〔曾〕胎痫者，因未产前腹中被惊，或母食酸咸过多，或为七情所汨，致伤胎气，
儿生百日内有者是也。发时，心不宁，面微黄，气逆痰作，目上视，身反张，啼声
不出。先用参苏饮和解，次以不惊丹、或琥珀抱龙丸间投，轻则可愈，重者难全。
参苏饮（发热） 不惊丹（惊） 琥珀抱龙丸（惊）
小儿初生，其身有如汤泼火伤者，此皆乳母过食膏粱所致也，其母宜服清胃散
（方见杂病牙齿门。）及逍遥散（方见女科虚劳门。）以清其气血，儿亦饮数滴可也。有身无皮
肤而不 赤者，皆由产母脾气不足也，用粳米粉敷之。 赤发热者，皆由产母胃中火盛也，
用石膏敷之。经谓∶脾主肌肉，肺主皮毛。故知病脾肺也，如脑额生疮者，火土相
合，遂成湿热下流、攻击肾水也，难治。如脚上有疮者，阴虚火盛也，此、不满五
岁而毙。如未盈月而撮口握拳，腰软如随者，此肝肾中邪胜正弱所致也，三日内必
不治。如男指向里、女指向外尚可治，眉红亦不可治，可治者用全蝎散（方见口噤、）钓
藤散（方见慢惊）等类治之。若因大病亏损胃气而诸脏虚弱所致者，用补中益气汤（方见虚羸、）
钱氏地黄丸（方见肾脏。）若面唇赤色，正属肾水不足，肝经阴虚火动而内生风热尔，当
滋肾水以制阳光。其身软者，内禀气不足、肌肉未坚也，常参五软、而施治之。《圣惠》
所云胎风，原与胎惊混滥，故此不取。
【曾氏论述】胎痫，是指胎儿在母腹中时受到惊吓，或者母亲食用过多酸咸食物，或因七情（喜、怒、忧、思、悲、恐、惊）扰乱，导致胎气受损，婴儿出生后一百天内发病的情况。发作时，患儿心神不宁，面色微黄，气逆痰涌，眼球上翻，身体角弓反张，啼哭不出。治疗先用参苏饮进行和解，随后交替服用不惊丹或琥珀抱龙丸，病情轻的可以痊愈，重的则难以完全康复。参苏饮主治发热；不惊丹主治惊风；琥珀抱龙丸主治惊风。
小儿刚出生时，身体如同被热水烫伤或火烧伤一样，这都是因为乳母过食肥甘厚味所致。此时乳母宜服用清胃散（方剂见杂病牙齿门）及逍遥散（方剂见女科虚劳门），以清解气血中的热邪，给婴儿喝几滴药汁也可以。如果婴儿身上没有皮肤且不发红，这都是由于产母脾气不足造成的，可用粳米粉外敷。如果患处发红且发热，这都是由于产母胃火旺盛造成的，可用石膏外敷。《内经》说：脾主肌肉，肺主皮毛。因此可知病变涉及脾和肺。例如额头生疮的，是火与土相合，形成湿热下流，攻击肾水，属于难治之症。例如脚上生疮的，是阴虚火旺，这种情况不满五岁就会死亡。如果在未满月时就出现撮口（口唇收缩如鱼口）、握拳、腰软如绳状，这是肝肾中邪气盛而正气弱的表现，三天内必然不治。如果是男婴手指向里、女婴手指向外，尚可治疗；但眉毛发红则不可治。对于可治者，使用全蝎散（方剂见口噤门）、钩藤散（方剂见慢惊风门）等类方剂治疗。如果是因大病亏损胃气而导致五脏虚弱引起的，使用补中益气汤（方剂见虚羸门）、钱氏地黄丸（方剂见肾脏门）。如果面唇赤色，正属于肾水不足，肝经阴虚火动而生内风热，应当滋补肾水以制约亢盛的阳气（阳光）。如果身体柔软无力，是禀受先天之气不足、肌肉未坚实所致，应参照五软证进行治疗。《太平圣惠方》所说的胎风，原本与胎惊混淆滥用，因此此处不予采纳。
[Zeng's Discussion] Fetal epilepsy (Tai Xian) refers to a condition where the fetus is startled in the womb, or the mother consumes excessive sour and salty foods, or is disturbed by the Seven Emotions (Joy, Anger, Worry, Pensiveness, Sorrow, Fear, Fright), thereby damaging the fetal Qi. It manifests within one hundred days after birth. During an attack, the infant experiences mental restlessness, a slightly sallow complexion, rebellious Qi with phlegm surging, upward deviation of the eyes, opisthotonos (body arching backward), and inability to cry. Treatment initially employs Shen Su Yin (Ginseng and Perilla Decoction) for harmonization, followed by alternating administration of Bu Jing Dan (Non-Startle Pill) or Hu Po Bao Long Wan (Amber Dragon-Hugging Pill). Mild cases can be cured, while severe cases are difficult to fully recover. Shen Su Yin treats fever; Bu Jing Dan treats convulsions due to fright; Hu Po Bao Long Wan treats convulsions due to fright.
When a newborn’s body resembles scalds from boiling water or burns, this is caused by the wet nurse consuming excessive rich and greasy foods. The wet nurse should take Qing Wei San (Stomach-Clearing Powder) (see Miscellaneous Diseases, Teeth Section) and Xiao Yao San (Free and Easy Wanderer Powder) (see Gynecology, Deficiency-Labor Section) to clear heat from Qi and Blood; administering a few drops to the infant is also acceptable. If the infant lacks skin and is not red, it is due to insufficient Spleen Qi of the mother; rice flour can be applied externally. If the area is red and hot, it is due to excessive Stomach Fire in the mother; gypsum can be applied externally. The Classics state: "The Spleen governs muscles, and the Lungs govern skin and hair." Thus, the pathology involves the Spleen and Lungs. For instance, sores on the forehead result from Fire and Earth combining, creating damp-heat that flows downward and attacks Kidney Water; this is difficult to treat. Sores on the feet indicate Yin deficiency with hyperactive Fire; such infants will die before reaching five years of age. If, within the first month, the infant exhibits mouth puckering (Cuo Kou), clenched fists, and a limp neck like a rope, this is caused by pathogenic factors overwhelming healthy Qi in the Liver and Kidneys; death is inevitable within three days. If male infants' fingers point inward and female infants' fingers point outward, the condition is treatable; however, red eyebrows indicate untreatability. Treatable cases are managed with Quan Xie San (Scorpion Powder) (see Mouth Lock Section) and Gou Teng San (Uncaria Powder) (see Slow Convulsion Section), among others. If caused by damage to Stomach Qi from severe illness leading to weakness of the Five Zang organs, use Bu Zhong Yi Qi Tang (Tonify the Middle and Augment the Qi Decoction) (see Weakness Section) and Qian Shi Di Huang Wan (Qian's Rehmannia Pill) (see Kidney Section). Redness of the face and lips indicates insufficient Kidney Water, with Liver Meridian Yin deficiency causing internal Fire stirring Wind-Heat; one should nourish Kidney Water to restrain hyperactive Yang. A soft body indicates insufficient congenital Qi and unfirm muscles; treatment should follow the principles for Wu Ruan (Five Flaccidities). The Tai Feng (Fetal Wind) described in *Taiping Shenghui Fang* was originally confused with Tai Jing (Fetal Fright); therefore, it is not adopted here.