夫小儿五脏不调。则生疽。亦是寒客皮肤。折于血气。血气痞涩不行。结聚所成。大体
与痈
重
治小儿热毒生疽。肿硬疼痛。及赤白诸丹毒疮疖。并宜服漏芦散方。
漏芦（半两） 麻黄（半两去根节） 连翘（半两） 川芒硝（半两） 川升麻（三分）
枳实
（三分
赤芍药
〔二
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
治小儿热毒疽肿。及赤白诸丹毒肿。或生瘰 疮疖。身中风胗瘙痒。木香散方。
木香（一分） 薰陆香（一分） 沉香（一分） 鸡骨香（一分） 黄芩（一分） 麻
黄（一分去
根节）
两麸炒微
黄）
上件药。捣粗罗为散。每服一钱。以水一小盏。煎至五分。去滓。入竹沥半合。更煎三
两沸
治小儿疽肿。及疮疖。身体壮热。口干心躁。黄 散方。
黄 （半两锉） 连翘（半两） 川升麻（半两） 玄参（一分） 丹参（一分） 露
蜂房（一分
微炙）
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
治小儿疽毒肿硬。壮热。大渴。犀角散方。
犀角屑（三分） 葛根（半两锉） 麦门冬（一两去心焙） 川升麻（半两） 木香（半
两） 黄
（
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
治小儿疽毒肿坚硬。疼痛。攻冲四畔 赤。宜用抽热毒。消肿气消水膏方。
羊桃根（一两锉） 川大黄（一两锉生用） 黄芩（半两） 赤小豆（半合） 黄柏（半
两锉）
绿豆
上件药。捣粗罗为散。用芸苔菜。捣取自然汁。以蜜少许相和。调药令稀稠得所。看白
畔肿赤处大小。剪生绢。上匀摊。可浓一钱。贴之。干即换之。
治小儿疽肿穴后。及恶疮肿。脓水虽收。肌肉不生。宜敷密陀僧散方。
密陀僧（一两） 黄连（三分去须） 槟榔（三分）
上件药。捣细罗为散。用糁疮上。日三服之。
治小儿疽疮久不瘥。宜贴松脂饼子方。
松脂（一两） 薰陆香（一两）
上件药。合捣。纳少许盐为饼子。贴于疮上。汁出尽。即瘥。
治小儿疽已溃。黄连散方。
黄连（半两去须） 黄柏（半两锉） 地榆（半两锉） 白芷（半两）
上件药。捣细罗为散。每用鸡子白调涂。于故细布上贴之。
又方。
白芷（半两） 黄连（半两去须） 地榆（半两锉） 白蔹（半两）
上件药。捣细罗为散。每用鸡子白调涂。于故细布上。贴疮。日三四度换之。
治小儿疽肿结硬。已成脓。未成脓。贴 方。
鹿角屑〔二分（两）烧炙〕 白蔹（一两） 粗理黄石（三两烧赤以醋淬九遍）
上件药。捣细罗为散。以醋调稀稠得所。浓涂之。干即更涂。五七度即效。
又方。
上用蛇蜕皮贴之。经宿自消。
又方。
上以商陆烂捣敷之。
又方。
上芫花捣罗为末。水和如膏涂之。
又方。
上蛴螬研涂之。鳗鲤鱼胆汁及血。各用涂之。并效。
When the five zang organs of infants and children are disharmonious, carbuncles (ju) may arise. This is also caused by cold pathogens invading the skin, obstructing the flow of blood and qi. When blood and qi become stagnant and涩 (obstructed), they condense and accumulate to form the lesion. The general treatment principle is similar to that for abscesses (yong).
For treating carbuncles in infants and children caused by heat-toxin, characterized by swelling, hardness, pain, as well as various red and white erysipelas-like sores and boils, the Loulu San (Imperata Powder) formula is suitable.
Loulu (Rhizoma Imperatae, half liang) Mahuang (Herba Ephedrae, half liang, roots and joints removed) Lianqiao (Fructus Forsythiae, half liang) Chuan Mangxiao (Natrii Sulfas, half liang) Chuan Shengma (Rhizoma Cimicifugae, three qian) Zhishi (Fructus Aurantii Immaturus, three qian) Chi Shaoyao (Radix Paeoniae Rubra, two qian)
The above herbs are coarsely crushed and sieved. Take one qian per dose, decoct with one small cup of water until reduced to half a cup, filter out the dregs. Administer divided doses according to the child's age, at any time.
For treating carbuncle swelling in infants and children caused by heat-toxin, as well as swelling from various red and white erysipelas, or scrofula (luoli), sores, boils, and wind-rash itching on the body, the Muxiang San (Aucklandia Powder) formula is suitable.
Muxiang (Radix Aucklandiae, one qian) Xunlu Xiang (Olibanum, one qian) Chenxiang (Lignum Aquilariae Resinatum, one qian) Jigu Xiang (Radix Polygala, one qian) Huangqin (Radix Scutellariae, one qian) Mahuang (Herba Ephedrae, one qian, roots and joints removed) Bran-fried until slightly yellow)
The above herbs are coarsely crushed and sieved. Take one qian per dose, decoct with one small cup of water until reduced to half a cup, filter out the dregs, add half he of bamboo sap (zhuli), and boil for two or three more boils.
