落草不啼,有因难产,项被母夹,有因绞脐,项被脐缠,有因天寒疠气所逼,有因
粪门生膜,闭住儿气。病项者,温手摩之,口吸咂之。寒气者,温水浴之,以洁净妇人舌,
吸咂其舌而通之。生膜者,手拍之使破,不破以银簪挑之。
出胎三日,不知吮乳,此恶秽入腹。腹满气短,亦由胎中受寒,儿腹疼痛呕吐故也。
《指迷》七气(见胎寒)调之。
脐风者,断脐后,为水湿风冷所乘,入于脐而流于心脾,令肚腹胀满,脐肿多啼,不
能吮乳,甚则风搐,指迷汤(见胎寒)消息之。脐边青黑,撮口不开,为内搐,不治。爪甲黑
不治。若因热在胸膛,伸缩努势,亦令脐肿,木通散(见胎热)消息之。
曰消息者,未可全用本方也。落地贫富不同治,气禀浓薄不同体,天时寒热不同功,医不谙此,岂堪司命。
撮口者,气息喘急,啼声不出,或肚上青筋,吊疝内气引痛,此胎气兼风邪入脐。治
宜疏利郁结,指迷汤(见胎寒)去桂,加大黄、钩藤、僵蚕,或参以荆芥穗汤
荆芥穗汤
川黄连 荆芥穗 生地黄 生甘草
大便秘,加大黄。小便少,加木通。
噤口者,眼闭口噤,啼声渐小,舌上聚肉,如粟米状,吮乳不得,口吐白沫,大小
便不通。遇此先看其上 有点子,即以指甲轻轻刮破,次服四顺清凉饮,加木香、白蔻
仁,利动脏腑,徐以指迷汤(见胎寒)加减调之。如口噤不能开,用生南星去皮脐为末,加龙脑
少许,合和,将指蘸生姜汁调之,擦大牙根上立开。(大人中风口噤俱效)
四顺清凉饮
当归 白芍 甘草 大黄
三症虽异,其源则一。大抵裹气郁结,闭塞不通,并宜淡豆豉汁与食,取下胎毒,甚
者朱银丸(见胎惊)亦可用之。初生时,用淡豆豉汁,与三五口,不特能下胎毒,复可助养脾
气。脐风撮口,不语不乳,灸男左女右涌泉穴,立愈。又法∶炙蜈蚣末,入麝少许,猪
乳和之饮,口噤立开。或蜘蛛去足及口,炙焦研细,和猪乳饮亦效。更入麝少许,能治牙疳。
穷乡僻壤,药饵难得,故备经验治法,为襁褓中乞命,幸毋忽之。
后卷仿此。
新生儿出生后不啼哭,原因有多种:有的因难产导致颈部被母体夹伤;有的因脐带缠绕颈部;有的因天气寒冷、疠气逼迫所致;还有的因肛门处生有薄膜,闭塞了婴儿的气机。对于颈部受伤者,用温暖的手按摩患处,并用口轻轻吸吮患处。对于受寒者,用温水给婴儿洗澡,让一位洁净的妇女用舌头吸吮婴儿的舌部以疏通气机。对于肛门生膜者,用手拍打使其破裂,若未破则用银簪挑破。
婴儿出生三天后仍不知吮吸乳汁,这是恶秽之气进入腹中的表现。腹部胀满、气短,也是由于在胎中受寒,导致婴儿腹部疼痛、呕吐所致。可用《指迷》方中的七气汤(参见“胎寒”章节)进行调理。
脐风病,是在断脐之后,因水湿、风冷邪气侵袭,侵入脐部并流注于心脾,导致肚腹胀满、脐部肿胀、多啼哭、不能吮吸乳汁,严重时出现风邪抽搐。可用指迷汤(参见“胎寒”章节)斟酌病情使用。如果脐边颜色青黑、嘴巴紧闭无法张开,属于内搐,难以治愈。如果指甲发黑,也属不治之症。如果是因胸中有热,表现为身体伸缩用力,也会导致脐部肿胀,可用木通散(参见“胎热”章节)斟酌病情使用。所谓“消息”,是指不可完全照搬原方。因为落地时贫富状况不同,治疗方法各异;先天禀赋厚薄不同,体质有别;天时寒热不同,药效亦异。医生如果不通晓这些道理,怎能担当救死扶伤的重任?
