夫生人之道。莫不养小为大。若无于小。卒不成大。故易称积小以成高硕。诗有厥初生
民。
气势
气腥
岁以
乳下
俗
凡小儿新生。出胎。便以绵裹指。拭口中及舌上青泥及恶血。此谓之玉衔。若不急拭。
啼声
凡儿生。落地不作声者。取冷水一器灌之。须臾当自啼。及以葱白细鞭之。即啼。
凡儿初之生。即当举之。举之迟晚。则令寒中腹内雷鸣。仍先浴之。然后速断脐。不得
以刀
若
脐
又曰粪青者冷也。与中水同。此当令儿腹痛。大啼呼。面青黑。此是中水之过。当灸之。
乃
日
又儿初生。以父故衣裹之。若生女。宜以母故衣裹之。勿以新绫绢衣。切须依法。令儿
长寿
一合。以
余药更
稍稍与
血。亦
凡小儿始生。肌肉未成。不可暖衣。暖衣即令筋骨缓弱。宜时见风日。若都不见风日。
则令
中嬉
密温暖
以春夏
裳。常
受风寒
护之。
凡不能进乳哺。即宜下之。如此即终不致寒热也。
又小儿始生。生气尚盛。若觉微恶。即须下之。所下勿虑虚损。及其愈病。即致深益。
若不
故当
者。
自
寒热
儿
故
枕
第
意节度。增艾炷壮数。可至三十壮。唯风池特令多。七岁以上可百壮。小儿常须慎护风池。
谚云或养小儿护风池。在颈项筋两辕之边。有病乃治之。立夏后疾慎。不欲妄针灸。亦不欲
辄吐下。所以然者。针灸伤经络。吐下动腑脏故也。但当除热汤浴之。除热散粉之。除热赤
膏摩之。又以脐中膏涂之。令儿在凉处。勿禁水浆。常以新水饮之。新生无疾。慎不可妄针
灸。妄针灸即忍痛动其五脉。喜自成痫也。河洛间土地多寒。儿喜病寒。其俗生儿三日。喜
灸其颊以防噤也。有噤者。舌上脉急牙车解急。其风俗土地。皆决舌下去血。灸颊以防噤戾
。蜀地温无此疾。古方既传之。此针灸法。又令人不详南北之殊。若便案方用之。多害于小
儿也。是以田舍小儿。任其自然。皆得无此夭也。又云。春夏决定不须下小儿。则任其自然
。所以尔者。小儿腑脏之气软弱。易虚易实。下即必虚。益之上焦生热。热即增痰。痰即成
病。自非当病。不可下之也。
小儿初生出腹。骨肉未敛。肌肉犹是血也。血凝。乃坚成肌肉尔。其血阻败。不成肌肉。
则
是
凡儿初生。不可温衣。温衣伤皮肤肌肉。害血脉。发诸疮而黄也。
凡小儿一期之内。造儿衣裳。皆须用故绵及故帛为之。不得以绵衣盖于头面。冬天可以
夹衣
令儿
凡儿匍匐已后。逢物即吃。奶母虽细意。必亦不能尽觉。春夏必饮滞水冷物。至秋初便
皆疾
浆便
口。
背心
遂使
无一
养育人类的方法,没有不是通过抚养幼小来成就壮大的。如果没有对幼小的养护,最终也无法长成大人。所以《易经》说积累微小可以成就高大,《诗经》说“厥初生民”(人类最初诞生之时)。
凡是新生儿出生,脱离母体后,立刻用绵絮包裹手指,擦拭婴儿口腔内及舌面上的青黑色胎泥和恶血。这叫做“玉衔”。如果不及时擦拭,(会导致)啼哭声……(原文此处似有脱漏或断句不清,依文意推测为影响啼哭或健康)。
凡是婴儿出生,落地后不发出声音的,取一盆冷水灌入口中,片刻之后应当自然啼哭。或者用葱白轻轻鞭打其身体,就会啼哭。
凡是婴儿刚出生时,就应当将其抱起。如果举抱得迟了,寒气侵入腹内,会引起肠鸣如雷。并且应先给婴儿洗澡,然后迅速剪断脐带,不得……(原文此处似有脱漏,通常指不得随意切割或使用不洁刀具)。
如果说粪青色是寒邪所致,与中水气相同,这应当导致婴儿腹痛,大声啼哭,面色青黑。这是中了水气的过错,应当施灸治疗。
还有,婴儿刚出生时,用父亲穿过的旧衣服包裹他;如果是女孩,宜用母亲穿过的旧衣服包裹她。不要用新的丝绸衣物。务必依照此法,使婴儿长寿。
一合(容量单位),以……其余药物更……稍稍给予……血液,也……
凡是新生儿,肌肉尚未形成,不可穿暖衣。穿暖衣会使筋骨松弛软弱。适宜时常接触风和阳光。如果完全不见风日,则令……(原文此处似有脱漏,通常指易患疾病)。
在嬉戏中……密实温暖……随着春夏季节……衣裳,常……受风寒……保护它。
凡是不能进食乳哺的,就应当使用下法(泻下)。这样最终不会导致寒热病。
另外,新生儿生机尚盛,如果觉得稍微不适,就须使用下法。所下的药不用担心造成虚损,等到病愈后,反而会有深远的益处。如果不……所以应当……者……自……寒热……儿……故……枕……第……
