婴孩生下，常有种种急症，出人意料，其原因虽属各别，然治之均宜迅速，否则一有耽误，每
致不及救治矣。兹将各种急症发生之原因及救治之方法，分述于后。
一、生下不啼
婴孩方出产门，即有啼声，故出世亦谓之呱呱堕地，其有生下不啼者，谓之假死，原因各别，务宜细辨。
（一）最普通者，为孕妇难产，以致胎儿逼于产门，进退不得，为时过久，则气息闭塞，堕地时不
能出声，奄奄如死，此时接生者宜轻拍其背，使其肺气舒展，啼声即出。
（二）难产过甚，婴孩经医者良久之手术而取出者，往往因窒息过久，拍背亦不能遽出啼声，宜将
婴孩两脚提起，倒悬而甩动之，不效，则用人工呼吸法。
（三）因临产劳伤胎气，或为天时寒冷所致，以至不能啼叫者，未可遽断脐带，宜用熏脐带法，
将婴孩棉絮包裹，抱于怀中，离胞寸许，用苎皮扎紧，将大纸条蘸麻油点火，于脐带上远
远往来熏之，使暖气入脐，寒得温散，啼声方出，俟其气回，乃可断脐，或用蕲艾灸脐带上亦可。
（四）婴孩生下不啼，亦有因喉间蒂丁前上 上有一泡闭住，宜急看视，如有此泡，可用洁
净银针挑破，或用手指摘破，以帛拭去恶血，弗令咽下，再以京墨搽之，即能通声吞乳矣。
（五）婴孩生下不啼，亦有因粪门有一膜闭住儿气，故不能出声，宜以银针挑破其膜，即能出声。
凡此种生下不啼之症，虽如法施治，已能出声，然总宜慎于
将护，且弗令久睡，庶免气息之复行闭塞也。
二、生下不乳
婴孩生下，即知努嘴索乳，今与乳而不能吮，必然有病。有因口症而不能吮者，有因脐风而不能吮者，俱
详见后章。至于不因上述诸症者，一因腹中积有瘀血秽恶，一因胎中受寒，生下遭冷，前者腹满短气，宜用
大黄、牵牛、槟榔之属以攻积，后者面色青白，宜用生姜、干姜、白术、砂仁、木香、陈皮之类以温中
散寒，调胃行气，然审证用药，必须兼顾脉息及舌苔，毋忘投也。
三、两眼不开
婴孩生下，两眼不开，或由胎毒蕴结，肝家有热，或由初生时遇秽，侵入眼内，可以熊胆、黄连少许，
煎汤熏洗，或用生地、赤芍、当归、青葙子之类煎服之，或以清凉眼药，滴入眼中。总之两眼最为娇嫩，
必须防其受损，庶免生而失明也。
四、二便不通
婴孩生下，大小便不通，腹胀欲绝者，急令人温汤漱净口，吸咂儿之前后心、脐下、两手足心，共七处，
每处吸咂五七口，取红赤色气透为度，气透则便自通，内服轻粉（按，此药有毒，不可
轻试）五分，调蜜少许，徐徐与之，再看肛门是否闭塞，宜以物透而通之，又大小便不通，轻者用大黄、
牵牛、车前、甘草、木通之类即通，重者可用巴豆少许与服（通大便）及田螺加麝香取涎置脐下少腹处（通
小便），无有不通者。若二便不通至于肚腹膨胀，不能乳食，作呻吟之声，则难于施治矣。其有仅小便不通
者，用葱白三四寸捣烂，拌入人乳中与服，谓之葱乳汤，方颇平淡而有效，或以食盐置脐中熨之。如少
腹作胀者，用针略砭少腹数下，刺出紫血少许，小便即通。其有仅大便不通者，三黄汤加大黄服之，即通。
五、呕吐不止
婴孩生下，呕吐不止，因腹中秽恶不净而吐者，多腹胀便
秘，宜服木瓜丸；因客寒犯胃而吐者，多曲腰而啼，吐沫不止，宜服香苏饮；因胎前受热而吐者，面黄赤，手
足温，多出黄，涎宜服二陈汤加黄连；因胎前受寒而吐者，面青白，四肢冷，多出白沫，宜服理中汤；若吐乳
直出不停者，多由吃乳过多，运化不及所致，宜用焦麦芽三钱，橘红一钱，丁香三分煎服之。
六、遍体无皮
婴孩生下，遍体无皮，俱是红肉，因母受胎之后，久处高楼，不沾地气，故有此异，用纯黄土研细，盛软
绢袋在儿周身轻轻扑之，一日三四次，俟皮生即止，或用珍珠末、白 米粉亦可。更有 热发赤者，母体火盛
也，用石膏末敷之；或由父母素有梅毒遗传者，儿生多半身赤烂无皮，宜服换肌消毒散治之，外用黄柏、 石
膏为细末掺之。
七、周身发泡
婴孩生下，周身如鱼泡，或如水晶，擦破则水流，此湿毒注于皮肤也，以密陀僧研极细，炒过干掺之，内
服苏合香丸。
八、虾蟆瘟疫
婴孩生下，胸腹忽如水晶色，脏腑俱见（此以胸腹肿亮光如水晶者即是，若脏腑俱见，则未必然），此名
虾蟆瘟，用大虾蟆六只，将四足扎起，以虾蟆肚皮在水晶色处抚摩几次，置儿脐上，再用第二只，亦如前法，
