初生
初生何故便需医，
生下啼声未出，急用绵裹手指，蘸生甘草汁，夏月和黄连汁拭口，去其恶秽，稍定，更以蜜调朱砂末
一字，抹入口中，镇心安神解毒。延生方∶初生脐带落后，取置新瓦上，用炭火四围烧存性，若脐带有五分，
入飞过辰砂二分半，为末，用生地、当归煎浓汁调匀抹儿上 间，及乳母乳头上，一日至晚服尽为度。次日
遗下秽浊之物，终身永无痘疹诸疾，十分妙法。
胎热胎寒胎瘦肥；
胎热因母食热，胎寒因母感寒，或伤生冷。胎瘦怯，面黄，白睛多，喜哭，身肌肉薄，大便色白，属肺，
宜预服长生丸∶槟榔、枳壳各一两，木香五钱，砂仁、半夏、丁香，肉豆蔻、全蝎各二十枚，为末，饭丸黍米
大。每五十丸乳汁下，宽上实下，补脾化痰止泻。胎肥，生下肌肤血红，五心烦热，大便难，宜有浴体法∶白
矾、青黛、乌梢蛇各一钱半，天麻五分，蝎梢、朱砂各二分半，麝香一字，桃枝一握，水煎十沸，温热浴之，
勿洗背，胎瘦者亦宜。
胎寒身冷多泻利，盘肠内钓痛无时。
生后身冷，口气亦冷，肠鸣泻利青黑，盘肠内钓，心腹绞痛不乳者，木香匀气散，或白姜散∶白姜、木
香、官桂、陈皮、槟榔、甘草各等分。呕加木瓜、丁香；面青肢冷，去槟榔加川芎、当归，水煎，量儿大小，
以绵蘸灌之。
或不能啼或肾缩，
有生下不能啼者，必因难产冒寒所致。急
以绵絮包抱怀中，未可遽断脐带，且将胞衣置灰火中煨之，仍作大油纸捻点灯，于脐带上往来遍带燎之。盖带
连儿脐，得火气由脐而入，更以热醋汤浇洗脐带，须臾气回啼哭如常，方可浴洗，并断脐带。有肾缩者，乃初生
受寒，用硫黄、吴萸各五钱为末，研大蒜汁，调涂腹上，仍以蛇床子烧烟微熏。
生泡遍身或无皮。
生下遍身如鱼泡、如水晶，碎则成水流渗者，乃胎受寒湿也。用密陀僧为末糁之，仍服苏合香丸。生下遍
身无皮，俱是红肉者，乃脾气不足也，用早米粉扑之，候生皮方止。
胎热悬痈落地死，
有生下即死者，急看儿口中悬痈、前 上有泡，以手指摘破，用帛拭血令净，若血入喉即死。
谷道无孔事亦奇。
初生谷道无孔者，乃肺热闭于肛门，急用金银玉簪，看其端的处刺穿；或用火针刺，不可深，以蜜导法套
住，紧急只以油纸捻套住。内服四顺清凉饮，免其再合。
二便不通因不乳，
有生后面红气急，眵泪呵欠，二便不利，或有血水，甚则手足常搐，眼常邪视，身常掣跳，宜连翘饮、五
福化毒丹、梨浆饮。有不能饮乳者，用黄连、枳壳、赤茯苓等分蜜丸，乳汁下。有生下面赤眼闭，二便不通，
不饮乳者，酿乳方∶泽泻五分，生地四分，猪苓、赤茯苓、天花粉、茵陈、甘草各二分，水煎，令乳母捏去宿
乳服之，良久乳儿。此酿乳法，余皆仿此。有单小便不通者，乃心气积热并于小肠，急用生地龙数条，蜜少许，
研匀敷阴茎上，内用蚕蜕烧灰，入朱砂、脑麝少许为末，麦门冬、灯心煎汤调服。有不乳小便难者，用乳汁四
合，葱白一寸，煎三沸灌之。
若兼腹胀难支持。
大便不通，腹胀欲绝者，令妇人以温水漱口，吸咂儿前后心并脐下，手足心共七处，吸咂三五次，以红赤
为度，便即自通。
生赤如丹生黄胆，
有生下体如丹涂者，郁金散∶郁金、桔梗、甘草、天花粉、葛根等分为末，薄荷煎汤，入蜜调服五分，
后用蓝叶、浮萍、水苔同研绞汁，调朴硝、土朱涂赤处。有生下肌肉红白，二腊后遍身面目小便皆黄，大便
不通，谓之血疸。因母受湿热，或衣被太暖所致，宜四物汤加天花粉等分，水煎服；兼以黄柏煎汤洗之。
鹅口口疮急拭之。
白屑满舌如鹅之口者，心脾热也。用发缠指头，蘸薄荷自然汁拭净，如不脱，用保命散∶枯矾、朱砂各一
钱，马牙硝五钱，为末，每一字，取白鹅粪擂水，调涂舌上及颔颊内。口疮者，心脏积热也，用淡醋调南星末，
贴两脚心，乳母服洗心散。轻者用黄连，或细茶为末，少加甘草，蜜调敷之；甚者用黄柏、青黛、片脑为末，
竹沥调敷，或前保命散去鹅粪尤妙。如满口生疮糜烂者，用黄柏、细辛、青盐为末，噙之吐涎，三日即愈。大
人亦宜。有口烂不能吃乳者，用巴豆二粒，入朱砂或黄丹、土朱少许，同捣烂，剃开小儿囟门贴之；如四边起
粟米泡，急用温水洗去，恐成疮，用菖蒲煎汤洗之，立效。
重舌木舌牙龈白，
重舌，心脾热盛，附舌根而重生一物如舌，短小而肿，曰重舌。着颊里及上 ，曰重 ∶着齿龈，曰重
齿。当刺出血，再生再刺。不尔，则胀满塞口，有妨乳食，宜青黛散∶黄连、黄柏各一钱，青黛、牙硝、辰砂
各二分，雄黄、牛黄、硼砂各一分，片脑二厘，为末。先用薄荷汁拭口，后以药末少许糁之。咽疮肿塞者亦
宜。木舌，心脾热壅，肿硬不和，渐渐塞满口中，亦能害人。用黄柏为末，以竹沥调，点舌上，甚者加朴硝、
白盐，二证通用∶百草霜、芒硝、滑石为末，酒调敷之。又弄舌，舌络微紧，时时舒出，亦脾热也，不可冷药，
当与泻黄散
渐服之。面黄肌瘦，五心烦热者，胡连丸。大病后弄舌者凶。有初生舌下生膜如石榴子，连于舌根，令儿声不
能发，急摘断之，微有血，以发灰糁之。有口内并牙龈生白点者，名马牙。不能食，与鹅口不同，少缓不能救。
急以针挑出血，用京墨磨薄荷汁，以母油发裹手指蘸墨遍口擦之，勿得食乳，令儿睡一时，醒后与乳，再为擦
之即愈。
尽皆母热遗于儿。
撮口
撮口聚面气喘急，胎家热毒入心脾；
撮口风∶面目黄赤，气喘、啼声不出，胎热流毒心脾，则舌强唇青，撮口聚面，饮乳有妨。用僵蚕二枚，略炒
为末，蜜调敷唇中；或大利惊丸或蝎梢散（蝎梢四十九个，每个用生薄荷叶卷定，以绵扎之，砂锅内衮炒，
薄荷干酥为度，再入僵蚕四十九个，脑麝少许，为末），用紫雄鸡肝二片，煎汤调服。治一切胎风及百日内撮
口脐风。如胎虚冷者，加川乌；热者另用辰砂膏。有初生七日患此者，急看儿齿龈之上，有小泡如粟米状，急
以青软布裹手指，蘸温水轻轻擦破，即开口便安，不用服药。
亦有脾肺虚寒者，
撮口，气不和也。肺主气，口属脾，脾虚不能荣子，故撮口气急，保命丹、益黄散主之。
口沫肢冷不可为。
口出白沫，四肢冰冷，最为恶候，一七见之必死。
噤口
噤口不乳不能啼，胎热复为风搏之；噤口风∶眼闭，啼声清小，舌上聚肉如粟米状，吮乳不得，口吐白
沫，二便皆通，由胎中受热，毒流心脾，故形见于喉舌，或生下复为风邪搏之所致，宜泻黄散、珠银丸。有初
生口噤不开，不收乳者，用金头赤足蜈蚣一条，炙焦为末，每五分以猪乳汁二合和匀，分三四次灌之；或用竹沥
调牛黄末一字灌之，更以猪乳汁点口中。
此证皆因里气郁，吐痰利惊最得宜；
噤口、撮口、脐风，三者一种，同因里气郁闭，宜先用控痰散吐痰∶蝎梢、铜青各五分，朱砂一钱，腻粉
一字，麝香少许，为末，每一字，茶清调服；或甘草煎汤探吐，尤稳。却以猪胆汁点入口中即瘥。次用人参养
胃汤，去苍术、半夏，加木香、苏子，与乳母服。再用辰砂膏、利惊即愈。
吹鼻喷嚏可治，
吹鼻法∶蜈蚣一条，蝎梢四个，僵蚕七个，瞿麦五分，为末。每一字吹入鼻中。喷嚏可治，仍用薄荷汤
调服。
七朝见此十分危。
七朝见此证者危，百日内见此证，手足蜷者亦不治。
脐风 （附胎风）
脐风风冷湿气流，
脐风，因断脐后，为尿、乳、水湿、风冷入脐，流于心脾所致。
脐肿腹胀四肢柔；
其证∶脐肿突，腹胀满。
或多啼搐防撮噤，
若日夜多啼，不能饮乳，甚则发搐、撮口、噤口，是为内搐不治。凡脐边青黑，爪甲黑者，俱死。古方
大利惊丸主之，或用噤口条吹鼻法，有嚏可治。甚者，金乌散∶金头蜈蚣半条，川乌尖三个生，麝香少许，为
