《千金》有脐风、脐湿、脐疮、三者皆因断脐后为风湿伤而成，夫风入脐，脐肿
腹胀，四肢不利，多啼不能乳，甚者发搐，为脐风。肿湿经久不干，为脐湿。风湿
相搏，令脐生疮久不瘥，为脐疮。有一不已，入于经脉，多变为痫，痫成、作痫治。
脐风者，谓断脐之后，被水湿风冷所乘，风湿之气入于脐而流入心脾，遂令肚腹胀
满、脐肿，身体重着，四肢柔直，日夜多啼，不能吮乳，甚则发为风搐，若脐边青黑，
撮口不开，是为内搐，不治。爪甲黑者，即死。其或热在胸堂，伸缩努气，亦令脐
肿，宜《千金》龙胆汤主之（方见前条。）钱氏云∶小儿洗浴，拭脐不干，风入作疮，令
儿撮口，甚者是脾虚胃气不和，宜调气，益黄散主之（方见脾部。）《类萃》云∶宜先用控
痰饮吐风痰，次用益脾散和脾，又用辰砂膏利惊即愈。或手足挛拳、噤口不开者，不
治。曾氏法先投劫风膏，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，亦妙。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，百无一治，纵使得安，亦非长寿。
控痰散
蝎尾 铜青（各半钱） 朱砂（一钱） 腻粉（一字） 麝香（少许）
上为末。每服一字，腊茶清调下。先吐风痰，然后和胃，或用前甘草方吐
痰，随轻重用。
益脾散
白茯苓 人参 草果（煨） 木香（湿纸裹煨） 甘草 陈皮 浓朴（姜制） 紫苏子（炒，各等分）
上，为末。每服一钱，姜枣水煎。
辰砂膏（方见前。）
宣风散 治初生儿因断脐后外伤风湿，唇青口撮，多啼不乳，口出白沫。
全蝎（二十一个，头尾全去毒，用无灰酒少许涂炙，为末） 麝香（一小字，别研）
上研为极细末。用半字，金银煎汤、或麦门冬去心煎汤调化，食远服。
防风散 治初生儿脐风。
防风（去芦） 羌活 黄 当归 川白芷 甘草（各半钱）
上为极细末。少许，用灯心、麦门冬去心煎汤调化，不拘时候服。
劫风膏 治急慢惊搐，脐风撮口，牙关紧闭，痰涎壅盛，咽喉肿痛。
葳灵仙（去芦，一两半，细锉，焙，研为末）
上，用皂荚三两，去皮弦槌损，挪温水一碗，绢滤过，慢火熬若稀糊，入醇醋
半两，再熬三五沸，去火候冷，用前药末亭分乳钵内杵匀，丸芡实大。先用
盐梅肉擦牙根，次以此膏一丸或二丸，温白汤浓调，抹入左右牙关内、即开，续
进别药。熬时，得瓦器为上，银器尤佳。及解风痰壅盛，淡姜汤调化，无时少与
含咽。咽喉肿痛，温茶清调下，或薄荷汤。
五苓散
宽气饮（俱惊）
一字金 治初生婴孩一七之外、欲成脐风撮口，及卒中急慢惊风，牙关紧闭，壅上
痰涎。
僵蚕（炒，去丝） 葳灵仙（去芦。各四钱） 明白矾（生用，二钱） 细辛（去叶，一钱）
甘草（生用，二钱半）
上锉焙为末。每服一字至半钱，姜汁沸汤调匀，以指抹入牙关内。治卒中急慢
惊证，口噤不开，用盐梅汤调擦上下牙根二处。
黑白饮 治脐风气实者，及急惊壮热发搐。
黑牵牛（半生半炒） 白牵牛（半生半炒） 大黄（生用） 陈皮（去白） 槟榔（各半两）
甘草（炙，三钱） 玄明粉（二钱）
上，除槟榔不过火，余五味或晒或焙，仍合槟榔为末，同玄明粉入乳钵内再杵
匀。每服半钱至一钱，温蜜汤调化，空心投服，或无时。此药新合最妙，久则效迟。
白芍药汤（方见疝）
张涣封脐散 治婴儿初生，因乳母不谨，洗浴水入脐中，或儿尿在 袍之内，湿气
伤于脐中，或解脱、风冷邪气所乘，令儿脐肿多啼，不能乳哺，名脐风病，宜急
用此。
好川当归（半两，洗，焙干） 天浆子（三个，微炒） 乱发（一钱，烧灰存性）
上件同捣，罗为细末，入麝香一字拌匀。用药一字至半钱敷脐中，时时用。
《三因》小儿初生，一七日内忽患脐风撮口，百无一效，坐视其死，良可悯也。
有一法，世罕知者，凡患此证，看儿齿龈上有小泡子如粟米状，以温水蘸熟帛，裹
指轻轻擦破，即开口便安，不药神效。
小儿初生，脐风撮口，诸药不效者。灸然谷，穴在内踝前起大骨下陷中，可灸
三壮，针入三分，不宜见血，立效。脐风，目上插，刺丝竹空。脐肿，灸腰对脐
骨节间三壮，炷如麦。
脐风撮口，在百日内、多不治。
《千金方》中记载了脐风、脐湿、脐疮三种病症，这三者都是因为断脐之后，受到风湿邪气侵袭而形成的。风邪侵入脐部，导致脐部肿胀、腹部胀满，四肢活动不利，啼哭不止且无法吃奶，严重的会出现抽搐，这称为脐风。如果肿胀和湿气经久不干燥，称为脐湿。风湿相互搏结，导致脐部生疮且久不愈合，称为脐疮。这三种病若有一种未愈，邪气就会进入经脉，大多会转变为痫病（癫痫），一旦形成痫病，就按照治疗痫病的方法处理。
