小儿在胎。禀阴阳五行之气。以生脏腑百骸。藉胎液以滋养。受气既足。自然生育。出
世之
时。口含血块。啼声一出。随即咽下。而毒伏于命门。遇天行时气。或饮食停滞。或外感风
寒。惊风发热等因。发为疮疹。须急于未啼时。用软帛裹指。挖出其血。用黄连朱砂甘草
解
之。后出痘亦轻。有咽入。实时肚胀。呕吐气短。不乳者。用茯苓丸治之。但黄连性寒。
若
母禀气膏粱积热者。宜服。若滋味淡薄。胎元弱者。又不宜用。朱砂固能解毒。恐金石镇坠
。不若牛黄分许。蜜调与吮为佳。又有婴儿。因其难产。或冒风寒。而垂厄者。切不可断脐
急烘绵絮包抱怀中。急以胎衣置火中煨烧更大纸捻于脐带上往来燎之。使暖气入腹。须臾气
复自苏。犹戒洗浴。恐腠理不密。元气发泄。而外邪乘之也。
朱蜜法 先以黄连煎汤拭儿口。吐去恶汁。再以朱砂一分研细。蜂蜜少许。抹儿口吮之
。镇心定魄。安神解毒。
牛黄法 以牛黄二分。朱砂半分。竹叶七片。煎汤调灌。益肝胆。除烦热。祛惊邪。辟
恶气。除小儿痫病。
茯苓丸
赤茯苓 黄连（胎冷者易芍药） 枳壳（各等分）
上为末。炼蜜为丸。如桐子大。每服一丸。乳汁化下。
小儿初生。肌肤未实。宜用旧絮护其背。不可太暖。更宜频见风日。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。乳哺不宜过饱。若宿滞不化。用消孔丸治之。
陈氏所谓忍三分寒。吃七分饱。频揉肚。少洗澡。要肚暖头凉。皆至论也。须令乳母预慎七
情六淫。浓味炙爆。则汁清宁。儿不致病。保婴之法。未病则调治乳母。既病则审治婴儿。
亦必兼治其母为善。
婴儿在母胎中时，禀受阴阳五行之气，从而生成脏腑和肢体骨骼。依靠胎液来滋养身体。当元气充足后，自然会出生。出生的时候，口中含着血块，啼哭一声后，随即将其咽下，而毒素便潜伏在命门。遇到天行时气（流行性传染病邪气），或饮食停滞，或外感风寒、惊风发热等原因，就会引发疮疹。必须在婴儿未啼哭之前，用软布包裹手指，挖出口中的血块，用黄连、朱砂、甘草来解毒。这样以后出痘也会较轻。如果将血块咽入腹中，会立即出现肚胀、呕吐、气短、不肯吃奶的症状，用茯苓丸治疗。但是黄连性寒，如果母亲体质偏于膏粱积热者，适宜服用；如果母亲口味淡薄、胎元虚弱者，又不宜使用。朱砂虽然能解毒，但担心金石类药物镇坠伤正，不如用少许牛黄，调蜂蜜让婴儿吮吸为佳。又有婴儿，因为难产，或冒受风寒，而处于危急状态的，切不可急于剪断脐带并用火烘烤，或用绵絮包裹抱在怀中。应立即将胎衣放在火中煨烧，再用大纸捻在脐带上往来燎烤，使暖气进入腹部，片刻之后气息恢复，自然苏醒。还要告诫不要给婴儿洗浴，恐怕腠理不紧密，元气发泄，导致外邪乘虚而入。
朱蜜法：先用黄连煎汤擦拭婴儿口腔，吐出恶汁。再用一分朱砂研细，加少许蜂蜜，涂抹婴儿口中让其吮吸。具有镇心安神、定魄安神、解毒的功效。
牛黄法：用牛黄二分，朱砂半分，竹叶七片，煎汤调匀灌服。有益肝胆、除烦热、祛惊邪、辟恶气、治疗小儿痫病的作用。
茯苓丸：赤茯苓、黄连（若胎冷者改用芍药）、枳壳（各等分）。
以上药物研为末，炼蜜为丸，如梧桐子大小。每次服用一丸，用乳汁化开送下。
婴儿刚出生，肌肤尚未结实，应用旧棉絮护住背部，不可太暖。更应经常接触风和阳光，这样气血才能刚强，肌肉致密。如果藏在厚重的帷幔密室中，或穿衣过暖，则筋骨软脆，不能抵御风寒，容易生病。衣服应当根据寒热情况增减，只要保持背部温暖即可。也不要让婴儿出汗，恐怕表虚导致风邪易伤。哺乳不宜过饱，如果有宿食停滞不化，用消孔丸治疗。陈氏所说的“忍受三分寒冷，吃七分饱，经常揉肚子，少洗澡，要肚子暖头凉”，都是至理名言。必须让乳母预先谨慎对待七情六淫及浓味炙爆食物，这样乳汁才会清宁，婴儿才不会生病。保婴的方法，未病时调理乳母，既病时诊治婴儿，也必须兼治其母才好。
When the infant is in the womb, it inherits the Qi of Yin and Yang and the Five Elements (Wood, Fire, Earth, Metal, Water), thereby generating the Zang-Fu organs and skeletal structure. It relies on amniotic fluid for nourishment. Once the vital Qi is sufficient, birth occurs naturally. At the time of delivery, the infant holds a blood clot in its mouth; upon crying, it swallows the clot immediately, causing toxins to lodge in the Mingmen (Gate of Life). When encountering epidemic pathogens (Tianxing Shiqi), food stagnation, external contraction of Wind-Cold, or convulsions with fever, sores and rashes may erupt. It is urgent to remove the blood before the infant cries: wrap a finger in soft cloth, scoop out the blood, and resolve the toxicity using Huanglian (Coptis Rhizome), Zhusha (Cinnabar), and Gancao (Licorice Root). This will result in milder smallpox later. If swallowed, abdominal distension, vomiting, shortness of breath, and refusal to nurse occur immediately; treat with Fuling Wan (Poria Pill). However, Huanglian is cold in nature. It is suitable if the mother has a constitution of rich-food heat accumulation; but if the mother’s diet is bland and the fetal foundation is weak, it should not be used. Although Zhusha can detoxify, one must fear that mineral