【歌】寄语人家初诞儿，勿令频浴水侵脐。或缘客气相冲忤，撮口脐风病患危∶木舌噤风诚可畏，十朝内
染却难医；生黄生赤兼生呕，胎热胎寒胎瘦肥；更有胎惊并内 ，
脏寒不乳夜间啼。皆因禀受胎中毒，致使初生病染躯。五日以来便溺闭，要将良法急通之。若还妊母遵胎教，
宁得婴儿此证罹？
【论】夫初生婴儿，如草之萌芽，花之嫩蕊，血气未充，肌肤未实，稍有伤触，为患匪轻，故古人以
“芽儿”名之。凡儿初断脐之后，不可频浴，不惟风湿侵脐，抑且风寒感冒，为病莫当。若脐嫩入水，便有
脐风之患。不禁生人，或异物触忤，便有口噤、客忤、惊啼、厥逆之变。乳食重复，不能消克，便有生痰、气
逆之病。过于温暖，则阴消内热，便有生赤、生黄、疮疡、丹疹、赤目、重舌、木舌之病。过凉则脏冷，便有
夜啼、腹痛、泄利、盘肠内 之疾。然调理之法，在乎适中可也。
有受胎气成病，如噤风、木舌风者，由胎中感受热气，流毒于心脾，故形见于喉舌。生下复为风邪搏击，
名曰犯风噤也。撮口脐风者，亦由胎气挟热，兼风热入脐，流毒心脾故也。若母恣食热毒辛辣，则生子成胎热
病。嗜食生冷，则生子成胎寒证。母受湿而传于胎，则子生下发黄如金，名曰胎黄。母受热而传于胎，则子生
下肌肤赤如丹涂，及为胎肥、胎瘦之候。若怀孕受惊者，则月里有胎惊、痫、 之疾。若妊母恣食肥、甘、酒、
面、野味、腥膻一应寒热之物，及动止无忌，故令儿不寒则热，不虚则怯。热则壅，寒则作泄，虚则作惊，怯
则作结。善为治者，寒则温之，热则凉之，虚者壮营，怯者益卫，惊则安神，结则微利，壅则清解，泄则固脾，
风则祛逐，湿则分消，痰则开豁。
胎黄
儿生下遍体黄如金，此胎中受湿热也。其证壮热，大便不通，小便如栀汁，乳母可服生地黄汤加茵陈，
忌食热毒之
物。
生地黄汤
乳母服，亦与儿服。
生地 赤芍 川芎 当归 花粉（等分）
水煎服。
胎赤
小儿月里遍身生赤，肌如丹涂者，此胎中受热毒也，母服清凉饮子，外以蓝叶散涂之。
清凉饮子
治一切里热、血热。
当归 赤芍 甘草 大黄
上，水煎服。
蓝叶散
治一切丹毒赤肿，身热，风热毒盛，赤如丹涂。
蓝叶、浮萍、水苔同研烂绞汁，调朴硝、土朱涂之。
发呕
儿初生下便呕者，此由拭口中秽血不尽，咽下，故令儿吐也，木瓜丸主之。大哭后食乳而呕者，必乳停膈
中，气不宣通，故呕也，消乳丸主之。（即消食丸，见变蒸门。）
木瓜丸
木瓜末 木香末 槟榔末 麝香（各一字）
蜜丸，粟米大，每服三丸，甘草水下。
脐风撮口口噤
初生儿有三病，一口噤、一撮口、一脐风，皆是急病，噤口尤甚，过一腊方免此证。初生七日内外，忽口
噤不乳，与撮口相似，但口噤面赤多啼，口不吐白沫，与撮口面青啼不出，口吐白沫者异，将天南星去皮、
脐，研为细末，龙脑
少许合和，用指蘸生姜汁，同药末于大牙根上擦之，立开。
脐风者，壮热痰盛，眼翻口噤是也，天麻防风丸。
撮口者，唇撮聚不能开，蝎梢散。
钱孔纯云∶脐风、撮口，若两眉青色，脸赤腹胀，不可用药。《圣惠方》云∶先撮口而生惊，若脐边青
黑，撮口不开，是为内搐，不治，爪甲青黑即死。
天麻防风丸（方见惊风。）
蝎梢散
治百日内撮口、脐风及胎风。
蝎梢（四十九个） 僵蚕（四十九个） 片脑（少许，另研） 麝香（少许，另研）
先将薄荷包扎蝎梢、僵蚕在内，炒薄荷叶干为度，共研细，入脑、麝末研匀，用紫雄鸡肝煎汤调下。
胎惊
胎惊者，生下至月里就惊踢抽掣，握拳发热者，抱龙丸、至圣保命丹。
按∶前证是五内感受，发为真搐，难治，发不过两、三次必死。
抱龙丸
治惊风痰喘咳嗽，保肝使心火不炽也。
天竺黄（一两） 雄黄 朱砂（各五钱） 胆星（四两）
上研极细末，蜜丸龙眼大，每服一丸，薄荷汤调下。
至圣保命丹
治胎惊搐搦痰盛及一切急、慢惊风。
天南星（炮） 僵蚕（炒，去丝、嘴） 防风（各五钱） 全蝎（三十个，去虿泥，焙干） 白附子（炮）