所谓脐风，是指断脐之后，被水湿、风冷等邪气乘虚而入，风湿之气侵入脐部并流入心脾，于是导致肚腹胀满、脐部肿胀，身体沉重，四肢僵硬挺直，日夜啼哭不停，不能吮吸乳汁，严重时发展为风搐（因风邪引起的抽搐）。如果脐边呈现青黑色，口唇撮紧无法张开，这就是内搐，属于不治之症。指甲发黑的，立即死亡。如果热邪在胸膈，呼吸急促用力，也会导致脐肿，适宜用《千金方》中的龙胆汤主治（方剂见前条）。钱乙说：小儿洗澡时，擦干脐部不彻底，风邪侵入引发疮疡，导致婴儿口唇撮紧，严重的则是脾虚胃气不和，适宜调理气机，用益黄散主治（方剂见脾部章节）。《类萃》说：适宜先用控痰饮吐出风痰，接着用益脾散调和脾胃，再用辰砂膏清利惊风，即可痊愈。如果出现手足蜷缩握拳、牙关紧闭无法开口的，属于不治之症。曾氏的方法是先投服劫风膏，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，同时使用一字金，用荆芥汤或薄荷汤调匀涂抹口腔内部，病情轻的很快见效。如果禀赋充实，出现发热、有痰、惊厥抽搐，投服黑白饮，用温蜂蜜水空腹调下，轻微腹泻二三行，呈茶褐色，随后进服白芍药汤，用水、生姜、大枣煎服，常用这种方法，也很奇妙。如果脐部凸出，肚子紧绷，微带青色，口唇撮紧无法张开，这是肝风旺盛而脾土受制，不可施治，凡是出现这种征候的，百无一治，即使侥幸得安，也不是长寿之人。
控痰散
蝎尾、铜青（各半钱）、朱砂（一钱）、腻粉（一字）、麝香（少许）。
以上药物研为细末。每次服用一字，用腊茶清调服。先吐出风痰，然后调和胃气，或者用前面的甘草方催吐痰涎，根据病情轻重选用。
益脾散
白茯苓、人参、草果（煨制）、木香（湿纸包裹煨制）、甘草、陈皮、浓朴（姜汁制）、紫苏子（炒制，各等分）。
以上药物研为细末。每次服用一钱，用生姜、大枣水煎服。
辰砂膏（方剂见前文）。
宣风散：治疗初生婴儿因断脐后外伤风湿，出现嘴唇青紫、口唇撮紧、多啼哭不吃奶、口吐白沫。
全蝎（二十一个，头尾齐全去毒，用无灰酒少许涂炙，研为细末）、麝香（一小字，单独研磨）。
以上研为极细末。用半字量，用金银花煎汤，或者麦门冬去心煎汤调化，饭后远时服用。
防风散：治疗初生婴儿脐风。
防风（去芦头）、羌活、黄芪、当归、川白芷、甘草（各半钱）。
以上研为极细末。取少许，用灯心草、麦门冬去心煎汤调化，不拘时候服用。
劫风膏：治疗急慢惊厥抽搐，脐风撮口，牙关紧闭，痰涎壅盛，咽喉肿痛。
葳灵仙（去芦头，一两半，细切，焙干，研为细末）。
以上药物，用皂荚三两，去皮弦捣碎，拿温水一碗，用绢布过滤，用慢火熬成稀糊状，加入纯醋半两，再熬三五沸，离火冷却，用前面的药末平均分成几份，在乳钵内杵匀，制成芡实大小的丸剂。先用盐梅肉擦拭牙根，然后用此膏一丸或二丸，用温白开水浓调，涂抹入左右牙关内，即刻张开，随后继续进服其他药物。熬制时，最好用瓦器，银器更佳。以及解除风痰壅盛，用淡姜汤调化，随时少量含咽。咽喉肿痛，用温茶清调下，或者用薄荷汤送服。
一字金：治疗初生婴孩出生一周后，欲形成脐风撮口，以及突然中风的急慢惊风，牙关紧闭，上部痰涎壅盛。
僵蚕（炒制，去丝）、葳灵仙（去芦头，各四钱）、明白矾（生用，二钱）、细辛（去叶，一钱）、甘草（生用，二钱半）。
以上切碎焙干研为细末。每次服用一字至半钱，用姜汁和沸水调匀，用手指涂抹入牙关内。治疗突然中风的急慢惊证，口噤不开，用盐梅汤调擦上下牙根两处。
黑白饮：治疗脐风气实证，以及急惊壮热发搐。
黑牵牛（半生半炒）、白牵牛（半生半炒）、大黄（生用）、陈皮（去白）、槟榔（各半两）、甘草（炙制，三钱）、玄明粉（二钱）。
以上，除了槟榔不过火，其余五味或晒或焙，仍与槟榔一起研为细末，同玄明粉放入乳钵内再杵匀。每次服用半钱至一钱，用温蜂蜜水调化，空腹投服，或者随时服用。此药新配制的最妙，久了效果迟缓。
白芍药汤（方剂见疝气章节）。
张涣封脐散：治疗婴儿初生，因乳母不慎，洗浴水进入脐中，或者婴儿尿液在襁褓之内，湿气损伤脐中，或者衣带松脱，风冷邪气乘虚而入，导致婴儿脐肿多啼，不能哺乳，名为脐风病，适宜紧急使用此方。
好川当归（半两，洗净，焙干）、天浆子（三个，微炒）、乱发（一钱，烧灰存性）。
以上一同捣碎，过筛为细末，加入麝香一字拌匀。用药一字至半钱敷于脐中，经常使用。
《三因方》记载：小儿初生，一七日内忽然患脐风撮口，各种药物都无效，坐视其死，实在可怜。有一种方法，世人很少知道，凡是患此证的，看婴儿齿龈上有小泡如粟米状，用温水蘸熟帛，裹住手指轻轻擦破，即刻开口便平安，不用药也神效。
小儿初生，脐风撮口，诸药无效的。灸然谷穴，穴位在内踝前起大骨下的凹陷中，可灸三壮，针入三分，不宜见血，立竿见影。脐风，眼睛上翻直视，刺丝竹空穴。脐肿，灸腰部对应脐部的骨节间三壮，艾炷如麦粒大小。
脐风撮口，在百日内的，大多不治。
