儿在胎时，母食热物，攻入脏腑，则生后热毒结聚于口，舌上有形如粟，口不能开。但见不
能吮乳，啼声渐小，口吐涎沫。须急看儿上胯，如有白点，先以指甲轻轻刮去，次用药。初生脐
风、撮口、口噤
三证，惟贵预防则不患，若有患者，多难救治。
主方 （治口噤不乳） 蝉蜕（二十枚，去嘴、足） 全蝎（七个，洗，炒） 轻粉（少许）
上为末，乳调服。
全蝎散 全蝎（二十个，洗、炒） 朱砂（水飞，五分） 硼砂 冰片 麝香（各二分半）
上为末，用乳母唾调，涂儿口唇内及牙上。或猪乳调，入口内。
又方 蜈蚣（药店干者，去足，炙焦为末，）入麝少许，猪乳调。或猪乳独用，治儿口噤。
由胎中受热，热毒壅盛，结于肛门而不通，无复滋润，所以有此。急令妇人以温水漱口，吸
咂儿前后心并脐下、手足心共七处，凡四、五次。仍以轻粉五分，蜜少许，温水化开，时时些少
服之，以通为度。如不通，即是肛门内合，当以物透之，金簪为上（须肥大、光；）玉簪次之。
须插入二寸许，以苏合丸为条，纳入孔中，粪出为快。（肚胀不乳，至一七死。）或以猪胆导法
（见便秘，）苏合丸（方见中寒。）
初生儿有热邪在胃及胸中，则频频伸引，呃呃作声，努挣其气，抑入脐腹之内，脐肿赤大。
由母受惊热，勿外敷毒药。
主方 栀子仁（炒） 白术 白茯苓 猪苓 泽泻（等分） 官桂（减半） 上为末，每服
三分，蜜汤或灯心汤调，日二服。
二豆散 赤小豆 淡豆豉 南星（制） 白蔹（各一钱）
上为末，每服五分，以芭蕉自然汁调敷四围，日一次。小便白即愈。
婴儿在母体中时，若母亲食用热性食物，热气攻入脏腑，则出生后热毒结聚于口腔，舌面上出现如粟米状的小颗粒，导致口不能张开。只见婴儿无法吮吸乳汁，啼哭声逐渐变小，口吐涎沫。必须立即查看婴儿的胯部（腹股沟区域），如果有白点，先用指甲轻轻刮去，然后再用药。初生脐风、撮口、口噤这三种证候，贵在预防以防患于未然，如果已经患病，大多难以救治。
主方（治疗口噤且不能吮乳）：蝉蜕（二十枚，去掉嘴和足）、全蝎（七个，洗净，炒制）、轻粉（少许）。
以上药物研为细末，用乳汁调和后服用。
全蝎散：全蝎（二十个，洗净、炒制）、朱砂（水飞法处理，五分）、硼砂、冰片、麝香（各二分半）。
以上药物研为细末，用乳母的唾液调和，涂抹在婴儿嘴唇内侧及牙齿上。或者用猪乳调和，滴入口内。
又一方：蜈蚣（药店购买的干品，去掉足，炙烤至焦黄后研为细末），加入少许麝香，用猪乳调和。或者单用猪乳，治疗婴儿口噤。
由于胎中受热，热毒壅盛，结聚于肛门导致不通畅，失去滋润，所以出现这种情况。急忙让妇女用温水漱口，吸吮婴儿的前心、后背以及脐下、双手心、双足心共七处部位，反复四到五次。再用轻粉五分，加少许蜂蜜，用温水化开，不时少量喂服，以大便通畅为度。如果仍不通畅，则是肛门内部闭合，应当用物体疏通，金簪最好（要求肥大、光滑），玉簪次之。须插入约二寸深，将苏合丸制成条状，纳入孔中，以排出粪便为好转。（腹部胀满不吮乳，超过七天即死亡。）或者使用猪胆导便法（见便秘章节），配合苏合丸（方剂见中寒章节）。
初生儿若有热邪在胃及胸中，则会频繁伸展肢体，发出呃逆声，用力挣扎气息，使气压抑进入脐腹之内，导致脐部肿胀发红变大。这是由于母亲受惊热所致，不要外用毒药敷贴。
主方：栀子仁（炒制）、白术、白茯苓、猪苓、泽泻（等分）、官桂（减半量）。
以上药物研为细末，每次服用三分，用蜜汤或灯心草汤调服，每日两次。
二豆散：赤小豆、淡豆豉、南星（炮制）、白蔹（各一钱）。
以上药物研为细末，每次服用五分，用芭蕉自然汁调和，敷于四周，每日一次。小便变白即为痊愈。
When the fetus is in the womb, if the mother consumes hot-natured foods, the heat attacks the Zang-Fu organs. After birth, heat-toxin accumulates in the mouth, and small granules resembling millet seeds appear on the tongue, causing the mouth to be unable to open. The infant is seen unable to suckle milk, the crying voice gradually becomes smaller, and saliva bubbles are expelled from the mouth. One must immediately examine the infant's groin area; if white spots are present, gently scrape them off with fingernails first, then apply medication. Among the three conditions of newborn umbilical tetanus (Neonatal Tetanus), cheiloschisis (sucking-mouth), and trismus (lockjaw), prevention is paramount to avoid occurrence; if a patient already suffers from these, they are mostly difficult to treat.
