巢氏云∶小儿在胎时,其母将养,伤于风冷,邪气入胞伤儿脏腑,故儿生之后,
邪犹在儿腹内,邪动与正气相搏,则腹痛,故儿 张蹙气而啼。
钓藤膏 治小儿干啼后 。(方见腹痛)
〔张涣〕婴儿在胎之时,其母将养一切不如法,及取凉饮冷过度,冷气入儿肠胃,使
胎气不强,致生下羸弱多病,俯仰多啼,名曰 啼,宜用
养脏汤方
川当归(一两) 沉香 丁香 白术 桂心 川芎(各半两)
上件捣,罗为细末。每服一钱,水八分,入生姜二片,煎至四分,去渣放温,
时时滴儿口中。
《婴孺》黄 散 治少小胎寒,腹痛 啼。
黄 当归 芎 干姜(各四分) 甘草(三分) 黄芩(六分铢)
上为末。二十日儿用乳汁和一胡豆大,一日三夜一,五十日儿一小豆大,百
日二小豆大。药温中无毒,若无黄 ,可阙也。儿生便服,使寒气不得生,亦不
吐,服之期年,止服妙。若寒气 痛,啼不可忍,以水煮饮之,如服理中丸法,
服药补益之可数十倍节度无苦。
〔刘氏〕治胎气弱,阴阳不调,昼夜 啼不已。
好乳香(水中坐乳钵,细研) 没药(细研) 木香 姜黄(各四钱) 木鳖子(二十个,去壳)
上,先将后三味同为细末,次研入上二味,炼蜜和成剂收之。每一岁儿,可服
半皂子大,余以意加减,煎钓藤汤化下,无时。次用魏香散。
魏香散
蓬莪术(半两,湿纸裹煨) 真阿魏(一钱)
上,先用温水化阿魏,浸蓬莪术一昼夜,切,焙干为末。每服半钱,煎紫苏米
饮空心调下。 啼稍愈,服开胃丸。
开胃丸
白术 木香 蓬莪术 人参 当归(各半两) 白芍药(一分)
上为细末,汤浸炊饼为丸,如黍米大。每服五七丸,空心食前,煎麝香汤下。
白术当归煎丸 治胎寒腹痛,遇夜啼叫,身体 张,有如痫状,吐 不止,大便酸
臭,乳食虽多,不生肌肤。
白术 当归 木香
上等分,为细末,炼蜜为丸,如桐子大。每服一丸,煎木香汤化下。
六神散 治腹痛啼哭,面青口中冷气,四肢亦冷,曲腰而啼,或大便泄泻,及不吮乳。
人参 山药 白术(各半两) 甘草(二钱) 茯苓 扁豆(炒。各一两)
上为末。每服二钱,姜二片,枣一枚,煎服。一方,用当归、白芍药、人参各
二钱半,甘草、桔梗、陈皮各一钱,为散,每服二钱,水煎,时时服。
巢元方说:小儿在母胎中时,如果母亲调养不当,受到风邪和寒气的伤害,邪气侵入胞宫损伤胎儿的脏腑,所以孩子出生后,邪气仍然留在孩子的腹内。当邪气扰动与正气相互搏击时,就会引起腹痛,因此婴儿会因疼痛而皱眉、憋气啼哭。
钓藤膏:治疗小儿干啼(无泪有声)及腹痛。(该方剂见“腹痛”章节)
张涣说:婴儿在母胎期间,如果母亲的一切调养都不合规范,以及过度贪凉饮冷,寒气进入婴儿的肠胃,导致胎气不壮实,致使婴儿出生后身体瘦弱多病,俯仰间经常啼哭,这被称为“胎寒啼”,适宜使用养脏汤方。
养脏汤方:
川当归(一两)、沉香、丁香、白术、桂心、川芎(各半两)。
将上述药材捣碎,过筛成细末。每次服用一钱,加水八分,放入生姜两片,煎煮至剩余四分药液,滤去药渣,待温度适宜后,不时地滴入婴儿口中。
《婴孺书》中的黄芪散:治疗婴幼儿胎寒引起的腹痛及啼哭。
黄芪、当归、川芎、干姜(各四分),甘草(三分),黄芩(六分铢)。
将上述药材研为细末。二十天大的婴儿用乳汁调和如胡豆大小的一丸,一日三次,夜间一次;五十天大的婴儿服如小豆大小的一丸;一百天大的婴儿服两小豆大小的一丸。此药性温无毒,如果没有黄芪,可以省略不用。婴儿出生后即可服用,可防止寒气产生,也不会引起呕吐。坚持服用一年,停止服药效果更佳。如果寒气凝滞作痛,啼哭难以忍受,用水煎煮服用,如同服用理中丸的方法,通过服药进行补益,其效果可比常规剂量好数十倍,且没有痛苦。
刘氏说:治疗胎气虚弱,阴阳不调,导致昼夜啼哭不止。
好乳香(在水中用乳钵细细研磨)、没药(细细研磨)、木香、姜黄(各四钱)、木鳖子(二十个,去壳)。
先将后三种药材共同研为细末,然后加入前两种已研磨好的药材继续研磨,用炼蜜调和制成丸剂保存。每一岁大的婴儿,可服用半颗皂荚子大小的药量,其余根据情况酌情加减,用钓藤汤煎化送服,不限时间。之后再用魏香散。
魏香散:
蓬莪术(半两,用湿纸包裹煨制)、真阿魏(一钱)。
先用温水化开阿魏,浸泡蓬莪树一整夜,切片,焙干后研为细末。每次服用半钱,用紫苏米饮空腹调服。待啼哭症状稍有好转,再服用开胃丸。
开胃丸:
白术、木香、蓬莪术、人参、当归(各半两)、白芍药(一分)。
将上述药材研为细末,用热水浸透的炊饼制作成丸剂,大小如黍米。每次服用五到七丸,空腹或食前,用麝香汤送服。
白术当归煎丸:治疗胎寒腹痛,夜间啼叫,身体僵硬,类似癫痫的症状,呕吐不止,大便酸臭,虽然吃奶多但不长肌肉。
白术、当归、木香。
以上药材等分,研为细末,用炼蜜制成丸剂,大小如梧桐子。每次服用一丸,用木香汤煎化送服。
六神散:治疗腹痛啼哭,面色青紫,口中呼出冷气,四肢发冷,弯腰啼哭,或者大便泄泻,以及不肯吸吮乳汁。
人参、山药、白术(各半两)、甘草(二钱)、茯苓、扁豆(炒制,各一两)。
