婴儿肝气未充,胆气最怯。凡耳闻骤声,目视骤色,虽非大惊卒恐,亦能怖其神魂。醒时受怖,寐则惊
啼,或震动不宁,或忽尔啼叫,皆神怯不安之证。治宜安神养气为主,宜独参汤,团参散。若微烦热者,生脉
散;热甚者,导赤散。
独参汤
人参二两,水二钟,煎至八分温服,日服二次。
团参散
人参 当归(各等分,同为末) 猪心(一个,切作三片)。
上先取猪心一片煎汤,调药末二钱服,或水煎亦可。
生脉散
人参(五钱) 麦冬(去心) 五味子(各三钱)
水煎服。
导赤散
生地黄 木通 甘草(各等分)
上加竹叶二十片,水煎服。(一方加人参、麦冬)
婴儿断脐后,宜用浓帛裹护,若乳母不慎,或因浴水入,或儿尿浸湿,或当风解视,遂成脐风。面赤喘急,
啼声不出,脐肿腹胀,不能饮乳,小腹必发青筋一道,行至肚腹,生两丫义,若行至心,则不治矣。急以艾叶
一团,灸其筋头上并两丫义尽处,青筋消去便活。若因水湿所伤,脐肿湿烂,宜用赤石脂、枯白矾,研极细末
掺之。若脐肿突出,赤肿而痛,或肿硬如盘,宜用田螺三个,捣烂,入麝香少许,调涂脐上,须臾再易,肿痛
立消。
口噤者,又名噤口风。其证眼闭口噤,不能饮乳,啼声如鸦,或舌上聚肉如粟米状,大小便皆通。但口噤
面赤多啼,口不吐白沫,与撮口异。宜用天南星为末,加冰片少许,以指蘸姜汁抹药,涂擦牙龈,立开;或用
牛黄,以竹沥
调服一匙,随以猪乳,滴于口中亦可。口既开,用白僵蚕略烘为末,蜜调,涂口内,仍以艾灸脐;或口中有白
泡,急宜擦破,去其毒火,桑树白汁涂之。
婴儿的肝气尚未充盈,胆气最为怯弱。凡是听到突然的声音,看到突然的色彩,即使不是极大的惊恐,也能使神魂受到惊吓。如果在清醒时受到惊吓,睡眠时就会惊叫啼哭,或者身体震动不安,或者忽然啼叫,这些都是神气怯弱、心神不宁的表现。治疗应当以安神养气为主,适宜使用独参汤或团参散。如果有轻微烦热的症状,使用生脉散;如果热势严重,使用导赤散。
独参汤
人参二两,加水两钟(约400-500毫升),煎煮至八分(约300-400毫升),温服,每日服用两次。
团参散
人参、当归(各等份,研磨成粉末)、猪心一个(切成三片)。
先取一片猪心煎汤,用药末二钱调服,也可以用水煎药后服用。
导赤散
生地黄、木通、甘草(各等份)。
上方加竹叶二十片,水煎服。(另一方加入人参、麦冬)
婴儿剪断脐带后,应用厚布包裹保护。如果乳母不慎,导致洗澡水进入脐部,或被婴儿尿液浸湿,或在风中解开查看,就会形成脐风(新生儿破伤风)。症状表现为面红气喘急促,啼哭无声,脐部肿胀腹部胀大,不能吸吮乳汁,小腹必然出现一条青色筋脉,延伸至肚腹,分出两个丫叉,如果青筋延伸到心脏部位,则无法治愈。紧急时用一团艾叶,在青筋的头部及两个丫叉的尽头处进行艾灸,待青筋消退即可存活。如果是因水湿损伤,脐部肿胀湿烂,适宜使用赤石脂、枯白矾,研磨成极细的粉末撒敷患处。如果脐部肿胀突出,红肿疼痛,或者肿胀坚硬如盘状,适宜用三个田螺捣烂,加入少许麝香,调和后涂抹在脐上,片刻后再更换,肿痛立即消除。
口噤(牙关紧闭),又名噤口风。其症状为眼睛闭合、牙关紧闭,不能吸吮乳汁,啼哭声像乌鸦,或者舌头上聚集的肉芽像粟米状,大小便通畅。但是口噤且面红多啼哭,口中不吐白沫,这与撮口(嘴唇收缩如囊口)不同。适宜使用天南星研成粉末,加入少许冰片,用手指蘸姜汁涂抹药物,擦拭牙龈,牙关立刻张开;或者使用牛黄,用竹沥水调服一匙,随后滴入猪奶于口中也可。口既已张开,用白僵蚕略烘研成粉末,蜂蜜调和,涂擦口腔内部,同时艾灸脐部;或者口中有白色水泡,紧急时应擦破,去除毒火,用桑树白色的汁液涂抹。
The liver qi of an infant is not yet fully developed, and the gallbladder qi is particularly timid. Whenever they hear sudden noises or see sudden colors, even if it is not extreme fright or terror, their spirit (Shen) can be disturbed. If frightened while awake, they will cry out in fear during sleep, exhibit trembling restlessness, or suddenly wail; these are all signs of a timid spirit and restless mind. Treatment should primarily focus on calming the spirit and nourishing qi. Suitable formulas include Dushen Tang (Ginseng Decoction) and Tuanshen San (Ginseng Powder). For cases with slight irritability and heat, Shengmai San (Generate the Pulse Powder) is indicated; for severe heat, Daochi San (Directing Redness Away from the Heart Powder) is used.
