儿初生下，遍身如鱼泡，或如水晶，碎则成水，此因孕妇湿热过重，儿在胎中感受其气而发也。古法用密陀
僧研极细末，撒之即愈。
〔真按〕此证湿重于热，故不 肿，然宜速设法治之，以保全肤，惟密陀僧出银坑者难得，今皆倾银炉底
入药煮一伏时，辛咸有小毒，不可用，不如以炉甘石、 龙骨，共研细末，干掺尤良。内服土茯苓、金银花、生
甘草三味，以清内之湿热，更易收功。
新产月内，小儿两腮肿硬，不乳不啼，名螳螂子，又名
腮，此症少迟片刻，肿延喉鼻，则不可救，然亦最忌割治，古法用麝香、朱砂、螺蛳、用捣如泥，敷囟门上，待
其自干自落，切勿剥去，若极重者，将银针微刺患处出血，以好陈墨磨涂立愈。
〔真按〕历代诸书，并无割治，吴俗盛行此风，亟宜改良，不必用银针刺血，宜速以真正八宝京墨磨浓汁频
搽患处，最妙。若以麝朱螺蛳捣敷囟门上，恐因拔毒而伤元气，苟一时难觅京墨，即用青橄榄核以好醋磨汁频搽亦佳。
小儿初生，从肛门或阴囊边，红晕长起，渐至遍身溃烂，即不可救，此儿受父母命门相火之毒而发，名猢狲疳，
切忌洗浴，古法用牛黄、琥珀、花乳石、濂珠、川具、乳香、冰片、绿豆粉、人中黄、灯草灰，研末，开水调服。
〔真按〕此症先用敷药，以生石膏、大梅片、白蜡、赤石脂、滑石、青黛，共研极细末，以哺胎鸡蛋调敷
患处，倘疳湿，即以药末干掺之，俱可。然后再以生甘草煎汤，兑入金银花露，野蔷薇露，炖温徐徐送之。若毒
过重者，略加真西黄末、真西珀末、灯芯灰各少许，调汤缓服为安。
婴儿刚出生时，全身皮肤出现像鱼泡一样的水泡，或者像水晶一样透明，破裂后流出水液。这是因为孕妇体内湿热过重，胎儿在母胎中感受了这种病气而引发的疾病。古代方法使用密陀僧研磨成极细的粉末，撒在患处即可痊愈。
[陈守真按语]：此证属于湿重于热，所以不红肿，但应当尽快设法治疗，以保全皮肤。只有从银矿坑中开采出的密陀僧才难得，现在市面上多为将银炉底部的残渣倒入药中煮一个时辰（约两小时）所得，具有辛咸之性且有小毒，不可使用。不如使用炉甘石和龙骨，共同研磨成细末，干掺在患处尤其良好。内服土茯苓、金银花、生甘草这三味药，以清除体内的湿热，更容易取得疗效。
新生儿出生一个月内，双腮肿胀坚硬，不吃奶也不啼哭，称为“螳螂子”，又被称为“锁喉风”。此症如果延误片刻，肿胀蔓延至喉鼻部位，则无法救治。然而，最忌讳的是进行切割治疗。古代方法使用麝香、朱砂、螺蛳肉，捣烂如泥状，敷在囟门上，等待其自行干燥脱落，切勿强行剥去。如果病情极重，用银针轻微刺破患处出血，然后用优质的陈年墨汁磨涂，立即痊愈。
[陈守真按语]：历代医书并没有记载切割治疗方法，这是吴地习俗盛行此风，亟需改良。不必用银针刺血，应迅速用真正的八宝京墨磨出浓汁，频繁涂抹患处，效果最好。如果用麝香、朱砂、螺蛳捣碎敷在囟门上，恐怕会因为拔除毒邪而损伤元气。如果一时难以找到京墨，就用青橄榄核用好醋磨汁，频繁涂抹也很好。
小儿刚出生时，从肛门或阴囊边缘开始出现红晕，逐渐蔓延至全身并溃烂，这就无法救治了。这是小儿受到父母命门相火之毒的影响而引发的疾病，称为“猢狲疳”。切忌给患儿洗浴。古代方法使用牛黄、琥珀、花乳石、珍珠、川芎、乳香、冰片、绿豆粉、人中黄、灯心草灰，研磨成粉末，用开水调服。
[陈守真按语]：此症首先使用外敷药，取生石膏、大梅片（薄荷脑）、白蜡、赤石脂、滑石、青黛，共同研磨成极细的粉末，用初生婴儿的胎盘（哺胎鸡蛋注：此处原文可能有误或特指某种用法，通常指用蛋清或相关物，依原文直译保留“哺胎鸡蛋”概念，实际临床多用蛋清调和，此处依字面意译为用哺育过的鸡蛋相关部分调和，或理解为一种特定辅料，为严谨起见，保留“哺胎鸡蛋”字样并做通俗化处理，即“用哺育过的鸡蛋调和”）调和敷在患处。如果是疳疮伴有湿气，就直接用药末干掺在患处，都可以。然后再用生甘草煎汤，兑入金银花露和野蔷薇露，炖温后慢慢喂服。如果毒邪过重者，稍微加入少许真正的西黄（牛黄）末、真正的西珀（琥珀）末、灯芯灰，调匀汤剂缓慢服用以求安稳。
When an infant is first born, the entire body presents with blisters resembling fish bubbles or transparent like crystal; upon rupture, they release fluid. This condition arises because the pregnant woman had excessive damp-heat in her body, and the fetus contracted this pathogenic qi while in the womb. Ancient methods used *Miduoseng* (Litharge) ground into an extremely fine powder, which was sprinkled on the affected area to cure it immediately.
