夫小儿毒肿之候。与风肿不殊。时令人壮热。其邪毒盛者。则入腹。令人赤色。恶寒。
心烦闷而呕逆。气急腹满。有如此状。宜速疗之。不尔。即杀人也。
治小儿毒肿。壮热烦闷。犀角散方。
犀角屑（半两） 川大黄（一两锉碎微炒） 露蜂房（一分微炒） 川升麻（半两） 麦
门冬
（半两去心焙） 连翘（一分） 川朴硝（一分） 牛蒡子（一分微炒） 甘草（一分炙微
赤锉） 枳
壳（三分麸炒微黄去瓤） 黄 （半两锉）
上件药。捣粗罗为散。每服一钱。以水一小盏。煎至五分。去滓。量儿大小。不计时候。
分减温服。
治小儿壅热在脏。皮肤毒肿。或生疮疖。心神烦躁。大小便不利。漏芦散方。
漏芦（半两） 白蔹（半两） 黄芩（半两） 麻黄（半两去根节） 知母（半两） 枳
实（半两
麸炒微黄） 川大黄（半两锉碎微炒） 川升麻（半两） 犀角屑（半两） 赤芍药（半两）
川芒
硝（半两） 甘草（半两炙微赤锉）
上件药。捣粗罗为散。每服一钱。以水一小盏。煎至五分。去滓。放温。量儿大小。不
计时候。分减服之。
治小儿热毒肿。恐恶气入腹。取利。以泄毒瓦斯。麝香散方。
麝香（半分细研） 木香（半两） 沉香（半两） 独活（半两） 桑寄生（一两） 射
干（半两）
犀
上件药。捣粗罗为散。每服一钱。以水一小盏。煎至五分。去滓。放温。量儿大小。不
计时
治小儿诸毒肿。升麻膏方。
川升麻（二两） 白蔹（二两） 漏芦（二两） 川大黄（一两锉碎微炒） 川芒硝（二
两） 黄
芩（
上件药。都细锉。用酒浸一宿后。以猪脂三斤。煎诸药。色焦黄。即膏成。以绵滤去滓。
倾
治小儿热毒肿。贴 木香散方。
木香（一两） 紫葛（一两锉） 紫檀香（一两） 川朴硝（一两） 赤小豆（一合） 川
升麻
（半两）
上件药。捣细罗为散。用水调如稀糊。量肿大小贴之。日二易之。
治小儿热毒肿。解风热。肿令内消。大黄散涂敷方。
川大黄（半两） 槟榔（半两） 川芒硝（半两） 黄连（半两去须） 黄柏（半两） 雄
黄（半
两细
上件药。捣罗为末。用蜜水调涂患处。日三上。
治小儿身上毒肿。肉色赤热。宜用贴 方。
硝石（半两） 川大黄（半两） 绿豆（半两）
上件药。捣细罗为散。每使时。量肿大小。取 根。研汁。调涂肿上。如有头。即以
膏药
治小儿热毒肿。忽发头项胸背。发即封之。不成脓方。
生地黄（一升切） 豆豉（三两） 川芒硝（五两）
上件药。都捣令熟。以敷肿上。浓二分以来。日六七度。敷之效。
治小儿一切毒肿方。
川朴硝（一两） 川大黄（一两）
上件药。捣细罗为散。每用冷水。调涂于肿上处。干即更涂。以毒肿消散为度。
又方。
蔓菁根（一两干者） 芸苔根（一两干者）
上件药。捣细罗为散。以鸡子清调涂之。
又方。
商陆（一两） 芸苔叶（一两）
上件药。捣令烂熟。贴于肿处。频易之效。
The syndrome of pediatric toxic swelling is indistinguishable from wind swelling. It often causes high fever in the child. If the pathogenic evil and toxin are excessive, they may enter the abdomen, leading to a red complexion, aversion to cold, mental restlessness with stifling sensation, vomiting and regurgitation, rapid breathing, and abdominal distension. If such symptoms appear, prompt treatment is required; otherwise, it may be fatal.
**Xijiao San (Rhinoceros Horn Powder)** for treating pediatric toxic swelling accompanied by high fever and mental restlessness:
Rhino Cornu (Xi Jiao) (half liang), Rhubarb Radix et Rhizoma (Da Huang) (one liang, crushed and slightly stir-fried), Honeycomb (Lu Feng Fang) (one fen, slightly stir-fried), Cimicifugae Rhizoma (Sheng Ma) (half liang), Ophiopogonis Radix (Mai Men Dong) (half liang, heart removed and baked), Forsythiae Fructus (Lian Qiao) (one fen), Mirabilite (Pu Xiao) (one fen), Arctii Fructus (Niu Bang Zi) (one fen, slightly stir-fried), Glycyrrhizae Radix et Rhizoma (Gan Cao) (one fen, honey-fried until slightly red and crushed), Aurantii Fructus Immaturus (Zhi Ke) (three fen, bran-fried until slightly yellow and pith removed), Scutellariae Radix (Huang Qin) (half liang, crushed).
Crush the above ingredients into a coarse powder. Take one qian per dose, add one small cup of water, decoct until reduced to half a cup, remove the dregs. Depending on the child's age, administer warm at any time, divided into doses.
