议曰儿在胎中母喜食热毒之物热即生风脾肺不利遂有风痰虽不能损肢伤体其痰与风相袭
痰多
风不散热盛痰复生且风与痰皆能令儿作热那堪更加暖被红炉母炙炙爆腌藏动风之物实时害生
药非不验乳汁之咎也如儿或患风痰不必下截风化痰药但清心肺凉膈顺利三焦则自然安愈亦
忽可投大凉恐寒脏腑所宜者以消风散吞下白丸子至良令小作丸
议曰儿在胎中母失调理恣纵饮食不加将护蕴热颇久及至降生热气隐蔽传入于里遂作闭结
其结
由热极得之大便不通利冲心腹胀脐突撮口努气停郁急以三黄丸或四顺七宝以通为度不必过剂
切不可下积丸子药不惟无益恐反为害
议曰儿在胎中母因感受寒邪热气烦蒸传入胎脏儿当受之及至降生令儿关窍不通精神昏浊
作热
加蒸啼声不响号叫骇人未知之者将谓惊风妄动脏腑或妄镇心良由所受寒邪之气初只在表久则
传里所谓邪气以乱其真故血脉皮毛皆不得其便腠理所拘邪不得解变蒸有违气血致伤烦躁益增
无能自畅但与小柴胡汤服之稍轻次以人参羌活散然胎中所受未分表里既生荫庇当议和解为
之良也
议曰儿在胎中母于食物充喜啖姜瓜古人有曰修灶铁唇食姜余指盖姜性至热又是腌藏攻及
血脉
传入经络轻则令儿偏体生蛆疮延热毒疮丹疮之类经年发作或于头额生核重则发大痈疖溃即烂
坏皮肤十死一生何堪忍见初生幼幼毒瓦斯加盛肌内柔弱参术托里枸柏扶肌（抱即地骨皮是柏即
黄柏）常与清心平调血脉母慎其口父抱令馁医工顺理与扶其危
议曰：婴儿在母胎中时，若母亲喜爱食用热性有毒的食物，热邪即会生风，导致脾肺功能不利，从而产生风痰。虽然这尚不能损伤肢体形体，但痰与风相互侵袭，若痰多而风不散热盛，则痰复再生；况且风和痰都能使婴儿发热，怎能再加盖暖被、如同置身红炉之中？若母亲食用炙烤、爆炒、腌制、储藏等动风之物，便会立即伤害胎儿生命。药物并非无效，而是乳汁带来的过错。如果婴儿患上风痰，不必使用峻烈的祛风化痰药，只需清心肺、凉膈、通利三焦，自然就能痊愈。也不可投用大寒之剂，恐伤脏腑。适宜的是以消风散吞服白丸子（至良丸），制成小丸服用。
议曰：婴儿在母胎中时，若母亲失于调理，放纵饮食，不加养护，蕴积热邪日久，等到降生后，热气隐蔽内传于里，从而导致闭结。这种闭结是由于热极所致，表现为大便不通利，热气冲心，腹胀，脐突，撮口，努气。病情急迫时，宜急用三黄丸或四顺七宝丹，以通便为度，不必过量用药。切不可使用下积丸等泻下药，不仅无益，恐怕反而有害。
议曰：婴儿在母胎中时，若母亲感受寒邪，热气烦蒸传入胎脏，婴儿随之受之。等到降生后，导致婴儿关窍不通，精神昏浊，发热伴蒸腾感，啼哭声不响亮，号叫骇人。不知情的医者误认为是惊风妄动，妄加镇心安神之药。这是由于所受寒邪之气初起只在表，久则传里，所谓邪气扰乱了真气，致使血脉皮毛皆不得其宜，腠理拘束，邪气不得解散，变蒸过程受阻，气血受损，烦躁日益增加，无法自行舒畅。此时只宜给予小柴胡汤服用，症状稍轻后，再以人参羌活散治疗。然而胎中所受的病邪未分表里，出生后虽有荫庇，仍应商议采用和解之法，这才是良策。
议曰：婴儿在母胎中时，母亲因食欲旺盛，喜好食用姜、瓜等食物。古人曾说：“修灶铁唇，食姜有余。”意指生姜性质极热，又是腌制储藏之物，攻伐血脉，传入经络。轻则导致婴儿全身生蛆疮、延热毒疮、丹疮之类，经年发作；或于头额生核；重则发为大痈疖，溃破后烂坏皮肤，十死一生，怎忍心看见初生幼弱之体遭受如此毒瓦斯加重，肌内柔弱？应以参、术托里，枸、柏扶肌（“枸”即地骨皮，“柏”即黄柏）。常配合清心平调血脉之法。母亲慎守口腹之欲，父亲怀抱令其哺乳，医工顺应理法以扶持其危局。
Translation:
It is discussed that when the fetus is in the womb, if the mother delights in consuming hot and toxic foods, heat generates wind, leading to dysfunction of the Spleen and Lung, thereby producing Wind-Phlegm. Although this may not yet damage the limbs or body, Phlegm and Wind attack each other; if there is much phlegm and wind fails to dissipate due to intense heat, phlegm regenerates. Moreover, both wind and phlegm can cause fever in the infant. How can one add warm blankets, placing the infant as if in a red furnace? If the mother consumes roasted, fried, pickled, or stored foods that stir up wind, it will immediately harm the newborn's life. Medicines are not ineffective; the fault lies in the breast milk. If the infant suffers from Wind-Phlegm, there is no need to use harsh wind-dispelling and phlegm-resolving medicines. Instead, one should clear the Heart and Lung, cool the Diaphragm, and unblock the Triple Burner, and the infant will naturally recover. One must not administer great cold medicines, fearing injury to the Zang-Fu organs. The suitable approach is to swallow Zhiliang Wan (Excellent Medicine Pill) with Xiaofeng San (Wind-Dispensing Powder), made into small pills for consumption.
