议曰气和乃升降安乐之由也气逆则壅结疾病之致也幼幼有患盘肠非暴所得元由气郁积久
不散荣壅卫结五脏六腑无一舒畅其气乘虚发作衮流上下筑隘子肠胃之间有声 HT 连连
而设如猫HT 恶视之不忍何以所堪差乎一身四大无主又有吊肠一症寒气壅结内不伸舒虽不引气
鼓动脏腑胸堂与脐上上吊促躬曲伛偻就忍疼痛二候既作骇医惊众然俱气所患受发不同盘肠
宜以匀气散加沉香煎服之无不愈吊肠当用真珠丸加以沉香乳香煎钓滕汤送下微通即瘥然后更
与调气顺助根本方佳胜也
议曰咳嗽属肺经所主肺主气外属皮毛腠理凡诸牙儿婴儿日夜切与保持母令风吹脑囟背腠
致使
肺受寒邪咳嗽不已作热多痰若被风吹即曰感受次弟传之五脏虚处即任所入盖初生儿气微易得
传变良由顿动五脏有伤和气五脏不和三焦不顺故有传变是以我生于一肾水也肾主虚邪生我在
五脾土也脾主食吐逆虚痰四肢唇口我生于三肝木也肝主风癫痫眼目克我即二心火也心主惊恐
悸顽涎血脉HT 脸甚嗽传受或吐逆或痰涎或厥冷或恐悸至眼目两睢黑紫如被物伤成重发痫古人
云久嗽成痫谓药力不及候已传过难可调理预当告之
议曰产妇血败者当下荣者化乳血下不尽母致其疾乳有不调儿招其病凡儿吻其乳有不到于
胸堂
气滞积隘或冷或馊故以 出或问之无恙否曰不宜也久 令儿神困力乏气怯肌羸脾家若虚逐作
痫疾及至成疾脾风定矣初生与周 之儿胃气未备谷食未登全藉吻乳怏如无恙自然脏腑充百脉
顺肌体壮神气清幼幼失乳如人绝食食为根本资养性命岂可绝乎乳幼本只柔弱血气轻微脏腑浅
薄根基危脆岂可失乎乳之若失乖缪甚多乳之若绝性命难保其或母用性不顺则气血乱气血乱则
乳汁不和乳汁不和令儿 逆宜其速与 理若作寻常必致害生小沉香煎及盐豉丸兼与服之当
钦其验乳母宜服藿香正气散加枳术至良
议曰：气机调和是升降有序、身心安乐的根本原因；气机逆乱则是壅滞结聚、引发疾病的根源。婴幼儿患“盘肠”之症，并非突然发生，原本是由于气机郁结日久不散，导致营气壅滞、卫气结聚，五脏六腑没有一处能够舒畅。此时邪气乘虚发作，上下奔流，冲击肠胃之间，发出连续的声音，如同猫叫一般，令人不忍直视，痛苦不堪。此时全身四大（地水火风）无主，又有“吊肠”一症，因寒气壅结在内，无法舒展。虽然不引起气机鼓动脏腑，但会导致胸部与脐上部位向上牵引，身体弯曲佝偻，强忍疼痛。两种病症发作时，令医者惊骇，众人震惊。然而二者虽同为气机所患，但发病机理不同。“盘肠”适宜使用匀气散加沉香煎服，无不痊愈；“吊肠”应当使用真珠丸，加沉香、乳香，用钓藤汤送下，待大便微通即可好转，然后再给予调理气机、顺助根本的方剂更为佳妙。
议曰：咳嗽属于肺经所主。肺主气，外合皮毛腠理。凡是婴儿，日夜都要小心呵护，避免让风吹到头部囟门、背部腠理，致使肺受寒邪而咳嗽不止，进而化热生痰。若被风吹即称为“感受”。病邪次第传变至五脏虚弱之处，便任由其侵入。大概因为初生儿元气微弱，容易传变，良由触动五脏，损伤和气，导致五脏不和、三焦不顺，所以有传变之说。因此，我生于肾水，肾主虚邪；我生于脾土，脾主食吐逆、虚痰及四肢唇口；我生于肝木，肝主风、癫痫、眼目；克我者为心火，心主惊恐、悸动、顽涎、血脉及面部色泽。咳嗽传变，或出现吐逆，或痰涎，或厥冷，或恐惧悸动，直至眼目两眶黑紫，如同被物击伤而成重症癫痫。古人云：“久嗽成痫”，谓药力不及，候已传过，难以调理。预先应当告知家属。
议曰：产妇若血败者，当下行；若荣血能化为乳汁，则血下不尽，母亲因此致病，乳汁不调，婴儿招致疾病。凡婴儿吮吸乳汁，若有不到胸堂之气滞积于隘道，或因冷或因馊，故而出问题。有人问是否无恙？答曰：不宜也。长久如此令婴儿神困力乏、气怯肌瘦，脾家若虚，逐渐演作痫疾，及至成疾，即为脾风。初生及周岁左右的婴儿，胃气未备，谷食未进，全赖吮吸乳汁。倘若如无恙般自然，则脏腑充实，百脉顺畅，肌体壮实，神气清明。婴幼儿若失乳，如同人绝食，食为根本，资养性命，岂可断绝乎？乳幼本只柔弱，血气轻微，脏腑浅薄，根基危脆，岂可失乳？若失乳，乖谬甚多；若绝乳，性命难保。或者母亲性情不顺，则气血紊乱；气血乱则乳汁不和；乳汁不和令婴儿气逆，宜其速与调理。若当作寻常小事，必致害命。小沉香煎及盐豉丸兼与服之，应当钦验其效。乳母宜服藿香正气散加枳术丸，效果极佳。
Translation:
It is discussed that harmonious Qi (vital energy) is the cause of smooth ascending and descending, leading to peace and well-being; conversely, rebellious Qi leads to stagnation and accumulation, which are the origins of disease. The condition known as "Pan Chang" (Coiled Intestine) in infants does not occur suddenly; originally, it arises from long-standing Qi stagnation that fails to disperse, causing Ying (Nutritive) Qi to become congested and Wei (Defensive) Qi to knot. Consequently, none of the Zang-Fu organs can function smoothly. When pathogenic factors attack due to deficiency, Qi surges up and down, striking between the intestines and stomach, producing continuous sounds resembling a cat's meow. This sight is unbearable, and the suffering is immense. At this time, the Four Elements (Earth, Water, Fire, Wind) within the body lose their master. Another condition, "Diao Chang" (Hanging Intestine), involves cold pathogen stagnation internally without expansion. Although it does not drive Qi to stir the Zang-Fu organs, it causes pulling sensations above the chest and umbilicus, resulting in a curved, hunched posture enduring pain. When these two conditions manifest, they startle physicians and shock onlookers. However, although both are caused by Qi disorders, their onset differs. For "Pan Chang," Yunqi San (Uniform Qi Powder) with Chenxiang (Aquilaria Wood) decocted should be administered, ensuring recovery. For "Diao Chang," Zhenzhu Wan (Pearl Pill) with Chenxiang (Aquilaria Wood) and Xurong (Olibanum) decocted, delivered via Diaoteng Tang (Uncaria Decoction), should be used until slight bowel movement occurs, after which formulas regulating Qi and supporting the root are preferable for optimal results.
