初生噤风、撮口、脐风，三者一种病也。噤风者，眼闭口噤，啼声不出，舌上聚肉如粟米状，吮乳不得，口吐白沫，
大小便皆通，盖由胎中感受热气，流毒于心脾，故形见于喉舌间也，抑亦生下复为风邪击搏所致，自盈月至百二十日见
此，名曰犯风噤，根据法将护，防于未然，则无此患。撮口者，面目黄赤，气息喘急，啼声不出，盖由胎气挟热，兼风邪
入脐，流毒心脾之经，故令舌强唇青，聚口撮面，饮乳有妨，若口出白沫，而四肢冷者，不可救，其或肚胀，青筋吊肠
卵疝，内气引痛，皆肠胃郁结不通致之，治法贵乎疏利，撮口最为恶候，一腊内见之尤急。脐风者，断脐之后，为水湿
风冷所乘，风湿之气，入于脐而流于心脾，遂令肚胀脐肿，身体重着，四肢柔直，日夜多啼，不能吮乳，甚则发为风搐，
若脐边青黑，撮口不开，是为内搐不治，爪甲黑者即死，其或热在胸堂，伸引努气，亦令脐肿，可与千金龙胆汤。如前
三者，受病之源，非一朝一夕，大抵里气郁结，壅闭不通，并用取下胎毒，天麻丸、定命丹、朱银丸之类，可量与之。
千金论云∶小儿始生，其气尚盛，若有微患，即须下之，若不时下，即成大疾，疾成则难疗矣，紫霜丸可量与之；治风
噤，用控痰散，吐风痰，不若用甘草汤，吐痰极稳，然后和胃益脾散加减用，又用辰砂膏利惊即愈；或手握拳，禁口不
开者不治。又撮口用僵蚕膏，敷唇口中，或甘草汤、撮风散。治脐风用瓜蒂散。汤氏治婴儿因剪脐伤于外风，致脐疮不
干，用白矾龙骨为末，少许敷之，又用旧绵少许，烧灰为末，干掺之效。议曰∶断脐不盈尺，一腊之内，随其根蒂自
腐，实者深之，弱者浅之，浅深之理，以其禀赋得之。初生之儿，有热在胸堂，则频伸引，呃呃作声，努胀其气，抑入
根本之中，所以脐突肿赤，虚大可畏，无识之者，将谓断脐不利而使之然者，非也，此乃由胎中母多惊悸，或因食热毒
之物所作，宜与大连翘饮子，其热自散，其脐归本，不必以药敷之，此证亦宜早治，久则难疗也。又有一法，小儿脐风
撮口，初生七日内，患此证者，百无一生，如坐视其毙者，良可悯焉，此法极验，世罕有知者，凡患此证，看儿齿龈上
有小泡子如粟米状，以温水蘸熟帛，裹指擦破，即开口便安，不用服药，亦良法也。安脐散，治脐中汁出，或赤肿，用
白石脂末，日三度敷之；或油发灰、或当归末敷，亦佳。
千金龙胆汤 治胎惊，月内气盛发热，脐风撮口壮热，血脉盛实，四肢惊掣，发热大吐，及变蒸不解，中客人
鬼气，并诸惊痫，悉皆治之，十步以下，皆可服之，及有 气者，加人参、当归、如龙胆数，一百日童加三铢，一岁加
五钱。
龙胆草 钩藤 柴胡 黄芩 桔梗 芍药 茯苓 甘草（各五钱） 蜣 （二枚，去翅足炙） 大黄（煨，二钱半）
上 散，每服二钱，水一盏，煎半盏服之，以渐加服，得利即止。直指方加防风、麦门冬以导心热，黄芩减半，北
枣煎服，去蜣 亦可。
天麻丸 治因断脐后为水湿风冷所乘，入于脐，流于心睥，遂令肚胀脐肿，四肢柔直，日夜多啼，不能吮乳。
此药利惊化痰。凡钓肠、锁肚、撮口、并宜服之。
南星（炮，二钱） 白附子（炮） 牙硝 天麻 五灵脂 全蝎（焙，各一钱） 轻粉（五分） 巴霜（一字）
上为末，糊丸麻子大，每服三丸，薄荷、生姜煎汤下。
定命丹 治急惊天钓撮口，通利痰热。
全蝎（七个） 天麻 南星（炮） 白附子（各二钱半） 朱砂 青黛（各一钱半） 轻粉 麝香（各五分） 片
脑（一字）
上为末，粟米糊丸绿豆大，每服一丸，荆芥、薄荷汤化下，先研半丸，吹入鼻中。一方无片脑。
朱银丸 治脐风壮热痰盛，翻眼口噤，取下胎中蕴受之毒；亦
治惊积，但量情用之。一方无积字。
水银（一钱，蒸枣肉，研如泥） 白附子（一钱五分） 全蝎（一钱） 南星（一钱） 朱砂（一钱） 天浆子（去
壳） 牛黄 芦荟（各一钱二分） 铅霜（五分，和水银研） 片脑（一字） 麝（五分） 直僵蚕（炒，七个）
上为末，粟米糊丸芥子大，每服一丸，薄荷汤下，如未通利，加至二、三丸。
紫霜丸 治变蒸发热不解，并伤寒温壮，汗后不歇，胸中有痰癖，乳哺不进，乳则吐 ，先寒后热者；又治食
积，乳哺失节，宿滞不化，或因食而发痫，大便酸臭，并宜服之。
代赭石（ ，醋淬七次） 赤石脂（各一钱） 杏仁（五十枚，去皮尖） 巴豆（三十枚，去皮膜心，出油）
