议曰肺之气壅腠理不通外感寒邪或已伤风关窍闭塞郁郁于中及至喷嚏方有少解不能发散
渐入
胸堂逐生痰热痰热既有即加之咳嗽轻则气促短急重则惊风搐搦搐搦之利若在初生尚云不可宜
与消风散服之咳嗽宜与金沸草散人参羌活散二药皆和且顺虽则嫩弱服之无恙其剂温纯化痰利
膈效之至矣
议曰胎乃育形脐乃根本胎气固则形体壮肚脐深则根命长受气卒遗形萎脐突凡儿断脐利益
渐长
渐深吻乳调和愈固愈实是血脉之相顺致形体之相资初生之儿有热在胸堂则频频伸引呃呃作声
努胀其气抑入根本之中所以脐突肿赤虚大可畏无识之夫将谓断脐不利而使之然者非也脐断不
盈尺一腊之内随其根蒂自腐实者深之弱者浅之深浅之理以其禀赋得之此乃良由胎中母多惊悸
或因食热毒之物有作宜与大连翘饮子其热自散其脐归本不必以药敷之恐毒伤入为害医工当知
之矣
议曰王氏举水镜先生云天苍苍地王王小见夜啼疏客堂又云啼而不哭是烦哭而不啼是躁无
辜赋
云夜多啼而似祟凡初生儿日夜烦啼真如有祟或谓热在心经药与疏利或谓寒停脏腑与服温暖医
者察而治之乃善也苦儿啼哭胸堂仰突首反张嘉灯者心经有热宜疏利服三黄丸或洗心散加灯心
麦门冬子良若儿啼哭头低身曲眼闭肚紧者脏腑留寒宜与温之胃风汤加黄 煎效若不识灯候但
以蝉蜕二七枚全者去大脚为末加朱砂一字蜜调吻立效
议曰：肺气壅滞，腠理（皮肤纹理及汗孔）不通，外感寒邪或已伤风，导致关窍闭塞，郁结于体内。直到出现喷嚏，才稍有缓解，但无法彻底发散病邪。
病邪逐渐深入胸堂，进而产生痰热。痰热既成，便加上咳嗽症状。轻则气促、呼吸短急；重则引发惊风、抽搐。对于抽搐的治疗，若在初生婴儿身上尚且认为难以处理，适宜给予消风散服用。对于咳嗽，适宜给予金沸草散或人参羌活散。这两种药性平和顺适，即使是体质嫩弱的婴儿服用也无妨。其药性温纯，能化痰、利膈，疗效极佳。
议曰：胎儿孕育成形，脐带乃生命之根本。胎气稳固则形体壮实，肚脐深陷则根基命长。若受气突然遗落，形萎脐突。凡是断脐后利益渐增，肚脐逐渐变深，哺乳调和，则愈加固实，这是血脉相顺致形体相互资养的结果。初生的婴儿若有热邪在胸堂，则频频伸展肢体，发出呃呃的声音，努胀气息，使气压抑进入根本之中，所以导致脐突、肿赤、虚大可畏。无知的庸医将此归咎于断脐不利所致，这是错误的。脐带断裂不满一尺，在一月之内，随着根蒂自然腐烂脱落。实质深厚者脐窝深，虚弱浅薄者脐窝浅，深浅之理取决于禀赋所得。这良由胎中母亲多有惊悸，或因食用热毒之物所致。适宜给予大连翘饮子，其热自散，脐部回归本位，不必用药敷贴，恐怕毒性侵入造成危害。医者应当知晓这一点。
议曰：王氏引用水镜先生的话：“天苍苍，地王王小”，见《夜啼疏》客堂篇。又说：“啼而不哭是烦，哭而不啼是躁”。《无辜赋》云：“夜多啼而似祟”。凡初生儿日夜烦躁啼哭，真如有鬼祟作怪。有人说热在心经，药物宜用疏利之法；有人说寒停脏腑，宜服温暖之药。医者察明后治疗，才是上策。如果婴儿啼哭时胸堂仰突，头向后反张，喜欢灯光的，是心经有热，宜用疏利法，服用三黄丸或洗心散加灯心草、麦门冬子，效果良好。如果婴儿啼哭时头低身曲，眼闭肚紧，是脏腑留寒，宜用温法，胃风汤加黄芩煎服有效。如果不识别灯候，仅用蝉蜕十四枚完整的，去掉大脚研为末，加朱砂一字，蜜调喂服，立即见效。
Translation:
It is said: When Lung Qi is obstructed and the Couli (skin texture and pores) are not unobstructed, external Cold pathogenic factors or Wind-Cold invasion cause the orifices to be blocked. The pathogen stagnates internally. Only when sneezing occurs is there slight relief, but it cannot fully disperse the pathogen.
