〔无〕小儿初生气绝不能啼者，必是难产，或胃寒所致。急以绵絮包裹抱怀中，未可断脐带，且将胞衣
置炉炭中烧之，仍捻大纸条蘸油点火于脐带下熏之。盖脐带连儿，火熏时，有火气由脐入腹，更以热醋
汤荡洗脐带，须臾气回，啼哭如常，方可洗浴，了，即断脐带。
〔海〕百寿散 小儿初生未盈月已里用之者，老无疮疥。
黄连（一两） 朱砂（一钱）
上水煎，令老母拭去口涎，净，灌下，余药倾盆中浴儿，遍身搽，妙。
又方 净黄连一钱，水一盏，预先煎下，待儿生未出声时，便用灌下，以去腹中恶物脐屎，兼解胎
中蕴积热毒，终身不生疮，又去脐风等病。
〔钱〕胎实，面红目黑睛多者，善笑；胎怯，面黄目黑睛少白睛多者，多哭。更别父母肥瘦，肥不可
生瘦，瘦不可生肥也。胎肥者，生下肌肉浓，遍身血色红，盈月以后，渐渐羸瘦，目白睛粉红色，五心烦
热，大便难，时时生涎，浴体法主之。
天麻（二钱） 蝎尾（去毒） 朱砂（各五分） 乌蛇肉（酒浸，焙干为末） 白矾（各三钱）
麝香（一字） 青黛（三钱）
上研匀，每用三钱，水三碗，桃枝一握，并叶五七枚，同煎至十沸，温热浴之。勿浴背。
胎怯者，生下面无精光，肌肉薄，大便白水，身无血色，时时哽气，多哕，目无精采，亦宜以浴法主之。
〔世〕母气不足，则羸瘦而肉薄；父精不足，则解颅，眼白多。
胎热，生下有血气，时时叫哭，身壮热如淡茶色，目赤，大便赤黄，粪稠，急酿乳浴法主之。
〔汤〕小儿在胎时，因母有热，或恣食酒面热毒之物，传于胎中，令儿生下面赤眼闭，身体壮热，哭声
不止，口热如汤，乃胎热之候也，宜生地黄汤。
生地 赤芍药 川芎 当归 栝蒌根
上件等分， 咀，每服半两，水一盏，煎六分。产妇亦可服，以些抹入儿口中。
凡胎热服药不可求速效，治法当酿乳渐解之。若处以凉药攻之，必损脾胃，加以呕吐，乃成大患，
宜服生地黄汤，用酿乳。小儿胎中有寒，生下不能将护，再伤于风，其候面色青白，四肢逆冷，手足
颤动，口噤不开，乃胎寒之故，或寒气乘虚入脏，作腹疼盘肠内吊。（胎寒治法见寒腹痛条。）
〔田〕月里生惊。急取猪乳细研，辰砂、牛黄各少许，调抹口中，神效。乳母服防风通圣散三剂，
其惊自消。
〔《斗》〕治小儿未盈月，惊搐似中风欲死者。用辰砂以新汲水浓磨汁，涂五心上，最效。
〔汤〕治胎痫惊风皆可服。全蝎头尾全者，用生薄荷叶包，外以麻线缠，火上炙燥，为末，别研生
朱、麝香各少许，煎麦门冬汤调下。
小儿生下遍体面目皆黄，状如金色，身上壮热，大便不通，小便如柏汁，乳食不思，啼叫不止，
此胎黄之候。凡有此症，乳母宜服生地黄汤，仍忌酒面五辛之物。
〔钱〕木瓜丸 治小儿生下吐者。因儿初生下，拭口中秽恶不尽，咽入喉中，故吐，木瓜丸主之。
凡初生，急须拭掠口中令净，若啼声一发，则咽下，多生诸病矣。
木瓜 麝香 腻粉 木香 槟榔（各等分）
上同研细末，面糊丸如小黄米大。每服一二丸，甘草水下，无时。
〔田〕月里生呕，先用朱砂丸下之。如利后用朱沉煎，坠其邪气，使秽物自下而不呕也。月里生赤，
肌肤如赤丹涂者，先用牛黄散托里，续用蓝叶散涂外，乳母服清凉饮子三大剂。
上小儿初生下月里诸疾，盖胎毒之浅者。若一二岁后所生之疾，乃胎毒之深者，宜权法治之。
〔垣〕李叔和一日问东垣曰∶中年来得一子，至一岁后，身生红丝瘤不救，后三四子至一二岁皆病瘤而死，
敢问何也？曰∶予试思之。翌日见叔和曰∶吾得之矣。汝肾中伏火．精中多有红丝，以气相传，生子故有
此疾，遇触而动，发于肌肉之间，俗名胎瘤是也。汝试视之，果如其言。遂与滋肾丸数服，以泻肾中火邪，
补天真之不足。忌酒肉辛热之物。其妻，以六味地黄丸养其阴血，受胎五月后，以白术、黄芩二味作散
与服。后生儿至三岁，前症不复作矣。叔和曰∶先生乃神医也。遂从受学，其子今已年壮矣。
丹溪补遗谓小儿心气郁而多疮疽，由胎食过而受毒，此至论也。小儿识见未萌，欲想未动，心气何
郁，先哲谓乳下小儿，常多湿热与胎食过而受毒。又有成胎之时，父母气血有寒热之偏，多能致子之病。
况形体未坚完，肓膜尚脆嫩，何为略而未论。向见一人连年 病，新愈而成一男，生来三月病热，右
腋下阳明少阳之间生一疖，甫平，左腋下相对又生一疖，脓血淋漓，无复生意。医者王寿甫以四物汤、
