《三因》云∶小儿初生气绝不能啼者，必是难产或冒寒所致，急以绵絮包裹抱怀
中，未可断脐带，且将胞衣置炉炭中烧之，仍捻大纸条蘸油点火，于脐带下熏之，
盖脐带连儿，火熏时有火气由脐入腹，更以热醋汤荡洗脐带，须臾气回，啼哭如常，
方可洗浴，了，即断脐带。婴儿哭迟者，以葱白细鞭背上，即啼。《水鉴方》云∶
胎风生下不能啼，须使园中小叶葵，捣取汁调熊胆末，才交入口免倾危。看舌下法
见前。儿生下地，即不啼哭，不能吞乳，奄奄如死者，急看喉间悬痈前 上有一
泡，用指摘破，以帛拭去恶血，勿令咽下，即能通声吞乳。
儿生，眼闭，口开，常呻吟，因受胎热，用凉五脏药天竹黄散（方见重舌）及与母吃，
复以竹筒煎汤洗眼。小儿初生眼闭者，由产母食热物毒物，致成斯疾，治法，当以
熊胆少许蒸水洗眼上，一日七次，如三日不开，用生地黄汤服，仍须乳母服山茵陈
汤。凡初生小儿，须洗令净，若洗不净，则秽汁浸渍于眼 中，使眼赤烂，至长
不瘥。
生地黄汤 治初生小儿眼不开。
干地黄 赤芍药 川芎 当归（去芦） 栝蒌根 甘草
上为细末。少许，用灯心煎汤调，抹入口中。速服。
四圣散 治婴孩胎受热毒，生下两目不开。
灯心 黄连 秦皮 木贼 枣子（各半两）
上 咀。每服二钱，水一盏，煎七分，澄清去滓，无时频洗，两目自开。
洗眼方
黄连 秦皮 灯心 大枣（各等分）
上用竹筒煎汤。
《三因方》记载：新生儿出生后完全不能啼哭的，必定是难产或受寒所致。应立即用棉絮包裹抱在怀中，不要急于剪断脐带，先将胎盘放在炉炭中烧掉，同时捻大纸条蘸油点燃，在脐带下方熏烤。因为脐带连着婴儿，火熏时热气会通过脐部进入腹部，再用热醋汤荡洗脐带，片刻后气息恢复，像平常一样啼哭，才可以洗浴，结束后再剪断脐带。婴儿哭声迟缓的，用葱白轻轻鞭打背部，就会啼哭。《水鉴方》记载：胎风导致出生不能啼哭，必须取园中的小叶葵，捣取汁液调和熊胆粉，刚入口就能避免危险。查看舌下的方法见前文。婴儿落地后不啼哭，不能吞咽乳汁，奄奄一息如死状，急忙查看喉间悬雍垂上方有一个水泡，用手指挑破，用布擦去恶血，不要让血液咽下，就能发声吞咽乳汁。
婴儿出生，眼睛闭合，嘴巴张开，经常呻吟，这是因为受孕期间受热毒，使用凉五脏的药物天竹黄散（方剂见重舌条），并让母亲服用，再用竹筒煎汤清洗眼睛。小儿初生眼闭，是由于产母食用热性食物或有毒食物，导致此病。治疗方法，应当用少许熊胆蒸水洗眼，一天七次，如果三天仍不睁开，服用生地黄汤，同时也需要乳母服用山茵陈汤。凡是初生婴儿，必须洗净，如果洗不干净，污秽汁液浸渍眼中，使眼睛红肿溃烂，长大也不痊愈。
生地黄汤 治疗初生婴儿眼睛不睁开。
干地黄、赤芍药、川芎、当归（去除芦头）、栝蒌根、甘草。
以上药物研为细末。取少量，用灯心草煎汤调服，抹入口中。迅速服用。
四圣散 治疗婴孩胎受热毒，出生后两眼不睁开。
灯心草、黄连、秦皮、木贼、枣子（各半两）。
以上药物切碎。每次服用二钱，用水一盏，煎至七分，澄清去渣，随时频繁清洗，双眼自然睁开。
According to *San Yin Fang* (Three Causes Formulary): If a newborn fails to cry immediately after birth, it is certainly due to difficult labor or exposure to cold. Immediately wrap the infant in cotton wool and hold them against your chest. Do not sever the umbilical cord yet. Instead, burn the placenta in a charcoal stove. Meanwhile, twist a large paper strip, dip it in oil, ignite it, and smoke the area below the umbilical cord. Since the umbilical cord connects to the infant, the heat from the fire will enter the abdomen through the navel. Then, rinse the umbilical cord with hot vinegar water. After a short while, when the infant's breath returns and they cry normally as usual, bathing may commence. Once finished, sever the umbilical cord. For infants with delayed crying, gently whip their back with white parts of green onions (*Cong Bai*), and they will cry. According to *Shui Jian Fang*: For "fetal wind" causing inability to cry at birth, take small-leaf hibiscus (*Xiao Ye Kui*) from the garden, crush it to extract juice, mix with bear gallbladder powder (*Xiong Dan Mo*), and administer upon entry into the mouth to prevent danger. The method for examining under the tongue is described previously. If an infant does not cry upon landing on the ground, cannot swallow milk, and appears lifeless like a corpse, urgently examine the uvula (*Xuan Yong*) in the throat; there may be a blister above it. Puncture it with a finger, wipe away the foul blood with cloth, ensuring it is not swallowed, and the infant will regain voice and ability to swallow milk.