末，每半字，金银煎汤调服。或外科赛命丹、一捻金妙，如风搐稍定，多啼烦躁者，大温惊丸。
间有热者生可求；
亦有热在胸膛，伸引努气，亦令脐肿，千金龙胆汤，小凉惊丸。洗脐肿法∶用荆芥煎汤洗净，后以葱叶
火上炙过，候冷，指甲刮薄贴肿处，次日便消。方服通心饮∶木通，连翘、瞿
麦、山栀、黄芩、甘草各三分，灯心、麦门冬各少许，水煎服。通心气，利小便，退潮热，分水谷，兼治旋螺
服风。如春月加防风、蝉蜕；夏加茯苓、车前子；秋加牛蒡子、升麻；冬加山栀、连翘；行气加钩藤、川楝子；
口疮加生地、野苎根。通用∶安脐法，治脐中血水汁出，或赤肿痛。当归为末，或白石脂末，蛤蟆油，冲头
发烧灰，皆可敷之，灸肚筋法∶儿生七朝，患此者必自发出青筋一道，行至肚，必生两岔，待行至心，不治。
知者常视其青筋初发，速照青筋头上灸三炷，或行至生两岔处，亦照两岔头上截灸六炷，青筋自消，儿必活矣。炼
脐法∶药方见第一卷。凡初生下时，用绵裹脐带，离肚三寸处。以线扎住，却于线外将脐带剪断，片时去线，
待血流尽，看近肚处，脐有两小孔，一大孔，用鹅毛管送炼脐药一二分入大孔内，以手指轻轻揉散，艾灸脐头三
炷，结作纥HT ，软帛腰裹，切不可时常揭看，待脐落去，自无风矣。又法∶落胎之时，视其脐软者，不须治，
如脐硬直者，定有脐风，急用银簪于脐根傍刺破一二处，入麝香末少许，艾灸三炷，极妙。
胎风痫证多呕吐，生者红色注眉头。
胎惊痫风，乃孕妇嗜欲，忿怒惊扑，或外挟风邪伤胎，子乘母气，生下即病，呕吐抽掣，口眼 斜，
惊啼声短，腮缩囟开，或颊赤，或面青，噤口切牙，眼含潮涎，筋骨拘挛，身腰强直，脐腹肿起，与噤、撮同证。
但胎风合眼，与慢脾异，不可妄用温药。视其眉间气色红赤鲜碧者生，青黯黑者死。治法∶解散风邪，利惊化涎
调气，辰砂膏最妙。太乙散∶天浆子、南星、白附子、天麻、防风、茯苓各二钱，全蝎、朱砂各一钱，麝香少
许，为末，每五分，乳汁化下，治胎惊。
胎惊夜啼
上夜惊啼多痰热，仰身有汗赤面颊；
月内夜啼，惊惕抽掣者，乃胎中受惊所致，宜猪乳膏∶琥珀、防风各一钱，朱砂五分，为末，用猪乳汁
调一字，抹儿口中。或保命丹、金箔镇心丸。惊有痰者，抱龙丸；惊有热者，凉惊丸、龙脑安神丸。寻常邪热
夜啼者，用灯花三颗为末，灯芯煎汤调抹儿口中，以乳汁送下，日二服。大概有痰热者，多上半夜，仰身有汗
而啼，面赤心躁，小便赤涩，口中与腹皆热也。
下夜曲腰必虚寒，甚则内钓手足掣；
夜啼气虚者，四君子汤加山药、扁豆；挟热加黄连、竹叶∶血虚焦啼者，用当归为末，乳汁调服；气血
俱虚，腹痛夜啼者，用黄 、当归、赤芍、木香、甘草等分为末，每挑少许着乳头上，使吮乳服之。有胎寒及衣
被过凉，以致脏寒，盘肠内钓，肚腹胀痛，啼则眼目上视，手足抽掣。盖夜则阴盛，寒则作痛，甚则阴盛发
躁，所以夜啼，宜保命丹；轻者益黄散。外炒麦麸熨之。凡下半夜曲腰而啼，面目青白，扪腹觉冷，必冒寒腹
痛也。有因惊受风邪而啼者，二活散∶羌活、独活各二分，槟榔、天麻、麻黄，甘草各一分，水煎服。或加南
星为末，蜜调可贴囟门。有伤乳食作痛而啼者，消乳食丸。
客忤中恶哭黄昏，
有日夜惊啼，必黄昏前后尤甚者，乃客忤中恶，治详后客忤条。
饮乳方啼烂口舌。
有欲饮乳到口便啼，身额皆热者，看其口，若无疮，必喉舌肿痛，宜冰梅丸、薄荷煎治之。凡初生月内
多啼者吉，胎热、胎毒、胎惊得散，且无奇疾。要知频浴冻腹，便成脐风；不忌生人异物，则为客忤、噤口、
惊啼；乳食重服，则吐泻痰逆；过暖则口舌疮痍；过凉则脏寒钓气。调理之法，适中而已。
诸惊
神惊痰聚发风搐，或因内热风生肝；
小儿元气未充，神畜未定，或见生人异物，或闻厉声响器，惊入心之胞络，火炎舍空
而聚痰，痰生热，热生风，心肝脾病也。又有心内积热而惊惕，肝内生风而发搐，痰涎壅盛，风热并作，所
以暴烈紧急，心肝病也。盖心主热，脾主痰，肝主风，相因而发，谓之惊风痰热可也，谓之惊热风痰亦可也。
大要∶惊热者朱砂安神丸；热甚者凉惊丸；虚者温惊丸∶痰盛者辰砂化痰丸、抱龙丸；痰热者滚痰丸；惊、风，
痰、热全者，天麻防风丸、古礞石丸。又有惊积者，受惊日久而积成之也。其证∶额汗喘息、烦渴、潮热往来、
肚热、睡中觉腹内有物跳动，泻下如白脂、辰砂是也。治法∶量与辰砂膏疏导，仍与调气和胃而愈。
内外夹惊成假搐，不比真搐闭牙关。
其有搐搦反张，斜视而牙关不紧，口无痰涎者，多是外感风寒，内伤饮食夹惊而成，谓之假搐，非真搐
内生惊痫也。内伤饮食壅热，或因食后遇惊，谓之伤食夹惊，身热温壮，或吐不思食，大便酸臭，先用人参羌
初生婴儿为何一出生就需要医生诊治？
如果婴儿出生后啼哭声音未出，应立即用绵絮包裹手指，蘸取生甘草汁擦拭口腔；夏季可混合黄连汁一起擦拭，以去除口中的恶秽之物。待情况稍稳定后，再用蜂蜜调和朱砂末（约一字量），涂抹在婴儿口中，以镇心安神、解毒。延生方记载：婴儿脐带脱落后，将其放在新瓦片上，用炭火从四周烧至存性（保留药性）。若脐带有五分重，加入经过飞制处理的辰砂二分半，研成细末。用生地黄、当归煎煮浓汁调匀，涂抹在婴儿身体间隙及乳母乳头处，一日之内服完为度。这样可使婴儿日后终身不患痘疹等疾病，是非常奇妙的疗法。
关于胎热、胎寒、胎瘦、胎肥：
胎热是因为母亲食用了热性食物；胎寒是因为母亲感受寒邪，或损伤生冷食物所致。胎瘦的婴儿表现为怯弱、面色黄、白眼球多、喜欢哭闹、身体肌肉单薄、大便颜色发白，这属于肺经病变，适宜预先服用长生丸：槟榔、枳壳各一两，木香五钱，砂仁、半夏、丁香、肉豆蔻、全蝎各二十枚，研成细末，用米饭做成黍米大小的丸剂。每次五十丸，用乳汁送下，具有宽胸理气、实脾化痰、止泻的功效。胎肥的婴儿，出生后肌肤血红，手足心及心胸烦热，大便困难，适宜采用浴体法：白矾、青黛、乌梢蛇各一钱半，天麻五分，蝎梢、朱砂各二分半，麝香一字，桃枝一握，用水煎煮十沸，待温热时给婴儿洗澡，注意不要洗背部，胎瘦的婴儿也适宜使用此法。
胎寒表现为身体寒冷、容易腹泻，盘肠内钓（肠道痉挛向内牵引）导致疼痛无常。
出生后身体寒冷，口气也冷，肠鸣音明显，腹泻排出青黑色粪便，出现盘肠内钓症状，心腹绞痛且不吸吮乳汁者，可使用木香匀气散，或白姜散：白姜、木香、官桂、陈皮、槟榔、甘草各等分。若伴有呕吐，加木瓜、丁香；若面色青、四肢冰冷，去掉槟榔，加川芎、当归，用水煎煮，根据婴儿大小，用绵絮蘸药液灌服。
有的婴儿不能啼哭或睾丸收缩（肾缩）：
有出生后不能啼哭的，必定是因为难产受寒所致。急忙用棉絮包裹抱在怀中，不要急于剪断脐带，先将胞衣放在灰火中煨烤，同时制作大的油纸捻点燃作为灯火，在脐带上来回燎烤。因为脐带连着婴儿肚脐，得火气后由脐部进入体内，再用热醋汤浇洗脐带，片刻后气息恢复，像往常一样啼哭，才可以进行沐浴并剪断脐带。有睾丸收缩的，是因为初生受寒，用硫黄、吴茱萸各五钱研成细末，研磨大蒜汁调匀涂抹腹部，并用蛇床子燃烧烟气轻微熏蒸。
全身长水泡或无皮：
出生后全身像鱼泡、像水晶一样，破裂后流水渗漏，这是胎儿受到寒湿侵袭所致。用密陀僧研成细末撒布患处，同时服用苏合香丸。出生后全身无皮，全是红肉，这是脾气不足所致，用早米粉扑洒患处，等到长出皮肤为止。
胎热导致的悬痈（舌下脓肿）若破裂会导致死亡：
有出生后即刻死亡的，急忙查看婴儿口中的悬痈、前龈是否有水泡，用手指挑破，用帛布擦拭干净血液，如果血液流入喉咙就会死亡。
