世言医病与医国同一源流国以新造之病为难攻人以幼稚之疾为难疗新造之国病在于人心
之未孚法制之未备故事不厌乎议如周人之于市郑人之于乡校是已幼稚之童病在于气血之未全
筋脉
之尘言其有箦笋而蟹蟛蜞者几希奚兹演翁口议之所由作也翁质直而不华雅朴而实辩如议证议
药议诸氏之方皆凿凿乎如老法吏之议刑辟丝发不可以动移求之文理诚若不足索之义理沛然有
余凤髓玉诀政亦不容多逊也或曰轮人之轮庖丁之牛应之于手得之于心盖非区区口耳所能造今
议以口为言其视莫能教子不见全牛之妙迳庭盖可知已吁有是哉使释凿而特以原本为第一议曰
乳哺曰食忌曰伤怜不必议可也然且以不绝于口翁之此意岂独为金HT 工计哉有能以幼幼为心宝有
其书圭复其说宛如省翁之耳提面命将护于震夙之初调理于生育之后于其疾乎何忧其或以竖子
之梗为予告亦将语之曰翁有口议在由是幼吾幼以及人之幼挈而同归寿域中此翁之初心然也然
则是议也又当求诸省翁之心谨母曰膝HT 口说
时岁在癸未梅月朔且石峰熊槐书
按魏氏前序云求之文理诚若不足兹则不敢妄喙妒就议中述其切要一二言之讥者幸鉴
一儿在胞胎必须饮食有常起居自若便神全气和胎气常安生子必伟
一怀娠之后最忌食热毒等物庶儿孩降生儿有脐突疮瘫等患
一乳母常须养其血和其气乐以忘忧使乳汁温平纵儿疾作自安平过半矣
一婴儿平常无病不必服药饵恐遇疾不即为效
一初生儿必忌外客所触庶免致客忤热古人所以忌客一脯
一儿孩不宜食肉太早伤及脾胃免致虫积疳积
一儿孩变蒸作热非谓其病虽不药自愈
一小儿受病在脐有自愈者故先贤惟理其脏未言其腑腑阳脏阴如麻子一症乃是腑病
一小儿颅囟未合乃气虚所致勿视为寻常
一儿生谷道无穿多至不救药无速验必假物透以通之
一惊风发搐手足不定执捉恐风痫逆入经络废害肢体
一小儿母容入神庙中恐神情闪烁必生怖畏
一小儿笑极与和哭极与乐睡思既浓母使吐嚼
一儿患吐泻女吐男泻是为急症吐泻不止脾虚风即生急宜疗之
一儿患疮疹发惊不可下惊药有热不可用退热药有汗不可止汗或吐不可理吐或下亦有可不
一儿患鼻孔黑如煤耳叶廊焦黑目翻指甲黑作鸦声或吼叫数声及手寻父娘衣皆无可治疗
一药忌脑麝HT 粉水银及用针艾尤忌砒毒皆不可轻用
一食忌甜成疳饱伤冷成积肥生痰如焦苦辛辣馊酸恐毒尤不可食
It is commonly said that treating diseases and governing a state share the same origin. A newly established country is difficult to govern due to its nascent ailments, just as diseases in infants are difficult to treat due to their tender age. In a newly founded state, the difficulty lies in the people's hearts not yet being convinced and the laws and systems not yet being complete; therefore, matters require endless discussion, much like the Zhou people discussing politics in the market or the Zheng people debating in local schools. For young children, the problem lies in their Qi and Blood not yet being fully developed and their sinews and vessels not yet being firm. If one were to look for vitality akin to bamboo shoots growing rapidly or small crab claws being solid, such examples are rare. This is why *Kouyi* (Oral Discussions) was written.
Master Zeng (Zeng Shirong) possessed a straightforward nature without pretension, and was simple yet substantively eloquent. Whether discussing syndromes, herbs, or evaluating various prescriptions, his arguments were precise and unyielding, like an experienced judge deliberating on penalties, allowing no deviation by even a hair's breadth. While his literary style might seem lacking in rhetorical flourish, his grasp of underlying principles is abundant and profound. Even precious secrets like "Phoenix Marrow" or "Jade Decisions" would hardly surpass him.
