裹脐须将脐带盘作一团,用枯矾末掺于带上,用新棉花约浓半寸封盖,外用软绢裹束,缓急得中,急则令
儿吐。日日须要照看,勿令儿尿浸湿,又不可轻意频解,解时须闭户下帐,勿令见风,仍以枯矾末敷之。若脐
湿烂不干,或用枯矾五钱、龙骨( )、黄丹(各一钱)、麝香少许,研末敷之,或用乱发烧灰敷之。若夏月
宜用黄柏末敷之。
三朝浴儿,用五枝汤极妙。五枝即桑枝、桃枝、槐枝、榆枝、柳枝也。各取嫩技二、三十节,长三寸,煎
汤候冷热得中,入猪胆汁洗之,不犯生水,周岁内可免 疥、丹毒之患,且避恶邪。但北方生儿多不洗浴,每
以旧绵拭净,故儿多壮实。若冬月严寒,则不必洗;若春月、秋月不妨迟以十日半月,择晴和暖之日,于无风
房内浴之为妥。而世俗不察,无论天时,但以三日为浴儿之期,甚或以小儿体热,每遇澡浴,即令久坐汤水
之中,以致风冷外伤,水湿内渗,变成风搐,可不戒哉。又婴儿初生,两乳必有饼子,须时常揉撮提捏,以散
为度。若浴儿时,即将两乳头各捏一把亦妙。
婴儿初生肌肤未实,衣服宜随寒热加减,但令背腹常暖为佳。春、夏、秋宜单衣,不宜暖衣,暖则筋骨软
弱,易发疮疡。冬月宜旧絮,不宜新绵,新则汗出,表虚腠理不密,易受风寒。平日宜见地气,尤宜频见风日。
若藏于重帏密室,不见地气、风日,则筋骨柔软易致损伤。尝见富贵之子,重茵叠被,日在怀抱之中,虽数岁
未能行走,时染灾病。而田舍之儿,终日暴露,或饥或寒,绝无他病,亦可知爱儿之不在姑息矣。歌曰∶养子
须调护,看承莫纵驰,乳多终损胃,食壅即伤脾。被浓非为益,衣单正所宜,无风须见日,寒暑顺天时。真妙
诀也。又冬月严寒,不与烘火,惟以加衣浓暖,可无火毒诸患。又衣服被衲日晒日收,不宜在外夜露。书曰∶
天上有飞星恶鸟,不可干犯,小儿染着戾气,生无辜疾,啼叫不绝,速宜换下。即将衣服雨则醋炭烘之,晴
则太阳照之。
裹脐法:包裹婴儿肚脐时,需将脐带盘绕成一团,在脐带上撒上枯矾粉末,再用约半寸厚的新棉花覆盖封口,外层用柔软的丝绢包裹束紧。松紧程度要适中,过紧会导致婴儿呕吐。每天都需要仔细照看,不要让尿液浸湿脐部,也不可以随意频繁解开。解开时,必须关闭门窗并放下帐子,避免让脐部受风,解开后仍需用枯矾粉末敷贴。如果脐部潮湿糜烂不干,可以使用枯矾五钱、龙骨(未注明具体炮制或用量,通常指煅龙骨)、黄丹(各一钱)、少许麝香,研成细末后敷于患处;或者使用乱发烧成的灰敷贴。如果是夏季,适宜使用黄柏粉末敷贴。
浴儿法:婴儿出生第三天洗澡,使用“五枝汤”效果极佳。“五枝”指的是桑枝、桃枝、槐枝、榆枝、柳枝。每种枝条取嫩枝二三十节,每节长约三寸,煎煮成汤,待水温冷热适中后,加入猪胆汁清洗。此法不使用生水,周岁内的婴儿可避免患疥疮、丹毒等疾病,并能避开邪恶之气。但是北方出生的婴儿大多不洗澡,常用旧棉絮擦拭干净,所以这些孩子身体多壮实。如果是冬季严寒天气,则不必洗澡;如果是春季或秋季,不妨推迟十天半个月,选择晴朗温暖的日子,在无风的房间内洗澡为宜。然而世俗之人不加考察,不论气候条件,都坚持在第三天给婴儿洗澡,甚至有的因为小儿体内有热,每次洗澡都让婴儿长时间坐在热水中,导致风寒从体表侵入,水湿从内部渗透,从而引发惊风抽搐,这难道不值得警惕吗?另外,婴儿刚出生时,两个乳头上必有硬结(饼子),需要经常揉搓、提拉、捏弄,直到硬结消散为止。如果在给婴儿洗澡时,顺手将两个乳头各捏一把,也是很好的方法。
护儿法:婴儿初生时肌肤尚未结实,衣物应根据寒热情况增减,只要保持背部和腹部常暖即可。春、夏、秋三季适宜穿单衣,不宜穿厚暖的衣服,穿得太暖会使筋骨软弱,容易引发疮疡。冬季适宜使用旧的棉絮,不宜使用新的绵絮,新绵絮吸汗,会导致表虚腠理不紧密,容易受风寒侵袭。平时应让婴儿接触地气,尤其应经常接触风和阳光。如果将婴儿藏在厚重的帷幔和密室中,不见地气、风和阳光,就会导致筋骨柔软,容易受伤。曾见过富贵人家的孩子,铺垫厚重,被子叠得多,整天抱在怀里,即使到了几岁还不会走路,且时常染上疾病。而农家的小孩,整天暴露在户外,有时饥饿有时寒冷,却没有任何其他疾病,这也足以说明爱护孩子不在于过分溺爱和保护了。歌诀说:“养育子女须调护,看护莫放纵懈怠,乳汁过多终损胃,食物积滞即伤脾。被褥太厚无益处,衣衫单薄正适宜,无风之时须见日,寒暑顺应天时宜。”这是真正的妙诀啊。另外,冬季严寒时,不给婴儿烤火取暖,只通过增加衣物使其保暖,就可以避免火毒等祸患。还有,衣服和被褥在阳光下晾晒后收回,不宜在外面过夜淋露。书上说:“天上有飞星恶鸟,不可冒犯,小儿若沾染了戾气,会生出无辜的疾病,啼哭不止,应立即更换衣物。”如果遇到下雨天,就用醋和炭火烘烤衣物;晴天则用太阳照射。
**Umbilical Cord Wrapping Method:** When wrapping the infant's umbilical cord, the cord should be coiled into a ball. Calcined Alum powder (Ku Fan Mo) should be sprinkled onto the cord, covered with approximately half an inch of new cotton wool, and then bound externally with soft silk fabric. The tightness must be moderate; if too tight, it may cause the infant to vomit. Daily care is required to prevent urine from wetting the area, and the bandage should not be loosened frequently or casually. When loosening, doors and windows must be closed, and curtains lowered to avoid exposure to wind. Afterward, Calcined Alum powder should still be applied to the site. If the umbilical area remains moist, eroded, or does not dry, a mixture of five qian of Calcined Alum, one qian each of Dragon Bone (Long Gu) and Yellow Lead Oxide (Huang Dan), and a small amount of Musk (She Xiang), ground into powder, can be applied. Alternatively, ash made from burning disordered hair can be used. In summer, Powder of Phellodendron Bark (Huang Bai Mo) is suitable for application.