更换六只，其病即痊。但虾蟆眼中有蟾酥，须防迸出射人，宜以绢遮其眼，用毕将虾蟆仍放归旷野中。
九、阴囊缩腹
婴孩生下，数日之内，有阴囊忽收缩入腹，啼哭不止者，由受寒所致，用硫黄、吴茱萸各五钱为细末，研
大蒜调涂脐下，再以蛇床子炒热，帛包熨脐即下。
十、阴囊光肿
阴囊肿大，坠下不收，用紫苏为末，如患处湿则干掺，干则
香油调涂，虽皮溃而核欲坠者，亦有神效。
附方
（一）木瓜丸 治小儿吐不止。
木瓜 麝香 腻粉（即轻粉） 木香 槟榔（各等分）
研细末，面糊如小黄米大，每服一二丸，甘草水下，时时用之。
（二）香苏饮 治小儿呕吐、泄泻等证。
藿香 苏叶 制浓朴 陈皮 枳壳 茯苓 煨木香 炙甘草（各等分）
以生姜为引，水煎服。
（三）二陈汤 治胃中寒湿痰浊等证。
陈皮（去白，胁下引痛醋炒，干咳蜜制） 半夏（生姜汁制，热痰竹沥制，妊娠恶阻醋制） 茯苓（停饮
心悸，桂枝煎酒制，各二钱） 甘草（炙，痞胀，砂仁汁制，一钱） 生姜（七片，咳逆痰结蜜煎）。一方有
乌梅肉一个（泻利，炒焦用）。
（四）理中汤 治中焦脾胃虚寒，不能运化，呕吐泄泻，不饮不食，胸痹胸痞，腹痛痰多，伤寒直中太阴，
自利不渴，寒霍乱吐泻，四肢逆冷，自汗脉虚，便血血痢，伤胃吐血，妇人妊娠虚寒等证。
人参 炙甘草 白术（各三钱） 干姜（一钱）
清水煎服。
（五）换肌消毒散 治时疮 杨梅疮，初起或溃烂者。
萆 （五钱） 当归 白芷 皂角刺 薏苡仁（各一钱） 白藓皮 木瓜（勿犯铁器） 木通 金银花
（各七分） 甘草 连翘 防风（各五分） 茯苓 芍药（各一钱） 黄 （二钱） 川芎 生地（各八分）
分作二三剂，清水煎服。
（六）苏合香丸 治传尸，骨蒸， （传尸痨之一），肺痿，疰忤，狐鬼邪祟，惊痫，中风，痰厥，心
腹猝痛，昏迷僵
仆，寒证气闭，寒霍乱吐利，时气瘴疟，赤白暴痢，妇人瘀血，经闭，小儿惊搐，吐乳，疗 癖疔肿。
苏合香油（白色者佳，入安息膏内，五钱） 丁香 安息香（另为末，用无灰酒五合，熬膏，飞去砂土）
青木香 白檀香 沉香（另研极细） 荜茇 香附子（炒去毛） 诃梨勒（煨取肉） 乌犀角屑（镑，另研极
细） 朱砂（另研水飞，以一半为衣，各一两） 薰陆香（另研） 龙脑（另研，各五钱） 麝香（另研，勿
经火，七钱五分） 一方加白术去白檀香、荜茇、诃梨勒。
用安息香膏并炼白蜜和丸，如芡实大，约重八分，朱砂为衣，蜡壳护封，每服一丸。
【背景信息】
书名：儿科要略 章节：第四节·急症之疗治 类别：妇儿
【译文】
婴儿出生后，常会出现各种突发急症，往往出人意料。虽然其病因各不相同，但治疗时都应当迅速果断，否则一旦延误时机，往往会导致无法救治的后果。现将各种急症发生的原因及救治方法，分述如下。
一、出生后不啼哭
婴儿刚产出产道时，通常就会发出啼哭声，所以出生也被称为“呱呱坠地”。有的婴儿出生后却不啼哭，这被称为“假死”，其原因各异，务必仔细辨别。
（一）最常见的情况是孕妇难产，导致胎儿在产道中受阻，进退两难。如果时间过长，会导致气息闭塞，落地时不能出声，奄奄一息如同死亡。此时接生者应当轻拍其背部，使其肺气舒展，啼声自然就会发出。
（二）如果是难产严重，婴儿经过医生长时间的手术操作才取出的，往往因为窒息时间过久，即使拍打背部也不能立刻发出啼声。此时应当将婴儿双脚提起，倒悬并甩动身体；如果无效，则采用人工呼吸法。
（三）如果是因临产时劳力损伤胎气，或因天气寒冷所致，导致不能啼叫的，暂时不要急于剪断脐带。宜采用“熏脐带”的方法：用棉絮包裹婴儿，抱在怀中，距离母体约一寸左右，用苎麻皮扎紧脐带，将大纸条蘸取麻油点燃，在脐带远处来回熏烤，使暖气进入脐部，寒气得以温散，啼声才会发出。等到婴儿气息恢复后，才可以剪断脐带；或者也可以用蕲艾灸灼脐带部位。
（四）婴儿出生后不啼哭，也有是因为喉间有一层薄膜（蒂丁前上有一泡）闭住气道。应当立即检查，如果有此薄膜，可用洁净的银针挑破，或用手指摘破，用丝帛擦去恶血，不要让婴儿咽下，再用京墨涂抹患处，就能通气发声并吞咽乳汁了。
（五）婴儿出生后不啼哭，也有是因为肛门处有一层薄膜闭住，导致气息不通，故不能出声。宜用银针挑破那层薄膜，就能发出声音。
