夫人才生下男女忽有一症男在三五七女即二四六日奇偶之有数阴阳之显道者遂感客忤邪
干令儿肚紧青筋禁口不乳此由客情外来致袭其邪阴阳不顺胃触其正(初生男女气脉未定精神
未全不经邪气所以古人禁客一腊远其此祸)邪谓淫欲交适杀气侵临(应非礼不正之属总皆邪属
)上古医家着述繁杂难穷至要世俗虽有盖文理无灸法(血气方生岂固经络若以艾炷即为虚设)
既受此厄越日移时母泣父啼痛心待毙咸谓伤嗟谁可与活仆参执幼科传授四世HT 缘回禄之难淬
逊三纪一日扣遇高明深诘其妙方药秘传屡用获处呜呼天地生万物惟人尊贵人能稽仰于天地之
间且天地岂特害于人自是事在遇不遇之如此稍有感伤悔怨执滞于人情者多矣仆辄行小惠普济
初生躬对神聪选材修合其或高下民户生儿有被此难无问轻重不拘早晚施与良饵决定保全顿然
苏活岂小补哉
上膈胀 中浣胀 食伤膨胀
议曰膈与浣上下相承膨与胀轻重自别脘受疾久则痞闷膈作病停则郁结是和膈隐胸堂脘临
膈者犹隔也有如隔碍脘者犹管也通即流利二位皆由食伤宿冷眠卧过时停滞气不顺于三焦怯弱
脉虚传于五脏所谓脾不磨食不化胃不开食无益所以膨胀若于膨胀之时不与消利遂致虚满又于
虚满不为疏补其气即攻中脘又于中浣不化即冒上膈既在上膈为疾必作形症传即为重医莫容易
取愈食伤膨张宜服三棱煎丸中脘痞胀宜服王氏塌气丸上膈郁胀宜服大茱连丸
刚出生的男婴或女婴,忽然出现一种病症:男婴在出生后的第三、五、七天发病,女婴则在第二、四、六天发病。这种奇偶日期的差异,体现了阴阳显现的自然规律,于是感染了外来的客忤邪气,干扰身体,导致婴儿腹部紧绷、青筋暴露、口禁不开、拒绝吃奶。这是由于外来的人情邪气侵袭,致使阴阳失调,胃气受到正气(此处指正常的生理功能)的触动而受损。(初生男女的气脉尚未稳定,精神尚未健全,未经受邪气侵扰,所以古人禁止在满月前接待客人,以远离这种祸患。)所谓“邪”,指的是淫欲交合时的杀气侵入体内(应属于非礼不正的事物,总归都归属于邪气一类)。
上古医家的著作繁杂难尽,但其中最为紧要的部分,世俗间虽有流传,却缺乏针灸疗法(因为气血刚刚生成,经络尚未坚固,如果使用艾炷灸法,反而成为虚设的伤害)。既然遭受了这种厄运,过了一天又一天,母亲哭泣,父亲啼哭,痛心疾首,等待死亡,大家都感叹悲伤,谁能救活他们呢?我参悟儿科医术,传承四代,曾因火灾之难,书籍散失,经过三十年的努力,有一天遇到高明的医生,深入探究其奥妙,秘方药物秘密传授,多次使用都获得了成功。唉!天地生育万物,只有人是尊贵的。人能够仰观俯察于天地之间,况且天地哪里会特意伤害人呢?从此事情在于是否遇到良医,就像这样。稍微有些感伤、悔恨、怨恨、执着于人情世故的情况就很多了。我便施行小范围的恩惠,普遍救济。对于初生的婴儿,亲自对着神聪穴选材并精心配制药物。如果是高低不同的民户生了孩子遭遇此难,不论病情轻重,不拘早晚,给予良好的药剂,决定能保全生命,顿时苏醒复活,这难道只是小小的补益吗?
