巢氏曰∶小儿初生,肌肤未实,宜用旧絮护其背,不可太暖,更宜数见风日,则血气刚强,肌
肉致密,若藏于重帏密室,或浓衣过暖,则筋骨软脆,不任风寒,多易致病。衣服当随寒热加减,
但令背暖为佳,亦勿令出汗,恐表虚风邪易伤。乳哺亦不宜过饱,陈氏所谓忍三分寒,吃七分饱,
频揉肚,少洗澡,要肚暖头凉心胸凉,皆至论也。又须令乳母预慎六淫七情,浓味炙爆,则乳汁清
宁,儿不致疾。否则阴阳偏胜,血气沸腾,乳汁败坏,必生诸病。若屡用药饵,则脏腑阴损,多
变败证,可不慎欤。大抵保婴之法,未病则调和乳母,既病则审治婴儿,亦必兼治其母为善。
小儿饮食有任意偏好者,无不致病,所谓爽口味多终作疾也,极宜慎之。尝见王隐君曰∶余幼
时酷嗜甘饴,忽一日见饴中有蚯蚓伸头而出,自此不敢食饴,至长始知长上为之。此可为节戒之妙
法。
初生儿以手捻其头,摸其颐颔,不作声者为无病。总有病,以手指探其口,虽发声而从容咂指
者其病轻,若即发声不咂指而色或青红兼紫者,此落地受寒之甚也,其病重,须急辨其形色虚实而
治之。苦牙关紧闭不纳乳,或硬而不软,其病极重也,此惊邪入足太阳经及足阳明经而然,须急治
之,庶可平复。
一、初生儿肥胖色嫩日觉好看者,此其根本不坚,甚非佳兆,且亦最易感邪。凡邪入腑者,近
在第二三日见之,其证吐乳、夜啼发哭、腹鸣,皆胎惊之证,然犹浅而易治。若邪之入脏者,远在
六七日见之,此脐风、噤风、撮口风之候,其病深而难医。若大声口噤,舌大痰壅者不治,盖五六日间病传心肺脾
三经也。此风气甚
盛而无所泄,故形见于喉口于关声音也。其面额青紫黑色者不治,爪甲青黑者不治,脐青黑者亦不
治。凡父母肥者不可生肥儿,父母瘦者亦不可生肥儿。生而肥胖,必当以药敛之,使其肥肉坚实,
面转微黄之色则吉,不然则凶。生儿怯弱,必须以药扶助之。若七日之内,肌肉顿肥,则必病矣。
过此以往渐肥者,不足虑也。治肥之法,宜清痰湿,解胎毒,预防其风气,亦不可过用峻厉以伤脾
气。又当看小儿元气浓薄,浓者十无一失,薄者十无一生。然其中有死者,有不死者,则以病之所
生,有真伪也。凡怯弱者,宜专培脾肾为主。
Chao Yuanfang stated: When a newborn is first born, the skin and muscles are not yet solid. It is appropriate to protect their back with old cotton wadding, avoiding excessive warmth. They should also be frequently exposed to wind and sunlight so that their blood and qi become strong and their muscles dense. If kept in heavy curtains and sealed rooms, or dressed too warmly, their bones and sinews will become soft and brittle, unable to withstand wind and cold, making them prone to illness. Clothing should be added or removed according to the temperature; keeping the back warm is ideal. One should also avoid causing the infant to sweat, as this may lead to exterior deficiency and make them susceptible to wind pathogens. Breastfeeding should not be excessive. As Chen Shi said, "Endure a third of coldness, eat until seventy percent full, frequently rub the abdomen, bathe less, keep the abdomen warm while the head and chest remain cool." These are profound truths. Furthermore, the nursing mother must carefully avoid the Six Evils (wind, cold, summer-heat, dampness, dryness, fire) and Seven Emotions (joy, anger, worry, thought, grief, fear, fright), as well as rich flavors and roasted or fried foods. This ensures the milk remains clear and tranquil, preventing disease in the child. Otherwise, yin and yang may become unbalanced, blood and qi may boil, and the milk may spoil, inevitably causing various diseases. Frequent use of medicinal tonics can damage the yin of the zang-fu organs, often leading to critical conditions; how can one not be cautious? Generally, the method for protecting infants involves regulating the mother before illness occurs and treating the infant prudently after illness begins, but it is best to treat the mother concurrently. Infants who have arbitrary dietary preferences will inevitably fall ill, as sweet and palatable foods consumed in excess ultimately cause disease; this requires extreme caution. Wang Yinjun once said, "In my childhood, I was extremely fond of sweets. One day, I saw an earthworm sticking its head out of the candy, and since then I dared not eat sweets. Only later did I learn that elders had placed them there intentionally." This serves as a clever method for curbing such cravings.
For a newborn, gently pinch the head and touch the chin. If the infant does not cry, they are free of disease. Even if sick, probing the mouth with a finger: if the infant cries but calmly sucks their finger, the illness is mild. If the infant cries immediately without sucking the finger, and the complexion is mixed blue-red and purple, this indicates severe cold contracted at birth, signifying a serious condition requiring urgent differentiation of form, color, and excess/deficiency for treatment. If the jaw is tightly closed and refuses milk, or is hard rather than soft, the condition is extremely severe. This is caused by shock-pathogens invading the Foot-Taiyang Bladder Meridian and Foot-Yangming Stomach Meridian, requiring urgent treatment to ensure recovery.
1. Newborns who are obese, have tender pale skin, and appear increasingly attractive daily, possess weak constitutional roots, which is a bad omen and makes them highly susceptible to pathogens. Pathogens entering the fu-organs typically manifest on the second or third day, presenting as spitting up milk, night crying, and abdominal borborygmi, all signs of fetal shock (Tai Jing). However, these are superficial and easy to treat. Pathogens entering the zang-organs typically manifest on the sixth or seventh day, presenting as neonatal tetanus (Qi Feng), lockjaw (Jin Feng), or puckered mouth (Cuo Kou Feng). These are deep-seated and difficult to cure. Cases with loud screaming, locked jaws, enlarged tongue, and phlegm obstruction are incurable, as the pathogen has transmitted to the Heart, Lung, and Spleen meridians within five to six days. This results from overwhelming wind-pathogen accumulation without outlet, manifesting in the throat and affecting speech. Incurable signs include cyanotic-black forehead, cyanotic-black fingernails/toenails, and cyanotic-black umbilicus. Parents who are obese should not give birth to obese infants, nor should thin parents. Neonatal obesity requires medication to consolidate the flesh and turn the complexion slightly yellow for a favorable outcome; otherwise, it is ominous. Frail newborns require medicinal support. If an infant becomes suddenly fleshy within seven days, illness is certain. Gradual weight gain thereafter is not concerning. Treatment for obesity should focus on resolving phlegm-dampness, clearing fetal toxins, and preventing wind-pathogens, avoiding overly harsh drugs that damage spleen qi. One must assess the infant's yuan qi (original qi): those with abundant qi rarely fail, while those with deficient qi rarely survive. Mortality varies because some diseases are true and others false. For frail infants, the primary treatment should be tonifying the Spleen and Kidney.