千金论云∶裹脐须令白练揉软,方四寸,新绵浓半寸,与帛等合之,缓急得中,急则令
儿吐 ,不可轻解,解时闭户下帐,冬间用火,令帐内温暖,仍以温粉敷之,若脐不干,烧绛
帛敷之。
枯矾五钱,龙骨一钱,黄丹一钱,麝香少许为末,敷之。
乱发烧灰,敷之亦可。或云黄柏末敷,妙。
张涣论云∶婴儿断脐后,宜用浓帛裹护,若乳母不慎,或因浴水入,或儿尿绷中未换,
湿气所侵,或当风解视,七日内遂有此疾,令儿脐肿多啼,不能乳哺,即成脐风也。
脐肿,当随轻重,重者灸二三十次,轻者但汁出多啼,用当归末和胡粉敷之,常用热絮熨之。
初生七日内,面赤喘急,啼声不出,名曰嘬口脐风,齿龈上有小泡如粟米状,急以温水
蘸青软帛或绵裹指,轻轻擦破,即开口,不须服药。
白僵蚕直者四枚炒,去丝嘴,为末,蜜调敷唇内,即愈。
缪仲淳云∶嘬口之症,必先大便热,须用生犀角及真羚羊角,磨和蜜汁饮之,有效,急
则用大黄二钱甘草二钱煎服。
北方生子多不洗浴,初生下但以旧绵拭净,直至三四岁出痘后方浴,或大小便处略以
水揩抹之,故北方人较南方壮实,不徒风气然也。若毕竟欲浴,取益母草五两锉细,煎滚,温
温浴之,不生疮疥,又可祛寒气风湿。
产家要诀云∶儿初出胎浴洗,汤内宜入食盐少许,洗毕拭干,以腻粉一钱许研细,摩其
遍身及两胁,然后绷裹,既不畏风,又散诸气。今北方三朝方洗,将绷裹之儿又复解开,多致
感冒惊风。盖洗三虽云古礼,而防患贵在变通,只根据前法,出胎便洗,自是稳当。
保生要方云∶小儿初生,候浴水不得,且以绵絮包裹,大人怀中暖之,浴后仍当如此,
虽暑月绵絮亦宜渐渐去之,乍离母腹,未可冒寒气也。预煎沸汤,以甑贮之,临时热洗,不犯
生水,则儿不生疮。
《千金方》论述道:包裹婴儿脐带时,需用白绢反复揉搓至柔软,裁剪成四寸见方的大小,中间夹入半寸厚的新棉花,与白绢厚度相当,包扎松紧适度。若包扎过紧,会导致婴儿呕吐;不可轻易解开。若要解开,必须关闭门窗、放下帐子,冬季需生火使帐内保持温暖,并用温粉涂抹患处。如果脐部不能干燥,可用烧红的红帛敷贴。
另外一方:枯矾五钱,龙骨一钱,黄丹一钱,麝香少许,研为细末,外敷患处。
或者将乱发烧成灰,外敷亦可。有人说用黄柏末外敷,效果奇妙。
张涣论述道:婴儿剪断脐带后,应用厚布包裹保护。如果乳母不慎,或因洗澡水进入,或婴儿尿湿尿布未及时更换,湿气侵袭,或在风口处解开查看,七日内就会发生此病,导致婴儿脐部肿胀、多啼哭、无法吃奶,这就形成了脐风病。
若脐部肿胀,应根据病情轻重处理。重症者艾灸二三十次;轻症者仅表现为渗液多、啼哭不止,可用当归末调和胡粉(铅粉)外敷,并常用热棉絮熨烫患处。
初生七日内,若见面色发红、呼吸急促、啼哭无声,称为“嘬口脐风”,齿龈上有如粟米状的小水泡,应立即用温水蘸取青软绢或绵裹住手指,轻轻擦破水泡,婴儿即可开口,无需服药。
白僵蚕四条直挺的,炒制后去掉丝嘴,研为细末,用蜂蜜调匀敷于嘴唇内侧,即可痊愈。
缪仲淳说:嘬口这种病症,必定先出现大便发热,需用生犀角和真羚羊角,磨碎后混合蜜汁给婴儿饮用,有效;急症时用大黄二钱、甘草二钱煎服。
葱白一寸,剖开成四片,用乳汁蒸热后灌服。
北方人生育后大多不给孩子洗澡,刚出生时只用旧棉絮擦拭干净,直到三四岁出痘后才洗澡,或者仅在大小便处略用水擦拭,所以北方人比南方人身体壮实,这不仅仅是风气不同的缘故。如果一定要洗澡,取益母草五两切碎,煮沸,待水温适宜时给婴儿洗浴,可不生疮疥,又能祛除寒气风湿。
《产家要诀》说:婴儿刚出生洗浴时,水中宜加入少许食盐,洗毕擦干,取腻粉约一钱研细,按摩其全身及两侧胁部,然后进行绷裹,这样既不怕受风,又能疏散体内诸气。如今北方地区在第三天(三朝)才给婴儿洗澡,把已经绷裹好的婴儿又解开,容易导致感冒惊风。虽然“洗三”说是古礼,但预防疾病贵在变通,只依据前面的方法,出生后立刻洗浴,自然是稳妥的。
《保生要方》说:小儿刚出生时,若没有准备好的洗澡水,暂且用棉絮包裹,放在大人怀中保暖,洗完澡后仍应如此,即使是暑天,棉絮也应逐渐去除,因为婴儿刚刚离开母腹,不可冒犯寒气。预先煎好沸汤,用甑(一种蒸器)盛放保温,临时用热水清洗,不接触生水,则婴儿不会生疮。
The *Qianjin Fang* (Prescriptions Worth a Thousand Gold) states: When wrapping the umbilicus, white silk must be rubbed until soft, cut into a square of four cun, with half an inch of thick new cotton sandwiched between layers of silk of equal thickness. The binding should be neither too tight nor too loose; if too tight, it will cause the infant to vomit. It should not be untied lightly. If it must be untied, doors and windows should be closed, curtains lowered, and in winter, fire should be used to keep the interior warm. Warm powder should then be applied to the area. If the umbilicus does not dry, burnt red silk may be applied.
