小儿之脏腑薄弱,百骸四肢均未长成,本不可轻与服药。盖草木气味不纯,金石之性更较霸烈,原非脾胃嫩
脆者所宜。况问切不能真确,焉能知疾病之所在。惟凭望色以追寻病能,细心诊察,始能证明病之地位及程度,
用历久的经验,临床以施治。毫疗厘千里,药饵岂易服哉。粗疏庸愚之辈,不明生理,不知病能,何能辨别虚
实寒热,欲其识症无差,用药无误,殆不易得也。故凡有微小的病症,为其父母者,切不可仓忙忧急。但令哺
儿之乳母,严戒油腻荤酒,使其乳汁清和,小儿吮其乳,肠胃先得清和,儿体的抵抗力量,立即回复。二三日
间,微小之病能,不药自然痊愈。俗云∶勿药为中医,旨哉斯言也。常见井市之人,不明生理,只知医药能治
病,而不知医药亦能加病。小儿偶有不活泼症象,即忙觅医服药。遇医之练达者,或不致误;庸愚者自以为是,
每以通套克消药,或治风疾的惊风药治之,是本无病之中生出有病,伐及无辜,病反加重。为父母者见其无效,
必再更医治疗,如此粗率,焉能遇见高手。惟有相与任意猜度,曰风、曰痰、曰惊、曰热,前服之药,性未行
开,后服之药继至。寒热乱投,杂乱无章,甚至日易数医,各为臆说,不同性之药叠进,刻不容缓。如是之治
病,小儿焉能有命也。嗟乎?药性各异,见识不同,娇嫩的肠胃,何堪此无情之药味,扰攘于腹中。不必病能
伤人,而医药即可以死之矣。况小儿之体质,与已长成熟的成年人不同,小儿的身体易实易虚。言虚者,正气
易于虚也;言实者,邪气易于实也。然邪成之实,必乘正气之虚。若罔顾正气之虚,惟逐邪成之实,其有不败
者几希。例如寒能伤营也,但温养阴营,风能伤卫也,惟辛调卫气,只使营卫和平而宣行,则客邪不攻而自散。
俾本身天赋之抵抗力,自行反抗而逐邪,则邪退而正气安。小儿之微细病象平复,自然反回其健康也。故药物之治疗,
必须细心详察,非用药物不能去病,始可择其不甚猛烈,与气血无大损伤者用之。不然者惟有不服药,待其体躬的响应,
得天然之抵抗,虽无显著之功效,而可以不生遗患也。
小儿的脏腑功能薄弱,骨骼四肢尚未发育成熟,本来就不可以轻易给他们服药。因为草木类药物的气味不够纯正,金石类药物的药性更加猛烈霸道,原本就不是脾胃娇嫩脆弱的人所适宜的。况且对小儿进行问诊和切脉无法做到完全准确,怎么能确切知道疾病的位置呢?只能依靠观察面色来推求病机,细心诊察,才能明确疾病的部位及程度,凭借长期的临床经验,在临床上进行治疗。失之毫厘谬以千里,药物岂是容易服用的呢?粗疏愚昧之辈,不懂生理常识,不了解病机,怎么能辨别虚实寒热?想要他们识别症状没有差错,用药没有错误,大概很难得到吧。所以凡是遇到微小的病症,作为父母亲的,千万不要慌张焦急。只要让喂养孩子的乳母,严格戒除油腻荤腥和酒类,使乳汁清淡平和,小儿吸吮这种乳汁,肠胃先得到清和,小儿身体的抵抗力量就能立即恢复。两三天之间,微小的病邪,不吃药也能自然痊愈。俗话说:不用药才是高明的中医,这话真是有道理啊。常见到市井百姓,不懂生理常识,只知道医药能治病,却不知道医药也可能加重病情。小儿偶尔出现不活泼的症状表现,就急忙寻找医生服药。遇到医术老练通达的医生,或许不会误治;庸医愚夫自以为是,往往用通用的消导类药物,或者用治疗风疾的惊风药来治疗,这本来没有病的地方却生出了病,伤害了无辜的身体,病情反而加重。做父母的看到无效,必定再更换医生治疗,如此草率,怎么能遇到高手呢?只有互相随意猜测,说是风、说是痰、说是惊、说是热,前面服的药,药性还没发挥作用,后面的药又继而至。寒热药物乱投,杂乱无章,甚至一天更换几个医生,各自发表主观臆断的说法,不同性质的药物叠加进服,刻不容缓。像这样治病,小儿怎么还能有命呢?唉!药性各不相同,见识高低有别,娇嫩的肠胃,怎能承受这些无情药味在腹中扰乱。不必说病邪伤人,光是医药就可以致人死亡了。何况小儿的体质,与已经发育成熟的成年人不同,小儿的身体容易呈现实证也容易呈现虚证。所谓虚,是指正气容易虚弱;所谓实,是指邪气容易亢盛。然而邪气形成的实证,必然趁着正气的虚弱而发作。如果无视正气的虚弱,只去攻逐邪气的实证,能够不败亡的极少。例如寒邪能损伤营阴,只需温养阴营;风邪能损伤卫阳,只需辛散调理卫气,只要使营卫和谐并宣通运行,那么外来的邪气不攻自散。使得身体天赋的抵抗力,自行反抗并驱逐邪气,那么邪气退去而正气安宁。小儿细微的病象平复,自然回复到健康状态。所以药物治疗,必须细心详细诊察,如果不是非用药物不能去除疾病的情况,才可以选择那些药性不太猛烈、对气血没有大损伤的药物使用。否则的话,只有不服药,等待身体自身的反应,获得天然的抵抗力,虽然可能没有显著的功效,但可以不留下后患。
The viscera and bowels of infants are weak, and their bones and limbs have not yet fully developed; therefore, it is fundamentally inappropriate to administer medication lightly. The flavors and properties of herbal medicines are not pure, and the nature of mineral and metallic substances is even more aggressive and harsh, which is inherently unsuitable for those with tender and fragile spleen and stomach (Spleen and Stomach). Moreover, inquiry and pulse-taking cannot be entirely accurate, making it difficult to precisely locate the disease. One must rely on observing facial color to trace the pathology, examine carefully, and thereby ascertain the location and severity of the disease, applying treatment based on long-term clinical experience. A difference of a hair's breadth leads to an error of a thousand miles; how easily can medication be administered? Crude and ignorant individuals, lacking understanding of physiology and pathology, cannot distinguish between deficiency and excess, cold and heat. It is hardly possible for them to identify symptoms without error or prescribe medication without mistake. Therefore, whenever minor ailments occur, parents should never panic or become anxious. If the nursing mother strictly avoids greasy, meat-based, and alcoholic foods, ensuring her milk remains clear and harmonious, the infant ingesting this milk will first benefit from