Dushen Tang (Ginseng Decoction)
Ren Shen (Radix Ginseng), 2 liang; water, 2 zhong. Decoct until reduced to 8 fen. Take warm. Administer twice daily.
Tuanshen San (Ginseng Powder)
Ren Shen (Radix Ginseng) and Dang Gui (Radix Angelicae Sinensis), equal parts, ground into powder; Zhu Xin (Cor Cordis Porci, Pig Heart), one piece, sliced into three.
First, decoct one slice of pig heart in water to make a broth. Mix two qian of the powdered medicine into this broth for administration. Alternatively, the medicine can be decocted in water directly.
Shengmai San (Generate the Pulse Powder)
Ren Shen (Radix Ginseng), 5 qian; Mai Dong (Rhizoma Ophiopogonis), heart removed; Wu Wei Zi (Fructus Schisandrae), 3 qian each.
Decoct in water and take orally.
Daochi San (Directing Redness Away from the Heart Powder)
Sheng Di Huang (Radix Rehmanniae Preparata), Mu Tong (Caulis Akebiae), Gan Cao (Radix Glycyrrhizae), equal parts.
Add 20 leaves of Zhu Ye (Folium Bambusae) to the above ingredients. Decoct in water and take orally. (Another variation adds Ren Shen and Mai Dong).
After the umbilical cord is severed, it should be wrapped and protected with thick cloth. If the nurse is careless, allowing bathwater to enter, or if urine soaks the area, or if the child is exposed to wind while being examined, Umbilical Wind (Neonatal Tetanus) may develop. Symptoms include a red face, rapid breathing, inability to cry, swelling of the umbilicus and abdominal distension, and inability to suckle milk. A cyanotic vein must appear on the lower abdomen, extending toward the navel and branching into two forks. If this vein extends to the heart region, the condition is incurable. Urgently apply a ball of Ai Ye (Folium Artemisiae Argyi) for moxibustion at the head of the vein and at the ends of the two forks. Once the cyanosis subsides, the child will survive. If the injury is caused by water-dampness, resulting in swollen, wet, and ulcerated umbilicus, use Chi Shi Zhi (Halloysitum Rubrum) and Ku Bai Fan (Alumen Exsiccatum), ground into an extremely fine powder, applied to the affected area. If the umbilicus protrudes, is red, swollen, and painful, or hard and disk-like, use three Tian Luo (Concha Meretrix, Clam Shell), mashed into a paste, mixed with a small amount of She Xiang (Moschus), and applied to the umbilicus. Replace frequently; pain and swelling will subside immediately.
Jin Kou (Lockjaw), also known as Jin Kou Feng, presents with closed eyes, locked jaw, inability to suckle, crow-like crying sounds, or granular flesh growths on the tongue resembling millet grains, while urination and defecation remain normal. However, unlike Cuo Kou (Pursed Mouth), which involves mouth constriction, Jin Kou features a red face, frequent crying, and no froth excreted from the mouth. Treatment involves using Tian Nan Xing (Rhizoma Arisaematis) ground into powder, mixed with a small amount of Bing Pian (Borneolum Syntheticum). Dip a finger in Jiang Zhi (Zingiberis Rhizoma Juice) to apply the medicine to the gums, which will immediately open the jaw. Alternatively, Niu Huang (Calculus Bovis) can be taken orally mixed with Zhu Li (Nux Bambusae Succus), followed by dripping Zhu Ru (Lactatio Porcina, Pig Milk) into the mouth. Once the mouth opens, use Bai Jiang Can (Bombyx Batryticatus), lightly roasted and powdered, mixed with honey, and applied inside the mouth. Simultaneously, perform moxibustion on the umbilicus. If white blisters appear in the mouth, they should be urgently ruptured to release toxic heat, and coated with Sang Bai Zhi (Succus Cortex Morae, Mulberry Sap).