议曰儿患诸风疾传入恶候至于撮口病致危急凡有腑风撮口胎风撮口锁肚撮口吊肠撮口卵
疝撮
口应病悉入成风风入心脾俱能发作夫患在撮口者皆由结滞于中于及肠胃闭不得通气不能化腹
中满胀肚上清筋撮口不乳证状不急若不速与利不无因救疗医工若将撮口以为常则候传入岂可
投药应患用以真珠天魔利之才通疾去气和儿活用者敬信而已
议曰胎受已满产降必全尽一气而包养开元窍以通连在乎十月之中形骸已具分免片时之
内谷
道无穿所缘儿在胎中七孔九窍若不通利如何四体百骸而能生长期由热壅所致肺经之极结于肚
口闭儿不通降生之后无腹滋润干燥之合若投寒凉之药愈闭不通若不温平之药而又不通即是儿
气不顺肠日月虚涩谷道干燥闭合可畏方不详载药无验速至于此等受须当以物透而通之金钗为
上玉簪次之苏合香丸内入孔中丸凡刺三寸许屎出为快也曾见肚门肉合小便通利大便至死无能
通者愚鄙烧火筋刺之事出不得已既然肉合决无奇方试以金玉重力剌之尤胜火筋智者别有妙法
请着其后以济哀若宜哉又有初生胎热一二日不通者与服洗心散以通为度四顺饮加荆芥煎亦良
议曰小肠乃心之府也水窦流行随其气而利之心气若壅小便不通心气若冷小便多洒（音谓
洒斟
称也）心气若寒小便多旋心气若热小便艰涩心气积热小便白赤（先赤而后白者是）所言闭小便
者根据谓下结腹肚胀紧膨满不通其结热盛用力努旋点滴而出乃是闭不通利于心疼痛精神昏悸速
用
生大地龙数条蜜少许研敷茎卵仍烧蚕蜕纸灰留性朱砂脑子麝香同研煎麦门冬灯心汤调与胙移
时见效
议曰：婴儿患各种风疾，邪气传入形成危重证候，导致撮口病（新生儿牙关紧闭、口唇收缩如鱼口状），病情危急。凡是腑风引起的撮口、胎风引起的撮口、锁肚引起的撮口、吊肠引起的撮口、卵疝引起的撮口，所有相关病症都会演变为“风”证。风邪侵入心脾两脏，均能引发发作。凡患撮口病的，都是因为体内气机结滞，肠胃闭塞，不能通气，无法运化，导致腹中胀满，肚脐周围青筋暴露，口唇紧缩不能吸吮乳汁。若症状不紧急，若不迅速给予通利治疗，便没有机会救治。如果医生将撮口视为常态，那么病邪传入后，岂能随意投药？应当针对患病情况，使用真珠天魔散等具有通利作用的方剂，使疾病去除，气血调和，婴儿才能存活。使用者务必恭敬信任此法即可。
议曰：胎儿受胎已满，分娩时必然完全产出。一气包裹养育，开启孔窍以相通相连，这在十月怀胎期间，形体已具备。在片刻之间，消化道尚未穿孔贯通。因此婴儿在母胎中，七孔九窍若不通利，四肢百骸如何能生长发育？这主要是由于热邪壅盛所致。肺经之极热结于肚脐部位，闭塞婴儿使其不能顺利降生。出生后，腹部缺乏滋润，变得干燥闭合。若投用寒凉药物，会更加闭塞不通；若不投用温平药物，同样不通。这就是婴儿气机不顺，肠道日渐虚涩，消化道干燥闭合，令人畏惧。方书中未详细记载，药物无效，迅速发展到这种地步。对于这些情况，必须用物体穿透并疏通它。金钗最好，玉簪次之。将苏合香丸纳入孔中，凡刺入约三寸许，大便排出为快。我曾见过肚门肌肉闭合、小便通利但大便至死都无法排出的案例。愚笨之人用火筋刺破，这是出于不得已。既然肌肉闭合，决无奇方，试着用金玉重物刺之，胜过火筋。智者另有妙法，请记录在后面以救济哀痛者，这样才适宜。又有初生胎热一二日不通的，给予服用洗心散以通畅为度，四顺饮加荆芥煎服也很好。
议曰：小肠是心的府邸，水液窦道流行，随着气的运行而通利。心气若壅塞，则小便不通；心气若寒冷，则小便频多洒出（音谓，意为洒斟称量）；心气若寒，则小便频繁旋转（指排尿急迫或淋漓）；心气若热，则小便艰涩；心气积热，则小便白赤（先红后白的是）。所谓闭小便，是指下焦结聚，腹部胀紧膨满，不通畅。其结热炽盛，用力努挣，点滴而出，这才是闭而不通。于心疼痛，精神昏乱悸动，速用生大地龙数条，少许蜂蜜，研磨敷于阴茎和阴囊上。另烧蚕蜕纸灰存性，与朱砂、冰片、麝香同研，煎麦门冬、灯心草汤调服，半个时辰见效。
Translation:
It is said that when infants suffer from various wind diseases, the pathogenic factors transmit and form critical conditions, leading to "cuokou" disease (neonatal trismus with retraction of lips resembling a fish mouth), which is life-threatening. Whether it is cuokou caused by fu-wind, tai-feng (fetal wind), suodu (locked belly), diaochang (hanging intestine), or luanhan (scrotal hernia), all related conditions evolve into "wind" syndromes. When wind pathogens invade the Heart and Spleen, they can trigger attacks. Cases of cuokou are all due to stagnation within the body, where the intestines and stomach are blocked, unable to circulate Qi, and unable to transform nutrients, resulting in abdominal distension, exposed cyanotic veins around the umbilicus, and inability to suckle due to tight lip contraction. If the symptoms are not urgent, but one does not promptly administer purgatives or unblocking treatments, there will be no chance for rescue. If physicians treat cuokou as a common occurrence, how can one arbitrarily prescribe medication after the pathogen has transmitted? One should target the specific condition and use formulas such as Zhenzhu Tianmo San (Pearl Heavenly Demon Powder) with unblocking properties. Once the disease is eliminated and Qi and Blood harmonize, the infant can survive. Users must respect and trust this method.
