儿生久坐水中，任意洗濯，或包裹时，水湿浸脐，尿湿浸脐，遂致肚脐浸渍不干，名曰脐湿，古法用渗脐散
（如 龙骨、红棉灰、焙归头，三味研末掺之，或用白羯子即 子，烧灰敷上。）若渍湿已久， 赤成疮，名曰
脐疮，古法用金黄散（如黄连、胡粉、龙骨等味），敷之可愈。
〔真按〕肚脐湿气，最易惹起脐风，急治以防变状，只用枯白矾、 龙骨、研极细末，干撒脐中，至已
成脐疮，或出血及脓，金黄散中黄连一味，仍嫌寒凉过甚，用海螵蛸、胭脂，共为末，掺之极易收干。
婴儿热在腹中，无所发泄，故频频呻引，睡卧不宁，努胀其气，冲入脐间，所以脐忽肿赤，虚大光浮，名曰
脐突，此乃胎热所致，非断脐不慎之过也，口法用内服犀角消毒饮（如防风、荆芥、炒牛蒡子、金银花、生甘草，
煎熟，入犀角细末，调匀服之），外敷二豆散（如赤小豆、淡豆豉、天南星、白蔹为末，以芭蕉汁调敷脐上，可
散毒热而愈）。
〔真按〕脐忽肿突，最忌外敷寒凉之药，恐寒凝毒热，反足为害，内服亦不宜太凉，只用金银花、生甘草煎
汤，外以猪板油调 龙骨、胡粉、敷脐周遭，俟小便一畅，则突自消。
脐为百风总窍，五脏寒门，小儿之根蒂也，儿在胎时，口鼻未通，呼吸惟脐间真息，随母之呼吸为呼吸，其
下地呱呱一声，气通口鼻，而胎元之一息，不复为用，遂寄于脐内一寸三分，中虚一穴，名曰神阙，穴近三阴，
喜温恶凉，喜干恶湿，惟不知慎
重，致水湿风冷之气，入于脐中，儿必腹胀脐肿，吮乳口松，或多啼不乳，此脐风将作之候也，古法用驱风散
（如苏叶、防风、陈皮、浓朴、枳壳、木香、僵蚕、钩藤钩，引用生姜等味）。
〔真按〕散风消导，未免太过。
若寒邪深入，已成脐风，古法又分别所兼之形证治之。
（甲）肚腹胀硬，大便不通者，风兼实也，主黑白散（方见肛门内合）。
〔真按〕婴儿未下脐粪为实，不宜重攻，大伤元气。
（乙）面青肢冷，二便不实者，风兼虚也，主理中汤（方见不乳）。
〔真按〕以参术补虚，未免呆滞。
（丙）痰涎涌盛，气高喘急者，风兼痰也，主辰砂僵蚕散（方见撮口）。
〔真按〕以此散调敷唇口，不得已可用少许，但不宜多。
（丁）身体壮热，面赤口干者，风兼热也，主龙胆汤（方见撮口）。
〔真按〕此方过凉，蜣螂尤不宜用。
（戊）面青呕吐，曲腰多啼者，风兼寒也，主益脾散（如茯苓、人参、草果、木香、炙甘草、陈皮、浓朴、
紫苏子各等分，每服一钱，姜枣汤调服）。
〔真按〕此方有补、有渗、兼疏散，甚难。
（己）撮口唇青，抽搐不止者，风兼惊也，主撮风散（方见撮口）。
〔真按〕此方蜈蚣、蝎尾、麝香等味，万不宜试。
若脐边青肿，爪甲均黑，口噤不开，是为内抽，不治。脐风见于一腊者（即七日）血脉未凝，病已中脏，不
治。百日内见此证，手足蜷者亦不治。
帮助∶脐风恶候，有内外二因。
外因∶脐有湿气，客风乘虚而入，内伤于肾。肾传肝，肝传心，心传脾，脾传肺，蕴蓄其毒，发为脐风。
面赤啼叫者心病，手足抽搐者肝病，唇青口撮者，痰涎壅盛者脾病，牙关紧急者肾病，啼哭不止者肺病。
五脏之症，略见一二者，犹可治，全见者不治。
内因∶禀父母真阳不足，必发于六七日之间，病在于五脏，故不可治。
〔真按〕此症先以简便之法行之。
（一）儿两乳内有小核，宜轻缓常常搓之，以化为度。
（二）儿齿龈上有小白点泡，以温水蘸青布，或丝棉裹指，轻轻擦破，此法出在脏经，切勿藐视。
（三）吸吮儿之前后心、手足心、脐下七处。
外敷用黄柏末、釜下墨、乱发灰各等分，研匀干掺之，或以油调敷之。若肿硬如盘，前散再加麝香少许敷之可痊。
至随证分别内服汤剂，有风而兼虚、实、寒、热、痰、惊，所兼何症或几症，非临时详辨，不敢率拟。
再古法有用全身灯火，按穴灸之，使儿徒受痛苦，于病无益，万勿轻试。
