儿自生下。至一腊前后有病者。多是未生之前。在母胎妊之时。母食毒物。胎有所感。至生下之后。毒瓦斯发而为病。
又有母于妊娠之时。失于固养。气形勿充。疾 因之。故圣济经言。病生于中者。与生俱生也。今叙于后。
梗舌
儿才生出母腹。因与揩拭口中恶物。便仔细看儿口中。如有皮膜。似芦苇管中之膜。裹定儿舌。或连舌根者。此名
梗舌。乃胎毒所攻而生。或母于妊娠时。爱食飞禽之物。感而所致。便须急以指甲刺破剥去之。揩拭血净。用烧白矾灰
细末。敷半绿豆许。若不摘去。则梗其舌而不能语。令儿哑也。及日数多。亦不能去也。
气闭
儿初生一二日间。有大小便不通。腹胀满而欲绝者。此胎毒之气郁闭所致也。便急令一妇人。用温水先漱口了。后
吸咂儿前后心。并脐下及手足心。共七处。各五七次。以赤红色为度。须臾气散。则自通矣。
不即尔。无生意也。有此候。用此法。可谓再生。
鹅口 儿自初生。至七日内外。因胎毒上攻。于舌上生白屑如米。连口两角。生黄疮。及舌下有膜。如
石榴子大。令儿声不发者。名曰鹅口。
保命散
治小儿鹅口
白矾（一分烧） 马牙硝（半两研细） 朱砂（一分研细水飞干）
上同研匀细末。每用一字。取白鹅粪。以水搅取汁调之。先以手指缠乱发。揩拭儿舌上口角颊中。去垢秽净
。然后用药敷之令遍。缠发揩时。以井花水沾用。或以绵缠指头。沾栗 汁用。
治小儿鹅口不能乳。以马牙硝研细。遍掺舌上下两颊口角内外患处。日三四次。
又方 以桑白皮汁。和胡粉敷之。
又方 以鸡 中黄皮烧灰研细。乳和敷之。
又方 以白鹅矢汁灌口中。
又方 以黍米汁敷之。
又方 以全蝎七枚。先用薄荷汁浸过。后用薄荷七叶裹之。文武火炮过。焙令干。研末。更入黄丹。同研匀细。
熟蜜和为膏。敷病处。
垂痈 儿自初生。至七日内外。因胎毒上攻。血气不敛。儿口中上 连喉舌。生物如芦箨盛水之状。或
作。在悬雍之前。塞其气路不通。令儿危殆。名曰垂痈。又儿生下即死者。多此病也。人少知之。当急视之。
凡遇是病。便以指甲摘破。或以绵缠长针。留尖如粟米许
刺之。令儿气泄则活。其 破。则出青黄血水。便用帛子 拭。及用盐汤蘸帛榐揩令净。若入喉。即伤儿。慎之慎
之。如一刺复作者。再刺。
如圣散
治垂痈。
铅霜（一分研细） 真牛黄（一分研细） 太阴玄精石（一分研细） 朱砂（一分研细水飞日干）
上件再同研匀。入白龙脑细末半钱相和。每用抄一字至半钱。掺儿口中。
重 （重龈童舌）儿初生。至七日内外。因胎毒上攻于儿口中。若发于 上作肿。作两重之状。名曰重 。
若发于上下齿龈两傍。肿如垒龈者。名曰重龈。若发于舌上肿起。初更生一小舌者。名曰重舌。肿闷作痛。令儿
多啼。不能哺乳而妨碍。
治重 重龈 以蛇蜕皮烧灰。研细末敷之。
又方 治如前。以生蒲黄末敷之。
乌 骨散
治重舌肿闷。妨碍吮乳。
乌 骨（一两） 干蜣螂（半两烧灰） 蒲黄（半两研） 枯白矾灰（一两研）
上和研如粉。每用半钱。以鸡子黄调涂肿上。咽津不妨。
又方 治如前。以蛇蜕皮为末。干捻敷舌下患处。不一时便消。不能饮乳者。用之得能饮。或以鸡羽蘸淳醋
。榐药掠舌下。
又方 以木兰皮长一尺。广四寸。削去粗皮。以醋一升。渎之取汁。注患处。
又方 以伏龙肝研细末。牛蒡汁调敷。或以衣鱼（即蠹鱼）涂舌上。
又方 以马牙硝末涂舌下。日三。
又方 以三家屠肉。切如指大。以摩舌上。
又方 以黄丹豆许。纳管中。吹舌下。
又方 以蒲黄敷之。不过三次。瘥。一方。微炒。以纸铺地上。出火毒。研罗细末。先用温水蘸帛裹指。轻轻
掠。后掺药。
又方 以桑白皮煮浓汁。涂乳上吮儿。
治重舌妨闷欲死 以乱发烧灰。研细末。以敷舌下。频频用。或烧簸箕皮敷上。
又方 治如前。以鹿角炙。适温热熨之。或如米粒大。安舌下。
又方 以小豆煮汁。和鹿角灰敷之。日三。或以赤小豆末。醋和敷舌上。
又方 以露蜂房烧灰。研细末。醋和膏敷之。
蓐疮
儿自初生。至七日内外。因胎毒攻发。身生疮者。名曰蓐疮。谓在产草上生疮也。
治蓐疮 以黄连为细末。先用生麻油涂盏子内。将黄连末遍掺油上。倒合在铫三脚子上。下用艾叶火熏令极
干。刮聚。再入生油腻粉各少许。和膏敷之。
又方 以泽兰心细嚼敷之。
又方 以葵根烧灰敷之。
治小儿初生三日。头面生疮缘起。身体壮热。多啼。
升麻 柴胡（去苗） 石膏（各一分） 甘草 当归（去须各半两）
上为 咀。每服一钱。水半盏。煎至二分。去滓。时时与。量儿大小加之。
治小儿初生。蓐中生热疮。以鸡子五枚敲破。去白。只取黄。又以乱发如鸡子黄许。二味相和。铫子中煎熬
。取汁涂之。更用苦参末敷之。甚奇。刘禹锡云。顷在武陵生子。蓐内便有热疮。发于臂腿。蔓延半身。初用他
药无益。状候至重。昼夜啼号不乳。因阅本草有云。乱发合鸡子黄煎消为水。疗小儿惊热下痢。注云。去痰热百
病。又鸡子。本草云。疗热疮。因用之。立效如神。煎法。鸡子黄乱发初入铫煎时甚干。少顷发焦。遂有液出。
旋取置一瓷碗中。以液尽为度。
口噤
儿自初生。至七日内外。忽口噤。不能乳。腹急多啼。下青黑粪。或口生疮如米。名曰口噤。此证牙关急而
口噤。与撮口相似。然撮口证面色青。啼声不出。口吐白沫。此口噤证。面色赤而多啼。口不吐白沫。所以异也
。此缘儿在母腹中时。为风热伤胎所致。故圣济经曰。风热伤胎。生而口噤也。千金云。赤者为心噤。白者为肺噤。
立圣散
治初生儿口噤不开。不收乳。
干蜘蛛（一个 去足 口取新竹沥入蚬壳中浸一宿 炙焦为末） 干蝎梢（七个为末） 腻粉（一钱）
上同研匀细末。每服一字。乳汁调，滴儿口中，时时用。
又方 以鹿角粉大豆末等分研细。乳和。涂乳上。令儿吮服。
又方 以生甘草一分细锉。水一盏。煎至六分。去滓放温。分数次。灌儿口中。令吐出痰涎秽物。后取猪
乳汁点儿口中。瘥。亦治撮口。
又方 以真牛黄少许研细。淡竹沥调一字灌之。次以猪乳滴口中。
又方 以赤足蜈蚣去足。炙黄为末。以猪乳调半钱。分三四次温灌之。一方用雀瓮不开口者五枚。烧灰研
细末。饮调服一字。
又方 以白僵蚕二枚为末。蜜和。敷儿口内。如无。以原蚕蛾二枚。炙黄代之。亦治撮口。