撮口病,表现为呼吸喘急、啼哭无声,或者肚子上有青色筋脉显露,吊疝引起的内气牵引疼痛,这是由于胎气兼夹风邪侵入脐部所致。治疗应当疏利郁结,可用指迷汤(参见“胎寒”章节)去掉桂枝,加入大黄、钩藤、僵蚕,或者配合荆芥穗汤使用。
荆芥穗汤组成:川黄连、荆芥穗、生地黄、生甘草。
如果大便秘结,加入大黄。如果小便量少,加入木通。
噤口病,表现为眼睛闭合、牙关紧闭、啼哭声逐渐变小,舌上积聚肉质突起,状如粟米,无法吮吸乳汁,口吐白沫,大小便不通。遇到这种情况,先查看其上颚是否有小点,若有,即用指甲轻轻刮破,然后服用四顺清凉饮,加入木香、白蔻仁,以通利脏腑,随后再酌情用指迷汤(参见“胎寒”章节)加减调理。如果牙关紧闭无法张开,可用生南星去皮去脐研成粉末,加入少许龙脑,调和后用手指蘸生姜汁涂抹在大牙根上,即可立刻张开。(此法对大人中风导致的口噤也有效)
四顺清凉饮组成:当归、白芍、甘草、大黄。
这三种症状虽然表现不同,但根源是一致的。大体上都是胎气郁结,闭塞不通,都适宜用淡豆豉汁喂食,以排出胎毒,严重者也可使用朱银丸(参见“胎惊”章节)。在刚出生时,喂服几口淡豆豉汁,不仅能排出胎毒,还能帮助滋养脾气。对于脐风、撮口、不语、不乳的情况,可灸男左女右的涌泉穴,能立即痊愈。另一种方法:将蜈蚣炙烤成末,加入少许麝香,与猪乳混合让婴儿饮用,口噤可立即解开。或者将蜘蛛去掉足和口,炙焦后研细,与猪乳混合饮用也有效。如果再加入少许麝香,也能治疗牙疳。
在穷乡僻壤,药物难得,因此备录这些经验治法,为襁褓中的婴儿乞求生机,希望不要忽视。
后续卷册仿照此例编写。
Non-crying upon birth may have various causes: some result from difficult labor causing neck injury by maternal compression; some from the umbilical cord winding around the neck; some from cold weather and pestilential qi forcing upon the infant; others from a membrane forming at the anus, blocking the infant's qi mechanism. For neck injuries, massage the area with warm hands and gently suckle the site with the mouth. For those affected by cold, bathe the infant in warm water, and have a clean woman use her tongue to suckle the infant's tongue to unblock the qi. For those with an anal membrane, pat it with the hand to break it; if it does not break, pierce it with a silver hairpin.
If the infant does not know how to suckle milk three days after birth, this is due to foul turbidity entering the abdomen. Abdominal fullness and shortness of breath are also caused by cold contracted in the womb, leading to abdominal pain and vomiting. This can be regulated using the Seven Qi Decoction (see "Fetal Cold") from *Zhi Mi*.
Umbilical tetanus occurs after cutting the umbilical cord, when water-dampness, wind, and cold pathogens invade, entering the navel and flowing into the heart and spleen, causing abdominal distension, swollen navel, excessive crying, inability to suckle, and in severe cases, wind-induced convulsions. The Zhimi Decoction (see "Fetal Cold") should be used with discretion. If the skin around the navel turns cyanotic-black, and the mouth is tightly closed, it indicates internal convulsion, which is incurable. Black fingernails also indicate an incurable condition. If the cause is heat in the chest, manifesting as body extension and straining, it may also cause navel swelling; the Mutong San (see "Fetal Heat") should be used with discretion. "Discretion" means one cannot fully rely on the original formula. Treatment varies according to wealth or poverty at birth; constitution differs based on innate endowment (thick vs. thin); efficacy varies with seasonal cold and heat. A physician who does not understand these principles cannot bear the responsibility of saving lives.
Mouth-locking presents with panting, absence of crying sounds, visible cyanotic veins on the abdomen, and pain drawn inward by hernia-related internal qi. This is caused by fetal qi combined with wind-pathogens invading the navel. Treatment should focus on dispersing and draining stagnation. Use Zhimi Decoction (see "Fetal Cold"), remove Cinnamon Twig (Guizhi), add Rhubarb (Dahuang), Uncaria (Gouteng), and Bombyx Batryticatus (Jiangcan), or combine with Schizonepeta Decoction.
Schizonepeta Decoction consists of: Coptis Rhizome (Chuan Huanglian), Schizonepeta Spike (Jingjie Sui), Rehmannia Root (Sheng Dihuang), and Licorice Root (Sheng Gancao).
Add Rhubarb (Dahuang) for constipation. Add Wood Vessel (Mutong) for oliguria.
Lockjaw presents with closed eyes, tightly clenched jaw, gradually diminishing cry, fleshy accumulations on the tongue resembling millet grains, inability to suckle, foaming at the mouth, and obstruction of urination and defecation. In such cases, first check the upper palate for small spots; if present, gently scrape them open with a fingernail. Then administer Six-Directional Cooling Clearing Decoction, adding Costus Root (Muxiang) and White Cardamom Seed (Baikou Ren) to promote bowel and organ movement. Subsequently, regulate with modified Zhimi Decoction (see "Fetal Cold"). If the jaw cannot be opened, use raw Arisaema Rhizome (Sheng Nantianxing), peeled and de-navelled, ground into powder, mixed with a small amount of Borneol (Longnao), and applied to the molar roots with ginger juice using a finger, which will immediately open the mouth. (This method is also effective for lockjaw caused by stroke in adults.)
Six-Directional Cooling Clearing Decoction consists of: Angelica Sinensis Radix (Danggui), White Peony Root (Baishao), Licorice Root (Gancao), and Rhubarb (Dahuang).
Although these three conditions differ in presentation, their source is identical. Generally, they are all caused by fetal qi stagnation and blockage. It is advisable to feed the infant with fermented soybean juice (Danshichidou Zhi) to expel fetal toxins. In severe cases, Zhu Yin Pill (see "Fetal Fright") may also be used. At birth, feeding a few mouthfuls of fermented soybean juice not only expels fetal toxins but also helps nourish spleen qi. For umbilical tetanus, mouth-locking, muteness, and refusal to suckle, moxa acupuncture on the Yongquan acupoint (KI1) on the left foot for males and the right foot for females can cure the condition immediately. Another method: roast centipede powder, mix with a small amount of Musk (Shexiang), and administer with pig milk to immediately relieve lockjaw. Alternatively, remove the legs and mouth of a spider, roast until charred, grind finely, and administer with pig milk, which is also effective. Adding a small amount of Musk can also treat gingival gangrene.
In remote areas where medicines are scarce, these empirical treatments are recorded to beg for life for infants in swaddling clothes. Do not neglect them.
Subsequent volumes follow this pattern.