梦生
小儿初生，不能发声，谓之梦生，多不知救，深为可悯！勿
断脐带，用火炙其胞衣，使暖气入儿腹，更以热汤蒸洗脐带，取猫一只，以布袋裹其头足，拿住猫头，向儿耳
边，以口啮猫耳，猫叫一声，儿即醒而开声。○又有因产难，或冒风寒生下，儿气欲绝，不能啼者，亦以前法。
更令父母以口气呵而接之。（陈飞霞）
不啼
小儿初生气绝，不能啼者，必是难产或冒寒所致。急以棉絮包抱怀中，未可便断脐带，将胞衣置炉中烧之，
仍拈大纸条，蘸油点火，于脐带下熏之，盖脐带连儿，熏时则火气由脐入腹，更以热醋汤，荡洗脐带，须臾气
回啼哭，方可断脐。○儿生不啼哭，不吞乳，奄奄如死者，急看喉间，悬壅、上 有小泡，用指摘破，以帛拭去
恶血，即能出声吞乳。（《三因方》）
不乳
不乳，谓初出胞胎，不吮乳也。其故有二，不可不辨∶儿生，腹中脐粪未下，能令小儿腹满气短，呕吐不
乳，当用一捻金治之。若因母过食寒凉，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。（《医宗金鉴》）
眼不开
儿生眼闭呻吟者，因受胎热所致。宜用天竺黄散，并与母吃，复以竹筒煎汤洗眼。或以熊胆化水洗眼，一
日七次。（《证治准绳》）
不小便
儿生不尿者，因在胎时，母恣食啖，热毒之气，流入胎中，是以生而脐腹肿胀，小便不出。如脐四旁有青
黑色及口撮者，即不可救；如未有青黑色，但不饮乳者，宜服葱乳汤，贴豆豉膏。（《证治准绳》）
不大便
俗名锁肚。由胎中受热，热毒壅盛，结于肛门，闭而不通。急令妇人漱口，吮咂儿前后心，并脐下、手足
心，共七处，凡四、五次。以轻粉半钱，蜜少许，温水化开，时时服之，以通为度。
如更不通，即是肛门内合，当以物通之。急以金玉簪尖，看其的处，刺穿作孔，以苏合香丸作挺，纳入孔中，
粪出为快。若肚腹膨胀，不乳呻吟，一七，难望生也。（《证治准绳》）
噤风
初生儿须防三病∶一撮口；二着噤；三脐风。皆急病也，着噤尤甚，过一腊方免。其候∶牙关紧急，吃乳
不稳，啼声渐小，口吐涎沫。急看儿上 ，有点子，先以指甲轻轻掐破，次服定命散、辰砂全蝎散；如口噤不
开，服药不效者，用生南星去皮脐研末，龙脑少许，合和，用指蘸生姜汁，于大牙根上擦之，立开。凡脐风、
撮口、噤风，三者虽异，其受病之原则一也。大抵里气郁结，壅闭不通，并宜煎豆豉汁与吃，取下胎毒。（《圣惠方》）
撮口
外证舌强唇青，面目黄赤，气息喘急，啼声不出，饮乳有妨。若口出白沫、四肢冷者，不可救疗，其或肚
胀青筋，吊卵引痛，此皆肠胃郁结不通所致，治贵疏利，宜辰砂膏。初生七日后乃免。（李仲南）
婴儿胎气挟热，亦因母有邪热传染，或生下洗浴当风，致令啼声不出，乳哺艰难，名曰撮口。病在七日之
内尤甚，急风散主之。（张涣）
小儿口频撮者，气不和也。盖唇应乎脾，气出于肺，脾虚不能生肺，故口频撮。异功散补脾生肺为良。（陈飞霞）
初生小儿，鹅口、撮噤，并是出胎客风着颅、脐所致。以小艾灸三壮，及烙之，愈。（《颅囱经》）
脐风
脐风者，谓断脐之后，被水湿风冷所乘，侵于脐中，流入心脾，遂令腹胀脐肿，身体重着，肢强，多啼不
能吮乳，甚则发搐。若脐边青黑，撮口不开，是为内搐，不治；爪甲黑者，即死；其或热在胸膛，伸缩努气，
亦令脐肿。治宜龙胆汤主之。（孙思邈）
此证受病之原，皆缘胎毒。大概里气壅滞，总宜取下胎毒为好，不可因循。古方天麻丸、定命丹、朱银丸，
可量与之，虽危多活。每见脐风、撮口，七日内见之，百难一生。（《赤水玄珠》）
此证宜先用控痰散吐风痰，次用益脾散和脾，再用辰砂膏利惊。若手足挛拳、口噤不开者，不治。（《类萃》）
儿初生一七日内，患脐风撮口，百无一效。有一妙法，看儿龈上，有小泡如粟米状，以温水蘸绵裹指，轻
轻擦破，不药神效。（《三因方》）
古人之论脐风，皆谓由于水湿风冷所致。予则以为古论犹未尽也。盖脐风有内、外二因，有可治、不可治
之别。外因者，风湿所伤；内因者，禀赋之真阳不足也。凡男子之命阳不足者，生子必有脐风。其外因者，病
发于二、三、四、五日之间，病生于六腑，故可治；内因者，必发于六、七日之间，病生于五脏，故不可治。
但看小儿，不时喷嚏，更多啼哭，吮乳口松，是真候也。（陈飞霞）
垂痈
小儿出胎六七日，舌上有物，如芦箨盛水状者，名曰垂痈。以绵缠长针，留刃处如粟米大，刺令去血。消
息一日，未消者，又刺之，三刺自消。有着舌下者，名重舌；着上 者，名重 ；着齿龈上者，名重龈。皆刺
去血。刺后，盐汤洗拭，用如圣散，或壹字散糁刷。（《千金方》）
舌证
微露即收，名弄舌；伸长收缓，名吐舌。弄舌者，脾脏有热，致令舌络牵紧，时时伸出，用泻黄散。或饮
水者，脾胃虚而津液少也；兼面黄肌瘦，五心烦热者，疳也，用胡连丸。大病未已，而弄舌者，凶。（《小儿直诀》）
舌肿硬粗大满口，名木舌，由风热盛也。不急治，则塞杀人，宜服泻黄散、玉露饮，以消黄散擦之。有小
舌附于舌下，名重舌，
以蒲黄敷之，内服当归连翘汤。盖舌者心之苗，心热则生疮破裂，肝壅则血出如涌，脾闭则白胎如雪。总宜凉
散上焦及心、肝、脾三经邪热为主。（初虞世）
鹅口
儿初生，口里白屑满舌，如鹅之口，故名。由在胎受谷气盛，心脾热气熏发于口。治用井花水拭之，黄丹
出火气，糁之。不效，煮栗 汁，以绵缠指拭之。○《简要》∶用牙硝细研，于舌上糁之，日三、五度。○
