总括 胃冷皆因禀赋虚，或因大病久成之；急须温补扶元气，免得 羸请药师。
《内经》曰∶胃为水谷之海，六腑之大源也。人身气血脏腑，俱由胃气而生。故东垣之法一以脾胃为主，所谓补肾
不若补脾是也。在小儿虽得乳食，然水谷之气未全，犹仗胃气，胃气一虚则四脏俱失所养矣，故丹溪谓小儿多脾胃之疾
也。若面色 白，目无睛光，口中气冷不食，吐水，肌瘦腹痛，此胃气虚寒之症也，用五味异功散主之。若大便不实，
兼脾虚也，加干姜温之。中满不利，脾不运也，加木香开之。命门火衰，不能生土者，用八味地黄丸补之，禀赋胃气不
足亦用此丸。盖下焦真阳充盛则上升，脾元自然温蒸水谷矣，《内经》所谓益火之源，以消阴翳，正此药也。
〔附方〕
五味异功散 见惊风症内（去木香）。
八味地黄丸 即六味地黄丸加肉桂、附子各一两。
（附∶小儿五软）
总括
胎热 三朝旬外月余儿，目闭胞浮症可推；常作呻吟烦躁起，此为胎热定无疑。
胎寒 孩儿百日胎寒候，足曲难伸两手拳；口冷腹膨身战栗，昼啼不已夜滋煎。
胎黄 小儿生下胎黄症，母感热毒传而成；急服地黄犀角散，黄退身冷命可生。
胎惊 胎惊亦是胎中得，产妇乖常调理失；面泽目光可生也，眉间黑色真太急。
脐风 脐风早受入脐中，七日之间验吉凶；若见腹疼脐突起，恶声口撮是为风。
脐突 婴儿生下旬余日，脐突光浮非大疾；秽水停中明所因，徐徐用药令消释。
脏寒 手兼足冷面微青，腹痛肠鸣泄泻频；盖为生时感寒湿，夜多啼切日常轻。
黄帝曰∶若我不能察其幼小者。夫生知之圣犹曰难之，何哉？盖芽儿初生，骨肉未坚，五脏未充，正如水上之泡、
草头之露耳。初生七日之内，天地八风之邪，岂能速害？良由在胎之时，母失爱护，或劳动气血，饥饱失时，冷热相制，
忧愁惊怖，以致损伤胎气，故降生之后，便有胎热、胎寒、胎惊者，诸病生焉，外因浴洗、拭口、断脐、炙囟之不得法，
或抱持惊恐，乳哺寒温之失宜，致令噤口、脐风、锁肚、不乳等症，病患致此，亦难疗矣，故黄帝犹曰难之，谓别是一
家调理耳！吾辈当明生死形候，察药性之寒温，探病患之深浅，小心治之，慎勿谓七日之内所患不治，而轻弃之也。
胎热者，小儿降生之后，痰涎气急，眼闭目赤，眼胞浮肿，神困呵欠，呃呃作声，遍体作热，小便赤，大便不通，
时复惊烦。此因胎中受热，误服温剂，致令热蓄于内，薰蒸胎气，故有此症。宜先以木通散与母服，小儿服地黄膏，不
可用凉药攻之，以致他病，乳母并忌辛辣酒面。
胎寒者，初生百日内，觉口冷腹痛，身起寒栗，时发栗战，曲足握拳，昼夜啼哭，或口噤不开，名曰胎寒。或产母
喜啖生冷、瓜果，或胎前外感风寒暑湿，过服凉药，内伤胎气，致儿生后昏昏多睡，间或吮乳泻白，宜当归散定其痛，
白术散养其胃，芍药汤去寒湿，乳母宜忌口。
胎黄者，生下遍体面目皆黄，状如金色，大便不通，小便如血，此胎黄也。亦因其母受热而传于胎，一有此症，母
子皆宜服地黄汤。有生下百日及半周，不因病而身黄者，此胃热也。若自生而身黄者，胎疸也。《经》云∶诸疸皆热，
色深黄是也，犀角散主之。若淡黄兼白者，此胃怯也，白术散主之。
胎惊者，因胎妇调摄乖常，母有所触，胎必感之。其候日内温肚翻眼，握拳噤口切牙，身腰强直，涎沫呕吐，搐
掣惊啼，或颊赤、面青、眼合。凡胎风眼合不可误作慢脾，妄用温药。眉间黑黯者不治。以猪乳细研，牛黄、麝香各少
许调抹入口即愈矣。
锁肛者，由胎中受热，热毒壅盛，结于肛门，闭而不通，无复滋润，所以如此。若第三日不通，急令妇人漱口，吸
咂儿前后心，并脐下、手足心共七处，凡四五次。仍以轻粉五分，蜜少许温水化开，时服少许，以通为度。如又不通，
即是肛门内合，当以金簪或玉簪刺入肛门二寸许，以苏合丸少许纳入孔中，粪出为快也。若腹膨胀不能乳食，作呻吟声
一至七日，可保生也。
脐风者，因断脐之后，被风寒水湿之气入于脐，流于脾，遂令肚腹胀满，脐肿身体重着，四肢柔直，日夜多啼，不
能吮乳，甚则发为风搐。脐边青黑，撮口不开，关为内搐，爪甲黑者即死，宜千金龙胆汤主之。
