小儿初生犯撮口脐风、荷包风,鹅口风等项,并齿根边生白点,名马牙,啼哭不吮乳,即看口内坚硬之处,
或牙根边白点,将针挑破出血,浓煎薄荷汤,磨京墨调匀,以指搅过,再以产母乱发蘸墨,满口搽之;仍用新
青布蘸温水展口,即愈。
小儿脐风撮口,用完全生葱二根,捣烂取汁,又以直僵蚕三个,炒去丝,研极细末,以葱汁调匀,涂母乳
头上。令儿吮之,或灌儿口内亦可。
小儿脐风撮口,以艾叶烧灰填脐上,以帛缚之;若脐带已落,用蒜切薄片,贴脐上,以艾火灸之,候口中
有艾气,立愈。
小儿噤风,初生口噤不乳,蝉蜕十四枚,全蝎去尾毒,洗去盐泥十四枚,炒干为细末,入轻粉三分。每用
一匙,乳汁调灌。
小儿撮口,但看舌上有疮如粟米者是也。以蜈蚣炙焦,研末敷疮上。
撮口噤风,面黄色,气喘,声不出,由胞气挟热,流毒心脾,故令舌强唇青,撮口发噤,用直僵蚕二枚,
去嘴,略炒为末,蜜调,纳儿口中。
小儿十日内,口噤不乳,取大蜘蛛一枚,去足,炙焦,研细末,入猪乳一小杯和匀。分作三次,徐徐灌之,
神效无比。
小儿脐疮出血及脓,用海螵蛸、胭脂共为末,以油润疮,乃搽药。
婴儿初生,肌肤未实,宜用旧絮护其背,
亦不可太暖。更宜数见风日,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。衣衫当随寒热加减,但令背暖为佳,亦勿令其汗出,恐致表虚,风邪易入。乳哺亦不宜过饱,所谓
忍三分饥,吃七分饱,频揉肚,少洗澡,皆至言也。又须令乳母预慎六淫七情,盖儿初生,藉乳为命。善为乳
母者,夏不欲热,热则致儿吐逆;冬不欲寒,寒则致儿咳嗽。怒乳则上气颠狂,醉乳则身热腹痛。新房而乳,
则瘦瘠交胫不能行,新浴而乳,则发吐伤神。冷热不调,停积胸膈,结为痰饮,遂成壮热,壮热不已,乃成风
痫。儿啼未停,剧以乳哺,气逆不消,因成乳癖;有孕而乳,致儿黄瘦,肚大脚小,名曰魃音忌病。总之,
乳母能慎寒暑、恚怒、浓味炙 ,庶乳汁清和,儿不致病;否则,阴阳偏胜,气血沸腾,乳汁败坏,必生诸病。
若屡服药饵,则脏腑阴损,多变败证,均不可不知。
初诞之时,有于头额之前,发际之间灸之,又有以灯火遍身烧之,彼以为能截风路,不知适足以大开风门。
盖火功由儿有病,不得已而用之,无故而用,伐及无辜,诸病自兹始矣。戒之戒之!
凡浴时,须调和汤水,试看冷热。若不得所,令儿怖畏,况冬久浴则伤寒,夏久浴则伤热。其浴儿当护儿
背,恐风寒从背而入。
凡洗儿衣,不可露于星月之下,易惹邪祟。如偶失收,当用醋炭熏过,方可衣之。有鸟名天地女,又名隐
飞鸟,最喜阴雨夜过,飞鸣徘徊,其鸟纯雌无雄,善落羽毛于儿衣中,令儿作病,不可不谨。
凡当春夏月间,宜令其地卧,使不逆生长之气;如遇秋冬,宜就温和,使不逆收藏之令。
凡在春天,勿与护顶裹足,以致阳气不舒,因多发热。即至年长,下体勿令过暖,盖十六岁前,血气方盛,
如日方升,惟真阴未足。下体主阴,得清凉则阴易长,过温暖则
阴易消。故《曲礼》云∶童子不衣裘裳。
夫人以脾胃为主,故乳哺须节,节则调养脾胃,过则损伤脾胃。夏天忌热乳,冬月忌寒乳,皆宜捏去之,
而后与之。凡食后不可与乳,乳后不可与食,小儿脾胃怯弱,乳食并进,难于消化,初得成积,久则成癖成
疳,皆乳母不慎之过。
凡寒则加衣,热则减衣,过寒则气滞而血凝涩,过热则汗泄而腠理疏,以致风寒易入,疾病乃生。更忌解
脱当风,易于感冒,然风和日暖,又当抱出游戏。如阴地草木,不见风日,未有能坚起者,又不可日置地间,
令肚着地,以致脾宫受寒,腹痛泄泻,慎之慎之!