将上述药材研为细末。每次服用二钱,加生姜两片、大枣一枚,煎煮后服用。另一处方,使用当归、白芍药、人参各二钱半,甘草、桔梗、陈皮各一钱,研为散剂,每次服用二钱,水煎,随时服用。
Chao Yuanfang stated: When a child is in the womb, if the mother's nursing and care are improper, she may be injured by wind-cold pathogens. These pathogenic factors enter the uterus and damage the fetus's Zang-Fu organs. Therefore, after birth, the pathogens remain within the infant's abdomen. When the pathogens move and contend with the healthy Qi (Vital Energy), abdominal pain occurs, causing the infant to frown, hold their breath, and cry due to pain.
Gouteng Gao (Uncaria Paste): Treats infants suffering from dry crying (crying without tears) and abdominal pain. (See the formula under "Abdominal Pain").
Zhang Huan stated: During pregnancy, if the mother's care does not follow proper methods, or if she excessively consumes cold foods and drinks, cold Qi enters the infant's intestines and stomach. This weakens the fetal Qi, resulting in an infant who is frail, prone to illness, cries frequently while moving, and is diagnosed as "Fetal Cold Crying." The Yangzang Tang (Nourish Viscera Decoction) should be used.
Yangzang Tang (Nourish Viscera Decoction):
Chuan Dang Gui (Radix Angelicae Sinensis, 1 liang), Chen Xiang (Aquilariae Lignum Resinatum, half liang), Ding Xiang (Caryophylli Flos, half liang), Bai Zhu (Atractylodis Macrocephalae Rhizoma, half liang), Gui Xin (Cinnamomi Cortex, half liang), Chuan Xiong (Ligustici Chuanxiong Rhizoma, half liang).
Crush and sieve the ingredients into fine powder. Take 1 qian per dose, add 8 fen of water and 2 slices of Sheng Jiang (Zingiberis Rhizoma Recens), decoct until 4 fen remains. Strain and let cool to a warm temperature. Drip occasionally into the infant's mouth.
Huangqi San (Astragalus Powder) from *Yingru*: Treats fetal cold in young children, causing abdominal pain and crying.
Huang Qi (Astragali Radix, 4 fen), Dang Gui (Radix Angelicae Sinensis, 4 fen), Xiong (Ligustici Chuanxiong Rhizoma, 4 fen), Gan Jiang (Zingiberis Rhizoma, 4 fen), Gan Cao (Glycyrrhizae Radix et Rhizoma, 3 fen), Huang Qin (Scutellariae Radix, 6 zhu).