败毒散加参，以香附为佐，犀角为使，大料饮乳母两月而安。逾三月，忽腹胀生赤疹如霞片，取剪刀草汁
调晚蚕砂敷之随消，半月，胀移入胞囊为肿，黄莹可畏。越两日囊裂开，两丸显露，出清水，以紫苏叶
承麸炭细末托之，旬余而合。夫以父之久病，其母宁无忧郁之火，与 之余热毒致此，亦不可不知。
〔垣〕张进士次子二岁，满头有疮，一日疮忽自平，遂患痰喘。予视之曰∶此胎毒也，慎勿与解利药。众
皆愕然。予又曰∶乃母孕时所喜何物？张曰∶辛辣热物，是其所喜。因口授一方，人参、连翘、川芎、
黄连、甘草、陈皮、芍药、木通，浓煎汤入竹沥与之，数日而安。何以知之？见其精神昏倦，受病特深，
决无外感，非胎毒而何。
予之次女，形瘦性急，体本有热。怀孕三月，适当夏暑，口渴思水，时发小热，遂教以四物加黄芩、陈皮、
生甘草、木通，因懒于煎煮，数帖而止。其后生子二岁，疮疾遍身，忽一日其疮顿愈，遂成 疟。予曰∶此胎
毒也。疮若再作，病必自安。已而果然。若于孕时确守前方，何病之有！
〔丹〕郑廉使之子年十六，初生七个月患淋病，五七日必一发。其发则大痛，水道状如黍如粟者约一杯许，
然后定。诊其脉轻则涩，重则弦，视其形瘦而长，其色青而苍。意其父必因多服下部药，遗毒在胎，留于子之
命门而然。遂以紫雪和黄柏末，丸桐子大，晒极干，热汤下百丸，以食物压之。又半日，痛大作，腰连腹，水
道乃行，下如黍如粟者一大碗许，其病减十分之八。后又与陈皮一两，桔梗、木通各半两，作一帖与之，又下
如黍粟者一合许而安。父得燥热，且能病子，况母得之者乎？予书此以证东垣红瘤之事，此亦热在血分也。
陈氏女八岁时痫病，遇阴雨则作，遇惊亦作，口出涎沫，声似羊鸣。予视之曰∶此胎受惊也。其病深痼，调治
半年亦可安，仍须淡味以佐药功。与烧丹丸，继以四物汤入黄连，随时令加减，半生而安。（烧丹丸
方原本未考，按《类萃》用玄精石、轻粉各一钱，粉霜、硼砂各五分，研匀，入寒食面一钱，滴水和成饼，
再用面裹煨黄取出，去面，再研细，滴水和丸如米大。一岁五丸，二岁十丸，温水送下，取下恶物为度，
未知是否。）
【无】新生儿出生后完全不能啼哭的，必定是难产，或是胃寒所致。急忙用棉絮包裹抱在怀中，不要切断脐带，先将胎盘放在炉炭中烧掉，同时捻大纸条蘸油点火在脐带下方熏烤。因为脐带连着婴儿，火熏时，热气由脐部进入腹部，再用热醋汤荡洗脐带，一会儿气息恢复，像平常一样啼哭，才可以洗浴，洗完后，就切断脐带。
【海】百寿散 用于新生儿出生未满月的情况，（长期服用）到老也不会生疮疥。
黄连（一两） 朱砂（一钱）
以上用水煎煮，让老妇人擦去婴儿口中的唾液，清理干净后灌服，剩下的药液倒在盆中给婴儿洗澡，全身涂抹，效果奇妙。
又一方 净黄连一钱，水一盏，预先煎好，等婴儿出生还没出声时，立即灌服，以去除腹中的恶物“脐屎”，兼解胎中蕴积的热毒，终身不生疮，又能预防脐风等疾病。
【钱】胎气充实的，面色红、眼睛黑且黑睛多，喜欢笑；胎气虚怯的，面色黄、眼睛黑且黑睛少白睛多，容易哭闹。还要区别父母体型的肥瘦，肥胖者不可生出瘦弱儿，瘦弱者不可生出肥胖儿。胎肥的，出生后肌肉厚实，遍身血色红润，满月以后，渐渐消瘦，眼白呈粉红色，五心烦热，大便困难，经常流涎，用浴体法主治。
天麻（二钱） 蝎尾（去毒） 朱砂（各五分） 乌蛇肉（酒浸，焙干研末） 白矾（各三钱）
麝香（一字） 青黛（三钱）
以上研匀，每次用三钱，水三碗，桃枝一握，连同叶子五七枚，一起煎至十沸，温热时给婴儿洗澡。不要洗背部。
胎怯的，出生后面色无光泽，肌肉薄，大便稀白水样，身上无血色，经常哽气，多呃逆，目光无神采，也适宜用浴法主治。
【世】母气不足，则身体羸瘦而肌肉薄；父精不足，则出现解颅（囟门迟闭），眼白多。
胎热的，出生时有血气，经常叫哭，身体壮热如淡茶色，目赤，大便赤黄，粪稠，急用酿乳浴法主治。
【汤】小儿在胎内时，因母亲有热，或恣意食用酒面等热毒之物，传给胎中，令婴儿出生后面赤眼闭，身体壮热，哭声不止，口热如汤，这是胎热的证候，宜用生地黄汤。
生地 赤芍药 川芎 当归 栝蒌根
