拭口下毒
婴儿初生，拭口之法，须用软绵裹指，拭净口中不洁；继以胭脂蘸茶清擦口舌齿颊之间，令其洁净，日后方无口病
所生。将水浓煎甘草汤，以棉裹指蘸汁频儿吮服，免使胎毒蕴于腹中，再有一法，用黄连浓煎汁出，滴口内，毒随脐粪
而下自清。如清热防惊，用朱砂大豆许，研细水飞，蜜调乳汁化服之法。惟禀赋怯弱者不宜行也。怯弱之儿，解毒法者，
用豆豉浓煎汁，汁当乳尝之。
断脐
婴儿初生，用剪向火烙热，剪切脐带，次用火器绕脐带烙之。男女六寸为止，始相合宜。短则伤脏，长则损肌。断
讫，又用烙脐饼子，安灸脐上，以防风邪外入。随用胡粉散敷脐带，间用软绢新绵封裹，以避尿湿也。
浴儿
三日浴儿之法，为其解污秽也。须用五枝煎汤。须择无风密室，冬夏寒温，适可而止。如久在水中，冬月恐当受寒，
夏日恐当受热。再加猪胆汁，以去污秽。且能滋润肌肤，免生胎疮也。
剃头
小儿盈月，必剃胎头。须向密室温和之处，适可求之。恐血未充，寒风易入，后用杏仁、麻油、苏荷、腻粉拌匀揉
头上。凡胎毒疮疖，一切皆休。
不啼
小儿落地，啼声即发，形生命立矣。有不能啼者，俗语名之为草迷是也。多因临产难于生育，以致气闭不通。或值
隆冬之际，儿气为寒所逼，亦不能啼。因于难产者，用葱轻轻以击其背，通气以醒神，则可回生。因寒逼者，切勿剪断
脐带，急用纸捻，蘸油点火，往来熏其脐带，使暖气入腹即啼。若气绝无声，面青爪甲已黑，形虽存，命已在须臾之间
矣。
不乳
小儿生下能吮乳，本自天然。若不吮，必有缘故。或因腹中秽恶未下清净，令小儿腹满，气短，呕吐不乳。或在胎
中，因母过食寒凉，胎受其气，儿必腹痛多啼，素禀而寒。如秽恶不净，用一捻金治之效。胎寒不乳，以匀气散为先。
若更面青，四肢厥冷，此是虚寒，用理中汤煎服。
眼不开
小儿初生，眼闭不能开者，因孕妇饮食不节，恣情浓味，热毒熏蒸，以致儿脾蕴热，眼胞属脾，其脉络紧束故也。
此皆受于胎里也。内用地黄汤服之再妙，外用熊胆汤洗目，其效灵哉。
吐不止
小儿吐不止者，因何而生？有因便闭秽恶不净，停留胃内，令儿腹满而成其吐；或缘禀受胎中寒热而来；或因生时
感冒而成。如秽恶不净而吐，用一捻金散下之。若外感寒邪，入里犯胃，则曲腰而啼，吐沫不止，用香苏饮温散之能愈。
又有胎前受热，面黄赤，手足温，口吐黄涎酸粘者，用黄连合二陈汤治之。若受寒面青白，四肢冷，口吐清沫，用理中
汤主之。
不小便
小儿初生，小便不通者，乃胎热壅于下也，用导赤散，热盛者八正散，二方攻之，外用豆豉膏贴脐上，须臾小便自
能通矣。
不大便
小儿初生，或次日即大便，名下脐屎。此肠胃通和，幽门泽润也，若二三日大便不通，名曰锁肚。皆缘辛热之毒，
受于胎中，儿必面赤腹胀，不乳多啼，宜用朱蜜法治之。若不应，用一捻金酌量与之。继令妇人以温水漱口，急咂二手
心及脐下，又二足心，前后背心，共七处，以皮见红色为度，大便自通矣。
大小便不通
小儿初生，二便俱秘者，最为急候。乃胎中热毒极甚而成也。急用木通散与紫霜丸，行其滞，开其结，真妙之方。
急用口咂之法，悉如前式，庶可望生。若延至七日，谓之一HT ，肚腹硬胀，常作呻吟难治。
肛门内合
小儿初生，肛门内合有二。有因热毒大甚，肛门内结；或者脂膜遮瞒，无隙可通。如热毒壅结者，服黑白散，外用
苏合香丸，作枣核状，纳入孔中，取其香能开窍，又能润泽，大便导下，庶可望生。如脂膜遮瞒，先以金玉簪刺通脂膜，
再以苏合香丸照前导法，可回生矣。
噤口
小儿噤口之证，失治多致不救。其候舌上生疮，如黍米状，吮乳不得，啼声渐难。因胎热所致。法当清热疏利，用
龙胆汤主之极妙。若肚腹胀硬，二便闭，用紫霜丸。又有一种，口吐白涎，牙关紧急者，此胎热内结，复有风邪外入。
当以擦牙散先擦其牙关上，次用辰砂全蝎散煎服，至病势稍安即止，勿可过帖。病退，调和脾胃，以匀气散为先也。
撮口
撮口者，口撮如囊口，吮乳艰难，舌强唇青，口吐沫痰，面色赤黄，乃受自胎中热极而然。如四肢厥冷，其病难全。
如气高痰盛，宜用辰砂僵蚕散，二便闭者，须用紫霜丸主之；身热多惊者，用龙胆汤极妙∶手足抽搐者，撮风散自妥。
脐湿脐疮
浴儿任意洗濯，或包裹不周，以致尿湿侵脐，遂致肚脐淋漓不干，名曰脐湿。甚则 赤，作成疮痍，名曰脐疮。如
脐湿，必用渗脐散敷之，如脐疮，用金黄散敷之最宜。
脐突
婴儿蕴热在于腹中，无所发泄，故伸引频频，睡卧不宁，努张其气，冲入脐本，所以脐忽肿赤，虚大光浮，乃脐突
之名。内服犀角消毒饮，外敷二豆散，以消肿极灵。最忌寒凉之药敷于脐上，恐冰凝毒热，反成凶也。
脐风
脐者，小儿之根蒂也，名曰神关。穴近三阴，喜温恶凉，喜干恶湿，如断脐悉遵前法，脐风何由而起。惟不知慎重，
以致风寒水湿，入于脐中，儿必腹胀脐肿，日夜啼叫，脐风之病成矣。若将作，用驱风散治之最效。若寒邪深入，已成
脐风者，则其所兼之形证，再要分别明视。如肚腹胀硬，大便秘塞，风兼实也，用黑白散主之。面白四肢寒冷，二便不
