胎瘤者。初生头背胸乳间。肿起如梅如李如馒头者。乃胎中瘀滞也。候盈月外。方可刺之。出赤汁而安
内服五福化毒丹。
脐疮因水湿伤脐所致。久不愈则发搐。由风邪外袭也。恐变风痫。用干虾蟆烧灰敷之。或加枯矾。或再
加龙骨。或旧绵烧灰当头末等分。加麝香少许掺之。
脐突者。肿赤虚大也。由胎母失养。儿受积热所致。宜调其母。清其热。不必敷治。恐反为害。如旬日外。忽
肿如吹。不赤。捻动微响。或惊悸作啼者。宜白芍药汤加薏苡仁。外以外消散敷之。
白芍药汤 治脐突及冷疝腹疼。
白芍药（一两） 泽泻（五钱） 甘草（一钱二分） 薄桂（去粗皮三钱为粗末）
每服二钱。水一钟。煎六分。空心服。脐下痛加钩藤、生姜、食盐。
外消散 治脐突叫啼。及感湿热。阴器肤囊浮肿者。
大黄 牡蛎（各五钱） 朴硝（二钱）
为末。用田螺洗净。再以清水半碗养之。过宿。取水调药涂之。其螺仍放水中。勿害方效。
阴器肤囊肿者。车前子煎汤。候冷调敷。
阴肿者为阴囊肿大也。古谓之脱囊。由久坐阴湿之地。为风寒所袭也。间有怒叫气闭。结聚于下者。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，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。橘核煎汤。调匀
气散主之。囊肿及四肢俱肿。二便不利者。膀胱蕴热。风热相乘也。三白散主之。女儿阴户肿胀者。心热
相传也。木通散、导赤散。或五苓散、用薏苡仁、车前子煎汤调服。俱外敷立消散。
桃仁丸 治坐感阴湿。或因怒气闭。
桃仁（七钱五分去皮尖麸炒微黄） 丹皮 白蒺藜（微炒去刺） 桂心（各五钱） 牵牛（头末二钱五分）
为末。蜜丸黍米大。每服十丸。黄酒送下。
乌梅散 治腹痛脐下痛。疝气等症。
乌梅肉 玄胡索 粉甘草（半生半炙各五钱） 钩藤 没药 乳香（各二钱五分）
为粗末。每服二钱。用水一钟。煎七分服。
匀气散 治气滞不和冷疝腹痛。
桔梗（二两炒） 陈皮（去白一两） 砂仁 茴香（各五钱） 粉草（炙四钱） 白姜（炮二钱
五分）
为末。每服五分或一钱。如调气。用滚水下。如腹痛疝痛。用烧盐汤下。
三白散 治囊肿肢肿。及大小便不利。
桑白皮 白术 白丑（半生半熟） 陈皮（去白） 木通（去皮） 甘草（炙各一钱）
水煎服。
立消散 治膀胱久受热毒。以致阴器肤囊赤肿胀痛。
赤小豆 赤芍药 枳壳 商陆 风化硝（各五钱俱不见火晒为末）
用柏叶煎汤。候冷调涂。
腊茶散 治阴囊生疮。疼痛出水。久不愈者。
腊茶 文蛤（各五钱） 腻粉（少许）
为末。先用葱、椒煎汤洗之。次以香油调敷。或紫苏叶煎汤洗之。及紫苏末掺之托之。
地龙散 治阴囊肿大。
甘草煎汁。调地龙末涂之。
胎瘤，是指婴儿出生后，在头部、背部、胸部或乳房之间出现的肿块，形状像梅子、李子或馒头一样隆起。这是由于胎儿时期体内瘀血停滞所致。需等到满月之后，方可进行针刺治疗，放出赤色汁液后病情即可安定。内服五福化毒丹。
脐疮是由于水湿损伤脐部而引起的。如果久治不愈，就会引发抽搐，这是因为风邪从外部侵袭所致，担心会转变为风痫证。可用干蟾蜍烧成灰敷贴患处，或者加入枯矾，或者再加龙骨，或者用旧棉絮烧成的灰与药物等分混合，再加入少许麝香撒敷。
脐突表现为局部肿胀、发红且虚浮肿大。这是由于孕妇失于调养，胎儿受到积热影响所致。应当调理母亲的身体，清除体内的热邪，不需要外用敷药治疗，否则反而可能造成伤害。如果在十几天后，突然肿得像吹起来一样，但不发红，按压时有轻微的响声，或者伴有惊悸啼哭的情况，宜服用白芍药汤并加入薏苡仁。外用时以外消散敷贴。
白芍药汤：治疗脐突以及冷疝引起的腹痛。
处方组成：白芍药（一两）、泽泻（五钱）、甘草（一钱二分）、薄桂（去掉粗皮三钱，捣成粗末）。