脐突一症，非脐风也，盖因洗浴系脐不紧，秽水侵入于内，生后旬日外，脐忽光得如吹，捻动微响，或夜卧惊啼，
急用大黄牡蛎各半两，焙为末，再以朴硝匀均，用田螺浸水调，或一钱或二钱，涂肿处即消。（批∶小儿初生遍身无皮，
是红肉，用米炒为细粉，干扑，候生皮止。又有身如鱼泡如水晶，碎则成水流渗，用蜜陀僧研细，罗底拍取细者，干扑。）
脏寒一症，颇类胎寒，但手足稍冷，唇面微青，额汗，不乳，至夜多啼，腹泻青水，只无口冷战栗之异，用药与胎
寒同。
撮口者，由胎气挟热，风邪入脐，流毒心脾之经，故令舌弱唇青，聚口撮面，饮食不进。若口出白沫而四肢冷者不
可救药，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。撮口最为急候，七日之内见之尤
甚，以辰砂膏利之或用撮风散。
撮风者，眼禁口开，啼声渐少，舌上聚肉，如粟米状，吮乳不得，口吐白沫，大小便皆通，自盈月至一百二十日见
此，名曰犯风噤。根据法将护，防于未然。但有此症，急看儿上 有点子，先以指甲刮破，次用辰砂全蝎散之类。如口噤
不开，服诸药不效，有用生南星去皮脐，研为极细末，龙脑少许合和，用指蘸生姜汁，于大牙根上擦之，立开。凡脐风、
撮口、噤风三者，虽异而受病之源则一也，大抵里气郁结，壅闭不通，并宜服淡豉汁与吃，取下胎毒。《千金方》云∶
小儿初生，其病高盛，若有微患，即须下之。若不与下则成大疾，难为疗矣，以紫霜丸量而与之。
〔附方〕
木通散 见囊肿症内（去 蓄）。
地黄膏 山栀仁（一两五钱） 绿豆粉（一两五钱） 粉草（六钱） 生地（一两五钱） 加蜜（一两半），
二味同放瓷器内，煎成膏，入前药为丸，麦冬汤下。
当归散 当归 薄桂 川芎 姜 甘草 木通 香附 乳汁调下。
白术散 见热症（加山药）
白芍汤 见腹痛症（加钩藤）
地黄汤 天花粉 生地 茵陈 赤芍 赤茯苓 甘草 猪苓 泽泻 当归
犀角散 犀角 茵陈 升麻 生地 胆草 寒水石 天花粉 甘草
千金龙胆汤 胆草 钩藤 柴胡 黄芩 蜣螂（去翅足） 甘草 芍药 茯苓 桔梗 黄连
辰砂膏 马牙硝 辰砂 硼砂 全蝎 玄明粉 麝香 真珠 共为末，用黑枣肉成膏，每服一豆许，惊用金银、
薄荷，潮热用甘草汤，月内儿以乳汁调敷乳上吮下。
撮风散 赤脚蜈蚣一条（去口，炙黄色） 朱砂 僵蚕 蝎尾（各一钱） 麝香少许 为末，竹沥调下一匙，
凡脐风、撮口、噤口俱治。
紫霜丸 代赭石 赤石脂 巴霜 杏仁
消乳丸 砂仁 陈皮 三棱 莪术 神曲 麦芽 香附
总括：胃冷（胃部寒冷）皆因先天禀赋虚弱所致，或因大病久病而成；急需温补以扶助元气，以免身体消瘦羸弱。
《黄帝内经》说：胃是受纳水谷的仓库，也是六腑的大源头。人身的气血脏腑，都依赖胃气而生。所以李东垣的医法始终以脾胃为主，所谓“补肾不如补脾”就是这个道理。对于小儿来说，虽然吃乳食，但水谷的精气尚未完全形成，仍然依靠胃气，胃气一旦虚弱，则其他四脏都会失去滋养。所以朱丹溪说小儿多患脾胃疾病。如果面色苍白，眼睛没有神采，口中气息寒冷而不进食，呕吐清水，肌肉消瘦且腹痛，这是胃气虚寒的症状，用五味异功散主治。如果大便不成形，兼有脾虚，加干姜以温中。如果腹部胀满不适，是脾运化功能失常，加木香以行气开郁。如果命门火衰，不能温煦脾土，用八味地黄丸补益，先天禀赋胃气不足也使用此丸。因为下焦真阳充盛则能上升，脾元自然能温蒸水谷，《黄帝内经》所说的“益火之源，以消阴翳”，正是指这种用药原理。
〔附方〕
五味异功散：见惊风症章节内（去掉木香）。
八味地黄丸：即六味地黄丸加上肉桂、附子各一两。
（附：小儿五软）
总括：
胎热：婴儿出生三朝至旬外或月余，眼睑闭合浮肿可推断为病症；常发出呻吟声并烦躁不安，这确定为胎热无疑。
胎寒：婴儿百日左右出现胎寒症状，双腿弯曲难以伸直，双手握拳；口冷腹胀身体战栗，白天啼哭不止，夜间更加煎熬。