Another prescription: Calcined Alum (Bai Fan) 5 qian, Fossilized Bone (Long Gu) 1 qian, Lead Oxide (Huang Dan) 1 qian, and a small amount of Moschus (She Xiang), ground into fine powder, applied externally.
Alternatively, burnt hair ash can be applied. Some say applying Phellodendri Cortex (Huang Bai) powder is excellent.
Zhang Huan states: After the umbilical cord is severed, the infant should be wrapped and protected with thick cloth. If the nurse is careless, or if bathwater enters, or if the diaper is soiled with urine and not changed promptly, dampness invades. Or if exposed to wind while being viewed, within seven days this disease may occur, causing umbilical swelling, excessive crying, and inability to suckle, thus forming Umbilical Wind Disease (Qi Feng).
For umbilical swelling, treatment depends on severity. For severe cases, moxibustion should be performed twenty to thirty times. For mild cases, characterized by excessive discharge and crying, Angelicae Sinensis Radix (Dang Gui) powder mixed with White Lead Powder (Hu Fen) should be applied, and hot cotton wadding should be frequently used for hot compresses.
Within seven days after birth, if the face is red, breathing is rapid, and the cry is silent, it is called "Sucking Mouth Umbilical Wind" (Zuo Kou Qi Feng). Small bubbles like millet grains appear on the gums. Immediately dip a finger wrapped in green soft silk or cotton in warm water and gently break the bubbles. The mouth will open immediately without need for medication.
Four straight Silkworms (Jiang Can), stir-fried, with silk mouths removed, ground into powder, mixed with honey, and applied to the inner lips, will cure it.
Miao Zhongchun says: In the condition of sucking mouth, there is invariably heat in the stool. Raw Rhinoceros Horn (Xi Jiao) and real Antelope Horn (Ling Yang Jiao) should be ground and mixed with honey juice for drinking, which is effective. In emergencies, Rheum Palmatum Radix et Rhizoma (Da Huang) 2 qian and Glycyrrhizae Radix et Rhizoma (Gan Cao) 2 qian are decocted and administered.
Scallion White (Cong Bai), one cun long, split into four pieces, steamed with milk, and instilled orally.
In the north, newborns are often not bathed. Upon birth, they are merely wiped clean with old cotton wadding until they are three or four years old and have had smallpox, or only the genital and anal areas are wiped with water. Thus, northerners are sturdier than southerners, not solely due to climatic differences. If bathing is desired, take five liang of Motherwort Herba (Yi Mu Cao), chop finely, boil, and bathe the infant in the warm liquid. This prevents sores and scabies and dispels cold-dampness and wind-dampness.
The *Chan Jia Yao Jue* (Essentials for Childbirth) states: When bathing a newborn, a small amount of salt should be added to the water. After washing and drying, about one qian of Calomelas (Ni Fen) ground fine should be massaged over the entire body and both flanks, followed by swaddling. This protects against wind and disperses various pathogenic qi. Currently, in the north, bathing is delayed until the third day. Unswaddling infants who have already been bound often leads to colds and convulsions. Although "washing on the third day" is an ancient ritual, prevention requires flexibility. Following the previous method of bathing immediately after birth is indeed safer.
The *Bao Sheng Yao Fang* (Essential Prescriptions for Preserving Life) states: When a newborn is born and no bath water is ready, wrap them in cotton wadding and keep them warm in an adult's arms. After bathing, continue this practice. Even in summer, remove the wadding gradually, as the infant has just left the womb and should not be exposed to cold air. Boil water in advance and store it in a steamer (Zeng) to keep it hot for immediate use, avoiding contact with raw water, so the infant will not develop sores.