Grind into powder. For a 20-day-old infant, mix with breast milk to form a pill the size of a broad bean; administer three times daily and once at night. For a 50-day-old infant, use a pill the size of a small bean. For a 100-day-old infant, use two small beans' worth. The medicine is warm and non-toxic. If Huang Qi is unavailable, it may be omitted. Administer immediately after birth to prevent the generation of cold Qi and avoid vomiting. Continuous administration for one year yields optimal results. If cold Qi stagnation causes unbearable pain and crying, decoct in water and administer similarly to Lizhong Wan (Regulate the Middle Pill). The nourishing effect via medication can be dozens of times more effective than standard doses without causing distress.
Shi Shi Liu stated: Treats weak fetal Qi and disharmony of Yin and Yang, leading to incessant day and night crying.
Ru Xiang (Boswelliae Resina, finely ground in water using a mortar), Mo Yao (Myrrhae Resina, finely ground), Mu Xiang (Aucklandiae Radix, 4 qian), Jiang Huang (Curcumae Longae Rhizoma, 4 qian), Mu Bie Zi (Strychni Semen, 20 pieces, shell removed).
First, grind the latter three ingredients into fine powder. Then incorporate the first two ingredients. Mix with refined honey to form pills. For each year of age, administer a pill the size of half a soap pod. Adjust dosage according to circumstances. Dissolve in Gouteng Tang (Uncaria Decoction) and administer at any time. Follow up with Weixiang San.
Weixiang San (Agarwood Powder):
Peng E Zhu (Curcumae Zedoariae Rhizoma, half liang, wrapped in wet paper and roasted), True A Wei (Ferulae Resina, 1 qian).
Dissolve A Wei in warm water first, soak Peng E Zhu for a full day and night. Slice, dry by roasting, and grind into powder. Take half a qian per dose, mix with Zisu Mi Yin (Perilla Seed Drink) on an empty stomach. Once crying subsides slightly, administer Kaiewan.
Kaiewan (Open Stomach Pill):
Bai Zhu (Atractylodis Macrocephalae Rhizoma, half liang), Mu Xiang (Aucklandiae Radix, half liang), Peng E Zhu (Curcumae Zedoariae Rhizoma, half liang), Ren Shen (Ginseng Radix, half liang), Dang Gui (Radix Angelicae Sinensis, half liang), Bai Shao Yao (Paeoniae Radix Alba, 1 fen).
Grind into fine powder. Use steamed dough soaked in hot water to form pills the size of millet seeds. Take 5-7 pills per dose on an empty stomach or before meals, administered with Shexiang Tang (Musk Decoction).
Baizhu Danggui Jianwan (Atractylodes and Angelica Decoction Pill): Treats fetal cold abdominal pain, nighttime crying, body stiffness resembling epilepsy, incessant vomiting, sour-smelling diarrhea, and failure to gain weight despite adequate milk intake.
Bai Zhu (Atractylodis Macrocephalae Rhizoma), Dang Gui (Radix Angelicae Sinensis), Mu Xiang (Aucklandiae Radix).
Equal parts, ground into fine powder. Form pills with refined honey, sized like tung tree seeds. Take one pill per dose, dissolved in Muxiang Tang (Aucklandia Decoction).
Liushen San (Six Gods Powder): Treats abdominal pain with crying, cyanotic complexion, cold breath, cold limbs, crying with bent waist, diarrhea, and refusal to suckle.
Ren Shen (Ginseng Radix, half liang), Shan Yao (Dioscoreae Rhizoma, half liang), Bai Zhu (Atractylodis Macrocephalae Rhizoma, half liang), Gan Cao (Glycyrrhizae Radix et Rhizoma, 2 qian), Fu Ling (Poria, 1 liang), Bian Dou (Dolichoris Semen, stir-fried, 1 liang).
Grind into powder. Take 2 qian per dose with 2 slices of Sheng Jiang (Zingiberis Rhizoma Recens) and one Jujubae Fructus, decocted in water. Another prescription uses Dang Gui (Radix Angelicae Sinensis), Bai Shao Yao (Paeoniae Radix Alba), and Ren Shen (Ginseng Radix) at 2.5 qian each; Gan Cao (Glycyrrhizae Radix et Rhizoma), Jie Geng (Platycodonis Radix), and Chen Pi (Citri Reticulatae Pericarpium) at 1 qian each. Grind into powder, take 2 qian per dose, decoct in water, and administer frequently.