孩儿初生百日内，觉口冷腹痛，身起寒粟，时发战栗，由足握拳，昼夜啼哭不已，或
口禁不开，名曰胎寒。其证在胎时母因腹痛而致。《产经》云∶胎寒多腹痛，亦有产妇喜
淡甘肥生冷时果，皆致胎寒。或胎前外感风寒暑湿，治以凉药。内伤胎气，则孩儿生后，
昏昏多睡，间或 乳泻白，若不早治，必成慢惊慢脾。凡有此候，宜以冲和饮、当归散，
合和水煨姜煎服，使之微泄。泄行进匀气散调补，泄止气匀神安痛定，手足舒伸，次用
参苓白术散以养胃气，白芍汤去其寒湿。乳母宜节生冷冻饮料食，庶渐瘥也。又有手足稍冷，
唇面微青，额上汗出，不愿乳饮，至夜多啼，颇似前证，但无口冷寒战，名曰藏寒。其疾
夜重日轻，腹痛肠鸣，泄泻青水。间有不泻者，此证亦在百日内有之，皆因临产在地，稍
及冷气侵逼，或以凉水参汤洗儿，或断脐带短，而又结缚不紧，为寒气所伤，如此宜以
白芍药汤及冲和饮加盐炒茴香、茱萸，水姜煎投，并乳母同服。
婴儿生下，三朝旬月之间，目闭而赤，眼胞浮肿，常作呻吟，或啼叫不已，时复惊烦
遍体壮热，小便黄色，此因在胎母受时气邪毒，或外感风热，误服汤剂，或食五辛姜面
过多，致令热蕴于内，熏蒸胎气，生下故有此证，名曰胎热。所谓胎热即多惊。若经久
不治，则鹅口、重舌、木舌，赤紫丹瘤，自此而生。先以木通散煎与母服，使入于乳，儿
饮之，通心气，解烦热，然后以四圣散温洗两目，目开进地黄膏、天竺黄散及牛蒡汤，当
归散亦令母服，使从乳过，是一助也。乳母宜忌鸡酒羊面，庶得易安，不致反复。又有
一证，如前证元无大病，而遽然弄舌者，但身热而四肢冷，唇青色，此脾胃不和所致，宜
服守胃散自愈。有弄舌出于大病后，舌略出不长，一动即收，此是恶候，以钱氏白术
散治之，不愈将传危急。舒舌者，此脱着衣服不常，外感风热，入于心脾，盖脾之脉
络系于舌，故时复舒卷，出长收缓，或渴或不渴，谓之舒舌，宜泻心脾经之热，用泻
黄散加黄芩，水煎服。但不可以大寒之剂攻之，热退则寒起，传作他证，切宜谨之。
【胎寒】
婴儿出生一百天以内，如果感觉口部发冷、腹部疼痛，身体出现寒冷时的鸡皮疙瘩，时常发生颤抖，脚趾蜷缩成拳状，昼夜不停地啼哭，或者牙关紧闭无法张开，这被称为“胎寒”。这种病症是因为在胎儿时期，母亲因腹痛而导致的。《产经》说：胎寒多伴有腹痛，也有因为产妇喜欢清淡、甘甜、肥腻、生冷的水果和食物，都导致胎寒。或者是怀孕前外感风寒暑湿邪气，却用凉药治疗。内伤胎气，那么孩子出生后，昏昏欲睡多睡觉，偶尔乳汁排泄呈白色，如果不尽早治疗，必定会发展成慢惊风或慢脾风。凡是出现这种情况，适宜用冲和饮、当归散，配合水煨姜煎服，使大便轻微通泄。泄泻后行进匀气散调理补益，泄泻停止、气息均匀、神志安宁、疼痛定止、手足舒展，接着使用参苓白术散来养胃气，白芍汤去除体内的寒湿。乳母应当节制生冷冷冻的饮食饮料，这样病情才能逐渐痊愈。又有手足稍微发冷，嘴唇面部微微发青，额头出汗，不愿意吃奶喝水，到了夜晚多啼哭，很像是前面的症状，但没有口冷和寒战，这叫做“藏寒”。这种疾病夜间重白天轻，腹痛肠鸣，腹泻排出青色水样便。间或有不腹泻的，这个证候也出现在百日内，都是因为临产时躺在地上，稍微受到冷气侵袭逼迫，或者用凉水参汤给婴儿洗澡，或者断脐带剪得太短，而且结扎不紧，被寒气所伤，像这样的情况适宜用白芍药汤及冲和饮加盐炒小茴香、吴茱萸，用水和生姜煎煮投喂，并让乳母一同服用。
【胎热】
婴儿生下后，三天到一个月之间，眼睛闭合且发红，眼睑浮肿，经常发出呻吟声，或者啼叫不停，时常惊恐烦躁，全身壮热，小便颜色黄，这是因为在胎儿时期母亲感受了时令邪毒，或者外感风热，误服汤剂，或者食用五辛（葱、蒜、韭、薤、兴渠）、姜、面食过多，导致热气蕴积在体内，熏蒸胎气，生下来后因此出现这个证候，名叫“胎热”。所谓的胎热就是容易受惊。如果时间久了不治疗，就会生出鹅口疮、重舌、木舌、赤紫丹瘤等病。先用木通散煎煮给母亲服用，使药力进入乳汁，婴儿饮用后，能通心气，解除烦热，然后用四圣散温水清洗双眼，眼睛睁开后进食地黄膏、天竺黄散及牛蒡汤，当归散也让母亲服用，使药力通过乳汁传递，这是一种辅助治疗。乳母应当忌食鸡肉、酒、羊肉、面食，这样才能容易安定，不至于反复发作。又有一种证候，像前面的证候原本没有大病，却突然弄舌头的，只是身体发热而四肢发冷，嘴唇青色，这是脾胃不和所致，适宜服用守胃散自愈。有弄舌头出现在大病之后，舌头略微伸出但不长，一动就收回，这是恶兆，用钱氏白术散治疗它，如果不愈将会传变为危急重症。舒舌者，这是因为脱着衣服不规律，外感风热，侵入心脾，因为脾的脉络联系于舌头，所以时常反复舒卷，伸出长收回缓，有时口渴有时不渴，称为舒舌，适宜清泻心脾经的热邪，用泻黄散加黄芩，用水煎服。但是不可以用大寒的药剂攻伐，热退则寒气兴起，传变成其他证候，务必谨慎对待。
