撮如囊口吮乳难，舌强唇青吐沫痰，面色赤黄胎热极，四肢厥冷命难全。痰盛宜用僵蚕散，
便秘须进紫霜丸，惊热龙胆汤极妙，抽搐撮风散自安。
【注】撮口者，口撮如囊口也。吮乳不得，舌强唇青，面色黄赤，乃心脾之热，受自胎
中而然也。其证为危候，急当随证治之。如气高痰盛者，辰砂僵蚕散主之；二便秘结者，
紫霜丸主之；身热多惊者，龙胆汤主之；手足抽搐者，撮风散主之。若更口吐白沫，四
肢厥冷，虽有神丹，终属无济。
辰砂僵蚕散
辰砂（水飞，五分） 僵蚕（直的去系嘴炒，一钱） 蛇蜕皮（炒，一钱） 麝香（五分）
上为末，用蜜调敷唇口。
紫霜丸（方见二便不通）
龙胆汤（方见噤口）
撮风散
赤脚蜈蚣（炙，半条） 钓藤钩（一钱五分） 朱砂（水飞） 直僵蚕（焙） 全蝎尾（各一钱） 麝
香（一字）
上为末，每服一字，竹沥调下。
浴儿不慎水浸脐，或因绷袍湿渍之，脐间淋漓多痛痒，甚则 肿作疮痍，脐湿必用渗脐散，疮肿金
黄散最宜，治疗之法须如此，临证施之不可疑。
【注】儿生洗浴，不可久在水中，任意洗濯。既包裹毕，宜时常留意，勿令尿湿浸脐。
如不知慎，遂致肚脐浸渍不干，名曰脐湿，须以渗脐散敷之。甚则 赤成疮，名曰脐疮，须
以金黄散敷之，庶不致寒湿之气内攻也。
渗脐散
枯矾 龙骨（ ，各二钱） 麝香（少许）
研细末，干撒脐中。
金黄散
川黄连（二钱半） 胡粉 龙骨（ ，各一钱）
上为末敷患处。
The mouth contracts like the opening of a bag, making breastfeeding difficult; the tongue is stiff, lips are cyanotic, and frothy phlegm is expectorated. A red-yellow complexion indicates extreme fetal heat, while cold limbs signal a critical condition with little hope for survival. If phlegm is excessive, Jiangcan San (Silkworm Powder) is appropriate; if constipation occurs, Zishuang Wan (Purple Frost Pill) must be administered; for fright-heat, Longdan Tang (Gentian Decoction) is highly effective; for convulsions, Cufeng San (Wind-Grasping Powder) brings peace.
[Note] "Cufeng" refers to the contraction of the mouth like a bag's opening. Inability to breastfeed, stiff tongue, cyanotic lips, and yellow-red complexion indicate heat in the Heart and Spleen, inherited from the fetus. This syndrome is a critical sign, requiring urgent treatment based on specific symptoms. For cases with Qi rebellion and abundant phlegm, Chensha Jiangcan San (Cinnabar and Silkworm Powder) is the primary formula; for urinary and fecal obstruction, Zishuang Wan (Purple Frost Pill) is used; for body heat and frequent fright, Longdan Tang (Gentian Decoction) is indicated; for limb convulsions, Cufeng San (Wind-Grasping Powder) is applied. If white foam is vomited and limbs become cold, even divine medicines will ultimately be ineffective.
Chensha Jiangcan San (Cinnabar and Silkworm Powder)
Chensha (Cinnabris, water-ground, 5 fen) Jiangcan (Bombyx Batryticatus, straight ones without silk mouths, stir-fried, 1 qian) Shetui (Morpho Butterfly Skin, stir-fried, 1 qian) Shexiang (Moschus, 5 fen)
Grind into fine powder, mix with honey, and apply to the lips and mouth.
Zishuang Wan (Purple Frost Pill) (See formula under "Obstruction of Urination and Defecation")
Longdan Tang (Gentian Decoction) (See formula under "Locked Mouth")
Cufeng San (Wind-Grasping Powder)
Chi Jiao Wu Gong (Scolopendra Subspinipes, roasted, half strip) Gouteng (Uncaria Rhynchophylla, 1.5 qian) Zhusha (Cinnabris, water-ground) Zhi Jiangcan (Bombyx Batryticatus, baked) Quan Xie Wei (Scorpio Tail, each 1 qian) Shexiang (Moschus, 1 zi)
Grind into fine powder. Take 1 zi per dose, washed down with Zhuli (Bamboo Sap).
If bathing the infant is careless and water soaks the umbilicus, or due to wetness from swaddling clothes, the umbilical area drips continuously with pain and itching. Severe cases result in swelling and ulceration. Umbilical dampness (Qi Shi) requires Shenqi San (Umbilical Oozing Powder); umbilical sores and swelling are best treated with Jinhuang San (Golden Yellow Powder). Treatment methods must follow this principle; clinical application should not be doubted.
[Note] After birth, infants should not remain in water for long periods during bathing. After wrapping, care must be taken to prevent urine from soaking the umbilicus. Negligence leads to the umbilicus remaining wet and macerated, termed "Umbilical Dampness" (Qi Shi), which should be treated with Shenqi San (Umbilical Oozing Powder) externally. If it worsens into redness and sores, termed "Umbilical Ulcer" (Qi Chuang), Jinhuang San (Golden Yellow Powder) should be applied to prevent the invasion of Cold-Dampness pathogens into the interior.
Shenqi San (Umbilical Oozing Powder)
Kufan (Alumen, calcined) Longgu (Fossilia Ossis Mastodi et Scapulae, calcined, each 2 qian) Shexiang (Moschus, a small amount)
Grind into fine powder and sprinkle directly into the umbilicus.
Jinhuang San (Golden Yellow Powder)
Chuan Huanglian (Coptidis Rhizoma, 2.5 qian) Hufen (Cerussa) Longgu (Fossilia Ossis Mastodi et Scapulae, calcined, each 1 qian)
Grind into powder and apply to the affected area.