巢氏云∶小儿初生，肌肤未实，宜用旧絮护其背，不可太暖。更宜数见风日，则血气刚强，
肌肉致密。若藏于重帏密室，或浓衣过暖，则筋骨软脆，不任风寒，多易致病。衣服当随寒
热加减，但令背暖为佳。亦勿令出汗，恐表虚风邪易伤；乳哺亦不宜过饱，若宿滞不化，用
消乳丸治之。陈氏所谓∶忍三分寒，吃七分饱，频揉肚，少洗澡，要肚暖头凉心胸凉。皆至
论也。须令乳母预慎七情六淫，浓味炙 ，则乳汁清宁，儿不致疾。否则阴阳偏胜，血气沸
腾，乳汁败坏，必生诸症。若屡用药饵，则脏腑阴损，多致败症，可不慎欤！大抵保婴之法
，未病则调治乳母，既病则审治婴儿，亦必兼治其母为善。
消乳丸
缩砂仁 陈皮 京三棱（煨） 蓬术（煨） 神曲 麦芽（各半两） 香附子（炒，一两）
以上为末，面糊丸麻子大。每服二三丸，白汤下。
小儿初生噤风者，因胎中受热，毒流心脾，生下复为风邪所搏，致眼闭口噤，啼声不出，舌
上如粟，口吐白沫。在百日内见撮口者，因胎热兼风，自脐入于心脾，致面目黄赤，气息喘
急，啼声不出，舌强唇青，聚口撮面，腹胀青筋，吊肠牵痛，吐白沫者不救，法当疏利。脐
风者，因断脐之后，为水湿风邪入于心脾，致腹胀脐肿，四肢柔直，啼不吮乳，甚者发搐，
先用龙胆汤、天麻丸之类，以去痰涎；后用益脾散之类，补脾胃。若脐边青黑，手拳口噤，
是为内搐，不治。受病之源，皆因乳母，七情气郁浓味积热所致。若爪甲黑，伸引努力脐突
者，用大连翘饮子之类。又断脐不盈尺多患此者，以旧绵烧灰掺之，齿龈有泡如粟，以帛裹
指蘸温水擦破，口即开。不用药，七日内患者，百无一生。古人治法，大率如此。又田氏治
噤风，用天南星末一钱，片脑少许，以指蘸姜汁擦龈立开。丹溪用赤足蜈蚣去足炙为末，以
猪乳调五分，徐徐灌之；或用牛黄以竹沥调服一字，随以猪乳滴于口中。《圣惠方》用郁金
、藜芦、瓜蒂为末，水调搐鼻中。钱氏云∶撮口因浴后拭脐，风邪所入而作，用益黄散补之。
无择云∶视其齿龈有泡，擦破口即开，用真白僵蚕为末，蜜调涂口内。《保婴集》云∶小儿
百日脐风马牙，当作胎毒，泻足阳明火，用针挑破，以桑树白汁涂之。又云∶初生小儿，时
时宜敷桑汁，不然，多有舌硬撮口之症。窃谓∶脐风果因浴拭外伤皮肤者，用绵灰或枯矾抹
擦之即愈。若因乳母肝脾郁怒，致儿为患，当治其母。若因剪脐短少，或因束缚不紧，或因
牵动，风入脐中，或因铁器断脐，冷气传于脾络，以致前症者，口内有水泡急掐破，去其毒
水，以艾炙脐中亦有生者。
千金龙胆汤
治月内脐风撮口，四肢惊掣发热吐乳，及变蒸客忤鬼气惊痫，加人参、当归。
龙胆草（炒黑） 钩藤钩 柴胡 黄芩（炒） 桔梗 芍药（炒） 茯苓 甘草（各二钱五分） 蜣螂（二枚，
去翅足） 大黄（煨，二钱五分）
上为末，每服一二钱水煎，量儿加减。
天麻丸 治钩肠锁肚撮口。
天南星（炮，二钱） 白附子 牙硝 天麻 五灵脂 全蝎（焙。各一钱） 轻粉（五分） 巴豆霜（一字）
上为末，每服一字，薄荷汤调下。
定命丹
治天钓撮口，通利痰热。
全蝎（七枚） 天麻 南星（炮） 白附子（各二钱五分） 朱砂 青黛（各一钱五分） 轻粉 麝香
（各五分）
上为末，米糊丸，绿豆大。每服一丸，荆芥薄荷汤下，先研半丸，吹入鼻中。
银朱丸 治胎风壮热，痰盛翻眼口噤，或胎中蕴毒。
水银（和枣肉研） 全蝎 南星 朱砂（各一钱） 白附子（一钱五分） 芦荟 牛黄（各三分） 铅霜（五分，
和水银研） 片脑（一字） 麝香（五分） 真僵蚕（炒，七个）
上为末，米糊丸，芥子大。每服三丸，薄荷汤下。
紫霜丸 治变蒸发热不解或食痫，先寒后热，或乳哺失节，宿滞不化，腹痞呕吐，或大便酸
代赭石（ 用醋淬七次） 赤石脂（各二两） 杏仁（五十个，面炒） 巴豆仁（三十枚，去膜油心）
上先将杏仁、巴豆研成膏，入代赭、石脂末研匀，汤浸蒸饼丸，粟米大。每服三五丸，米饮
消食丸（方见黄胆。）
控痰散 治风噤，先用此药吐风涎，次与益胃散和胃；又与辰砂膏。利惊握拳噤口者，不治
蝎尾 铜青（各五分） 朱砂（一钱） 腻粉（一字） 麝香（少许）
上为末，每服一字，茶清调下，轻者勿用，或以甘草汤吐之。
甘草汤 治撮口。
甘草（生，一钱）
上水煎，以绵球蘸吮令出痰涎，却以猪乳点入口中即瘥。
益胃散
白茯苓 人参 甘草 木香（湿纸裹煨） 草果（煨） 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 治眼闭口噤，啼声不出，吮乳不得，口吐白沫。
辰砂（三钱） 硼砂 马牙硝（各一钱五分） 玄明粉 全蝎 真珠（各一钱） 麝香（一分）
上为末，每服一豆许，诸惊薄荷汤下；潮热甘草汤下；月内用乳汁调涂乳头令吮之。
葱号散
治初生小儿，七日不小便。
葱白（三寸） 人乳
共同捣如泥敷儿口内，即与吮乳。
蚕号散 治初生儿，七日不乳，名撮口。
僵蚕（四个，去嘴略炒） 茯苓（少许）
共为末，蜜调敷儿口内。
僵蚕膏 治撮口。用真僵蚕三枚，去嘴略炒为末，蜜调搽口中。
撮风散 治撮口。
钩藤钩 朱砂 赤脚蜈蚣（半条） 真僵蚕（焙） 蝎稍（各一钱） 麝香（一字）
上为末，每服一字，竹沥调下。
瓜蒂散 治脐风撮口。
