《千金》有脐风、脐湿、脐疮、三者皆因断脐后为风湿伤而成，夫风入脐，脐肿
腹胀，四肢不利，多啼不能乳，甚者发搐，为脐风。肿湿经久不干，为脐湿。风湿
相搏，令脐生疮久不瘥，为脐疮。有一不已，入于经脉，多变为痫，痫成、作痫治。
脐风者，谓断脐之后，被水湿风冷所乘，风湿之气入于脐而流入心脾，遂令肚腹胀
满、脐肿，身体重着，四肢柔直，日夜多啼，不能吮乳，甚则发为风搐，若脐边青黑，
撮口不开，是为内搐，不治。爪甲黑者，即死。其或热在胸堂，伸缩努气，亦令脐
肿，宜《千金》龙胆汤主之（方见前条。）钱氏云∶小儿洗浴，拭脐不干，风入作疮，令
儿撮口，甚者是脾虚胃气不和，宜调气，益黄散主之（方见脾部。）《类萃》云∶宜先用控
痰饮吐风痰，次用益脾散和脾，又用辰砂膏利惊即愈。或手足挛拳、噤口不开者，不
治。曾氏法先投劫风膏，次以五苓散加宽气饮入姜汁、葱白、灯心煎汤调服，与解
风痰，及用一字金、煎荆芥汤或薄荷汤调抹口内，证轻即快。如禀赋充实，发热、
有痰、惊搐，投黑白饮，温蜜汤空心调下，微泄似茶褐色二三行，进白芍药汤，水、
姜枣煎服，常用此法，亦妙。若脐凸（音迭）肚紧，微有青色，口撮不开，肝风盛而脾
土受制，不可施治，凡有此候，百无一治，纵使得安，亦非长寿。
控痰散
蝎尾 铜青（各半钱） 朱砂（一钱） 腻粉（一字） 麝香（少许）
上为末。每服一字，腊茶清调下。先吐风痰，然后和胃，或用前甘草方吐
痰，随轻重用。
益脾散
白茯苓 人参 草果（煨） 木香（湿纸裹煨） 甘草 陈皮 浓朴（姜制） 紫苏子（炒，各等分）
上，为末。每服一钱，姜枣水煎。
辰砂膏（方见前。）
宣风散 治初生儿因断脐后外伤风湿，唇青口撮，多啼不乳，口出白沫。
全蝎（二十一个，头尾全去毒，用无灰酒少许涂炙，为末） 麝香（一小字，别研）
上研为极细末。用半字，金银煎汤、或麦门冬去心煎汤调化，食远服。
防风散 治初生儿脐风。
防风（去芦） 羌活 黄 当归 川白芷 甘草（各半钱）
上为极细末。少许，用灯心、麦门冬去心煎汤调化，不拘时候服。
劫风膏 治急慢惊搐，脐风撮口，牙关紧闭，痰涎壅盛，咽喉肿痛。
葳灵仙（去芦，一两半，细锉，焙，研为末）
上，用皂荚三两，去皮弦槌损，挪温水一碗，绢滤过，慢火熬若稀糊，入醇醋
半两，再熬三五沸，去火候冷，用前药末亭分乳钵内杵匀，丸芡实大。先用
盐梅肉擦牙根，次以此膏一丸或二丸，温白汤浓调，抹入左右牙关内、即开，续
进别药。熬时，得瓦器为上，银器尤佳。及解风痰壅盛，淡姜汤调化，无时少与
含咽。咽喉肿痛，温茶清调下，或薄荷汤。
五苓散
宽气饮（俱惊）
一字金 治初生婴孩一七之外、欲成脐风撮口，及卒中急慢惊风，牙关紧闭，壅上
痰涎。
僵蚕（炒，去丝） 葳灵仙（去芦。各四钱） 明白矾（生用，二钱） 细辛（去叶，一钱）
甘草（生用，二钱半）
上锉焙为末。每服一字至半钱，姜汁沸汤调匀，以指抹入牙关内。治卒中急慢
惊证，口噤不开，用盐梅汤调擦上下牙根二处。
黑白饮 治脐风气实者，及急惊壮热发搐。
黑牵牛（半生半炒） 白牵牛（半生半炒） 大黄（生用） 陈皮（去白） 槟榔（各半两）
甘草（炙，三钱） 玄明粉（二钱）
上，除槟榔不过火，余五味或晒或焙，仍合槟榔为末，同玄明粉入乳钵内再杵
匀。每服半钱至一钱，温蜜汤调化，空心投服，或无时。此药新合最妙，久则效迟。
白芍药汤（方见疝）
张涣封脐散 治婴儿初生，因乳母不谨，洗浴水入脐中，或儿尿在 袍之内，湿气
伤于脐中，或解脱、风冷邪气所乘，令儿脐肿多啼，不能乳哺，名脐风病，宜急
用此。
好川当归（半两，洗，焙干） 天浆子（三个，微炒） 乱发（一钱，烧灰存性）
上件同捣，罗为细末，入麝香一字拌匀。用药一字至半钱敷脐中，时时用。
《三因》小儿初生，一七日内忽患脐风撮口，百无一效，坐视其死，良可悯也。
有一法，世罕知者，凡患此证，看儿齿龈上有小泡子如粟米状，以温水蘸熟帛，裹
指轻轻擦破，即开口便安，不药神效。
