东垣云。李和叔中年得一子。至一岁。身生红丝瘤。不救。后四子至三岁。皆病瘤而死
问何缘至此。翌日思之。谓曰。汝乃肾中伏火。精中多有红丝。以气相传。故生子有此疾。
俗名胎瘤是也。汝试观之。果如其言。遂以滋肾丸数服。以泻肾中火邪。补真阴不足。忌酒
肉辛热之物。其妻以六味地黄丸养其阴血。受胎五月之后。以黄芩白术作散服。后生子。前
证不作。
一子年十六。生七个月。得淋病。五七日必一作。其发则大痛。水道方行。下如漆和粟
者一盏方定。脉之轻则涩。重则弦。视其形瘦而长。青而苍。意其父必服固下部药。遗热在
胎。留于子之命门而然。遂以紫雪和黄柏末丸梧子大。晒极干。汤下百丸。半日。又下二百
丸。食压之。又半日。痛大作。连腰腹水道。乃行下漆和粟者碗许。痛减十之八。后与陈皮
一两。桔梗、木通各五钱。又下合许而安。父得燥热。尚能病子。况母得之者乎。
江篁南治一儿产数日。常昏晕。一日五六见。医作惊风治。不效。江以大补气血之剂浓
煎汤喂之。并饮乳母。多服渐减而愈。
立斋治李阁老子。潮热。饮食如故。自申酉时甚。至子丑时方止。遍身似疥。大便秘结
小便赤涩。热渴饮冷。薛以为脾胃实热。传于肺与大肠。先用清凉饮四剂。结热始退。又
用四物、柴胡、黄连数剂。其疮渐愈。彼欲速效。另用槐角丸之类。诸证益甚。仍以前药更
加桃仁、赤芍。至百剂而愈。
江篁南治一儿。生方两月。时值酷暑。又久雨。湿令流行。遍身大热。然初生小儿。肠
胃脆窄。药难区处。乃取干壁土舂碎撤地上。上以芭蕉叶铺之。将儿卧叶上。又以芭蕉叶覆
之。更少加干壁土于上。睡少时。其热如失。
李东垣曾说：李和叔中年得子，孩子长到一岁时，身上长出红色的丝状肿瘤，最终无法救治而亡。后来他又生了四个儿子，都长到三岁，也都患上同样的肿瘤而死。
有人问这是什么原因导致的。第二天李和叔思考后说道：“这是你肾中潜伏的火邪所致，你的精液中多有红色丝状物，通过气息遗传给孩子，所以孩子得了这种病。”这就是俗称的“胎瘤”。你不妨观察一下，果然如他所说。于是给他服用滋肾丸几次，以泻除肾中的火邪，补益真阴的不足，并忌食酒、肉及辛辣温热之物。他的妻子用六味地黄丸来滋养阴血，在受孕五个月之后，将黄芩和白术研成粉末服用。后来生下的孩子，之前的病症没有再出现。
另一个儿子十六岁时，生下第七个月的婴儿，患上了淋病（小便涩痛），每五到七天发作一次。发作时剧烈疼痛，只有当小便通畅排出，像漆混合着谷壳一样的物质约一盏量后，疼痛才停止。诊脉时轻取感觉涩滞，重按感觉弦紧。观察其形体瘦长，面色青苍，推测父亲必定服用了固摄下部的药物，导致余热留在胎中，滞留于孩子的命门从而引发此病。于是用紫雪配合黄柏末制成梧桐子大小的药丸，晒至极干，用汤药送服一百丸。半天后，又服用二百丸，并用食物压住药力。再过半天，疼痛大作，牵连腰部、腹部及尿道，随后排出了像漆混合着谷壳一样的物质约一碗许，疼痛减轻了十分之八。后来给予陈皮一两，桔梗、木通各五钱，又排出类似物质约合许的量后病情安定。父亲患有燥热之证，尚且能致病于孩子，何况母亲患病的情况呢？
江篁南治疗一个出生几日的婴儿，经常昏晕，一天发作五六次。医生当作惊风治疗，无效。江篁南用大补气血的药剂浓煎成汤喂服，同时让乳母也饮用，多服后逐渐减少直至痊愈。
薛立斋治疗李阁老的孙子，出现潮热，饮食正常，症状在申时、酉时加重，直到子时、丑时才停止。全身皮肤似有疥疮，大便秘结，小便赤红涩痛，发热口渴喜饮冷水。薛立斋认为是脾胃实热，传变至肺与大肠。先用清凉饮四剂，积热才消退。接着用四物汤、柴胡、黄连等数剂，疮疡逐渐愈合。患者想要快速见效，另用槐角丸之类的药物，导致各种症状更加严重。薛立斋仍用前药，另外加入桃仁、赤芍，共服用一百剂后痊愈。
江篁南治疗一个刚满两个月的婴儿，正值酷暑，又逢久雨，湿气流行。婴儿全身大热。然而初生小儿肠胃脆弱狭窄，用药难以处理。于是取干燥的墙壁土捣碎撒在地上，上面铺上芭蕉叶，让婴儿躺在叶子上，再用芭蕉叶覆盖在上面，并在上面少加一些干燥的墙壁土。睡了一会儿后，其高热仿佛消失一般。
Li Dongyuan stated: Li Heshu had a son in his middle age. When the child was one year old, red thread-like tumors appeared on his body, and he could not be saved, eventually dying. Later, he had four more sons, all of whom died at the age of three from the same tumor disease.
