热毒疮疥，因乳哺过早，或嗜甘肥，脏腑积热，或母食膏粱浓味，或七情内火所致。当分脏腑所属之因，病之虚实，
调其血气，平其所胜。如肝经实热，用柴胡清肝散；虚热用六味地黄丸。心经实热，用导赤散；虚热用补心汤。脾经实
热，用泻黄散；虚热用补中汤。肺经实热，用泻白散；虚热用五味异功散。肾经热，用六味地黄丸。大凡手足冷者属虚
寒；手足热者属实热。脉沉数有力，作渴饮冷，大便干实，此邪在里，宜内疏。若脉浮数有力，作渴饮冷，此邪在表，
宜发散。若脉浮大，按举无力，或作渴饮汤，乳食少思，此真气虚而发热也，调理脾胃，其病自愈，切不可用寒冷之剂，
复损真气。婴儿宜调治乳母为主。
一小儿胁间患此，寒热如疟，小便频数，此禀肝火所致。先用柴胡清肝散，又用加味逍遥散而愈。后因乳母肝火动
而复发，用加味逍遥散及八珍汤加丹皮、山栀，母子服之并愈。
一小儿腹间患此，发热便血，面黄少食，或作呕，或作泻，手足时冷，右关脉弦数，此脾土虚弱，肝火为患，先用
五味异功散加升麻、柴胡、山栀，益脾气清肝火；后用地黄丸，滋肾水生肝血而愈。
一小儿腿内股患此，色赤不愈，发热，面色或赤或青，此禀肾阴不足，而水火炽盛，先用柴胡栀子散，以清肝心；
后用地黄丸，以补肝肾而愈。
一小儿肘间患此，作渴饮冷，右寸关脉数而无力，此胃经积热，传于肺经也，先用泻黄、泻白二散渐愈；后用五味
异功散、四味肥儿丸而愈。
一小儿嗜膏粱甘味，先患背胛，后沿遍身淋漓，此饮食之热，而伤脾血也。先用清胃、泻黄二散而愈。但形气怯弱，
用五味异功散，而元气复。
柴胡清肝散（方见胁痈）
五味异功散（方见用败毒之药）
导赤散
泻白散（二方见臂痈）
泻黄散（方见头面疮）
Carbuncles and scabies caused by heat-toxin arise from nursing too early, or indulging in sweet and fatty foods, leading to accumulated heat in the zang-fu organs; or it may be due to the mother consuming rich and greasy food (rich and fine food), or internal fire generated by the seven emotions. One should differentiate the causes according to the affected zang-fu organs, distinguish between deficiency and excess of the disease, regulate qi and blood, and level out the excessive pathogenic factors. For example, for excess heat in the Liver channel, use Chaihu Qinggan San (Bupleurum Decoction to Clear the Liver); for deficient heat, use Liuwei Dihuang Wan (Six-Ingredient Rehmannia Pill). For excess heat in the Heart channel, use Daochi San (Guide Out Redness Powder); for deficient heat, use Buxin Tang (Heart-Nourishing Decoction). For excess heat in the Spleen channel, use Xiehuang San (Drain the Yellow Powder); for deficient heat, use Buzhong Tang (Middle-Supplementing Decoction). For excess heat in the Lung channel, use Xiebai San (Drain the White Powder); for deficient heat, use Wuwei Yigong San (Five-Ingredient Extraordinary Merit Powder). For heat in the Kidney channel, use Liuwei Dihuang Wan (Six-Ingredient Rehmannia Pill). Generally, cold hands and feet indicate deficiency-cold; hot hands and feet indicate excess-heat. A pulse that is deep, rapid, and forceful, accompanied by thirst with a desire for cold drinks and dry, hard stools, indicates that the pathogen is in the interior, and internal purgation/drainage is appropriate. If the pulse is floating, rapid, and forceful, with thirst and a desire for cold drinks, this indicates that the pathogen is in the exterior, and dispersing/sweating methods are appropriate. If the pulse is floating and large but weak upon heavy pressure, or if there is thirst with a desire for warm drinks, reduced appetite for milk and food, this indicates fever due to deficiency of true qi; regulating the Spleen and Stomach will lead to spontaneous recovery. Cold-natured medicines must absolutely not be used, as they would further damage the true qi. Treatment for infants should primarily focus on regulating the nursing mother.
A child suffered from this condition in the hypochondriac region, experiencing alternating chills and fever resembling malaria, with frequent urination. This was caused by inherited Liver fire. Initially treated with Chaihu Qinggan San (Bupleurum Decoction to Clear the Liver), followed by Jiawei Xiaoyao San (Modified Free and Easy Wanderer Powder), resulting in recovery. Later, it recurred because the nursing mother's Liver fire became active. The mother and child both took Jiawei Xiaoyao San (Modified Free and Easy Wanderer Powder) plus Bazhen Tang (Eight-Treasure Decoction) added with Mudanpi (Moutan Cortex) and Shanzhi (Gardeniae Fructus), and both recovered.
Another child suffered from this condition in the abdominal region, presenting with fever, hematochezia, sallow complexion, poor appetite, occasional vomiting, and diarrhea, with intermittent coldness in the hands and feet. The pulse at the right Guan position was wiry and rapid. This indicated weakness of Spleen Earth and pathology caused by Liver fire. Initially, Wuwei Yigong San (Five-Ingredient Extraordinary Merit Powder) was used with Shengma (Cimicifugae Rhizoma), Chaihu (Bupleuri Radix), and Shanzhi (Gardeniae Fructus) to tonify Spleen qi and clear Liver fire; subsequently, Dihuang Wan (Rehmannia Pill) was used to nourish Kidney water to generate Liver blood, leading to recovery.
Another child suffered from this condition on the inner thigh, with redness persisting without healing, fever, and a complexion that was sometimes red and sometimes cyanotic. This indicated inherited insufficiency of Kidney yin, with flourishing fire and water imbalance. Initially, Chaihu Zhizi San (Bupleurum and Gardenia Powder) was used to clear the Liver and Heart; subsequently, Dihuang Wan (Rehmannia Pill) was used to tonify the Liver and Kidneys, resulting in recovery.
Another child suffered from this condition in the elbow region, with thirst and a desire for cold drinks. The pulse at the right Cun and Guan positions was rapid but weak. This indicated accumulated heat in the Stomach channel transmitting to the Lung channel. Initially, Xiehuang San (Drain the Yellow Powder) and Xiebai San (Drain the White Powder) were used gradually until recovery; subsequently, Wuwei Yigong San (Five-Ingredient Extraordinary Merit Powder) and Siwei Fei'er Wan (Four-Ingredient Child-Nourishing Pill) were used, leading to recovery.
Another child, indulging in rich and sweet foods, first developed lesions on the shoulder blades, which later spread over the entire body with oozing. This was caused by dietary heat injuring Spleen blood. Initially, Qingwei San (Stomach-Clearing Powder) and Xiehuang San (Drain the Yellow Powder) were used, resulting in recovery. However, due to weak physical constitution and qi, Wuwei Yigong San (Five-Ingredient Extraordinary Merit Powder) was administered, restoring primordial qi.
Chaihu Qinggan San (Bupleurum Decoction to Clear the Liver) (Formula see Carbuncle of Hypochondrium)
Wuwei Yigong San (Five-Ingredient Extraordinary Merit Powder) (Formula see Use of Antidotal Medicines)
Daochi San (Guide Out Redness Powder)
Xiebai San (Drain the White Powder) (Both formulas see Carbuncle of Arm)
Xiehuang San (Drain the Yellow Powder) (Formula see Carbuncle of Head and Face)