儿在母腹中,感受精气,一月胚,二月胎,三月血脉见,四月形体成,五月能动,六月筋骨成,七月毛发生,八月
脏腑具,九月谷神入胃,十月百骸备而生。生后六十日,瞳子成,能笑语,始识人。百日任脉生,能反复。一百八十日,
尻骨生,能独立。二百一十日,掌骨成,能匍匐。三百日髌骨成,能独倚。三百六十日为一周,膝骨成,乃能移步。
落地时,身破裂者死,阴囊白者死,阴不起者死,无粪门者死,股间无生肉者死,开口如鸦声者死。
凡周岁之间,颅囟开解,齿发不生,手足挛缩,膝如鹤胫,身羸无肉,或四五岁不能行立,皆胎气不足致之。若夫
筋实则多力,骨实则早行,血实则形瘦多发,肉实则少病,精实则伶利多笑语,不畏寒暑,气实则少发而体肥,此皆受
胎气之充足,得禀赋之隆浓者也。
吕晚村曰∶凡小儿齿迟,语迟,行迟,囱门开大,肾疳等症,皆先天不足,自 周时,即有虚病肾病,从幼填补,
亦多可复。
初生芽儿,藉乳为命,善为乳母者,夏不欲热,热则致吐逆,冬不欲寒,寒则致咳痢。乳时不欲怒,怒则上气颠狂,
不欲醉,醉则身热腹痛。母方吐下而乳,则致虚羸。母方积热而乳,则变黄不能食。新房而乳,则瘦瘠交胫不能行。新
浴而乳,则发吐伤神。冷热不调,停积胸膈,结为痰饮,遂成壮热。壮热不已,乃作惊痫,儿啼未定,遽以乳哺,气逆
不消,因成乳癖。怀孕而乳,致令黄瘦,腹大脚弱,名曰HT 病。大抵芽儿或疮或热,或困倦,或口生白糜,或夜啼,
或
粪色变常,必非无因,病之初来,其溺必甚少,便须根究缘由,随症调治。庶无后患。
胎症列后。
人每于初生时,多向头额前发际穴灸之,取其可以截风路也,此但可行之北方地寒之处,东南脆薄,似乎不宜。
The fetus in the womb receives the essence and qi (vital energy) of the parents. At one month, it forms as a "pei" (embryo); at two months, as a "tai" (fetus); at three months, blood vessels appear; at four months, the physical form is established; at five months, it can move; at six months, bones and sinews are formed; at seven months, hair grows; at eight months, the zang-fu organs (internal organs) are complete; at nine months, the "gu shen" (grain spirit/digestive function) enters the stomach; at ten months, all body parts are prepared, and the child is born. Sixty days after birth, the pupils mature, the infant can smile and speak, and begins to recognize people. At one hundred days, the Ren Mai (Conception Vessel) develops, and the infant can roll over. At one hundred and eighty days, the sacral bone develops, and the infant can stand independently. At two hundred and ten days, the metacarpal bones mature, and the infant can crawl. At three hundred days, the patella matures, and the infant can lean on things alone. At three hundred and sixty days, completing one cycle, the knee bones mature, and the infant can take steps. If the body is ruptured at birth, death ensues; if the scrotum is white, death ensues; if the penis does not erect, death ensues; if there is no anus, death ensues; if there is no flesh between the thighs, death ensues; if the mouth opens with a sound like a crow's caw, death ensues.
During the first year of life, if the cranial fontanelles remain open, teeth and hair do not grow, hands and feet are contracted, knees are thin like crane legs, the body is emaciated without flesh, or the child cannot walk or stand at four or five years of age, these are all caused by insufficient fetal qi. Conversely, those with strong sinews have great strength; those with strong bones walk early; those with abundant blood are thin but have abundant hair; those with substantial flesh rarely get sick; those with rich essence are clever, talkative, and resistant to cold and heat; those with robust qi seldom fall ill and are plump. These are all signs of sufficient fetal qi and strong innate endowment.
Lu Wancun stated: Symptoms such as delayed teething, delayed speech, delayed walking, large open fontanelles, and kidney rickets (Shen Gan) in children are all due to congenital deficiency. Since the time of Zhou, there has been recognition of deficiency diseases affecting the kidneys; tonifying from early childhood can often restore health.
Newborns rely on milk for survival. A good wet nurse should avoid feeding when too hot in summer, as heat causes vomiting and regurgitation; she should avoid feeding when too cold in winter, as cold causes coughing and dysentery. The mother should not be angry while nursing, as anger leads to rebellious qi and madness; she should not be drunk while nursing, as drunkenness causes body heat and abdominal pain. Nursing immediately after the mother has suffered from vomiting or diarrhea leads to emaciation; nursing immediately after the mother has accumulated heat results in jaundice and an inability to eat; nursing immediately after sexual intercourse leads to emaciation and crossed legs preventing walking; nursing immediately after bathing causes vomiting and damages the spirit. If cold and heat are unbalanced, stagnation accumulates in the chest and diaphragm, condensing into phlegm-fluid retention, leading to high fever. Unrelenting high fever may develop into convulsions and epilepsy. If the infant is fed while still crying, the rebellious qi does not dissipate, resulting in "Ru Pi" (breast lump/mass). Nursing during pregnancy leads to jaundice, emaciation, distended abdomen, and weak legs, known as the "Gan" disease (Infantile Malnutrition Syndrome). Generally, if an infant has sores, fever, lethargy, oral thrush (white plaques in the mouth), night crying, or abnormal stool color, there is always a cause. When the disease first appears, urine output is necessarily scant. One must investigate the cause and treat according to the symptoms to prevent future complications.
Fetal disorders are listed below.
People often moxa-apply the穴位 (acupoint) at the anterior hairline of the forehead shortly after birth, believing it can block the path of wind. This practice is only suitable for cold regions in the north; in the south and east, where the constitution is delicate and thin, it seems inappropriate.