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In newborn infants, umbilical tetanus (Qifeng), lockjaw (Zuojin), and puckered mouth (Cuekou) are the most critical conditions, with a survival rate of less than one in ten. The method for prevention and treatment is to promptly wrap a finger with soft cloth, wipe the infant's mouth; if two tendons are found on the gums, gently cut them with a reed knife, then apply pig milk.

Huanglian (Coptidis Rhizoma, remove roots, half qian) Douchi (Fermented Soybean, twenty-four grains) Gancao (Glycyrrhizae Radix et Rhizoma, one cun long) Congbai (Scallion White, two cun long)
Decoct the above ingredients in urine from a young boy. Dip cotton wool in the liquid and wipe the infant's mouth.
Hold the infant facing a light source; observe if there are red meridians extending straight upward from the umbilicus. If present, apply three moxa cones at the head of the red meridian, which ensures survival.

If a newborn has heat in the chest and diaphragm, they will frequently stretch their limbs, make hiccuping sounds, and strain to inflate their qi, causing the qi to sink into the root. Consequently, the umbilicus protrudes and swells, appearing dangerously large and flaccid. Ignorant people often attribute this to improper umbilical cord cutting, which is incorrect. This condition is caused by the mother experiencing frequent fright or palpitations during pregnancy, or by indulging in foods with hot toxicity. One should administer medicine according to the symptoms; once the internal heat dissipates, the umbilicus will return to its normal state. There is no need to apply external powders, as this may cause harm. Zeng stated: Umbilical protrusion is not umbilical tetanus. It is also caused by loose binding of the umbilical cord during bathing after birth, allowing filthy water to enter internally. Ten days postpartum, the external umbilicus suddenly becomes shiny and swollen like an inflated bag, making a slight sound when pressed, sometimes accompanied by fright and crying. Treatment involves decocting Baishaoyao Tang with Yiyiren (Coicis Semen) in water, taken warm on an empty stomach, followed by external application of Waixiaosan, which naturally leads to recovery.

Baishaoyao Tang (See Hernia section)
Waixiaosan Treats umbilical protrusion occurring ten days after birth in infants, whether painful or painless; if painful, the infant cries incessantly. It also treats pediatric cases where damp-heat binds together, causing swelling of the genitalia and scrotum.
Dahuang (Rhei Radix et Rhizoma) Muli (Ostreae Concha, each half liang) Puxiao (Natrii Sulfas, two qian)
Crush and roast the first two ingredients into powder, then add Puxiao and grind uniformly in a mortar. Take one or two qian of the powder. Wash a field snail thoroughly, place it in half a bowl of water overnight, remove the snail, mix the powder with the water, and apply to the swollen area; the swelling will subside. Return the snail to the water and do not harm it. As the sages said: Killing life to save life is far from the Way; although the life of a creature is minute, it serves as a warning. For swelling of the genitalia and scrotum, decoct Cheqianzi (Plantaginis Semen), let it cool, and use it to mix and apply the powder externally.

Erdou San Treats umbilical protrusion and swelling in infants and young children.
Chixiaodou (Vigna angularis, keep skin intact) Douchi (Fermented Soybean) Tiannanxing (Arisaematis Rhizoma, remove skin and navel) Bailing (Ampelopsis Radix, each one qian)
Grind the above ingredients into an extremely fine powder. Take half a qian, mix with natural juice of Bajiao (Musa basjoo), and apply around the four sides of the umbilicus. Once daily, twice over two days. If white stool is passed, the condition will stabilize.