眼不开者，因孕妇姿情浓味，热毒熏蒸，以致热壅儿脾，眼胞属脾，其脉络紧束，故不能开也，古法用内服
生地黄汤（如生地、赤芍、当归、川芎、天花粉、生甘草等味），外用熊胆、黄连各少许，以滚汤淬洗为法。
〔真按〕上下眼胞属脾土，既因热蕴于脾，自当以泻脾火为宜，生地黄汤内归、芎二味应删，外洗熊胆、川
连，亦嫌猛凉，但用金钗石斛、生白芍、生甘草各少许，煎汤饮之，外用软帛浸净凉开水洗之，其目自开。
儿自胞胎既脱以后，有因便秘腹中，秽恶不净，令儿腹满，
其吐不止者，古法主一捻金，（方见不乳），若生育时触犯寒邪，入里扰胃，则曲腰而啼，吐沫不止者，古法主
香苏饮以温散之（如藿香、苏叶、浓朴、陈皮、枳壳、茯苓、木香、炙甘草，引用生姜等味）。又有胎前受热，
面黄赤，手足温，口吐黄涎酸粘者，古法主黄连二陈汤（如半夏、陈皮、茯苓、甘草、黄连，引用生姜等味）。
若胎前受寒，面青白，四肢冷，口吐清稀白沫者，古法主理中汤（方见不乳）。
〔真按〕初生即吐不止，胃寒胃热，大有区别。如胃热，但用淡竹茹、生甘草，煎服；若胃寒，但用淡干姜、
炙甘草，煎汤服下，便可止吐。
小儿初生，肛门内合，有二原因，一因热毒太甚，壅结肛门，古法用内服黑白散（如半生半炒黑牵牛、白牵
牛、生大黄、槟榔、陈皮、生甘草等味）研末以温蜜汤调化，外用苏合香丸（如苏合香油、安息香、丁香、木香、
檀香、沉香、荜茇、香附、诃子、乌犀、朱砂、熏陆香、片脑、麝香等味为丸作枣核状），纳入孔中，二因脂膜
遮瞒，无隙可通，古法先以金玉簪透之，刺破脂膜，再以苏合香丸照前法导之。
〔真按〕热毒壅结，断不宜用黑白散，以损薄脆之肠胃，但以生甘草末加黄连末少许，煎汤服之，已足清
热润肠。至粪门有一膜，名闷脐生，薄者以手微拍之，则膜破可通，浓者以金玉簪轻刺之，套以油纸捻，不使再
合，即使谷道无孔，治法也不外是。
【初生眼不开】
新生儿眼睛睁不开，是因为孕妇食用了过于浓烈滋腻的食物，导致热毒熏蒸，致使热邪壅滞于胎儿的脾脏。眼睑归属于脾，其脉络因热而紧束，所以眼睛无法睁开。古代的方法是用内服生地黄汤（包含生地、赤芍、当归、川芎、天花粉、生甘草等药材），外用熊胆和黄连各少许，用沸水冲泡后清洗眼部作为治疗方法。
〔陈守真按语〕上下眼睑属于脾土，既然因为热邪蕴结在脾，自然应当以清泻脾火为宜。生地黄汤中的当归和川芎两味药应当删除；外用的熊胆、黄连也嫌过于寒凉猛烈，只需用金钗石斛、生白芍、生甘草各少许，煎汤饮用；外用柔软的丝帛浸透干净的凉开水进行清洗，眼睛自然就会睁开。
【初生吐不止】
婴儿脱离母体胞胎之后，有的因为便秘，腹中秽浊之物不净，导致婴儿腹部胀满，从而呕吐不止。古代的方法主要使用一捻金（方剂见“不乳”章节）。如果是分娩时触犯了寒邪，寒气入里扰乱胃气，表现为弯腰啼哭，呕吐泡沫不止的，古代的方法主要使用香苏饮来温散寒邪（包含藿香、苏叶、厚朴、陈皮、枳壳、茯苓、木香、炙甘草，引用生姜等药材）。又有胎前受热，面色黄赤，手足温暖，口吐黄色黏稠涎液的，古代的方法主要使用黄连二陈汤（包含半夏、陈皮、茯苓、甘草、黄连，引用生姜等药材）。如果胎前受寒，面色青白，四肢冰冷，口吐清稀白色泡沫的，古代的方法主要使用理中汤（方剂见“不乳”章节）。
〔陈守真按语〕初生即呕吐不止，胃寒和胃热有巨大的区别。如果是胃热，只需使用淡竹茹、生甘草，煎服即可；如果是胃寒，只需使用淡干姜、炙甘草，煎汤服下，就可以停止呕吐。
【初生肛门内合】
小儿初生时，肛门内部闭合不通，有两个原因。一是热毒太盛，壅结在肛门，古代的方法是用内服黑白散（包含半生半炒黑牵牛子、白牵牛子、生大黄、槟榔、陈皮、生甘草等药材）研成粉末，用温蜂蜜水调化服用；外用苏合香丸（包含苏合香油、安息香、丁香、木香、檀香、沉香、荜茇、香附、诃子、乌犀角、朱砂、乳香、冰片、麝香等药材制成如枣核大小的药丸），纳入肛门孔中。二是由于脂膜遮盖隐瞒，没有缝隙可通，古代的方法先用金玉簪穿透它，刺破脂膜，然后再用苏合香丸按照前面的方法导引治疗。
〔陈守真按语〕热毒壅结，绝对不宜使用黑白散，以免损伤薄弱脆弱的肠胃，只需使用生甘草末加上少许黄连末，煎汤服用，已经足以清热润肠。至于粪门处有一层膜，名叫“闷脐生”，薄的用手轻轻拍打，膜就会破裂而通畅；厚的用金玉簪轻轻刺破，套上油纸捻，防止再次闭合。即使肛门完全没有孔洞，治疗方法也不外乎这些。
[Congenital Inability to Open Eyes]
The newborn's inability to open the eyes is caused by the pregnant woman consuming overly rich and greasy foods, leading to the steaming of heat-toxin. This results in heat stagnation affecting the fetus's Spleen (Zang organ responsible for transformation and transportation). The eyelids belong to the Spleen, and their meridians are tightened due to heat, thus preventing the eyes from opening. Ancient methods prescribed internal administration of Shengdi Huang Tang (Rehmannia Root Decoction, containing Sheng Di Huang, Chi Shao, Dang Gui, Chuan Xiong, Tian Hua Fen, Sheng Gan Cao) and external application of a small amount of Xiong Dan (Bear Bile) and Huang Lian, washed with boiling water.