又方 以雀矢白。水和丸麻子大。乳服二丸。鸡矢白亦佳。
又方 鸡矢白枣大。绵裹。水五合。煮二沸。分服。
治小儿口噤体热 以青竹茹三两。醋一升。煎取三分之一。温分数服。
治小儿口噤。牙关不开。以天南星一个煨熟。急用纸封角。莫令透气。却以纸裹。近上尖处。翦一窍子鸡头
大。令热气出。于鼻孔中熏之。牙关立开。亦治撮口。
啼
儿自初生以来。身色青白。无血色。好啼哭。昼夜不止。身体仰而 。夜则甚。腹满不乳。大便青白。昼夜
啼。诸药不效者。此名 啼。乃儿未生以前。在胎胞中时为风冷伤所致。故圣济经曰。风冷伤胎。生而 啼。千
金有云。小儿有胎寒。则腹痛 啼。时时吐 。或腹中如鸡子黄。按之如水声便没。没而复出。不急治。多变为痫。
养脏汤
治小儿胎寒 啼。
当归（去芦一两） 沉香 丁香 白术 桂心 川芎（各半两）
上为细末。每服一钱。水一盏。姜二片。煎半盏。去滓。滴儿口中。
治小儿忽患腹痛。夭矫汗出者。亦胎寒也。以梨叶煮浓汁七合。分三四次服。出千金。
又方 以当归为末。每用一小豆许。乳汁调下。日二夜一。病儿大。添之。
又方 以柏子仁为末。每服一钱半。温水调下。
矾石丸
治小儿胎寒 啼。发痫。以马齿矾。火 半日为末。枣肉和
丸黍米大。每服一丸。乳汁送下。量儿大小增损。以瘥为度。有痰亦去。神良。兼治腹胀不嗜食。大便青黄色。
血癖（又名胎积）
儿未生之前。在母腹中。藉母经血以滋养焉。至生下时。须拭去口中恶血。及用药下尽儿腹中秽血之粪。
方才饲乳。若于生时。揩拭儿口中恶血不净。吞咽入腹。或腹中旧有秽粪。不曾下之。或下之不尽。因而成癖。
故名曰血癖。又名曰胎积。至生下百日内外。儿生头疮。眼目赤涩。小便如血。口中气急。身体紫色。腹胀躁烦。多啼
不乳。
胎积丸
治小儿血癖。
白丁香（二十一个） 轻粉（半钱） 滑石（半钱） 乳香（半钱） 巴豆（三十个针串灯上烧焦微存性）
上为末。糊丸黍米大。每一二丸。看虚实大小与服。煎柳心七个。汤放温送下。连一二服。粪下恶物是效。
亦令乳母服和气药调养饲儿。若儿服药后吐不止。大便不通。面黑气喘者死。
胎赤眼
儿自生下。至开眼以后。眼两 及睑眶赤烂。名曰胎赤眼。此因儿生时稍难。留滞时久。或不慎照顾。致恶
血入于儿眼。又或生下时。揩拭儿眼边恶血不尽。亦令入儿眼。渍 以生是病。不急治之。则至长不瘥。
二金散
治小儿胎赤眼。
黄连（去须一钱） 黄柏（一钱）
上先为粗末。用奶汁同浸一宿。焙干收之。每用少许。以新绵裹
荆芥汤浸之。放温。时时频洗。
胎惊
儿在母腹。未生之前。因有所惊。胎内感之。至生下百日以来。儿心神不宁。睡卧不醒。壮热躁烦。啼哭无
时。上视发搐。面青腰直。撮口缩腮。粪青黄水者。此名胎惊。方论著于惊疾门之中。
胎怯
儿自生下以来。面无精光。肌肉脆薄。大便白水。身无血色。时时哽气多哕。目黑睛少。羸 多哭。此胎怯
也。宜天麻浴汤治之。
胎肥
儿生下肌肉浓。遍身血色红润。至盈月以后。渐渐肌瘦。目白睛粉红色。五心热。大便难。时时生涎。此胎
肥也。更看父母肥瘦。肥不可生瘦。瘦不可生肥。治亦天麻浴汤。
胎热
儿生下有血气。时叫哭。身壮热。如淡茶色。目赤。大便黄赤。粪稠。急食乳。此胎热也。治亦宜天麻浴
汤。
天麻浴汤
治小儿胎怯胎肥胎热等诸疾。
天麻（二钱） 蝎尾（去毒为末） 朱砂末 白矾末（各半钱） 麝香（一字） 乌蛇肉（酒浸去皮焙干为末）
青黛末（各三钱）
上为末匀。每服三钱。水三碗。桃枝叶五七条。煎十数沸。带热浴之。勿得浴背。汤须适温热用。
治小儿胎热。或乳母饮食粗恶辛苦。乳汁不起。儿色如淡茶黄色。瘦瘠不为肌肤。四肢痿 缭戾。服之充
悦健壮。
芍药（二两半） 柴胡（去苗二两半） 鳌甲 茯苓（去黑皮各一两半） 人参（去芦） 大黄（各一两）
甘草 干姜（各半两如热即用枳实）
上为末。炼蜜和丸大豆大。百日至一岁儿服一丸。乳服。日二。量儿大小增减。
【背景信息】
书名：小儿卫生总微论方 作者：不详 朝代：宋 章节：胎中病论 类别：方剂
【待处理原文翻译】
婴儿自出生起，到满一个月前后出现病症的，大多是在出生之前，在母体妊娠期间，母亲食用了有毒之物，胎儿受到感应，等到出生后，毒气发作而致病。
又有母亲在妊娠期间，疏于固护调养，导致胎儿的气血形体未能充盈，疾病因此产生。所以《圣济经》说：“生于体内的疾病，是与生俱来的。”现在叙述如下。
**梗舌（舌系带过短）**
婴儿刚从母腹生出时，因有人擦拭其口中的污物，便仔细查看婴儿口中，如果有皮膜，像芦苇管中的膜一样包裹住婴儿的舌头，或者连及舌根的，这名叫“梗舌”，是由于胎毒攻冲而生成的。或者是母亲在妊娠时，喜爱食用飞禽类食物，感应所致。必须立即用指甲刺破并剥去它，擦拭干净血液后，用烧过的白矾灰细末，敷上如半粒绿豆大小的量。如果不摘除，就会阻碍舌头活动而不能说话，使婴儿变成哑巴。而且日子久了，也就无法去除了。
**气闭**
婴儿出生一两天内，有大、小便不通，腹部胀满快要断气的情况，这是胎毒之气郁结闭塞所致。应立即找一位妇人，先用温水漱口，然后吸吮婴儿的前心、后背、脐下以及手足心，共七处，每处吸五到七次，以皮肤呈现赤红色为度。片刻之后，气机疏散，自然就能通畅了。如果这样做还不行，就没有生机了。有此症状，用此法，可称为再生。
**鹅口**
婴儿自初生至七日内外，因胎毒上攻，在舌头上生出白色碎屑如米粒状，连及口角两侧生出黄色疮疡，以及舌下有膜，如石榴子大小，致使婴儿声音发不出的，名叫“鹅口”。
**保命散**
治疗小儿鹅口。
白矾（一分，煅烧） 马牙硝（半两，研细） 朱砂（一分，研细，水飞后干燥）
以上共同研磨成均匀细末。每次取一字量，取白鹅粪，用水搅拌取汁调和药物。先用手指缠上乱发，擦拭婴儿舌面、口角和脸颊，去除污垢秽物，然后用药物均匀敷涂。缠绕头发擦拭时，可用井花水沾湿使用，或者用棉团缠住指头，蘸取栗子汁使用。
治疗小儿鹅口不能吃奶，将马牙硝研细，遍撒在舌上下及两颊口角内外的患处，每天三到四次。
又一方：用桑白皮汁，调和胡粉敷涂。