上先将杏仁、巴霜入乳钵内，细研如膏，却入代赭、石脂末研匀，以汤浸蒸饼为丸，如粟米大，一岁服五丸，米饮
吞下，一二百日内儿三丸，乳汁下，更宜量其虚实加减，微利为度。此药兼治惊痰诸疾，虽下不致虚人。
消食丸 常服宽中快气，消乳食，正颜色。
宿砂 陈皮 三棱 莪术 神曲 麦 （炒，各半两） 丁香（一分） 香附子（米汁浸） 枳壳（炒） 槟榔 乌
梅（各十两）
上为末，面糊丸如绿豆大，空心紫苏汤下二十丸至三十丸。
控痰散 治风噤，先用控痰散吐风痰，次与益脾散和胃，又与辰砂膏利惊即愈。或手握拳，禁口不开者不治。
蝎尾 铜青（各五分） 朱砂（一钱） 腻粉（一字） 麝香（少许）
上为末，每服一字，茶清调下，或用后甘草汤吐痰亦可。
甘草汤 治撮口，取吐风痰。
甘草（生，一钱）
上锉煎服，令吐出痰涎，却以猪乳点入口中瘥。
益脾散
白茯苓 人参 草果（煨） 木香 甘草 陈皮 浓朴（姜制） 苏子（炒）
上等分为末，每二钱，姜枣煎服。
辰砂膏 治眼闭口噤，啼声不出，吮乳不得，口吐白沫，大小便皆通。
辰砂（三钱） 硼砂（一钱） 马牙硝（一钱） 玄明粉（二钱） 全蝎（五分） 真珠末（五分） 麝香（一字）
上为末，和毕，用好油纸封裹，自然成膏，每服一豆粒许，诸惊金银箔、薄荷煎汤下，潮热甘草汤下，或用乳汁调
敷乳上，令儿吮下。
葱号散 治初生小儿七日不小便。
葱白（三四寸） 人乳（不拘多少）
上同捣如泥，抹儿口内，即吃乳。
蚕号散 治初生小儿七日不食乳，名撮口。
僵蚕（四个，去咀略炒） 茯苓（少许）
上为末，蜜稠调，抹儿口内。
僵蚕膏 治撮口。
赤脚蜈蚣（半条，炙） 钩藤（一钱） 朱砂（一钱） 直僵蚕（焙，一钱） 全蝎梢（一钱） 麝香（一字）
上末，每服一字，取竹沥调下。竹沥解热。
撮风散 治撮口。
直僵蚕（二枚，去咀，略炒）
上为末，蜜调，敷唇口中。
瓜蒂散 治小儿三岁，忽发心满坚硬，脚手心热，则变为黄，若不急治，害人甚速；脐风撮口，吹入鼻内，啼
则可医。
瓜蒂（七个） 赤小豆（七粒） 秫米（七粒）
上为末，用一豆许，吹两鼻内，令黄水汁出，残药未尽，水调服之，得吐黄水即瘥。一方∶瓜蒂一两、赤小豆四两
为末，每服一钱，温水调下，药下便卧，即当有吐，以吐为度，吐出黄水为妙。
大连翘饮子 治疮疹壮热，小便不通，诸般疮疖，丹毒脐风。
连翘 瞿麦 荆芥 木通 当归 防风 赤芍药 柴胡 滑石 蝉蜕 甘草（炙，各一钱） 山栀仁 黄芩（各五
分）
上锉细，每服二钱，加紫草煎温服，热甚加大黄，更详证加减。
安脐散 小儿断脐后，便敷之。
赤脚蜈蚣（一寸，炙） 羚羊角（一钱，略烧存性） 乳发（一团，烧存性） 雀瓮（三枚） 麝香（少许）
上为末，断脐后敷于脐上。
定命散 治初生儿口噤不开。
蝉蜕（十四个，去咀脚） 全蝎（十四个，去毒）
上为细末，入轻粉少许和匀，用乳汁调，乳前服少许。
初生儿的噤风、撮口、脐风，这三种情况属于同一种疾病。所谓噤风，是指患儿眼睛紧闭、牙关紧闭（咬肌痉挛）、啼哭无声、舌头上聚集有像粟米大小的肉粒，导致无法吸吮乳汁，口中吐出白沫，但大小便通畅。这主要是由于胎儿在母体内感受了热邪，热毒流注于心脾二经，因此症状表现在喉舌部位；或者是出生后再次受到风邪侵袭所致。这种病通常在婴儿满月至一百二十天内出现，称为“犯风噤”。只要按照正确的方法进行护理，防患于未然，就不会发生这种祸患。
所谓撮口，是指患儿面目发黄且红赤，呼吸急促，啼哭无声。这主要是由于胎气挟带热邪，加上风邪侵入脐部，流毒于心脾经络，导致舌头僵硬、嘴唇发青，嘴巴收缩、面部肌肉紧缩，影响吃奶。如果口中流出白沫，且四肢冰冷，则无法救治。如果出现腹胀、腹壁青筋暴露、肠疝或阴囊肿大，以及内部气机牵引疼痛，这些都是由于肠胃气机郁结不通所致。治疗原则贵在疏通利导。撮口是最为凶险的证候，如果在出生第一周内出现，尤为紧急。
所谓脐风，是指断脐之后，因水湿和风冷之邪乘虚而入，风湿之气侵入脐部并流注于心脾，导致腹部胀满、脐部肿胀，身体沉重，四肢僵硬挺直，日夜啼哭不止，不能吸吮乳汁。严重时发展为惊风抽搐。如果脐周皮肤呈青黑色，嘴巴紧闭不开，这是内搐证，属于不治之症；指甲变黑者立即死亡。如果热邪积聚在胸中，表现为伸展肢体、用力努责气息，也会导致脐部肿胀，此时可以使用千金龙胆汤治疗。
