婴儿蕴热在腹中，呻引频频卧不宁，努胀其气冲脐本，虚大光浮脐突成，
速服犀角消毒饮，二豆能消肿赤攻，最忌寒凉敷脐上，冰凝毒热反成凶。
[注]
婴儿热在腹中，无所发泻，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，名日脐突，此乃胎热所致，非断脐不利之过也，
内服犀角消毒饮，外敷二豆散，其肿自消，
最忌寒凉之药敷于脐上，恐寒凝毒热，反为害也。
(犀角消毒饮) 牛蒡子炒研 生甘草 荆芥 防风 金银花 水煎熟，
临服入犀角细末调匀服
(方歌)
犀角消毒牛蒡加，甘草荆防金银花，细研犀角调匀服，脐突能消功最佳。
(二豆散) 赤小豆不去皮 豆豉 天南星去皮脐 白歛各一钱 以上为细末，
用五分芭蕉汁调敷脐四旁，日二次。
%
初生门
断脐不慎起脐风，感受风寒湿水成，将作驱风散最效，已成兼证要分明，
腹胀便秘黑白散，面白肢寒用理中，痰涎壅盛礓蚕散，壮热面赤龙胆清，
呕吐多啼益脾治，唇青撮口撮风平，脐青口噤为不治，一腊逢之命必倾。
[注]
脐者小儿之根蒂也，名日神阙，穴近三阴，喜温恶凉，喜干恶湿，
如断脐悉遵前法，脐风何自而起，
惟不知慎重，以致水湿风冷之气人于脐中，
儿必腹胀脐肿，日夜啼叫，此脐风将作也，须急用驱风散治之，
若寒邪深入，已成脐风者，又当视其所兼之形证治之，
如肚腹胀硬，大便不通者，风兼实也，黑白散主之，
面青肢冷，二便不实者，风兼虚也，理中汤主之，
痰涎壅盛，气高喘急者，风兼痰也，辰砂僵蚕散主之，
身体壮热，面赤口干者，风兼热也，龙胆汤主之，
面青呕吐曲腰多啼者，风兼寒也，益脾散主之，
撮口唇青，抽搐不止者，风兼惊也，撮风散主之，
若脐边青黑，口噤不开者，是为内抽不治，脐风见于一腊者，亦不治，
一腊者七日也，儿生七日，血脉末凝，病已中藏，医之无益。
(驱风散)
苏叶 防风 陈皮 厚朴姜炒 枳壳麸炒 木香煨 僵蚕炒 □藤□ 生甘草
引用生姜水煎服。
(方歌)
脐风将作用驱风，苏防陈朴枳香从，僵蚕□藤与甘草，生姜加入更灵通。
(黑白散)方见肛门内合
(理中汤)方见不乳
(辰砂僵蚕散)方见撮口
(龙胆汤)方见噤口．
(益脾散) 白茯苓 人参 草果煨 木香煨 炙甘草 陈皮 厚朴姜炒
紫苏子各等分炒 共为末，每服一钱，姜枣汤调服。
(撮风散)方见撮口。
%
初生门
婴儿体内蕴积热邪于腹部，频繁呻吟牵引，睡眠不安稳，用力努责导致气机胀满并冲犯脐部本源，若见脐部虚大、光亮浮起，则形成脐突。
此时应迅速服用犀角消毒饮，使用二豆散能够消除肿胀和赤色症状。
最忌讳在脐部敷用寒凉药物，否则会导致冰凝之象，使毒热内结反而造成凶险后果。
[注]
婴儿腹中有热邪，无法通过排泄发散，因此频繁呻吟牵引，睡卧不宁且用力努责，气机冲入脐间，
所以脐部突然肿胀、发红、虚大且光亮浮起，命名为“脐突”，这是由胎热引起的，并非断脐处理不当造成的过失。
内服犀角消毒饮，外敷二豆散，肿胀自然消退。
最忌讳将寒凉药物敷在脐上，恐怕寒气凝结毒热，反而产生危害。
（犀角消毒饮）牛蒡子炒后研碎，生甘草，荆芥，防风，金银花，用水煎煮至熟，
服药前加入犀角细末调匀服用。
（方歌）
犀角消毒饮中加入牛蒡子，配以甘草、荆芥、防风、金银花，
将犀角细细研磨调匀后服用，对消除脐突功效最佳。
（二豆散）赤小豆不去皮，淡豆豉，天南星去皮及脐，白敛各一钱，以上药材研为细末，
用五分芭蕉汁调和后敷于脐部四周，每日两次。
初生门
断脐时不慎引发脐风，因感受风寒湿水之气而成。
病情即将发作时，驱风散最为有效；病情已成且伴有兼证时，需辨别清楚。
若出现腹胀便秘，适用黑白散；若面色苍白、四肢寒冷，适用理中汤。
若痰涎壅盛，适用礓蚕散（即辰砂僵蚕散）；若壮热面赤，适用龙胆清（即龙胆汤）。
若呕吐多啼，适用益脾散治疗；若唇青、撮口、撮风，适用撮风散平复。
若脐周发青、口噤不开，属于不治之症，若在出生后七日内遇到此症，性命必危。
[注]
脐部是小儿的生命根蒂，名为神阙穴，穴位靠近足三阴经，喜温恶寒，喜干燥恶潮湿。
如果断脐完全遵循之前的方法，脐风从何而起呢？
只有因为不知慎重，导致水湿、风冷之气侵入脐中，
婴儿必然出现腹胀、脐肿，日夜啼叫，这是脐风即将发作的迹象，必须紧急使用驱风散治疗。
如果寒邪深入，已经形成脐风，则应当根据其所兼有的形证进行治疗。
如肚腹胀硬，大便不通者，是风邪兼实证，主用黑白散；
面色青紫、四肢冰冷，大小便不成形者，是风邪兼虚证，主用理中汤；
痰涎壅盛，气息高促喘急者，是风邪兼痰证，主用辰砂僵蚕散；
身体高热，面红口干者，是风邪兼热证，主用龙胆汤；
面色青紫、呕吐、弯腰多啼者，是风邪兼寒证，主用益脾散；
撮口、唇青、抽搐不止者，是风邪兼惊证，主用撮风散；
如果脐边青黑，口噤不开者，这是内抽风的不治之症，脐风出现在出生后七日内的，也是不治之症。
所谓“一腊”是指七天，婴儿出生七天，血脉尚未凝固，病邪已深入脏腑，医生也无能为力。
（驱风散）
苏叶，防风，陈皮，厚朴（姜炒），枳壳（麸炒），木香（煨），僵蚕（炒），钩藤，生甘草，
引用生姜水煎服。
（方歌）
脐风将发作时使用驱风散，包含苏叶、防风、陈皮、厚朴、枳壳、木香，
加上僵蚕、钩藤与甘草，加入生姜后药效更灵通。
（黑白散）方剂见肛门内合章节
（理中汤）方剂见不乳章节
（辰砂僵蚕散）方剂见撮口章节
（龙胆汤）方剂见噤口章节
（益脾散）白茯苓，人参，草果（煨），木香（煨），炙甘草，陈皮，厚朴（姜炒），紫苏子各等分炒制，共研为末，每次服用一钱，用姜枣汤调服。
（撮风散）方剂见撮口章节。
初生门