肛门无孔的情况也很奇特：
初生肛门无孔的，是肺热闭塞于肛门所致，急忙用金银玉簪，找准确切位置刺穿；或用火针刺，不可过深，用蜜导法套住，紧急情况下只用油纸捻套住。内服四顺清凉饮，防止伤口再次闭合。
二便不通是因为不吸吮乳汁：
有出生后面红气急，眼屎多，打哈欠，大小便不利，或有血水，甚至手足经常抽搐，眼睛斜视，身体经常掣动跳跃，适宜使用连翘饮、五福化毒丹、梨浆饮。有不能饮乳的，用黄连、枳壳、赤茯苓等分制成蜜丸，用乳汁送下。有出生后面赤眼闭，二便不通，不饮乳的，用酿乳方：泽泻五分，生地四分，猪苓、赤茯苓、天花粉、茵陈、甘草各二分，水煎，让乳母挤去宿乳后服用，过一会儿再喂婴儿。这就是酿乳法，其余方法都仿照此例。有仅小便不通的，是心气积热并传于小肠，急忙用数条地龙（蚯蚓），加少许蜂蜜，研匀敷在阴茎上，内服蚕蜕烧成的灰，加入朱砂、冰片、麝香少许研成细末，用麦门冬、灯心草煎汤调服。有不吸吮乳汁且小便困难的，用乳汁四合，葱白一寸，煎煮三沸后灌服。
如果兼有腹胀难以支持：
大便不通，腹胀欲绝者，让妇女用温水漱口，吸咂婴儿的前心、后背以及脐下、双手足心共七处，吸咂三五次，以皮肤发红为度，大便即可自然通畅。
出生后面色红如丹砂或患黄疸：
有出生后身体像涂了丹砂一样红的，用郁金散：郁金、桔梗、甘草、天花粉、葛根等分为末，用薄荷煎汤，加入蜂蜜调服五分，随后用蓝叶、浮萍、水苔同研绞汁，调和朴硝、土朱涂抹红色部位。有出生后肌肉红白相间，过了两个腊日（约两个月）后全身面目小便皆黄，大便不通，称为血疸。因母亲感受湿热，或衣被太暖所致，适宜用四物汤加天花粉等分，水煎服；兼用黄柏煎汤清洗。
鹅口疮和口疮要急忙擦拭：
白屑满舌像鹅之口的，是心脾热盛所致。用头发缠在手指头上，蘸薄荷自然汁擦拭干净，如果不脱落，用保命散：枯矾、朱砂各一钱，马牙硝五钱，研成细末，每一字量，取白鹅粪擂水，调匀涂抹舌上及下巴脸颊内侧。口疮是心脏积热所致，用淡醋调和南星末，贴敷在两脚心，乳母服用洗心散。轻的用黄连，或细茶研末，少加甘草，蜂蜜调敷；重的用黄柏、青黛、冰片研末，竹沥调敷，或者用前面的保命散去鹅粪更好。如果满口生疮糜烂，用黄柏、细辛、青盐研末，含在口中吐涎，三天即愈。成人也适宜。有口烂不能吃乳的，用巴豆两粒，加入朱砂或黄丹、土朱少许，同捣烂，剃开小儿囟门贴敷；如果四周起粟米状水泡，急忙用温水洗去，恐怕形成疮疡，用菖蒲煎汤清洗，立即见效。
重舌、木舌、牙龈白：
重舌，是心脾热盛，附着在舌根而重生一个像舌头一样的东西，短小肿胀，叫重舌。长在脸颊里及上颚的，叫重齶；长在齿龈的，叫重齿。应当刺出血，再生再刺。否则，会胀满塞口，妨碍吃奶，适宜用青黛散：黄连、黄柏各一钱，青黛、牙硝、辰砂各二分，雄黄、牛黄、硼砂各一分，冰片二厘，研成细末。先用薄荷汁擦拭口腔，后将药末少许撒布。咽疮肿塞的也适宜。木舌，是心脾热壅，肿胀坚硬不和，渐渐塞满口中，也能害人。用黄柏研末，用竹沥调和，点涂舌上，重的加朴硝、白盐，这两种证候通用：百草霜、芒硝、滑石研末，酒调敷。还有弄舌，舌络微紧，时时伸出，也是脾热，不能用冷药，应当给予泻黄散渐服。面黄肌瘦，五心烦热的，用胡连丸。大病后弄舌的预后不良。有初生舌下生膜像石榴籽，连于舌根，令婴儿声音发不出，急忙摘断，微有血，用发灰撒布。有口内并牙龈生白点的，名叫马牙。不能进食，与鹅口不同，稍慢就不能救治。急忙用针挑出血，用京墨磨薄荷汁，用母油浸过的头发裹手指蘸墨遍口擦之，不要让婴儿吃乳，让婴儿睡一时，醒后给乳，再擦一次即愈。
这些都是母亲的热遗留给婴儿的。
撮口风：
撮口聚面气喘急，胎家热毒入心脾；
撮口风表现为面目黄赤，气喘、啼声不出，胎热流毒于心脾，则舌强唇青，撮口聚面，饮乳有妨。用僵蚕二枚，略炒研末，蜜调敷唇中；或大利惊丸或蝎梢散（蝎梢四十九个，每个用生薄荷叶卷定，以绵扎之，砂锅内衮炒，薄荷干酥为度，再入僵蚕四十九个，脑麝少许，为末），用紫雄鸡肝二片，煎汤调服。治一切胎风及百日内撮口脐风。如胎虚冷者，加川乌；热者另用辰砂膏。有初生七日患此者，急忙看儿齿龈之上，有小泡如粟米状，急忙以青软布裹手指，蘸温水轻轻擦破，即开口便安，不用服药。
也有脾肺虚寒者：
撮口，气不和也。肺主气，口属脾，脾虚不能荣子，故撮口气急，保命丹、益黄散主之。
口出白沫、四肢冰冷不可治：
口出白沫，四肢冰冷，最为恶候，一七见之必死。
噤口风：
噤口不乳不能啼，胎热复为风搏之；噤口风表现为眼闭，啼声清小，舌上聚肉如粟米状，吮乳不得，口吐白沫，二便皆通，由胎中受热，毒流心脾，故形见于喉舌，或生下复为风邪搏之所致，宜泻黄散、珠银丸。有初生口噤不开，不收乳者，用金头赤足蜈蚣一条，炙焦为末，每五分以猪乳汁二合和匀，分三四次灌之；或用竹沥调牛黄末一字灌之，更以猪乳汁点口中。
此证皆因里气郁，吐痰利惊最得宜；
噤口、撮口、脐风，三者一种，同因里气郁闭，宜先用控痰散吐痰：蝎梢、铜青各五分，朱砂一钱，腻粉一字，麝香少许，为末，每一字，茶清调服；或甘草煎汤探吐，尤稳。却以猪胆汁点入口中即瘥。次用人参养胃汤，去苍术、半夏，加木香、苏子，与乳母服。再用辰砂膏、利惊即愈。
吹鼻喷嚏可治：
吹鼻法：蜈蚣一条，蝎梢四个，僵蚕七个，瞿麦五分，为末。每一字吹入鼻中。喷嚏可治，仍用薄荷汤调服。
七朝见此十分危：
七朝见此证者危，百日内见此证，手足蜷者亦不治。
脐风（附胎风）：
脐风风冷湿气流，
脐风，因断脐后，为尿、乳、水湿、风冷入脐，流于心脾所致。
或多啼搐防撮噤，
若日夜多啼，不能饮乳，甚则发搐、撮口、噤口，是为内搐不治。凡脐边青黑，爪甲黑者，俱死。古方大利惊丸主之，或用噤口条吹鼻法，有嚏可治。甚者，金乌散：金头蜈蚣半条，川乌尖三个生，麝香少许，为末，每半字，金银煎汤调服。或外科赛命丹、一捻金妙，如风搐稍定，多啼烦躁者，大温惊丸。
间有热者生可求；
亦有热在胸膛，伸引努气，亦令脐肿，千金龙胆汤，小凉惊丸。洗脐肿法：用荆芥煎汤洗净，后以葱叶火上炙过，候冷，指甲刮薄贴肿处，次日便消。方服通心饮：木通，连翘、瞿麦、山栀、黄芩、甘草各三分，灯心、麦门冬各少许，水煎服。通心气，利小便，退潮热，分水谷，兼治旋螺服风。如春月加防风、蝉蜕；夏加茯苓、车前子；秋加牛蒡子、升麻；冬加山栀、连翘；行气加钩藤、川楝子；口疮加生地、野苎根。通用：安脐法，治脐中血水汁出，或赤肿痛。当归为末，或白石脂末，蛤蟆油，冲头发烧灰，皆可敷之，灸肚筋法：儿生七朝，患此者必自发出青筋一道，行至肚，必生两岔，待行至心，不治。知者常视其青筋初发，速照青筋头上灸三炷，或行至生两岔处，亦照两岔头上截灸六炷，青筋自消，儿必活矣。炼脐法：药方见第一卷。凡初生下时，用绵裹脐带，离肚三寸处。以线扎住，却于线外将脐带剪断，片时去线，待血流尽，看近肚处，脐有两小孔，一大孔，用鹅毛管送炼脐药一二分入大孔内，以手指轻轻揉散，艾灸脐头三炷，结作纥HT ，软帛腰裹，切不可时常揭看，待脐落去，自无风矣。又法：落胎之时，视其脐软者，不须治，如脐硬直者，定有脐风，急用银簪于脐根傍刺破一二处，入麝香末少许，艾灸三炷，极妙。
胎风痫证多呕吐，生者红色注眉头。
