儿初生下，满身无皮，但是红肉，其证有二∶（甲）因父母素有杨梅结毒，传染胞胎，故生下或上半身赤烂，
或下半身赤烂，甚至色带紫黑者。（乙）因月分未足，生育太早，遍体浸渍，红嫩而光，二证俱是险恶之候。
（甲）证因父母遗毒而无皮者，古法内服换肌消毒散（如当归、生地、赤芍、川芎、皂刺、土茯苓、银花、连翘、
生甘草、白芷、苦参、白鲜皮、防风，引用灯芯等味），外敷清凉膏（用锻石粉水泡露一宿，面上浮起如云皮者，
轻轻取之，微带清水，对小磨香油顺搅成膏），或用鸡黄
散（如黄柏、石膏，各等分 研细末），湿则干扑，干则用猪胆汁调涂。（乙）证因胎元不足者，古法内服当归
饮（如何首乌、白鲜皮、白蒺藜、甘草、当归、生地、白芍、人参、黄 、川芎等味），外用早稻白米研细粉，
时时扑之，其皮渐生。
〔真按〕内服多味汤药，断非儿体所能胜。（甲）证只用金银花、生甘草、煎汤服之，外加芦甘石研粉，调
鸡子清涂之。（乙）证不必服药，只用顶好粳米，此米产自福建省，次则江西弋阳县所出，逊于闽产，研极细
粉，扑之，较为平稳。
儿生遍体面目皆黄，其色如金，此因孕妇湿热太盛，儿胎在母腹中，久受湿热熏蒸，蕴毒致生此症，有微黄
深黄之别，症轻者为微黄，古法用生地黄汤（如生地、赤芍、川芎、当归、赤苓、泽泻、猪苓、天花粉、生甘草、
茵陈蒿，引用灯芯等味），症重者为深黄，古法用犀角散（如犀角、茵陈篙、栝蒌根、升麻、生甘草、龙胆草、
生地、 寒水石等味），皆以渗湿清热为法。
〔真按〕微黄只用茵陈蒿、猪苓、泽泻、生甘草四味，深黄只用茵陈蒿、细生地、赤苓、滑石、生甘草、
灯芯六味足矣，不必多剂。
When a newborn is delivered, the entire body lacks skin and consists only of red flesh. There are two types of this condition: (A) It is caused by the parents having had "Yangmei Jiedu" (Syphilis/Kumquat Knot Toxin) previously, which was transmitted to the fetus. Consequently, upon birth, the infant may have red ulcers on either the upper or lower half of the body, or even with a purple-black discoloration. (B) It is caused by premature birth due to insufficient gestational months, resulting in the whole body being macerated, with red, tender, and smooth skin. Both conditions are considered dangerous and malignant presentations.
For type (A), where the lack of skin is due to parental residual toxin, ancient methods prescribe internal administration of Huanji Xiaodu San (Muscle-Replacing and Toxin-Expelling Powder, containing Dang Gui [Angelicae Sinensis Radix], Sheng Di Huang [Rehmanniae Radix], Chi Shao [Paeoniae Radix Rubra], Chuan Xiong [Ligustici Chuanxiong Rhizoma], Zao Ci [Gleditsiae Spina], Tu Fu Ling [Smilacis Glabrae Rhizoma], Yin Hua [Flos Lonicerae Jinhuanghua], Lian Qiao [Fructus Forsythiae], Sheng Gan Cao [Glycyrrhizae Radix et Rhizoma Recens], Bai Zhi [Angelicae Dahuricae Radix], Ku Shen [Sophorae Flavescentis Radix], Bai Xian Pi [Cortex Dictamni], Fang Feng [Saposhnikoviae Radix], using Deng Xin Cao [Junci Medulla] as a guide). Externally, Qingliang Gao (Cooling Ointment) is applied (made by soaking Duan Shi [Calamina] powder in water and exposing it overnight; the cloud-skin-like substance floating on the surface is gently collected, mixed with a little clear water, and stirred smoothly into small-grind sesame oil to form an ointment), or Ji Huang San (Chicken Yellow Powder, containing Huang Bo [Phellodendri Cortex] and Shi Gao [Gypsum Fibrosum] in equal parts, ground into fine powder). If wet, dry powder is dusted on; if dry, pig bile is used to mix and apply.
