议曰凡儿胎气不充实关窍不通利盖由禀赋不足胞养有亏脏伤肾经肾为根本水之一数也外
应耳
孔或云水入耳或曰乳汁入耳较之即非儿生气脉根壮脏腑固实虽水及乳入耳必不此作自是气不
充脉不实使之然也儿无补肾之方但清心肺而已初生之儿而有作尤甚重也卒难疗理用药敷糁
少愈愈而复发至于过周与服黄 白茯苓人参白芍药川当归熟地黄甘草等分作汤剂以固其内内
若固实不必掺传亦自瘥愈掺方用壁上蜘蛛一枚瓦上火干坯子白矾脑子麝香各少许同研令匀鸡
羽引入自愈
议曰儿生七日之内大小便有血出者此由胎气热盛之所致也母食浓酒细面炙爆腌咸等流入
心肺
儿在胎内受之热毒亦传心肺且女子之脏其热即入于心故小便有之男子之脏其热即入于肺故大
便有之血出淡淡有似坯水盛则其血加鲜凡遇有此不可它药尽以生地黄根研取自然汁五七匙一
二匙蜜半匙和匀温温与服移时安愈男皆效不请医甘露饮宜莫与服不必地黄黄一无恙勿自忘投
丸散徒咎矣
议曰母患血热儿在胎中受之其血亦热母气壅儿在胎中受之亦壅幼气壅聚在经络脏腑之间
积滞
不散毒瓦斯相交内不通利即从外消外无能消其血与气壅在一处多是生皆膂或脊督脉肿大如拳红
赤似血其儿本体是一块腐血又加生块壅毒卒未能消医有何法若述之士全不劳苦以针矢熨柄取
次攻之十不得一处敷用朴硝天南星川当归秋芙蓉叶黄蜀葵花乳香木鳖无名异其壅已熟即研白
丁香少许津唾调敷绿豆大良久破溃脓血送出宜先与服HT 里排脓消毒散热药宜用生甘草栝萎
根
苦梗桔梗北枳椟川当归绵头漏芦锦纹大黄等分为末服一钱七煎热与服以利为度克效万一不可
荒乱意欲速消以恶毒草药致咎难保苦哉
议曰：凡是小儿胎气不充实，关窍不通利，大概是由于禀赋不足、胞养有亏，导致脏伤肾经。肾为根本，属水之一数也，外应于耳孔。有人说水入耳，或者说乳汁入耳，比较起来并非如此。小儿生气脉根壮，脏腑固实，即使水和乳汁进入耳朵，必定不会因此发病。这完全是因为气不充、脉不实所导致的。对于小儿没有补肾的方子，只能清心肺而已。初生的小儿如果病情严重，很难治疗调理，用药敷撒后稍微好转，但容易复发。至于过周岁后，服用黄耆、白茯苓、人参、白芍药、川当归、熟地黄、甘草等分量的药材，煎汤剂以固护其内。体内若已固实，不必掺药传变，也会自然痊愈。掺药方用壁上蜘蛛一枚，在瓦上烘干，坯子（指某种辅料或载体）、白矾、脑子（冰片）、麝香各少许，一同研匀，用鸡羽引入耳中，即可自愈。
议曰：小儿出生七日之内，大小便出血，这是由胎气热盛所致。母亲食用浓酒、细面、炙烤爆炒、腌咸等食物，热气流入心肺，胎儿在母体内受到这种热毒，也传至心肺。而且女子的脏器，其热即入于心，所以小便出血；男子的脏器，其热即入于肺，所以大便出血。血出颜色淡淡，好似坯水，严重时血色鲜红。凡遇到这种情况，不可用其他药物，全部用生地黄根研磨取自然汁，五七匙，加一二匙蜜，半匙调和均匀，温温地给患儿服用，不久即可安愈。对男孩都有效，请不要让医生开甘露饮，也不要随意投服丸散，以免徒增过错。
议曰：母亲患有血热，胎儿在胎中受之，其血亦热；母亲气壅，胎儿在胎中受之，亦壅滞。幼小的气壅聚在经络脏腑之间，积滞不散，毒瓦斯相交，内不通利，就从外部消散。外部无能消解其血与气壅在一处，多是出生后脊背或督脉肿大如拳，红赤似血，其儿本体是一块腐血，又加上生块壅毒，突然未能消除，医生有什么办法？如果叙述的是士全（人名或特定病症名，此处疑为“是症”或特定病名，依原文保留）完全不劳苦，用针矢熨柄取次攻之，十不得一处。敷用朴硝、天南星、川当归、秋芙蓉叶、黄蜀葵花、乳香、木鳖、无名异，其壅已熟即研白丁香少许，津唾调敷绿豆大，良久破溃脓血送出。宜先与服用托里排脓消毒散热药，宜用生甘草、栝萎根、苦梗、桔梗、北枳椟（应为枳壳或枳实之误，依原文）、川当归、绵头漏芦、锦纹大黄等分为末，服一钱七分，煎热与服，以利为度，克效万一。不可荒乱，意欲速消，以恶毒草药致咎难保，苦哉。
Translation:
Discussion: Generally, when a child's prenatal qi is not substantial and orifices are not unobstructed, it is due to insufficient endowment and inadequate prenatal care, leading to injury of the zang organs and the Kidney Meridian. The Kidney is the root, belonging to the element of Water, and externally corresponds to the ear canal. Some say water enters the ear, or breast milk enters the ear; however, comparison shows this is not the case. If a child's vital qi pulse root is strong and zang-fu organs are solid, even if water or milk enters the ear, it will certainly not cause disease. This is entirely caused by deficient qi and weak pulse. There is no specific formula for tonifying the Kidney in children; one can only clear the Heart and Lungs. For newborns with severe conditions, treatment is difficult. After applying medicinal powders, slight improvement may occur, but relapse is common. For children over one year old, administer a decoction made of equal parts of Huangqi (Astragali Radix), Baifuling (Poria), Renshen (Ginseng Radix), Baishao (White Peony Root), Chuan Danggui (Angelicae Sinensis Radix), Shudihuang (Rehmanniae Radix Praeparata), and Gancao (Licorice Radix et Rhizoma) to consolidate the interior. If the interior is consolidated, external application is unnecessary, and spontaneous recovery will occur. For external application, use one wall spider, dried on a tile, along with small amounts of pizi (substrate/vehicle), Baijian (Alumen), Naobi (Borneol), and Shexiang (Musk). Grind uniformly, apply using a chicken feather into the ear, and it will heal spontaneously.
