〔演山〕凡产牙儿,三朝、五日、六晨、一腊,忽然鼻塞,吻乳不能,开口呼吸
者,多是乳母安睡之时,不知持上儿子,鼻中出息,吹着儿囟,或以水浴洗,用水
温冷,不避风邪,所以致儿鼻塞。宜与通关膏敷之,消风散服之。或有惊悸作热,
杜薄荷散与服。通关膏用白僵蚕、猪牙皂角、荆芥、香附子、川芎、细辛等分为末,
葱白同研,敷囟至妙。
消风散 治胎热胎寒,兼治诸风上攻头目昏痛,项背拘急肢疼,目眩旋晕,鼻塞多
嚏,皮肤顽麻,痒疮瘾疹,小儿虚风。
茯苓 川芎 羌活 荆芥穗 防风(去芦) 藿香 僵蚕(炒) 蝉蜕(去嘴爪) 甘草(炙) 浓
朴(制) 陈皮(去白。各等分)
上为末。每服五分,茶清调下,薄荷汤亦可。急慢惊风,乳香、荆芥汤调下。
或加雄黄,名雄风散。
薄荷汤 治鼻塞不通及夹惊伤寒,极热变蒸。
薄荷叶(五钱) 羌活 全蝎 麻黄(去节) 甘草 僵蚕(炒。各一钱) 天竺黄 白附子(各二钱半,煨)
上为末。薄荷汤调下。热极生风加竹沥少许。一方,有柴胡、台芎、桔梗、茯
苓,无全蝎、僵蚕、天竺、白附。
〔张涣〕辛夷膏
辛夷叶(一两,洗焙干) 细辛 木通 香白芷 木香(各半两)
以上捣,罗为细末。次用
杏仁(一分,汤浸,去皮尖研)
上件,用羊髓、猪脂各二两,同诸药相和,于石器中慢火熬成膏赤黄色,放
冷,入龙脑、麝香各一钱,拌匀,每用少许涂鼻中。若乳下婴儿,奶母吹着儿
囟鼻塞者,只涂囟上。
《张鸡峰方》治囟开不合,鼻塞不通。
上,以天南星大者一枚,微炮为末。以淡醋调涂绯帛上,以贴囟上。炙热手,频熨之。
庄氏治小儿鼻塞方
上,以槐叶为末,用乳母唾调,浓涂囟上。
〔吉氏〕葱涎膏 治儿生三五日,鼻塞气急,饮乳之时啼叫不止。
葱叶 猪牙皂角(为末,去皮。各七条)
上,烂研,同皂角末成膏。贴囟门上,瘥。
【演山】凡是初生的婴儿,在出生后第三日、第五日、第六天或满月时,突然鼻塞,吮乳困难,只能张口呼吸的,大多是因为乳母安睡时,不知道托举着孩子,让鼻子呼出的气息吹到了孩子的囟门;或者是用水给孩子洗澡,水温冷热不均,没有避开风邪,从而导致孩子鼻塞。适宜使用通关膏外敷,内服消风散。如果有惊悸发热症状,服用杜薄荷散。通关膏由白僵蚕、猪牙皂角、荆芥、香附子、川芎、细辛等量研成粉末,加入葱白一同研磨,敷于囟门效果极佳。
消风散:治疗胎热胎寒,兼治各种风邪上攻导致的头目昏痛、项背拘急肢体疼痛、目眩头晕、鼻塞多喷嚏、皮肤顽麻、瘙痒疮疡瘾疹以及小儿虚风。
药物组成:茯苓、川芎、羌活、荆芥穗、防风(去芦头)、藿香、僵蚕(炒制)、蝉蜕(去嘴爪)、甘草(炙)、浓朴(炮制)、陈皮(去白瓤)。以上各药等分。
用法:将上述药物研为细末。每次服用五分,用茶清调服,也可用薄荷汤调服。若是急慢惊风,用乳香、荆芥汤调服。或者加入雄黄,名为雄风散。
薄荷汤:治疗鼻塞不通以及夹惊伤寒、极热变蒸。
药物组成:薄荷叶(五钱)、羌活、全蝎、麻黄(去节)、甘草、僵蚕(炒制)。以上各一钱;天竺黄、白附子(煨制)。以上各二钱半。
用法:将上述药物研为细末。用薄荷汤调服。若热极生风,加少许竹沥。另一配方中,含有柴胡、台芎、桔梗、茯苓,不含全蝎、僵蚕、天竺黄、白附子。
【张涣】辛夷膏
药物组成:辛夷叶(一两,洗净焙干)、细辛、木通、香白芷、木香。以上各半两。
制法:以上药物捣碎,过筛成细末。另外取杏仁(一分,热水浸泡,去皮尖后研磨)。将上述所有药物与羊髓、猪脂各二两混合,在石器中用慢火熬制成赤黄色膏状,放冷后,加入龙脑、麝香各一钱,拌匀。每次取少量涂抹于鼻中。如果是哺乳期婴儿因乳母气息吹到囟门导致鼻塞的,只需涂抹在囟门上。
《张鸡峰方》治疗囟门开合不合、鼻塞不通。
药物:选用大个的天南星一枚,微炮制后研成粉末。用淡醋调和涂在红帛上,贴在囟门上。用手掌加热后,频繁熨烫。
庄氏治疗小儿鼻塞方
药物:槐叶研成粉末,用乳母的唾液调和,浓稠地涂抹在囟门上。
【吉氏】葱涎膏:治疗婴儿出生三至五日,鼻塞气急,吃奶时啼哭不止。
药物组成:葱叶、猪牙皂角(研成粉末,去皮)。以上各七条。
制法:将上述药物烂研,与皂角末混合成膏。贴敷于囟门上,病愈。
[Yanshan] For newborn infants, if nasal congestion suddenly occurs on the third day, fifth day, sixth day, or at one month of age, making breastfeeding difficult and requiring mouth breathing, it is mostly due to the wet nurse sleeping soundly without supporting the infant's head, causing her exhaled breath to blow onto the infant's fontanelle; or due to bathing with water of uneven temperature, failing to avoid wind-cold pathogens, thereby causing nasal congestion. It is advisable to apply Tongguan Ointment externally and administer Xiaofeng San internally. If there are symptoms of palpitations and fever, Du Bohe San should be administered. Tongguan Ointment consists of equal parts of Bai Jiangcan (Bombyx Batryticatus), Zhuya Zaojiao (Gleditsia Sinensis Fruit), Jingjie (Schizonepetae Herba), Xiangfuzi (Cyperi Rhizoma), Chuanxiong (Ligusticum Chuanxiong Rhizoma), and Xixin (Asari Radix et Rhizoma) ground into powder, mixed with scallion white and applied to the fontanelle for excellent results.