胎黄：小儿出生后出现胎黄症状，由母亲感受热毒传给胎儿而成；急服地黄犀角散，黄疸消退、身体转凉后性命可保。
胎惊：胎惊也是在母体中获得的，由于产妇调理失当；如果面色光泽、目光有神则可以生存，如果眉间发黑则病情非常危急。
脐风：脐风早期邪气侵入脐中，七日内可以验证吉凶；如果见到腹痛、脐部突起，发出恶声、口唇收缩，这就是风邪致病。
脐突：婴儿出生旬日之后，脐部突起光亮浮肿并非大疾；原因是秽水停滞其中，需慢慢用药使其消散。
脏寒：手脚兼冷、面色微青，腹痛肠鸣腹泻频繁；这是因为出生时感受寒湿，夜间啼哭剧烈，白天相对较轻。
黄帝说：如果不能观察清楚幼小者的病情，即使是生而知之的圣人也会觉得困难，为什么呢？因为婴儿初生，骨肉未坚固，五脏未充盈，就像水面上的气泡、草叶上的露珠一样脆弱。出生七日之内，天地八风的邪气难道能迅速伤害吗？实在是因为在胎之时，母亲缺乏爱护，或者劳累气血，饥饱不定时，冷热相制，忧愁惊恐，以致损伤胎气，所以降生之后，就有胎热、胎寒、胎惊等病产生。外因如洗浴、拭口、断脐、灸囟门不得法，或者抱持时受到惊恐，哺乳寒温失宜，导致噤口、脐风、锁肚、不乳等症状，病患因此产生，也难以治疗了，所以黄帝还说难治，意思是这是一套特殊的调理方法！我们应当明白生死征候，察知药性的寒温，探求病患病情的深浅，小心治疗，千万不要认为七日之内患病不治就轻易放弃。
胎热：小儿出生后，痰涎多、气急，眼闭目赤，眼睑浮肿，精神困倦呵欠连连，呃逆作声，全身发热，小便赤红，大便不通，时常惊烦。这是因为胎中受热，误服温补药剂，导致热蓄积在内，熏蒸胎气，所以有此症状。应先让母亲服用木通散，小儿服用地黄膏，不可用寒凉药物攻伐，以免引起其他疾病，乳母并忌食辛辣酒面。
胎寒：出生百日内，感觉口冷腹痛，身体起寒栗，时常发抖战栗，曲足握拳，昼夜啼哭，或者口噤不开，名叫胎寒。或者产母喜欢生冷瓜果，或者产前外感风寒暑湿，过服凉药，内伤胎气，致使孩子出生后昏昏多睡，偶尔吮乳后泻出白色便，宜用当归散定痛，白术散养胃，芍药汤去寒湿，乳母宜忌口。
胎黄：生下后遍体面目皆黄，状如金色，大便不通，小便如血，这是胎黄。也是因为母亲受热传给胎儿，一有此症，母子都宜服用地黄汤。有出生百日及半岁，不因生病而身黄的，这是胃热。如果是出生即身黄的，是胎疸。《内经》说：各种黄疸都是热证，颜色深黄就是，用犀角散主治。如果淡黄兼白的，这是胃气怯弱，用白术散主治。
胎惊：因为孕妇调摄不合常规，母亲有所触动，胎儿必受影响。其症状包括体内温热、肚子翻动、翻白眼、握拳、口噤、咬牙，身体腰背强直，流涎沫呕吐，抽搐惊啼，或者脸颊红、面色青、眼睛闭合。凡是胎风导致眼睛闭合的，不可误当作慢脾风，妄用温药。眉间黑黯的无法治愈。用猪乳汁细细研磨，加入少许牛黄、麝香调和涂抹入口即可痊愈。
锁肛：由胎中受热，热毒壅盛，结于肛门，闭塞不通，没有滋润，所以如此。如果第三天仍不通，急令妇人漱口，吸咂婴儿前后心，以及脐下、手足心共七处，凡四五次。仍以轻粉五分，蜂蜜少许温水化开，少量服用，以通畅为度。如果仍不通，即是肛门内合，应用金簪或玉簪刺入肛门二寸许，将少许苏合丸纳入孔中，粪便排出为快。如果腹部膨胀不能乳食，发出呻吟声一至七日，可以保全生命。
脐风：因为断脐之后，被风寒水湿之气侵入脐部，流于脾经，遂令肚腹胀满，脐肿身体沉重，四肢僵硬挺直，日夜多啼，不能吮乳，严重时发展为风搐。脐边青黑，口唇收缩不开，关格为内搐，指甲黑者即死，宜用千金龙胆汤主治。
脐突一症，不是脐风，而是因为洗浴系脐不紧，秽水侵入内部，出生后旬日之外，脐部忽然光亮如吹起，捻动微响，或者夜卧惊啼，急用大黄、牡蛎各半两，焙干研末，再与朴硝均匀混合，用田螺浸出的水调和，用量一钱或二钱，涂于肿处即消。（批注：小儿初生遍身无皮，是红肉，用米炒为细粉，干扑，待生出皮肤为止。又有身体像鱼泡如水晶，破碎则成水流渗，用密陀僧研细，筛取细者，干扑。）
