（初诞法详小儿门，四十）
凡婴儿初生，当随手包裹，切不可为风寒所侵。盖儿在腹中，遮护最密，及其初脱胞胎
，肌肤脆嫩，极易感邪。若在夏令，自所无虑，但觉稍寒，即须慎之。尝见儿生未久，多有
惊风发热抽搐等病者，率由乎此。
一、小儿初生，天气微凉即大忌洗沐，恐腠理不密，元气发泄，而外邪乘之也。凡产母
分娩艰难，劳伤胎气，多有儿虽脱胞而乏力垂危，或已死者，切不可便断脐带，当急用大纸
捻蘸香油，于脐带上往来烧断之，取其阳气以续胎元，俄顷，儿得啼声，即已活矣，且可免
胃寒泄泻之病。凡见此者，若以刀断脐带，则子母皆多难保。此出《立斋医按》。
一、凡烧带之法，惟素多阳虚及产时气脱者，最宜用之以助阳气。若母气阳强，或儿声
洪亮者，皆不宜用，恐火从脐入，日后致生热毒，则反为害不小。
凡子死腹中者，多以触伤，或犯禁忌，或以胎气薄弱不成而殒，或以胞破血干，持久困
败，但察产母腹胀舌黑者，其子已死。若非产期而觉腹中阴冷重坠，或为呕恶，或秽气上冲
，而舌见青黑者，皆子死之证。宜速用下死胎方下之。下后察其虚实，随加调补自愈。若唇
舌面色俱青，则母子皆危之兆也。
补遗方∶治胎死腹中。用红花以酒煮汁，饮二三碗即下。
新法下胎方∶用当归一两，浓朴三钱，陈皮二钱，入酒、水各一碗，煎至一碗，加朴硝
三五钱，再煎十余沸，去 热服，死胎自下。或止用脱花煎更妙。
（初生护理的详细方法详见《小儿门》第四十条）
凡是婴儿刚出生，应当随手用衣物包裹好，千万不可让风寒侵袭。因为胎儿在母腹中时，受到最严密的保护，等到刚刚脱离胞胎，肌肤娇嫩脆弱，极易感受外邪。如果在夏季，自然无需担忧，但只要觉得稍凉，就必须谨慎对待。我曾见到许多出生后不久的婴儿，出现惊风、发热、抽搐等疾病，大多都是因为这个原因。
第一，婴儿刚出生时，如果天气微凉，就绝对禁止洗澡沐浴，恐怕是因为此时腠理（皮肤毛孔及纹理）不致密，元气容易外泄，从而导致外邪乘虚而入。凡是产母分娩艰难，劳损伤及胎气，多有婴儿虽然脱离了胞胎但乏力垂危，或者已经死亡的，千万不可立即剪断脐带，应当紧急使用大纸捻蘸取香油，在脐带上往返烧断它，借此取其阳气以接续胎元，片刻之后，婴儿若能啼哭出声，就已经活了，而且还可以避免胃寒泄泻的疾病。凡是遇到这种情况，如果用刀剪断脐带，则母子都难以保全。这一方法出自《立斋医按》。
第二，凡是烧断脐带的方法，只有那些素来阳虚以及产时气脱的产妇，最适合使用此法以助长阳气。如果母亲体质阳气偏盛，或者婴儿哭声洪亮者，都不宜使用，恐怕火气从脐部进入体内，日后导致热毒内生，反而造成不小的危害。
凡是胎儿死于腹中的情况，多因受到外伤，或触犯禁忌，或因胎气薄弱未能成形而流产，或因胞衣破裂血液干涸，持久困顿败坏所致。只要观察产母出现腹胀、舌色发黑的症状，即可判断胎儿已经死亡。如果不是预产期却感觉腹中阴冷沉重下坠，或者伴有呕吐恶心，或有秽浊之气上冲，且舌苔呈现青黑色，这些都是胎儿死亡的证候。应当迅速使用“下死胎方”将其排出。排出后观察其虚实状况，随即加以调补即可自愈。如果嘴唇、舌头、面色全部发青，则是母子均处于危险境地的征兆。
补遗方：治疗胎死腹中。使用红花以酒煮取汁液，饮用二三碗后即可排出。
新法下胎方：使用当归一两，厚朴三钱，陈皮二钱，加入酒和水各一碗，煎煮至剩一碗药液，加入朴硝三五钱，再煮沸十余次，去渣后趁热服用，死胎自然排出。或者只使用“脱花煎”效果更佳。
(The detailed methods for newborn care are detailed in Section 40 of the "Pediatrics" chapter.)
