五十九、四顺散。患疮疹至四五日，不大便，疮子又盛出，即喘粗气急腹胀，小便赤涩
，须用此方。
大黄 甘草（炙） 芍药 当归（各一钱）
上为粗末，每服抄三钱，水一盏，煎至六分，去滓温服，不拘时候。若得气通不喘，腹
不胀，便休与此药。若初觉有赤点子，大便如常，小便赤涩，须用药通大便，要出快也。若
出得色红而快，更不须通也。
六十、利毒丸。治小儿疮疹欲出，胃热发温壮，气粗满，大小便赤涩，眠中惊，烦渴口
舌干，手足微冷，多睡，时嗽涎，实脉沉大滑数，便宜服之。
大黄（半两） 腻粉 大青（各一钱） 龙脑 朱砂（各五分） 槟榔 生牵牛 黄芩 青
黛（各一钱半）
上为细末，面糊为丸，如黄米大，二岁小儿服八丸，生姜蜜水下，不动再服，量儿大小
虚实加减。
六十一、夹食者，紫霜丸。治头疼壮热，胀为夹食。
方见和剂方
六十二、消毒散。治疮疹已出，未能匀透，毒瓦斯壅遏出不快，壮热狂躁，咽膈壅塞，睡
卧不安，大便秘涩，及治大人小儿上膈壅热，咽喉肿痛，胸膈不利（治造与鼠粘子同，但如
防风为鼠粘子汤）。
牛蒡子（炒，六两，一名恶实） 甘草（炙，二两） 荆芥（一两）
上为粗末，每服一钱，水七分盏，煎至四分，去滓，食后临卧服之，此药治大便秘涩，
是治里热故也。况本草云∶恶实味辛平，其中治证，治风肿，治暴餐，热肉生风，解丹石毒
，治咽喉四肢风肿，此性稍凉也，为疮疹所宜服者，能透肌出痈疮，是以疮疹亦出也，大便
利则不可服。
六十三、化斑散。
石膏（用纸里，炮令透，为末，或用泥瓦烧之，取出去火毒） 知母（切片，焙干，为
细末）
上件等分，用熟水调下一字服之，或调涂唇上，去头痛除昏，发泄疮子，此名石膏知母
化毒散，治小儿疮斑，此二方极妙，后方恐太凉。
六十四、地黄雄黄散。治温毒发斑，疮痘出不快者，乃冬应寒反热，或被积寒暴发，热
毒不得宣泄，令身斑如锦纹，心闷而咳，但呕清汁者，葛根橘皮汤、地黄雄黄饮子。
地黄 淡豆豉（各四两）
上以猪脂一斤和匀，露一宿，煎三分，减去一分，去滓，下雄黄末一钱，麝香半钱，搅
匀，量儿大小饮，若太多反有所损。
六十五、犀角散。治小儿疮疹，不恶寒，但烦躁，小便赤涩，多渴，或赤斑点者。
犀角（镑） 甘草（炙，各半两） 防风（二两） 黄芩（半两）
上为粗末，每服抄三钱，水一盏，煎至七分，去渣温服，不拘时候。
六十六、紫河车散。治小儿斑疮，毒瓦斯不解攻咽喉者，声音不出，舌颊生疮，渴逆烦闷
，潮热面赤。
紫河车 茜根 贯众（各三钱） 芍药 甘草（炙，各半两）
上为粗末，每服一钱，水七分盏，生姜一片，同煎至四分，去滓温服。一方用牛蒡子。
六十七、玳瑁汤。治时行豌豆疮，及赤疮疹子未发者，令内消，已发者，解利毒瓦斯，令
不太盛。
生玳瑁 生犀（各以冷水浓磨汁二合）
上同搅令匀，每服半合，微温服，一日四五服为佳。又治出而未快者，宜服之。又云∶
毒瓦斯内攻，紫黑色，出不快，用玳瑁水磨浓汁一合，入 猪心血一皂子大，以紫草浓煎汤，
都作一服服之。玳瑁犀角，其性微寒，以治热毒，则知其无失也。二药皆治瘟疫虫瘴，解百
毒，通血脉，消痈肿，故用之以解蕴毒，可宜服也。
六十八、白虎汤。治小儿痘 麸疮，斑疮赤黑，出不快，及疮毒余热，并温热病暑，中
气烦躁热渴，大便秘，小便赤，四时天气大热，即可与服，如冬无大寒，天气大温，即可服
之。
石膏（四两） 知母（一两半） 甘草（炙，三钱） 人参（半两）
上为粗末，每服抄二钱，水一小盏，粳米二十粒，同煎至半盏，去渣温服，不拘时候，
此药治中暑，又患疮痘，天气大热，与肌热心热相应，烦躁狂乱，渴水发黄，鼻衄吐血，便
血淋秘，皆可服之。《指迷方》治疮疹夏月烦躁，加麦门冬，用竹叶煎，一名竹叶汤。
六十九、人参竹叶汤。治夏月壮热烦躁，心闷口干渴，心神不宁，痰壅呕逆。兼治疮疹
后余毒，热不退，小便赤涩，成赤斑者。
人参 半夏（汤泡炒，七次） 当归 淡竹叶 天门冬（去心）