脏寒一症，颇类似胎寒，但只是手脚稍冷，唇面微青，额头出汗，不乳，夜间多啼，腹泻青色水样便，只是没有口冷战栗的不同，用药与胎寒相同。
撮口：由胎气挟热，风邪入脐，流毒心脾之经，所以令舌弱唇青，聚口撮面，饮食不进。如果口出白沫而四肢冷的不可救药，如果肚胀青筋，吊肠卵疝，内气引痛，都是肠胃郁结不通导致的，治法贵在疏利。撮口是最紧急的症状，七日内见到尤其严重，用辰砂膏通利或用撮风散。
撮风：眼睑紧闭口张开，啼哭声渐少，舌上聚肉如粟米状，吮乳不得，口吐白沫，大小便皆通，自满月至一百二十天见此，名叫犯风噤。根据法则护理，防患于未然。但有此症，急看婴儿上颚有点子，先用指甲刮破，次用辰砂全蝎散之类。如果口噤不开，服诸药不效，有用生南星去皮脐，研为极细末，加少许龙脑混合，用手指蘸生姜汁，在大牙根上擦之，立刻开口。凡脐风、撮口、噤风三者，虽然不同但病因源流一致，大体上是里气郁结，壅闭不通，都宜服用淡豉汁给婴儿喝，以排出胎毒。《千金方》说：小儿初生，其病势盛大，若有微小病患，就必须攻下。如果不攻下则成大疾，难以治疗了，用紫霜丸酌情给予。
〔附方〕
木通散：见囊肿症章节内（去掉蓄积相关药物）。
地黄膏：山栀仁（一两五钱）、绿豆粉（一两五钱）、粉草（六钱）、生地（一两五钱），加蜜（一两半），前四味同放瓷器内，煎成膏，加入前药制成丸剂，麦冬汤送下。
当归散：当归、薄桂、川芎、姜、甘草、木通、香附，乳汁调下。
白术散：见热症章节（加山药）。
白芍汤：见腹痛症章节（加钩藤）。
地黄汤：天花粉、生地、茵陈、赤芍、赤茯苓、甘草、猪苓、泽泻、当归。
犀角散：犀角、茵陈、升麻、生地、胆草、寒水石、天花粉、甘草。
千金龙胆汤：胆草、钩藤、柴胡、黄芩、蜣螂（去翅足）、甘草、芍药、茯苓、桔梗、黄连。
辰砂膏：马牙硝、辰砂、硼砂、全蝎、玄明粉、麝香、真珠，共为末，用黑枣肉成膏，每服一豆许，惊用金银花、薄荷，潮热用甘草汤，月内婴儿以乳汁调敷乳上吮下。
撮风散：赤脚蜈蚣一条（去口，炙黄色）、朱砂、僵蚕、蝎尾（各一钱）、麝香少许，为末，竹沥调下一匙，凡脐风、撮口、噤口俱治。
紫霜丸：代赭石、赤石脂、巴霜、杏仁。
消乳丸：砂仁、陈皮、三棱、莪术、神曲、麦芽、香附。
General Summary: Cold stomach (Stomach Cold) is all due to congenital deficiency, or caused by severe and prolonged illness; urgent warming and tonification are needed to support the Yuan Qi (Original Qi), lest the body become emaciated.
The *Huangdi Neijing* (Yellow Emperor's Inner Canon) states: The Stomach is the sea of water and grain, and the great source of the six fu organs. The qi, blood, zang-fu organs, and vessels of the human body are all generated by Stomach Qi. Therefore, Li Dongyuan's medical method focuses primarily on the Spleen and Stomach, which is what is meant by "tonifying the Spleen is better than tonifying the Kidney." For infants, although they consume milk and