论曰新生小儿,既断脐之后,脐疮未愈,不可外犯风邪,及浴水入疮,湿冷 抱。皆
致脐风,其候脐肿多啼,甚则风行百脉,口噤不乳,身体反强,乃致不救。
治小儿初生至七日,脐风发,肿欲落者,锦灰散方
锦帛(烧灰微存性一钱) 雄鼠粪(微炒七枚) 大枣(去核三分) 麝香(研少许)
上四味,捣研为散,看脐欲落不落,即用药封之。切忌外风入。
治小儿初生,断脐了,便敷此散,免一腊内脐风。天浆散方
天浆子(三枚) 乱发(烧灰存性半钱) 蜈蚣(二寸烧灰) 羚羊角(烧灰一钱) 麝
香(一
上五味,研令匀细,才割脐了,使用少许敷之。
治小儿脐风。白龙散方
天浆子(有虫者一枚) 白僵蚕(直者炒一枚)
上二味,捣罗为散,入腻粉少许,以薄荷自然汁调灌之,取下毒物神效,量儿大小,分
作二服,亦得。
治小儿脐风肿。神灰散方
雄鼠粪(七枚两头尖者是) 干姜(枣大一块) 甑带(一团) 绯绵 胡粉(炒如金
色) 白
上六味,存性烧为灰,相和细研,加少许麝香为散,看脐欲落不落,即封脐便瘥。如未
患敷之,终不患也,烧药时,不得令有别灰入。
治小儿脐风久不瘥,肿出汁者。牡蛎散方
牡蛎(一枚) 虾蟆(一枚)
上二味,并烧为灰,细研如粉,每以少许,敷脐中、甚验。
治小儿着脐风汁出。当归散方
当归(切焙半两) 甘草(炙锉一分) 铅丹(研半分)
上三味,除铅丹外,捣为散,入铅丹合研令匀,以敷脐中、瘥。
治小儿脐风,汁出不止。黄柏散方
黄柏(去粗皮一两半) 釜底黑煤(研三分) 乱发(灰研一分)
上三味,先捣黄檗为末,入二味合研令匀,敷脐中,瘥。
又方
当归(切焙)
上一味,捣罗为末,时敷之。
治襁褓中小儿脐风撮口。法
上视小儿上下龈。当口中心处,若有白色如豆大,此病发之候也,急以指爪正当中掐
之,自外达内,掐令匝,微血出,亦不妨,又于白处两尽头,亦根据此掐,令内外断。应手当
愈。
Commentary states: After the umbilical cord is severed in a newborn, if the umbilical wound has not yet healed, one must prevent external invasion of Wind pathogenic factors and avoid allowing bathwater to enter the wound, thereby preventing dampness and cold from retaining within the body. These conditions can all lead to Umbilical Tetanus (Qifeng). The manifestations include swelling of the umbilicus and excessive crying. In severe cases, Wind pathogenic factors may disseminate through the meridians, resulting in trismus (lockjaw), inability to suckle milk, and opisthotonos (backward arching of the body), which may ultimately prove fatal and incurable.
For treating Umbilical Tetanus occurring within seven days after birth, characterized by umbilical swelling and impending separation of the cord, use Jin Gao San (Brocade Ash Powder):
Jinbo (Burned Ash of Silk Brocade, 1 qian) Xiongshufen (Excrement of Male Mouse, slightly stir-fried, 7 pieces) Dazao (Jujube, pitted, 3 fen) Shexiang (Musk, ground, a small amount)
Grind these four ingredients into a powder. Observe whether the umbilical cord is about to fall off but has not yet done so, and apply the powder to seal the umbilicus. Strictly avoid exposure to external Wind.
To prevent Umbilical Tetanus within the first month after birth, apply this powder immediately after severing the umbilical cord. Use Tianjiang San (Sky Pulp Powder):
Tianjiangzi (Sky Pulp Seeds, 3 pieces) Luangfa (Tangled Hair, burned to ash preserving its nature, 0.5 qian) Wugong (Centipede, 2 cun, burned to ash) Lingyangjiao (Antelope Horn, burned to ash, 1 qian) Shexiang (Musk, a small amount)
Grind these five ingredients into a fine, uniform powder. Immediately after cutting the umbilical cord, apply a small amount topically.
For treating Umbilical Tetanus in infants, use Bailong San (White Dragon Powder):
Tianjiangzi (with larva inside, 1 piece) Baijiangcan (White Silkworm, straight ones, stir-fried, 1 piece)
Grind these two ingredients into a powder, add a small amount of Nifen (Calomel/Calamine), and mix with natural juice of Bohe (Peppermint) for administration. This effectively expels toxic substances. Divide the dose according to the infant's size into two administrations.
For treating Umbilical Tetanus with swelling, use Shen Hui San (Divine Ash Powder):
Xiongshufen (Excrement of Male Mouse, 7 pieces, those with pointed ends are authentic) Ganjiang (Dried Ginger, a piece the size of a jujube) Zengdai (Steamer Cloth, a ball) Feimian (Red Silk Floss) Hufen (Lead Carbonate, stir-fried until golden) [Text incomplete here]
Burn these six ingredients to ash while preserving their medicinal properties, mix and grind finely, add a small amount of Musk, and prepare as a powder. Apply to seal the umbilicus when the cord is about to separate; this will cure the condition. If applied prophylactically before onset, the disease will not occur. During the burning process, ensure no other impure ashes are mixed in.
For treating chronic Umbilical Tetanus that does not heal, with oozing fluid, use Muli San (Oyster Shell Powder):
Muli (Oyster Shell, 1 piece) Xama (Toad, 1 piece)
Burn both ingredients to ash, grind finely into a powder. Apply a small amount to the umbilicus each time; this is highly effective.
For treating Umbilical Tetanus with oozing fluid, use Danggui San (Angelica Sinensis Powder):
Danggui (Radix Angelicae Sinensis, sliced and dried, 0.5 liang) Gancao (Radix Glycyrrhizae, roasted and cut, 1 fen) Qiandan (Minium, ground, 0.5 fen)
Except for Minium, grind the other three ingredients into a powder. Add Minium and mix thoroughly. Apply to the umbilicus to achieve cure.
For treating Umbilical Tetanus with continuous oozing, use Huangbai San (Phellodendron Bark Powder):
Huangbai (Cortex Phellodendri, bark removed, 1.5 liang) Fudiheimei (Soot from the bottom of the cauldron, ground, 3 fen) Luangfa (Tangled Hair, burned to ash and ground, 1 fen)
First grind Huangbai into powder, then mix with the other two ingredients uniformly. Apply to the umbilicus to achieve cure.
Another prescription:
Danggui (Radix Angelicae Sinensis, sliced and dried)
Grind this single ingredient into a powder and apply frequently.
Method for treating Umbilical Tetanus with mouth puckering (Cuokou) in swaddled infants:
Inspect the infant's upper and lower gums. If there is a white spot, the size of a bean, at the center of the mouth, this indicates the onset of the disease. Immediately pinch this spot firmly with fingernails, moving from outside to inside, completing a full circle. Slight bleeding is acceptable. Also pinch the two extremities of the white spot using the same method to cut off the internal and external connections. The patient should recover promptly.