小儿初生，脐风撮口，诸药不效者。灸然谷，穴在内踝前起大骨下陷中，可灸
三壮，针入三分，不宜见血，立效。脐风，目上插，刺丝竹空。脐肿，灸腰对脐
骨节间三壮，炷如麦。
脐风撮口，在百日内、多不治。
《千金方》中记载有脐风、脐湿、脐疮三种病症，这三者都是因为在剪断脐带后，受到风湿邪气侵袭而形成的。风邪侵入脐部，导致脐部肿胀、腹部胀满，四肢活动不利，啼哭不止且无法吃奶，严重时出现抽搐，这称为脐风。肿胀潮湿经久不干，称为脐湿。风湿相互搏结，导致脐部生疮久不愈合，称为脐疮。如果一种病证未愈，病邪深入经脉，大多会转变为痫病（癫痫），一旦形成痫病，就按照治疗痫病的方法处理。
所谓脐风，是指剪断脐带之后，被水湿、风冷邪气乘虚而入，风湿之气进入脐部并流入心脾，于是导致肚腹胀满、脐部肿胀，身体沉重，四肢僵硬挺直，日夜啼哭不停，不能吮吸乳汁，严重时引发风性抽搐。如果脐周颜色青黑，口唇收缩紧闭无法张开，这是内搐的表现，属于不治之症。指甲发黑的，立即死亡。如果热邪在胸膈，呼吸急促用力，也会导致脐部肿胀，适宜用《千金方》中的龙胆汤主治（方剂见前条）。钱乙说：给小儿洗澡时，擦干脐部不彻底，风邪侵入导致生疮，使小儿口唇收缩紧闭，严重的则是脾虚胃气不和，适宜调理气机，用益黄散主治（方剂见脾部章节）。《类萃》说：适宜先用控痰饮吐出风痰，接着用益脾散调和脾胃，再用辰砂膏镇惊，即可痊愈。如果出现手足蜷缩握拳、牙关紧闭无法张开的，属于不治之症。曾氏的治疗方法：先投服劫风膏，接着用五苓散加宽气饮，加入姜汁、葱白、灯心草煎汤调服，以解除风痰；同时使用一字金，用荆芥汤或薄荷汤调匀涂抹口腔内部，病情轻的很快见效。如果患儿禀赋充实，表现为发热、有痰、惊厥抽搐，投服黑白饮，用温蜂蜜水空腹调下，轻微腹泻呈茶褐色二三行后，进服白芍药汤，用水、生姜、大枣煎服，常用这种方法，也很奇妙。如果脐部突出（音迭）、腹部紧绷，微现青色，口唇收缩紧闭，这是肝风旺盛而脾土受制，不可施治，凡是出现这种征候的，百无一救，即使侥幸得安，也不是长寿之相。
控痰散
蝎尾、铜青（各半钱），朱砂（一钱），腻粉（一字），麝香（少许）。
以上药物研为细末。每次服用一字量，用腊茶清调服。先吐出风痰，然后调和胃气，或者使用前文的甘草方催吐痰涎，根据病情轻重选用。
益脾散
白茯苓、人参、草果（煨制）、木香（湿纸包裹煨制）、甘草、陈皮、浓朴（姜汁制）、紫苏子（炒制，各等分）。
以上药物研为细末。每次服用一钱，用姜枣水煎服。
辰砂膏（方剂见前文）。
宣风散 治疗初生婴儿因剪断脐带后外伤风湿，出现嘴唇青紫、口唇收缩紧闭、多啼哭不吃奶、口出白沫的症状。
全蝎（二十一个，头尾齐全去毒，用无灰酒少许涂炙，研为细末），麝香（一小字，单独研磨）。
以上药物研成极细末。取半字量，用金银煎汤，或用麦门冬去心煎汤调化，饭后服用。
防风散 治疗初生婴儿脐风。
防风（去芦头）、羌活、黄芪、当归、川白芷、甘草（各半钱）。
以上药物研成极细末。取少量，用灯心草、麦门冬去心煎汤调化，不限时候服用。
劫风膏 治疗急慢惊厥抽搐、脐风撮口、牙关紧闭、痰涎壅盛、咽喉肿痛。
葳灵仙（去芦头，一两半，切碎，焙干，研为细末）。
以上药物，用皂荚三两，去皮弦捣碎，放入温水一碗，用绢布过滤，用慢火熬成稀糊状，加入纯醋半两，再煮沸三五次，离火冷却，将前药末平均分成几份，在乳钵内杵匀，制成如芡实大小的丸药。先用盐梅肉擦拭牙根，然后用此膏一丸或二丸，用温白开水调浓，涂抹入左右牙关内，即刻张开，随后继续进服其他药物。熬制时，最好用瓦器，银器更佳。以及解除风痰壅盛，用淡姜汤调化，随时少量含咽。咽喉肿痛，用温茶清调服，或用薄荷汤送服。
一字金 治疗初生婴孩出生一周后，欲形成脐风撮口，以及突发的急慢惊风，牙关紧闭，上涌痰涎。
僵蚕（炒制，去丝），葳灵仙（去芦头，各四钱），明白矾（生用，二钱），细辛（去叶，一钱），甘草（生用，二钱半）。