food, the essence of water and grain is not yet complete, so they still rely on Stomach Qi. If Stomach Qi becomes deficient, the other four zang organs will lose their nourishment. Thus, Zhu Danxi said that infants often suffer from Spleen and Stomach diseases. If the complexion is pale, the eyes lack luster, the breath from the mouth is cold and there is no desire to eat, vomiting of clear fluid occurs, muscles are emaciated with abdominal pain, these are symptoms of Deficiency-Cold of Stomach Qi, treated mainly with Wuwei Yigong San (Five-Ingredient Powder for Extraordinary Efficacy). If the stool is unformed, indicating concurrent Spleen deficiency, add Ganjiang (Dried Ginger) to warm it. If there is abdominal fullness and discomfort, it indicates impaired Spleen transportation; add Muxiang (Aucklandia Root) to promote qi movement and relieve obstruction. If the Fire of the Gate of Vitality (Mingmen) is deficient and cannot warm the Earth (Spleen), use Bawei Dihuang Wan (Eight-Ingredient Rehmannia Pill) to tonify; this pill is also used for congenital insufficiency of Stomach Qi. This is because when the True Yang of the lower jiao is abundant, it ascends, and the Spleen Yuan naturally steams and digests water and grain. As stated in the *Neijing*: "Benefit the source of fire to eliminate yin shadows," which precisely refers to this medication principle.
[Attached Formulas]
Wuwei Yigong San: See under Convulsion Syndrome (remove Muxiang).
Bawei Dihuang Wan: Is Liuwei Dihuang Wan (Six-Ingredient Rehmannia Pill) plus Rougui (Cinnamon Bark) and Fuzi (Prepared Aconite Root), each one liang.
