张子和治一小儿,悲哭弥日不休,两手脉弦而紧。此心火甚而乘肺,肺不受则哭,故肺主哭。王太仆云∶
心烁则痛甚,痛甚则悲益甚。令浴以温汤,渍形以为汗。肺主皮毛,汗出则肺热散矣。浴止而啼亦止,仍命服
凉膈散加当归、桔梗、连翘、大黄、芒硝、甘草、黄芩、薄荷、栀子,以竹叶、生姜、朴硝同煎,泻胸中之邪热。
万密斋治县尹张之子,未周岁,啼哭昼夜不止。医谓腹痛,用理中丸不效。又谓伤食,用泻黄散不止。万
视之曰∶公子腮 面赤,乃心烦而哭也。若肠痛当见面青,伤食当见面黄也。乃用导赤散,木通、竹叶、生地、
灯心、黄芩、甘草,加黄连、麦冬煎服之。次日早即入告曰∶昨夜哭多何也?万曰∶病即安矣。曰∶病安何以
哭不止?曰∶公子啼哭,三日夜不吃乳,昨夜热退心凉欲得乳,而乳母在外。盖往夜之哭,病哭也,昨夜之哭,
饥哭也。乃笑曰∶果然。乳母五更到,即止矣。
江某生子,三日啼不住。万视之曰∶此必断脐失谨,风冷之气入脐,腹痛而哭也。乃用蕲艾捣如绵,再烘
令热,以封其脐,冷则易之,三易而哭止。
一儿生二月,啼不止。万曰∶此肝热也。以泻青丸、竹叶汤,入沙糖少许,调服而安。(羌活、大黄、山
栀仁、当归、芎 、胆草、防风,蜜丸芡实大,竹叶汤入砂糖化下。)
一小儿夜啼不止,状若鬼祟,用蝉蜕下半截为末,薄荷汤入酒少许调下。或者不信,将上半截为末,煎汤
调下,即复啼也。古人立方,莫知其妙。(《本草纲目》出《普济方》。雄按∶余儿生逾两月,患风热音嘶,易
惊多哭,余以蚱蝉汤饮之而愈。)
徐仲光治一儿,触忤夜啼,用本家灶下火柴头一段,以朱书云∶我是上天五雷公,将你作神将,能擒夜啼
鬼,一缚永不放,急急如律令。柴头以火烧焦为主,书不使人知,立在床下,倚床前脚里面,男左女右。
孝廉杨回山止一子,方岁周,暑月,旦暮啼不乳,亟召王起云视之。王曰∶从我则生,否则不可救也。然
须以百金酬我。杨谨奉教,王乃于堂中画锻石一圈,置儿其中,屏去乳母,儿啼甚,移时睡去。王索香薷饮俟
其觉,以药一丸投之,随瘥。蔡宁认问曰∶子何术而神若是?王曰∶乳母甚肥,天又暑,儿愈哭,则乳母愈搂
抱不忍释,中热太甚,所以啼不乳,我俾以哭散热气即愈矣。锻石画圈,醒后投剂,不过假以索谢耳,此所谓
术也。蔡为之鼓掌。(《云间杂记》。)
马铭鞠治华虚舟五郎, 甚善哭,周岁中,每哭即气绝,绝而苏,一饭时许矣。至三岁,其病日深,哭而
绝,绝而苏,甚至经时。初或一月或半月一发,后即频发,有日再发者。投以琥珀丸,人参圆眼汤下数丸遂瘥。
琥珀、人参、甘草、莲肉各三钱,山药一两,天竺黄、茯神、胆星各二钱,密丸,朱砂钱半为衣,每服一钱。
小儿夜啼,因包裹太暖,热极所致。取鸡屎涂儿脐中,男用雄,女用雌。牛黄、朱砂各五厘,研极细,以
少许涂儿舌上立止。
张子和治疗一个小孩,悲伤哭泣整天不停,两手脉象弦而紧。这是心火旺盛并克制肺金,肺无法承受则引发哭泣,所以肺主司哭泣。王太仆说:心受热灼烧则疼痛剧烈,疼痛剧烈则悲哀更加严重。让他用温水沐浴,浸泡身体以促使出汗。肺主管皮毛,汗出后肺部的热邪就消散了。沐浴停止后啼哭也停止了,仍然命令服用凉膈散,加入当归、桔梗、连翘、大黄、芒硝、甘草、黄芩、薄荷、栀子,用竹叶、生姜、朴硝共同煎煮,以泻除胸中的邪热。
万密斋治疗县尹张先生的儿子,未满周岁,昼夜啼哭不止。医生认为是腹痛,使用理中丸无效。又认为是伤食,使用泻黄散也不能止哭。万密斋观察他说:公子两腮发红,面赤,这是心烦导致的哭泣。如果是肠痛应当见面色发青,伤食应当见面色发黄。于是使用导赤散,包含木通、竹叶、生地、灯心、黄芩、甘草,加入黄连、麦冬煎服。第二天早上就去报告说:昨晚为什么哭得更多?万密斋说:病已经痊愈了。问:病好了为什么还哭个不停?答:公子啼哭,三昼夜没有吃奶,昨晚热退心凉想要吃奶,但乳母在外面。之前的夜晚的哭,是病哭;昨晚的哭,是饿哭。于是笑着说:果然如此。乳母五更天到了,哭声就停止了。
江某生下的孩子,三天来啼哭不止。万密斋观察他说:这一定是断脐时不够谨慎,风冷之气侵入脐部,导致腹痛而哭泣。于是用蕲艾捣成棉絮状,再烘烤使其发热,用来敷封在脐部,变冷就更换,更换三次后哭声停止。
一个婴儿出生两个月,啼哭不止。万密斋说:这是肝热。用泻青丸、竹叶汤,加入少许砂糖,调服后安宁。(方剂组成:羌活、大黄、山栀仁、当归、川芎、龙胆草、防风,蜜丸如芡实大小,用竹叶汤加砂糖化开送下。)
一个小孩夜间啼哭不止,样子像被鬼祟附体,用蝉蜕的下半截研为粉末,用薄荷汤调入少许酒送服。有人不信,将上半截研为粉末,煎汤调服,孩子随即又啼哭起来。古人制定方剂,其中奥妙无人知晓。(《本草纲目》引自《普济方》。李时珍按语:我的孩子出生超过两个月,患风热导致声音嘶哑,易惊多哭,我用蚱蝉汤给他喝就好了。)
徐仲光治疗一个小孩,因触犯禁忌夜间啼哭,使用自家灶下的火柴头一段,用朱砂书写道:“我是上天五雷公,将你作为神将,能擒拿夜啼鬼,一捆绑永不放,急急如律令。”柴头以烧焦为主,写字不让人知道,立在床下,倚靠在床前脚里面,男孩靠左,女孩靠右。
孝廉杨回山只有一个儿子,刚满周岁,暑月里,早晚啼哭不肯吃奶,急忙召请王起云诊治。王起云说:听从我就能活,否则不可救治。但是必须给我一百金酬谢。杨先生谨遵教导,王起云于是在堂屋中间画一圈锻石(磁石),把孩子放在圈中,屏退乳母,孩子啼哭很厉害,过了一会儿睡去。王起云索取香薷饮等待他醒来,将药丸投入口中,随即病愈。蔡宁惊讶地问:你有什么法术如此神奇?王起云说:乳母很胖,天气又热,孩子越哭,乳母就越搂抱不忍放下,体内热气太盛,所以啼哭不吃奶,我让孩子通过哭泣散发热气就痊愈了。用锻石画圈,醒后给药,不过是借机索取酬谢罢了,这就是所谓的“术”。蔡宁为此鼓掌。(出自《云间杂记》。)