以上药物切碎焙干研为细末。每次服用一字至半钱，用姜汁和沸水调匀，用手指涂抹入牙关内。治疗突发急慢惊证，口噤不开，用盐梅汤调擦上下牙根两处。
黑白饮 治疗脐风气实证，以及急惊壮热发搐。
黑牵牛（半生半炒），白牵牛（半生半炒），大黄（生用），陈皮（去白），槟榔（各半两），甘草（炙制，三钱），玄明粉（二钱）。
以上药物，除槟榔不过火外，其余五味或晒干或焙干，仍与槟榔一起研为细末，同玄明粉放入乳钵内再杵匀。每次服用半钱至一钱，用温蜂蜜水调化，空腹服用，或不定时服用。此药新配制效果最好，放置久了疗效迟缓。
白芍药汤（方剂见疝病章节）
张涣封脐散 治疗婴儿初生，因乳母不慎，洗浴水进入脐中，或婴儿尿液在襁褓之内，湿气损伤脐中，或因脱衣受风冷邪气侵袭，导致婴儿脐肿多啼，不能哺乳，名为脐风病，适宜紧急使用此方。
好川当归（半两，洗净，焙干），天浆子（三个，微炒），乱发（一钱，烧灰存性）。
以上药物一同捣碎，过筛为细末，加入麝香一字拌匀。用药一字至半钱敷于脐中，经常使用。
《三因方》记载：小儿初生，一七日内忽然患上脐风撮口，各种方法都无效，只能坐视其死，实在令人怜悯。有一种方法，世人很少知道，凡是患此证的，看婴儿齿龈上有小泡如粟米状，用温水蘸熟帛，裹住手指轻轻擦破，即刻开口便安宁，不用药也神效。
小儿初生，脐风撮口，诸药无效的。灸然谷穴，该穴在内踝前起大骨下的凹陷中，可灸三壮，针刺入三分，不宜见血，立竿见影。脐风，眼睛向上翻，刺丝竹空穴。脐肿，灸腰部对应脐部的骨节间三壮，艾炷如麦粒大小。
脐风撮口，在百日内的，大多不治。
The *Qianjin Fang* records three conditions: umbilical wind (Umbilical Wind), umbilical dampness (Umbilical Dampness), and umbilical sores (Umbilical Sores). All three arise from exposure to wind-damp pathogenic factors after the umbilical cord is cut. When wind pathogen enters the navel, it causes swelling of the navel and abdominal distension, limited mobility of the four limbs, excessive crying, and inability to suckle milk; in severe cases, convulsions occur, which is termed Umbilical Wind. If the swelling and dampness persist without drying for a long time, it is called Umbilical Dampness. When wind and dampness interact, causing sores on the navel that fail to heal for a long time, it is called Umbilical Sores. If one condition remains unresolved, the pathogen may enter the meridians and collaterals, often transforming into epilepsy (Epilepsy). Once epilepsy is established, it should be treated according to protocols for epilepsy.
