金,如同钟磬之类的乐器,中空则声音响亮,破碎则无声,对此情况治疗已无益处。
夏禹铸说:惊风这类病症,属于实证(邪气有余)。俗话说:“宁可治疗实证,不可治疗虚证。”既然说是实证,为什么也会有死亡的情况?我明白其中的道理了,这是因为患儿肺气原本虚弱。肺主皮毛,外邪侵犯时,肺首当其冲,导致原本虚弱的肺气更加虚弱。病邪由肺传至肝,由肝传至脾,按理应当传至肾。然而肾位在下,虽为水脏,但风气易动而热燥之火难以下行,病势难以在中途受阻,只得顺势传入肺脏。唉,肺气的储备怎能承受这种多重困厄呢?到了这种地步,必须使用聚窟洲的返魂树和西域的更生香,或许还能挽救生命。
夏初明又说:如果惊风伴随的痰浊非常壅盛,患儿昏沉不省人事,在尚未发生抽搐时,紧掐精穴与威灵穴,患儿不咬牙、不摇头、不直视人,也没有挣扎发声的样子。将患儿面向医者,医者用双手骑跨在患儿肩上,大拇指向前握住,食指和中指并拢用力揉按肺俞穴(第3胸椎棘突下旁开1.5寸)。虽然患儿不出声,但有一阵一阵的挣扎动作,恰似蜾蠃(一种细腰蜂)在巢中呼唤螟蛉(一种青虫),并不是开口叫“像我”,而是紧闭着口挣扎不出,声音累累如串珠,有声而无音。这是肺被痰浊阻塞,如同钟磬中被物体塞住,即使重敲也不响。这一定是活症,应紧急艾灸肺俞穴各三壮,只服用天保采薇汤,不必使用推拿手法。如果通过掐拿使患儿惊醒恢复意识,再使用后续的推拿法、灯火灸及药物。
推拿方法:推天门二十四次。(从眉心向上推至发际)分阴阳九次。(用两个大拇指从眉心向两侧太阳穴、太阴穴方向分推,无论寒热虚实均适用)。如果感受寒邪,在太阳穴部位重揉以发汗;体质虚弱者感受寒邪,也揉太阳穴发汗,并揉太阴穴以留汗,使汗出在皮里膜外之间,以免因出汗过多导致亡阳,加重虚弱之弊。(女性患者则揉太阴穴发汗,揉太阳穴止汗。)随后在天庭、眉心、山根、准头、人中、承浆等穴位各掐一下,以代替针刺。男性患儿在左手桡侧(三关)向上推三十回。六腑对应五或六次,以此相应;又将医者双手握住患儿左右手掌向上,在总筋穴(掌面腕横纹中点)分推六、七下;又在左手掌上运八卦,从艮宫推向坎宫二三十回;弯曲患儿左手小指,重揉外劳宫穴,名为“黄蜂入洞”,三十下;接着在五指节逐一捻揉两次;在左脚委中穴向下捋三十下以上。男女患儿均推左手左脚,随即用元宵火(灯火灸)定惊;随后服用天保采薇汤,邪气即解,惊风即退,发热即除,这是祛邪的方法。如果症状严重、发热极高,再加服一剂,从未有不生效的,发热通常在五更时分消退。以上方法不论肺热、肺寒、肝旺、肝热、脾湿均可通用。
My father, Xia Chuming, once stated: If a child's body is not plump, phlegm-dampness is not particularly excessive, and the child presents with unconsciousness, eyes open and staring at people, one should firmly pinch the Jing (Jing) and Weiling (Weiling) acupoints. If the child shows no awareness of pain, makes no struggling sounds, but only grinds teeth and shakes the head, this indicates that the Qi of the Lung Meridian has exhausted. The Lung belongs to Metal, similar to bells or chimes; if hollow, the sound is bright; if broken, there is no sound. Treatment in this state is of no benefit.
