《千金》论云∶小儿宜用父故絮,女用母故絮为衣,勿用新绵及过浓,令壮热生
疮,发痫。又令筋骨缓弱。宜时见风日为佳。
乳者,奶也。哺者,食也。乳后不得便与食,哺后不得便与乳。小儿脾胃弱,
乳食相并,难以克化。周岁以上,必成乳癖、食癖,作热作疼,疳病从此始。丹溪
曰∶小儿肠胃薄窄,一切酸咸甜辣、鱼肉水果,湿面煎炒,俱是发热难化之物,皆
宜禁绝。只与熟菜白粥。非唯无病,且不纵口,可以养德。妇人无知,唯务姑息。
畏其啼哭,无所不与。积成痼疾,虽悔何及。乳母尤宜谨节。饮食下咽,乳汁便通。
情欲中动,乳脉便应。儿得此乳,疾病立至。不吐则泻,不疮则热。惊搐夜啼,口
糜腹痛诸疾,所由来矣。病之初来,其溺必少,便须询问,随证治母,可消患于未
形也。乳母亦不宜用狐臭、瘿 、喘嗽、疥癣、头疮、聋哑、 鼻、痫证之人。
《肘后》云∶儿生三日,宜助谷神。碎米作饮如乳,与儿大豆许,令咽之。频与三豆许。三七日可哺。
《千金》云∶儿哺早,不胜谷气,令头面体生疮,愈而复发, 羸难养。一月后,
虽哺勿多。不嗜食,勿强与之。宝鉴云∶儿五十日,可哺如枣核。百日弹丸。早晚
二哺。莫当风解衣澡浴,及带哭而乳,冒冷而哺。又不可在神佛驴马畔及各房异户,皆令儿为病。
钱乙云∶惜儿过当,三两岁犹未饮食,致脾胃弱,一生多病。半年后,宜煎陈
米稀粥时与之。十月后,渐与稠粥助中气,自然易养少病。
《外台》崔氏∶初哺儿,用平定成日,丑、寅、辰、巳、酉日吉。男忌戊、己,女忌丙、丁日。
小儿四、五岁,当断乳而不肯断者,(宜画眉膏。)断后,肉食宜少少渐进,则无疳癖之患。
田氏曰∶大凡小儿过暖生热,热极生风。提抱生痈,喂饲生癖。盛夏浴后,勿
即乳儿,儿啼勿即与乳,令儿成胃毒,或秋成痢。浴后良久,身体燥,儿啼后,俟
气息平,方可乳。盛啼即乳,多令气逆成呃。
《千金》论曰∶乳儿勿过饱,饱则溢而吐。若乳来多猛,取出 后再乳,或先捏
去宿汁乳之。乳母欲寐,当以臂枕儿头与乳平。母欲睡熟,即夺其乳。恐其不知饱
足,亦成呕吐。父母交合,儿卧于侧,或惊起,勿与乳。盖气乱未定,亦能害儿。
《颅囟经》曰∶夏不去热乳,令儿呕吐。冬不去寒乳,令儿泻痢。侵早乳儿,皆
须捏去宿乳。乳汁勿投于地。虫蚁食之,令乳无汁。宜沃东壁上。
张涣曰∶乳母须每日三时摸儿项后风池。若壮热者,即须熨之,使微汗即愈。
(风池在头项筋两辕之边。)切不可妄针灸,亦不可辄吐下。盖针灸伤儿经络,吐下动儿脏腑也。
婴儿半岁,尻骨已成,乳母当教儿学坐。二百日外,掌骨成,教令地上匍匐。
三百日,膑骨成,教令独立。周岁,膝骨成,教令行步。此皆一定之法。世人惜儿,
怀抱过时,柔痿筋骨,为害非浅。
The *Qianjin Fang* (Essential Prescriptions Worth a Thousand Gold) discusses: Infants are suitable for wearing clothes made from the father's old cotton wadding, and daughters should use the mother's old cotton wadding. Do not use new cotton or overly thick clothing, as this may cause intense heat, sores, and even epilepsy. It may also lead to laxity and weakness of muscles and bones. It is best for infants to be exposed to wind and sunlight regularly.
"Ru" (Breast milk/Nursing) refers to milk; "Bu" (Complementary feeding/Solid food) refers to food. After nursing, one must not immediately give food; after giving food, one must not immediately nurse. Infants have weak spleen and stomach; if milk and food enter the body simultaneously, they are difficult to digest. After reaching one year of age, "Ru Pi" (Milk accumulation/patency due to milk stasis) and "Shi Pi" (Food accumulation/patency due to food stasis) will inevitably form, causing fever and pain, and "Gan disease" (Pediatric malnutrition syndrome) begins from here. Zhu Danxi said: Infants' intestines and stomachs are thin and narrow. All sour, salty, sweet, spicy foods, meat, fish, fruits, wet flour, fried, and roasted items are substances that easily generate heat and are hard to digest; all should be strictly prohibited. Only provide cooked vegetables and white rice porridge. This not only prevents illness but also prevents indulgence in taste, thereby cultivating virtue. Women who lack knowledge often indulge in excessive leniency. Fearing the infant's crying, they give everything. Over time, this accumulates into chronic diseases, and regret comes too late. The lactating mother especially should exercise caution and moderation in diet. Once food is swallowed, breast milk flows freely. When sexual desire arises, the breast meridians respond. If the infant receives such milk, disease arrives immediately. It results either in vomiting or diarrhea, either in sores or fever. Diseases such as convulsions, night crying, oral thrush, and abdominal pain originate from this. At the onset of illness, urine output is necessarily low; one must inquire carefully and treat the mother according to symptoms, eliminating the隐患 (hidden danger) before it manifests. Lactating mothers should not be chosen from those suffering from bromhidrosis (fox odor), goiter (Ying Liu), asthma/cough, scabies/tinea capitis, scalp sores, deafness/muteness, rhinorrhea (Bi Yuan), or epilepsy.
