夫小儿肿结。长一寸至二寸。名之为疖。亦似痈热痛。久则脓溃。捏脓血尽便瘥。亦是
风热
终
治小儿初生疮疖。五脏壅热。宜服大黄散方。
川大黄（半两锉碎微炒） 栀子仁（一分） 黄芩（半两） 川升麻（半两） 甘草（一
分生用）
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。分
减服
治小儿热毒瓦斯壅。外攻皮肤生疖。赤肿 痛。或时烦热。少得睡卧。犀角丸方。
犀角屑（三分） 川升麻（半两） 黄芩（半两） 玄参（半两） 黄 （半两锉） 人
参（半两
去芦
上件药。捣罗为末。炼蜜和捣三百杵。丸如麻子大。每服。以生甘草汤。下七丸。量儿
大小
治小儿虚热。消疮疖地黄丸方。
生干地黄（一两） 桂心（半两） 川大黄（一两锉碎微炒） 赤芍药（半两） 赤茯
苓（半两）
王
上件药。捣罗为末。炼蜜和丸。如绿豆大。每服。以熟水下七丸。量儿大小。加减服之。
治小儿疮疖初生。热气始结。疼痛妨闷。涂之便令消。硝石散方。
硝石（半两） 紫檀香（半两锉） 甜葶苈（一分生用） 莽草（一分） 川大黄（半
两） 白药
（一
上件药。捣细罗为散。以浆水和稀稠得所。用竹篦子涂于肿上。干即易之。以热退肿消
为度
治小儿软疖。乳香膏方。
乳香（半两） 腻粉〔一合（分）〕 油（一两） 黄蜡（半两） 松脂（一分） 密
陀僧（一分
细研
上件药。先取油煎蜡松脂乳香。然后。下粉密陀僧。调和成膏。看疖大小。摊膏于帛上
贴之
治小儿软疖。赤肿疼痛不可忍方。
天灵盖（一枚涂酥炙黄） 麻鞋底（一只多年故者烧）
上件药。捣细罗为散。每使。以油调涂之。
治小儿软疖。虽出脓水。热痛不止方。
赤小豆（四十九粒） 乳香（半分） 腻粉（半两）
上件药。捣细罗为散。先去脓水。后糁散药于疮上。立效。
又方。
上以油麻子炒热。烂嚼敷之。
治小儿软疖。有脓不穴。宜用此方。
巴豆（一粒） 豆豉（五十粒） 葱白（一寸）
上件药。同研令烂。涂在疖上。别以醋面糊封之。
治小儿软疖立效方。
锻石（半两） 干姜（半两生用）
上件药。捣细罗为散。以生油和捏作碗子。罨在疖上。立瘥。
又方。
甘草霜（半两） 盐花（半两） 黄柏（一分锉） 乳香（一分） 寒食面（半两）
上件药。捣细罗为散。每次。醋和涂于故帛上。贴之。
又方。
豆豉（半两） 盐（半两） 葱白（七茎细切）
上件药。都捣作饼子。量疮贴之。如疮大。即以大艾炷灸之。效。
又方。
生椒末 面 伏龙肝（以上各等分）
上件药。细研为散。以醋和封之。干即易之效。
又方。
狗头骨（炙令黄） 芸苔子（等分）
上件药。捣细罗为散。以醋调涂之。
治小儿疮疖。 热方。
上取半夏末。以水调涂之。干即更涂。
又方。
上以葛蔓。烧灰细研。封之。
治小儿疖无头者方。
上取鼠粘叶。烂捣敷之。
又方。
上雀粪细研。水调敷之。
又方。
上以葵子一枚。以水下之。即有头。
Pediatric patients presenting with swelling and nodules measuring one to two cun in size are diagnosed with "jie" (furuncle). This condition resembles a carbuncle, characterized by heat and pain. If prolonged, it will suppurate and ulcerate; recovery occurs once the pus and blood are completely discharged. This is generally caused by wind-heat pathogenic factors.
For pediatric furuncles arising from initial onset due to heat accumulation in the five zang organs, Dahuang San (Rhubarb Powder) is indicated.
Ingredients: Chuan Dahuang (Radix et Rhizoma Rhei, 0.5 liang, crushed and lightly stir-fried), Zhizi Ren (Semen Gardeniae, 1 fen), Huangqin (Radix Scutellariae, 0.5 liang), Chuan Shengma (Rhizoma Cimicifugae, 0.5 liang), Gancao (Radix Glycyrrhizae, 1 fen, used raw).
Preparation and Administration: The above ingredients are coarsely ground and sieved to make a powder. Take 1 qian per dose, add one small cup of water, decoct until reduced to 0.5 cup, filter out the dregs, allow to cool to warm temperature, and administer in adjusted doses according to the child's age and size.
For pediatric cases where heat-toxin is congested and attacks the skin causing furuncles, manifesting as redness, swelling, and pain, accompanied by occasional irritability, fever, and sleeplessness, Xijiao Wan (Rhinoceros Horn Pill) is indicated.
Ingredients: Xijiao Xie (Horn Rhinocerotis, 3 fen), Chuan Shengma (Rhizoma Cimicifugae, 0.5 liang), Huangqin (Radix Scutellariae, 0.5 liang), Xuanshen (Radix Scrophulariae, 0.5 liang), Huangqi (Radix Astragali, 0.5 liang, crushed), Renshen (Radix Ginseng, 0.5 liang, radix removed).
Preparation and Administration: The above ingredients are finely ground and sieved into powder. Mix with refined honey and pound three hundred times to form pills the size of hemp seeds. Administer seven pills per dose with a decoction of raw Gancao (Radix Glycyrrhizae), adjusting the dosage based on the child's age and size.
For pediatric furuncles caused by deficiency-heat, Dihuang Wan (Rehmannia Pill) is indicated.
