谓于眠睡里忽然啼而惊觉也。钱氏云∶小儿惊啼,邪热乘心也,当安心,安
神丸主之。(方见心脏)
乳香丸 治惊风内钓,腹痛惊啼。
乳香(半钱) 没药 沉香(各一钱) 蝎稍(十四枚) 鸡心槟榔(一钱半)
上为末,炼蜜丸桐子大。每服二丸,菖蒲、钓藤汤调下。
木香丸 治证同前。
乳香 没药 全蝎(各半钱) 钓藤 舶上 香 木香(各一钱)
上,先将乳香、没药另研,次入诸药末和毕,取大蒜少许研细和丸,桐子大。
每服二丸,钓藤汤下。
〔张涣〕婴儿眠卧着,忽啼哭惊觉,面赤口舌干,状若神祟,即非夜啼,乃风热邪气
乘于心脏。名曰惊啼。宜用牛黄膏方(常服除胎热)
牛黄 好牡蛎( 粉。各一分) 人参 甘草(炙。各半两) 以上并为细末,次入 辰砂
雄黄(各一分,并细研,水飞) 龙脑(半钱)
上件诸药,一处研细匀,炼蜜和成膏,如鸡头实大。每服半粒至一丸,薄荷汤化下,乳食后。
青云散
石莲心(一分) 天南星(炮) 僵蚕(取直者) 全蝎 郁金(皂角煮。各一钱半) 雄黄(一钱) 粉霜(半
钱)
上件为末。每服一字半钱,看大小,蜜汤调下。
《圣惠》犀角散 治小儿惊啼。
犀角屑 钓藤 升麻 黄芩 甘草(炙。各一分) 人参(三分)
上 咀。每服一钱,水一盏,煎至五分,量儿服之。
羚羊角散
羚羊角屑 黄芩 犀角屑 甘草(炙) 茯神(各一分) 麦门冬(半两)
上件药捣,罗为散,每服一钱,以水一小盏,煎至五分,去滓,量儿大小,分减服之。
龙齿散 治小儿惊啼烦热,眠卧不安。
龙齿 麦门冬(各半两) 白芍药 川升麻 川大黄(炒) 甘草(炙。各一分)
上件药 咀。每服一钱,以水一小盏,煎至五分,去渣,温温服,量小儿大小,加减服之。
柏子仁散 治小儿惊啼,状如物刺。(亦治 啼)
柏子仁(一两,捣,细罗为散)
上件药,一二岁儿每服一字,用粥饮调服,三四岁儿每服半钱,一日三四服,量儿大小加减。
治小儿五邪,惊啼悲伤。鲮鲤甲、烧之作灰,以酒或水和服方寸匕。(出本草)
《仙人水鉴》儿生下,多惊啼声噎,庸医云是气急,此误人命,宜使此方。
收取黄葵四月花,阴干捣散入马牙,黄连四分加黄柏,四味神方力莫加
上,以冷水调下一字至一钱,服之立效。
《婴孺》治小儿夜睡,忽惊啼不识母,母唤之,摇头方
上小儿忽惊啼不识母者,是梦中见母弃之去,谓母实,故啼去,但令人抱坐于
暗中,令母从外把大火入来唤之即止,所以然者,谓母去还来也。此方天下未
之知。《隐居效方》
一法,写天心二字于囟门上,写泥丸二字于丹田上。
所谓在睡眠中忽然啼哭并惊醒的现象。钱乙说:小儿惊啼,是邪热侵袭心脏所致,应当安心神,以安神丸为主治方剂。(该方见心脏篇)
乳香丸 治疗惊风内钓(筋脉拘急内收)、腹痛及惊啼。
乳香(半钱) 没药 沉香(各一钱) 蝎稍(十四枚) 鸡心槟榔(一钱半)
以上药物研为细末,用炼蜜制成如梧桐子大小的丸剂。每次服用两丸,用石菖蒲、钩藤煎汤调服。
木香丸 治疗的证候与上述相同。
乳香 没药 全蝎(各半钱) 钩藤 舶上沉香 木香(各一钱)
以上药物,先将乳香、没药单独研磨,然后加入其他药物的粉末混合均匀,取少许大蒜研细后和入药粉制丸,大小如梧桐子。每次服用两丸,用钩藤汤送服。
〔张涣〕婴儿睡觉时,忽然啼哭惊醒,面色发红,口舌干燥,症状如同被鬼神附体,这就不是夜啼,而是风热邪气侵袭心脏。称为惊啼。适宜使用牛黄膏方(常服可清除胎热)。
牛黄 好牡蛎(煅后研粉。各一分) 人参 甘草(炙。各半两) 以上药物均研为细末,其次加入辰砂、雄黄(各一分,均需细研,用水飞法处理) 龙脑(半钱)
以上所有药物,一起研磨均匀,用炼蜜调和成膏状,大小如鸡头实。每次服用半粒至一丸,用薄荷汤化开送服,在哺乳进食之后。
青云散
石莲心(一分) 天南星(炮制) 僵蚕(选取直者) 全蝎 郁金(用皂角煮过。各一钱半) 雄黄(一钱) 粉霜(半钱)
以上药物研为细末。每次服用一字或半钱,根据患儿年龄大小,用蜜汤调服。
《圣惠方》犀角散 治疗小儿惊啼。
犀角屑 钩藤 升麻 黄芩 甘草(炙。各一分) 人参(三分)
以上药物切碎。每次服用一钱,加水一盏,煎至五分,根据患儿情况酌情服用。
羚羊角散
羚羊角屑 黄芩 犀角屑 甘草(炙) 茯神(各一分) 麦门冬(半两)
以上药物捣碎,过筛成为散剂。每次服用一钱,用水一小盏,煎至五分,去渣滓,根据患儿年龄大小,分次减量服用。
龙齿散 治疗小儿惊啼伴有烦热,睡眠不安稳。
龙齿 麦门冬(各半两) 白芍药 川升麻 川大黄(炒) 甘草(炙。各一分)
以上药物切碎。每次服用一钱,用水一小盏,煎至五分,去渣滓,温服,根据患儿年龄大小,增减剂量服用。
柏子仁散 治疗小儿惊啼,症状如同被异物刺扎。(也治疗[缺字]啼)
柏子仁(一两,捣碎,细筛为散)
以上药物,一至二岁的幼儿每次服用一字,用米粥汁调服;三至四岁的幼儿每次服用半钱,每日三四次,根据患儿年龄大小增减剂量。
治疗小儿五邪,惊啼悲伤。鲮鲤甲(穿山甲鳞片),烧成灰,用酒或水调和,服用一方寸匕。(出自《本草》)
《仙人水鉴》记载:婴儿出生后,常有惊啼声噎(哭声受阻),庸医说是气急,这是误人性命的错误判断,适宜使用此方。
采集黄葵四月之花,阴干后捣碎成散,加入马牙硝,黄连四分加上黄柏,这四味药组成的神方效力无可比拟。
以上药物,用冷水调服一字至一钱,服用后立即见效。
《婴孺书》记载:治疗小儿夜间睡眠,忽然惊恐啼哭不认识母亲,母亲呼唤时,摇头不应的方剂。
对于小儿忽然惊恐啼哭不认识母亲的情况,是因为梦中见到母亲抛弃自己离去,认为母亲是真的走了,所以啼哭寻找。只需让人抱着孩子坐在暗处,让母亲从外面拿着大火把进来呼唤他,啼哭就会停止。之所以这样做的道理,是因为母亲离开后又回来了。这个方子天下人尚不知晓。《隐居效方》