意念节度,增加艾炷的数量,可至三十壮。只有风池穴特别要多灸。七岁以上可灸一百壮。小儿必须谨慎保护风池穴。谚语说:“或者养育小儿要保护风池。”位于颈项筋脉两侧边缘。有病时才治疗它。立夏后病情慎重,不要妄自针灸,也不要妄自催吐或泻下。之所以这样,是因为针灸会损伤经络,吐下会扰动脏腑。只应当用除热汤给婴儿洗澡,涂抹除热散粉,用除热赤膏按摩,又用脐中膏涂抹肚脐。让婴儿待在凉快的地方,不要禁止饮水,经常喂新汲的水。新生儿无病时,千万不要妄自针灸。妄自针灸会让婴儿忍受痛苦,触动五脏经脉,喜欢因此自行发展成癫痫。河洛地区土地多寒冷,婴儿容易患寒病。当地风俗是在婴儿出生后三天,喜欢灸其脸颊以防口噤。如果有口噤症,舌上脉络紧急,牙关拘急。那些地方的风俗,都是切开舌头放血,并灸脸颊以防口噤歪斜。蜀地气候温暖,没有这种病。古方既然流传下来,这种方法让人不了解南北的差异,如果便依据古方使用,大多伤害小儿。所以乡野间的婴儿,任由其自然生长,都能避免这种夭折。又说:春夏季节决定不需要给小儿使用下法,就任由其自然。之所以如此,是因为小儿脏腑之气软弱,容易虚也容易实。使用下法必然导致虚损,进而导致上焦生热,热盛则增加痰液,痰盛则成病。如果不是确实需要治病,不可使用下法。
新生儿刚离开母腹,骨肉未收敛,肌肉还是血液的状态。血液凝固,才坚硬形成肌肉。如果血液阻滞败坏,不能形成肌肉,则是……(原文此处似有脱漏)。
凡是婴儿刚出生,不可穿温热的衣服。温热衣服会伤害皮肤肌肉,损害血脉,引发各种疮疡并导致发黄。
凡是婴儿满一期(一年)之内,制作婴儿衣裳,都必须用旧的棉絮和旧的帛来做。不得用棉衣盖住头面。冬天可以……夹衣……令儿……
凡是婴儿爬行以后,遇到东西就吃。奶妈虽然细心,也必定不能完全察觉。春夏季节一定饮用停滞的冷水冷物,到了秋初便都生病……浆便……口……背心……遂使……无一……
The way to nurture human beings is none other than raising the young to achieve adulthood. Without nurturing the young, one cannot eventually become an adult. Thus, the *I Ching* (Book of Changes) states that accumulating small things leads to greatness, and the *Shi Jing* (Classic of Poetry) says "At the beginning, when people were born."
Whenever a newborn infant is delivered from the womb, immediately wrap a finger in cotton wool and wipe the blue-black vernix caseosa and lochia from the mouth and tongue. This is called "Yu Xian" (Jade Holding). If not wiped promptly... [text fragment] ...the crying sound...
Whenever an infant is born and does not make a sound upon touching the ground, take a vessel of cold water and pour it into the mouth. After a short while, the infant should cry naturally. Alternatively, gently whip the body with white parts of green onions, and the infant will cry.