以上三种病症，其致病根源并非一朝一夕形成，大体上是体内气机郁结，壅塞闭塞不通。治疗上应统一采用攻下法以排出胎毒，如天麻丸、定命丹、朱银丸等方剂，可根据病情酌情给予。《千金方》论述说：新生儿初生时，气血尚旺盛，若有轻微病患，就应当及时使用攻下法；如果不及时攻下，就会发展成严重的大病，一旦大病形成，就很难治疗了，此时可酌情服用紫霜丸。治疗风噤，先用控痰散催吐风痰，不如直接用甘草汤，催吐痰涎非常稳妥，然后再用和胃益脾散加减调理，同时配合辰砂膏镇惊安神，即可痊愈。如果患儿手握拳头，牙关紧闭无法张开，则属不治之症。
对于撮口，可用僵蚕膏涂抹于嘴唇和口腔内，或者使用甘草汤、撮风散。治疗脐风用瓜蒂散。汤氏治疗婴儿因剪断脐带时损伤而受外风侵袭，导致脐疮久不干燥的情况，使用白矾和龙骨研成粉末，取少量敷于患处，又用少许旧棉絮烧成灰研末，干撒于患处，效果很好。
议曰：断脐长度不超过一尺，在出生后一周内，随着脐带根部自然腐烂脱落。体质强者脐根深陷，体质弱者脐根浅显，深浅的道理是由先天禀赋决定的。初生的婴儿，如果胸中有热，就会频繁伸引肢体，发出呃呃的声音，用力努胀气息，热气深入根本之中，所以导致脐部突出、肿胀发红，看起来虚大可怕。没有医学常识的人，会认为是断脐不当造成的，这是错误的。这实际上是由于母亲在怀孕期间多受惊恐心悸，或者食用了热毒食物所致。适宜服用大连翘饮子，体内的热邪自然会消散，脐部恢复正常，不必用药粉外敷。此证也宜早治，拖延久了就难以治疗了。
另外还有一种方法：小儿患脐风撮口，如果在出生后七天内患病，几乎无一人生还。如果坐视不管任其死亡，实在令人怜悯。这里有一种极其灵验的方法，世间很少有人知道。凡是患此证的，观察婴儿牙龈上有像粟米大小的小水泡，用温水浸湿熟布，包裹手指擦破水泡，婴儿就能开口并安定下来，不需要服药，这也是很好的方法。
安脐散，用于治疗脐中渗液，或红肿，使用白石脂粉末，每天三次敷贴；或者使用油发灰、当归粉末敷贴，也很好。
千金龙胆汤：治疗胎惊，满月内气血旺盛发热，脐风撮口壮热，血脉盛实，四肢惊厥抽搐，发热伴剧烈呕吐，以及变蒸期发热不退，中邪鬼气，以及各种惊痫，都适用。十步以内的距离皆可服用。如果有气滞症状，加人参、当归，用量与龙胆草相同；一百天的婴儿加三铢，一岁婴儿加五钱。
药材：龙胆草、钩藤、柴胡、黄芩、桔梗、芍药、茯苓、甘草（各五钱）；蜣螂（两只，去翅足炙烤）。
制法：研为散剂。每次服用二钱，加水一盏，煎至半盏服用，逐渐增加剂量，大便通利后即停止。《直指方》加防风、麦门冬以引导心热，黄芩减半，用北枣煎服，去掉蜣螂也可以。
天麻丸：治疗因断脐后受水湿风冷侵袭，邪气入脐，流注心脾，导致腹胀脐肿，四肢僵硬，日夜啼哭，不能吸吮乳汁。此药具有利惊化痰的功效。凡钓肠、锁肚、撮口等症，都适宜服用。
药材：南星（炮制，二钱）、白附子（炮制）、牙硝、天麻、五灵脂、全蝎（焙干，各一钱）、轻粉（五分）、巴豆霜（一字）。
制法：研为细末，用糊丸制成梧桐子大小。每次服用三丸，用薄荷、生姜煎汤送服。
定命丹：治疗急惊、天钓、撮口，通利痰热。
药材：全蝎（七个）、天麻、南星（炮制）、白附子（各二钱半）、朱砂、青黛（各一钱半）、轻粉、麝香（各五分）、片脑（一字）。
制法：研为细末，用粟米糊丸制成绿豆大小。每次服用一丸，用荆芥、薄荷汤化开送服。先将半丸研碎，吹入鼻中。另一版本无片脑。
朱银丸：治疗脐风壮热、痰盛，翻眼、口噤，取下胎中蕴积的毒素；也治疗惊积，但需根据情况酌情使用。另一方无“积”字。
药材：水银（一钱，用蒸熟的枣肉研磨如泥状）、白附子（一钱五分）、全蝎（一钱）、南星（一钱）、朱砂（一钱）、天浆子（去壳）、牛黄、芦荟（各一钱二分）、铅霜（五分，与水银一起研磨）、片脑（一字）、麝香（五分）、直僵蚕（炒，七个）。
制法：研为细末，用粟米糊丸制成芥菜籽大小。每次服用一丸，用薄荷汤送服。如果未通利，可增加至二、三丸。
