经说∶年六岁以上为小儿,十八以上为少年,二十以上为壮年,五十以上为老年也。其
六岁已还者,经所不载,是以乳下婴儿病难治者,皆无所承按故也。中古有巫方,立小儿《
颅囟经》以占夭寿,判疾病死生,世所相传,始有小儿方焉。逮乎晋宋,推诸苏家,传袭有
验,流于人间。
小儿始生,肌肤未成,不可暖衣,暖衣则令筋骨缓弱。宜时见风日,若都不见风日,则
令肌肤脆软,便易伤损。皆当以故絮着衣,莫用新绵也。天和暖无风之时,令母将抱日中嬉
戏,数见风日,则血凝气刚,肌肉硬密,堪耐风寒,不致疾病。若常藏在帏帐之内,重衣温
暖,譬如阴地之草木,不见风日,软脆不任风寒。又当薄衣,薄衣之法,当从秋习之,不可
以春夏卒减其衣,则令中风寒。从秋习之,以渐稍寒,如此则必耐寒。冬月但当着两薄襦,
一复裳耳,非不忍见其寒,适当佳耳。爱而暖之,适所以害之也。又当消息,无令汗出,汗
出则致虚损,便受风寒。昼夜寤寐,皆当慎之。
其饮乳食哺,不能无痰癖,常当节适乳哺。若微不进乳,仍当将护之。凡不能进乳哺,
则宜下之,如此则终不致寒热也。
又,小儿始生,生气尚盛,无有虚劳,微恶则须下之,所损不足言。及其愈病,则致深
益。若不时下,则成大疾,疾成则难治矣。其冬月下之,难将护,然有疾者,不可不下。夏
月下之后,腹中常当小胀满,故当节哺乳将护之,数日间。又节哺之,当令多少有常剂。
儿稍大,食哺亦当稍增。若减少者,此是腹中已有小不调也。盒饭微将药,勿复哺之,
但当乳之,甚者十许日,轻者五六日,自当如常。若都不肯食哺,而但饮乳者,此是有癖,
为疾重,要当下之。不可不下,不下则致寒热,或吐而发痫,或致下利,此皆病重,不早下
之所为也,则难治。先治其轻时,儿不耗损,百病速除矣。
小儿所以少病痫者,其母怀娠,时时劳役,运动骨血,则气强、胎养盛故也。若待御多
,血气微,胎养弱,则儿软脆易伤,故多病痫。
儿皆须着帽、项衣,取燥,菊花为枕枕之。儿母乳儿,三时摸儿项风池,若壮热者,即
须熨,使微汗。微汗不瘥,便灸两风池及背第三椎、第五椎、第七椎、第九椎两边各二壮,
与风池凡为十壮。一岁儿七壮,儿大者,以意节度,增壮数可至三十壮,唯风池特令多,七
岁以上可百壮。小儿常须慎护风池,谚云∶戒养小儿,慎护风池。风池在颈项筋两辕之边,
有病乃治之。疾微,慎不欲妄针灸,亦不用辄吐下,所以然者,针灸伤经络,吐下动腑脏故
也。但当以除热汤浴之,除热散粉之,除热赤膏摩之,又以脐中膏涂之。令儿在凉处,勿禁
水洗,常以新水洗。
新生无疾,慎不可逆针灸。逆针灸则忍痛动其五脉,因喜成痫。河洛间土地多寒,儿喜
病痉。其俗生儿三日,喜逆灸以防之,又灸颊以防噤。有噤者,舌下脉急,牙车筋急,其土
地寒,皆决舌下去血,灸颊以防噤。江东地温无此疾。古方既传有逆针灸之法,今人不详南
北之殊,便按方用之,多害于小儿。是以田舍小儿,任自然,皆得无横夭。
又云∶春夏决定不得下小儿。所以尔者,小儿腑脏之气软弱,易虚易实,下则下焦必益
虚,上焦生热,热则增痰,痰则成病。自非当病,不可下也。
The classics state: Those aged six and above are called children (Xiao'er), those aged eighteen and above are called youths (Shaonian), those aged twenty and above are called adults in their prime (Zhuangnian), and those aged fifty and above are called the elderly (Laonian).
For those under six years old, the classics do not record details; therefore, illnesses in nursing infants are difficult to treat because there is no established theoretical basis to follow.
In the middle ancient period, shamanic physicians compiled the *Luxin Jing* (Suture Classic) for children to predict longevity and judge the prognosis of diseases, which was passed down by the world, marking the beginning of pediatric prescriptions.
By the Jin and Song dynasties, these teachings were largely propagated by the Su family, transmitted with verified efficacy, and spread among the people.
When a child is first born, the skin and muscles are not yet fully formed; they should not be kept too warm, as excessive warmth causes the sinews and bones to become lax and weak.
They should be exposed to wind and sunlight regularly. If completely shielded from wind and sun, the skin and muscles will become brittle and soft, making them prone to injury and damage.
Clothing should be lined with old cotton wadding, not new cotton.
