小儿生下不能啼，俗语名之为草迷，多因临产难生育，或值严寒气所逼，
气闭不通声不出，奄奄呼吸命须臾，气闭不通葱鞭背，寒逼急用火熏脐。
[注]
儿生落地，啼声即发，形生命立矣，
有不啼者，俗云草迷，多因临产时生育艰难，以致儿生气闭不通，
所以不啼也，急以葱鞭其背，使气通则啼，
又有时值天寒之际，儿气为寒所逼，亦不能啼，宜用熏脐带法，
急为挽回，庶气通而啼声出也，
若气绝无声，面青甲黑是形虽存而命已不立，安望其生哉。
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初生门
小儿初生气不通，奄奄呼吸少啼声，用葱鞭背轻轻击，须臾声发可回生。
[注]
葱辛通气，击动醒神，用葱鞭背者，取开通击醒之义也，
如无葱以手轻击之亦可。
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初生门
小儿生下或冒寒，气闭无声啼则难，油捻熏脐休剪带，暖气人腹自通安。
[注]
儿初生方离母腹，
若值天寒，气为寒闭，使儿声不出，须急用棉絮包裹，抱于怀中，
且勿断脐，用纸捻蘸油，点火于脐带下往来熏之，
令火气由脐入腹，寒得温散，气得暖通，啼声自出矣。
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初生门
儿生能乳本天然，若不吮兮必有缘，腹中秽恶末下净，或在胎中素禀寒，
秽恶不净一捻效，胎寒不乳匀气先，若更面青肢冷厥，此是寒虚理中煎．
[注]
不乳，谓初出胞胎不吮乳也，其故有二，不可不辨，
儿生腹中脐粪末下，能令小儿腹满气短，呕吐不乳，当用一捻金治之，
若儿母过食寒凉，胎受其气，儿必腹痛多啼，面色青白，宜匀气散主之，
若四肢厥逆者理中汤主之。
(一捻金) 大黄生 黑丑 白丑 人参 槟榔各等分 以上为细末，
每少许蜜水调服。
(匀气散) 陈皮 桔梗各一钱 炮姜 砂仁 炙甘草各五分 木香三分
以上共为细末，每服五分，红枣煎汤调服。
(理中汤) 人参 白术土炒 干姜 甘草炙 引用红枣肉水煎服。
(方歌)
理中人参并干姜，白术甘草共为汤，胎寒诸疾皆当服，不乳肢冷更堪尝。
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初生门
The newborn infant fails to cry after birth, colloquially termed "Cao Mi" (Grass Stupefaction), often due to difficult labor or exposure to severe cold. The cold pathogen constrains the Qi, causing obstruction and preventing the emission of sound. Respiration becomes faint, and life hangs in the balance. If the condition is caused by Qi obstruction, whip the back with a green onion stalk; if caused by cold constraint, urgently fumigate the umbilical cord with fire.
[Annotation]
Upon birth, the infant should cry immediately, establishing form and life.
Infants who do not cry are colloquially called "Cao Mi." This is mostly due to difficult delivery, resulting in the obstruction of the infant's vital Qi,
hence the failure to cry. Urgently whip the back with a green onion stalk to unblock the Qi, which will restore crying.
Alternatively, during cold weather, the infant's Qi may be constrained by cold, also preventing crying. In such cases, the umbilical cord fumigation method should be used
to urgently rescue the life, allowing Qi to flow freely and the cry to emerge.
If there is no breath or sound, with a cyan face and black nails, although the physical form remains, life is already unstable. How can survival be expected?
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Initial Birth Section
When a newborn's Qi is obstructed upon birth, respiration is faint, and crying is scarce. Gently strike the back with a green onion stalk; within moments, the cry emerges, restoring life.
[Annotation]
Green onion has acrid properties that promote Qi circulation, while striking awakens the spirit. Using a green onion to whip the back signifies the intent to open obstructions and awaken consciousness.
If green onions are unavailable, gently striking with hands is also acceptable.
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Initial Birth Section
If a newborn contracts cold upon birth, Qi obstruction leads to silence and difficulty in crying. Do not cut the umbilical cord; instead, use an oil-soaked wick to fumigate the umbilical area. Warmth entering the abdomen ensures natural smoothness and peace.
[Annotation]
When the infant first leaves the maternal womb,
if exposed to cold weather, Qi becomes blocked by cold pathogens, preventing the infant from crying. Urgently wrap the infant in cotton batting and hold them close.
Do not sever the umbilical cord. Use a paper wick dipped in oil, ignite it, and fumigate the area below the umbilical cord repeatedly.
Let the fire's warmth enter the abdomen through the umbilicus. As cold is dispersed by warmth and Qi flows smoothly, the cry will naturally emerge.
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Initial Birth Section
Sucking milk is the natural instinct of infants after birth. Failure to suck implies a specific cause: either the accumulation of foul waste in the abdomen has not been cleared, or the fetus was constitutionally cold in utero.
For foul waste retention, Yi Nian Jin (One Pinch Gold) is effective. For cold-induced failure to suck, Yun Qi San (Harmonizing Qi Powder) should be administered first. If accompanied by a cyan face and cold extremities indicating cold deficiency, Li Zhong Tang (Regulate the Middle Decoction) is indicated.
[Annotation]
"Failure to suck" refers to the newborn's inability to suckle milk upon exiting the amniotic sac. There are two causes, which must be distinguished.
If meconium remains in the abdomen after birth, it causes abdominal distension, shortness of breath, vomiting, and refusal to suckle. Yi Nian Jin should be used for treatment.
If the mother consumed excessive cold-natured foods during pregnancy, the fetus absorbs this cold energy. The infant will likely experience abdominal pain, frequent crying, and a cyan-white complexion. Yun Qi San is the primary prescription.
In cases of cold extremities (Jue Ni), Li Zhong Tang is the primary prescription.
(Yi Nian Jin) Raw Da Huang (Rhubarb Root), Hei Qiu (Black Morning Glory Seed), Bai Qiu (White Morning Glory Seed), Ren Shen (Ginseng Root), and Bing Lang (Areca Seed) in equal parts. Grind into fine powder.
Take a small amount, mixed with honey water, orally.
(Yun Qi San) Chen Pi (Aged Tangerine Peel) and Jie Geng (Platycodon Root) each 1 qian; Pao Jiang (Prepared Ginger), Sha Ren (Amomum Fruit), and Zhi Gan Cao (Honey-fried Licorice Root) each 0.5 qian; Mu Xiang (Costus Root) 0.3 qian.
Grind all ingredients into a fine powder. Take 0.5 qian per dose, mixed with decoction of red dates.
(Li Zhong Tang) Ren Shen (Ginseng Root), Bai Zhu (Atractylodes Macrocephala Rhizome stir-fried with soil), Gan Jiang (Dried Ginger), and Zhi Gan Cao (Honey-fried Licorice Root). Add red date flesh and water for decoction.
(Prescription Verse)
Li Zhong contains Ginseng and Dried Ginger,
Combined with Atractylodes and Licorice as a soup.
It treats various fetal cold disorders,
Especially suitable for those unable to suckle with cold limbs.
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Initial Birth Section