小儿丹毒者。由风热毒邪客于腠理。搏于血气。发于皮肤之所作也。又千金论小儿黄丹恶毒。皆热积所成。
或冬间向火烘衣。夜间盖覆太暖。或乳母爱食烧炙饮酒。皆令儿病丹。发处其热如火。轻轻手近。则痛不可忍。
又有五色丹。虽赤色者最多。皆 热作痛。甚者遍身壮热。烦渴闷乱。更有诸火丹。其名证甚多。不可尽述。皆
赤丹之异名也。其毒入腹者。亦能杀人。宜速治之。
治赤丹。此热毒所作。其色纯赤。如丹涂之。故名赤丹。 以荞麦面醋和敷之。用荞麦面并鸠脑和饼。索
串吊起放干。要用时研末。鸡子清调膏。以鸡羽翎扫上。效如神。
又方 以胡荽汁敷之。又以寒水石半两。白土一分。研细末。米醋调敷。以蓝淀或慎火草水苔生地黄栀子
仁。但得一味为末。水调敷之皆可。
治白丹虚肿如吹。火风热所作。而风多者。其色则白。 香豉二合炒令黄。伏龙肝一两。同为细末。每用半
钱。生油调涂之。
治黑丹痛肿。此本热毒。复有冷以乘之。互相瘀抑。故黑色。
川升麻 川芒硝 漏芦（去芦各二两） 黄芩 栀子仁（各一两）
上为粗末。每用两匙。水三盏。煎至二盏。去滓。稍热以软帛蘸塌患处。以消为度。
治丹五色变易不常。此风毒冷热相搏。盛衰不同。故色无定也。
枣木根（四两） 丹参（去芦三两） 菊花（拣净二两）
上细锉拌匀。每用两匙。水二碗。煎数沸。适温热。避风处浴洗。
又方 治如前。以蜜和干姜敷之。
治急丹引上。 以鸡子白和赤小豆敷之。
治赤丹 以葛勒藤蔓轻轻摩破。醋研诃黎勒汁涂之。妙。以淬铁水饮一合。得打铁处淬铁槽中水。澄清用。
治黑丹。此本热毒搏于血气。热轻而挟于风多。故色黑也。以风化锻石二两。屋四角茅草三两烧灰。同研
细末。鸡子白调涂。日三五次。效。 以猪槽下泥涂之。
治白丹。此本热毒搏于血气。热轻而挟于风多。故色白也。以猪粪烧灰研末。鸡子白调涂。
治殃火丹。生于两胁腋及 上。 以川朴硝研细。竹沥调下半钱。更量大小加减。
治天灶火丹。发于 里尻间。正赤流阴头肿。或血出。 以蚕砂一升。水煮去滓。取汁洗之。
治废灶火丹。发足趺赤色。以赤小豆末一两。牛角二两烧灰。同研匀细。鸡子白和涂。
治尿灶火丹。发膝股。起脐间。走腹头。 以屋四角茅草烧灰研细。鸡子白和敷。
治火焰丹。发两背及背膝。如火炙。 以老雅眼睛草叶和醋研烂敷之。亦治赤肿。
治五色丹。遍身壮热。如热烧。若绕脐即损人。 以蒴 叶杵烂。水和敷之。
治丹毒从脐中起。 以伏龙肝研末。用屋漏水和敷之。干即再用。取效为度。如无屋漏水。新汲水亦得。
治丹肿起于两胁心背。不速治。即杀人。 以羚羊角屑八两。水五升，煎至一升。绢滤去滓。入炼子猪脂五
两。和匀敷之。
治丹毒忽生头上。皮赤肿起晕。有碎疮。初发如钱。渐开及身长一二尺。良久遍体。入口耳。到脏腑。胃
烂即死。此候可长。宜速治之。
以甘草一两劈破。入水一大盏。煎汤温温。令乳母满口呷含鼓漱。徐徐吐洗病处，以掌摩揩。不得犯指甲。
恐伤破。仍更甘草汤服之。三用即瘥。
治丹毒 以鲫鱼肉细切五合。小豆屑三合。同杵如泥。水和敷上。
千金漏芦汤
治小儿热毒赤白。诸丹痈疽疮疖。
漏芦（去庐） 连翘 白蔹 芒硝 甘草（炙各一分） 大黄（煨） 升麻 枳实（麸炒） 麻黄（去根
节） 黄芩（各三分三字）
上 咀。以水一分半。煎取五分。量儿大小增减服。
治一切诸丹 小马齿苋杵烂敷之。赤丹热如火。绕腰即损人。以黄芩末水调敷之。以蓖麻子五个去壳。并皮
研细。入面一匙。水调敷之。以水煮棘根洗之。以栗子刺壳煎汤洗之。以柳叶一斤。水一斗。煮取三升，去滓。
挹洗病处。日五六次。以蚯蚓粪水和敷之。以蒴 叶浮萍草五叶藤海藻叶。但得一味为末。水调敷之。
又方 治诸丹已破作疮。出黄水酽痛。以豆豉炒焦。烟绝。为细末。油调敷之。
千金麻黄汤
治诸丹恶毒。发处如火。轻轻手近。则痛不可忍。急与砭针出血。仍与此汤。并塌汤治之。
麻黄（去根节） 升麻 葛根（各一两） 射干 鸡舌香 甘草（炙各半两） 石膏（半两）
上 咀。以水三升。煮取一升。三岁儿分三服。日尽。
塌汤
治诸般数十种丹毒。
大黄（生） 甘草（生） 当归 芎 白芷 独活（去芦） 黄芩 赤芍药 升麻 沉香 木香 木兰皮
（各一两） 芒硝（三两）
上 咀。以水一斗二升。煮取四升。去滓。纳芒硝搅烊。以绵 塌之。干则易。仍适温热用。取瘥止。
消毒散
治诸丹发赤肿作痛。甚则赤游肿背。
川升麻 黄芩（各半两） 麦门冬 川大黄（锉碎微炒） 川朴硝（各一分）
上为粗末。每服一钱。水一小盏。煎至五分。去滓温服。
Pediatric carbuncle (Dan Du) is a condition caused by wind-heat pathogenic factors invading the Couli (skin texture and pores), clashing with blood and Qi, and manifesting on the skin. Additionally, the "Yellow Carbuncle" and "Malignant Toxin" in pediatric cases discussed in *Qianjin Fang* are all formed by the accumulation of heat.
