谓初出胞胎而不吮乳也。婴儿初出胎时，其声未发，急以手拭其口，令恶血净
尽，不得下咽，即无他病，若拭口不全，恶秽入腹，则令腹满气短，不能吮乳，或
产母取冷过度，胎中受寒，致令儿腹痛也，宜用茯苓丸及木香槟榔散治之。
茯苓丸
赤伏苓 川黄连（去须） 枳壳（炒）
上等分。为末，炼蜜丸桐子大。每服一丸，乳汁调下。治秽恶入腹，令儿呕吐不乳方
木香 干姜（生） 茯苓 甘草 酸木瓜 丁香（各等分）
上为粗末。一捻，水煎，绵蘸滴与之。
《外台》方
乳两合，葱白一寸。煎一两沸。去葱吃，即乳。
《圣惠》人参丸
人参 龙胆 黄连 马牙硝 甘草（炙微赤） 枳实（麸炒微黄，各二两）
上捣，罗为细末，炼蜜、丸如桐子。乳汁研二丸，灌口中，日四五服，瘥。
朱砂丸 治三岁以下，胃口闭，不吃乳。
朱砂 牛黄 麝香 丁香 甘草（炙微赤） 人参（各一分） 犀角 黄 石膏（细研，水飞）
五灵脂（各半两）
上捣罗研匀，蜜、丸如绿豆。熟水下三丸，日四五服。
灸法 儿生二七日内不吮奶多啼者，客风中脐，循流心脾。灸承浆，在下唇棱下宛
宛中。次灸颊车，在耳下颊骨后，炷如雀屎，各七壮。此非灸不疗。儿喉中鸣，
咽乳不利。灸旋玑三壮，在天突下一寸陷者中。
所谓“不乳”，是指婴儿刚出生时不能吮吸乳汁。
婴儿刚脱离母体时，哭声尚未发出，应立即用手擦拭其口腔，使恶露（分娩时排出的瘀血和浊液）彻底清除干净，避免吞咽入腹。如果处理得当，没有恶露入腹，就不会有其他疾病；如果擦拭口腔不彻底，导致污秽之物进入腹部，就会引起腹部胀满、气短，从而无法吮吸乳汁。或者因为产母在产后过度贪凉，寒气侵入胎中，导致婴儿腹痛，这些情况都适宜使用茯苓丸及木香槟榔散进行治疗。
茯苓丸
配方：赤茯苓、川黄连（去除须根）、枳壳（炒制）。
以上药材等分。研成细末，用炼蜜制成如梧桐子大小的药丸。每次服用一丸，用乳汁调服。此方用于治疗因秽恶之物入腹导致的婴儿呕吐、拒乳。
木香槟榔散
配方：木香、干姜（生用）、茯苓、甘草、酸木瓜、丁香（各等分）。
以上药材捣碎成粗末。取一小撮，加水煎煮，用棉絮蘸取药汁滴入婴儿口中。
《外台秘要》方
配方：乳汁两合，葱白一寸。
将上述材料煎煮一两沸后，去掉葱白，让婴儿饮用乳汁即可恢复吮乳。
《圣惠方》人参丸
配方：人参、龙胆、黄连、马牙硝、甘草（炙至微红）、枳实（麸炒至微黄，各二两）。
以上药材捣碎，过筛成细末，用炼蜜制成如梧桐子大小的药丸。每次用乳汁化开两丸，灌入婴儿口中，每日服用四五次，病愈。
朱砂丸
主治：三岁以下儿童，因胃口闭塞而不吃奶。
配方：朱砂、牛黄、麝香、丁香、甘草（炙至微红）、人参（各一分）；犀角、黄芩、石膏（细研，水飞法处理）、五灵脂（各半两）。
以上药材捣碎、过筛、研磨均匀，用蜂蜜制成如绿豆大小的药丸。用温水送服三丸，每日服用四五次。
灸法
婴儿出生后十四天内，如果不吮吸乳汁且多啼哭，多为客邪之风侵袭脐部，循经流注于心脾。应施灸承浆穴，该穴位于下唇棱下方的凹陷处。其次施灸颊车穴，该穴位于耳下颊骨后方。每穴灸七壮，艾炷大小如麻雀屎。这种情况非灸治不能痊愈。若婴儿喉中有鸣音，吞咽乳汁不利，可施灸旋玑穴三壮，该穴位于天突穴下一寸的凹陷处。
The term "failure to suckle" refers to the condition where an infant, immediately after birth, is unable to suckle.