上五味，等分为粗末，每服抄二钱，用水一小盏，生姜二片，同煎至半盏，去滓温服，
不拘时候。疮疹始觉不恶寒，但烦躁，小便赤涩，干渴成赤斑点者宜服之。此药治中暑虚烦
渴，疮疹后余热不退，皆宜服也。
七十、通神散。治疮疹毒瓦斯少，大小便利，倒伏不出者。
生地黄（炒） 地龙（炒） 朱砂（另研，各一两）
上为细末，每服一字，煎胡荽酒少许，同温汤调下。
七十一、青黛散。治疮疹未作脓，痛甚，心膈烦躁，睡卧不安者，并宜服之。
上用波斯青黛，如枣核大，以水调服之。一方用温磨刀水调服之。
七十二、野通散。治痘疮出不快，并伤寒不语。
干野人粪（炭火 为灰） 片脑 麝香（各少许）
上为细末，每服一钱，新汲水入蜜调下。本草云∶干野人粪治蜘蛛咬疮，此治疮疹出快
明矣。盖蜘蛛咬疮久而不愈，其丝生皮肤，延蔓遍身不愈，用雄黄青黛麝香水调，以蜘蛛试
之，蜘蛛化为水，后果验。其雄黄青黛麝香是治疮疹当用之药，干野人粪亦治疮疹之药，野
人乃弥猴也，黄 毛长面赤者，若人家养者，肉及屎皆不主病，为其食息杂，违其本真也。
七十三、无比散。治疮子恶候不快，及黑疮子，应一切恶候。
朱砂（一两，研如粉） 牛黄 片脑 麝香 腻粉（各一分，研）
上同研细，如有患者，小儿一字，大人半钱，水银少许，同小 猪尾上血三二滴新汲
水少许同调服，先宁稳得睡，然后取转下，如烂鱼肠葡萄穗之类臭涎恶物便安，小儿用乳汁
滴尤妙。观之此药，方思古人论证处方，无有不效者。须是病药相主，则药下咽而病去，若
不相主而用之，下咽即死也。且伤寒有用硝石大黄而愈者，有用附子干姜硫黄丹硫着艾而愈
者，此合用而用之也。设若合用硝石大黄，却用硫黄附子姜桂，合硫附姜桂，却用硝石大黄
。下咽即死矣。此用无比散之意也。无比散治疮痘热毒太盛壅瘀，荣卫不行，外不得泄，而
内不得通，毒瓦斯在里，外则疮疹黑色，里则腹胀喘急谵语，大小便不通，昏困者宜服之，此
有其毒，则用其药，无不效者。设或疮黑靥，里无腹胀，无喘急，无谵语，无大小便不通，
无昏困，大便反如常或反利者，则无比散不可用也，常言对证用药是也。有一士大夫之家，
一子弟八岁患疮疹，黑靥，诊胃脉大弱，前医用升麻汤羌活散，问其胃弱之故，言平时胃弱
，不能进食，今疮疹黑靥，服升麻羌活散，脏腑日夜数次，后用温脏腑药，更不止而卒，服
升麻羌活散，愈脏腑不固，而米谷不化，当此见疮黑，不见其脏寒，则无比散亦无如之何。
故下药先审病之虚实寒热，岂可一概见黑靥便投凉剂，岂不误人生死之计也。
七十四、豆汤。治疮痘未作脓，心膈躁，睡不安者。
上用黑豆煮汁徐徐温服之，亦解。
七十五、透肌散（治证并方与三十三化毒汤同）
七十六、黄连散。治疮痘毒瓦斯上冲，口舌有疮，下部亦有疮。有热者亦服之。
上用黄连一两，去须为末，每服一钱，水一盏，煎至五分，去渣不拘时服，量大小虚实
与服，疮痘初发亦宜服之。
七十七、通关散。治小儿斑疮水痘，心闷烦躁发渴，及小便赤涩，口舌生疮，通心经，
利小便。
山栀子 大黄（炒，各一分） 木通 甘草（炙） 车前子（炒） 瞿麦 茯苓 人参 滑
石（各三分） 地 蓄（半两，焙）
上为细末，每服一字，二三岁者半钱，水半盏，入灯心同煎至三分服，禀受稍弱者，五
苓散、人参白术散导赤散亦得。
七十八、紫雪。治大人小儿一切热毒，胃热发斑，消痘 麸疹，及伤寒热入胃发斑，并
惊痫涎厥，走马急疳热疳。黄瘦喉痹痛，及疮疹发毒攻咽喉，水食不下者。
黄金（一百两） 寒水石 石膏（各三斤） 犀角 羚羊角（各三两） 玄参（一斤） 沉
香木香 丁香 甘草（八两）
上用水五斗，煮金至三斗，去金不用，入诸药，再煎至一斗，滤去滓，投上好芒硝二斤
半，微火煎，以柳木篦搅勿停手，候欲凝，入盆中，更下研朱砂麝香各三两，急搅候匀，冷
贮于密器中，勿令见风，每服一钱，温水化下，小儿半钱一字，咽喉危急，捻少许干咽之。
