《肘后》云∶儿初生三日,应开腹助谷神,碎米浓作饮如乳酪,与儿大豆许,数令
咽之,频与三豆许,三七日,可哺。《千金》云∶儿哺早,不胜谷气,令头面体生
疮,愈而复发,又 弱难养,三十日后,虽哺勿多,不嗜食,强与之,不消,复生
病。哺乳不进,腹有痰癖,四物紫丸微下之,节哺数日,自愈。《宝鉴》云∶儿五
十日,可哺如枣核,百日,弹丸,早晚二哺。莫抱檐下澡浴,当风解衣。哭未断而
乳,冒冷而哺,又不可在神佛驴马畔、各房异户之亲、诸色物器并不可触犯之,害
子性为惊痫。经云∶三岁未满,勿食鸡肉,子腹生虫。钱乙云∶儿多因爱惜过当,
三两岁犹未饮食,致脾胃虚弱,平生多病,半年后宜煎陈米稀粥、粥面,时时与之,
十月后渐与稠粥烂饮,以助中气,自然易养少病,惟忌生冷油腻甜物等。《外台·崔
氏》初哺儿法,以平、定、成日,丑、寅、辰、巳、酉日,大吉。男忌戊、巳日,
女忌丙、丁日。
小儿年至四五岁当断乳,而不肯断者,宜用画眉膏断乳之道,方可渐与肉食,
则无疳癖之患。
画眉膏
山栀(参个,烧存性) 雄黄(少) 朱砂
上为极细末,入生麻油、轻粉各少许调匀。候儿睡着,浓抹于两眉上,醒来便
不食乳。未效,再用,加黄丹一钱。
《肘后备急方》记载:婴儿出生三天后,应当通过喂食来辅助“谷神”(指脾胃消化功能),将米煮成浓稠的浆液,质地如乳酪般,喂给婴儿大约一粒大豆大小的量,多次让婴儿吞咽;频繁喂食约三粒豆大的量,经过三七二十一天后,就可以开始正式哺食。
《千金方》记载:婴儿过早开始辅食喂养,其身体无法承受谷物的气机,会导致头面部及全身生疮,即使痊愈也会复发,且体质虚弱难以养育。三十天以后,虽然可以开始哺食,但不可过量。如果婴儿不喜欢进食,强行喂食则无法消化,进而引发疾病。若哺乳不畅,腹部有痰饮积聚形成的癖块,可用四物紫丸轻微通下,节制哺食数日,即可自愈。
《小儿药证直诀》记载:婴儿五十天时,可喂食如枣核大小的食物;一百天时,可喂食如弹丸大小的食物,早晚各哺食一次。不要抱着孩子在屋檐下洗澡,避免受风时解开衣物。不要在婴儿哭声未停时就喂奶,也不要在受冷时哺食。此外,不可在神佛、驴马旁边,或与不同房舍的亲属接触,也不可触犯各种器物,以免损害婴儿性情,导致惊痫。
经文记载:三岁未满的儿童,不要食用鸡肉,否则孩子腹中会生虫。
钱乙记载:儿童多因父母过分爱惜,导致两三岁了还未正常饮食,致使脾胃虚弱,一生多病。半年后宜煎煮陈年大米的稀粥、粥面,时常喂给孩子;十个月后逐渐给予稠粥和烂糊食物,以助长中气,这样自然容易养育且少生病。唯独忌讳生冷、油腻、甜食等食物。
《外台秘要》引用崔氏的初哺儿法:选择平、定、成日,以及丑、寅、辰、巳、酉日进行初次哺食,最为吉利。男孩忌讳戊、巳日,女孩忌讳丙、丁日。
小儿到了四五岁应当断奶,如果不肯断奶的,适宜使用画眉膏来断奶。这样做之后,才可以逐渐给予肉食,从而没有疳积和癖块的祸患。
画眉膏配方:
山栀子(若干枚,烧至存性)、雄黄(少量)、朱砂。
以上药材研成极细粉末,加入少许生麻油和轻粉调匀。待婴儿睡着后,厚厚涂抹在两眉上,醒来后便不再吃奶。如果无效,再次使用,并增加一钱黄丹。
The *Zhouhou Beiji Fang* (Emergency Prescriptions Kept in the Sleeve) states: Three days after birth, an infant should begin to assist the "Gushen" (Gu Spirit, referring to the digestive function of the Spleen and Stomach). Rice should be boiled into a thick liquid resembling yogurt or cream. Give the infant an amount roughly the size of a soybean, allowing them to swallow it multiple times. Frequently give an amount equivalent to three beans. After twenty-one days (three sevens), solid food can be introduced.