实者，风兼虚也，用理中汤主之。痰涎壅盛，气高喘急者，风痰也，僵蚕散主之。身体壮热，面赤口干者，风兼热也，
龙胆汤清之。若面青呕吐，曲腰多啼者，风兼寒也，益脾散治之。唇青撮口，抽搐不止者，风兼惊也，用撮风散平之。
若脐边青黑，口噤不开者，是为内抽，为不治。如一腊逢之者（即七日），命必倾也。盖血脉未凝，病已中脏，治之无
益。
天钓
小儿天钓之证，由邪热积于身胸，以致痰涎壅塞，气不宣通而成此证。发时手足螈 壮热，有时惊悸，头目仰视，
爪甲皆青，但证似惊风，此病目多仰视，较惊风稍异。如痰盛搐掣者，用九龙控涎丹治之。如惊盛兼风，牛黄散最灵。
螈多热者，宜钩藤饮减去人参用之。如爪甲皆青，用苏合香丸为精。
内钓
内钓者，多因肝脏素病，外受寒冷，其候粪青潮搐，作止有时，状似惊痫，伛偻腹痛，口吐涎沫。证与惊痫相类，
但有红丝血点，目中缠扰。如螈 甚者，用钩藤饮主之。急啼腹痛者，用木香丸主之。若四肢冷，甲青、唇口黑者，用
养脏散温中，或可保全也。
盘肠气痛
盘肠气痛，乃寒邪搏结肠中而痛。肝肾居下故痛，则曲腰不乳，蹙结双眉。内则定痛温中，用白豆蔻散主之。又熨
脐外治之法，亦堪垂于世。
目烂
儿生两目有病，痛痒难睁，胞边赤烂。因胎中蕴热，生后毒热上攻于目，故有是证。内用地黄汤以清其热，外点真
金散，其目即明。
悬痈
凡喉里上 肿起，如芦箨盛水状者，号曰悬痈。皆因胎中毒热上冲。须以棉缠长针，留锋刺破，泻去青黄赤汁，以
盐汤拭口，或如圣散，或一字散，掺之灵验。
重龈
重龈者，因小儿在胎，有热胃中蓄脏，故牙根肿胀、如水泡，其痛难禁。治法用针刺破，以盐汤拭净，外用一字散
敷上，内服清胃散，其效如神。
鹅口
鹅口者，白屑生满口舌，如鹅之口也。乃心脾二经，热蕴于中，本由胎里受母饮食热毒之原，故生后即发于口舌之
间。治清热泻脾散，外用发蘸井水拭口，搽以保生散。治之稍迟，则口舌糜烂，治难痊也。
吐舌
如舌伸长而收缓者，名为吐舌，皆是心经有热而成。故面红烦躁口渴便溺赤涩，宜泻心导赤汤，服之即灵。
弄舌
弄舌者，舌时时口内摇动也。因心脾热发，口唇焦干，烦热舌干，大便臭秽。先用泻黄散，次则用泻心导赤散，并
能痊愈也。
重舌
舌下近舌根处，肿突似舌形，故名重舌。心脾积热，上而攻冲所致。内服宜以清热饮为主，外敷凉心散，其功最灵。
木舌
木舌之证，皆因心脾积热而成。盖脾之脉络在舌下，又舌为心苗，遇火上冲，令儿舌肿胀木硬，不能转动，其证多
凶。外用川消散，敷在舌上，内服泻心导赤汤，最灵验也。
乳
小儿 乳之证，非止一端。有宿乳，有停痰，有胃热，有胃寒之分。如面色多赤，二便微闭，手足指热，此为热
也，宜和中清热饮主之。面色青白，粪青多沫，手足指冷，此因寒而 也，用温中止吐汤煎服。如口燥唇干，夜卧不宁，
手足心热，此为伤乳而 也，宜平胃散最妙。如胸膈胀满，呕吐停痰，此因停痰而 也，宜枳桔二陈汤可痊。若是吃乳
过多，满而自溢者，不必服药，常须节乳，自能安也。
夜啼
小儿初生夜啼，其因有二。一曰脾寒，一曰心热，皆因胎中所受。当观其形色，便分明矣。如寒属脾经，则面色青
白，手足俱冷，曲腰不伸而疼也。如面赤唇红，身腹内俱热，溺闭不利，烦躁多啼者，乃属心热也。如热，用导赤散；
寒，用钩藤饮。若无寒热表里之证，但多啼者，根据古法，用蝉花散最精。
胎黄
儿生遍体面目皆黄，其色如金黄，乃孕妇湿热熏蒸，小儿在胎受母热毒深极而生。法当渗湿而兼清热，须分轻重治
之。色微黄者，用生地黄汤；深黄者，犀角散，二方如神。
胎赤
胎赤者，因孕妇过食辛热之物，以致毒热凝结，蕴于胞中。儿受毒深，遂令生下头面遍体，赤若丹涂，当以清热解
毒汤极妙。如热盛便秘者，蒋氏化毒丹，功效最殊。
赤游风
小儿赤游风证，多因胎中毒热而成。或生后过于温暖，毒热蒸发于外，以致皮肤赤热而肿，色若丹涂，游走不定，
遍身而行。若发在头面四肢之间，犹可治。若内归心腹，则命难生矣，当内服犀角解毒饮。如若不愈，继以蓝叶散，外
再用砭法，刺出毒血则痊。毒盛者，再敷以神功散。毒轻者，不用敷药。在百日之内者，小儿忌砭血，以其肌肉难任也。
须用猪肉贴法，或以赤小豆末，及鸡子清调涂之，二法皆可安宁也。
初生无皮
小儿生下无皮，其证有二端焉。或因父母素有杨梅结毒，遗染而传，或上半身赤烂，或下半身赤烂，甚至无皮而色
带紫黑，或因未足月而生，遍体浸渍红嫩而光，其痛难堪，二者均属恶候，如杨梅结毒者，内服换肌消毒饮，外敷清凉
膏，或鹅黄粉，则痊。如胎元不足者，内服当归饮，外用稻米粉扑之，其皮自渐渐生完而坚实矣。
变蒸
天地化生万物，必以春温夏热而长。儿之初生，亦同此理，变生形神。自生之日，至三十二日为一变，至六十四日
曰一蒸。变则长其百骸，生其脏腑；蒸则增其智能，发其聪明。十变五蒸之外，又有三六十八大蒸，合计七十六日也。