瓜蒂（七个） 赤小豆 秫米（各七粒）
上为末，用一豆许，吹两鼻内令出黄水，更调服吐黄水即瘥。
大连翘汤 治胎热脐风，小便不通，及诸般疮毒。
连翘 瞿麦 荆芥 木通 赤芍药 当归 防风 柴胡 滑石 蝉壳 甘草（炒。各一钱） 山
栀子 黄芩（各五分）
上为末，每服二钱，加紫草水煎，热甚加大黄，更详症加减。
安脐散
羚羊角（一钱，略炒） 乱发（一团烧令存性） 蜈蚣（一条，赤足者炙）
上为末，断脐后即敷之，以绢帕紧束，恐犯风也。
Chao Yuanfang stated: When an infant is newly born, the skin and flesh are not yet solid. It is advisable to protect the back with old cotton wadding, avoiding excessive warmth. Furthermore, the infant should be frequently exposed to wind and sunlight, so that the blood and qi become robust, and the muscles dense. If the infant is kept in heavy curtains and a sealed room, or dressed too warmly, the bones and sinews will become soft and brittle, unable to withstand wind-cold, making them prone to illness. Clothing should be added or removed according to cold and heat conditions; keeping the back warm is optimal. The infant should not be allowed to sweat, as this may lead to exterior deficiency and easy invasion of wind-pathogens; breastfeeding should not be overdone. If there is retained food stagnation that fails to digest, Xiaoru Wan (Milk-Digesting Pill) can be used for treatment. Mr. Chen said: "Endure one-third coldness, eat until seventy percent full, frequently rub the abdomen, bathe less, keep the abdomen warm while the head and chest remain cool." These are profound truths. One must ensure that the wet nurse carefully guards against the Seven Emotions (joy, anger, worry, thought, sadness, fear, fright) and Six Exogenous Pathogens (wind, cold, summer-heat, dampness, dryness, fire), as well as rich and roasted foods, so that the milk remains clear and tranquil, preventing disease in the infant. Otherwise, yin and yang will become imbalanced, blood and qi will boil, the milk will deteriorate, and various syndromes will inevitably arise. Frequent use of medicinal tonics will damage the yin of the zang-fu organs, often leading to critical conditions. Can one not be cautious? Generally, the method of protecting infants involves regulating the wet nurse before illness occurs, and treating the infant after illness occurs, but it is best to treat the mother simultaneously.
