议曰血不荣则神不备气不卫则脉不充理其血用和其气安其神用调其脉阴阳均平气血相参
百脉
顺流三焦五脏自然以益其体丸生至周 之儿不可自汗自汗即亡阳亡阳即气怯气怯即脉虚脉虚
即神散神散即惊风作惊风已作搐搦施为医者失之究竟血不气不卫作疾不轻为害必大祸生起于
微人事何不察庸夫反笑之曰自汗岂能成风痫耶愚曰渠莫知其所以然者非我交也举此一端虚以
类之智者应有诮云观其澜而HT 其海知其未须明其本通变之士审乎得失是“非”不离乎中栽度
疏谨而后已察礼幼自汗切勿止之方用白术一分小麦一撮水煮令干去麦为末煎黄 汤调与服以
愈为良若以止汗反为闭气作热烦躁所谓气血相参则汗自止矣
议曰自汗不利者由血不荣虚于表也自利无汗者由气不卫虚于里也其或有自利亦自汗者荣
卫俱
虚也凡为其人止籍血荣气卫扶育身体血既不荣又气不卫里外不相参上下不升降关窍不开通经
络不调适荣卫不循环脏腑不充求且医工何以良饵则性命何以保持究竟在始醇全幸之良由水谷
不分自利肠胸怯弱自利脏腑不和自利冷热相制自利阴阳不调自利荣卫不顺自利前件自利皆由
气虚得之初生幼幼忽尔自利者与顺荣卫平调阴阳制其冷热和其脏腑分其水谷生其胃气则内外
充实何泄利有作宜以参苓白术散加以车前瞿麦姜枣同煎更量虚实加减
议曰：血不能濡养则神志不充备，气不能卫护则脉道不充盈。调理其血以用之，调和其气以安之，安定其神志以用之，调匀其脉以平阴阳，使气血相互参合，百脉顺流，三焦与五脏自然得以增益其形体。对于出生刚满一周岁的婴儿，不可出现自汗症状；若出现自汗，即是亡阳；亡阳则导致气怯弱；气怯弱则脉象虚软；脉象虚软则神气涣散；神气涣散则惊风发作；惊风一旦发作，搐搦等症状便会施行。医者若在此事上失察，究其根本，乃是血不荣、气不卫所致，疾病不会轻微，危害必然巨大，祸患起于细微之处，人事怎能不加以考察？平庸的医生反而嘲笑说：“自汗怎么能形成风痫呢？”我说：他们不知道其中的所以然，并非我的过错。举此一端，以虚证类推其他情况，明智的人应当有所讥诮。观察波澜可知大海，知晓未兆须明本源，通晓变通的士人审察得失，是非之中不离法度，审慎严谨而后止息。考察婴幼儿自汗，切勿强行止汗。方剂用白术一分，小麦一撮，用水煮至水干，去掉麦粒，研为细末，用黄耆汤调服，以痊愈为良效。如果强行止汗，反而会导致闭气、发热、烦躁，所谓气血相参，则汗自止矣。
议曰：自汗且伴有下利（腹泻）的，是由于血不濡养，表虚所致；下利且无汗的，是由于气不卫护，里虚所致。其中若有既下利又自汗的，是营卫俱虚。凡是治疗此类病人，仅依靠补血以荣养、补气以卫护来扶持养育身体，若血不能濡养，气不能卫护，里外不相参合，上下不升降，关窍不开通，经络不调适，营卫不循环，脏腑不充实，试问医工如何能高明？服药后性命又如何能保持？究其根本，在于始初未能保全纯正。幸运的是，由于水谷不分导致下利，肠腑怯弱导致下利，脏腑不和导致下利，冷热相制导致下利，阴阳不调导致下利，营卫不顺导致下利。前述各种下利，皆由气虚引起。初生幼儿忽然出现下利的，应当顺应营卫，平调阴阳，制约冷热，调和脏腑，分消水谷，滋生胃气，则内外充实，何来泄利发作？适宜使用参苓白术散，加入车前子、瞿麦、生姜、大枣共同煎煮，再根据虚实情况酌情加减。
Translation:
It is said that when blood fails to nourish, the spirit (Shen) is not fully prepared; when Qi fails to defend, the vessels are not filled. Regulate the use of blood, harmonize Qi to stabilize it, settle the spirit to utilize it, and adjust the vessels to balance Yin and Yang. When Qi and Blood mutually support each other, all vessels flow smoothly, and the Triple Burner (San Jiao) and Five Zang Organs naturally benefit their physical structure. For an infant who has just reached one year of age, spontaneous sweating should not occur. Spontaneous sweating indicates the loss of Yang (Wang Yang). Loss of Yang leads to timidity of Qi. Timidity of Qi leads to a deficient pulse. A deficient pulse leads to the dispersion of the spirit. Dispersion of the spirit leads to the onset of convulsive disorders (Jing Feng). Once convulsive disorders have set in, spasms and twitching manifest. If physicians fail to investigate thoroughly in such cases, the root cause lies in blood failing to nourish and Qi failing to defend. The disease will not be mild, and the harm will surely be great. Calamity arises from minute beginnings; how can human affairs neglect this? Vulgar practitioners instead laugh, saying, "How can spontaneous sweating lead to wind-phlegm epilepsy?" I say: They do not understand the underlying reasons; this is not my fault. Taking this as one example, infer other deficiency patterns by