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Tian Diao (Sky Hook) belongs to Yang patterns, while Nei Diao (Inner Hook) belongs to Yin patterns.

Tian Diao is characterized by high fever, palpitations with fright, upward deviation or abnormal movement of the eyes, and clonic spasms of the hands and feet. The infant may cry or laugh intermittently, displaying unpredictable emotions. In severe cases, the fingernails turn cyanotic, resembling a state of demonic possession. This condition typically arises because the nursing mother consumes excessive alcohol and meat, generating noxious heat-toxin qi that enters the breast milk. Upon ingestion by the infant, this causes heat in the Heart and Lung, leading to phlegm stagnation and qi obstruction. Compounded by external wind-pathogen invasion, these factors result in this disease. The treatment principle is to resolve wind-heat, after which the condition will heal.

Nei Diao presents with abdominal pain, frequent crying, black lips, scrotal swelling, flexion of the spine or opisthotonos, and red veins with petechiae at the corners of the eyes. This is caused by the accumulation and binding of cold pathogenic factors, combined with wind-stroke due to fright. The Classics state: "In Nei Diao, the chest is elevated, symptoms may gradually subside intermittently, and red vessels are visible at the outer canthus of the eye." This occurs because the fetus was exposed to wind and fright in the womb. Initially, there are internal spasms of the five zang organs causing extreme pain and frantic screaming, or accompanied by diarrhea and drawing up of the legs, enduring pain while crying. After the internal syndrome subsides, external spasms reappear. With internal and external pathogens attacking simultaneously, management is extremely difficult. However, medications must be differentiated for internal and external aspects: for internal symptoms, Ju Bao Wan (Treasure Treasure Pill), Gouteng Gao (Uncaria Paste), and Wei Xiang San (Wei Fragrant Powder) are administered; for external convulsions, Gouteng Yin (Uncaria Decoction) and Bao Ming Wan (Life-Preserving Pill) are used. Crucially, the infant must be able to suckle breast milk for recovery. Although rare, some infants recover from this disease. Yang Shi Ru Xiang Wan (Yang's Frankincense Pill) and Mu Xiang Wan (Aucklandia Pill) are essential remedies.

Ju Bao Wan: See Ju Bao Dan (Treasure Treasure Pill) in Question 16.

Gouteng Gao (Uncaria Paste): Treats severe abdominal pain in infants, dry crying without tears, and constipation, known as Pan Chang Nei Diao (Coiled Intestine Inner Hook).
Ingredients: Ruxiang (Frankincense Resin), Moyao (Myrrh), Muxiang (Aucklandia Root), Jianghuang Pian (Turmeric Rhizome Slices) (each 1 qian); Muguzi (Strychnos Nux-vomica Seed) (de-oiled, 3 seeds).
Preparation: Grind all ingredients into fine powder. Form pills the size of an Euryale seed (Qianshi) using honey. To administer, grind half a pill in Gouteng Tang (Uncaria Decoction), mix with honey, and give orally. Use this medication first to relieve pain, then follow with Wei Xiang San.

Wei Xiang San (Wei Fragrant Powder)
Ingredients: Ezhu (Curcuma Zedoary Rhizome) (5 qian); Awei (Asafoetida Resin) (2 qian).
Preparation: Dissolve Awei in warm wine first, soak Ezhu for one day and night, then bake until dry and grind into powder. Administer mixed with Perilla Rice Decoction.

Gouteng Yin (Uncaria Decoction): Treats infant nocturnal crying due to coldness of the viscera. Yin qi prevails at night, causing cold to move; when cold moves, it leads to restlessness due to extreme yin, and pain due to excess cold, resulting in incessant nocturnal crying. The primary formula is Gouteng San (Uncaria Powder). If due to fright-crying, add Chan Tui (Cicada Slough), Fang Feng (Saposhnikovia Root), and Tianma (Gastrodia Rhizome). Gouteng San is described in Question 16, and Chan Tui Gouteng Yin (Cicada Uncaria Decoction) in Question 20; consult these for appropriate application based on symptoms.
Ingredients: Gouteng Gou (Uncaria Rhynchophylla with Hooks), Fushen (Poria with Hostwood), Fuling (Poria), Chuanxiong (Ligusticum Chuanxiong Rhizome), Danggui (Angelica Sinensis Root), Muxiang (Aucklandia Root), Gancao (Licorice Root), Baishao Yao (White Peony Root) (each 1 qian).
Preparation: Grind into powder. Take 1 qian per dose, decoct briefly with fresh ginger and jujube, and drink. If the infant has heart-heat causing irritability and crying, signs such as facial redness, white tongue coating, and dark, scanty urine will be present. In this case, remove Muxiang from Gouteng Yin, add 1 qian of Zhusha Mo (Cinnabar Powder), grind and mix well. Take 1 qian per dose, administered with Mutong Tang (Akebia Decoction), or the powder may be crushed and decocted for oral administration.

Bao Ming Wan (Life-Preserving Pill): See Zhi Sheng Bao Ming Dan (Supreme Life-Preserving Pill) in Question 14.

Ruxiang Wan (Frankincense Pill): Treats wind-stroke with inner hook, abdominal pain, and fright-crying.
Ingredients: Ruxiang (Frankincense Resin) (0.5 qian); Moyao (Myrrh), Chenxiang (Aquilaria Wood) (each 1 qian); Xie Shao (Scorpion Tail Tip) (14 pieces); Jixin Binglang (Chicken-heart Areca Nut) (1.5 qian).
Preparation: Grind into powder. Form pills the size of a Chinese quince seed using refined honey. Take 2 pills per dose, washed down with Changpu Gouteng Tang (Acorus and Uncaria Decoction).

Muxiang Wan (Aucklandia Pill): Treats the same conditions as above.
Ingredients: Ruxiang (Frankincense Resin), Moyao (Myrrh), Quanxie (Whole Scorpion) (each 0.5 qian); Gouteng (Uncaria Rhynchophylla), Bo Shang Huixiang (Imported Fennel Fruit), Muxiang (Aucklandia Root) (each 1 qian).
Preparation: First grind Ruxiang and Moyao separately. Then mix with the powders of the other herbs. Take a small amount of garlic, grind finely, and combine with the herbal mixture to form pills the size of a Chinese quince seed. Take 2 pills per dose, washed down with Gouteng Tang (Uncaria Decoction).