【方歌】脐突胎中积热生，总由孕母失调停，儿脐突出肿赤大，
宜清母子即脐平。
【注】此证儿脐突出，赤肿虚大是也。由孕母失于调停，儿在
腹胎，受母积热，既生之后，儿脐即肿。宜清母子之热
，儿脐不必敷治，恐反为害。如旬日外，儿脐忽肿，如
吹不赤，捻动微响，或惊悸作啼者，宜用白芍药汤加薏
苡仁，令儿服之，外以外消散敷之即愈。
方剂：白芍药汤
组成：白芍（酒炒，一两） 泽泻（五钱）
甘草（生，一钱二分）
肉桂（拣薄者刮去粗皮，一钱）
共研粗末，每用二钱，水一钟，煎四分，空心频服
。脐下痛加钩藤一钱，生姜一片，食盐五厘。
【方歌】白芍药汤泽泻甘，再加肉桂共粗研，专医脐肿惊啼叫，
空心煎服医二钱。
又方：外消散
组成：大黄 牡蛎（〔火段〕，各五钱）
朴硝（二钱）
共研细末，用活田螺数十枚，洗净，再以清水半盆
养之，过宿取田螺清水，调药敷于患处，其螺仍放水中
，勿害，方效。
【方歌】外消散敷脐突冒，大黄〔火段〕牡蛎朴硝，活田螺用清
水泡，过宿取水将药调。
【方歌】阴肿之证小儿生，久坐阴湿寒气凝，或因怒叫气结闭，
寒热虚实择可行。
【注】此证即古名脱囊。由久坐阴湿之地，为寒气所凝而成；
间或有因怒叫气闭，结聚于下而成者，俱宜用桃仁丸主
之。若寒气客于厥阴、少阴者，则阴囊肿痛，腹痛冷汗
，引缩二子入腹，痛止方出，谓之内吊，宜乌梅散、匀
气散主之。有阴茎全缩不见，或不缩而阴囊肿大光亮，
不燥不疼者，肝肾气虚也，宜橘核煎汤，调匀气散服之
。囊肿及四肢俱肿，二便不利者，膀胱蕴热，风热相乘
也，宜白牵牛散主之。若女儿阴户肿胀者，心热相传也
，宜导赤汤服之，或五苓散用薏苡、车前子煎汤调服。
外治法，但敷立消散，甚效。
方剂：桃仁丸
组成：桃仁（去皮、尖，炒微黄，七钱五分）
白蒺藜（微炒，去刺） 桂心
丹皮（各五钱） 黑牵牛（头末，二钱五分）
上为细末，炼蜜和丸，如黍粒大。每服十丸，黄酒
送下。
【方歌】桃仁丸逐阴肿疾，怒气闭结或湿袭，蒺藜牵牛桂丹皮，
研末蜜丸如黍粒。
又方：乌梅散
组成：乌梅肉 甘草（半生，半炙）
元胡索（各五钱） 钩藤钩
乳香 没药（各二钱五分）
共捣粗末，每服二钱，水一钟，煎七分服。
【方歌】乌梅散用乳香没，钩藤甘草元胡索，阴囊肿兼腹中疼，
煎服必先研粗末。
又方：匀气散
组成：桔梗（炒，二两） 陈皮（去白，一两）
茴香（炒） 缩砂仁（炒，各五钱）
甘草（炙，四钱） 姜炭（二钱五分）
共研细末，每服五分或一钱，白滚水调下。
【方歌】匀气散因外寒侵，阴囊肿痛汗淋淋，桔梗陈皮甘草炙，
茴香姜炭缩砂仁。
又方：白牵牛散
组成：白牵牛（半生，半熟） 甘草（炙）
橘红 白术（土炒）
桑白皮 木通（各一钱）
水煎服。
【方歌】白牵牛散草橘红，白术桑白皮木通，阴囊相兼四肢肿，
能逐膀胱热结壅。
又方：五苓散
组成：白术（土炒） 赤茯苓（各一钱五分）
猪苓 泽泻（各一钱）
桂心（五分）
水煎服。
【方歌】五苓白术桂心加，赤茯苓除心火邪，猪苓泽泻能分利，
调和脏腑效堪夸。
又方：立消散
组成：赤小豆 风化硝
赤芍 枳壳（麸炒）
商陆（俱不宜见火，晒干，共研为末，各五钱）
用侧枯叶煎汤，候冷调敷肿处。
【方歌】立消阴囊肿痛注，因受风寒湿热毒，赤小豆与风化硝，
芍枳同研加商陆。
又方：导赤汤（见口部口糜）
【方歌】脐突是由于胎儿在母体内积聚了热邪所致，总归是因为孕妇调理不当。婴儿出生后脐部突出、红肿且大，应当清解母子体内的热邪，脐部即可平复。
【注】此证表现为婴儿脐部突出，红肿且虚浮胀大。这是由于孕妇未能妥善调摄，胎儿在腹中受到母亲积热的熏蒸，出生之后，婴儿的脐部随即肿胀。此时应清解母子之热，婴儿的脐部不必外敷药物，恐怕反而造成危害。如果过了十几天后，婴儿脐部突然肿胀，像吹起来一样但不红，按压时有轻微响声，或者因惊悸而啼哭，宜使用白芍药汤加薏苡仁，让婴儿服用，外部用外消散敷贴即可痊愈。
方剂：白芍药汤
组成：白芍（酒炒，一两） 泽泻（五钱）
甘草（生用，一钱二分）