《秘录》∶用桑皮汁和腻粉敷之。（《证治准绳》）
脐湿 脐疮 脐突
婴儿脐中肿湿，经久不瘥，若至百日，即危。宜急治之，用枯矾、龙骨，等分为末，入麝少许，揩拭脐干。
糁药时，切须避风。（滑伯仁）
绛帛灰敷脐中。○干虾蟆、牡蛎各一枚，烧灰研敷。○破屋上烂草为末，频糁，效。（《证治准绳》）
浴儿水入脐中，或尿湿绷袍，致脐肿烂成疮。或解脱，风袭经络，则成风痫。若脐肿不干，久则发搐。（《巢氏病原》）
脐突，因儿初生洗浴，系脐不紧，秽水浸入，旬日外，脐忽光浮如吹，治宜白芍药汤加苡仁，另用外消散
涂贴，自平。（曾氏）
胎惊
胎惊者，其候∶月内壮热，翻眼握拳，噤口切牙，身腰强直。涎潮呕吐，搐掣惊啼，腮缩囟开，或颊赤，
或面青眼合。凡胎风眼合，不可误作慢惊而用温药。先宜解散风邪，利惊化痰。（王肯堂）
百日内发搐∶真者，不过两、三次必死；假者，频发不死。真者，内生惊痫；假者，外伤风冷。（钱仲阳）
月里生惊，取猪乳研辰砂、牛黄各少许，调拭口中，神效。（田氏）
如无猪乳，以活蚌剖开，取水数匙，服之即效。
胎痫
胎痫者，因未产前腹中被惊，或母食酸咸过多，或为七情所汨，致伤胎气，儿生百日内有者是也。发时，
气逆痰作，目上视，身反张，啼声不出。先用参苏饮和解，次以不惊丹或琥珀抱龙丸间投。轻者可愈，重者难
全。（曾氏）
胎热
胎热者，因母孕时食热物过多，令儿生下体热面赤，口中气热，焦啼燥渴，或二便不通，以木通散煎与母
服，使入于乳，儿饮渐解。勿求速效，以凉药攻之，致呕吐而成大患，慎之。（《寿世保元》）
胎寒
胎寒者，乳母孕时受寒，生下再感外邪，令儿面白肢冷，大便青黑，口冷腹痛，身起寒栗等证，宜当归
散治之。（《寿世保元》）
胎肥
胎肥者，生下肌肉肥浓，遍身血色红，盈月后，渐渐羸瘦，目白睛红，五心烦热，大便难，时时生涎，宜
浴体法。（《证治准绳》）
胎怯
胎怯者，生下面无精光，肌薄便白，身无血色，哽气多哕，目无神采，亦宜浴体法。（《证治准绳》）
胎黄
胎黄者，因乳母受热而传于胎，儿生遍体面目皆黄，状如金色，身上壮热，大便不通，小便如栀子汁，乳
食不思，啼哭不止，宜地黄汤主之。（《寿世保元》）
胎赤
胎赤者，因孕妇过食辛热之物，以致毒热凝结，蕴于胞中，遂令小儿生下头面肢体赤若丹涂，故名胎赤。
当以清热解毒汤主之；热盛便秘者，蒋氏化毒丹主之。（《医宗金鉴》）
无皮
婴儿生下无皮，其证有二∶或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；又有因月分未足，生育太早，遍体浸渍，红嫩而光。二证俱属恶候。遗毒者，内服换肌消毒散；
外用清凉膏或鹅黄散敷之。胎元不足者，内服当归饮；外用稻米粉扑之。（《医宗金鉴》）
小儿初生，其身有如汤泡火伤者，此皆产母过食膏粱所致也。母服清胃散，儿亦饮数匙。有身无皮肤而
不赤者，由产母脾气不足也，宜用粳米粉敷之；若 赤发热者，由产母胃中火盛也，宜用石膏粉敷之。
《经》云∶脾主肌肉，肺主皮毛。故知病在脾肺也。（《证治准绳》）
赤游风
小儿赤游风证，多由胎中毒热而成，或生后过于温暖，毒热蒸发于外，以至皮肤赤热而肿，色若丹涂，
游走不定，行于遍身，故名曰赤游风。多发于头面四肢之间，若内归心腹，则死。治法当服犀角解毒饮；如不
愈，继以蓝叶散。外用砭法，刺出毒血。毒甚者，敷以神功散；毒轻者，不用敷药。在百日内者，小儿忌砭血，
以其肌肉难任也。须用猪肉贴法，或以赤小豆末、鸡子清调涂之，甚效。（《医宗金鉴》）
附方
一捻金 大黄、人参、黑丑、白丑、槟榔各等分。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。共为细末，每五分，红枣汤调服。
天竺黄散 治惊热、重舌、口疮、赤眼等证。天竺黄、郁金、甘草、牙硝各半两，朱砂一分，蝉蜕十四
个，麝香少许。共为细末，每服半钱，蜜汤调下。
葱乳汤 治初生不尿。葱白三、四寸，四破之，以乳汁半盏
煎灌。
豆豉膏 黑豆一勺，田螺十九个，葱一大把。右捣烂，芭蕉汁调，贴脐下。
定命散 治初生口噤不乳。蝉蜕二十七枚，全蝎二十七个。上为细末，入轻粉少许，和研，乳汁调服一字。
辰砂全蝎散 治初生口噤。辰砂半钱，全蝎二十个，硼砂、龙脑、麝香各一字。上为细末，乳母唾调，
涂唇里龈上，或猪乳调少许，入口内。
辰砂膏 辰砂三钱，硼砂、牙硝各一钱，元明粉二钱，珍珠一钱，麝香一字。上为细末，用浓油纸包封，
自然成膏。每一豆许，薄荷汤下。月内婴儿，用乳汁调涂奶上，令吮下。
急风散 蛇蜕皮、钩藤、蝎梢、朱砂各一分，麝香、牛黄各半钱。右味研为细末。每一字，取竹沥同乳汁调下。
龙胆汤 治胎惊、脐风、撮口、壮热。龙胆草、钩藤、柴胡、黄芩、桔梗、赤芍、茯苓、甘草各五钱，蜣螂、
大黄各一分。合研细末，枣汤调服少许。
天麻丸 利惊下痰，吊肠、锁肚、撮口通用。天麻、白附子、牙硝、全蝎、五灵脂各一钱，南星二钱，轻
粉五分，巴霜二钱半。糊丸，麻子大。每十丸，薄荷汤化下。
朱银丸 治胎风，壮热痰盛，眼翻口噤，取下胎毒。朱砂、水银（蒸枣研泥）、全蝎、南星各一钱，白附
子钱半，天浆子、芦荟、牛黄各五钱，铅霜五分，僵蚕十个，冰片一字，麝香少许。蜜丸。
