论曰小儿因五脏不和，寒邪壅滞，营卫闭塞，逆于肤肉，遂生疽肿，其状肿结皮强，上
如牛
领，然疼 坚硬，深附筋骨。既得脓后，其疽可愈，更须用排脓换肌之药。若余毒未去，封
敛稍疾，则源流复至。或痒或痛，肌汁不断，疮窍不得合矣。
治小儿热毒痈疽，赤白诸丹，毒热疮疖。漏芦汤方
漏芦（去芦头） 连翘 白蔹（锉） 芒硝 甘草（炙锉） 升麻 麻黄（去根节汤煮
掠去沫）
黄芩（去黑心）枳实（麸炒黄各一分） 大黄（锉炒一两）
上一十味，粗捣筛，每服二钱匕，水一盏，煎至五分，去滓分温二服，量大小加减。
治小儿热毒肿色白，或恶核瘰 附骨痈疽，节解不举，白丹走遍身中疹瘙。五香连翘汤
方木香 薰陆香 沉香（锉） 鸡舌香 黄芩（去黑心） 麻黄（去根节汤煮掠去沫） 麝
香（研各一分） 连翘 海藻（洗去咸焙） 射干 升麻 枳实（去瓤麸炒各半两） 大黄
（锉炒二
两）
上一十三味，粗捣筛，每服二钱匕，水七分煎至四分，去滓入竹沥一合，更煎一两沸。
分温二服，量大小加减。
治小儿痈疽疮疖肿毒。黄 汤方
黄 （锉） 连翘 升麻 恶实（炒各半两） 玄参 丹参 露蜂房（炙） 枳壳（去
瓤麸炒）甘草（炙各一分）
上九味，粗捣筛，每服一钱匕，水七分，煎至四分，去滓食后临卧温服，量大小加减。
治小儿疽疮。蓝叶汤方
吴蓝叶 犀角（镑） 升麻 黄 （锉） 山栀子仁 连翘 甘草（炙各半两） 黄芩
（去黑
心） 大青玄参（各一分） 大黄（锉炒三分）
上一十一味，粗捣筛，每服一钱匕，水七分，煎至四分。去滓食后临卧温服，量儿大小
加减。
治小儿疽疮。木通汤方
木通（锉） 升麻 赤芍药 黄芩（去黑心） 山栀子仁 麦门冬（去心焙各二分） 犀
角（
镑） 大黄（锉炒各一两） 枳壳（去瓤炒半两）
上九味，粗捣筛，每服二钱匕，水一盏，入生地黄汁半合，同煎至七分，去滓分温二服，
食后临卧服，量大小加减。
治小儿疮肿痈疽。黄 汤方
黄 （锉） 葛根（锉） 麦门冬（去心焙） 黄芩（去黑心） 犀角（镑） 升麻 甘
草（炙各
一两） 木香（半两）
上八味，粗捣筛，每服一钱匕，水七分，煎至四分，去滓食后，量大小加减。
治小儿痈疽。犀角知母汤方
犀角（镑） 知母（焙） 黄 （锉） 黄芩（去黑心） 人参 丹参 葛根（锉） 大
黄（锉炒） 甘草（炙各一两） 玄参（三分） 麦门冬（去心焙一两半）
上一十一味，粗捣筛，每服一钱匕，水半盏，入生地黄汁半合，同煎至四分，去滓食后
临卧温服，量大小加减。
治小儿痈疽疖毒未破，或脓未溃，憎寒壮热。五香丸方
木香（一分） 沉香（锉） 苏合香（研各三分） 麝香（研半分） 犀角（镑二两） 大
黄（生
锉一两半） 鸡舌香（研） 吴蓝叶 栀子仁 熟干地黄（二两） 白芍药（一两） 人参
（一两去
芦头） 白茯苓（一两）
上一十三味，捣罗为末，炼蜜和丸，如梧桐子大，每服二十丸，煎黄 汤下，食前服。
又方
干虾蟆（一个）
上一味，烧灰细研，以猪脂和敷之。
又方
败鼓皮（不以多少烧灰）
上一味细研，以猪脂和敷之。
Discussion states: In children, due to the disharmony of the five Zang organs (Five Viscera), pathogenic cold pathogens stagnate and obstruct, causing Ying (Nutrient) Qi and Wei (Defensive) Qi to close off. This rebellion occurs in the skin and muscles, leading to the formation of deep abscesses (Ju). The presentation involves swelling with induration and stiff skin, resembling a bull's neck, accompanied by pain and hardness, with the pathology deeply attached to the sinews and bones. Once suppuration occurs, the abscess can heal; however, herbs for draining pus and promoting tissue regeneration must be used. If residual toxins are not cleared and the wound closes too rapidly, the source of the disease may recur. Symptoms may include itching or pain, continuous discharge from the muscle tissue, and failure of the wound orifice to heal.