马铭鞠治疗华虚舟的五儿子,非常善于哭泣,周岁中,每次哭泣就会气绝,气绝后苏醒,大约一顿饭的时间。到三岁,病情日益加深,哭泣而气绝,气绝后苏醒,甚至持续一段时间。起初可能一个月或半个月发作一次,后来频繁发作,有一天发作两次的情况。投以琥珀丸,用人参桂圆汤送下几丸,随即痊愈。方剂组成:琥珀、人参、甘草、莲肉各三钱,山药一两,天竺黄、茯神、胆星各二钱,蜜丸,朱砂半钱为衣,每服一钱。
小儿夜间啼哭,因为包裹太暖,热极所致。取鸡屎涂在孩子脐中,男孩用雄鸡屎,女孩用雌鸡屎。牛黄、朱砂各五厘,研至极细,用少许涂在孩子舌上立即停止。
Zi Hezi treated a child who had been crying sorrowfully without cessation for days. The pulses in both hands were wiry and tight. This indicated excessive Heart Fire overacting on the Lung, which could not bear it, thus causing crying; hence, the Lung governs crying. Wang Taipu stated: "When the Heart is scorched, pain becomes severe; when pain is severe, grief increases." He prescribed bathing the child in warm water to induce sweating by soaking the body. Since the Lung governs the skin and hair, once sweat was produced, the heat in the Lung dissipated. Upon stopping the bath, the crying also ceased. He then ordered the administration of Liang Ge San (Cooling the Diaphragm Decoction) with added Dang Gui (Angelicae Sinensis Radix), Jie Geng (Platycodonis Radix), Lian Qiao (Forsythiae Fructus), Da Huang (Rhei Radix et Rhizoma), Mang Xiao (Natrii Sulfas), Gan Cao (Glycyrrhizae Radix et Rhizoma), Huang Qin (Scutellariae Radix), Bo He (Menthae Haplocalycis Herba), and Zhi Zi (Gardeniae Fructus). These were decocted together with Zhu Ye (Bambusae Folium), Sheng Jiang (Zingiberis Rhizoma Recens), and Po Xiao (Natrii Sulfas) to purge the pathogenic heat from the chest.
Wan Muzhai treated the son of County Magistrate Zhang, who was under one year old and cried day and night without stopping. Physicians attributed this to abdominal pain and administered Li Zhong Wan (Regulate the Middle Pill), but it was ineffective. Others suspected food stagnation and used Xie Huang San (Drain Yellow Powder), which also failed to stop the crying. Wan observed and said, "The young master's cheeks are red. This is crying due to mental restlessness. If it were intestinal pain, the face would be green; if it were food stagnation, the face would be yellow." He prescribed Dao Chi San (Direct Outward Redness Decoction) containing Tong