On mild, windless days, the mother should hold the child and play with them in the sunlight. Frequent exposure to wind and sun will cause the blood to coagulate and the Qi to become firm, resulting in dense and tough muscles capable of withstanding cold and wind, thereby preventing disease.
If always kept inside curtains, heavily clothed and warmed, it is like plants in the shade—soft, fragile, and unable to withstand cold and wind.
Furthermore, clothing should be thin. The method of wearing thin clothes should be practiced starting from autumn; one should not suddenly reduce clothing in spring and summer, as this invites wind-cold.
Practicing from autumn allows gradual adaptation to cold, thus building tolerance.
In winter, only two thin padded jackets and a double-layered skirt are needed. This is not out of indifference to their coldness, but because it is truly beneficial.
Overindulgence in keeping them warm is actually harmful.
Care must also be taken to prevent sweating, as sweating leads to deficiency and susceptibility to wind-cold.
This caution applies to both day and night, whether awake or asleep.
Regarding breastfeeding and supplementary food, phlegm and accumulation (Tanpi) cannot be entirely avoided; breastfeeding and feeding should be regulated.
If the infant slightly refuses milk, care should still be taken.
Generally, if the infant cannot take milk or food, purgation (Xia) should be employed, which ultimately prevents febrile diseases.
Moreover, newborns have vigorous vital energy and lack deficiency-fatigue conditions. For minor ailments, purgation is required; the loss incurred is negligible.
Once recovered, this brings profound benefit.
If purgation is not applied promptly, minor issues develop into major diseases, which become difficult to treat.
Purgation in winter is hard to manage, but necessary when illness exists.
After purgation in summer, the abdomen may feel slightly distended; thus, breastfeeding should be moderated and care taken for several days.
Feeding should also be regulated, ensuring consistent quantities.
As the child grows, supplementary food intake should increase accordingly.
A decrease in intake indicates slight internal disharmony.
Medication should be administered immediately, stopping supplementary food and relying solely on breastfeeding. Severe cases may take ten-plus days, mild cases five to six days, before returning to normal.
If the child refuses all supplementary food and drinks only milk, it indicates severe accumulation (Pi), requiring purgation.
Purgation is essential; without it, febrile diseases may arise, or vomiting and epilepsy (Xian) may occur, or diarrhea may result. These serious outcomes stem from delayed purgation, making treatment difficult.
Treating early, when the child is not depleted, ensures rapid recovery from various diseases.
Children suffer less from epilepsy because during pregnancy, the mother’s frequent labor and movement strengthen her Qi and enrich fetal nourishment.
Conversely, excessive sexual activity depletes Qi and Blood, weakening fetal nourishment, resulting in a fragile child prone to illness and epilepsy.
Children must wear hats and neck guards to keep dry, and use chrysanthemum pillows.
During breastfeeding in three seasons, the mother should massage the Fengchi (GB20) acupoint at the back of the neck. If high fever occurs, moxibustion or warming therapy should be applied to induce slight sweating.
If slight sweating does not resolve the condition, moxa should be applied to both Fengchi points and the bilateral sides of the 3rd, 5th, 7th, and 9th thoracic vertebrae, two moxa cones per point, totaling ten cones.
For a one-year-old, seven cones are used. For older children, the number can be adjusted up to thirty cones, with special emphasis on Fengchi, where up to one hundred cones may be used for children over seven.
Pediatric care must strictly protect the Fengchi point. As the proverb says: "Raising children requires careful protection of Fengchi."
Fengchi is located at the edges of the tendons in the neck. Treatment is indicated only when disease is present.
For mild illnesses, avoid unnecessary acupuncture and moxibustion, and do not readily use emetic or purgative methods, as acupuncture damages meridians and emetics/purgatives disturb the Zang-Fu organs.
Instead, bathe the child in heat-clearing decoctions, apply heat-clearing powder, massage with heat-clearing red ointment, and apply umbilical paste.
Keep the child in cool places, allow washing with fresh water regularly.
For healthy newborns, reverse moxibustion (Ni Zhenjiu) should be strictly avoided.
Reverse moxibustion causes pain and disturbs the Five Pulses, potentially inducing epilepsy due to fright.
In the Heluo region, the cold climate makes children prone to spasms (Jing).
Local custom involves reverse moxibustion on the third day after birth for prevention, and moxibustion on the cheeks to prevent trismus (lockjaw).
Trismus presents with tight sublingual vessels and tense masseter muscles. Due to the cold climate, bloodletting from the tongue and cheek moxibustion are performed.
Such diseases are absent in the warmer Jiangdong region.
Although ancient texts record reverse moxibustion, modern practitioners often ignore north-south climatic differences and apply it indiscriminately, harming many children.
Therefore, rural children, left to nature, often avoid premature death.
It is also stated: Purgation must absolutely not be used for children in spring and summer.
This is because children's Zang-Fu Qi is weak and easily shifts between deficiency and excess. Purgation further depletes the Lower Jiao, generates heat in the Upper Jiao, increases phlegm, and creates disease.
Unless specifically indicated by illness, purgation should not be used.