Infants harbor heat in the abdomen, frequently groaning and pulling, sleeping restlessly. Straining causes Qi distension rushing to the navel root; if the navel appears vacuously enlarged, shiny, and floating, Omphal protrusion (Omphalocele-like condition) forms.
Quickly administer Xijiao Xiaodu Yin (Rhinoceros Horn Detoxification Decoction); Erdou San (Two Beans Powder) can reduce swelling and redness.
It is strictly forbidden to apply cold-cooling medicines on the navel; otherwise, ice-congealing effects will trap toxic heat, leading to ominous consequences.
[Note]
When infants have heat in the abdomen with no outlet for discharge, they frequently groan and pull, sleep restlessly, and strain. The Qi rushes into the navel area, causing the navel to suddenly swell, redden, become vacuously enlarged, shiny, and floating. This is named Omphal protrusion (Omphalo protrusion), caused by fetal heat, not by improper umbilical cord cutting.
Internally administer Xijiao Xiaodu Yin (Rhinoceros Horn Detoxification Decoction), externally apply Erdou San (Two Beans Powder), and the swelling will subside naturally.
It is strictly forbidden to apply cold-cooling medicines on the navel, fearing that cold coagulation of toxic heat will cause harm.
(Xijiao Xiaodu Yin [Rhinoceros Horn Detoxification Decoction]) Niu Bang Zi (Arctii Fructus, 牛蒡子) stir-fried and ground, Sheng Gan Cao (Glycyrrhizae Radix et Rhizoma, 生甘草), Jing Jie (Schizonepetae Herba, 荆芥), Fang Feng (Saposhnikoviae Radix, 防风), Jin Yin Hua (Lonicerae Japonicae Flos, 金银花). Decoct in water until cooked. Before administration, mix in fine powder of Xi Jiao (Rhinocerotis Cornu, 犀角) evenly and take orally.
(Formula Song)
Xijiao Xiaodu Yin adds Niu Bang Zi, combined with Gan Cao, Jing Jie, Fang Feng, and Jin Yin Hua. Grind Xi Jiao finely, mix evenly, and take orally; it excellently eliminates Omphal protrusion.
(Erdou San [Two Beans Powder]) Chi Xiao Dou (Adzuki Bean, 赤小豆) without removing skin, Dou Chi (Fermented Soybean, 豆豉), Tian Nan Xing (Arisaematis Rhizoma, 天南星) without skin and umbilicus, Bai Lian (Bletillae Rhizoma, 白敛) each one qian. Grind all above into fine powder. Use five fen of Ba Jiao Zhi (Musa Sapientis Juice, 芭蕉汁) to mix and apply around the four sides of the navel, twice daily.
Men of Newborns
Improper umbilical cord cutting leads to Umbilical Wind (Neonatal Tetanus), caused by contracting wind-cold-damp-water pathogens.