肉桂（挑选薄者，刮去粗皮，一钱）
共研为粗末，每次取二钱，加水一钟，煎至四分之三量，空腹频频服用。若脐下疼痛，加钩藤一钱，生姜一片，食盐五厘。
【方歌】白芍药汤由泽泻、甘草组成，再加肉桂共同研成粗末，专门治疗脐肿及惊叫啼哭，空腹煎服，每次二钱。
又一方：外消散
组成：大黄 牡蛎（煅烧，各五钱）
朴硝（二钱）
共研为细末，取活田螺数十枚，洗净，再用半盆清水饲养它们，过夜后取出田螺渗出的清水，调和药末敷于患处，将田螺放回水中，不要伤害它，这样才有效。
【方歌】外消散敷治脐突冒起，由大黄煅牡蛎和朴硝组成，用活田螺清水浸泡过夜，取水调和药物。
【方歌】阴肿之证多见于小儿出生后即出现，多因久坐阴湿之地导致寒气凝结，或因愤怒大叫导致气机闭塞，应根据寒热虚实选择可行的治疗方法。
【注】此证即古称的“脱囊”。多因久坐阴湿之地，被寒气凝滞而成；间或有因愤怒大叫导致气机闭塞，结聚于下部而成的，都适宜用桃仁丸主治。如果寒气客居于厥阴经、少阴经，则出现阴囊肿痛、腹痛出冷汗，牵引睾丸缩入腹部，疼痛停止后才出来，称为“内吊”，适宜用乌梅散、匀气散主治。如果有阴茎完全缩回看不见，或不缩但阴囊肿大光亮，不干燥也不疼痛的，属于肝肾气虚，适宜用橘核煎汤，调匀气散服用。如果阴囊及四肢都肿胀，大小便不利的，是膀胱蕴藏热邪，风热相乘所致，适宜用白牵牛散主治。如果是女婴阴户肿胀的，是心热传变所致，适宜服用导赤汤，或用五苓散加薏苡仁、车前子煎汤调服。外治法，只需敷贴立消散，效果很好。
方剂：桃仁丸
组成：桃仁（去皮、尖，炒至微黄，七钱五分）
白蒺藜（微炒，去刺） 桂心
丹皮（各五钱） 黑牵牛（头末，二钱五分）
上药研为细末，炼蜜和丸，如黍米粒大小。每次服用十丸，用黄酒送下。
【方歌】桃仁丸驱逐阴肿疾病，针对怒气闭结或湿气侵袭，由蒺藜、牵牛、桂枝、丹皮组成，研末蜜丸如黍米粒大小。
又一方：乌梅散
组成：乌梅肉 甘草（一半生用，一半炙用）
元胡索（各五钱） 钩藤钩
乳香 没药（各二钱五分）
共捣为粗末，每次取二钱，加水一钟，煎至七分服。
【方歌】乌梅散用乳香、没药，加上钩藤、甘草、元胡索，治疗阴囊肿兼腹中疼痛，煎服前必须先研成粗末。
又一方：匀气散
组成：桔梗（炒，二两） 陈皮（去白，一两）
茴香（炒） 缩砂仁（炒，各五钱）
甘草（炙，四钱） 姜炭（二钱五分）
共研为细末，每次取五分或一钱，用白开水调服。
【方歌】匀气散因外寒侵袭所致，症状为阴囊肿痛、汗淋淋，由桔梗、陈皮、炙甘草、茴香、姜炭、缩砂仁组成。
又一方：白牵牛散
组成：白牵牛（一半生用，一半熟用） 甘草（炙）
橘红 白术（土炒）
桑白皮 木通（各一钱）
水煎服。
【方歌】白牵牛散配甘草、橘红，加上白术、桑白皮、木通，治疗阴囊兼四肢肿胀，能驱逐膀胱热结壅滞。
又一方：五苓散
组成：白术（土炒） 赤茯苓（各一钱五分）
猪苓 泽泻（各一钱）
桂心（五分）
水煎服。
【方歌】五苓散加白术、桂心，赤茯苓清除心火邪气，猪苓、泽泻能分利水湿，调和脏腑，疗效值得夸耀。
又一方：立消散
组成：赤小豆 风化硝
赤芍 枳壳（麸炒）
商陆（均不宜见火，晒干，共研为末，各五钱）
用侧柏枯叶煎汤，待冷却后调和敷于肿胀处。
[Formula Song] Umbilical herniation (Umbilical protrusion) arises from accumulated heat in the fetus, primarily due to improper regulation by the pregnant mother. The infant's umbilicus protrudes, becomes red, swollen, and large; it is appropriate to clear the heat of both mother and child, and the umbilicus will flatten.