凡属这种出生后不啼哭的病症，虽然按照上述方法施治后能发出声音，但仍需谨慎护理，并且不要让婴儿长时间睡眠，以免气息再次闭塞。
二、出生后不吸吮乳汁
婴儿出生后，就知道努嘴索取乳汁。现在给乳却不愿吸吮，必然有病。有的是因为患有口疮而不能吸吮，有的是因为患有脐风而不能吸吮，这些都在后面的章节中有详细说明。至于不属于上述病症的，一种原因是腹中积有瘀血秽物，另一种原因是胎中受寒，出生后遭遇冷邪。前者表现为腹部胀满、呼吸短促，宜用大黄、牵牛子、槟榔等药物来攻逐积滞；后者表现为面色青白，宜用生姜、干姜、白术、砂仁、木香、陈皮等药物来温中散寒，调理胃气，运行气血。然而辨证用药时，必须兼顾脉象和舌苔，不可忘记这一点。
三、两眼不开
婴儿出生后，两眼不睁开，可能是由于胎毒蕴结，肝家有热；也可能是因为初生时遇到污秽之气，侵入眼内。可以用少许熊胆、黄连煎汤熏洗眼睛，或者用生地、赤芍、当归、青葙子等药物煎服，也可以使用清凉的眼药水滴入眼中。总之，眼睛最为娇嫩，必须防止其受损，以免出生后失明。
四、大小便不通
婴儿出生后，大小便不通，腹部胀满欲绝的，急忙让人用温水漱口，对婴儿的前心、后背、脐下、两手心、两足心，共七处进行吸吮刮痧（吸咂），每处吸吮五到七口，以皮肤透出红赤色为度。气机通畅则大便自然通利。内服轻粉五分，调少许蜂蜜，慢慢喂服。（注：此药有毒，不可轻易尝试）。再看肛门是否闭塞，如有闭塞，宜用物体疏通。另外，对于大小便不通，轻症可用大黄、牵牛子、车前子、甘草、木通等药物即可通利；重症可服用少许巴豆（用于通大便）以及将田螺加麝香取汁置于脐下少腹部（用于通小便），没有不通的。如果大小便不通导致肚腹膨胀，不能吃奶进食，发出呻吟声，那就难以治疗了。只有小便不通的，用葱白三四寸捣烂，拌入人乳中喂服，称为“葱乳汤”，方子虽平淡但有效；或者将食盐放在脐中熨烫。如果少腹胀痛，用针略微刺破少腹几下，放出少许紫血，小便即通。只有大便不通的，服用三黄汤加大黄，即可通利。
五、呕吐不止
婴儿出生后，呕吐不止。如果是因腹中秽恶之物未排净而吐的，多伴有腹胀便秘，宜服用木瓜丸；如果是因客寒犯胃而吐的，多表现为弯腰啼哭，吐沫不止，宜服用香苏饮；如果是因胎前受热而吐的，面黄赤，手足温热，多吐出黄色涎液，宜服用二陈汤加黄连；如果是因胎前受寒而吐的，面青白，四肢冰冷，多吐出白色泡沫，宜服用理中汤；如果是吐乳直出不停，多由吃奶过多，运化不及所致，宜用焦麦芽三钱、橘红一钱、丁香三分煎服。
六、遍体无皮
婴儿出生后，全身没有皮肤，全是红肉，这是因为母亲受孕之后，长期居住在高楼之上，不接触地气，所以有此异常。用纯黄土研细，盛在软绢袋中，在婴儿周身轻轻扑打，一天三四次，等到皮肤长好就停止；或者使用珍珠末、米粉也可以。更有发热发红的，是母体火盛所致，用石膏末敷贴；或者是由父母素有梅毒遗传的，婴儿出生多半身赤烂无皮，宜服用换肌消毒散治疗，外用黄柏、石膏研成细末撒敷。
七、周身发泡
婴儿出生后，全身像鱼泡一样，或者像水晶一样透明，擦破则有水流出来，这是湿毒注入皮肤所致。用密陀僧研成极细粉末，炒过后干燥地撒敷患处，内服苏合香丸。
八、虾蟆瘟疫
婴儿出生后，胸腹部突然呈现水晶色，脏腑俱现（这里指胸腹肿胀光亮如水晶的情况即是，若说脏腑真的显露在外面，则未必如此）。这名叫“虾蟆瘟”。用大蛤蟆六只，将四足扎起，用蛤蟆的肚皮在水晶色的部位抚摸几次，放置在婴儿脐上，再用第二只，也按前面的方法，更换六只，病就好了。但是蛤蟆眼中有蟾酥，须防止迸出射中人，应用绢布遮住其眼睛，用完后将蛤蟆放回野外。
九、阴囊缩腹
婴儿出生后，几天之内，有阴囊突然收缩入腹，啼哭不止的，这是由于受寒所致。用硫黄、吴茱萸各五钱研成细末，研磨大蒜调和后涂在脐下，再用蛇床子炒热，用布包好熨烫脐部，阴囊就会降下来。
十、阴囊光肿
阴囊肿大，下垂不收，用紫苏研成末，如果患处潮湿则干撒，如果干燥则用香油调涂，即使皮肤溃烂且睾丸欲坠者，也有神效。
附方
（一）木瓜丸 治疗小儿呕吐不止。
木瓜、麝香、腻粉（即轻粉）、木香、槟榔（各等分）