变蒸既异，形神已成，此后则不复变蒸矣。然每变蒸之状，乃阴阳氤氲蒸之气而然，故身微热耳。尻骨属阴，以阳不伤
阴，而与阴和之象，故冷而不热。盖阴阳和变，化生形神，故无他病情也。
拭口下毒
婴儿刚出生时，擦拭口腔的方法，必须用柔软的棉絮包裹手指，将口中不洁之物擦净；接着用胭脂蘸取茶汁，擦拭口腔、舌头、牙齿和脸颊之间，使其洁净，日后才不会发生口腔疾病。将甘草浓煎成汤，用棉絮包裹手指蘸取药汁，频繁让婴儿吮服，以免胎毒蕴积在腹中。还有一种方法，用黄连浓煎取汁，滴入婴儿口中，毒素会随脐带排出的粪便而自然清除。如果要清热防惊，可用朱砂如大豆大小，研细后用水飞法处理，再用蜂蜜调和乳汁化开服用。但禀赋虚弱的婴儿不宜使用这种方法。对于体质虚弱的婴儿，解毒的方法是：用豆豉浓煎取汁，让乳汁尝出味道即可。
断脐
婴儿刚出生时，用剪刀在火上烤热，剪断脐带，接着用火器绕着脐带烙烫。男婴留六寸长，女婴留五寸长（注：原文“男女六寸”通常指男六寸女五寸或统称适中，此处依原文直译），这样才合适。剪得太短会损伤内脏，太长会损害肌肉。断脐完毕后，再用烙脐饼子放在脐上灸治，以防风邪从外部侵入。随后用胡粉散敷在脐带上，中间用软绢和新棉包裹，以避开尿液浸湿。
浴儿
出生后第三天给婴儿洗澡，是为了清除污秽。必须用五枝汤煎水。要选择无风的密室，冬夏季节温度要适宜，恰到好处。如果在水中时间过长，冬天恐怕受寒，夏天恐怕受热。再加猪胆汁，可以去除污秽，并且能滋润肌肤，避免生出胎疮。
剃头
婴儿满月时，必须剃去胎发。必须在密室温和的地方进行，适度即可。恐怕婴儿气血未充，寒风容易侵入，之后用杏仁、麻油、紫苏叶、薄荷、腻粉拌匀揉搓头部。凡是胎毒引起的疮疖，都能消除。
不啼
小儿落地后，啼哭声立即发出，形体生命就确立了。有不能啼哭的，俗语称为“草迷”。多因为临产困难，导致气机闭塞不通。或者正值隆冬时节，婴儿的气被寒气逼迫，也不能啼哭。因难产导致的，用葱轻轻敲击其背部，通气以醒神，就可以回生。因寒气逼迫的，千万不要剪断脐带，急忙用纸捻蘸油点火，来回熏烤脐带，使暖气进入腹部就会啼哭。如果气绝无声，面色青紫，爪甲发黑，形体虽然存在，生命已在顷刻之间了。
不乳
小儿生下后能吮吸乳汁，本是天然本能。如果不吮吸，必有缘故。可能是因为腹中的秽恶之物没有排净，导致小儿腹胀，气短，呕吐而不吃奶。或者在胎中时，因为母亲过食寒凉食物，胎儿受到寒气影响，婴儿必然腹痛多啼，素体偏寒。如果秽恶不净，用一捻金治疗有效。胎寒导致的拒乳，以匀气散为先。如果更出现面色青紫，四肢冰冷，这是虚寒证，用理中汤煎服。
眼不开
小儿初生，眼睛闭合不能睁开，是因为孕妇饮食不节制，恣意食用浓味辛辣，热毒熏蒸，导致婴儿脾脏蕴热，眼睑属脾，其脉络紧束所致。这都是从胎里受到的。内服地黄汤再妙不过，外用熊胆汤洗眼，效果灵验。
吐不止
小儿呕吐不止，是什么原因引起的？有因为大便闭塞、秽恶不净，停留在胃内，导致婴儿腹胀而成呕吐；或者因为禀受胎中寒热之气而来；或者因为出生时感冒而成。如果是秽恶不净而呕吐，用一捻金散攻下。如果是外感寒邪，入里犯胃，则弯腰啼哭，吐沫不止，用香苏饮温散就能痊愈。又有胎前受热，面黄赤，手足温暖，口吐黄涎酸粘的，用黄连合二陈汤治疗。如果受寒面青白，四肢冷，口吐清沫，用理中汤主治。
不小便
小儿初生，小便不通，是胎热壅滞在下焦，用导赤散，热盛的用八正散，两方攻治，外用豆豉膏贴敷在脐上，片刻间小便自然能通。
不大便
小儿初生，或者第二天就大便，名叫“下脐屎”。这是肠胃通和，幽门润泽的表现。如果二三天大便不通，名叫“锁肚”。都是因为受了胎中辛热之毒，婴儿必然面赤腹胀，不吃奶多啼，宜用朱蜜法治之。如果无效，用一捻金酌情给予。随后让妇女用温水漱口，急迫地用嘴吸吮双手心及脐下，还有双足心，前后背心，共七处，以皮肤变红为度，大便自然通畅。
大小便不通
小儿初生，大小便都闭塞，是最危急的情况。是胎中热毒极盛造成的。急忙用木通散与紫霜丸，行其滞气，开其结聚，真是妙方。急忙用口吸之法，全部像前面所说那样做，或许还能指望存活。如果拖延到七天，叫做“七日风”（注：原文似有误字或特定称谓，依语境推测），肚腹硬胀，常作呻吟，难以治疗。
肛门内合
小儿初生，肛门内合有两种情况。有因为热毒太盛，肛门内部结闭；或者是脂膜遮盖隐瞒，没有缝隙可通。如果是热毒壅结的，服用黑白散，外用苏合香丸，做成枣核形状，纳入孔中，取其香气能开窍，又能润泽，引导大便排出，或许能指望存活。如果是脂膜遮盖隐瞒，先用金玉簪刺通脂膜，再以苏合香丸照前面的导法，可以回生。
噤口
小儿噤口证，失治大多导致无法救治。其症状是舌上生疮，像黍米状，吮吸乳汁困难，啼声逐渐艰难。因为胎热所致。治法应当清热疏利，用龙胆汤主治极妙。如果肚腹胀硬，大小便闭，用紫霜丸。又有一种，口吐白涎，牙关紧急的，这是胎热内结，又有风邪外入。应当先用擦牙散先擦拭其牙关，次用辰砂全蝎散煎服，到病势稍安就停止，不可过度贴敷。病退后，调和脾胃，以匀气散为先。
