小儿头上生软疖者。由风邪冷热之气客于皮肤，搏于血气。壅滞经络。蕴结而生。亦如身上生疖无异。但生
在头上。始则赤肿而硬。其邪微者。散则自消。其邪甚者。肿赤内搐。溃脓血作痛。以头上皮紧。至熟多不能去
脓。根中有恶汁不尽。因而复发。或在根边别生。连续不瘥。常常生脓。故名曰
软疖。
如圣膏
治软疖。
菜油（一两） 黄蜡（半两） 沥青（一钱） 黄丹（半钱） 羊筒骨内髓（一个）
上一处熬成膏。摊于纸上。贴患处。上用冷铁一片。于疮口上压定。四面针破。如脓出不快。以纸捻榐之。
熬药不得犯铜铁器。
又方 以青涩柿子连皮薄切焙干。杵为细末。每用时先以温汤洗。捻去其脓。用药少许。入轻粉三分之一拌
匀。以薄薄牛皮胶水调成膏。摊熟帛子上贴之。愈。
又方 以炒油麻。铫子中取。乘热嚼烂敷之。以生油饼剂子一个。捻薄，留一窍于疖上贴。来日脓自出。便
效屡验。
又方 以兔毛皮不拘多少。烧灰研细。入腻粉少许。生油调涂。
又方 用枳壳去穣。周遭用糊合于疮上。去脓生肌即愈。极效。
治头皮虚肿。如蒸饼裹水之状。 以口嚼麦面敷之。
小儿头有秃疮者。按九虫论云。是蛲虫动作。与风邪相乘。上于头之皮肤，搏于血气。伤其荣卫而所生也。
荣为血。受病则为赤秃。卫为气。受病则为白秃。荣在内。邪稍难干。故患赤秃者少。卫在外。邪易得着。故患
白秃者多。其始生如癣之斑点。上有皮屑。渐渐作痂，以成其疮。遂至满头发落逮尽。若刮去其痂。则疮皆是孔
眼。大小不等。如虫之窠。有脓汁出。不痛而痒。痒乃不可禁。是知有虫为风也。又一种俗呼为鬼舐头。小儿有
头疮。遇夜被鬼舐之。则引及满
头有赤痂。或云便赤秃也。
治小儿白秃。头上团团然。 以蒜揩白处。早朝使之。
治小儿白秃。干壳不出汁。 以鸡子七枚。去白皮。铜器中熬。和油涂之。
治小儿白秃。以葶苈子杵末。汤洗去痂。涂之。以陈香薷煮浓汁少许。同猪脂和胡粉敷之。以白头翁根杵
烂。敷一宿。已作疮者。二十日愈。以榆白皮杵末。醋和涂。虫当出。以鸡窠中草和白头翁花一处烧灰研细。用
腊月猪脂和匀。先用醋泔洗疮后敷之。
又方 以椿楸桃三般叶心取汁敷之。大效。一方只用楸叶杵汁敷。以人屎烧灰末之。用腊月猪脂和敷。
治赤秃 以白马蹄烧灰细研。腊月猪脂和敷。以靛滓敷之。
治鬼舐头 以儿粪腊猪脂和敷。以腊月猪屎烧灰末敷。以屎烧灰研细。和腊月猪脂涂敷。
Soft carbuncles appearing on a child's head are caused by wind-cold and wind-heat pathogens invading the skin, clashing with blood and qi, leading to stagnation in the meridians and collaterals, resulting in accumulation and formation. This is no different from carbuncles appearing elsewhere on the body, except for their location on the head. Initially, they present as red, swollen, and hard. If the pathogen is mild, it may dissipate and heal spontaneously; if severe, swelling becomes red and indented internally, suppurating with pus and blood, accompanied by pain. Due to the tightness of the scalp skin, even when mature, the pus often cannot be expelled easily. Residual foul fluid remains at the root, causing recurrence or new lesions forming beside the original root, continuing without healing and frequently producing pus, hence named "soft carbuncle" (Ruan Jie).
Rusheng Paste: Treats soft carbuncles.
Ingredients: Rapeseed oil (1 liang), Yellow beeswax (0.5 liang), Asphalt (1 qian), Huang Dan (Lead tetroxide) (0.5 qian), Marrow from sheep bone tube (1 piece).