研成细末，用面糊做成如小黄米大小的丸药，每次服用一到二丸，甘草水送下，时时服用。
（二）香苏饮 治疗小儿呕吐、泄泻等证。
藿香、苏叶、制厚朴、陈皮、枳壳、茯苓、煨木香、炙甘草（各等分）
以生姜为引，水煎服。
（三）二陈汤 治疗胃中寒湿痰浊等证。
陈皮（去白，胁下引痛醋炒，干咳蜜制）、半夏（生姜汁制，热痰竹沥制，妊娠恶阻醋制）、茯苓（停饮心悸，桂枝煎酒制，各二钱）、甘草（炙，痞胀，砂仁汁制，一钱）、生姜（七片，咳逆痰结蜜煎）。一方有一个乌梅肉（泻利，炒焦用）。
（四）理中汤 治疗中焦脾胃虚寒，不能运化，呕吐泄泻，不饮不食，胸痹胸痞，腹痛痰多，伤寒直中太阴，自利不渴，寒霍乱吐泻，四肢逆冷，自汗脉虚，便血血痢，伤胃吐血，妇人妊娠虚寒等证。
人参、炙甘草、白术（各三钱）、干姜（一钱）
清水煎服。
（五）换肌消毒散 治疗时疮、杨梅疮，初起或溃烂者。
萆薢（五钱）、当归、白芷、皂角刺、薏苡仁（各一钱）、白鲜皮、木瓜（勿犯铁器）、木通、金银花（各七分）、甘草、连翘、防风（各五分）、茯苓、芍药（各一钱）、黄芪（二钱）、川芎、生地（各八分）
分作二三剂，清水煎服。
（六）苏合香丸 治疗传尸、骨蒸、鬼疰（传尸痨之一）、肺痿、疰忤、狐鬼邪祟、惊痫、中风、痰厥、心腹猝痛、昏迷僵仆、寒证气闭、寒霍乱吐利、时气瘴疟、赤白暴痢、妇人瘀血、经闭、小儿惊搐、吐乳、疗痃癖疔肿。
苏合香油（白色者佳，入安息膏内，五钱）、丁香、安息香（另为末，用无灰酒五合，熬膏，飞去砂土）、青木香、白檀香、沉香（另研极细）、荜茇、香附子（炒去毛）、诃梨勒（煨取肉）、乌犀角屑（镑，另研极细）、朱砂（另研水飞，以一半为衣，各一两）、薰陆香（另研）、龙脑（另研，各五钱）、麝香（另研，勿经火，七钱五分）。一方加白术去白檀香、荜茇、诃梨勒。
用安息香膏并炼白蜜和丸，如芡实大小，约重八分，朱砂为衣，蜡壳护封，每次服用一丸。
[Background Information]
Book: Pediatric Essentials (Erke Yaolue)
Chapter: Section 4 · Treatment of Emergencies
Category: Gynecology and Pediatrics
[Translation]
After birth, infants often experience various acute emergencies that can be unexpected. Although the causes may vary, treatment must be prompt; otherwise, any delay may result in untreatable conditions. The following details the causes and rescue methods for various emergencies.
I. Failure to Cry After Birth
Infants usually cry immediately upon exiting the birth canal, hence birth is described as "crying while falling to the ground." Infants who do not cry after birth are considered to be in a state of "apparent death" (Jiasi). The causes differ and require careful differentiation.