substances are heavy and sedating. It is better to use a small amount of Niuhuang (Calculus Bovis), mixed with honey, for the infant to suck. For infants in peril due to difficult labor or exposure to Wind-Cold, do not hastily cut the umbilical cord, bake it with fire, or wrap them in cotton and hold them close. Instead, quickly roast the placenta in fire, then use a large paper wick to cauterize back and forth along the umbilical cord, allowing warm Qi to enter the abdomen. Within moments, Qi returns, and the infant revives. Also, warn against bathing, lest the Couli (pores) be loose, causing Yuanqi (Original Qi) to dissipate and external pathogens to invade.
Zhu Mi Fa (Cinnabar-Honey Method): First, wipe the infant’s mouth with decoction of Huanglian to spit out foul fluids. Then, grind 1 fen of Zhusha into fine powder, mix with a little honey, apply to the infant’s mouth for sucking. It calms the Heart, stabilizes the Spirit, settles the Soul, and detoxifies.
Niu Huang Fa (Calculus Bovis Method): Use 2 fen of Niuhuang, 0.5 fen of Zhusha, and 7 leaves of Zhuye (Bamboo Leaf). Decoct and administer as a mixture. It benefits the Liver and Gallbladder, removes irritability and heat, dispels wind-convulsion pathogenic factors, wards off evil Qi, and treats pediatric epilepsy.
Fuling Wan (Poria Pill): Chifuling (Red Poria), Huanglian (Coptis Rhizome) [replace with Shaoyao (White Peony Root) if fetal coldness exists], Zhike (Aurantium Fruit) [equal parts].
Grind the above into powder, bind with refined honey to make pills the size of tung seeds. Take one pill per dose, dissolved in breast milk.
The newborn’s skin and muscles are not yet solid. Old cotton wool should be used to protect the back, but not too warmly. Frequent exposure to wind and sunlight is beneficial, making the Qi and Blood strong and muscles dense. If kept in heavy curtains and sealed rooms, or dressed too warmly, the bones and tendons become soft and brittle, unable to resist Wind-Cold, leading easily to disease. Clothing should be adjusted according to cold and heat; keeping the back warm is best. Do not let the infant sweat, lest the exterior deficiency allow Wind pathogens to injure easily. Nursing should not be excessive. If there is retained food stagnation, treat with Xiaokong Wan. As Chen stated: “Endure three parts cold, eat seven parts full, frequently rub the belly, bathe less, keep the belly warm and head cool.” These are profound truths. The wet-nurse must strictly avoid emotional disturbances, Six Excesses (Wind, Cold, Summer-Heat, Dampness, Dryness, Fire), and rich, roasted, or fried foods, so that the milk remains clear and tranquil, preventing illness in the infant. The method of protecting the infant involves regulating the wet-nurse when healthy, and treating the infant when sick, but it is best to treat the mother concurrently as well.