婴儿出生后长时间浸泡在水中，随意清洗，或在包裹时，水湿浸渍肚脐，尿液浸渍肚脐，导致肚脐浸渍不干，称为脐湿（肚脐潮湿不愈），古法使用渗脐散（如龙骨、红棉灰、焙归头，三味研成粉末撒在患处，或用白羯子即雄猪肠，烧成灰敷在患处）。如果浸湿时间过长，发红形成疮疡，称为脐疮（肚脐化脓性感染），古法使用金黄散（如黄连、胡粉、龙骨等药味），敷贴即可痊愈。
〔陈守真按语〕肚脐湿气，最容易引发脐风（新生儿破伤风），需紧急治疗以防病情变化，仅用枯白矾、龙骨，研成极细粉末，干撒于脐中；至已成脐疮，或出血及流脓时，金黄散中的黄连一味，仍嫌寒凉过度，改用海螵蛸、胭脂，共为粉末，掺入极易收干。
婴儿热气蕴结在腹中，无处发泄，所以频频呻吟引气，睡卧不安，用力鼓胀其气，冲入脐间，因此肚脐突然肿胀发红，虚大光浮，称为脐突（肚脐突出），这是胎热所致，并非断脐不慎造成的过失，古法采用内服犀角消毒饮（如防风、荆芥、炒牛蒡子、金银花、生甘草，煎熟后，加入犀角细末，调匀服用），外敷二豆散（如赤小豆、淡豆豉、天南星、白蔹为粉末，以芭蕉汁调敷脐上，可散毒热而愈）。
〔陈守真按语〕肚脐突然肿胀突出，最忌外敷寒凉药物，恐怕寒凝毒热，反而造成危害，内服也不宜太凉，只用金银花、生甘草煎汤，外用猪板油调和龙骨、胡粉，敷于脐周，等到小便通畅，则突起自然消退。
肚脐是百风的总窍，五脏的寒门，小儿的生命根基。婴儿在母胎时，口鼻未通，呼吸全靠脐间的真息，随着母亲的呼吸而呼吸，出生落地发出第一声啼哭时，气息连通口鼻，而胎元的一息不再发挥作用，于是寄存在脐内一寸三分处，中间空虚一穴，称为神阙穴（肚脐），此穴靠近足三阴经，喜温恶凉，喜干恶湿，只因不知慎重，致使水湿风冷之气进入脐中，婴儿必然腹胀脐肿，吮乳时口松，或多啼不乳，这是脐风即将发作的征兆，古法使用驱风散（如苏叶、防风、陈皮、厚朴、枳壳、木香、僵蚕、钩藤钩，引用生姜等药味）。
〔陈守真按语〕疏散风邪消导积滞，未免太过。若寒邪深入，已成脐风，古法又分别所兼有的形证进行治疗。
（甲）肚腹胀硬，大便不通者，风兼实证也，主方黑白散（方见肛门内合章节）。
〔陈守真按语〕婴儿尚未排出脐粪属实证，不宜重攻，以免大伤元气。
（乙）面色青紫，四肢冰冷，大小便不成形者，风兼虚证也，主方理中汤（方见不乳章节）。
（丙）痰涎涌盛，气高喘急者，风兼痰证也，主方辰砂僵蚕散（方见撮口章节）。
〔陈守真按语〕以此散调敷唇口，不得已可用少许，但不宜多用。
（丁）身体壮热，面赤口干者，风兼热证也，主方龙胆汤（方见撮口章节）。
〔陈守真按语〕此方过凉，蜣螂尤其不宜使用。
（戊）面色青紫呕吐，弯腰多啼者，风兼寒证也，主方益脾散（如茯苓、人参、草果、木香、炙甘草、陈皮、厚朴、紫苏子各等分，每服一钱，姜枣汤调服）。
（己）撮口唇青，抽搐不止者，风兼惊证也，主方撮风散（方见撮口章节）。
若脐边青肿，爪甲均黑，口噤不开，是为内抽，不治。脐风见于出生一周内（即七日），血脉未凝，病已中脏，不治。百日内见此证，手足蜷缩者亦不治。
辅助说明：脐风恶候，有内外二因。
外因：脐有湿气，客风乘虚而入，内伤于肾。肾传肝，肝传心，心传脾，脾传肺，蕴蓄其毒，发为脐风。
面赤啼叫者心病，手足抽搐者肝病，唇青口撮者，痰涎壅盛者脾病，牙关紧急者肾病，啼哭不止者肺病。
五脏之症，略见一二者，犹可治，全见者不治。
内因：禀受父母真阳不足，必发于六七日之间，病在于五脏，故不可治。
〔陈守真按语〕此症先以简便之法行之。
（一）婴儿两乳内有小核，宜轻缓常常搓之，以化为度。
（二）婴儿齿龈上有小白点泡，以温水蘸青布，或丝棉裹指，轻轻擦破，此法出在《幼科发挥》，切勿藐视。
外敷用黄柏末、釜下墨、乱发灰各等分，研匀干掺之，或以油调敷之。若肿硬如盘，前散再加麝香少许敷之可痊。