Xiaoru Wan (Milk-Digesting Pill)
Sha Ren (Amomi Fructus Rotundus), Chen Pi (Citri Reticulatae Pericarpium), San Leng (Sparganii Rhizoma, baked), E Zhu (Curcumae Rhizoma, baked), Shen Qu (Massae Fermentatae Medicamentosa), Mai Ya (Hordei Fructus Germinatus) (each 0.5 liang), Xiang Fu (Cyperi Rhizoma, stir-fried, 1 liang).
Grind the above into powder, make pills with wheat paste, sized like hemp seeds. Take 2-3 pills each time, washed down with plain boiled water.
Infants suffering from Jin Feng (Jaw-locking Wind) upon birth are caused by heat in the womb, where toxic heat flows to the Heart and Spleen. After birth, they are further attacked by wind-pathogens, causing closed eyes, locked jaw, inability to cry, millet-like eruptions on the tongue, and foaming at the mouth. Those presenting with Cuo Kou (Puckered Mouth) within 100 days are due to fetal heat combined with wind entering through the umbilicus to the Heart and Spleen, resulting in yellow-red complexion, rapid breathing, inability to cry, stiff tongue, cyanotic lips, puckered mouth and face, abdominal distension with visible veins, and pulling pain in the intestines. If foaming at the mouth occurs, it is incurable; the treatment method should be to disperse and drain. Qi Feng (Umbilical Wind) is caused by water-dampness and wind-pathogens entering the Heart and Spleen after umbilical cord cutting, leading to abdominal distension, swollen umbilicus, rigid limbs, crying without sucking, and severe cases involving convulsions. Initially, use drugs like Longdan Tang (Gentian Decoction) or Tianma Wan (Gastrodia Pill) to remove phlegm-saliva; subsequently, use drugs like Yipi San (Spleen-Nourishing Powder) to tonify the Spleen and Stomach. If the area around the umbilicus turns blue-black, hands are clenched, and the mouth is locked, this is internal convulsion, which is incurable. The source of the disease lies in the wet nurse, caused by emotional stagnation and accumulation of heat from rich foods. If fingernails are black, and the body extends with effort and the umbilicus protrudes, use Dalianqiao Yinzi (Large Forsythia Decoction). Additionally, those whose umbilical cords were cut shorter than one chi are prone to this condition; apply ash from burnt old cotton to the site. If there are millet-like blisters on the gums, wipe them open with a finger wrapped in silk dipped in warm water, and the mouth will open. Without medication, those who develop symptoms within seven days have almost no survivors. Ancient treatment methods were generally like this. Additionally, Tian treated Jin Feng using 1 qian of Tian Nan Xing (Arisaematis Rhizoma) powder and a little Bing Pian (Borneolum Syntheticum), dipping a finger in ginger juice to wipe the gums to immediately open the mouth. Danxi used Chi Zu Wu Gong (Scolopendra Subspinipes mutilans, red-footed), removing legs and roasting it into powder, mixing 0.5 fen with pig milk for slow administration; or using Niu Huang (Bovis Calculus) mixed with Zhu Li (Bambusae Succus) for administration, followed by dripping pig milk into the mouth. *Shenghui Fang* used Yu Jin (Curcumae Radix), Li Lu (Veratri Rhizoma), and Gua Di (Cucumeris Fructus) ground into powder, mixed with water and insufflated into the nose. Qian Yi stated: Cuo Kou is caused by wind-pathogen invasion after bathing and wiping the umbilicus; treat with Yihuang San (Yellow-Harmonizing Powder) to tonify. Wuzhuo stated: Observe blisters on the gums; wipe them open to release the mouth, then apply powder of Zhen Bai Jiang Can (Bombyx Batryticatus) mixed with honey to the inside of the mouth. *Baoying Ji* stated: Infant umbilical wind and Ma Ya (horse teeth) at 100 days should be treated as fetal toxin; drain the fire of the Foot-Yangming meridian by pricking with a needle and applying white sap from a mulberry tree. It also stated: Newborns should frequently apply mulberry sap; otherwise, they often suffer from stiff tongue and puckered mouth. I believe: If umbilical wind is indeed caused by external injury during bathing and wiping, applying cotton ash or Ku Fan (Alumen) will cure it. If the illness is caused by the wet nurse's Liver-Spleen emotional depression, the mother should be treated. If it is due to short umbilical cord cutting, loose binding, traction allowing wind entry, or cold qi transmitted via iron tools cutting the cord affecting the Spleen collaterals, causing the aforementioned symptoms, urgently pinch open any blisters in the mouth to drain toxic fluid, and moxibustion on the umbilicus may result in survival.
Qianjin Longdan Tang (Gentian Decoction from the Golden Cabinet)
Treats umbilical wind and puckered mouth within the first month, convulsive fever, vomiting milk, limb jerking, as well as Bian Zheng (transformation-evaporation), Ke Wu (alien qi), Gui Qi (ghost qi), fright, and epilepsy. Add Ren Shen (Ginseng Radix et Rhizoma) and Dang Gui (Angelicae Sinensis Radix).
Long Dan Cao (Gentianae Radix, stir-fried until black), Gou Teng Gou (Uncariae Ramulus cum Uncis), Chai Hu (Bupleuri Radix), Huang Qin (Scutellariae Radix, stir-fried), Jie Geng (Platycodonis Radix), Shao Yao (Paeoniae Radix, stir-fried), Fu Ling (Poria), Gan Cao (Glycyrrhizae Radix et Rhizoma) (each 2.5 qian), Chang Lang (Scarabaeus, 2 pieces, wings and legs removed), Da Huang (Rhei Radix et Rhizoma, baked, 2.5 qian).
Grind the above into powder. Take 1-2 qian each time, decoct in water, adjusting dosage according to the infant.
Tianma Wan (Gastrodia Pill)
Treats Gou Chang Suo Du (Hooked Intestine Locked Belly) and puckered mouth.
Tian Nan Xing (Arisaematis Rhizoma, processed, 2 qian), Bai Fu Zi (Typhonii Rhizoma), Ya Xiao (Natrii Sulfas), Tian Ma (Gastrodiae Rhizoma), Wu Ling Zhi (Trogopterori Faeces), Quan Xie (Scorpio, roasted. each 1 qian), Qing Fen (Calomelas, 0.5 qian), Ba Dou Shuang (Crotonis Semen Pulveratum, 1 zi).
Grind the above into powder. Take 1 zi each time, mixed with Bo He Tang (Mint Decoction).
Dingming Dan (Life-Stabilizing Pill)
Treats Tian Diao (Heavenly Toss) and puckered mouth, unblocking phlegm-heat.
Quan Xie (Scorpio, 7 pieces), Tian Ma (Gastrodiae Rhizoma), Nan Xing (Arisaematis Rhizoma, processed), Bai Fu Zi (Typhonii Rhizoma) (each 2.5 qian), Zhu Sha (Cinnabar), Qing Dai (Indici Folium) (each 1.5 qian), Qing Fen (Calomelas), She Xiang (Moschus) (each 0.5 qian).