Umbilical Wind refers to the condition where, after cutting the umbilical cord, the infant is invaded by water-dampness, wind, and cold pathogens. The wind-damp qi enters the navel and flows into the Heart and Spleen, leading to abdominal distension, navel swelling, heavy body sensation, stiffness and straightening of the limbs, ceaseless crying day and night, inability to suckle, and in severe cases, wind-induced convulsions. If the area around the navel turns cyanotic or black, and the mouth puckers shut unable to open, this indicates internal convulsion (Internal Convulsion), which is incurable. If the fingernails turn black, death ensues immediately. If heat resides in the chest and diaphragm, with labored breathing and straining, it also causes navel swelling; in such cases, Longdan Tang (Gentian Decoction) from the *Qianjin Fang* is indicated (formula see previous section). Qian Yi stated: If an infant's navel is not dried thoroughly after bathing, wind pathogen enters and causes sores, leading to puckering of the mouth. Severe cases indicate Spleen deficiency and Stomach Qi disharmony; regulating Qi with Yihuang San (Benefit Yellow Powder) is appropriate (formula see Spleen section). The *Leicui* states: One should first use Kongtan Yin (Phlegm-Controlling Drink) to induce vomiting of wind-phlegm, then use Yipi San (Splee-Benefiting Powder) to harmonize the Spleen, and finally use Chensha Gao (Cinnabar Paste) to calm fright, resulting in recovery. If the hands and feet are curled and clenched, or the jaw is locked shut, it is incurable. Zeng's method involves first administering Jiefeng Gao (Wind-Expelling Paste), followed by Wuling San (Five-Ingredient Powder with Poria) combined with Kuanqi Yin (Qi-Widening Drink), decocted with ginger juice, scallion white, and Juncus effusus (Rush Pith) in water for oral administration to resolve wind-phlegm. Additionally, apply Yizijin (One-Character Gold) mixed with Jingjie Tang (Schizonepeta Decoction) or Bohe Tang (Mint Decoction) to the oral mucosa; mild cases recover quickly. For infants with robust constitution presenting fever, phlegm, and convulsive seizures, administer Heibai Yin (Black-and-White Drink) dissolved in warm honey water on an empty stomach; slight diarrhea yielding two or three stools of tea-brown color follows, after which Baishaoyao Tang (White Peony Decoction) decocted with water, ginger, and jujube is given. This method is commonly used and effective. If the navel protrudes, the abdomen is tight, slightly cyanotic, and the mouth is puckered shut, this indicates excess Liver Wind suppressing Spleen Earth; treatment is contraindicated. Any case presenting these signs is virtually untreatable; even if survival occurs, longevity is unlikely.
Kongtan San (Phlegm-Controlling Powder)
Scorpio Tail (Xiewei), Verdigris (Tongqing) (each 0.5 qian), Cinnabar (Zhusha) (1 qian), Calomel (Nifen), Musk (Shexiang) (a small amount).
Grind all ingredients into powder. Administer 1 yi-zhi dose, taken with clear wax-tea liquor. First, vomit out wind-phlegm, then harmonize the Stomach. Alternatively, use the previously mentioned Licorice formula to induce vomiting of phlegm, depending on severity.
Yipi San (Splee-Benefiting Powder)
Poria (Baifuling), Ginseng (Renshen), Tsaoko Cardamom (Caoguo, roasted), Aucklandia (Muxiang, roasted wrapped in wet paper), Licorice (Gancao), Tangerine Peel (Chenpi), Magnolia Bark (Nongpo, processed with ginger juice), Perilla Seed (Zisuzi, stir-fried), equal parts.
Grind into powder. Administer 1 qian dose, decocted with ginger and jujube water.
Chensha Gao (Cinnabar Paste) (Formula see previous section).
Xuanfeng San Treats newborns suffering from external wind-damp invasion after umbilical cord cutting, presenting with cyanotic lips, puckered mouth, excessive crying, refusal to suckle, and foaming at the mouth.
Scorpion (Quanxie, 21 pieces, head and tail intact, detoxified, lightly roasted with non-ash wine, ground to powder), Musk (Shexiang, 1 small yi-zhi, separately ground).
Grind into extremely fine powder. Take half a yi-zhi dose, dissolved in decoction of gold and silver, or in Ophiopogon (Mendong) heart-decoction, taken well after meals.
Fangfeng San Treats newborn umbilical wind.
Saposhnikovia (Fangfeng, de-rhizomed), Notopterygium (Qianghuo), Astragalus (Huangqi), Angelica Sinensis (Danggui), Angelica Dahurica (Chuaibaizhi), Licorice (Gancao) (each 0.5 qian).
Grind into extremely fine powder. Take a small amount, dissolved in decoction of Juncus effusus (Dengxincao) and Ophiopogon (Mendong) hearts, taken at any time.
