胎寒∶孩儿百日胎寒后,足屈难伸两手拳,口冷腹胀身战栗,昼啼不已夜嗷煎。
胎热∶三朝旬外月余儿,目闭泡浮症百推,常作呻吟火燥起,此为胎热定无疑。
脐风∶风邪早受入脐时,七日之间验吉凶,若见肚脐口中色,恶声口气是为凶。
脐突∶孩儿生下旬余日,脐突先浮非大疾,秽水停中自所因,徐徐用药令消释。
夜啼∶夜啼四症惊为一,无泪见灯心热烦,面莹夹青脐下寒,睡中顿哭是神干。
急惊∶面红卒中浑身热,唇黑牙关气如绝,目翻搐搦喉有痰,此是急惊容易决。
急惊∶急惊之后传如疟,外感风邪为气虚,略表气和脾与胃,然后寒热得消除。
慢惊∶阴盛阳虚病已深,吐泻后睡扬HT 睛,神昏按缓涎流甚,此症分明是慢惊。
搐症∶搐症须分急慢惊,亦由气郁致昏沉,良医亦治宜宽气,气下之时搐自停。
诸风∶诸风夹热引皮肤,凝结难为预顿除,颊肿须防喉舌内,要除风热外宜涂。
伤积∶头疼身热腹微胀,足冷神昏只爱眠,因食所伤脾气弱,不宜迟缓表为先。
吐泻∶脾虚胃弱病源根,食谷水和运化行,清浊邪干成吐泻,久传虚弱便生风。
伤寒∶伤寒之候有多般,一概相推便救难,两目见红时喷嚏,气粗身热是伤寒。
伤风∶伤风发热头应痛,两颊微红鼻涕多,汗出遍身兼咳嗽,此伤风症易调和。
夹食∶鼻涕头疼时吐逆,面红面白变不一,此因夹食又伤寒,发表有功方下积。
夹惊∶身微有热生烦躁,睡不安兮神不清,此是伤风感寒症,亦宜先表次宁心。
赤白∶小儿之痢细寻推,不独成之积所为,冷热数般虽各异,宽肠调胃在明医。
五痢∶痢成五色岂堪闻,日久传来神气昏,头痛肚疼苦为最,便知小儿命难存。
五疳∶五疳之脏五般看,治法推详事不难,若见面黄肌肉瘦,齿焦发落即为疳。
走马疳∶走马疳似伤寒毒,面色光浮气喘胸,若见牙焦腮有血,马疳如此是真形。
脱肛∶肛门脱露久难收,再成风伤是可忧,沉自先传脾胃得,更详冷热易为瘳。
诸疝∶诸疝原来各有名,盖因伤热气侵成,始分芍药乌梅散,匀气金铃与五灵。
咳嗽∶咳嗽虽然分冷热,连风因肺感风寒,眼浮痰盛喉中响,戏水多因汗未干。
∶小儿 为声啼,吃以酸咸又乱之,或自肺风伤水湿,风冷热聚为良医。
腹痛∶大凡腹痛初非一,不独 瘕与 癖,分条析类症多般,看此语中最详悉。
口疮∶心脾胃热蒸于上,舌与牙根肉腐伤,口臭承浆分两处,有疮虽易治四方。
目症∶生下余旬目见红,盖因腹受热兼风,凉肝心药最为妙,疝气痘疮宜别攻。
重舌∶孩儿受胎诸邪热,热壅三焦作重舌,或成鹅口症堪忧,用药更须针刺裂。
胎寒:婴儿在百日之内感受胎寒,表现为双腿弯曲难以伸直,双手紧握成拳,口部发冷,腹部胀满,身体颤抖战栗,白天啼哭不止,夜间哀号煎熬。
胎热:婴儿出生三天到一个月左右,出现眼睛闭合、眼睑浮肿等症状,经常发出呻吟声,这是由于体内火燥所致,这确定为胎热无疑。
脐风:风邪在婴儿出生后不久侵入脐部,通常在七天内可以验证吉凶。如果看到肚脐和口唇颜色异常,伴有恶臭的声音和口气,这是凶兆。
脐突:婴儿出生半个月到一个多月后,出现脐部突起,先浮起,并非大疾,这是因为秽浊之水停滞在中焦所致,应慢慢用药使其消散。
夜啼:夜啼有四种证型,惊惕是其中之一。无泪、见灯心草(药名)时烦躁发热;面色晶莹夹杂青色、脐下寒冷;睡中突然大哭,这是神志受扰所致。
急惊:面部发红,突然昏倒,全身发热,嘴唇发黑,牙关紧闭,气息微弱如绝,眼球上翻,抽搐痉挛,喉中有痰鸣声,这是急惊风,容易诊断。
急惊(续):急惊风之后若传变为类似疟疾的症状,是因为外感风邪且气虚。轻微解表以调和气和脾胃,然后寒热症状得以消除。
慢惊:阴盛阳虚,病情已深。吐泻之后睡眠中眼睛半睁(扬睛),神志昏迷,脉象缓弱,流涎严重,此症分明是慢惊风。
搐症:搐症必须区分急惊风和慢惊风,也是由气机郁滞导致昏沉。良医治疗宜宽理气机,气机下行时抽搐自然停止。
诸风:各种风邪夹带热邪侵袭皮肤,凝结难除,需预先顿服去除。脸颊肿胀须防止喉舌内部病变,要去除风热,外用涂抹为宜。
伤积:头痛,身体发热,腹部轻微胀满,脚冷,神志昏沉只想睡觉,这是因为饮食所伤导致脾气虚弱,不宜迟缓,应先解表。
吐泻:脾虚胃弱是疾病的根源,食物和水谷的运化运行失常,清浊之气相干形成吐泻,久病传变导致虚弱,进而生风。
伤寒:伤寒的证候有多种,一概推究便难以救治。两眼发红,时常打喷嚏,呼吸粗重,身体发热,这是伤寒。
伤风:伤风发热,头部应当疼痛,两颊微红,鼻涕多,汗出遍身并兼有咳嗽,这是伤风症,容易调和。
夹食:鼻涕,头痛,时常呕吐逆气,面色红白变化不一,这是因为夹食又感伤寒,解表有功,然后攻下积滞。
夹惊:身体微有发热,产生烦躁,睡不安稳,神志不清,这是伤风感寒症,也宜先解表,其次宁心安神。
赤白痢:小儿的痢疾需仔细寻究推演,不独是由积滞造成,冷热等多种情况虽各异,但宽肠调胃在于明医的判断。
五痢:痢疾呈现五色岂能听闻,日久传来神气昏沉,头痛肚子疼痛最为痛苦,便知小儿生命难保。
