胎瘤者。初生头背胸乳间。肿起如梅如李如馒头者。乃胎中瘀滞也。候盈月外。方可刺之。出赤汁而安
内服五福化毒丹。
脐疮因水湿伤脐所致。久不愈则发搐。由风邪外袭也。恐变风痫。用干虾蟆烧灰敷之。或加枯矾。或再
加龙骨。或旧绵烧灰当头末等分。加麝香少许掺之。
脐突者。肿赤虚大也。由胎母失养。儿受积热所致。宜调其母。清其热。不必敷治。恐反为害。如旬日外。忽
肿如吹。不赤。捻动微响。或惊悸作啼者。宜白芍药汤加薏苡仁。外以外消散敷之。
白芍药汤 治脐突及冷疝腹疼。
白芍药（一两） 泽泻（五钱） 甘草（一钱二分） 薄桂（去粗皮三钱为粗末）
每服二钱。水一钟。煎六分。空心服。脐下痛加钩藤、生姜、食盐。
外消散 治脐突叫啼。及感湿热。阴器肤囊浮肿者。
大黄 牡蛎（各五钱） 朴硝（二钱）
为末。用田螺洗净。再以清水半碗养之。过宿。取水调药涂之。其螺仍放水中。勿害方效。
阴器肤囊肿者。车前子煎汤。候冷调敷。
阴肿者为阴囊肿大也。古谓之脱囊。由久坐阴湿之地。为风寒所袭也。间有怒叫气闭。结聚于下者。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，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。橘核煎汤。调匀
气散主之。囊肿及四肢俱肿。二便不利者。膀胱蕴热。风热相乘也。三白散主之。女儿阴户肿胀者。心热
相传也。木通散、导赤散。或五苓散、用薏苡仁、车前子煎汤调服。俱外敷立消散。
桃仁丸 治坐感阴湿。或因怒气闭。
桃仁（七钱五分去皮尖麸炒微黄） 丹皮 白蒺藜（微炒去刺） 桂心（各五钱） 牵牛（头末二钱五分）
为末。蜜丸黍米大。每服十丸。黄酒送下。
乌梅散 治腹痛脐下痛。疝气等症。
乌梅肉 玄胡索 粉甘草（半生半炙各五钱） 钩藤 没药 乳香（各二钱五分）
为粗末。每服二钱。用水一钟。煎七分服。
匀气散 治气滞不和冷疝腹痛。
桔梗（二两炒） 陈皮（去白一两） 砂仁 茴香（各五钱） 粉草（炙四钱） 白姜（炮二钱
五分）
为末。每服五分或一钱。如调气。用滚水下。如腹痛疝痛。用烧盐汤下。
三白散 治囊肿肢肿。及大小便不利。
桑白皮 白术 白丑（半生半熟） 陈皮（去白） 木通（去皮） 甘草（炙各一钱）
水煎服。
立消散 治膀胱久受热毒。以致阴器肤囊赤肿胀痛。
赤小豆 赤芍药 枳壳 商陆 风化硝（各五钱俱不见火晒为末）
用柏叶煎汤。候冷调涂。
腊茶散 治阴囊生疮。疼痛出水。久不愈者。
腊茶 文蛤（各五钱） 腻粉（少许）
为末。先用葱、椒煎汤洗之。次以香油调敷。或紫苏叶煎汤洗之。及紫苏末掺之托之。
地龙散 治阴囊肿大。
甘草煎汁。调地龙末涂之。
Tumor of the fetus refers to a swelling that appears on the head, back, chest, or between the breasts immediately after birth, resembling a plum, a li fruit, or a steamed bun in shape. This is caused by blood stasis stagnating during fetal development. It should only be punctured with a needle after the infant has reached one month of age; once red fluid is discharged, the condition will stabilize. Internally administer Wufu Huadu Dan (Five Blessings Detoxifying Pill).
