世言医病与医国同一源流国以新造之病为难攻人以幼稚之疾为难疗新造之国病在于人心
之未孚法制之未备故事不厌乎议如周人之于市郑人之于乡校是已幼稚之童病在于气血之未全
筋脉
之尘言其有箦笋而蟹蟛蜞者几希奚兹演翁口议之所由作也翁质直而不华雅朴而实辩如议证议
药议诸氏之方皆凿凿乎如老法吏之议刑辟丝发不可以动移求之文理诚若不足索之义理沛然有
余凤髓玉诀政亦不容多逊也或曰轮人之轮庖丁之牛应之于手得之于心盖非区区口耳所能造今
议以口为言其视莫能教子不见全牛之妙迳庭盖可知已吁有是哉使释凿而特以原本为第一议曰
乳哺曰食忌曰伤怜不必议可也然且以不绝于口翁之此意岂独为金HT 工计哉有能以幼幼为心宝有
其书圭复其说宛如省翁之耳提面命将护于震夙之初调理于生育之后于其疾乎何忧其或以竖子
之梗为予告亦将语之曰翁有口议在由是幼吾幼以及人之幼挈而同归寿域中此翁之初心然也然
则是议也又当求诸省翁之心谨母曰膝HT 口说
时岁在癸未梅月朔且石峰熊槐书
按魏氏前序云求之文理诚若不足兹则不敢妄喙妒就议中述其切要一二言之讥者幸鉴
一儿在胞胎必须饮食有常起居自若便神全气和胎气常安生子必伟
一怀娠之后最忌食热毒等物庶儿孩降生儿有脐突疮瘫等患
一乳母常须养其血和其气乐以忘忧使乳汁温平纵儿疾作自安平过半矣
一婴儿平常无病不必服药饵恐遇疾不即为效
一初生儿必忌外客所触庶免致客忤热古人所以忌客一脯
一儿孩不宜食肉太早伤及脾胃免致虫积疳积
一儿孩变蒸作热非谓其病虽不药自愈
一小儿受病在脐有自愈者故先贤惟理其脏未言其腑腑阳脏阴如麻子一症乃是腑病
一小儿颅囟未合乃气虚所致勿视为寻常
一儿生谷道无穿多至不救药无速验必假物透以通之
一惊风发搐手足不定执捉恐风痫逆入经络废害肢体
一小儿母容入神庙中恐神情闪烁必生怖畏
一小儿笑极与和哭极与乐睡思既浓母使吐嚼
一儿患吐泻女吐男泻是为急症吐泻不止脾虚风即生急宜疗之
一儿患疮疹发惊不可下惊药有热不可用退热药有汗不可止汗或吐不可理吐或下亦有可不
一儿患鼻孔黑如煤耳叶廊焦黑目翻指甲黑作鸦声或吼叫数声及手寻父娘衣皆无可治疗
一药忌脑麝HT 粉水银及用针艾尤忌砒毒皆不可轻用
一食忌甜成疳饱伤冷成积肥生痰如焦苦辛辣馊酸恐毒尤不可食
世人常说,医治疾病与治理国家有着相同的源头。国家处于刚刚建立、百废待兴的状态时,其弊病难以攻克;人处于幼年稚嫩的阶段,其疾病难以治疗。新建的国家,问题在于人心尚未信服,法制尚未完备,因此事情不厌其烦地需要议论,就像周朝人在集市上议论政事、郑国人在乡校中评议政务一样。年幼的儿童,问题在于气血尚未充盈,筋脉尚未坚固。如果说有像竹笋那样迅速生长、像螃蟹小钳子那样微小却坚实的生命力,这样的例子太少了。这就是《口议》这部著作产生的缘由。
曾翁(曾世荣)本性正直而不浮华,质朴而实在善辩。无论是讨论证候、讨论药物,还是评议各家方剂,都确凿无疑,就像老练的法官审议刑罚一样,毫厘之差都不能移动。如果从文章辞藻的角度看,或许显得不足;但如果探究其中的义理,则充沛有余。即使是凤凰的髓玉般的秘诀,恐怕也不能多过他吧。
有人说,造车匠人的车轮、庖丁解牛,都是手应于心、心得于手,这绝非仅仅靠口耳相传所能达到的境界。如今曾翁以“口”为言来著书,这与那些不能教导子女、看不见全牛奥秘的人相比,高下立判,差距之大显而易见。唉,确实是这样啊!如果能放下繁琐的言辞,特别以追溯本源为第一要务,那么关于乳哺、饮食禁忌、伤怜等方面的论述,其实不必过多议论即可明白。然而曾翁依然不停地以此告诫世人,他的这番心意,难道仅仅是为了工匠们考虑吗?如果有谁能以爱护幼儿的心为本,珍视这本书,恢复并践行其中的学说,就像亲自聆听曾翁的教诲一样,在婴儿初生之时加以看护,在生育之后进行调理,那么对于幼儿的疾病还有什么可担忧的呢?即使遇到顽劣难治的情况,我也将告诉他:曾翁的《口议》就在那里。由此推己及人,爱护自己的幼儿进而爱护他人的幼儿,带领他们共同归于长寿安康的境界,这正是曾翁的初心所在。因此,对于这篇议论,应当深入探求曾翁的本心,千万不要把它当作肤浅的口头之谈。
时间是癸未年梅月初一,且石峰熊槐书写。
按照魏氏在前序中的说法:“探究其文理,确实显得不足。”对此我不敢妄加评论,只是选取其中切要的一两点来说明。讥讽者请鉴察。
1. 胎儿在母体胞胎中,必须保证母亲饮食有规律,起居自然,这样神气完整,和气调和,胎气常安,生下的孩子一定壮伟。
2. 怀孕之后,最忌讳食用热毒等食物,否则孩子出生后可能会有脐突、疮瘫等病患。
3. 乳母必须经常调养自己的血液,调和气息,保持快乐以忘却忧愁,使乳汁温和平稳。即使孩子生病,也能自愈过半。
4. 婴儿平时没有疾病,不必服用药物,恐怕遇到疾病时无法立即见效。
5. 刚出生的婴儿,必须忌讳被外来客人触碰,以免导致“客忤”发热。这是古人忌讳客人的原因之一。
