议曰钟鸿声大阔远流长形处胞胎之中受气充足水火兼济心肾不亏耳目两窍相通大小二肠
相佐
所以发声清响洪亮者根固本壮禀赋充实而自然之理也初生啼哭发声不出呃呃而作郁郁而为其
或
短上下气不相乘医与果诀云此由胎气不足何更投药假使成人父母不悦吁哉根本不壮何须药
饵如果木之萎水奚宜也古意速用父母呼呵及以葱熨令声发越虽然妙理奈缘目无根本产子育儿
当知其义理哉
议曰天地清朗万物咸明一气盈通三元克备人之受胎应数降生之后不以贫富其子皆致精神
全气
脉壮视听欣嬉取与喜怒周 之间于人事情怀意旨怃叱以知其逆须方可谓儿孩性识之本也其或
周已过不认名不猥亲常常煞颜蹙容 脸含啼东唤西向南呼北面其坐若木其卧若尸其行即蹶
其立用 筋骨气脉柔怯虚弱食不辞饱渴不知饮若也长成慵蠢必有如此胎气于数不足者难保
千日良方妙剂不谓此设医宜察之学宜究之
议曰此等症候系惊风恶逆所发初生三五日之间便有举目上窜将身反张然其非疾所作情实
骇人
凡医工必作惊风疗之其候非也万一所由儿在胎中受母饮食热毒之气蕴在胸堂诞下三日之前宜
与黄连去热腻粉散毒古人预计利害其又与人参朱蜜汤皆清心肺积毒既化儿腹无恙若不如此所
生个个反张上窜或有无作之者鄙妇不因食啖热毒之物何可怪哉或投惊风凉药亦愈但项明其所
以用药智者裁之万一不由惊风所传幸与详悉
议曰:婴儿在胞胎之中,形体处于孕育状态,受气充足,水火(心肾)相互济助,心肾不亏,耳目两窍相通,大小二肠相互辅助。因此发声清响洪亮,是因为根基稳固、本元壮实、禀赋充实,这是自然的道理。初生时啼哭却发不出声音,只是发出呃呃的声音,神情抑郁不畅。或者声音短促,上下之气不相顺承。医生与接生婆断言说,这是由于胎气不足,何必再投药?假如成人父母不悦,唉!根本不壮实,何须用药饵?就像树木枯萎,水又怎么适宜呢?古意主张迅速使用父母呼唤呵斥,以及用葱熨法,令声音发越出来。虽然妙理如此,奈何眼睛无根本。产子育儿应当知晓其中的义理啊。
议曰:天地清朗,万物皆明,一气充盈通达,三元具备。人受胎应数降生之后,不论贫富,其子皆精神全备,气脉壮盛,视听正常,喜欢嬉戏,取予自如,喜怒表现于周旋之间。于人事情怀意旨,通过叱责来观察其是否顺从,这才可以说掌握了儿孩性识的根本。如果过了周岁还不认名字,不亲近亲人,常常板着脸皱眉,脸上含着啼哭,东唤西应,向南呼北面答。坐着像木头,躺着像尸体,行走就跌倒,站立依靠筋骨气脉柔怯虚弱。饮食不知饱足,口渴不知饮水。如果长成后懒惰愚蠢,必定有如此胎气不足的情况。这种情况难以保全千日寿命,良方妙剂不是为此而设的。医生应当察究,学者应当深究。
议曰:这种症候属于惊风恶逆所引发。初生三五天之间,便有举目上窜、将身体反张的表现。然而这并非疾病所作,情状实在骇人。凡庸医必当作惊风治疗,这是错误的。万一原因是在胎儿在母体中受到母亲饮食热毒之气的蕴积,蕴藏在胸堂,诞下三日之前,宜给予黄连去热,腻粉散毒。古人预先考虑到利害,又给予人参朱蜜汤,以清除心肺积毒。既已化解,婴儿腹部无恙。如果不这样做,出生的个个都会反张上窜,或者有无故发作的。鄙陋的妇女不因食用热毒之物,有什么可奇怪的呢?或者投用惊风凉药也能痊愈,但必须明白所以用药的道理,由智者裁断。万一不是由惊风传来,希望详细知晓。
Translation:
It is said that while the infant is within the womb, its form is in a state of gestation. It receives Qi sufficiently, with Water and Fire (Heart and Kidney) mutually assisting each other, ensuring the Heart and Kidney are not deficient. The sensory orifices of the eyes and ears are connected, and the Large Intestine and Small Intestine assist one another. Therefore, the voice is clear, resonant, and loud because the root is solid, the foundation is strong, and the innate constitution is full; this is the natural principle. Upon birth, if crying produces no sound, but only makes "eh-eh" sounds with a depressed demeanor, or if the voice is short and the Qi above and below does not flow smoothly, doctors and midwives may declare that this is due to insufficient fetal Qi and ask why medicine should be administered. If an adult were displeased by their parents, alas! If the root is not strong, why use medicinal herbs? It is like a withered tree; how can water be suitable? Ancient practice suggests using parental calling and scolding, or applying warm compresses with green onions (Cong Zhi), to cause the voice to emerge. Although this is a profound principle, it relies on the eyes having a foundation. Those who bear children and raise them must understand this rationale.
It is said that when Heaven and Earth are clear and bright, all things are illuminated. One Qi fills and flows through, and the Three Yuan (San Yuan) are complete. After conception and birth according to destiny, regardless of wealth or poverty, the child possesses complete Spirit, robust Qi and pulse, normal hearing and vision, enjoys playing, takes and gives freely, and expresses joy and anger naturally in interactions. To understand the child's nature and cognition, one observes their response to commands and reprimands; only then can one say they grasp the essence of the child's mental awareness. However, if after one year old the child does not recognize names, does not affectionately approach relatives, often frowns with a stern face, holds back tears, responds randomly to calls from different directions, sits like wood, lies like a corpse, stumbles when walking, and stands relying on weak sinews, bones, Qi, and pulse, showing timidity and weakness—knowing neither satiety when eating nor thirst when drinking—if they grow up to be lazy and dull, it must be due to such insufficiency of fetal Qi. Such cases are difficult to survive past a thousand days; excellent prescriptions are not designed for this. Physicians should investigate, and scholars should study deeply.
It is said that these symptoms arise from fright-wind (Jing Feng) and malignant reversal. Within three to five days after birth, there is upward staring of the eyes and backward arching of the body. However, this is not caused by disease, yet the condition is truly terrifying. Ordinary physicians invariably treat it as fright-wind, which is incorrect. If the cause is that during gestation the fetus was affected by the heat-toxin Qi from the mother's diet, accumulating in the chest cavity, before the third day after birth, it is appropriate to administer Huang Lian (Coptidis Rhizoma) to clear heat and Ni Fen (Calamina) to disperse toxins. Ancients anticipated the pros and cons and also administered Ren Shen Zhu Mi Tang (Ginseng and Vermilion Honey Decoction) to clear accumulated toxins from the Heart and Lungs. Once resolved, the infant's abdomen remains healthy. Without doing so, every newborn might exhibit backward arching and upward staring, or have spontaneous attacks. It is strange that vulgar women do not consume heat-toxin foods. Even if cool medicines for fright-wind are used and recovery occurs, one must understand the rationale behind the medication, leaving judgment to the wise. If it is not transmitted from fright-wind, it is hoped that this will be examined in detail.