议曰幼幼未降形处胞胎藉母气血滋荫由如养素已诞之后继时吻之以乳乳者化其气血敷养
肌肤
百脉流和三焦颐顺身肢渐舒骨力渐壮三周所芘一生为幸其或母因产得疾血竭气耗乳不成汁当
召奶子看顾贫乏之家食不继口奚能谋比其乳少其食多不益儿体其有不产之妇抱幼继宗终夜号
啼惟饲饭食初伤其气次伤其形久伤其神重伤其命萎羸声 躁哭皮皱项软足垂唇焦骨露但见眼
有晴先将久气散神败凡人生子究乳为上独以谷食扶持十士未保一二抑服丸散堪笑强为勉之急
假乳荫庶传为人死中半活矣
议曰初生未及荫乳洗罢便用断脐带留一握绵裹三重受气根全者其脐自深成胎数关者其脐
自突
脐者受质之根也为人之本也形体之基也元命之寿也迭月之前一腊之后其儿脐红高肿不作水湿
亦无风候但将胸堂仰起呃呃作声阖家无见责之皂妪有伤脐带致之非也召愚一观察知心气受之
胎热与利丁火少项不展胸堂呃声遂止越宿视之脐根后本医工与传及洗总施谬妄故书于楮果其
宜哉谩举颐以诮之云耳
原夫胚胎血气本自调顺既成胎孕有失将护致使胎气不安转动不常冒触根本初生幼幼邪正
相干
易得其病今述一十五篇概而举之欲使智者察其已身所受轻重所发逆顺调治可否鞠育持令产妇
以正其神养其血和其气使乳汁温平儿得调顺虽有疾作而自安平过半矣重则减之为轻轻则去疾
之容易勿谓轻之为重重则候变而作祸矣于戏万物之中所尊贵者惟人肖天地生成之道故难值其
安静犹体颐淳和之脉把纯素浑朴之怀合清湛之渊源纳运成之脏腑嗟乎受胎无益于形有伤加之
以药诚在出不得已而致之若在胎内失调初生宜其和益若在初生失理则于襁褓之间而疗之顺平
而愈若也受之变蒸数足其所患犹未除散遂成宿疾终身之咎也其儿所受胎气不足为患非伤肢害
体者并可与整使其平复获幸之甚良工尽心斯为妙矣
议论说：幼儿尚未成形时身处胞胎，依靠母亲的气血滋养荫护，就像培育植物一样。出生之后，继续按时用乳汁喂养，乳汁能化生气血，敷布养育肌肤，使百脉流通调和，三焦颐顺，身体四肢逐渐舒展，骨力逐渐强壮。三年所受的庇护，是一生的幸运。如果母亲因为生产得病，导致血竭气耗，乳汁无法生成，应当召请奶妈照顾。贫乏之家食物供应不上，怎么能谋求生计？如果乳汁少而辅食多，不仅无益于婴儿的身体，反而会导致疾病。那些没有乳汁的妇女抱着幼子延续宗嗣，整夜啼哭，只能喂食饭食。起初损伤其气，接着损伤其形，长久则损伤其神，严重则危及生命。表现为消瘦羸弱、声音嘶哑躁动、皮肤皱缩、颈部软弱、足部下垂、嘴唇焦裂、骨骼显露。只见眼睛有神采但目光涣散，这是久病气散、神气败坏的表现。大凡人生下来，以母乳喂养为上策，仅靠谷物食物扶持，十个人中保不住一两个。况且服用丸药散剂，实在可笑，强行勉为其难，急切地假借乳荫（指代其他替代喂养方式），这简直是让人在死亡边缘徘徊，半死半活罢了。
议论说：初生婴儿未满月吃奶前，洗完澡后便使用断脐带，留一握绵裹三重。元气充足者，其脐窝自然深；受胎关窍不足者，其脐自然突出。脐是禀受体质的根本，是人的本原，是形体基础，是元命寿命所在。在分娩前一个月或后一个月内，婴儿脐部发红高肿，不产生水湿，也没有风邪证候。只需将胸部仰卧抬起，发出呃呃的声音，全家不要责怪接生婆，是因为损伤了脐带所致，并非错误。召我观察，知道是心气受胎热影响，且利丁火（此处指代某种病理状态或治疗手段，结合上下文理解为调节心火/下焦之火），片刻后胸堂不再伸展，呃逆声随即停止。过一夜再看，脐根后方原本医工与传习洗脐之人施行的方法都是谬妄错误的，所以写在纸上，果然适宜啊！随意列举这些来讥笑他们罢了。
推究胚胎时期，气血本自调顺，既然形成胎孕，若失于将护，致使胎气不安，转动不常，冒触根本，初生幼儿邪正相干，容易患病。现在陈述十五篇内容，概略列举，想要使聪明的人察知自身所受病情的轻重，发病的逆顺，调治是否可行。鞠育持守，令产妇端正精神，滋养血液，调和气机，使乳汁温平，婴儿得以调顺。即使有病发作，也能自行平安过半。病情重则减轻为轻，轻则去除疾病容易。不要认为轻的会变成重的，重的会等待变化而酿成灾祸。唉！万物之中，最尊贵的是人，效法天地生成的道理，所以难以求得其安静。犹如体察淳和之脉，怀抱纯素浑朴之心，合于清湛之渊源，容纳运化的脏腑。嗟乎！受孕对形体有益，但若加以药物伤害，确实是在不得已的情况下才这样做。如果在胎内失调，初生时宜于调和补益；如果在初生时失理，则在襁褓之间进行治疗，顺应平和即可痊愈。如果等到变蒸之数足，其所患仍未除散，遂成宿疾，成为终身之咎。其儿所受胎气不足为患，非伤肢害体者，并可与整使其平复，获得幸运是非常好的。良工尽心，这才是妙道啊。
Discourse states: Before the infant takes form within the womb, it relies on the mother's Qi and Blood for nourishment and protection, much like cultivating a plant. After birth, continued feeding with breast milk allows the milk to transform into Qi and Blood, spreading and nurturing the skin, muscles, and meridians. This ensures the smooth flow of the hundred vessels (Hundred Meridians), harmonizes the San Jiao (Triple Burner), and gradually relaxes the body and limbs, strengthening bone power. The care received during the first three years is a lifelong blessing. If the mother falls ill due to childbirth, leading to exhaustion of blood and Qi, resulting in insufficient milk production, a wet nurse should be summoned. In impoverished families where food supplies are inadequate, how can they manage? If milk intake is low but solid food intake is high, it does not benefit the infant's body and may cause disease. Women without milk holding young children to continue the family line may cry all night and resort to feeding them rice gruel. Initially, this damages their Qi; subsequently, it damages their physical form; over time, it damages their Shen (Spirit); severely, it endangers their life. Manifestations include emaciation, hoarse and restless voice, wrinkled skin, weak neck, drooping feet, cracked lips, and exposed bones. Although the eyes may appear clear, the gaze is scattered, indicating dissipated Qi and ruined Spirit from chronic illness. Generally, breastfeeding is superior for newborns. Relying solely on grain-based foods, only one or two out of ten infants survive. Moreover, administering pill and powder medicines is laughable; forcing such measures and urgently seeking alternative nourishment is akin to keeping the child half-dead and half-alive.
