婴孩螳螂子者，以其在母腹中时吸饮，胎火血热，产下后或三、五朝而发，或半月或月
余而发。其始起也，两颊外坚里肿，难于吮乳。斯时即以巴豆一粒，麋香七厘，捣研和匀，
作两丸，放膏药上，贴两太阳、风门穴，次日即起水泡，揭开，急将银针挑破，去其毒水即
愈。此水不可令其流入眼内，若入眼，恐致损明。又法将鲜生地一两、大黄一两，捣烂，和
入麋香二分，均作两团，扎于两足底涌泉穴。如三日后，仍难吮乳者，即以刀破之，割去其
恶腐之物，以真京墨磨涂之自愈；亦有割伤而外颊坚肿成脓者。
雪口疳，乃胎热蕴蓄心脾，上蒸于口，舌上遍生白屑，如鹅之口，故又名鹅口。甚则咽
间叠叠肿起，致难乳哺，哺时必多啼叫。急用月石一钱，以滚水泡半茶杯，将棉花裹箸头上
，蘸水缴净白苔，重手出血不妨，以冰硼散吹之。如口内舌上生白斑，如梅花瓣者，即名梅
花疳，治同上；煎饮用川连、大黄、银花、钩藤、甘草、丹皮、山栀、石斛等，或加犀角
汁亦可。
夫牙咬托腮者，一生于风寒暑热，阳明湿热交蒸；一生于阴亏络空，少阳胆火循经上逆
。生于风寒湿热者，初起恶寒发热，面浮腮肿，牙关不能开合，牙龈胀及咽喉，汤水似乎难
入，实可下咽。斯时宜表散透邪，如牛蒡、薄荷、秦艽、僵蚕、夏枯草、荆芥、石斛等类，
不可以喉胀热盛，即用鲜地、羚羊清火等药。若遏抑凝滞，则肿愈坚，牙关愈闭矣。至三、
四日后，寒热不退，不能消散，其脓结于盘牙尽处者为牙咬，结于腮边外者为托腮，结于牙
根者为牙痈，是可清火彻热，如羚羊、犀角、石斛、芦根、薄荷、荆芥之属；如舌白腻滑，
恶心呕逆者，即以芩、连、山栀或温胆法；如大便燥实者，以肺胃火盛，即用鲜地、栝蒌、
枳实、杏仁等类。穿溃后邪从脓泄，身热自退，脾胃自复，牙关自开，调养数日，即脓尽收
口。
其生于阴亏络空者，或其人素嗜酒，不节欲，常有郁勃不舒，偶感微邪，引动肝阳胆火
上循入络。起自牙关坚固不开，腮肿龈胀，恶寒身热，脉细而数，渐渐成脓。至十日或半月
后，脓从牙龈而泄，或从舌旁而出，或在左延及于右，或在右延及于左，即名沿牙毒；久则
腮边出头，即名穿牙毒；外通里彻，即名骨槽风，延及必成朽骨，必俟多骨脱落，方能收功
。此证虽不害人性命，然收功延日，难以速痊。治当以疏肝散郁育阴为主，佐以解毒泄热。
又幼孩生此证者，彼既无醇酒炙 ，又无肝邪郁滞，是因齿生未齐，骨髓未满，营
卫未充，偶感风寒客热，袭入骨髓，正不却邪而发。腮颊漫肿，里虽出脓，势必外溃，久不
敛口，亦成多骨。治法总以调和气血、扶养胃气为主，俟正气充足，方能脱骨收口矣。
Infant "Mantis Child" (Tanglangzi) arises from the fetus inhaling and swallowing in the womb, leading to fetal fire and blood heat. It manifests three to five days after birth, or half a month to over a month later. Initially, the outer cheeks are hard while the inner parts are swollen, making breastfeeding difficult. At this stage, take one bean of Crotonis Fructus (Badou, 巴豆) and seven li of Moschus (Shexiang, 麝香), crush and grind them evenly into two pills. Place these on a plaster and apply to bilateral Taiyang (Ex-HN5, 太阳) and Fengmen (BL12, 风门) acupoints. Blisters will appear the next day; remove the plaster, promptly puncture the blisters with a silver needle, and drain the toxic fluid for recovery. Care must be taken that this fluid does not enter the eyes, as it may cause visual impairment. Another method involves taking one liang of fresh Rehmanniae Radix (Shengdihuang, 鲜生地) and one liang of Rheum Palmatum (Dahuang, 大黄), crushing them into a paste, adding two fen of Moschus (Shexiang, 麝香), dividing into two portions, and binding them to both Yongquan (KI1, 涌泉) acupoints on the soles of the feet. If breastfeeding remains difficult after three days, incise with a knife, excise the necrotic tissue, and apply ink made from genuine Beijing inkstone (Jingmo, 京墨) for self-healing; some cases may develop external cheek induration and suppuration due to surgical injury.
