婴儿蕴热在腹中，伸引频频卧不宁，努胀其气冲脐本，虚大光浮脐突成。速服犀角消毒饮
二豆能消肿赤攻，最忌寒凉敷脐上，冰凝毒热反成凶。
【注】婴儿热在腹中，无所发泻，故频频伸引，睡卧不宁，努胀，其气冲入脐间，所
以脐忽肿赤，虚大光浮，名曰脐突。此乃胎热所致，非断脐不利之过也。内服犀角消毒
饮，外敷二豆散，其肿自消。最忌寒凉之药敷于脐上，恐寒凝毒热，反为害也。
犀角消毒饮
牛蒡子（炒研） 生甘草 荆芥 防风 金银花
水煎熟，临服入犀角细末调匀服。
【方歌】犀角消毒牛蒡加，甘草荆防金银花，细研犀角调匀服，脐突能消功最佳。
二豆散
赤小豆（不去皮） 豆豉 天南星（去皮脐） 白蔹（各一钱）
上为细末，用五分芭蕉汁调敷脐四旁，日二次。
断脐不慎起脐风，感受风寒湿水成，将成驱风散最效，已成兼证要分明，腹胀便秘黑白散
，面白肢寒用理中，痰涎壅盛僵蚕散，壮热面赤龙胆清，呕吐多啼益
脾治，唇青撮口撮风平，脐青口噤为不治，一腊逢之命必倾。
【注】脐者，小儿之根蒂也，名曰神阙。穴近三阴，喜温恶凉，喜干恶湿，如断脐悉
遵前法，脐风何自而起？惟不知慎重，以致水湿、风冷之气入于脐中，儿必腹胀脐肿，日
夜啼叫，此脐风之将作也，须急用驱风散治之。若寒邪深入，已成脐风者，又当视其所
兼之形证治之。如肚腹胀硬，大便不通者，风兼实也，黑白散主之；面青肢冷，二便不实
者，风兼虚也，理中汤主之；痰涎壅盛，气高喘急者，风兼痰也，辰砂僵蚕散主之；身
体壮热，面赤口干者，风兼热也，龙胆汤主之；面青呕吐，曲腰多啼者，风兼寒也，益
脾散主之；撮口唇青，抽搐不止者，风兼惊也，撮风散主之。若脐边青黑，口噤不开者，
是为内抽不治。脐风见于一腊者，亦不治。一腊者，七日也。儿生七日，血脉未凝，病已中脏，医之无益。
驱风散
苏叶 防风 陈皮 浓朴（姜炒） 枳壳（麸炒） 木香(煨) 僵蚕（炒） 钓藤钩 生甘草
引用生姜，水煎服。
【方歌】脐风将作用驱风，苏防陈朴枳香从，僵蚕钩藤与甘草，生姜加入更通灵。
黑白散（方见肛门内合）
理中汤（方见不乳）
辰砂僵蚕散（方见撮口）
龙胆汤（方见噤口）
益脾散
白茯苓 人参 草果（煨） 木香（煨） 炙甘草 陈皮 浓朴（姜炒） 紫苏子（炒，各等分）
上为末，每服一钱，姜枣汤调服。
撮风散
Infants harbor heat in the abdomen, frequently extending their limbs and restless in sleep. Straining causes Qi to rush to the root of the umbilicus, resulting in a flaccid, large, shiny, and protruding umbilicus, forming Umbilical Protrusion (Qitu). Quickly administer Xijiao Xiaodu Yin (Rhinoceros Horn Detoxification Decoction).
Erdou San (Two Beans Powder) can reduce swelling and treat redness. It is strictly forbidden to apply cold-natured medicines on the umbilicus; otherwise, the freezing nature will cause the toxic heat to sink inward, leading to ominous consequences.
[Note] When infants have heat in the abdomen that cannot be dispersed or discharged, they frequently extend their limbs and are restless in sleep. Straining causes Qi to rush into the umbilical area, causing the umbilicus to suddenly swell, turn red, become flaccid, large, shiny, and protruding, named Umbilical Protrusion (Qitu). This is caused by fetal heat, not by improper umbilical cord cutting. Internally administer Xijiao Xiaodu Yin (Rhinoceros Horn Detoxification Decoction), externally apply Erdou San (Two Beans Powder), and the swelling will subside naturally. It is strictly forbidden to apply cold-natured medicines on the umbilicus, for fear that cold coagulation will trap the toxic heat, causing further harm.
Xijiao Xiaodu Yin (Rhinoceros Horn Detoxification Decoction)
Babaozi (Fructus Arctii, stir-fried and crushed) Sheng Gancao (Raw Radix Glycyrrhizae) Jingjie (Herba Schizonepetae) Fangfeng (Radix Saposhnikoviae) Jinyinhua (Flos Lonicerae)
Decoct with water until cooked. Before administration, mix in fine powder of Rhinoceros Cornu (Horn of Rhinoceros) evenly and take orally.
[Formula Song] Add Fructus Arctii to Xijiao Xiaodu Yin (Rhinoceros Horn Detoxification Decoction), along with Radix Glycyrrhizae, Herba Schizonepetae, Radix Saposhnikoviae, and Flos Lonicerae. Grind Rhinoceros Horn finely, mix evenly, and take orally; it has the best effect in eliminating Umbilical Protrusion (Qitu).