七十九、竹叶汤。治小儿疮疹，不恶寒，但烦躁，小便赤涩，多渴，成赤斑点者，宜
服竹叶汤、犀角散。
石膏（四两） 知母（二两） 麦门冬（去心） 甘草（各一两，炙）
上为粗末，每服抄二钱，水一盏，竹叶一握，同煎至半盏，去滓温服，不拘时候。
八十、导赤散。治疮疹心经蕴热，睡卧不宁，烦躁而小便不利，面赤多渴，小儿贪食乳
者，渴也。
人参 木通 麦门冬（去心） 生地黄 甘草（炙）
上等分为粗末，每服抄二钱，水一小盏，煎至半盏，去滓温服，不拘时候。
八十一、救生散。治小儿疮疹脓 ，恶候危困，陷下黑色方。此药治大段热毒，颠倒入
脏腑者，不得已而用之。
猪血（脑月内以新瓦罐子内盛，挂于当屋，阴干为未） 马牙硝（研，各一两） 朱
砂牛黄 片脑 麝香（各一钱）
上同研极细，每服一字，新汲水调下，大便下恶物，疮 红色为度，不过再服，神验无
比。
八十二、犀角汤。治小儿疹痘疮及赤疮子。
犀角（镑） 大黄（炒） 桑白皮（蜜炙） 钩藤 甘草（炙） 麻黄（去节，各一两）
龙胆（半钱） 石膏 瓜蒌 黄 （炙，各半两）
上为粗末，每服一钱，水一小盏煎至四分，去滓温服，量儿大小加减服。疮子退后，浓
磨犀角水涂之更良。钱氏亦附方同。以此药治疗疮疹太盛，令不入眼，则名调肝散。此药治
风盛气实，心肝血热，津液内躁，大便不通，毒瓦斯上盛，表热未散之药也。且大黄瓜蒌治内
躁，钩藤龙胆治风血热，桑白皮石膏治上焦热，麻黄黄 散肌热，犀角甘草解毒热，大抵用
药贵于与病相主，则病去而正气自复，苟为不然，则反为大害。如犀角散，自非大便数日不
通，喘急闷乱，烦躁谵语者，岂可服之，恐病药不相主治也。
八十三、牛黄散。治便血，由疮疹阳毒入胃便血，致日夜无度，腹痛啼哭。
牛黄（一分） 郁金（一两）
上为细末，每服半钱，以浆水半盏，煎至三分，和滓温服，量儿大小，以此增减，日二
服。
八十四、玉露散。治暑月出疮疹，烦躁热渴。
寒水石（软而微青黑，中有细纹者是，半两） 甘草（一钱，生用） 方解石（坚白而
有墙壁，手不可采者是，如无以石膏代之，坚白似石膏，敲之成段皆方者是，半两）
八十五、犀角饮子。解热毒，去风疹。
犀角 甘草（炙，各半两） 防风（二两） 黄芩（一两）
上为粗末，每服五钱，用水一小盏，煎至半盏，去渣温服，不拘时候。
八十六、犀角地黄汤，治疮疹出太盛者，宜服之。《活人书》云∶伤寒及瘟病，应发汗
而不发汗，内有瘀血者，及鼻衄吐血不尽，内有余瘀血，面黄大便黑者。此方主消化瘀血，
兼治疮疹太盛者，此方解之。
犀角（一两） 生地黄（半斤） 芍药（三分） 牡丹皮（一两）
上锉如麻豆大，每服五钱，水一盏半，煮取一盏。有热如狂者，加黄芩二两，其人脉大
来迟，腹又满，自言满者，为无热，不用黄芩。
59. Sishun San (Four-Obedience Powder). When a patient suffers from sores and rashes for four to five days, if there is no bowel movement, and the sores/rashes erupt excessively, followed by coarse and rapid breathing, abdominal distension, and dark, scanty, or painful urination, this prescription must be used.
Dahuang (Rhei Radix et Rhizoma), Gancao (Glycyrrhizae Radix et Rhizoma, prepared with honey), Shaoyao (Paeoniae Radix), Danggui (Angelicae Sinensis Radix) (each 1 qian).