It is discussed that cough belongs to the Lung Meridian. The Lung governs Qi and corresponds externally to the skin and hair follicles (Cou Li). Infants require constant care day and night to prevent wind from blowing upon the fontanelle of the head or the Cou Li of the back, which would cause the Lung to suffer from Cold pathogens, leading to persistent coughing, heat generation, and phlegm formation. If contracted by wind, it is termed "Exogenous Contraction." Pathogens transmit sequentially to the deficient areas of the Five Zang organs, entering at will. Since newborns have weak Yuan Qi, transmission occurs easily due to the disturbance of the Five Zang organs, damaging Harmonious Qi, causing disharmony among the Five Zang and obstruction of the San Jiao (Triple Burner). Thus, transmission occurs. Specifically, I am born from Kidney Water, where the Kidney governs deficiency pathogens; I am born from Spleen Earth, where the Spleen governs food retention, vomiting, deficiency-phlegm, limbs, lips, and mouth; I am born from Liver Wood, where the Liver governs Wind, epilepsy, and eyes; the element that controls me is Heart Fire, where the Heart governs fright, palpitations, stubborn phlegm, blood vessels, and facial complexion. Cough transmission may present as vomiting, phlegm-saliva, cold extremities, or fear/palpitations, eventually leading to dark purple discoloration around the eyes, resembling trauma-induced severe epilepsy. Ancients stated, "Long-term cough becomes epilepsy," meaning medicinal power is insufficient once the pattern has transmitted, making regulation difficult. This should be communicated to families in advance.
It is discussed that if a postpartum woman suffers from "Blood Failure," the blood should descend; if Nutritive Blood transforms into milk, incomplete descent of blood causes maternal illness, leading to irregular milk quality, which invites disease in the infant. When an infant suckles, if Qi stagnates in the narrow passages due to failure reaching the chest, whether from cold or sourness, problems arise. One might ask if the infant is unharmed; the answer is no. Prolonged such states cause mental fatigue, weakness, timidity, and emaciation. If the Spleen becomes deficient, it gradually evolves into epilepsy, specifically Spleen Wind. Newborns and one-year-olds have immature Stomach Qi and have not yet consumed solid food, relying entirely on breast milk. If natural and unharmed, the Zang-Fu organs fill, meridians flow smoothly, the body strengthens, and Spirit remains clear. Infant loss of milk is like adult starvation; food is the foundation sustaining life, how can it be cut off? Nursing infants are inherently weak, with slight Qi and Blood, shallow Zang-Fu, and fragile foundations; how can they lose milk? Loss of milk brings many deviations; cessation of milk threatens life. If the mother’s temperament is adverse, Qi and Blood become chaotic; chaotic Qi and Blood lead to inharmonious milk; inharmonious milk causes infant Qi rebellion. Immediate regulation is necessary. Treating this as trivial will inevitably cause harm or death. Xiao Chenxiang Jian (Minor Aquilaria Decoction) and Yanchi Wan (Salted Soybean Pill) should be administered concurrently, proving effective. The nursing mother should take Huoxiang Zhengqi San (Agastache Powder to Rectify the Qi) with Zhizhu Wan (Immature Bitter Orange and Atractylodes Macrocephala Pill) for excellent results.