婴孩始生，一七之内，腹肚胀硬，脐畔四围浮肿，口撮牙关不开，攒眉而叫，名脐
风证。乃因剪脐带短，或结缚不紧，致外风侵入脐中，或用铁器断脐，为冷所侵，或牵
动脐带，水入生疮，客风乘虚而入，传之于心，蕴蓄其邪，复传脾络，致舌强唇青，手
足微搐，口噤不能进乳，啼声似哑，喉中痰涎潮响，是其候也。此证多致不救。若一匕
之外，先投劫风膏，次以五苓散加宽气饮，入姜汁、葱白、灯心，煎汤调服，与解风痰及
用一字金，煎荆芥汤或薄荷汤，调抹口内，证轻即快。如禀赋充实，发热有痰惊搐，投黑白饮、温蜜汤，空心调下，微
泄似茶褐色二三行，进白芍药汤，水姜枣煎服，常用此法亦效。若脐凸（音迭）肚紧，微有青色，口撮不开，
肝风盛而脾土受制，不可施治。凡有此候，百无一活。纵使得安，亦非长寿。一法用之，间
有验者，孩儿牙根肉上有小泡，如粟米状，用温汤蘸旧绢裹手指。轻轻擦破，即口开舌软，
不药自愈。有脐突一证，又非脐风，此亦因初生洗浴，系脐不紧，秽水侵入于内，产
后旬日外，脐忽光浮如吹，捻动微响，间或惊悸作啼，治用白芍药汤加薏苡仁，水煎，空
心温服，次以外消散涂贴，自然平复。
夜啼者，有惊热夜啼，有心热夜啼，有寒疝夜啼，有误触神祗夜啼，此四者，详具
于后。惊热者，为衣衾之浓，或抱于极暖处久坐，致生烦闷，邪热攻心，心主神，神乱
则惊，心与小肠为表里，故啼泣而遗溺者是也。治法遏热镇心，则自安矣。用百解散、牛
蒡汤、三解散主之。心热者，见灯愈啼，面红多泪，无灯则稍息，盖火者阳物也，心热
遇火，两阳相搏，才有灯而啼甚，故经曰，火疾风生，乃能雨。此其义也。宜凉心安神。用
百解散，或五苓散加黄芩、甘草，水煎服，次牛蒡汤、三解散及琥珀抱龙丸为治，有遇黄
昏后至更尽时，哭多睡少，有啼声不已，直到天明，乃胎中受寒，遇夜则阴胜而阳微，故
腰曲额汗，眼中无泪，面莹白而夹青，伏卧而啼，入盘肠内吊之证，名为寒疝，治法去
宿冷，温下焦。白芍药汤、乌梅散及冲和饮加盐炒茱萸、茴香，水姜煎服，及钩藤膏亦
佳，误触神祗者，面色紫黑，气郁如怒，叫时若有恐惧，及睡中惊惕。两手抱母，大哭
不休，此误触禁忌神祗而得。或因恶祟所侵，盖婴孩目有所睹，口不能言，但惊哭无时，指
纹俱隐，故玉环集云∶忽然两手形无见，定知唐突恶神灵。治法先解其表，宜百解散，次
驱邪镇心，用苏合香丸、琥珀抱龙丸，投之自效。
婴儿刚出生，在出生后第一周（一七）内，出现腹部胀满坚硬，肚脐周围浮肿，口唇收缩、牙关紧闭，皱眉啼哭，这被称为脐风证。这是由于剪断脐带过短，或结扎不牢固，导致外邪之风侵入脐部；或者使用铁器切断脐带，受寒气侵袭；或者牵动脐带，导致水液进入引发疮疡，客居之风乘虚而入，病邪传入心脏，邪气蕴积蓄留，再传至脾络，导致舌体僵硬、嘴唇发青，手脚轻微抽搐，牙关紧闭无法吃奶，哭声像哑了一样，喉咙中有痰涎如潮水般作响，这些都是其症状表现。此证大多难以救治。如果在出生后一周之外，先服用劫风膏，接着用五苓散加宽气饮，加入姜汁、葱白、灯心草，煎汤调服，以解除风痰；或者使用一字金，用荆芥汤或薄荷汤煎煮后，涂抹口腔内部，病情轻的即可迅速好转。
如果患儿禀赋充实，出现发热、有痰、惊厥抽搐的症状，可投服黑白饮、温蜜汤，空腹调服，若大便微泄，呈茶褐色二三行，随后进服白芍药汤，用水、生姜、大枣煎服，常用这种方法也有效。
如果脐部突出（音迭），腹部紧绷，略带青色，口唇收缩无法张开，这是肝风旺盛而脾土受制，不可施治。凡是出现这种征候的，百无一活。即使侥幸得安，也不是长寿之相。有一种方法偶尔有效：检查孩子牙根肉上是否有小泡，如粟米状，用温水蘸旧绢包裹手指，轻轻擦破，孩子即能张口、舌软，不用药也能自愈。
还有一种脐突证，并非脐风，这也是因为初生洗浴时，系脐不紧，污秽之水侵入体内，产后十几天后，脐部突然光亮浮肿如吹起的气球，按压时有微响，间或惊悸啼哭。治疗用白芍药汤加薏苡仁，水煎，空腹温服，其次外用消散药涂贴，自然平复。
夜啼，有因惊热引起的夜啼，有心热引起的夜啼，有寒疝引起的夜啼，有误触神灵引起的夜啼，这四种情况，详细记载于后文。
惊热夜啼，是因为衣被太厚，或在极暖处久坐，导致烦闷，邪热攻心。心主神志，神志紊乱则惊恐，心与小肠互为表里，所以表现为啼哭流泪且遗尿。治疗方法是遏制热邪、镇心安神，则自然安宁。可用百解散、牛蒡汤、三解散为主方。
心热夜啼，见灯光就哭得更厉害，面色红、眼泪多，没有灯光时稍息。盖火属阳物，心热遇火，两阳相搏，所以一见灯就哭得厉害，正如经书所说：“火疾风生，乃能雨”，就是这个道理。适宜凉心安神。可用百解散，或五苓散加黄芩、甘草，水煎服，其次用牛蒡汤、三解散及琥珀抱龙丸治疗。