It refers to the phenomenon of suddenly crying and waking up from sleep. Qian Yi stated: Infantile frightful crying is caused by pathogenic heat invading the Heart; one should calm the mind, and Anshen Wan (Calm Spirit Pill) is the primary formula. (The formula is found in the chapter on the Heart).
Ruxiang Wan (Frankincense Pill) treats internal drawing of wind due to fright, abdominal pain, and frightful crying.
Ruxiang (Boswelliae Resina, 乳香) (half qian), Moyao (Myrrhae Resina, 没药), Chenxiang (Aquilariae Lignum, 沉香) (each one qian), Xieshao (Scorpio, 蝎稍) (fourteen pieces), Jixinbangling (Arecae Semen, 鸡心槟榔) (one and a half qian).
Grind the above into powder, mix with refined honey to form pills the size of paulownia seeds. Take two pills each time, administered with decoction of Shichangpu (Acori Tatarinowii Rhizoma, 石菖蒲) and Gouteng (Uncariae Ramulus cum Uncis, 钩藤).
Muxiang Wan (Costus Pill) treats the same syndrome as mentioned above.
Ruxiang (Boswelliae Resina, 乳香), Moyao (Myrrhae Resina, 没药), Quanxie (Scorpio, 全蝎) (each half qian), Gouteng (Uncariae Ramulus cum Uncis, 钩藤), Boshangxiang (Aquilariae Lignum, 舶上沉香), Muxiang (Saussureae Radix, 木香) (each one qian).
For the above herbs, first grind Ruxiang (Boswelliae Resina, 乳香) and Moyao (Myrrhae Resina, 没药) separately, then add the powders of the other herbs and mix well. Take a small amount of garlic, grind it finely, and mix with the pill mixture to form pills the size of paulownia seeds. Take two pills each time, taken down with Gouteng (Uncariae Ramulus cum Uncis, 钩藤) decoction.
[Zhang Huan] When an infant is sleeping and suddenly cries out in fright and wakes up, with a red face and dry mouth and tongue, appearing as if possessed by spirits, this is not night crying, but rather wind-heat pathogenic qi invading the Heart. It is named Jingti (Frightful Crying). One should use Niuhuang Gao (Calculus Bovis Ointment) (regularly taken to clear fetal heat).
Niuhuang (Calculus Bovis, 牛黄), Haomuli (Ostreae Concha, 好牡蛎) (calcined and powdered. Each one fen), Renshen (Ginseng Radix et Rhizoma, 人参), Gancao (Glycyrrhizae Radix et Rhizoma, 甘草) (roasted. Each half liang). The above are all ground into fine powder. Then add Chensha (Cinnabaris, 辰砂) and Xionghuang (Realgar, 雄黄) (each one fen, both finely ground and processed by water flotation), Longnao (Borneolum Syntheticum, 龙脑) (half qian).
