此症生下如汤火泼，因胎热母肥，如脑额生疮难治，乃胎内失于扶持。如脚上有疮烂，此儿不满五年。如未满腊前
便撮口，两拳相握，腰项如随，便知脏腑中生邪毒，此只三朝，定不可疗。男指向里，女指向外，尚可医治，逆候则不
须投药饵矣。更看眉中有青筋碧色，应须有命，若眉红，断不可治。如有可治之症，但用全蝎散、钩藤散等剂。
钩藤散 见第十六问。
全蝎散 治诸痫胎痫。
全蝎（一个） 琥珀 朱砂（各少许）
上为末，每服一钱，麦门冬煎汤调下。
又方 亦名全蝎散，治急慢风，大能定搐。
全蝎（大者七个、薄荷叶包炙、黄色为度） 僵蚕（三个、炒） 辰砂 麝香（各少许）
上为末，石榴皮煎汤下，直指用蝉蜕、甘草、南星。
项软者，乃天柱骨倒也，极难调治，其患不在心脾。此因曾吐泻之后，亦伤寒无汗，失表而然，本非久病 羸，四
肢不收卒然而成此疾。项软头似石，面红唇赤，只因肝胆有热，致令项软，肝受热风者，速与祛风退热，然后用强筋之
剂贴项，立见安和。如此症若生下便如此，乃胎气不足，或惊风后得此，乃是宽缓不收，名曰五软，果难得药，胎风并
病后软，可服钱氏地黄丸补肾。若卒暴如此者，只是肝经有热，当服泻肝丸，贴项当用附子南星末，以生姜自然汁调贴
项上可也。
泻肝丸 治肝热生风，眼目上视，搐搦急惊可服。亦退热疏风，又名泻青丸。
当归 龙胆草 川芎 栀子仁 大黄（煨） 羌活 防风（各等分）
上为末，蜜丸如芡实大，朱砂竹叶汤化下。
地黄丸 见第八问。
这种病症表现为婴儿出生后皮肤红肿溃烂，如同被沸水或烈火烫伤一般。这是由于胎热和母体肥胖所致。如果额头出现疮疡且难以治愈，是因为胎儿在母体内未能得到良好的扶持保护。如果脚部有溃烂的疮口，这个孩子活不过五岁。如果在出生未满腊月（农历十二月）之前就出现撮口（口唇紧缩如囊）、双拳紧握、腰项僵硬不能转动的症状，说明脏腑中生有邪毒，这种情况通常在三日内必定无法救治。如果是男婴手指向内弯曲，女婴手指向外弯曲，尚且还有医治的希望；如果是逆证（手指方向相反），则不必再用药治疗了。还要观察眉毛中间是否有青色或碧色的筋络显现，如果有，说明尚有生机；如果眉毛发红，则断定不可治愈。对于尚可治疗的病症，可以使用全蝎散、钩藤散等方剂。
钩藤散 见第十六问。
全蝎散 治疗各种癫痫及胎痫。
全蝎（一个） 琥珀 朱砂（各少许）
将上述药物研成细末，每次服用一钱，用麦门冬煎汤调服。
另一个方子，也叫全蝎散，治疗急惊风和慢惊风，具有很强的止痉作用。
全蝎（大者七个，用薄荷叶包裹炙烤至黄色为度） 僵蚕（三个，炒制） 辰砂 麝香（各少许）
将上述药物研成细末，用石榴皮煎汤送服。《直指方》中则使用蝉蜕、甘草、天南星。
项软，是指天柱骨（颈部脊柱）倒伏无力，极难调理治疗。其病根不在心脾。这通常是因为曾经吐泻之后，或者患伤寒无汗时，失于发汗解表所致，原本并非久病导致的身体虚弱羸瘦，而是四肢突然无力收持而形成的疾病。如果项软且头部沉重像石头一样，面色红、嘴唇赤，这是因为肝胆有热，导致项软。如果肝受热风侵袭，应迅速给予祛风退热的治疗，然后再用强筋的药剂贴敷颈部，立刻就能见效恢复平和。如果这种病症从出生时就存在，这是胎气不足，或者是惊风之后出现的，属于肌肉松弛不收，称为“五软”，确实很难找到合适的药物。如果是胎风引起的项软或病后项软，可以服用钱乙的地黄丸来补肾。如果是突然暴发的项软，只是肝经有热，应当服用泻肝丸，贴敷颈部时应使用附子和天南星的粉末，用生姜自然汁调和后贴敷在颈部即可。
泻肝丸 治疗肝热生风，眼睛上视，抽搐拘挛的急惊风可服用。也能退热疏风，又名泻青丸。
当归 龙胆草 川芎 栀子仁 大黄（煨制） 羌活 防风（各等分）
将上述药物研成细末，用蜂蜜制成如芡实大小的丸药，用朱砂竹叶汤化开送服。
地黄丸 见第八问。
This condition manifests as the newborn's skin becoming red, swollen, and ulcerated, resembling burns from boiling water or fire. This is caused by fetal heat and maternal obesity. If sores appear on the forehead and are difficult to treat, it is because the fetus was not properly supported within the womb. If there are ulcerated sores on the feet, the child will not survive beyond five years of age. If symptoms such as trismus (mouth closing tightly like a bag), clenched fists, and stiff neck unable to turn occur before the end of the twelfth lunar month, it indicates that pathogenic toxins have generated in the zang-fu organs; this condition is invariably fatal within three days. If the fingers of a male infant curl inward, or those of a female infant curl outward, there is still hope for treatment; however, if the presentation is contrary (fingers curling oppositely), medication should be discontinued. One should also observe whether green or blue veins appear in the center of the eyebrows; if present, life can be saved. If the eyebrows are red, the condition is deemed incurable. For treatable cases, formulas such as Quanxie San (Scorpion Powder) and Gouteng San (Uncaria Decoction) may be used.