又一方：用鸡胗（gāng）中的黄皮烧成灰，研细，用乳汁调和敷涂。
又一方：用白鹅粪便的汁液灌入口中。
又一方：用黍米汁敷涂。
又一方：用全蝎七枚，先用薄荷汁浸泡，后用七片薄荷叶包裹，用文武火炮制，焙干，研成末，再加入黄丹，共同研磨均匀细腻，用熟蜜调和成膏，敷于病处。
**垂痈**
婴儿自初生至七日内外，因胎毒上攻，气血不能收敛，婴儿口中上部连及喉舌，生长出物体，形状像芦笋壳盛水的样子，或者生长在悬雍垂之前，堵塞气道不通，致使婴儿危险，名叫“垂痈”。另外，婴儿生下即死的，多为此病。人很少知道这个病。应当紧急查看。
凡是遇到这种病，立即用指甲掐破，或者用棉团缠住长针，留出尖头如粟米大小，刺入。令婴儿气泄则能存活。其破裂处，会流出青黄色的血水，便用布巾擦拭，并用盐汤蘸布巾揩拭干净。如果药液进入喉咙，就会伤害婴儿，务必谨慎。如果一次刺破后又长出，再刺。
**如圣散**
治疗垂痈。
铅霜（一分，研细） 真牛黄（一分，研细） 太阴玄精石（一分，研细） 朱砂（一分，研细，水飞后日晒干燥）
以上再次共同研磨均匀，加入白龙脑细末半钱混合。每次取一字至半钱量，撒入婴儿口中。
**重龈 / 重舌**
婴儿初生至七日内外，因胎毒上攻于婴儿口中。如果发于牙龈上方肿胀，呈两层状，名叫“重龈”。如果发于上下齿龈两旁，肿胀如垒起的牙龈状，名叫“重龈”。如果发于舌上肿胀隆起，最初多生出一小舌头的，名叫“重舌”。肿胀闷痛，致使婴儿多啼哭，不能哺乳且造成妨碍。
治疗重龈、重舌：用蛇蜕皮烧成灰，研细末敷涂。
又一方：治疗方法同上，用生蒲黄末敷涂。
**乌骨散**
治疗重舌肿胀闷痛，妨碍吮乳。
乌骨（一两） 干蜣螂（半两，烧成灰） 蒲黄（半两，研） 枯白矾灰（一两，研）
以上混合研磨如粉末状。每次取半钱量，用鸡蛋黄调匀涂在肿胀处，咽下津液无妨。
又一方：治疗方法同上，用蛇蜕皮为末，干捻敷于舌下患处，不一会儿就消退。不能喝奶的，用了就能喝。或者用鸡毛蘸浓醋，涂抹药液掠过舌下。
又一方：用木兰皮长一尺，宽四寸，削去粗皮，用醋一升浸渍取汁，滴注于患处。
又一方：用伏龙肝研细末，用牛蒡汁调和敷涂。或者用衣鱼（即蠹鱼）涂在舌上。
又一方：用马牙硝末涂在舌下，每天三次。
又一方：用三家屠宰的肉，切成手指大小，摩擦舌上。
又一方：用黄丹如豆许大，纳入管中，吹入舌下。
又一方：用蒲黄敷涂，不超过三次，痊愈。另一方：微炒，铺在纸上，除去火毒，研磨罗筛成细末。先用温水蘸布裹住手指，轻轻掠过，然后再撒药。
又一方：用桑白皮煮浓汁，涂在乳头让婴儿吮吸。
治疗重舌妨碍闷痛欲死：用乱发烧成灰，研细末，敷于舌下，频繁使用。或者烧簸箕皮敷在上面。
又一方：治疗方法同上，用鹿角炙烤，趁温热熨烫。或者如米粒大小，放在舌下。
又一方：用赤小豆煮汁，调和鹿角灰敷涂，每天三次。或者用赤小豆末，醋调和敷在舌上。
又一方：用露蜂房烧成灰，研细末，醋调和成膏敷涂。
**蓐疮**
婴儿自初生至七日内外，因胎毒攻发，身上生疮的，名叫“蓐疮”。谓在产草上生疮。
治疗蓐疮：用黄连为细末，先用生麻油涂在盏子内，将黄连末遍撒在油上，倒扣在三脚铫子上，下面用艾叶火熏烤使其极干，刮聚起来，再放入少许生油和腻粉，调和成膏敷涂。
又一方：用泽兰心细嚼敷涂。
又一方：用葵根烧成灰敷涂。
治疗小儿初生三日，头面生疮缘起，身体壮热，多啼哭。
升麻 柴胡（去苗） 石膏（各一分） 甘草 当归（去须各半两）
以上捣碎成粗末。每次服一钱，水半盏，煎至二分，去渣滓，时时给予服用，根据婴儿大小增减剂量。
治疗小儿初生，蓐中生热疮：用鸡蛋五个敲破，去掉蛋白，只取蛋黄。再用如鸡蛋黄大小的乱发，两味相和，在铫子中煎熬，取汁涂之。再用苦参末敷涂，非常神奇。刘禹锡说：以前在武陵生子，产褥期内便有热疮，发于臂腿，蔓延半身。起初用其他药无效，症状严重，昼夜啼号不吃奶。因为查阅本草有云：乱发合鸡蛋黄煎消为水，治疗小儿惊热下痢。注解说：去除痰热百病。又说鸡蛋：本草云，治疗热疮。因此使用，立刻见效如神。煎法：鸡蛋黄和乱发初入铫子煎时很干，一会儿头发焦，于是有液体流出，随即取出放在一个瓷碗中，以液体流尽为度。
**口噤**
婴儿自初生至七日内外，忽然口噤，不能吃奶，腹部急迫多啼哭，排青黑色大便，或者口内生疮如米粒状，名叫“口噤”。此证牙关紧急而口噤，与撮口相似。然而撮口证面色青，啼声不出，口吐白沫；此口噤证，面色赤而多啼，口不吐白沫。所以不同。这是因为婴儿在母腹中时，被风热伤胎所致。所以《圣济经》说：风热伤胎，生而口噤。《千金方》说：赤色的是心噤，白色的是肺噤。
**立圣散**
治疗初生儿口噤不开，不收乳。
干蜘蛛（一个，去足，口含新竹沥放入蚬壳中浸泡一夜，炙焦为末） 干蝎梢（七个，为末） 腻粉（一钱）
以上共同研磨均匀细末。每次服一字，乳汁调匀，滴入婴儿口中，时时使用。
又一方：用鹿角粉和大豆末等分研细，乳汁调和，涂在乳头上，令婴儿吮服。
又一方：用生甘草一分细锉，水一盏，煎至六分，去渣放温，分数次灌入婴儿口中，令吐出痰涎秽物。之后取猪乳汁点入婴儿口中，痊愈。也治撮口。
又一方：用真牛黄少许研细，淡竹沥调一字灌之。随后用猪乳滴入婴儿口中。
又一方：用赤足蜈蚣去足，炙黄为末，用猪乳调半钱，分三四次温灌之。另一方用雀瓮不开口的五枚，烧灰研细末，饮水调服一字。
又一方：用白僵蚕二枚为末，蜂蜜调和，敷于婴儿口内。如果没有，用原蚕蛾二枚，炙黄代替。也治撮口。
又一方：用雀屎白色部分，和水丸如麻子大，乳汁送服二丸。鸡屎白色部分也很好。
又一方：鸡屎白色部分如枣大，用绵包裹，水五合，煮二沸，分次服用。
治疗小儿口噤体热：用青竹茹三两，醋一升，煎取三分之一，温时分次服用。
治疗小儿口噤，牙关不开：用天南星一个煨熟，急忙用纸封住角，不让透气，然后用纸包裹，在上端尖处剪一个鸡头大的孔，令热气出来，在鼻孔中熏之，牙关立刻打开。也治撮口。