五疳:五疳涉及五脏,从五个方面观察,治法推详事情不难。如果见面黄肌肉消瘦,牙齿焦枯,头发脱落,即为疳积。
走马疳:走马疳类似于伤寒毒邪,面色光亮浮肿,气喘胸闷。如果见到牙齿焦枯,腮部有血,马疳如此才是真形。
脱肛:肛门脱出露在外面,久久难以收回,再受风邪伤害令人担忧。沉寒之邪先传入脾胃,再详细辨别冷热,容易治愈。
诸疝:各种疝气原来各有名称,大概因为受伤热气侵袭而成。开始分用芍药乌梅散,匀气金铃子散与五灵脂等方剂。
咳嗽:咳嗽虽然分冷热,连风因肺感风寒,眼睛浮肿,痰多,喉中作响,戏水多因汗未干所致。
鹅口疮(原文缺字,据语境补):小儿为声啼哭,吃奶时酸咸味道扰乱它。或者是肺风伤及水湿,风冷热聚,良医诊治。
腹痛:大凡腹痛起初并非一种,不独是瘕聚与癖块,分条析类证候多种,看这段话中最详细。
口疮:心脾胃热蒸腾于上,舌头和牙根肉腐伤,口臭,承浆穴(穴位名)处分为两处,有疮虽然容易治疗,四方皆有良方。
目症:出生剩余旬日(约二十多天)眼睛发红,盖因腹受热兼感风邪,凉肝心药最为奇妙,疝气痘疮宜分别攻治。
重舌:孩子受胎时诸邪热,热壅三焦形成重舌。或者成为鹅口症令人担忧,用药更须针刺破溃。
Fetal Cold: After one hundred days, if a child suffers from fetal cold, the legs are flexed and difficult to extend, the hands are clenched into fists, the mouth is cold, the abdomen is distended, and the body trembles. The child cries incessantly during the day and wails in torment at night.
Fetal Heat: For infants aged three days to over a month, symptoms include closed eyes and puffy eyelids, with frequent groaning caused by internal fire dryness. This is undoubtedly fetal heat.
Umbilical Wind (Omphalotonia): If wind pathogen invades the umbilicus early, auspicious or ominous signs can be verified within seven days. If abnormal colors appear at the umbilicus and mouth, accompanied by foul sounds and breath, it is an ominous sign.
Umbilical Hernia: Half a month to over a month after birth, the umbilicus protrudes and floats initially; this is not a severe disease. It is caused by the retention of turbid fluids in the middle jiao. Medication should be administered gradually to resolve it.
Night Crying: Night crying has four syndromes, with fright being one. Absence of tears, irritability and heat upon seeing Dengxincao (Heart of Nard Herb); crystal-clear complexion with greenish tinge and cold below the umbilicus; sudden crying during sleep indicates disturbance of the spirit.
Acute Convulsion (Ji Jing): Red face, sudden collapse, whole-body heat, black lips, locked jaw, breath as if absent, eyes rolling upward, convulsions and spasms, phlegm rattle in the throat. This is acute convulsion, easy to diagnose.