Snow Mouth Canker (Xuekou Gan) results from fetal heat accumulating in the Heart and Spleen, steaming upwards to the mouth. White patches cover the tongue like goose beak debris, hence also called Goose Mouth (E Kou, 鹅口). In severe cases, the pharynx swells in layers, hindering feeding and causing excessive crying during nursing. Immediately use one qian of Natrii Sulfas (Yueshi, 月石), dissolve in half a cup of boiling water. Wrap cotton around a chopstick, dip in the solution, and vigorously wipe away the white coating until bleeding occurs without harm. Then insufflate Bingpeng San (Ice and Borax Powder). If white spots resembling plum blossoms appear on the tongue and inside the mouth, it is named Plum Blossom Canker (Meihua Gan, 梅花疳), treated similarly. For internal decoction, use Coptidis Rhizoma (Chuanlian, 川连), Rheum Palmatum (Dahuang, 大黄), Lonicerae Japonicae Flos (Yinhua, 银花), Uncariae Ramulus cum Uncis (Gouteng, 钩藤), Glycyrrhizae Radix et Rhizoma (Gancao, 甘草), Moutan Cortex (Danpi, 丹皮), Gardeniae Fructus (Shanzhi, 山栀), Dendrobii Caulis (Shihu, 石斛), etc., or add Rhinocerotis Cornu juice (Xijiao, 犀角).
Regarding Jaw Lock with Cheek Swelling (Yayao Tuosai), etiologies include: one arising from Wind-Cold-Heat-Dampness, with Yangming Damp-Heat steaming together; the other from Yin deficiency and empty collaterals, with Shaoyang Gallbladder Fire counterflowing along the meridians. Cases from Wind-Cold-Heat-Dampness begin with aversion to cold and fever, facial edema and cheek swelling, inability to open and close the jaw, gingival swelling extending to the throat, where liquids seem difficult to swallow but actually can pass. At this stage, employ dispersing and releasing exterior pathogens, using Akebiae Caulis (Niubangzi, 牛蒡 - note: usually Arctii Fructus here implies Arctii Fructus/Niubangzi), Menthae Haplocalycis Herba (Bohe, 薄荷), Gentianae Macrophyllae Radix (Qinjiao, 秦艽), Bombyx Batryticatus (Jiangcan, 僵蚕), Prunellae Spica (Xiakucao, 夏枯草), Schizonepetae Spica (Jingjie, 荆芥), Dendrobii Caulis (Shihu, 石斛), etc. Do not immediately use fresh Rehmanniae Radix (Shengdi, 鲜地) or Antelope Horn (Lingyangjiao, 羚羊) for clearing fire just because of throat distension and heat. Suppression and stagnation will make swelling harder and jaw lock tighter. After three to four days, if cold and fever persist and cannot dissipate, pus forming at the end of the molars is called Jaw Lock (Yayao); pus at the outer cheek is called Cheek Swelling (Tuosai); pus at the tooth root is called Dental Abscess (Yayong, 牙痈). Clear fire and eliminate heat using Antelope Horn (Lingyangjiao, 羚羊), Rhinoceros Horn (Xijiao, 犀角), Dendrobii Caulis (Shihu, 石斛), Phragmitis Rhizome (Lugen, 芦根), Menthae Haplocalycis Herba (Bohe, 薄荷), Schizonepetae Spica (Jingjie, 荆芥). If the tongue coating is white, greasy, and slippery with nausea and vomiting, use Scutellariae Radix (Huangqin, 黄芩), Coptidis Rhizoma (Huanglian, 黄连), Gardeniae Fructus (Shanzhi, 山栀) or Wendan Decoction method. If stool is dry and solid, indicating Lung and Stomach excess heat, use fresh Rehmanniae Radix (Shengdi, 鲜地), Trichosanthis Fructus (Gualou, 栝蒌), Aurantii Fructus Immaturus (Zhishi, 枳实), Armeniacae Semen Amarum (Xingren, 杏仁). After rupture, pathogens exit with pus, body heat subsides, Spleen and Stomach recover, jaw opens naturally, and after a few days of recuperation, pus resolves and the wound closes.
Cases arising from Yin deficiency and empty collaterals often involve individuals who habitually drink alcohol and lack sexual restraint, experiencing chronic depression. Occasionally exposed to minor pathogens, triggering Liver Yang and Gallbladder Fire to ascend into collaterals. It starts with rigid jaw lock, cheek swelling, gingival distension, aversion to cold, body heat, fine and rapid pulse, gradually forming pus. Ten days to half a month later, pus drains from gums or beside the tongue, spreading from left to right or vice versa, named Along-Tooth Toxicity (Yanya Du, 沿牙毒); prolonged cases protrude from the cheek side, named Through-Tooth Toxicity (Chuanya Du, 穿牙毒); penetrating externally and internally, named Bone Trough Wind (Guchao Feng, 骨槽风). Delay leads to necrotic bone, requiring multiple bone fragments to shed before healing. Though not fatal, recovery is slow. Treatment focuses on soothing Liver, dispersing depression, and nourishing Yin, assisted by detoxification and clearing heat. In infants, lacking alcohol indulgence or Liver Qi stagnation, this arises from incomplete tooth eruption, unfull marrow, and insufficient Ying and Wei Qi. Minor Wind-Cold or pathogenic heat invades the marrow; righteous Qi fails to expel pathogens. Diffuse cheek swelling occurs; although pus forms internally, it inevitably ruptures externally, failing to heal and forming necrotic bone. Treatment generally harmonizes Qi and Blood and supports Stomach Qi. Only when righteous Qi is sufficient can necrotic bone shed and the wound close.