6. 幼儿不宜过早吃肉,以免损伤脾胃,导致虫积、疳积。
7. 小儿“变蒸”时期出现的发热,并不是生病,即使不药也会自愈。
8. 小儿患病部位在脐部,有的可以自愈,所以先贤只调理脏腑,而未提及腑病。因为腑属阳,脏属阴。如麻子症,乃是腑病。
9. 小儿颅囟未闭合,是气虚所致,不要视为寻常小事。
10. 婴儿出生时肛门无孔洞,大多无法救治,药物也无快速疗效,必须借助物体穿透以通畅之。
11. 惊风发作抽搐,手足不定,抓握时恐引发风痫,邪气逆入经络,会废害肢体。
12. 不要让小儿的母亲进入神庙,恐怕神情闪烁,必然产生怖畏之心。
13. 小儿笑得太厉害,给予平和之气;哭得太厉害,给予欢乐;睡意正浓时,母亲不要吐嚼(指夜间哺乳时的习惯或动作)。
14. 小儿患呕吐腹泻,女婴吐男婴泻,属于急症。吐泻不止会导致脾虚生风,急需治疗。
15. 小儿患疮疹并发惊风,不可使用泻下药;惊药有热性,不可用退热药;有汗不可止汗;或者呕吐不可治吐,或者腹泻也可不治泻。
16. 小儿鼻孔黑如煤炭,耳廓焦黑,眼睛上翻,指甲发黑,发出鸦叫声或吼叫几声,以及手寻找父母衣服等行为,都属无可治疗的绝症。
17. 药物禁忌包括脑麝粉、水银,以及使用针艾,尤其忌讳砒毒,都不可轻易使用。
18. 饮食禁忌:甜食导致疳积,饱食损伤,冷食导致积滞,肥腻生痰。如焦苦、辛辣、馊酸等食物,恐怕有毒,尤不可食用。
It is commonly said that treating diseases and governing a state share the same origin. A newly established country is difficult to govern due to its nascent ailments, just as diseases in infants are difficult to treat due to their tender age. In a newly founded state, the difficulty lies in the people's hearts not yet being convinced and the laws and systems not yet being complete; therefore, matters require endless discussion, much like the Zhou people discussing politics in the market or the Zheng people debating in local schools. For young children, the problem lies in their Qi and Blood not yet being fully developed and their sinews and vessels not yet being firm. If one were to look for vitality akin to bamboo shoots growing rapidly or small crab claws being solid, such examples are rare. This is why *Kouyi* (Oral Discussions) was written.
Master Zeng (Zeng Shirong) possessed a straightforward nature without pretension, and was simple yet substantively eloquent. Whether discussing syndromes, herbs, or evaluating various prescriptions, his arguments were precise and unyielding, like an experienced judge deliberating on penalties, allowing no deviation by even a hair's breadth. While his literary style might seem lacking in rhetorical flourish, his grasp of underlying principles is abundant and profound. Even precious secrets like "Phoenix Marrow" or "Jade Decisions" would hardly surpass him.
