〔汤〕凡痈疖未见之初，微见有红头瘰子起隐疼者，急用不语唾，夜半频频涂之。饮酒了，不可用。
治发背痈疖方。
羌活（一两） 穿山甲（炒焦，半两） 生人骨（ ，存性，半两） 麝香（少许）
上末，煎麻黄、薄荷酒调。如阴疮头平向内者，服之即突出，其功效不可尽述。若小儿痘疮黑陷者，只一
服而起，万不失一。
〔《本》〕治小儿毒瓦斯攻腮，赤肿可畏者。
皂角（去核，二两） 天南星（生用，二钱） 糯米（一合）
上为细末，姜汁调涂，立效。
〔汤〕小儿恶核生于项颈上，遇风寒所折不消，结成瘰 ，久而溃脓生疮也，宜服四味大黄饮。（即四顺、清凉
饮子是也。）
瘰 又方。
升麻 射干 连翘 犀角屑 大黄（微泡） 朴硝（各半两）
上 咀，水煎，大小加减。忌酒面炙爆物。
贴恶核方。
赤小豆 猪牙皂角 硝石 黄药子 木鳖子（各半两）
上末，鸡子清调涂患处。
贴散瘰 神效方。
白胶香 降真香（用心，无土气者） 海螵蛸
上等分，为末，糁患处，外以水纸掩之，一夜而退。
〔田〕赤游治法，宜服犀角散。一法，先镰去恶血，服上药。（犀角散方见潮热。）
〔汤〕小儿丹毒，乃热毒之气极与血相搏而风乘之，故赤肿，及游走遍身者，又名赤游风。入肾入腹，
则杀人也。大抵丹毒虽有多种，病源一也。有赤丹毒遍身痒者，或女子十五六而脉未通者，多发丹
疹，皆由血有风毒乘之，宜服防己散。
汉防己（半两） 朴硝 犀角 黄芩 黄 升麻（各一分）
上 咀，竹叶煎，大小加减。
〔丹〕小儿黑斑红斑，疮痒瘾疹，并用防风通圣散治之。
荆芥散
防风 天花粉 羌活 生地黄 当归 蝉蜕（各等分） 水煎服。
解毒散
寒水石 滑石 石膏 辰砂
上三石等分为末，入辰砂少许，量儿大小，灯心汤下。
又方
赤小豆 木鳖子 橡 子 南星 大黄 朴硝
上为末，用慈姑、薄荷、靛青和蜜水调，涂患处，外用雄黄围之，却服荆芥、解毒二散。
〔《圣》〕小儿发斑，散毒瓦斯，用生葵菜叶，绞取汁，少少与服之。
〔《千》〕治小儿丹发。慎火草生一握，捣取汁，敷之效。
〔《秘录》〕治小儿赤游丹行于上下，至心即死。捣芭蕉根汁煎涂之。
〔《兵部》〕治孩子赤丹不止，以胡荽汁敷，瘥。
〔《秘录》〕小儿赤游行于体上下，至心即死。以芒硝纳汤中，取浓汁以拭丹上。
〔钱〕丹瘤热毒瓦斯客于腠理，搏于血气，发于外皮上，赤如丹，当以白玉散涂之。
白玉粉（即滑石，一分） 寒水石（半两）
上末之，用米醋或新水调，涂。
〔《山》〕火丹。磨铜铁水，调厕上泥敷之。小儿赤游风。用朝南燕巢泥，鸡子清调敷。将肿处用针
割破，鲜鱼血涂之，尤妙
〔丹〕小儿天火丹，脐腰起者，赤溜不妨。用蚯蚓泥炒，研细，香油敷之。
〔田〕又法，用牛膝一两，去苗，甘草半两，生锉碎，水煎一大盏，去渣，调伏龙肝涂之。
〔《山》〕小儿赤丹。伏龙肝为末，芭蕉油调敷。又方，用雉鸡毛及鹅毛烧灰，香油调敷。
〔汤〕又敷丹毒方，只一夜消尽。用花蕊石，生姜、薄荷自然汁调，鹅毛刷上患处为妙。
张三太尉女，十五岁病此，诸医百药俱试而不能中，召予视之，以生料四物汤加防风、黄芩，一日而愈。
生料四物汤 治血热生疮，遍身肿痒，及脾胃常弱，不禁大黄等冷药，尤宜服之。
生地 赤芍药 川芎 当归 防风（各半两） 黄芩（一钱半）
上 咀，水煎，量大小加减。忌酒面猪羊肉豆腐。
〔丹〕小儿赤溜，主伤血热。宜生地黄、木通、荆芥苦药带发表之类，外以芭蕉油涂患处。
〔世〕丹痒者。用韭菜挨些盐与香油，以手摩热，于丹上揩之，立愈。
〔丹〕小儿丹瘤。蓖麻子五个，去皮，研入面一匙，水调涂之，甚效。
〔《本》〕小儿十种丹瘤肿毒所起形候并方治法∶
一飞灶丹，从顶头起先肿。用葱白研取自然汁涂。
二古灶丹，从头上红肿痛，用赤小豆末，鸡子清调涂。（谭氏方同，不拘何处皆治。）
三鬼火丹，从面起赤肿，用灶心土，鸡子清调涂。（按不拘何处皆治，妙。）
四天火丹，从背起赤点，用桑白皮末，羊脂调涂。
五天灶丹，从两肾赤肿黄色，用柳叶烧灰，水调涂。（“肾”一作“臂”）
六水丹，从两胁虚肿，用生铁屑为末，猪粪调涂。
七胡火丹，从脐上起黄肿，用槟榔为末，米醋调涂。
八野火丹，从两脚赤肿，用乳香末，羊脂调涂。
九烟火丹，从两脚有赤白点，用猪槽下土，麻油调涂。
十胡漏丹，从阴上起黄肿，用屋漏处土，羊脂调涂。
上此十种丹毒，变易非轻，治之或缓，则终不救，故予不惜是方，能逐一仔细辨认，根据此方法治
之，万
不失一。如经三日不治，攻入脏腑，则终不救，不可缓也。
〔丹〕赤游风，于身上下至心即死。蒴 煎汁洗之。（《子母秘录》蒴 即白花草药也。）
〔世〕百日内发，必死不治。
[Tang] In the initial stage of carbuncles and boils, when a small red-headed nodule appears with dull pain, human saliva should be applied frequently at midnight. This method is contraindicated after alcohol consumption.
Formula for treating back carbuncles and boils:
Qianghuo (Notopterygii Rhizoma et Radix, 1 liang), Chuanshanjia (Pangolin Scales, stir-fried until charred, 0.5 liang), Shengren Gu (Human Bone, preserved property, 0.5 liang), Shexiang (Musk, a small amount).