Formula for Loulu Tang (Cistanche Decoction) to treat heat-toxin carbuncles and sores in children, as well as various red and white erysipelas (Dan) and toxic hot furuncles:
Loulu (Cistanches Herba, remove rhizome head), Lianqiao (Forsythiae Fructum), Baijian (Ampelopsis Radix, crushed), Mangxiao (Natrii Sulfas), Gancao (Glycyrrhizae Radix et Rhizoma, honey-fried and crushed), Shengma (Cimicifugae Rhizoma), Mahuang (Ephedrae Herba, remove root joints, boil in water and skim foam), Huangqin (Scutellariae Radix, remove black heart), Zhishi (Aurantii Fructus Immaturus, bran-fried until yellow, each 1 fen), Dahuang (Rhei Radix et Rhizoma, crushed and fried, 1 liang).
The above ten ingredients are coarsely pounded and sifted. Take 2 qianbi per dose, add 1 zhan of water, decoct until 0.5 zhan remains, strain, and divide into two warm doses. Adjust dosage according to the child's age and size.
Formula for Wuxiang Lianqiao Tang (Five-Aromatic Forsythia Decoction) to treat heat-toxin swelling with pale color in children, or malignant nodules, scrofula, osteomyelitis-like abscesses, immobility of joints, and widespread white erysipelas with rash and itching:
Muxiang (Aucklandiae Radix), Xunluxiang (Olibanum, Frankincense), Chenxiang (Aquilariae Lignum Resinatum, crushed), Jishe Xiang (Styrax, Benzoin), Huangqin (Scutellariae Radix, remove black heart), Mahuang (Ephedrae Herba, remove root joints, boil in water and skim foam), Shexiang (Moschus, ground, each 1 fen), Lianqiao (Forsythiae Fructum), Haizao (Sargassum, wash to remove saltiness and bake), Shegan (Belamcandae Rhizoma), Shengma (Cimicifugae Rhizoma), Zhishi (Aurantii Fructus Immaturus, remove pith and bran-fry, each 0.5 liang), Dahuang (Rhei Radix et Rhizoma, crushed and fried, 2 liang).
The above thirteen ingredients are coarsely pounded and sifted. Take 2 qianbi per dose, add 0.7 zhan of water, decoct until 0.4 zhan remains, strain, add 1 he of Bamboo Sap (Zhuli), and boil for one or two minutes. Divide into two warm doses. Adjust dosage according to the child's age and size.
Formula for Huangqi Tang (Astragalus Decoction) to treat pediatric carbuncles, sores, furuncles, and swelling/toxicity:
Huangqi (Astragali Radix, crushed), Lianqiao (Forsythiae Fructum), Shengma (Cimicifugae Rhizoma), Eshi (Arctii Fructum, fried, each 0.5 liang), Xuanshen (Scrophulariae Radix), Danshen (Salviae Miltiorrhizae Radix et Rhizoma), Lubofengfang (Vespa Nidus, honey-fried), Zhike (Aurantii Fructus, remove pith and bran-fry), Gancao (Glycyrrhizae Radix et Rhizoma, honey-fried, each 1 fen).
The above nine ingredients are coarsely pounded and sifted. Take 1 qianbi per dose, add 0.7 zhan of water, decoct until 0.4 zhan remains, strain, and take warm after meals and before bedtime. Adjust dosage according to the child's age and size.
Formula for Lanye Tang (Isatis Leaf Decoction) to treat pediatric carbuncles and sores:
Wulan Ye (Isatidis Folium), Xijiao (Rhino Cerios, shaved), Shengma (Cimicifugae Rhizoma), Huangqi (Astragali Radix, crushed), Shanzhizi Ren (Gardeniae Semen, embryo removed), Lianqiao (Forsythiae Fructum), Gancao (Glycyrrhizae Radix et Rhizoma, honey-fried, each 0.5 liang), Huangqin (Scutellariae Radix, remove black heart), Daqing (Isindigotis Folium), Xuanshen (Scrophulariae Radix, each 1 fen), Dahuang (Rhei Radix et Rhizoma, crushed and fried, 3 fen).
The above eleven ingredients are coarsely pounded and sifted. Take 1 qianbi per dose, add 0.7 zhan of water, decoct until 0.4 zhan remains. Strain, and take warm after meals and before bedtime. Adjust dosage according to the child's age and size.
