钱氏曰∶胎实面红,目黑睛多者,善笑。胎怯面黄,目黑睛少、白睛多者,多
哭。更别父母肥瘦,肥不可生瘦,瘦不可生肥也。
胎肥者,生下肌肉浓,遍身血色红,盈月以后,渐渐羸瘦,目白睛粉红色,五心烦
热,大便难,时时生涎,浴体法主之。
天麻(二钱) 蝎尾(去毒) 朱砂(各五分) 乌蛇肉(酒浸,焙干,为末) 白矾(各三钱)
麝香(一字) 青黛(三钱)
上研匀。每用三钱,水三碗,桃枝一握并叶五七枝,同煎至十沸,温热浴之。
勿浴背。
大连翘饮 治胎热脐风,小便不通及诸般疮毒。
连翘 瞿麦 荆芥 木通 赤芍药 当归 防风 柴胡 滑石 蝉壳 甘草(炒。各一钱)
山栀子 黄芩(各半钱)
上为末。每服二钱,加紫草,水煎。热甚加大黄,更详证加减。
薛氏曰∶胎肥乃受母胃热所致。儿用浴体法以疏通其腠理。乳母服大连翘饮。
胎怯者,生下面无精光,肌肉薄,大便白水,身无血色,时时哽气多哕,目无
精采,亦宜以浴体法主之。初虞世曰∶母气不足则羸瘦而肉薄,父精不足则解颅眼
白多。
小儿生下遍体面目皆黄,状如金色,身上壮热,大便不通,小便如栀汁,乳食
不思,啼哭不止,此胎黄之候,皆因乳母受湿热而敷于胎也,凡有此证,母子皆宜
服地黄汤及地黄饮子。有生下百日及半周,不因病后身微黄者,胃热也。若自生而
身黄者,胎疸也。经云∶诸疸皆热,色深黄者是也。犀角散主之。若淡黄兼白者,
胃怯也,白术散主之。
生地黄汤 治小儿生下胎黄。
生地黄 赤芍药 川芎 当归 栝蒌根(各等分)
上, 咀。每服半两,水煎。乳母服,时时少抹入儿口中。
地黄汤
生地黄 赤芍药 天花粉 赤茯苓(去皮) 川芎 当归(去芦) 猪苓 泽泻 甘草 茵陈(各等分)
上,锉散。用水煎,食前服。
地黄饮子 治小儿生下满身面目皆黄,状如金色,或面赤身热,眼闭不开,大便不
通,小便如栀子汁,满身生疮。
生地黄 赤芍药(各二钱) 羌活(去芦) 当归(去芦) 甘草(一钱)
上为极细末。用灯心煎汤,食前服。乳母宜服,仍忌酒面五辛之物。
犀角散 治小儿胎黄,一身尽黄。
犀角 茵陈 栝蒌根 升麻(煨) 甘草 龙胆草 生地黄 寒水石( ,等分)
上, 咀。用水煎,不拘时候服。
钱乙说:胎气充实的婴儿,面色红润,眼珠黑亮且黑睛多,喜欢笑。胎气虚怯的婴儿,面色发黄,眼珠黑亮但黑睛少、白睛多,容易哭闹。还要辨别父母体型的肥瘦,父亲肥胖不可能生出瘦弱的孩子,父亲瘦弱也不可能生出肥胖的孩子。
所谓胎肥,是指婴儿出生后肌肉丰厚,全身皮肤血色红润,满月之后,逐渐变得消瘦,眼白呈现粉红色,五心烦热,大便困难,经常流口水,治疗以浴体法为主。
药物组成:天麻(二钱),蝎尾(去毒),朱砂(各五分),乌蛇肉(酒浸,焙干,研为粉末),白矾(各三钱),麝香(一字),青黛(三钱)。
以上药物研匀。每次取三钱药粉,加水三碗,桃枝一握连同叶子五七枝,一起煎煮至沸腾十次,趁温热给婴儿洗澡。
注意不要洗背部。
药物组成:连翘,瞿麦,荆芥,木通,赤芍药,当归,防风,柴胡,滑石,蝉壳,甘草(炒,各一钱),山栀子,黄芩(各半钱)。
以上药物研为粉末。每次服用二钱,加入紫草,用水煎服。热势严重加大黄,并根据证候详细加减。
薛己说:胎肥是由于母亲胃中受热所致。婴儿使用浴体法来疏通其腠理。乳母服用大连翘饮。
所谓胎怯,是指婴儿出生后面部缺乏光泽,肌肉单薄,大便呈白色水样,身体没有血色,经常打嗝并伴有呃逆,眼神无光彩,也适宜用浴体法为主进行治疗。初虞世说:母亲元气不足则导致婴儿羸瘦且肌肉薄,父亲精气不足则导致婴儿囟门迟闭(解颅)且眼白多。
小儿出生后遍体面目皆黄,状如金色,身上壮热,大便不通,小便像栀子汁一样,不吃奶食,啼哭不止,这是胎黄的征候,都是因为乳母感受湿热而传染给胎儿的缘故。凡是出现这种证候,母子都适宜服用地黄汤及地黄饮子。有出生后一百天及半周岁,不因生病后身体微黄的,属于胃热。如果是先天出生即身黄的,称为胎疸。经书说:各种黄疸都属于热证,颜色深黄的就是这类。犀角散主治。如果颜色淡黄兼白的,属于胃气虚怯,白术散主治。
以上药物切碎。每次服用半两,用水煎服。由乳母服用,不时少量涂抹在婴儿口中。
药物组成:生地黄,赤芍药,天花粉,赤茯苓(去皮),川芎,当归(去芦),猪苓,泽泻,甘草,茵陈(各等分)。
以上药物锉成散剂。用水煎煮,饭前服用。
地黄饮子:治疗小儿出生后满身面目皆黄,状如金色,或者面红身热,眼睛闭合不开,大便不通,小便像栀子汁,满身生疮。
药物组成:生地黄,赤芍药(各二钱),羌活(去芦),当归(去芦),甘草(一钱)。
以上药物研为极细粉末。用灯心草煎汤,饭前服用。乳母适宜服用,同时忌食酒、面食及五辛之物。
药物组成:犀角,茵陈,栝蒌根,升麻(煨),甘草,龙胆草,生地黄,寒水石(煅,等分)。