以上各等分，切碎，每服半两，水一盏，煎至六分。产妇也可以服用，取少许抹入婴儿口中。
凡是胎热服药不可求速效，治法应当通过哺乳逐渐化解。如果处以凉药攻伐，必定损伤脾胃，加上呕吐，便成为大患，宜服用生地黄汤，通过哺乳来调理。小儿胎中有寒，出生后不能妥善护理，再受风邪侵袭，其证候为面色青白，四肢逆冷，手足颤动，口噤不开，这是胎寒的缘故，或者是寒气乘虚侵入脏腑，导致腹痛盘肠内吊。（胎寒治法见寒腹痛条。）
【田】月子里发生惊风。急忙取猪乳汁细细研磨，加辰砂、牛黄各少许，调匀抹在口中，神效。乳母服用防风通圣散三剂，惊风自然消除。
【《斗》】治疗小儿未满月，惊搐似中风欲死的情况。用辰砂在新汲水中浓磨取汁，涂在五个手掌心，最有效。
【汤】治疗胎痫惊风都可以服用。全蝎头尾齐全的，用生薄荷叶包裹，外面用麻线缠紧，在火上炙烤干燥，研成细末，另外研碎生朱砂、麝香各少许，用麦门冬汤煎好后调服。
小儿出生遍体面目皆黄，状如金色，身上壮热，大便不通，小便如柏汁，乳食不思，啼叫不止，这是胎黄的证候。凡是有此症，乳母宜服用生地黄汤，并忌食酒面及五辛之物。
【钱】木瓜丸 治疗小儿出生后呕吐。因为婴儿刚出生时，擦拭口中秽恶不干净，咽入喉中，所以呕吐，用木瓜丸主治。
凡是初生，急忙必须擦拭口腔使其干净，如果啼声一发，就会咽下，多生各种疾病。
木瓜 麝香 腻粉 木香 槟榔（各等分）
以上同研细末，面糊丸如小黄米大小。每服一二丸，甘草水下，不拘时候。
【田】月子里发生呕吐，先用朱砂丸导下。如腹泻后用朱沉煎，坠除邪气，使秽物自行排出而不呕吐。月子里发生赤丹，肌肤如赤丹涂抹者，先用牛黄散托里，接着用蓝叶散涂外，乳母服用清凉饮子三大剂。
以上所述小儿初生下月子里的各种疾病，大概是胎毒较浅的。如果是一两岁后发生的疾病，乃是胎毒较深的，应当权变法治之。
【垣】李叔和一天问东垣说：“中年得了一子，到一岁后，身上长红丝瘤无法救治，后来三四个子到一两岁都因病瘤而死，敢问这是什么原因？”回答说：“我试着思考一下。”第二天见到叔和说：“我明白了。你肾中伏火，精液中多有红丝，以气相传，生子故有此疾，遇到触动而动，发于肌肉之间，俗名胎瘤。你试着看看，果然如所言。”于是给予滋肾丸数服，以泻肾中火邪，补天真之不足。忌酒肉辛热之物。他的妻子，用六味地黄丸养其阴血，受孕五月后，以白术、黄芩二味作散与服。后来生的孩子到三岁，前症不再发作。叔和说：“先生真是神医啊。”于是跟随学习，他的儿子如今已年壮矣。
丹溪补遗认为小儿心气郁结而多疮疽，是由于胎食过而受毒，这是至论。小儿识见未萌，欲想未动，心气何来郁结？先哲谓乳下小儿，常多湿热与胎食过而受毒。又有成胎之时，父母气血有寒热之偏，多能致子之病。何况形体未坚完，肓膜尚脆嫩，为何忽略而未论。曾见一人连年患病，新愈而成一男，生来三月病热，右腋下阳明少阳之间生一疖，刚平，左腋下相对又生一疖，脓血淋漓，无复生意。医者王寿甫以四物汤、败毒散加参，以香附为佐，犀角为使，大料饮乳母两月而安。逾三月，忽腹胀生赤疹如霞片，取剪刀草汁调晚蚕砂敷之随消，半月，胀移入胞囊为肿，黄莹可畏。越两日囊裂开，两丸显露，出清水，以紫苏叶承麸炭细末托之，旬余而合。夫以父之久病，其母宁无忧郁之火，与余热毒致此，亦不可不知。
【垣】张进士次子二岁，满头有疮，一日疮忽自平，遂患痰喘。我看他说：“这是胎毒，千万不要给解利药。”众人都很愕然。我又说：“你母亲怀孕时所喜好的是什么食物？”张说：“辛辣热物，是其所喜。”于是口授一方，人参、连翘、川芎、黄连、甘草、陈皮、芍药、木通，浓煎汤入竹沥与之，数日而安。何以知之？见其精神昏倦，受病特深，决无外感，非胎毒而何。
我的次女，形瘦性急，体本有热。怀孕三月，正当夏暑，口渴思水，时发小热，于是教以四物加黄芩、陈皮、生甘草、木通，因懒于煎煮，数帖而止。其后生子二岁，疮疾遍身，忽一日其疮顿愈，遂成疟。我说：“这是胎毒。”疮若再作，病必自安。后来果然如此。如果在孕时确守前方，何病之有！
