胎疾,谓月数将满,母失调护,或劳动气血相干,或坐卧饥饱相役,或饮酒食肉,冷热相制,或恐怖血脉相乱,胎
气有伤,儿形无补,有胎热、胎寒、胎黄、胎肥、胎弱等症。胎热则儿在胎中,母多惊悸。或因食热毒之物,诞生之后,
儿多虚痰,气急喘满,眼目眵泪,神困呵欠,不得伸舒,呃呃作声,大小便不利,或通利即有血水,甚则手常拳紧,脚
常搐缩,眼常斜视,身常掣跳,皆由胎中受热,宜速与大连翘饮子,解散诸热,次与消风散数服无恙。其胎惊、胎风、
自见本症,兹不赘述。胎寒则儿在胎中,母因感受寒邪,或喜食生冷过度,寒盛则肠鸣泄利,邪气以乱其真气,治寒邪、
当用和解,治脏寒、则温脏寒,甚则有盘肠内钓,皆因寒而得之,大便青者是也,各有本症见之。胎黄候,则小儿生下,
遍体面目皆黄,状如金色,身上壮热,大便不通,小便如栀子汁,乳食不思,啼叫不止,皆因母受热而传于胎也,凡有
此症,乳母可服生地黄汤,仍忌热毒之物。胎肥则生下肌肉浓,遍身色红,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。胎弱则生下面无精光,肌肉薄,大便白水,身无血色,时时哽气多哕,目无精
采,亦当浴体法治之。凡胎气禀赋,有壮有弱,其母饮食恣令饥饱,起止无忌,令儿得疾,不寒即热,不虚即怯,热乃
作壅,寒乃作泄,虚则作惊,怯则作结。寒则温之,热则凉之,虚则壮荣,怯则益卫。惊用安神丸,结用微利,详审用
之,可保无虞。不若古人胎教之法,决无诸症,生子必形容端正,为世之英杰也。
大连翘饮子 见第三问。
消风散 治诸风上攻,头目昏痛,项背拘急,肢体烦疼,肌肉蠕动,目眩旋晕,耳作蝉鸣,眼涩好睡,鼻塞多
嚏,皮肤顽麻,瘙疮瘾疹,小儿虚风,目涩昏困。
白茯苓(去皮) 芎 羌活(去芦) 荆芥穗 防风(去芦) 藿香叶 蝉蜕(去土) 白僵蚕(炒、去丝咀)
甘草(锉、炙) 陈皮(去白) 浓朴(去皮、姜汁制、各三两半)
上为细末,每服半钱,茶清调下,薄荷汤亦可。又治急慢惊风,用乳香荆芥汤调下,或加雄黄,名雄风散。
生地黄汤 治小儿生下,遍体面目皆黄,状如金色,身上壮热,大便不通,小便如栀子汁,乳食不思,啼叫不
止,此胎黄之候,皆因母受热邪而传于胎也。凡有此症,乳母宜服,仍忌酒面五辛之物。
生地黄 赤芍药 川芎 川当归(酒洗、等分)
上锉散,每服五钱,水一盏,煎至六分,去滓,产妇亦可服,抹些少入儿口中。
浴体法 见第十四问。
胎疾,是指胎儿月份将满时,母亲未能妥善调护,或因劳累导致气血相互干扰,或坐卧姿势不当、饥饱不均相互影响,或饮酒吃肉,冷热食物相互制约,或受到惊恐导致血脉紊乱。这些情况都会损伤胎气,使胎儿形体得不到滋养,从而出现胎热、胎寒、胎黄、胎肥、胎弱等症状。
若为胎热,则胎儿在母体内时,母亲常感到惊悸。这可能是因为食用了热毒之物,出生后,婴儿多表现为虚痰,气息急促、喘息胸闷,眼屎多且流泪,精神困倦、频繁打哈欠,身体不能舒展,发出呃逆声,大小便不通畅,或者虽然通畅但排出物中有血水。严重时,双手常握拳紧握,双脚常抽搐收缩,眼睛常斜视,身体常发生掣动跳跃。这些都是因为在母体内受热所致,应当迅速给予大连翘饮子(大翘壳汤)以解散诸般热邪,随后服用数剂消风散(祛风散),即可痊愈。至于胎惊、胎风,可参见其各自的本症描述,此处不再赘述。
若为胎寒,则胎儿在母体内时,母亲因感受寒邪,或喜好过度食用生冷食物,导致寒气过盛而出现肠鸣腹泻,邪气扰乱了人体的真气。治疗寒邪,应当使用和解之法;治疗脏腑虚寒,则需温补脏腑之寒。严重时会发生盘肠内钓(脐腹疼痛,肠气上冲),这都是因寒邪引起的,大便呈青色即是明证,各有其本症表现。
若为胎黄候,则小儿出生后,全身及面目均发黄,颜色如金色,身上高热,大便不通,小便像栀子汁一样黄,不思乳食,啼哭不止。这都是因为母亲受热邪并传给了胎儿。凡有此类症状,乳母可以服用生地黄汤,同时忌食热毒之物。
若为胎肥,则出生后肌肉丰厚,全身皮肤发红,满月之后,逐渐变得消瘦,眼白部分呈现粉红色,五心(两手心、两足心及心胸)烦热,大便困难,时常流涎。可用浴体法(药浴疗法)主治。
若为胎弱,则出生后面部缺乏神采,肌肉薄弱,大便稀白水样,身体无血色,时常嗳气、多呃逆,目光无神采,也应当用浴体法治之。
凡是胎气的禀赋,有的强壮,有的虚弱。如果母亲饮食放纵,任凭饥饱,起居没有节制,导致婴儿患病,不是寒证就是热证,不是虚证就是怯证。热邪会导致壅滞,寒邪会导致泄泻,虚证会导致惊悸,怯证会导致结滞。寒证用温法,热证用凉法,虚证则壮益营气,怯证则增益卫气。惊悸用安神丸,结滞用轻微通利之法,仔细审察后使用,可以保证没有忧患。不如古人的胎教方法,决不会出现各种病症,生下的孩子必定容貌端正,成为世间的英杰。
大连翘饮子:见第三问。
