儿才生。毕迟。或断脐晚者。令见冒冷。故寒中之也。又先断脐。后洗浴。则水气得入之。或洗时水气所干。亦为
中寒之候。其证腹中绞痛。夭矫啼呼。面青黑。尿清白。当以当归末为粉。着于絮上。灸而熨脐腹。日日频熨。至啼止
脐干为度。仍不可灸令大热。恐引惊也。
初生洗浴断脐 包。革秽污。下脐粪都了。经日不饮乳。及不小便者。此因难产。或包裹举迟。中寒。或被风邪微
干。伤动藏气所致。有此候者。多为撮口。治不可稍缓。
通关散
治初生儿不饮乳。及不小便。 以石银器中贮奶汁二合。入四破葱白一寸。煎取一合。注子分灌之。服尽立效。
儿自初生。至七日内外。忽然面青。啼声不出。口撮唇紧。不能哺乳。口青色。吐白沫。四肢逆冷。乃脐风撮口之
证也。此由儿初生剪脐。不定伤动。或风湿所乘。其轻则病在皮肤。而为脐疮不瘥。其重则病入腑脏。而为脐风撮口。
亦如大人因破伤而感风。则牙关噤而口撮。不能入食。身硬。四肢厥逆。与此候颇同。故谓之
脐风撮口。乃最恶之病也。千金有曰。小儿忽患脐风撮口者。百无一活。皆坐视而毙。良可悯恻。有一法极验。但世罕
有知者。凡遇其患。则看儿齿龈上有小泡子如米状。急以温水蘸熟绵子。裹手指。轻轻擦破。即便口开而安。
又法。视小儿口中上下龈间。若有白色如豆大许。便以指甲于当中掐之。自外达内。令匝至。微有血出亦不妨。又
于白处两边尽头。亦根据此掐令内外气断。不必直破入指甲矣。恐太甚则伤儿。此二法相类。子母秘录云。于掐破处以蜈
蚣末敷之。大良。及有治方集之后。
治小儿断脐之后。不慎照管。致风湿所乘。令儿不能乳哺。名曰脐风。宜速疗之。不久则为撮口也。
当归（去须半两洗焙） 天浆子（去壳三个微炒） 乱发（一钱烧灰）
上为细末。入麝香一字许。时时敷脐。
又方
黄柏（锉） 釜下墨煤 乱发（烧灰存性）
上各等分。同为细末。用一字或半钱敷之。
金两黄散
治小儿脐疮不瘥。因风传变。欲为撮口。或为发痫者。
川黄连（去须一分为末） 胡粉（一钱研） 龙骨（一钱 红研）
上同为细末。每用少许敷之。时时用。
定命散
治小儿剪脐中风。唇青撮口。吐白沫。四肢冷。
赤足蜈蚣（半条酒炙令干） 川乌头尖（三个生） 麝香（少许）
上为末。入麝研匀。每服半字。煎金银薄荷汤调灌。
治小儿初生撮口
蛇蜕皮（一分微炒） 钩藤（一分） 干蝎梢（一分以上先细末） 朱砂（一分别研水飞） 麝香（半钱别研） 真
牛黄（半钱别研）
上同研细。拌匀再研。每服一字。取竹沥一二点。同乳汁调灌下。一方只蛇蜕朱砂麝香各一分。每用半字。
津调涂口中。日五七次。
又方 以盐豉置脐上灸之。
又方 以夜合花枝浓煎汁。拭口并洗。
又方 于儿口傍。先刺令见血。碎雀瓮（即天浆子）汁涂之。
又方 生捣鼠妇。并雀瓮汁相和。调涂抹口中。渐渐乳。得效。鼠妇乃湿生虫也。
When the infant is just born, if the umbilical cord is cut late or bathing is delayed after cutting, exposure to cold may cause Cold invasion of the Middle Jiao (pathogenic cold invading the spleen and stomach). Additionally, if the cord is cut before bathing, water dampness may enter the body; or if exposed to water vapor during bathing, it also presents as signs of Cold invasion. The symptoms include severe colicky pain in the abdomen, twisting and crying out, cyanotic and dark complexion, and clear, colorless urine. One should use powder made from Angelicae Sinensis Radix (Danggui) applied on cotton wool, performing moxibustion and hot compress on the umbilicus and abdomen. This should be done frequently daily until the crying stops and the umbilicus dries. However, one must avoid excessive heat from moxibustion to prevent inducing convulsions.
After bathing and cutting the umbilical cord of a newborn, if the swaddling clothes become soiled, and after the umbilical cord falls off, the infant does not drink milk or urinate for several days, this is caused by difficult labor, delayed movement of swaddling causing cold invasion, or slight exposure to wind pathogens damaging the Zang-Fu Qi. Infants with these signs often develop Lockjaw (Neonatal Tetanus). Treatment must not be delayed.
