婴儿蕴热在腹中，呻引频频卧不宁，努胀其气冲脐本，虚大光浮脐突成，
速服犀角消毒饮，二豆能消肿赤攻，最忌寒凉敷脐上，冰凝毒热反成凶。
[注]
婴儿热在腹中，无所发泻，故频频呻引，睡卧不宁努胀，其气冲入脐间，
所以脐忽肿赤虚大光浮，名日脐突，此乃胎热所致，非断脐不利之过也，
内服犀角消毒饮，外敷二豆散，其肿自消，
最忌寒凉之药敷于脐上，恐寒凝毒热，反为害也。
(犀角消毒饮) 牛蒡子炒研 生甘草 荆芥 防风 金银花 水煎熟，
临服入犀角细末调匀服
(方歌)
犀角消毒牛蒡加，甘草荆防金银花，细研犀角调匀服，脐突能消功最佳。
(二豆散) 赤小豆不去皮 豆豉 天南星去皮脐 白歛各一钱 以上为细末，
用五分芭蕉汁调敷脐四旁，日二次。
%
初生门
断脐不慎起脐风，感受风寒湿水成，将作驱风散最效，已成兼证要分明，
腹胀便秘黑白散，面白肢寒用理中，痰涎壅盛礓蚕散，壮热面赤龙胆清，
呕吐多啼益脾治，唇青撮口撮风平，脐青口噤为不治，一腊逢之命必倾。
[注]
脐者小儿之根蒂也，名日神阙，穴近三阴，喜温恶凉，喜干恶湿，
如断脐悉遵前法，脐风何自而起，
惟不知慎重，以致水湿风冷之气人于脐中，
儿必腹胀脐肿，日夜啼叫，此脐风将作也，须急用驱风散治之，
若寒邪深入，已成脐风者，又当视其所兼之形证治之，
如肚腹胀硬，大便不通者，风兼实也，黑白散主之，
面青肢冷，二便不实者，风兼虚也，理中汤主之，
痰涎壅盛，气高喘急者，风兼痰也，辰砂僵蚕散主之，
身体壮热，面赤口干者，风兼热也，龙胆汤主之，
面青呕吐曲腰多啼者，风兼寒也，益脾散主之，
撮口唇青，抽搐不止者，风兼惊也，撮风散主之，
若脐边青黑，口噤不开者，是为内抽不治，脐风见于一腊者，亦不治，
一腊者七日也，儿生七日，血脉末凝，病已中藏，医之无益。
(驱风散)
苏叶 防风 陈皮 厚朴姜炒 枳壳麸炒 木香煨 僵蚕炒 □藤□ 生甘草
引用生姜水煎服。
(方歌)
脐风将作用驱风，苏防陈朴枳香从，僵蚕□藤与甘草，生姜加入更灵通。
(黑白散)方见肛门内合
(理中汤)方见不乳
(辰砂僵蚕散)方见撮口
(龙胆汤)方见噤口．
(益脾散) 白茯苓 人参 草果煨 木香煨 炙甘草 陈皮 厚朴姜炒
紫苏子各等分炒 共为末，每服一钱，姜枣汤调服。
(撮风散)方见撮口。
%
初生门
Infants harbor heat in the abdomen, frequently groaning and pulling, sleeping restlessly. Straining causes Qi distension rushing to the navel root; if the navel appears vacuously enlarged, shiny, and floating, Omphal protrusion (Omphalocele-like condition) forms.
Quickly administer Xijiao Xiaodu Yin (Rhinoceros Horn Detoxification Decoction); Erdou San (Two Beans Powder) can reduce swelling and redness.
It is strictly forbidden to apply cold-cooling medicines on the navel; otherwise, ice-congealing effects will trap toxic heat, leading to ominous consequences.
[Note]
When infants have heat in the abdomen with no outlet for discharge, they frequently groan and pull, sleep restlessly, and strain. The Qi rushes into the navel area, causing the navel to suddenly swell, redden, become vacuously enlarged, shiny, and floating. This is named Omphal protrusion (Omphalo protrusion), caused by fetal heat, not by improper umbilical cord cutting.
Internally administer Xijiao Xiaodu Yin (Rhinoceros Horn Detoxification Decoction), externally apply Erdou San (Two Beans Powder), and the swelling will subside naturally.
It is strictly forbidden to apply cold-cooling medicines on the navel, fearing that cold coagulation of toxic heat will cause harm.
(Xijiao Xiaodu Yin [Rhinoceros Horn Detoxification Decoction]) Niu Bang Zi (Arctii Fructus, 牛蒡子) stir-fried and ground, Sheng Gan Cao (Glycyrrhizae Radix et Rhizoma, 生甘草), Jing Jie (Schizonepetae Herba, 荆芥), Fang Feng (Saposhnikoviae Radix, 防风), Jin Yin Hua (Lonicerae Japonicae Flos, 金银花). Decoct in water until cooked. Before administration, mix in fine powder of Xi Jiao (Rhinocerotis Cornu, 犀角) evenly and take orally.
(Formula Song)
Xijiao Xiaodu Yin adds Niu Bang Zi, combined with Gan Cao, Jing Jie, Fang Feng, and Jin Yin Hua. Grind Xi Jiao finely, mix evenly, and take orally; it excellently eliminates Omphal protrusion.
