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Congenital Emaciation Sores original: 胎瘠瘡 (Tāi jí chuāng). This describes a rare condition where an infant is born with physical openings or pits on the back, likely referring to what modern medicine might classify as neural tube defects or severe congenital malnutrition. are characterized by a newborn infant having one or two holes on their back. This is a clear sign that the child’s internal organs original: 臟腑 (Zàngfǔ). The collection of solid (Yin) and hollow (Yang) organs that govern the body's health. are insufficient, and there is a lack of vital energy Qi and blood to properly develop the skin and flesh.
If there are holes but they are protected by a covering of flesh and membrane, there is still a "spark of life" original: 生機 (shēngjī). A term meaning the possibility of survival or vital potential.. One must urgently prepare a large dose of Powerful Qi and Blood Supplementing Decoction for the mother to take. When the infant consumes her milk, they may yet survive. Furthermore, one should chew pieces of Ginseng original: 人參 (Rénshēn) and Notoginseng original: 三七 (Sānqī) into a paste and fill the openings with it; this will bolster the vital energy and blood, allowing new skin to grow quickly.
However, if there is no fatty membrane within the holes and the internal organs are visible through the openings, the child will die within a few days, and attempts to save them will be futile. In general, even if one supplements the mother’s energy and blood to temporarily fill the gap, the child’s prenatal original: 先天 (Xiāntiān). Literally "Before Heaven," referring to the constitution and essence inherited from the parents at birth. deficiency is so great that it may only extend their life by a few years; they will not be able to enjoy a full century of life.
| Astragalus root original: 黃芪 (Huángqí). A foundational herb for boosting vital energy (Qi) and promoting skin growth. | 1 tael | Chinese Angelica root original: 當歸 (Dāngguī). A primary blood-tonifying herb. | 1 tael |
| White Atractylodes original: 白朮 (Báizhú). Used to strengthen the digestive system (Spleen) and boost energy. | 5 mace | Szechuan Lovage root original: 川芎 (Chuānxióng). Used to invigorate the blood and move energy. | 5 mace |