骆潜庵曰∶儿生七日之内,肚胀腹硬,脐围浮肿,口撮眉攒,牙关不开,名曰脐
风撮口证。盖因脐带剪短,或包缚不紧,以致水湿浸脐,客风乘虚而入,传之于心,蕴
蓄其邪,复传脾络,舌强唇青,手足微搐,喉中痰响,是其候也。服延寿丹少许即愈。如神脱气冷者,不治。
又曰∶口撮吐沫,腹硬头偏,搐掣手捻拳,脐翻哭无声,其源因剪脐受风,小
肚有一筋,直上脐来,此筋到脐无救法,脐翻者不治。若筋未到脐,急须用灯火拦头
百会穴三下,脐门上 七下,大指 四下,涌泉 七下。如能拦住直筋不到脐,则
可救。如脐未翻,在神门 一下。(《推拿秘书》)
冯鲁瞻曰∶凡小儿落胎之时,视其脐软者,无脐风也。如脐硬直者,定有脐风。
须看上 ,如有白泡点子,须用银针轻轻拭破,若有血出者可愈。然最危候十难一
二,能过一腊方愈。尤宜察色观容,不可鲁莽。假如额赤知为心热;鼻红知为肺热;
左腮青知为肝有余;右腮白知为脾不足;颊白知为肾虚。(《锦囊》)
又曰∶热在胸膛,伸引弩气,亦令脐肿。
雷公曰∶小儿肚脐突出半寸,此气旺不收也。若不急安之,往往变为角弓反张。
二豆散(《锦囊》)治脐突肿。
天南星(去皮、脐) 白蔹 赤小豆 淡豆豉(各一钱)
研末。用芭蕉自然汁调敷脐四旁,得小便自下即愈。
又方(《雷公》)
白茯苓 车前子(各一钱) 陈皮 通草(各三分) 甘草(二钱)
水煎灌之,一剂即安。
脐肿 先用荆芥煎汤洗之,随以葱叶火上炙过,放地上出火气以指甲刮薄搭放肿处,次日即消。
又方(《普救》)。枯矾、黄柏,研,掺脐上。
骆潜庵说:婴儿出生七日内,出现腹部胀满坚硬、肚脐周围浮肿、口唇收缩眉头紧锁、牙关紧闭的症状,这叫做“脐风撮口证”。这是因为剪断脐带时留得太短,或者包扎束缚不紧密,导致水湿浸渍脐部,外感风邪乘虚而入,病邪传入心脏,邪气蕴结蓄积,随后又传至脾络,出现舌头僵硬、嘴唇发青、手足轻微抽搐、喉间有痰鸣音,这些都是该病的征候。服用少量的延寿丹即可痊愈。如果病情发展到神气涣散、四肢冰冷的程度,则属于不治之症。
他又说:口唇收缩吐沫、腹部坚硬头部偏向一侧、手脚抽搐紧握拳头、肚脐翻出哭声无声,其根源在于剪断脐带时受风侵袭。小儿小腹有一条筋脉,直通向上到达脐部,这条筋脉一旦到达脐部就没有救治的方法了,肚脐翻出的无法治愈。如果筋脉尚未到达脐部,必须紧急使用灯火灸法,在百会穴灸三下,在脐门穴灸七下,在大拇指(此处指代特定部位或穴位,原文简略)灸四下,在涌泉穴灸七下。如果能拦住直行的筋脉使其不到达脐部,则可以挽救。如果肚脐尚未翻出,仅在神门穴灸一下。(出自《推拿秘书》)
冯鲁瞻说:凡是小儿分娩落地时,观察其脐部柔软者,就不会得脐风。如果脐部硬直者,必定会有脐风。需要查看脐部,如果有白色小泡点,必须用银针轻轻挑破,如果有血液流出,说明可以治愈。然而最危急的病例十中难救一二,能度过一个月(一腊)才算痊愈。尤其应当仔细观察面色和神态,不可鲁莽行事。假如额头发红,可知是心热;鼻子发红,可知是肺热;左腮发青,可知是肝气有余;右腮发白,可知是脾气不足;两颊发白,可知是肾虚。(出自《锦囊》)
他又说:热气郁结在胸膛,患儿伸颈用力呼吸,也会导致脐部肿胀。
雷公说:小儿肚脐突出半寸,这是气机旺盛而不能收敛所致。如果不紧急安抚治疗,往往转变为角弓反张(一种身体向后弯曲如弓状的病症)。
二豆散(出自《锦囊》),治疗脐突肿胀。
天南星(去皮、去脐) 白蔹 赤小豆 淡豆豉(各一钱)
研成粉末。用芭蕉自然汁调和后敷在脐部四周,如果小便自然通畅排出,疾病即愈。
另一个方子(出自《雷公》)
白茯苓 车前子(各一钱) 陈皮 通草(各三分) 甘草(二钱)
用水煎煮后灌服,一剂后即可安定。
Luo Qian'an stated: Within seven days after birth, if an infant presents with abdominal distension and hardness, edema around the umbilicus, mouth contraction with furrowed brows, and trismus (lockjaw), it is named "Umbilical Wind with Mouth Pinching Syndrome" (Qifeng Cuokou Zheng). This occurs because the umbilical cord was cut too short or bound loosely, allowing dampness to soak into the umbilicus. External wind pathogens enter through the deficiency, transmitting to the Heart, where they accumulate. Subsequently, they transmit to the Spleen collaterals, manifesting as a stiff tongue, cyanotic lips, slight convulsions of the hands and feet, and phlegm rales in the throat; these are the signs of the condition. Administering a small amount of Yanshou Dan (Longevity Pill) will lead to recovery. If the spirit dissipates and the limbs become cold, it is incurable.