至于随证分别内服汤剂，有风而兼虚、实、寒、热、痰、惊，所兼何症或几症，非临时详辨，不敢率拟。
再古法有用全身灯火，按穴灸之，使婴儿徒受痛苦，于病无益，万万不可轻试。
If a newborn is immersed in water for a long time after birth and washed arbitrarily, or if water moisture soaks the umbilicus during wrapping, or urine soaks the umbilicus, it leads to the umbilicus remaining moist and not drying out. This is called Umbilical Dampness (persistent dampness of the umbilicus). The ancient method uses Shen Qi San (Umbilical Drying Powder), such as Long Gu (Fossilized Bones), Hong Mian Hui (Ash of Red Cotton), and Bei Gui Tou (Baked Angelica Root), ground into powder and applied; or using Bai Jie Zi (White Male Pig Intestine), burnt to ash and applied. If the dampness persists for a long time and turns red forming an ulcer, it is called Umbilical Ulcer (umbilical purulent infection). The ancient method uses Jin Huang San (Golden Yellow Powder), containing Huang Lian (Coptis Rhizome), Hu Fen (Lead White), Long Gu (Fossilized Bones), etc., applied topically to cure.
[Chen Shouzhen's Note:] Dampness in the umbilicus easily triggers Umbilical Wind (Neonatal Tetanus); urgent treatment is required to prevent changes. Simply use Ku Bai Fan (Burnt Alum) and Long Gu (Fossilized Bones), ground into extremely fine powder, and sprinkled dry into the umbilicus. Once an Umbilical Ulcer has formed, with bleeding and pus, the Huang Lian (Coptis Rhizome) in Jin Huang San is still considered too cold. Use Hai Piao Xiao (Cuttlefish Bone) and Yan Zhi (Vermilion/Cinnabar), ground together into powder, which dries up very easily.