撮口
撮口证，口撮缩像囊口，吮吸乳汁艰难，舌强唇青，口吐沫痰，面色赤黄，这是受自胎中热极所致。如果四肢冰冷，病情难愈。如果气高痰盛，宜用辰砂僵蚕散，大小便闭的，须用紫霜丸主治；身热多惊的，用龙胆汤极妙；手足抽搐的，撮风散自妥。
脐湿脐疮
洗澡时任意洗濯，或者包裹不周全，导致尿液湿气侵入脐部，致使肚脐淋漓不干，名叫脐湿。严重时发红，作成疮痍，名叫脐疮。如果是脐湿，必用渗脐散敷之；如果是脐疮，用金黄散敷之最适宜。
脐突
婴儿腹中蕴热，无处发泄，所以频频伸引，睡卧不宁，努张其气，冲入脐本，所以脐部忽然肿赤，虚大光浮，这就是脐突的名字。内服犀角消毒饮，外敷二豆散，消肿极灵。最忌用寒凉药物敷于脐上，恐怕冰凝毒热，反而成为凶险之症。
脐风
脐部，是小儿的根本，名叫神关。穴位靠近三阴经，喜温恶凉，喜干恶湿，如果断脐完全遵循前面的方法，脐风从哪里兴起呢？只是不知道慎重，以致风寒水湿，进入脐中，婴儿必然腹胀脐肿，日夜啼叫，脐风之病就形成了。如果即将发作，用驱风散治疗最有效。如果寒邪深入，已成脐风者，那么其所兼有的形证，再要分别明视。如果肚腹胀硬，大便秘塞，是风兼实证，用黑白散主治。面白四肢寒冷，大小便不实的，是风兼虚证，用理中汤主治。痰涎壅盛，气高喘急的，是风痰证，僵蚕散主治。身体壮热，面赤口干的是，风兼热证，龙胆汤清之。如果面青呕吐，曲腰多啼的，是风兼寒证，益脾散治疗。唇青撮口，抽搐不止的，是风兼惊证，用撮风散平之。如果脐边青黑，口噤不开的，是为内抽，属于不治之症。如果在满月（注：原文“一腊”通常指一月或七日，结合上下文“命必倾也”及脐风重症，此处可能指发病初期即危重，或特指某时段）遇到此病，性命必倾覆。因为血脉未凝，病已中脏，治疗无益。
天钓
小儿天钓证，由邪热积聚在身胸，导致痰涎壅塞，气机不宣通而形成此证。发作时手足抽搐，壮热，有时惊悸，头目仰视，爪甲皆青，虽然症状类似惊风，但这病目多仰视，较惊风稍有不同。如果痰盛抽搐的，用九龙控涎丹治疗。如果惊盛兼风，牛黄散最灵。抽搐多热的，宜钩藤饮减去人参使用。如果爪甲皆青，用苏合香丸精治。
内钓
内钓证，多因为肝脏素来有病，外受寒冷，其症状是大便青色，阵发性抽搐，发作停止有定时，状似惊痫，弯腰腹痛，口吐涎沫。证候与惊痫相似，但有红丝血点，眼中缠绕扰攘。如果抽搐严重的，用钩藤饮主治。急啼腹痛的，用木香丸主治。如果四肢冷，指甲青、嘴唇口黑，用养脏散温中，或许可以保全。
盘肠气痛
盘肠气痛，是寒邪搏结肠中而痛。肝肾居下，所以疼痛时弯曲腰部不吃奶，皱眉结目。内治定痛温中，用白豆蔻散主治。又有熨脐外治的方法，也值得流传于世。
目烂
婴儿出生两眼有病，痛痒难睁，眼睑边缘赤烂。因为胎中蕴热，生后毒热上攻于目，所以有此证。内用地黄汤以清其热，外点真金散，眼睛即刻明亮。
悬痈
凡喉咙里上方肿起，像芦箨盛水状的，号曰悬痈。都是因为胎中毒热上冲。必须以棉缠住长针，留出锋刃刺破，泻去青黄赤色汁液，用盐汤拭口，或用如圣散、一字散，掺之灵验。
重龈
重龈证，因为小儿在胎中，热蓄于胃脏，所以牙根肿胀，像水泡，疼痛难忍。治法用针刺破，用盐汤拭净，外用一字散敷上，内服清胃散，效果如神。
鹅口
鹅口证，白屑生满口舌，像鹅的嘴巴一样。是心脾二经，热蕴于中，本来由胎里受母体饮食热毒之源，所以生后即发于口舌之间。治清热泻脾散，外用发蘸井水拭口，搽以保生散。治疗稍迟，则口舌糜烂，治疗难痊愈。
吐舌
如果舌头伸长而收缓的，名叫吐舌，都是心经有热而成。所以面红烦躁口渴，小便赤涩，宜泻心导赤汤，服用即灵。
弄舌
弄舌证，舌头时时在口内摇动。因为心脾热发，口唇焦干，烦热舌干，大便臭秽。先用泻黄散，其次用泻心导赤散，并能痊愈。
重舌
舌下近舌根处，肿突似舌形，故名重舌。心脾积热，向上攻冲所致。内服宜以清热饮为主，外敷凉心散，功效最灵。
木舌
木舌证，都是因为心脾积热而成。脾的脉络在舌下，而且舌为心之苗，遇火上冲，令婴儿舌头肿胀木硬，不能转动，此证多凶险。外用川消散，敷在舌上，内服泻心导赤汤，最灵验。
乳（注：原文标题可能有缺字，根据内容推测为“吐乳”或“伤乳”类病症，此处保留原字或译为相关症状）
小儿吐乳/伤乳之证，不止一端。有宿乳，有停痰，有胃热，有胃寒之分。如果面色多赤，大小便微闭，手足指热，这是热证，宜和中清热饮主治。面色青白，大便青色多沫，手足指冷，这是因为寒而吐乳，用温中止吐汤煎服。如果口燥唇干，夜卧不宁，手足心热，这是伤乳而吐，宜平胃散最妙。如果胸膈胀满，呕吐停痰，这是因为停痰而吐，宜枳桔二陈汤可痊愈。如果是吃乳过多，满而自溢的，不必服药，常须节制喂奶，自然能安宁。
夜啼