Discussion: If a child passes blood in stool or urine within seven days after birth, this is caused by excessive heat in the prenatal qi. The mother's consumption of strong wine, fine flour, roasted/fried foods, and salty pickles generates heat that flows into the Heart and Lungs. The fetus absorbs this heat-toxin in utero, which also transmits to the Heart and Lungs. In females, heat enters the Heart, causing hematuria; in males, heat enters the Lungs, causing hematochezia. The blood appears pale, resembling muddy water, but becomes bright red if severe. In such cases, do not use other medications. Instead, grind fresh Shengdihuang (Rehmanniae Radix) to extract its natural juice, mix 5-7 spoons with 1-2 spoons of honey and half a spoon of another ingredient (text unclear, likely water or more honey), warm it, and administer. The child will recover shortly. This is effective for boys. Do not prescribe Ganlu Yin (Sweet Dew Decoction) or arbitrarily administer pills/powders, as this may cause harm.
Discussion: If the mother suffers from blood heat, the fetus absorbs it, resulting in hot blood; if the mother has qi stagnation, the fetus absorbs it, resulting in qi obstruction. The infant's qi stagnates in the meridians and zang-fu, where accumulation fails to dissipate. Toxic vapors interact, internal obstruction occurs, and pathology manifests externally. Unable to resolve the blood and qi stagnation internally, they accumulate together, often resulting in swelling on the back or Du Meridian post-birth, resembling a fist, red and bloody. The child's body essentially contains putrefied blood combined with new masses and toxic stagnation, which suddenly cannot be resolved. What method does the physician have? If discussing [specific condition/person], without laboring excessively, use needle points or moxibustion handles to attack sequentially, though success is rare. Apply a paste of Puxiao (Natrii Sulfas), Tiannanxing (Arisaematis Rhizoma), Chuan Danggui (Angelicae Sinensis Radix), Qiufurongye (Hibisci Sabdariffae Folium), Huangshukuihua (Abelmoschi Moschatus Flos), Rushen (Frankincense), Mubiezi (Strychni Semen), and Wumingyi (Fossil Bone). When the abscess matures, grind a small amount of Baixiang (Cardamomi Fructus), mix with saliva, apply pea-sized doses. After some time, it will rupture, discharging pus and blood. First, administer formulas to support the interior, drain pus, detoxify, and clear heat, such as equal parts of Sheng Gancao (Raw Licorice Radix et Rhizoma), Gualougen (Trichosanthis Radix), Kugen (Bupleuri Radix), Jiegeng (Platycodonis Radix), Beizhidu (likely Zhiqiao/Zhishi), Chuan Danggui (Angelicae Sinensis Radix), Miantou Lulü (Euphorbiae Pekinensis Radix), and Jinwen Dahuang (Rhei Radix et Rhizoma). Grind into powder, take 1.7 qian, decoct in hot water, and administer until bowel movement occurs for efficacy. Success is uncertain. Do not act recklessly seeking rapid resolution with toxic herbs, as this endangers life, which is tragic.