For treating carbuncle swelling in infants and children, as well as sores and boils, accompanied by high fever, dry mouth, and restlessness, the Huangqin San (Scutellaria Powder) formula is suitable.
Huangqin (Radix Scutellariae, half liang, sliced) Lianqiao (Fructus Forsythiae, half liang) Chuan Shengma (Rhizoma Cimicifugae, half liang) Xuanshen (Radix Scrophulariae, one qian) Danshen (Radix Salviae Miltiorrhizae, one qian) Lu Fengfang (Nidus Vespae, one qian, lightly roasted)
The above herbs are coarsely crushed and sieved. Take one qian per dose, decoct with one small cup of water until reduced to half a cup, filter out the dregs, let cool to warm. Administer divided, reduced doses according to the child's age.
For treating carbuncle toxin with hard swelling, high fever, and intense thirst in infants and children, the Xijiao San (Rhinoceros Horn Powder) formula is suitable.
Xijiao Xie (Cornu Rhinocerotis, three qian) Gegen (Radix Puerariae, half liang, sliced) Maidong (Tuber Ophiopogonis, one liang, heart removed and baked) Chuan Shengma (Rhizoma Cimicifugae, half liang) Muxiang (Radix Aucklandiae, half liang) Huangqin (Radix Scutellariae, half liang)
The above herbs are coarsely crushed and sieved. Take one qian per dose, decoct with one small cup of water until reduced to half a cup, filter out the dregs, let cool to warm. Administer divided, reduced doses according to the child's age.
For treating carbuncle toxin with hard swelling, pain, radiating redness to the surrounding areas in infants and children, the Chou Redu, Xiao Zhongqi, Xiao Shui Gao (Heat-Extracting, Swelling-Reducing, Water-Resolving Paste) formula is suitable.
Yangtao Gen (Cortex Cudrania Tricuspidatae, one liang, sliced) Chuan Dahuang (Radix et Rhizoma Rhei, one liang, sliced, raw use) Huangqin (Radix Scutellariae, half liang) Chixiaodou (Semen Phaseoli, half he) Huangbai (Cortex Phellodendri, half liang, sliced) Lv Dou (Semen Sojae Viridis, half he)
The above herbs are coarsely crushed and sieved. Crush Cai Tai (Brassica campestris var. oleifera) to extract natural juice, mix with a little honey, and blend with the herb powder to achieve appropriate consistency. Observe the size of the red and swollen area at the edge of the sore, cut a piece of raw silk, spread the mixture evenly on it (thickness about one qian), and apply to the affected area. Replace when dry.
For treating residual swelling after carbuncles subside in infants and children, as well as malignant sores where pus has dried up but flesh does not regenerate, the Mituoeng San (Litharge Powder) formula is suitable for application.
Mituoeng (Lithargyrum, one liang) Huanglian (Rhizoma Coptidis, three qian, fibrous parts removed) Binglang (Semen Arecae, three qian)
The above herbs are finely crushed and sieved. Sprinkle onto the sore, apply three times daily.
For treating chronic non-healing carbuncles in infants and children, the Songzhi Bingzi (Pine Resin Cake) formula is suitable for application.
Songzhi (Resina Pini, one liang) Xunlu Xiang (Olibanum, one liang)
The above ingredients are mixed and pounded together, add a little salt to form cakes, and apply to the sore. Once the exudate is fully drained, healing occurs.
For treating ulcerated carbuncles in infants and children, the Huanglian San (Coptis Powder) formula is suitable.
Huanglian (Rhizoma Coptidis, half liang, fibrous parts removed) Huangbai (Cortex Phellodendri, half liang, sliced) Diyü (Radix Sanguisorbae, half liang, sliced) Baizhi (Radix Angelicae Dahuricae, half liang)
The above herbs are finely crushed and sieved. Mix with egg white for topical application each time, place on old fine cloth, and apply to the wound.
Another prescription.
Baizhi (Radix Angelicae Dahuricae, half liang) Huanglian (Rhizoma Coptidis, half liang, fibrous parts removed) Diyü (Radix Sanguisorbae, half liang, sliced) Bailian (Rhizoma Belamcandae, half liang)
The above herbs are finely crushed and sieved. Mix with egg white for topical application each time, place on old fine cloth, apply to the sore, and change three to four times daily.
For treating hardened carbuncle swelling in infants and children, whether suppurated or not, the Tie Fang (Application Formula) is suitable.
Lujiao Xie (Cornu Cervi, two qian, roasted) Bailian (Rhizoma Belamcandae, one liang) Culi Huangshi (Yellow Stone, three liang, heated red and quenched in vinegar nine times)
The above herbs are finely crushed and sieved. Blend with vinegar to achieve appropriate consistency, apply thickly. Reapply when dry. Effect seen after five to seven applications.
Another prescription.
Apply snake slough (shetui) to the area; it will resolve naturally overnight.
Another prescription.
Pound fresh Shanglu (Radix Phytolaccae) thoroughly and apply.
Another prescription.
Pound Yuanhua (Flos Genkwa) into powder, mix with water to form a paste, and apply.
Another prescription.
Grind Qicao (larva of Melolontha) and apply. Apply bile and blood of Manli Yu (Anguilla marmorata) separately; both are effective.