Some infants contract carbuncle due to warming clothes near fire sources in winter, covering themselves too warmly at night, or because their nursing mothers consume roasted foods and alcohol. The affected area feels hot as if on fire; even slight touch causes unbearable pain.
There is also the Five-Color Carbuncle. Although the red type is most common, all types cause pain due to heat. Severe cases present with high fever throughout the body, irritability, thirst, and mental confusion. There are also various "Fire Carbuncles" with numerous names and symptoms that cannot be fully listed; they are all different names for the Red Carbuncle. If the toxin enters the abdomen, it can be fatal, so prompt treatment is required.
Treatment for Red Carbuncle: This is caused by heat-toxin, presenting with pure red color resembling cinnabar paste, hence named Red Carbuncle. Apply a paste made of buckwheat flour mixed with vinegar. Alternatively, mix buckwheat flour with borneol (Jiu Nao) to form cakes, hang them on strings to dry, grind into powder when needed, mix with egg white to form a paste, and apply using a feather brush. The effect is miraculous.
Another prescription: Apply juice from Coriander (Hu Sui). Or, mix half tael of Halloysitum Rubrum (Han Shui Shi) and one part of Kaolin (Bai Tu), grind into fine powder, and apply with rice vinegar. Alternatively, use Indigofera tinctoria (Lan Dian), Houttuynia cordata (Shen Huo Cao), moss, Rehmanniae Radix (Sheng Di Huang), or Gardeniae Fructus (Zhi Zi Ren); taking any one of these, grinding into powder, and applying with water is effective.
Treatment for White Carbuncle: Presents with flaccid swelling like being blown up, caused by fire, wind, and heat pathogens, with wind predominating, resulting in a white color. Stir-fry Fermented Soybean Paste (Xiang Chi) until yellow, combine with equal weight of Longjiang Earth (Fu Long Gan), grind into fine powder. Apply half a qian mixed with raw sesame oil.
Treatment for Black Carbuncle: Presents with painful swelling. Originally caused by heat-toxin, complicated by cold pathogen invasion, leading to mutual stasis and suppression, resulting in black color.
Herbs: Cimicifugae Rhizoma (Chuan Sheng Ma), Mirabilite (Chuan Mang Xiao), Euphorbiae Fissilobae Radix (Lou Lu, remove root ends, 2 taels each), Scutellariae Radix (Huang Qin), Gardeniae Fructus (Zhi Zi Ren, 1 tael each).
