小儿生浸淫疮者。由府有热。熏发皮肤。复为风湿相持。搏于血气。而其疮初生碎小。后有脓汁。浸淫渐
大。脓汁着处便生,故谓之浸淫疮也。又一证。风毒湿疮。颇似浸淫疮。亦脓汁浸淫而生。但脓痂遍周。比浸淫
疮稍大尔。
治浸淫疮痛不可忍,发寒热。 以刺蓟为细末。新水调敷疮上。干则易之。
雄黄膏
治浸淫疮。经效。
雄黄(一两研水飞) 雌黄(一两研水飞) 川乌头(一个去皮脐研为末) 松脂(一分研) 乱发(一分
烧灰)
上以猪脂六两。于铫子内熬成油。次入后三味。煎至发消尽。以绵滤去滓。入二黄末搅匀,盛瓷器中成膏。
每用少许涂疮上。日三次。
又方 治如前。以蜡胭脂于灯下用镜子照疮口。抹胭脂涂疮上。如此抹七遍。
苦瓠散
治风毒湿疮。
干苦瓠(一两) 蛇蜕(半两烧灰) 露蜂房(半两微炙)
上为细末。每用半钱。生油调涂。疮多添之。
四生散
治如前。
绵黄 白附子 羌活(去芦) 蒺藜(各等分)
上为细末,每服一钱。温酒调下。
小儿生 浆疮者。由风热毒瓦斯客于皮肤。搏于血气而所生也。始生如火烧汤烫。作泡而起。寻即皮破。 浆
出以成疮。亦甚疼痛。渐引相续而生。有至遍身溃烂。皮肉不可救者。故又名烂疮。宜治之。又一证。生疮狭
长。如鱼脐。黄水出。四面亦 浆泡起。此虽与 浆相似。而有少异。 浆疮者。先起浆袍。破而成疮。此疮乃
生疮后即四面续生浆泡。其状狭长。浑似鱼脐。故名曰鱼脐疮。 浆疮即不似鱼脐也。
治 浆疮 以柏叶洗净切碎。细研敷之。随手便干。更取汁半盏。水解服之。神效屡验。
又方 以桃仁去皮尖熟研。和面脂敷之。
又方 治 疮黄烂。烧艾叶灰敷之。一方烧马骨灰敷之。
生地黄膏
治炽疮毒甚。发引遍身。
生地黄(去芦洗净) 川升麻 蓝叶 栀子仁 大黄(各一两)
上研细。以猪脂八两。同于铫内慢火煎色变。滤去滓。以瓷盒
盛。放冷成膏。每用少许涂疮上。
治小儿面目缘身。卒生 泡。 以 羊角烧灰研细末。鸡子白和涂神验。卒无
和。亦妙。
治小儿 浆如鱼胞。赤烂成疮。热痛不可忍。 以磨家驴粪。或块结而不散者。不以多少晒干。地上堆定。
用手垒作屋状。以灯点着。烧至欲过。盆子合杀。令作黑灰。勿令白。研为末。每用一钱,和腻粉二钱。残灯
油调涂如冰。除热痛。甚妙。
治小儿 浆疮。起如丁盖。发头上。一两日后,面上胸背缘身皆生。其疮热痛。
朱砂(半两研水飞) 胡粉(一两半) 水银(半两)
上一处研。入水二三滴。研至水银无星。用腊月猪脂三两。于铫内慢火熬熔去滓。入药末搅匀成膏。瓷盒
盛。放冷。即用少许涂之。
治缘身生火 疮。如麻豆。有脓汁。作痒痛。一身尽遍。
甘草 芍药 白蔹 黄芩 黄连(去须) 黄柏(去粗皮) 苦参(各等分)
上为细末。用蜜和敷之。日二夜一。亦可作粗散。煎汤。
治小儿 烂疮 以铁烧赤。淬水中二七遍。浴洗。以烧艾热灰敷之。又以酒煎茱萸拭上。又以桃仁杵烂和
面脂敷。又以赤小豆煮汁洗。不过三次。瘥。
Infants suffering from *Jinyin Chuang* (Infiltrating Sores) do so because of heat in the internal organs steaming and affecting the skin, compounded by wind-dampness clashing and obstructing the flow of blood and qi. Initially, these sores appear small and fragmented, later producing pus; they spread gradually, with new sores arising wherever the pus touches, hence the name "Infiltrating Sore." Another condition, Wind-Toxic Damp Sore, resembles the Infiltrating Sore and also spreads via pus, but the crusts surround the area more broadly and are slightly larger than those of the Infiltrating Sore.
To treat Infiltrating Sores accompanied by unbearable pain, chills, and fever: Grind *Cirsii Herba* (Thistle Herb) into a fine powder, mix with fresh water, apply to the sore, and change when dry.
Xionghuang Ointment
Treats Infiltrating Sores with excellent efficacy.
*Xionghuang* (Realgar, 1 liang, ground and purified by water flotation) *Cihuang* (Orpiment, 1 liang, ground and purified by water flotation) *Chuan Wutou* (Radix Aconiti Kusnezoffii, 1 piece, skin and umbilicus removed, ground to powder) *Songzhi* (Pine Rosin, 1 fen, ground) *Luankua* (Scattered Hair, 1 fen, burnt to ash)
Take 6 liang of lard, melt it in a yin vessel, then add the latter three ingredients. Boil until the hair is completely dissolved, filter through silk cloth to remove dregs, mix in the powdered Realgar and Orpiment, and store in a porcelain container as an ointment. Apply a small amount to the sore three times daily.