Xia Yuzhu said: The syndrome of Jing Feng (Convulsive Disorder due to fright) belongs to Excess (Shi). As the saying goes: "It is better to treat Excess than Deficiency." If it is indeed Excess, why can it also lead to death? I understand the reason now. This occurs because the child's Lung Qi was originally weak. The Lung governs the skin and hair; when pathogenic factors invade, the Lung suffers first, making the already weak Lung Qi even weaker. The pathogen transmits from the Lung to the Liver, from the Liver to the Spleen, and logically should transmit to the Kidney. However, the Kidney resides lower; although it is the Water organ, wind can move easily while heat and dry fire cannot descend downward. The pathogenic momentum is difficult to block midway, so it顺 (follows the flow) back to transmit to the Lung. Alas, how much Lung Qi reserve can withstand such multiple distresses? At this stage, one must use the Soul-Returning Tree from Juqu Continent and the Reborn Incense from the Western Regions to have any chance of survival.
Xia Chuming further stated: If the phlegm associated with Jing Feng is extremely excessive, and the child is drowsy and unconscious, before convulsions occur, firmly pinch the Jing and Weiling acupoints. If the child does not grind teeth, shake the head, stare straight ahead, or make struggling sounds, position the child facing the practitioner. The practitioner places both hands across the child's shoulders, thumbs forward, and uses the index and middle fingers together to forcefully rub the Feishu (BL13) acupoint. Although the child makes no sound, there are intermittent struggling movements, resembling a potter's wasp calling to a caterpillar in its nest. It is not an open-mouthed call sounding like "me," but rather a tightly closed mouth struggling to produce sound, loud like beads on a string, with sound but no clear tone. This indicates the Lung is obstructed by phlegm, like a bell or chime blocked by an object; even heavy striking produces no sound. This is definitely a survivable case. Urgently moxa the Feishu (BL13) acupoint on both sides, three moxa cones each. Use only Tianbao Caiwei Decoction without manual therapy. If the child regains consciousness after pinching, then apply subsequent manual therapy, fire moxibustion, and medication.
Manual Therapy Method: Push Tianmen twenty-four times (from the glabella up to the hairline). Divide Yin and Yang nine times (use both thumbs to push from the glabella towards the Taiyang and Taiyin points; applicable regardless of Cold, Heat, Excess, or Deficiency). If affected by Cold, vigorously rub the Taiyang point to induce sweating; for children with weak constitutions affected by Cold, also rub the Taiyang point to induce sweating, and rub the Taiyin point to retain sweat, ensuring sweat emerges between the skin and fascia, thereby avoiding Yang collapse due to excessive sweating and worsening weakness. (For female children, rub Taiyin to induce sweating and Taiyang to stop sweating.) Subsequently, pinch once each at Tingting, Glabella, Shangen, Zhuntou, Renzhong, and Chengjiang, substituting for acupuncture. For male children, push the San Guan (Three Passages) on the left hand radially upward thirty times. Corresponding to the Six Fu Organs, perform five or six pushes; hold the child's left and right palms upward with both hands, and divide-push the Zongjin point (midpoint of the palmar wrist crease) six or seven times; circulate the Eight Trigrams on the palm of the left hand, pushing from Gen Palace to Kan Palace twenty to thirty times; bend the child's left little finger and vigorously rub the Wailaogong (EX-UE10) acupoint, named "Yellow Bee Enters the Cave," thirty times; then twist and rub each of the five finger joints twice; stroke downward from the Weizhong (BL40) acupoint on the left foot more than thirty times. For both male and female children, push the left hand and left foot, then stabilize with Yuanxiao Fire (fire moxibustion); subsequently administer Tianbao Caiwei Decoction. The pathogenic factor will be resolved, convulsions will subside, and fever will disappear. This is the method for expelling pathogens. If the symptoms are severe and fever is extremely high, add another dose; there has never been a case where this was ineffective. The fever typically subsides during the fifth watch of the night. The above methods are applicable regardless of Lung Heat, Lung Cold, Liver Hyperactivity, Liver Heat, or Spleen Dampness.