Grind the above ingredients into a coarse powder. For each dose, take 3 qian, add one cup of water, and decoct until six-tenths remains. Strain and take warm at any time. If qi circulation is restored, wheezing ceases, and abdominal distension resolves, discontinue this medicine. If initially only red spots are seen, bowel movements are normal, but urination is dark and scanty/painful, medication to promote bowel movement is required to facilitate the rapid expulsion of pathogens. If the sores/rashes appear bright red and erupt smoothly, promoting bowel movement is unnecessary.
60. Lidu Wan (Detoxifying Pill). Treats pediatric sores and rashes that are about to emerge, where stomach heat causes fever, coarse breathing, and chest fullness; dark, scanty, or painful urination; startle during sleep; irritability, thirst, and dry mouth/tongue; slightly cold hands and feet; excessive sleepiness; occasional coughing with saliva; and a pulse that is deep, large, slippery, and rapid. It is suitable to take this medicine.
Dahuang (Rhei Radix et Rhizoma) (0.5 liang), Nifen (Calomel), Daqing (Isatidis Folium) (each 1 qian), Longnao (Borneolum Syntheticum), Zhusha (Cinnabaris) (each 5 fen), Binglang (Arecae Semen), Sheng Qianniu (Ipomoeae Petiolus raw), Huangqin (Scutellariae Radix), Qingdai (Indigo Naturalis) (each 1.5 qian).
Grind the above ingredients into a fine powder and bind with wheat paste to form pills the size of yellow millet grains. A two-year-old child takes eight pills, administered with ginger and honey water. If bowel movement does not occur, it may be repeated. Adjust dosage according to the child's age and deficiency/excess condition.
61. For cases complicated by food stagnation, Zishuang Wan (Purple Frost Pill). Treats headache, high fever, and abdominal distension caused by food stagnation.
See Heji Fang (Prescriptions of the Bureau of Medical Relief).
62. Xiaodu San (Disinfecting Powder). Treats sores and rashes that have emerged but cannot spread evenly, where pathogenic factors are stagnant and eruption is slow, accompanied by high fever, restlessness, congestion in the throat and diaphragm, restless sleep, and constipation. It also treats upper jiao (upper burner) heat congestion in adults and children, causing sore throat, swelling, and discomfort in the chest and diaphragm. (The preparation method is the same as Shuniuzi Tang [Arctii Fructus Decoction], substituting Fangfeng [Saposhnikoviae Radix] with Shuniuzi Tang).
Niubangzi (Arctii Fructus, stir-fried, 6 liang, also known as Eshi), Gancao (Glycyrrhizae Radix et Rhizoma, prepared with honey, 2 liang), Jingjie (Schizonepetae Spica, 1 liang).
Grind the above ingredients into a coarse powder. For each dose, take 1 qian, add seven-tenths of a cup of water, and decoct until four-tenths remains. Strain and take after meals and before bed. This medicine treats constipation because it addresses interior heat. Furthermore, Bencao (Materia Medica) states: Eshi has a pungent and neutral flavor. Its indications include treating wind-induced swelling, sudden food stagnation, heat generating wind in flesh, resolving Dan Shi toxicity, and treating wind-induced swelling of the throat and limbs. Its nature is slightly cool, making it suitable for sores and rashes as it can penetrate the muscle layer to expel abscesses and sores. Therefore, it aids in the eruption of sores and rashes. However, it should not be taken if bowel movements are unobstructed.
63. Huaban San (Spot-Resolving Powder).
Shigao (Gypsum Fibrosum, wrapped in paper and thoroughly roasted into powder, or burned on clay tiles to remove fire toxicity), Zhimu (Anemarrhenae Rhizoma, sliced and dried, ground into fine powder).
Mix equal parts of the above ingredients. Take one "yi zi" (a small measure) mixed with cooked water, or apply topically to the lips. It relieves headache and dizziness, and helps vent sores and rashes. This is named Shigao Zhimu Hudu San (Gypsum and Anemarrhena Detoxification Powder), treating pediatric spot-rashes. These two prescriptions are excellent; later prescriptions may be too cooling.
64. Dihuang Xionghuang San (Rehmannia and Realgar Powder). Treats warm-toxin macules and slow eruption of sores/pustules. This occurs when winter should be cold but is hot, or when accumulated cold suddenly erupts, preventing the dispersion of heat-toxin, resulting in skin spots like brocade patterns, chest oppression with cough, and vomiting clear fluid. Gegen Jupi Tang [Puerariae Radix and Citri Reticulatae Pericarpium Decoction] or Dihuang Xionghuang Yinzi [Rehmannia and Realgar Drink] may be used.
Dihuang (Rehmanniae Radix), Danshichidou (Fermented Soybean) (each 4 liang).
