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When a newborn infant refuses to suckle breast milk and does not urinate, take one cun (approx. 3.3 cm) of scallion white (Congbai), cut it into four parts, decoct it in breast milk using a silver or ceramic vessel, and administer the liquid orally for immediate effect. (From *Defang Fang*.)

When an infant is just born, if the whole body resembles fish blisters or crystal glass, which when broken exudes fluid, grind Lapis Galenitae (Miduoseng), sieve it through silk gauze, and apply the dry powder topically. Concurrently, administer Suhe Xiang Wan (Styrax Pill).
(Ibid.)

Wan Mizhai’s grandson, at one year old, developed Zouma Gan (a rapidly progressing and destructive form of oral gangrene). The treatment involved scraping the white sediment from the bottom of a urine bucket, drying it on a new tile over fire until weighing five fen, mixing with three fen of ash from insects inside Galla Chinensis (Wubeizi), three fen of dried Oniscus asellus (Shufu), and one qian of calcined Alum (Kubai Fan). All ingredients were ground into powder. First, cleanse the lesion with water used to soak wax tea leaves and rice wash water, then apply the powder topically, yielding miraculous results. This formula is named “Shi Bu Er San” (Ten Not Two Powder).

Zhu Danxi treated Zouma Yagan (rapidly spreading gingival necrosis) by burning mulberry silkworm pupal skin (Cantui Zhi) to ash while retaining its medicinal properties, adding a small amount of Moschus (Shexiang), and mixing with honey for topical application. Adding Alum (Bai Fan) is particularly effective. (This is an external treatment method. Zouma Yagan is extremely vicious and toxic; it requires aggressive internal purgation using Da Cheng Qi Tang (Major Order the Qi Decoction) augmented with Coptidis Rhizoma (Chuanlian), Picrorhizae Rhizoma (Huhuanglian), Realgar (Xionghuang), and Bignoniae Semen (Puti) to thoroughly evacuate black feces. Only after this should cooling-blood and detoxifying agents be employed. Externally, acupuncture or bloodletting should be used to pierce the junction between necrotic and healthy tissue to release evil blood, followed by applying dental powders. Only then can recovery be hoped for. Relying solely on external treatments inevitably leads to failure. Medical texts largely omit this, representing a significant omission.)

Wan Mizhai treated the son of Doumen, who, at five days old, refused to suckle, sneezed, and was lethargic. Wan examined him and said, “This is Umbilical Wind disease (Qifeng), also known as Ma Ya Gan. It is especially critical within the first month of life.” He observed the infant’s upper palate and found three or four white vesicles the size of pearls. He punctured them with a silver needle. Doumen showed visible reluctance due to pity for the child, fearing incomplete removal. The next day, the infant still did not suckle. An old woman informed Doumen of the dangers of Qifeng, prompting him to urgently summon Wan again and ask about the nature of the disease. Wan stated, “There are three conditions in this disease that are incurable: swelling of the umbilicus and abdomen with obstruction of urination and defecation is called Suodu (Locked Belly); tight closure of the mouth, inability to speak or cry, with occasional convulsions is called Jinfeng (Lockjaw); and bluish discoloration around the mouth with tightly pursed lips is called Cuokou (Grasping Mouth). Your son’s initial illness had not yet reached a critical stage. By manually removing the white vesicles, he will be safe.” When asked what medication to use, Wan replied, “An infant of only a few days cannot tolerate strong medicines. Although ancient formulas exist, I dare not use them.” The father asked, “Then what should be done?” Wan answered, “It is harmless now. This disease likely occurs because, after bathing upon birth, the umbilical stump dries but has not yet fallen off, and due to careless care, it is exposed to the infant’s urine and invaded by wind, cold, dampness, and heat pathogens. Immediate treatment is required. Whenever you observe sneezing, excessive crying, and poor feeding, check the upper palate for clustered white vesicles; this is the sign. Immediately remove these vesicles manually, wipe the bleeding site clean with soft cloth, and Qifeng will not develop. If this is not understood, the vesicles may penetrate into the abdomen, leading to Suodu, Jinfeng, or Cuokou. Even divine pills would be unable to save the child.” Zheng requested that this be recorded in detail as instruction for infant care.