控痰散 蝎尾、铜青各半钱，朱砂一钱，腻粉一字，麝香少许。上为细末，每一字，腊茶调下。
如圣散 铅粉、牛黄各一钱，朱砂、太阴元精各二钱半，龙
脑五分。前四味研细，再入龙脑和匀。每用一字，糁儿口中。
一字散 朱砂、硼砂各钱半，龙脑、朴硝各一字。上为细末，蜜调少许，鹅翎蘸刷口内。
胡连丸 治热疳。胡黄连、黄连各五钱，朱砂、芦荟、麝香各二钱。前三味为末，填入猪胆内，线扎，悬
挂铫中，水煮数沸，取出，研入芦荟、麝香，饭丸，麻子大。每服一、二十丸，米饮下。
当归连翘汤 当归、连翘、白芷各三钱，大黄、甘草各一钱。水煎，食后服。
玉露饮 寒水石五钱，石膏六钱，生甘草一钱。上为细末，每三、五分及一钱，食后温汤调服。
白芍汤 白芍一两半，泽泻七钱半，炙甘草二钱，上肉桂一钱半。上味 咀，每二钱，水煎，空心温服。
外消散 治初生脐突。大黄、牡蛎各半两，朴硝二钱。前二味锉末，入朴硝同杵匀；取大田螺一枚，水
半碗，活一宿；抄药末一钱，用螺水调涂肿处，即消。其螺放之，勿害。
不惊丹 治因惊气逆作搐，常服疏风顺气，自不作惊。茯神五钱，蝎梢五十尾，南星、淡豉各五钱，枳壳
一两，芜荑二钱。前五味为末，再同芜荑杵匀，醋煮，糯米粉糊丸，粟谷大。周岁每服三十丸，米汤下。
Dream Birth
When a newborn cannot make a sound after birth, it is called "Dream Birth" (Meng Sheng). People often do not know how to rescue them, which is deeply pitiable! Do not cut the umbilical cord. Burn the placenta with fire to allow warm air to enter the infant's abdomen. Then, wash the umbilical cord with hot water. Take one cat, wrap its head and feet in a cloth bag, hold the cat's head, and bring it near the infant's ear. Bite the cat's ear so that the cat cries once; the infant will then wake up and make a sound. ○ In cases where the infant cannot cry due to difficult labor or exposure to wind-cold at birth, causing the vital energy to be on the verge of extinction, use the above method. Additionally, have the parents blow breath into the infant's mouth to reconnect the qi. (Chen Feixia)
Non-Crying
If a newborn has no breath and cannot cry, it must be caused by difficult labor or exposure to cold. Immediately wrap the infant in cotton wool and hold them close to the chest. Do not cut the umbilical cord immediately. Burn the placenta in a stove. Take a large paper strip, dip it in oil, light it, and smoke the area below the umbilical cord. Since the umbilical cord connects to the infant, the fire's qi enters the abdomen through the navel during smoking. Then, rinse the umbilical cord with hot vinegar water. After a moment, when the qi returns and crying begins, the umbilical cord can be cut. ○ If an infant does not cry, does not swallow milk, and appears lifeless, quickly check the throat. If there are small blisters on the uvula or hard palate, puncture them with a fingernail, wipe away the bad blood with a cloth, and the infant will be able to vocalize and swallow milk. (*San Yin Fang*)