Grind herbs into coarse powder. Use two spoons per dose, add three cups of water, decoct to two cups, strain. Soak soft cloth in the warm liquid and compress the affected area until swelling subsides.
Treatment for Carbuncle with variable colors: Caused by wind-toxin clashing with cold and heat pathogens, with varying degrees of excess and deficiency, leading to indeterminate colors.
Herbs: Ziziphus jujuba root bark (Zao Mu Gen, 4 taels), Salviae Miltiorrhizae Radix et Rhizoma (Dan Shen, remove root ends, 3 taels), Chrysanthemi Flos (Ju Hua, cleaned, 2 taels).
Cut finely and mix evenly. Use two spoons per dose, add two bowls of water, boil several times. Wash the affected area in a draft-free place while warm.
Another prescription: Treat as above, but apply dried Ginger (Gan Jiang) mixed with honey.
Treatment for Acute Carbuncle spreading upward: Apply Adzuki Bean (Chi Xiao Dou) powder mixed with egg white.
Treatment for Red Carbuncle: Gently rub the broken skin with vines of Pueraria lobata (Ge Le Teng), then apply juice of Terminalia chebula (He Li Le) ground with vinegar. Effect is excellent. Alternatively, drink one he of clarified quenching water from iron forging troughs.
Treatment for Black Carbuncle: Originally heat-toxin clashing with blood and Qi, with mild heat and predominant wind, resulting in black color. Mix two taels of calcined alum (Feng Hua Duan Shi) with three taels of ash from thatch grass collected from four corners of a house, grind into fine powder, apply mixed with egg white, 3-5 times daily. Effective. Alternatively, apply mud from under pig troughs.
Treatment for White Carbuncle: Originally heat-toxin clashing with blood and Qi, with mild heat and predominant wind, resulting in white color. Apply ash from burned pig manure mixed with egg white.
Treatment for Yang Huo Carbuncle: Occurs on both flanks, axillae, and neck. Grind Glauber's Salt (Chuan Pu Xiao) finely, take half a qian mixed with Bamboo Sap (Zhu Li), adjust dosage according to age.
Treatment for Tian Zao Fire Carbuncle: Occurs between the sacrum and coccyx, bright red, flowing to the glans penis causing swelling, or bleeding. Boil one sheng of Silkworm Frass (Can Sha) in water, strain, and wash with the juice.
Treatment for Fei Zao Fire Carbuncle: Occurs on the dorsum of the foot, red in color. Mix one tael of Adzuki Bean powder with two taels of horn ash, grind uniformly, apply mixed with egg white.
Treatment for Niao Zao Fire Carbuncle: Occurs on knees and thighs, starting from the umbilicus, spreading to abdomen and head. Apply ash from thatch grass from four corners of a house mixed with egg white.
Treatment for Flame Carbuncle: Occurs on both sides of the back and knees, feeling like burning. Apply leaves of Old Ya Yan Jing Grass ground with vinegar. Also treats red swelling.
Treatment for Five-Color Carbuncle: High fever throughout the body like burning. If it encircles the umbilicus, it is life-threatening. Apply mashed leaves of Akebia quinata (Shuo Dao) mixed with water.
Treatment for Carbuncle starting from the umbilicus: Apply powder of Longjiang Earth (Fu Long Gan) mixed with rainwater dripping from eaves (Wu Lou Shui). Reapply when dry until effective. If unavailable, fresh well water can be used.
Treatment for Carbuncle swelling on flanks, heart region, and back: If not treated promptly, it can be fatal. Decoct eight taels of Antelope Horn (Ling Yang Jiao) in five sheng of water until reduced to one sheng, filter through silk cloth. Mix with five taels of refined lard, apply evenly.
Treatment for Carbuncle suddenly appearing on the head: Skin is red, swollen, with blisters and broken sores. Initially coin-sized, gradually expanding over the body up to one or two chi, eventually covering the whole body, entering mouth and ears, reaching viscera. If the stomach rots, death ensues. This progression is slow but requires urgent treatment.
Crack one tael of Licorice Root (Gan Cao), add one large cup of water, decoct until warm. Have the nursing mother hold the decoction in her mouth, swish, and spit out to wash the lesion, gently rubbing with palm. Avoid breaking the skin. Continue administering Licorice decoction orally. Three applications result in cure.
Treatment for Carbuncle: Finely chop five he of Crucian Carp meat (Ji Yu Rou), mix with three he of crushed Adzuki Beans, pound into paste, apply mixed with water.