Whenever an infant is just born, it should be wrapped immediately with clothing; one must absolutely prevent invasion by wind and cold. This is because while in the womb, the fetus is most tightly protected. Upon emerging from the amniotic sac, its skin and muscles are tender and fragile, making it extremely susceptible to pathogenic factors. If it occurs in summer, there is naturally no need for worry, but if even a slight chill is felt, caution is required. I have often seen infants who, shortly after birth, suffer from convulsive disorders (Jing Feng), fever, and convulsions; these are mostly due to this reason.
First, when the weather is slightly cool at the time of birth, bathing is strictly prohibited. It is feared that the Cou Li (pores and interstices of the skin) will not be dense, causing Yuan Qi (Original Qi) to leak out, allowing external pathogens to take advantage. In cases where the mother experiences difficult labor, damaging the fetal Qi through exertion, the infant may emerge from the sac weak, critical, or already dead. In such cases, the umbilical cord must not be cut immediately. Instead, one should urgently use a large paper twist dipped in sesame oil to burn through the umbilical cord by moving it back and forth along the cord. This utilizes Yang Qi to sustain the Tai Yuan (Fetal Origin). After a brief moment, if the infant cries, it has revived, and this method also prevents diseases such as stomach-cold diarrhea. For those presenting this condition, cutting the umbilical cord with a knife poses a risk to both mother and child. This method comes from *Li Zhai Yi An* (Medical Records of Li Zhai).
Second, the method of burning the cord is most suitable only for mothers who are constitutionally deficient in Yang or who experienced Qi collapse during delivery, to assist Yang Qi. If the mother's constitution is strong in Yang, or if the infant's cry is loud and resonant, this method should not be used, as fire heat may enter through the umbilicus, potentially causing heat toxins later, which would cause significant harm.
Regarding fetuses dying in the uterine cavity (Zi Si Fu Zhong), causes often include physical trauma, violation of taboos, weak fetal Qi failing to form properly leading to miscarriage, or rupture of the amniotic sac with dried blood, leading to prolonged deterioration. If the mother presents with abdominal distension and a black tongue, the fetus is confirmed dead. If, prior to the expected delivery date, the mother feels coldness and heavy bearing down in the abdomen, accompanied by nausea/vomiting or rising foul odor, and the tongue appears greenish-black, these are signs of fetal death. One should promptly use the Formula to Expel Dead Fetus (Xia Si Tai Fang) to expel it. After expulsion, assess deficiency or excess and apply appropriate tonification/regulation for natural recovery. If the lips, tongue, and facial complexion are all blue-green, it indicates a critical state for both mother and child.
Supplementary Prescription: Treats fetal death in the uterus. Use Hong Hua (Safflower) boiled in wine to extract the juice; drink two or three bowls to induce expulsion.
New Method Formula to Expel Fetus: Use Dang Gui (Angelica Sinensis Root) 1 liang, Hou Po (Magnolia Bark) 3 qian, Chen Pi (Aged Tangerine Peel) 2 qian. Add one bowl of wine and one bowl of water, decoct until one bowl remains. Add Pu Xiao (Mirabilite) 3-5 qian, boil for ten more boils, strain, and take hot. The dead fetus will naturally descend. Alternatively, using Tuo Hua Jian (Flower-Expelling Decoction) alone is even better.