(Attachment: Infant Five Softnesses)
General Summary:
Fetal Heat: In infants aged three days to beyond ten days or a month, closed eyelids with swollen lids can be inferred as a symptom; constant moaning and irritability confirm Fetal Heat without doubt.
Fetal Cold: Around one hundred days of age, signs of Fetal Cold appear: legs bent and difficult to extend, hands clenched into fists; cold mouth, distended abdomen, trembling body, crying incessantly during the day and suffering more at night.
Fetal Jaundice: After birth, the infant presents with Fetal Jaundice, transmitted from the mother who contracted heat-toxin; urgently administer Dihuang Xijiao San (Rehmannia and Rhinoceros Horn Powder); if the jaundice subsides and the body cools, life can be saved.
Fetal Startle: Fetal Startle is also acquired in the womb due to improper care by the mother; if the facial luster and eye gaze are good, survival is possible; if the area between the eyebrows is dark black, the condition is truly critical.
Umbilical Wind: Umbilical Wind receives pathogenic factors early into the umbilicus; within seven days, auspicious or ominous outcomes can be verified; if abdominal pain and umbilical protrusion are seen, accompanied by harsh sounds and puckered lips, this is Wind disease.
Umbilical Protrusion: In infants after ten days post-birth, umbilical protrusion with shiny swelling is not a major disease; the cause is foul water stagnating inside; slowly apply medication to resolve it.
Visceral Cold: Hands and feet are cold, complexion slightly green, abdominal pain with borborygmus and frequent diarrhea; this is due to contracting cold-dampness at birth; crying is intense at night but lighter during the day.
The Yellow Emperor said: If one cannot accurately observe the condition of the young, even a sage with innate knowledge would find it difficult. Why? Because newborns have fragile bones and flesh, and their five zang organs are not yet filled, just like bubbles on water or dew on grass. Within the first seven days after birth, can the pathogens of the eight winds of heaven and earth harm them quickly? It is actually because during gestation, the mother failed to protect herself, perhaps overexerting qi and blood, irregular eating habits, conflicting hot and cold influences, or sorrow and fright, thereby damaging fetal qi. Consequently, after birth, conditions such as Fetal Heat, Fetal Cold, and Fetal Startle arise. External causes include improper bathing, wiping the mouth, cutting the umbilical cord, or cauterizing the fontanelle, or frightening the infant while holding, or inappropriate temperature management during feeding, leading to symptoms like locked mouth, Umbilical Wind, locked belly, and failure to suckle. Such patients are difficult to treat, hence the Yellow Emperor said it was difficult, implying a special regimen is required! We must understand signs of life and death, discern the cold and hot nature of medicines, probe the depth of the patient's condition, and treat with caution. Do not lightly abandon an infant simply because the illness appeared within seven days.
Fetal Heat: After birth, the infant has excessive phlegm-saliva, rapid breathing, red eyes with swollen lids, lethargy with yawning, hiccups, generalized fever, red urine, constipation, and occasional startle/irritability. This is due to heat accumulated in the womb, mistakenly treated with warm agents, causing heat to accumulate internally and steam the fetal qi. First, administer Mutong San (Akebia Decoction) to the mother, and Dihuang Gao (Rehmannia Paste) to the infant. Do not use cold/clearing drugs to attack, lest other diseases arise. The nursing mother must avoid spicy, pungent, alcoholic, and wheat products.
Fetal Cold: Within the first hundred days, the infant feels cold mouth and abdominal pain, experiences chills and tremors, bends legs and clenches fists, cries day and night, or has a locked jaw, named Fetal Cold. This may result from the mother consuming raw/cold foods or fruits, or contracting wind-cold-summerheat-dampness before delivery, or overdosing on cold medicines, injuring fetal qi internally. After birth, the infant sleeps drowsily, occasionally sucks milk then passes white stool. Use Danggui San (Angelica Decoction) to settle pain, Baizhu San (Atractylodes Macrocephala Decoction) to nourish the Stomach, Shaoyao Tang (Peony Decoction) to dispel cold-dampness, and the nursing mother should observe dietary restrictions.