用法用量：每次服用二钱，加水一钟，煎至六分，空腹服用。若脐下疼痛，可加钩藤、生姜、食盐。
外消散：治疗脐突导致的啼哭，以及感受湿热引起的阴器皮肤囊袋浮肿。
处方组成：大黄、牡蛎（各五钱）、朴硝（二钱）。
制法用法：将药物研成细末。取田螺洗净，再用半碗清水饲养过夜，次日取出螺水调和药粉涂抹患处。涂完后将田螺放回水中，不要伤害它，这样才有效。
阴肿是指阴囊肿大，古代称为脱囊。这是由于长时间坐在阴冷潮湿的地方，被风寒邪气侵袭所致。偶尔也有因愤怒叫喊导致气机闭塞，气血结聚在下部的情况，以桃仁丸为主治方。如果是寒气客居于厥阴经和少阴经，则会出现阴囊肿痛、腹痛、出冷汗，睾丸收缩进入腹腔，疼痛停止后才恢复原位，这叫做“内吊”，以乌梅散、匀气散为主治方。如果有阴茎完全缩回看不见，或者不缩但阴囊肿大光亮，不干燥也不疼痛的，属于肝肾气虚，用橘核煎汤，调和匀气散主治。如果阴囊肿大及四肢都肿，大小便不通利的，是膀胱蕴藏热邪，风热邪气相乘所致，以三白散为主治方。女婴阴户肿胀的，是心热传变所致，可用木通散、导赤散，或者五苓散，用薏苡仁、车前子煎汤调服。以上情况均可外敷立消散。
桃仁丸：治疗因久坐感受阴湿之气，或因怒气导致气闭的病症。
处方组成：桃仁（七钱五分，去皮尖，麸炒至微黄）、丹皮、白蒺藜（微炒去刺）、桂心（各五钱）、牵牛（头末二钱五分）。
制法用法：研成细末，用蜂蜜制成如黍米大小的丸剂。每次服用十丸，用黄酒送服。
乌梅散：治疗腹痛、脐下痛、疝气等症状。
处方组成：乌梅肉、玄胡索、粉甘草（半生半炙，各五钱）、钩藤、没药、乳香（各二钱五分）。
制法用法：捣成粗末。每次服用二钱，加水一钟，煎至七分服。
匀气散：治疗气机滞涩不和引起的冷疝腹痛。
处方组成：桔梗（二两，炒）、陈皮（去白一两）、砂仁、茴香（各五钱）、粉草（炙四钱）、白姜（炮二钱五分）。
制法用法：研成细末。每次服用五分或一钱。如果是为了调理气机，用滚开水送服；如果是腹痛或疝痛，用烧盐汤送服。
三白散：治疗阴囊肿大、四肢肿胀，以及大小便不利。
处方组成：桑白皮、白术、白丑（半生半熟）、陈皮（去白）、木通（去皮）、甘草（炙，各一钱）。
制法用法：用水煎服。
立消散：治疗膀胱长期受热毒侵袭，导致阴器皮肤囊袋红肿疼痛。
处方组成：赤小豆、赤芍药、枳壳、商陆、风化硝（各五钱，均不经过火烤，晒干后研成细末）。
制法用法：用柏叶煎汤，待冷却后调和药粉涂抹。
腊茶散：治疗阴囊生疮，疼痛流水，久治不愈者。
处方组成：腊茶、文蛤（各五钱）、腻粉（少许）。
制法用法：研成细末。先用葱、椒煎汤清洗患处，然后用香油调和药粉敷贴。或者用紫苏叶煎汤清洗患处，并将紫苏末撒敷托护。
Tumor of the fetus refers to a swelling that appears on the head, back, chest, or between the breasts immediately after birth, resembling a plum, a li fruit, or a steamed bun in shape. This is caused by blood stasis stagnating during fetal development. It should only be punctured with a needle after the infant has reached one month of age; once red fluid is discharged, the condition will stabilize. Internally administer Wufu Huadu Dan (Five Blessings Detoxifying Pill).
