诸疳疮疥，因脾胃亏损，内亡津液，虚火妄动，或乳母六淫七情、饮食起居失宜，致儿为患。当分其因，审其经而
平之。如面青寒热，或白翳遮睛，肝经之症也。面赤身热，或作渴惊悸，心经之症也。面黄体瘦，或作渴泄泻，脾经之
症也。面白咳嗽，或鼻中生疮，肺金之症也。面黧体瘦，或喜卧湿地，肾经之症也。婴儿宜调治乳母。若不审五脏胜负、
形病虚实，妄行败毒，多致不救。
一小儿患此，小便频数，左颊青色，或时目札，此肝脾之症也，先用五味异功散加当归、升麻、柴胡，调补脾气；
又用九味芦荟丸，清理肝火；末用地黄丸，滋肾水、生肝木而疥愈。后复发，不经意，兼两目生翳，小便频数，大便泄
泻，此肝邪侮脾而作也，用四味肥儿丸、五味异功散加芜荑，脾气健而肝病愈。
一小儿患此，面黄作渴，大便酸臭，腹胀青筋，此肝脾之症，用五味异功散为主，佐以四味肥儿丸而愈。
一小儿患此，面赤作渴，心脉洪大，此心经之症，内用柴胡栀子散，外用六仙散而愈。后惊悸发热，疥 作痛，先
用导赤散二服，又用柴胡栀子散与子服，母服逍遥散而愈。
一小儿患此，大便酸臭，肚腹膨胀，手足时冷，此脾经之症，用五味异功散、四味肥儿丸渐愈。后因母食炙 ，仍
发，母服清胃散、黄连泻心汤，子服一味甘草而愈。
一小儿嗜甘肥之物患之，或痒或痛，咳嗽饮冷。此脾胃积热，传于肺经，先用清胃散以治胃热；少用泻白散以清肺
火，渐愈。出痘后仍患之，口干饮汤，用五味异功散兼大枫膏而愈。
一小儿年十五，遍身患此，腿足为甚，发热饮冷，两尺脉数洪，按之无力，此禀肾虚所致，用六味地黄丸而愈。后
用心力学，复发尤甚，兼盗汗遗精，用地黄丸为主，佐以补中益气汤、八珍汤而痊。
一小儿患此，发热饮冷，痰涎上涌，此禀肾虚，用地黄丸料煎服，月余渐愈；又佐以八珍汤而愈。次年毕姻后，发
热唾痰，盗汗咳血，仍用前药而愈。
敷药大枫子膏 治疮疥。
真轻粉（一两） 枯矾（一两） 黄连（二两） 大枫子膏（二两，研膏） 蛇床子（二两） 地沥青（六两）
上各另入大枫膏，和匀，更入地沥青杵百余，即成膏矣。每用少许，涂患处。
敷药六仙散 治诸疳疮疥。
苦参 独活 大枫子（去壳油） 蛇床子（各一两） 枯矾（五钱）
上为细末，地沥青调敷。
五味异功散（方见用败毒之药）
清胃散（方见热毒口疮）
Various gan sores and scabies are caused by damage to the Spleen and Stomach, depletion of internal Body Fluids (Jin Ye), and erratic movement of deficient Fire. Alternatively, they may result from the wet nurse being affected by the Six Exogenous Pathogens (Wind, Cold, Summer-heat, Dampness, Dryness, Fire) and Seven Emotions (Joy, Anger, Worry, Pensiveness, Sadness, Fear, Fright), as well as improper diet and daily routine, thereby harming the infant. One must distinguish the etiology, examine the involved meridians, and then treat accordingly. For instance: a bluish complexion with alternating chills and fever, or white nebulas obscuring vision, indicates symptoms of the Liver Meridian. A red face with body heat, thirst, and palpitations/panic indicates symptoms of the Heart Meridian. A sallow complexion with emaciation, thirst, and diarrhea indicates symptoms of the Spleen Meridian. A pale face with coughing, or sores in the nose, indicates symptoms of the Lung Metal (Lung Organ). A dark/dull complexion with emaciation, or a preference for lying on damp ground, indicates symptoms of the Kidney Meridian. For infants, it is appropriate to regulate the wet nurse's condition simultaneously. If one fails to examine the winning and losing relationships among the Five Zang Organs, and the deficiency/excess nature of the physical form and disease, and recklessly uses detoxifying drugs, it often leads to untreatable conditions.
