婴儿囟门成坑,名曰囟陷。此因脏腑中有热,烦渴引
饮,致成泄泻,则气血虚弱,不能上交脑髓,故囟陷如坑,不得平满。宜用黄狗头骨炙黄为末,鸡子清调敷。
婴儿发不生者,因禀受气血不足,不能荣于发也。宜用当归、干地黄、肉苁蓉、白芍各一两,胡粉五钱,
共为末,蜜丸黍米大,黑豆汤下十丸,外用二、三十丸磨化,涂擦头上,即生。
婴儿齿不生者,由齿为骨之所终,髓之所养,禀气不足,则髓不能充,故齿久不生。宜用川芎、干地黄、
当归、山药、白芍各一两、沉香五钱、甘草三钱。为末,白汤调下五分;外用药末干掺齿龈上,手指擦之,日
二次。
婴儿头项软,乃天柱骨倒也。宜用白僵蚕(去头、足、毛,炒)为末,每服五分,薄荷汤调下,日三服。
外用木鳖子三个、蓖麻子三十粒,俱去壳,研匀。先抱起儿头摩项上,令热贴之。
婴儿口软不能言,乃儿在胎中母有惊惧、惊气入心包络,使儿心神不定,舌本不通。宜用石菖蒲、人参、
麦冬(去心)、远志(制)、川芎、当归(各二钱),乳香(去油) 辰砂(水飞,各一钱)
为末,蜜丸麻子大,米饮下十丸,日三服。
若三岁不能言,宜六味地黄丸(方见后脚软条中),加鹿茸、五味子丸服。
婴儿的囟门出现凹陷,称为“囟陷”。这是因为脏腑内有热邪,导致烦渴多饮,进而引发泄泻,致使气血虚弱,无法上输滋养脑髓,所以囟门凹陷如坑,不能平满。适宜使用黄狗头骨炙烤成炭后研为细末,用鸡蛋清调和后敷贴患处。
婴儿头发不生长,是因为先天禀受的气血不足,无法荣养头发。适宜使用当归、干地黄、肉苁蓉、白芍各一两,胡粉五钱,共同研为细末,用蜂蜜制成如黍米大小的丸剂,用黑豆汤送服十丸;外用二三十丸磨化后,涂抹擦于头上,头发即可生长。
婴儿牙齿不生长,是因为牙齿是骨骼的终点,由骨髓滋养,若禀受之气不足,则骨髓不能充盈,所以牙齿长久不生。适宜使用川芎、干地黄、当归、山药、白芍各一两,沉香五钱,甘草三钱。研为细末,用温开水调服五分;外用药末直接撒在齿龈上,用手指擦拭,每日两次。
婴儿头项软弱无力,是天柱骨(支撑头颈的脊柱上部)倒伏的表现。适宜使用白僵蚕(去除头、足、毛,炒制)研为细末,每次服用五分,用薄荷汤调服,每日三次。外用木鳖子三个、蓖麻子三十粒,均去壳,研磨均匀。先抱起婴儿头部按摩颈部使其发热,然后将药糊贴敷其上。
婴儿口部软弱不能说话,是因为胎儿在母体中时,母亲受到惊吓,惊气侵入心包络,导致婴儿心神不定,舌根运动不通畅。适宜使用石菖蒲、人参、麦冬(去心)、远志(炮制)、川芎、当归(各二钱),乳香(去油)、辰砂(水飞法处理,各一钱),研为细末,用蜂蜜制成如麻子大小的丸剂,用米饮送服十丸,每日三次。如果三岁还不能说话,适宜服用六味地黄丸(方剂见后文脚软条中),加入鹿茸、五味子制成丸剂服用。
婴儿手部软弱,是指手中无力,不能挥动。适宜使用薏苡仁、当归、秦艽、酸枣仁、防风、羌活各五钱。研为细末,用蜂蜜制成如芡实大小的丸剂,用荆芥汤化开送服。
The fontanelle of an infant forms a pit, termed "Fontanel Depression" (Xian Xian). This occurs due to heat within the Zang-Fu organs, causing irritability, thirst, and excessive drinking, which leads to diarrhea. Consequently, Qi and Blood become deficient and fail to ascend to nourish the brain marrow, resulting in the fontanelle being sunken like a pit and unable to fill flatly. It is appropriate to use the skull of a yellow dog, roasted until charred and ground into powder, mixed with egg white for topical application.