胎惊痫风，乃孕妇嗜欲，忿怒惊扑，或外挟风邪伤胎，子乘母气，生下即病，呕吐抽掣，口眼 斜，惊啼声短，腮缩囟开，或颊赤，或面青，噤口切牙，眼含潮涎，筋骨拘挛，身腰强直，脐腹肿起，与噤、撮同证。但胎风合眼，与慢脾异，不可妄用温药。视其眉间气色红赤鲜碧者生，青黯黑者死。治法：解散风邪，利惊化涎调气，辰砂膏最妙。太乙散：天浆子、南星、白附子、天麻、防风、茯苓各二钱，全蝎、朱砂各一钱，麝香少许，为末，每五分，乳汁化下，治胎惊。
胎惊夜啼
上夜惊啼多痰热，仰身有汗赤面颊；
月内夜啼，惊惕抽掣者，乃胎中受惊所致，宜猪乳膏：琥珀、防风各一钱，朱砂五分，为末，用猪乳汁调一字，抹儿口中。或保命丹、金箔镇心丸。惊有痰者，抱龙丸；惊有热者，凉惊丸、龙脑安神丸。寻常邪热夜啼者，用灯花三颗为末，灯芯煎汤调抹儿口中，以乳汁送下，日二服。大概有痰热者，多上半夜，仰身有汗而啼，面赤心躁，小便赤涩，口中与腹皆热也。
下夜曲腰必虚寒，甚则内钓手足掣；
夜啼气虚者，四君子汤加山药、扁豆；挟热加黄连、竹叶：血虚焦啼者，用当归为末，乳汁调服；气血俱虚，腹痛夜啼者，用黄 、当归、赤芍、木香、甘草等分为末，每挑少许着乳头上，使吮乳服之。有胎寒及衣被过凉，以致脏寒，盘肠内钓，肚腹胀痛，啼则眼目上视，手足抽掣。盖夜则阴盛，寒则作痛，甚则阴盛发躁，所以夜啼，宜保命丹；轻者益黄散。外炒麦麸熨之。凡下半夜曲腰而啼，面目青白，扪腹觉冷，必冒寒腹痛也。有因惊受风邪而啼者，二活散：羌活、独活各二分，槟榔、天麻、麻黄，甘草各一分，水煎服。或加南星为末，蜜调可贴囟门。有伤乳食作痛而啼者，消乳食丸。
客忤中恶哭黄昏，
有日夜惊啼，必黄昏前后尤甚者，乃客忤中恶，治详后客忤条。
饮乳方啼烂口舌。
有欲饮乳到口便啼，身额皆热者，看其口，若无疮，必喉舌肿痛，宜冰梅丸、薄荷煎治之。凡初生月内多啼者吉，胎热、胎毒、胎惊得散，且无奇疾。要知频浴冻腹，便成脐风；不忌生人异物，则为客忤、噤口、惊啼；乳食重服，则吐泻痰逆；过暖则口舌疮痍；过凉则脏寒钓气。调理之法，适中而已。
诸惊
神惊痰聚发风搐，或因内热风生肝；
小儿元气未充，神畜未定，或见生人异物，或闻厉声响器，惊入心之胞络，火炎舍空而聚痰，痰生热，热生风，心肝脾病也。又有心内积热而惊惕，肝内生风而发搐，痰涎壅盛，风热并作，所以暴烈紧急，心肝病也。盖心主热，脾主痰，肝主风，相因而发，谓之惊风痰热可也，谓之惊热风痰亦可也。大要：惊热者朱砂安神丸；热甚者凉惊丸；虚者温惊丸：痰盛者辰砂化痰丸、抱龙丸；痰热者滚痰丸；惊、风，痰、热全者，天麻防风丸、古礞石丸。又有惊积者，受惊日久而积成之也。其证：额汗喘息、烦渴、潮热往来、肚热、睡中觉腹内有物跳动，泻下如白脂、辰砂是也。治法：量与辰砂膏疏导，仍与调气和胃而愈。
内外夹惊成假搐，不比真搐闭牙关。
其有搐搦反张，斜视而牙关不紧，口无痰涎者，多是外感风寒，内伤饮食夹惊而成，谓之假搐，非真搐内生惊痫也。内伤饮食壅热，或因食后遇惊，谓之伤食夹惊，身热温壮，或吐不思食，大便酸臭，先用人参羌
**Newborns**
Why is medical attention needed immediately after birth?
If the infant has not yet cried upon birth, quickly wrap a finger in cotton wool, dip it into raw licorice root juice (Radix Glycyrrhizae Preparata), and wipe the mouth. In summer, mix with Coptis chinensis juice (Caulis Coptidis) to remove foul matter. Once stabilized, apply cinnabar powder (Mineral Cinnabar) mixed with honey (approximately one *zi* measure) into the mouth to calm the heart, soothe the mind, and detoxify. *Yansheng Fang*: After the umbilical cord falls off, place it on a new tile and burn it around the edges with charcoal until the substance remains but the form is charred (*cun xing*). If there are five *fen* of the cord, add two-and-a-half *fen* of prepared cinnabar (Fly-made Cinnabar), grind into powder, and mix evenly with a thick decoction of Rehmannia glutinosa root (Radix Rehmanniae Preparata) and Angelica sinensis (Radix Angelicae Sinensis). Apply this mixture to the crevices of the infant's body and the nursing mother's nipples. The dose should be consumed within one day. This is an excellent method to ensure the child never suffers from smallpox or other rashes throughout life.
Regarding fetal heat, fetal cold, fetal emaciation, and fetal obesity:
Fetal heat results from the mother consuming hot-natured foods; fetal cold results from the mother contracting cold pathogens or damaging herself with raw/cold foods. Fetal emaciation presents as timidity, yellowish complexion, prominent whites of the eyes, frequent crying, thin muscles, and white-colored stools; this belongs to the Lung system. It is advisable to administer *Changsheng Wan* (Longevity Pill) in advance: Areca nut (Fructus Arecae), Bitter orange fruit (Fructus Aurantii) each one *liang*, Aucklandia root (Radix Aucklandiae) five *qian*, Amomum fruit (Fructus Amomi), Pinellia tuber (Rhizoma Pinelliae), Clove flos (Flos Caryophylli), Myristica seed (Semen Myristicae), and Scorpion (Scorpio) each twenty pieces. Grind into powder and make pills the size of millet grains using rice paste. Administer fifty pills at a time with milk. This formula expands the upper jiao, solidifies the lower jiao, tonifies the Spleen, resolves phlegm, and stops diarrhea. Fetal obesity presents with reddish blood-colored skin, heat in the five centers (palms, soles, and chest), and difficulty defecating. A bathing method is suitable: Alum (Alumen), Indigo naturalis (Folium Isatidis), and Zaocys snake (Squama Zaocys) each one-and-a-half *qian*, Gastrodia rhizome (Rhizoma Gastrodiae) five *fen*, Scorpion tail tip (Scorpio cauda) and Cinnabar each two-and-a-half *fen*, Musk (Moschus) one *zi*, and a handful of Peach twig (Ramulus Persicae). Decoct in water for ten boils, warm, and bathe the infant. Do not wash the back; this is also suitable for fetal emaciation.
Fetal cold presents with a cold body and frequent diarrhea, while "coiling intestine internal hooking" causes intermittent pain.
After birth, if the body is cold and breath is cold, with borborygmus, diarrhea of green-black stool, coiling intestine internal hooking, and colic preventing suckling, use *Muxiang Yunqi San* (Aucklandia Qi-Regulating Powder) or *Baijiang San* (White Ginger Powder): White ginger (Rhizoma Zingiberis Preparatum), Aucklandia root (Radix Aucklandiae), Cassia twig (Ramulus Cinnamomi), Tangerine peel (Pericarpium Citri Reticulatae), Areca nut (Fructus Arecae), and Licorice root (Radix Glycyrrhizae) in equal parts. Add Quince (Fructus Chaenomelis) and Clove flos (Flos Caryophylli) if vomiting occurs; remove Areca nut and add Ligusticum chuanxiong rhizome (Rhizoma Chuanxiong) and Angelica sinensis (Radix Angelicae Sinensis) if the face is blue and limbs are cold. Decoct in water and administer according to the infant's size by dipping cotton wool into the liquid.
Some infants cannot cry or have retracted testes (Kidney retraction):
Infants who cannot cry upon birth likely suffered cold invasion due to difficult labor. Quickly wrap them in cotton wool and hold them close. Do not cut the umbilical cord immediately. Instead, roast the placenta in ash fire. Also, light a large oil-paper wick lamp and pass it repeatedly over the umbilical cord to apply heat. Since the cord connects to the navel, the fire qi enters through the navel. Then wash the cord with hot vinegar water. After a moment, when breathing returns and the infant cries normally, bathing and cutting the cord may proceed. For retracted testes caused by initial cold exposure, use Sulfur (Sulfur) and Evodia fruit (Fructus Evodiae) each five *qian*, ground into powder, mixed with garlic juice, and applied to the abdomen. Additionally, smoke the area slightly with burning Bedstraw herb (Herba Galii Veri).