Qianjin Lou Lu Tang:
Treats pediatric heat-toxin causing red and white carbuncles, as well as various abscesses, ulcers, and boils.
Herbs: Euphorbiae Fissilobae Radix (Lou Lu, remove root ends), Forsythiae Fructum (Lian Qiao), Ampelopsis Radix (Bai Lian), Mirabilite (Mang Xiao), Glycyrrhizae Radix et Rhizoma (Zhi Gan Cao, 1 fen each), Rheum Palmatum Radix (Da Huang, baked), Cimicifugae Rhizoma (Sheng Ma), Aurantii Fructus Immaturus (Zhi Shi, bran-fried), Ephedrae Herba (Ma Huang, remove roots and joints), Scutellariae Radix (Huang Qin, 3 zhen each).
Grind herbs. Add 1.5 parts water, decoct to obtain 0.5 parts. Adjust dosage based on child's age.
Treatment for All Types of Carbuncles:
Apply mashed small Purslane (Xiao Ma Chi Xian). For Red Carbuncle with heat like fire, if it encircles the waist, it is life-threatening; apply Scutellariae Radix powder mixed with water. Grind five peeled Ricinus Communis seeds (Bi Ma Zi) with skin into fine powder, add one spoon of flour, apply mixed with water. Wash with boiled Rhamnus root. Wash with decoction of Chestnut spiky husks. Boil one jin of Willow Leaves in one dou of water until reduced to three sheng, strain, and wash the lesion 5-6 times daily. Apply earthworm feces mixed with water. Apply powder of any one of the following: Akebia quinata leaves, Lemna minor (Fu Ping), Cissus quadrangularis (Wu Ye Teng), or Sargassum (Hai Zao), mixed with water.
Another prescription: For carbuncles already ulcerated with yellow discharge and severe pain. Stir-fry Fermented Soybean Paste (Dou Chi) until charred and smokeless, grind into fine powder, apply mixed with oil.
Qianjin Ma Huang Tang:
Treats malignant toxins of various carbuncles, where the affected area is hot as fire, and touch causes unbearable pain. Immediately perform scarification to bleed, then administer this decoction along with external compress therapy.
Herbs: Ephedrae Herba (Ma Huang, remove roots and joints), Cimicifugae Rhizoma (Sheng Ma), Puerariae Radix (Ge Gen, 1 tael each), Belamcandae Rhizoma (She Gan), Litseae Fructus (Ji She Xiang), Glycyrrhizae Radix et Rhizoma (Zhi Gan Cao, half tael each), Gypsum Fibrosum (Shi Gao, half tael).
Grind herbs. Add three sheng of water, decoct to one sheng. Divide into three doses for a three-year-old child, finish within one day.
Ta Tang (Compress Decoction):
Treats dozens of types of carbuncles.
Herbs: Rheum Palmatum Radix (Da Huang, raw), Glycyrrhizae Radix et Rhizoma (Gan Cao, raw), Angelicae Sinensis Radix (Dang Gui), Ligustici Chuanxiong Rhizoma (Xiong Bai Zhi), Peucedani Radix (Bai Zhi), Angelicae Pubescentis Radix (Du Huo, remove root ends), Scutellariae Radix (Huang Qin), Paeoniae Radix Rubra (Chi Shao Yao), Cimicifugae Rhizoma (Sheng Ma), Aquilariae Lignum Resinatum (Chen Xiang), Aucklandiae Radix (Mu Xiang), Magnoliae Officinalis Cortex (Mu Lan Pi, 1 tael each), Mirabilite (Mang Xiao, 3 taels).
Grind herbs. Add twelve sheng of water, decoct to four sheng, strain. Dissolve Mirabilite in the liquid. Soak cotton cloth in the warm liquid and compress the area. Change when dry. Continue until cured.
Xiao Du San (Detoxification Powder):
Treats carbuncles presenting with red swelling and pain, progressing to migratory red carbuncle affecting the back.
Herbs: Cimicifugae Rhizoma (Chuan Sheng Ma), Scutellariae Radix (Huang Qin, half tael each), Ophiopogonis Tuber (Mai Men Dong), Rheum Palmatum Radix (Chuan Da Huang, crushed and lightly stir-fried), Glauber's Salt (Chuan Pu Xiao, 1 fen each).
Grind into coarse powder. Take one qian per dose, add one small cup of water, decoct to half a cup, strain, and take warm.