Fetal Jaundice: Upon birth, the entire body and face are yellow, resembling gold color, with constipation and bloody urine; this is Fetal Jaundice. It is also caused by maternal heat transmitting to the fetus. Once this symptom appears, both mother and infant should take Dihuang Tang (Rehmannia Decoction). Some infants born at one hundred days or half a year old develop yellow skin without illness; this is Stomach Heat. Those yellow from birth have Fetal Dan-Jaundice. The Classics state: All jaundices are heat syndromes, characterized by deep yellow color, treated with Xijiao San (Rhinoceros Horn Decoction). If the yellow is pale and mixed with white, this is Stomach Weakness, treated with Baizhu San.
Fetal Startle: Caused by the pregnant woman's irregular lifestyle; whatever the mother encounters, the fetus is affected. Symptoms include internal warmth, abdominal tossing, rolling eyes, clenched fists, locked jaw, grinding teeth, stiff back and waist, salivation, vomiting, convulsions, startle crying, or red cheeks, blue face, closed eyes. Whenever Fetal Wind causes closed eyes, do not mistake it for Slow Spleen Wind and recklessly use warm medicines. Dark/black discoloration between the eyebrows indicates untreatable conditions. Grind pig's milk finely, mix with small amounts of Niuhuang (Calculus Bovis) and Shexiang (Musk), and smear into the mouth for immediate recovery.
Locked Anus: Caused by heat in the womb, where heat-toxins are abundant and knot at the anus, blocking passage without lubrication. If not open by the third day, urgently have a woman rinse her mouth and suckle the infant's anterior/posterior chest, below the umbilicus, and palms/soles of hands (seven points total), four or five times. Then, take Qingfen (Calomel) 5 fen, dissolve with a little honey in warm water, and give small doses frequently until通畅 (unblocked). If still blocked, it implies internal fusion of the anus; insert a gold or jade hairpin about two cun into the anus, insert a small amount of Suheli Wan (Suhexiang Pill) into the hole, aiming for fecal discharge. If the abdomen is distended, unable to feed, making moaning sounds for up to seven days, life can be preserved.
Umbilical Wind: After cutting the umbilical cord, wind-cold-dampness enters the umbilicus, flows to the Spleen meridian, causing abdominal distension, swollen umbilicus, heavy body, rigid limbs, constant crying day and night, inability to suckle, and potentially developing into wind convulsions. Blue-black umbilical border, puckered mouth, internal convulsions, and black nails indicate death; treat with Qianjin Longdan Tang (Thousand Gold Gentian Decoction).
Umbilical Protrusion is not Umbilical Wind; it is caused by loose tying during bathing allowing foul water to enter. After ten days, the umbilicus suddenly shines like blown glass, makes slight noise when pressed, or cries at night. Urgently use Dahuang (Rhubarb) and Moli (Oyster Shell), half liang each, roasted and powdered, mixed evenly with Xiaoyan (Mirabilite), applied with water infused from field snails, 1 qian or 2 qian, smeared on the swelling to resolve it. (Note: Newborns have no skin, only red flesh; use rice-coarse powder dry-powdered until skin forms. Or if body resembles fish blisters/crystal, breaking leaks fluid; use Mituoeng (Lead Monoxide) finely ground, sifted, dry-powdered.)
Visceral Cold closely resembles Fetal Cold, but only hands/feet are slightly cold, lips/face slightly green, forehead sweating, refusal to suckle, night crying, diarrhea of green watery stool, lacking the cold/chills difference. Medication is the same as for Fetal Cold.
Puckered Mouth: Caused by fetal qi carrying heat, wind pathogen entering the umbilicus, flowing toxins to Heart and Spleen meridians, causing weak tongue, blue lips, puckered mouth/face, and inability to eat. If white foam exits the mouth and limbs are cold, it is incurable. Abdominal distension with visible veins, hernia, internal pain are due to intestinal/stomach qi stagnation; treatment prioritizes draining and regulating. Puckered Mouth is most urgent, especially severe within seven days; use Chen Sha Gao (Cinnabar Paste) to drain or Cuofeng San.
