小儿因汗,解脱衣裳,风入腠理,与血气相搏,结聚起,相连成隐胗。风气止在腠理,
浮浅,其势微,故不肿不痛,但成隐胗瘙痒耳。
小儿因汗,腠理则开,而为风冷所乘,冷搏于血,随肌肉虚处停之,则血气沉涩,不能
荣其皮肤,而风冷客于腹皮,故青黑。
小儿为风冷乘其血脉,血得冷则结聚成核,其皮肉色如蓝,乃经久不歇,世谓之蓝注。
小儿因汗,为风邪毒瓦斯所伤,与血气相搏,热气蒸发于外,其肉色赤,而壮热是也。
小儿有肌肉虚者,为风毒热气所乘,热毒搏于血气,则皮肤赤而肿起。其风随气
行游不定,故名赤游肿也。
小儿大便不通者,腑脏有热,乘于大肠故也。脾胃为水谷之海,水谷之精华,化为血气
,其糟粕行于大肠。若三焦五脏不调和,热气归于大肠,热实,故大便燥涩不通也。
小儿大小便不利者,腑脏冷热不调,大小肠有游气,气壅在大小肠,不得宣散,故大小
便涩,不流利也。
心主血脉,心脏有热,热乘于血;血性得热,流散妄行,不根据常度。其流渗于大、小肠
者,故大、小便血也。
血性得寒则凝涩,得热则流散;而心主于血。小儿心脏有热,乘于血,血渗于小肠,故
尿血也。
痔有牡痔、牝痔、脉痔、肠痔、血痔、酒痔,皆因劳伤过度,损动血气所生。小儿未有
虚损,而患痔,止是大便有血出,肠内有结热故也。
小儿因出汗,脱去衣裳,风邪侵入腠理(皮肤纹理及汗孔),与血气相互搏结,凝聚隆起,相连形成隐胗(一种皮肤瘙痒、无固定形态的皮疹)。风气仅停留在腠理,位置浮浅,病势轻微,所以不肿不痛,只是形成隐胗并伴有瘙痒。
小儿因出汗,腠理开泄,被风冷之邪侵袭,冷邪与血相搏,随着肌肉虚弱之处停留,导致血气沉滞涩涩,不能濡养皮肤,且风冷客居于腹皮,所以肤色呈现青黑色。
小儿被风冷之邪侵袭血脉,血液遇冷则凝结成核,其皮肉颜色如蓝靛色,经久不愈,世人称之为“蓝注”。
小儿因出汗,被风邪毒气所伤,与血气相互搏结,热气向外蒸腾,肌肉颜色发红,表现为壮热(高热)。
小儿有肌肉虚弱者,被风毒热气侵袭,热毒与血气搏结,导致皮肤发红并肿胀隆起。风邪随气机运行游走不定,所以称为赤游肿(丹毒的一种)。
小儿大便不通畅,是因为脏腑有热,热邪侵犯大肠的缘故。脾胃是水谷汇聚的海,水谷的精华转化为血气,糟粕运行于大肠。如果三焦五脏不调和,热气归于大肠,导致热实,所以大便干燥涩滞不通。
小儿大小便不利,是因为脏腑冷热不调,大小肠内有游动之气,气机壅塞在大小肠,不得宣散,所以大小便涩滞,不流利。
心主血脉,心脏有热,热邪侵犯血液;血液性质得热则流动散乱,不遵循常度。其流渗于大、小肠者,所以出现大、小便出血。
血液性质得寒则凝涩,得热则流散;而心主司血液。小儿心脏有热,侵犯血液,血液渗溢于小肠,所以出现尿血。
痔分为牡痔、牝痔、脉痔、肠痔、血痔、酒痔,都是因劳伤过度,损伤气血所致。小儿尚未有虚损,却患痔,仅仅是因为大便带血出,肠内有结聚的热邪罢了。
Pediatric patients, due to sweating and removing clothing, allow wind pathogens to enter the *Couli* (pores and interstices of the skin), where they contend with blood and qi. This contention leads to aggregation and elevation, forming interconnected *Yinzhen* (a type of rash characterized by itching and lack of fixed morphology). Since the wind pathogen remains superficially in the Couli, its manifestation is shallow and mild; thus, there is no swelling or pain, only the formation of Yinzhen accompanied by itching.
When pediatric patients sweat, their Couli open, making them susceptible to invasion by wind-cold. The cold contends with blood and settles in areas of muscle deficiency, causing blood and qi to become stagnant and sluggish. Consequently, the skin fails to receive nourishment. Furthermore, as wind-cold lodges in the abdominal skin, the complexion turns cyanotic or blackish.
In pediatric patients, wind-cold invades the blood vessels. Blood congeals into nodules upon exposure to cold, resulting in skin and flesh that appear indigo-blue. This condition persists for a long time without ceasing and is commonly referred to as "Lanzhu" (Blue Injection/Mark).
Due to sweating, pediatric patients may be injured by wind-pathogenic toxic gases. These pathogens contend with blood and qi, causing heat to evaporate outward. The flesh turns red, manifesting as high fever (*Zhuangre*).
Pediatric patients with deficient muscles are susceptible to invasion by wind-toxic heat. The heat-toxin contends with blood and qi, causing the skin to turn red and swell. Since the wind follows the movement of qi and wanders unpredictably, this condition is named *Chiyouzhong* (Red Wandering Swelling, akin to erysipelas).
Constipation in pediatric patients arises from internal heat in the zang-fu organs affecting the Large Intestine. The Spleen and Stomach serve as the sea of water and grain; the essence of these nutrients transforms into blood and qi, while residues travel through the Large Intestine. If the Sanjiao and five zang organs are disharmonious, heat accumulates in the Large Intestine, leading to excess heat and resulting in dry, obstructed, and difficult defecation.
Difficulty in urination and defecation in pediatric patients results from disharmony between cold and heat in the zang-fu organs. There is wandering qi within the Small and Large Intestines; this qi becomes congested and cannot disperse freely, causing stagnation and lack of smooth flow in both excretions.
The Heart governs the blood vessels. Heat in the Heart invades the blood. Blood, when heated, flows erratically and deviates from its normal course. When this abnormal flow seeps into the Large and Small Intestines, it manifests as hematochezia (blood in stool) and hematuria (blood in urine).
Blood tends to coagulate and become sluggish when cold, but flows and scatters when hot. As the Heart governs blood, heat in the pediatric patient's Heart invades the blood. The blood then seeps into the Small Intestine, resulting in hematuria.
Hemorrhoids are classified into Mu hemorrhoids, Pin hemorrhoids, Mai hemorrhoids, Chang hemorrhoids, Xue hemorrhoids, and Jiu hemorrhoids. These generally arise from excessive labor and injury damaging blood and qi. However, in pediatric patients who have not yet suffered from deficiency injuries, hemorrhoidal symptoms typically present merely as blood in the stool, caused solely by accumulated heat within the intestines.