When an infant is born with closed eyes, open mouth, and constant moaning, it is caused by fetal heat toxicity. Administer Tian Zhu Huang San (Tianzhu Huang Powder) to cool the five zang organs (see formula for Chong She/Double Tongue), and have the mother consume it. Additionally, wash the eyes with decoction prepared in a bamboo tube. Neonatal eye closure results from the mother consuming hot or toxic foods during pregnancy. The treatment method involves washing the eyes with steam from a small amount of bear gallbladder (*Xiong Dan*) seven times a day. If the eyes do not open after three days, administer Sheng Di Huang Tang (Rehmannia Decoction). The lactating mother must also consume Shan Yin Chen Tang (Mountain Artemisia Decoction). All newborns must be thoroughly cleaned; if not cleaned properly, filth will soak into the eyes, causing redness and ulceration, which may persist into adulthood without healing.
**Sheng Di Huang Tang** (Rehmannia Decoction): Treats neonatal eye closure.
* Radix Rehmanniae Preparata (*Gan Di Huang*)
* Radix Paeoniae Rubra (*Chi Shao Yao*)
* Rhizoma Chuanxiong (*Chuan Xiong*)
* Radix Angelicae Sinensis (*Dang Gui*, remove rhizome)
* Radix Trichosanthis (*Gua Lou Gen*)
* Radix Glycyrrhizae (*Gan Cao*)
Grind the above ingredients into fine powder. Take a small amount, prepare a decoction with Juncus effusus (*Deng Xin*), mix, and apply to the mouth. Administer quickly.
**Si Sheng San** (Four Sages Powder): Treats infants suffering from fetal heat toxicity, resulting in eyes not opening after birth.
* Junci Medulla (*Deng Xin*)
* Cortex Phellodendri (*Huang Lian*)
* Cortex Fraxini (*Qin Pi*)
* Equiseti Herba (*Mu Zei*)
* Ziziphus Jujuba (*Zao Zi*) (each half liang)
Coarsely crush the above ingredients. For each dose, use two qian, add one sheng of water, and decoct until reduced to seven tenths. Clarify and remove dregs. Wash the eyes frequently at any time; the eyes will naturally open.
**Eye Washing Formula**
* Cortex Phellodendri (*Huang Lian*)
* Cortex Fraxini (*Qin Pi*)
* Junci Medulla (*Deng Xin*)
* Ziziphus Jujuba (*Da Zao*) (equal parts)
Decoct the above ingredients using a bamboo tube.