热毒者。因膏粱浓味。或乳母七情郁火所致。宜宣风毒。凉心火。解胃热。如加味当归散、牛蒡子汤。涂以
四黄散、一抹金。及用四时洗法。如结肿 痛。有表症者。解表消毒散。里症者。攻里消毒散。邪在经络者。
托里荣卫汤。欲作脓者。托里消毒散。脓成不溃者。八珍汤。宜分始末。攻补随时。药之对症。无不愈也。
加味当归散。顺调气血。和解表里。爽利心腹。疏理百病。及治温热停积自利。烦躁不宁等症。
当归（酒洗） 赤芍（各二两） 川芎（五钱） 甘草（半生半熟） 大黄（半生半炮各一两） 麻黄（制五钱）
加黄连
升麻 葛根 丹毒。再加连翘 荆芥
每服三钱。姜、葱、灯心、水煎服。（丹毒不用葱）
牛蒡子汤 治伤风发热烦躁。鼻塞气喘。痰嗽惊啼。及诸疮紫赤丹毒。咽喉肿痛。
牛蒡子（炒研三两） 防风（去芦一两） 薄荷叶（一两） 荆芥穗（去梗四两） 大黄（一两五钱）
甘草（一两二钱） 丹毒。加麻仁（炒研）
每服三钱。水煎服。
四黄散 治小儿一切热毒疮疾。燥痒流汁不干者。
黄连 黄柏 黄芩 大黄 滑石（各一两） 文蛤（去虫屑五钱）
上为末。清油调涂。
一抹金 治小儿遍身生疮。糜烂燥痛。流水不干者。多因风化虫结于皮肤。浸淫不已。治以杀虫药。是
究其源也。
藜芦（洗净焙） 蛇床子（去土） 黄丹（水飞各一两） 硫黄 赤石脂 白矾（枯） 黄柏
五倍子（去虫各五钱） 轻粉（五两五钱）
各为末。研匀。加生猪脂。再杵如膏。涂抹患处。或清油调涂。
解表消毒散 治小儿疮毒。肿高 痛。便利调和。脉浮洪而有表症者。
黄 （上部酒拌炒中部米泔水浸炒下部盐水拌炒一钱五分） 升麻 葛根 赤芍 玄参 牛蒡子（炒研）
麻黄（去节） 甘草（各五分） 连翘（一钱）
更看分野。加以引经。手少阴。加细辛三分。足少阴。加独活七分。手太阴。加桔梗、白芷各五分。
足太阴。加苍术七分。手厥阴。加柴胡七分。足厥阴。加柴胡、青皮各五分。手太阳。加 本五分。
足太阳。加羌活七分。手阳明。加白芷五分。足阳明。加升麻、葛根各七分。手足少阳经。俱加柴
胡七分。
用水一钟。生姜二片。葱白一根。煎七分服。
攻里消毒散 治小儿疮疡。肿硬痛深。大便秘结。脉沉实而有里症者。
牛蒡子（炒研） 连翘 当归 白芍（各一钱） 大黄（一钱五分） 芒硝（五分） 甘草（七分）
栝蒌（连皮子锯切三钱）
用水一钟。煎七分服。未利。再服。
托里荣卫汤 治小儿疮毒。外无 肿。内亦便利调和。知邪在经也。
黄 （炒一钱） 红花（一钱） 苍术（米泔炒） 柴胡 连翘 羌活 防风 归身 甘草（炙）
黄芩 人参（各一钱） 桂枝（七分）
用水一钟。酒半钟。煎八分服。
四时洗恶疮法
春用柳条、荆芥。夏用枣叶、槐枝。秋用苦参。冬亦苦参。随儿大小。量用三二两。煎汤洗之。
Heat-toxin sores and ulcers are caused by long-term consumption of rich and greasy foods, or by fire generated from emotional stagnation in nursing mothers. Treatment should focus on dispersing wind-toxin, clearing heart-fire, and resolving stomach-heat. Internal administration may include Jiawei Danggui San (Modified Angelica Sinensis Powder) and Niubangzi Tang (Arctii Fructus Decoction), while external application can utilize Sihuang San (Four Yellows Powder) and Yi Mojīn (One Stroke Gold). Additionally, washing methods appropriate for the four seasons should be employed. If local swelling and pain occur with exterior symptoms (such as aversion to cold and fever), Jiebiao Xiaodu San (Exterior-Releasing Detoxification Powder) is indicated; if interior symptoms (such as constipation and abdominal pain) are present, Gongli Xiaodu San (Interior-Purging Detoxification Powder) is used; if pathogenic factors reside in the meridians, Tuoli Rongwei Tang (Supporting Interior Nourishing Ying-Wei Decoction) is prescribed; if suppuration is imminent, Tuoli Xiaodu San (Supporting Interior Detoxification Powder) is applied; if pus has formed but not yet ruptured, Bazhen Tang (Eight Treasures Decoction) is suitable. Treatment must distinguish between the initial and late stages of the disease, adjusting purgative and tonifying methods according to the condition. As long as the medication matches the syndrome, no case will remain incurable.