Jiefeng Gao (Wind-Expelling Paste) Treats acute and chronic convulsions, umbilical wind with puckered mouth, locked jaw, copious salivation/phlegm, and sore throat/swollen throat.
Clematis (Weilingxian, de-rhizomed, 1.5 liang, finely chopped, roasted, ground to powder).
Take 3 liang of Sophora Flavescens bark (Zaojiao), remove skin and strings, crush, soak in one bowl of warm water, filter through silk cloth, and slowly boil into a thin paste. Add 0.5 liang of pure vinegar, boil for three to five times, remove from heat, and cool. Mix evenly with the Clematis powder in a mortar, form pills the size of a Chinese quince seed (Qianshi). First, rub salt-plum meat on the gums. Then, take one or two pills of this paste, mix thickly with warm plain water, and smear into the left and right jaw joints to unlock them immediately, then proceed with other medications. Use earthenware vessels for boiling, silver vessels are best. To resolve copious wind-phlegm, dissolve in light ginger soup and swallow occasionally. For sore throat, take with warm tea liquor or Mint decoction.
Wuling San (Five-Ingredient Powder with Poria)
Kuanqi Yin (Qi-Widening Drink) (Both treat fright disorders).
Yizijin (One-Character Gold) Treats newborns beyond one week of age developing umbilical wind with puckered mouth, or sudden acute/chronic convulsions with locked jaw and upward rushing phlegm.
Bombyx Batryticatus (Jiangcan, stir-fried, de-silked), Clematis (Weilingxian, de-rhizomed) (each 4 qian), White Alum (Mingfan, raw use, 2 qian), Asarum (Xixin, de-leafed, 1 qian), Licorice (Gancao, raw use, 2.5 qian).
Cut, roast, and grind into powder. Administer 1 yi-zhi to 0.5 qian dose, mixed with ginger juice and boiling water, and smeared into the jaw joints with a finger. For sudden acute/chronic convulsions with locked jaw, rub upper and lower gums with salt-plum soup.
Heibai Yin (Black-and-White Drink) Treats excess-type umbilical wind qi and acute convulsions with high fever.
Black Morning Glory Seed (Heiqianniu, half raw half roasted), White Morning Glory Seed (Baiqinniu, half raw half roasted), Rhubarb (Dahuang, raw use), Tangerine Peel (Chenpi, de-white), Areca Nut (Binglang) (each 0.5 liang), Licorice (Gancao, roasted, 3 qian), Mirabilite (Xuanmingfen, 2 qian).
Except for Areca Nut which is not overheated, dry or roast the remaining five herbs. Combine with Areca Nut, grind to powder, and mix with Mirabilite in a mortar until uniform. Administer 0.5 qian to 1 qian dose, dissolved in warm honey water, taken on an empty stomach or as needed. Freshly prepared medicine is most effective; efficacy delays if stored long.
Baishaoyao Tang (White Peony Decoction) (Formula see Hernia section).
Zhang Huan's Fengqi San (Sealing Navel Powder) Treats newborns whose mothers were careless during bathing, allowing water into the navel, or urine in swaddling clothes damaging the navel with dampness, or exposure to wind-cold after undressing, causing navel swelling, excessive crying, and inability to suckle, named Umbilical Wind disease. Use urgently.
High-quality Sichuan Angelica (Hao Chuandanggui, 0.5 liang, washed, roasted dry), Tianjiangzi (Sky Droplet Seeds, 3 pieces, lightly roasted), Tangled Hair (Luankou, 1 qian, burned to ash retaining nature).
Pound together, sieve into fine powder, mix with 1 yi-zhi of Musk. Apply 1 yi-zhi to 0.5 qian to the navel, use frequently.
The *Sanyin Fang* notes: Infants suddenly developing umbilical wind with puckered mouth within seven days of birth have no effective treatments, leaving one to watch them die, which is pitiable. There is a little-known method: examine the infant's gum for millet-sized blisters. Dip a熟 cloth in warm water, wrap around finger, and gently wipe the blister until broken; the mouth opens immediately and the infant calms down, achieving miraculous results without medication.
For newborn umbilical wind with puckered mouth unresponsive to drugs: Moxibustion at Ran Gu (RN2), located in the depression anterior to the medial malleolus below the prominent bone. Moxa cone: 3 moxibustions. Acupuncture depth: 3 fen. Avoid bleeding. Immediate effect. For umbilical wind with eyes rolling upward, puncture Sizhukong (SJ23). For navel swelling, moxa at the vertebral segment opposite the navel, 3 moxibustions, cone size like wheat grain.
Umbilical wind with puckered mouth in infants under 100 days old is mostly incurable.