【丹】郑廉使之子年十六，初生七个月患淋病，五七日必一发。其发则大痛，水道状如黍如粟者约一杯许，然后定。诊其脉轻则涩，重则弦，视其形瘦而长，其色青而苍。意其父必因多服下部药，遗毒在胎，留于子之命门而然。遂以紫雪和黄柏末，丸桐子大，晒极干，热汤下百丸，以食物压之。又半日，痛大作，腰连腹，水道乃行，下如黍如粟者一大碗许，其病减十分之八。后又与陈皮一两，桔梗、木通各半两，作一帖与之，又下如黍粟者一合许而安。父得燥热，且能病子，况母得之者乎？予书此以证东垣红瘤之事，此亦热在血分也。
陈氏女八岁时痫病，遇阴雨则作，遇惊亦作，口出涎沫，声似羊鸣。我看她说：“这是胎受惊也。”其病深痼，调治半年亦可安，仍须淡味以佐药功。给予烧丹丸，继以四物汤入黄连，随时令加减，半生而安。（烧丹丸方原本未考，按《类萃》用玄精石、轻粉各一钱，粉霜、硼砂各五分，研匀，入寒食面一钱，滴水和成饼，再用面裹煨黄取出，去面，再研细，滴水和丸如米大。一岁五丸，二岁十丸，温水送下，取下恶物为度，未知是否。）
[No] When a newborn infant is completely unable to cry immediately after birth, it must be due to dystocia (difficult labor) or cold of the Stomach. Quickly wrap the infant in cotton wadding and hold them in your arms. Do not cut the umbilical cord yet. Instead, place the placenta into the charcoal fire to burn it. Meanwhile, twist a large paper strip, dip it in oil, light it, and smoke the area below the umbilical cord. Since the umbilical cord connects to the infant, when smoked by fire, the heat energy enters the abdomen through the navel. Then, wash the umbilical cord with hot vinegar water. After a short while, the vital qi returns, and the infant cries normally as usual. Only then can you bathe the infant. After bathing, cut the umbilical cord.
[Hai] Baishou San (Hundred Longevity Powder). Used for infants under one month old; if used long-term, the person will not suffer from sores or scabies in old age.
Coptidis Rhizoma (Huanglian, 黄连) (1 liang) Cinnabar (Zhusha, 朱砂) (1 qian)
Decoct the above ingredients in water. Have an elderly woman wipe away the infant's saliva, clean the mouth thoroughly, and administer the decoction orally. Pour the remaining medicine into a basin for bathing the infant, and apply it all over the body. This is excellent.