The *Qianjin Fang* (Essential Prescriptions Worth a Thousand Gold) states: If infants are fed complementary foods too early, their bodies cannot tolerate the Qi of grains. This causes sores to appear on the head, face, and body; even if healed, they recur. The child becomes weak and difficult to raise. After thirty days, although feeding may begin, it must not be excessive. If the infant refuses to eat, forcing food leads to indigestion and subsequent illness. If breastfeeding is ineffective and there is phlegm-fluid accumulation forming masses in the abdomen, Siwu Ziwan (Four-Ingredient Purple Pill) should be used to mildly purge the bowels. By moderating feeding for several days, the condition will heal spontaneously.
The *Xiao'er Yaozheng Zhijue* (Key to Pediatric Treatments) states: At fifty days old, food the size of a jujube pit can be given. At one hundred days old, food the size of a marble can be given, twice daily (morning and evening). Do not bathe the child under the eaves, nor undress them while exposed to wind. Do not breastfeed while the child is still crying, nor feed them when they are cold. Furthermore, avoid exposure to statues of deities, donkeys, horses, relatives from different households, and various objects, as these may harm the child's temperament and cause Jingxian (Fright and Epilepsy).
The Classics state: Children under three years of age should not consume chicken meat, as this causes worms to grow in the abdomen.
Qian Yi states: Many children suffer because parents are overly protective, leading to a lack of solid food intake until age two or three. This results in Spleen and Stomach deficiency and frequent illness throughout life. After six months of age, thin porridge made from aged rice and noodle-like porridges should be decocted and offered frequently. After ten months, thicker porridge and soft foods should be gradually introduced to support Middle Qi (Spleen/Stomach Qi). With this approach, the child will naturally be easier to raise and fall ill less often. Only raw, cold, greasy, and sweet foods should be avoided.
The *Waitai Miyao* (Secret Essentials of the Outer Cabinet), citing Cui Shi’s method for initial feeding, suggests choosing auspicious days such as Ping, Ding, and Cheng days, as well as Chou, Yin, Chen, Si, and You days. For boys, Wu and Si days are taboo; for girls, Bing and Ding days are taboo.
When a child reaches four or five years of age, breastfeeding should be weaned. If the child resists weaning, Huamei Gao (Eyebrow-Painting Paste) should be used to facilitate the process. Once weaned, meat can be gradually introduced, preventing complications such as Ganpi (Infantile Malnutrition and Masses).
**Huamei Gao (Eyebrow-Painting Paste)**
Ingredients:
Shanzhi (Gardeniae Fructus, *Gardenia jasminoides*), quantity unspecified, calcined to retain its character; Xionghuang (Realgar, *Realgar*); Zhusha (Cinnabar, *Cinnabaris*).
Process:
Grind all ingredients into an extremely fine powder. Mix with a small amount of Sesame Oil (*Semen Sesami Nigrum*) and Qingfen (Lead Subcarbonate, *Plumbum Subcarbonas*).
Application:
Apply a thick layer to both eyebrows while the child is asleep. Upon waking, the child will refuse breast milk. If ineffective, reapply and add one qian (approx. 3-5g) of Huangdan (Red Lead, *Plumbum Oxidum Rubrum*).