Grind the above ingredients into fine powder. Take with wine decocted from Mahuang (Ephedrae Herba) and Bohe (Menthae Haplocalycis Herba). For yin sores where the head is flat and inverted inward, taking this medicine will cause the sore to protrude; its efficacy cannot be fully described. For infants with smallpox presenting as black and depressed lesions, a single dose can cure it, with a success rate of nearly 100%.
[Bencao] Treating toxic qi attacking the cheeks in children, causing alarming erythema and swelling:
Zaojiao (Gleditsiae Fructus, pitted, 2 liang), Tiannanxing (Arisaematis Rhizoma, raw, 2 qian), Nuomi (Oryza Sativa Glutinosa Semen, 1 he).
Grind the above ingredients into fine powder. Mix with Jiangzhi (Ginger Juice) and apply topically. Immediate effect.
[Tang] "Ehe" (malignant nodules) in children occur on the neck. If they do not dissipate due to wind-cold invasion, they form scrofula (Luo Li, 瘰疬), which may ulcerate and suppurate over time. It is suitable to take Siwei Dahuang Yin (Four-Ingredient Rhubarb Drink), also known as Sixun Qingliang Yinzi.
Another formula for scrofula:
Shengma (Cimicifugae Rhizoma), Shegan (Belamcandae Rhizoma), Lianqiao (Forsythiae Fructum), Xijiao Jie (Rhinocerotis Cornu Segmen), Dahuang (Rhei Radix et Rhizoma, slightly soaked), Puxiao (Natrii Sulfas, each 0.5 liang).
Crush the ingredients and decoct in water. Adjust dosage according to age. Avoid alcohol, wheat products, and roasted/fried foods.
Topical formula for malignant nodules:
Chixiaodou (Vigna Angularis Semen), Zhuya Zaojiao (Gleditsiae Fructus with spines), Xiaoshi (Natrii Nitras), Huangyaozi (Dioscoreae Hypoglaucae Rhizoma), Mubiezi (Strychni Semen, each 0.5 liang).
Grind into powder. Mix with Jizi Qing (Egg White) and apply to the affected area.
Divine effective topical formula for dissipating scrofula:
Baijiaoxiang (Boswelliae Resina), Jiangzhenxiang (Dalbergiae Odoriferae Lignum - heartwood without earthy odor), Haipiaoxiao (Sepiae Endoconcha).
Equal parts, grind into powder. Sprinkle on the affected area and cover with wet paper overnight for resolution.
[Tian] The treatment for Chiyou Dan (Red Wandering Carbuncle) involves taking Xijiao San (Rhino Horn Powder). Another method: first lance to release bad blood, then administer the above medicine. (See Xijiao San under Tidal Fever.)