Another prescription: Pure Coptidis Rhizoma (Huanglian, 黄连) 1 qian, water 1 sheng. Decoct in advance. When the infant is born but has not yet cried, administer it immediately to remove foul matter ("navel stool") from the abdomen, and to resolve accumulated heat toxins in the fetus. It prevents sores for life and also wards off diseases such as neonatal tetanus (Qifeng, 脐风).
[Qian] If the fetal qi is substantial, the face is red, eyes are black with abundant iris, and the infant laughs easily. If the fetal qi is deficient, the face is yellow, eyes are black with scarce iris and abundant sclera, and the infant cries frequently. Also distinguish between the fatness or thinness of the parents; a fat parent cannot give birth to a thin child, nor can a thin parent give birth to a fat child. In cases of "Fetal Fat," the infant is born with thick muscles and ruddy complexion throughout the body. After one month, they gradually become emaciated, the sclera turns pinkish-red, there is five-palm heat (Wuxin Fanre, 五心烦热), difficulty in defecation, frequent drooling, and this should be treated primarily with bath therapy.
Gastrodiae Rhizoma (Tianma, 天麻) (2 qian) Scorpio (Xiewei, 蝎尾) (de-venomed) Cinnabar (Zhusha, 朱砂) (each 5 fen) Dendrobii Officinalis Herba? No, here likely refers to Ophicephali Periostracum? Text says Wushe Rou (Urotheca/Dry snake meat) (soaked in wine, dried and powdered) Alum (Baifan, 白矾) (each 3 qian)
Musk (Shexiang, 麝香) (1 zi) Indigo Naturalis (Qingdai, 青黛) (3 qian)
Grind the above ingredients uniformly. Use 3 qian each time, with 3 bowls of water, a handful of Peach Twig (Taozhi, 桃枝), and 5-7 leaves. Decoct together until ten boils occur. Bathe the infant in the warm solution. Do not bathe the back.