Cao (Tetrapanacis Medulla), Zhu Ye (Bambusae Folium), Sheng Di Huang (Rehmanniae Radix), Deng Xin Cao (Junci Medulla), Huang Qin (Scutellariae Radix), and Gan Cao (Glycyrrhizae Radix), with added Huang Lian (Coptidis Rhizoma) and Mai Dong (Ophiopogonis Radix) decocted and administered. The next morning, the father reported, "Why did he cry more last night?" Wan replied, "The illness has resolved." The father asked, "If the illness has resolved, why does he still cry?" Wan explained, "The young master cried for three days and nights without nursing. Last night, as the fever subsided and his heart cooled, he desired milk, but the nurse was absent. The crying in previous nights was due to illness; the crying last night was due to hunger." The father laughed and said, "Indeed." When the nurse arrived at the fifth watch, the crying stopped.
Jiang's newborn cried incessantly for three days. Wan observed and said, "This must be due to careless umbilical cord cutting, allowing wind-cold qi to enter the navel, causing abdominal pain and crying." He used Qi Ai (Artemisia argyi) pounded into cotton-like consistency, heated again, and applied to seal the navel. It was replaced when cold. After three changes, the crying stopped.
A two-month-old infant cried incessantly. Wan said, "This is Liver Heat." He used Xie Qing Wan (Drain Green Pill) and Zhu Ye Tang (Bamboo Leaf Decoction) with a little rock sugar mixed in, after which the child became calm. (Formula composition: Huo Ma Ren [not listed in source text explicitly but implied in standard formula? No, source lists: Qiang Huo, Da Huang, Shan Zhi Ren, Dang Gui, Xiong Diao [Chuan Xiong], Dan Cao [Long Dan Cao], Fang Feng. Honey pills sized like Euryale seeds. Administered with Zhu Ye Tang and sugar.] *Correction based on source text*: Formula components listed in parentheses: Qiang Huo (Notopterygii Radix et Rhizoma), Da Huang (Rhei Radix et Rhizoma), Shan Zhi Ren (Gardeniae Semen), Dang Gui (Angelicae Sinensis Radix), Chuan Xiong (Ligustici Chuanxiong Rhizoma), Long Dan Cao (Gentianae Radix et Rhizoma), Fang Feng (Saposhnikoviae Radix). Honey pills the size of Euryale ferox seeds, taken dissolved in Zhu Ye Tang (Bambusae Folium Decoction) with sugar.
