世间多有用黄连拭口者,不知黄连大苦大寒,能损胃气。小儿初脱母胎,全赖后天脾胃
强健,岂可即以苦劣之味相犯。他日变呕变泻,不乳腹痛,长病惊劳,皆由此起。陈文中曰
∶小儿初生,便服朱砂、轻粉、白蜜、黄连,本欲下胎毒,不知此皆伤脾败阳之药,轻粉损
心,朱砂损神,儿实者服之软弱,弱者服之易伤,反致变生诸害,不可不察,真至言也。
小儿初生,两乳必有饼子,须时常揉撮,捏去乳汁,以散为度,否则肿硬成毒。如初生
洗浴时,即将两乳头各捏一把,便无此患。
小儿初生,肌肤未实,腠理未密,宜用旧絮护其背。不可太暖,致令出汗,使表虚易受
外邪。
小儿双盈月后,若遇晴和天气,令乳母抱儿数见天日,则血气刚强,肌肉致密,可耐风
露。若浓衣暖被,藏于重帏密室,则筋骨软脆,不任风寒,多易致病。所以贫儿坚劲无疾,
富儿柔脆多灾,譬诸草木方生,以物覆盖紧密,不令见风日雨露,则萎黄柔弱矣。
小儿衣裳被衲,日晒日收,不宜在外过夜。书云∶天上有飞星恶鸟,不可干犯,小儿染
着戾气,生无辜疾,啼叫不绝,须即换下所着衣服,醋炭烘之,太阳 之。
小儿肠胃细嫩如葱,乳哺不宜过饱。陈氏所谓∶耐三分寒,吃七分饱,频揉肚,少洗澡
,要背暖肚暖,头凉心胸凉。皆至论也。又须令乳母预慎七情、浓味、炙爆,则乳汁宁净,
儿不致疾。
小儿乳哺须要得法。乳者奶也、哺者食也。乳后不可便与食,哺后不可便与乳,乳食相
连,难以克化,大者成癖疳,小者泄痢腹疼。
凡乳儿先须 去宿乳少许,然后与儿吮之。乳亦不可过饱,饱则溢而成呕吐。若乳来
多,急取出,馁后再乳,夏月不去热乳,冬月不去寒乳,令儿泻痢,不可不慎。
凡乳母卧寐,母当以臂枕之,令儿头与乳相平。母欲睡着时,即夺其乳,恐其不知饱足
,亦致呕吐。若父母交合之间,儿卧于侧,或惊醒啼起,不可即与乳吮,盖气乳未定,恐致
杀儿也。
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。
小儿始生,肌肤未实,宜单衣不宜暖衣,暖则筋骨软弱,易发疮疡。宜旧絮不宜新棉,
新则汗出表虚,易受寒邪。宜见地气,宜见风日,不见地气、风日,则肌肤柔软,易得损伤
。尝见富贵之家,重茵叠被,日在怀抱中,虽数岁亦未能行。而田舍小儿,终日暴露,或饥
或寒,绝无他病。譬如草木生于深山峻谷及大泽中,容易合抱,至园圃奇材异卉,纵加培拥
,多有秀而不实者,岂贵贱之理有异哉。
《小儿精要》云∶初生小儿不得用油腻手包裹,春忌覆顶裹足,夏忌饮冷食冰,冬忌炙
衣被。要得小儿安,常带几分饥与寒,真至言也。
小儿肠胃脆窄,若稠粘、干硬、酸咸、辛辣之物及一切鱼肉、水果、湿面、烧炙、煨炒
、煎爆,俱是发热难化之食,皆宜禁绝。乳妇无知,畏其啼哭,无所不与,积成痼疾,虽悔
何及!语云∶惜儿须惜食,记之,记之!《养子真诀》云∶吃热莫吃冷,吃软莫吃硬,吃少
莫
Many people in the world use Huanglian (Coptidis Rhizoma) to wipe the mouth, not knowing that Huanglian is extremely bitter and greatly cold, which can damage Stomach Qi. A newborn infant, having just left the maternal womb, relies entirely on the strength of the acquired Post-Heaven Spleen and Stomach; how can one offend it with such a bitter and inferior taste? Vomiting, diarrhea, refusal to nurse, abdominal pain later in life, as well as prolonged illness, convulsions, and consumptive fatigue, all arise from this. Chen Wenzhong said: When a child is first born, administering Zhusha (Cinnabar), Qingfen (Calomel), white honey, and Huanglian aims to purge fetal toxins, but these are actually medicines that injure the Spleen and deplete Yang. Qingfen damages the Heart, Zhusha damages the Spirit; if administered to a robust child, they become weak, and if given to a frail child, they are easily injured, thereby causing various harms. This must be carefully examined; it is truly a profound truth.
When a newborn is first born, there will inevitably be "cake-like" swellings (gynecomastia due to maternal hormones) on both breasts. These must be frequently massaged and squeezed to express milk until they dissipate; otherwise, they will swell, harden, and become toxic sores. If, during the initial bathing of the newborn, each nipple is squeezed once, this trouble can be avoided.
