《千金》论曰∶小儿二百四十日,掌骨成,母当教以匍匐。一周满,母当扶以行步。此
皆则法。若或暖衣重围,不见风日,不着地气,致令筋骨软弱,数岁不能行者有之。今观田舍
小儿则反是,所以见风日得土气,筋力常健,岂贵贱之理有异哉?明乎此,则保婴之道得矣。
乳哺之法不可不慎。小儿脾胃怯弱,乳食易伤,初得作呕泻,久则成积癖。乳母饮食,
乳汁便通,儿食其乳,所感立应。母食热则乳热,母食寒则乳寒。夏食热乳则致吐逆,冬食寒
乳则致嗽利。母不欲怒,怒则气上为狂。母不欲醉,醉则身热腹痛。怀孕乳儿致令黄瘦腹大
脚软,名曰 病。大都乳哺不可大过,谚云∶小儿常病伤于饱也。又曰∶忍三分饥,吃七分饱,
亦至论也。
方书皆云∶小儿一出腹啼声未发之时,急用绵裹指拭去口内恶汁,固是良法。而仓猝之际
或有不及者,故有黄连、甘草、朱、蜜等法,用之殊佳。东垣云∶只须淡豆豉一味煎汤,与三
五口,其毒自下,又能助胃气也,尤妙。
凡乳母禀赋之浓薄,性情之缓急,德行之善恶,儿食其乳,能速肖之,此其关系非
为小故。殊不知渐染既
久,识性皆同,犹接木之造化也,故不可不择。
《颅囟经》曰∶囟门未合,筋骨柔弱。囟门青筋,肺虚不荣。囟门常坑,滑泻便便。囟门
突起,风疾不止。囟门久冷,吐利清清。囟门虚软,颠痫不免。囟门扁阙,暴泄易脱。囟门 长,
风作必亡。囟门连额,惊痫易得。囟门未完,怕热怯寒。囟门缓收,胎气不周。囟门动数,
神昏气弱。囟门宽大,多疾受害。颅囟者,精神之门户也,开窍之橐 也。上下相贯,百会
相通,七窍应透,五脏所藉,泥丸之官,魂魄之穴。气实则阖,气虚则开,良由长大不可不合。
医师见之,当知可否,用药消息之。囟门宽大,受病深重,恐药难疗,不可不慎也。
The *Qianjin Fang* (Essential Prescriptions Worth a Thousand Gold) states: When an infant reaches two hundred and forty days of age, the metacarpal bones are formed, and the mother should teach the child to crawl. Upon completing one full year, the mother should support the child in learning to walk. These are methods following natural laws. If the child is clothed too warmly and wrapped tightly, deprived of exposure to wind and sunlight, and prevented from contacting the earth's qi, it may result in weak sinews and bones, with some children unable to walk even after several years. Observing rural children today reveals the opposite; because they are exposed to wind and sunlight and receive the qi of the soil, their sinews and strength are usually robust. Is this not due to differences in the principles of nobility and commonality? Understanding this, the way to protect infants is mastered.
The method of breastfeeding must be handled with caution. An infant's spleen and stomach are delicate, and milk/food is easily injured; initially manifesting as vomiting and diarrhea, prolonged injury leads to accumulation and masses. The diet of the wet nurse is transmitted through the breast milk; when the infant consumes it, the body's response is immediate. If the mother eats hot-natured food, the milk becomes hot; if she eats cold-natured food, the milk becomes cold. Drinking hot milk in summer causes vomiting and reflux; drinking cold milk in winter causes cough and diarrhea. The mother should not be angry, for anger causes qi to rise upward leading to mania. The mother should not be drunk, for drunkenness causes body heat and abdominal pain. Alcohol consumption during pregnancy or lactation can cause the child to become sallow and emaciated with a distended abdomen and weak legs, a condition named [missing character] disease. Generally, breastfeeding should not be excessive. As the proverb says: "Infants often suffer illness from overeating." It is also said: "Endure three parts hunger, eat until seven parts full," which is a supreme truth.
Medical texts state that when a newborn cries but has not yet fully vocalized, it is urgent to use cotton-wrapped fingers to wipe away the foul fluids in the mouth. This is indeed a good method. However, in hurried situations, one might not have time, so methods using Huanglian (Coptidis Rhizoma), Gancao (Licorice Root), Zhusha (Cinnabar), and honey are employed, yielding excellent results. Li Dongyuan stated: One only needs Dan Dou Chi (Fermented Soybean Decoction) as a single herb, boiled into soup, and given three to five mouthfuls; the toxicity will naturally descend, and it also assists stomach qi, which is particularly ingenious.
Whatever the wet nurse's constitution (rich or thin), temperament (slow or quick), and morality (good or evil), the infant who drinks her milk will quickly imitate these traits. The relationship here is significant. Unknowingly, after long-term contamination, the child's awareness and nature become identical to the mother's, similar to the transformation of grafting trees; therefore, selection is indispensable.
The *Lunxin Jing* (Classic of Cranial Fontanelles) states: If the fontanelle is not closed, the sinews and bones are soft. Blue veins visible at the fontanelle indicate Lung deficiency failing to nourish. A sunken fontanelle indicates slippery diarrhea and loose stools. A protruding fontanelle indicates unceasing wind disorders. A chronically cold fontanelle indicates clear vomiting and diarrhea. A flaccid fontanelle implies inevitable epilepsy. A flat or defective fontanelle indicates sudden diarrhea prone to collapse. A narrow and elongated fontanelle suggests death upon wind attack. A fontanelle extending to the forehead makes the child susceptible to fright and epilepsy. An incompletely closed fontanelle indicates fear of heat and aversion to cold. A slowly closing fontanelle indicates incomplete prenatal qi. Frequent pulsation of the fontanelle indicates mental confusion and weak qi. A wide fontanelle indicates susceptibility to severe illness. The cranial fontanelle is the gateway of spirit and the sac of apertures. It connects up and down, communicates with Baihui (GV20), allows the seven orifices to penetrate, relies on the five zang organs, houses the Niwang Palace, and serves as the cavity for hun and po souls. When qi is excess, it closes; when qi is deficient, it opens. Indeed, it must close as the child grows. Physicians observing this should discern feasibility and adjust medication accordingly. A wide fontanelle indicates deep-seated disease, where drugs may be difficult to cure; thus, caution is essential.