analogy. Wise individuals should reflect upon this. Observing the waves reveals the ocean; understanding the nascent signs requires clarifying the root. Practitioners versed in adaptation must examine gains and losses, ensuring that right and wrong remain within proper measures, acting with prudence and rigor before ceasing. Regarding spontaneous sweating in infants, do not forcibly stop it. The prescription uses one fen of Baizhu (Atractylodis Rhizoma) and a pinch of Xiaomai (Tritici Fructus), boiled in water until dry. Remove the wheat, grind into powder, and administer mixed with Huangqi Tang (Astragalus Decoction). Recovery is the ideal outcome. If one forcibly stops sweating, it may instead cause Qi stagnation, heat, and irritability. As stated, when Qi and Blood mutually support, sweat stops naturally.
It is said that spontaneous sweating accompanied by diarrhea occurs due to blood failing to nourish, resulting in exterior deficiency. Diarrhea without sweating occurs due to Qi failing to defend, resulting in interior deficiency. Among these, if both diarrhea and spontaneous sweating occur, it indicates deficiency of both Ying (Nutrient) and Wei (Defensive) levels. In treating such patients, relying solely on tonifying blood to nourish and tonifying Qi to defend to support the body is insufficient. If blood fails to nourish and Qi fails to defend, interior and exterior do not interact, upper and lower do not ascend and descend, orifices do not open, meridians and collaterals are not regulated, Ying and Wei do not circulate, and Zang-Fu organs are not full. How can physicians be considered excellent? How can life be preserved after taking medicine? Ultimately, the failure lies in not maintaining purity and integrity from the beginning. Fortunately, diarrhea caused by the failure to distinguish food and fluids, diarrhea due to weak intestines and bowels, diarrhea due to disharmony of Zang-Fu organs, diarrhea due to conflict between cold and heat, diarrhea due to imbalance of Yin and Yang, and diarrhea due to disharmony of Ying and Wei—all aforementioned types of diarrhea—stem from Qi deficiency. When a newborn suddenly develops diarrhea, one should follow the regulation of Ying and Wei, balance Yin and Yang, moderate cold and heat, harmonize Zang-Fu organs, separate food and fluids, and generate Stomach Qi. Then, the interior and exterior will be full, and why would diarrhea occur? It is appropriate to use Shenling Baizhu San (Ginseng, Poria, and Atractylodes Macrocephala Powder), adding Cheqianzi (Plantaginis Semen), Qumai (Dianthi Herba), Shengjiang (Zingiberis Rhizoma Recens), and Dazao (Jujubae Fructus), decocted together. Dosages should be adjusted according to deficiency and excess conditions.