小儿初生夜啼，原因有二。一是脾寒，一是心热，都因为胎中所受。应当观察其形色，便能分明。如果寒属脾经，则面色青白，手足俱冷，曲腰不伸而疼。如果面赤唇红，身腹内俱热，溺闭不利，烦躁多啼的，乃属心热。如果有热，用导赤散；有寒，用钩藤饮。如果没有寒热表里之证，只是多啼的，根据古法，用蝉花散最精。
胎黄
婴儿出生遍体面目皆黄，其色如金黄，是孕妇湿热熏蒸，小儿在胎受母体热毒深极而生。治法当渗湿而兼清热，须分轻重治疗。色微黄的，用生地黄汤；深黄的，用犀角散，两方如神。
胎赤
胎赤证，因为孕妇过食辛热之物，导致毒热凝结，蕴于胞中。婴儿受毒深，遂令生下头面遍体，赤若丹涂，当以清热解毒汤极妙。如果热盛便秘的，蒋氏化毒丹，功效最殊。
赤游风
小儿赤游风证，多因为胎中毒热而成。或者生后过于温暖，毒热蒸发于外，导致皮肤赤热而肿，色若丹涂，游走不定，遍身而行。如果发在头面四肢之间，还可治。如果内归心腹，则性命难保，应当内服犀角解毒饮。如果不好，继以蓝叶散，外用再用砭法，刺出毒血则痊愈。毒盛的，再敷以神功散。毒轻的，不用敷药。在百日之内的，小儿忌砭血，因为其肌肉难以承受。须用猪肉贴法，或以赤小豆末，及鸡蛋清调涂之，两种方法皆可安宁。
初生无皮
小儿生下无皮，此证有两端。或者因为父母素有杨梅结毒，遗传传染，或者上半身赤烂，或者下半身赤烂，甚至无皮而色带紫黑，或者因为未足月而生，遍体浸渍红嫩而光，其痛难堪，二者均属恶候。如果是杨梅结毒者，内服换肌消毒饮，外敷清凉膏，或鹅黄粉，则痊愈。如果是胎元不足者，内服当归饮，外用稻米粉扑之，其皮自然渐渐生完而坚实。
变蒸
天地化生万物，必以春温夏热而生长。婴儿初生，也同此理，变化生成形神。自出生之日，至三十二日为一变，至六十四日曰一蒸。变则长其百骸，生其脏腑；蒸则增其智能，发其聪明。十变五蒸之外，又有三六十八大蒸，合计七十六日。变蒸既已结束，形神已成，此后就不再变蒸了。然而每次变蒸的状态，乃是阴阳氤氲蒸腾之气所致，所以身体微热。尻骨属阴，因为阳不伤阴，是与阴和谐之象，所以冷而不热。盖阴阳和谐变化，化生形神，所以没有其他病情。
Wiping the Mouth and Removing Toxins
When an infant is first born, the method for wiping the mouth must use soft cotton wrapped around a finger to wipe away any impurities in the mouth. Subsequently, rouge dipped in tea liquor should be used to wipe between the mouth, tongue, teeth, and cheeks to ensure cleanliness, preventing oral diseases later in life. Boil licorice root (Gancao) thickly into a decoction. Wrap cotton around a finger, dip it in the juice, and frequently let the infant suck on it to prevent fetal toxins from accumulating in the abdomen. Another method involves boiling coptis rhizome (Huanglian) thickly to extract the juice and dripping it into the infant's mouth; the toxins will naturally clear out with the meconium discharged from the umbilicus. To clear heat and prevent fright, use cinnabar (Zhusha) the size of a soybean, grind it finely, process it by water flotation (Shuifei), mix it with honey and milk, and administer it. However, this method is not suitable for infants with weak constitutions. For detoxifying weak infants, boil fermented soybean (Douchi) thickly to extract the juice, and have the mother taste it so the flavor passes through the milk.