Cuofeng (Wind-Puckering): Eyelids tight, mouth open, decreasing cry, flesh accumulation on tongue like millet grains, inability to suckle, foaming at mouth, normal bowel/bladder movements. Seen from one month to 120 days, named Fanfeng Jin (Contracting Wind Lockjaw). Care according to principles to prevent beforehand. If this symptom appears, urgently check for spots on the infant's palate, scratch them with fingernails first, then apply Chen Sha Quanxie San (Cinnabar and Scorpion Powder). If mouth is locked and medicines fail, use Sheng Nanxing (Raw Arisaema) peeled and powdered finely, mixed with a little Longnao (Borneol), dip finger in ginger juice, rub on upper gums to open immediately. Umbilical Wind, Puckered Mouth, and Lockjaw differ in presentation but share the same root cause: interior qi stagnation and blockage. Generally, administer Danshi Zhi (Light Fermented Soybean Juice) to drink to expel fetal toxins. *Qianjin Fang* says: Infants' illnesses are vigorous; even minor ailments require purgation. Without purgation, they become major diseases hard to treat; use Zishuang Wan酌情 (according to circumstances).
[Attached Formulas]
Mutong San: See under Cyst Syndrome (remove ingredients related to accumulation).
Dihuang Gao: Zhiren (Gardenia Seed) 1.5 liang, Lvdou Fen (Mung Bean Powder) 1.5 liang, Fugcao (Licorice) 6 qian, Shengdi (Rehmannia Root) 1.5 liang; add Honey 1.5 liang. Simmer the first four in a porcelain vessel into a paste, mix with previous herbs to make pills, taken with Maidong Tang (Ophiopogon Decoction).
Danggui San: Danggui (Angelica Sinensis), Bo Gui (Thin Cinnamon Twig), Chuanxiong (Ligusticum), Jiang (Ginger), Gancao (Licorice), Mutong (Akebia), Xiangfu (Cyperus); taken with milk.
Baizhu San: See under Heat Syndrome (add Shanyao/Yam).
Baishao Tang: See under Abdominal Pain Syndrome (add Gouteng/Hookvine).
Dihuang Tang: Tianhuafen (Trichosanthes Root), Shengdi, Yinchen (Artemisia Capillaris), Chishao (Red Peony Root), Chifuling (Red Poria), Gancao, Zhuling (Polyporus), Zexie (Alisma), Danggui.
Xijiao San: Xijiao (Rhinoceros Horn - note: substitute with Buffalo Horn in modern practice), Yinchen, Shengma (Cimicifuga), Shengdi, Dancao (Gentiana), Hanshuishi (Calcitum), Tianhuafen, Gancao.
Qianjin Longdan Tang: Dancao (Gentiana), Gouteng, Chaihu (Bupleurum), Huangqin (Scutellaria), Pianlang (Beetle, remove wings/legs), Gancao, Shaoyao, Fuling, Jiegeng (Platycodon), Huanglian (Coptis).
Chensha Gao: Mayaxiao (Saltpeter), Chensha (Cinnabar), Pengsha (Borax), Quanxie (Scorpion), Xuanmingfen (Thenardite), Shexiang, Zhenzhu (Pearl). Powder together, form paste with black date flesh. Take size of a bean. For startle, use Jinyin (Honeysuckle) and Bohe (Mint); for tidal fever, use Gancao Tang. For infants within one month, mix with breast milk, apply to nipple for infant to suckle.
Cuofeng San: Chi Jiao Wugong (Red-legged Centipede) one strip (remove head, roast yellow), Zhusha (Cinnabar), Jiangcan (Silkworm), Xiwei (Scorpion Tail) (each 1 qian), Shexiang (Musk)少许 (small amount). Powder, take one spoonful mixed with Zhuli (Bamboo Sap). Treats Umbilical Wind, Puckered Mouth, Lockjaw.
Zishuang Wan: Daizheshi (Hematite), Chishizhi (Red Halloysite), Bashuang (Croton Seed Resin), Xingren (Apricot Seed).
Xiaoru Wan: Sharen (Amomum), Chenpi (Tangerine Peel), Sanleng (Sparganium), Ezhu (Curcuma), Shenqu (Medicated Leaven), Maiya (Barley Sprout), Xiangfu.