Mix with one jin (catty) of lard, expose overnight, and decoct until three-tenths remains (reducing by one-fourth). Strain, add 1 qian of Xionghuang powder (Realgar) and half a qian of Shexiang (Moschus), mix well, and administer according to the child's age. Excessive dosage may cause harm.
65. Xijiao San (Rhinoceros Horn Powder). Treats pediatric sores and rashes where there is no aversion to cold, only irritability, dark/scanty/painful urination, excessive thirst, or red spots.
Xijiao (Rhinocerotis Cornu, shaved), Gancao (Glycyrrhizae Radix et Rhizoma, prepared with honey, each 0.5 liang), Fangfeng (Saposhnikoviae Radix, 2 liang), Huangqin (Scutellariae Radix, 0.5 liang).
Grind the above ingredients into a coarse powder. For each dose, take 3 qian, add one cup of water, and decoct until seven-tenths remains. Strain and take warm at any time.
66. Ziheche San (Placenta Powder). Treats pediatric macule-sores where pathogenic factors are unresolved and attack the throat, causing loss of voice, sores on the tongue and cheeks, thirst with reverse flow, irritability, tidal fever, and flushed face.
Ziheche (Human Placenta), Qianggen (Rubiae Radix), Guanzhong (Cyathulae Rhizoma) (each 3 qian), Shaoyao (Paeoniae Radix), Gancao (Glycyrrhizae Radix et Rhizoma, prepared with honey, each 0.5 liang).
Grind the above ingredients into a coarse powder. For each dose, take 1 qian, add seven-tenths of a cup of water and one slice of fresh ginger, decoct until four-tenths remains, strain, and take warm. Another formula uses Niubangzi (Arctii Fructus).
67. Daimao Tang (Tortoise Shell Decoction). Treats epidemic pea-pox and red sores/rashes that have not yet erupted, helping them resolve internally. For those already erupted, it resolves and benefits by reducing pathogenic factors, preventing them from becoming too severe.
Sheng Daimao (Acanthochelys Carapax, raw), Sheng Xijiao (Rhinocerotis Cornu, raw) (each grind thickly in cold water to obtain 2 he of juice).
Mix well. Take half a he per dose, slightly warm. Four to five doses per day are ideal. It is also suitable for cases where eruption is slow. Additionally: For internal attack of pathogenic factors with purple-black color and slow eruption, use one he of thick Daimao water-mixed juice, add pig heart blood the size of a soap bean, and decoct Zicao (Lithospermi Radix) thickly in water. Take all as one dose. Daimao and Xijiao have a slightly cold nature, suitable for heat-toxin, ensuring no error. Both drugs treat plague, insect miasma, resolve hundred toxins, unblock meridians and collaterals, and reduce carbuncles/swelling. Thus, they are used to resolve accumulated toxins and are suitable for use.
68. Baihu Tang (White Tiger Decoction). Treats pediatric pox/chickenpox, red-black macules with slow eruption, residual heat from sores/toxins, and warm-heat diseases with summerheat. It addresses middle-jiao irritability, heat-thirst, constipation, dark urine, and extreme heat in all seasons. It may be taken during extreme summer heat or warm winters without severe cold.
Shigao (Gypsum Fibrosum, 4 liang), Zhimu (Anemarrhenae Rhizoma, 1.5 liang), Gancao (Glycyrrhizae Radix et Rhizoma, prepared with honey, 3 qian), Renshen (Ginseng Radix et Rhizoma, 0.5 liang).
Grind the above ingredients into a coarse powder. For each dose, take 2 qian, add one small cup of water and 20 grains of Jingmi (Oryza Sativa Germen), decoct together until half a cup remains. Strain and take warm at any time. This medicine treats summerheat stroke. In cases of sores/pox with extreme heat, corresponding to skin and internal heat, causing irritability, mania, thirst, yellow urine, epistaxis, hematemesis, melena, strangury, and retention, it is applicable. *Zhimi Fang* adds Maidong (Ophiopogonis Radix) and decocts with Zhuye (Bambusae Folium) for summer irritability in sores/rashes, named Zhuye Tang (Bamboo Leaf Decoction).
69. Renshen Zhuye Tang (Ginseng and Bamboo Leaf Decoction). Treats high fever and irritability in summer, chest oppression, dry mouth/thirst, restless mind, phlegm congestion, and vomiting/reversal. It also treats residual toxins after sores/rashes with persistent fever, dark/scanty/painful urination, and formation of red spots.
Renshen (Ginseng Radix et Rhizoma), Banxia (Pinelliae Rhizoma, soaked in water and stir-fried seven times), Danggui (Angelicae Sinensis Radix), Danshuye (Bambusae Folium), Tianmendong (Asparagi Radix, heart removed).