Formula for Mutong Tang (Akebia Decoction) to treat pediatric carbuncles and sores:
Mutong (Akebiae Caulis, crushed), Shengma (Cimicifugae Rhizoma), Chishaoyao (Paeoniae Radix Rubra), Huangqin (Scutellariae Radix, remove black heart), Shanzhizi Ren (Gardeniae Semen, embryo removed), Maidong (Ophiopogonis Tuber, remove heart and bake, each 2 fen), Xijiao (Rhino Cerios, shaved), Dahuang (Rhei Radix et Rhizoma, crushed and fried, each 1 liang), Zhike (Aurantii Fructus, remove pith and fry, 0.5 liang).
The above nine ingredients are coarsely pounded and sifted. Take 2 qianbi per dose, add 1 zhan of water, add 0.5 he of fresh Shengdihuang juice (Rehmanniae Radix Juice), decoct together until 0.7 zhan remains, strain, and divide into two warm doses. Take after meals and before bedtime. Adjust dosage according to the child's age and size.
Formula for Huangqi Ge Gen Tang (Astragalus and Pueraria Decoction) to treat pediatric sores, swelling, and carbuncles:
Huangqi (Astragali Radix, crushed), Gegen (Puerariae Lobatae Radix, crushed), Maidong (Ophiopogonis Tuber, remove heart and bake), Huangqin (Scutellariae Radix, remove black heart), Xijiao (Rhino Cerios, shaved), Shengma (Cimicifugae Rhizoma), Gancao (Glycyrrhizae Radix et Rhizoma, honey-fried, each 1 liang), Muxiang (Aucklandiae Radix, 0.5 liang).
The above eight ingredients are coarsely pounded and sifted. Take 1 qianbi per dose, add 0.7 zhan of water, decoct until 0.4 zhan remains, strain, and take after meals. Adjust dosage according to the child's age and size.
Formula for Xijiao Zhimu Tang (Rhino Horn and Anemarrhena Decoction) to treat pediatric carbuncles:
Xijiao (Rhino Cerios, shaved), Zhimu (Anemarrhenae Rhizoma, baked), Huangqi (Astragali Radix, crushed), Huangqin (Scutellariae Radix, remove black heart), Renshen (Ginseng Radix et Rhizoma), Danshen (Salviae Miltiorrhizae Radix et Rhizoma), Gegen (Puerariae Lobatae Radix, crushed), Dahuang (Rhei Radix et Rhizoma, crushed and fried), Gancao (Glycyrrhizae Radix et Rhizoma, honey-fried, each 1 liang), Xuanshen (Scrophulariae Radix, 3 fen), Maidong (Ophiopogonis Tuber, remove heart and bake, 1.5 liang).
The above eleven ingredients are coarsely pounded and sifted. Take 1 qianbi per dose, add 0.5 zhan of water, add 0.5 he of fresh Shengdihuang juice (Rehmanniae Radix Juice), decoct together until 0.4 zhan remains, strain, and take warm after meals and before bedtime. Adjust dosage according to the child's age and size.
Formula for Wuxiang Wan (Five-Aromatic Pills) to treat pediatric carbuncles, sores, and furuncles that have not yet ruptured, or where pus has not drained, accompanied by aversion to cold and high fever:
Muxiang (Aucklandiae Radix, 1 fen), Chenxiang (Aquilariae Lignum Resinatum, crushed), Suhe Xiang (Styrax, ground, each 3 fen), Shexiang (Moschus, ground, 0.5 fen), Xijiao (Rhino Cerios, shaved, 2 liang), Dahuang (Rhei Radix et Rhizoma, raw and crushed, 1.5 liang), Jishe Xiang (Styrax, ground), Wulan Ye (Isatidis Folium), Zhizi Ren (Gardeniae Semen, embryo removed), Shu Dihuang (Rehmanniae Radix Preparata, 2 liang), Baishao Yao (Paeoniae Radix Alba, 1 liang), Renshen (Ginseng Radix et Rhizoma, 1 liang, remove rhizome head), Baifuling (Poria, 1 liang).
The above thirteen ingredients are pounded, sieved into powder, and mixed with refined honey to form pills the size of paulownia seeds. Take 20 pills per dose, administered with Huangqi Tang (Astragalus Decoction) as a vehicle, taken before meals.
Another prescription:
Gan Xama (Dry Bufo Toad, one piece).
The above single ingredient is burned to ash, finely ground, and applied externally mixed with lard (Zhu Zhi).
Another prescription:
Bai Gu Pi (Old Drum Skin, amount unspecified, burned to ash).
The above single ingredient is finely ground and applied externally mixed with lard (Zhu Zhi).