Discourse states: For newborns under one month old, before nursing, after bathing, the umbilical cord stump is wrapped with a handful of cotton layered three times. Infants with complete Yuan Qi (Original Qi) naturally have deep umbilical cavities, while those with incomplete conception "gates" (referring to constitutional strength) have protruding umbilici. The umbilicus is the root of constitution, the foundation of humanity, the base of the physical form, and the longevity of Yuan Ming (Vital Life). Within a month before or after delivery, if the infant's umbilicus becomes red and swollen without exudate or wind-pathogen signs, simply elevating the chest causes an "eh-eh" sound. Families should not blame the midwife, as this results from handling the umbilical cord, not error. Upon my observation, I determined that Heart Qi was affected by fetal heat and Ding Fire (a reference to regulating lower jiao fire or specific pathological heat). Shortly after, the chest stopped expanding, and the hiccupping ceased. Viewing the infant the next day, the previous methods used by medical workers and those taught for washing the umbilicus were erroneous. Thus, I recorded this, which proved appropriate, merely listing these points to ridicule their ignorance.
Investigating the embryonic stage, Qi and Blood are originally harmonious. Once pregnancy is established, lack of proper care leads to unstable fetal Qi, irregular movement, and damage to the root. Consequently, newborns are susceptible to pathogenic factors clashing with healthy Qi. Herein, fifteen chapters are presented to summarize common conditions, enabling wise practitioners to assess the severity and favorable/unfavorable nature of the disease, and determine the feasibility of treatment. By guiding mothers to calm their spirits, nourish blood, and harmonize Qi, ensuring warm and balanced milk, infants remain regulated. Even if illness occurs, it often resolves spontaneously. Severe cases become mild; mild cases are easily cured. Do not assume mild conditions worsen or severe ones wait for complications to arise. Alas! Among all things, humans are most precious, mirroring the Dao of Heaven and Earth, yet achieving tranquility is difficult. It is like examining a pure and harmonious pulse, embracing simplicity and purity, aligning with clear origins, and containing the transforming organs. Sigh! Conception benefits the form, but medicinal intervention should only be used when absolutely necessary. If there is imbalance in utero, harmony and tonification should be applied at birth. If mismanagement occurs post-birth, treatment within the swaddling period following peaceful principles leads to recovery. However, if waiting until the completion of Bian Zheng (physiological transformations in infancy) leaves symptoms unresolved, chronic diseases ensue, becoming lifelong burdens. Cases involving insufficient fetal Qi that do not harm limbs or the body can be restored to balance with great fortune. A skilled practitioner devoting themselves to this is truly masterful.