小儿出生后若患上撮口、脐风、荷包风、鹅口风等病症,或者在齿根边缘长出白点,称为“马牙”,导致啼哭却无法吸吮乳汁。此时应立即查看口腔内坚硬的地方,或是牙根边的白点,用针挑破使其出血,然后浓煎薄荷汤,研磨京墨调匀,用手指蘸取涂抹,再用产母的乱发蘸上墨汁,涂满整个口腔;接着用新的青布蘸温水擦拭口腔,即可痊愈。
对于小儿脐风撮口症,取两根完整的生葱,捣烂取汁,再取三条直僵蚕,炒去丝后研成极细的粉末,用葱汁调匀,涂抹在母乳头上,让婴儿吸吮,或者直接灌入婴儿口中也可以。
治疗小儿脐风撮口,将艾叶烧成灰填在肚脐上,用布带绑住;如果脐带已经脱落,则将大蒜切成薄片贴在肚脐上,用艾火灸烤,等到口中闻到艾气时,病立愈。
对于小儿噤风症,表现为初生时口紧闭不能吸乳,取蝉蜕十四枚,全蝎去除尾部毒刺并洗去盐泥也是十四枚,炒干后研成细末,加入轻粉三分。每次取一匙,用乳汁调匀灌服。
小儿撮口症,只要看舌头上有像粟米大小的疮点就是此症。将蜈蚣炙烤至焦黄,研成粉末敷在疮点上。
撮口噤风症,表现为面色发黄,气喘,声音发不出,这是由于胞气挟带热毒,流注于心脾,导致舌头僵硬、嘴唇发青、口唇收缩、牙关紧闭。可用直僵蚕二枚,去掉嘴部,略炒后研成粉末,用蜂蜜调匀,放入婴儿口中。
婴儿出生十日内,出现口噤不能吸乳的情况,取大蜘蛛一枚,去掉足,炙烤至焦黄,研成细末,加入一小杯猪乳混合均匀。分三次慢慢灌服,效果极佳。
小儿脐疮出血及流脓,将海螵蛸和胭脂共同研成粉末,先用油滋润疮口,然后再涂抹药物。
婴儿刚出生时,肌肤尚未结实,应用旧棉絮保护其背部,但也不可过于保暖。更应经常让其接触风和阳光,这样气血才能刚强,肌肉致密;如果将其藏在厚重的帷帐和密室中,或穿着过厚导致过热,则筋骨软脆,无法抵御风寒,容易生病。衣衫应根据寒热情况增减,以背部温暖为佳,也不要让婴儿出汗,以免导致表虚,使风邪容易侵入。哺乳也不宜过饱,所谓“忍三分饥,吃七分饱”,频繁揉肚子,少洗澡,这些都是至理名言。此外,必须让乳母预先谨慎对待六淫(风、寒、暑、湿、燥、火)和七情(喜、怒、忧、思、悲、恐、惊),因为婴儿初生,依靠乳汁维持生命。善于做乳母的人,夏天喂奶不欲太热,热则会导致婴儿呕吐;冬天喂奶不欲太寒,寒则会导致婴儿咳嗽。生气时喂奶会导致婴儿上气颠狂,醉酒时喂奶会导致婴儿身体发热腹痛。新婚后立即喂奶,会导致婴儿消瘦、双腿交叉不能行走;刚洗完澡立即喂奶,会导致婴儿呕吐伤神。冷热不调,停滞在胸膈,凝结成痰饮,遂成壮热,壮热不止,就形成风痫。婴儿啼哭未停时剧烈喂奶,气逆不消,因此形成乳癖;怀孕时喂奶,会导致婴儿黄瘦、肚子大脚小,名为“魃”音忌病。总之,乳母若能谨慎对待寒暑、愤怒、浓味炙烤食物,那么乳汁就会清和,婴儿就不会生病;否则,阴阳偏胜,气血沸腾,乳汁败坏,必然产生各种疾病。如果多次给婴儿服药,则会损伤脏腑阴气,多变坏证,这些都不可以不知道。
刚分娩时,有人在头额前发际之间施灸,又有用灯火遍身烧灼的,他们以为能截断风路,殊不知这恰恰大大打开了风门。火攻疗法是因为婴儿有病,不得已而使用的,无故使用,会伤害无辜,各种疾病从此开始。切记!切记!