Failure to Suckle
"Failure to suckle" refers to the inability to suck milk immediately after birth. There are two causes, which must be distinguished: If the infant has not passed meconium, leading to abdominal distension, shortness of breath, vomiting, and refusal to suckle, treat with *Yinian Jin* (One-Pinch Gold Decoction). If the cause is the mother consuming too much cold-cooling food, affecting the fetal qi, the infant will likely suffer from abdominal pain, excessive crying, and a cyan-white complexion; treat primarily with *Yunqi San* (Harmonizing Qi Powder). If there is cold reversal of the four limbs, treat with *Lizhong Tang* (Regulate the Middle Decoction). (*Yizong Jinjian*)
Eyes Not Opening
If an infant is born with eyes closed and groaning, it is caused by heat received during conception. Use *Tianzhu Huang San* (Calamine Powder) and have the mother consume it. Also, wash the eyes with decoction from a bamboo tube. Alternatively, wash the eyes with water dissolved with bear bile, seven times a day. (*Zhengzhi Zhunsheng*)
No Urination
If an infant does not urinate after birth, it is because the mother indulged in dieting during pregnancy, allowing heat-toxin qi to flow into the fetus. Consequently, the infant is born with swelling around the navel and abdomen and cannot urinate. If there is cyan-black discoloration around the navel and the mouth is puckered, it is incurable. If there is no cyan-black discoloration but the infant refuses milk, administer *Congru Tang* (Scallion and Milk Decoction) and apply *Douchi Gao* (Fermented Soybean Paste). (*Zhengzhi Zhunsheng*)
No Defecation
Commonly known as "Locked Belly" (Suo Du). It is caused by heat in the womb, where excess heat-toxin accumulates and blocks the anus, preventing passage. Quickly have a woman rinse her mouth and suck the infant's anterior chest, posterior back, below the navel, and palms/soles of feet—seven areas in total—for four or five sessions. Dissolve half a qian of Calomel (Qingfen) with a little honey in warm water, and administer frequently until bowel movement is achieved.