Umbilical ulcer is caused by water-dampness injuring the umbilicus. If it persists without healing, it may trigger convulsions due to external invasion by wind pathogen, raising concern of transformation into wind-epilepsy. Apply ash from dried toad burned to cinders to the affected area. Alternatively, add calcined alum, or further add dragon bone. Another option is to mix equal parts of ash from old cotton and the medication, adding a small amount of musk powder for application.
Umbilical herniation presents as swelling, redness, and flaccid enlargement. It results from maternal neglect in nourishment, leading to accumulated heat affecting the fetus. The mother's constitution should be regulated, and internal heat cleared. External applications are unnecessary and may cause harm. However, if after ten days the swelling suddenly resembles inflation without redness, producing a slight sound upon palpation, accompanied by fright and crying, Baishao Yao Tang (White Peony Root Decoction) with Coicis Semen (Yiyiren, 薏苡仁) should be administered. Externally apply Waixiaosan (External Dissolving Powder).
Baishao Yao Tang: Treats umbilical herniation and cold hernia-induced abdominal pain.
Ingredients: Radix Paeoniae Alba (Baishao, 白芍药, 1 liang), Rhizoma Alismatis (Zexie, 泽泻, 5 qian), Radix Glycyrrhizae Preparata (Gancao, 甘草, 1.2 qian), Cortex Cinnamomi Tenuis (Bo Gui, 薄桂, 3 qian, coarse bark removed, crushed).
Usage: Take 2 qian per dose, decoct with one zhong of water until reduced to six-tenths. Take on an empty stomach. For pain below the umbilicus, add Uncaria rhynchophylla (Gouteng, 钩藤), fresh ginger, and salt.
Waixiaosan: Treats crying due to umbilical herniation and edema of the scrotal skin bag caused by damp-heat.
Ingredients: Radix et Rhizoma Rhei (Dahuang, 大黄), Concha Ostreae (Muli, 牡蛎, 5 qian each), Natrii Sulfas (Puxiao, 朴硝, 2 qian).
Preparation: Grind into fine powder. Wash a field snail thoroughly, keep it in half a bowl of clear water overnight. Collect the water the next day to mix with the powder for topical application. Return the snail to the water unharmed for efficacy.
Scrotal skin bag cyst: Decoct seeds of Plantago asiatica (Cheqianzi, 车前子), cool the liquid, and apply topically.
Yin swelling refers to enlargement of the scrotum, historically termed "tuonang" (scrotal detachment). It is caused by prolonged sitting in cold, damp places, leading to invasion by wind-cold pathogens. Occasionally, anger and shouting cause qi closure, resulting in accumulation in the lower body; Taoren Wan (Peach Kernel Pill) is the primary treatment. If cold pathogen lodges in the Jueyin and Shaoyin meridians, symptoms include scrotal swelling and pain, abdominal pain, cold sweats, and retraction of the testes into the abdomen, returning only when pain subsides; this is called "neidiao" (internal hanging). Wumei San (Olive Powder) and Yunqi San (Qi-Balancing Powder) are indicated. If the penis is completely retracted and invisible, or if there is non-retracted but shiny, dry-free, painless scrotal swelling, this indicates deficiency of liver and kidney qi; decoct Juglandis Semen Pericarpium (Juhe, 橘核) to take with Yunqi San. If scrotal and limb swelling occur alongside difficulty in urination and defecation, it is due to heat accumulation in the bladder combined with wind-heat; Sanbai San (Three Whites Powder) is indicated. For female infants with vulvar swelling, caused by transmission of heart heat, Mutong San (Akebia Powder), Daochi San (Directing Red Powder), or Wuling San (Five-Ling Powder) taken with decoctions of Coicis Semen (Yiyiren, 薏苡仁) and Plantaginis Semen (Cheqianzi, 车前子) are suitable. All these conditions can be treated externally with Lixiaosan (Instant Dissolving Powder).
