婴儿初生至盈月内,常时时旋取猪乳,滴口中佳。(猪儿饮母大便提后脚,离乳急
即得。)
千金论云∶小儿用父故衣,女用母故衣,勿使新绵,切不可过浓,恐令儿壮热,生
痫,皆自此始。(巢氏云∶儿始生,肌肤未成,不可暖衣,暖衣则令筋骨缓弱。宜时见
若不见风日,则令肌肤脆软,便易损伤。婴儿常藏在帷幔之内,重衣温暖。譬如阴地
不见风日,软脆不任风寒。婴儿皆当以故絮着衣,莫用新绵也。天气和暖无风之时,
抱日中嬉戏,数见风日,则令血和气刚,肌肉硬密,堪耐风寒,不致疾病。又当习薄
当从秋习之,不可于春夏卒减其衣,令儿受风寒。冬月但当着夹衣,及衲衣之类,
加以旧绵。人家多爱子,乃以绵衣过浓,适所以为害也。又当消息,无令汗出,汗
损,便受风寒,昼夜寤寐,皆当戒之。)
汤氏曰∶小儿乳哺,须要得法。乳者,奶也。哺者,食也。乳后不得便与食,哺后
便与乳。小儿脾胃怯弱,乳食相并,难以克化。周岁以上,必成乳癖于腹中,作疼作热
病从此起也。(丹溪曰∶小儿肠胃尚脆而窄,若稠粘干硬酸咸甜辣,一切鱼肉水果湿面
煨炒,俱是发热难化之物,皆宜禁绝。只与熟菜白粥,非唯无病,且不从口,可以养德
外生栗味咸,干柿性凉,可为长阴之助。然栗太补,柿太涩,俱为难化,亦宜少与。妇
知,唯务姑息,畏其啼哭,无所不与,积成痼疾,虽悔何及。所以富贵娇养,有子多病
至成人,筋骨柔弱。有食则不能忌口以自养,居丧则不能食素以尽礼。小节不谨,大义
可不慎与。至于乳母,尤宜谨节,饮食下咽,乳汁便通。情欲中动,乳脉便应。病气
汁必凝滞。儿得此乳,疾病立至。不吐则泻,不疮则热。或为口糜,或为惊搐。或为
或为腹痛。病之初来,其溺必少,便须询问,随证治母,母安亦安,可消患于未形也
婴儿从出生到满月期间,应经常随时取用猪乳,滴入婴儿口中为宜。(小猪在吃奶时提起后腿,断奶时即可轻易得到乳汁。)
《千金方》论述说:小儿使用父亲穿过的旧衣服,女孩使用母亲穿过的旧衣服,不要使用新棉絮,切不可让衣物过厚,恐怕导致婴儿壮热,引发癫痫,这些都由此开始。(巢元方说:婴儿刚出生,肌肤尚未长成,不可穿暖衣,穿暖衣会使筋骨松弛软弱。应当时常接触风日,如果不见风日,就会使肌肤脆软,容易受损。婴儿常藏在帷幔之内,穿着厚重衣物保暖。这就像在阴暗之地不见风日,柔软脆弱,经不起风寒侵袭。婴儿都应当用旧的棉絮做衣服,不要用新棉絮。天气和暖无风的时候,抱着孩子在阳光下嬉戏,多接触风日,就能使气血调和、刚强,肌肉坚实致密,能够耐受风寒,不致生病。还应当练习薄衣,应从秋天开始练习,不可在春夏突然减少衣物,让孩子受风寒。冬季只应穿夹衣,以及纳衣之类,加上旧绵。人们大多疼爱孩子,反而用棉衣过厚,这恰恰是有害的。还应当斟酌调节,不要让孩子出汗,汗出则损伤正气,便容易受风寒,无论昼夜醒睡,都应戒除这一点。)
汤氏说:小儿哺乳喂养,必须讲究方法。乳,就是奶;哺,就是食。喂奶后不能立刻给食物,喂食后立刻给奶。小儿脾胃怯弱,乳食同时摄入,难以消化。周岁以后,必定会在腹中形成乳癖,出现疼痛发热的病症,病就从此而起。(朱丹溪说:小儿肠胃尚且脆弱狭窄,如果食用稠粘干硬、酸咸甜辣的一切鱼肉水果、湿面、煨炒食物,都是发热难消化的东西,都应该禁止。只给熟菜和白粥,不仅不会生病,而且能培养品德。另外生栗子味咸,干柿子性凉,可以作为滋阴的辅助。但是栗子太补,柿子太涩,都难以消化,也应该少量给予。妇人无知,一味姑息溺爱,害怕孩子啼哭,什么都给,积成顽固疾病,即使后悔又有什么用。所以富贵人家娇生惯养,孩子多病,直到成年,筋骨柔弱。有食物就不能忌口以自我调养,守丧时就不能吃素以尽礼节。小节不谨慎,大义能不慎重吗?至于乳母,尤其应该谨慎节制,饮食咽下,乳汁随即通畅。情欲冲动,乳脉随即响应。病气进入乳汁必然凝滞。孩子得到这种乳汁,疾病立即到来。不是呕吐就是腹泻,不是生疮就是发热。或者成为口糜,或者惊厥抽搐。或者腹痛。疾病初来时,小便一定少,必须询问清楚,根据证候治疗母亲,母亲安好孩子也安好,可以在隐患未显形时消除它。)
From birth until the first month is full, pig milk (pig's milk) should be taken frequently and freshly, and dripped into the infant's mouth. (When a suckling pig drinks from its mother, lifting its hind legs allows for easy collection of milk upon weaning.)