The *Zhou Hou Bei Ji Fang* (Handbook of Prescriptions for Emergencies) states: On the third day after birth, one should assist the "Gu Shen" (Grain Spirit, referring to Spleen/Stomach function). Grind rice into a drink resembling milk, give the infant an amount the size of a soybean to swallow. Repeat frequently with amounts the size of three beans. By twenty-one days (3x7), solid feeding can begin.
The *Qianjin Fang* states: Early introduction of complementary feeding overwhelms the infant's ability to handle "Gu Qi" (Grain Qi/Food energy), causing sores on the head, face, and body. These sores heal but recur, leading to emaciation and difficulty in nurturing. After one month, although feeding is permitted, do not overfeed. If the infant does not desire food, do not force it. The *Tong Ren Shu Xue Zhen Jiu Tu Jing* (Illustrated Manual of Acupoints) states: At fifty days, feed an amount the size of a date pit. At one hundred days, the size of a small ball. Feed twice daily, morning and evening. Do not undress and bathe in the wind, nor nurse while crying, nor feed when cold. Also, avoid locations near deities, Buddhas, donkeys, horses, or different rooms/households, as these can cause illness in the infant.
Qian Yi stated: Excessive doting leads to infants aged two or three still not eating, resulting in weak spleen and stomach and lifelong illness. After six months, boil old rice into thin porridge and offer it frequently. After ten months, gradually introduce thick porridge to support Middle Qi (Spleen/Stomach energy); naturally, the child becomes easier to raise and falls ill less.
Cui Shi, recorded in the *Wai Tai Mi Yao* (Important Essential Formulas Preserved by the Imperial Library): When first introducing complementary feeding, choose auspicious days: Chou, Yin, Chen, Si, and You days are favorable. Boys should avoid Wu and Ji days; girls should avoid Bing and Ding days.
When infants are four or five years old and refuse to wean, (use Huamei Gao/Plum Drawing Ointment to assist weaning). After weaning, meat should be introduced in very small amounts gradually, avoiding the risk of Gan and Pi syndromes.
Tian Shi said: Generally, infants overheated by excessive clothing develop internal heat; extreme heat generates Wind. Excessive carrying causes carbuncles; improper feeding causes food stagnation. After bathing in midsummer, do not nurse immediately. Do not nurse when the infant cries, as this may cause "Wei Du" (Stomach Toxicity) or dysentery in autumn. Wait until long after bathing when the body is dry, and after crying subsides and breathing stabilizes, then nurse. Nursing during intense crying often causes Qi rebellion and hiccups.
The *Qianjin Fang* discusses: Do not overfeed the infant; overfeeding causes overflow and vomiting. If milk flow is too vigorous, extract some first before nursing, or pinch out retained old milk before nursing. If the lactating mother feels sleepy, she should prop the infant's head with her arm to align with the breast. If the mother falls into deep sleep, remove the nipple. Otherwise, the infant may not realize satiety, leading to vomiting. During parental intercourse, if the infant is sleeping nearby or wakes up startled, do not nurse. The Qi is chaotic and unsettled, which can harm the infant.
The *Lun Xin Jing* (Classic of the Cranial Fontanelle) states: In summer, nursing without removing hot milk causes vomiting. In winter, nursing without removing cold milk causes diarrhea and dysentery. For early morning nursing, one must always pinch out retained old milk. Do not drip milk on the ground. If insects and ants consume it, the lactating mother will cease producing milk. It is appropriate to splash it on the eastern wall.
Zhang Huan stated: The lactating mother must massage the Fengchi acupoint behind the infant's neck three times daily. If there is intense heat, moxibustion/warming should be applied to induce slight sweating for recovery. (Fengchi is located at the sides of the tendons in the head and neck junction.) One must absolutely not perform random acupuncture or moxibustion, nor arbitrarily use emetics or purgatives. Acupuncture and moxibustion damage the meridians, while emetics and purgatives disturb the Zang-Fu organs.
At half a year of age, the sacral bone is formed; the lactating mother should teach the infant to sit. After two hundred days, the palmar bones are formed; teach crawling on the ground. At three hundred days, the patellar bones are formed; teach standing independently. At one year, the knee bones are formed; teach walking. These are fixed principles. People who dote on their children hold them too long, leading to soft and atrophied muscles and bones, causing significant harm.