In cases of "Fetal Deficiency," the infant is born with a dull complexion, thin muscles, watery white diarrhea, lack of ruddiness in the body, frequent hiccupping/gasping, frequent hiccups, lackluster eyes, and this should also be treated primarily with bath therapy.
[Shi] If the mother's qi is insufficient, the child will be emaciated with thin flesh. If the father's essence is insufficient, the child may present with open fontanelle (Jielu, 解颅) and excessive sclera.
In cases of "Fetal Heat," the infant is born with blood qi disturbances, frequent crying, high fever with a pale tea-colored complexion, red eyes, reddish-yellow sticky stool. Urgently treat with Niuru Bath Therapy (Niuru Yufa, 酿乳浴法).
[Tang] While in the womb, if the mother has heat, or indulges in eating alcohol, wheat products, and other heat-toxic substances, this transmits to the fetus. The infant is born with a red face, closed eyes, high fever, incessant crying, and a mouth hot like boiling water. This is the presentation of Fetal Heat. Use Shengdi Huang Tang (Rehmanniae Radix Decoction).
Rehmanniae Radix Preparata (Shengdi, 生地) Paeoniae Radix Rubra (Chishaoyao, 赤芍药) Ligusticum Chuanxiong Rhizoma (Chuanxiong, 川芎) Angelicae Sinensis Radix (Danggui, 当归) Trichosanthis Radix (Gualougen, 栝蒌根)
Equal parts of the above. Coarsely crush. Take 0.5 liang per dose, with 1 sheng of water, decoct to 0.6 sheng. The nursing mother can also take this, applying a small amount to the infant's mouth.
For Fetal Heat, do not seek rapid effects from medication. The treatment method should rely on gradual resolution via breastfeeding. If cool/cold medicines are used to attack the pathogen, it will inevitably damage the Spleen and Stomach, leading to vomiting, which becomes a major complication. It is advisable to use Shengdi Huang Tang, administered via breastfeeding. If the fetus has Cold in the womb, and after birth fails to receive proper care, further injuring Wind, the symptoms include a cyan-white complexion, cold extremities, tremors of hands and feet, and locked jaw. This is due to Fetal Cold, or Cold Qi invading the Zang organs due to deficiency, causing abdominal pain and intestinal colic (Pan Chang Nei Diao, 盘肠内吊). (See the section on Cold Abdominal Pain for Fetal Cold treatment.)
[Tian] For convulsions occurring in the first month. Immediately take pig milk, grind finely, add small amounts of Cinnabar (Chensha, 辰砂) and Calculus Bovis (Niuhuang, 牛黄), mix well, and smear inside the mouth. This is miraculous. The nursing mother should take Fangfeng Tongsheng San (Saposhnikovia Decoction for Unblocking and Resolving) for three doses, and the convulsions will subside naturally.
[Dou] To treat infants under one month suffering from convulsions resembling stroke, nearing death. Grind Cinnabar (Chensha, 辰砂) thickly in fresh well water to extract the juice. Apply to the five palm centers. This is most effective.
[Tang] For treating fetal epilepsy and convulsions. Use whole Scorpion (Quanxie, 全蝎) including head and tail. Wrap in fresh Mint Leaf (Boheye, 薄荷叶), bind tightly with hemp thread, roast dry over fire, and powder. Separately powder fresh Cinnabar (Shengzhusha, 生朱) and Musk (Shexiang, 麝香) in small amounts. Mix with Ophiopogonis Decoction (Maodongtang, 麦门冬汤) for administration.
If an infant is born with jaundice covering the entire body and face, golden in color, accompanied by high fever, constipation, urine like dark cypress sap, loss of appetite for milk/food, and incessant crying, this is the presentation of Fetal Jaundice (Taihuang, 胎黄). For any such case, the nursing mother should take Shengdi Huang Tang (Rehmanniae Radix Decoction) and avoid alcohol, wheat products, and the Five Pungent Spices (Wuxin, 五辛).
[Qian] Mugua Wan (Papaya Pill). Treats vomiting in newborns. Because upon birth, oral secretions/foul matter are not wiped clean, swallowing causes vomiting. Treat with Mugua Wan.