Preparation and Application: Boil all ingredients together into a paste, spread it on paper, and apply to the affected area. Place a cold iron sheet over the paste to fix it. Puncture the surrounding areas with needles. If pus discharge is slow, insert a paper wick for drainage. Do not use copper or iron vessels during boiling.
Another prescription: Take green, astringent persimmons, slice thinly with peel, and bake until dry. Pound into fine powder. Before use, wash the area with warm water and squeeze out pus. Mix a small amount of this powder with one-third part Qing Fen (Calomel/Hg2Cl2), blend evenly, and adjust into a paste using thin glue made from cowhide. Spread on prepared silk cloth and apply. It will heal.
Another prescription: Take stir-fried sesame seeds, remove from the pot while hot, chew thoroughly, and apply to the lesion. Then take a raw oil cake slice, flatten it, leave a hole in the center aligned with the carbuncle, and apply. Pus will naturally discharge the next day. This method is highly effective and reliable.
Another prescription: Take rabbit fur skin in any quantity, burn to ash, grind finely, add a small amount of Ni Fen (Calomel), mix with raw oil, and apply.
Another prescription: Remove the pulp from Zhi Qiao (Aurantii Fructus), surround the edges with flour paste, and adhere directly to the sore. It expels pus and generates flesh, healing immediately. Extremely effective.
For scalp edema resembling steamed buns wrapped in water: Chew wheat flour and apply externally.
Regarding pediatric alopecia barbae (Tu Chuang): According to the *Jiu Chong Lun* (Treatise on Nine Parasites), this is caused by Pinworms (Nai Chong) moving, combined with wind-pathogens ascending to the scalp skin, clashing with blood and qi, damaging Ying (Nutrient Qi) and Wei (Defensive Qi). Ying belongs to Blood; when diseased, it causes Red Alopecia (Chi Tu). Wei belongs to Qi; when diseased, it causes White Alopecia (Bai Tu). Since Ying is internal, pathogens find it harder to invade, so cases of Red Alopecia are fewer. Since Wei is external, pathogens easily attach, so cases of White Alopecia are more common. Initially, it appears as patch-like spots like tinea, with scales on top, gradually forming scabs and becoming ulcers, eventually leading to complete hair loss on the head. If scabs are scraped off, the ulcer surface reveals numerous holes of varying sizes, resembling insect nests, with pus exuding. It is not painful but intensely pruritic, unbearable itching. This indicates the presence of parasites and wind. Another type is colloquially called "Ghost-Licked Head." Children with scalp sores may, upon being "licked by ghosts" at night, develop red scabs spreading over the entire head; some say this is equivalent to Red Alopecia.
Treatment for pediatric White Alopecia presenting as circular patches: Rub garlic on the white affected areas in the morning.
Treatment for dry, juice-less pediatric White Alopecia: Take seven chicken eggs, remove whites and shells, boil in a copper vessel, mix with oil, and apply.
Treatment for pediatric White Alopecia: Pound Ting Li Zi (Descurainiae Semen/Sisymbrii Semen) into powder. Wash away scabs with decoction, then apply. Alternatively, boil Chen Xiang Ru (Moslae Herba) to make a concentrated decoction, mix with a small amount of Pig Fat (Zhu Zhi) and Hu Fen (Lead Carbonate), and apply. Or pound Bai Tou Weng (Pulsatillae Radix) until mashed, apply overnight. For established ulcers, heal within twenty days. Or pound Yu Bai Pi (Ulmus Cortex) into powder, mix with vinegar, and apply; parasites will be expelled. Or burn grass from chicken nests together with Bai Tou Weng flowers to ash, grind finely, mix with lard from the twelfth lunar month. First wash the sore with vinegar-rice-washing water, then apply.
Another prescription: Extract juice from leaf hearts of Chun Shu (Toona sinensis), Qiu Shu (Catalpa ovata), and Tao Shu (Prunus persica), and apply. Highly effective. Another method uses only Qiu Ye (Catalpa leaves) pounded for juice application, or burns human feces to ash, mixes with lard from the twelfth lunar month, and applies.
Treatment for Red Alopecia: Burn white horse hooves to ash, grind finely, mix with lard from the twelfth lunar month, and apply. Or apply Indigo residue (Dian Zi).
Treatment for Ghost-Licked Head: Mix infant feces with lard from the twelfth lunar month and apply. Or burn pig feces from the twelfth lunar month to ash, powder it, and apply. Or burn feces to ash, grind finely, mix with lard from the twelfth lunar month, and apply.