(1) The most common cause is dystocia (difficult labor), where the fetus is trapped in the birth canal for an extended period. This leads to obstruction of Qi and respiration, resulting in silence and a lifeless appearance upon delivery. In this case, the midwife should gently pat the infant's back to promote the expansion of Lung Qi, which will induce crying.
(2) In cases of severe dystocia requiring prolonged surgical intervention by a physician, the infant may have suffered from prolonged asphyxia. Patting the back may not immediately elicit a cry. The rescuer should lift the infant's legs, suspend the infant upside down, and gently swing them. If ineffective, artificial respiration should be employed.
(3) If the failure to cry is due to maternal exhaustion damaging fetal Qi during labor, or due to cold weather, the umbilical cord should not be cut immediately. The "Moxibustion on Umbilical Cord" method should be used: wrap the infant in cotton wool, hold them close to the mother's body (about one cun away), tie the umbilical cord tightly with ramie fiber, and ignite a large paper strip dipped in sesame oil. Smoke the area around the umbilical cord to allow warmth to enter the navel and disperse cold. Once the infant cries and Qi returns, the cord can be cut. Alternatively, moxa (Ai Ye) from Qicheng can be applied to the umbilical cord.
(4) Another cause for failure to cry is a membrane blocking the throat. Immediate inspection is required. If such a membrane exists, it should be punctured with a clean silver needle or broken with a finger. The foul blood should be wiped away with silk to prevent swallowing. Applying Jingmo (Beijing Ink) to the area can restore voice and enable sucking.
(5) Failure to cry may also result from a membrane closing the anus, obstructing Qi flow. Puncturing this membrane with a silver needle will allow the infant to cry.