If still obstructed, it indicates internal closure of the anus, requiring physical intervention. Use the tip of a gold/jade hairpin to locate the exact spot, pierce a hole, and insert a suppository made from *Suhe Xiang Wan* (Styrax Pill). Relief comes with fecal expulsion. If the abdomen is distended, the infant refuses milk and groans, survival is unlikely after seven days. (*Zhengzhi Zhunsheng*)
Jin Feng (Lockjaw Wind)
Newborns must be guarded against three diseases: Puckered Mouth (Cuo Kou), Lockjaw (Zhe Jin), and Umbilical Wind (Qi Feng). All are acute conditions, with Lockjaw being the most severe, lasting over a lunar month. Symptoms include: tight jaw, unstable feeding, diminishing cry, and foaming at the mouth. Quickly check the upper palate for spots. First, gently puncture with a fingernail. Then administer *Ming San* (Life-Determining Powder) or *Chensha Quanxie San* (Cinnabar and Whole Scorpion Powder). If the jaw remains locked and medication fails, use raw *Nanxing* (Arisaema Rhizome) peeled and powdered, mixed with a little Longnao (Borneol). Dip a finger in ginger juice and rub the gums; the mouth will open immediately. Although Qi Feng, Cuo Kou, and Jin Feng differ in presentation, their pathological principle is the same: internal qi stagnation and blockage. Generally, decoct fermented soybean juice for the infant to drink to expel fetal toxins. (*Shenghui Fang*)
Cuo Kou (Puckered Mouth)
External signs include a stiff tongue, cyan lips, yellow-red face, rapid breathing, inability to cry, and difficulty feeding. If white foam issues from the mouth and limbs are cold, it is incurable. If the abdomen is distended with visible veins, and the testicles are drawn up causing pain, these are all caused by gastrointestinal stagnation and blockage. Treatment prioritizes unblocking and draining; use *Chensha Gao* (Cinnabar Paste). The condition resolves after seven days. (Li Zhongnan)
Infant fetal qi carrying heat, also caused by maternal pathogenic heat transmission, or exposure to wind during bathing after birth, leads to inability to cry and difficulty feeding, named Cuo Kou. It is particularly severe within seven days; treat with *Jifeng San* (Urgent Wind Powder). (Zhang Huan)
Frequent puckering of the mouth in children indicates disharmony of qi. The lips correspond to the Spleen, and qi originates from the Lung. Spleen deficiency fails to generate Lung qi, causing frequent puckering. *Yigong San* (Beneficial Work Powder) tonifies the Spleen to generate Lung qi effectively. (Chen Feixia)
Newborns with Goose Mouth (E Kou), Cuo Kou, and Lockjaw are affected by external wind attacking the head and navel upon birth. Moxibustion with three cones and cauterization can cure it. (*Lunao Jing*)
Qi Feng (Umbilical Wind)
Qi Feng occurs when, after cutting the umbilical cord, water-dampness and wind-cold invade the navel, flowing into the Heart and Spleen. This causes abdominal distension, swollen navel, heavy body, limb stiffness, excessive crying, inability to suckle, and potentially convulsions. If the navel edge is cyan-black and the mouth is puckered shut, it is internal convulsion and is untreatable; black nails indicate death. If heat is in the chest, causing straining and extension, it also causes navel swelling. Treat primarily with *Longdan Tang* (Gentian Decoction). (Sun Simiao)
The root of this disease lies in fetal toxins. Generally, internal qi stagnation requires expelling fetal toxins promptly without delay. Ancient formulas such as *Tianma Wan* (Gastrodia Pill), *Ming Dan* (Life-Determining Elixir), and *Zhu Yin Wan* (Cinnabar-Silver Pill) can be given酌情; even critical cases often survive. However, Qi Feng and Cuo Kou appearing within seven days have a mortality rate of nearly 100%. (*Chishui Xuanzhu*)
This condition should first be treated with *Kongtan San* (Expel Phlegm Powder) to vomit wind-phlegm, then *Yipi San* (Benefit Spleen Powder) to harmonize the spleen, and finally *Chensha Gao* (Cinnabar Paste) to calm fright. Hand/foot curling and locked jaw are untreatable. (*Leicui*)
Within seven days of birth, if Qi Feng or Cuo Kou occurs, medications are rarely effective. A miraculous method: check the infant's gums for millet-sized blisters. Dip a cotton-wrapped finger in warm water and gently rub them open; this yields divine results without medicine. (*San Yin Fang*)
Ancient theories attribute Qi Feng solely to water-dampness and wind-cold. I believe this is incomplete. Qi Feng has internal and external causes, distinguishing between treatable and untreatable cases. External causes involve wind-damp injury; internal causes involve congenital deficiency of True Yang. Men with deficient Mingmen Yang inevitably produce infants with Qi Feng. External causes manifest between days 2-4, affecting the Six Fu organs, thus treatable. Internal causes manifest between days 6-7, affecting the Five Zang organs, thus untreatable. Key indicators include frequent sneezing, excessive crying, and loose sucking reflex. (Chen Feixia)