[Note] This condition presents with the infant's umbilicus protruding, appearing red, swollen, and flaccidly distended. It results from the mother's failure to maintain proper health during pregnancy; while in the womb, the fetus is affected by the mother's accumulated heat, causing the umbilicus to swell after birth. At this stage, one should clear the heat of both mother and child. External application to the infant's umbilicus is not necessary and may cause harm. If, after more than ten days, the infant's umbilicus suddenly swells like a blown-up sac but without redness, produces a slight sound when pressed, or if the infant cries due to fright and palpitations, use Baishaoyao Tang (White Peony Decoction) with Yiyiren (Coix Seed). Let the infant take it orally, and apply Waixiaosan (External Resolution Powder) externally for recovery.
Formula: Baishaoyao Tang (White Peony Decoction)
Composition: Baishao (Bai Shao Radix Paeoniae Alba, stir-fried with wine, 1 liang), Zexie (Rhizoma Alismatis, 5 qian), Gancao (Gan Cao Radix Glycyrrhizae, raw, 1.2 qian), Rougui (Cortex Cinnamomi, select thin pieces, scrape off rough bark, 1 qian).
Process into coarse powder. Each dose uses 2 qian, boiled in 1 zhong of water until reduced to three-quarters volume. Take frequently on an empty stomach. If there is pain below the umbilicus, add Gouteng (Uncariae Ramulus cum Uncis, 1 qian), Shengjiang (Zingiberis Rhizoma Recens, 1 slice), and Yan (Sal, 0.5 li).
[Formula Song] Baishaoyao Tang contains Zexie and Gancao, plus Rougui ground into coarse powder. It specifically treats umbilical swelling and crying due to fright. Boil and take on an empty stomach, 2 qian per dose.
Another Formula: Waixiaosan (External Resolution Powder)
Composition: Dahuang (Rhei Radix et Rhizoma), Muli (Concha Ostreae, calcined, each 5 qian), Puxiao (Natrii Sulfas, 2 qian).
Grind into fine powder. Take dozens of live river snails, wash them clean, and soak them in half a basin of clear water overnight. Collect the water exuded by the snails, mix with the medicine, and apply to the affected area. Return the snails to the water without harming them for the formula to be effective.
[Formula Song] Waixiaosan applied externally for umbilical protrusion consists of calcined Muli, Dahuang, and Puxiao. Soak live river snails in clear water overnight, collect the water to mix with the medicine.
[Formula Song] Yinzhong (Scrotal Swelling) often appears in infants shortly after birth, caused by long sitting in damp and cold places leading to cold qi stagnation, or by anger and shouting causing qi obstruction. Treatment should be selected based on cold, heat, excess, and deficiency patterns.
[Note] This condition was formerly known as Tuonang (Testicular Evisceration/Gangrene). It is formed by long sitting in damp and cold places, causing cold qi to coagulate; occasionally, it arises from anger and shouting leading to qi closure and accumulation in the lower body. In all such cases, Taoren Wan (Peach Kernel Pill) is the primary treatment. If cold qi invades the Jueyin and Shaoyin meridians, symptoms include scrotal swelling and pain, abdominal pain, cold sweat, and retraction of the testes into the abdomen, returning only when pain subsides; this is called Neidiao (Internal Retraction). Use Wumei San (Mume Powder) and Yunqi San (Qi Regulating Powder). If the penis is completely retracted and invisible, or if the scrotum is swollen, large, bright, dry-free, and painless, it indicates deficiency of Liver and Kidney qi. Use Juzhe Decoction mixed with Yunqi San. If the scrotum and limbs are both swollen, with difficulty in urination and defecation, it is due to heat accumulation in the Bladder combined with wind-heat. Use Baiqianniu San (White Morning Glory Powder). If a female infant has swelling of the vulva, it is due to transmission of Heart heat. Use Daochi Tang (Guide Out Redness Decoction), or Wuling San (Five-Ingredient Powder with Poria) decocted with Yiyiren (Coix Seed) and Cheqianzi (Plantaginis Semen). For external treatment, applying Lixiaosan (Instant Resolution Powder) is very effective.