Even if these measures successfully induce crying, careful nursing is essential. The infant should not be allowed to sleep for long periods to prevent recurrence of Qi obstruction.
II. Failure to Suckle After Birth
Infants naturally seek milk by puckering their lips. Refusal to suckle indicates illness. Causes include mouth sores (Koushang) or umbilical wind (Qifeng), detailed in subsequent chapters. For other causes:
1. Accumulation of blood stasis and filth in the abdomen presents with abdominal distension and shortness of breath. Treat with purgatives such as Dahuang (Rhei Radix et Rhizoma), Qianniu (Pharbitidis Semen), and Binglang (Arecae Semen).
2. Cold invasion during gestation or after birth presents with a cyan-white complexion. Treat with warming agents such as Shengjiang (Zingiberis Rhizoma), Ganjiang (Zingiberis Rhizoma Exsiccatus), Baizhu (Atractylodis Macrocephalae Rhizoma), Sharen (Amomi Fructus), Muxiang (Aucklandiae Radix), and Chenpi (Citri Reticulatae Pericarpium) to warm the middle, dispel cold, regulate the Stomach, and move Qi.
Diagnosis and prescription must consider the pulse and tongue coating.
III. Eyes Not Opening
Failure of the eyes to open after birth may be due to fetal toxin accumulation with Heat in the Liver, or invasion of filth into the eyes at birth. Treat by fumigating and washing with a decoction of Xiongdan (Ursi Fel) and Huanglian (Coptidis Rhizoma). Alternatively, administer a decoction of Shengdi (Rehmanniae Radix), Chishao (Paeoniae Radix Rubra), Danggui (Angelicae Sinensis Radix), and Qingxiangzi (Celosiae Semen). Topical cooling eye drops may also be used. Care must be taken to protect the delicate eyes to prevent blindness.
IV. Obstruction of Urine and Feces
For infants with obstipation and urinary retention accompanied by severe abdominal distension, immediate suction therapy (Xiza) should be performed on seven points: anterior chest, posterior back, below the umbilicus, palms of both hands, and soles of both feet. Perform five to seven sucks per point until redness appears. This promotes Qi circulation and relieves obstruction. Internally, administer Qingfen (Calomelas) 0.5 fen mixed with honey slowly. (Note: Qingfen is toxic and should be used with extreme caution). Check for anal atresia and treat mechanically if necessary.
For mild cases of dual obstruction, use Dahuang, Qianniu, Cheqiancao (Plantaginis Herba), Gancao (Glycyrrhizae Radix et Rhizoma), and Mutong (Akebiae Caulis). For severe cases, use a small amount of Badou (Crotonis Fructus) for constipation, or apply Tianluo (Cipangidae Shell) mixed with Shexiang (Moschus) juice to the lower abdomen for urinary retention.
If the abdomen is severely distended, feeding is impossible, and the infant groans, prognosis is poor.
For isolated urinary retention, use Congru Tang (Scallion Milk Decoction): crush 3-4 cun of Baicong (Allii Fistulosi Bulbus), mix with human milk, and feed. Alternatively, apply heated Yanpanyan (Halitum) to the umbilicus. If the lower abdomen is distended, pricking the area to release a few drops of purple blood can relieve retention.
For isolated fecal obstruction, Sanhuang Tang (Three Yellows Decoction) with added Dahuang is effective.
V. Persistent Vomiting
Persistent vomiting after birth has several causes:
1. Retention of filth in the abdomen causing vomiting, often with abdominal distension and constipation: Use Mugua Wan (Papaya Pill).
2. Exogenous Cold invading the Stomach, characterized by curved-back crying and continuous spitting of foam: Use Xiangsu Yin (Costus and Perilla Drink).
3. Heat inherited from gestation, characterized by yellow-red face, warm extremities, and yellow saliva: Use Erchen Tang (Two Aged Substances Decoction) plus Huanglian (Coptidis Rhizoma).
4. Cold inherited from gestation, characterized by cyan-white face, cold extremities, and white foam: Use Lizhong Tang (Regulate the Middle Decoction).
5. Continuous regurgitation of milk due to overfeeding and impaired digestion: Use Jiao Maiya (Scorched Hordei Fructus Germinatus) 3 qian, Juhong (Exocarpium Citri Grandis) 1 qian, and Dingxiang (Caryophylli Flos) 0.3 fen decocted together.
