儿生一二日,大小便不通,腹胀满而欲绝,此胎毒之气郁闭所致。急令妇人温水漱口,吸儿前后心、脐下
及手足心,共七处,各吸五七口,赤红色为度。气散而自通,不然救亦无用。服余家小黑丸及葱白散。葱白四
寸,人乳内同捣如泥,敷入儿口,与乳,使吐后用当归散。
当归散
当归(八分) 木通(六分) 连翘(五分) 滑石(六分) 甘草梢(三分)
水一钟煎,不时服。
小黑丸
木香(一两五分) 丁香(七钱五分) 肉蔻(曲包煨,十个) 杏仁(去皮尖,百二十粒) 百草霜(一两)
巴霜前药每一两加巴霜一钱,丸法用法与小红丸同。
儿生下体青白无血色,日夜啼不止,体仰而 ,腹满不乳,大便青白,是在胎为风冷所伤而然。时时吐 ,或
腹中如鸡子黄,接之如小鸡声而后出,若不急治则成痫,宜用余家小黑丸及养脏汤。
养脏汤
白术(八分) 芍药(六分) 茯神(七分) 川芎(五分) 藿香(六分) 甘草(四分) 木香(三分)
钩藤(三分) 泽泻 肉豆蔻(各七分)
水一钟,姜三片,煎服。
风邪感于腠理,先入于肺,肺主皮毛,其身日夜发热无汗,鼻塞气粗,不恶寒而恶风,当风乃憎寒,呵欠烦闷,
口中气热,当表散,宜加减芎苏饮。
芎苏饮
黄芩 柴胡 紫苏 前胡 枳壳 半夏 桔梗 防风 山楂 茯苓 陈皮 甘草 干葛
头痛加川芎或白芷;偏身及肢节痛加羌活;夹食去枳壳加青皮、枳实或苍术;四五日热不退加麻黄,服麻黄又
不退,热入里也,去紫苏、枳壳、防风,加枳实、竹叶、石膏,用余家小红丸下之。
有痰,前饮内加贝母、天花粉或胆星;热稍退而嗽,前饮内去紫苏、防风,加桑白皮、杏仁或贝母,先当用小
红丸下之;嗽不转者,热郁在肺,而气不得宣通,加麻黄、石膏;嗽甚见血,加山栀、石膏;嗽久虽无血,亦加
山栀;略有余热,前饮内去紫苏、柴胡、防风,加石膏。
儿百日内身热,当用脱甲散,四五日不止用小红丸。
脱甲散
银柴胡 龙胆草 知母 麻根(各三钱)
川芎 当归(各二钱) 茯苓 人参(各一钱) 甘草(一钱) 葱白头(一个)
煎服。
婴儿出生一两天后,大小便不通畅,腹部胀满几乎要断气,这是胎毒之气郁结闭塞所致。立即让妇女用温水漱口,吸吮婴儿的前胸、后背、肚脐下以及双手足心,共七处穴位或部位,每处吸五到七口,直到皮肤呈现赤红色为止。气机散开后大便自然通畅,如果不这样做,即使救治也无济于事。随后服用我家的“小黑丸”及“葱白散”。取葱白四寸长,与人乳一起捣烂如泥状,敷在婴儿口中,喂以乳汁,待其呕吐后再服用当归散。
当归散
当归(八分) 木通(六分) 连翘(五分) 滑石(六分) 甘草梢(三分)
用水一钟煎煮,随时服用。
小黑丸
木香(一两五分) 丁香(七钱五分) 肉豆蔻(用曲包裹煨熟,十个) 杏仁(去皮尖,一百二十粒) 百草霜(一两)
巴豆霜:在前药每一两中加入巴豆霜一钱。丸剂的制作方法和用法与“小红丸”相同。
婴儿出生后身体青白无血色,日夜啼哭不止,身体向后仰挺,腹部胀满拒食,大便呈青白色,这是在母胎内受到风冷邪气伤害所致。时常呕吐,或者腹中排出物像鸡蛋黄一样,接住时发出像小鸡叫的声音然后排出,如果不紧急治疗则会发展成痫证,适宜使用我家的“小黑丸”及“养脏汤”。
养脏汤
白术(八分) 芍药(六分) 茯神(七分) 川芎(五分) 藿香(六分) 甘草(四分) 木香(三分)
钩藤(三分) 泽泻 肉豆蔻(各七分)
用水一钟,生姜三片,煎服。
风邪侵袭腠理(皮肤纹理),先侵入肺脏,肺主皮毛,导致身体日夜发热且无汗,鼻塞呼吸粗重,不恶寒但恶风,对着风则憎恨寒冷,打哈欠并感到烦闷,口中气息热,应当采用解表发散的方法,适宜使用加减芎苏饮。
芎苏饮
黄芩 柴胡 紫苏 前胡 枳壳 半夏 桔梗 防风 山楂 茯苓 陈皮 甘草 干葛
头痛者加川芎或白芷;半身及关节疼痛者加羌活;夹带食积者去掉枳壳,加入青皮、枳实或苍术;四五天后热势不退者加麻黄,如果服用麻黄后热仍不退,说明热邪已入里,此时去掉紫苏、枳壳、防风,加入枳实、竹叶、石膏,并使用我家的“小红丸”攻下。
有痰者,在上述方剂中加入贝母、天花粉或胆南星;热势稍退而咳嗽者,在上述方剂中去掉紫苏、防风,加入桑白皮、杏仁或贝母,先用“小红丸”攻下;咳嗽没有好转的,是热邪郁闭在肺,气机不得宣通,加入麻黄、石膏;咳嗽剧烈见血者,加入山栀、石膏;咳嗽日久即使无血,也加入山栀;若仅有余热,在上述方剂中去掉紫苏、柴胡、防风,加入石膏。
婴儿百日内身体发热,应当使用脱甲散,如果四五天不止则用“小红丸”。
脱甲散
银柴胡 龙胆草 知母 麻根(各三钱)
川芎 当归(各二钱) 茯苓 人参(各一钱) 甘草(一钱) 葱白头(一个)
煎服。
One or two days after birth, if the infant has no bowel movement or urination, and the abdomen is distended to the point of seeming lifeless, this is caused by the stagnation and closure of fetal toxin qi. Immediately instruct a woman to rinse her mouth with warm water, then suckle seven areas of the infant: the anterior chest, posterior back, below the umbilicus, and the palms and soles of both hands and feet. Suck each area five to seven times until the skin turns reddish. Once the qi dissipates, bowel movements will naturally resume; otherwise, rescue efforts are useless. Afterwards, administer the author's "Xiaohei Wan" (Little Black Pills) and "Congbai San" (Scallion White Powder). Take four cun of scallion white, pound it into a paste with human milk, apply it into the infant's mouth, feed with milk, induce vomiting, and then administer Danggui San.
