凡妊娠临月,预办好甘草指许一节拍碎,以水二蚬壳煎一蚬壳,以绵裹蘸,令儿吮之,
若吐出恶物为佳,服一蚬壳不吐,即不须服,不问小儿虚实,皆可服之。
临产时,先以黄连五钱,甘草二钱五分,熬浓汁,生下即与二三匙,再加朱砂细末调
汁,抹儿口中,打尽腹中旧屎,次用朱蜜。
葛氏肘后方云∶先用甘草、黄连拭口,吐其恶汁,稍定更与朱蜜,安神定魄,用好朱砂
一大豆许细研,水飞过,炼蜜一蚬壳许,和朱砂成膏,旋抹口中,非独镇心定神,亦解恶毒,
若面色青白,啼声不响,即不须服。
产家要诀云∶儿出胎洗后,方断脐带,则不伤水生病。断脐须捋汁令尽,否则寒湿入
腹,或作脐风,又须于近脐四五寸处以线紧扎,以帛包裹,以口咬断。盖扎紧则儿血不贯
于胞衣,自然痿缩弗胀而易下,即或延缓数日,亦无大害。口咬则断脐不犯乎刀剪,自无
冷气内侵,可免腹中吊痛之虞。如或天时寒冱,坐草艰难,母子劳伤元气者,先扎脐带,以
油纸捻点火烧断,令暖气入儿腹中,此又为回生起死之妙法。近用蕲艾灸脐亦妙。所留脐
带不可太长,太长则难干而伤肌,且恐引外风为脐风,亦不可太短,太短则逼内而伤脏,或
致成腹痛而夜啼,只以儿之足掌长短为度,乃酌中之法。《千金论》云∶须令至儿足趺上为度。
造道集云∶儿始生宜净洗,则燥血不留于折路之间,可令皮肤光泽,然后剪脐。脐乃初
生之蒂也,剪之宜长一尺有二,用粗线缚紧,剪不长,多生脐风,缚不紧,阴间虚肿。
缪仲淳广笔记云∶儿初生不可剪脐带,三朝用面和水成薄饼,置儿腹,穿脐带于面上,
将蕲艾火灸脐带近脐处,或三炷,或五七炷,
须下帐避风,灸毕,仍将脐带扎好,听其自脱,至七日方脱者,元气足也。
凡儿生下,每日夜将清汤或苦茶蘸软绢搅儿口内,如齿边有白点,即以指爪或细针挑
破,取桑树内汁滤清涂之,永无惊风撮口之患。
凡是妊娠临近预产期时,预先准备好一节约一指宽度的甘草,将其拍碎,用两蚬壳的水煎煮至剩一蚬壳的药液。用绵絮包裹蘸取药液,让婴儿吮吸,如果吐出恶露污物为佳;服用一蚬壳后若不吐,就不必再服。无论小儿体质虚实如何,都可以服用。
临产时,先用黄连五钱、甘草二钱五分熬制成浓汁,婴儿出生后立刻喂服二三匙,再加朱砂细末调匀药汁,涂抹在婴儿口中,以排尽腹中积存的旧胎便,随后再用朱砂蜜(含朱砂的蜂蜜)涂抹。
葛洪《肘后备急方》记载:先用甘草、黄连擦拭口腔,吐出其中的恶浊汁液,待情况稍稳定后再给予朱砂蜜,以安神定魄。方法是用优质朱砂一大豆大小的量细细研磨,用水飞法处理,取炼蜜约一蚬壳的量,与朱砂混合成膏状,随时涂抹在婴儿口中。这不仅能镇心安神,还能解除恶毒之邪。如果婴儿面色青白,啼哭声微弱,就不必服用。
《产家要诀》记载:婴儿出生清洗完毕后,才剪断脐带,这样就不会因受水湿侵袭而生病。断脐时要捋净脐带中的血液,否则寒湿之气会进入腹部,可能引发脐风病。还必须在距离脐部四五寸处用线紧紧扎住,用布帛包裹,然后用口咬断脐带。因为扎紧后,婴儿的血液就不会灌注到胎盘上,胎盘自然会萎缩收缩而不胀大,容易排出,即使延迟几天也无大碍。用口咬断可以避免刀剪带来的冷气侵入体内,从而免除腹部绞痛的危险。如果遇到天气严寒,分娩艰难,母子元气受损的情况,先扎好脐带,用浸油的纸捻点燃烧断脐带,让暖气进入婴儿腹部,这是回生起死的妙法。近来使用蕲艾灸治脐部也很好。留下的脐带不可太长,太长则难以干燥而损伤肌肤,且恐怕引动外风导致脐风;也不可太短,太短则会逼迫内部损伤脏腑,可能导致腹痛和夜间啼哭。只以婴儿脚掌的长度为标准,这是折中的方法。《千金论》说:长度应达到婴儿足背的位置。《造道集》说:婴儿刚出生时应干净清洗,这样燥血就不会残留在脐带折断处,可使皮肤光泽,然后剪断脐带。脐带是婴儿初生的蒂柄,剪断时宜留长一尺二寸,用粗线缚紧。剪得不长,容易患脐风;缚得不紧,阴部会虚肿。缪希雍《广笔记》说:婴儿初生时不要剪断脐带,三天后用面粉和水做成薄饼,放在婴儿腹部,将脐带穿过面饼,用蕲艾火灸治脐带靠近脐部的地方,灸三壮或五七壮。必须挂帐子避风,灸完后,仍将脐带扎好,听其自然脱落,到第七天脱落的,说明元气充足。
凡是婴儿生下后,每天早晚用清汤或苦茶蘸软绢擦拭婴儿口腔内部。如果牙齿边缘有白点,就用手指甲或细针挑破,取桑树内的汁液过滤澄清后涂抹,可永远避免惊风和撮口风的祸患。
Whenever pregnancy is near term, prepare in advance a segment of liquorice root (Gancao, 甘草) about one finger's width, crush it, and decoct it with two shellfuls of water until reduced to one shellful. Wrap the liquid in cotton, dip it, and let the infant suckle. It is auspicious if the infant vomits foul matter; if one shellful does not induce vomiting, no further administration is needed. Regardless of whether the infant is deficient or excess in constitution, this may be administered.
