小儿浑身热似火,手足如冰真难过。黑掩太阴口角青,卢医一见也须惊。黑色如针垂眼
下,医如扁鹊也须怕。黑色目中总不良,小儿十日必然亡。水肿之病准头黑,此儿应知肾气
绝。咳嗽最忌白入眉,肺虚气绝报君知。目暗无光不转睛,三朝必定命难存。眼似开而又不
开,能言也是死之媒。呕吐不止止又吐,胃虚脾败何须顾。摇头咬齿欲啮入,看看定是鬼为
邻。囟门或肿或深沉,元气亏而命难存。蛇虫吐出腐而败,脾绝小儿终是害。五心忽肿为何
因,假火发外实惊人。四肢无事忽摇动,医人到此无药用。此是小儿危急症,说与医人莫须
情。
左腮属肝经,其色青者为顺,白者为逆。
右腮属肺经,其色白者为顺,赤者为逆。
额上属心经,其色赤者为顺,黑者为逆。
鼻准属脾经,其色黄者为顺,青者为逆。
颏下属肾经,其色黑者为顺,黄者为逆。
小儿初生下地,不宜久沐浴,恐冒风寒,必患脐风发热等症。
小儿初生,勿先服乳,用黄连甘草煎汤,以软棉包二指头上蘸药水拭口,去口中恶血秽
气;或以药汤灌之,待恶沫吐尽,然后食乳。
一方陈茶京墨洗口,或服∶
万安汤 治小儿下地,先服此药,永无惊风,少生疮疾。
连翘 西风 荆芥 蝉蜕 钩藤(各一钱) 苏荷 赤芍 甘草(各五分) 银花(二钱) 灯芯(引
或在腹中过夏者加熟军一钱。
小儿洗三 生子过三日或九日,俟天气温和,冬日必在暖室中烧柴火,于室内用苦楝子
一两,煎水,小儿遍身洗擦,不生疮痒。若能每月洗一二次,可免痘麻,纵出必稀。
一方苍耳子煎汤洗之。
一方乌鱼煎汤洗之。
The infant's whole body is hot as fire, yet the hands and feet are ice-cold; this condition is truly difficult to treat. If blackness covers the Taiyin area and the corners of the mouth appear green, even the divine physician Lu Qi would be startled. If blackness hangs like needles under the eyes, even Bian Que would feel fear. If blackness appears in the eyes, the prognosis is generally poor, and the infant will inevitably die within ten days. In edema disease, if the tip of the nose (Zhuntou) is black, it should be known that the Kidney Qi is exhausted. For coughing, white color appearing in the eyebrows is most taboo; this indicates Lung Qi exhaustion, so I inform you. Dim eyes without luster that do not rotate indicate that life cannot be sustained after three days. Eyes that seem open but are not fully open, even if the child can speak, serve as a harbinger of death. Unstoppable vomiting, where vomiting stops only to resume again, indicates Stomach deficiency and Spleen failure; there is no need to spare concern. Shaking the head and grinding teeth, as if wanting to bite into flesh, suggests approaching death or spiritual affliction. The fontanelle may be swollen or sunken; depleted Yuan Qi means life is hard to sustain. Vomiting snake- or insect-like matter that is rotten and spoiled indicates Spleen exhaustion, which ultimately harms the infant. Why do the five centers (two palms, two soles, and the chest) suddenly swell? This is false fire manifesting externally, indicating a shocking underlying reality. If the limbs, previously unremarkable, suddenly tremble, physicians have no medicine left to use. These are critical conditions in infants; I tell physicians not to hold back (from stating the severity).
The left cheek belongs to the Liver Meridian; green color is a favorable sign (Shun), while white is unfavorable (Ni).
The right cheek belongs to the Lung Meridian; white color is a favorable sign, while red is unfavorable.
The forehead belongs to the Heart Meridian; red color is a favorable sign, while black is unfavorable.
The tip of the nose belongs to the Spleen Meridian; yellow color is a favorable sign, while green is unfavorable.
The chin belongs to the Kidney Meridian; black color is a favorable sign, while yellow is unfavorable.
When an infant is first born, prolonged bathing is not advisable for fear of catching wind-cold, which must lead to conditions such as umbilical tetanus (Qi Feng) and fever.
For a newborn, do not administer milk first. Instead, decoct Huanglian (Coptidis Rhizoma) and Gancao (Glycyrrhizae Radix et Rhizoma), wrap soft cotton around two fingers, dip them in the medicinal liquid, and wipe the mouth to remove evil blood and foul qi from the oral cavity; or irrigate with the medicinal liquid. Wait until the foul foam is completely vomited out, then feed milk.
Another method uses aged tea and Jingmo (Beijing Ink) to wash the mouth, or administer:
Wan'an Tang (Ten Thousand Peace Decoction): Treats infants upon birth; administering this medicine first ensures no convulsions (Jing Feng) and reduces skin diseases.
Qiaoliao (Forsythiae Fructum), Xifeng (Saposhnikoviae Radix), Jingjie (Schizonepetae Spica), Chantui (Cicadae Periostracum), Gouteng (Uncariae Ramulus cum Uncis) (each 1 qian), Suhé (Perilla Caulis and Menthae Haplocalycis Herba), Chishao (Paeoniae Radix Rubra), Gancao (Glycyrrhizae Radix et Rhizoma) (each 0.5 qian), Yinhua (Lonicerae Japonicae Flos) (2 qian), Dengxincao (Junci Medulla) (as a guiding herb); if the infant spent summer in the womb, add Shujun (Prepared Rheomi Radix) 1 qian.
Xiao'er Xi San (Infant Third-Day Bath): Three or nine days after birth, when the weather is mild, in winter ensure the room is warm by burning firewood. Boil one liang of Kulianzi (Meliae Semen) in water and wash/wipe the infant's entire body to prevent sores and itching. If washed once or twice monthly, it can prevent smallpox and measles; even if they erupt, they will be sparse.
Another method uses Cang'erzi (Xanthii Fructus) decoction for washing.
Another method uses Wuyu (Carassius Auratus) decoction for washing.