《巢氏病源》小儿毒肿候∶毒肿是风热湿气搏于皮肤，使血气涩而不行，蕴积成毒，其肿赤而热是也。
《圣惠》∶夫小儿毒肿之候，与风肿不殊，时令人壮热，其邪毒盛者则入腹，令人赤色恶寒，心烦闷而呕逆，
气急腹满，有如此状，宜速疗之，不尔，即杀人也。
《颅囟经》治孩子身上无故肿，但觉肉色赤热。硝石散方
硝石 大黄 绿豆（各等分）
上为末，每使时随肿大小取君达根研汁调涂肿上，如有恶物即看有点子，以膏贴之，四面以散子 之，若
无君达根，即用鸡子白或车前根叶亦得。
《千金》连翘丸 治小儿无辜寒热，强健如故，而身体颈项结核瘰 ，及心胁腹背里有坚核不痛，名为结风气
肿方。
连翘 桑白皮 白头翁 牡丹 防风 黄柏 桂心 香豉 独活 秦艽（各一分） 海藻（半两）
上十一味末之，蜜丸如小豆，三岁儿饮服五丸，加至十丸，五岁以上者，以意加之。
《千金》治小儿手足及身体肿方。
上以小便温暖渍之良。
《千金》又方
上用巴豆五十枚去心皮，以水三升煮取一升，以绵内汤中，拭病上，随手消，并治瘾疹。
《千金翼》禁一切肿方。
上凡一切肿才觉阴，咒曰∶上有大山，下有大海，内有大鱼，主食痈疽，四岳使者，于我所须，痈疽小鬼，
随手消除，急急如律令七遍。
《千金翼》又方
上取紫檀细研，大醋和之涂，并治游肿。
《千金翼》疗身体手足卒肿方。
上取驴脂和盐末敷之。
《千金翼》又方
上取大醋和蚯蚓屎敷之。
《千金翼》又方
上捣苍耳敷之，冬用子，春用心。
《千金翼》又方
上取大醋和土消末敷之。
《圣惠》治小儿毒肿壮热烦闷犀角散方
犀角（屑） 黄 （锉） 麦门冬（去心，焙） 川升麻（各半两） 露蜂房（炙） 连翘 甘草（炙，锉） 牛
蒡子（炒） 川朴硝（各一分） 枳壳（三分，麸炒微黄，去瓤） 川大黄（一两，锉碎，微炒）
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，分减温服。
《圣惠》治小儿壅热在脏，皮肤毒肿或生疮疖，心神烦躁，大小便不利。漏芦散方
漏芦 白蔹 黄芩 麻黄（去根节） 知母 枳实（麸炒微黄） 川大黄（锉碎，微炒） 川升麻 犀角（屑） 赤
芍药 川芒硝 甘草（炙微赤，锉。各半两）
上件药捣，粗罗为细散。每服一钱，以水一小盏煎至五分，去滓放温，量儿大小，不计时候，分减服之。
《圣惠》治小儿热毒肿，恐恶毒瓦斯入腹，取利以泄毒瓦斯。麝香散方
麝香（半分，细研） 木香 沉香 犀角（屑） 独活 甘草（炙微赤，锉） 射干（各半两） 川大黄（锉碎，
微炒） 桑寄生（各一两）
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，不计时候，分减服之。
《圣惠》治小儿诸毒肿升麻膏方
川升麻 白蔹 漏芦 黄芩 川芒硝（各二分） 川大黄（锉碎，微炒） 栀子仁（各一两） 蒴 （四两） 蛇
衔草（三两）
上件药都细锉，用酒浸一宿后，以猪脂一、二斤煎诸药，色焦黄即膏成，以绵滤去滓，倾于不津器中，于
毒肿处涂之即消。
《圣惠》治小儿热毒肿贴 木香散方
木香 紫葛（锉） 紫檀香 川朴硝（各一两） 赤小豆（一合） 川升麻 白蔹 白矾（烧灰。各半两）
上件药捣，细罗为散。用水调如稀面糊，可肿大小贴之，日二易之。
《圣惠》治小儿热毒肿，解风热，肿令内消。大黄散方
川大黄 槟榔 川芒硝 黄连（去须） 黄柏 雄黄（细研） 赤小豆（各半两）
上件药捣，罗为末。用蜜水调涂患处，日三上。
《圣惠》治小儿热毒肿忽发颈项胸背，发即封之，不成脓方。
生地黄（切，一升） 豆豉（三两） 川芒硝（五两）
上件药都捣，令热以敷肿上，浓二分，以来日六、七度，敷之效。
《圣惠》治小儿一切毒肿方。
川朴硝 川大黄（各一两）
上件药捣，细罗为散。每用冷水调涂于肿处，干即更涂，以毒肿消散为度。
《圣惠》又方
蔓菁根 芸薹根（各一两。干者）
上件药捣，细罗为散。以鸡子清调涂之。
《圣惠》又方
商陆 芸薹叶（各一两）
上件药捣令烂熟，贴于肿处，频易之效。
太医局玉龙膏 摩风止痛，消肿化毒，治一。
蓝子 羚羊角（屑） 芍药（各四分）
上取猪脂切，二升，火煎药为膏，去滓摩肿上。
《婴孺》治小儿头面身体结核瘰 及胸背里有坚不痛，又无寒热，强健如故，而有上病，名为结风气肿方。
连翘 桑白皮 白头翁 牡丹 防风 黄柏 桂心 盐豉 秦艽 独活（各四分） 海藻（一分）
上为末，蜜和丸大豆大。三岁儿饮服五丸至十五丸，量大小与之。