Jiawei Danggui San (Modified Angelica Sinensis Powder): Harmonizes Qi and Blood, resolves exterior and interior disharmony, unblocks the heart and abdomen, and regulates various diseases. It is also used for spontaneous diarrhea due to stagnant heat-warmth pathogens, restlessness, and irritability.
Ingredients: Danggui (Radix Angelicae Sinensis, wine-washed), Chishao (Radix Paeoniae Rubra, each 2 liang), Chuanxiong (Rhizoma Chuanxiong, 5 qian), Gancao (Radix Glycyrrhizae Uralensis, half raw and half roasted), Dahuang (Radix et Rhizoma Rhei, half raw and half processed, each 1 liang), Mahuang (Herba Ephedrae, processed, 5 qian). Add Huanglian (Radix Coptidis) if needed. For Erysipelas (Dan Du), add Lianqiao (Fructus Forsythiae) and Jingjie (Herba Schizonepetae).
Usage: Take 3 qian per dose, decoct with Shengjiang (Rhizoma Zingiberis Recens), Congbai (Sclerium Allii Cepae), and Dengxincao (Medulla Sparganii) in water. (Note: Do not use Congbai for Erysipelas).
Niubangzi Tang (Arctii Fructus Decoction): Treats fever and irritability due to wind-cold injury, nasal congestion, panting, cough with phlegm, fright crying, purple-red sores, erysipelas, and sore throat/swelling.
Ingredients: Niubangzi (Fructus Arctii, fried and crushed, 3 liang), Fangfeng (Radix Saposhnikoviae, de-rhizome, 1 liang), Boheye (Folium Menthae Haplocalycis, 1 liang), Jingjiesui (Cacumen Schizonepetae, de-stem, 4 liang), Dahuang (Radix et Rhizoma Rhei, 1.5 liang), Gancao (Radix Glycyrrhizae Uralensis, 1.2 liang). For Erysipelas, add Maren (Semen Cannabis, fried and crushed).
Usage: Take 3 qian per dose, decoct in water.
Sihuang San (Four Yellows Powder): Treats all types of heat-toxin sores in children characterized by dryness, itching, and weeping that does not dry up.
Ingredients: Huanglian (Radix Coptidis), Huangbai (Cortex Phellodendri Amurensis), Huangqin (Radix Scutellariae Baicalensis), Dahuang (Radix et Rhizoma Rhei), Huashi (Talcum, each 1 liang), Wen Ge (Concha Meretricis et Cyclinae, cleaned of debris, 5 qian).
Usage: Grind into fine powder, mix with clear sesame oil, and apply topically.
Yi Mojīn (One Stroke Gold): Treats widespread sores in children, characterized by erosion, dryness, pain, and continuous weeping. This is often due to wind transforming into parasites accumulating in the skin, causing progressive infiltration. Using only insect-killing drugs treats the symptom but not the root cause.
Ingredients: Lilu (Radix Veratri Albii, washed and baked), Shechuangzi (Fructus Cnidii, cleaned of soil), Huangdan (Lithargyrum, water-floated, each 1 liang), Liuhuang (Sulfur), Chishizhi (Halloysitum Rubrum), Baifan (Alumen, calcined), Huangbai (Cortex Phellodendri Amurensis), Wubeizi (Galla Chinensis, cleaned of insects, each 5 qian), Qingfen (Calomel, 5.5 liang).
Usage: Grind each ingredient separately into powder, mix uniformly, add fresh pig lard, and pound into a paste. Apply to the affected area, or mix with clear sesame oil for application.
Jiebiao Xiaodu San (Exterior-Releasing Detoxification Powder): Treats pediatric sores/toxins with high, swollen, painful lesions, normal bowel movements, floating and surging pulse, and exterior symptoms.