The pathogen gradually enters the chest cavity, generating Phlegm-Heat. Once Phlegm-Heat is established, coughing ensues. In mild cases, there is shortness of breath and rapid breathing; in severe cases, it leads to Convulsions (Jing Feng). Regarding the treatment of convulsions, even if considered difficult in newborns, it is appropriate to administer Xiao Feng San (Wind-Expelling Powder). For coughing, Jin Fei Cao San (Boiling Herb Powder) or Ren Shen Qiang Huo San (Ginseng and Notopterygium Powder) are appropriate. Both formulas are harmonious and gentle; even for frail infants, they can be taken without adverse effects. Their nature is warm and pure, effectively resolving Phlegm and benefiting the Diaphragm, yielding excellent results.
It is said: The fetus forms its shape, and the umbilicus is the root of life. If the fetal Qi is solid, the body is strong; if the navel is deep, the root of life is long. If the reception of Qi is abrupt and the form withers, the umbilicus protrudes. Generally, after cutting the umbilical cord, as benefits increase, the navel becomes deeper. With harmonious breastfeeding, it becomes more solid. This is due to the smooth flow of blood vessels nourishing the physical form. Newborns with Heat in the chest cavity frequently extend their limbs, make "eh eh" sounds, strain their Qi, forcing it into the root center, causing the umbilicus to protrude, swell, become red, and appear dangerously hollow. Ignorant practitioners attribute this to improper umbilical cord cutting, which is incorrect. The umbilical cord stump, less than a chi in length, naturally rots and falls off within a month. Those with substantial constitution have deeper navels, while those with weak constitutions have shallower ones; this depth depends on innate endowment. This condition often arises because the mother experienced frequent palpitations during pregnancy or consumed hot-toxic foods. It is appropriate to administer Da Lian Qiao Yin Zi (Large Forsythia Decoction), from which the Heat will dissipate naturally, and the umbilicus will return to its normal state. There is no need to apply topical medicines, as toxicity might invade and cause harm. Physicians must understand this.
It is said: Wang Shi quotes Master Shui Jing: "The sky is vast, the earth is small," referencing the section on Night Crying in *Ye Ti Shu*. It also states: "Crying without wailing indicates irritability; wailing without crying indicates restlessness." The *Wu Gu Fu* says: "Frequent night crying resembles possession by spirits." All newborns who cry day and night with true irritability seem possessed. Some argue that Heat in the Heart Meridian requires purgative and draining methods; others argue that Cold stagnating in the Zang-Fu organs requires warming agents. The physician should examine and treat accordingly. If the infant cries with the chest protruding upward, the head bent backward, and a preference for light, it indicates Heat in the Heart Meridian. Purging and draining methods are suitable, such as taking San Huang Wan (Three Yellow Pill) or Xi Xin San (Heart-Washing Powder) added with Deng Xin Cao (Juncus Effusus) and Mai Men Dong Zi (Ophiopogon Seed). If the infant cries with the head lowered, body curled, eyes closed, and abdomen tight, it indicates Cold retained in the Zang-Fu organs. Warming methods are suitable, such as Wei Feng Tang (Stomach Wind Decoction) added with Huang Qin (Scutellaria Root), which is effective. If the light preference is not recognized, using fourteen intact Cicada Sloughs (Chan Tui), removing the large legs, grinding them into powder, adding one zi of Zhu Sha (Cinnabar), and mixing with honey for administration yields immediate effect.