紫霜丸：治疗变蒸发热不退，以及伤寒温病壮热，出汗后热势未歇，胸中有痰癖，乳食不进，吃奶即吐，先寒后热的情况；又治疗食积，乳食无节制，宿食停滞不化，或因饮食引发的癫痫，大便酸臭，都适宜服用。
药材：代赭石（煅，醋淬七次）、赤石脂（各一钱）、杏仁（五十枚，去皮尖）、巴豆（三十枚，去皮膜心，出油）。
制法：先将杏仁、巴豆霜放入乳钵内，细细研磨如膏状，再加入代赭石、赤石脂粉末研匀，用热水浸泡蒸饼做成丸药，如粟米大小。一岁婴儿服用五丸，米饮吞服；一二百天内的婴儿服用三丸，乳汁送服。更应根据虚实情况加减剂量，以轻微腹泻为度。此药兼治惊痰诸疾，虽然具有泻下作用，但不会导致人体虚弱。
消食丸：常服可宽中快气，消除乳食积滞，改善面色。
药材：缩砂仁、陈皮、三棱、莪术、神曲、麦芽（炒，各半两）、丁香（一分）、香附子（米汁浸泡）、枳壳（炒）、槟榔、乌梅（各十两）。
制法：研为细末，用面糊丸制成绿豆大小。空腹时用紫苏汤送服二十至三十丸。
控痰散：治疗风噤，先用控痰散催吐风痰，其次给予益脾散调和脾胃，再给予辰砂膏镇惊，即可痊愈。如果手握拳头，牙关紧闭无法张开，则属不治之症。
药材：蝎尾、铜青（各五分）、朱砂（一钱）、腻粉（一字）、麝香（少许）。
制法：研为细末。每次服用一字，用茶清调服。或者使用后面的甘草汤催吐痰涎也可以。
甘草汤：治疗撮口，用于催吐风痰。
药材：甘草（生用，一钱）。
制法：切碎煎服，令其吐出痰涎，然后用猪乳滴入口中，病即痊愈。
益脾散：
药材：白茯苓、人参、草果（煨）、木香、甘草、陈皮、厚朴（姜制）、苏子（炒）。
制法：上等分研为细末。每次服用二钱，用姜、枣煎服。
辰砂膏：治疗眼闭口噤，啼哭无声，无法吸吮乳汁，口中吐出白沫，大小便通畅。
药材：辰砂（三钱）、硼砂（一钱）、马牙硝（一钱）、玄明粉（二钱）、全蝎（五分）、真珠末（五分）、麝香（一字）。
制法：研为细末，混合均匀后，用好油纸密封包裹，自然形成膏状。每次服用一粒豆大小。各种惊证用金银箔、薄荷煎汤送服；潮热用甘草汤送服；或者用乳汁调匀涂抹在乳头/乳房上，让婴儿吸吮下去。
葱号散：治疗初生小儿七日不大便。
药材：葱白（三四寸）、人乳（不限多少）。
制法：一同捣烂如泥，涂抹在婴儿口腔内，婴儿即能进食。
蚕号散：治疗初生小儿七日不吃奶，名为撮口。
药材：僵蚕（四个，去嘴略炒）、茯苓（少许）。
制法：研为细末，用蜂蜜调稠，涂抹在婴儿口腔内。
僵蚕膏：治疗撮口。
药材：赤脚蜈蚣（半条，炙烤）、钩藤（一钱）、朱砂（一钱）、直僵蚕（焙干，一钱）、全蝎梢（一钱）、麝香（一字）。
制法：研为细末。每次服用一字，用竹沥调服。竹沥能清热。
撮风散：治疗撮口。
药材：直僵蚕（二枚，去嘴，略炒）。
制法：研为细末，用蜂蜜调匀，敷于嘴唇和口腔内。
瓜蒂散：治疗三岁小儿，突然发作心胸满闷坚硬，手脚心发热，则变为黄疸，如不及时治疗，害人极快；治疗脐风撮口，吹入鼻内，若能啼哭则可医治。
药材：瓜蒂（七个）、赤小豆（七粒）、秫米（七粒）。
制法：研为细末，取一粒豆大小的药量，吹入两个鼻孔内，令黄色水汁流出。剩余的药未尽，用水调服，吐出黄水即痊愈。另一方：瓜蒂一两、赤小豆四两研为细末，每次服用一钱，温水调服，服药后立即躺下，应当会有呕吐反应，以呕吐为度，吐出黄水最为巧妙。
大连翘饮子：治疗疮疹壮热，小便不通，各种疮疖，丹毒，脐风。
药材：连翘、瞿麦、荆芥、木通、当归、防风、赤芍药、柴胡、滑石、蝉蜕、甘草（炙，各一钱）、山栀仁、黄芩（各五分）。
制法：切碎。每次服用二钱，加紫草煎煮温服。热甚加大黄，更详细地根据证候加减。
安脐散：小儿断脐后，立即敷贴。
药材：赤脚蜈蚣（一寸，炙烤）、羚羊角（一钱，略烧存性）、乳发（一团，烧存性）、雀瓮（三枚）、麝香（少许）。
制法：研为细末，断脐后敷于脐上。
定命散：治疗初生儿牙关紧闭无法张开。
药材：蝉蜕（十四个，去嘴脚）、全蝎（十四个，去毒）。
制法：研为细末，加入少许轻粉混合均匀，用乳汁调匀，喂奶前服用少许。