张涣寄生散方 治毒肿甚者。
桑寄生 独活 川大黄（各一两） 朴硝 甘草（炙） 犀角（屑。各半两）
上件捣，罗为细末。每服一钱，水一盏煎五分，去滓放温服。量儿大小加减。
《惠眼观证》天乌散 退风毒疮肿方。
天南星 草乌头 赤小豆 黄柏
上等分为末，姜汁调入面少许贴之。
《巢氏家传》丹毒痈肿方。
上用蓝捣烂以汁涂，仍用蓝敷之良。如无生蓝，只用染青黛敷之。又鸡子清涂亦良。
长沙医者郑愈传治热毒风 水澄膏方。
寒水石（一钱） 黄柏 硝石 雄黄 白芨 草乌头 白蔹（各三钱） 赤小豆（一分）
上件为末，以水调涂。
长沙医者郑愈传治风毒胎热，痈疽肿痈等方。
黄丹（一钱，火 ） 白蔹 白芨（各二钱） 轻粉（少许）
上件为末，以汤调，纸贴头上，开窍子贴之。
According to *Chao Shi Bing Yuan* (Source of Diseases by Chao Yuanfang) regarding pediatric toxic swelling: Toxic swelling occurs when wind, heat, and dampness pathogens clash in the skin, causing blood and qi to stagnate and flow sluggishly. This accumulation forms toxicity, resulting in swelling that is red and hot.
*Taiping Shenghui Fang* (Imperial Grace Formulary of the Taiping Era) records: The symptoms of pediatric toxic swelling are not significantly different from wind swelling. It often causes high fever. If the pathogenic toxin is severe and invades the abdomen, it leads to a red complexion, aversion to cold, mental restlessness, vomiting, rapid breathing, and abdominal distension. When such symptoms appear, prompt treatment is required; otherwise, it may be fatal.
*Culun Jing* (Classic of Cranial Fontanelles) treats unexplained swelling on a child's body where the flesh feels red and hot. Formula for Xiaoshi San (Niter Powder):
Xiaoshi (Niter), Dahuang (Rhubarb Root and Rhizome), Ludou (Mung Bean) (equal parts).
Grind the above ingredients into powder. For each application, take an amount appropriate to the size of the swelling, grind Jundagen (root of *Aristolochia* or similar local herb) to extract juice, mix with the powder, and apply to the swollen area. If there are foul discharges, check for pus points and apply a plaster; sprinkle the powder around the periphery. If Jundagen is unavailable, egg white or roots and leaves of Cheqiancao (Plantain Herb) can be used instead.