Umbilical ulcer is caused by water-dampness injuring the umbilicus. If it persists without healing, it may trigger convulsions due to external invasion by wind pathogen, raising concern of transformation into wind-epilepsy. Apply ash from dried toad burned to cinders to the affected area. Alternatively, add calcined alum, or further add dragon bone. Another option is to mix equal parts of ash from old cotton and the medication, adding a small amount of musk powder for application.
Umbilical herniation presents as swelling, redness, and flaccid enlargement. It results from maternal neglect in nourishment, leading to accumulated heat affecting the fetus. The mother's constitution should be regulated, and internal heat cleared. External applications are unnecessary and may cause harm. However, if after ten days the swelling suddenly resembles inflation without redness, producing a slight sound upon palpation, accompanied by fright and crying, Baishao Yao Tang (White Peony Root Decoction) with Coicis Semen (Yiyiren, 薏苡仁) should be administered. Externally apply Waixiaosan (External Dissolving Powder).
Baishao Yao Tang: Treats umbilical herniation and cold hernia-induced abdominal pain.
Ingredients: Radix Paeoniae Alba (Baishao, 白芍药, 1 liang), Rhizoma Alismatis (Zexie, 泽泻, 5 qian), Radix Glycyrrhizae Preparata (Gancao, 甘草, 1.2 qian), Cortex Cinnamomi Tenuis (Bo Gui, 薄桂, 3 qian, coarse bark removed, crushed).
Usage: Take 2 qian per dose, decoct with one zhong of water until reduced to six-tenths. Take on an empty stomach. For pain below the umbilicus, add Uncaria rhynchophylla (Gouteng, 钩藤), fresh ginger, and salt.
Waixiaosan: Treats crying due to umbilical herniation and edema of the scrotal skin bag caused by damp-heat.
Ingredients: Radix et Rhizoma Rhei (Dahuang, 大黄), Concha Ostreae (Muli, 牡蛎, 5 qian each), Natrii Sulfas (Puxiao, 朴硝, 2 qian).
Preparation: Grind into fine powder. Wash a field snail thoroughly, keep it in half a bowl of clear water overnight. Collect the water the next day to mix with the powder for topical application. Return the snail to the water unharmed for efficacy.
Scrotal skin bag cyst: Decoct seeds of Plantago asiatica (Cheqianzi, 车前子), cool the liquid, and apply topically.
Yin swelling refers to enlargement of the scrotum, historically termed "tuonang" (scrotal detachment). It is caused by prolonged sitting in cold, damp places, leading to invasion by wind-cold pathogens. Occasionally, anger and shouting cause qi closure, resulting in accumulation in the lower body; Taoren Wan (Peach Kernel Pill) is the primary treatment. If cold pathogen lodges in the Jueyin and Shaoyin meridians, symptoms include scrotal swelling and pain, abdominal pain, cold sweats, and retraction of the testes into the abdomen, returning only when pain subsides; this is called "neidiao" (internal hanging). Wumei San (Olive Powder) and Yunqi San (Qi-Balancing Powder) are indicated. If the penis is completely retracted and invisible, or if there is non-retracted but shiny, dry-free, painless scrotal swelling, this indicates deficiency of liver and kidney qi; decoct Juglandis Semen Pericarpium (Juhe, 橘核) to take with Yunqi San. If scrotal and limb swelling occur alongside difficulty in urination and defecation, it is due to heat accumulation in the bladder combined with wind-heat; Sanbai San (Three Whites Powder) is indicated. For female infants with vulvar swelling, caused by transmission of heart heat, Mutong San (Akebia Powder), Daochi San (Directing Red Powder), or Wuling San (Five-Ling Powder) taken with decoctions of Coicis Semen (Yiyiren, 薏苡仁) and Plantaginis Semen (Cheqianzi, 车前子) are suitable. All these conditions can be treated externally with Lixiaosan (Instant Dissolving Powder).
Taoren Wan: Treats conditions caused by sitting in dampness or qi closure due to anger.