**哕啼**
婴儿自初生以来，身色青白，无血色，喜欢啼哭，昼夜不止，身体仰挺而僵硬，夜间加重，腹部胀满不吃奶，大便青白，昼夜啼哭，诸药无效的，这名叫“哕啼”，是婴儿未出生以前，在胎胞中时被风冷所伤所致。所以《圣济经》说：风冷伤胎，生而哕啼。《千金方》有云：小儿有胎寒，则腹痛哕啼，时时呕吐，或者腹中如鸡蛋黄，按之如水声便没，没而复出，不紧急治疗，多变为痫证。
**养脏汤**
治疗小儿胎寒哕啼。
当归（去芦一两） 沉香 丁香 白术 桂心 川芎（各半两）
以上为细末。每次服一钱，水一盏，姜二片，煎至半盏，去渣滓，滴入婴儿口中。
治疗小儿忽患腹痛，身体扭曲汗出的，也是胎寒。用梨叶煮浓汁七合，分三四次服用。出自《千金方》。
又一方：用当归为末，每次取一小豆许大，乳汁调下，日二次夜一次。病儿较大者，增加剂量。
又一方：用柏子仁为末，每次服一钱半，温水调下。
**矾石丸**
治疗小儿胎寒哕啼，发痫。用马齿矾，火煅半天为末，枣肉和丸如黍米大。每次服一丸，乳汁送下。根据婴儿大小增减剂量，以痊愈为度。有痰也能去除，神效。兼治腹胀不嗜食，大便青黄色。
**血癖（又名胎积）**
婴儿未出生之前，在母腹中，依靠母体经血来滋养。等到出生时，必须擦拭去口中的恶血，以及用药排出婴儿腹中秽血之粪，方才喂奶。如果在出生时，擦拭婴儿口中恶血不净，吞咽入腹，或者腹中原有秽粪，不曾排出，或者排出不尽，因而形成癖积，故名曰血癖，又名曰胎积。等到出生百日内外，婴儿生头疮，眼目赤涩，小便如血，口中气急，身体紫色，腹胀躁烦，多啼哭不吃奶。
**胎积丸**
治疗小儿血癖。
白丁香（二十一个） 轻粉（半钱） 滑石（半钱） 乳香（半钱） 巴豆（三十个，穿在灯芯上烧焦微存性）
以上为末，糊丸如黍米大。每次一二丸，看虚实大小给予服用。煎柳心七个，汤放温送下。连服一二剂，粪便排出恶物即为有效。也让乳母服用和气药调养饲喂婴儿。如果婴儿服药后呕吐不止，大便不通，面黑气喘的死亡。
**胎赤眼**
婴儿自生下，到睁眼以后，眼睛两眦及睑眶赤烂，名叫“胎赤眼”。这是因为婴儿出生时稍难，滞留时间久，或者不慎照顾，导致恶血进入婴儿眼中。又或者生下时，擦拭婴儿眼边恶血不尽，也让恶血进入婴儿眼中，浸渍从而生出此病。不紧急治疗，则长大也不能痊愈。
**二金散**
治疗小儿胎赤眼。
黄连（去须一钱） 黄柏（一钱）
以上先为粗末，用奶汁同浸一夜，焙干收之。每次用少许，用新棉包裹荆芥汤浸之，放温，时时频洗。
**胎惊**
婴儿在母腹，未出生之前，因受惊吓，胎内感应。等到出生后百日以内，婴儿心神不宁，睡卧不醒，壮热躁烦，啼哭无时，上视发搐，面青腰直，撮口缩腮，粪青黄水状的，这名叫“胎惊”。方论著于惊疾门之中。
**胎怯**
婴儿自生下以来，面无精光，肌肉脆薄，大便白水，身无血色，时时哽气多哕，目黑睛少，羸弱多哭，这名叫“胎怯”。宜用天麻浴汤治疗。
**胎肥**
婴儿生下肌肉浓厚，遍身血色红润，到满月以后，渐渐肌瘦，眼白睛粉红色，五心热，大便难，时时生涎，这名叫“胎肥”。更要看父母肥瘦，肥不可生瘦，瘦不可生肥。治疗也用天麻浴汤。
**胎热**
婴儿生下有血气，时常叫哭，身体壮热，肤色如淡茶色，目赤，大便黄赤，粪稠，急切吃奶，这名叫“胎热”。治疗也宜用天麻浴汤。
**天麻浴汤**
治疗小儿胎怯、胎肥、胎热等诸疾。
天麻（二钱） 蝎尾（去毒为末） 朱砂末 白矾末（各半钱） 麝香（一字） 乌蛇肉（酒浸去皮焙干为末） 青黛末（各三钱）
以上为均匀细末。每次服三钱，水三碗，桃枝叶五七条，煎十数沸，带热沐浴。不要洗背部。汤须适温热使用。
治疗小儿胎热，或者乳母饮食粗恶辛苦，乳汁不起，婴儿色如淡茶黄色，瘦瘠不为肌肤，四肢痿废缭戾，服用此汤可使身体充悦健壮。
芍药（二两半） 柴胡（去苗二两半） 鳖甲 茯苓（去黑皮各一两半） 人参（去芦） 大黄（各一两） 甘草 干姜（各半两，如热即用枳实）
以上为末，炼蜜和丸如大豆大。百日至一岁婴儿服一丸，乳汁送服，每天两次。根据婴儿大小增减。
[Background Information]
Book: *Xiao'er Weisheng Zongwei Lunfang* (General Treatise on Infant Hygiene)
Author: Unknown
Dynasty: Song
Chapter: Discussion on Diseases in the Womb
Category: Formulas
[English Translation]
Infants who fall ill from birth up to around one month of age are mostly suffering from conditions caused before birth. During the mother's pregnancy, if she consumed toxic substances, the fetus was affected by them. After birth, the toxic qi manifests as disease.
There are also cases where the mother neglected proper care and nourishment during pregnancy, failing to fully fill the fetus with qi and form, leading to illness. Thus, the *Shengji Jing* states: "Diseases born within are present from birth." The following is a discussion of these conditions.