Acute Convulsion (Continued): If acute convulsion transmits like malaria afterwards, it is due to external wind pathogen invasion and qi deficiency. Slightly release the exterior to harmonize qi and strengthen spleen and stomach, then the alternating chills and fever will be eliminated.
Chronic Convulation (Man Jing): Yin excess and yang deficiency indicate deep disease. After vomiting and diarrhea, the eyes remain half-open during sleep (yang jing), consciousness is confused, pulse is slow, and salivation is profuse. This syndrome is clearly chronic convulsion.
Spasm Syndrome (Chu Zheng): Spasm syndrome must distinguish between acute and chronic convulsion. It is also caused by qi stagnation leading to coma. A skilled physician treats by regulating qi; when qi descends, the spasms naturally stop.
Various Winds: Various wind pathogens combined with heat invade the skin, forming nodules difficult to remove immediately. Cheek swelling requires prevention of internal throat and tongue lesions. To eliminate wind-heat, external application is suitable.
Food Accumulation Injury: Headache, body heat, slight abdominal distension, cold feet, confusion, and excessive sleepiness. This is caused by dietary injury weakening spleen qi. Delay is inadvisable; releasing the exterior should come first.
Vomiting and Diarrhea: Spleen deficiency and stomach weakness are the root causes. Failure of digestion and transportation of food and water leads to conflict between clear and turbid qi, resulting in vomiting and diarrhea. Prolonged transmission leads to weakness and subsequent generation of wind.
Cold Damage (Shang Han): The manifestations of Shang Han are varied; general deduction makes rescue difficult. Red eyes, frequent sneezing, coarse breathing, and body heat indicate Shang Han.
Wind Strike (Shang Feng): Wind strike involves fever and headache, slightly red cheeks, abundant nasal discharge, sweating over the whole body, and cough. This wind strike syndrome is easy to harmonize.
Combined Food Retention: Nasal discharge, headache, frequent vomiting and regurgitation, varying red and pale facial complexions. This is due to combined food retention and Shang Han. Releasing the exterior is effective, followed by purging accumulation.
Combined Fright: Slight body heat, irritability, restless sleep, and unclear spirit. This is a wind-strike and cold-invasion syndrome. It is appropriate to release the exterior first, then calm the heart.
Red and White Dysentery: Pediatric dysentery requires careful investigation. It is not solely caused by accumulation. Although cold and heat patterns differ, widening the intestines and regulating the stomach depends on the wise physician.
Five Types of Dysentery: Dysentery presenting five colors is distressing. Prolonged duration leads to confusion of spirit and qi. Severe headache and abdominal pain indicate that the child's life is hard to save.
Five Types of Gan (Wasting-Thirst): Five types of Gan involve five zang organs. Treatment methods are detailed and not difficult. Yellow complexion, emaciation, burnt teeth, and falling hair indicate Gan syndrome.
Running Horse Gan (Zou Ma Gan): Running Horse Gan resembles toxic Shang Han. The face is shiny and puffy, with asthma and chest tightness. Burnt teeth and bloody gums confirm the true form of Running Horse Gan.
Rectal Prolapse: Prolapsed anus that is difficult to reduce for a long time, further complicated by wind invasion, is worrying. Cold sinking first transmits to spleen and stomach. Distinguishing cold and heat makes it easy to cure.
Various Hernias (Shan): Various hernias have their own names, generally caused by injury and heat qi invasion. Initial treatment divides into Shaoyao Wumei San, Yunqi Jinling Zi San, and Wuling San.
Cough: Although cough is divided into cold and heat, wind-cold invading the lung causes eye puffiness, abundant phlegm, and rattling in the throat. Playing in water often occurs because sweat has not dried.
Mouth Ulcers (E Kou Chuang - inferred context): Infants cry out while eating; sour and salty tastes disrupt them. It may be lung wind injuring water-dampness, or aggregation of wind, cold, and heat. Wise physicians treat accordingly.
Abdominal Pain: Generally, abdominal pain originates from various sources, not just mass formations (jia) and fixed lumps (pi). Analyzing categories reveals many syndromes, as detailed in this text.
Mouth Sores: Heat steaming upwards from heart, spleen, and stomach corrodes the tongue and gum tissue. Bad breath and sores at Chengjiang acupoint are distinct. Though sores are easy to treat, there are prescriptions from all directions.
Eye Syndromes: Eyes turn red about twenty days after birth, due to abdominal heat combined with wind. Cooling liver and heart herbs are best. Hernia and smallpox syndromes require separate attack.
Double Tongue (Chong She): Various pathogenic heats during fetal development cause heat congestion in the triple burner, forming double tongue. Or it becomes Eagle Mouth syndrome (E Kou Chuang), which is worrying. Medication requires needle pricking to rupture.