Generalized blisters or absence of skin:
If the whole body resembles fish blisters or crystal glass, leaking fluid when broken, this is due to fetal cold-dampness. Dust the area with Ledo stone powder (Galena Powder) and administer *Suhe Xiang Wan* (Styrax Pill). If born without skin, showing only red flesh, this indicates Spleen Qi deficiency. Dust with early rice flour until skin regenerates.
Fetal heat causing sublingual abscess (Xuan Yong) can lead to death:
If an infant dies immediately after birth, urgently check for blisters on the sublingual frenulum (Xuan Yong) or anterior gums. Break them with a finger, wipe clean with cloth. If blood enters the throat, death ensues.
An imperforate anus is a rare condition:
Imperforate anus in newborns is caused by Lung heat closing the anal opening. Urgently pierce the exact spot with a silver hairpin or a heated needle (not too deep). Use honey suppository method to keep it open; in emergencies, use an oil-paper wick. Internally administer *Sishun Qingliang Yin* (Four-Obedience Cooling Decoction) to prevent re-closure.
Obstruction of urination and defecation due to failure to suckle:
Infants born with red faces, rapid breathing, excessive eye discharge, yawning, and obstructed urination/defecation (possibly with bloody fluid), progressing to frequent convulsions, strabismus, and body jerking, should be treated with *Lianqiao Yin* (Forsythia Decoction), *Wufu Huadu Dan* (Five Blessings Detoxifying Pellet), or *Lijiang Yin* (Pear Syrup Decoction). For those unable to suckle, make honey pills from equal parts Coptis chinensis (Rhizoma Coptidis), Bitter orange fruit (Fructus Aurantii), and Polyporus (Sclerotium Poriae Cocos), administered with milk. For infants with red faces, closed eyes, obstructed excretions, and refusal to suckle, use the *Niangru Fang* (Milk-Brewing Formula): Alisma rhizome (Rhizoma Alismatis) five *fen*, Rehmannia root (Radix Rehmanniae) four *fen*, Polyporus (Sclerotium Poriae Cocos), Red Polyporus (Sclerotium Poriae Cocos cum Rubo), Trichosanthes root (Radix Trichosanthis), and Artemisia capillaris (Herba Scopariae) each two *fen*. Decoct in water. Have the nursing mother express and discard old milk, then consume the decoction. After some time, resume breastfeeding. This is the milk-brewing method; other methods follow this principle. For isolated urinary obstruction due to Heart heat transferring to the Small Intestine, grind several earthworms (Pheretima) with a little honey and apply to the penis. Internally, administer powder made from burned silkworm pupa skin (Cuticula Bombycis), Cinnabar, and a little borneol/musk, mixed with Ophiopogon tuber (Radix Ophiopogonis) and Juncus effusus (Herba Junci) decoction. For non-suckling with difficult urination, boil four *he* of milk with one inch of scallion white for three boils and administer.
If accompanied by severe abdominal distension:
For constipation with extreme abdominal distension, have a woman rinse her mouth with warm water and perform suction-massage on the infant's anterior chest, posterior back, below the navel, and both palms/soles (seven points total). Perform this three to five times until the skin turns red; bowel movement will naturally occur.
Redness like cinnabar or jaundice at birth:
For body redness like cinnabar, use *Yujin San* (Curcuma Powder): Curcuma rhizome (Rhizoma Curcumae), Platycodon root (Radix Platycodonis), Licorice root (Radix Glycyrrhizae), Trichosanthes root (Radix Trichosanthis), and Pueraria root (Radix Puerariae) in equal parts. Grind to powder, take five *fen* mixed with honey in Mint decoction (Herba Menthae). Subsequently, grind Blue leaf (Indigo leaf), Floating duckweed (Herba Lemnae), and Aquatic moss, squeeze out juice, mix with Mirabilite (Natrii Sulfas) and Earth Vermilion, and apply to red areas. For muscle redness/whiteness turning yellow all over (face, urine, stool) after two lunar months, with constipation, this is Blood Jaundice. Caused by maternal damp-heat or excessive warmth in clothing. Use *Siwu Tang* (Four Substances Decoction) plus equal parts Trichosanthes root, decocted in water. Wash externally with Phellodendron bark (Cortex Phellodendri) decoction.
Eagle-mouth disease (Thrush) and mouth ulcers require urgent wiping:
White debris covering the tongue like an eagle's mouth indicates Heart-Spleen heat. Wrap hair around a finger, dip in natural Mint juice, and wipe clean. If adherent, use *Baoming San* (Life-Preserving Powder): Calcined Alum (Alumen Ustums), Cinnabar each one *qian*, Niter (Natrii Nitras) five *qian*. Grind to powder. Take one *zi*, mix with water pounded from white goose droppings, and apply to the tongue and inner cheeks/jaw. Mouth ulcers indicate Heart accumulation heat. Apply Arisaema rhizome (Rhizoma Arisaematis) powder mixed with light vinegar to the soles of the feet. The nursing mother takes *Xi Xin San* (Heart-Washing Powder). For mild cases, use Coptis chinensis (Rhizoma Coptidis) or fine tea powder with a little Licorice root and honey. For severe cases, use Phellodendron bark (Cortex Phellodendri), Indigo naturalis (Folium Isatidis), and borneol powder mixed with bamboo sap. Alternatively, use *Baoming San* without goose droppings. For widespread ulceration, use Phellodendron bark (Cortex Phellodendri), Asarum root (Radix Asari), and green salt powder; hold in mouth and spit out saliva; heals in three days. Suitable for adults too. For oral rot preventing suckling, crush two bitter almond seeds (Semen Armeniacae Amarum) with a little Cinnabar or Lead oxide (Lithargyrum)/Earth Vermilion, apply to the shaved fontanelle. If millet-like blisters appear around, wash immediately with warm water to prevent sores; wash with Calamus root (Rhizoma Acori Tatarinowii) decoction for immediate effect.
Double tongue, wooden tongue, and white gums:
Double tongue (Chong She) is excess Heart-Spleen heat causing a secondary tongue-like swelling at the root. If on the cheek/upper palate, it is called Chong E; if on gums, Chong Chi. Prick to bleed; repeat if it regrows. Otherwise, it blocks the mouth and hinders feeding. Use *Qingdai San* (Indigo Powder): Coptis chinensis (Rhizoma Coptidis), Phellodendron bark (Cortex Phellodendri) each one *qian*, Indigo naturalis (Folium Isatidis), Niter (Natrii Nitras), Cinnabar each two *fen*, Realgar (Realgar), Cow bezoar (Calculus Bovis), Borax (Borax) each one *fen*, and borneol two *li*. Wipe mouth with Mint juice first, then dust with medicine. Suitable for sore throat swelling. Wooden tongue (Mu She) is Heart-Spleen heat congestion causing stiff swelling filling the mouth. Apply Phellodendron bark (Cortex Phellodendri) powder mixed with bamboo sap. Severe cases add Mirabilite (Natrii Sulfas) and white salt. Both conditions share a common remedy: Carbonized wood ash (Bai Cao Shuang), Mirabilite (Natrii Sulfas), Talcum (Talcum) powder mixed with wine. Tongue protrusion (Nong She) with tight tendons is also Spleen heat; do not use cold medicines, use *Xiehuang San* (Drain Yellow Powder) gradually. For yellow face/emaciation/five-center heat, use *Hulian Wan*. Prognosis is poor if tongue protrusion occurs after major illness. If a membrane like a pomegranate seed forms under the tongue connecting to the root, preventing speech, tear it off quickly, dust with hair ash. White spots on gums/mouth called "Horse Teeth" cause inability to eat; unlike thrush, delay is fatal. Prick to bleed, grind Beijing ink with Mint juice, wrap in hair-oiled finger, and wipe mouth. Avoid suckling for one hour, then resume.
