〔曾〕胎痫者，因未产前腹中被惊，或母食酸咸过多，或为七情所汨，致伤胎气，
儿生百日内有者是也。发时，心不宁，面微黄，气逆痰作，目上视，身反张，啼声
不出。先用参苏饮和解，次以不惊丹、或琥珀抱龙丸间投，轻则可愈，重者难全。
参苏饮（发热） 不惊丹（惊） 琥珀抱龙丸（惊）
小儿初生，其身有如汤泼火伤者，此皆乳母过食膏粱所致也，其母宜服清胃散
（方见杂病牙齿门。）及逍遥散（方见女科虚劳门。）以清其气血，儿亦饮数滴可也。有身无皮
肤而不 赤者，皆由产母脾气不足也，用粳米粉敷之。 赤发热者，皆由产母胃中火盛也，
用石膏敷之。经谓∶脾主肌肉，肺主皮毛。故知病脾肺也，如脑额生疮者，火土相
合，遂成湿热下流、攻击肾水也，难治。如脚上有疮者，阴虚火盛也，此、不满五
岁而毙。如未盈月而撮口握拳，腰软如随者，此肝肾中邪胜正弱所致也，三日内必
不治。如男指向里、女指向外尚可治，眉红亦不可治，可治者用全蝎散（方见口噤、）钓
藤散（方见慢惊）等类治之。若因大病亏损胃气而诸脏虚弱所致者，用补中益气汤（方见虚羸、）
钱氏地黄丸（方见肾脏。）若面唇赤色，正属肾水不足，肝经阴虚火动而内生风热尔，当
滋肾水以制阳光。其身软者，内禀气不足、肌肉未坚也，常参五软、而施治之。《圣惠》
所云胎风，原与胎惊混滥，故此不取。
【曾氏论述】胎痫，是指在胎儿出生前，因腹中受到惊吓，或者母亲食用过多酸咸食物，或者被七情（喜、怒、忧、思、悲、恐、惊）所扰乱，导致胎气受损，婴儿出生后一百天内发病的情况。发作时，表现为心神不宁，面色微黄，气逆痰涌，眼球上翻，身体向后反折强直，啼哭不出。治疗先用参苏饮进行和解，随后交替服用不惊丹或琥珀抱龙丸，病情轻的可以痊愈，重的难以完全康复。参苏饮主治发热；不惊丹主治惊风；琥珀抱龙丸主治惊风。
小儿刚出生时，身体像被沸水浇烫或火烧伤一样，这都是因为乳母过量食用肥甘厚味所致。此时乳母宜服用清胃散（方剂见杂病牙齿门）及逍遥散（方剂见女科虚劳门），以清解气血中的热邪，婴儿也可饮用几滴药汁。如果婴儿身上没有皮肤且不发红，这都是由于产母脾气不足所致，可用粳米粉外敷患处。如果患处发红且发热，这都是由于产母胃火旺盛所致，可用石膏外敷患处。《内经》说：脾主肌肉，肺主皮毛。因此知道这是脾肺两脏的疾病。例如脑门和额头生疮，是火与土（脾胃）相合，形成湿热下流，攻击肾水的结果，属于难治之症。例如脚上生疮，是阴虚火旺的表现，这类患儿不满五岁就会死亡。例如未满月就出现撮口（口唇收缩如鱼口）、握拳、腰部软弱无力的症状，这是由于肝肾中邪气盛而正气虚弱所致，三天内必然不治身亡。如果是男婴手指向里弯、女婴手指向外弯，尚可治疗；但如果眉毛发红，则不可治疗。对于可治者，使用全蝎散（方剂见口噤门）、钓藤散（方剂见慢惊风门）等方剂治疗。如果是因大病亏损胃气，导致各脏腑虚弱而引起的，使用补中益气汤（方剂见虚羸门）、钱氏地黄丸（方剂见肾脏门）。如果面唇呈赤色，正属于肾水不足，肝经阴虚火动而生内风热的情况，应当滋补肾水以制约亢盛的阳火。如果身体柔软无力，是因为先天禀赋之气不足、肌肉尚未坚实所致，应参照“五软”证进行治疗。《太平圣惠方》中所说的胎风，原本与胎惊混淆不清，因此此处不予采纳。
[Commentary by Zeng] Fetal epilepsy refers to a condition where, prior to birth, the fetus is startled within the womb, or the mother consumes excessive amounts of sour and salty foods, or is disturbed by the Seven Emotions (Joy, Anger, Worry, Pensiveness, Sorrow, Fear, Fright), thereby damaging the fetal Qi. It manifests in infants within one hundred days after birth. During an attack, symptoms include restlessness of the Heart, slightly yellowish complexion, rebellious Qi with phlegm surging, upward deviation of the eyes, opisthotonos (body bent backward), and inability to cry. Initially, Shen Su Yin (Ginseng and Perilla Decoction) is used for harmonization, followed by intermittent administration of Bu Jing Dan (Non-Startle Pill) or Hu Po Bao Long Wan (Amber Dragon-Hugging Pill). Mild cases can be cured, while severe cases are difficult to fully recover from. Shen Su Yin treats Fever; Bu Jing Dan treats Convulsions due to Startle; Hu Po Bao Long Wan treats Convulsions due to Startle.