**Geng She (Tongue Tie)**
When an infant is just born, while someone wipes the foul matter from the mouth, carefully examine the infant's mouth. If there is a membrane, similar to the membrane inside a reed tube, wrapping the tongue or connecting to the root of the tongue, this is called "Geng She" (Tongue Tie). It arises from the attack of fetal toxicity. It may also be caused if the mother craved and ate birds during pregnancy, affecting the fetus. One must immediately puncture and peel off the membrane with fingernails, wipe clean the blood, and apply fine powder of calcined alum (Bai Fan), about half the size of a mung bean. If not removed, it will obstruct the tongue, preventing speech and causing muteness. Furthermore, after many days, it becomes impossible to remove.
**Qi Bi (Qi Closure)**
Within one or two days after birth, if an infant has no urination or defecation, and the abdomen is distended and full to the point of seeming lifeless, this is caused by the depression and closure of fetal toxic qi. Immediately find a woman, have her rinse her mouth with warm water, then suckle the infant's anterior chest, back, below the navel, and palms and soles of hands and feet—seven areas in total. Suckle each area five to seven times until the skin turns red. After a moment, the qi will disperse, and passage will naturally open. If this does not work, there is no hope for life. Using this method for such symptoms can be considered bringing the child back to life.
**E Kou (Goose Mouth / Thrush)**
From birth to around seven days later, due to fetal toxicity attacking upward, white flakes like rice grains appear on the tongue, extending to yellow sores at both corners of the mouth. Additionally, a membrane the size of a pomegranate seed forms under the tongue, preventing the infant from making sound. This is named "E Kou" (Goose Mouth).
**Baoming San (Life-Preserving Powder)**
Treating infant goose mouth.
Bai Fan (Alum, 1 fen, calcined)
Maya Xiao (Mirabilite, 0.5 liang, finely ground)
Zhusha (Cinnabar, 1 fen, finely ground, levigated with water and dried)
Grind all ingredients together into a uniform fine powder. For each dose, take an amount equivalent to "yi zi" (approx. 0.3-0.5g). Take feces from a white goose, mix with water to extract the juice, and use it to dissolve the powder. First, wrap fingers with loose hair and wipe the infant's tongue, mouth corners, and cheeks to remove dirt and filth. Then apply the medicine evenly. When wiping with wrapped fingers, use well water or cotton-wrapped fingers dipped in walnut juice.