A child cried incessantly at night, appearing as if possessed by spirits. The lower half of Cicada Slough (Chan Tui, Periostracum Cicadae) was powdered and taken with Bo He Tang (Menthae Haplocalycis Herba Decoction) mixed with a little wine. Someone doubted this and used the upper half powdered in decoction instead; the child immediately resumed crying. The profound wisdom behind ancient prescriptions remains unknown to many. (Cited from Ben Cao Gang Mu [Compendium of Materia Medica] quoting Pu Ji Fang [Universal Relief Formulas]. Li Shizhen noted: My son, over two months old, suffered from wind-heat causing hoarseness, easily startled and crying frequently. I cured him with Zha Chan Tang [Grasshopper Decoction].)
Xu Zhongguang treated a child whose night crying was triggered by offending taboos. He took a piece of matchstick from the family stove, inscribed it with cinnabar writing: "I am the Five Thunder Deity of Heaven above. I appoint you as a divine general to capture the Night Crying Ghost. Bound tightly, never released. Act swiftly according to law." The wood was burnt until charred. The inscription was kept secret. The stick was placed under the bed, leaning against the front leg, on the left side for boys and right for girls.
Yang Huishan, a Jinshi degree holder, had only one son, just one year old. In midsummer, the child cried day and night and refused milk. Yang urgently summoned Wang Qiyun. Wang said, "Follow my instructions and he will live; otherwise, he cannot be saved. However, you must pay me one hundred taels of silver." Yang complied. Wang drew a circle of magnetite (Duan Shi, Magnetitum) in the hall, placed the child inside, and dismissed the nurse. The child cried intensely, then fell asleep after some time. Wang requested Xiang Rui Yin (Moslae Chinensis Herb Drink) and waited for the child to wake, then administered one pill. The child recovered quickly. Cai Ning asked in amazement, "What magic makes you so miraculous?" Wang replied, "The nurse is very fat, and the weather is hot. As the child cries, the nurse holds him tightly and refuses to let go, causing excessive internal heat, leading to crying and refusal to nurse. I allowed the crying to dissipate the heat, and thus he recovered. Drawing the magnetite circle and giving medicine upon waking was merely a pretext to claim the reward. This is what is called 'technique'." Cai Ning applauded. (From Yun Jian Za Ji [Miscellaneous Records from Yunjian].)
Ma Mingju treated Hua Xuzhou's fifth son, who cried excessively. By age one, every fit of crying would cause him to lose consciousness, followed by recovery after about the time it takes to eat a meal. By age three, the condition worsened; the episodes of losing consciousness lasted longer. Initially occurring once a month or half-month, they became frequent, even twice a day. He was treated with Hu Po Wan (Amber Pill), administered with Ren Shen Gui Yuan Tang (Ginseng and Longan Decoction). Several pills were given, and he recovered. (Formula: Hu Po [Electrum], Ren Shen [Panacis Ginseng Radix], Gan Cao [Glycyrrhizae Radix et Rhizoma], Lian Rou [Nelumbinis Semen] each 3 qian; Shan Yao [Dioscoreae Rhizoma] 1 liang; Tian Zhu Huang [Calamina]; Fu Shen [Poria cum Radix Pini]; Dan Xing [Arisaematis Cum Bile] each 2 qian. Honey pills coated with Cinnabar 0.5 qian. Dosage: 1 qian per dose.)
Night crying in infants can be caused by being wrapped too warmly, leading to extreme heat. Chicken droppings should be applied to the infant's navel; use male chicken droppings for boys and female for girls. Niuhuang (Bovis Calculus) and Zhusha (Cinnabaris), each 5 li, ground to an ultra-fine powder, should be applied sparingly to the infant's tongue to stop crying immediately.