Ingredients: Huangqi (Radix Astragali Membranacei, upper part wine-fried, middle part rice-water soaked, lower part salt-water fried, 1.5 qian), Shengma (Rhizoma Cimicifugae Foetidae), Gegen (Radix Puerariae Lobatae), Chishao (Radix Paeoniae Rubra), Xuanshen (Radix Scrophulariae Ningpoensis), Niubangzi (Fructus Arctii, fried and crushed), Mahuang (Herba Ephedrae, de-jointed), Gancao (Radix Glycyrrhizae Uralensis, each 5 qian), Lianqiao (Fructus Forsythiae, 1 qian).
Additionally, based on the meridian involved, add guiding herbs: Hand Shaoyin (Heart Meridian), add Xixin (Radix et Rhizoma Asari), 3 fen; Foot Shaoyin (Kidney Meridian), add Duhuo (Radix Angelicae Pubescentis), 7 fen; Hand Taiyin (Lung Meridian), add Jiegeng (Radix Platycodonis) and Baizhi (Radix Angelicae Dahuricae), each 5 fen; Foot Taiyin (Spleen Meridian), add Cangzhu (Rhizoma Atractylodis Lanceae), 7 fen; Hand Jueyin (Pericardium Meridian), add Chaihu (Radix Bupleuri), 7 fen; Foot Jueyin (Liver Meridian), add Chaihu (Radix Bupleuri) and Qingpi (Cortex Citri Reticulatae Viridis), each 5 fen; Hand Taiyang (Small Intestine Meridian), add Bencao (Rhizoma Ligustici Chuanxiong), 5 fen; Foot Taiyang (Bladder Meridian), add Qianghuo (Rhizoma Notopterygii), 7 fen; Hand Yangming (Large Intestine Meridian), add Baizhi (Radix Angelicae Dahuricae), 5 fen; Foot Yangming (Stomach Meridian), add Shengma (Rhizoma Cimicifugae Foetidae) and Gegen (Radix Puerariae Lobatae), each 7 fen; Hand Shaoyang (Sanjiao Meridian) and Foot Shaoyang (Gallbladder Meridian), both add Chaihu (Radix Bupleuri), 7 fen.
Usage: Decoct with one zhong of water, two slices of Shengjiang (Rhizoma Zingiberis Recens), and one root of Congbai (Sclerium Allii Cepae) until reduced to seven-tenths.
Gongli Xiaodu San (Interior-Purging Detoxification Powder): Treats pediatric sores/ulcers with hard, swollen, deeply painful lesions, constipation, deep and solid pulse, and interior symptoms.
Ingredients: Niubangzi (Fructus Arctii, fried and crushed), Lianqiao (Fructus Forsythiae), Danggui (Radix Angelicae Sinensis), Baishao (Radix Paeoniae lactiflora, each 1 qian), Dahuang (Radix et Rhizoma Rhei, 1.5 qian), Mangxiao (Natrii Sulfas, 5 fen), Gancao (Radix Glycyrrhizae Uralensis, 7 fen), Gualou (Fructus Trichosanthis, sliced with peel and seeds, 3 qian).
Usage: Decoct with one zhong of water until reduced to seven-tenths. If stool is not relieved, take another dose.
Tuoli Rongwei Tang (Supporting Interior Nourishing Ying-Wei Decoction): Treats pediatric sores/toxins without significant external swelling, with normal internal bowel functions, indicating pathogenic factors in the meridians.
Ingredients: Huangqi (Radix Astragali Membranacei, fried, 1 qian), Honghua (Flos Carthami Tinctorii, 1 qian), Cangzhu (Rhizoma Atractylodis Lanceae, rice-water fried), Chaihu (Radix Bupleuri), Lianqiao (Fructus Forsythiae), Qianghuo (Rhizoma Notopterygii), Fangfeng (Radix Saposhnikoviae), Guishen (Radix Angelicae Sinensis - root portion), Gancao (Radix Glycyrrhizae Uralensis, honey-roasted), Huangqin (Radix Scutellariae Baicalensis), Renshen (Radix Ginseng, each 1 qian), Guizhi (Ramulus Cinnamomi Cassiae, 7 fen).
Usage: Decoct with one zhong of water and half a zhong of wine until reduced to eight-tenths.
Four-Season Washing Method for Malodorous Sores:
Spring: Use Liu Tiao (Salix Twig) and Jingjie (Herba Schizonepetae).
Summer: Use Zao Ye (Folium Ziziphi Jujubae) and Huai Zhi (Ramulus Sophorae Tonkinensis).
Autumn: Use Kushen (Radix Sophorae Flavescentis).
Winter: Also use Kushen (Radix Sophorae Flavescentis).
Dosage depends on the child's age, typically 2-3 liang, decocted in water for washing.