【方歌】脐突胎中积热生，总由孕母失调停，儿脐突出肿赤大，
宜清母子即脐平。
【注】此证儿脐突出，赤肿虚大是也。由孕母失于调停，儿在
腹胎，受母积热，既生之后，儿脐即肿。宜清母子之热
，儿脐不必敷治，恐反为害。如旬日外，儿脐忽肿，如
吹不赤，捻动微响，或惊悸作啼者，宜用白芍药汤加薏
苡仁，令儿服之，外以外消散敷之即愈。
方剂：白芍药汤
组成：白芍（酒炒，一两） 泽泻（五钱）
甘草（生，一钱二分）
肉桂（拣薄者刮去粗皮，一钱）
共研粗末，每用二钱，水一钟，煎四分，空心频服
。脐下痛加钩藤一钱，生姜一片，食盐五厘。
【方歌】白芍药汤泽泻甘，再加肉桂共粗研，专医脐肿惊啼叫，
空心煎服医二钱。
又方：外消散
组成：大黄 牡蛎（〔火段〕，各五钱）
朴硝（二钱）
共研细末，用活田螺数十枚，洗净，再以清水半盆
养之，过宿取田螺清水，调药敷于患处，其螺仍放水中
，勿害，方效。
【方歌】外消散敷脐突冒，大黄〔火段〕牡蛎朴硝，活田螺用清
水泡，过宿取水将药调。
【方歌】阴肿之证小儿生，久坐阴湿寒气凝，或因怒叫气结闭，
寒热虚实择可行。
【注】此证即古名脱囊。由久坐阴湿之地，为寒气所凝而成；
间或有因怒叫气闭，结聚于下而成者，俱宜用桃仁丸主
之。若寒气客于厥阴、少阴者，则阴囊肿痛，腹痛冷汗
，引缩二子入腹，痛止方出，谓之内吊，宜乌梅散、匀
气散主之。有阴茎全缩不见，或不缩而阴囊肿大光亮，
不燥不疼者，肝肾气虚也，宜橘核煎汤，调匀气散服之
。囊肿及四肢俱肿，二便不利者，膀胱蕴热，风热相乘
也，宜白牵牛散主之。若女儿阴户肿胀者，心热相传也
，宜导赤汤服之，或五苓散用薏苡、车前子煎汤调服。
外治法，但敷立消散，甚效。
方剂：桃仁丸
组成：桃仁（去皮、尖，炒微黄，七钱五分）
白蒺藜（微炒，去刺） 桂心
丹皮（各五钱） 黑牵牛（头末，二钱五分）
上为细末，炼蜜和丸，如黍粒大。每服十丸，黄酒
送下。
【方歌】桃仁丸逐阴肿疾，怒气闭结或湿袭，蒺藜牵牛桂丹皮，
研末蜜丸如黍粒。
又方：乌梅散
组成：乌梅肉 甘草（半生，半炙）
元胡索（各五钱） 钩藤钩
乳香 没药（各二钱五分）
共捣粗末，每服二钱，水一钟，煎七分服。
【方歌】乌梅散用乳香没，钩藤甘草元胡索，阴囊肿兼腹中疼，
煎服必先研粗末。
又方：匀气散
组成：桔梗（炒，二两） 陈皮（去白，一两）
茴香（炒） 缩砂仁（炒，各五钱）
甘草（炙，四钱） 姜炭（二钱五分）
共研细末，每服五分或一钱，白滚水调下。
【方歌】匀气散因外寒侵，阴囊肿痛汗淋淋，桔梗陈皮甘草炙，
茴香姜炭缩砂仁。
又方：白牵牛散
组成：白牵牛（半生，半熟） 甘草（炙）
橘红 白术（土炒）
桑白皮 木通（各一钱）
水煎服。
【方歌】白牵牛散草橘红，白术桑白皮木通，阴囊相兼四肢肿，
能逐膀胱热结壅。
又方：五苓散
组成：白术（土炒） 赤茯苓（各一钱五分）
猪苓 泽泻（各一钱）
桂心（五分）
水煎服。
【方歌】五苓白术桂心加，赤茯苓除心火邪，猪苓泽泻能分利，
调和脏腑效堪夸。
又方：立消散
组成：赤小豆 风化硝
赤芍 枳壳（麸炒）
商陆（俱不宜见火，晒干，共研为末，各五钱）
用侧枯叶煎汤，候冷调敷肿处。
【方歌】立消阴囊肿痛注，因受风寒湿热毒，赤小豆与风化硝，
芍枳同研加商陆。
又方：导赤汤（见口部口糜）
[Formula Song] Umbilical herniation (Umbilical protrusion) arises from accumulated heat in the fetus, primarily due to improper regulation by the pregnant mother. The infant's umbilicus protrudes, becomes red, swollen, and large; it is appropriate to clear the heat of both mother and child, and the umbilicus will flatten.