A child suffered from this condition, with frequent urination, a bluish left cheek, and occasional blinking of the eyes. This is a Liver-Spleen disorder. First, Wuwei Yigong San (Five-Ingredient Powder for Extraordinary Efficacy) was administered with added Dang Gui (Angelicae Sinensis Radix), Sheng Ma (Cimicifugae Rhizoma), and Chai Hu (Bupleuri Radix) to tonify and regulate Spleen Qi. Subsequently, Jiwei Lujian Wan (Nine-Ingredient Aloe Pill) was used to clear Liver Fire. Finally, Dihuang Wan (Rehmannia Pill) was employed to nourish Kidney Water and generate Liver Wood, resulting in the cure of the scabies. Later, the condition recurred due to neglect, accompanied by nebulas in both eyes, frequent urination, and diarrhea. This was caused by Liver Evil insulting the Spleen. Siwei Fei'er Wan (Four-Ingredient Pill for Enriching the Child) and Wuwei Yigong San with added Wuyi (Canarium Album Resina) were used; when Spleen Qi became robust, the Liver disease healed.
Another child suffered from this condition, presenting with a sallow face, thirst, sour-smelling stool, abdominal distension, and visible blue veins. This is a Liver-Spleen disorder. Wuwei Yigong San was used as the principal formula, assisted by Siwei Fei'er Wan, leading to recovery.
Another child suffered from this condition, presenting with a red face, thirst, and a surging-large pulse at the Heart position. This is a Heart Meridian disorder. Neally, Chaihu Zhizi San (Bupleurum and Gardenia Powder) was administered internally, and Liuxian San (Six-Immortal Powder) applied externally, resulting in recovery. Later, panic, palpitations, and fever occurred, with painful scabies outbreaks. Two doses of Daochi San (Guide Out Red Powder) were given first, followed by Chaihu Zhizi San for the child and Xiaoyao San (Free and Easy Wanderer Powder) for the mother, leading to recovery.
Another child suffered from this condition, presenting with sour-smelling stool, abdominal distension, and cold extremities. This is a Spleen Meridian disorder. Wuwei Yigong San and Siwei Fei'er Wan were used, leading to gradual recovery. Later, the condition recurred because the mother consumed roasted/grilled foods. The mother took Qingwei San (Clear the Stomach Powder) and Huanglian Xiexin Tang (Coptis Decoction to Drain the Heart), while the child took only Gancao (Licorice Root), resulting in recovery.
A child who had a fondness for sweet and fatty foods developed this condition, experiencing itching or pain, coughing, and a desire for cold drinks. This is accumulated Heat in the Spleen and Stomach transmitting to the Lung Meridian. Qingwei San was used first to treat Stomach Heat; a small amount of Xiebai San (Drain White Powder) was used to clear Lung Fire, leading to gradual recovery. After smallpox/variolous eruptions, the condition persisted with dry mouth and a desire for hot soup. Wuwei Yigong San combined with Dafeng Gao (Big Maple Ointment) led to recovery.
A fifteen-year-old child suffered from this condition all over the body, especially on the legs and feet, with fever and a desire for cold drinks. The pulses at both Chi positions (Kidney positions) were rapid and surging-large but empty upon deep pressure. This was caused by congenital Kidney Deficiency. Liuwei Dihuang Wan (Six-Ingredient Rehmannia Pill) was used, resulting in recovery. Later, due to excessive mental exertion in study, the condition recurred more severely, accompanied by night sweats and seminal emission. Dihuang Wan was used as the principal formula, assisted by Buzhong Yiqi Tang (Tonify the Middle and Augment the Qi Decoction) and Bazhen Tang (Eight-Treasure Decoction), leading to complete recovery.
Another child suffered from this condition, with fever, a desire for cold drinks, and surging phlegm-saliva. This was due to congenital Kidney Deficiency. Dihuang Wan ingredients were decocted and taken orally, leading to gradual recovery after more than a month; assistance with Bazhen Tang resulted in full recovery. The following year, after marriage, the child experienced fever, expectoration of phlegm, night sweats, and hemoptysis. The previous medicines were used again, leading to recovery.
Topical Medication: Dafeng Gao (Big Maple Ointment) treats sores and scabies.
Zhen Qingfen (Calomel, 1 liang) Kufan (Alumen, 1 liang) Huanglian (Coptidis Rhizoma, 2 liang) Dafengzi Gao (Oleum Fructus Canarii, 2 liang, prepared as ointment) Shechuangzi (Cnidii Fruit, 2 liang) Diqingli (Bitumen, 6 liang)
Each ingredient is separately added to the Big Maple Ointment, mixed evenly, then Bitumen is added and pounded over a hundred times until the ointment is formed. Apply a small amount to the affected area each time.
Topical Medication: Liuxian San (Six-Immortal Powder) treats various gan sores and scabies.
Kushen (Sophorae Flavescentis Radix) Duohuo (Angelicae Dahuricae Radix) Dafengzi (Oleum Fructus Canarii, shelled) Shechuangzi (Cnidii Fruit) (each 1 liang) Kufan (Alumen, 5 qian)
Grind into fine powder, mix with Bitumen for topical application.
Wuwei Yigong San (Formula see "Use of Detoxifying Drugs" section)
Qingwei San (Formula see "Heat-Toxic Mouth Ulcers" section)