Some say that a wheelwright's mastery of wheels or Cook Ding's skill in butchering oxen come from hand responding to heart and heart grasping the essence, achievements far beyond mere oral transmission. Now, Master Zeng uses "mouth" (speech/oral tradition) as the basis for his writing. Compared to those who cannot teach their children or lack the insight to see the whole ox, the difference is vast and obvious. Alas, this is indeed true! If one were to discard verbosity and prioritize returning to the source, then discussions on breastfeeding, dietary taboos, and injuries might be considered unnecessary. Yet, Master Zeng continues to admonish through speech. Is his intention merely for the sake of craftsmen? If anyone can take the care of infants as their heart, treasure this book, and practice its teachings as if receiving direct instruction from Master Zeng, providing care at the time of birth and regulation after delivery, what worry could there be regarding childhood illnesses? Even if faced with stubborn cases, I will tell them: Master Zeng's *Kouyi* is here. Thus, extending love for one's own child to others' children, leading them all to a realm of longevity and health, is Master Zeng's original intent. Therefore, when examining this discourse, one should seek it in Master Zeng's heart, and do not dismiss it as superficial talk.
Written by Xiong Huai of Qieshifeng on the first day of the Plum Month in the Guiwei year.
According to Mr. Wei's preface: "Examining its literary structure, it seems indeed lacking." I dare not rashly comment on this, but will only mention a few essential points discussed in the text. Critics are invited to inspect.
1. While in the womb, the fetus requires the mother to have regular diet and natural daily routine. When spirit is complete and Qi is harmonious, fetal Qi remains stable, resulting in a robust child.
2. After conception, one must strictly avoid consuming hot and toxic foods, lest the newborn suffer from conditions such as umbilical hernia, sores, or paralysis.
3. The nursing mother must constantly nourish her Blood and harmonize her Qi, maintaining joy to forget worries, ensuring the milk is warm and balanced. Even if the infant falls ill, half may recover spontaneously.
4. Infants without ordinary illness need not take medicine, as it may fail to take effect immediately when disease strikes.
5. Newborns must be shielded from contact with strangers to avoid "Ke Wu" (stranger-induced fever). This is one reason ancients avoided guests.
6. Children should not eat meat too early to prevent damage to the Spleen and Stomach, which could lead to worm accumulation or malnutrition syndromes (Gan Ji).
7. Fever during the "Bian Zheng" (developmental fever) period in children is not a disease; it resolves spontaneously without medication.
8. Illnesses located in the navel area in children may resolve on their own. Hence, ancient sages focused on regulating Zang organs rather than Fu organs, because Fu belongs to Yang and Zang to Yin. For example, the measles syndrome is a Fu organ disease.
9. An unclosed fontanelle in children is caused by Qi deficiency and should not be regarded as trivial.
10. Imperforate anus in newborns is often incurable, with no rapid drug efficacy; physical intervention is required to create an opening.
11. During convulsions from wind-stroke, limbs are restless. Restraint may provoke wind-phlegm or allow pathogenic factors to invade meridians, damaging limbs.
12. Mothers should not enter temples with their children to avoid fright caused by flickering lights or solemn atmospheres, which can induce fear.
13. If a child laughs excessively, provide calmness; if crying excessively, provide comfort. Do not disturb the child when sleep is deep.
14. Vomiting in female infants and diarrhea in male infants are acute symptoms. Persistent vomiting and diarrhea lead to Spleen deficiency and internal wind generation, requiring urgent treatment.
15. For children with chickenpox/rash accompanied by convulsions, purgatives are contraindicated. If the convulsive medicine is hot, cooling medicines are contraindicated. If sweating occurs, stopping sweat is contraindicated. Similarly, treating vomiting or diarrhea may sometimes be unnecessary depending on the context.
16. Symptoms such as nostrils black as coal, ears scorched black, eyes rolling back, black fingernails, crow-like sounds, roaring, or seeking parents' clothes indicate terminal conditions with no curative treatment available.
17. Medicinal taboos include musk powder, mercury, acupuncture, moxibustion, and especially arsenic poison. These must not be used lightly.
18. Dietary taboos: Sweet foods cause Gan syndromes; overeating damages; cold foods cause stagnation; fatty foods generate phlegm. Burnt, bitter, spicy, sour, or rancid foods are potentially toxic and should definitely be avoided.