消风散:治疗各种风邪上攻,导致头目昏痛,颈项背部拘急僵硬,肢体烦疼,肌肉跳动,头晕目眩,耳朵像蝉鸣一样响,眼睛干涩嗜睡,鼻塞多喷嚏,皮肤顽固麻木,瘙痒疮疡瘾疹,小儿虚风,眼睛干涩昏沉困倦。
药材组成:白茯苓(去皮)、川芎、羌活(去芦头)、荆芥穗、防风(去芦头)、藿香叶、蝉蜕(去泥土)、白僵蚕(炒、去丝嘴)、甘草(锉碎、炙烤)、陈皮(去白)、浓朴(去皮、姜汁制,各三两半)。
用法:以上药物研为细末,每次服用半钱,用茶清调服,薄荷汤也可以。又治疗急慢惊风,用乳香荆芥汤调服,或者加入雄黄,名为雄风散。
生地黄汤:治疗小儿出生后,全身及面目皆黄,状如金色,身上高热,大便不通,小便像栀子汁,不思乳食,啼哭不止,这是胎黄的征候,都是因为母亲受热邪而传给胎儿。凡是有此症状,乳母适宜服用,仍要忌食酒、面及五辛之物。
药材组成:生地黄、赤芍药、川芎、川当归(酒洗,等分)。
用法:以上药物锉散,每次服用五钱,用水一盏,煎至六分,去渣滓,产妇也可以服用,抹少许放入婴儿口中。
浴体法:见第十四问。
Fetal diseases refer to conditions arising when the fetal months are nearly complete, and the mother fails to maintain proper care. This may be due to labor causing interference between Qi and Blood, improper sitting or lying postures, irregular hunger and satiety, consumption of alcohol and meat, conflicting cold and hot foods, or fright causing disorder in the blood vessels. These factors damage the fetal Qi and fail to nourish the fetal form, resulting in symptoms such as fetal heat, fetal cold, fetal jaundice, fetal obesity, and fetal weakness.
If it is fetal heat, while the fetus is in the womb, the mother often experiences palpitations and fright. This may be caused by consuming heat-toxic substances. After birth, the infant often presents with deficiency-phlegm, rapid breathing, wheezing, chest fullness, excessive eye discharge and tearing, mental fatigue, frequent yawning, inability to stretch comfortably, hiccupping sounds, and difficulty with urination and defecation. If stool or urine passes, it may contain blood and water. In severe cases, the hands are constantly clenched, the feet are constantly twitching, the eyes gaze obliquely, and the body exhibits jerking and jumping movements. All these result from heat acquired in the womb. It is advisable to quickly administer Dalianqiao Yinzi (Large Forsythia Decoction) to dissipate various heats, followed by several doses of Xiaofeng San (Wind-Dispersing Powder), which will ensure recovery. Regarding fetal fright and fetal wind, please refer to their respective primary symptoms; this is not elaborated here.
