婴儿初生,百日内,觉口冷腹痛,身起寒栗,时发战栗,曲足握拳,昼夜啼哭不
已,或口噤不开,名曰胎寒。其证,在胎时母因腹痛而致产,经云∶胎寒多腹痛。
亦有产妇喜啖甘肥生冷时果,或胎前外感风寒暑湿,治以凉药,内伤胎气,则生后
昏昏多睡,间或 乳泻白,若不早治,必成慢惊、慢脾。凡有此候,宜以冲和饮、
当归散、合和,水煨姜煎服,使之微泄,泄行,进匀气散调补,泄止气匀,神安痛
定,手足舒伸,次用参苓白术散以养胃气,白芍药汤去其寒湿。乳母宜节生冷冻饮料食,
庶易瘥也。又有手足稍冷,唇面微青,额上汗出,罔顾乳食,至夜多啼,颇似前
证,但无口冷寒战,名曰脏寒。其疾夜重日轻,腹痛肠鸣,泄泻清水,间有不泄者,
此证亦在百日内有之,皆因临产在地稍久,冷气侵逼,或以凉水参汤洗儿,或断脐
带短,而又结缚不紧,为寒气所伤如此,宜以白芍药汤及冲和饮加盐炒茴香、茱萸,
水姜煎服,并乳母同服。〔汤〕小儿胎中有寒,生下不能将护,再伤于风,其候面
色青白,四肢逆冷,手足颤动,口噤不开,乃胎寒之故,或寒乘虚入脏,作腹疼盘
肠内吊(治法详寒腹痛条。)
冲和饮 当归散(方见潮热) 白芍药汤(见疝) 匀气散(见疝) 参苓白术散 异功散
薛氏治胎寒用此。
In the first hundred days after birth, if the infant feels cold in the mouth and abdominal pain, experiences shivering and trembling of the body, frequently trembles, curls the legs and clenches the fists, cries incessantly day and night, or has a locked jaw that cannot open, this is named Fetal Cold (Tai Han). The etiology involves premature delivery due to maternal abdominal pain during pregnancy; as the classics state: "Fetal cold is often accompanied by abdominal pain." It may also result from the mother's preference for sweet, fatty, raw, or cold fruits, or from external contraction of Wind, Cold, Summerheat, or Dampness prior to conception, treated with cooling herbs that internally injure the fetal Qi. Consequently, the newborn sleeps lethargically, occasionally regurgitates milk curds or passes white loose stools. If not treated early, it will inevitably develop into Slow Convulsion (Man Jing) or Slow Spleen Wind (Man Pi). For such presentations, Chonghe Yin (Harmonizing Decoction) and Danggui San (Angelica Decoction) should be combined and decocted with water-warmed ginger to induce mild diarrhea. Once diarrhea occurs, Yunqi San (Regulating Qi Powder) should be administered to regulate and tonify. After diarrhea ceases, Qi becomes balanced, Spirit is calm, pain subsides, and limbs extend, Shenling Baizhu San (Ginseng, Poria, and Atractylodes Macrocephala Powder) should be used to nourish Stomach Qi, while Baishaoyao Tang (White Peony Decoction) should be employed to dispel Cold-Dampness. The nursing mother should avoid raw, cold, and iced foods and drinks to facilitate recovery.
Another condition presents with slightly cold hands and feet, slightly cyanotic lips and face, sweating on the forehead, refusal to nurse or eat, and increased crying at night, resembling the above syndrome but without cold mouth or chills; this is named Visceral Cold (Zang Han). This disease is heavier at night and lighter during the day, accompanied by abdominal pain, borborygmus, and watery diarrhea, sometimes without diarrhea. This condition also occurs within the first hundred days, caused by prolonged exposure to cold air during labor, washing the infant with cold water ginseng soup, short umbilical cord ligation that is not tight enough, allowing Cold Qi to invade. Bai Shaoyao Tang and Chonghe Yin added with salt-fried Huixiang (Fennel Fruit) and Zhuyu (Evodia Fruit), decocted with water and fresh ginger, are indicated, and the nursing mother should take them concurrently. [Tang] If an infant harbors Cold in the womb and, after birth, fails to receive proper care leading to secondary Wind injury, symptoms include cyanotic-white complexion, cold extremities, tremors of hands and feet, and locked jaw, which are due to Fetal Cold. Alternatively, Cold may enter the Zang organs through deficiency, causing abdominal pain and Pan Chang Nei Diao (intense abdominal pain resembling intestinal retraction; see treatment under "Cold Abdominal Pain").
Chonghe Yin, Danggui San (see "Tidal Fever"), Baishaoyao Tang (see "Hernia"), Yunqi San (see "Hernia"), Shenling Baizhu San, Yigong San (Xue Shi used this formula to treat Fetal Cold).