Whenever an infant is first born, they should be lifted up immediately. If lifting is delayed, cold pathogen may enter the abdomen, causing borborygmus (rumbling in the intestines). Furthermore, bathe the infant first, then quickly cut the umbilical cord. Do not... [text fragment] ...if... umbilicus...
It is said that the bluish-green color of stool indicates coldness, similar to contracting water-cold. This should cause abdominal pain, loud crying, and a cyanotic-black complexion. This is due to contracting water-cold and requires moxibustion.
Also, when an infant is first born, wrap them in the father's old clothes; if it is a girl, wrap them in the mother's old clothes. Do not use new silk or gauze garments. Strictly follow this method to ensure the infant's longevity.
One he (unit of volume), with... The remaining medicine more... Give slightly... Blood, also...
Whenever a newborn infant's muscles are not yet formed, do not dress them in warm clothing. Warm clothing causes tendons and bones to become lax and weak. It is suitable to expose them to wind and sunlight from time to time. If they never see wind or sunlight, then... [text fragment] ...playing... densely warm... according to spring and summer... garments, often... suffering wind and cold... protect it.
Whenever the infant cannot accept milk or food, purgative methods should be used. In this way, fever and chills will ultimately not occur.
Furthermore, a newborn infant's vital qi is still robust. If slight discomfort is perceived, purgative methods must be used. Do not worry about deficiency caused by purging; once the illness is cured, it brings profound benefit. If not... therefore should... those... self... fever and chills... infant... therefore... pillow... only...
Mindful regulation, increase the number of moxa cones, up to thirty burns. Only the Fengchi (GB20) acupoint requires special attention for more burns. For children over seven years old, up to one hundred burns can be applied. Children must always carefully protect the Fengchi acupoint. The proverb says: "Or raise children by protecting Fengchi." It is located on the sides of the tendons in the neck. Treat it only when there is illness. After Start of Summer, be cautious of illnesses; do not practice acupuncture and moxibustion recklessly, nor induce vomiting or purging arbitrarily. The reason is that acupuncture and moxibustion damage meridians and collaterals, while vomiting and purging disturb the zang-fu organs. One should only bathe the child with heat-clearing decoctions, apply heat-clearing powder, massage with red heat-clearing ointment, and apply navel ointment to the umbilicus. Keep the child in a cool place, do not forbid drinking water, and frequently feed them fresh water. For healthy newborns, absolutely avoid reckless acupuncture and moxibustion. Reckless acupuncture and moxibustion cause the infant to endure pain and disturb the five pulses, predisposing them to epilepsy. The Heluo region has cold land, so infants often suffer from cold diseases. The local custom is to moxibusture the cheeks three days after birth to prevent trismus (lockjaw). If trismus occurs, the veins on the tongue are tense, and the jaw is rigid. The customs of these regions involve cutting the tongue to release blood and moxibusting the cheeks to prevent trismus deviation. The Shu region is warm and does not have this disease. Since ancient prescriptions have been transmitted, this acupuncture and moxibustion method makes people unaware of the differences between north and south. If one simply follows the prescription, it often harms infants. Therefore, rural children, left to nature, all avoid such premature death. It is also said: In spring and summer, there is definitely no need to purge infants; let them be natural. The reason is that infants' zang-fu qi is weak, prone to both deficiency and excess. Purging inevitably causes deficiency, leading to heat in the upper jiao. Heat increases phlegm, and phlegm becomes disease. Unless strictly necessary for treating illness, purging should not be used.
When an infant is first born and leaves the womb, flesh and bone are not yet consolidated, and muscles are still in a state of blood. When blood coagulates, it hardens to form muscles. If blood stagnates and deteriorates, failing to form muscles, then... [text fragment] ...is...
Whenever an infant is first born, do not use warm clothing. Warm clothing damages skin and muscles, harms blood vessels, induces various sores, and causes jaundice.
Within the first year of an infant's life, clothing made for the infant must use old cotton wadding and old silk. Do not cover the head and face with cotton clothing. In winter, one can... padded garments... let the infant...
After an infant begins to crawl, they eat whatever they encounter. Although the wet nurse is careful, she cannot perceive everything. In spring and summer, they inevitably drink stagnant cold water and cold substances. By early autumn, all fall ill... juice and stool... mouth... back... thereby making... none...