议曰外名膀胱内通肾脏一处承受三经所传其外肾冷热皆由心气主之心经有热热入小肠或
赤或
白或淋或涩心经有寒寒流膀胱或秘或疝或肿或光凡儿初生两个石子俱大光浮名曰卵肿一边差
大名曰偏坠盖由惊气所行传受于中或母怀孕惊忧之气不散胞胎之间儿亦受之所以生下便有卵
肿外宜黑散敷之内用清心顺之黑散者用黄连黄芩大黄黄柏等分烧留性为末猪胆汁同蜜调敷之
立效清心以犀角地黄膏与服若有热大连翘饮宿夜安定晨朝庆之
议曰初生牙儿至于长大三焦四体五脏九窍皆持全功不作疮疾晋元因良妇善护胞胎不贪淫
欲从
已受胎至于降生更不交侵男女实幸其儿气血相参荣卫相顺脏腑自和皮肤自滑一见儿孩肌肤头
面斯
可知之矣呜呼为人起根成自一点不净之物处母胎中渐敷形状临产之时真智相投以随业力而生
其
有匹夫匹妇何以知其至理恣心合意即于临产之月尚行房事以乱其气以伤其脉以耗其神以败其
血儿生之后遍身痍溃满头疮疡精神不爽啼哭烦躁并是胎内所受以秽触净以邪于正贤士明公不
言而唯愚鲁鄙野岂可告哉谨书请鉴切幸听之
议曰凡儿禀赋胎气充实三关九窍五脏六腑内外呼吸上下贯通流行百脉正顺三焦者皆由所
协无
命自然之气也凡产牙儿三朝五日六晨一腊忽然鼻塞吻乳不能开口呼吸者多是乳母安睡之时不
知持上儿子鼻中出息吹着儿囟或以水浴洗用水温冷不避风邪所以致儿鼻塞宜与通关膏敷之消
风散服之或有惊悸作热杜薄荷散与服通关膏用白僵蚕猪牙皂角荆芥香附子川芎细辛等分为末
议曰：外名为膀胱，内通肾脏，这一处承受了三条经脉所传之邪。其外肾（睾丸）的冷或热，皆由心气所主宰。若心经有热，热邪传入小肠，则小便或赤或白，或淋沥不畅，或涩痛；若心经有寒，寒邪流注膀胱，则小便闭塞、疝气，或肿胀、阴囊光亮。凡是婴儿初生时，两个睾丸都肿大且光亮浮肿，名叫“卵肿”；若一边大一边小，名叫“偏坠”。这大多是由于惊气运行，传受于体内所致。或者是母亲怀孕时，因惊恐忧虑之气不散，积聚在胞胎之间，胎儿也受到了影响，所以出生后便有卵肿。外治宜用黑散敷贴，内服清心顺气之药。所谓黑散，是用黄连、黄芩、大黄、黄柏等量烧制成存性炭末，用猪胆汁和蜂蜜调匀后敷贴，立见疗效。清心可用犀角地黄膏服用。若有热证，服用大连翘饮，通宵安定，早晨便庆贺痊愈。
议曰：初生的婴儿直到长大，三焦、四肢、五脏、九窍都保持完整功能，不患疮疾。晋元认为，这是因为良家妇女善于保护胞胎，不贪恋淫欲，从受孕到分娩，期间不与丈夫交合，这是男女双方的幸运。因为这样，婴儿的气血相互参合，营卫之气顺行，脏腑自然调和，皮肤自然光滑。一看到婴儿的肌肤、头部和面部，就可以知道了。唉！人的根本起源来自一点不净之物，处在母胎中逐渐形成形状。临产之时，真智相投，随着业力而生。那些普通百姓夫妇，怎么能知晓其中的至理呢？他们放纵心意，甚至在临产之月还进行房事，从而扰乱了气机，损伤了血脉，耗散了精神，败坏了血液。婴儿出生后，遍身溃烂，满头疮疡，精神不爽，啼哭烦躁，这些都是因为在胎内受到秽浊之气触碰洁净之体，以邪气干扰正气所致。贤士明公不言而唯愚鲁鄙野岂可告哉谨书请鉴切幸听之
议曰：凡是婴儿禀赋胎气充实，三关九窍、五脏六腑内外呼吸上下贯通，百脉流行正顺三焦者，都是由所协无命自然之气也。凡产牙儿三朝五日六晨一腊忽然鼻塞吻乳不能开口呼吸者多是乳母安睡之时不知持上儿子鼻中出息吹着儿囟或以水浴洗用水温冷不避风邪所以致儿鼻塞宜与通关膏敷之消风散服之或有惊悸作热杜薄荷散与服通关膏用白僵蚕猪牙皂角荆芥香附子川芎细辛等分为末
Translation:
It is said that the bladder, externally named and internally connected to the kidneys, receives pathogenic factors transmitted from three meridians. The cold or heat of the external genitalia (testes) is governed by the Heart Qi. If there is heat in the Heart meridian, the heat enters the Small Intestine, resulting in urine that is either red or white, or dysuria (painful urination), or difficult and painful urination. If there is cold in the Heart meridian, the cold flows into the Bladder, leading to urinary retention, hernia, swelling, or a shiny scrotum. When an infant is born with both testes swollen and shiny, it is called "scrotal edema" (egg swelling); if one side is larger than the other, it is called "indirect hernia" (one-sided descent). This is mostly due to the transmission of fright qi within the body. Alternatively, if the mother experiences unresolved fright and anxiety during pregnancy, these emotions accumulate in the fetal sac, affecting the fetus, thus causing scrotal edema after birth. Externally, apply Heisan (Black Powder); internally, administer herbs to clear the Heart and regulate Qi. Heisan is made by equal parts of Coptidis Rhizoma (Huanglian), Scutellariae Radix (Huangqin), Rheomi Radix et Rhizoma (Dahuang), and Phellodendri Cortex (Huangbai), calcined until carbonized but retaining their properties, then ground into powder. Mix with pig bile and honey for topical application, yielding immediate results. For clearing the Heart, use Xijiao Dihuang Gao (Rhinoceros Horn and Rehmannia Paste) orally. If heat symptoms persist, administer Dalianqiao Yin (Great Forsythia Decoction); the child will rest peacefully through the night and recover by morning.