When about to manifest, Qu Feng San (Wind-Expelling Powder) is most effective; when fully formed with concurrent syndromes, differentiation must be clear.
For abdominal distension and constipation, use Hei Bai San (Black and White Powder); for pale face and cold limbs, use Li Zhong Tang (Regulate the Middle Decoction).
For abundant phlegm-saliva, use Jiang Can San (Silkworm Powder); for high fever and red face, use Long Dan Qing (Long Dan Clearing Decoction).
For vomiting and frequent crying, treat with Yi Pi San (Spleen-Nourishing Powder); for cyanotic lips, mouth contraction, and wind-grasping, use Cuo Feng San (Grasping-Wind Powder) to calm.
If the navel perimeter is cyanotic and the mouth is locked, it is incurable; encountering this within one week (Yi La) after birth ensures fatal outcome.
[Note]
The navel is the root of life for children, named Shen Que (Concentrated Gate), a point near the three Yin meridians. It prefers warmth and dislikes cold, prefers dryness and dislikes dampness.
If umbilical cord cutting strictly follows previous methods, how would Umbilical Wind arise?
Only due to lack of caution, allowing water-dampness, wind-cold qi to enter the navel,
the infant will inevitably suffer abdominal distension and navel swelling, crying day and night. This indicates impending Umbilical Wind; urgently use Qu Feng San (Wind-Expelling Powder) to treat.
If cold pathogen penetrates deeply and Umbilical Wind has formed, treatment should depend on concurrent signs and symptoms.
If abdomen is distended and hard, stool is unpassable, it is Wind combined with Excess; primarily use Hei Bai San (Black and White Powder).
If face is cyanotic, limbs are cold, urination and defecation are unformed, it is Wind combined with Deficiency; primarily use Li Zhong Tang (Regulate the Middle Decoction).
If phlegm-saliva is abundant, breathing is rapid and asthmatic, it is Wind combined with Phlegm; primarily use Chen Sha Jiang Can San (Cinnabar Silkworm Powder).
If body has high fever, face is red, mouth is dry, it is Wind combined with Heat; primarily use Long Dan Tang (Gentian Decoction).
If face is cyanotic, vomiting occurs, bending waist and crying frequently, it is Wind combined with Cold; primarily use Yi Pi San (Spleen-Nourishing Powder).
If mouth contracts, lips are cyanotic, convulsions do not stop, it is Wind combined with Fright; primarily use Cuo Feng San (Grasping-Wind Powder).
If the navel edge is cyanotic-black and the mouth is locked open, this is internal convulsion, an incurable condition. Umbilical Wind appearing within one week (Yi La) is also incurable.
One week (Yi La) refers to seven days. At seven days old, the infant's blood vessels are not yet consolidated; the disease has entered the zang-organs. Medical intervention is of no benefit.
(Qu Feng San [Wind-Expelling Powder])
Su Ye (Perillae Folium, 苏叶), Fang Feng (Saposhnikoviae Radix, 防风), Chen Pi (Citri Reticulatae Pericarpium, 陈皮), Hou Po (Magnoliae Officinalis Cortex, 厚朴) stir-fried with ginger, Zhi Ke (Aurantii Fructus, 枳壳) bran-fried, Mu Xiang (Aucklandiae Radix, 木香) baked, Jiang Can (Bombyx Batryticatus, 僵蚕) stir-fried, Gou Teng (Uncariae Ramulus cum Uncis, 钩藤), Sheng Gan Cao (Glycyrrhizae Radix et Rhizoma, 生甘草).
Decoct in water with fresh ginger as guide.
(Formula Song)
For impending Umbilical Wind, use Qu Feng San; Su Ye, Fang Feng, Chen Pi, Hou Po, Zhi Ke, Mu Xiang follow.
Add Jiang Can, Gou Teng, and Gan Cao; adding fresh ginger makes it more efficacious and penetrating.
(Hei Bai San [Black and White Powder]) See section on Internal Rectal Prolapse.
(Li Zhong Tang [Regulate the Middle Decoction]) See section on Failure to Suckle.
(Chen Sha Jiang Can San [Cinnabar Silkworm Powder]) See section on Mouth Contraction.
(Long Dan Tang [Gentian Decoction]) See section on Locked Jaw.
(Yi Pi San [Spleen-Nourishing Powder]) Bai Fu Ling (Poria, 白茯苓), Ren Shen (Ginseng Radix, 人参), Cao Guo (Tsaoko Fructus, 草果) baked, Mu Xiang (Aucklandiae Radix, 木香) baked, Zhi Gan Cao (Prepared Glycyrrhizae Radix et Rhizoma, 炙甘草), Chen Pi (Citri Reticulatae Pericarpium, 陈皮), Hou Po (Magnoliae Officinalis Cortex, 厚朴) stir-fried with ginger, Zi Su Zi (Perillae Fructus, 紫苏子) equal parts stir-fried. Grind together into powder. Take one qian per dose, mixed with Ginger-Jujube Decoction.
(Cuo Feng San [Grasping-Wind Powder]) See section on Mouth Contraction.
Men of Newborns