Grind the above five ingredients into a coarse powder. For each dose, take 2 qian, add one small cup of water and two slices of fresh ginger, decoct until half a cup remains. Strain and take warm at any time. It is suitable for early-stage sores/rashes with no aversion to cold, only irritability, dark/scanty/painful urination, dryness/thirst, and red spots. This medicine treats summerheat deficiency-irritability and thirst, and residual heat after sores/rashes.
70. Tongshen San (Spirit-Unblocking Powder). Treats sores/rashes with weak pathogenic factors, normal bowel/urinary function, but failure to erupt (collapse/inversion).
Sheng Dihuang (Rehmanniae Radix raw, stir-fried), Dilong (Pheretima, stir-fried), Zhusha (Cinnabaris, separately ground) (each 1 liang).
Grind into a fine powder. Take one "yi zi" per dose, mixed with a little Huisu wine (Coriandri Fructus wine) and warm water.
71. Qingdai San (Indigo Naturalis Powder). Treats sores/rashes that have not yet suppurated, with severe pain, chest/diaphragm irritability, and restless sleep.
Use Persian Qingdai (Indigo Naturalis), size of a date pit, mixed with water and taken. Another method uses water from warming a knife.
72. Yetong San (Wild Man Unblocking Powder). Treats slow eruption of pox and aphasia due to cold damage.
Gan Yeren Fen (Dry Wild Man Feces, burnt to ash), Pian Nao (Borneolum Syntheticum), Shexiang (Moschus) (small amounts each).
Grind into a fine powder. Take 1 qian per dose, mixed with fresh water and honey. Bencao states: Dry wild man feces treats spider bite sores, clearly indicating its efficacy in promoting rapid eruption of sores/rashes. Spider bites often fail to heal, with threads growing on the skin and spreading. Using Xionghuang (Realgar), Qingdai (Indigo Naturalis), and Shexiang (Moschus) mixed with water tests on spiders, turning them to water, which was verified. Xionghuang, Qingdai, and Shexiang are appropriate for sores/rashes. Dry wild man feces is also a remedy. "Wild man" refers to monkeys, specifically yellow-haired, long-haired, red-faced ones. Domesticated monkeys' meat and feces are ineffective due to杂 diet deviating from their true nature.
73. Wubi San (Incomparable Powder). Treats adverse conditions of sores/rashes with slow eruption, black sores, and all adverse conditions.
Zhusha (Cinnabaris, 1 liang, ground to powder), Niuhuang (Calculus Bovis), Pian Nao (Borneolum Syntheticum), Shexiang (Moschus), Nifen (Calomel) (each 1 fen, ground).
Grind together finely. For patients, children take one "yi zi", adults take half a qian. Add a small amount of Shuiyin (Hydrargyrum) and 2-3 drops of fresh pig tail blood, mixed with a little fresh water. Administer. The patient should sleep peacefully first, then evacuation occurs. Passage of foul matter like rotting fish intestines or grape clusters indicates relief. Milk drops are excellent for children. Observing this formula reminds us that ancient physicians' prescriptions are invariably effective. The disease and medicine must correspond; otherwise, ingestion leads to death. For example, some cold damage cases are cured with Xiaoshi (Natrii Nitras) and Dahuang (Rhei Radix et Rhizoma), while others with Fuzi (Aconiti Lateralis Radix Praeparata), Ganjiang (Zingiberis Rhizoma), Hushanhuang (Sulfur), Dan Liu Huang (Sublimated Arsenic Sulfide), and Ai (Mugwort). This is correct correspondence. Incorrect correspondence (e.g., using sulfur/aconice when nitrate/rhubarb is needed) leads to death. This illustrates the intent of Wubi San. It treats excessive heat-toxin accumulation blocking Ying and Wei (Nutritive and Defensive levels), preventing external release and internal passage. External signs include black sores; internal signs include abdominal distension, wheezing, delirium, and obstruction of bowels/urine. It is suitable for coma/fatigue. Where there is toxin, use the corresponding medicine. However, if black scabs are present without internal distension, wheezing, delirium, obstruction, or coma, and bowel movements are normal or loose, Wubi San is contraindicated. This emphasizes prescribing according to syndrome. Case: An 8-year-old boy with black scabs had a weak stomach pulse. Previous doctors used Shengma Tang (Cimicifugae Rhizoma Decoction) and Qianghuo San (Notopterygii Rhizoma et Radix Powder). Despite chronic stomach weakness and poor appetite, these dispersing formulas caused daily diarrhea. Subsequent warming herbs failed to stop it, leading to death. The dispersing formulas further weakened the organs, causing undigested food. Seeing black scabs without recognizing organ cold rendered Wubi San useless. Thus, one must assess deficiency/excess and cold/heat before prescribing. One cannot blindly use cooling agents for black scabs, risking life.
