东垣云儿在母腹中十月之间随母呼吸呼吸者阳气也而生动作益滋精气神饥则饮母血渴则
饮母
血儿随日长皮肉血脉筋骨形气俱足十月降生口中尚有恶血啼声一发随吸而下此恶血复归命门
胞
中僻于一隅伏而不发直至因内伤乳食湿热之气下流逆于肉理乃发为疮疹也故方书皆云俟其分
娩啼声未发之时急用绵裹指拭去口中恶汁固是良法而仓卒之际或有不及者故有黄连法朱寮法
甘草法用之殊佳但今之人比古者之人起居摄养大有不同窃恐禀受怯弱之儿不能禁此寒冷之剂
若与服之必生异证或呕乳粪青或痰嗽喘急或腹胀或惊悸如有里证郁结壅闭不通欲下胎毒者只
须用淡豆豉煎浓汁与三五口其毒自下又能助养脾气也
罗谦甫曰一小儿五月间因食伤冷粉腹中作痛遂于市药铺中赎得神芎丸服之脐腹渐加冷疼
时发
时止逾七八年不已因思古人云寒者热之治寒以热良医不能废其绳墨而更其道也据所伤之物寒
也所攻之药亦寒也重寒伤胃其为冷痛可知矣凡人之脾胃喜温而恶冷况小儿血气尚弱不任其寒
故阳气潜伏寒毒留连久而不除也治病必先其本当用和中养气之药以救前失服之月余方愈呜呼
康子馈药孔子拜而受之以未达不敢尝此保生之重者也奈何常人拱默而令切脉以谓能知病否且
脉者人之血气附行经络之间热胜则脉疾寒胜则脉迟实则有力虚则无力至于所伤何物岂能别其
形象乎医者不可不审其病源而主家亦不可不说其病源且此子之父不以病源告医而求药于市铺
中发药者亦不审病源而以药付之以致七八年之病皆昧此理也孙真人云未诊先问最为有准东垣
云只图愈疾不欲困医二公之语其有功于世大矣
李东垣说:婴儿在母腹中十个月期间,随着母亲的呼吸而呼吸,呼吸的是阳气,因此生长发育不断滋养精气神。饥饿时饮用母血,口渴时也饮用母血。婴儿随着日子增长,皮肉、血脉、筋骨、形体和气都发育充足,十月期满降生。口中尚存恶血,啼声一发出,随着吸气而下咽,这恶血便重新归入命门胞宫之中,偏居于一隅,潜伏而不发作。直到因为内伤乳食,湿热之气下流,逆冲于肌肉纹理之间,这才发作成为疮疹。所以医书都说,等到分娩后、啼声未发之时,急忙用绵絮包裹手指擦拭去口中的恶汁,固然是好方法;但在仓促之际,或许会有来不及的情况。因此有黄连法、朱寮法、甘草法,使用这些方法非常良好。但现在的人与古时候的人起居摄养大有不同,我担心禀赋怯弱的小儿不能承受这种寒凉的药物。如果给他们服用,必然产生异常证候,或者呕吐乳汁、大便色青,或者痰嗽喘急,或者腹胀,或者惊悸。如果有里证郁结壅闭不通,想要攻下胎毒的,只须用淡豆豉煎煮浓汁,喂服三五口,其毒自然下行,又能助养脾气。
罗谦甫说:有一个小儿在五月间因饮食损伤冷粉,导致腹中作痛,于是从药铺中买得神芎丸服用。此后脐腹部逐渐加重冷痛,时发时止,经过七八年仍未痊愈。我想古人说“寒者热之”,治疗寒证要用热药,良医不会废弃规矩而改变其道。根据所伤之物是寒性的,所攻伐的药物也是寒性的,重寒损伤胃气,其为冷痛是可以知道的。大凡人的脾胃喜欢温暖而厌恶寒冷,何况小儿气血尚且虚弱,不能承受寒性药物,所以阳气潜伏,寒毒留连,久而不除。治病必须先明确病本,应当使用和中养气的药物来补救之前的失误,服用一个多月才痊愈。唉!康子送药,孔子拜谢并接受,却不敢尝试,这是重视养生之道啊。为什么常人拱手沉默,让医生切脉,认为能知道是否有病?而且脉象是人的血气附着运行在经络之间的,热胜则脉搏急促,寒胜则脉搏迟缓,实证有力,虚证无力。至于究竟损伤了什么物体,怎么能辨别其形象呢?医生不可不审察病源,家属也不可不说出病源。况且这个孩子的父亲不把病源告诉医生,而在市井药铺求药,发药的人也不审察病源就把药给人,以致造成七八年的疾病,都是不明白这个道理。孙思邈说:“未诊先问”最为准确;李东垣说:“只图治愈疾病,不想困住医生。”两位公子的话,对世人的贡献太大了。
Li Dongyuan said: During the ten months in the mother's womb, the infant breathes along with the mother. Breathing involves Yang Qi (vital energy), which continuously nourishes Essence, Qi, and Spirit during growth and movement. When hungry, it drinks maternal blood; when thirsty, it also drinks maternal blood. As days pass, the infant grows, and skin, flesh, blood vessels, tendons, bones, form, and Qi all become sufficient. Upon birth after ten months, there is still foul blood in the mouth. With the first cry, as air is inhaled, this foul blood is swallowed and returns to the Mingmen (Gate of Life) and Baozhong (uterus/womb), lodging in a corner, latent and not manifesting. It only erupts later due to internal injury from milk and food, where Damp-Heat (pathogenic dampness and heat) flows downward and counterflows into the muscle tissue, manifesting as sores and rashes. Therefore, medical texts state that waiting until after delivery, before the first cry, to urgently wipe the foul fluid from the mouth with cotton-wrapped fingers is indeed a good method. However, in hurried situations, one might fail to do so in time. Thus, methods using Huanglian (Coptidis Rhizoma), Zhuliao (a specific preparation/method), and Gancao (Licorice Root) were devised, which