天麻（炒） 蝉蜕（各四钱） 雄黄（一钱） 麝香（少许）
上末，蜜丸一钱重，朱砂、金箔为衣，薄荷、灯心汤下。
胎热
胎热者，胎中受热也，大、小便不利、丹毒、疮疡、赤疹、赤目、重舌、木舌、口疮是也，大连翘饮、
五福化毒丹。
大连翘饮
柴胡 防风 荆芥 连翘 黄芩 山栀 木通 滑石 车前 瞿麦 蝉蜕 赤芍 甘草
便秘热盛者，加大黄。
五福化毒丹
玄参（三两） 桔梗（三两） 甘草（七钱） 牙硝（五钱） 青黛（一两） 人参（七钱） 茯苓（一两半）
一方加黄连（一两，炒）
末之，炼蜜丸一钱，朱砂衣，薄荷汤下。疮疹后余毒上攻，口齿臭气，生地黄汁化下。
胎寒
胎寒腹痛，泄而不乳，用白姜散、当归散。
白姜散
治胎中受寒，腹痛不乳。
木香 槟榔 陈皮 甘草（炙） 肉桂 白姜（等分）
每服一钱，水一合，煎，以绵蘸吮之。
呕，加木瓜、丁香。
当归散
治胎中受寒，厥逆便青，心腹疼，内 。
当归（二钱） 木香 肉桂 人参 甘草（减半）
姜、枣煎。
胎肥胎瘦
胎肥，生下肌肉浓，遍身色红，盈月后渐渐羸瘦，眼粉
红，五心热，大便难，时时生涎，胎弱，生下面无神气，肌肉薄，大便白水，时时硬气，多哕，目无精光。肥、
瘦并用浴体法。
浴体法
天麻（二钱） 蝎梢（去毒） 朱砂（五分） 麝香（一字） 白矾（三钱） 青黛（三钱） 乌蛇肉（三钱，
酒浸，焙干，为末）
上，同研匀，每用三钱，水三碗，桃枝一握，叶四、五叶，同煎十沸，温浴，勿浴背。
[Song]
To the families of newborn infants: do not bathe them frequently to prevent water from entering the umbilicus. If affected by external pathogenic factors, critical conditions such as *cuokou* (mouth closing tightly) and *qifeng* (umbilical wind) may arise: *mutong* (wooden tongue) and *jinfeng* (lockjaw wind) are indeed terrifying; if contracted within ten days, they are difficult to treat. Manifestations include jaundice (*huang*), erythema (*chi*), accompanied by vomiting, indicating fetal heat (*tai re*), fetal cold (*tai han*), or fetal emaciation/obesity (*tai shou fei*). There is also fetal fright (*tai jing*) and internal cold causing refusal to suckle and nocturnal crying. All these result from toxins received during gestation, invading the body after birth. If urination and defecation are obstructed five days after birth, urgent methods must be employed to unblock them. If pregnant mothers observe prenatal education, how could infants suffer from these disorders?