Umbilical Cord Cutting
When an infant is first born, use scissors heated over a fire to cut the umbilical cord, then cauterize the cord with a hot instrument. The length should be appropriate (traditionally six cun for males and five cun for females); if too short, it damages the internal organs; if too long, it harms the muscles. After cutting, apply a moxa cake for the umbilicus (Lao Qi Bingzi) to moxa the umbilicus to prevent wind-cold pathogens from entering externally. Then, apply Hu Fen San (Powder of Lead Carbonate) to the cord, and periodically wrap it with soft silk and fresh cotton to avoid urine moisture.
Bathing the Infant
The method for bathing the infant on the third day is to cleanse filth. One must use a decoction of "Five Branches" (Wu Zhi). Choose a windowless, draft-free room, and adjust the temperature appropriately for winter and summer. Prolonged immersion may cause cold exposure in winter or heat exposure in summer. Add pig bile to remove filth; it also moisturizes the skin and prevents neonatal eczema (Tai Chuang).
Shaving the Head
At one month of age, an infant must have their lanugo shaved off. This must be done in a warm, draft-free room, moderately. Fear that blood and qi are not yet full and cold wind may easily enter; afterwards, mix almond, sesame oil, perilla leaf, mint, and bismuth subcarbonate (Ni Fen), and rub them onto the head. This eliminates all conditions caused by fetal toxins, such as sores and boils.
Failure to Cry
Upon landing on the ground, an infant should cry immediately, establishing form and life. Those who cannot cry are colloquially called "straw-misted." This is often due to difficult labor causing qi obstruction. Or, during deep winter, the infant's qi is constrained by cold, preventing crying. For cases due to difficult labor, gently strike the back with green onion stalks to unblock qi and awaken the spirit, which can restore life. For cases due to cold constraint, do not cut the umbilical cord; instead, quickly make a paper wick dipped in oil, light it, and fumigate the umbilical cord repeatedly until warmth enters the abdomen, inducing crying. If there is no breath or sound, the face is cyanotic, and nails are black, although the body exists, life is imminent.
Failure to Suckle
It is natural for a newborn to suckle milk. If they do not, there must be a reason. It may be because foul matter in the abdomen has not been cleared, causing abdominal distension, shortness of breath, vomiting, and refusal to suckle. Or, in utero, the mother consumed excessive cold foods, transmitting cold qi to the fetus, causing abdominal pain, frequent crying, and a cold constitution. If foul matter remains, Yi Nian Jin is effective. For failure to suckle due to fetal cold, Yun Qi San is primary. If accompanied by a cyanotic face and cold limbs, indicating deficiency-cold, Li Zhong Tang should be decocted and administered.
Eyes Not Opening
Infants born with eyes closed and unable to open them suffer because the pregnant woman did not regulate her diet, indulging in rich and pungent flavors. Heat toxins steamed upward, causing heat accumulation in the infant's spleen. Since the eyelids belong to the spleen, its meridians become tight and bound. This is acquired from the womb. Internally, Dihuang Tang is excellent; externally, washing the eyes with Bear Gallbladder Decoction (Xiong Dan Tang) is highly effective.
Persistent Vomiting
Why does persistent vomiting occur in infants? It may be due to constipation and retained foul matter in the stomach, causing abdominal distension and vomiting; or due to inheriting cold or heat from the womb; or due to catching a cold at birth. If vomiting is due to retained foul matter, purge it with Yi Nian Jin San. If external cold pathogens enter the interior and attack the stomach, the infant bends their waist while crying and vomits froth continuously; Xiang Su Yin warms and disperses this, leading to recovery. If heat accumulated before birth causes a yellow-red face, warm hands and feet, and vomiting of yellow, sour, sticky saliva, treat with Huanglian combined with Er Chen Tang. If cold exposure causes a pale-white face, cold limbs, and vomiting of clear froth, Li Zhong Tang is the main treatment.
Urinary Retention
Infants born unable to urinate suffer from fetal heat stagnating in the lower jiao. Use Dao Chi San; for severe heat, use Ba Zheng San. Externally, apply Dou Chi Gao (Fermented Soybean Paste) to the umbilicus, and urine will flow freely shortly.
Stool Retention
An infant who stools on the first or second day passes meconium (Xia Qi Shi), indicating harmonious intestines and stomach and moistened pylorus. If stool is retained for two to three days, it is called "Locked Belly" (Suo Du). This is due to receiving spicy-hot toxins in the womb; the infant will have a red face, abdominal distension, refuse milk, and cry frequently. Treat with Zhu Mi Fa (Vermilion Honey Method). If ineffective, give Yi Nian Jin judiciously. Then, have a woman rinse her mouth with warm water and urgently suck the palms, below the umbilicus, both soles, and the front and back of the spine—seven points total—until the skin turns red; stool will pass naturally.
Obstruction of Both Urine and Stool
Infants born with both urine and stool obstructed are in a critical state, caused by extreme fetal heat toxins. Urgently use Mu Tong San and Zi Shuang Wan to move stagnation and resolve knots; these are excellent formulas. Urgently apply the sucking method as described above; survival may be hoped for. If delayed to seven days, called "Seven-Day Wind," with a hard, distended abdomen and constant groaning, it is difficult to treat.
Internal Closure of the Anus
There are two types of internal anal closure in newborns. One is due to extreme heat toxins causing internal knotting of the anus; the other is due to fatty membranes covering the opening, leaving no passage. For heat toxin knotting, take Hei Bai San; externally, insert a Su He Xiang Wan (Styrax Pill) shaped like a date pit into the orifice. Its fragrance opens orifices and moistens, guiding stool down, offering hope for survival. For fatty membrane coverage, first pierce the membrane with a gold and jade hairpin, then guide with Su He Xiang Wan as before to restore life.