(Erdou San [Two Beans Powder]) Chi Xiao Dou (Adzuki Bean, 赤小豆) without removing skin, Dou Chi (Fermented Soybean, 豆豉), Tian Nan Xing (Arisaematis Rhizoma, 天南星) without skin and umbilicus, Bai Lian (Bletillae Rhizoma, 白敛) each one qian. Grind all above into fine powder. Use five fen of Ba Jiao Zhi (Musa Sapientis Juice, 芭蕉汁) to mix and apply around the four sides of the navel, twice daily.
Men of Newborns
Improper umbilical cord cutting leads to Umbilical Wind (Neonatal Tetanus), caused by contracting wind-cold-damp-water pathogens.
When about to manifest, Qu Feng San (Wind-Expelling Powder) is most effective; when fully formed with concurrent syndromes, differentiation must be clear.
For abdominal distension and constipation, use Hei Bai San (Black and White Powder); for pale face and cold limbs, use Li Zhong Tang (Regulate the Middle Decoction).
For abundant phlegm-saliva, use Jiang Can San (Silkworm Powder); for high fever and red face, use Long Dan Qing (Long Dan Clearing Decoction).
For vomiting and frequent crying, treat with Yi Pi San (Spleen-Nourishing Powder); for cyanotic lips, mouth contraction, and wind-grasping, use Cuo Feng San (Grasping-Wind Powder) to calm.
If the navel perimeter is cyanotic and the mouth is locked, it is incurable; encountering this within one week (Yi La) after birth ensures fatal outcome.
[Note]
The navel is the root of life for children, named Shen Que (Concentrated Gate), a point near the three Yin meridians. It prefers warmth and dislikes cold, prefers dryness and dislikes dampness.
If umbilical cord cutting strictly follows previous methods, how would Umbilical Wind arise?
Only due to lack of caution, allowing water-dampness, wind-cold qi to enter the navel,
the infant will inevitably suffer abdominal distension and navel swelling, crying day and night. This indicates impending Umbilical Wind; urgently use Qu Feng San (Wind-Expelling Powder) to treat.
If cold pathogen penetrates deeply and Umbilical Wind has formed, treatment should depend on concurrent signs and symptoms.
If abdomen is distended and hard, stool is unpassable, it is Wind combined with Excess; primarily use Hei Bai San (Black and White Powder).
If face is cyanotic, limbs are cold, urination and defecation are unformed, it is Wind combined with Deficiency; primarily use Li Zhong Tang (Regulate the Middle Decoction).
If phlegm-saliva is abundant, breathing is rapid and asthmatic, it is Wind combined with Phlegm; primarily use Chen Sha Jiang Can San (Cinnabar Silkworm Powder).
If body has high fever, face is red, mouth is dry, it is Wind combined with Heat; primarily use Long Dan Tang (Gentian Decoction).
If face is cyanotic, vomiting occurs, bending waist and crying frequently, it is Wind combined with Cold; primarily use Yi Pi San (Spleen-Nourishing Powder).
If mouth contracts, lips are cyanotic, convulsions do not stop, it is Wind combined with Fright; primarily use Cuo Feng San (Grasping-Wind Powder).
If the navel edge is cyanotic-black and the mouth is locked open, this is internal convulsion, an incurable condition. Umbilical Wind appearing within one week (Yi La) is also incurable.
One week (Yi La) refers to seven days. At seven days old, the infant's blood vessels are not yet consolidated; the disease has entered the zang-organs. Medical intervention is of no benefit.
(Qu Feng San [Wind-Expelling Powder])
Su Ye (Perillae Folium, 苏叶), Fang Feng (Saposhnikoviae Radix, 防风), Chen Pi (Citri Reticulatae Pericarpium, 陈皮), Hou Po (Magnoliae Officinalis Cortex, 厚朴) stir-fried with ginger, Zhi Ke (Aurantii Fructus, 枳壳) bran-fried, Mu Xiang (Aucklandiae Radix, 木香) baked, Jiang Can (Bombyx Batryticatus, 僵蚕) stir-fried, Gou Teng (Uncariae Ramulus cum Uncis, 钩藤), Sheng Gan Cao (Glycyrrhizae Radix et Rhizoma, 生甘草).
Decoct in water with fresh ginger as guide.
(Formula Song)
For impending Umbilical Wind, use Qu Feng San; Su Ye, Fang Feng, Chen Pi, Hou Po, Zhi Ke, Mu Xiang follow.
Add Jiang Can, Gou Teng, and Gan Cao; adding fresh ginger makes it more efficacious and penetrating.
(Hei Bai San [Black and White Powder]) See section on Internal Rectal Prolapse.
(Li Zhong Tang [Regulate the Middle Decoction]) See section on Failure to Suckle.
(Chen Sha Jiang Can San [Cinnabar Silkworm Powder]) See section on Mouth Contraction.
(Long Dan Tang [Gentian Decoction]) See section on Locked Jaw.
(Yi Pi San [Spleen-Nourishing Powder]) Bai Fu Ling (Poria, 白茯苓), Ren Shen (Ginseng Radix, 人参), Cao Guo (Tsaoko Fructus, 草果) baked, Mu Xiang (Aucklandiae Radix, 木香) baked, Zhi Gan Cao (Prepared Glycyrrhizae Radix et Rhizoma, 炙甘草), Chen Pi (Citri Reticulatae Pericarpium, 陈皮), Hou Po (Magnoliae Officinalis Cortex, 厚朴) stir-fried with ginger, Zi Su Zi (Perillae Fructus, 紫苏子) equal parts stir-fried. Grind together into powder. Take one qian per dose, mixed with Ginger-Jujube Decoction.
(Cuo Feng San [Grasping-Wind Powder]) See section on Mouth Contraction.
Men of Newborns