眉炼者，谓小儿两眉间生疮，如疥癣，当求其因而药之。盖眉属胆经，若原禀肝胆经热，或乳母肝胆经有热者，用
柴胡栀子散。或乳母食浓味醇酒者，用加味清胃散。或乳母有郁怒者，用加味逍遥散，俱与乳母服，子亦饮少许。仍参
前症主之。
一小儿患前症，用柴胡清肝散，母子服之而愈。后因母不戒膏粱浓味，复发延及遍身，脓水淋漓，先用清胃散，次
用柴胡栀子散，与母服，子用清金散、牛黄解毒丸而愈。
一小儿嗜膏粱浓味患之，渐及肢体，两眉为甚，脓水淋漓，寒热往来，内用清胃散、加味小柴胡汤，外敷立效散而
愈。后眉间复发，两目连札，小便白浊，将成肝疳。用四味肥儿丸、九味芦荟丸而愈。
一小儿因乳母不戒七情浓味患此，延及遍身，久而不愈，母先用清胃散，次用加味逍遥散；子用牛黄散、解毒丸、
立效散而愈。后儿食浓味，眉间作痒，搔破成疮，或痒或痛，两目连札。用四味肥儿丸，佐以加味清胃散而愈。
一小儿眉间作痒，破而成疮，延及遍身，两胁为甚，用四味肥儿丸、立效散，母服柴胡栀子散、加味逍遥散而愈。
一小儿患此，服化毒丹，乳食不纳，手足俱冷，此药伤胃气，用五味异功散与母服，儿亦时服三五滴；母又服加味
逍遥散加龙胆草、漏芦，儿症渐愈。
一小儿患此，先延两胁，后及遍身，此肝火乘脾也，诊乳母亦有肝火，先用加味逍遥散加炒黄连数剂，却去黄连，
又二十余剂而痊。
一小儿患之，乳母恼怒，其疮益甚，眉棱抽动，不经意，延及遍身，乳母甚怒，儿面色赤，惊悸切牙，兼之发搐，
此由心肝二经风热所致也，用加味小柴胡汤、加味逍遥散而愈。
青金散 治小儿疥癣眉炼，或延及遍身瘙痒，或脓水淋漓，经年不愈。
松香（二两） 真蛤粉（五钱） 青黛（二钱五分）
上为末，用烛油调搽，或干掺之，或加轻粉、枯矾各三钱，以治前症，及胎毒疥癞尤效。
立效散（方见黄水粘疮）
加味逍遥散（方见发热不止）
牛黄解毒丸（方见前）
四味肥儿丸（方见贴骨痈）
九味芦荟丸（方见喉痹）
加味清胃散
清胃散（二方见腹痈）
小柴胡汤（方见胁痈）
加味小柴胡汤（方见热毒瘰 ）
导赤散（方见臂痈）
活命饮（方见热毒疮疡）
牛黄解毒散
拔毒散（二方见头面疮）
Mianlian refers to the condition where sores appear between the eyebrows of infants, resembling scabies or tinea. One should investigate the etiology and administer appropriate medication. Since the eyebrows are governed by the Gallbladder Meridian (Gallbladder Channel), if the infant has a constitutional heat in the Liver and Gallbladder meridians, or if the wet nurse has heat in these meridians, Chaihu Zhizi San (Bupleurum and Gardenia Powder) is used. If the wet nurse consumes rich, greasy foods and strong alcohol, Jiawei Qingwei San (Modified Stomach-Clearing Powder) is prescribed. If the wet nurse suffers from emotional depression and anger, Jiawei Xiaoyao San (Modified Free and Easy Wanderer Powder) is given. These formulas are taken by the wet nurse, and the infant drinks a small amount as well. Treatment should also be guided by the symptoms described previously.
An infant suffered from the aforementioned condition and was cured after both mother and child took Chaihu Qinggan San (Bupleurum and Liver-Clearing Powder). Later, due to the mother's failure to avoid rich and greasy foods, the condition recurred and spread over the entire body with oozing pus. Qingwei San (Stomach-Clearing Powder) was administered first, followed by Chaihu Zhizi San for the mother, while the infant received Qingjin San (Lung-Clearing Powder) and Niuhuang Jiedu Wan (Calculus Bovis Detoxification Pills), resulting in recovery.
