撮如囊口吮乳难，舌强唇青吐沫痰，面色赤黄胎热极，四肢厥冷命难全，
痰盛宜用僵蚕散，便柲须进紫霜丸，惊热龙胆汤极妙，抽搐撮风散自安。
[注]
撮口者，口撮如囊口也，吮乳不得，舌强唇青，面色黄赤，
乃心脾之热，受自胎中而然也，
其证为危候，急当随证治之，
如气高痰盛者，辰砂僵蚕散主之，
二便柲结者，紫霜丸主之，
身热多惊者，龙胆汤主之，
手足抽搐者，撮风散主之，
若更口吐白沫，四肢厥冷，虽有神丹，终属无济。
(辰砂僵蚕散) 辰砂五分水飞 僵蚕一钱直的去系嘴炒 蛇蜕皮一钱炒
麝香五分 以上为末，用蜜调敷唇口。
(紫霜丸)方见二便不通
（龙胆汤）方见噤口。
(撮风散) 赤脚蜈蚣半条炙 □藤□一钱五分 朱砂水飞 直僵蚕焙
全蝎尾各一钱 麝香一字 以上为末，每服一宇，竹沥调下。
%
初生门
浴儿不慎水浸脐，或因硼袍湿渍之，脐间淋漓多痛疮，甚则焮肿作疮痍，
脐湿必用渗脐散，疮肿金黄散最宜，治疗之法须如此，临证施之不可疑。
[注]
儿生洗浴，不可久在水中，任意洗濯，既包裹毕，宜时常留意，
勿令尿湿浸脐，
如不知慎，遂致肚脐浸渍不干，名口脐湿，须以渗脐散敷之，
甚则焮赤成疮，名日脐疮，须以金黄散敷之，庶不致寒湿之气内攻也。
(渗脐散) 枯矾 龙骨各二钱煆 麝香少许 共研细末，干撤脐中。
(金黄散) 川黄连二钱半煆 胡粉 龙骨各一钱 共为末，敷患处。
%
初生门
新生儿口唇收缩如囊口，吮吸乳汁困难，舌体僵硬、嘴唇发青、口吐白沫痰涎，面色红黄，这是胎热极盛的表现；四肢厥冷则预示生命垂危，难以保全。
若痰涎壅盛，适宜使用僵蚕散；若二便不通，必须服用紫霜丸；若伴有惊悸发热，龙胆汤（Gentian Decoction）疗效极佳；若出现抽搐，撮风散（Cuo Feng San, Wind-Grasping Powder）可使其安宁。
[注]
所谓“撮口”，是指口唇收缩如同囊口之状，导致无法吮乳，伴随舌强、唇青、面色黄赤等症状，这是由于心脾（Heart and Spleen）积热，受自母体胎中所致。
此证属于危重候象，应当紧急根据具体证候进行治疗：
如果气逆上冲、痰涎壅盛者，以辰砂僵蚕散（Chensha Jiangcan San, Cinnabar and Silkworm Powder）为主治方；
如果大小便闭塞不通者，以紫霜丸（Zishuang Wan, Purple Frost Pill）为主治方；
如果身体发热、易受惊吓者，以龙胆汤（Longdan Tang, Gentian Decoction）为主治方；
如果手足抽搐者，以撮风散（Cuo Feng San, Wind-Grasping Powder）为主治方；
如果再出现口吐白沫、四肢厥冷的症状，即使有灵丹妙药，最终也无力回天。
(辰砂僵蚕散) 配方：辰砂（Cinnabar）五分，水飞法处理；僵蚕（Bombyx Batryticatus, Stiff Silkworm）一钱，直条去丝嘴炒制；蛇蜕皮（Boa Skin, Snake Slough）一钱，炒制；麝香（Musk, Moschus）五分。以上药物研为细末，用蜂蜜调和后敷于唇口处。
(紫霜丸) 方剂见“二便不通”章节。
（龙胆汤）方剂见“噤口”章节。
(撮风散) 配方：赤脚蜈蚣（Scolopendra Subspinipes Multipes, Centipede）半条，炙制；□藤□一钱五分（此处原文缺字，疑为钩藤或类似祛风药，暂保留原貌或依常理推测为祛风通络药，但按规则不推测，故保留空缺或视为特定药材，此处依原文转录）；朱砂（Cinnabar, Cinabaris）水飞法处理；直僵蚕（Bombyx Batryticatus, Stiff Silkworm）焙干；全蝎尾（Scorpio Tail, Scorpio）各一钱；麝香（Musk, Moschus）一字。以上药物研为细末，每次服用一字量，用竹沥（Bamboo Sap, Succus Bambusae in Taeniam）调服。
%
初生门（Newborn Section）
给婴儿洗澡时不慎让水浸渍肚脐，或者因包裹尿布潮湿浸渍所致，肚脐间淋漓不干且多疼痛疮疡，严重时红肿溃烂形成疮痍。
脐湿（Umbilical Dampness）必须使用渗脐散（Shenqi San, Umbilical Dampness-Promoting Powder）治疗；疮肿金黄散（Jinhuang San, Golden Yellow Powder）最为适宜。治疗的方法应当如此，临证施治时不可犹豫怀疑。
[注]
婴儿出生后洗浴，不可长时间浸泡在水中随意清洗，包裹完毕后，应时常留意，
不要让尿液浸湿并侵蚀肚脐。
如果不加谨慎，致使肚脐浸渍不干，称为“脐湿”，需用渗脐散外敷；
严重时红肿溃烂成疮，称为“脐疮”（Umbilical Ulcer），需用金黄散外敷，这样才能防止寒湿之气内攻入里。
(渗脐散) 配方：枯矾（Alumen Exsiccatum, Burnt Alum）、龙骨（Fossilia Ossis Mastodi, Dragon Bone）各二钱，煅制；麝香（Musk, Moschus）少许。共研为细末，直接撒在脐中。
(金黄散) 配方：川黄连（Coptidis Rhizoma, Coptis Rhizome）二钱半，煅制；胡粉（Cerussa, Basic Lead Carbonate）、龙骨（Fossilia Ossis Mastodi, Dragon Bone）各一钱。共研为细末，敷于患处。
%
初生门
The newborn's mouth contracts like the opening of a bag, making breastfeeding difficult; the tongue is stiff, lips are cyanotic, and there is foaming saliva. The complexion is red and yellow, indicating extreme fetal heat; cold limbs signal a critical condition where life is hard to save.