Failure of hair growth in infants is due to insufficient congenital Qi and Blood, which cannot nourish the hair. It is appropriate to use Dang Gui (Angelicae Sinensis Radix), Gan Di Huang (Rehmanniae Radix Preparata), Rou Cong Rong (Cistanches Herba), Bai Shao (Paeoniae Radix Alba) each at 1 liang, and Hu Fen (Cerussa) at 5 qian. These are ground into powder, formed into pills the size of millet seeds using honey, taken with Black Bean Decoction (ten pills per dose). Externally, 20-30 pills are ground with liquid and applied to the scalp to promote hair growth.
Failure of teeth eruption in infants is because teeth are the culmination of bones, nourished by marrow. Insufficient congenital Qi fails to充盈 (fill) the marrow, thus teeth do not erupt for a long time. It is appropriate to use Chuan Xiong (Ligustici Chuanxiong Rhizoma), Gan Di Huang (Rehmanniae Radix Preparata), Dang Gui (Angelicae Sinensis Radix), Shan Yao (Dioscoreae Rhizoma), Bai Shao (Paeoniae Radix Alba) each at 1 liang, Chen Xiang (Aquilariae Lignum Resinatum) at 5 qian, and Gan Cao (Glycyrrhizae Radix et Rhizoma) at 3 qian. Ground into powder, take 5 fen mixed with warm water. Externally, apply the powder directly to the gums and rub with fingers, twice daily.
Infantile weakness of the head and neck indicates the collapse of the Tian Zhu Gu (Tianzhu Bone, referring to the upper cervical spine). It is appropriate to use Bai Jiang Can (Bombyx Batryticatus) (remove head, feet, and hairs, stir-fried), ground into powder. Take 5 fen per dose, mixed with Bo He Tang (Menthae Haplocalycis Decoction), three times daily. Externally, use 3 Mu Bie Zi (Strychni Semen) and 30 Bi Ma Zi (Ricini Semen), all shelled and ground evenly. First, hold the infant's head and massage the neck until warm, then apply the paste.
Infantile oral weakness and inability to speak result from maternal fright during pregnancy, where Fright Qi invades the Xin Bao Luo (Pericardium Collateral), causing instability of the infant's Shen (Spirit) and obstruction of the tongue root. It is appropriate to use Shi Chang Pu (Acori Tatarinowii Rhizoma), Ren Shen (Ginseng Radix et Rhizoma), Mai Dong (Ophiopogonis Radix) (remove heart), Yuan Zhi (Polygalae Radix) (processed), Chuan Xiong (Ligustici Chuanxiong Rhizoma), Dang Gui (Angelicae Sinensis Radix) (each 2 qian), Ru Xiang (Olibanum) (de-oiled), and Chen Sha (Cinnabar) (water-ground, each 1 qian). Ground into powder, form pills the size of hemp seeds using honey, taken with Mi Yin (Rice Drink, ten pills per dose), three times daily. If the child cannot speak by age three, Liu Wei Di Huang Wan (Six-Ingredient Pill with Rehmannia) (formula see under Foot Weakness section below) should be used, adding Lu Rong (Cervi Cornu Pantotrichum) and Wu Wei Zi (Schisandrae Chinensis Fructus) to form pills for administration.
Infantile hand weakness refers to lack of strength in the hands, preventing movement. It is appropriate to use Yi Yi Ren (Coicis Semen), Dang Gui (Angelicae Sinensis Radix), Qin Jiao (Gentianae Macrophyllae Radix), Suan Zao Ren (Ziziphi Spinosae Semen), Fang Feng (Saposhnikoviae Radix), Qiang Huo (Notopterygii Rhizoma et Radix) each at 5 qian. Ground into powder, form pills the size of Euryales Semen using honey, dissolved in Jing Jie Tang (Schizonepetae Decoction) for administration.