讨论说:膈与浣上下相连,膨与胀在程度上有轻重之别。脘部患病日久则会出现痞闷,膈部病邪停滞则会导致郁结。所谓的“膈”,隐藏在胸堂,位于脘之上,如同有阻隔一样;所谓的“脘”,如同管道,通畅即流利。这两个部位都是因为饮食损伤、宿冷停留、睡眠姿势不当过时,导致气机在三焦中不顺,体质怯弱,脉象虚弱,病邪传变至五脏。这就是所谓的脾不能磨化食物,胃不能开启接纳食物,导致食物无益于身体,从而产生膨胀。如果在发生膨胀的时候,不采用消导利下的方法,就会逐渐导致虚满;又在出现虚满时,如果不进行疏理补益,气机就会攻冲中脘;如果中浚(中脘区域)不能化解,病气就会冒犯上膈。既然病在上膈,必然会出现形体症状,传变后就会加重,医生不可轻视。想要治愈,食伤引起的膨胀宜服用三棱煎丸;中脘痞胀宜服用王氏塌气丸;上膈郁胀宜服用大茱连丸。
When a male or female infant is just born, suddenly a certain syndrome appears: for males, it occurs on the 3rd, 5th, or 7th day after birth; for females, it occurs on the 2nd, 4th, or 6th day. This difference in odd and even days reflects the manifestation of Yin and Yang according to natural laws, leading to an infection by external "Ke Wu" (sudden fright/evil qi) pathogenic factors. These factors interfere with the body, causing the infant's abdomen to become tight, visible cyan veins, inability to open the mouth, and refusal to suckle. This is caused by external human-related evil qi invading, resulting in disharmony of Yin and Yang, and the stomach Qi being disturbed by normal physiological functions (Zheng Qi). (The Qi and pulse of newborns are not yet stable, and their spirit is not yet complete, so they have not been exposed to pathogenic factors. Therefore, ancient people prohibited receiving guests within the first month to avoid such disasters.) The term "evil" refers to the killing Qi invading during illicit sexual intercourse (belonging to improper and irregular matters, all categorized under evil Qi).
The writings of medical masters in ancient times were numerous and difficult to exhaust, but the most essential parts, though circulated among the secular world, lacked acupuncture and moxibustion methods (since Qi and blood are newly generated and meridians are not yet firm, using moxa cones would be a futile and harmful practice). Having suffered this misfortune, as days passed, mothers wept and fathers cried out in pain, waiting for death, sighing in sorrow. Who could save them? I studied pediatric medicine, inheriting the lineage for four generations. Due to a fire disaster that destroyed my books, after thirty years of effort, one day I encountered a highly skilled physician, deeply explored the mysteries of his methods, and received secret prescriptions and medicines through confidential transmission. Repeated use yielded successful results. Alas! Heaven and Earth give birth to all things, but humans are the most noble. Humans can observe and reflect upon Heaven and Earth, yet how could Heaven and Earth intentionally harm humans? Thus, the matter depends on whether one encounters a qualified physician. Cases involving slight emotional distress, regret, resentment, or attachment to worldly affairs are common. I therefore practiced small-scale benevolence to universally relieve suffering. For newborns, I personally selected materials facing the Shencong point (GV19) and carefully prepared the remedies. For infants from families of any status who suffered this affliction, regardless of severity or time, I administered good medicinal preparations, ensuring preservation of life and sudden revival. Is this not a significant benefit?
Upper Ge Distension (Distension at the Upper Diaphragm), Middle Huan Distension (Distension at the Middle Abdomen), Food Injury Distension and Bloating.
Discussion: Ge (diaphragm) and Huan (middle abdomen) are connected vertically, while Peng (bloating/distension) and Zhang (swelling/fullness) differ in severity. Prolonged disease in the Wan (epigastric region) leads to stuffiness and oppression; stagnation of pathogenic factors in the Ge leads to depression and accumulation. "Ge" hides in the chest hall, located above the Wan, acting like a barrier; "Wan" acts like a tube, becoming smooth when patent. Both conditions arise from food injury, retention of old cold, improper sleeping postures lasting too long, causing Qi stagnation in the San Jiao (Triple Burner), weak constitution, and deficient pulse. Pathogens transmit to the Five Zang Organs. This is described as the Spleen failing to grind and digest food, and the Stomach failing to open and accept food, rendering food unbeneficial, thus leading to distension. If, during the stage of distension, one does not employ methods to resolve stagnation and promote drainage, it will eventually lead to deficiency-type fullness. If, during deficiency fullness, one does not employ methods to regulate Qi and tonify, the Qi will attack the Zhong Wan (Middle Epigastrium). If the Zhong Huan fails to transform, the pathogen will invade the Upper Ge. Once the disease is in the Upper Ge, physical symptoms must appear, and transmission will worsen the condition; physicians must not treat this lightly. To achieve cure: for distension caused by food injury, administer San Leng Jian Wan (San Leng Decoction Pill); for Zhong Wan stuffiness and bloating, administer Wang Shi Ta Qi Wan (Master Wang's Settling Qi Pill); for Upper Ge depression and distension, administer Da Zhu Lian Wan (Large Zhebeii and Coptis Pill).