(小儿针毫针。艾炷如小麦。或雀粪大。)
宝鉴曰。急慢惊风。灸前顶。若不愈。灸攒竹、人中各三壮。
武疑急惊属肝。慢惊属脾。宝鉴不分。灸前顶、攒竹。二穴俱太阳、督脉。未详其义。
小儿慢惊风。灸尺泽各七壮。初生小儿。脐风撮口。灸然谷三壮。或针三分不见血。立
效。
儿风痫。先曲手指如数物乃发也。灸鼻柱直发际宛宛中三壮。小儿惊痫。先惊怖啼叫乃发。
灸后顶上旋毛中三壮。及耳后青络脉。小儿癖气久不消。灸章门各七壮。脐后脊中灸二七壮
。小儿胁下满。泻痢体重。四肢不收。 癖积聚。腹痛不嗜食。痰疟寒热。又治腹胀引背。
食饮多。渐渐黄瘦。灸十一椎下两旁相去各一寸五分七壮。小儿黄胆。灸三壮。小儿疳瘦脱
肛。体瘦渴饮。形容瘦瘁。诸方不瘥。灸尾翠骨上三寸陷中三壮。兼三伏内用杨汤水浴之。
正午时灸。自灸之后。用帛子拭。见有疳虫随汗出。此法神效。小儿身羸瘦。贲豚腹胀。四
肢懈惰。肩背不举。灸章门。小儿吐乳汁。灸中庭一壮。小儿脱肛泻血。秋深不效。灸龟尾
一壮。脱肛灸脐中三壮。千金云。随年壮。脱肛久不瘥。及风痫中风。角弓反张。多哭。语
言不择。发无时节。盛则吐涎沫。灸百会七壮。
(无病而先针灸曰逆。逆、未至而迎之也。)
小儿新生无疾。不可逆针灸之。如逆针灸。则忍痛动其五脏。因喜成痫。河洛关中土地
多寒
北灸之。多害小儿也。所以田舍小儿。任其自然。得无夭横也。
(小儿针刺使用毫针。艾炷的大小如同小麦粒,或者像麻雀蛋那么大。)
《针灸宝鉴》说:治疗急惊风和慢惊风,灸前顶穴。如果不见效,再灸攒竹穴和人中穴,各灸三壮。
我(高武)怀疑急惊风属于肝经病变,慢惊风属于脾经病变。《针灸宝鉴》没有区分这一点,只提到灸前顶和攒竹穴。这两个穴位分别属于足太阳膀胱经和督脉,我不清楚这样施灸的具体道理。
对于小儿慢惊风,灸尺泽穴,每侧七壮。刚出生的婴儿患脐风撮口(新生儿破伤风引起的牙关紧闭),灸然谷穴三壮。或者针刺三分深,不出血,立刻见效。
儿童风痫发作前,手指会先弯曲像是在数东西一样。灸鼻柱正对发际线凹陷处三壮。小儿惊痫发作前先惊恐啼叫。灸头顶旋毛中心三壮,以及耳后的青色络脉。小儿癖气(腹部积块)长久不消散,灸章门穴,每侧七壮。灸肚脐后方脊柱正中,十四壮。小儿胁下胀满,腹泻痢疾,身体沉重,四肢无力收持,腹内积聚,腹痛不想吃东西,痰疟寒热往来,又治疗腹胀牵引背部疼痛,饮食增多但逐渐消瘦发黄,灸第十一椎骨下方两侧,距离中线各一寸五分处,每侧七壮。小儿黄疸,灸三壮。小儿疳积消瘦、脱肛,身体瘦弱口渴饮水,面容憔悴,各种方药都不见效,灸尾骶骨上方三寸的凹陷处三壮。同时在三伏天用杨树枝煮的水洗澡。在正午时施灸。自灸之后,用布擦拭,可见有疳虫随着汗水排出。此法神效。小儿身体羸弱消瘦,奔豚气腹胀,四肢懈怠懒惰,肩背不能抬起,灸章门穴。小儿呕吐乳汁,灸中庭穴一壮。小儿脱肛泻血,深秋时节效果不好,灸龟尾穴一壮。脱肛灸肚脐中三壮。《千金方》说:根据患儿年龄决定壮数(随年壮)。脱肛日久不愈,以及风痫、中风,角弓反张,多哭,言语错乱不分对象,发作没有定时,发作严重时吐涎沫,灸百会穴七壮。
(无病而预先进行针灸称为“逆”。逆,就是疾病尚未到来就提前迎击它。)
新生儿如果没有疾病,不可预先进行针灸。如果预先针灸,就会使五脏忍受痛苦并受扰动,因此容易形成癫痫。河洛地区和关中土地大多寒冷,在那里施灸,对小儿多有危害。所以乡野间的儿童,听任其自然生长,得以避免夭折横死。
(For children, acupuncture uses filiform needles. Moxa cones should be the size of a wheat grain or a sparrow's egg.)