are quite excellent. But people today differ greatly from ancients in their lifestyle and self-care. I fear that infants with weak constitutions cannot tolerate such cold-cold agents. If administered, they will likely develop abnormal syndromes, such as vomiting milk or having green stools, phlegm-cough with wheezing, abdominal distension, or palpitations with fright. If there are interior syndromes with stagnation and blockage, and one wishes to purge fetal toxins, simply decocting strong liquid from Danshidou (Fermented Soybean) and giving three or five mouthfuls will naturally guide the toxin downward, while also supporting the Spleen Qi.
Luo Qianfu said: A child, in the fifth month, suffered abdominal pain due to ingesting cold rice noodles. He purchased Shenxiong Wan (Shenxiong Pill) from a pharmacy and took it. Consequently, cold pain in the umbilical and abdominal regions gradually worsened, coming and going intermittently for over seven or eight years without cessation. I recalled the ancient saying: "For cold conditions, use heat"; treating cold requires hot herbs. A skilled physician does not abandon standards or change principles. The injured substance was cold, and the attacking medicine was also cold. Double cold injuring the Stomach explains why it was cold pain. Generally, human Piwei (Spleen and Stomach) prefer warmth and dislike cold. Moreover, children have weak Blood and Qi and cannot bear cold. Thus, Yang Qi remains latent, and Cold Toxin lingers, persisting for a long time. To treat illness, one must first address the root cause. One should use harmonizing and Qi-nourishing medicines to remedy the previous error. After taking them for over a month, the child recovered. Alas! When Kangzi offered medicine, Confucius bowed and accepted it but dared not taste it, demonstrating the importance of preserving life. Why do ordinary people remain silent and allow physicians to take pulses, believing this alone can diagnose disease? Pulse reflects Blood and Qi flowing through meridians; excess heat causes rapid pulse, excess cold causes slow pulse, excess patterns show forcefulness, deficiency patterns show weakness. How can one distinguish the image of what was injured merely by pulse? Physicians must carefully examine the source of disease, and families must disclose it. In this case, the father did not inform the physician of the source but sought medicine at a market shop. The dispenser did not examine the source either, handing over medicine, resulting in a seven-to-eight-year illness. All this stems from ignorance of these principles. Sun Simiao said: "Asking before diagnosing" is most accurate. Li Dongyuan said: "Seek only to cure the disease, not to trap the physician." The words of these two gentlemen have contributed greatly to the world.