[Fetal Cold]
Within one hundred days after birth, if the infant feels cold in the mouth and abdominal pain, the body exhibits cold-induced gooseflesh (cutis anserina), experiences frequent tremors, curls the toes into fists, cries incessantly day and night, or has a locked jaw that cannot open, this is termed "Fetal Cold" (Tai Han). This condition arises from maternal abdominal pain during gestation. The *Chanjing* (Classic of Childbirth) states: Fetal cold often involves abdominal pain; it may also result from the mother's preference for bland, sweet, fatty, raw, or cold fruits and foods. Alternatively, exposure to Wind-Cold, Summer-Heat, or Dampness before pregnancy, treated with cooling medicines, can damage the fetal Qi. Consequently, after birth, the infant becomes lethargic and sleepy, occasionally passing white curds in stool. If not treated early, it will inevitably develop into Slow Convulsion (Man Jing Feng) or Slow Spleen Wind (Man Pi Feng). For such presentations, Chonghe Yin (Harmonizing Decoction) and Danggui San (Angelica Powder) should be decocted with water-warmed Ginger (Shui Wei Jiang) and administered to induce mild diarrhea. After the diarrhea subsides, Junqi San (Regulating Qi Powder) should be used for regulation and tonification. Once diarrhea stops, Qi becomes balanced, Spirit is calm, pain resolves, and limbs extend, Shenling Baizhu San (Ginseng, Poria, and Atractylodes Macrocephala Powder) should be used to nourish Stomach Qi, while Baishao Tang (White Peony Decoction) dispels Cold-Dampness. The nursing mother should restrict consumption of raw, frozen, and cold beverages and foods, so that gradual recovery may occur.
