鳞体者。谓皮肤之上。如蛇皮鳞甲之状。故又名蛇体。此由气血痞涩。不能通润于皮肤矣。又生下便有者。
此儿在母腹形象未具之时。母曾观看或曾食吃或服药饵。有犯鳞甲网罟秽毒之物。儿胎中
感而化之，故又谓之胎复垢。谓生下体皮黑垢。若鳞者也。此必难治。
治小儿身上皮肤若蛇皮之鳞。 以白僵蚕去丝嘴为末。煎汤适温暖浴之。一云与蛇蜕同煎。
疵靥者。谓皮肤之上生赤色或黑色之点。大小不等。如滓粒之状。缘身犹可。若生面上。则多恶之。女子尤
甚。此由风邪搏于津液之气而作。又言因敷胡粉。皮肤虚而为粉气入于腠理化生。又有生下便有者。此由胎中形
象未具之时。母食杂有毒。感气而化。又有父母遗体所生者。此下二项。不可治也。
治小儿皮肤上生赤疵 以马尿洗之。日四五次。
又方 治小儿生赤黑疵。以针刺父脚中血。滴疵上。即消。又以狗热屎敷之。疵自卷落。
医书有云。宁医十男子。莫医一妇人。宁医十妇人。莫医一小儿。是小儿为医家最难也。其为业既难。而其
方书传于世者无几。扁鹊华佗。世不恒有。后之业小儿医者。将焉所持循哉。宁国通守朱公。一日与愚萃于公
所。出所藏小儿方书一部。且曰是书也。昔有人得之古冢中。以献津要，往往愈疾。有奇验。若职居子民。刊布
以济人。是亦仁爱之一端也。愚领阅之。未详作者何人。其分类着论。因论著方。既详且备。诚医家之宝鉴。
活幼之指南。世不可无者也。于是命工锓梓。以永其传。以溥其济。抑先哲有云。不为宰相。必为名医。以医之
功。足以济世故耳。然一医之所济有限。而是书流布。将济天下后世以及于无穷。朱公之功不浅矣。公名臣。字
时佐。世族济南。起家乡进士云。
弘治己酉孟秋之吉赐进士文林郎宣城知县前河南道监察御史济南李延寿书
Lin Ti (Snake-like Skin Condition) refers to the appearance of the skin resembling snake scales or fish scales. Hence, it is also called "She Ti" (Snake Body). This condition arises from Qi and Blood stagnation and obstruction, failing to circulate and moisten the skin. There are also cases present at birth: When the fetus was in the womb and its form was not yet fully developed, the mother may have viewed, consumed, or taken medicines involving foul and toxic substances related to scales, shells, nets, etc. The fetus, influenced by these external factors in utero, transforms accordingly. Thus, it is also termed "Tai Fu Gou" (Fetal Accumulation of Filth), meaning that after birth, the body skin is dark and dirty, resembling scales. This type is certainly difficult to treat.
To treat Lin Ti in children, where the skin resembles snake scales, use Bai Jiang Can (Bombyx Batryticatus, White Silkworm) with silk and mouthparts removed, ground into powder. Decoct in water and bathe the affected area while warm. Another method suggests decocting it together with She Tui (Ophichus Shedding, Snake Slough).
Ci Ye (Pigmented Spots) refers to red or black spots appearing on the skin, varying in size and resembling dregs or granules. If located on the body, they may be tolerated; however, if they appear on the face, they are often considered unsightly, especially distressing for women. This condition is caused by Wind pathogen clashing with the Qi of body fluids. It is also said to result from the application of Hu Fen (Lead Carbonate, Ancient Cosmetic Powder); when the skin is deficient, the powder Qi enters the Cou Li (interstices of skin and muscles) and transforms. There are also congenital cases, resulting from the mother consuming mixed toxic foods during fetal development, leading to transformation via qi influence. Additionally, there are cases inherited from parents' constitutions. The latter two categories are incurable.
To treat red Ci Ye on a child's skin, wash the area with Ma Niao (Equine Urine) four to five times daily.
Another prescription for treating red and black spots in children: Prick the blood vessel in the father's foot to draw blood, and drip it onto the spot; the spot will disappear. Alternatively, apply hot dog feces to the spot; it will naturally curl up and fall off.
Medical texts state: "Better to treat ten men than one woman; better to treat ten women than one child." This indicates that pediatrics is the most difficult field for physicians. Given the difficulty of this profession, few pediatric prescriptions have been transmitted to the world. Bian Que and Hua Tuo are rare figures in history. How should subsequent practitioners of pediatrics find their guidelines? Zhu Gong, Vice Prefect of Ningguo, once gathered with me in the official residence and presented a volume of pediatric prescriptions he had collected. He said, "This book was formerly obtained from an ancient tomb by someone who offered it to high-ranking officials in the capital. It often cured diseases with remarkable efficacy. As you hold a position governing the people, publishing and distributing this book to benefit others would be an expression of benevolence." I accepted and reviewed the book, though the author remains unknown. The text classifies conditions and discusses them, providing formulas accordingly. It is detailed and comprehensive, truly a precious mirror for physicians and a guide for saving young lives. It is indispensable in the world. Therefore, I ordered craftsmen to carve the woodblocks for printing, to ensure its permanent transmission and widespread benefit. As the ancients said, "If one does not become a Prime Minister, one must become a renowned physician," because the merit of medicine is sufficient to save the world. However, the reach of a single physician is limited, whereas the circulation of this book will benefit the world, future generations, and extend infinitely. Zhu Gong's merit is profound. His name is Chen, courtesy name Shizuo. His family has resided in Jinan for generations, and he entered officialdom as a Jinshi graduate from his hometown.
Written by Li Yanshou of Jinan, a Jinshi degree recipient bestowed by the Emperor, Wulin Lang (Cultured Gentleman), County Magistrate of Xuancheng, and former Censor of the Henan Circuit, on an auspicious day of the first month of autumn in the Jiyou year of the Hongzhi era.