All these result from maternal heat transmitted to the infant.
**Cuokou Wind (Pursed-Lip Wind)**
Pursed lips, drawn-in face, rapid breathing; fetal heat-toxin enters Heart and Spleen.
Cuokou wind presents with yellow-red face, asthma, silence, fetal heat toxin affecting Heart/Spleen, leading to stiff tongue, blue lips, pursed lips, hindering feeding. Use two Silkworm (Bombyx Batryticatus), lightly fried and powdered, mixed with honey applied to lips. Or use *Dali Jing Wan* (Great Benefit Calming Pill) or *Xeshao San* (Scorpion Tail Powder: 49 scorpion tails rolled in fresh Mint leaves, tied with cotton, stir-fried in clay pot until mint is dry and crisp, then add 49 Silkworm, little borneol/musk, powder). Mix with two slices of purple rooster liver, decoct in water, and administer. Treats all fetal winds and Cuokou/Navel wind within 100 days. For fetal deficiency-cold, add Aconite root (Radix Aconiti Lateralis Preparata); for heat, use Cinnabar Paste separately. For onset at seven days, check gums for millet-like blisters, gently break with soft blue cloth dipped in warm water; mouth opens and settles, no medicine needed.
There are also cases of Spleen-Lung deficiency-cold:
Cuokou is Qi disharmony. Lung governs Qi, mouth belongs to Spleen. Spleen deficiency fails to nourish the child, causing pursed lips and rapid breathing. Treat with *Baoming Dan* (Life-Preserving Pellet) or *Yihuang San* (Benefit Yellow Powder).
White foam from mouth and cold limbs are untreatable:
White foam and cold limbs are ominous signs; appearance within the first week guarantees death.
**Jinkou Wind (Locked-Jaw Wind)**
Locked jaw, inability to suckle or cry; fetal heat combined with wind strike.
Jinkou wind presents with closed eyes, weak cry, meat bumps like millet on tongue, inability to suckle, white foam, normal excretions. Caused by fetal heat/toxin in Heart/Spleen manifesting in throat/tongue, or postnatal wind strike. Use *Xiehuang San* (Drain Yellow Powder) or *Zhuyin Wan* (Pearl Silver Pill). For newborn locked jaw refusing milk, use one golden-headed red-legged Centipede (Scolopendra), roasted and powdered. Mix five *fen* with two *he* pig milk, divide into 3-4 doses. Or mix one *zi* of Cow bezoar (Calculus Bovis) powder with bamboo sap. Drip pig milk into mouth.
These conditions arise from interior Qi stagnation; expelling phlegm and benefiting calming is most appropriate.
Jinkou, Cuokou, and Navel wind are essentially the same, caused by interior Qi blockage. First use *Kongtan San* (Phlegm-Control Powder) to induce vomiting: Scorpion tail tip (Scorpio cauda), Verdigris (Cupri Acetas) each five *fen*, Cinnabar one *qian*, Calomel (Hydrargyri Chloridum Mite) one *zi*, little Musk (Moschus). Grind to powder. Take one *zi*, mix with clear tea water. Or use Licorice root decoction to probe vomit, which is safer. Then drip pig bile into mouth to cure. Follow with *Renshen Yangwei Tang* (Ginseng Stomach-Nourishing Decoction), remove Atractylodes (Rhizoma Atractylodis Macrocephalae) and Pinellia (Rhizoma Pinelliae), add Aucklandia (Radix Aucklandiae) and Perilla fruit (Fructus Perillae), administered to nursing mother. Then use Cinnabar Paste and Li Jing to heal.
Blowing into nose to induce sneezing is treatable:
Nasal blowing method: One Centipede (Scolopendra), four Scorpion tail tips (Scorpio cauda), seven Silkworm (Bombyx Batryticatus), five *fen* Dwarf lupin herb (Herba Dianthi). Grind to powder. Blow one *zi* into nose. Sneezing indicates treatability; continue with Mint decoction.
Appearance at seven days is critical; within 100 days with curled limbs is untreatable.
**Navel Wind (Umbilical Tetanus) (Attached: Fetal Wind)**
Navel wind caused by wind-cold-dampness flow.
Navel wind results from urine, milk, water-dampness, or wind-cold entering the umbilicus after cord cutting, flowing to Heart and Spleen.
Umbilical swelling, abdominal distension, flaccid limbs.
Symptoms: Umbilical protrusion, abdominal fullness.
Frequent crying, convulsions, fear of Cuokou/Jinkou.
If crying day and night, unable to suckle, progressing to convulsions, Cuokou, Jinkou, this is internal convulsion (untreatable). Cyanotic/black umbilical border or black nails indicate death. Ancient formulas use *Dali Jing Wan* (Great Benefit Calming Pill) or the nasal blowing method from Jinkou section (treatable if sneezing occurs). Severe cases: *Jinwu San* (Golden Crow Powder): Half golden-headed Centipede (Scolopendra), three raw Aconite tips (Radix Aconiti Lateralis), little Musk (Moschus). Powder, take half *zi* with Silver/Gold decoction. Or surgical *Saiming Dan* (Life-Racing Pellet) or *Yinian Jin* (One-Twist Gold). If wind-convulsion subsides but crying/restlessness persists, use *Da Wenjing Wan* (Great Warm Calming Pill).
Heat cases may survive.
Heat in chest causing stretching/straining also causes umbilical swelling. Use *Qianjin Longdan Tang* (Thousand Years Gentian Decoction) or *Xiao Liangjing Wan* (Small Cool Calming Pill). Wash umbilical swelling: Decoct Schizonepeta (Herba Schizonepetae), wash clean, then roast Green onion bulb (Bulbus Allii Cepae) over fire, cool, scrape thin, and apply to swelling; resolves next day. Then take *Tongxin Yin* (Heart-Unblocking Decoction): Akebia stem (Caulis Aristolochiae Manshuriensis), Forsythia (Flos Forsythiae), Dwarf lupin herb (Herba Dianthi), Gardenia (Fructus Gardeniae), Scutellaria root (Radix Scutellariae), Licorice root (Radix Glycyrrhizae) each three *fen*, Juncus effusus (Herba Junci), Ophiopogon tuber (Radix Ophiopogonis)少许. Decoct in water. Unblocks Heart Qi, promotes urination, reduces tidal fever, separates grain/water, treats spiral wind. Spring: add Saposhnikovia root (Radix Saposhnikoviae), Cicada slough (Periostracum Cicadae). Summer: add Polyporus (Sclerotium Poriae Cocos), Plantago seed (Semen Plantaginis). Autumn: add Barbarosae fruit (Fructus Arctii), Cimicifuga rhizome (Rhizoma Cimicifugae). Winter: add Gardenia (Fructus Gardeniae), Forsythia (Flos Forsythiae). Move Qi: add Uncaria (Uncis Cum Ramulis), Toosendan fruit (Fructus Meliae Toosendan). Mouth sores: add Rehmannia root (Radix Rehmanniae), Wild ramie root (Radix Boehmeriae). Universal: Anqi method for bleeding/clear fluid/red swelling from umbilicus. Angelica sinensis powder (Radix Angelicae Sinensis), White kaolin powder (Kaolinum), Toad oil, or ash from burnt chicken head. All applicable. Moxibustion on belly vein: At seven days, a green vein appears moving to the navel, splitting into two branches. If it reaches the heart, it is untreatable. Wise practitioners monitor the initial green vein, moxa three cones at the head, or six cones at the split point; the vein disappears, infant lives. Refining Umbilicus method: See Vol 1. Upon birth, wrap cord in cotton, tie with thread three *cun* from navel, cut outside thread, wait for blood to stop, remove thread. Near navel, observe two small holes and one large hole. Insert one-two *fen* refining medicine into large hole via goose quill, massage gently, moxa umbilical head three cones, tie knot, wrap waist with soft silk. Do not frequently uncover. When cord falls, wind risk ceases. Another method: At birth, if umbilicus is soft, no treatment needed; if hard/straight, navel wind is certain. Urgently pierce base with silver hairpin, insert little musk powder, moxa three cones. Excellent.