Ingredients: Shenggan Dihuang (Radix Rehmanniae Preparata, 1 liang), Guixin (Cortex Cinnamomi, 0.5 liang), Chuan Dahuang (Radix et Rhizoma Rhei, 1 liang, crushed and lightly stir-fried), Chi Shaoyao (Radix Paeoniae Rubra, 0.5 liang), Chi Fuling (Poria cum Ligno Rubrum, 0.5 liang).
Preparation and Administration: The above ingredients are finely ground and sieved into powder. Mix with refined honey to form pills the size of mung beans. Administer seven pills per dose with boiled and cooled water, adjusting the dosage based on the child's age and size.
For early-stage pediatric furuncles where heat qi begins to congeal, causing pain and distress, applying this formula can dissipate the swelling. Xiaoshi San (Niter Powder) is indicated.
Ingredients: Xiaoshi (Natrii Sulfas, 0.5 liang), Zitan Xiang (Lignum Santali Rubrum, 0.5 liang, crushed), Tingli (Semen Lepidii seu Descurainiae, 1 fen, used raw), Mangcao (Herba Siegesbeckiae, 1 fen), Chuan Dahuang (Radix et Rhizoma Rhei, 0.5 liang), Baiyao (Specific herb name omitted or unclear in source).
Preparation and Administration: The above ingredients are finely ground and sieved into powder. Mix with jiangshui (fermented rice liquid) to an appropriate consistency. Apply to the swollen area using a bamboo spatula. Replace when dry, continuing until heat subsides and swelling disappears.
For pediatric soft furuncles, Rushxiang Gao (Frankincense Ointment) is indicated.
Ingredients: Rushxiang (Resina Agallochii, 0.5 liang), Nifen (Calomelas, 1 he/fen), You (Oil, 1 liang), Huangla (Cera Flava, 0.5 liang), Songzhi (Resina Pini, 1 fen), Miduoseng (Litharge, 1 fen, finely ground).
Preparation and Administration: First, boil the oil, wax, songzhi, and rushxiang together. Then add nifen and miduoseng, mixing to form an ointment. Spread the ointment on cloth according to the size of the furuncle and apply as a plaster.
For pediatric soft furuncles with unbearable redness, swelling, and pain.
Ingredients: Tianlinggai (Os Craniis, 1 piece, coated with butter and roasted until yellow), Maxiedi (Solea Textilis, 1 pair, old ones burned).
Preparation and Administration: Grind the above ingredients into a fine powder. When using, mix with oil and apply topically.
For pediatric soft furuncles that have discharged pus but continue to suffer from heat and pain.
Ingredients: Chixiaodou (Semen Phaseoli Angularis, 49 grains), Rushxiang (Resina Agallochii, 0.5 fen), Nifen (Calomelas, 0.5 liang).
Preparation and Administration: Grind the above ingredients into a fine powder. First clear the pus, then sprinkle the powder onto the wound for immediate effect.
Alternative method:
Stir-fry sesame seeds until hot, chew thoroughly, and apply as a poultice.
For pediatric soft furuncles containing pus but not yet ruptured.
Ingredients: Badou (Semen Crotonis, 1 grain), Douchi (Faba Fermentata, 50 grains), Congbai (Bulbus Allii Cepae, 1 cun).
Preparation and Administration: Grind the ingredients together until paste-like. Apply to the furuncle and seal with a paste made of vinegar and flour.
An immediately effective formula for pediatric soft furuncles.
Ingredients: Duanshi (Calcined Alum, 0.5 liang), Ganjiang (Rhizoma Zingiberis Recens, 0.5 liang, used raw).
Preparation and Administration: Grind into a fine powder. Mix with raw oil to form a bowl-shaped applicator, cover the furuncle, and cure immediately.
Alternative method:
Ingredients: Gancaoshuang (Frost of Licorice, 0.5 liang), Yanhua (Salt Flower, 0.5 liang), Huangbai (Cortex Phellodendri, 1 fen, crushed), Rushxiang (Resina Agallochii, 1 fen), Hanshimian (Flour from Cold Food Festival, 0.5 liang).
Preparation and Administration: Grind into a fine powder. Each time, mix with vinegar, apply to old cloth, and patch onto the affected area.
Another alternative:
Ingredients: Douchi (Faba Fermentata, 0.5 liang), Yan (Salt, 0.5 liang), Congbai (Bulbus Allii Cepae, 7 stalks, finely cut).
Preparation and Administration: Pound all ingredients into cake shapes. Apply according to the size of the wound. If the wound is large, moxibustion with large moxa cones should be applied for efficacy.
Another alternative:
Ingredients: Shengjiaomo (Powder of Fresh Sichuan Pepper), Mian (Flour), Fulonggan (Terra Fusca, equal parts).
Preparation and Administration: Finely grind into powder. Mix with vinegar to seal the area. Replace when dry for effectiveness.
Another alternative:
Ingredients: Goutougu (Os Canis Capitis, roasted until yellow), Yuntaizi (Semen Brassicae Napus, equal parts).
Preparation and Administration: Grind into a fine powder. Mix with vinegar and apply topically.
Formula for pediatric furuncles with heat.
Take Banxia powder (Rhizoma Pinelliae), mix with water, and apply. Reapply when dry.
Another alternative:
Burn Ge Man (Caulis Vitis Labruscae) to ash, grind finely, and apply as a seal.
Formula for pediatric furuncles without a head (non-suppurative).
Take Shuniu Ye (Folium Arctii), pound until pulpy, and apply as a poultice.
Another alternative:
Grind Quefen (Excrement Passeris) finely, mix with water, and apply.
Another alternative:
Administer one Kui Zi (Semen Malvae) with water to induce the formation of a head (suppuration).