Someone asked what the cause of this was. The next day, after pondering, Li Heshu said, "This is due to latent fire in your kidneys. Your essence contains many red threads, which are transmitted via Qi to the offspring, hence they suffer from this ailment." This is commonly known as "fetal tumor." You may observe it yourself, and indeed, it was as he said. Subsequently, Zishen Wan (Kidney-Nourishing Pill) was administered several times to drain the pathogenic fire in the kidneys and tonify the deficiency of true Yin. Alcohol, meat, and pungent-warm substances were forbidden. His wife used Liuwei Dihuang Wan (Six-Ingredient Rehmannia Pill) to nourish Yin and blood. After five months of pregnancy, Huangqin Baizhu San (Scutellaria and Atractylodes Powder) was taken. The subsequent child did not exhibit the previous symptoms.
Another son, when sixteen years old, fathered a child at seven months gestation who suffered from Lin syndrome (dysuria). The condition recurred every five to seven days. Upon onset, severe pain occurred; only after urination became smooth and expelled approximately one cup of substance resembling lac mixed with millet grains did the pain subside. Palpation revealed a choppy pulse on light pressure and a wiry pulse on heavy pressure. Observing the father's emaciated and elongated physique with a dark, bluish complexion, it was inferred that the father must have taken drugs to consolidate the lower jiao, leaving residual heat in the fetus, which remained in the child's Mingmen (Gate of Life), causing the disease. Consequently, Zixue (Purple Snow) was combined with Huangbai powder to make pills the size of wutong seeds, dried thoroughly. One hundred pills were administered with decoction. Half a day later, two hundred more pills were given, followed by food to suppress the drug's action. Another half day later, the pain intensified, radiating to the waist, abdomen, and urinary tract, after which approximately one bowl of substance resembling lac mixed with millet grains was discharged, reducing the pain by eighty percent. Afterwards, Chenpi (Tangerine Peel, 1 liang), Jiegeng (Platycodon Root, 5 qian), and Mutong (Akebia Stem, 5 qian) were prescribed. After discharging a similar amount, the patient stabilized. If the father's dryness-heat can afflict the child, how much more so if the mother is affected?
Jiang Huangnan treated an infant born a few days prior who frequently experienced fainting spells, occurring five or six times a day. Physicians treated it as wind-stroke (convulsions) without effect. Jiang Huangnan administered a strong decoction of a formula greatly tonifying Qi and Blood, feeding it to the infant while also having the wet nurse drink it. With continued administration, the frequency decreased gradually until recovery.
Xue Lizhai treated the grandson of Scholar Li, who presented with tidal fever but maintained normal appetite. Symptoms worsened during Shen and You hours (3 PM–7 PM) and ceased by Zi and Chou hours (11 PM–3 AM). The body surface resembled scabies, accompanied by constipation, dark and scanty urine, fever, thirst, and a preference for cold drinks. Xue diagnosed it as excess heat in the Spleen and Stomach transmitting to the Lung and Large Intestine. Qingliang Yin (Cooling Drink) was prescribed for four doses, after which the accumulated heat subsided. Subsequently, Siwu Tang (Four-Substance Decoction), Chaihu (Bupleurum Root), and Huanglian (Coptis Rhizome) were administered for several doses, leading to gradual healing of the skin lesions. Desiring rapid results, the family used Huaijiao Wan (Stemtree Bark Pill) instead, which exacerbated all symptoms. Xue reverted to the previous prescription, adding Taoren (Peach Seed) and Chishao (Red Peony Root), administering a total of one hundred doses before full recovery.
Jiang Huangnan treated an infant aged two months during intense summer heat following prolonged rain, with dampness prevalent. The infant had high fever throughout the body. However, newborns have fragile and narrow intestines and stomachs, making medication difficult to manage. Therefore, dry wall earth was collected, pounded into powder, and spread on the ground. Banana leaves were placed on top, and the infant was laid upon them. More banana leaves covered the infant, with a small amount of dry wall earth added on top. After sleeping for a short while, the high fever disappeared as if lost.