[Note] This condition presents with the infant's umbilicus protruding, appearing red, swollen, and flaccidly distended. It results from the mother's failure to maintain proper health during pregnancy; while in the womb, the fetus is affected by the mother's accumulated heat, causing the umbilicus to swell after birth. At this stage, one should clear the heat of both mother and child. External application to the infant's umbilicus is not necessary and may cause harm. If, after more than ten days, the infant's umbilicus suddenly swells like a blown-up sac but without redness, produces a slight sound when pressed, or if the infant cries due to fright and palpitations, use Baishaoyao Tang (White Peony Decoction) with Yiyiren (Coix Seed). Let the infant take it orally, and apply Waixiaosan (External Resolution Powder) externally for recovery.
Formula: Baishaoyao Tang (White Peony Decoction)
Composition: Baishao (Bai Shao Radix Paeoniae Alba, stir-fried with wine, 1 liang), Zexie (Rhizoma Alismatis, 5 qian), Gancao (Gan Cao Radix Glycyrrhizae, raw, 1.2 qian), Rougui (Cortex Cinnamomi, select thin pieces, scrape off rough bark, 1 qian).
Process into coarse powder. Each dose uses 2 qian, boiled in 1 zhong of water until reduced to three-quarters volume. Take frequently on an empty stomach. If there is pain below the umbilicus, add Gouteng (Uncariae Ramulus cum Uncis, 1 qian), Shengjiang (Zingiberis Rhizoma Recens, 1 slice), and Yan (Sal, 0.5 li).
[Formula Song] Baishaoyao Tang contains Zexie and Gancao, plus Rougui ground into coarse powder. It specifically treats umbilical swelling and crying due to fright. Boil and take on an empty stomach, 2 qian per dose.
Another Formula: Waixiaosan (External Resolution Powder)
Composition: Dahuang (Rhei Radix et Rhizoma), Muli (Concha Ostreae, calcined, each 5 qian), Puxiao (Natrii Sulfas, 2 qian).
Grind into fine powder. Take dozens of live river snails, wash them clean, and soak them in half a basin of clear water overnight. Collect the water exuded by the snails, mix with the medicine, and apply to the affected area. Return the snails to the water without harming them for the formula to be effective.
[Formula Song] Waixiaosan applied externally for umbilical protrusion consists of calcined Muli, Dahuang, and Puxiao. Soak live river snails in clear water overnight, collect the water to mix with the medicine.
[Formula Song] Yinzhong (Scrotal Swelling) often appears in infants shortly after birth, caused by long sitting in damp and cold places leading to cold qi stagnation, or by anger and shouting causing qi obstruction. Treatment should be selected based on cold, heat, excess, and deficiency patterns.
[Note] This condition was formerly known as Tuonang (Testicular Evisceration/Gangrene). It is formed by long sitting in damp and cold places, causing cold qi to coagulate; occasionally, it arises from anger and shouting leading to qi closure and accumulation in the lower body. In all such cases, Taoren Wan (Peach Kernel Pill) is the primary treatment. If cold qi invades the Jueyin and Shaoyin meridians, symptoms include scrotal swelling and pain, abdominal pain, cold sweat, and retraction of the testes into the abdomen, returning only when pain subsides; this is called Neidiao (Internal Retraction). Use Wumei San (Mume Powder) and Yunqi San (Qi Regulating Powder). If the penis is completely retracted and invisible, or if the scrotum is swollen, large, bright, dry-free, and painless, it indicates deficiency of Liver and Kidney qi. Use Juzhe Decoction mixed with Yunqi San. If the scrotum and limbs are both swollen, with difficulty in urination and defecation, it is due to heat accumulation in the Bladder combined with wind-heat. Use Baiqianniu San (White Morning Glory Powder). If a female infant has swelling of the vulva, it is due to transmission of Heart heat. Use Daochi Tang (Guide Out Redness Decoction), or Wuling San (Five-Ingredient Powder with Poria) decocted with Yiyiren (Coix Seed) and Cheqianzi (Plantaginis Semen). For external treatment, applying Lixiaosan (Instant Resolution Powder) is very effective.