Grind the above into powder, make pills with rice paste, sized like mung beans. Take 1 pill each time, washed down with Jing Jie Bo He Tang (Schizonepeta and Mint Decoction). First, grind half a pill and insufflate into the nose.
Yinzhu Wan (Silver-Cinnabar Pill)
Treats Tai Feng (Fetal Wind) with high fever, profuse phlegm, turned-up eyes, jaw-locking, or fetal toxin accumulation.
Shui Yin (Hydrargyrum, ground with jujube flesh), Quan Xie (Scorpio), Nan Xing (Arisaematis Rhizoma), Zhu Sha (Cinnabar) (each 1 qian), Bai Fu Zi (Typhonii Rhizoma, 1.5 qian), Lu Hui (Aloe), Niu Huang (Bovis Calculus) (each 0.3 qian), Qian Shuang (Plumbum Subacetatum, 0.5 qian, ground with hydrargyrum), Pian Nao (Borneolum Syntheticum, 1 zi), She Xiang (Moschus, 0.5 qian), Zhen Jiang Can (Bombyx Batryticatus, stir-fried, 7 pieces).
Grind the above into powder, make pills with rice paste, sized like mustard seeds. Take 3 pills each time, washed down with Bo He Tang (Mint Decoction).
Zishuang Wan (Purple-Frost Pill)
Treats unresolved fever from Bian Zheng (transformation-evaporation) or Shi Xian (food epilepsy), alternating chills and fever, irregular breastfeeding, undigested food stagnation, abdominal fullness, vomiting, or sour feces.
Dai Zhe Shi (Hematitum, quenched in vinegar 7 times), Chi Shi Zhi (Halloysit Rubra) (each 2 liang), Xing Ren (Armeniacae Semen, stir-fried with flour, 50 pieces), Ba Dou Ren (Crotonis Semen, dehusked, oil-extracted, heart removed, 30 pieces).
First, grind Xing Ren and Ba Dou Ren into a paste. Mix in Dai Zhe Shi and Chi Shi Zhi powders evenly. Make pills with steamed dough soaked in water, sized like millet grains. Take 3-5 pills each time, washed down with rice drink.
Xiaoshi Wan (Food-Digesting Pill) (Formula see Jaundice.)
Kongtan San (Phlegm-Control Powder)
Treats Feng Jin (Wind-Jawlock). Use this medicine first to induce vomiting of wind-phlegm, then administer Yiwei San (Stomach-Harmonizing Powder) to harmonize the stomach; follow with Chen Sha Gao (Cinnabar Paste). For Li Jing (calming fright), clenched fists, and jaw-locking, it is incurable.
Xie Wei (Scorpion Tail), Tong Qing (Chloropyritum) (each 0.5 qian), Zhu Sha (Cinnabar, 1 qian), Ni Fen (Calomelas, 1 zi), She Xiang (Moschus, a little).
Grind the above into powder. Take 1 zi each time, mixed with tea liquor. Do not use for mild cases, or induce vomiting with Gan Cao Tang (Licorice Decoction).
Gan Cao Tang (Licorice Decoction)
Treats Cuo Kou (Puckered Mouth).
Sheng Gan Cao (Raw Glycyrrhizae Radix et Rhizoma, 1 qian).
Decoct in water. Dip a cotton ball, suck to extract phlegm-saliva, then drip pig milk into the mouth for recovery.
Yiwei San (Stomach-Harmonizing Powder)
Bai Fu Ling (Poria), Ren Shen (Ginseng Radix et Rhizoma), Gan Cao (Glycyrrhizae Radix et Rhizoma), Mu Xiang (Aucklandiae Radix, wrapped in wet paper and baked), Cao Guo (Tsaoko Fructus, baked), Chen Pi (Citri Reticulatae Pericarpium), Hou Po (Magnoliae Officinalis Cortex, ginger-processed), Zi Su Zi (Perillae Fructus, stir-fried). Equal parts.
Grind the above into powder. Take 1 qian each time, decoct with ginger and jujube water.
Chensha Gao (Cinnabar Paste)
Treats closed eyes, jaw-locking, inability to cry, difficulty sucking milk, and foaming at the mouth.