Xiaofeng San: Treats fetal heat and fetal cold, and also addresses various wind pathogens attacking the head and eyes causing dizziness and pain, stiffness and pain in the neck and back, vertigo, nasal congestion with frequent sneezing, skin numbness, pruritic sores, urticaria, and pediatric deficient wind.
Ingredients: Fuling (Poria), Chuanxiong (Ligusticum Chuanxiong Rhizoma), Qianghuo (Notopterygii Rhizoma et Radix), Jingjie Sui (Schizonepetae Spica), Fangfeng (Saposhnikoviae Radix [deprived of radix]), Huoxiang (Agastaches Herba), Jiangcan (Bombyx Batryticatus [stir-fried]), Chantui (Cicadae Periostracum [deprived of mouthparts and claws]), Gancao (Glycyrrhizae Radix et Rhizoma [roasted]), Nongpo (Magnoliae Officinalis Cortex [processed]), Chenpi (Citri Reticulatae Pericarpium [deprived of albedo]). All ingredients in equal proportions.
Usage: Grind the above ingredients into fine powder. Take 5 fen each time, mixed with tea liquor, or alternatively with Bohe Tang. For acute or chronic convulsions, mix with Ruxiang (Olibanum) and Jingjie decoction. Alternatively, add Xionghuang (Realgar), named Xiongfeng San.
Bohe Tang: Treats nasal obstruction, as well as cold damage complicated by fright and extreme heat transformation fevers.
Ingredients: Bohe Ye (Menthae Haplocalycis Herba) (5 qian), Qianghuo (Notopterygii Rhizoma et Radix), Quanxie (Scorpio), Mahuang (Ephedrae Herba [deprived of nodes]), Gancao (Glycyrrhizae Radix et Rhizoma), Jiangcan (Bombyx Batryticatus [stir-fried]). Each 1 qian; Tianzhu Huang (Calamusi Folium), Baifuzi (Aconiti Kusnezoffii Rhizoma [roasted]). Each 2.5 qian.
Usage: Grind the above ingredients into fine powder. Mix with Bohe Tang. If extreme heat generates wind, add a small amount of Zhuli (Bambusae Sap). Another prescription contains Chaihu (Bupleuri Radix), Taixiong (Chuanxiong Rhizoma), Jiegeng (Platycodonis Radix), Fuling (Poria), but excludes Quanxie (Scorpio), Jiangcan (Bombyx Batryticatus), Tianzhu Huang (Calamusi Folium), and Baifuzi (Aconiti Kusnezoffii Rhizoma).
[Zhang Huan] Xinyi Gao
Ingredients: Xinyi Ye (Magnoliae Flos [washed and dried]) (1 liang), Xixin (Asari Radix et Rhizoma), Mutong (Akebiae Caulis), Xiang Baizhi (Angelicae Dahuricae Radix), Muxiang (Aucklandiae Radix). Each half liang.
Preparation: Crush the above ingredients and sift into fine powder. Separately, take Xingren (Prunus Armeniacae Semen [soaked in hot water, peeled and crushed]). Combine all ingredients with Yang Sui (Ovis Medulla) and Zhu Zhi (Suis Adeps) (each 2 liang). Slowly boil in a stone vessel until it becomes a reddish-yellow ointment. Allow to cool, then add Longnao (Borneolum Syntheticum) and Shexiang (Moschus) (each 1 qian), mix well. Apply a small amount into the nose each time. For nursing infants with nasal congestion caused by the wet nurse's breath blowing on the fontanelle, apply only to the fontanelle.
"Zhang Jifeng Fang" treats open fontanelles that fail to close and nasal obstruction.
Ingredient: Select one large Tiannanxing (Arisaematis Rhizoma), slightly roasted and ground into powder. Mix with light vinegar, apply to red silk, and paste onto the fontanelle. Heat with hands and frequently moxa/iron over the area.
Zhuang Shi's prescription for pediatric nasal congestion
Ingredient: Huaiye (Sophorae Flavescentis Folium) ground into powder. Mix with the wet nurse's saliva, apply thickly to the fontanelle.
[Ji Shi] Congxian Gao: Treats infants aged three to five days with nasal congestion, rapid breathing, and incessant crying during feeding.
Ingredients: Congye (Allii Fistulosi Folium), Zhuya Zaojiao (Gleditsia Sinensis Fruit [ground into powder, peeled]). Seven stalks of each.
Preparation: Mash thoroughly and mix with the Zaojiao powder to form an ointment. Apply to the anterior fontanelle until cured.