Chui Yong (Drooping Abscess)
Six to seven days after birth, if there is a substance on the tongue resembling a reed sheath holding water, it is called Chui Yong. Wrap a long needle in cotton, leaving only a millet-sized blade exposed, and prick to bleed. Observe for one day; if unresolved, prick again. Three pricks resolve it. Those under the tongue are called Chong She (Double Tongue); those on the hard palate are called Chong E (Double Palate); those on the gums are called Chong Yin (Double Gingiva). All require pricking to bleed. After pricking, rinse with salt water and apply *Rusheng San* (Like Sage Powder) or *Yizi San* (One Character Powder). (*Qianjin Fang*)
Tongue Manifestations
Briefly extending and retracting the tongue is called Nong She (Playing Tongue); extending slowly and retracting is called Tu She (Spitting Tongue). Nong She is caused by heat in the Spleen, tightening the tongue meridians, causing frequent extension; treat with *Xiehuang San* (Drain Yellow Powder). Drinking water excessively indicates Spleen-Stomach deficiency and scanty fluids. Combined with sallow complexion, emaciation, and five-palm heat, it is Guan Syndrome (Wasting-Thirst); treat with *Hulian Wan* (Picrorhiza Pill). Nong She appearing during a serious illness is ominous. (*Xiao'er Zhijue*)
Swollen, stiff, coarse tongue filling the mouth is called Mu She (Wood Tongue), caused by excess wind-heat. Untreated, it causes suffocation and death. Take *Xiehuang San* and *Yulu Yin* (Jade Dew Drink), and apply *Xiaohuang San* externally. A small tongue attached under the main tongue is Chong She (Double Tongue); apply Pulverized Polygonum (Puhuang) internally take *Danggui Lianqiao Tang* (Angelica and Forsythia Decoction). The tongue is the sprout of the Heart; Heart heat causes ulcers and rupture; Liver stagnation causes gushing blood; Spleen closure causes white coating like snow. Generally, prioritize dispersing heat from the Upper Jiao and the Heart, Liver, and Spleen meridians. (Chu Yushi)
E Kou (Goose Mouth)
Newborns with white debris covering the tongue, resembling a goose's mouth, get this name. It is caused by excessive grain qi in utero, with Heart-Spleen heat steaming into the mouth. Wipe with well water. Apply calcined Minium (Hongdan) to remove fire toxicity. If ineffective, boil walnut shell juice and wipe with cotton-wrapped fingers. ○ *Jianyao Fang*: Grind Nitrum (Yaxiao) finely and sprinkle on the tongue, 3-5 times daily. ○ *Milu*: Mix Mulberry bark juice with Calomel (Nifen) and apply. (*Zhengzhi Zhunsheng*)
Qi Shi, Qi Chuang, Qi Tu
Infant navel swelling and dampness, persisting untreated, becomes critical by 100 days. Treat urgently with equal parts Calcined Alum (Kufan) and Dragon Bone powder, add a little Musk, and wipe the navel dry. Avoid wind when applying medicine. (Hua Boren)
Apply ash from crimson silk to the navel. ○ Ash from dried toad and Oyster Shell (Muli), each one piece, burned and powdered for application. ○ Powder from rotten grass on old roofs, applied frequently, is effective. (*Zhengzhi Zhunsheng*)
Bathwater entering the navel, or urine wetting the swaddling clothes, causes navel swelling and ulceration. If bandages loosen, wind invades the meridians, causing Wind Epilepsy. Persistent navel swelling may lead to convulsions. (*Chaoshi Bingyuan*)
Qi Tu (Navel Protrusion): Caused by loose umbilical tying during bathing, allowing dirty water to infiltrate. After ten days, the navel suddenly protrudes smoothly like an inflated bladder. Treat with *Baishaoyao Tang* (White Peony Decoction) plus Coix Seed, and apply *Waixiao San* (External Resolution Powder) topically. It will flatten naturally. (Zeng Shi)
Tai Jing (Fetal Fright)
Symptoms: High fever within the first month, rolling eyes, clenched fists, lockjaw, teeth grinding, rigid torso. Saliva flooding, vomiting, convulsions, frightened crying, retracted cheeks, open fontanelle, red cheeks, or cyan face with closed eyes. Fetal wind causing closed eyes must not be mistaken for Slow Convulsion and treated with warming medicines. First, disperse wind-pathogens and clear fright/phlegm. (Wang Kentang)
Convulsions within 100 days: True cases die after 2-3 episodes; false cases recur but do not kill. True cases are internal Fright-Epilepsy; false cases are external Wind-Cold injury. (Qian Zhongyang)
For fright in the first month, mix Pig Milk with Cinnabar (Zhensha) and Realgar (Niuhuang), and wipe inside the mouth. Divine effect. (Tian Shi)
If pig milk is unavailable, cut open a live clam, take several spoons of water, and administer. Effective.