Ingredients: Semen Persicae (Taoren, 桃仁, 7.5 qian, peeled, tips removed, bran-fried to light yellow), Cortex Moutan (Danpi, 丹皮), Fructus Tribuli (Bajili, 白蒺藜, 5 qian each, lightly fried, thorns removed), Cortex Cinnamomi (Guixin, 桂心, 5 qian), Semen Kochiae (Qianniu, 牵牛, 2.5 qian, first-run powder).
Preparation: Grind into powder, form pills with honey the size of millet seeds. Take 10 pills per dose with yellow wine.
Wumei San: Treats abdominal pain, periumbilical pain, and hernia.
Ingredients: Fructus Mume Carnis (Wumei Rou, 乌梅肉), Rhizoma Corydalis (Yanhusuo, 玄胡索), Radix Glycyrrhizae Preparata (Fen Gancao, 粉甘草, 5 qian each, half raw half roasted), Uncaria rhynchophylla (Gouteng, 钩藤), Resina Myrrhae (Moyao, 没药), Resina Olibani (Ruxiang, 乳香, 2.5 qian each).
Preparation: Crush into coarse powder. Take 2 qian per dose, decoct with one zhong of water until reduced to seven-tenths.
Yunqi San: Treats cold hernia and abdominal pain due to qi stagnation and disharmony.
Ingredients: Radix Platycodi (Jiegeng, 桔梗, 2 liang, fried), Pericarpium Citri Reticulatae (Chenpi, 陈皮, 1 liang, white pith removed), Fructus Amomi (Sharen, 砂仁), Fructus Foeniculi (Huixiang, 茴香, 5 qian each), Radix Glycyrrhizae Preparata (Fen Cao, 粉草, 4 qian, roasted), Rhizoma Zingiberis Preparatum (Bai Jiang, 白姜, 2.5 qian, processed).
Preparation: Grind into powder. Take 5 fen or 1 qian per dose. For regulating qi, take with boiling water. For abdominal or hernia pain, take with salt-water broth.
Sanbai San: Treats scrotal and limb swelling, and difficulty in urination and defecation.
Ingredients: Cortex Morus Albae (Sangbaipi, 桑白皮), Rhizoma Atractylodis Macrocephalae (Baizhu, 白术), Semen Kochiae (Baichou, 白丑, 5 qian each, half raw half cooked), Pericarpium Citri Reticulatae (Chenpi, 陈皮, 5 qian, white pith removed), Caulis Akebiae (Mutong, 木通, 5 qian, bark removed), Radix Glycyrrhizae Preparata (Gancao, 甘草, 5 qian, roasted).
Preparation: Decoct in water and take orally.
Lixiaosan: Treats chronic heat-toxin in the bladder causing red, swollen, painful scrotal skin bags.
Ingredients: Semen Phaseoli Angularis (Chixiaodou, 赤小豆), Radix Paeoniae Rubra (Chishaoyao, 赤芍药), Fructus Aurantii (Zhike, 枳壳), Radix Phytolaccae (Shanglu, 商陆), Natrii Sulfas Exsiccatus (Fenghua Xiao, 风化硝, 5 qian each, not heated, sun-dried, ground).
Preparation: Decoct leaves of Platycladus orientalis (Baiye, 柏叶), cool the liquid, and mix with powder for topical application.
Lachasan: Treats sores on the scrotum with pain and discharge that persist for a long time.
Ingredients: Tea from the twelfth lunar month (Lacha, 腊茶), Concha Meretricis et Cyclinae (Wenge, 文蛤, 5 qian each), Calomelas (Nifen, 腻粉, a small amount).
Preparation: Grind into powder. First wash the area with decoction of scallion and pepper, then apply mixed with sesame oil. Alternatively, wash with Perillae Folium (Zisu Ye, 紫苏叶) decoction and sprinkle Perillae Folium (Zisu Mo, 紫苏末) powder.
Dilong San: Treats scrotal swelling.
Preparation: Decoct Radix Glycyrrhizae (Gancao, 甘草) to make juice, mix with powder of Earthworm (Dilong, 地龙), and apply topically.