To treat infant goose mouth preventing feeding, grind Maya Xiao finely and sprinkle it over the upper and lower tongue, and inner/outer cheeks and mouth corners. Apply three to four times daily.
Another prescription: Use juice from Mulberry Cortex (Sang Bai Pi) mixed with lead carbonate (Hu Fen) for application.
Another prescription: Burn the yellow skin from a chicken gizzard (Ji Gang), grind to fine powder, and mix with milk for application.
Another prescription:灌 (irrigate/pour) the juice of white goose feces into the mouth.
Another prescription: Apply millet juice.
Another prescription: Use seven whole Scorpions (Quan Xie). Soak in Mint Juice (Bohe Zhi) first, then wrap in seven mint leaves. Roast with gentle heat, dry, and grind to powder. Add Minium (Huang Dan), grind uniformly, and mix with refined honey to make a paste for application.
**Chui Yong (Hanging Abscess)**
From birth to around seven days later, due to fetal toxicity attacking upward, blood and qi fail to consolidate. An object grows in the infant's mouth, extending from the upper part to the throat and tongue, resembling a reed husk holding water. It may grow in front of the uvula, blocking the airway and endangering the infant. This is named "Chui Yong". Infants dying immediately upon birth often suffer from this disease, though few know of it. Immediate examination is required.
For this disease, immediately break it with fingernails or pierce it with a long needle wrapped in cotton, leaving a tip the size of a millet grain. Releasing the qi will save the infant. Upon rupture, green-yellow bloody fluid will emerge. Wipe clean with a cloth, and cleanse thoroughly with salt water-soaked cloth. Be extremely cautious that liquid does not enter the throat, as it will harm the infant. If it recurs after one piercing, pierce again.
**Rusheng San (Like-Sage Powder)**
Treating Chui Yong.
Qianshuang (Lead Frost, 1 fen, finely ground)
Zhen Niuhuang (Real Calculus Bovis/Ox Gallstone, 1 fen, finely ground)
Taiyin Xuanjingshi (Taiyin Black Crystal/Gypsum Fibrosum variant, 1 fen, finely ground)
Zhusha (Cinnabar, 1 fen, finely ground, levigated with water and sun-dried)
Re-grind all ingredients uniformly. Mix in Ban Xia Long Nao (Borneol) fine powder, half a qian. Each dose is one to half a qian, sprinkled into the infant's mouth.
**Chong Yin / Chong She (Double Gums / Double Tongue)**
From birth to around seven days later, due to fetal toxicity attacking upward in the mouth. If swelling occurs above the gums, appearing double-layered, it is named "Chong Yin" (Double Gums). If swelling occurs on both sides of the upper and lower gum lines, resembling piled gums, it is also named "Chong Yin". If swelling rises on the tongue, initially forming a small extra tongue, it is named "Chong She" (Double Tongue). The swelling causes pain and discomfort, leading to excessive crying, inability to feed, and obstruction.
Treatment for Chong Yin and Chong She: Burn Snake Slough (She Tui Pi) to ash, grind to fine powder, and apply.
Another prescription: As above, but use raw Pollen Typhae (Pu Huang) powder for application.
**Wugu San (Black Bone Powder)**
Treating Chong She with swelling and discomfort, hindering sucking.
Wu Gu (Black Chicken Bone, 1 liang)
Gan Qiang Lang (Dried Dung Beetle, 0.5 liang, burned to ash)
Pu Huang (Pollen Typhae, 0.5 liang, ground)
Ku Bai Fan Hui (Ash of Calcined Alum, 1 liang, ground)
Grind all together into a powder. Each dose is half a qian, mixed with egg yolk and applied to the swelling. Swallowing saliva is harmless.
Another prescription: As above, use Snake Slough powder, dry-rubbed onto the affected area under the tongue. It subsides quickly. If unable to drink milk, using this restores ability. Alternatively, dip a chicken feather in strong vinegar, apply medicine, and sweep under the tongue.
Another prescription: Use Magnolia Bark (Mu Lan Pi), one chi long and four cun wide. Remove rough bark, soak in one sheng of vinegar to extract juice, and drip onto the lesion.
Another prescription: Use Fu Long Gan (Dragon's House Earth/Cooked Soil) finely ground, mixed with Arctii Fructus Juice (Niu Bang Zi Zhi) for application. Or apply Doryphora (Yi Yu/Clothes Moth) to the tongue.
Another prescription: Apply Maya Xiao powder under the tongue, three times daily.
Another prescription: Use meat from three different slaughterhouses, cut finger-sized, and rub on the tongue.
Another prescription: Place Minium (Huang Dan) the size of a soybean in a tube and blow it under the tongue.
Another prescription: Apply Pu Huang. Cures within three applications. Another method: Lightly stir-fry Pu Huang, spread on paper to remove fire toxicity, sieve finely. First, dip a cloth-wrapped finger in warm water and gently sweep, then apply powder.
Another prescription: Boil Sang Bai Pi (Mulberry Cortex) to a thick decoction, apply to nipple for infant to suck.
Treating severe Chong She causing suffocation: Burn loose hair to ash, grind finely, apply under tongue frequently. Or burn winnowing basket skin and apply.
Another prescription: As above, roast Deer Antler (Lu Jiao), apply while warm for moxibustion-like warming. Or place pieces the size of millet grains under the tongue.
Another prescription: Decoct Vigna angularis (Chi Xiao Dou) juice, mix with Deer Antler ash for application, three times daily. Or mix Chi Xiao Dou powder with vinegar and apply to tongue.
Another prescription: Burn Honeycomb (Lu Feng Fang) to ash, grind finely, mix with vinegar to make a paste for application.
**Ru Chuang (Maternal Ward Sores)**
From birth to around seven days later, due to fetal toxicity erupting, sores appear on the body. This is named "Ru Chuang", meaning sores arising from the birthing mat/grass.
Treatment for Ru Chuang: Grind Huang Lian (Coptis Rhizome) to fine powder. Coat a cup with raw Sesame Oil (Sheng Ma You), sprinkle Huang Lian powder over the oil, invert the cup over a tripod stove, and smoke-dry thoroughly with Mugwort (Ai Ye) fire. Scrape the residue, mix with a little raw oil and Nifeen (calamine/zinc oxide), and apply as a paste.