Formula: Taoren Wan (Peach Kernel Pill)
Composition: Taoren (Persicae Semen, remove skin and tips, stir-fry until slightly yellow, 7.5 qian), Bajieli (Tribuli Fructus, slightly stir-fry, remove spines), Guixin (Cortex Cinnamomi Cassiae), Danpi (Moutan Cortex, each 5 qian), Heiqianniu (Semen Pharbitidis Nigrum, first extraction powder, 2.5 qian).
Grind into fine powder, mix with refined honey to form pills the size of millet grains. Take 10 pills per dose, washed down with yellow wine.
[Formula Song] Taoren Wan expels Yinzhong disease, addressing qi closure from anger or damp invasion. Composed of Jieli, Qianniu, Guixin, and Danpi, ground into powder and formed into honey pills the size of millet grains.
Another Formula: Wumei San (Mume Powder)
Composition: Wumei Rou (Fructus Mume, flesh), Gancao (Radix Glycyrrhizae, half raw, half roasted), Yuanhusuo (Corydalis Rhizoma), Goutenggou (Uncariae Ramulus cum Uncis), Ruxiang (Olibanum), Moyao (Myrrha, each 2.5 qian).
Pound into coarse powder. Each dose uses 2 qian, boiled in 1 zhong of water until reduced to seven-tenths volume.
[Formula Song] Wumei San uses Ruxiang and Moyao, along with Gouteng, Gancao, and Yuanhusuo. It treats scrotal swelling accompanied by abdominal pain; grind into coarse powder before boiling and taking.
Another Formula: Yunqi San (Qi Regulating Powder)
Composition: Jiegeng (Platycodonis Radix, stir-fried, 2 liang), Chenpi (Citri Reticulatae Pericarpium, remove white pith, 1 liang), Huixiang (Foeniculi Fructus, stir-fried), Suosharen (Amomi Fructus Rotundus, stir-fried, each 5 qian), Gancao (Radix Glycyrrhizae, roasted, 4 qian), Jiangtan (Zingiberis Rhizoma Carbonisatum, 2.5 qian).
Grind into fine powder. Take 0.5 qian or 1 qian per dose, mixed with plain boiled water.
[Formula Song] Yunqi San is indicated for external cold invasion, presenting with scrotal swelling/pain and profuse sweating. It contains Jiegeng, Chenpi, roasted Gancao, Huixiang, Jiangtan, and Suosharen.
Another Formula: Baiqianniu San (White Morning Glory Powder)
Composition: Baiqianniu (Semen Pharbitidis Album, half raw, half cooked), Gancao (Radix Glycyrrhizae, roasted), Juhong (Citri Reticulatae Pericarpium Rubrum), Baizhu (Atractylodis Macrocephalae Rhizoma, soil-stir-fried), Sangbaipi (Mori Cortex, Mutong (Akebiae Caulis), each 1 qian).
Decoct in water and take.
[Formula Song] Baiqianniu San combines Gancao and Juhong, with Baizhu, Sangbaipi, and Mutong. It treats scrotal swelling accompanied by limb swelling, able to expel heat accumulation and blockage in the Bladder.
Another Formula: Wuling San (Five-Ingredient Powder with Poria)
Composition: Baizhu (Atractylodis Macrocephalae Rhizoma, soil-stir-fried), Chifuling (Poria Cum Radix Pini Rossei, each 1.5 qian), Zhuling (Poria, Zexie (Alismatis Rhizoma, each 1 qian), Guixin (Cortex Cinnamomi Cassiae, 0.5 fen).
Decoct in water and take.
[Formula Song] Wuling San adds Baizhu and Guixin; Chifuling clears Heart fire pathogenic factors; Zhuling and Zexie promote diuresis to separate fluids. Harmonizing the zang-fu organs, its efficacy is praiseworthy.
Another Formula: Lixiaosan (Instant Resolution Powder)
Composition: Chixiaodou (Vigna Semen Adzuki), Fenghuaxiao (Natrii Sulfas Efflorescens), Chishao (Paeoniae Radix Rubra), Zhike (Aurantii Fructus Immaturus, bran-stir-fried), Shanglu (Phytolaccae Radix). All ingredients should not be exposed to fire; sun-dry and grind into powder, each 5 qian.
Decoct dried leaves of Platanus orientalis (or similar side tree leaves as per context, likely referring to a specific local herb or typo for Ce Bai Ye/Cupressus leaf, but literal translation used) in water, let cool, mix with powder, and apply to the swollen area.
[Formula Song] Lixiaosan treats scrotal swelling and pain caused by wind-cold-damp-heat toxicity. It consists of Chixiaodou and Fenghuaxiao, with Chishao and Zhike ground together adding Shanglu.
Another Formula: Daochi Tang (Guide Out Redness Decoction) (See section on Mouth Ulcers in the Oral Section)