[Dissertation]
Newborns are like sprouting grass or tender flower buds; their *qi* and blood are not yet full, and their skin and muscles are not yet solid. Even slight injury can cause significant harm, which is why ancients called them "sprout children." After cutting the umbilical cord, frequent bathing should be avoided. Not only does this invite wind-dampness into the umbilicus, but it also causes wind-cold common colds, which are severe. If water enters the tender umbilicus, *qifeng* (umbilical wind) may occur. Exposure to strangers or foreign objects can trigger *jingjin* (lockjaw), *kewu* (external shock), frightened crying, or *jue ni* (reversal cold). Overfeeding milk can lead to phlegm generation and qi rebellion. Excessive warmth consumes yin and generates internal heat, leading to erythema (*sheng chi*), jaundice (*sheng huang*), sores, carbuncles, erysipelas, red eyes, double tongue (*chong she*), and wooden tongue (*mutong*). Excessive cooling causes cold viscera, leading to nocturnal crying, abdominal pain, diarrhea, and intestinal colic (*panchang neidiao*). Therefore, regulation should aim for moderation.
Some diseases arise from fetal qi, such as *jinfeng* and *mutong feng*, caused by heat toxins in the womb flowing to the heart and spleen, manifesting in the throat and tongue. Post-birth exposure to wind exacerbates this, termed "offending wind lockjaw." *Cuokou qifeng* results from fetal qi carrying heat, combined with wind-heat entering the umbilicus and affecting the heart and spleen. If the mother consumes spicy and hot toxic foods, the child develops fetal heat. If she eats raw/cold foods, the child develops fetal cold. If the mother is damp, the child is born with golden-yellow hair, termed fetal jaundice (*tai huang*). If the mother has heat, the child's skin turns red like cinnabar, presenting as fetal obesity or emaciation. Fright during pregnancy leads to fetal fright, epilepsy, or convulsions in the first month. Indulgence in rich, sweet, alcoholic, or game meats by the mother causes the child to be either hyperactive (heat/stagnation) or timid (cold/diarrhea/deficiency/fright/constipation). Skilled treatment warms cold, cools heat, strengthens ying (nutritive qi) for deficiency, secures wei (defensive qi) for timidity, calms fright, gently purges stagnation, clears heat/toxins, stabilizes the spleen for diarrhea, expels wind, resolves dampness, and transforms phlegm.
Fetal Jaundice (*Tai Huang*)
The infant is yellow all over like gold, due to damp-heat in the womb. Symptoms include high fever, constipation, and urine resembling gardenia juice. The nursing mother should take *Shengdi Huang Tang* (Rehmannia Root Decoction) with *Yin Chen* (Artemisiae Scopariae Herba), avoiding hot-toxic foods.
Shengdi Huang Tang (Rehmannia Root Decoction)
For the nursing mother, or the infant.
*Sheng Di Huang* (Rehmanniae Radix), *Chi Shao* (Paeoniae Radix Rubra), *Chuan Xiong* (Ligustici Chuanxiong Rhizoma), *Dang Gui* (Angelicae Sinensis Radix), *Hua Fen* (Trichosanthis Radix) in equal parts.
Decoct in water and take orally.
Fetal Erythema (*Tai Chi*)
The infant's body is red all over in the first month, like cinnabar, due to heat toxins in the womb. The mother takes *Qingliang Yinzi* (Cooling Drink), and externally apply *Lanye San* (Isatis Leaf Powder).
Qingliang Yinzi (Cooling Drink)
Treats interior heat and blood heat.
*Dang Gui* (Angelicae Sinensis Radix), *Chi Shao* (Paeoniae Radix Rubra), *Gan Cao* (Glycyrrhizae Radix et Rhizoma), *Da Huang* (Rhei Radix et Rhizoma).
Decoct in water and take orally.
Lanye San (Isatis Leaf Powder)
Treats erysipelas, red swelling, fever, and severe wind-heat toxicity with redness like cinnabar.
Grind *Lanye* (Isatidis Folium), *Fuping* (Spirodela), and *Shuitai* (Hydrocharis) into a paste, extract juice, mix with *Puxiao* (Natrii Sulfas) and *Tuzhu* (Cinnabaris), and apply externally.