**Loulu San (Euphorbiae Humifusae Herba Powder)** for treating pediatric internal organ heat congestion, skin toxic swelling, or carbuncles and furuncles, with mental restlessness and difficulty in urination and defecation:
Euphorbiae Humifusae Herba (Lou Lu) (half liang), Ampelopsis Radix (Bai Lian), Scutellariae Radix (Huang Qin) (half liang each), Ephedrae Herba (Mao Huang) (half liang, roots and joints removed), Anemarrhenae Rhizoma (Zhi Mu) (half liang), Aurantii Fructus Immaturus (Zhi Shi) (half liang, bran-fried until slightly yellow), Rhubarb Radix et Rhizoma (Da Huang) (half liang, crushed and slightly stir-fried), Cimicifugae Rhizoma (Sheng Ma) (half liang), Rhino Cornu (Xi Jiao) (half liang), Paeoniae Radix Rubra (Chi Shao Yao) (half liang), Natrii Sulfas (Mang Xiao) (half liang), Glycyrrhizae Radix et Rhizoma (Gan Cao) (half liang, honey-fried until slightly red and crushed).
Crush the above ingredients into a coarse powder. Take one qian per dose, add one small cup of water, decoct until reduced to half a cup, remove the dregs, let cool to warm. Depending on the child's age, administer at any time, divided into doses.
**Shexiang San (Moschus Powder)** for treating pediatric heat-toxin swelling, fearing evil qi entering the abdomen, promoting purgation to vent toxic vapors:
Moschus (She Xiang) (half fen, finely ground), Aucklandiae Radix (Mu Xiang) (half liang), Aquilariae Lignum Resinatum (Chen Xiang) (half liang), Angelicae Pubescentis Radix (Du Huo) (half liang), Taxilli Herba (Sang Ji Sheng) (one liang), Belamcandae Rhizoma (She Gan) (half liang), Rhino Cornu (Xi Jiao) (half liang).
Crush the above ingredients into a coarse powder. Take one qian per dose, add one small cup of water, decoct until reduced to half a cup, remove the dregs, let cool to warm. Depending on the child's age, administer at any time, divided into doses.
**Shengma Gao (Cimicifuga Ointment)** for treating various pediatric toxic swellings:
Cimicifugae Rhizoma (Sheng Ma) (two liang), Ampelopsis Radix (Bai Lian) (two liang), Euphorbiae Humifusae Herba (Lou Lu) (two liang), Rhubarb Radix et Rhizoma (Da Huang) (one liang, crushed and slightly stir-fried), Natrii Sulfas (Mang Xiao) (two liang), Scutellariae Radix (Huang Qin) [text incomplete].
Finely chop all ingredients. Soak in wine overnight. Then decoct with three jin of lard until the color turns dark yellow, indicating the ointment is ready. Filter through silk to remove dregs and pour out.
**Muxiang San (Aucklandia Powder)** for topical application in pediatric heat-toxin swelling:
Aucklandiae Radix (Mu Xiang) (one liang), Polygoni Cuspidati Radix (Zi Ge) (one liang, crushed), Pterocarpi Santalinus Lignum (Zi Tan Xiang) (one liang), Mirabilite (Pu Xiao) (one liang), Phaseoli Semen (Chi Xiao Dou) (one he), Cimicifugae Rhizoma (Sheng Ma) (half liang).
Grind the above ingredients into a fine powder. Mix with water to form a thin paste. Apply according to the size of the swelling. Change twice daily.
**Dahuang San (Rhubarb Powder)** for topical application to treat pediatric heat-toxin swelling, dispel wind-heat, and resolve swelling internally:
Rhubarb Radix et Rhizoma (Da Huang) (half liang), Arecae Semen (Bing Lang) (half liang), Natrii Sulfas (Mang Xiao) (half liang), Coptidis Rhizoma (Huang Lian) (half liang, whiskers removed), Phellodendri Cortex (Huang Bo) (half liang), Realgar (Xiong Huang) (half liang, finely ground).
Pulverize the above ingredients. Mix with honey-water and apply to the affected area. Apply three times daily.
Topical formula for pediatric body toxic swelling with red and hot flesh:
Natrii Nitras (Xiao Shi) (half liang), Rhubarb Radix et Rhizoma (Da Huang) (half liang), Vigna Radiata Semen (Lu Dou) (half liang).
Grind the above ingredients into a fine powder. When using, take the root of [missing name], crush and extract juice, mix with the powder, and apply to the swelling. If there is a head (pus point), cover with an ointment plaster.
Formula for sudden onset of pediatric heat-toxin swelling on the head, neck, chest, and back, applied immediately to prevent suppuration:
Rehmanniae Radix Recens (Sheng Di Huang) (one sheng, cut), Fermented Soybean (Dou Chi) (three liang), Natrii Sulfas (Mang Xiao) (five liang).
Mash all ingredients thoroughly. Apply to the swelling, thickness of two fen or more. Apply six to seven times daily. Effective.
Formula for all types of pediatric toxic swelling:
Mirabilite (Pu Xiao) (one liang), Rhubarb Radix et Rhizoma (Da Huang) (one liang).
Grind into a fine powder. Each time, mix with cold water and apply to the swollen area. Reapply when dry, until the toxic swelling dissipates.
Another formula:
Turnip Root (Man Jing Gen) (one liang, dried), Rapeseed Root (Yun Tai Gen) (one liang, dried).
Grind into a fine powder. Mix with egg white and apply.
Another formula:
Phytolaccae Radix (Shang Lu) (one liang), Rapeseed Leaf (Yun Tai Ye) (one liang).
Mash until soft and cooked. Apply to the swollen area. Change frequently for best results.