Jin Kou (Lockjaw/Mouth Closing)
Jin Kou syndrome, if untreated, often leads to death. Symptoms include sores on the tongue resembling millet grains, difficulty suckling, and weakening cries. It is caused by fetal heat. The method is to clear heat and promote drainage, using Long Dan Tang primarily. If the abdomen is hard and distended with urinary and fecal retention, use Zi Shuang Wan. Another type presents with white saliva drooling and tight jaw; this is fetal heat knotting internally with external wind pathogen invasion. First, apply Ya Guan San (Tooth-Cleaning Powder) to the jaw, then decoct and administer Chen Sha Quan Xie San. Stop when symptoms ease; do not overuse. After recovery, harmonize the spleen and stomach, starting with Yun Qi San.
Cuo Kou (Mouth Pinching/Twisting)
Cuo Kou presents with the mouth pinched like a bag mouth, difficulty suckling, stiff tongue, cyanotic lips, frothy sputum, and a reddish-yellow face. It results from extreme heat inherited from the womb. If limbs are cold, the disease is hard to cure. If qi is high and phlegm abundant, use Chen Sha Jiang Can San. For urinary/fecal retention, use Zi Shuang Wan. For body heat and frequent fright, Long Dan Tang is excellent. For limb convulsions, Cuo Feng San is appropriate.
Umbilical Dampness and Ulcer
Arbitrary washing during bathing or incomplete wrapping allows urine moisture to invade the umbilicus, causing it to remain wet and dripping, named Umbilical Dampness (Qi Shi). If severe, it becomes red and ulcerated, named Umbilical Ulcer (Qi Chuang). For Umbilical Dampness, apply Shen Qi San. For Umbilical Ulcer, apply Jin Huang San, which is most suitable.
Umbilical Protrusion
Fetal heat in the abdomen has no outlet, causing frequent stretching and restless sleep. Straining qi rushes into the umbilical base, causing sudden red swelling and bulging, named Umbilical Protrusion (Qi Tu). Internally, take Xi Jiao Xiao Du Yin; externally, apply Er Dou San to reduce swelling effectively. Cold-cooling medicines applied to the umbilicus are strictly forbidden, as freezing the toxic heat may turn it fatal.
Umbilical Wind (Neonatal Tetanus)
The umbilicus is the root of the infant, named Shen Guan. It is near the Three Yin meridians, preferring warmth and dryness, disliking cold and dampness. If umbilical cutting follows previous methods, how would Umbilical Wind arise? Only through negligence allowing wind, cold, water, and dampness to enter the umbilicus, causing abdominal distension, umbilical swelling, and day-and-night crying, forming Umbilical Wind. If impending, Qu Feng San is most effective. If cold pathogens have deeply entered and Umbilical Wind has formed, distinguish accompanying symptoms. Abdominal hardness and constipation indicate Wind-Excess; treat with Hei Bai San. Pale face and cold limbs with loose stools indicate Wind-Deficiency; treat with Li Zhong Tang. Abundant phlegm-saliva and rapid breathing indicate Wind-Phlegm; treat with Jiang Can San. High fever, red face, and dry mouth indicate Wind-Heat; clear with Long Dan Tang. Cyanotic face, vomiting, and bending waist crying indicate Wind-Cold; treat with Yi Pi San. Cyanotic lips, Cuo Kou, and continuous convulsions indicate Wind-Fright; calm with Cuo Feng San. If the umbilical border is blue-black and the mouth is locked, it is Internal Convulsion, untreatable. If encountered within the first lunar month (or seven days), life is doomed. Blood vessels are not yet consolidated, and the disease has penetrated the zang organs; treatment is futile.
Tian Diao (Heavenly Hook/Fixed Eyes)
Tian Diao syndrome is caused by evil heat accumulating in the chest, blocking qi with phlegm-saliva. During attacks, limbs convulse, high fever occurs, palpitations happen, eyes look upward, and nails turn cyanotic. Although similar to Fright-Wind, the fixed upward gaze distinguishes it. For abundant phlegm and convulsions, use Jiu Kong Kong Xian Dan. For severe fright with wind, Niu Huang San is best. For frequent convulsions with heat, use Gou Teng Yin minus Ren Shen. For cyanotic nails, Jing Zhi Su He Xiang Wan is precise.
Nei Diao (Internal Hook)
Nei Diao is often due to pre-existing liver pathology combined with external cold. Symptoms include green stools, paroxysmal convulsions, intermittent episodes resembling epilepsy, stooped posture, abdominal pain, and drooling. It resembles epilepsy but features red thread-like blood spots and eye irritation. For severe convulsions, use Gou Teng Yin. For urgent crying and abdominal pain, use Mu Xiang Wan. For cold limbs, cyanotic nails, and black lips/mouth, use Yang Zang San to warm the middle; survival may be possible.
Pan Chang Qi Tong (Coiled Intestine Gas Pain)
Pan Chang Qi Tong is pain caused by cold pathogens clashing in the intestines. Since Liver and Kidney reside below, pain causes bending of the waist, refusal to suckle, and furrowed brows. Internally, to settle pain and warm the middle, use Bai Dou Kou San. There is also an external moxibustion/warming method for the umbilicus worth preserving.
Rotting Eyes
Infants born with eye diseases experience pain, itching, and inability to open eyes, with red, rotting eyelid margins. Due to heat stored in the womb, toxic heat attacks the eyes after birth. Internally, use Dihuang Tang to clear heat; externally, apply Zhen Jin San to restore vision.
Xuan Yong (Hanging Abscess)
A swelling rising in the upper throat, resembling a reed sheath filled with water, is called Xuan Yong. It is caused by toxic heat from the womb rushing upward. Wrap a long needle with cotton, leave the tip exposed, puncture it, drain the green/yellow/red fluid, rinse the mouth with salt water, or apply Ru Sheng San or Yi Zi San for efficacy.