有的孩子在黄昏后至深夜时分，哭多睡少，啼声不止直到天明，这是胎中受寒，夜间阴气胜而阳气微，所以腰部弯曲、额头出汗，眼中无泪，面色莹白而夹杂青色，伏卧啼哭，此为“盘肠内吊”之证，名为寒疝。治疗方法是去除宿冷，温补下焦。可用白芍药汤、乌梅散及冲和饮加盐炒茱萸、茴香，用水、生姜煎服，钩藤膏也很好。
误触神灵者，面色紫黑，气郁似愤怒，啼叫时若有恐惧感，睡眠中惊惕不安。双手抱住母亲，大哭不休，这是误触禁忌神灵所致。或因恶祟侵扰，因为婴儿眼睛看到了什么，嘴里不能说，只是惊恐啼哭不停，指纹隐没不见，所以《玉环集》说：“忽然两手形无见，定知唐突恶神灵。”治疗方法先解表邪，宜用百解散，其次驱邪镇心，用苏合香丸、琥珀抱龙丸，投服自效。
When an infant is first born, within the first seven days (one *qi*), if the abdomen becomes distended and hard, the area around the umbilicus swells, the mouth contracts with the jaw clenched, eyebrows knit during crying, this is named **Umbilical Wind Syndrome** (Qi Feng Zheng). This occurs because the umbilical cord was cut too short or tied loosely, allowing external wind pathogens to invade the umbilicus; or because iron tools were used to sever the cord, exposing it to cold invasion; or because the cord was pulled, causing water to enter and create sores, allowing guest wind to enter through the deficiency. The pathogen transmits to the Heart, where evil qi accumulates, then spreads to the Spleen meridians, resulting in a stiff tongue, cyanotic lips, slight convulsions of the hands and feet, inability to open the mouth for feeding, a hoarse cry resembling aphonia, and tidal sounds of phlegm-saliva in the throat. These are its manifestations. This condition often proves fatal. If it occurs after the first week, initially administer Jie Feng Gao (Wind-Seizing Paste), followed by Wu Ling San (Five-Ingredient Poria Powder) combined with Kuan Qi Yin (Broad-Qi Decoction), mixed with ginger juice, scallion white, and Jiedixin (Centella Herb), decocted in water and taken orally to resolve wind-phlegm. Alternatively, apply Yizi Jin (One-Character Gold) using Jingjie Tang (Schizonepeta Decoction) or Bohe Tang (Mint Decoction) to smear inside the mouth; mild cases will recover quickly.