Erdou San (Two Beans Powder)
Chixiaodou (Fructus Phaseoli Angularis, skin not removed) Douchi (Semen Sojae Praeparatum) Tiannanxing (Rhizoma Arisaematis, skin and navel removed) Bailian (Radix Ampelopsis) (each one qian)
Grind the above into fine powder. Use five fen of juice from Musa basjoo (Banjiao) to mix and apply around the four sides of the umbilicus, twice daily.
Improper umbilical cord cutting leads to Umbilical Wind (Qifeng), caused by contracting wind-cold-damp-water pathogens. For impending onset, Qufeng San (Wind-Expelling Powder) is most effective. If already developed, differentiate the accompanying syndromes clearly: for abdominal distension and constipation, use Heibai San (Black and White Powder); for pale face and cold limbs, use Lizhong Tang (Regulate the Middle Decoction); for copious phlegm-saliva, use Jiangcan San (Bombyx Batryticatus Powder); for high fever and red face, use Longdan Tang (Gentian Decoction); for vomiting and frequent crying, use Yipi San (Benefit the Spleen Powder); for cyanotic lips, mouth contraction, and wind-locking, use Cuofeng San (Mouth-Contracting Wind-Calming Powder). If the umbilical area is cyanotic and the jaw is locked, it is incurable. Contracting Umbilical Wind within one "la" (seven days) after birth ensures death.
[Note] The umbilicus is the root of life for children, named Shenque (CV8). The acupoint is close to the Three Yin meridians; it prefers warmth and dislikes cold, prefers dryness and dislikes dampness. If umbilical cord cutting strictly follows previous methods, how would Umbilical Wind (Qifeng) arise? It arises only from negligence, allowing water-dampness and wind-cold pathogens to enter the umbilicus. The infant will inevitably suffer from abdominal distension, umbilical swelling, and day-and-night crying, indicating the impending onset of Umbilical Wind (Qifeng). Urgently use Qufeng San (Wind-Expelling Powder) for treatment. If cold pathogens penetrate deeply and Umbilical Wind (Qifeng) has already formed, treat according to the accompanying signs and symptoms. For abdominal distension and hardness with unpassable stool, wind combines with excess syndrome; primarily use Heibai San (Black and White Powder). For blueish face and cold limbs with unformed stool and urine, wind combines with deficiency syndrome; primarily use Lizhong Tang (Regulate the Middle Decoction). For copious phlegm-saliva with rapid breathing and panting, wind combines with phlegm syndrome; primarily use Chen Sha Jiangcan San (Cinnabar and Bombyx Batryticatus Powder). For high body fever, red face, and dry mouth, wind combines with heat syndrome; primarily use Longdan Tang (Gentian Decoction). For blueish face, vomiting, bending waist, and frequent crying, wind combines with cold syndrome; primarily use Yipi San (Benefit the Spleen Powder). For cyanotic lips and continuous convulsions, wind combines with fright syndrome; primarily use Cuofeng San (Mouth-Contracting Wind-Calming Powder). If the edge of the umbilicus is dark green/black and the jaw is locked open, this is internal wind-stirring, which is incurable. Umbilical Wind (Qifeng) appearing within seven days ("one la") after birth is also incurable. "One la" refers to seven days. At seven days old, the infant's blood vessels are not yet consolidated, and the pathogen has entered the zang-organs; medical intervention is of no benefit.
Qufeng San (Wind-Expelling Powder)
Suye (Folium Perillae) Fangfeng (Radix Saposhnikoviae) Chenpi (Pericarpium Citri Reticulatae) Houpo (Cortex Magnoliae Officinalis, stir-fried with ginger juice) Zhike (Fructus Aurantii, bran-fried) Muxiang (Radix Aucklandiae) Jiangcan (Bombyx Batryticatus, stir-fried) Gouteng (Uncaria rhynchophylla) Sheng Gancao (Raw Radix Glycyrrhizae)
Use fresh ginger as a guiding herb, decoct with water, and take orally.
[Formula Song] For impending Umbilical Wind (Qifeng), use Qufeng San (Wind-Expelling Powder). Follow with Folium Perillae, Radix Saposhnikoviae, Pericarpium Citri Reticulatae, Cortex Magnoliae Officinalis, Fructus Aurantii, and Radix Aucklandiae. Add Bombyx Batryticatus, Uncaria rhynchophylla, and Radix Glycyrrhizae; adding fresh ginger makes it more spiritually effective.
Heibai San (Black and White Powder) (See formula in Anmen Neihe chapter)
Lizhong Tang (Regulate the Middle Decoction) (See formula in Bulu chapter)
Chen Sha Jiangcan San (Cinnabar and Bombyx Batryticatus Powder) (See formula in Coukou chapter)
Longdan Tang (Gentian Decoction) (See formula in Jinkou chapter)
Yipi San (Benefit the Spleen Powder)
Baifuling (Poria) Renshen (Radix Ginseng) Caoguo (Fructus Tsaoko, stir-fried) Muxiang (Radix Aucklandiae, stir-fried) Zhi Gancao (Radix Glycyrrhizae prepared with honey) Chenpi (Pericarpium Citri Reticulatae) Houpo (Cortex Magnoliae Officinalis, stir-fried with ginger juice) Zisuzi (Semen Perillae, stir-fried) (equal parts)
Grind the above into powder. Take one qian per dose, mixed and taken with Ginger-Jujube Decoction.
Cuofeng San (Mouth-Contracting Wind-Calming Powder)