Jin Feng (Lockjaw), Cuo Kou (Contracted Mouth), and Qi Feng (Umbilical Wind) in newborns are essentially manifestations of the same disease. Jin Feng is characterized by closed eyes, lockjaw, absence of crying sound, accumulation of flesh-like granules on the tongue resembling millet grains, inability to suckle milk, foaming at the mouth, while urination and defecation remain normal. This is primarily due to heat pathogens contracted during gestation, which flow into the Heart and Spleen meridians, manifesting symptoms in the throat and tongue; alternatively, it may be caused by wind pathogens attacking the body after birth. This condition typically appears between one month and 120 days after birth and is termed "Fan Feng Jin" (Wind-Invading Lockjaw). If proper care is taken according to standard methods to prevent it beforehand, this affliction can be avoided.
Cuo Kou presents with yellowish-red complexion, rapid breathing, and absence of crying sound. It results from fetal qi carrying heat combined with wind pathogens entering the umbilicus and flowing into the Heart and Spleen meridians, causing a stiff tongue, blue lips, contraction of the mouth, and tightening of facial muscles, thereby hindering suckling. If white foam issues from the mouth accompanied by cold limbs, the condition is incurable. Abdominal distension, visible subcutaneous veins, intestinal hernia, or scrotal swelling, along with internal pain caused by qi traction, are all due to stagnation and obstruction of the gastrointestinal qi mechanism. The treatment principle emphasizes unblocking and promoting drainage. Cuo Kou is the most severe syndrome; its appearance within the first week (one lunar fortnight) after birth is particularly urgent.