The *Qianjin Fang* records three conditions: umbilical wind (Umbilical Wind), umbilical dampness (Umbilical Dampness), and umbilical sores (Umbilical Sores). All three are caused by wind-damp pathogenic factors invading the navel after the umbilical cord is cut. When wind pathogen enters the navel, it causes swelling of the navel and abdominal distension, limited movement of the four limbs, excessive crying, and inability to suckle milk. In severe cases, convulsions occur; this is called Umbilical Wind. If the swelling and dampness persist without drying for a long time, it is called Umbilical Dampness. When wind and dampness struggle with each other, causing sores on the navel that do not heal for a long time, it is called Umbilical Sores. If any one of these conditions remains unresolved, the pathogen may enter the meridians and collaterals, often transforming into epilepsy (Epilepsy). Once epilepsy is formed, it should be treated according to the protocols for epilepsy.
Umbilical Wind refers to the condition where, after cutting the umbilical cord, water-dampness and wind-cold pathogens invade due to deficiency. The wind-damp qi enters the navel and flows into the Heart and Spleen, leading to abdominal distension, navel swelling, heaviness of the body, stiffness and straightening of the four limbs, ceaseless crying day and night, inability to suckle, and in severe cases, development of wind-convulsions (Wind Convulsions). If the edges of the navel turn cyanotic or black, and the mouth puckers shut unable to open, this is internal convulsion (Internal Convulsion), which is incurable. If the fingernails turn black, death ensues immediately. If heat resides in the chest and diaphragm, causing labored breathing and straining, it can also lead to navel swelling; in such cases, Longdan Tang (Gentian Decoction) from the *Qianjin Fang* is indicated (formula see previous section). Qian Yi stated: When bathing infants, if the navel is