It is said that when fetal gestation is complete, birth occurs fully. A single Qi envelops and nourishes, opening orifices to connect internally and externally. During the ten months of pregnancy, the physical form is established. Within moments, the digestive tract has not yet perforated or connected. Therefore, if the seven orifices and nine apertures of the fetus are not patent, how can the four limbs and hundred bones develop and grow? This is mainly caused by heat accumulation. Extreme heat in the Lung Meridian knots at the umbilical region, blocking the infant's descent. After birth, the abdomen lacks moisture, becoming dry and closed. If cold-natured medicines are administered, blockage worsens; if warm-neutral medicines are not used, blockage persists. This indicates that the infant's Qi is disordered, the intestines become increasingly deficient and sluggish, and the anal canal becomes dry and closed, which is alarming. Formulas are not detailed in texts, and drugs fail, rapidly leading to this state. For such cases, one must penetrate and unblock using an object. Gold hairpins are best, jade hairpins are secondary. Insert Suhexiang Wan (Styrax Pill) into the orifice, piercing about three cun deep. Passage of stool brings relief. I have seen cases where the anal sphincter was closed, urination was normal, but defecation was impossible until death. Ignorant people pierced with hot wires, which was a last resort. Since muscle closure is involved, there is no miraculous formula. Try piercing with heavy gold or jade objects, which is superior to hot wires. Wise individuals have other ingenious methods; please record them here to aid those in distress, which is appropriate. For neonates with fetal heat who cannot pass stool in one or two days, administering Xixin San (Heart-Cleansing Powder) until patency is achieved is effective. Si Shun Yin (Four-Obedience Decoction) added with Jingjie (Schizonepetae Herba) and decocted is also good.
It is said that the Small Intestine is the Fu-organ of the Heart. Water channels flow according to Qi movement. If Heart Qi is obstructed, urination is difficult or absent; if Heart Qi is cold, urination is frequent and dribbling (sound 'wei', meaning pouring/spilling); if Heart Qi is cold, urination is frequent and spinning (referring to urgency or dripping); if Heart Qi is hot, urination is difficult and scanty; if Heart Qi accumulates heat, urine is white and red (turning from red to white first). The term "bi xiaobian" (closure of urination) refers to lower jiao stagnation, with abdominal tightness, distension, and fullness, lacking smooth passage. With intense accumulated heat, straining yields only drops, which constitutes true obstruction. Pain in the heart area, mental confusion, and palpitations occur. Quickly use several raw Earthworms (Di Long, *Pheretima*), mix with a little honey, grind, and apply to the penis and scrotum. Additionally, burn mulberry silkworm pupa casing paper ash to retain its property, grind together with Cinnabar (Zhusha, *Cinnabaris*) and Borneolum Syntheticum (Bingpian, *Borneol*), and Musk (Shexiang, *Moschus*). Decoct Ophiopogonis Radix (Mendong, *Ophiopogonis Radix*) and Junci Medulla (Dixin, *Junci Medulla*) to mix with the powder. Effect is seen within half a shi (approx. 1 hour).