If it is fetal cold, while the fetus is in the womb, the mother contracts cold pathogenic factors or excessively enjoys raw and cold foods. When cold is excessive, intestinal rumbling and diarrhea occur. The pathogenic factor disturbs the true Qi. To treat cold pathogens, harmonizing methods should be used; to treat visceral cold, warming the viscera is required. Severe cases may present with "panchang neidiao" (intestinal colic with upward rushing of Qi), all caused by cold, evidenced by green stools, each having its own primary symptoms.
Regarding fetal jaundice, after birth, the infant's entire body and face turn yellow, resembling gold color. The body has high fever, defecation is blocked, urine resembles gardenia juice, there is no appetite for milk and food, and crying continues incessantly. All these result from maternal heat transmitting to the fetus. For any such symptoms, the nursing mother can take Shengdihuang Tang (Rehmannia Decoction), while avoiding heat-toxic substances.
If it is fetal obesity, the infant is born with thick muscles and red skin. After one month, the condition gradually becomes emaciated. The whites of the eyes appear pinkish-red, the five centers (palms, soles, and chest) feel hot and irritable, defecation is difficult, and salivation occurs frequently. This is primarily treated with the Bathing Body Method (medicated bath therapy).
If it is fetal weakness, the infant is born with a lackluster facial expression, thin muscles, watery loose stools, pallor, frequent belching and hiccups, and lifeless eyes. This should also be treated with the Bathing Body Method.
Generally, fetal endowment varies from strong to weak. If the mother indulges in diet without regard for hunger or satiety, and lacks discipline in daily activities, the child may fall ill, suffering either from cold or heat, deficiency or timidity. Heat leads to stagnation, cold leads to diarrhea, deficiency leads to fright, and timidity leads to obstruction. Cold is treated with warming, heat with cooling, deficiency by strengthening Ying (Nutritive) Qi, and timidity by boosting Wei (Defensive) Qi. Fright is treated with Anshen Wan (Spirit-Calming Pill), and obstruction with mild purgatives. Careful examination and application can ensure safety. However, nothing compares to the ancient method of prenatal education, which prevents all such disorders, ensuring the child is born with handsome features and becomes an outstanding hero of the world.
Dalianqiao Yinzi: See Question 3.
Xiaofeng San: Treats various wind pathogens attacking upwards, causing dizziness and headache, stiffness in the neck and back, limb pain, muscle twitching, vertigo, tinnitus (ringing like cicadas), dry eyes with sleepiness, nasal congestion with sneezing, skin numbness, pruritus, urticaria, pediatric deficiency wind, and dry, dim, and fatigued eyes.
Ingredients: Bai Fuling (Poria Cocos, peeled), Xiong (Ligusticum Chuanxiong), Qianghuo (Notopterygium Root, de-rubbed), Jingjie Sui (Schizonepeta Spike), Fangfeng (Saposhnikovia Root, de-rubbed), Huoxiang Ye (Agastache Leaf), Chantui (Cicada Slough, cleaned of dirt), Bai Jiangcan (Bombyx Batryticatus, fried, de-silked), Gancao (Licorice Root, chopped, roasted), Chenpi (Citrus Reticulata Peel, de-albened), Nongbo (Magnolia Bark, peeled, ginger-juice processed, each 1.5 taels).
Usage: Grind into fine powder. Take half a qian per dose, mixed with clear tea water; mint decoction is also acceptable. It also treats acute and chronic convulsions; mix with Rue and Schizonepeta decoction containing Frankincense, or add Realgar, named Xiongfeng San.
Shengdihuang Tang: Treats infants born with whole-body and facial jaundice resembling gold color, high fever, constipation, urine like gardenia juice, anorexia, and incessant crying. This is a sign of fetal jaundice, caused by maternal heat pathogens transmitting to the fetus. Mothers with such symptoms should take this decoction, while avoiding alcohol, wheat products, and the Five Pungent Spices.
Ingredients: Shengdihuang (Rehmanniae Radix), Chishaoyao (Paeoniae Radix Rubra), Chuanxiong (Ligustici Chuanxiong Rhizoma), Chuandonggui (Angelicae Sinensis Radix, wine-washed, equal parts).
Usage: Coarsely chop. Take 5 qian per dose, boil in one cup of water until reduced to 0.6 cups, remove dregs. The mother can drink it, or apply a small amount to the infant's mouth.
Bathing Body Method: See Question 14.