He further stated: Mouth pinching with frothy saliva, abdominal hardness with head deviation, convulsive hand clenching, umbilical eversion with silent crying—these originate from wind invasion during umbilical cord cutting. There is a tendon in the lower abdomen that runs straight up to the umbilicus. If this tendon reaches the umbilicus, there is no cure, and umbilical eversion is untreatable. However, if the tendon has not yet reached the umbilicus, urgent moxibustion with fire-lamp should be applied: three applications at Baihui GV20, seven at Qimen CV13 (or specific umbilical point), four on the thumb area, and seven at Yongquan KI1. If the straight tendon can be blocked before reaching the umbilicus, rescue is possible. If the umbilicus has not yet everted, one application at Shenmen PC7 is sufficient. (From *Tuina Secret Book*)
Feng Luzhan stated: Upon delivery, if the infant's umbilicus is soft, Umbilical Wind will not occur. If the umbilicus is hard and straight, Umbilical Wind is certain. One must inspect the umbilicus; if white vesicles are present, they should be gently pricked with a silver needle. If blood appears, recovery is possible. However, in the most critical cases, only one or two out of ten survive; survival until one month (one lunar cycle) indicates recovery. It is crucial to observe facial color and demeanor carefully, avoiding rash actions. For instance, a red forehead indicates Heart Heat; a red nose indicates Lung Heat; a bluish left cheek indicates Liver Excess; a pale right cheek indicates Spleen Deficiency; and pale cheeks indicate Kidney Deficiency. (From *Jinnang*)
He also stated: Heat stagnating in the chest, causing the infant to extend the neck and breathe forcefully, can also lead to umbilical swelling.
Lei Gong stated: When an infant's umbilicus protrudes by half a cun, it is due to vigorous Qi failing to consolidate. If not urgently stabilized, it often transforms into opisthotonos (arched back syndrome).
Er Dou San (Two Bean Powder) (from *Jinnang*) treats umbilical protrusion and swelling.
Arisaema Cum Bile (Tiannanxing, peeled and core removed), Ampelopsis Radix (Bailian), Adzuki Bean (Chixiaodou), Fermented Soybean (Dandouchi) (each 1 qian).
Grind into powder. Mix with natural juice of Banana Stem (Bajiao) and apply around the umbilicus. Recovery occurs when urination becomes normal.
Another prescription (from *Lei Gong*):
Poria (Baifuling), Plantago Seed (Cheqianzi) (each 1 qian); Tangerine Peel (Chenpi), Tongcao (each 3 fen); Licorice Root (Gancao) (2 qian).
Decoct in water and administer orally. One dose brings relief.
For Umbilical Swelling: First wash with a decoction of Schizonepeta (Jingjie). Then, take a scallion leaf, roast it over fire, place it on the ground to remove excess heat, scrape it thin with fingernails, and apply it to the swollen area. The swelling subsides the next day.
Another prescription (from *Pujiu*): Alum (Kufan), Phellodendron Bark (Huangbai), grind into powder and sprinkle onto the umbilicus.