Main Formula (for treating trismus and inability to suckle): Chan Tui (Cicada Slough, *Cryptotympanae Pupa*) (20 pieces, remove head and feet), Quan Xie (Scorpion, *Scorpio*) (7 pieces, wash, stir-fry), Qing Fen (Calomel, *Hydrargyri Chloridum Vapouratum*) (a small amount).
Grind the above into powder, mix with breast milk, and administer orally.
Quan Xie San (Scorpion Powder): Quan Xie (Scorpion, *Scorpio*) (20 pieces, wash, stir-fry), Zhu Sha (Cinnabar, *Cinnabaris*), Peng Sha (Borax, *Borax*), Bing Pian (Borneol, *Borneolum Syntheticum*), She Xiang (Musk, *Moschus)* (each 2.5 fen).
Grind the above into powder, mix with the lactating mother's saliva, and apply to the inside of the infant's lips and teeth. Alternatively, mix with pig milk and introduce into the mouth.
Another Prescription: Wu Gong (Centipede, *Scolopendra*) (dry ones from pharmacies, remove feet, roast until scorched and grind into powder), add a small amount of She Xiang (Musk, *Moschus*), mix with pig milk. Or use pig milk alone to treat infant trismus.
Due to heat received in the womb, heat-toxin becomes excessive and obstructs the anus, leading to blockage and lack of lubrication, thus causing this condition. Urgently have a woman rinse her mouth with warm water and perform suction therapy on seven areas of the infant: the anterior chest, posterior back, below the navel, and the palms and soles of both hands and feet, repeating four or five times. Then, dissolve 5 fen of Qing Fen (Calomel, *Hydrargyri Chloridum Vapouratum*) with a little honey in warm water, and administer small amounts frequently, stopping when bowel movement is achieved. If still blocked, it indicates internal closure of the anus; one should use an object to penetrate it. A gold hairpin is best (must be thick and smooth), followed by a jade hairpin. Insert about two cun deep, insert a strip made of Su He Wan (Styrax Pill) into the opening, considering it improved when feces are discharged. (Abdominal distension and inability to suckle lead to death within seven days.) Alternatively, use the Pig Gallbladder Enema method (see Constipation), combined with Su He Wan (Styrax Pill) (formula see Cold Damage).
If a newborn has heat-pathogen in the Stomach and Chest, they will frequently stretch their limbs, make hiccuping sounds, strain their breath, forcing the Qi into the umbilical and abdominal region, causing the umbilicus to swell, turn red, and enlarge. This is caused by the mother suffering from shock-heat; do not apply toxic drugs externally.
Main Formula: Zhi Zi Ren (Gardenia Seed, *Gardeniae Fructus*) (stir-fried), Bai Zhu (Atractylodes Rhizome, *Atractylodis Macrocephalae Rhizoma*), Bai Fu Ling (Poria, *Poria*), Zhu Ling (Polyporus, *Polyporus Umbellatus*), Ze Xie (Alisma Rhizome, *Alismatis Rhizoma*) (equal parts), Guan Gui (Cinnamon Twig, *Cinnamomi Ramulus*) (half dose).
Grind the above into powder, take 3 fen per dose, mixed with honey water or Jixin Tang (Centella Decoction), twice daily.
Er Dou San (Two Beans Powder): Chi Xiao Dou (Adzuki Bean, *Vigna angularis*), Dan Dou Chi (Prepared Soybean, *Sojae Preparata*), Nan Xing (Arisaema Rhizome, *Arisaematis Rhizoma Praeparatum*), Bai Lian (Belamcanda Rhizome, *Belamcandae Rhizoma*) (each 1 qian).
Grind the above into powder, take 5 fen per dose, mix with natural juice of Ba Jiao Ye (Banana Leaf, *Musa Basjoo Folium*) and apply around the affected area once daily. Healing is indicated when urine turns white.