Qianjin Fang's Lianqiao Wan (Forsythia Pill) treats children with unexplained alternating chills and fever, who remain physically strong but present with tuberculous lymphadenitis (scrofula) on the neck and body, as well as hard, painless nodules inside the chest, hypochondrium, abdomen, and back. This condition is called "Jie Fengqi Zhong" (Wind-Qi Accumulation Swelling). Formula:
Lianqiao (Forsythia Fruit), Sangbaipi (Mulberry Bark), Baitouweng (Pulsatilla Root), Mudanpi (Tree Peony Bark), Fangfeng (Saposhnikovia Root), Huangbai (Phellodendron Bark), Guixin (Cinnamon Twig), Xiangchi (Fermented Soybean), Duhuo (Angelica Pubescens Root), Qinjiao (Gentiana Macrophylla Root) (each 1 fen), Haizao (Seaweed) (0.5 liang).
Grind the eleven ingredients into powder, mix with honey to form pills the size of small beans. Children aged three years should take five pills with water, increasing up to ten pills. For children over five years old, adjust the dosage according to their condition.
Qianjin Fang treats swelling of the hands, feet, and entire body in children:
Soak the affected areas in warm urine for good effect.
Another formula in Qianjin Fang:
Take fifty Baudou (Croton Seeds), remove the heart and skin. Boil in three sheng of water until one sheng remains. Soak cotton cloth in the decoction and wipe the diseased area; the swelling will subside immediately. This formula also treats Urticaria (nettle rash).
Qianjin Yi Fang (Supplement to Essential Prescriptions Worth a Thousand Gold) provides a spell to suppress all types of swelling:
When any swelling is first felt, recite the following spell seven times: "Above are great mountains, below are vast seas, within are large fish, main food of carbuncles and sores. Messengers of the Four Mountains, fulfill my needs. Little demons of carbuncles and sores, vanish at once. Execute swiftly as by imperial decree."
Another formula in Qianjin Yi Fang:
Grind Zitan (Zitan Wood) finely, mix with strong vinegar, and apply. This also treats Youzhong (migratory swelling).
Formula in Qianjin Yi Fang for sudden swelling of the body, hands, and feet:
Apply donkey fat mixed with salt powder topically.
Another formula in Qianjin Yi Fang:
Apply vinegar mixed with earthworm excrement topically.
Another formula in Qianjin Yi Fang:
Crush Cang'er (Xanthium Fruit/Leaf) and apply topically. Use seeds in winter and hearts (inner part) in spring.
Another formula in Qianjin Yi Fang:
Apply vinegar mixed with Tuxiao (weathered saltpeter/mineral powder) topically.
Shenghui Fang's Xijiao San (Rhino Horn Powder) treats pediatric toxic swelling with high fever and mental restlessness:
Xijiao (Rhino Horn, shaved), Huangqin (Scutellaria Root), Maidong (Ophiopogon Tuber, de-centered and baked), Chuanshengma (Bupleurum Root) (each 0.5 liang), Lubifang (Honeycomb), Lianqiao (Forsythia Fruit), Gancao (Licorice Root, roasted and shaved), Niubangzi (Arctii Fructus, fried), Chuan Puxiao (Mirabilite) (each 1 fen), Zhike (Aurantii Fructus, bran-fried to light yellow, pith removed), Chuan Dahuang (Rhubarb Root and Rhizome, 1 liang, shaved and lightly fried).
Crush the ingredients and sieve coarsely to make a powder. Take one qian per dose, boil in one small cup of water until reduced to half a cup, strain, and remove dregs. Adjust the dose based on the child's age, administer warm at any time, divided into several doses.
Shenghui Fang's Loulu San (Leuzea Powder) treats children with organ congestion-heat, skin toxic swelling or boils, mental irritability, and difficulty in urination and defecation:
Loulu (Leuzea Root), Bailian (Ampelopsis Radix), Huangqin (Scutellaria Root), Mahuang (Ephedra Stem), Zhimu (Anemarrhena Rhizome), Zhishi (Aurantii Fructus Immaturus, bran-fried to light yellow), Chuan Dahuang (Rhubarb Root and Rhizome, shaved and lightly fried), Chuanshengma (Bupleurum Root), Xijiao (Rhino Horn, shaved), Chishao (Red Peony Root), Chuan Mangxiao (Thenardite), Gancao (Licorice Root, roasted to light red and shaved, each 0.5 liang).
