阴盛于夜,小儿脏冷,遇夜则阴极发躁,寒盛作疼,故夜啼而日歇,钩藤散主之。
钩藤散
茯神 茯苓 川芎 当归 木香 甘草
钩藤 生姜 大枣
如或心热烦疼而夜啼者,必面赤舌白,小便赤涩,即去当归、木香另为末,加辰砂一
钱同研,少以木香煎汤调服。有触犯禁忌及惊骇者,服新安金药。(见惊)程书焉曰∶夜啼一
症,有用灯花末涂乳头者,有用灯心汤研化灯花四五粒而饮之者,有用井边草,或鸡窠
中草安卧席下,不令母知者,俱有意焉。
胸高脐满,其状如龟,此肺家热邪,由乳母多用五辛酒面无度,或夏月热乳所致,宜服杏仁煎。
杏仁煎
川大黄 天冬 杏仁 百合 木通(各一钱二分) 桑皮 葶苈(各五分) 石膏(八分) 临卧时服。
小儿生下,不能保护,客风入于骨髓,或坐早劳伤气血,多成痼疾,间有灼艾收功者,
肺俞穴第三椎骨下两傍各一寸五分,膈俞穴第七椎骨下各一寸五分,以小儿中指中节为
一寸,艾炷如小麦大,灸但三五壮为止,内服松芷丹。
松芷丹
花松 枳壳 防风 独活(各一两) 川大黄 麻黄 前胡 桂心(各五钱)
蜜丸黍米大,粥饮服。
夜间阴气旺盛,小儿脏腑虚寒,到了夜晚则因阴极而引发烦躁,寒气盛则导致疼痛,因此出现夜间啼哭、白天停止的症状,主治方剂为钩藤散。
钩藤散
药物组成:茯神、茯苓、川芎、当归、木香、甘草、钩藤、生姜、大枣。
若患儿因心热烦痛而夜间啼哭,必然伴有面赤、舌苔白、小便赤涩等症状,此时应去掉当归、木香,将剩余药物研为细末,加入辰砂一钱共同研磨,取少量木香煎汤调服。若是因触犯禁忌或受惊骇所致者,服用新安金药(参见“惊”证章节)。程书焉说:对于夜啼这一症状,有用灯花末涂抹乳头的,有用灯心草汤研磨化开四五粒灯花喂服的,有用井边草或鸡窝中的草放在席下让婴儿安卧,且不告知母亲的做法,这些方法都有一定的用意。
胸部高耸、肚脐胀满,形状像乌龟一样,这是肺经有热邪所致,多由乳母过多食用五辛酒类且无节制,或在夏季饮用热奶所引起,适宜服用杏仁煎。
杏仁煎
药物组成:川大黄、天冬、杏仁、百合、木通(各一钱二分)、桑皮、葶苈(各五分)、石膏(八分)。临睡前服用。
小儿出生后未能得到妥善保护,外感风邪侵入骨髓,或因过早坐立劳伤气血,多形成顽固性疾病,偶尔有通过艾灸取得疗效的。取肺俞穴(位于第三椎骨下方两侧各一寸五分处)、膈俞穴(位于第七椎骨下方两侧各一寸五分处),以小儿中指中间一节长度为基准折算为一寸,艾炷大小如小麦粒,施灸三至五壮即止,同时内服松芷丹。
松芷丹
药物组成:花松、枳壳、防风、独活(各一两)、川大黄、麻黄、前胡、桂心(各五钱)。
制成蜜丸,大小如黍米,用粥饮送服。
小儿肌肉消瘦薄弱,骨节显露,膝盖瘦削如同鹤膝,这是由于先天禀受精髓不足所致,必须立即使用六味地黄丸(参见“囟”证章节)加入麝茸、牛膝进行治疗,若拖延不治必将成为残疾。
Night is the time when Yin energy prevails. In infants, the internal organs are cold. Upon nightfall, the extreme Yin triggers restlessness, and excessive Cold causes pain; thus, crying occurs at night and ceases during the day. The primary formula for this condition is Gouteng San (Uncaria Decoction).