Tongguan San: Treats newborns who do not suckle or urinate. Store two he of milk in a silver vessel, add four pieces of scallion white (one cun each), decoct to obtain one he of liquid, and administer in divided doses. Immediate effect is observed after completion of the dose.
Within seven days after birth, if an infant suddenly presents with a cyanotic face, inability to cry, puckered lips and mouth, inability to suckle, perioral cyanosis, vomiting of white foam, and cold extremities, these are signs of Umbilical Wind and Lockjaw. This results from improper cutting of the umbilical cord at birth causing injury, or invasion by wind-damp pathogens. Mild cases involve the skin, manifesting as non-healing umbilical ulcers; severe cases involve the internal organs, resulting in Umbilical Wind and Lockjaw. This is similar to adults suffering from tetanus due to wound infection, presenting with trismus, puckered mouth, inability to eat, rigidity, and cold extremities. Hence it is called Umbilical Wind and Lockjaw, which is the most malignant disease. *Qianjin Fang* states that among infants suddenly afflicted with Umbilical Wind and Lockjaw, fewer than one in a hundred survive, leading to death through inaction, which is truly pitiable. There is a highly effective method rarely known today. Upon occurrence, examine the infant's gums for rice-grain-sized blisters. Quickly dip a piece of cooked cotton in warm water, wrap it around a finger, and gently rub the blister until it breaks; the infant will immediately open their mouth and calm down.
Another method: Observe the upper and lower gums for white spots the size of a bean. Pinch the center with a fingernail, working from outside to inside in a circle, allowing slight bleeding. Also pinch the edges of the white spot to cut off internal and external qi flow, without piercing too deeply to avoid harming the infant. These two methods are similar. *Zimu Milu* records applying Centipede Powder (Wugong) to the punctured area for great efficacy. Relevant formulas are listed later.
Treating Neonatal Tetanus caused by improper care after cord cutting leading to wind-damp invasion, preventing suckling. It must be treated promptly, otherwise it progresses to Lockjaw.
Formula: Radix Angelicae Sinensis (Danggui) (remove roots, half liang, wash and dry); Tianjiangzi (remove shells, three pieces, lightly stir-fry); Human Hair (Luanfa) (one qian, burn to ash).
Grind into fine powder, add a small amount of Moschus (Shexiang), and apply to the umbilicus frequently.
Another Formula: Cortex Phellodendri (Huangbai) (cut); Fu Xia Mei Mei (soot from pot bottom); Human Hair (Luanfa) (burn to ash, retain nature).
Equal parts, grind together into fine powder. Apply one zi or half a qian to the affected area.
Jinliang Huang San: Treats non-healing umbilical ulcers in infants where wind pathogen transmission leads to Lockjaw or epilepsy.
Radix Coptidis (Chuanhuanglian) (remove roots, one fen, grind to powder); Hu Fen (lead carbonate, one qian, grind); Long Gu (fossil bone, one qian, red grind).
Grind together into fine powder. Apply a small amount to the site frequently.
Dingming San: Treats neonatal tetanus caused by wind invasion after cord cutting, presenting with cyanotic puckered lips, vomiting white foam, and cold limbs.
Scolopendra (Wugong) (half a strip, wine-processed until dry); Rhizoma Aconiti Lateralis Preparata (Chuan Wutou) tip (three pieces, raw); Moschus (Shexiang) (small amount).
Grind into powder, mix evenly with Moschus. Take half a zi, decoct Silver and Gold Mint Tang, and administer.
Treating Neonatal Lockjaw:
Ophichthys Skin (Shetui) (one fen, lightly stir-fried); Uncaria Rhynchophylla (Gouteng) (one fen); Dry Scorpion (Gan Xie Shao) (one fen, above ground parts first ground to fine powder); Cinnabar (Zhusha) (separately ground, water-sedimented); Moschus (Shexiang) (half a qian, separately ground); Real Bovine Calculus (Niuhuang) (half a qian, separately ground).
Grind together finely, mix well, and grind again. Take one zi per dose. Mix with one or two drops of Bamboo Sap (Zhuli) and breast milk, then administer. Another prescription uses only Ophichthys Skin, Cinnabar, and Moschus, one fen each. Take half a zi, mix with saliva, and apply to the mouth five to seven times daily.
Another Method: Place Salted Fermented Soybeans (Yanchi) on the umbilicus and moxibustion.
Another Method: Decoct branches of Albizia julibrissin (Yehua) strongly, use the juice to wipe the mouth and wash.
Another Method: Prick the sides of the infant's mouth until blood appears, then apply juice from crushed Scolopendra (Tianjiangzi).
Another Method: Crush fresh Geophilus (Shufu) and mix with Scolopendra juice, apply to the mouth. Gradually resume suckling for effectiveness. Geophilus is an insect generated in damp environments.