*Zhenjiu Baojian* (Treasure Mirror of Acupuncture and Moxibustion) states: For acute and chronic convulsive disorders (Ji Man Jing Feng), moxibustion is applied to Qian Ding (GV20). If there is no improvement, San Zhu (BL2) and Ren Zhong (GV26) are moxibusted, three moxa cones each.
I (Gao Wu) suspect that acute convulsion belongs to the Liver system, while chronic convulsion belongs to the Spleen system. *Baojian* does not distinguish between them, merely mentioning moxibustion on Qian Ding and Can Zhu. These two acupoints belong to the Foot-Taiyang Bladder Meridian and the Du Vessel (Governor Vessel), respectively; the rationale for this is unclear to me.
For pediatric chronic convulsive disorder, Chi Ze (LU5) is moxibusted, seven cones on each side. For newborns suffering from umbilical wind with mouth contraction (Neonatal Tetanus), Ran Gu (KI2) is moxibusted with three cones. Alternatively, needle insertion to a depth of 0.3 cun without bleeding yields immediate effect.
Pediatric wind epilepsy manifests first with fingers curling as if counting objects. Moxibustion is applied to the depression in the midline of the nasal bridge directly at the hairline, three cones. Pediatric convulsive epilepsy manifests first with fright and crying. Moxibustion is applied to the center of the hair whorl on the vertex, three cones, and also to the blue collateral vessels behind the ears. For pediatric pi qi (abdominal masses) that persist for a long time, Zhang Men (LR13) is moxibusted, seven cones on each side. The midpoint of the spine posterior to the umbilicus is moxibusted with fourteen cones. For pediatric hypochondriac fullness, dysentery, heavy body, limbs unable to hold themselves, abdominal accumulations, abdominal pain with loss of appetite, phlegm-malaria with alternating chills and fever, and also for abdominal distension radiating to the back, increased food intake but gradual emaciation and yellowing, moxibustion is applied to both sides of the lower aspect of the eleventh thoracic vertebra, one inch and five fen from the midline, seven cones on each side. For pediatric jaundice, three cones are used. For pediatric gan syndrome with emaciation and rectal prolapse, characterized by thin body, thirst with drinking, haggard appearance, and failure of various prescriptions, moxibustion is applied to the depression three cun above the coccygeal tip, three cones. Additionally, bathing in water boiled with poplar branches during the "Sanfu" (dog days) period is recommended. Moxibustion is performed at noon. After self-moxibustion, wiping with cloth reveals giardia-like parasites excreted with sweat. This method is miraculous. For pediatric emaciation, ben tun (fleeing gas) with abdominal distension, laxity of limbs, inability to lift shoulders and back, Zhang Men (LR13) is moxibusted. For pediatric vomiting of milk, Zhong Ting (CV17) is moxibusted with one cone. For pediatric rectal prolapse with bloody stool, where late autumn treatment is ineffective, Gui Wei (GV1) is moxibusted with one cone. For rectal prolapse, Qi Zhong (CV8) is moxibusted with three cones. *Qianjin Fang* states: use the number of cones corresponding to the child's age (Sui Nian Zhuang). For chronic rectal prolapse that does not heal, as well as wind epilepsy, stroke, opisthotonos, excessive crying, inappropriate speech, irregular onset, and profuse salivation during severe attacks, Bai Hui (GV20) is moxibusted with seven cones.
(Performing acupuncture or moxibustion before illness occurs is called "Ni" (Reversal/Preemptive). "Ni" means anticipating and intercepting what has not yet arrived.)
Newborns without disease should not undergo preemptive acupuncture or moxibustion. If done so, it causes the five zang organs to endure pain and disturbance, thereby predisposing them to epilepsy. The regions of Heluo and Guanzhong have cold land and climate; moxibustion there harms children. Therefore, rural children are allowed to grow naturally, avoiding premature death and accidental injury.