Upon birth, it is urgent to wipe the mouth clean. If the infant cries first, they will swallow the residue, leading to various diseases.
Chaenomelis Fructus (Mugua, 木瓜) Musk (Shexiang, 麝香) Calomelas (Nifen, 腻粉) Aucklandiae Radix (Muxiang, 木香) Arecae Semen (Binglang, 槟榔) (equal parts)
Grind into fine powder. Form pills with flour paste, size of small millet grains. Take 1-2 pills at any time, washed down with Licorice Water (Gancaoshui, 甘草水).
[Tian] For vomiting in the first month, first use Zhusha Wan (Cinnabar Pill) to purge. If diarrhea occurs, follow with Zhuchen Jian (Cinnabar Decoction) to sink the pathogenic qi, allowing foul matter to pass downward without vomiting. For "Red Dan" appearing in the first month, where skin resembles painted cinnabar, first use Niuhuang San (Calculus Bovalis Powder) to support the interior, then apply Lanye San (Isatis Leaf Powder) externally. The nursing mother takes Qingliang Yinzi (Cooling Drink) for three doses.
The above conditions in the first month after birth are generally shallow levels of Fetal Toxin (Taidu, 胎毒). Diseases occurring after one or two years are deep levels of Fetal Toxin and require flexible treatment methods.
[Yuan] Li Shuhe asked Dongyuan one day: "I had a son in my middle age. After one year, he developed red silk tumors that were incurable. Later, three or four sons died of similar tumors at one or two years old. May I ask why?" Dongyuan replied: "Let me think." The next day, seeing Shuhe, he said: "I have found the cause. You have latent fire in the Kidney, and your essence contains many red filaments. This is transmitted via Qi to the offspring, causing this disease. When triggered, it manifests between the muscles. This is commonly known as 'Fetal Tumor.' Check, and it matches." He prescribed Zishen Wan (Kidney Nourishing Pill) for several doses to drain the Kidney fire and supplement innate deficiency. Avoid alcohol, meat, and pungent-hot foods. His wife took Liuwei Dihuang Wan (Six-Ingredient Rehmannia Pill) to nourish Yin and Blood. After five months of pregnancy, she took a powder of Atractylodis Macrocephalae Rhizoma (Baizhu, 白术) and Scutellariae Radix (Huangqin, 黄芩). The subsequent child reached three years old without recurrence. Shuhe said: "You are a divine physician." He subsequently studied under him, and his son is now strong and healthy.
Danxi's Supplement states that children often suffer from sores and abscesses due to depressed Heart Qi, resulting from excessive fetal diet and toxin reception. This is a profound truth. Children have undeveloped awareness and unmoved desires, so how can Heart Qi be depressed? Ancient sages stated that breastfed infants often have damp-heat and receive toxins from excessive fetal diet. Furthermore, during conception, if the parents' Qi and Blood have biases toward cold or heat, it often causes disease in the child. Moreover, the physical form is not yet firm, and the membrane (Huangmo, 肓膜) is still fragile. Why ignore this?
I once saw a man who suffered from illness for years. After recovering, he had a son. At three months, the infant developed heat. A boil appeared between the Yangming and Shaoyang meridians in the right axilla. Just as it healed, another appeared opposite in the left axilla, oozing pus and blood, with no hope of recovery. Physician Wang Shoufu used Siwu Tang (Four Substances Decoction) and Baidu San (Ten Thousand Toxins Resolving Powder) added with Ginseng, using Cyperi Rhizoma (Xiangfu, 香附) as assistant and Rhinocerotis Cornu (Xijiao, 犀角) as guide. The nursing mother drank a large dose for two months, and the infant stabilized. Over three months later, sudden abdominal distension occurred with red rashes like rosy clouds. Juice of Shearblade Grass (Jiandaocao, 剪刀草) mixed with evening silkworm sand (Wancansha, 晚蚕砂) was applied, resolving quickly. Half a month later, the distension moved into the scrotum, becoming swollen and terrifyingly yellow. Two days later, the sac ruptured, revealing the testes, discharging clear fluid. Perilla Leaf (Zisuye, 紫苏叶) was used to catch bran-charcoal fine powder to support/heal it. It healed in over ten days. Given the father's long-term illness, could the mother not have fire of depression and residual heat/toxin causing this? This must be understood.