Tai Xian (Fetal Epilepsy)
Caused by fright to the abdomen before birth, excessive sour/salty intake by the mother, or emotional disturbance damaging fetal qi. Occurs within 100 days after birth. Symptoms: Rebellious qi, phlegm production, upward gaze, opisthotonos, inability to cry. First use *Rensu Yin* (Ginseng and Perilla Drink) to harmonize, then alternate *Bu Jing Dan* (No-Fright Elixir) or *Hupo Baolong Wan* (Amber Embracing Dragon Pill). Mild cases recover; severe cases may not fully heal. (Zeng Shi)
Tai Re (Fetal Heat)
Caused by the mother consuming too many heating foods during pregnancy. The infant is born with body heat, red face, hot breath, irritability, thirst, and constipation/dysuria. Decoct *Mutong San* (Akebia Powder) for the mother to drink, allowing medicinal properties to pass through breast milk. Do not seek quick results by using cold purgatives on the infant, which may cause vomiting and major complications. Be cautious. (*Shoushi Baoyuan*)
Tai Han (Fetal Cold)
Caused by the nursing mother catching cold during pregnancy, followed by external pathogen invasion after birth. Symptoms: Pale face, cold limbs, green-black stool, cold mouth, abdominal pain, shivering. Treat with *Danggui San* (Angelica Powder). (*Shoushi Baoyuan*)
Tai Fei (Fetal Obesity)
Born with thick, fleshy muscles and ruddy complexion. After one month, gradually becomes emaciated, with red sclera, five-palm heat, difficult defecation, and salivation. Treat with Bathing Method (Medicated Bath). (*Zhengzhi Zhunsheng*)
Tai Qie (Fetal Frailty)
Born with dull complexion, thin skin, pale stools, lack of ruddiness, gasping, frequent hiccups, and listless eyes. Also treat with Bathing Method. (*Zhengzhi Zhunsheng*)
Tai Huang (Fetal Jaundice)
Caused by maternal heat transmitting to the fetus. Infant born with full-body jaundice (golden color), high fever, constipation, urine like gardenia juice, poor appetite, and incessant crying. Treat primarily with * Dihuang Tang* (Rehmannia Decoction). (*Shoushi Baoyuan*)
Tai Chi (Fetal Redness)
Caused by the pregnant mother eating excessive spicy/hot foods, leading to toxic heat accumulation in the uterus. The infant is born with red skin on the head, face, and limbs, resembling cinnabar application. Treat primarily with *Qingre Jiedu Tang* (Clear Heat and Resolve Toxicity Decoction). For heat excess with constipation, use Jiangshi Huadu Dan (Jiang's Detoxification Elixir). (*Yizong Jinjian*)
Skinless
Two types of newborns born without skin: 1. Congenital Syphilis (Yangmei Jiedu) transmitted from parents, causing red rot on upper or lower body, sometimes turning purple-black. 2. Premature birth, causing whole-body immersion, red, tender, and shiny skin. Both are malignant prognoses. For Syphilis residue: Internally take *Huanji Xiaodu San* (Transform Skin and Eliminate Toxin Powder); externally apply *Qingliang Gao* (Cooling Paste) or *Ehuang San* (Goose Yellow Powder). For insufficient fetal origin: Internally take *Danggui Yin* (Angelica Drink); externally dust with Rice Flour. (*Yizong Jinjian*)
Newborns with skin resembling burns/scalds are caused by the mother's excessive consumption of rich/greasy foods. Mother takes *Qingwei San* (Clear Stomach Powder); infant drinks a few spoonfuls. Newborns with no skin but not red are due to maternal Spleen Qi deficiency; apply Rice Flour. Those who are red and febrile are due to maternal Stomach Fire excess; apply Gypsum Powder.
The *Classic* states: Spleen governs muscles, Lung governs skin/hair. Thus, the disease is in the Spleen and Lung. (*Zhengzhi Zhunsheng*)
Chi You Feng (Red Roaming Wind)
Caused by fetal toxic heat or excessive warmth after birth, causing toxic heat to evaporate outward. Skin becomes red, hot, and swollen, resembling cinnabar, wandering unpredictably across the body. Common on head/limbs; if it enters the Heart/Abdomen, death ensues. Treat with *Xijiao Jiedu Yin* (Rhino Horn Detoxification Drink); if ineffective, follow with *Lanye San* (Isatis Leaf Powder). External treatment uses Bian Fa (Bloodletting with stone needle) to drain toxic blood. Severe toxicity applies *Shengong San*; mild cases need no paste. Infants under 100 days contraindicate bloodletting due to fragile muscles. Use Pork Slice Method or paste of Adzuki Bean Powder and Egg White. Very effective. (*Yizong Jinjian*)
Attached Formulas
**Yinian Jin** (One-Pinch Gold): Rhubarb, Ginseng, Black Morning Glory Seed, White Morning Glory Seed, Areca Nut in equal parts. Powder. Take a small amount, mixed with honey water.
**Yunqi San** (Harmonizing Qi Powder): Tangerine Peel, Platycodon Root 1 qian each; Fried Ginger, Amomum Fruit, Honey-fried Licorice 5 fen each; Costus Root 3 fen. Powder. Take 5 fen, mixed with Red Date soup.
**Tianzhu Huang San** (Calamine Powder): For Fright-Heat, Double Tongue, Mouth Ulcers, Red Eyes. Calamine, Curcuma, Licorice, Nitrum 0.5 liang each; Cinnabar 1 fen; Cicada Slough 14 pieces; Musk a little. Powder. Take 0.5 qian, mixed with honey water.
**Congru Tang** (Scallion and Milk Decoction): For newborn non-urination. Scallion white 3-4 cun, split into four. Decoct with half cup of milk and灌 (administer).
**Douchi Gao** (Fermented Soybean Paste): Black Soybean 1 spoon, Fresh Water Snail 19 pieces, Scallion 1 bunch. Pound together, mix with Banana Juice, apply below navel.
**Ming San** (Life-Determining Powder): For newborn lockjaw/refusal to suckle. Cicada Slough 27 pieces, Whole Scorpion 27 pieces. Powder, add little Calomel, mix. Administer 1 "Yizi" dose mixed with milk.