The *Qianjin Fang* (Prescriptions Worth a Thousand Gold) states: For infants, use old clothes worn by the father; for female infants, use old clothes worn by the mother. Do not use new cotton wadding. It is absolutely crucial not to overdress them, as this may cause intense heat and lead to epilepsy (epilepsy), starting from here. (Chao Yuanfang stated: When an infant is first born, the skin and muscles are not yet formed. One should not dress them warmly, as warmth causes the sinews and bones to become loose and weak. They should be exposed to wind and sunlight occasionally. If they do not see wind or sunlight, their skin and flesh will become brittle and soft, making them susceptible to injury. Infants are often kept inside curtains with heavy clothing for warmth. This is like being in a shady place without wind or sunlight—soft, fragile, and unable to withstand wind and cold. Infants should wear clothes made of old cotton wadding, not new cotton. When the weather is warm and windless, carry the child to play in the sun. Frequent exposure to wind and sunlight will harmonize the blood and qi, make the muscles firm and dense, enable tolerance of wind and cold, and prevent disease. One should also practice dressing lightly, starting from autumn. One must not suddenly reduce clothing in spring and summer, causing the child to suffer from wind and cold. In winter, only padded jackets, quilted garments, and similar items with old cotton should be used. Families often love their children excessively, using overly thick cotton clothing, which is actually harmful. One must adjust appropriately and avoid letting the child sweat, as sweating damages the body's resistance, leading to susceptibility to wind and cold. This caution applies whether awake or asleep.)
Mr. Tang said: Infant feeding and nursing must follow proper methods. "Nursing" refers to milk; "feeding" refers to solid food. After nursing, one must not immediately give food; after feeding, one should immediately nurse. Infants have weak spleen and stomach. If milk and food are ingested together, they are difficult to digest. By the age of one year, this will inevitably lead to the formation of "milk mass" (lactation-induced abdominal mass) in the abdomen, causing pain and fever. The illness originates from this. (Zhu Danxi said: An infant's intestines and stomach are still delicate and narrow. Thick, sticky, dry, hard, sour, salty, sweet, spicy foods, as well as all meat, fish, fruits, wet noodles, baked, and fried foods, are all difficult to digest and generate heat. These should be strictly prohibited. Only cooked vegetables and white rice porridge should be given. This not only prevents disease but also cultivates virtue. Additionally, raw chestnuts are salty in flavor, and dried persimmons are cool in nature, which can assist in nourishing yin. However, chestnuts are too tonifying, and persimmons are too astringent; both are difficult to digest and should be given in small amounts. Ignorant mothers indulge their children out of fear of crying, giving everything they ask for, accumulating chronic diseases. Regret comes too late. Thus, children spoiled by wealth and privilege often fall ill frequently and remain physically weak into adulthood. They cannot abstain from certain foods to maintain health nor eat vegetarian food during mourning to fulfill ritual propriety. If minor details are not observed carefully, how can major principles be treated with caution? As for the wet nurse, she must be particularly disciplined. What she eats enters her milk directly. Emotional desires affect her milk channels. Pathogenic qi entering the milk becomes stagnant. If the infant receives this milk, disease strikes immediately. Symptoms include vomiting or diarrhea, sores or fever, stomatitis (mouth ulcers), convulsions, or abdominal pain. At the onset of illness, urine output is necessarily low. One must inquire carefully and treat the mother according to the syndrome. If the mother is well, the infant is well. This way, disaster can be eliminated before it manifests.)