[Commentary by Chen Shouzhen] The upper and lower eyelids belong to Spleen Earth. Since heat is trapped in the Spleen, it is appropriate to clear and drain Spleen Fire. The Dang Gui and Chuan Xiong in Shengdi Huang Tang should be removed; the external use of Xiong Dan and Huang Lian is also considered too cold and harsh. Instead, use small amounts of Jin Chai Shi Hu (Dendrobium Nobile Stem), Sheng Bai Shao (Raw White Peony Root), and Sheng Gan Cao (Raw Licorice Root), decocted and drunk. Externally, wash with soft silk soaked in clean cool boiled water, and the eyes will naturally open.
[Continuous Vomiting after Birth]
After leaving the womb, some infants suffer from constipation, causing foul matter to remain in the abdomen, leading to abdominal distension and continuous vomiting. Ancient methods primarily used Yi Nian Jin (One Pinch Gold, formula see "Failure to Feed"). If cold pathogen was encountered during delivery, entering the interior and disturbing the Stomach, manifesting as crying with bent waist and continuous vomiting of foam, ancient methods primarily used Xiang Su Yin (Agarwood and Perilla Drink) to warm and disperse [the cold] (containing Huo Xiang, Su Ye, Hou Po, Chen Pi, Zhi Ke, Fu Ling, Mu Xiang, Zhi Gan Cao, with Sheng Jiang as guide). If there was heat accumulation before birth, manifesting as yellow-red complexion, warm hands and feet, and vomiting of yellow sticky saliva, ancient methods primarily used Huang Lian Er Chen Tang (Coptis Two-Aged Phlegm Decoction, containing Ban Xia, Chen Pi, Fu Ling, Gan Cao, Huang Lian, with Sheng Jiang as guide). If there was cold accumulation before birth, manifesting as blue-white complexion, cold limbs, and vomiting of clear thin white foam, ancient methods primarily used Li Zhong Tang (Regulate the Middle Decoction, formula see "Failure to Feed").
[Commentary by Chen Shouzhen] Continuous vomiting immediately after birth differs significantly between Stomach Heat and Stomach Cold. For Stomach Heat, simply use Dan Zhu Ru (Light Bamboo Shavings) and Sheng Gan Cao, decocted and taken orally. For Stomach Cold, simply use Dan Gan Jiang (Light Dried Ginger) and Zhi Gan Cao (Honey-fried Licorice Root), decocted and taken orally, which will stop the vomiting.
[Congenital Imperforate Anus]
In newborns, congenital closure of the anus has two causes. First, excessive heat-toxin stagnating in the anus. Ancient methods prescribed internal administration of Hei Bai San (Black and White Powder, containing half raw/half stir-fried black Qian Niu Zi, Bai Qian Niu Zi, Sheng Da Huang, Bing Lang, Chen Pi, Sheng Gan Cao) ground into powder and dissolved in warm honey water; externally, Su He Xiang Wan (Styrax Pill, containing Su He Xiang You, An Xi Xiang, Ding Xiang, Mu Xiang, Tan Xiang, Chen Xiang, Bi Bo, Xiang Fu, He Zi, Wu Xi Jiao, Zhu Sha, Ru Xiang, Pian Nao, She Xiang) shaped like a jujube pit, inserted into the orifice. Second, obstruction by fatty membrane with no passage. Ancient methods first pierced it with a Jin Yu Zan (Gold and Jade Hairpin), punctured the membrane, and then guided treatment using Su He Xiang Wan as before.
[Commentary by Chen Shouzhen] With heat-toxin stagnation, Hei Bai San must absolutely not be used, as it damages the fragile intestines and stomach. Simply use Sheng Gan Cao powder mixed with a small amount of Huang Lian powder, decocted and taken orally, which is sufficient to clear heat and moisten the intestines. Regarding the membrane at the anal opening named "Men Qi Sheng" (Stifling Umbilical Birth Membrane): if thin, gently patting with hand breaks the membrane for passage; if thick, lightly pierce with Jin Yu Zan, insert an oil-paper wick to prevent re-closure. Even if the anal canal lacks a hole entirely, the treatment method remains the same.