Fetal wind epilepsy often involves vomiting; red color at glabella indicates survival.
Fetal惊痫风 (Fetal Convulsive Wind) results from maternal desires, anger, shock, or external wind injuring fetus. Child inherits maternal Qi, sick immediately after birth: vomiting, convulsions, deviated mouth/eyes, short crying, retracted cheeks, open fontanelle, red cheeks or blue face, locked jaw, grinding teeth, moist saliva in eyes, tendon stiffness, back rigidity, umbilical/abdominal swelling. Same symptoms as Jinkou/Cuokou. But fetal wind closes eyes, differs from slow Spleen wind; do not misuse warm medicines. Red/bright green glabella color indicates survival; dark blue/black indicates death. Treatment: Dispel wind, benefit calming, resolve phlegm, regulate Qi. Cinnabar Paste is best. *Taiyi San* (Supreme One Powder): Bird nest egg shell (Tian Jiang Zi), Arisaema rhizome (Rhizoma Arisaematis), Typhonium rhizome (Rhizoma Typhonii), Gastrodia rhizome (Rhizoma Gastrodiae), Saposhnikovia root (Radix Saposhnikoviae), Polyporus (Sclerotium Poriae Cocos) each two *qian*, Scorpion (Scorpio), Cinnabar each one *qian*, little Musk (Moschus). Powder, take five *fen* dissolved in milk. Treats fetal惊.
**Fetal惊 Night Crying**
Upper night crying often due to phlegm-heat; lying on back with sweat, red cheeks.
Night crying within first month with startle/convulsions is due to fetal shock. Use *Zhurugao* (Pig Milk Paste): Amber (Succinum), Saposhnikovia root (Radix Saposhnikoviae) each one *qian*, Cinnabar five *fen*. Powder, mix one *zi* with pig milk, smear in mouth. Or *Baoming Dan* (Life-Preserving Pellet), *Jinbo Zhenxin Wan* (Gold Leaf Heart-Calming Pill). Phlegm-惊: *Baolong Wan* (Embrace Dragon Pill). Heat-惊: *Liangjing Wan* (Cool Calming Pill), *Longnao Anshen Wan* (Borneol Spirit-Calming Pill). Ordinary evil heat night crying: Three lamp wick flowers (Flos Phragmitis), Juncus effusus (Herba Junci) decoction, smear in mouth, send down with milk, twice daily. Generally, phlegm-heat causes upper-night crying, lying on back, sweating, red face, irritability, dark/scanty urine, hot mouth/abdomen.
Lower night crying implies deficiency-cold; severe cases involve internal hooking and limb jerking.
Qi-deficiency night crying: *Sijunzi Tang* (Four Gentlemen Decoction) plus Chinese yam (Rhizoma Dioscoreae), Lablab bean (Semen Lablab Album). With heat: add Coptis chinensis (Rhizoma Coptidis), Bamboo leaf (Folium Bambusae). Blood-deficiency anxious crying: Angelica sinensis (Radix Angelicae Sinensis) powder with milk. Qi/Blood dual deficiency with abdominal pain: Huangqi (Radix Astragali), Angelica sinensis (Radix Angelicae Sinensis), Red Peony root (Radix Paeoniae Rubra), Aucklandia (Radix Aucklandiae), Licorice root (Radix Glycyrrhizae) equal parts. Powder, take little on nipple for suckling. Fetal cold/cold clothing causing organ cold, coiling intestine, abdominal pain, upward gaze, limb jerking during crying. Night is Yin-excess; cold causes pain; severe Yin-excess causes restlessness, hence night crying. Use *Baoming Dan*; mild cases *Yihuang San*. External: roast wheat bran, iron over area. Lower-night crying with curved waist, blue-white face, cold abdomen indicates cold-induced abdominal pain. Shock/wind night crying: *Erhuo San* (Two Active Powders): Notopterygium root (Rhizoma Notopterygii), Angelica pubescens root (Radix Angelicae Pubescentis) each two *fen*, Areca nut (Fructus Arecae), Gastrodia rhizome (Rhizoma Gastrodiae), Ephedra herb (Herba Ephedrae), Licorice root (Radix Glycyrrhizae) each one *fen*. Decoct. Or add Arisaema (Rhizoma Arisaematis) powder, honey paste for fontanelle. Food injury crying: *Xiaoshi Wan* (Digest Food Pill).
Guest intrusion/Evil spirit crying at dusk:
Day/night crying worse at dusk is Guest Intrusion/Evil Spirit. See Guest Intrusion section.
Crying when attempting to suckle, rotten mouth/tongue.
Crying when milk approaches mouth, hot body/forehead: Check mouth. If no sores, likely throat/tongue swelling. Use *Bingmei Wan* (Ice Plum Pill) or Mint decoction. Generally, frequent crying in first month is auspicious; fetal heat/toxin/shock dissipates, no strange diseases. Note: Frequent bathing/freezing abdomen leads to Navel wind; not avoiding strangers/objects leads to Guest Intrusion/Jinkou/Startle crying; heavy feeding leads to vomiting/diarrhea/phlegm reflux; too warm leads to mouth sores; too cold leads to organ cold/internal hooking. Regulation requires moderation.
**Various Startles**
Spirit startle, phlegm accumulation, wind convulsions; or internal heat generating wind in Liver.
Children's Yuan Qi is unfulfilled, Shen is unsettled. Seeing strangers/objects or hearing loud noises causes shock entering Heart pericardium. Fire flares, empty house gathers phlegm; phlegm generates heat, heat generates wind. Heart/Liver/Spleen disease. Or Heart accumulation heat causing startle, Liver internal wind causing convulsions, abundant phlegm/saliva, wind-heat combining. Violent/urgent, Heart/Liver disease. Heart governs heat, Spleen governs phlegm, Liver governs wind. Sequentially developing, called Startle-Wind-Phlegm-Heat or Startle-Heat-Wind-Phlegm. General principles: Startle-heat: *Zhusha Anshen Wan* (Cinnabar Spirit-Calming Pill). Severe heat: *Liangjing Wan* (Cool Calming Pill). Deficiency: *Wenjing Wan* (Warm Calming Pill). Abundant phlegm: *Chensha Huatan Wan* (Cinnabar Phlegm-Resolving Pill), *Baolong Wan* (Embrace Dragon Pill). Phlegm-heat: *Guntan Wan* (Rolling Phlegm Pill). Full startle/wind/phlegm/heat: *Tianma Fangfeng Wan* (Gastrodia Saposhnikovia Pill), *Gu Mengshi Wan* (Ancient Magnesium Pyrite Pill). Startle-stagnation: Accumulated over long period. Symptoms: Forehead sweat, panting, thirst, tidal fever, belly heat, feeling movement in abdomen during sleep, stool like white fat/Cinnabar. Treatment: Guide with Cinnabar Paste, regulate Qi/stomach to heal.
Internal/external mixed startle causes false convulsions, unlike true convulsions with clenched jaws.
Convulsions/opisthotonos/strabismus with loose jaw and no phlegm are mostly external wind-cold, internal food injury mixed with startle, called False Convulsion, not true internal startle-epilepsy. Internal food injury causing heat, or shock after eating, called Food-Injury Mixed Startle. Fever, vomiting, loss of appetite, sour-smelly stool. First use Ren Shen Qiang...