Crush the ingredients and sieve finely to make a powder. Take one qian per dose, boil in one small cup of water until reduced to half a cup, strain, let cool to warm, and administer based on the child's age, divided into doses.
Shenghui Fang's Shexiang San (Musk Powder) treats pediatric heat-toxin swelling, preventing toxic vapors from entering the abdomen by promoting purgation to expel toxins:
Shexiang (Musk, 0.5 fen, finely ground), Muxiang (Costus Root), Chenxiang (Aquilaria Wood), Xijiao (Rhino Horn, shaved), Duhuo (Angelica Pubescens Root), Gancao (Licorice Root, roasted to light red and shaved), Shegan (Belamcanda Rhizome) (each 0.5 liang), Chuan Dahuang (Rhubarb Root and Rhizome, shaved and lightly fried), Sangjisheng (Taxillus Branch) (each 1 liang).
Crush the ingredients and sieve coarsely to make a powder. Take one qian per dose, boil in one small cup of water until reduced to half a cup, strain, let cool to warm, and administer based on the child's age, divided into doses.
Shenghui Fang's Shengma Gao (Bupleurum Ointment) treats various pediatric toxic swellings:
Chuanshengma (Bupleurum Root), Bailian (Ampelopsis Radix), Loulu (Leuzea Root), Huangqin (Scutellaria Root), Chuan Mangxiao (Thenardite) (each 2 fen), Chuan Dahuang (Rhubarb Root and Rhizome, shaved and lightly fried), Zhizi Ren (Gardenia Seed) (each 1 liang), Shudie (Polygonum Vine) (4 liang), Sheyancao (Patrinia Herb) (3 liang).
Finely chop all ingredients, soak in wine overnight. Then decoct with 1–2 jin of lard until the color turns dark yellow, forming the ointment. Filter through cotton cloth to remove dregs, pour into a non-leaking container, and apply to the toxic swelling to dissipate it.
Shenghui Fang's Muxiang San (Costus Powder) for topical application in pediatric heat-toxin swelling:
Muxiang (Costus Root), Zi Ge (Akebia Caulis, shaved), Zitan Xiang (Zitan Wood), Chuan Puxiao (Mirabilite) (each 1 liang), Chixiaodou (Adzuki Bean) (1 he), Chuanshengma (Bupleurum Root), Bailian (Ampelopsis Radix), Bai Fan (Alumen, burnt to ash) (each 0.5 liang).
Crush the ingredients and sieve finely to make a powder. Mix with water to a thin paste consistency, apply according to the size of the swelling, and change twice daily.
Shenghui Fang's Dahuang San (Rhubarb Powder) treats pediatric heat-toxin swelling, disperses wind-heat, and resolves swelling internally:
Chuan Dahuang (Rhubarb Root and Rhizome), Binglang (Areca Seed), Chuan Mangxiao (Thenardite), Huanglian (Coptis Rhizome, de-tipped), Huangbai (Phellodendron Bark), Xionghuang (Realgar, finely ground), Chixiaodou (Adzuki Bean) (each 0.5 liang).
Crush and sieve the ingredients into powder. Mix with honey-water and apply to the affected area three times daily.
Shenghui Fang treats sudden onset of pediatric heat-toxin swelling on the neck, chest, and back, applying immediately to prevent suppuration:
Sheng Dihuang (Fresh Rehmannia Root, sliced, 1 sheng), Dou Chi (Prepared Soybean, 3 liang), Chuan Mangxiao (Thenardite, 5 liang).
Crush all ingredients together, heat them, and apply to the swelling with a thickness of about 2 fen. Apply six to seven times the next day for effective results.
Shenghui Fang treats all pediatric toxic swellings:
Chuan Puxiao (Mirabilite), Chuan Dahuang (Rhubarb Root and Rhizome) (each 1 liang).
Crush and sieve finely to make a powder. Mix with cold water and apply to the swelling. Reapply when dry until the swelling dissipates.