this clarity and harmony in the intestines and stomach. Consequently, the infant's resistance power will immediately recover. Within two or three days, minor pathological factors will heal naturally without medication. As the saying goes: "Not using medicine is the mark of a superior physician"; this statement is truly profound. It is common to see people in markets who do not understand physiology, believing only that medicine cures diseases while unaware that medicine can also exacerbate them. When an infant occasionally shows signs of lethargy, they hastily seek medical help and medication. If the physician is experienced and adept, misdiagnosis may be avoided; however, incompetent doctors, confident in their own wrong views, often use general resolving agents or wind-dispelling convulsion remedies. This creates disease where none existed, harming the innocent body, and actually aggravating the condition. Seeing no improvement, parents inevitably change doctors repeatedly. Such rashness makes it unlikely to encounter skilled practitioners. Instead, there is only arbitrary speculation, attributing symptoms to wind, phlegm, fright, or heat. Before the effects of the previous medication have spread, subsequent medications follow. Cold and heat-inducing drugs are indiscriminately administered in a chaotic manner. Sometimes, multiple physicians are consulted daily, each offering subjective theories, with drugs of differing natures stacked upon one another without delay. How can an infant survive such treatment? Alas! Drug properties vary, and insights differ. How can delicate intestines and stomach withstand these ruthless drug flavors causing turmoil within the abdomen? Without the disease itself harming the person, medication alone can cause death. Furthermore, the constitution of infants differs from that of fully mature adults; infants' bodies tend toward both excess and deficiency. By "deficiency," we mean that righteous qi (Zheng Qi) easily becomes deficient; by "excess," we mean that pathogenic factors easily become excessive. However, the excess formed by pathogens necessarily takes advantage of the deficiency of righteous qi. If one ignores the deficiency of righteous qi and solely pursues the excess of pathogens, few will avoid failure. For example, cold damages Ying (Nutritive) level; thus, one should only warm and nourish the Yin-Ying. Wind damages Wei (Defensive) level; thus, one should only use pungent methods to regulate Wei-Qi. By ensuring the harmony and free circulation of Ying and Wei, external pathogens will dissipate without direct attack. Allowing the innate resistance of the body to self-defend and expel pathogens results in the retreat of pathogens and the peace of righteous qi. As minor pathological signs in infants subside, health is naturally restored. Therefore, pharmacological treatment requires careful and detailed examination. Medication should only be selected if it is impossible to cure the disease without drugs, and even then, only those with mild potency and minimal damage to Qi and Blood should be used. Otherwise, abstaining from medication is preferable, waiting for the body's natural response and acquiring innate resistance. Although this may lack significant efficacy, it prevents lingering complications.