胎热者,婴儿降生后,头面身体等处,均发现肌肤深红如绛色者是也。乃婴儿在胎元中,秉受母体之内热,
或遗传父母的淋毒,及杨梅结毒,以致儿体中内蕴毒火,胎毒待往外发之象。按肌红本婴儿之正色,有此天然之
正色,始易长养而茁壮。然必淡红色,且皮肤细润柔泽,非若胎热之深红色似绛,肌肤之粗糙不和者可比。欲详
细辨别,可诊察婴儿兼现其他的热象,如满口热气升腾,似喘而息粗,头面四肢皆肿胀,口内满成白腐,以指探
儿口内,则气热蒸手,目白赤红流泪,黄稠汁糊眼部全遍,目不能
启闭,或牙根肿硬,不易吸乳,大便秘结,小便短赤,或点滴皆无。凡此等现象,均呈于外之胎热症象也。治法先
用银针,在上下合骨处,及牙龈肿硬处,轻轻刺破;拭去紫瘀毒血。再用粗布裹食指,擦破口内各处白点,敷上
草灵丹。立能去其麻木,散其肿毒,斯时即能入乳汁。再用清热解毒药令儿作乳吸之,即可清胎热,又可解胎毒,
治法莫善于此也。其汤药方与草灵丹方列下。
清热解毒汤方
金银花(八分) 小木通(五分) 青连翘(八分) 粉丹皮(五分) 山栀衣(五分) 生甘草(三分)
霜桑叶(六分) 紫地丁(七分) 赤芍药(五分) 灯芯 竹叶(少许作引),用一茶杯水煎成一茶杯药,放
乳瓶中使儿吸之。
草灵丹方
干靛花(一钱) 生甘草(五分) 飞滑石(五分) 川黄连(五分) 共研细末敷刺破处,及擦破处,并
不碍小孩吸乳,且无毒性,能清肝胆热,随即结痂。
Tai Re (Fetal Heat) refers to the condition where, after birth, an infant's skin on the head, face, and body appears deep red, resembling Jiang Se (a dark red-purple hue). This occurs because the fetus, while in the womb, has absorbed internal heat from the mother or inherited toxins from syphilis or gonorrhea from the parents. Consequently, toxic fire accumulates within the infant's body, manifesting as a sign that fetal toxins are preparing to erupt outward. Generally, a rosy complexion is the natural, healthy color of infants; possessing this innate healthy color facilitates proper nourishment and robust growth. However, it must be a light red with fine, moist, and lustrous skin, which cannot be compared to the deep red, Jiang-like appearance and rough, unsmooth skin characteristic of Tai Re. To distinguish it in detail, one may examine whether the infant exhibits other signs of heat, such as rising heat in the mouth, rapid and coarse breathing resembling panting, swelling of the head, face, and limbs, white putrid patches filling the oral cavity, hot breath steaming the hand when probing the mouth with a finger, red and tearing whites of the eyes, thick yellow discharge covering the entire eye area preventing opening or closing, swollen and hard gums making breastfeeding difficult, constipation, short and dark-red urine, or even anuria. All these phenomena are external manifestations of the Tai Re syndrome. The treatment method first involves using a silver needle to gently puncture the junctions of the upper and lower jaws (He Gu) and the swollen, hard areas of the gums; wiping away the purple, toxic stasis blood. Then, wrap the index finger with coarse cloth to wipe open the white spots inside the mouth and apply Cao Ling Dan (Grass Spirit Powder). This immediately relieves numbness and dissipates swelling and toxicity, allowing the infant to take in breast milk. Subsequently, administer decoctions with heat-clearing and detoxifying properties for the infant to suckle along with the milk, thereby clearing fetal heat and resolving fetal toxins. No treatment method is superior to this. The formulas for the Decoction for Clearing Heat and Detoxifying and Cao Ling Dan are listed below.
Decoction for Clearing Heat and Detoxifying Formula
Jinyinhua (Lonicerae Japonicae Flos, 8 fen) Xiaomutong (Akebiae Caulis, 5 fen) Qinglianqiao (Forsythiae Fructus, 8 fen) Fendandan (Moutan Cortex, 5 fen) Shanzhiyi (Gardeniae Semen, 5 fen) Shenggancao (Glycyrrhizae Radix et Rhizoma Recens, 3 fen) Shuangsangye (Mori Folium, 6 fen) Zididing (Violaris Herba, 7 fen) Chishaoyao (Paeoniae Radix Rubra, 5 fen) Dengxin (Junci Medulla), Zhuye (Bambusae Folium, a small amount as a guide drug). Decoct with one cup of water until one cup of liquid remains; place in a nursing bottle for the infant to suckle.
Cao Ling Dan Formula
Gandianhua (Indigo Naturalis, 1 qian) Shenggancao (Glycyrrhizae Radix et Rhizoma Recens, 5 fen) Feihuashi (Talcum, 5 fen) Chuanhuanglian (Coptidis Rhizoma, 5 fen). Grind together into a fine powder and apply to the punctured and abraded areas. It does not hinder the infant from breastfeeding, is non-toxic, clears heat from the Liver and Gallbladder, and promotes scabbing formation.