VI. Absence of Skin
Infants born without skin, showing only red flesh, may result from the mother living in high buildings without contact with Earth Qi during pregnancy. Apply finely ground pure yellow earth (Huangtu) in a soft silk bag, gently dusting the body 3-4 times daily until skin regenerates. Pearl powder (Zhenzhu Mo) or rice flour can also be used.
If accompanied by heat and redness due to excessive maternal Fire, apply Shigao (Gypsum Fibrosum) powder.
If caused by hereditary syphilis from parents, presenting as widespread red erosion without skin, treat internally with Huanji Xiaodu San (Muscle-Replacing Detoxification Powder) and externally with Huangbai (Phellodendri Cortex) and Shigao powder.
VII. Generalized Blisters
Infants born with blisters resembling fish bubbles or crystal, leaking fluid when ruptured, suffer from Damp-Toxin in the skin. Apply extremely fine, roasted Mituosen (Litharge) powder dry to the lesions. Internally, administer Suhe Xiang Wan (Styrax Pill).
VIII. Toad Plague (Hamu Wenyi)
Infants presenting with sudden crystal-like transparency and swelling of the chest and abdomen, revealing internal organs visually, suffer from "Toad Plague." Treat by using six large toads (Xiahama). Tie the four legs, rub the toad's belly on the affected transparent areas several times, then place the toad on the infant's umbilicus. Repeat with subsequent toads until all six are used. The disease should resolve. Caution: Toad eyes contain ChanSu (Bufonis Venenum); cover the eyes with silk to prevent spraying. Release the toads into the wild after use.
IX. Retraction of Scrotum into Abdomen
Within days of birth, if the scrotum retracts into the abdomen with incessant crying, it is due to Cold. Apply a powder of Liuhuang (Sulfur) and Wuzhuyu (Evodiae Fructus), each 5 qian, mixed with crushed garlic to the lower abdomen. Then, apply heated Chuangzi (Cnidii Fructus) wrapped in cloth to the umbilicus to reduce the retraction.
X. Swollen Scrotum
For swollen, pendulous scrotum that does not retract, apply Zisu (Perillae Folium) powder. If wet, apply dry powder; if dry, mix with Sesame Oil (Shizi You) for application. This is effective even if the skin is ulcerated and the testicle threatens to fall.
Appendix Formulas
(1) Mugua Wan (Papaya Pill)
Indications: Persistent vomiting in children.
Ingredients: Mugua (Chaenomelis Fructus), Shexiang (Moschus), Nifen (Calomelas/Qingfen), Muxiang (Aucklandiae Radix), Binglang (Arecae Semen) in equal parts.
Preparation: Grind to fine powder, bind with wheat paste into pills the size of millet seeds. Dosage: 1-2 pills, washed down with Licorice water, administered frequently.
(2) Xiangsu Yin (Costus and Perilla Drink)
Indications: Vomiting and diarrhea in children.
Ingredients: Huoxiang (Agastaches Herba), Ziye (Perillae Folium), Zhimhoupo (Magnoliae Officinalis Cortex processed), Chenpi (Citri Reticulatae Pericarpium), Zhiqiao (Aurantii Fructus), Fuling (Poria), Weimuxiang (Aucklandiae Radix processed), Zhigancao (Glycyrrhizae Radix et Rhizoma processed) in equal parts.
Preparation: Use Shengjiang (Zingiberis Rhizoma) as a guide, decoct in water.
(3) Erchen Tang (Two Aged Substances Decoction)
Indications: Cold-dampness and phlegm-turbidity in the Stomach.
Ingredients: Chenpi (Citri Reticulatae Pericarpium - peel removed, vinegar-fried for hypochondriac pain, honey-processed for dry cough), Banxia (Pinelliae Rhizoma - ginger-juice processed, bamboo-juice processed for hot-phlegm, vinegar-processed for morning sickness), Fuling (Poria - 2 qian each, decocted with Guizhi wine for fluid retention and palpitations), Zhigancao (Glycyrrhizae Radix et Rhizoma processed - 1 qian, sandalwood-juice processed for fullness), Shengjiang (Zingiberis Rhizoma - 7 slices, honey-processed for rebellious Qi and phlegm-knots). Alternative: Add one Wumei (Mume Fructus) meat, fried until charred for diarrhea/dysentery.