Some say that a wheelwright's mastery of wheels or Cook Ding's skill in butchering oxen come from hand responding to heart and heart grasping the essence, achievements far beyond mere oral transmission. Now, Master Zeng uses "mouth" (speech/oral tradition) as the basis for his writing. Compared to those who cannot teach their children or lack the insight to see the whole ox, the difference is vast and obvious. Alas, this is indeed true! If one were to discard verbosity and prioritize returning to the source, then discussions on breastfeeding, dietary taboos, and injuries might be considered unnecessary. Yet, Master Zeng continues to admonish through speech. Is his intention merely for the sake of craftsmen? If anyone can take the care of infants as their heart, treasure this book, and practice its teachings as if receiving direct instruction from Master Zeng, providing care at the time of birth and regulation after delivery, what worry could there be regarding childhood illnesses? Even if faced with stubborn cases, I will tell them: Master Zeng's *Kouyi* is here. Thus, extending love for one's own child to others' children, leading them all to a realm of longevity and health, is Master Zeng's original intent. Therefore, when examining this discourse, one should seek it in Master Zeng's heart, and do not dismiss it as superficial talk.
Written by Xiong Huai of Qieshifeng on the first day of the Plum Month in the Guiwei year.
According to Mr. Wei's preface: "Examining its literary structure, it seems indeed lacking." I dare not rashly comment on this, but will only mention a few essential points discussed in the text. Critics are invited to inspect.
1. While in the womb, the fetus requires the mother to have regular diet and natural daily routine. When spirit is complete and Qi is harmonious, fetal Qi remains stable, resulting in a robust child.
2. After conception, one must strictly avoid consuming hot and toxic foods, lest the newborn suffer from conditions such as umbilical hernia, sores, or paralysis.
3. The nursing mother must constantly nourish her Blood and harmonize her Qi, maintaining joy to forget worries, ensuring the milk is warm and balanced. Even if the infant falls ill, half may recover spontaneously.
4. Infants without ordinary illness need not take medicine, as it may fail to take effect immediately when disease strikes.
5. Newborns must be shielded from contact with strangers to avoid "Ke Wu" (stranger-induced fever). This is one reason ancients avoided guests.
6. Children should not eat meat too early to prevent damage to the Spleen and Stomach, which could lead to worm accumulation or malnutrition syndromes (Gan Ji).
7. Fever during the "Bian Zheng" (developmental fever) period in children is not a disease; it resolves spontaneously without medication.
8. Illnesses located in the navel area in children may resolve on their own. Hence, ancient sages focused on regulating Zang organs rather than Fu organs, because Fu belongs to Yang and Zang to Yin. For example, the measles syndrome is a Fu organ disease.
9. An unclosed fontanelle in children is caused by Qi deficiency and should not be regarded as trivial.
10. Imperforate anus in newborns is often incurable, with no rapid drug efficacy; physical intervention is required to create an opening.
11. During convulsions from wind-stroke, limbs are restless. Restraint may provoke wind-phlegm or allow pathogenic factors to invade meridians, damaging limbs.
12. Mothers should not enter temples with their children to avoid fright caused by flickering lights or solemn atmospheres, which can induce fear.
13. If a child laughs excessively, provide calmness; if crying excessively, provide comfort. Do not disturb the child when sleep is deep.
14. Vomiting in female infants and diarrhea in male infants are acute symptoms. Persistent vomiting and diarrhea lead to Spleen deficiency and internal wind generation, requiring urgent treatment.
15. For children with chickenpox/rash accompanied by convulsions, purgatives are contraindicated. If the convulsive medicine is hot, cooling medicines are contraindicated. If sweating occurs, stopping sweat is contraindicated. Similarly, treating vomiting or diarrhea may sometimes be unnecessary depending on the context.
16. Symptoms such as nostrils black as coal, ears scorched black, eyes rolling back, black fingernails, crow-like sounds, roaring, or seeking parents' clothes indicate terminal conditions with no curative treatment available.
17. Medicinal taboos include musk powder, mercury, acupuncture, moxibustion, and especially arsenic poison. These must not be used lightly.
18. Dietary taboos: Sweet foods cause Gan syndromes; overeating damages; cold foods cause stagnation; fatty foods generate phlegm. Burnt, bitter, spicy, sour, or rancid foods are potentially toxic and should definitely be avoided.