During labor, first decoct five qian of coptis rhizome (Huanglian, 黄连) and two qian five fen of liquorice root (Gancao, 甘草) into a concentrated decoction. Immediately after birth, administer two or three spoonfuls, then mix fine cinnabar powder (Zhusha, 朱砂) into the decoction and smear it inside the infant's mouth to expel all old feces from the abdomen. Subsequently, apply cinnabar honey (Zhu Mi).
The *Emergency Prescriptions Kept Up My Sleeve* by Ge Hong states: First wipe the mouth with liquorice root (Gancao, 甘草) and coptis rhizome (Huanglian, 黄连) to spit out foul juices. Once stabilized, administer cinnabar honey to calm the spirit and settle the soul. Grind high-quality cinnabar (Zhusha, 朱砂) finely to the size of a large soybean, process it by water flotation, and mix with refined honey (Lian Mi, 炼蜜) of about one shellful volume to form a paste. Smear this into the mouth as needed. This not only calms the heart and settles the spirit but also resolves toxic pathogens. If the complexion is cyanotic and pale, and the cry is weak, do not administer.
The *Essentials of Childbirth* states: After washing the newborn, sever the umbilical cord to prevent illness caused by water-dampness invasion. When cutting the cord, wring out the blood completely; otherwise, cold-dampness may enter the abdomen, potentially causing neonatal tetanus (Umbilical Wind, Qi Feng, 脐风). Tie the cord tightly with thread four or five cun away from the navel, wrap it with cloth, and bite through it. Tight binding prevents blood from flowing into the placenta, allowing it to shrink naturally and facilitating its expulsion; even if delayed for a few days, there is no major harm. Biting avoids the intrusion of "cold qi" from metal scissors, preventing abdominal colic. In cases of severe cold weather, difficult labor, or depletion of vital qi in mother and child, tie the cord first and burn it off with an oil-soaked paper wick, allowing warmth to enter the infant's abdomen. This is a miraculous method for restoring life. Recently, moxibustion on the navel with Qimoxa (Qiai, 蕲艾) is also excellent. The remaining cord should not be too long, as it may fail to dry, damage tissue, and attract external wind leading to Umbilical Wind; nor should it be too short, as it may compress internal organs, causing abdominal pain and night crying. The length should be measured by the infant's sole, which is a balanced approach. *Qianjin Fang* states: The length should reach the dorsum of the infant's foot. *Zao Dao Ji* states: Cleanse the newborn thoroughly so that dried blood does not remain at the severed site, keeping the skin lustrous, then cut the cord. The umbilical cord is the initial stalk of life; leave it one chi two cun long and bind tightly. If left too short, Umbilical Wind may arise; if bound loosely, the genital area may become edematous. Miao Xichong's *Guang Biji* states: Do not cut the umbilical cord immediately upon birth. On the third day, make a thin pancake from flour and water, place it on the infant's abdomen, pass the cord through the pancake, and moxibustion the part of the cord near the navel with Qimoxa (Qiai, 蕲艾), applying three or five to seven moxa cones. Ensure the room is shielded from drafts. After moxibustion, re-tie the cord and allow it to detach naturally. Detachment on the seventh day indicates sufficient vital qi.
After birth, daily morning and evening, use clear soup or bitter tea dipped in soft silk to clean the infant's oral cavity. If white spots appear near the gums, puncture them with fingernails or a fine needle, filter the sap from mulberry trees (Sangzhi, 桑枝/桑内汁), and apply it to prevent convulsions and lockjaw (Jing Feng, 惊风; Cuo Kou Feng, 撮口风).