(4) Lizhong Tang (Regulate the Middle Decoction)
Indications: Deficiency-cold of Middle Jiao Spleen and Stomach, failure of transformation and transportation, vomiting, diarrhea, anorexia, chest bi/stuffiness, abdominal pain with phlegm, Taiyin syndrome from Cold damage, spontaneous diarrhea without thirst, cold cholera with vomiting/diarrhea, cold limbs, spontaneous sweating with deficient pulse, hematochezia/dysentery, stomach injury with hematemesis, deficiency-cold in pregnant women.
Ingredients: Renshen (Ginseng Radix), Zhigancao (Glycyrrhizae Radix et Rhizoma processed), Baizhu (Atractylodis Macrocephalae Rhizoma) 3 qian each, Ganjiang (Zingiberis Rhizoma Exsiccatus) 1 qian.
Preparation: Decoct in clear water.
(5) Huanji Xiaodu San (Muscle-Replacing Detoxification Powder)
Indications: Seasonal sores, Syphilis (Yangmei Chuang), early stage or ulcerated.
Ingredients: Bibo (Dioscoreae Hypoglaucae Rhizoma) 5 qian, Danggui (Angelicae Sinensis Radix), Baizhi (Angelicae Dahuricae Radix), Zaojiaoci (Gleditsiae Spina), Yiyiren (Coicis Semen) 1 qian each, Baixianpi (Dictamni Cortex), Mugua (Chaenomelis Fructus - avoid iron), Mutong (Akebiae Caulis), Jinyinhua (Lonicerae Japonicae Flos) 0.7 fen each, Gancao (Glycyrrhizae Radix et Rhizoma), Lianqiao (Forsythiae Fructus), Fangfeng (Saposhnikoviae Radix) 0.5 fen each, Fuling (Poria), Shaoyao (Paeoniae Radix Alba) 1 qian each, Huangqi (Astragali Radix) 2 qian, Chuanxiong (Ligustici Chuanxiong Rhizoma), Shengdi (Rehmanniae Radix) 0.8 fen each.
Preparation: Divide into 2-3 doses, decoct in clear water.
(6) Suhe Xiang Wan (Styrax Pill)
Indications: Chuan Shi (Consumption/TB), Gu Zheng (Bone-steaming Fever), Gui Zhu (Ghost Tumor), Fei Wei (Flaccid Lung), Zhu Wu (Infectious Pestilence), Fox/Ghost Evil Spirits, Jing Xian (Convulsions/Epilepsy), Zhong Feng (Wind Stroke), Tan Jue (Phlegm Syncope), Sudden Heart/Abdominal Pain, Coma/Collapse, Cold Syndrome with Qi Closure, Cold Cholera, Malaria, Acute Dysentery, Blood Stasis/Amenorrhea in Women, Infantile Convulsions/Vomiting Milk, Carbuncles/Masses.
Ingredients: Suhe Xiang You (Styrax Liquid Resin - white is best, mixed with Anxi Jiang, 5 qian), Dingxiang (Caryophylli Flos), Anxi Xiang (Styrax - separate powder, decoct in unfermented wine to make paste, remove sediment), Qingmuxiang (Aucklandiae Radix), Baitanxiang (Santalum Album Wood), Chenxiang (Aquilariae Lignum Resinatum - grind separately very fine), Bibo (Piperis Longi Fructus), Xiangfuzi (Cyperi Rhizoma - stir-fry to remove hairs), Heliele (Myristicae Semen - roast for pulp), Wuxijiaoxie (Rhinocerotis Cornu - slice, grind separately very fine), Zhusha (Cinnabar - grind separately with water, half used as coating, 1 liang each), Xunluxiang (Olibanum - grind separately), Longnao (Borneolum Syntheticum - grind separately, 5 qian each), Shexiang (Moschus - grind separately, avoid fire, 7.5 qian). Alternative formula: Add Baizhu, remove Baitanxiang, Bibo, Heliele.
Preparation: Mix Anxi Xiang paste and refined white honey into pills the size of Euryale Seed (Qianshi), weighing about 8 fen. Coat with Zhusha, seal in wax shell. Dosage: One pill per administration.