Taoren Wan: Treats conditions caused by sitting in dampness or qi closure due to anger.
Ingredients: Semen Persicae (Taoren, 桃仁, 7.5 qian, peeled, tips removed, bran-fried to light yellow), Cortex Moutan (Danpi, 丹皮), Fructus Tribuli (Bajili, 白蒺藜, 5 qian each, lightly fried, thorns removed), Cortex Cinnamomi (Guixin, 桂心, 5 qian), Semen Kochiae (Qianniu, 牵牛, 2.5 qian, first-run powder).
Preparation: Grind into powder, form pills with honey the size of millet seeds. Take 10 pills per dose with yellow wine.
Wumei San: Treats abdominal pain, periumbilical pain, and hernia.
Ingredients: Fructus Mume Carnis (Wumei Rou, 乌梅肉), Rhizoma Corydalis (Yanhusuo, 玄胡索), Radix Glycyrrhizae Preparata (Fen Gancao, 粉甘草, 5 qian each, half raw half roasted), Uncaria rhynchophylla (Gouteng, 钩藤), Resina Myrrhae (Moyao, 没药), Resina Olibani (Ruxiang, 乳香, 2.5 qian each).
Preparation: Crush into coarse powder. Take 2 qian per dose, decoct with one zhong of water until reduced to seven-tenths.
Yunqi San: Treats cold hernia and abdominal pain due to qi stagnation and disharmony.
Ingredients: Radix Platycodi (Jiegeng, 桔梗, 2 liang, fried), Pericarpium Citri Reticulatae (Chenpi, 陈皮, 1 liang, white pith removed), Fructus Amomi (Sharen, 砂仁), Fructus Foeniculi (Huixiang, 茴香, 5 qian each), Radix Glycyrrhizae Preparata (Fen Cao, 粉草, 4 qian, roasted), Rhizoma Zingiberis Preparatum (Bai Jiang, 白姜, 2.5 qian, processed).
Preparation: Grind into powder. Take 5 fen or 1 qian per dose. For regulating qi, take with boiling water. For abdominal or hernia pain, take with salt-water broth.
Sanbai San: Treats scrotal and limb swelling, and difficulty in urination and defecation.
Ingredients: Cortex Morus Albae (Sangbaipi, 桑白皮), Rhizoma Atractylodis Macrocephalae (Baizhu, 白术), Semen Kochiae (Baichou, 白丑, 5 qian each, half raw half cooked), Pericarpium Citri Reticulatae (Chenpi, 陈皮, 5 qian, white pith removed), Caulis Akebiae (Mutong, 木通, 5 qian, bark removed), Radix Glycyrrhizae Preparata (Gancao, 甘草, 5 qian, roasted).
Preparation: Decoct in water and take orally.
Lixiaosan: Treats chronic heat-toxin in the bladder causing red, swollen, painful scrotal skin bags.
Ingredients: Semen Phaseoli Angularis (Chixiaodou, 赤小豆), Radix Paeoniae Rubra (Chishaoyao, 赤芍药), Fructus Aurantii (Zhike, 枳壳), Radix Phytolaccae (Shanglu, 商陆), Natrii Sulfas Exsiccatus (Fenghua Xiao, 风化硝, 5 qian each, not heated, sun-dried, ground).
Preparation: Decoct leaves of Platycladus orientalis (Baiye, 柏叶), cool the liquid, and mix with powder for topical application.
Lachasan: Treats sores on the scrotum with pain and discharge that persist for a long time.
Ingredients: Tea from the twelfth lunar month (Lacha, 腊茶), Concha Meretricis et Cyclinae (Wenge, 文蛤, 5 qian each), Calomelas (Nifen, 腻粉, a small amount).
Preparation: Grind into powder. First wash the area with decoction of scallion and pepper, then apply mixed with sesame oil. Alternatively, wash with Perillae Folium (Zisu Ye, 紫苏叶) decoction and sprinkle Perillae Folium (Zisu Mo, 紫苏末) powder.
Dilong San: Treats scrotal swelling.
Preparation: Decoct Radix Glycyrrhizae (Gancao, 甘草) to make juice, mix with powder of Earthworm (Dilong, 地龙), and apply topically.