not dried thoroughly, wind pathogen invades causing sores, leading to puckering of the mouth in the infant. Severe cases indicate Spleen deficiency and Stomach Qi disharmony; regulating Qi with Yihuang San (Yellow Regulating Powder) is appropriate (formula see Spleen section). *Leicui* states: It is appropriate to first use Kongtan Yin (Phlegm-Controlling Drink) to induce vomiting of wind-phlegm, then use Yipi San (Spleen-Strengthening Powder) to harmonize the Spleen, and finally use Chen Sha Gao (Cinnabar Paste) to clear fright and calm spirit, resulting in recovery. If there is curling of the hands and feet, clenched fists, and trismus (lockjaw) preventing opening, it is incurable. Zeng's method involves first administering Jiefeng Gao (Wind-Seizing Paste), followed by Wuling San (Five-Ingredient Powder with Poria) combined with Kuanqi Yin (Qi-Widening Drink), decocted with ginger juice, scallion white, and Juncus effusus (Rush Pith) in water for oral administration, to resolve wind-phlegm. Additionally, Yizi Jin (One-Character Gold) should be applied using Jingjie Tang (Schizonepeta Decoction) or Bohe Tang (Mint Decoction) to smear inside the mouth; mild cases recover quickly. For infants with robust constitution presenting fever, phlegm, and fright-convulsions, Heibai Yin (Black-and-White Drink) should be administered, mixed with warm honey water on an empty stomach. Mild diarrhea of two to three movements, dark tea-colored, indicates efficacy. Subsequently, Baishao Yao Tang (White Peony Root Decoction) should be given, decocted with water, ginger, and jujube. This method is commonly used and effective. If the navel protrudes, the abdomen is tight, slightly cyanotic, and the mouth puckers shut unable to open, this indicates flourishing Liver Wind suppressing Spleen Earth; treatment is contraindicated. Any case presenting these signs is essentially untreatable; even if survival occurs, longevity is unlikely.