Vomiting (*Fa Ou*)
Vomiting immediately after birth is due to swallowing residual bloody mucus from wiping the mouth. Treat with *Mugua Wan* (Papaya Pill). Vomiting after crying while feeding is due to milk stagnation in the diaphragm blocking qi flow. Treat with *Xiaoru Wan* (Digest Milk Pill).
Mugua Wan (Papaya Pill)
*Mugua* (Chaenomelis Fructus) powder, *Muxiang* (Aucklandiae Radix) powder, *Binglang* (Arecae Semen) powder, *Shexiang* (Moschus) (each one gram).
Make pills with honey, size of millet seeds. Take three pills with licorice water.
Umbilical Wind, Cuokou, Lockjaw (*Qifeng Cuokou Koujin*)
Three acute conditions in newborns: lockjaw, cuokou, and umbilical wind. Lockjaw is the most severe. Within seven days, sudden lockjaw without sucking resembles cuokou but presents with a red face and loud crying without white foam, unlike cuokou which has a blue face, silent crying, and white foam. Grind *Tiannanxing* (Arisaematis Rhizoma) (peeled) into fine powder, add a little *Longnao* (Borneolum Syntheticum). Dip a finger in ginger juice, mix with powder, and rub on the gums to open the mouth immediately.
Umbilical wind involves high fever, profuse phlegm, eye rolling, and lockjaw. Treat with *Tianma Fangfeng Wan*.
Cuokou involves puckered lips that cannot open. Treat with *Xieshao San*.
Qian Kongchun stated: If eyebrows are blue, face red, and abdomen distended in umbilical wind/cuokou, medication is contraindicated. *Shenghui Fang* states: If cuokou precedes fright, with blue-black umbilicus and inability to open mouth, it is internal convulsion (untreatable); blue-black nails indicate death.
Tianma Fangfeng Wan (See Convulsions section).
Xieshao San (Scorpion Tail Powder)
Treats cuokou, umbilical wind, and fetal wind in infants under 100 days.
*Xieshao* (Scorpio tail, 49 pieces), *Jiangcan* (Bombyx Batryticatus, 49 pieces), *Pian Nao* (Borneolum Syntheticum, small amount, separately ground), *Shexiang* (Moschus, small amount, separately ground).
Wrap scorpion tails and silkworms in mint leaves, stir-fry until dry, grind finely, mix with borneol and musk. Administer with decoction of purple rooster liver.
Fetal Fright (*Tai Jing*)
Fetal fright manifests as kicking, convulsions, clenched fists, and fever from birth to the first month. Treat with *Baolong Wan* and *Zhisheng Baoming Dan*.
Note: These are true convulsions due to internal organ involvement, difficult to treat; death usually occurs within two or three episodes.
Baolong Wan (Embrace Dragon Pill)
Treats fright-wind, phlegm, wheezing, and cough; protects the liver to prevent excessive heart fire.
*Tianzhuhuang* (Calami Tiphysii), *Xionghuang* (Realgar), *Zhusha* (Cinnabaris) (each 5 qian), *Danning* (Arisaematis Cum Bile) (4 liang).
Grind to fine powder, make pills with honey (size of longan). Take one pill with mint tea.
Zhisheng Baoming Dan (Supreme Sacred Life-Preserving Pill)
Treats fetal fright convulsions, phlegm, and all acute/chronic fright-wind.
*Tiannanxing* (Arisaematis Rhizoma, processed), *Jiangcan* (Bombyx Batryticatus, fried), *Fangfeng* (Saposhnikoviae Radix) (each 5 qian), *Quanxie* (Scorpio, 30 pieces, dried), *Baifuizi* (Bolbostemmae Rhizoma, processed), *Tianma* (Gastrodiae Rhizoma, fried), *Chantui* (Cicadae Periostracum) (each 4 qian), *Xionghuang* (Realgar, 1 qian), *Shexiang* (Moschus, small amount).
Grind to powder, make pills weighing 1 qian with honey, coat with cinnabar and gold foil. Take with mint and centella tea.
Fetal Heat (*Tai Re*)
Caused by heat in the womb, presenting with urinary/fecal difficulty, erysipelas, sores, red rash, red eyes, double tongue, wooden tongue, and mouth ulcers. Treat with *Da Lianqiao Yin* and *Wufu Huadu Dan*.