If the infant has robust constitution but presents with fever, phlegm, fright, and convulsions, administer Heibai Yin (Black-White Drink) or Wen Mi Tang (Warm Honey Soup), taken on an empty stomach. If there is slight diarrhea appearing tea-brown two or three times, subsequently administer Baishao Yao Tang (White Peony Root Decoction) decocted with water, ginger, and jujube. This method is commonly effective.
If the umbilicus protrudes (*die* sound), the abdomen is tight, slightly greenish, and the mouth cannot open due to contraction, this indicates excessive Liver Wind suppressing Spleen Earth. Treatment is contraindicated. Such cases are almost invariably fatal. Even if they survive, they will not live long. One occasionally effective method: check for small blisters like millet grains on the infant's gum roots. Dip old silk cloth in warm water, wrap around the finger, and gently rub the blister until broken. The mouth will open, the tongue will soften, and self-healing will occur without medicine.
There is also a condition called Umbilical Protrusion, which is distinct from Umbilical Wind. This is caused by loose tying of the cord during bathing after birth, allowing dirty water to enter. After ten days postpartum, the umbilicus suddenly becomes smooth and swollen like an inflated balloon, making a slight sound when pressed, accompanied by occasional fright and crying. Treat with Baishao Yao Tang (White Peony Root Decoction) plus Yiyiren (Coix Seed), decocted in water and taken warm on an empty stomach. Subsequently apply Waixiaosan (External Dissipation Powder) as a topical paste for natural resolution.
Night crying includes night crying due to Fright-Heat, Heart-Heat, Cold Colic, and accidental offense to deities. These four types are detailed below.
Fright-Heat Night Crying results from thick bedding or prolonged sitting in very warm places, causing irritability. Evil heat attacks the Heart. Since the Heart governs the Spirit (*Shen*), spirit disorder leads to fright. As the Heart and Small Intestine are exterior-interior partners, symptoms include crying, weeping, and enuresis. The treatment method is to suppress heat and calm the Heart, leading to peace. Main formulas include Baijie San (Hundred-Resolution Powder), Niubang Tang (Arctium Decoction), and Sansanjie San (Three-Release Powder).
Heart-Heat Night Crying manifests as intensified crying under light, red face, and excessive tears, with relief in darkness. Fire is a Yang entity. When Heart-Heat encounters fire, two Yang forces clash, causing intense crying upon seeing light. As the classics state, "Rapid fire generates wind, which brings rain," illustrating this principle. The appropriate treatment is to cool the Heart and calm the Spirit. Use Baijie San (Hundred-Resolution Powder), or Wu Ling San (Five-Ingredient Poria Powder) added with Huangqin (Scutellaria Root) and Gancao (Licorice Root), decocted in water. Subsequently treat with Niubang Tang (Arctium Decoction), Sansanjie San (Three-Release Powder), and Hupo Baolong Wan (Amber Dragon-Cradling Pill).
Some infants cry excessively and sleep little from dusk until midnight, continuing until dawn. This is due to cold acquired in the womb; at night, Yin prevails and Yang is weak. Symptoms include curved waist, sweating on the forehead, dry eyes, pale face with bluish tinge, prone position while crying, known as "Coiled Intestine Hanging Inside" syndrome, named Cold Colic (*Han Shan*). The treatment method is to eliminate retained cold and warm the Lower Jiao. Use Baishao Yao Tang (White Peony Root Decoction), Wumei San (Mume Powder), or Chonghe Yin (Harmony Decoction) added with salt-fried Zhuyu (Cornus Fruit) and Huixiang (Fennel), decocted with water and ginger. Gouteng Gao (Uncaria Paste) is also excellent.
Accidental Offense to Deities presents with purplish-black complexion, Qi stagnation resembling anger, fearful cries during waking, and startle during sleep. The infant hugs the mother tightly, crying incessantly. This is caused by accidentally offending taboo deities or being invaded by malevolent spirits. Since infants see things but cannot speak, they only cry in fright endlessly, with hidden fingerprint patterns. As stated in *Yuhuan Ji*: "Suddenly the hands' forms vanish, surely knowing one offended evil spirits." The treatment method is first to release the exterior, preferably with Baijie San (Hundred-Resolution Powder). Subsequently, expel evil and calm the Heart using Suhexiang Wan (Styrax Pill) and Hupo Baolong Wan (Amber Dragon-Cradling Pill), which will be effective.