[Tang] Pediatric erysipelas (Dan Du) results from extreme heat-toxin clashing with blood, compounded by wind pathogen invasion, causing erythema, swelling, and wandering across the body, also known as Chiyou Feng (Red Wandering Wind). If it enters the Kidney or abdomen, it is fatal. Although there are various types of erysipelas, the root cause is the same. For generalized red erysipelas with itching, or for girls aged fifteen or sixteen with unopened menstruation who develop erysipelas rashes, these are caused by wind-toxin invading the blood. It is suitable to take Fangji San (Stephania Powder).
Han Fangji (Stephaniae Tetrandrae Radix, 0.5 liang), Puxiao (Natrii Sulfas), Xijiao (Rhinocerotis Cornu), Huangqin (Scutellariae Radix), Huangqi (Astragali Radix), Shengma (Cimicifugae Rhizoma, each 1 fen).
Crush the ingredients and decoct with Zhu Ye (Bambusae Folium). Adjust dosage according to age.
[Dan] For pediatric black spots, red patches, itchy sores, and urticaria, use Fangfeng Tongsheng San (Saposhnikovia Unblocking the Interior Powder).
Jingjie San:
Fangfeng (Saposhnikoviae Radix), Tianhuafen (Trichosanthis Radix), Qianghuo (Notopterygii Rhizoma et Radix), Sheng Dihuang (Rehmanniae Radix Recens), Danggui (Angelicae Sinensis Radix), Chantui (Cicadae Periostracum, equal parts). Decoct in water and take orally.
Jiedu San:
Hanshuishi (Calcitum), Huashi (Talcum), Shigao (Gypsum Fibrosum), Chen Sha (Cinnabaris).
Grind the first three minerals into equal parts powder. Add a small amount of Chen Sha. Administer with Dengxin Tang (Junci Medullae Decoction) according to the child's size.
Another Formula:
Chixiaodou (Vigna Angularis Semen), Mubiezi (Strychni Semen), Xianglianzi (Quercus Fructus), Nanxing (Arisaematis Rhizoma), Dahuang (Rhei Radix et Rhizoma), Puxiao (Natrii Sulfas).
Grind into powder. Mix with Cigu (Zantedeschiae Rhizoma), Bohe (Menthae Haplocalycis Herba), Dianqing (Indigo Naturalis), honey, and water. Apply to the affected area. Surround externally with Xionghuang (Realgar). Then administer Jingjie San and Jiedu San.
[Shengji Zonglu] For pediatric exanthema to disperse toxic qi, use fresh Kucai leaves (Malvae Sieversianae Folium), squeeze out the juice, and administer small amounts orally.
[Qianjin Fang] To treat pediatric erysipelas: Take a handful of fresh Shenhuo Cao (Artemisia Capillaris or similar local herb), crush to extract juice, and apply topically. Effective.
[Milu] To treat pediatric Chiyou Dan spreading up and down, which is fatal if reaching the heart: Crush Bajiao Gen (Musa Basjoo Radix), extract juice, boil, and apply topically.
[Bingbu Shouji] To treat persistent pediatric red erysipelas: Apply Huisu Juice (Coriandri Fructus Juice) topically. Cure.
[Milu] For pediatric Chiyou Dan spreading on the body, fatal if reaching the heart: Dissolve Mangxiao (Natrii Sulfas) in warm water, take the concentrated liquid, and wipe it onto the erysipelas.
[Qian Yi] Danliu (erysipelas tumor) occurs when heat-toxin lodges in the cou-li (interstices), clashes with blood and qi, and manifests on the skin surface as red as cinnabar. Apply Baiyu San (White Jade Powder) topically.
Baiyu Fen (i.e., Huashi/Talcum, 1 fen), Hanshuishi (Calcitum, 0.5 liang).
Grind into powder. Mix with Rice Vinegar or fresh water and apply.
[Shanjia Qinggong] Huo Dan (Fire Erysipelas): Grind copper/iron water, mix with mud from a toilet, and apply. For pediatric Chiyou Feng: Use mud from swallow nests facing south, mix with egg white, and apply. Prick the swollen area with a needle, apply fresh fish blood; this is excellent.
[Dan] Pediatric Tianhuo Dan (Heaven Fire Erysipelas) arising from the umbilicus/waist: If the color is bright red, it is manageable. Stir-fry Earthworm Mud, grind finely, and apply with Sesame Oil.
[Tian] Another method: Use Niuxi (Achyranthis Bidentatae Radix, 1 liang, remove tips), Gancao (Glycyrrhizae Radix et Rhizoma, 0.5 liang), chop fresh, decoct in one large cup of water, strain, and mix with Fulonggan (Dwelling House Earth) for topical application.