Another prescription: Chew fresh Ze Lan (Lycopus Herb) heart and apply.
Another prescription: Burn Abutilon Root (Kui Gen) to ash and apply.
Treating infants born three days old with head/face sores, high fever, excessive crying:
Sheng Ma (Cimicifugae Rhizoma)
Chai Hu (Bupleuri Radix, remove sprouts)
Shi Gao (Gypsum Fibrosum, each 1 fen)
Gan Cao (Licorice Root)
Dang Gui (Angelicae Sinensis Radix, remove tails, each 0.5 liang)
Grind to coarse particles. Each dose is one qian, decocted in half a zhan of water down to two fen. Strain and administer frequently, adjusting dosage by infant size.
Treating newborns with hot sores in the maternal ward: Crack five eggs, discard whites, keep yolks. Add loose hair the size of an egg yolk. Simmer in a pot, collect the liquid, and apply. Also dust with Ku Shen (Sophorae Flavescentis Radix) powder. Very effective. Liu Yuxi stated: In Wuling, I had a son who developed hot sores in the maternity ward, spreading from arms/legs to half the body. Other medicines failed; symptoms were severe, with day-and-night crying and refusal to feed. Consulting Materia Medica, it says: Loose hair boiled with egg yolk treats infant convulsive fever and dysentery. Note: Removes phlegm-heat and hundred diseases. Egg yolk also treats hot sores. Using this worked miraculously. Method: Egg yolk and loose hair start dry in the pot; soon the hair chars and liquid emerges. Collect immediately in a porcelain bowl until liquid is exhausted.
**Kou Jin (Locked Jaw)**
From birth to around seven days later, sudden locking of the jaw, inability to suck, abdominal urgency, excessive crying, passage of dark green/black stool, or oral sores like rice grains. This is named "Kou Jin". The jaw is tight and locked, similar to "Cuo Kou" (Pinched Mouth). However, Cuo Kou presents with blue complexion, silent crying, and foaming at the mouth. Kou Jin presents with red complexion, excessive crying, and no foam. The difference lies here. This is caused by wind-heat damaging the fetus in the womb. Thus, *Shengji Jing* says: Wind-heat damages the fetus, resulting in Kou Jin at birth. *Qianjin Fang* says: Red indicates Heart Jin, White indicates Lung Jin.
**Lisheng San (Establishing Sage Powder)**
Treating newborn Kou Jin, unable to open mouth or suck milk.
Gan Zhi Zhu (Dry Spider, one, remove legs, soak overnight in fresh Bamboo Sap (Xin Zhu Li) in a clam shell, roast to ash and powder)
Gan Xie Shao (Dry Scorpion Tail, seven, powdered)
Ni Fen (Calomel/Mercurous Chloride, 1 qian)
Grind uniformly to fine powder. Each dose is one yi zi, mixed with milk, dripped into the mouth frequently.
Another prescription: Mix Deer Antler Powder and Soybean Powder in equal parts, grind fine, mix with milk, apply to nipple for infant to suck.
Another prescription: Slice Gan Cao (Licorice Root, 1 fen) finely, decoct in one zhan of water down to six fen. Strain, cool to warm, and administer in divided doses to induce vomiting of phlegm and filth. Then drip Pig Milk (Zhu Ru) into the mouth. Cures. Also treats Cuo Kou.
Another prescription: Mix a small amount of real Niuhuang (Ox Gallstone) finely ground with Dan Zhu Li (Light Bamboo Sap) and灌 (administer) one yi zi. Follow with Pig Milk drops.
Another prescription: Roast Centipede (Wu Gong) until yellow, powder. Mix half a qian with Pig Milk, administer warm in three to four doses. Another version uses five unopened Que Weng (Marsupium Oviparium), burn to ash, powder, mix with water, administer one yi zi.
Another prescription: Powder two Bai Jiang Can (Bombyx Batryticatus), mix with honey, apply inside mouth. If unavailable, use two Yuan Can E (Silkworm Moth), roasted yellow. Also treats Cuo Kou.
Another prescription: Use white Que Shi (Bird Droppings), mix with water, pill like hemp seeds. Administer two pills with milk. Ji Shi Bai (Chicken Droppings White) is also good.
Another prescription: Ji Shi Bai the size of a date, wrap in cotton, boil in five he of water for two boils, divide and serve.
Treating infant Kou Jin with body heat: Decoct Qing Zhu Ru (Green Bamboo Shavings, 3 liang) in one sheng of vinegar down to one-third. Serve warm in divided doses.
Treating infant Kou Jin, locked jaw: Roast Tian Nan Xing (Arisaematis Rhizoma) until cooked. Quickly seal edges with paper to prevent air escape. Wrap in paper, cut a hole the size of a cocklebur at the top tip to allow heat out. Smoke the nostrils with the heat. Jaw opens immediately. Also treats Cuo Kou.
**Yue Ti (Groaning Cry)**
Since birth, if the infant has a blue-white complexion, lacks blood color, cries constantly day and night, arches the body stiffly (worsening at night), has abdominal distension, refuses milk, passes blue-white stool, and cries day and night despite various medicines, this is named "Yue Ti". It is caused by wind-cold damaging the fetus in the womb before birth. Thus, *Shengji Jing* says: Wind-cold damages the fetus, resulting in Yue Ti at birth. *Qianjin Fang* states: Infants with Fetal Cold have abdominal pain and Yue Ti, frequent spitting/vomiting, or a mass in the abdomen like an egg yolk that disappears on pressure with a water-like sound, then returns. If not treated urgently, it often transforms into epilepsy.
**Yangzang Tang (Nourishing Viscera Decoction)**
Treating infant Fetal Cold Yue Ti.
Dang Gui (Angelicae Sinensis Radix, remove rhizome, 1 liang)
Chen Xiang (Aquilaria Wood)
Ding Xiang (Caryophylli Flos)
Bai Zhu (Atractylodis Macrocephalae Rhizoma)
Gui Xin (Cinnamomi Cortex Heartwood)
Chuan Xiong (Ligustici Chuanxiong Rhizoma) (each 0.5 liang)
Grind to fine powder. Each dose is one qian, decocted in one zhan of water with two slices of Ginger down to half a zhan. Strain and drip into the mouth.