74. Dou Tang (Black Bean Decoction). Treats sores/pox not yet suppurated, with chest irritability and restless sleep.
Decoct black beans, drink the juice slowly while warm. It also resolves toxicity.
75. Touji San (Muscle-Penetrating Powder) (Indications and formula are identical to Formula 33, Huadu Tang [Toxin-Resolving Decoction]).
76. Huanglian San (Coptis Powder). Treats sores/pox toxins rushing upward, causing sores in the mouth/tongue and lower body. Suitable for cases with heat.
Use 1 liang of Huanglian (Coptidis Rhizoma), remove roots, grind to powder. Take 1 qian per dose, decoct in one cup of water until five-tenths remains. Strain and take at any time. Adjust based on age and constitution. Suitable for initial eruption.
77. Tongguan San (Passage-Opening Powder). Treats pediatric macule-sores/water-poison, chest oppression, irritability, thirst, dark/scanty/painful urination, and mouth/tongue sores. It unblocks the Heart meridian and promotes urination.
Shanzhizi (Gardeniae Fructus), Dahuang (Rhei Radix et Rhizoma, stir-fried, each 1 fen), Mutong (Akebiae Caulis), Gancao (Glycyrrhizae Radix et Rhizoma, prepared), Cheqianzi (Plantaginis Semen, stir-fried), Qumai (Diantherae Herba), Fuling (Poria), Renshen (Ginseng Radix et Rhizoma), Huashi (Talcum) (each 3 fen), Di Fu Zi (Kochiae Fructus) (0.5 liang, dried).
Grind into a fine powder. Take one "yi zi" per dose (half a qian for ages 2-3). Decoct with Dengxincao (Junci Medulla) in half a cup of water until three-tenths remains. For weaker constitutions, Wuling San (Five-Ling Powder), Renshen Baizhu San (Ginseng and Atractylodes Macrocephala Powder), or Daochi San (Directing Redness Away Powder) are also suitable.
78. Zixue (Purple Snow). Treats all heat-toxins in adults and children, stomach heat causing macules, resolving pox/chickenpox, cold damage heat entering the stomach causing macules, convulsions with salivation, rapid gangrene, yellow emaciation, sore throat pain, and sores/rash toxins attacking the throat preventing food/water intake.
Huangjin (Gold, 100 liang), Hanshuishi (Halloysitum Rubrum), Shigao (Gypsum Fibrosum) (each 3 jin), Xijiao (Rhinocerotis Cornu), Lingyangjiao (Saigae Tataricae Cornu) (each 3 liang), Xuanshen (Scrophulariae Radix, 1 jin), Chenxiang (Aquilariae Lignum Resinatum), Muxiang (Aucklandiae Radix), Dingxiang (Caryophylli Flos), Gancao (Glycyrrhizae Radix et Rhizoma) (8 liang).
Boil gold in 5 dou of water until 3 dou remains. Remove gold. Add other herbs and decoct until 1 dou remains. Filter. Add 2.5 jin of Mangxiao (Natrii Sulfas). Simmer over low heat, stirring constantly with a willow spatula. When nearing solidification, pour into a basin. Add 3 liang each of ground Zhusha (Cinnabaris) and Shexiang (Moschus). Stir quickly until uniform. Store cold in a sealed container, protected from wind. Take 1 qian dissolved in warm water (children: half a qian or one "yi zi"). For critical throat conditions, swallow a small amount dry.
79. Zhuye Tang (Bamboo Leaf Decoction). Treats pediatric sores/rashes with no aversion to cold, only irritability, dark/scanty/painful urination, excessive thirst, and red spots. Suitable to take Zhuye Tang and Xijiao San.
Shigao (Gypsum Fibrosum, 4 liang), Zhimu (Anemarrhenae Rhizoma, 2 liang), Maidong (Ophiopogonis Radix, heart removed), Gancao (Glycyrrhizae Radix et Rhizoma, prepared, each 1 liang).
Grind into a coarse powder. Take 2 qian per dose, add one cup of water and a handful of Zhuye (Bamboo Leaves), decoct until half a cup remains. Strain and take warm at any time.
80. Daochi San (Directing Redness Away Powder). Treats sores/rashes with heat accumulation in the Heart meridian, restless sleep, irritability, difficult urination, flushed face, and excessive thirst. In infants craving milk, it is due to thirst.
Renshen (Ginseng Radix et Rhizoma), Mutong (Akebiae Caulis), Maidong (Ophiopogonis Radix, heart removed), Sheng Dihuang (Rehmanniae Radix raw), Gancao (Glycyrrhizae Radix et Rhizoma, prepared).
Grind into a coarse powder. Take 2 qian per dose, add one small cup of water, decoct until half a cup remains. Strain and take warm at any time.
81. Jiusheng San (Life-Saving Powder). Treats pediatric sores/rashes with pus formation, adverse conditions, critical distress, and black sinking spots. This medicine is used reluctantly for severe heat-toxin invading the organs.