Da Lianqiao Yin (Large Forsythia Drink)
*Chaihu* (Bupleuri Radix), *Fangfeng* (Saposhnikoviae Radix), *Jingjie* (Schizonepetae Spica), *Lianqiao* (Forsythiae Fructus), *Huangqin* (Scutellariae Radix), *Shanzhi* (Gardeniae Fructus), *Mutong* (Akebiae Caulis), *Huashi* (Talcum), *Cheqian* (Plantaginis Semen), *Qumai* (Dianthi Herba), *Chantui* (Cicadae Periostracum), *Chi Shao* (Paeoniae Radix Rubra), *Gan Cao* (Glycyrrhizae Radix et Rhizoma).
Add *Da Huang* (Rhei Radix et Rhizoma) if constipation and excess heat are present.
Wufu Huadu Dan (Five Blessings Toxin-Dissolving Pill)
*Xuanshen* (Scrophulariae Radix, 3 liang), *Jiegeng* (Platycodonis Radix, 3 liang), *Gan Cao* (Glycyrrhizae Radix et Rhizoma, 7 qian), *Yanxiao* (Natrii Sulfas, 5 qian), *Qingdai* (Indigo Naturalis, 1 liang), *Renshen* (Ginseng Radix et Rhizoma, 7 qian), *Fuling* (Poria, 1.5 liang).
Alternative formula adds *Huanglian* (Coptidis Rhizoma, 1 liang, fried).
Grind to powder, make pills with refined honey (1 qian), coat with cinnabar. Take with mint tea. For residual toxicity attacking mouth/teeth after rash, dissolve in *Shengdi Huang* (Rehmanniae Radix) juice.
Fetal Cold (*Tai Han*)
Abdominal pain, diarrhea, and refusal to suckle due to fetal cold. Treat with *Baijiang San* and *Danggui San*.
Baijiang San (White Ginger Powder)
Treats fetal cold causing abdominal pain and refusal to suckle.
*Muxiang* (Aucklandiae Radix), *Binglang* (Arecae Semen), *Chenpi* (Citri Reticulatae Pericarpium), *Gancao* (Glycyrrhizae Radix et Rhizoma, honey-fried), *Rougui* (Cinnamomi Cortex), *Baijiang* (Zingiberis Rhizoma Recens) in equal parts.
Take 1 qian, decoct in 1 he of water, soak cotton in the liquid, and let the infant suckle.
Add *Mugua* (Chaenomelis Fructus) and *Dingxiang* (Caryophylli Flos) for vomiting.
Danggui San (Angelica Decoction)
Treats fetal cold causing reversal cold, green stools, heart/abdominal pain, and internal colic.
*Danggui* (Angelicae Sinensis Radix, 2 qian), *Muxiang* (Aucklandiae Radix), *Rougui* (Cinnamomi Cortex), *Renshen* (Ginseng Radix et Rhizoma), *Gancao* (Glycyrrhizae Radix et Rhizoma, half dose).
Decoct with ginger and jujube.
Fetal Obesity and Emaciation (*Tai Fei Tai Shou*)
Fetal obesity: thick muscles, red skin at birth, becoming emaciated after one month, pinkish eyes, heat in five centers, difficult defecation, salivation, weak constitution, dull expression, thin muscles, watery stool, hard gas, hiccups, and lack of luster in eyes. Both obesity and emaciation are treated with the Body Bath Method.
Body Bath Method (Yuti Fa)
*Tianma* (Gastrodiae Rhizoma, 2 qian), *Xieshao* (Scorpio tail, detoxified, 5 fen), *Zhusha* (Cinnabaris, 5 fen), *Shexiang* (Moschus, 1 zi), *Baifan* (Alumen, 3 qian), *Qingdai* (Indigo Naturalis, 3 qian), *Wushe Rou* (Agkistrodon flesh, 3 qian, soaked in wine, dried, powdered).
Grind together uniformly. Use 3 qian per bath with 3 bowls of water, a handful of peach branches, and 4-5 leaves. Boil ten times, use warm water for bathing, avoiding the back.