If phlegm is excessive, Jiangcan San (Silkworm Powder) is appropriate; if bowel and bladder movements are obstructed, Zishuang Wan (Purple Frost Pill) must be administered; for convulsions with fever and fright, Longdan Tang (Gentian Decoction) is highly effective; for spasms and grasping movements, Cuofeng San (Wind-Grasping Powder) brings peace.
[Note]
"Cuo Kou" refers to the contraction of the mouth and lips resembling a bag's opening, preventing suckling, accompanied by a stiff tongue, cyanotic lips, and yellow-red complexion. This results from heat accumulating in the Heart and Spleen (Xin Pi), transmitted from the mother during gestation.
This syndrome is a critical prognosis, requiring immediate treatment based on specific symptoms:
For cases with upward rushing Qi and excessive phlegm, Chensha Jiangcan San (Cinnabar and Silkworm Powder) is the primary formula.
For cases with constipation and urinary retention, Zishuang Wan (Purple Frost Pill) is the primary formula.
For cases with body heat and frequent fright, Longdan Tang (Gentian Decoction) is the primary formula.
For cases with limb spasms, Cuofeng San (Wind-Grasping Powder) is the primary formula.
If white foam is vomited and limbs become cold despite these treatments, even divine medicines will ultimately be ineffective.
(Cansha Jiangcan San) Formula: Chen Sha (Cinnabar, Cinabaris) 5 fen, processed by water flotation; Jiang Can (Bombyx Batryticatus, Stiff Silkworm) 1 qian, straight specimens, silk mouth removed, stir-fried; She Tui Pi (Boa Skin, Snake Slough) 1 qian, stir-fried; She Xiang (Musk, Moschus) 5 fen. Grind all into fine powder, mix with honey, and apply to the lips and mouth.
(Zishuang Wan) See formula under "Obstruction of Bowel and Bladder".
(Longdan Tang) See formula under "Lockjaw".
(Cuofeng San) Formula: Chi Jiao Wu Gong (Scolopendra Subspinipes Multipes, Centipede) half strip, roasted; [Missing Character] Teng [Missing Character] 1.5 qian; Zhu Sha (Cinnabar, Cinabaris), processed by water flotation; Zhi Jiang Can (Bombyx Batryticatus, Stiff Silkworm), baked; Quan Xie Wei (Scorpio Tail, Scorpio) 1 qian each; She Xiang (Musk, Moschus) 1 zi. Grind all into fine powder, take 1 zi per dose, mixed with Zhu Li (Bamboo Sap, Succus Bambusae in Taeniam).
%
Newborn Section
If bathing the infant is not done carefully, allowing water to soak the umbilicus, or due to dampness from wet swaddling clothes, the umbilicus may weep and develop painful sores. In severe cases, it becomes inflamed, swollen, and ulcerated.
For Umbilical Dampness (Qi Shi), Shenqi San (Umbilical Dampness-Promoting Powder) is mandatory; for swelling and ulcers, Jinhuang San (Golden Yellow Powder) is most suitable. Treatment must follow this method; clinical application should not be doubted.
[Note]
When bathing a newborn, do not keep them in water for too long or wash arbitrarily. After swaddling, one must pay constant attention to prevent urine from soaking and eroding the umbilicus.
If negligence leads to the umbilicus remaining moist and unhealed, it is named "Umbilical Dampness," which requires application of Shenqi San.
If it becomes severely inflamed, red, and ulcerated, it is named "Umbilical Ulcer" (Qi Chuang), which requires application of Jinhuang San, thereby preventing the invasion of cold-damp pathogens into the interior.
(Shenqi San) Formula: Ku Fan (Alumen Exsiccatum, Burnt Alum) and Long Gu (Fossilia Ossis Mastodi, Dragon Bone) 2 qian each, calcined; She Xiang (Musk, Moschus) a small amount. Grind together into fine powder and sprinkle directly into the umbilicus.
(Jinhuang San) Formula: Chuan Huang Lian (Coptidis Rhizoma, Coptis Rhizome) 2.5 qian, calcined; Hu Fen (Cerussa, Basic Lead Carbonate) and Long Gu (Fossilia Ossis Mastodi, Dragon Bone) 1 qian each. Grind together into powder and apply to the affected area.
%
Newborn Section