凡是给婴儿洗澡时,必须调和汤水,测试冷热。如果不合适,会让婴儿恐惧害怕,况且冬天久浴会伤寒,夏天久浴会伤热。给婴儿洗澡时应保护婴儿背部,恐怕风寒从背部侵入。
凡是清洗婴儿衣物,不可暴露在星月之下,容易招惹邪祟。如果偶尔忘记收回,应当用醋炭熏过,才可以穿用。有一种鸟名叫天地女,又名隐飞鸟,最喜欢在阴雨夜飞过,飞鸣徘徊,这种鸟纯雌无雄,善于将羽毛落在婴儿衣服中,使婴儿生病,不可不谨慎。
凡是春夏季节,宜让婴儿在地面卧躺,以顺应生长之气;如果遇到秋冬,宜处于温和环境,以不违背收藏之令。
凡是春天,不要给婴儿裹紧头顶和脚部,以致阳气不舒展,因而多发热。即使到了年长,下体也不宜过暖,因为十六岁前,血气正盛,如日初升,只有真阴不足。下体主阴,得到清凉则阴易长,过度温暖则阴易消。所以《曲礼》说:“童子不衣裘裳。”
人是以脾胃为主的,所以哺乳需要节制,节制就能调养脾胃,过量则会损伤脾胃。夏天忌讳热乳,冬天忌讳寒乳,都应该先挤掉一些,然后再喂。凡是在进食后不可喂奶,喂奶后不可进食,小儿脾胃怯弱,乳食并进,难以消化,起初形成积滞,久了则形成癖病或疳积,这都是乳母不慎造成的过错。
凡是寒冷则加衣,炎热则减衣,过寒则气滞而血凝涩,过热则汗泄而腠理疏松,以致风寒容易侵入,疾病乃生。更忌讳脱衣当风,容易感冒,然而风和日暖时,又应当抱出游戏。如果在阴地草木间,不见风日,没有能坚挺生长的,也不可将婴儿直接放在地上,让肚子着地,以致脾宫受寒,腹痛泄泻,务必谨慎!
If a newborn infant suffers from conditions such as "cuokou" (mouth contraction), "umbilical wind" (neonatal tetanus), "hebao wind", or "goose-mouth wind", or if white spots appear on the edges of the gums, known as "horse teeth" (milia), causing crying and inability to suckle milk, one should immediately inspect the hard areas inside the mouth or the white spots at the gum line. Puncture these with a needle until bleeding occurs. Decoct peppermint leaves (Bohe) thickly, grind Jing ink into it, and mix evenly. Stir with a finger, then use the mother's loose hair dipped in the ink mixture to smear the entire oral cavity. Subsequently, wipe the mouth with new blue cloth soaked in warm water, and the condition will heal.
For neonatal umbilical wind and mouth contraction, take two whole raw green onions, crush them to extract juice. Take three straight silkworms (Jiangcan), stir-fry to remove silk threads, and grind into an extremely fine powder. Mix with onion juice and apply to the nipple of the breastfeeding mother for the infant to suckle, or administer directly into the infant's mouth.
To treat neonatal umbilical wind and mouth contraction, burn mugwort leaves (Aiye) to ash and fill the navel with it, securing it with a cloth band. If the umbilical cord has already fallen off, slice garlic thinly and apply it to the navel, then moxibustion with mugwort fire. When the scent of mugwort is detected in the mouth, the illness will be cured immediately.
For neonatal "jin feng" (jaw lock), characterized by a closed mouth and inability to suckle at birth, take fourteen cicada sloughs (Chantui) and fourteen whole scorpions (Quanxie) that have been washed to remove salt and mud and had their tails removed. Stir-fry until dry and grind into a fine powder. Add 3 fen of light powder (Qingfen). Each time, take one spoonful, mix with breast milk, and administer.
Neonatal mouth contraction is identified by sores on the tongue resembling millet grains. Roast a centipede (Wugong) until charred, grind into powder, and apply to the sores.
Mouth contraction and jaw lock present with a yellowish complexion, panting, and loss of voice. This is caused by fetal qi carrying heat and toxic factors flowing into the heart and spleen, resulting in a stiff tongue, cyanotic lips, mouth contraction, and jaw lock. Use two straight silkworms (Jiangcan), remove the head/mouth, lightly stir-fry, and grind into powder. Mix with honey and place in the infant's mouth.
For infants within ten days of birth presenting with jaw lock and inability to suckle, take one large spider, remove the legs, roast until charred, and grind into a fine powder. Mix with a small cup of pig milk. Divide into three doses and administer slowly. This yields miraculous effects.