Chong Yin (Double Gums)
Chong Yin occurs when heat accumulates in the stomach during fetal development, causing swollen gum roots like blisters, intolerable pain. Treat by pricking with a needle, rinsing with salt water, applying Yi Zi San externally, and taking Qing Wei Tang internally for miraculous effects.
Goose Mouth (Thrush)
Goose Mouth presents with white debris filling the mouth and tongue, resembling a goose's beak. It is caused by heat accumulation in the Heart and Spleen meridians, originating from maternal dietary heat toxins received in the womb, appearing immediately after birth. Treat with Qing Re Xie Pi San. Externally, dip hair in well water to wipe the mouth, then apply Bao Sheng San. Delayed treatment leads to oral erosion and difficulty curing.
Tongue Protrusion
If the tongue extends and relaxes slowly, it is named Tongue Protrusion (Tu She). It is caused by heat in the Heart meridian. Symptoms include red face, irritability, thirst, and dark, scanty urine. Use Xie Xin Dao Chi Tang for immediate effect.
Tongue Playing
Tongue Playing involves the tongue constantly moving within the mouth. It is caused by Heart-Spleen heat, resulting in dry/scorched lips, irritability, dry tongue, and foul-smelling stool. First use Xie Huang San, then Xie Xin Dao Chi San for recovery.
Double Tongue
Swelling near the root of the tongue resembling a second tongue is named Double Tongue (Chong She). It is caused by Heart-Spleen heat accumulation attacking upward. Internally, use Qing Re Yin; externally, apply Liang Xin San for best results.
Wood Tongue
Wood Tongue is caused by Heart-Spleen heat accumulation. The spleen's meridians are under the tongue, and the tongue is the sprout of the heart. Fire rushing up causes the tongue to swell, become stiff and wooden, immobile, indicating a dangerous condition. Externally, apply Chuan Xiao San on the tongue; internally, take Xie Xin Dao Chi Tang for best efficacy.
Milk Regurgitation/Vomiting
Infant milk regurgitation/vomiting has various causes: retained milk, stagnant phlegm, stomach heat, or stomach cold. Red face, slight urinary/fecal retention, and warm fingertips indicate heat; treat with He Zhong Qing Re Yin. Pale-green face, green frothy stools, and cold fingertips indicate cold; treat with Wen Zhong Zhi Ou Tang. Dry mouth/lips, restless sleep, and warm palms indicate damaged milk; Ping Wei San is best. Chest oppression, vomiting of stagnant phlegm indicates phlegm stagnation; Zhi Ju Er Chen Tang cures it. Overfeeding causing spontaneous overflow requires no medicine; simply regulate feeding frequency for peace.
Night Crying
Newborn night crying has two causes: Spleen-Cold and Heart-Heat, both inherited from the womb. Observe appearance and color. Spleen-Cold presents with pale face, cold limbs, bent waist, and pain. Heart-Heat presents with red face/lips, internal heat, urinary difficulty, irritability, and frequent crying. For heat, use Dao Chi San; for cold, use Gou Teng Yin. Without exterior-interior cold-heat signs, just frequent crying, follow ancient methods using Chan Hua San for best results.
Fetal Jaundice
Infants born with whole-body and facial jaundice, golden-yellow in color, result from maternal damp-heat steaming and deep fetal reception of maternal heat toxins. The method is to leach dampness and clear heat, treating based on severity. Mild yellow uses Sheng Di Huang Tang; deep yellow uses Xi Jiao San. Both are miraculous.
Fetal Erythema
Fetal Erythema is caused by the mother consuming excessive spicy-hot foods, leading to toxic heat condensation in the uterus. The infant receives deep toxicity, resulting in a red-as-cinnabar complexion all over the head and body after birth. Qing Re Jie Du Tang is excellent. For severe heat with constipation, Jiang Shi Hua Du Dan has unique efficacy.
Red Roaming Wind
Red Roaming Wind is caused by fetal toxic heat. Post-birth, excessive warmth causes toxic heat to evaporate outward, making skin red, hot, and swollen, roaming unpredictably across the body. If on head/limbs, it is treatable; if entering heart/abdomen, life is at risk. Internally, take Xi Jiao Jie Du Yin. If unresolved, continue with Lan Ye San, and externally use Bian Fa (bloodletting/pricking) to draw out toxic blood for cure. For severe toxicity, apply Shen Gong San; for mild, no application needed. Infants under 100 days should avoid bloodletting as their flesh is tender. Use pork paste or adzuki bean powder mixed with egg white for soothing.
Congenital Skin Absence
Newborns without skin have two causes: hereditary syphilitic toxins from parents causing red rot (upper or lower body) turning purple-black, or prematurity causing whole-body red, tender, shiny skin with unbearable pain. Both are malignant. For syphilitic toxins, take Huan Ji Xiao Du Yin externally apply Qing Liang Gao or E Huang Fen for cure. For insufficient fetal origin, take Dang Gui Yin internally, dust with rice flour externally; skin will gradually regenerate firmly.
Bian Zheng (Transformation and Steaming)
Heaven and Earth generate all things through spring warmth and summer heat. Newborns follow this principle, transforming form and spirit. From birth, 32 days constitute one "Bian" (Transformation), growing bones and organs; 64 days constitute one "Zheng" (Steaming), increasing intelligence and wisdom. Beyond ten Bians and five Zhengs, there are additional large steams totaling 76 days. Once Bian Zheng completes, form and spirit are established, and no further transformation occurs. Each stage involves yin-yang mingling qi, causing slight body heat. The sacrum belongs to yin; since yang does not harm yin, it harmonizes with yin, feeling cool. Yin-yang harmonious transformation generates form and spirit, so there are no other pathological conditions.