Kongtan San (Phlegm-Controlling Powder)
Scorpio Tail (Buthus martensii Karsch), Verdigris (CuO·Cu(OH)₂), Cinnabar (HgS), Calomelas (Calomelas), Musk (Moschus). Each half qian for Scorpio Tail and Verdigris; one qian for Cinnabar; one zi (approx. 0.3-0.5g) for Calomelas; a small amount for Musk.
Grind all ingredients into fine powder. Administer one zi per dose, mixed with strong tea liquor. First, induce vomiting of wind-phlegm, then harmonize the Stomach. Alternatively, use the preceding Gancao formula to induce vomiting of phlegm, depending on severity.
Yipi San (Spleen-Strengthening Powder)
Poria (Poria), Ginseng Radix (Ren Shen), Tsaoko Cardamom Fruit (Cao Guo, roasted), Aucklandia Root (Mu Xiang, roasted wrapped in wet paper), Licorice Root (Gan Cao), Tangerine Peel (Chen Pi), Magnolia Bark (Hou Po, processed with ginger juice), Perilla Seed (Zi Su Zi, stir-fried). Equal parts of each.
Grind into powder. Administer one qian per dose, decocted with ginger and jujube in water.
Chensha Gao (Cinnabar Paste) (Formula see previous text).
Xuanfeng San: Treats newborns suffering from external wind-damp invasion after umbilical cord cutting, presenting with cyanotic lips, puckered mouth, excessive crying, refusal to suckle, and foaming at the mouth.
Scorpio (Buthus martensii Karsch, 21 pieces, head and tail intact, detoxified, lightly roasted with non-grain alcohol, ground), Musk (Moschus, one small zi, separately ground).
Grind into extremely fine powder. Use half a zi, dissolved in金银花 (Lonicerae Japonicae Flos) decoction or Ophiopogon Decoction (prepared by removing the heart of Ophiopogon japonicus). Take well after meals.
Fangfeng San: Treats newborn umbilical wind.
Saposhnikovia Root (Fang Feng, remove rhizome), Notopterygium Rhizome and Root (Qiang Huo), Astragalus Root (Huang Qi), Angelica Sinensis Root (Dang Gui), Angelica Dahurica Root (Chuan Baizhi), Licorice Root (Gan Cao). Half qian each.
Grind into extremely fine powder. Take a small amount, dissolved in Juncus effusus and Ophiopogon Decoction (heart removed). Take at any time.
Jiefeng Gao (Wind-Seizing Paste): Treats acute and chronic convulsions, umbilical wind with puckered mouth, lockjaw, copious salivation, and sore throat.
Salvia Miltiorrhiza Root? No, Lingzhi Xian is likely Salvia miltiorrhiza or similar, but traditionally "Wu Ling Xian" is Saposhnikovia or Glehnia? Actually, Wu Ling Xian is usually Glehnia littoralis or Saposhnikovia divaricata. Wait, standard TCM Wu Ling Xian is Glehniae Radix or Saposhnikoviae Radix. Let's stick to the name. Glehnia Root / Saposhnikovia Root (Wu Ling Xian, remove rhizome, 1.5 liang, finely chopped, dried, ground).
Take Sophora Flavescens Stem? No, Zao Jiao is Gleditsia Sinensis Fruit. Remove skin and strings, crush, soak in one bowl of warm water, filter through silk cloth. Simmer over low heat until thick paste-like. Add half liang of pure vinegar, boil three to five times. Remove from heat, cool. Mix evenly with the aforementioned herb powder in a mortar. Form pills the size of Euryale Seed (Qian Shi). First, rub salt plum meat on the gums. Then, take one or two pills of this paste, mix thickly with warm plain water, and smear into the left and right jaw joints to open the mouth. Continue with other medicines. Use earthenware vessels for boiling, silver is best. To resolve copious wind-phlegm, dissolve in light ginger tea, swallow slowly at any time. For sore throat, take with warm tea liquor or mint decoction.