All the above ingredients are ground together until uniform, mixed with refined honey to form an ointment the size of a cockspur fruit. Take half a grain to one pill each time, dissolved in Bohe Tang (Menthae Haplocalycis Herba, 薄荷) decoction, after milk or food intake.
Qingyun San (Blue Cloud Powder)
Shilianxin (Nelumbinis Plumula, 石莲心) (one fen), Tiannanxing (Arisomatis Tenuifolii Bulbus, 天南星) (processed), Jiangcan (Bombyx Batryticatus, 僵蚕) (select straight ones), Quanxie (Scorpio, 全蝎), Yujin (Curcumae Radix, 郁金) (boiled with Genglei, 皂角. Each one and a half qian), Xionghuang (Realgar, 雄黄) (one qian), Fenshuang (Arsenicum Album, 粉霜) (half qian).
Grind the above into powder. Take one zi or half qian each time, adjusted according to the child's size, administered with honey water.
Xijiao San (Rhinoceros Horn Powder) from *Shenghui Fang* treats infantile frightful crying.
Xijiao (Rhinocerotis Cornu, 犀角屑), Gouteng (Uncariae Ramulus cum Uncis, 钩藤), Shengma (Cimicifugae Rhizoma, 升麻), Huangqin (Scutellariae Radix, 黄芩), Gancao (Glycyrrhizae Radix et Rhizoma, 甘草) (roasted. Each one fen), Renshen (Ginseng Radix et Rhizoma, 人参) (three fen).
Chop the above. Take one qian each time, add one cup of water, boil down to half a cup, and administer according to the child's condition.
Lingyangjiao San (Antelope Horn Powder)
Lingyangjiao (Saiga Tataricae Cornu, 羚羊角屑), Huangqin (Scutellariae Radix, 黄芩), Xijiao (Rhinocerotis Cornu, 犀角屑), Gancao (Glycyrrhizae Radix et Rhizoma, 甘草) (roasted), Fushen (Poria, 茯神) (each one fen), Maimendong (Ophiopogonis Radix, 麦门冬) (half liang).
Crush the above herbs, sieve them into powder. Take one qian each time, add a small cup of water, boil down to half a cup, remove the dregs, and administer in divided doses reduced according to the child's age.
Longchi San (Dragon Tooth Powder) treats infantile frightful crying accompanied by vexatious heat and restless sleep.
Longchi (Dentis Fosilia Mastodontis, 龙齿), Maimendong (Ophiopogonis Radix, 麦门冬) (each half liang), Baishao (Paeoniae Radix Alba, 白芍药), Chuan Shengma (Cimicifugae Rhizoma, 川升麻), Chuan Dahuang (Rhei Radix et Rhizoma, 川大黄) (fried), Gancao (Glycyrrhizae Radix et Rhizoma, 甘草) (roasted. Each one fen).
Chop the above herbs. Take one qian each time, add a small cup of water, boil down to half a cup, remove the residue, take warm, and adjust the dose according to the child's age.
Baiziren San (Biota Seed Powder) treats infantile frightful crying, with symptoms resembling being pierced by an object. (Also treats [missing character] crying).
Baiziren (Biotae Semen, 柏子仁) (one liang, crushed, finely sieved into powder).
For the above herb, infants aged one to two years take one zi each time, mixed with rice drink; children aged three to four years take half qian each time, three to four times a day, adjusting according to the child's size.
To treat the five evils in children, frightful crying and sadness. Lingli Jia (Manis Squama, 鲮鲤甲), burned to ash, mixed with wine or water, take one cun bi (a measure for powder). (From *Bencao*).
*Xianren Shuijian* states: After birth, infants often have frightful crying with choked sounds. Quack doctors call this "qi urgency," which is a fatal error. One should use this formula.
Collect the flowers of Huangkui (Abelmoschi Moschatus, 黄葵) in April, dry them in the shade, crush into powder, add Mayac (Natrii Chloridum Crystallisatum, 马牙 - likely referring to Natrii Chloridum or similar mineral salt in context), add four parts of Huanglian (Coptidis Rhizoma, 黄连) plus Huangbai (Phellodendri Cortex, 黄柏). This divine formula of four ingredients has unmatched power.
Mix the above with cold water, take one zi to one qian, and effect will be immediate upon ingestion.
*Yingru* records a formula for treating infants who suddenly cry in fright during night sleep, do not recognize their mother, and shake their heads when called by her.
When infants suddenly cry in fright and do not recognize their mother, it is because they dreamt that their mother abandoned them, believing she truly left, hence crying to find her. Simply have someone hold the child sitting in the dark, and let the mother come in from outside holding a large torch and calling him; the crying will stop. The reason for this is that the mother has left but returned. This method is unknown to the world. *Yinju Xiaofang*.
Another method: Write the characters "Tianxin" (Heavenly Heart) on the fontanelle, and write "Niwan" (Elixir Field) on the Dantian.