婴儿初生,百日内,觉口冷腹痛,身起寒栗,时发战栗,曲足握拳,昼夜啼哭不
已,或口噤不开,名曰胎寒。其证,在胎时母因腹痛而致产,经云∶胎寒多腹痛。
亦有产妇喜啖甘肥生冷时果,或胎前外感风寒暑湿,治以凉药,内伤胎气,则生后
昏昏多睡,间或 乳泻白,若不早治,必成慢惊、慢脾。凡有此候,宜以冲和饮、
当归散、合和,水煨姜煎服,使之微泄,泄行,进匀气散调补,泄止气匀,神安痛
定,手足舒伸,次用参苓白术散以养胃气,白芍药汤去其寒湿。乳母宜节生冷冻饮料食,
庶易瘥也。又有手足稍冷,唇面微青,额上汗出,罔顾乳食,至夜多啼,颇似前
证,但无口冷寒战,名曰脏寒。其疾夜重日轻,腹痛肠鸣,泄泻清水,间有不泄者,
此证亦在百日内有之,皆因临产在地稍久,冷气侵逼,或以凉水参汤洗儿,或断脐
带短,而又结缚不紧,为寒气所伤如此,宜以白芍药汤及冲和饮加盐炒茴香、茱萸,
水姜煎服,并乳母同服。〔汤〕小儿胎中有寒,生下不能将护,再伤于风,其候面
色青白,四肢逆冷,手足颤动,口噤不开,乃胎寒之故,或寒乘虚入脏,作腹疼盘
肠内吊(治法详寒腹痛条。)
冲和饮 当归散(方见潮热) 白芍药汤(见疝) 匀气散(见疝) 参苓白术散 异功散
薛氏治胎寒用此。
Within one hundred days after birth, if the infant feels cold in the mouth and abdominal pain, experiences shivering and trembling of the body, frequently trembles, curls the legs and clenches the fists, cries incessantly day and night, or has a locked jaw that cannot open, this is named Tai Han (Fetal Cold). The etiology of this syndrome involves the mother experiencing abdominal pain during delivery while the fetus was still in the womb; as stated in the medical classics: "Tai Han is often accompanied by abdominal pain." It may also result from the mother's preference for consuming sweet, greasy, raw, or cold fruits, or from external contraction of Wind-Cold, Summer-Heat, and Dampness prior to pregnancy, treated with cooling medicines that internally injure the fetal Qi. Consequently, after birth, the infant becomes lethargic and sleepy, occasionally vomiting undigested milk or passing white loose stools. If not treated early, it will inevitably develop into Slow Convulsion (Man Jing Feng) or Slow Spleen Wind (Man Pi Feng). For such presentations, Chonghe Yin (Harmonizing Decoction) and Danggui San (Angelica Powder) should be combined and decocted with water-warmed ginger to induce mild diarrhea. Once diarrhea ceases, Yunqi San (Qi-Regulating Powder) should be administered to regulate and tonify. When diarrhea stops, Qi harmonizes, spirit calms, pain subsides, and limbs extend freely, Shenling Baizhu San (Ginseng, Poria, and Atractylodes Macrocephala Powder) is used to nourish Stomach Qi, followed by Baishaoyao Tang (White Peony Decoction) to dispel Cold-Dampness. The nursing mother should abstain from raw, cold, and frozen foods and beverages to facilitate recovery. Another condition presents with slightly cold hands and feet, slight blueness of the lips and face, sweating on the forehead, refusal to nurse or eat, and increased crying at night, resembling the previous syndrome but lacking cold mouth and chills; this is named Zang Han (Visceral Cold). This disease is worse at night and lighter during the day, accompanied by abdominal pain, borborygmus, and watery diarrhea, sometimes without diarrhea. This syndrome also occurs within the first hundred days, caused by prolonged exposure to cold air during delivery, bathing the infant with cold water ginseng soup, cutting the umbilical cord too short, or inadequate ligation, allowing Cold pathogen to invade. Bai Shaoyao Tang (White Peony Decoction) and Chonghe Yin (Harmonizing Decoction) added with salt-fried Huixiang (Fennel Fruit) and Zhuyu (Evodia Fruit), decocted with water ginger, are indicated, and the nursing mother should take them concurrently. [Tang Shi] states that infants with Cold in the womb who suffer further Wind injury due to improper care after birth present with blue-white complexion, cold extremities, trembling of hands and feet, and locked jaw, which is due to Tai Han (Fetal Cold); alternatively, Cold may enter the viscera through deficiency, causing abdominal pain and intestinal twisting (see "Cold Abdominal Pain" section for treatment methods).
Chonghe Yin (Harmonizing Decoction) Danggui San (Angelica Powder) (See formula under "Tidal Fever") Baishaoyao Tang (White Peony Decoction) (See under "Hernia") Yunqi San (Qi-Regulating Powder) (See under "Hernia") Shenling Baizhu San (Ginseng, Poria, and Atractylodes Macrocephala Powder) Yigong San (Extraordinary Merit Powder) Xue Shi (Master Xue) treats Tai Han (Fetal Cold) using this formula.