Danggui San
Angelicae Sinensis Radix (8 fen), Akebiae Caulis (6 fen), Forsythiae Fructus (5 fen), Talcum (6 fen), Glycyrrhizae Radix et Rhizoma Caudex (3 fen).
Decoct in one zhong of water and take intermittently.
Xiaohei Wan
Aquariæ Lignum (1 liang 5 fen), Caryophylli Flos (7 qian 5 fen), Myristicae Semen wrapped in Qu and roasted (10 grains), Armeniacae Semen Amarum peeled and tip removed (120 grains), Carbonis Herbae (1 liang).
Add Crotonis Semen Extractum (Bashuang) 1 qian for every 1 liang of the above herbs. The method of making pills and administration are the same as those of "Xiaohong Wan".
If the newborn's body is cyanotic and pale without blood color, crying incessantly day and night, arching the back, with abdominal distension and refusal to nurse, and stool that is greenish-white, this results from injury by wind-cold while in the womb. Frequent vomiting occurs, or discharge resembling egg yolk appears in the abdomen, which makes a sound like a chick when caught. If not treated urgently, it may develop into epilepsy. It is suitable to use the author's "Xiaohei Wan" and "Yangzang Tang".
Yangzang Tang
Atractylodis Macrocephalae Rhizoma (8 fen), Paeoniae Radix Alba (6 fen), Poria (7 fen), Chuanxiong Rhizoma (5 fen), Agastachis Herba (6 fen), Glycyrrhizae Radix et Rhizoma (4 fen), Aquariæ Lignum (3 fen), Uncariae Ramulus cum Uncis (3 fen), Alismatis Rhizoma, Myristicae Semen (each 7 fen).
Decoct in one zhong of water with three slices of ginger and take orally.
Wind pathogen invades the couli (interstices of skin and hair), first entering the Lung. Since the Lung governs the skin and hair, the body suffers from fever day and night without sweat, nasal congestion, coarse breathing, aversion to wind rather than cold, chills when exposed to wind, yawning, restlessness, and hot breath in the mouth. It should be treated with exterior-dispersing methods, using Jiajian Xiongsu Yin.
Xiongsu Yin
Scutellariae Radix, Bupleuri Radix, Perillae Folium, Peucedani Radix, Aurantii Fructus Immaturus, Pinelliae Rhizoma Preparatum, Platycodonis Radix, Saposhnikoviae Radix, Crataegi Fructus, Poria, Citri Reticulatae Pericarpium, Glycyrrhizae Radix et Rhizoma, Puerariae Radix.
For headache, add Chuanxiong Rhizoma or Angelicae Dahuricae Radix; for pain in half the body and joints, add Notopterygii Rhizoma et Radix; for food retention, remove Aurantii Fructus Immaturus and add Citri Reticulatae Pericarpium Viride, Aurantii Fructus Immaturus, or Atractylodis Rhizoma; if fever persists after four to five days, add Ephedrae Herba. If fever persists after taking Ephedrae Herba, the heat has entered the interior; remove Perillae Folium, Aurantii Fructus Immaturus, and Saposhnikoviae Radix, add Aurantii Fructus Immaturus, Bambusa Leaves, and Gypsum Fibrosum, and use the author's "Xiaohong Wan" to purge.
For phlegm, add Fritillariae Bulbus, Trichosanthis Radix, or Arisaematis Cum Bile Preparata to the previous decoction; if heat subsides slightly but cough remains, remove Perillae Folium and Saposhnikoviae Radix, add Morus Cortex, Armeniacae Semen Amarum, or Fritillariae Bulbus, and first use "Xiaohong Wan" to purge; if cough does not improve, heat is stagnant in the Lung and qi cannot circulate freely; add Ephedrae Herba and Gypsum Fibrosum; for severe cough with blood, add Gardeniae Fructus and Gypsum Fibrosum; for chronic cough even without blood, also add Gardeniae Fructus; for slight residual heat, remove Perillae Folium, Bupleuri Radix, and Saposhnikoviae Radix from the previous decoction, and add Gypsum Fibrosum.
For infants within one hundred days suffering from body heat, use Tuojia San; if it lasts four to five days, use "Xiaohong Wan".
Tuojia San
Stellariae Radix (Yin Chaihu), Gentianae Radix, Anemarrhenae Rhizoma, Cannabis Root (each 3 qian).
Chuanxiong Rhizoma, Angelicae Sinensis Radix (each 2 qian), Poria, Ginseng Radix (each 1 qian), Glycyrrhizae Radix et Rhizoma (1 qian), Scallion White Head (one).
Decoct and take orally.