A newborn's skin and flesh are not yet solid, and the Couli (pores and interstices) are not yet dense. Old cotton wadding should be used to protect the back. One should not keep them too warm to the point of sweating, which would make the exterior deficient and susceptible to external pathogenic factors.
After two months of age, if the weather is clear and mild, the wet nurse should hold the child to expose them to sunlight. Then the Blood and Qi will become strong, muscles dense, and able to withstand wind and dew. If dressed in thick clothes and covered with warm quilts, hidden in multi-layered curtains and sealed rooms, the bones and sinews will become soft and brittle, unable to endure wind and cold, making them prone to disease. Thus, poor children are tough and free from illness, while rich children are fragile and prone to disaster. It is like plants newly sprouted; if covered tightly by objects so as not to see wind, sun, or rain, they will become yellow, withered, and weak.
Children's clothes and bedding should be sun-dried daily and collected at night; they should not be left outside overnight. Books state: Do not offend the flying stars and evil birds in the sky. If a child contracts pestilential Qi and develops innocent diseases, crying incessantly, the worn clothes must be immediately removed, baked with vinegar and charcoal, and then exposed to the sun.
A child's intestines and stomach are tender like green onions; breastfeeding and feeding should not be excessive. As Mr. Chen said: Endure a little cold, eat only seven-tenths full, frequently rub the belly, bathe less, keep the back and belly warm, and the head and chest cool. These are all profound truths. Furthermore, the wet nurse must prudently avoid the Seven Emotions (Joy, Anger, Worry, Pensiveness, Sadness, Fear, Fright), heavy flavors, and fried/roasted foods, so that the breast milk remains pure and the child does not fall ill.
Infant feeding requires proper method. "Ru" refers to milk, "Bu" refers to food. After nursing, one should not immediately give food; after feeding, one should not immediately nurse. Continuous intake of milk and food makes digestion difficult, leading to accumulations and malnutrition syndromes in older infants, or diarrhea, dysentery, and abdominal pain in younger ones.
Before nursing, a small amount of retained milk should be expressed, and then the child may suck. Milk should not be fed to excess, as overfilling causes overflow and vomiting. If the milk flow is too rapid, it should be extracted quickly, and feeding resumed when it slows down. In summer, failing to remove hot milk, and in winter, failing to remove cold milk, will cause diarrhea and dysentery; caution is essential.
When the wet nurse sleeps, she should support her arm so that the child's head is level with the breast. When the mother feels sleepy, she should withdraw the nipple, lest the child fail to recognize satiety, also leading to vomiting. If parents engage in intercourse while the child lies nearby, or if the child wakes up startled and cries, one must not immediately offer the breast for sucking. At this time, the Qi and milk are unsettled, which may endanger the child's life.
Children who have arbitrary dietary preferences will inevitably fall ill. It is said that overly palatable foods ultimately cause disease. Extreme caution is required. Wang Yinjun once said: "In my youth, I had a strong craving for sweet maltose. One day, I saw an earthworm sticking its head out of the maltose, and since then, I dared not eat it. Growing up, I realized this was done by my elders. This serves as a wonderful method for restraint."
Newborns have unsolidified skin and flesh; single-layer clothing is preferable to warm clothing. Warmth leads to soft bones and sinews and predisposes to sores and ulcers. Old cotton wadding is preferable to new cotton. New cotton induces sweating and exterior deficiency, making one susceptible to cold pathogens. Exposure to ground Qi and wind/sunlight is beneficial. Lack thereof results in soft skin prone to injury. I have seen wealthy families using thick mats and quilts, holding children in their arms all day, so that even at several years old, the children cannot walk. In contrast, rural children exposed to the elements all day, sometimes hungry or cold, suffer no other illnesses. It is like trees growing in deep mountains and large marshes, which easily grow to trunk thickness, whereas exotic plants in gardens, despite cultivation, often flower without fruit. Is there really a difference in the principles of nobility and baseness?
The *Xiao'er Jingyao* states: Do not wrap a newborn with oily hands. In spring, avoid covering the head and wrapping the feet; in summer, avoid cold drinks and ice; in winter, avoid heated clothing and bedding. To ensure a child's peace, let them retain a degree of hunger and cold; this is truly a profound truth.
Children's intestines and stomachs are fragile and narrow. Thick, sticky, dry, hard, sour, salty, spicy foods, as well as all meat, fish, fruits, wet dough, roasted, simmered, stir-fried, pan-fried, and deep-fried items, are all heat-producing and hard-to-digest foods that should be strictly prohibited. Ignorant wet nurses, fearing the child's crying, give everything, accumulating chronic diseases. What good is regret then! The saying goes: To cherish a child is to cherish their diet. Remember, remember! The *Yangzi Zhenjue* states: Eat hot, not cold; eat soft, not hard; eat less, not...