When a newborn’s body resembles burns from boiling water or fire, this is caused by the wet nurse consuming excessive rich and greasy foods. The wet nurse should take Qing Wei San (Stomach-Clearing Powder) (see Formula in Miscellaneous Diseases, Teeth Section) and Xiao Yao San (Free and Easy Wanderer Powder) (see Formula in Gynecology, Deficiency-Labor Section) to clear heat from Qi and Blood; the infant may also drink a few drops of the decoction. If the infant lacks skin on the body and it is not red, this is due to insufficiency of the Mother’s Spleen Qi; rice flour can be applied externally. If the area is red and hot, this is due to excess Fire in the Mother’s Stomach; gypsum can be applied externally. The Classics state: "The Spleen governs muscles, and the Lungs govern skin and hair." Thus, we know the disease involves the Spleen and Lungs. For example, sores on the forehead result from the combination of Fire and Earth (Spleen/Stomach), forming damp-heat that flows downward and attacks Kidney Water; this is difficult to treat. Sores on the feet indicate Yin deficiency with hyperactive Fire; such infants will die before reaching five years of age. If, within one month of birth, the infant exhibits mouth puckering (mouth closing like a fish's mouth), clenched fists, and flaccid weakness of the waist, this is caused by pathogenic factors prevailing over righteous Qi in the Liver and Kidneys; death is inevitable within three days. If male infants have fingers curling inward and female infants have fingers curling outward, the condition is treatable; however, if the eyebrows are red, it is untreatable. Treatable cases are managed with Quan Xie San (Scorpion Powder) (see Formula in Mouth Lock Section) and Diao Teng San (Uncaria Decoction) (see Formula in Slow Convulsion Section), among others. If the condition arises from damage to Stomach Qi due to major illness, leading to weakness of all Zang organs, Bu Zhong Yi Qi Tang (Tonify the Middle and Augment the Qi Decoction) (see Formula in Emaciation Section) and Qian Shi Di Huang Wan (Master Qian's Rehmannia Pill) (see Formula in Kidney Section) should be used. If the face and lips are red, this indicates insufficiency of Kidney Water, with Yin deficiency in the Liver Channel causing internal generation of Wind-Heat; treatment should focus on nourishing Kidney Water to control hyperactive Yang. Flaccidity of the body results from insufficient innate Qi and unfirm muscles; treatment should follow the principles for "Five Flaccidities" (Wu Ruan). The Tai Feng (Fetal Wind) described in *Tai Ping Sheng Hui Fang* was originally confused with Tai Jing (Fetal Startle); therefore, it is not adopted here.