Infant heat accumulates in the abdomen without outlet, causing frequent groaning and sighing, restless sleep, and forcing qi to swell and rush into the umbilical area. Consequently, the umbilicus suddenly swells, becomes red, large, hollow, and shiny. This is called Umbilical Protrusion (umbilical herniation). This is caused by fetal heat, not by careless severing of the umbilical cord. The ancient method involves internal administration of Xi Jiao Xiao Du Yin (Rhinoceros Horn Detoxification Decoction), containing Fang Feng (Saposhnikovia Root), Jing Jie (Schizonepeta Spike), Chao Niu Bang Zi (Stir-fried Arctium Fruit), Jin Yin Hua (Honeysuckle Flower), Sheng Gan Cao (Raw Licorice Root), boiled, then mixed with Xi Jiao (Rhinoceros Horn) powder and taken externally; and topical application of Er Dou San (Two Beans Powder), containing Chi Xiao Dou (Adzuki Bean), Dan Dou Chi (Fermented Soybean), Tian Nan Xing (Arisaema Tuber), Bai Lian (Bletilla Rhizome), ground into powder, mixed with Ba Jiao Zhi (Banana Juice) and applied to the umbilicus to dissipate toxic heat and cure.
[Chen Shouzhen's Note:] Sudden swelling and protrusion of the umbilicus strictly forbids topical cold-natured medicines, as cold coagulation of toxic heat may cause harm. Internal medicine should also not be too cold. Use only Jin Yin Hua (Honeysuckle Flower) and Sheng Gan Cao (Raw Licorice Root) decocted in water. Externally, mix Zhu Ban You (Pork Lard) with Long Gu (Fossilized Bones) and Hu Fen (Lead White), apply around the umbilicus. Once urination becomes smooth, the protrusion will subside naturally.
The umbilicus is the master aperture for wind and the gate of cold for the five zang organs, serving as the root of life for infants. While in the womb, the mouth and nose are not open, and respiration relies solely on the true breath at the umbilicus, syncing with the mother's breathing. Upon birth, the first cry opens the airway to the mouth and nose, rendering the fetal breath obsolete. It resides one cun and three fen inside the umbilicus, a hollow point named Shen Que (Godly Reservoir). This point is near the Three Yin meridians, prefers warmth and dislikes cold, prefers dryness and dislikes dampness. Due to lack of caution, water-dampness and wind-cold enter the umbilicus, causing abdominal distension, umbilical swelling, loose sucking reflex, excessive crying, or refusal to suckle. These are signs that Umbilical Wind is about to manifest. The ancient method uses Qu Feng San (Wind-Dispersing Powder), containing Su Ye (Perilla Leaf), Fang Feng (Saposhnikovia Root), Chen Pi (Tangerine Peel), Hou Po (Magnolia Bark), Zhi Qiao (Immature Bitter Orange), Mu Xiang (Aucklandia Root), Jiang Can (Silkworm), Gou Teng Gou (Uncaria Hook), referencing Sheng Jiang (Fresh Ginger).
[Chen Shouzhen's Note:] Dispersing wind and resolving stagnation is perhaps too aggressive. If cold pathogen penetrates deeply, forming Umbilical Wind, the ancient method treats based on accompanying syndromes.
(A) Abdominal distension and hardness, constipation: Wind combined with Excess. Main formula: Hei Bai San (Black and White Powder) (see section on Anal Closure).
[Chen Shouzhen's Note:] Infants who have not yet passed meconium present as excess; heavy purgation is inappropriate as it severely damages Yuan Qi (Original Qi).
(B) Cyanotic face, cold limbs, unformed stool and urine: Wind combined with Deficiency. Main formula: Li Zhong Tang (Regulate the Middle Decoction) (see section on Refusal to Feed).
[Chen Shouzhen's Note:] Using Ren Shen (Ginseng) and Bai Zhu (Atractylodes Macrocephala) to tonify deficiency may be too static.
(C) Surging phlegm-saliva, rapid shallow breathing: Wind combined with Phlegm. Main formula: Chen Sha Jiang Can San (Cinnabar and Silkworm Powder) (see section on Mouth Grasping).