[Shanjia Qinggong] Pediatric Red Erysipelas: Grind Fulonggan into powder, mix with Bajiao You (Banana Oil) for application. Another formula: Burn Peacock feathers and Goose feathers to ash, mix with Sesame Oil for application.
[Tang] Another topical formula for erysipelas that resolves completely in one night: Use Huarui Shi (Pyritum), mix with natural juices of Shengjiang (Zingiberis Rhizoma Recens) and Bohe (Menthae Haplocalycis Herba). Apply with a goose feather brush; this is optimal.
Case: The daughter of Marshal Zhang San, aged fifteen, suffered from this condition. Many doctors tried hundreds of medicines without success. I was summoned to examine her. I prescribed Shengliao Siwu Tang (Raw Four Substances Decoction) plus Fangfeng (Saposhnikoviae Radix) and Huangqin (Scutellariae Radix). She recovered in one day.
Shengliao Siwu Tang: Treats sores caused by blood-heat, generalized swelling and itching, and cases with weak spleen/stomach intolerant to cold purgatives like Dahuang.
Shengdi (Rehmanniae Radix Recens), Chi Shaoyao (Paeoniae Radix Rubra), Chuanxiong (Ligustici Chuanxiong Rhizoma), Danggui (Angelicae Sinensis Radix), Fangfeng (Saposhnikoviae Radix, each 0.5 liang), Huangqin (Scutellariae Radix, 1.5 qian).
Crush the ingredients, decoct in water. Adjust dosage according to age. Avoid alcohol, wheat products, pork, mutton, and tofu.
[Dan] Pediatric Chi Liu (Red Sliding Erysipelas) primarily injures blood-heat. Use Shengdi (Rehmanniae Radix Recens), Mutong (Akebiae Caulis), Jingjie (Schizonepetae Spica) and other bitter herbs with exterior-releasing properties. Topically apply Bajiao You (Banana Oil).
[Shiyi] For itchy erysipelas: Mash Leijiu (Allii Tuberosi Rhizoma) with salt and Sesame Oil. Rub with hands until warm, then wipe over the erysipelas. Immediate cure.
[Dan] Pediatric Danliu: Five Castor Seeds (Bibazi), peel, grind, add one spoonful of flour, mix with water, and apply. Very effective.
[Bencao] Ten types of pediatric Danliu swelling/toxicity, their manifestations, and treatments:
1. Feizao Dan (Flying Stove Erysipelas): Starts with swelling at the crown. Apply natural juice of Congbai (Allii Fistulosi Bulbus).
2. Guzao Dan (Ancient Stove Erysipelas): Red, swollen, painful head. Apply Chixiaodou powder mixed with egg white. (Same as Tan's formula; applicable anywhere.)
3. Guohuo Dan (Ghost Fire Erysipelas): Red swelling starting from the face. Apply Zaoxintu (Stove Heart Earth) mixed with egg white. (Applicable anywhere; excellent.)
4. Tianhuo Dan (Heaven Fire Erysipelas): Red spots starting from the back. Apply Sangbaipi (Mori Cortex) powder mixed with Yangzhi (Sheep Fat).
5. Tianzao Dan (Heaven Stove Erysipelas): Red, swollen, yellowish from both kidneys (or arms). Apply Liu Ye (Salix Leaf) ash mixed with water.
6. Shuidan (Water Erysipelas): Flaccid swelling from both hypochondria. Apply Shengtiexie (Iron Filings) powder mixed with Pig Dung.
7. Huhuo Dan (Barbarian Fire Erysipelas): Yellow swelling starting from the umbilicus. Apply Binglang (Arecae Semen) powder mixed with Rice Vinegar.
8. Yehuo Dan (Wild Fire Erysipelas): Red swelling from both feet. Apply Ruxiang (Boswelliae Resina) powder mixed with Sheep Fat.
9. Yanhuo Dan (Smoke/Fire Erysipelas): Red and white spots from both feet. Apply Tu from under pig troughs mixed with Hemp Seed Oil.
10. Hulou Dan (Barbarian Leak Erysipelas): Yellow swelling starting from the genitals. Apply Tu from under leaking roofs mixed with Sheep Fat.
These ten types of erysipelas change rapidly. Delayed treatment leads to incurability. Therefore, I share this formula freely. Carefully distinguish each type and treat accordingly; success is almost guaranteed. If untreated for three days and the pathogen invades the zang-fu organs, it becomes incurable. Do not delay.
[Dan] Chiyou Feng (Red Wandering Wind) spreading up and down the body to the heart is fatal. Wash with Suo Luo Jian (Callicarpa Decoction). (In *Zimu Milu*, Suo Luo refers to Baihua Cao/Callicarpa nudiflora.)
[Shiyi] Onset within the first hundred days is invariably fatal and untreatable.