Treating sudden infant abdominal pain with twisting and sweating: Also Fetal Cold. Decoct Pear Leaf (Li Ye) to a thick decoction of seven he, divide into three to four doses. From *Qianjin Fang*.
Another prescription: Powder Dang Gui, take amount the size of a small bean, mix with milk and swallow. Twice daily, once at night. Increase dose for older infants.
Another prescription: Powder Bai Zi Ren (Biota Seed), take one and a half qian, mix with warm water and swallow.
**Fanshi Wan (Alum Pill)**
Treating infant Fetal Cold Yue Ti and epilepsy. Calcinate Machi Fan (Portulaca Alum) for half a day, powder. Mix with jujube flesh, pill like millet seeds. Administer one pill per dose with milk. Adjust by infant size until cured. Removes phlegm. Highly effective. Also treats abdominal distension, poor appetite, and blue-yellow stool.
**Xue Pi (Blood Stasis / Named Tai Ji)**
Before birth, the fetus relies on maternal menstrual blood for nourishment. At birth, foul blood in the mouth must be wiped away, and medication used to purge foul blood/feces from the intestines before feeding. If foul blood is not fully wiped and swallowed, or if original intestinal waste is not purged or incompletely purged, stasis forms. Hence named Xue Pi, also known as Tai Ji (Fetal Accumulation). Within 100 days after birth, the infant develops head sores, red gritty eyes, urine like blood, rapid breathing, purple body color, abdominal distension, restlessness, excessive crying, and refusal to feed.
**Taiji Wan (Fetal Accumulation Pill)**
Treating infant Xue Pi.
Bai Ding Xiang (White Sparrow Droppings, 21)
Qing Fen (Calomel, 0.5 qian)
Hua Shi (Talcum, 0.5 qian)
Ruxiang (Frankincense, 0.5 qian)
Ba Dou (Croton Seed, 30, skewered and roasted until charred but retaining nature)
Grind to powder, bind with paste, pill like millet seeds. Administer one or two pills based on deficiency/excess and size. Decoct seven Willow Heart (Liu Xin) pieces, cool the soup, and administer. One or two doses should result in passage of foul matter in stool, indicating efficacy. Also have the nursing mother take harmonizing Qi medicine to regulate diet. If the infant vomits incessantly after medication, has constipation, black face, and panting, death ensues.
**Tai Chi Yan (Fetal Red Eyes)**
After birth, once eyes open, if the canthi and eyelids are red and ulcerated, it is named "Tai Chi Yan". This is caused by difficult labor prolonging retention, or careless handling, allowing foul blood into the eyes. Or, failure to fully wipe foul blood from eye corners at birth allows entry into the eyes, causing this disease. If not treated urgently, it will not heal even in adulthood.
**Erjin San (Two Metals Powder)**
Treating infant Tai Chi Yan.
Huang Lian (Coptidis Rhizoma, remove roots, 1 qian)
Huang Bai (Phellodendri Cortex, 1 qian)
First make coarse powder. Soak in milk overnight, dry by roasting, and store. Use a small amount, wrap in new cotton, soak in Jingjie Tang (Schizonepeta Decoction), warm, and wash frequently.
**Tai Jing (Fetal Fright)**
Before birth, if the fetus is startled, it is affected internally. Within 100 days after birth, the infant's heart-mind is unsettled, sleep is restless/unawakened, high fever and restlessness occur, crying is constant, eyes roll up with convulsions, face is blue, waist is straight, mouth is pinched, cheeks are drawn in, and stool is blue-yellow watery. This is named "Tai Jing". Formula discussions are in the Convulsion Disease section.
**Tai Qie (Fetal Weakness)**
Since birth, if the infant lacks luster in the face, muscles are thin/brittle, stool is clear water, body lacks blood color, frequently gasps and hiccups, pupils are small relative to sclera, is emaciated and cries often, this is "Tai Qie". Treat with Tian Ma Bath Soup.
**Tai Fei (Fetal Obesity)**
If the infant is born with thick muscles and ruddy complexion, but gradually becomes emaciated after one month, with pinkish-white sclera, heat in five centers (palms, soles, chest), difficulty defecating, and frequent salivation, this is "Tai Fei". Consider parental constitution: fat parents do not typically have thin children, nor thin parents fat children. Treatment is also Tian Ma Bath Soup.
**Tai Re (Fetal Heat)**
If the infant has vigorous qi/blood, cries frequently, has high fever, pale tea-colored skin, red eyes, yellow-red sticky stool, and eagerly seeks milk, this is "Tai Re". Treatment is also Tian Ma Bath Soup.
**Tian Ma Yu Tang (Aconitum Carum Bath Decoction)**
Treating infant Tai Qie, Tai Fei, Tai Re, and other disorders.
Tian Ma (Gastrodiae Rhizoma, 2 qian)
Xie Wei (Scorpion Tail, venom removed, powdered)
Zhusha Mo (Cinnabar Powder)
Bai Fan Mo (Alum Powder) (each 0.5 qian)
Shexiang (Musk, one yi zi)
Wu She Rou (Tiger Snake Meat, soaked in wine, skin removed, dried, powdered)
Qing Dai (Indigo Naturalis Powder) (each 3 qian)
Grind uniformly. Each dose is three qian, decocted in three bowls of water with five to seven Peach Branches/Leaves (Tao Zhi Ye) for ten-plus boils. Bathe in the warm decoction. Do not bathe the back. Ensure temperature is suitable.
Also treats infant Tai Re, or when nursing mother's diet is harsh/spicy, milk supply is low, infant is pale tea-yellow, emaciated, limbs are flaccid/cramped. Taking this bath promotes robust growth.
Shaoyao (Paeoniae Radix Alba, 2.5 liang)
Chai Hu (Bupleuri Radix, remove sprouts, 2.5 liang)
Bie Jia (Testudinis Carapax et Plastrum)
Fuling (Poria, remove black skin, each 1.5 liang)
Renshen (Ginseng Radix, remove rhizome)
Dahuang (Rhei Radix et Rhizoma, each 1 liang)
Gan Cao (Licorice Root)
Gan Jiang (Zingiberis Rhizoma, each 0.5 liang; if heat signs predominate, replace with Zhishi)
Grind to powder, bind with refined honey, pill like soybeans. Infants 100 days to 1 year take one pill, administered with milk, twice daily. Adjust dosage by infant size.