Gouteng San (Uncaria Decoction) See Question 16.
Quanxie San (Scorpion Powder) Treats various types of epilepsy and fetal epilepsy.
Quanxie (Scorpion, one piece) Hupo (Amber) Zhusha (Cinnabar) (small amounts of each)
Grind the above ingredients into powder. Take one qian per dose, mixed with decoction of Maimendong (Ophiopogonis Radix).
Another prescription, also named Quanxie San, treats acute and chronic wind-stroke, effectively stopping spasms.
Quanxie (Scorpion, seven large pieces, wrapped in Boheye (Menthae Haplocalycis Folium) and roasted until yellow) Jiangcan (Bombyx Batryticatus, three pieces, stir-fried) Chensha (Vermilion) Shexiang (Moschus) (small amounts of each)
Grind the above ingredients into powder. Administer with decoction made from Shiliupi (Punica Granati Pericarpium). The *Zhizhi Fang* uses Chantui (Cicada Slough), Gancao (Licorice), and Nanting (Arisaematis Rhizoma).
Neck flaccidity (Xiang Ruan) refers to the collapse of the Tianzhu bone (cervical spine); it is extremely difficult to regulate and treat. The pathology does not lie in the Heart or Spleen. This often occurs after vomiting and diarrhea, or when suffering from Cold Damage (Shanghan) without sweating, due to failure to apply diaphoretic therapy. It is not originally caused by chronic illness leading to emaciation, but rather sudden weakness where the limbs cannot support themselves. If the neck is flaccid and the head feels heavy like stone, with a red face and crimson lips, it is due to Heat in the Liver and Gallbladder causing neck flaccidity. If the Liver is affected by Heat-Wind, quickly administer treatments to dispel Wind and clear Heat, then apply tendon-strengthening medicaments to the neck; recovery will be immediate. If this condition exists from birth, it is due to insufficiency of fetal Qi, or it follows convulsions, characterized by laxity and lack of tone, known as "Five Flaccidities" (Wu Ruan); indeed, suitable medicines are hard to find. For neck flaccidity caused by fetal wind or post-illness weakness, Qian Shi's Dihuang Wan (Rehmannia Pill) can be taken to tonify the Kidney. If the onset is sudden and violent, it is simply Heat in the Liver Meridian; one should take Xiegan Wan (Liver-Draining Pill). For external application to the neck, use powder of Fuzi (Aconiti Lateralis Radix Praeparata) and Nanting (Arisaematis Rhizoma), mixed with fresh juice of Shengjiang (Zingiberis Rhizoma Recens) and applied to the neck.
Xiegan Wan (Liver-Draining Pill) Treats Liver Heat generating Wind, upward staring of eyes, and spasms in acute convulsive disorders. It also clears Heat and disperses Wind; also known as Xieqing Wan (Blue-Draining Pill).
Danggui (Angelicae Sinensis Radix) Longdancao (Gentianae Radix) Chuanxiong (Ligustici Chuanxiong Rhizoma) Zhiziren (Gardeniae Semen) Dahuang (Rhei Radix et Rhizoma, baked) Qianghuo (Notopterygii Rhizoma et Radix) Fangfeng (Saposhnikoviae Radix) (equal parts)
Grind the above ingredients into powder. Form pills the size of Euryale Seed (Qianshi) using honey. Dissolve and take with decoction of Zhusha (Cinnabar) and Zhuye (Bambusae Folium).
Dihuang Wan (Rehmannia Pill) See Question 8.