[Chen Shouzhen's Note]: This syndrome is characterized by dampness outweighing heat, hence there is no significant swelling. However, it is crucial to treat it promptly to preserve the skin. Genuine *Miduoseng* sourced from silver mines is rare; currently available products are often residues from silver smelting furnaces boiled for a *fu* (a traditional time unit, approx. 2 hours), possessing acrid and salty properties with slight toxicity, and thus should not be used. It is better to use *Luganshi* (Calamina) and *Longgu* (Fossilized Bones) ground together into a fine powder, applied dry to the lesion, which is particularly effective. Internally, administer *Tufuling* (Smilax Glabra Rhizome), *Jinyinhua* (Lonicerae Japonicae Flos), and *Sheng Gancao* (Raw Glycyrrhizae Radix et Rhizoma) to clear internal damp-heat, which facilitates recovery more easily.
Within the first month after birth, if an infant’s cheeks become swollen and hard, refusing to nurse or cry, it is named "Tanglangzi" (Mantis Child), also known as "Suo Hou Feng" (Throat-Locking Wind). If treatment is delayed even slightly, the swelling may extend to the throat and nose, rendering the case incurable. However, surgical cutting is strictly contraindicated. Ancient methods involved crushing *Shexiang* (Moschus), *Zhusha* (Cinnabar), and *Luosi* (Snail Meat) into a paste and applying it to the fontanelle, allowing it to dry and fall off naturally; one must never forcibly peel it off. In severe cases, pricking the affected area slightly with a silver needle to release blood, followed by applying ink made from high-quality aged inksticks, can lead to immediate recovery.
[Chen Shouzhen's Note]: Historical medical texts do not record surgical cutting as a treatment; this practice is prevalent in local customs but urgently needs reform. There is no need to prick the blood with a silver needle. Instead, rapidly apply thick juice made from genuine "Eight-Treasure Jing Ink" frequently to the affected area for optimal results. Applying crushed Moschus, Cinnabar, and Snail Meat to the fontanelle may damage the vital Qi while attempting to draw out toxins. If Jing Ink is unavailable, grinding green olive pits with good vinegar to make juice for frequent application is also excellent.
At birth, if redness begins around the anus or scrotum and gradually spreads over the whole body leading to ulceration, the condition becomes incurable. This is caused by the infant inheriting the toxic fire of the parents' Mingmen (Gate of Life) and Xianghuo (Ministerial Fire), named "Husun Gan" (Monkey Malnutrition Syndrome). Bathing the infant is strictly prohibited. Ancient methods used *Niuhuang* (Bovis Calculus), *Hupo* (Amber), *Huarushi* (Flower-bearing Ochre), *Zhenzhu* (Pearl), *Chuanxiong* (Ligusticum Chuanxiong Rhizome), *Ruxiang* (Olibanum), *Bingpian* (Borneol), *Lvdou Fen* (Mung Bean Powder), *Renzhonghuang* (Human Excrement Heap), and *Dengcao Hui* (Equiseti Herba Ash), ground into powder and taken with boiled water.
[Chen Shouzhen's Note]: For this syndrome, external application should be used first. Grind *Sheng Shigao* (Gypsum Fibrosum), *Da Meipian* (Borneolum Syntheticum), *Baila* (White Beeswax), *Chishizhi* (Red Halloysite), *Huashi* (Talcum), and *Qingdai* (Indigo Naturalis) into an extremely fine powder. Mix with egg yolk/white from a hen that has recently hatched chicks to apply to the affected area. If the malnourishment involves dampness, simply sprinkle the dry powder onto the lesion; both methods are acceptable. Subsequently, decoct *Sheng Gancao* (Raw Glycyrrhizae Radix et Rhizoma) in water, mix in *Jinyinhua Lu* (Lonicerae Japonicae Flower Dew) and *Ye Qiangwei Lu* (Rosa Multiflora Flower Dew), warm it gently, and administer slowly. If the toxin is excessively heavy, add small amounts of genuine *Xi Huang* (Bovis Calculus), genuine *Xi Po* (Amber), and *Dengxin Hui* (Ampelodesmi Caulis Ash) to the decoction and administer slowly for stability.