[Chen Shouzhen's Note:] Applying this powder to the lips and mouth is acceptable only when necessary, in small amounts, not excessively.
(D) High fever, red face, dry mouth: Wind combined with Heat. Main formula: Long Dan Tang (Gentian Decoction) (see section on Mouth Grasping).
[Chen Shouzhen's Note:] This formula is too cold; Qiang Lang (Dung Beetle) is particularly unsuitable.
(E) Cyanotic face, vomiting, bending waist while crying: Wind combined with Cold. Main formula: Yi Pi San (Spleen-Nourishing Powder), containing Fu Ling (Poria), Ren Shen (Ginseng), Cao Guo (Black Cardamom), Mu Xiang (Aucklandia Root), Zhi Gan Cao (Honey-fried Licorice), Chen Pi (Tangerine Peel), Hou Po (Magnolia Bark), Zi Su Zi (Perilla Seed) in equal parts. Take one qian per dose, mixed with Jiang Zao Tang (Ginger and Jujube Decoction).
[Chen Shouzhen's Note:] This formula combines tonification, leaching, and dispersing, making it difficult to manage.
(F) Mouth grasping, cyanotic lips, continuous convulsions: Wind combined with Fright. Main formula: Chuo Feng San (Convulsion-Dispersing Powder) (see section on Mouth Grasping).
[Chen Shouzhen's Note:] This formula contains Wu Gong (Centipede), Xie Wei (Scorpion Tail), She Xiang (Musk), etc.; it must never be tried.
If the umbilical border is cyanotic and swollen, nails are black, and the mouth is locked, it is internal convulsion, untreatable. Umbilical Wind appearing within one week (seven days) of birth, where blood vessels are not yet solidified and the disease has entered the zang organs, is untreatable. If this syndrome appears within 100 days with curled hands and feet, it is also untreatable.
Assistance: Umbilical Wind adverse conditions have two causes, internal and external.
External Cause: Dampness in the umbilicus allows guest wind to enter due to deficiency, injuring the Kidney internally. The disease transmits from Kidney to Liver, Liver to Heart, Heart to Spleen, Spleen to Lung. Toxicity accumulates, manifesting as Umbilical Wind.
Red face and crying indicate Heart disease; hand and foot convulsions indicate Liver disease; cyanotic lips and mouth grasping, surging phlegm-saliva indicate Spleen disease; tight jaw indicates Kidney disease; incessant crying indicates Lung disease.
If symptoms of the five zang organs appear partially (one or two), it is treatable; if all appear, it is untreatable.
Internal Cause: Inherited insufficiency of parents' True Yang manifests between the sixth and seventh day. The disease affects the five zang organs, thus it is untreatable.
[Chen Shouzhen's Note:] For this condition, simple methods should be employed first.
(1) Small nodules in the infant's breasts should be gently and frequently rubbed until they dissolve.
(2) Small white blisters on the infant's gums should be gently broken with warm water dipped in green cloth, or a finger wrapped in silk cotton. This method comes from *You Ke Fa Hui* (Essentials of Pediatrics); do not disregard it.
(3) Suction therapy on seven points: anterior heart, posterior heart, palms of hands, soles of feet, and below the umbilicus.
Topical application: Huang Bo (Phellodendron Bark) powder, Fu Xia Mo (Soot from the pot bottom), and Luan Fa Hui (Ash of tangled hair) in equal parts, ground uniformly and sprinkled dry, or mixed with oil for application. If swollen and hard like a plate, add a little She Xiang (Musk) to the previous powder for application to cure.
Regarding internal decoctions tailored to specific syndromes, whether Wind combines with Deficiency, Excess, Cold, Heat, Phlegm, or Fright, identifying the specific or multiple accompanying syndromes requires detailed temporary differentiation; rash prescription is not undertaken.
Furthermore, the ancient method of using full-body fire moxibustion according to acupoints causes the infant unnecessary pain with no benefit to the disease; it must never be lightly attempted.