Qi Feng occurs after umbilical cord cutting when water-dampness and wind-cold pathogens invade. The wind-damp qi enters the umbilicus and flows into the Heart and Spleen, leading to abdominal distension, umbilical swelling, heavy body sensation, rigid limbs, incessant day-and-night crying, and inability to suckle. In severe cases, it develops into wind convulsions. If the skin around the umbilicus turns dark blue-black, the mouth remains tightly shut, this indicates internal convulsion (Nei Chu), which is untreatable; black fingernails indicate imminent death. If heat accumulates in the chest, manifesting as stretching limbs and forceful exhalation, it also causes umbilical swelling; in such cases, Qianjin Longdan Tang (Thousand Gold Gentian Decoction) may be used.
The etiology of these three conditions does not develop overnight but stems from chronic internal qi stagnation and blockage. Treatment generally involves purgative methods to expel fetal toxins, using formulas such as Tianma Wan (Gastrodia Pill), Dingming Dan (Life-Determining Elixir), or Zhuyin Wan (Cinnabar-Silver Pill), dosed appropriately. *Qianjin Fang* states: Newborns have vigorous qi; if minor ailments arise, purgatives should be administered promptly. Delay leads to severe disease, which becomes difficult to treat once established; Zishuang Wan (Purple Frost Pill) may be given in appropriate doses. For Feng Jin, Kongtan San (Phlegm-Control Powder) induces vomiting of wind-phlegm, but Gancao Tang (Licorice Decoction) is preferred for stable phlegm expulsion, followed by He Wei Yi Pi San (Stomach-Harmonizing Spleen-Benefiting Powder) modifications and Chensha Gao (Cinnabar Paste) to calm fright, resulting in recovery. Hand clenching with locked jaw is an untreatable sign.
For Cuo Kou, Jiangcan Gao (Bombyx Paste) applied to lips and mouth, Gancao Tang, or Cuofeng San (Wind-Contracting Powder) may be used. Qi Feng is treated with Gudi San (Melon Pedicle Powder). Dr. Tang treats umbilical ulcers non-healing due to external wind invasion during cord cutting by applying powder of Bai Fan (Alum) and Long Gu (Dragon Bone) or burning old cotton to ash for dry application.
Regarding umbilical cord management: If cut short (less than one chi), the root naturally withers within one lunar fortnight. Those with strong constitution have deep roots, while weak ones have shallow roots, determined by innate endowment. Newborns with chest heat stretch frequently, make grunting sounds, and strain qi, causing heat to sink deeply, resulting in protruding, red, swollen, and alarming-looking umbilicus. Laypeople often blame improper cord cutting, which is incorrect. This arises from maternal fright/anxiety or consumption of hot-toxic foods during pregnancy. Dalianqiao Yinzi (Large Forsythia Decoction) disperses heat and restores the umbilicus without topical medication. Early treatment is crucial; delay makes cure difficult.
Another method: Infants with Qi Feng/Cuo Kou presenting within seven days of birth rarely survive. To avoid passive observation of death, a highly effective but rare method exists: inspect the infant's gums for millet-sized blisters. Wipe them open with a warm, wet cloth-wrapped finger; the infant will open their mouth and stabilize without medication.
Anqi San (Umbilicus-Anchoring Powder) treats umbilical discharge or redness/swelling using Baishi Zhi (White Halloysite) powder applied three times daily, or You Fa Hui (Hair Ash) or Dang Gui (Angelica Sinensis) powder.
**Qianjin Longdan Tang**: Treats fetal fright, fever in the first month due to vigorous qi, Qi Feng/Cuo Kou with high fever, full pulses, limb convulsions, severe vomiting with fever, unresolved metamorphic fever, invasion by evil spirits, and various convulsions/epilepsy. Suitable for infants up to ten steps away in age/maturity. Add Renshen (Ginseng) and Danggui (Angelica Sinensis) equal to Longdan Cao dosage if qi deficiency exists; add 3 zhu for 100-day-olds, 5 qian for one-year-olds.
Ingredients: Longdan Cao (Gentiana Root), Gouteng (Uncaria Rhynchophylla), Chaihu (Bupleurum Root), Huangqin (Scutellaria Root), Jiegeng (Platycodon Root), Shaoyao (Peony Root), Fuling (Poria), Gancao (Licorice Root) (each 5 qian); Qiangan (Dung Beetle) (2 pieces, wings/legs removed, roasted).
Preparation: Powder form. Take 2 qian, decoct in 1 cup water until half remains. Gradually increase dose; stop upon bowel movement. *Zhizhi Fang* adds Fangfeng (Saposhnikovia Root) and Maidong (Ophiopogon Tuber) to guide heart heat, halves Huangqin, decocts with Beizao (Northern Jujube), omitting Qiangan.
**Tianma Wan**: Treats Qi Feng/Cuo Kou caused by water-damp/wind-cold invading the umbilicus post-cutting, flowing to Heart/Spleen, causing distension, swelling, rigidity, crying, and refusal to suckle. Benefits calming fright and resolving phlegm. Indicated for Diaochang (Hooked Intestine), Suodu (Locked Belly), and Cuo Kou.