For neonatal umbilical sores with bleeding and pus, grind cuttlefish bone (Haipiaoxiao) and rouge (Yanzhi) together into a powder. Moisten the sore with oil before applying the medication.
Newborns have immature skin and flesh. It is advisable to protect their back with old cotton wadding, but avoid excessive warmth. They should frequently be exposed to wind and sunlight to strengthen blood and qi and densify muscles. Keeping them in heavy curtains and sealed rooms, or dressing them too warmly, leads to soft and brittle bones and tendons, making them unable to withstand wind and cold, thus prone to disease. Clothing should be adjusted according to temperature changes; keeping the back warm is ideal. Avoid sweating, as this leads to exterior deficiency and susceptibility to wind pathogens. Feeding should not be excessive. The saying "endure one-third hunger, eat until seventy percent full," frequent abdominal massage, and infrequent bathing are all sound advice. Furthermore, the nursing mother must carefully guard against the six excesses (wind, cold, summer-heat, dampness, dryness, fire) and seven emotions (joy, anger, worry, overthinking, grief, fear, fright), as the newborn relies on milk for life. A good nursing mother avoids hot milk in summer, which causes infant vomiting, and cold milk in winter, which causes infant coughing. Nursing while angry causes infant upper qi rebellion and mania; nursing while drunk causes infant fever and abdominal pain. Nursing immediately after the wedding night causes infant emaciation and crossed legs preventing walking. Nursing immediately after bathing causes infant vomiting and spirit injury. Improper temperature regulation leads to stagnation in the chest and diaphragm, condensing into phlegm-fluid retention, resulting in high fever. Unchecked high fever develops into wind epilepsy. Force-feeding while the infant is crying causes qi reversal and indigestion, leading to "ru pi" (milk lump); nursing during pregnancy causes infant jaundice, emaciation, distended abdomen, and small legs, known as "ba" disease. In summary, if the nursing mother avoids extremes of cold/heat, anger, and rich/greasy foods, the milk remains clear and harmonious, preventing disease. Otherwise, yin-yang imbalance and boiling blood/qi spoil the milk, causing various diseases. Frequent medication damages the yin of the zang-fu organs and leads to severe syndromes; these points must be understood.
At the time of birth, some perform moxibustion on the forehead near the hairline or burn the body with lamp-fire, believing it blocks the path of wind. In reality, this opens the wind gates wide. Fire therapy is used only when necessary due to illness; using it without cause harms the innocent and initiates various diseases. Beware! Beware!
When bathing an infant, adjust the water temperature and test for hot/cold. Improper temperature causes fear. Prolonged bathing in winter causes cold damage; in summer, heat damage. Protect the infant's back during bathing to prevent wind-cold invasion from the back.
Do not expose washed infant clothes under stars or moonlight, as this invites evil influences. If accidentally left out, fumigate with vinegar-charcoal before use. There is a bird called "Tiandi Nv" (Heaven-Earth Woman) or "Yinfei Niao" (Hidden Flying Bird), which prefers flying and chirping on rainy nights. This bird is purely female and lays feathers in infant clothes, causing illness. Be cautious.
In spring and summer, allow the infant to lie on the ground to align with the growing qi. In autumn and winter, keep the environment mild to respect the storing command.
In spring, do not tightly wrap the head and feet, as this obstructs yang qi and causes fever. Even as they grow older, avoid excessive warmth to the lower body. Before age sixteen, blood and qi are vigorous like the rising sun, but true yin is insufficient. The lower body governs yin; coolness promotes yin growth, while excessive warmth depletes yin. Thus, the *Qu Li* states: "Young boys do not wear fur coats."
The human body relies primarily on the spleen and stomach. Therefore, feeding must be regulated; regulation nourishes the spleen and stomach, while excess damages them. Avoid hot milk in summer and cold milk in winter; discard the first portion before feeding. Do not feed milk immediately after food, nor food immediately after milk. Infants have weak spleens and stomachs; simultaneous intake of milk and food is hard to digest. Initial accumulation leads to masses or malnutrition syndromes ("gan"), all due to the nursing mother's negligence.
Add clothing when cold, remove when hot. Excessive cold causes qi stagnation and blood stasis; excessive heat causes sweating and porous pores, allowing wind-cold invasion and disease. Avoid undressing in the wind to prevent colds. However, on mild and sunny days, carry the infant out to play. Plants in shady places without wind and sun cannot thrive robustly. Also, do not place the infant directly on the ground with the belly touching the floor, as this chills the spleen palace, causing abdominal pain and diarrhea. Be very careful!