小儿初生之日，或次日即大便者，俗云下脐屎，此肠胃通和，幽门润泽也，若至二三日不大便者，名曰锁肚，乃
胎中受辛热之毒，气滞不通也，其儿必面赤腹胀，不乳多啼，古法先用朱砂蜜治之，设若不应，再酌用一捻金与之（方
见不乳），继令妇人以温水嗽口，吸吮小儿前后心，两手足心、脐下、共七处，以皮见红赤色为度，可通大便。
〔真按〕朱砂镇坠损神，不宜轻用，一捻金更勿论矣，惟有吸吮前后心手足心脐下七处，尽可仿行，或用生
甘草末加黄连末少许，沸汤浸渍片刻，服之亦无妨碍。
小儿初生，大小便俱不通者，最为急候，乃胎中热毒而成也，若延至七日谓之一腊，肚腹硬胀，常作呻吟，
则难痊矣，古有急用口咂五心脐下法，再以木通散行其热（如木通、车前子、 蓄、瞿麦、赤苓、山栀、滑石、
黄芩、大黄、生甘草，引用灯芯等味），或以紫霜丸开其结（如代赭石，赤石脂、杏仁、巴豆等味），为急救之
法，或用生地龙数条，蜜少许，同研匀敷阴茎上，内用蝉蜕纸烧灰，入朱砂、龙脑、麝香各少许，麦冬灯芯煎汤，
调灌口中即通。
〔真按〕婴儿具薄弱柔嫩之质，木通散清热太过，紫霜丸开结更太过，俱不宜轻试，即以生地龙调蜜敷用，
亦未合法，脑麝香窜之药，尤非所宜，只要妇人吃吮前后心七处，两手足心连脐下在内，若仍腹胀气闷，急以乳
汁加葱白汁少许，调匀抹儿口中，与乳吮下，再以硬葱轻轻插入粪门，须臾即通。
小儿出生当天，或者第二天就排大便的，民间称为“下脐屎”，这是因为肠胃通畅调和，幽门滋润的缘故。如果到了二三天还不排大便的，名叫“锁肚”，这是由于胎儿在母体内受到辛辣热毒的影响，导致气机阻滞不通。这样的婴儿必然面色发红、腹部胀满，不吃奶且多啼哭。古法先用朱砂蜜来治疗，如果无效，再斟酌使用一捻金给予服用（方剂见“不乳”条）。随后让妇女用温水漱口，吸吮婴儿的前后心部、两手足心以及脐下，共七处部位，以皮肤呈现红赤色为限度，这样大便即可通畅。
〔陈守真按〕朱砂具有重镇作用但会损伤神志，不宜轻易使用，一捻金更不必说了。只有吸吮前后心、手足心及脐下这七处部位的方法，完全可以效仿施行。或者使用生甘草末加入少许黄连末，用沸水浸泡片刻，给婴儿服用也没有妨碍。
小儿出生后，大小便都不通的，是最为紧急的情况，这是由胎中热毒造成的。如果拖延到七天，称为“一腊”，此时肚子硬胀，经常发出呻吟声，那就难以治愈了。古代有紧急时使用口吸五心（两手心、两足心、心窝）和脐下的方法，再用木通散来清泄热邪（药物如木通、车前子、萹蓄、瞿麦、赤茯苓、山栀、滑石、黄芩、大黄、生甘草，以灯芯草为引），或者用紫霜丸来开通结滞（药物如代赭石、赤石脂、杏仁、巴豆等），作为急救之法。或者使用几条生地黄龙（蚯蚓），加少许蜂蜜，一同研匀敷在阴茎上，内服将蝉蜕纸烧成灰，加入少许朱砂、冰片、麝香，用麦冬和灯芯草煎汤，调匀灌入口中，大便即可通畅。
〔陈守真按〕婴儿体质薄弱柔嫩，木通散清热力量太过，紫霜丸开通结滞的力量更是太过，都不宜轻易尝试。即用生地黄龙调蜂蜜外敷使用，也不符合法度。脑（冰片）、麝香属于走窜之药，尤其不适合使用。只要让妇女吸吮前后心七处，连同两手足心和脐下在内。如果仍然腹胀气闷，紧急时用乳汁加入少许葱白汁，调匀涂抹在婴儿口中，让婴儿吮吸下去，再用硬葱轻轻插入肛门，片刻之后即可通畅。
On the day of birth, or the following day, if an infant passes stool, it is colloquially called "passing umbilical meconium" (Xia Qishi). This indicates that the intestines and stomach are harmonious and unobstructed, and the pylorus (Youmen) is moist. If the infant does not pass stool after two or three days, it is named "locked belly" (Suodu), caused by heat-toxin from pungent and hot substances acquired in the womb, leading to Qi stagnation and obstruction. Such infants will necessarily exhibit a red face, abdominal distension, refusal to nurse, and frequent crying. Ancient methods first employed Cinnabar Honey (Zhusha Mi) for treatment; if ineffective, Yi Nian Jin (One Pinch Gold) would be酌情 administered (see formula under "Refusal to Nurse"). Subsequently, a woman should rinse her mouth with warm water and suckle seven areas: the anterior and posterior chest/abdomen, both palms, both soles, and below the navel. The procedure continues until the skin turns reddish, which can relieve constipation.