以上药物切碎。用水煎煮,不拘时候服用。
Qian Yi stated: Infants with robust prenatal constitution (Tai Shi) have ruddy complexions, dark and bright eyes with prominent iris coverage, and tend to smile. Infants with deficient prenatal constitution (Tai Qie) have sallow complexions, dark eyes but sparse iris coverage with prominent sclera, and tend to cry frequently. One must also distinguish the parents' body types; a fat father cannot produce a thin child, nor can a thin father produce a fat child.
"Tai Fei" (Prenatal Excess/Fatness) refers to infants born with thick muscles and ruddy skin coloration. After one month of age, they gradually become emaciated, their sclera turns pinkish-red, they experience five-palm heat (Wu Xin Fan Re), difficulty in defecation, and frequent salivation. The primary treatment is the Bathing Method (Yu Ti Fa).
Ingredients: Tianma (Gastrodiae Rhizoma, 2 qian), Xiewei (Scorpio tail, venom removed), Zhusha (Cinnabar, each 5 fen), Wushe Rou (Daboia sinensis meat, soaked in wine, dried, powdered), Baifan (Alumen, each 3 qian), Shexiang (Moschus, 1 zi), Qingdai (Indigo Naturalis, 3 qian).
Grind all ingredients uniformly. For each use, take 3 qian of the powder, add three bowls of water, one handful of peach branches with five or seven leaves, and decoct until boiling ten times. Use the warm liquid for bathing.
Do not bathe the back.
Dalianqiao Yin (Large Uncaria Decoction): Treats prenatal heat causing umbilical tetanus (Qi Feng), urinary retention, and various sores/toxins.
Ingredients: Lianqiao (Forsythiae Fructum), Qumai (Dianthi Herba), Jingjie (Schizonepetae Spica), Mutong (Akebiae Caulis), Chishaoyao (Paeoniae Radix Rubra), Danggui (Angelicae Sinensis Radix), Fangfeng (Saposhnikoviae Radix), Chaihu (Bupleuri Radix), Huashi (Talcum), Chanqiao (Cicadae Periostracum), Gancao (Glycyrrhizae Radix et Rhizoma, stir-fried, each 1 qian), Shanzhizi (Gardeniae Fructum), Huangqin (Scutellariae Radix, each half qian).