Chen Sha (Cinnabar, 3 qian), Peng Sha (Borax), Ma Ya Xiao (Natrii Sulfas Exsiccatus) (each 1.5 qian), Xuan Ming Fen (Mirabilitum), Quan Xie (Scorpio), Zhen Zhu (Margarita) (each 1 qian), She Xiang (Moschus, 0.1 qian).
Grind the above into powder. Take a bean-sized amount each time. For various frights, wash down with Bo He Tang (Mint Decoction); for tidal fever, wash down with Gan Cao Tang (Licorice Decoction); for infants within the first month, mix with breast milk, apply to the nipple for the infant to suck.
Cong Hao San (Green Onion Insufflation Powder)
Treats newborns who do not urinate within seven days.
Cong Bai (Allii Fistulosi Bulbus, 3 cun), Ren Ru (Human Milk).
Mash together into a paste and apply to the infant's mouth, then allow sucking of breast milk.
Can Hao San (Silkworm Insufflation Powder)
Treats newborns who do not suckle within seven days, named Cuo Kou (Puckered Mouth).
Jiang Can (Bombyx Batryticatus, 4 pieces, remove mouth and slightly stir-fry), Fu Ling (Poria, a little).
Grind together into powder, mix with honey, and apply to the infant's mouth.
Jiang Can Gao (Silkworm Paste)
Treats Cuo Kou (Puckered Mouth). Use 3 pieces of Zhen Jiang Can (Bombyx Batryticatus), remove mouth, slightly stir-fry, and grind into powder. Mix with honey and apply to the mouth.
Cuo Feng San (Wind-Puckering Powder)
Treats Cuo Kou (Puckered Mouth).
Gou Teng Gou (Uncariae Ramulus cum Uncis), Zhu Sha (Cinnabar), Chi Jiao Wu Gong (Scolopendra Subspinipes mutilans, half a piece), Zhen Jiang Can (Bombyx Batryticatus, roasted), Xie Shao (Scorpion Tail Tip) (each 1 qian), She Xiang (Moschus, 1 zi).
Grind the above into powder. Take 1 zi each time, mixed with Zhu Li (Bambusae Succus).
Gua Di San (Melon Spout Powder)
Treats Qi Feng (Umbilical Wind) and Cuo Kou (Puckered Mouth).
Gua Di (Cucumeris Fructus, 7 pieces), Chi Xiao Dou (Vigna Angularis Seed), Shu Mi (Sorghum Vulgare Seed) (each 7 grains).
Grind the above into powder. Take a bean-sized amount, insufflate into both nostrils to discharge yellow fluid. Then take orally to induce vomiting of yellow fluid for recovery.
Dalianqiao Tang (Large Forsythia Decoction)
Treats Tai Re (Fetal Heat) and Qi Feng (Umbilical Wind), urinary retention, and various sores/toxins.
Lian Qiao (Forsythiae Fructus), Qu Mai (Dianthi Herba), Jing Jie (Schizonepetae Spica), Mu Tong (Akebiae Caulis), Chi Shao Yao (Paeoniae Radix Rubra), Dang Gui (Angelicae Sinensis Radix), Fang Feng (Saposhnikoviae Radix), Chai Hu (Bupleuri Radix), Hua Shi (Talcum), Chan Qiao (Cicadae Periostracum), Gan Cao (Glycyrrhizae Radix et Rhizoma, stir-fried) (each 1 qian), Shan Zhi Zi (Gardeniae Fructus), Huang Qin (Scutellariae Radix) (each 0.5 qian).
Grind the above into powder. Take 2 qian each time, decoct with Zi Cao (Arnebiae Radix et Rhizoma). If heat is severe, add Da Huang (Rhei Radix et Rhizoma); adjust further based on symptoms.
Anqi San (Umbilicus-Anchoring Powder)
Ling Yang Jiao (Capricornis Cornu, 1 qian, slightly stir-fried), Luan Fa (Human Hair, a clump, burned until charred but retaining essence), Wu Gong (Scolopendra Subspinipes mutilans, 1 piece, red-footed roasted).
Grind the above into powder. Apply immediately after umbilical cord cutting. Bind tightly with silk cloth to prevent wind exposure.