**Chensha Quanxie San** (Cinnabar and Whole Scorpion Powder): For newborn lockjaw. Cinnabar 0.5 qian, Whole Scorpion 20 pieces, Borax, Borneol, Musk each 1 "Yizi". Powder. Mix with mother's saliva, apply to inner lip/gums, or mix with little pig milk and put in mouth.
**Chensha Gao** (Cinnabar Paste): Cinnabar 3 qian, Borax, Nitrum 1 qian each, Mirabilite 2 qian, Pearl 1 qian, Musk 1 "Yizi". Powder, seal in thick oiled paper to form paste naturally. Take bean-sized amount, down with Mint Tea. For infants <1 month, mix with milk, apply to nipple for sucking.
**Jifeng San** (Urgent Wind Powder): Snake Slough, Uncaria, Scorpion Tail, Cinnabar 1 fen each; Musk, Realgar 0.5 qian each. Powder. Take 1 "Yizi", mix with Bamboo Sap and milk.
**Longdan Tang** (Gentian Decoction): For Fetal Fright, Qi Feng, Cuo Kou, High Fever. Gentian Root, Uncaria, Bupleurum, Scutellaria Root, Platycodon Root, Red Peony Root, Poria, Licorice 5 qian each; Dung Beetle, Rhubarb 1 fen each. Powder. Take little, mixed with Jujube soup.
**Tianma Wan** (Gastrodia Pill): For calming fright, descending phlegm, treating Intestinal Twisting, Locked Belly, Cuo Kou. Gastrodia, Typhonium Rhizome, Nitrum, Whole Scorpion, Trogopterus Dung 1 qian each; Arisaema 2 qian, Calomel 5 fen, Croton Seed 2.5 qian. Paste pills, size of hemp seed. Take 10 pills, dissolve in Mint Tea.
**Zhu Yin Wan** (Cinnabar-Silver Pill): For Fetal Wind, High Fever, Excess Phlegm, Eye Rolling, Lockjaw, Expelling Fetal Toxin. Cinnabar, Mercury (steamed jujube paste), Whole Scorpion, Arisaema 1 qian each; Typhonium 1.5 qian; Tianjiangzi, Aloe, Realgar 5 qian each; Lead Frost 5 fen; Silkworm 10 pieces; Borneol 1 "Yizi"; Musk a little. Honey pills.
**Kongtan San** (Expel Phlegm Powder): Scorpion Tail, Verdigris 0.5 qian each; Cinnabar 1 qian; Calomel 1 "Yizi"; Musk a little. Powder. Take 1 "Yizi", down with aged tea.
**Rusheng San** (Like Sage Powder): Lead Powder, Realgar 1 qian each; Cinnabar, Taiyin Yuanjing 2.5 qian each; Borneol 5 fen. Grind first four, mix with Borneol. Sprinkle 1 "Yizi" into infant's mouth.
**Yizi San** (One Character Powder): Cinnabar, Borax 1.5 qian each; Borneol, Glauber Salt 1 "Yizi" each. Powder. Mix little honey, brush mouth with goose feather.
**Hulian Wan** (Picrorhiza Pill): For Heat Guan. Picrorhiza, Coptis 5 qian each; Cinnabar, Aloe, Musk 2 qian each. Powder first three, fill into Pig Gallbladder, tie, hang in pot, boil briefly. Remove, grind in Aloe/Musk. Rice pills, size of hemp seed. Take 10-20 pills, down with rice water.
**Danggui Lianqiao Tang** (Angelica and Forsythia Decoction): Angelica, Forsythia, Angelica Dahurica 3 qian each; Rhubarb, Licorice 1 qian each. Decoct, take after meals.
**Yulu Yin** (Jade Dew Drink): Antimonite 5 qian, Gypsum 6 qian, Raw Licorice 1 qian. Powder. Take 3-5 fen to 1 qian, warm water after meals.
**Baishaoyao Tang** (White Peony Decoction): White Peony Root 1.5 liang, Alisma 7.5 qian, Honey-fried Licorice 2 qian, Cinnamon Bark 1.5 qian. Chop, take 2 qian, decoct, take warm on empty stomach.
**Waixiao San** (External Resolution Powder): For newborn Qi Tu. Rhubarb, Oyster Shell 0.5 liang each; Glauber Salt 2 qian. Powder first two, mix with Glauber Salt. Take 1 large snail, soak in half bowl water overnight. Mix 1 qian powder with snail water, apply to swelling. Releases snail alive.
**Bu Jing Dan** (No-Fright Elixir): For convulsions from rebellious fright qi. Prevents future fright. Spirit Polyga Root 5 qian, Scorpion Tail 50 tails, Arisaema, Fermented Soybean 5 qian each; Aurantium 1 liang, Myrobalan 2 qian. Powder first five, mix with Myrobalan, boil in vinegar, pill with glutinous rice flour, size of millet. One year old: take 30 pills, down with rice soup.