Another formula in Shenghui Fang:
Manjing Gen (Turnip Root), Yuntai Gen (Rapeseed Root) (each 1 liang, dried).
Crush and sieve finely to make a powder. Mix with egg white and apply.
Another formula in Shenghui Fang:
Shanglu (Phytolacca Root), Yuntai Ye (Rapeseed Leaf) (each 1 liang).
Crush until soft and mushy, apply to the swelling, and change frequently for good effect.
Taiyi Ju Yulong Gao (Jade Dragon Ointment of the Imperial Medical Bureau) dispels wind, relieves pain, reduces swelling, and resolves toxins. Formula:
Lanzi (Isatis Seed), Lingyangjiao (Antelope Horn, shaved), Shaoyao (Peony Root) (each 4 fen).
Cut pork lard into pieces, two sheng. Decoct the herbs in the lard over fire to form an ointment. Strain and massage onto the swelling.
Yingru Shu treats pediatric tuberculous lymphadenitis on the head, face, and body, as well as hard, painless nodules in the chest and back, without chills or fever, where the child remains strong. This is called "Jie Fengqi Zhong" (Wind-Qi Accumulation Swelling). Formula:
Lianqiao (Forsythia Fruit), Sangbaipi (Mulberry Bark), Baitouweng (Pulsatilla Root), Mudanpi (Tree Peony Bark), Fangfeng (Saposhnikovia Root), Huangbai (Phellodendron Bark), Guixin (Cinnamon Twig), Yan Chi (Salted Fermented Soybean), Qinjiao (Gentiana Macrophylla Root), Duhuo (Angelica Pubescens Root) (each 4 fen), Haizao (Seaweed) (1 fen).
Grind into powder, mix with honey to form pills the size of soybeans. Children aged three should take five to fifteen pills with water, adjusted by size.
Zhang Huan's Sangjisheng San (Taxillus Powder) treats severe toxic swelling:
Sangjisheng (Taxillus Branch), Duhuo (Angelica Pubescens Root), Chuan Dahuang (Rhubarb Root and Rhizome) (each 1 liang), Puxiao (Mirabilite), Gancao (Licorice Root, roasted), Xijiao (Rhino Horn, shaved) (each 0.5 liang).
Crush and sieve finely to make a powder. Take one qian per dose, boil in one cup of water until reduced to half a cup, strain, let cool to warm, and drink. Adjust dosage based on the child's age.
Huiyan Guanzheng's Tianwu San (Heavenly Black Powder) reduces wind-toxin sores and swelling:
Tiannanxing (Arisaema Rhizome), Caowutou (Aconitum Carmerichaeli Root, processed), Chixiaodou (Adzuki Bean), Huangbai (Phellodendron Bark).
Grind into equal parts powder. Mix with ginger juice and a little flour, then apply topically.
Chao Shi Jia Chuan treats Dan Du (Erysipelas) and carbuncle swelling:
Crush Lan Cao (Isatis Leaf/Stem), apply the juice, and cover with the residue for good effect. If fresh Lan Cao is unavailable, use Qingdai (Indigo Naturalis) for application. Applying egg white is also effective.
Zheng Yu, a physician from Changsha, transmits Shui Cheng Gao (Water-Clear Ointment) for treating heat-toxin wind:
Hanshuishi (Halloysitum Rubrum, 1 qian), Huangbai (Phellodendron Bark), Xiaoshi (Niter), Xionghuang (Realgar), Baiji (Bletilla Rhizome), Caowutou (Aconitum Carmerichaeli Root, processed), Bailian (Ampelopsis Radix) (each 3 qian), Chixiaodou (Adzuki Bean) (1 fen).
Grind into powder, mix with water, and apply.
Zheng Yu, a physician from Changsha, transmits formulas for wind-toxin fetal heat, carbuncles, sores, and swellings:
Huandan (Lead Monoxide, 1 qian, calcined), Bailian (Ampelopsis Radix), Baiji (Bletilla Rhizome) (each 2 qian), Qingfen (Calomel, a small amount).
Grind into powder, mix with broth, apply on paper to the head, leaving openings for pores to apply directly.