Ingredients: Nanxing (Arisaema Rhizome, processed, 2 qian), Baifuzi (Typhonium Rhizome, processed), Yaxiao (Niter), Tianma (Gastrodia Rhizome), Wulingzhi (Trogopterus Dung), Quanxie (Scorpion, roasted, each 1 qian), Qingfen (Calomel, 5 fen), Bashuang (Croton Seed Resin, 1 zi).
Preparation: Powder mixed with paste into pills size of hemp seeds. Take 3 pills, washed down with Mint/Ginger decoction.
**Dingming Dan**: Treats acute fright, Tiandiao (Heavenly Hook), Cuo Kou; unblocks phlegm-heat.
Ingredients: Quanxie (7 pieces), Tianma, Nanxing (processed), Baifuzi (each 2.5 qian), Zhusha (Cinnabar), Qingdai (Indigo Naturalis, each 1.5 qian), Qingfen, Shexiang (Musk, each 5 fen), Pian Nao (Borneol, 1 zi).
Preparation: Powder mixed with millet paste into pill size of mung beans. Take 1 pill, dissolved in Jingjie/Boteng decoction. Grind half pill and insufflate into nostrils. Alternative version omits Borneol.
**Zhuyin Wan**: Treats Qi Feng with high fever and profuse phlegm, eye rolling, lockjaw; expels fetal toxins. Also treats fright-stagnation (dose accordingly).
Ingredients: Shuiyin (Mercury, 1 qian, ground with steamed jujube pulp), Baifuzi (1.5 qian), Quanxie (1 qian), Nanxing (1 qian), Zhusha (1 qian), Tianjiangzi (Bird Dropping Fruit, shelled), Niuhuang (Calculus Bovis), Lushen (Aloe, each 1.2 qian), Qianshuang (Lead Frost, 5 fen, ground with mercury), Pian Nao (1 zi), She Xiang (Musk, 5 fen), Zhi Jiangcan (Straight Silkworm, fried, 7 pieces).
Preparation: Powder mixed with millet paste into mustard seed-sized pills. Take 1 pill with mint decoction. Increase to 2-3 pills if no evacuation.
**Zishuang Wan**: Treats unresolved metamorphic fever, severe fever from cold/fever disorders, persistent fever after sweating, phlegm-rubella in chest, refusal to feed/vomiting milk, alternating chills/fever; also food stagnation, irregular feeding, undigested residue, diet-induced epilepsy, sour-smelling stool.
Ingredients: Daizheshi (Hematite, calcined, quenched in vinegar 7 times), Chishizhi (Red Halloysite, each 1 qian), Xingren (Apricot Kernel, 50 pieces, peeled/sprouted), Badou (Croton Seed, 30 pieces, peeled/cored/oiled).
Preparation: Grind Xingren and Badou resin into paste in mortar, mix with Daizheshi/Chishizhi powder. Form pills with steamed dough size of millet grains. One-year-old takes 5 pills with rice drink; 100-200 day olds take 3 pills with breast milk. Adjust based on deficiency/excess; mild diarrhea is the goal. Treats fright-phlegm diseases without causing weakness despite purgative action.
**Xiaoshi Wan**: Regular use promotes middle-jiao qi movement, resolves milk/food stagnation, improves complexion.
Ingredients: Susa (Cardamom), Chenpi (Aged Tangerine Peel), Sanleng (Sparganium Rhizome), Ezhu (Curcuma Rhizome), Shenqu (Medicated Leaven), Mairen (Fried Malt, each half liang), Dingxiang (Cloves, 1 fen), Xiangfu (Cyperus Rhizome, soaked in rice juice), Zhike (Fried Aurantium Fruit), Binglang (Areca Nut), Wumei (Mume Fruit, each 10 liang).
Preparation: Powder mixed with flour paste into mung bean-sized pills. Take 20-30 pills on empty stomach with Perilla decoction.
**Kongtan San**: Treats Feng Jin. First induce vomiting of wind-phlegm, then harmonize spleen/stomach with Yipi San, then calm fright with Chensha Gao. Hand clenching/locked jaw is untreatable.
Ingredients: Xiwei (Scorpion Tail), Tongqing (Verdigris, each 5 fen), Zhusha (1 qian), Nifen (Calomel, 1 zi), Shexiang (Musk, small amount).
Preparation: Powder. Take 1 zi, mixed with clear tea water. Alternatively, use Gancao Tang below to induce vomiting.
**Gancao Tang**: Treats Cuo Kou by inducing vomiting of wind-phlegm.
Ingredients: Gancao (Raw Licorice Root, 1 qian).
Preparation: Cut and decoct. Induce vomiting of saliva/phlegm, then apply pig milk to mouth for cure.