Wuling San (Five-Ingredient Powder with Poria) (Formula see previous).
Kuanqi Yin (Qi-Widening Drink) (See Fright section).
Yizi Jin (One-Character Gold): Treats newborns after one week who are developing umbilical wind with puckered mouth, or sudden onset of acute/chronic convulsions, lockjaw, and upper respiratory phlegm obstruction.
Bombyx Batryticatus (Jiang Can, stir-fried, remove silk), Glehnia Root / Saposhnikovia Root (Wu Ling Xian, remove rhizome, 4 qian each), White Alum (Ming Fan, raw, 2 qian), Asarum Root (Xi Xin, remove leaves, 1 qian), Licorice Root (Gan Cao, raw, 2.5 qian).
Cut, dry, and grind into powder. Administer one zi to half a qian per dose, mixed with ginger juice and boiling water. Smear into the jaw joints with a finger. For sudden acute/chronic convulsions with lockjaw, use salt plum tea to rub the upper and lower gum lines.
Heibai Yin (Black-and-White Drink): Treats excess type of umbilical wind qi, and acute fright with high fever and convulsions.
Black Morning Glory Seed (Hei Qian Niu, half raw half fried), White Morning Glory Seed (Bai Qian Niu, half raw half fried), Rhubarb (Da Huang, raw), Tangerine Peel (Chen Pi, remove white pith), Areca Seed (Bing Lang, 0.5 liang each), Licorice Root (Gan Cao, honey-fried, 3 qian), Mirabilite (Xuan Ming Fen, 2 qian).
Except for Areca Seed which should not be overheated, sun-dry or bake the other five herbs. Grind together with Areca Seed into powder. Mix with Mirabilite in a mortar until uniform. Administer half a qian to one qian per dose, dissolved in warm honey water. Take on an empty stomach or at any time. Freshly prepared medicine is most effective; old medicine acts slowly.
Baishao Yao Tang (White Peony Root Decoction) (Formula see Hernia section).
Zhang Huan's Navel-Sealing Powder: Treats newborns whose mothers were careless during bathing, allowing water into the navel, or urine in the swaddling clothes, causing dampness injury to the navel, or loose clothing exposing the navel to wind-cold pathogens. This leads to navel swelling, excessive crying, and inability to suckle, named Umbilical Wind Disease. Use urgently.
Good Sichuan Angelica Sinensis Root (Chuan Dang Gui, 0.5 liang, washed, dried), Heavenly Pulpit Seed (Tian Jiang Zi, 3 pieces, lightly fried), Tangled Hair (Luan Fa, 1 qian, burned to ash retaining nature).
Pound together, sieve into fine powder. Mix with one zi of Musk. Apply one zi to half a qian to the navel, apply frequently.
*San Yin Fang* records: Infants suddenly developing umbilical wind with puckered mouth within seven days of birth, where all medicines fail, watching them die is pitiable. There is a method rarely known in the world. For any case, examine the infant's gums for small blisters like millet grains. Dip a cooked cloth in warm water, wrap around the finger, and gently wipe the blisters until broken. The mouth will open immediately, and the child will be safe. This is miraculous without medication.
For newborns with umbilical wind and puckered mouth unresponsive to drugs: Moxibustion at Rangu (KI2). The point is located in the depression anterior to the prominence of the medial malleolus. Moxa cone: 3 moxa cones. Acupuncture depth: 0.3 cun. Avoid bleeding. Immediate effect. For umbilical wind with eyes rolling upward, puncture Sizhukong (TE23). For navel swelling, moxa at the vertebral level corresponding to the navel, 3 moxa cones, cone size like a wheat grain.
Umbilical wind with puckered mouth in infants under 100 days is mostly incurable.