When an infant first emerges from the womb and has not yet cried, one should promptly wipe their mouth with a hand to ensure that lochia (postpartum discharge of blood and mucus) is completely cleared and does not get swallowed. If managed properly without lochia entering the stomach, no other illnesses will arise. However, if the mouth is not wiped thoroughly, allowing filth to enter the abdomen, it may cause abdominal distension and shortness of breath, leading to an inability to suckle. Alternatively, if the mother exposed herself to excessive cold during childbirth, causing cold to invade the fetus, resulting in infant abdominal pain, these conditions are suitable for treatment with Fuling Wan (Poria Pill) and Muxiang Binglang San (Costus and Areca Nut Powder).
Fuling Wan (Poria Pill)
Ingredients: Chi Fuling (Red Poria), Chuan Huanglian (Coptis Rhizome, whiskers removed), Zhiqiao (Bitter Orange peel, stir-fried).
Equal parts of the above ingredients. Grind into fine powder, mix with refined honey to form pills the size of sophora seeds. Administer one pill per dose, mixed with breast milk. This formula treats vomiting and failure to suckle caused by the ingestion of filth.
Muxiang Binglang San (Costus and Areca Nut Powder)
Ingredients: Muxiang (Costus Root), Sheng Ganjiang (Raw Dried Ginger), Fuling (Poria), Gancao (Licorice Root), Suan Mugua (Chaenomeles Fruit), Dingxiang (Cloves) in equal parts.
Grind the above ingredients into a coarse powder. Take a small pinch, decoct in water, dip cotton wool into the liquid, and drip it into the infant's mouth.
Formula from *Waitai Miyao* (Essential Prescriptions from the Imperial Library)
Ingredients: Breast milk 2 he, scallion white 1 cun.
Boil together for one or two boils. Remove the scallion white and administer the milk to restore suckling.
Renshen Wan (Ginseng Pill) from *Shenghui Fang*
Ingredients: Renshen (Ginseng Root), Longdan (Gentian Root), Huanglian (Coptis Rhizome), Mayaxiao (Saltpeter), Zhigancao (Honey-fried Licorice Root, roasted until slightly red), Zhishi (Immature Bitter Orange, bran-fried until slightly yellow) each 2 liang.
Crush and sieve into fine powder, mix with refined honey to form pills the size of sophora seeds. Crush two pills in breast milk and instill into the mouth, administer four to five times daily until recovery.
Zhusha Wan (Cinnabar Pill)
Indications: Infants under three years old suffering from gastric closure and refusal to suckle.
Ingredients: Zhusha (Cinnabar), Niuhuang (Calculus Bovis), Shexiang (Moschus), Dingxiang (Clove), Zhigancao (Honey-fried Licorice Root), Renshen (Ginseng Root) each 1 fen; Xijiao (Rhino Horn), Huangqin (Scutellaria Root), Shigao (Gypsum Fibrosum, finely ground and washed with water), Wulingzhi (Trogopterus Dung) each 0.5 liang.
Grind all ingredients uniformly, mix with honey to form pills the size of mung beans. Administer three pills with warm water, four to five times daily.
Moxibustion Method
For infants who do not suckle and cry excessively within fourteen days after birth, this is often due to external wind pathogens invading the umbilicus and flowing into the Heart and Spleen. Moxibustion should be applied to Chengjiang (CV24), located in the depression below the lower lip border. Next, moxibustion should be applied to Jiache (ST6), located behind the mandible below the ear. Each point receives seven moxa cones, with cone sizes resembling sparrow droppings. This condition cannot be cured without moxibustion. If the infant exhibits stridor in the throat and difficulty swallowing milk, apply three moxa cones to Xuanji (an extra point located 1 cun below Tiantu, CV22, in the depression).