Zhu Xue (Dragon's Blood/Pig Blood? Text says Pig Blood stored in new jar, hung indoors, dried to powder) (1 liang), Mayaxiao (Saltpeter, ground) (1 liang), Zhusha (Cinnabaris), Niuhuang (Calculus Bovis), Pian Nao (Borneolum Syntheticum), Shexiang (Moschus) (each 1 qian).
Grind extremely fine. Take one "yi zi" per dose with fresh water. Continue until foul matter passes in stool and sores turn red. Do not exceed two doses. Extremely effective.
82. Xijiao Tang (Rhinoceros Horn Decoction). Treats pediatric rash/pox and red sores.
Xijiao (Rhinocerotis Cornu, shaved), Dahuang (Rhei Radix et Rhizoma, stir-fried), Sangbaipi (Mori Cortex, honey-fried), Gouteng (Uncariae Ramulus cum Uncis), Gancao (Glycyrrhizae Radix et Rhizoma, prepared), Mahuang (Ephedrae Herba, nodes removed, each 1 liang), Longdan (Gentianae Radix) (0.5 qian), Shigao (Gypsum Fibrosum), Gualou (Trichosanthis Fructus), Huangqi (Astragali Radix, prepared, each 0.5 liang).
Grind into a coarse powder. Take 1 qian per dose, decoct in one small cup of water until four-tenths remains. Strain and take warm. Adjust for age. After sores subside, applying thick Xijiao water externally is better. Qian Yi also included this formula. Used to treat excessive sores/rashes to prevent eye involvement, named Tiaogan San (Liver-Regulating Powder). This formula treats excess wind/qi, Heart/Liver blood heat, internal fluid agitation, constipation, ascending toxins, and unresolved exterior heat. Gualou treats internal agitation; Gouteng and Longdan treat wind/blood heat; Sangbaipi and Shigao treat upper jiao heat; Mahuang and Huangqi dissipate muscle heat; Xijiao and Gancao resolve heat-toxin. Medication must correspond to the disease to restore healthy qi. Otherwise, it causes great harm. For example, Xijiao San is only for cases with multi-day constipation, wheezing, confusion, irritability, and delirium. Otherwise, mismatched treatment is dangerous.
83. Niuhuang San (Calculus Bovis Powder). Treats hematochezia due to yang-toxin from sores/rashes entering the stomach, causing relentless day/night bleeding, abdominal pain, and crying.
Niuhuang (Calculus Bovis, 1 fen), Yujin (Curcumae Radix, 1 liang).
Grind into a fine powder. Take half a qian per dose, decoct in half a cup of Jiangshui (fermented grain liquid) until three-tenths remains. Take warm with dregs. Adjust for age. Twice daily.
84. Yulu San (Jade Dew Powder). Treats sores/rashes in summer with irritability, heat, and thirst.
Hanshuishi (Halloysitum Rubrum, soft, slightly green-black with fine lines, 0.5 liang), Gancao (Glycyrrhizae Radix et Rhizoma, raw, 1 qian), Fangjieshi (Calcitum, hard white with distinct layers, hand-unbreakable; substitute Shigao if unavailable, hard white like gypsum breaking into square segments, 0.5 liang).
85. Xijiao Yinzi (Rhinoceros Horn Drink). Resolves heat-toxin, dispels wind-rash.
Xijiao (Rhinocerotis Cornu), Gancao (Glycyrrhizae Radix et Rhizoma, prepared, each 0.5 liang), Fangfeng (Saposhnikoviae Radix, 2 liang), Huangqin (Scutellariae Radix, 1 liang).
Grind into a coarse powder. Take 5 qian per dose, decoct in one small cup of water until half a cup remains. Strain and take warm at any time.
86. Xijiao Dihuang Tang (Rhinoceros Horn and Rehmannia Decoction). Treats excessively erupting sores/rashes. *Liuren Shu* states: For cold damage or plague, if sweating should have been induced but wasn't, resulting in internal blood stasis, or incomplete epistaxis/hematemesis leaving residual stasis, with yellow face and black stool, this formula resolves stasis and treats excessive sores/rashes.
Xijiao (Rhinocerotis Cornu, 1 liang), Sheng Dihuang (Rehmanniae Radix raw, 0.5 jin), Shaoyao (Paeoniae Radix, 3 fen), Mudanpi (Moutan Cortex, 1 liang).
Cut into hemp-seed sized pieces. Take 5 qian per dose, boil in 1.5 cups of water until 1 cup remains. If heat with mania-like behavior, add 2 liang of Huangqin (Scutellariae Radix). If the pulse is large but delayed, with abdominal fullness and self-reported fullness, it indicates absence of heat; do not use Huangqin.