[Chen Shouzhen's Note] Cinnabar (Zhusha) has a heavy-sinking property that damages the Spirit (Shen) and should not be used lightly; Yi Nian Jin is even less advisable. Only the method of suckling the seven areas (anterior/posterior chest, palms, soles, and below navel) can be faithfully followed. Alternatively, one may use Powder of Raw Glycyrrhiza (Sheng Gancao) mixed with a small amount of Powder of Coptis (Huanglian), steeped in boiling water for a moment, and administered orally without harm.
When an infant fails to pass both urine and stool upon birth, it is a most critical condition, resulting from heat-toxin in the fetus. If this persists for seven days, termed "one lunar fortnight" (Yi La), accompanied by a hard, distended abdomen and constant moaning, recovery becomes difficult. Ancient emergency protocols included oral suction at the five centers (two palms, two soles, and heart region) and below the navel, followed by administration of Tongxie Fang (Wood Pass Decoction) to clear heat (ingredients include Akebiae Caulis [Mutong], Plantaginis Semen [Cheqianzi], Polygoni Citini Herba [Bianxu], Stellariae Herba [Qumai], Poria Cocos [Chiling], Gardeniae Fructus [Shanzhi], Talcum [Huashi], Scutellariae Radix [Huangqin], Rheii Radix et Rhizoma [Dahuang], Raw Glycyrrhizae Radix et Rhizoma [Sheng Gancao], using Juncus effusus [Dengxin] as a guide). Alternatively, Zi Shuang Wan (Purple Frost Pill) could be used to open obstructions (ingredients include Haematitum [Daizheshi], Halloysit Rubra [Chishizhi], Armeniacae Semen Amarum [Xingren], Crotonis Fructus [Badou]) as an emergency measure. Another method involved grinding several fresh Earthworms (Di Long) with a little honey and applying the paste to the penis, while internally administering ash from burned Cicada Slough (Chan Tui) paper mixed with small amounts of Cinnabar (Zhusha), Borneolum Syntheticum (Longnao), and Moschus (Shexiang), prepared with Ophiopogonis Radix (Maidong) and Juncus effusus (Dengxin) decoction, poured into the mouth to restore passage.
[Chen Shouzhen's Note] Infants possess fragile and tender constitutions. Tongxie Fang clears heat too aggressively, and Zi Shuang Wan opens obstructions even more excessively; neither should be tried lightly. Even the external application of fresh Earthworms with honey is not entirely appropriate. Borneolum Syntheticum (Longnao) and Moschus (Shexiang) are acrid and dispersing drugs, particularly unsuitable. One should simply have a woman suckle the seven areas (anterior/posterior chest, including both palms and soles, and below the navel). If abdominal distension and Qi oppression persist, urgently mix milk with a small amount of Juice of Allii Fistulosi (Congbai) and apply it to the infant's mouth for suckling. Then, gently insert a firm stalk of green onion into the anus; passage will be restored shortly.