Another presentation involves slightly cold hands and feet, slightly bluish lips and face, sweating on the forehead, reluctance to nurse or drink, and increased crying at night. It resembles the previous syndrome but lacks cold mouth and chills; this is called "Visceral Cold" (Zang Han). This disease is worse at night and lighter during the day, accompanied by abdominal pain, borborygmus, and diarrhea of green watery stool. Some cases do not present with diarrhea. This syndrome also occurs within the first hundred days, caused by lying on the ground during labor, slight invasion of Cold air, washing the infant with cold water and Ginseng soup, cutting the umbilical cord too short, or loose ligation, allowing Cold Qi to injure the body. In such cases, Baishaoyao Tang (White Peony Root Decoction) and Chonghe Yin added with salt-fried Huixiang (Fennel Fruit) and Zhuyu (Evodia Fruit), decocted with water and fresh Ginger, should be administered, along with simultaneous administration to the nursing mother.
[Fetal Heat]
Between three days and one month after birth, if the eyes are closed and red, eyelids are swollen, the infant frequently groans, cries incessantly, suffers from sudden fright and restlessness, presents with high fever throughout the body, and has yellow urine, this is because the mother contracted seasonal pathogenic toxins during gestation, or was affected by external Wind-Heat, mistakenly took herbal decoctions, or consumed excessive amounts of Five Pungent Spices (Wu Xin: garlic, scallion, leek, chives, and asafetida), ginger, and wheat noodles. This causes Heat to accumulate internally, steaming the fetal Qi, resulting in these symptoms after birth, named "Fetal Heat" (Tai Re). Fetal Heat essentially manifests as frequent fright. If left untreated for a long time, conditions such as Thrush (E Kou), Double Tongue (Chong She), Wooden Tongue (Mu She), and Red-Purple Carbuncles (Chi Zi Dan Liu) will arise. Initially, Mutong San (Akebia Decoction) should be decocted for the mother to ingest, allowing the medicinal effect to enter the breast milk. When the infant drinks it, Heart Qi is unblocked and烦热 (restless heat) is resolved. Subsequently, four Holy Powders (Sisheng San) should be used with warm water to wash both eyes. Once the eyes open, Dihuang Gao (Rehmannia Paste), Tianzhuhuang San (Calamint Powder), and Niubang Tang (Arctium Decoction) should be administered. Danggui San should also be taken by the mother to facilitate transmission through breast milk, serving as an auxiliary treatment. The nursing mother should avoid chicken, alcohol, mutton, and wheat noodles to ensure easy stabilization and prevent recurrence.
Another syndrome occurs where, despite no major illness previously, the infant suddenly protrudes the tongue. The body is hot while the four limbs are cold, and the lips are bluish; this is caused by Disharmony of the Spleen and Stomach, and Self-Stomach Powder (Shouwei San) should be taken for self-healing. Tongue protrusion occurring after a severe illness, where the tongue extends slightly but does not stay out, retracting immediately upon movement, is a ominous sign. It should be treated with Qian's Baizhu San (Child Physician's Atractylodes Powder); if ineffective, it will progress to a critical condition. "Shu She" (Relaxed Tongue) refers to irregular dressing/undressing leading to external Wind-Heat invading the Heart and Spleen. Since the Spleen's meridians connect to the tongue, the tongue repeatedly relaxes and rolls, extending slowly and retracting slowly, with variable thirst. This is termed Shu She. It is appropriate to clear Heat from the Heart and Spleen meridians using Xiehuang San (Draining Yellow Powder) added with Huangqin (Scutellaria Root), decocted in water. However, strong Cold agents must not be used to attack it; once Heat recedes, Cold may arise and transform into other syndromes. Caution is strictly required.