For type (B), where the condition is due to insufficient fetal origin, ancient methods prescribe internal administration of Dang Gui Yin (Dang Gui Decoction, containing He Shou Wu [Polygoni Multiflori Radix], Bai Xian Pi [Cortex Dictamni], Bai Ji Li [Tribuli Fructus], Gan Cao [Glycyrrhizae Radix et Rhizoma], Dang Gui [Angelicae Sinensis Radix], Sheng Di Huang [Rehmanniae Radix], Bai Shao [Paeoniae Radix Alba], Ren Shen [Ginseng Radix et Rhizoma], Huang Qi [Astragali Radix], Chuan Xiong [Ligustici Chuanxiong Rhizoma], etc.). Externally, fine powder from early rice white grains is prepared and frequently dusted on the body, allowing the skin to gradually grow.
[Chen Shouzhen's Note]: Internal administration of multiple herbal decoctions is certainly not bearable for a newborn's constitution. For type (A), simply use Yin Hua [Flos Lonicerae Jinhuanghua] and Sheng Gan Cao [Glycyrrhizae Radix et Rhizoma Recens] boiled in water for oral administration, and externally apply Lu Gan Shi [Halloysitum Rubrum] powder mixed with egg white. For type (B), medication is unnecessary; simply use high-quality Jing Mi [Oryza Sativa Japonica Group Semen], preferably produced in Fujian Province, followed by that from Yiyang County, Jiangxi Province (which is inferior to Fujian produce). Grind it into extremely fine powder and dust it on the body, which is relatively stable and safe.
When an infant is born with yellowing of the entire body and face, with a color like gold, this is due to excessive damp-heat in the pregnant woman. The fetus, while in the womb, is long exposed to damp-heat steaming, accumulating toxins that cause this syndrome. There is a distinction between mild yellow and deep yellow. Mild cases are treated with ancient method Sheng Di Huang Tang (Sheng Di Huang Decoction, containing Sheng Di Huang [Rehmanniae Radix], Chi Shao [Paeoniae Radix Rubra], Chuan Xiong [Ligustici Chuanxiong Rhizoma], Dang Gui [Angelicae Sinensis Radix], Chi Ling [Poria Cocos with Red Host], Ze Xie [Alismatis Rhizoma], Zhu Ling [Poria Cocos], Tian Hua Fen [Trichosanthis Radix], Sheng Gan Cao [Glycyrrhizae Radix et Rhizoma Recens], Yin Chen Hao [Artemisiae Scopariae Herba], using Deng Xin Cao [Junci Medulla] as a guide). Severe cases (deep yellow) are treated with Xi Jiao San (Xi Jiao Powder, containing Xi Jiao [Rhinocerotis Cornu], Yin Chen Hao [Artemisiae Scopariae Herba], Gua Lou Gen [Trichosanthis Radix], Sheng Ma [Cimicifugae Rhizoma], Sheng Gan Cao [Glycyrrhizae Radix et Rhizoma Recens], Long Dan Cao [Gentianae Radix], Sheng Di Huang [Rehmanniae Radix], Han Shui Shi [Aqua Stibitum], etc.), all employing the method of promoting diuresis to drain dampness and clearing heat.
[Chen Shouzhen's Note]: For mild yellow, only four herbs are needed: Yin Chen Hao [Artemisiae Scopariae Herba], Zhu Ling [Poria Cocos], Ze Xie [Alismatis Rhizoma], and Sheng Gan Cao [Glycyrrhizae Radix et Rhizoma Recens]. For deep yellow, only six herbs are sufficient: Yin Chen Hao [Artemisiae Scopariae Herba], Xi Sheng Di Huang [Rehmanniae Radix], Chi Ling [Poria Cocos with Red Host], Hua Shi [Talcum], Sheng Gan Cao [Glycyrrhizae Radix et Rhizoma Recens], and Deng Xin Cao [Junci Medulla]. Multiple doses are not necessary.