Another prescription: Treat as above. Under lamplight, use a mirror to inspect the sore, apply rouge, repeating this application seven times.
Kuhu Powder
Treats Wind-Toxic Damp Sores.
*Gan Kuhu* (Dried Fruit of Momordica Charantia, 1 liang) *Shetui* (Ophichthys Skin, half liang, burnt to ash) *Lufengfang* (Vespa Nest, half liang, lightly roasted)
Grind all into a fine powder. Take half qian each time, mix with raw sesame oil for topical application. Increase dosage if sores are numerous.
Sisheng Powder
Treats as above.
*Mianhuang* (likely referring to a specific herb or typo for *Mian Huangqi*, contextually ambiguous, kept as Mianhuang) *Baifuzi* (Rhizoma Typhonii Gigantei) *Qianghuo* (Rhizoma et Radix Notopterygii, de-gorged) *Jili* (Fructus Tribuli, equal parts)
Grind into a fine powder. Take 1 qian per dose, swallow with warm wine.
Infants suffering from *Jiang Chuang* (Blistering Sores) develop them due to wind-heat toxic qi lodging in the skin and clashing with blood and qi. It begins with a sensation like burning or scalding, forming blisters that soon rupture, releasing fluid to form sores. These are very painful and spread progressively; some cases lead to whole-body ulceration where flesh cannot be saved, hence also called "Rotting Sores," requiring prompt treatment. Another variant presents as narrow, elongated sores resembling fish navels, exuding yellow fluid, with blister-like eruptions around the sides. Although similar to Jiang Chuang, there is a slight difference: Jiang Chuang starts with blisters that break to become sores, whereas this variant forms sores first, followed by continuous blister formation around them, looking like fish navels, thus named "Fish-Navel Sore." Jiang Chuang does not resemble the Fish-Navel Sore.
To treat Jiang Chuang: Wash, chop, and finely grind *Baiye* (Cupressi Cacumen), applying it topically; it dries instantly. Also take half a cup of its juice, diluted with water, orally administered, showing miraculous and repeated efficacy.
Another prescription: Peel and remove tips of *Taoren* (Persicae Semen), cook thoroughly, grind finely, and mix with animal fat for topical application.
Another prescription: For yellow, rotting sores, apply ash from burnt *Aiyè* (Artemisiae Argyi Folium). Alternatively, apply horse manure ash.
Shengdihuang Ointment
Treats severe blazing toxic sores spreading over the body.
*Sheng Dihuang* (Rehmanniae Radix, de-gorged and washed) *Chuan Shengma* ( Cimicifugae Rhizoma) *Lanye* (Isatidis Folium) *Zhizi Ren* (Gardeniae Semen) *Dahuang* (Rhei Radix et Rhizoma, 1 liang each)
Grind finely. Mix with 8 liang of lard in a yin vessel, simmer slowly until color changes, filter out dregs, store in a porcelain box, and cool to form an ointment. Apply a small amount to sores.
To treat sudden appearance of small blisters on the face, eyes, and body of infants: Burn sheep horns to ash, grind finely, mix with egg white for topical application; highly effective. If egg white is unavailable, it is still good.
To treat infant Jiang Chuang presenting like fish bladders, red and rotting, with unbearable heat and pain: Take donkey dung from a mill. If clumped, dry it regardless of quantity, pile it on the ground, shape it like a hut, ignite with a lamp, burn until nearly extinguished, cover with a basin to kill the fire, turning it into black ash (do not let it turn white). Grind to powder. Take 1 qian, mix with 2 qian of *Nifen* (Calomel/Basic Mercury Chloride), blend with residual lamp oil, apply like ice compress to relieve heat and pain; very wonderful.
To treat infant Jiang Chuang rising like button covers, starting on the head, spreading to face, chest, back, and body within one to two days, with hot and painful sores:
*Zhusha* (Cinnabar, half liang, ground and purified by water flotation) *Hufen* (Lead Carbonate, 1.5 liang) *Shuiyin* (Mercury, half liang)
Grind together in one place, adding 2-3 drops of water, grinding until mercury shows no shiny spots. Use 3 liang of lard rendered in December, melt slowly in a yin vessel, filter dregs, mix in powder to form ointment, store in porcelain box, cool, and apply sparingly.
To treat fiery sores appearing all over the body like millet or beans, with pus, itching, and pain, covering the entire body:
*Gancao* (Glycyrrhizae Radix et Rhizoma) *Shaoyao* (Paeoniae Radix Alba) *Bailian* (Ibani Bulbus) *Huangqin* (Scutellariae Radix) *Huanglian* (Coptidis Rhizoma, de-fibers) *Huangbai* (Phellodendri Cortex, de-ruff) *Kushen* (Sophorae Flavescentis Radix, equal parts)
Grind into fine powder, mix with honey for topical application, twice daily and once at night. Can also be made into coarse granules and decocted for washing.
To treat infant rotting sores: Red-hot iron quenched in water twenty-one times, used to bathe the affected area. Then apply hot ash from burnt mugwort. Also wipe with wine-decocted *Zuyu* (Corni Fructus). Then apply pounded peach kernels mixed with animal fat. Finally wash with decoction of adzuki beans. Within three treatments, recovery occurs.