Formula: Taoren Wan (Peach Kernel Pill)
Composition: Taoren (Persicae Semen, remove skin and tips, stir-fry until slightly yellow, 7.5 qian), Bajieli (Tribuli Fructus, slightly stir-fry, remove spines), Guixin (Cortex Cinnamomi Cassiae), Danpi (Moutan Cortex, each 5 qian), Heiqianniu (Semen Pharbitidis Nigrum, first extraction powder, 2.5 qian).
Grind into fine powder, mix with refined honey to form pills the size of millet grains. Take 10 pills per dose, washed down with yellow wine.
[Formula Song] Taoren Wan expels Yinzhong disease, addressing qi closure from anger or damp invasion. Composed of Jieli, Qianniu, Guixin, and Danpi, ground into powder and formed into honey pills the size of millet grains.
Another Formula: Wumei San (Mume Powder)
Composition: Wumei Rou (Fructus Mume, flesh), Gancao (Radix Glycyrrhizae, half raw, half roasted), Yuanhusuo (Corydalis Rhizoma), Goutenggou (Uncariae Ramulus cum Uncis), Ruxiang (Olibanum), Moyao (Myrrha, each 2.5 qian).
Pound into coarse powder. Each dose uses 2 qian, boiled in 1 zhong of water until reduced to seven-tenths volume.
[Formula Song] Wumei San uses Ruxiang and Moyao, along with Gouteng, Gancao, and Yuanhusuo. It treats scrotal swelling accompanied by abdominal pain; grind into coarse powder before boiling and taking.
Another Formula: Yunqi San (Qi Regulating Powder)
Composition: Jiegeng (Platycodonis Radix, stir-fried, 2 liang), Chenpi (Citri Reticulatae Pericarpium, remove white pith, 1 liang), Huixiang (Foeniculi Fructus, stir-fried), Suosharen (Amomi Fructus Rotundus, stir-fried, each 5 qian), Gancao (Radix Glycyrrhizae, roasted, 4 qian), Jiangtan (Zingiberis Rhizoma Carbonisatum, 2.5 qian).
Grind into fine powder. Take 0.5 qian or 1 qian per dose, mixed with plain boiled water.
[Formula Song] Yunqi San is indicated for external cold invasion, presenting with scrotal swelling/pain and profuse sweating. It contains Jiegeng, Chenpi, roasted Gancao, Huixiang, Jiangtan, and Suosharen.
Another Formula: Baiqianniu San (White Morning Glory Powder)
Composition: Baiqianniu (Semen Pharbitidis Album, half raw, half cooked), Gancao (Radix Glycyrrhizae, roasted), Juhong (Citri Reticulatae Pericarpium Rubrum), Baizhu (Atractylodis Macrocephalae Rhizoma, soil-stir-fried), Sangbaipi (Mori Cortex, Mutong (Akebiae Caulis), each 1 qian).
Decoct in water and take.
[Formula Song] Baiqianniu San combines Gancao and Juhong, with Baizhu, Sangbaipi, and Mutong. It treats scrotal swelling accompanied by limb swelling, able to expel heat accumulation and blockage in the Bladder.
Another Formula: Wuling San (Five-Ingredient Powder with Poria)
Composition: Baizhu (Atractylodis Macrocephalae Rhizoma, soil-stir-fried), Chifuling (Poria Cum Radix Pini Rossei, each 1.5 qian), Zhuling (Poria, Zexie (Alismatis Rhizoma, each 1 qian), Guixin (Cortex Cinnamomi Cassiae, 0.5 fen).
Decoct in water and take.
[Formula Song] Wuling San adds Baizhu and Guixin; Chifuling clears Heart fire pathogenic factors; Zhuling and Zexie promote diuresis to separate fluids. Harmonizing the zang-fu organs, its efficacy is praiseworthy.
Another Formula: Lixiaosan (Instant Resolution Powder)
Composition: Chixiaodou (Vigna Semen Adzuki), Fenghuaxiao (Natrii Sulfas Efflorescens), Chishao (Paeoniae Radix Rubra), Zhike (Aurantii Fructus Immaturus, bran-stir-fried), Shanglu (Phytolaccae Radix). All ingredients should not be exposed to fire; sun-dry and grind into powder, each 5 qian.
Decoct dried leaves of Platanus orientalis (or similar side tree leaves as per context, likely referring to a specific local herb or typo for Ce Bai Ye/Cupressus leaf, but literal translation used) in water, let cool, mix with powder, and apply to the swollen area.
[Formula Song] Lixiaosan treats scrotal swelling and pain caused by wind-cold-damp-heat toxicity. It consists of Chixiaodou and Fenghuaxiao, with Chishao and Zhike ground together adding Shanglu.
Another Formula: Daochi Tang (Guide Out Redness Decoction) (See section on Mouth Ulcers in the Oral Section)