夫小儿初出腹。骨气未敛。肌肉未成。犹尚是血。血凝则坚而成肌肉也。书云。如水上
之泡
草头之露。夫初生一腊之内。天地八风之邪。岂能速至。良由在胎之时。母失爱护。或劳
动气血相干。或坐卧饥饱相投。饮酒食肉。冷热相制。恐怖惊扑。血脉相乱。蕴毒于内。损
伤胎元。而降生之后。故有胎热胎寒。胎肥胎怯。胎惊胎黄诸症生焉。外因浴洗拭口。断脐
炙囟之不得法。或绑抱惊恐。乳哺寒温之乖其宜。致令噤口脐风。锁肚不乳等症病而起。
此亦难治疗。良可哀悯。小儿杂病诸方。悉陈于后。
胎热 胎寒 胎肥 胎怯 胎黄 胎惊 锁肚 不乳 脐风 撮口 噤风 客忤 不尿
夜
啼中恶 天吊 鹅口 口疮 重舌 木舌 弄舌 牙疳 吃泥土 丹毒 赤游 喉痹 乳
蛾眼疾 耳疾 鼻疮 头疮 脐疮 虫痛 尾骨痛 阴肿 疝气 盘肠 气痛 脱肛 遗
尿尿浊 便血 下淋 吐血 衄血 小便闭 大便闭 水肿 黄胆 汗症 解颅 鹤节
行迟 语迟 齿迟 诸迟 龟胸 龟背 滞颐 囟陷 囟填 手拳 脚拳 痘疮 疹
一论小儿胎热。因母孕时。食热毒之物过多。令儿生下。身热面赤眼闭。口中气热。焦
啼
燥渴。或大小便不通。法当渐次解热。先令乳母服药。儿服乳即解。决不可速效。以凉药攻
之。必致呕吐而成大患也。慎之慎之。
酿乳方
生地黄(三钱) 泽泻(二钱半) 猪苓(去黑皮) 赤茯苓(去皮) 天花粉(各一钱半) 茵
陈甘草(各一钱)
上锉散。每服三钱。水一盏。煎七分。令乳母捏去宿乳。却服药。少顷乳之。
小儿刚出生时,骨骼之气尚未收敛,肌肉尚未长成,身体还主要由血液构成,血液凝固才能形成坚硬的肌肉。医书说,婴儿的生命脆弱,就像水面上的气泡、草叶上的露珠一样短暂易逝。在出生后的头一个月内,天地间的八风邪气怎么可能迅速侵袭?这主要是因为胎儿在母体期间,母亲未能妥善爱护,或者因劳累运动导致气血紊乱,或者坐卧姿势不当、饥饱失调,饮酒吃肉,冷热食物相互制约,受到惊恐惊吓,导致血脉混乱,毒素蕴积于体内,损伤了胎元。因此出生后,便会出现胎热、胎寒、胎肥、胎怯、胎惊、胎黄等各种病症。此外,如果外部的洗浴、擦拭口腔、断脐、灸囟门等方法不得当,或者怀抱时引起惊恐,哺乳时的寒温调节不合宜,就会导致噤口(牙关紧闭)、脐风(新生儿破伤风)、锁肚(大便不通)、不乳(拒奶)等疾病发生。这些病症难以治疗,实在令人哀怜。关于小儿杂病的各种方剂,全部陈述如下:
胎热、胎寒、胎肥、胎怯、胎黄、胎惊、锁肚、不乳、脐风、撮口(口唇紧缩)、噤风、客忤(外邪侵扰)、不尿、夜啼、中恶、天吊(惊风的一种)、鹅口(鹅口疮)、口疮、重舌、木舌、弄舌、牙疳、吃泥土、丹毒、赤游(赤游丹)、喉痹、乳蛾、眼疾、耳疾、鼻疮、头疮、脐疮、虫痛、尾骨痛、阴肿、疝气、盘肠、气痛、脱肛、遗尿、尿浊、便血、下淋、吐血、衄血、小便闭、大便闭、水肿、黄疸、汗症、解颅、鹤节、行迟、语迟、齿迟、诸迟、龟胸、龟背、滞颐、囟陷、囟填、手拳、脚拳、痘疮、疹。
论述小儿胎热:这是因为母亲在怀孕期间,食用过多热性有毒的食物,导致婴儿出生后身体发热、面色红赤、眼睛闭合、口中气息热、烦躁啼哭、口干渴,或者大小便不通畅。治疗方法应当逐渐清热,先让乳母服药,婴儿通过吃奶就能缓解。决不可追求速效,用寒凉药物强行攻伐,否则必然导致呕吐,酿成大患。务必谨慎,务必谨慎。
酿乳方:
生地黄(三钱)、泽泻(二钱半)、猪苓(去掉黑色外皮)、赤茯苓(去掉外皮)、天花粉(各一钱半)、茵陈、甘草(各一钱)。
以上药材切碎成散剂。每次服用三钱,用水一盏,煎煮至七分满。让乳母挤掉宿存的乳汁,然后服药,过一会儿再给婴儿喂奶。
When a child is first born, the Qi of the bones has not yet consolidated, and the muscles have not yet formed; the body is still largely composed of blood, which coagulates to become firm muscle. Medical texts state that an infant's life is fragile, like bubbles on water or dew on grass blades. Within the first month after birth, how could the pathogenic factors of the Eight Winds from heaven and earth arrive quickly? This is primarily because during gestation, the mother failed to provide proper care, or due to labor and movement causing disturbance in Qi and Blood, or improper sitting and lying postures, irregular hunger and satiety, consumption of alcohol and meat, conflicting cold and hot foods, or fright and shock, leading to chaotic blood vessels and accumulation of toxins internally, damaging the fetal origin (Tai Yuan). Consequently, after birth, conditions such as Fetal Heat (Tai Re), Fetal Cold (Tai Han), Fetal Obesity (Tai Fei), Fetal Weakness (Tai Qie), Fetal Fright (Tai Jing), and Fetal Jaundice (Tai Huang) arise. Additionally, if external practices such as bathing, wiping the mouth, umbilical cord cutting, or moxibustion on the fontanelle are performed incorrectly, or if holding causes fright, or if breastfeeding temperature regulation is inappropriate, it leads to diseases such as Jin Kou (Trismus/Jaw Lock), Qi Feng (Neonatal Tetanus), Suo Du (Abdominal Distension with Constipation), and Bu Ru (Refusal to Breastfeed). These conditions are difficult to treat and are truly pitiable. The various prescriptions for miscellaneous pediatric diseases are listed below:
Fetal Heat, Fetal Cold, Fetal Obesity, Fetal Weakness, Fetal Jaundice, Fetal Fright, Suo Du, Bu Ru, Qi Feng, Cuo Kou (Mouth Contraction), Jin Feng, Ke Wu (External Pathogen Invasion), Bu Niao (No Urination), Ye Ti (Night Crying), Zhong E (Sudden Evil Attack), Tian Diao (Convulsive Disorder), E Kou (Thrush), Kou Chuang (Oral Ulcers), Chong She (Double Tongue), Mu She (Wooden Tongue), Nong She (Tongue Play), Ya Gan (Gum Rot), Chi Ni Tu (Eating Soil), Dan Du (Erysipelas), Chi You (Red Roaming Dermatitis), Hou Bi (Sore Throat), Ru E (Mammary Swelling), Yan Ji (Eye Diseases), Er Ji (Ear Diseases), Bi Chuang (Nasal Sores), Tou Chuang (Head Sores), Qi Chuang (Umbilical Sores), Chong Tong (Worm Pain), Wei Gu Tong (Tailbone Pain), Yin Zhong (Genital Swelling), Shan Qi (Hernia), Pan Chang (Intestinal Coiling), Qi Tong (Qi Pain), Tuo Gang (Rectal Prolapse), Yi Niao (Enuresis), Niao Zhuo (Cloudy Urine), Bian Xue (Blood in Stool), Xia Lin (Dysuria), Tu Xue (Vomiting Blood), Nu Xue (Epistaxis), Xiao Bian Bi (Urinary Retention), Da Bian Bi (Constipation), Shui Zhong (Edema), Huang Dan (Jaundice), Han Zheng (Sweating Disorders), Jie Lu (Open Skull Fontanelle), He Jie (Crane Joint), Xing Chi (Delayed Walking), Yu Chi (Delayed Speech), Chi Chi (Delayed Teething), Zhu Chi (Various Delays), Gui Xiong (Turtle Chest), Gui Bei (Turtle Back), Zhi Yi (Drooling), Xin Xian (Sunken Fontanelle), Xin Tian (Protruding Fontanelle), Shou Quan (Fisted Hands), Jiao Quan (Fisted Feet), Dou Chuang (Smallpox), Zhen (Rash).
Discussion on Pediatric Fetal Heat: This occurs because the mother consumed excessive amounts of hot and toxic substances during pregnancy, causing the newborn to have body heat, red face, closed eyes, hot breath, irritability and crying, dry mouth and thirst, or obstruction of urination and defecation. The treatment method should gradually clear heat. First, administer medicine to the lactating mother; the infant will recover through breastfeeding. One must absolutely avoid seeking quick results by attacking with cold-natured medicines, as this will inevitably cause vomiting and lead to serious complications. Be cautious, be cautious.
Niang Ru Fang (Breast Milk Preparation Formula):
Sheng Di Huang (Rehmanniae Radix Preparata, 3 qian), Ze Xie (Alismatis Rhizoma, 2.5 qian), Zhu Ling (Polyporus, remove black skin), Chi Fu Ling (Poria with Red Core, remove skin), Tian Hua Fen (Trichosanthis Radix, each 1.5 qian), Yin Chen (Artemisiae Scopariae Herba), Gan Cao (Glycyrrhizae Radix et Rhizoma, each 1 qian).
Grind the above herbs into a powder. Take 3 qian per dose, add one lamp of water, and decoct until seven-tenths remain. Have the lactating mother express and discard retained milk, then take the medicine. After a short while, breastfeed the infant.