凡妊娠临月,预办好甘草指许一节拍碎,以水二蚬壳煎一蚬壳,以绵裹蘸,令儿吮之,
若吐出恶物为佳,服一蚬壳不吐,即不须服,不问小儿虚实,皆可服之。
临产时,先以黄连五钱,甘草二钱五分,熬浓汁,生下即与二三匙,再加朱砂细末调
汁,抹儿口中,打尽腹中旧屎,次用朱蜜。
葛氏肘后方云∶先用甘草、黄连拭口,吐其恶汁,稍定更与朱蜜,安神定魄,用好朱砂
一大豆许细研,水飞过,炼蜜一蚬壳许,和朱砂成膏,旋抹口中,非独镇心定神,亦解恶毒,
若面色青白,啼声不响,即不须服。
产家要诀云∶儿出胎洗后,方断脐带,则不伤水生病。断脐须捋汁令尽,否则寒湿入
腹,或作脐风,又须于近脐四五寸处以线紧扎,以帛包裹,以口咬断。盖扎紧则儿血不贯
于胞衣,自然痿缩弗胀而易下,即或延缓数日,亦无大害。口咬则断脐不犯乎刀剪,自无
冷气内侵,可免腹中吊痛之虞。如或天时寒冱,坐草艰难,母子劳伤元气者,先扎脐带,以
油纸捻点火烧断,令暖气入儿腹中,此又为回生起死之妙法。近用蕲艾灸脐亦妙。所留脐
带不可太长,太长则难干而伤肌,且恐引外风为脐风,亦不可太短,太短则逼内而伤脏,或
致成腹痛而夜啼,只以儿之足掌长短为度,乃酌中之法。《千金论》云∶须令至儿足趺上为度。
造道集云∶儿始生宜净洗,则燥血不留于折路之间,可令皮肤光泽,然后剪脐。脐乃初
生之蒂也,剪之宜长一尺有二,用粗线缚紧,剪不长,多生脐风,缚不紧,阴间虚肿。
缪仲淳广笔记云∶儿初生不可剪脐带,三朝用面和水成薄饼,置儿腹,穿脐带于面上,
将蕲艾火灸脐带近脐处,或三炷,或五七炷,
须下帐避风,灸毕,仍将脐带扎好,听其自脱,至七日方脱者,元气足也。
凡儿生下,每日夜将清汤或苦茶蘸软绢搅儿口内,如齿边有白点,即以指爪或细针挑
破,取桑树内汁滤清涂之,永无惊风撮口之患。
Whenever pregnancy is near term, prepare in advance a segment of liquorice root (Gancao, 甘草) about one finger's width, crush it, and decoct it with two shellfuls of water until reduced to one shellful. Wrap the liquid in cotton, dip it, and let the infant suckle. It is auspicious if the infant vomits foul matter; if one shellful does not induce vomiting, no further administration is needed. Regardless of whether the infant is deficient or excess in constitution, this may be administered.
During labor, first decoct five qian of coptis rhizome (Huanglian, 黄连) and two qian five fen of liquorice root (Gancao, 甘草) into a concentrated decoction. Immediately after birth, administer two or three spoonfuls, then mix fine cinnabar powder (Zhusha, 朱砂) into the decoction and smear it inside the infant's mouth to expel all old feces from the abdomen. Subsequently, apply cinnabar honey (Zhu Mi).
The *Emergency Prescriptions Kept Up My Sleeve* by Ge Hong states: First wipe the mouth with liquorice root (Gancao, 甘草) and coptis rhizome (Huanglian, 黄连) to spit out foul juices. Once stabilized, administer cinnabar honey to calm the spirit and settle the soul. Grind high-quality cinnabar (Zhusha, 朱砂) finely to the size of a large soybean, process it by water flotation, and mix with refined honey (Lian Mi, 炼蜜) of about one shellful volume to form a paste. Smear this into the mouth as needed. This not only calms the heart and settles the spirit but also resolves toxic pathogens. If the complexion is cyanotic and pale, and the cry is weak, do not administer.
The *Essentials of Childbirth* states: After washing the newborn, sever the umbilical cord to prevent illness caused by water-dampness invasion. When cutting the cord, wring out the blood completely; otherwise, cold-dampness may enter the abdomen, potentially causing neonatal tetanus (Umbilical Wind, Qi Feng, 脐风). Tie the cord tightly with thread four or five cun away from the navel, wrap it with cloth, and bite through it. Tight binding prevents blood from flowing into the placenta, allowing it to shrink naturally and facilitating its expulsion; even if delayed for a few days, there is no major harm. Biting avoids the intrusion of "cold qi" from metal scissors, preventing abdominal colic. In cases of severe cold weather, difficult labor, or depletion of vital qi in mother and child, tie the cord first and burn it off with an oil-soaked paper wick, allowing warmth to enter the infant's abdomen. This is a miraculous method for restoring life. Recently, moxibustion on the navel with Qimoxa (Qiai, 蕲艾) is also excellent. The remaining cord should not be too long, as it may fail to dry, damage tissue, and attract external wind leading to Umbilical Wind; nor should it be too short, as it may compress internal organs, causing abdominal pain and night crying. The length should be measured by the infant's sole, which is a balanced approach. *Qianjin Fang* states: The length should reach the dorsum of the infant's foot. *Zao Dao Ji* states: Cleanse the newborn thoroughly so that dried blood does not remain at the severed site, keeping the skin lustrous, then cut the cord. The umbilical cord is the initial stalk of life; leave it one chi two cun long and bind tightly. If left too short, Umbilical Wind may arise; if bound loosely, the genital area may become edematous. Miao Xichong's *Guang Biji* states: Do not cut the umbilical cord immediately upon birth. On the third day, make a thin pancake from flour and water, place it on the infant's abdomen, pass the cord through the pancake, and moxibustion the part of the cord near the navel with Qimoxa (Qiai, 蕲艾), applying three or five to seven moxa cones. Ensure the room is shielded from drafts. After moxibustion, re-tie the cord and allow it to detach naturally. Detachment on the seventh day indicates sufficient vital qi.
After birth, daily morning and evening, use clear soup or bitter tea dipped in soft silk to clean the infant's oral cavity. If white spots appear near the gums, puncture them with fingernails or a fine needle, filter the sap from mulberry trees (Sangzhi, 桑枝/桑内汁), and apply it to prevent convulsions and lockjaw (Jing Feng, 惊风; Cuo Kou Feng, 撮口风).