Grind into powder. Take 2 qian per dose, add Zicao (Arnebiae Radix seu Lithospermi Radix), and decoct in water. If heat is severe, add Dahuang (Rhei Radix et Rhizoma); adjust further based on specific symptoms.
Xue Ji stated: Tai Fei is caused by maternal stomach heat. The infant should undergo the Bathing Method to unblock the interstices (Cou Li). The nursing mother should take Dalianqiao Yin.
"Tai Qie" (Prenatal Deficiency/Weakness) refers to infants born with lusterless faces, thin muscles, white watery stools, lack of ruddiness in the body, frequent hiccupping and eructation, dull eyes, and lack of spirit. The Bathing Method is also suitable as the primary treatment. Chu Yushi said: Insufficient maternal qi leads to emaciation and thin flesh; insufficient paternal essence leads to delayed closure of the fontanelle (Jie Lu) and excessive scleral exposure.
When a newborn has yellowing of the entire body and face, resembling gold, accompanied by high fever, constipation, urine resembling gardenia juice, anorexia, and incessant crying, this is the presentation of "Tai Huang" (Prenatal Jaundice). This is caused by damp-heat contracted by the nursing mother being transmitted to the fetus. In such cases, both mother and infant should take Dihuang Tang (Rehmannia Decoction) and Dihuang Yinzi (Rehmannia Drink). If an infant remains slightly yellow at 100 days or six months without illness, it is due to stomach heat. If jaundice is present from birth, it is called "Tai Dan" (Prenatal Icterus). The Classics state: All icterus is heat-related; deep yellow color indicates this type. Xijiao San (Rhinoceros Horn Powder) is the main prescription. If the color is pale yellow mixed with white, it indicates stomach deficiency; Baizhu San (Atractylodes Macrocephala Powder) is the main prescription.
Shengdihuang Tang (Fresh Rehmannia Decoction): Treats prenatal jaundice in newborns.
Ingredients: Shengdihuang (Rehmanniae Radix Recens), Chishaoyao (Paeoniae Radix Rubra), Chuanxiong (Ligustici Chuanxiong Rhizoma), Danggui (Angelicae Sinensis Radix), Gualougen (Trichosanthis Radix, equal parts).
Cut into pieces. Take half liang per dose, decoct in water. The nursing mother takes it, occasionally applying a small amount to the infant's mouth.
Dihuang Tang (Rehmannia Decoction)
Ingredients: Shengdihuang (Rehmanniae Radix Recens), Chishaoyao (Paeoniae Radix Rubra), Tianhuafen (Trichosanthis Radix), Chi Fuling (Poria with Red Heart, peeled), Chuanxiong (Ligustici Chuanxiong Rhizoma), Danggui (Angelicae Sinensis Radix, remove rhizome), Zhuling (Polyporus), Zexie (Alismatis Rhizoma), Gancao (Glycyrrhizae Radix et Rhizoma), Yinchen (Artemisiae Scopariae Herba, equal parts).
Crush into granules. Decoct in water and take before meals.
Dihuang Yinzi (Rehmannia Drink): Treats newborns with full-body and facial jaundice resembling gold, or red face with fever, closed eyes unable to open, constipation, urine like gardenia juice, and widespread sores.
Ingredients: Shengdihuang (Rehmanniae Radix Recens), Chishaoyao (Paeoniae Radix Rubra, each 2 qian), Qianghuo (Notopterygii Rhizoma et Radix, remove rhizome), Danggui (Angelicae Sinensis Radix, remove rhizome), Gancao (Glycyrrhizae Radix et Rhizoma, 1 qian).
Grind into extremely fine powder. Decoct Dengxincao (Junci Medulla) in water and take before meals. The nursing mother should take it and avoid alcohol, wheat products, and the Five Pungent Spices.
Xijiao San (Rhinoceros Horn Powder): Treats prenatal jaundice in newborns with full-body yellowing.
Ingredients: Xijiao (Rhinocerotis Cornu), Yinchen (Artemisiae Scopariae Herba), Gualougen (Trichosanthis Radix), Shengma (Cimicifugae Rhizoma, roasted), Gancao (Glycyrrhizae Radix et Rhizoma), Longdancao (Gentianae Radix), Shengdihuang (Rehmanniae Radix Recens), Hanshuishi (Calcitritum, calcined, equal parts).
Cut into pieces. Decoct in water and take at any time.