**Bathing Method:** Bathing the infant on the third day using "Five Branches Decoction" (Wu Zhi Tang) is highly effective. "Five Branches" refer to branches of Mulberry (Sang Zhi), Peach (Tao Zhi), Locust Tree (Huai Zhi), Elm (Yu Zhi), and Willow (Liu Zhi). Take 20-30 segments of tender branches, each about three cun long, for each type, and decoct them in water. Once the temperature is lukewarm, add pig bile for washing. This method avoids raw water, helping infants under one year old avoid scabies and erysipelas (Dan Du), while warding off evil pathogens. However, infants born in the north are often not bathed but wiped clean with old cotton wadding, resulting in generally robust health. In severe winter cold, bathing is unnecessary. In spring or autumn, it is advisable to delay bathing by ten days or half a month, choosing a sunny and warm day to bathe the infant in a windless room. Yet,世俗 people often ignore climatic conditions, insisting on bathing on the third day regardless. Some, believing the infant has internal heat, allow the child to sit in hot water for extended periods during baths, leading to external invasion of wind-cold and internal infiltration of dampness, which may transform into wind-induced convulsions (Feng Chu). Is this not worthy of caution? Additionally, newborns often have hard nodules ("cakes") on their nipples. These should be frequently rubbed, lifted, and pinched until they dissipate. It is also beneficial to gently pinch each nipple once during the bath.
**Infant Care Method:** Newborns have unconsolidated skin and flesh; clothing should be adjusted according to cold and heat, aiming to keep the back and abdomen constantly warm. In spring, summer, and autumn, single-layer garments are appropriate, avoiding thick warm clothes, as excessive warmth leads to weak sinews and bones and predisposes to sores and ulcers. In winter, old cotton wadding is preferred over new cotton, as new cotton induces sweating, causing surface deficiency and loose interstices (Cou Li), making the infant susceptible to wind-cold. Infants should regularly be exposed to earth qi and especially to wind and sunlight. Keeping infants in heavy curtains and sealed rooms, deprived of earth qi, wind, and sunlight, results in soft sinews and bones prone to injury. I have seen children of wealthy families wrapped in thick layers and carried in arms all day; even at several years old, they cannot walk and frequently fall ill. Conversely, rural children exposed outdoors daily, sometimes hungry or cold, rarely suffer other illnesses. This demonstrates that loving a child does not lie in indulgent protection. A song states: "Raising children requires careful care, do not let supervision slacken; too much milk harms the stomach, food stagnation injures the spleen. Thick quilts offer no benefit, thin clothes are proper; see the sun when there is no wind, follow heaven and earth in cold and heat." This is truly a wonderful secret. Furthermore, in severe winter cold, instead of using fire to warm the infant, simply adding layers of clothing keeps the infant warm without the risks of fire toxicity. Clothes and bedding should be sun-dried and stored promptly, not left out overnight to be dewed. Books state: "Flying stars and evil birds in the sky should not be offended; if infants contract miasma (Li Qi), they may develop inexplicable diseases and cry incessantly. Change clothes immediately." If clothes get wet, dry them with vinegar and charcoal; if sunny, expose them to the sun.