Another infant, suffering from this condition due to a preference for rich and greasy foods, saw the lesions gradually spread to the limbs, most severely around the eyebrows, with copious oozing pus and alternating chills and fever (Huanre Wanglai). Internal treatment involved Qingwei San and Jiawei Xiao Chaihu Tang (Modified Minor Bupleurum Decoction), combined with external application of Lixiao San (Instant Efficacy Powder), leading to recovery. Subsequently, the condition recurred at the eyebrows, accompanied by eye twitching and turbid white urine, indicating an impending development of Gan Gan (Liver Accumulation Disease). The infant recovered after taking Siwei Fei'er Wan (Four-Ingredient Child-Nourishing Pills) and Jiawei Lushen Wan (Nine-Ingredient Aloe Vera Pills).
A third infant contracted this disease because the wet nurse failed to regulate her emotions (Seven Emotions: Joy, Anger, Worry, Thought, Sorrow, Fear, Fright) and diet. The condition spread over the whole body and persisted for a long time. The mother first took Qingwei San, then Jiawei Xiaoyao San; the infant took Niuhuang San (Calculus Bovis Powder), Jiedu Wan (Detoxification Pills), and Lixiao San, achieving recovery. Later, after the infant consumed rich foods, itching occurred at the eyebrows, which became sores upon scratching, alternating between itching and pain, along with eye twitching. Treatment with Siwei Fei'er Wan, assisted by Jiawei Qingwei San, resulted in recovery.
An infant presented with itching at the eyebrows that progressed to sores, spreading over the body, particularly severe on the flanks. He was treated with Siwei Fei'er Wan and Lixiao San externally, while the mother took Chaihu Zhizi San and Jiawei Xiaoyao San, leading to recovery.
Another infant took Huadu Dan (Toxin-Dissolving Pellets) for this condition but subsequently lost appetite and experienced cold hands and feet, indicating damage to the Stomach Qi by the medication. Wuwei Yigong San (Five-Ingredient Benefit-the-Work Powder) was prescribed for the mother, with the infant receiving only three to five drops occasionally. The mother then took Jiawei Xiaoyao San supplemented with Longdan Cao (Gentian Root) and Loulu (Rhaponticum Rhizome), and the infant's symptoms gradually improved.
In another case, the condition first spread to the flanks and then to the whole body, indicative of Liver Fire invading the Spleen (Wood overacting on Earth). Examination revealed the wet nurse also had Liver Fire. She initially took Jiawei Xiaoyao San with fried Huanglian (Coptis Rhizome) for several doses, after which Huanglian was removed. After more than twenty additional doses, full recovery was achieved.
An infant suffered from this condition, which worsened significantly due to the wet nurse's anger. There was twitching of the eyebrow ridge, and it inadvertently spread over the body. When the wet nurse became very angry, the infant's face turned red, accompanied by palpitations, teeth grinding, and convulsions. This was caused by Wind-Heat in the Heart and Liver meridians. The infant recovered after taking Jiawei Xiao Chaihu Tang and Jiawei Xiaoyao San.
Qingjin San: Treats infantile scabies and mianlian, or generalized pruritus spreading over the body, or chronic oozing sores persisting for years.
Songxiang (Pinus Resin, 2 liang) Zhen Gafen (True Clam Shell Powder, 5 qian) Qingdai (Indigo Naturalis, 2.5 qian)
Grind all ingredients into powder. Mix with candle oil for topical application, or apply dry. For enhanced efficacy in treating the aforementioned conditions and congenital toxin-induced scabies/tinea, add Qinfen (Calomel) and Kufan (Alum), each 3 qian.
Lixiao San (Formula see entry "Yellow Water Sticky Sores")
Jiawei Xiaoyao San (Formula see entry "Unremitting Fever")
Niuhuang Jiedu Wan (Formula see previous entry)
Siwei Fei'er Wan (Formula see entry "Deep Bone Abscess")
Jiawei Lushen Wan (Formula see entry "Sore Throat")
Jiawei Qingwei San
Qingwei San (Both formulas see entry "Abdominal Abscess")
Xiao Chaihu Tang (Formula see entry "Flank Abscess")
Jiawei Xiao Chaihu Tang (Formula see entry "Heat-Toxin Scrofula")
Daochi San (Formula see entry "Arm Abscess")
Huoming Yin (Formula see entry "Heat-Toxin Carbuncles and Ulcers")
Niuhuang Jiedu San
Badu San (Both formulas see entry "Head and Face Sores")