〔曾〕胎痫者,因未产前腹中被惊,或母食酸咸过多,或为七情所汨,致伤胎气,
儿生百日内有者是也。发时,心不宁,面微黄,气逆痰作,目上视,身反张,啼声
不出。先用参苏饮和解,次以不惊丹、或琥珀抱龙丸间投,轻则可愈,重者难全。
参苏饮(发热) 不惊丹(惊) 琥珀抱龙丸(惊)
小儿初生,其身有如汤泼火伤者,此皆乳母过食膏粱所致也,其母宜服清胃散
(方见杂病牙齿门。)及逍遥散(方见女科虚劳门。)以清其气血,儿亦饮数滴可也。有身无皮
肤而不 赤者,皆由产母脾气不足也,用粳米粉敷之。 赤发热者,皆由产母胃中火盛也,
用石膏敷之。经谓∶脾主肌肉,肺主皮毛。故知病脾肺也,如脑额生疮者,火土相
合,遂成湿热下流、攻击肾水也,难治。如脚上有疮者,阴虚火盛也,此、不满五
岁而毙。如未盈月而撮口握拳,腰软如随者,此肝肾中邪胜正弱所致也,三日内必
不治。如男指向里、女指向外尚可治,眉红亦不可治,可治者用全蝎散(方见口噤、)钓
藤散(方见慢惊)等类治之。若因大病亏损胃气而诸脏虚弱所致者,用补中益气汤(方见虚羸、)
钱氏地黄丸(方见肾脏。)若面唇赤色,正属肾水不足,肝经阴虚火动而内生风热尔,当
滋肾水以制阳光。其身软者,内禀气不足、肌肉未坚也,常参五软、而施治之。《圣惠》
所云胎风,原与胎惊混滥,故此不取。
[Zeng's Discussion] Fetal epilepsy (Tai Xian) refers to a condition where the fetus is startled in the womb, or the mother consumes excessive sour and salty foods, or is disturbed by the Seven Emotions (Joy, Anger, Worry, Pensiveness, Sorrow, Fear, Fright), thereby damaging the fetal Qi. It manifests within one hundred days after birth. During an attack, the infant experiences mental restlessness, a slightly sallow complexion, rebellious Qi with phlegm surging, upward deviation of the eyes, opisthotonos (body arching backward), and inability to cry. Treatment initially employs Shen Su Yin (Ginseng and Perilla Decoction) for harmonization, followed by alternating administration of Bu Jing Dan (Non-Startle Pill) or Hu Po Bao Long Wan (Amber Dragon-Hugging Pill). Mild cases can be cured, while severe cases are difficult to fully recover. Shen Su Yin treats fever; Bu Jing Dan treats convulsions due to fright; Hu Po Bao Long Wan treats convulsions due to fright.
When a newborn’s body resembles scalds from boiling water or burns, this is caused by the wet nurse consuming excessive rich and greasy foods. The wet nurse should take Qing Wei San (Stomach-Clearing Powder) (see Miscellaneous Diseases, Teeth Section) and Xiao Yao San (Free and Easy Wanderer Powder) (see Gynecology, Deficiency-Labor Section) to clear heat from Qi and Blood; administering a few drops to the infant is also acceptable. If the infant lacks skin and is not red, it is due to insufficient Spleen Qi of the mother; rice flour can be applied externally. If the area is red and hot, it is due to excessive Stomach Fire in the mother; gypsum can be applied externally. The Classics state: "The Spleen governs muscles, and the Lungs govern skin and hair." Thus, the pathology involves the Spleen and Lungs. For instance, sores on the forehead result from Fire and Earth combining, creating damp-heat that flows downward and attacks Kidney Water; this is difficult to treat. Sores on the feet indicate Yin deficiency with hyperactive Fire; such infants will die before reaching five years of age. If, within the first month, the infant exhibits mouth puckering (Cuo Kou), clenched fists, and a limp neck like a rope, this is caused by pathogenic factors overwhelming healthy Qi in the Liver and Kidneys; death is inevitable within three days. If male infants' fingers point inward and female infants' fingers point outward, the condition is treatable; however, red eyebrows indicate untreatability. Treatable cases are managed with Quan Xie San (Scorpion Powder) (see Mouth Lock Section) and Gou Teng San (Uncaria Powder) (see Slow Convulsion Section), among others. If caused by damage to Stomach Qi from severe illness leading to weakness of the Five Zang organs, use Bu Zhong Yi Qi Tang (Tonify the Middle and Augment the Qi Decoction) (see Weakness Section) and Qian Shi Di Huang Wan (Qian's Rehmannia Pill) (see Kidney Section). Redness of the face and lips indicates insufficient Kidney Water, with Liver Meridian Yin deficiency causing internal Fire stirring Wind-Heat; one should nourish Kidney Water to restrain hyperactive Yang. A soft body indicates insufficient congenital Qi and unfirm muscles; treatment should follow the principles for Wu Ruan (Five Flaccidities). The Tai Feng (Fetal Wind) described in *Taiping Shenghui Fang* was originally confused with Tai Jing (Fetal Fright); therefore, it is not adopted here.