It is discussed that when the fetus is in the womb, if the mother neglects regulation, indulges in diet without proper care, and allows heat to accumulate for a long time, upon birth, hidden heat transmits inward, resulting in closure and constipation. This closure is caused by extreme heat, manifesting as difficulty in defecation, heat rushing to the Heart, abdominal distension, protruding umbilicus, mouth pulling (crouching mouth), and straining. In urgent cases, Sanhuang Wan (Three Yellows Pill) or Sishun Qibao Dan (Four Smooth Seven Treasures Pill) should be used urgently to restore bowel movement, without exceeding the necessary dose. One must absolutely avoid using Xiaji Wan (Accumulation-Draining Pill); such drugs are not only useless but may cause harm.
It is discussed that when the fetus is in the womb, if the mother contracts Cold pathogenic factors,烦蒸 (disturbing steaming heat) transmits into the fetal viscera, which the fetus receives. Upon birth, this causes blockage of the orifices, turbid spirit, fever with steaming sensation, weak crying voice, and terrifying wailing. Uninformed physicians may mistakenly attribute this to convulsive wind and recklessly administer heart-calming sedatives. This is because the contracted Cold initially remains at the exterior but transmits inward over time. As stated, pathogenic factors disrupt true Qi, causing blood vessels and skin/hair to lose their proper state, constraining the Couli (pores/interstices), preventing pathogen resolution, disrupting the Bianzheng (variable steaming) process, injuring Qi and Blood, and increasing irritability without self-relief. At this stage, Xiao Chaihu Tang (Minor Bupleurum Decoction) should be administered first; once symptoms slightly improve, Renshen Qianghuo San (Ginseng and Notopterygium Powder) should follow. However, since the pathogenic factor acquired in the womb has not been differentiated into exterior or interior, and after birth under maternal protection, a Harmonizing method should be discussed as the best approach.
It is discussed that when the fetus is in the womb, if the mother has an increased appetite and favors consuming Ginger and Melons. Ancients said, "Repairing the stove leads to iron lips; eating ginger leaves surplus." This implies Ginger is extremely hot in nature and, being pickled/stored, attacks blood vessels and transmits into meridians. Mildly, it causes the infant to develop maggot sores, spreading heat-toxic sores, erysipelas-like conditions, recurring annually, or nodules on the forehead. Severely, it develops into large carbuncles and furuncles; upon ulceration, skin rots and decays, with ten deaths for every one survival. How can one bear to see a newborn's tender flesh suffer intensified toxin accumulation? Treatment should involve Shen (Ginseng) and Zhu (Atractylodes) to support the interior, and Gouqi (Lycium Bark/Digut皮的 root bark, here referring to Digupi/Gouqipi) and Bo (Phellodendron Bark) to support the muscles ("Gou" refers to Digupi/Gouqipi [Cortex Lycii], "Bo" refers to Huangbo [Cortex Phellodendri]). Regularly combine methods to clear the Heart and harmonize blood vessels. The mother must guard her diet, the father holds and nurses the infant, and physicians follow principles to support the critical condition.