It is said that from infancy to adulthood, the Sanjiao (Triple Burner), limbs, five Zang organs, and nine orifices maintain complete functions without suffering from sores. Jinyuan believes this is because virtuous women protect the fetal sac well, avoiding lust. From conception to birth, they abstain from sexual intercourse, which is fortunate for both parents. In such cases, the infant's Qi and Blood harmonize, Ying and Wei (Nutritive and Defensive Qi) flow smoothly, the Zang and Fu organs are balanced, and the skin is smooth. Observing the infant's skin, head, and face reveals this truth. Alas! Human origin stems from a small amount of impure substance, gradually taking shape in the womb. At birth, wisdom aligns with karmic forces. Ordinary couples may not understand this profound principle; they indulge in desires, even engaging in intercourse during the month before delivery, thereby disrupting Qi, damaging vessels, exhausting spirit, and corrupting blood. After birth, the infant suffers from widespread ulcers, head sores, mental unrest, crying, and irritability, all caused by exposure to turbid influences while in the womb, where evil interferes with righteousness. Wise scholars do not speak of this, but how can ignorant people be informed? I record this for your careful consideration.
It is said that infants with strong prenatal Qi have open passages between the three gates and nine orifices, harmonious internal and external respiration, unobstructed upper and lower connections, and smooth circulation of hundred vessels following the Sanjiao. This is due to natural Qi coordination. However, newborns aged three days to one month may suddenly suffer nasal congestion, inability to suckle, open mouth breathing, etc. This often occurs when the nursing mother sleeps carelessly, blowing air from her nose onto the infant's fontanelle, or bathing the infant with water of inappropriate temperature, exposing them to wind-cold pathogens. To treat nasal congestion, apply Tongguan Gao (Passage-Opening Ointment) externally and take Xiaofeng San (Wind-Expelling Powder) internally. If palpitations and fever occur, administer Dubohé San (Mint Powder). Tongguan Gao consists of equal parts of Bombyx Batryticatus (Baijiangcan), Gleditsiae Sinensis Fructus Spina (Zhuyazao), Schizonepetae Herba (Jingjie), Cyperi Rhizoma (Xiangfuzi), Ligusticum Chuanxiong Rhizoma (Chuanxiong), and Asari Radix et Rhizoma (Xixin), ground into powder.