**Yipi San**:
Ingredients: Baifuling (Poria), Renshen (Ginseng), Caoguo (Black Cardamom, roasted), Muxiang (Costus Root), Gancao (Licorice Root), Chenpi (Aged Tangerine Peel), Houpo (Magnolia Bark, ginger-processed), Suzi (Perilla Seed, fried).
Preparation: Equal parts powder. Take 2 qian, decoct with Ginger/Jujube.
**Chensha Gao**: Treats closed eyes, lockjaw, silent crying, inability to suckle, foaming at mouth, normal urine/stool.
Ingredients: Chensha (Cinnabar, 3 qian), Pengsha (Borax, 1 qian), Mayaxiao (Niter, 1 qian), Xuanmingfen (Mirabilite, 2 qian), Quanxie (Scorpion, 5 fen), Zhenzhumo (Pearl Powder, 5 fen), Shexiang (Musk, 1 zi).
Preparation: Mix powders, seal in oil paper to form paste naturally. Take size of a bean. For general fright, take with Silver/Gold foil and Mint decoction; for tidal fever, with Gancao Tang; or mix with breast milk, apply to nipple for infant to suckle.
**Conghao San**: Treats newborns not urinating for seven days.
Ingredients: Congbai (Scallion White, 3-4 cun), Renru (Human Milk, any amount).
Preparation: Mash into paste, smear inside infant's mouth to stimulate feeding.
**Canhao San**: Treats newborns refusing milk for seven days, named Cuo Kou.
Ingredients: Jiangcan (Silkworm, 4 pieces, de-mouthed/lightly fried), Fuling (Poria, small amount).
Preparation: Powder mixed with thick honey, smear inside mouth.
**Jiangcan Gao**: Treats Cuo Kou.
Ingredients: Chijiao Wugong (Red-footed Centipede, half strip, roasted), Gouteng (Uncaria, 1 qian), Zhusha (Cinnabar, 1 qian), Zhi Jiangcan (Straight Silkworm, roasted, 1 qian), Quanxie Shao (Scorpion Tail Tip, 1 qian), Shexiang (Musk, 1 zi).
Preparation: Powder. Take 1 zi, mixed with Bamboo Sap (Zhuli). Bamboo sap clears heat.
**Cuofeng San**: Treats Cuo Kou.
Ingredients: Zhi Jiangcan (Straight Silkworm, 2 pieces, de-mouthed, lightly fried).
Preparation: Powder mixed with honey, apply to lips and mouth.
**Gudi San**: Treats sudden chest fullness/hardness, hot palms/soles turning jaundiced in 3-year-olds; rapid progression if untreated. For Qi Feng/Cuo Kou, insufflate into nose; crying indicates treatability.
Ingredients: Gudi (Melon Pedicle, 7 pieces), Chixiaodou (Adzuki Bean, 7 grains), Sumi (Millet, 7 grains).
Preparation: Powder. Insufflate bean-sized amount into both nostrils to discharge yellow fluid. Remaining powder mixed with water and ingested. Cure upon vomiting yellow fluid. Alternative: Gudi 1 liang, Chixiaodou 4 liang powder. Take 1 qian with warm water, lie down immediately to induce vomiting. Stop when vomiting occurs; yellow fluid discharge is ideal.
**Dalianqiao Yinzi**: Treats severe fever from sores/rashes, urinary retention, various boils/carbuncles, erysipelas, Qi Feng.
Ingredients: Lianqiao (Forsythia Fructum), Qumai (Dianthera Herb), Jingjie (Schizonepeta Spike), Mutong (Akebia Caulis), Danggui (Angelica Sinensis), Fangfeng (Saposhnikovia Root), Chishaoyao (Red Peony Root), Chaihu (Bupleurum Root), Huashi (Talcum), Chantui (Cicada Slough), Gancao (Roasted Licorice Root, each 1 qian), Shanzhiren (Gardenia Seed), Huangqin (Scutellaria Root, each 5 fen).
Preparation: Coarsely chopped. Take 2 qian, decoct with Zicao (Arnebia Root) and take warm. Add Dahuang (Rhubarb) for severe heat; adjust based on syndrome.
**Anqi San**: Apply immediately after umbilical cord cutting.
Ingredients: Chijiao Wugong (Centipede, 1 cun, roasted), Lingyangjiao (Antelope Horn, 1 qian, lightly burnt to retain nature), Rufa (Breast Hair/Fungus?, burnt to retain nature), Queweng (Euphorbia Fruit), Shexiang (Musk, small amount).
Preparation: Powder applied to umbilicus post-cutting.
**Dingming San**: Treats newborn lockjaw.
Ingredients: Chantui (Cicada Slough, 14 pieces, de-mouthed/legs removed), Quanxie (Scorpion, 14 pieces, detoxified).
Preparation: Fine powder mixed with small amount of Qingfen. Mix with breast milk, give small amount before nursing.