[Yuan] Zhang Jinshi's second son, aged two, had sores all over his head. One day the sores suddenly disappeared, and he developed phlegm-wheezing. I examined him and said: "This is Fetal Toxin. Do not give resolving/purgative medicines." Everyone was astonished. I added: "What did your wife crave during pregnancy?" Zhang said: "Spicy, hot foods." I dictated a formula: Ginseng, Forsythiae Fructus (Lianqiao, 连翘), Chuanxiong, Coptidis Rhizoma (Huanglian, 黄连), Glycyrrhizae Radix et Rhizoma (Gancao, 甘草), Chenpi (Citri Reticulatae Pericarpium, 陈皮), Paeoniae Radix (Shaoyao, 芍药), Akebiae Caulis (Mutong, 木通). Decoct strongly, add Bamboo Sap (Zhuli, 竹沥), and administer. He recovered in a few days. How did I know? His spirit was dull and fatigued, the disease was deep, definitely not external contraction. What else could it be but Fetal Toxin?
My second daughter was thin and irritable, with inherent heat. At three months of pregnancy, during summer heat, she was thirsty and had low-grade fevers. I taught her Siwu Tang added with Huangqin, Chenpi, raw Gancao, and Mutong. Due to laziness in decocting, she stopped after a few doses. Later, their son at two years old had sores all over the body. Suddenly, the sores healed overnight, and he developed malaria-like symptoms. I said: "This is Fetal Toxin." If the sores reappear, the illness will resolve itself. Indeed, it happened so. If she had strictly followed the previous formula during pregnancy, what illness would there be!
[Dan] Son of Zheng Lianshi, aged sixteen, suffered from stranguria starting at seven months of age, recurring every five to seven days. Upon onset, severe pain occurred, and about one cup's worth of material resembling millet/grain passed through the urinary tract before relief. Pulse was choppy when light, wiry when heavy. The form was thin and tall, complexion blue-green. I surmised the father must have taken many lower-jiao medications, leaving toxins in the fetus, remaining in the child's Mingmen (Gate of Life). I prescribed Zixue (Purple Snow) mixed with Phellodendri Cortex (Huangbai, 黄柏) powder, formed into pills the size of tung seeds, dried thoroughly, administered with hot water, 100 pills at a time, covered with food. Half a day later, severe pain erupted, connecting waist to abdomen, and the urinary tract opened, passing about a large bowl of millet-like material. The illness reduced by 80%. Later, given 1 liang of Chenpi, 0.5 liang each of Platycodonis Radix (Jiegeng, 桔梗) and Mutong, one dose. Passed another measure of millet-like material and recovered. If the father's dry-heat can affect the son, how much more so the mother? I record this to verify Dongyuan's case of red tumors; this is also heat in the Blood level.
Daughter of the Chen family, aged eight, suffered from epilepsy. Attacks occurred during cloudy/rainy weather or fright, with foaming at the mouth and bleating sounds like a sheep. I examined her and said: "This is Fetal Shock." The disease is deep and entrenched. Six months of regulation can bring peace, provided a bland diet supports the medicinal effect. Prescribed Shaogan Wan (Burnt Pill), followed by Siwu Tang added with Huanglian, adjusted according to seasons. Recovered in half a year. (Shaogan Wan recipe originally unverified. According to *Leicui*, use Xuanjingshi (Xuanjing Stone, 玄精石) and Qingfen (Calomelas, 轻粉) 1 qian each, Fenhuang (Lead Subnitrate, 粉霜) and Pengsha (Borax, 硼砂) 5 fen each. Grind uniformly, add 1 qian Hanshimen (Cold Food Flour, 寒食面), mix with water to form a cake, wrap in dough, bake until yellow, remove dough, grind fine, mix with water to form rice-sized pills. Age 1: 5 pills; Age 2: 10 pills, taken with warm water. Stop when foul matter is discharged. Uncertain if correct.)