胎寒,下地后或半日、一日内,通面皆青如靛染,口不吮乳,先有啼声后复不啼而昏迷
者是也。观儿两眼、鼻准无黄色,口又不吹嘘,定是胎寒。先于向导、威灵二穴对拿紧,并
将昆仑穴拿紧,其声稍出即用十五元宵火断之;或声不出。亦用此火则声必出,乳必吸,青
色必渐退矣,然此症须防作吐。胎寒者脏腑皆寒,胃先纳乳,胃寒不能纳,故必吐。治用人
参一分,桔梗一钱,白术三分,藿香五分,服之自愈。亦有发之迟者,胎有寒而外无感冒,
则迟之二三日之间。胎有寒而下地复感其寒,故即发于半日一日之内,面必青色,唇白,泻
白,或昏睡,或腹痛,或口不吮乳,四肢必冷曲手握掌,或啼哭不已,皆胎寒也。治之切勿
认为脐风,当以辨脐风之法辨之,治宜用理中汤加附子。迟久,或变为盘肠内吊,治宜用钩
藤膏,此症由娠母好食生冷、坐卧贪凉所致。
胎热者,通面大红。红虽赤子本色,恐人不能辨。盖本色红而淡,淡而正。热色深红而
燥,燥而色杂,如满口热气莽莽,或舌肿而红紫,口气蒸手,或大便闭结,小便短赤,目内
红赤,此皆胎热也。如牙龈肿硬不能吸乳,用银簪于牙上下合骨处刺破出血,而乳自能吸。
随用连翘一钱,伏龙肝二钱,车前一钱,煎服,或用大连翘饮。此症由娠母喜睡火炕,好食
煎炒所致。
Fetal Cold: Within half a day or one day after birth, the infant's entire face turns blue-green as if dyed with indigo. The mouth does not suckle milk; there is initial crying followed by cessation of crying and coma. This is Fetal Cold. Observe that the infant's eyes and nasal tip show no yellow coloration, and the mouth does not emit puffing sounds; it is definitely Fetal Cold. Firmly grasp and pinch the Xuandaoint (Xuandaodian) and Weiling point (Weiling) in opposition, and firmly grasp and pinch the Kunlun point (Kunlun, BL60). If the infant makes a sound, immediately apply the "Fifteenth Lantern Fire" to sever the umbilical cord; or if no sound is produced, still apply this fire, then the sound will surely emerge, milk will be sucked, and the blue-green complexion will gradually recede. However, for this condition, one must guard against vomiting. In Fetal Cold, the internal organs are all cold. The stomach receives milk first; due to stomach coldness, it cannot accept it, hence vomiting inevitably occurs. Treatment uses Ren Shen (Ginseng Radix et Rhizoma) 1 fen, Jie Geng (Platycodonis Radix) 1 qian, Bai Zhu (Atractylodis Macrocephalae Rhizoma) 3 fen, Huo Xiang (Pogostemonis Herba) 5 fen. Self-healing ensues upon administration. There are also cases with delayed onset. If fetal cold exists but external wind-cold invasion is absent, onset may be delayed by two to three days. If fetal cold exists and cold is contracted again after birth, onset occurs within half a day to one day. The face must be blue-green, lips white, stool white and loose, or there may be lethargy, abdominal pain, inability to suckle, cold and curled limbs with clenched fists, or incessant crying. All these indicate Fetal Cold. Treatment must not mistake this for Umbilical Wind (Neonatal Tetanus). One should differentiate it using the methods for Umbilical Wind. Treatment is suitable with Lizhong Tang (Replenish the Middle Decoction) plus Fu Zi (Aconiti Lateralis Radix Praeparata). If prolonged, it may transform into Pan Chang Nei Diao (intestinal colic/spasm), treated suitably with Gouteng Gao (Uncaria Paste). This condition results from the pregnant mother's preference for raw and cold foods and her habit of sitting or lying in cool places.
Fetal Heat: The entire face is deep red. Although redness is the natural color of newborns, people may find it difficult to distinguish. The natural color is pale red, light and pure. The heat color is deep red and dry, dry and mottled. For example, there may be a sensation of surging heat in the mouth, or the tongue swells and becomes red-purple, breath feels hot to the touch, constipation, scanty and dark urine, and redness inside the eyes. These all indicate Fetal Heat. If the gums are swollen and hard, preventing suckling, pierce the area between the upper and lower teeth at the bone junction with a silver hairpin to induce bleeding, then suckling will naturally resume. Subsequently, use Lian Qiao (Forsythiae Fructus) 1 qian, Fu Long Gan (Usti Carbonis) 2 qian, Che Qian Cao (Plantaginis Herba) 1 qian, decocted and taken orally, or use Da Lian Qiao Yin (Large Forsythia Decoction). This condition results from the pregnant mother's preference for sleeping on heated kang beds and her liking for fried and roasted foods.