Gouteng San (Uncaria Decoction)
Ingredients: Fushen (Poria with Hostwood), Fuling (Poria), Chuanxiong Rhizoma (Ligusticum Chuanxiong Rhizome), Danggui (Angelica Sinensis Radix), Muxiang (Aucklandiae Radix), Gancao (Licorice Root), Gouteng (Uncariae Ramulus cum Uncis), Shengjiang (Zingiberis Rhizoma Recens), Dazao (Jujubae Fructus).
If the infant cries at night due to Heart Heat causing irritability and pain, accompanied by a red face, white tongue coating, and dark, scanty urination, remove Danggui (Angelica Sinensis Radix) and Muxiang (Aucklandiae Radix). Grind the remaining herbs into powder, add Qingsha (Cinnabar), one qian, mix thoroughly, and administer a small amount mixed with decoction of Muxiang (Aucklandiae Radix). If the crying is caused by violating taboos or fright, administer Xin'an Jin Yao (see "Fright" section). Cheng Shuyan stated: For the symptom of night crying, some apply lamp wick ash powder to the nipple; some grind four or five grains of lamp wick ash in Dengxin Cao Tang (Centumbri Junci Decoction) and feed it; some place grass from beside a well or from under a chicken coop under the sleeping mat without informing the mother. All these methods have their specific intentions.
When the chest is high and the umbilicus is distended, resembling the shape of a turtle, this indicates Heat pathogen in the Lung system. This is often caused by the nursing mother consuming excessive amounts of pungent spices and alcohol, or drinking hot milk in summer. The appropriate treatment is Xingren Jian (Apricot Kernel Decoction).
Xingren Jian (Apricot Kernel Decoction)
Ingredients: Chuan Dahuang (Rhei Radix et Rhizoma), Tiantong (Asparagi Radix), Xingren (Armeniacae Semen Amarum), Baihe (Lilii Bulbus), Mutong (Akebiae Caulis), Sangpi (Mori Cortex), Tingli (Semen Lepidii seu Descurainiae) [each 1.2 qian for Dahuang, Tiantong, Xingren, Baihe, Mutong; each 0.5 qian for Sangpi, Tingli], Shigao (Gypsum Fibrosum) [0.8 qian]. Take before retiring.
If an infant is not properly protected after birth, external Wind pathogen may penetrate into the bone marrow, or early sitting may damage Qi and Blood, leading to chronic diseases. Occasionally, moxibustion can achieve therapeutic results. Locate Feishu (BL13) [1.5 cun lateral to the lower border of the third thoracic vertebra] and Geshu (BL17) [1.5 cun lateral to the lower border of the seventh thoracic vertebra]. Use the middle segment of the infant's middle finger as the measurement unit of 1 cun. Shape the moxa cone to the size of a wheat grain. Apply moxibustion for three to five moxa cones (zhuang). Concurrently, administer internally Songzhi Dan (Pine and Achyranthes Powder).
Songzhi Dan (Pine and Achyranthes Powder)
Ingredients: Huasong (Pinus Resin), Zhike (Aurantii Fructus Immaturus), Fangfeng (Saposhnikoviae Radix), Duohuo (Angelicae Pubescentis Radix) [each 1 liang]; Chuan Dahuang (Rhei Radix et Rhizoma), Mahuang (Ephedrae Herba), Qianhu (Peucedani Radix), Guixin (Cinnamomi Cortex) [each 5 qian].
Process into honey pills, sized like millet seeds, and take with gruel beverage.
If an infant has thin, emaciated muscles and exposed joints, with knees that appear thin like those of a crane (Crane Knee), this is due to insufficient congenital essence and marrow. Immediate treatment with Liuwei Dihuang Wan (Six-Ingredient Rehmannia Pill) [see "Fontanelle" section] added with She Rong (Moschus and Deer Antler preparation) and Niuxi (Achyranthis Bidentatae Radix) is required. Delay in treatment will inevitably result in permanent disability.