（奶癣附）
《巢氏病源》小儿癣候∶癣病由风邪与血气相搏于皮肤之间，不散变生瘾疹，疹上如粟粒大，作形郭或邪或
丸，浸淫长大，痒痛，搔之有汁，名之为癣。小儿面上癣，皮如甲错，起干燥，谓之乳癣。言儿乳饮，乳汁渍
污儿面变生之，仍以乳汁洗之便瘥也。
《婴童宝鉴》∶小儿癣是母于风中浴后，拭之未干，和水饮乳及夏月汗出而不粉，其疮细星星者是也。
《千金》治小儿湿癣方。
上以枸杞根捣作末，和腊月猪膏敷之。
《千金》又方
上以桃青皮捣末，和醋敷之，日二。
《千金》又方
上揩破，以牛鼻上津敷之。
《千金》又方
上煎马尿洗之。
《千金》又方
上烧狗屎灰，和猪脂涂之。
《千金》治小儿癣方。
上以蛇床实捣末，和猪脂以敷之。
《千金翼》治湿癣方。
上取东壁土，摩干湿癣极有效。
《圣惠》治小儿癣，痒痛不止。白矾膏方
白矾灰 硫黄 腻粉（各一钱） 绿矾（半钱） 川大黄（一分，末）
上件药同研为末，以米醋一升，熬如黑饧，收于瓷器中，旋取涂之。
《圣惠》治小儿湿癣。附子散方
附子（半两，去皮） 雄黄（细研） 白矾（各一分） 吴茱萸（半分） 米粉（半分）
上件药捣细为散，每日三度，以绵 扑。
《圣惠》治小儿癣久不瘥。雄黄膏方
雄黄（细研） 多年薤根 白矾 藜芦（去芦头） 瓜蒂 胡粉（各一分） 水银（三分，与胡粉点少水同研，令
星子尽）
上件药捣罗为末，入胡粉、水银同研令匀，用猪脂调为膏。轻拭涂之。
《圣惠》治小儿癣不计干湿，瘙痒不绝。雌黄膏方
雌黄（研） 黄连（去须） 蛇床子 黄柏（锉） 硝石 芜荑 莽草 藜芦（去芦头） 苦参（锉，各半两） 松
脂（三两） 杏仁（一两，汤浸去皮，别研如膏）
上件药捣，细罗为散，以腊月猪脂半斤和松脂煎令熔。先下杏仁，次下诸药，搅令匀，煎成膏。收于不津
器中，用时先以泔清净洗疮，拭干，涂于故帛上贴，日二换之。
《圣惠》又方
羊蹄根 干笋（烧灰，各一两）
上件药捣，罗为末，以麻油调涂之。
《圣惠》治小儿久癣方。
独蓄根（去土，一把） 附子（二枚，去皮脐，生用）
上件药捣令烂，以好酒和涂之。每涂药时先以皂角汤净洗，拭干后用药，日二涂之。
《圣惠》治小儿干癣方。
水银 胡粉（各两）
上件药点少水同研，令星尽，以鸡冠血和涂之。
《圣惠》治小儿干湿癣方。
雄黄（一分） 麝香（一钱）
上件药细研，用甲煎油调涂之。
《圣惠》又方
上取干蟾烧灰细研，以猪脂和涂之。
《圣惠》治小儿癣久不瘥方。
上用黄矾一两，烧灰细研，每用先以水净洗，拭干涂之。
《圣惠》又方
上以薤根捣，醋和涂之。
《圣惠》又方
上以酱瓣、雀粪相和研涂之。
《圣惠》又方
上取羊蹄草根烂捣，以蜜和，绞取汁，先揩破涂之。
《圣惠》又方
上以楮株白汁涂之。
《圣惠》又方
上取乱发烧灰细研，以猪脂和涂之。
《谭氏殊圣》方∶小儿乳癣遍身形，眼睫连眉退不生。此是毋名伤五泄，发儿损体病还成。野油花共天麻杵，赤
箭除风四体轻。天竺乌犀悬剑子，蟾雄龙脑最多灵。
赤芝饮子
野油花（名油覆花） 天麻苗（亦名天箭苗） 防风（等分）
上为末，洗癣了，次以油调涂之，后服乌犀丸。
《谭氏殊圣》乌犀丸方
犀（末，一钱） 黑豆（二钱） 干蟾（末，三钱） 龙脑（少许）
上为末，以熊胆汁为丸如绿豆大，温水化一丸。
《养生必用》治小儿、大人湿癣方。
甘草（二分） 芦荟（四分，别研）
上为末，温浆水先洗疮，后贴药。
茅先生小儿周岁以上儿生细沙丹，谓之奶癣方。
地龙（去土，炒黑为末） 黄连（末） 豆豉
上三味等分为末，入轻粉，油调涂。
《婴孺》治小儿头面疮癣方。
上用大麻子五升为末，以水和绞汁，和蜜涂之。白狗胆汁涂之亦效。
张锐《鸡峰方》治干湿癣久不瘥者。
上以新楮叶将有芒刺处于疮上贴，以手拍之，候黄水出尽，干即瘥。
《惠眼观证》防风饮子 治风虚疮癣方。
防风 甘草（炙） 连翘（各一两） 山栀子（半两）
上为末，每服二钱，水五分煎三、五沸，去滓服。
《张氏家传》治小儿头面生炼银疮癣方。
黄连（末） 黄柏（浓者，取各一钱） 轻粉（二钱匕） 乳香（少许，杵细） 白胶香（为细末） 白矾（如痒
生使，不痒 过。各半钱）
上为细末，先将熔下白胶香，次下黄连、黄柏，令温下粉、乳，已却成块，再研令极细，敷疮上。
《张氏家传》治大人、小儿湿癣药方。
桔梗 灶底黄土 豆豉（各半两） 麝香 腻粉（各少许）
上件三味为末，后入麝香、腻粉，用暗芝麻油调涂，先用温水洗过，后用药涂之，一上一洗。
《庄氏家传》治小儿癣及大人恶疮方。
锻石 黄丹
上二味等分，同炒紫色为末，干敷妙。
《王氏手集》治小儿奶癣方。
上以苦楝子不计多少，烧灰存性，研细入腻粉，生油调搽极妙。
《吉氏家传》干癣方。
巴豆 斑蝥（各一枚）
上件研为极细末，使不见星，取腊燕脂调涂之，日三上。
(Attached to Milk Lichen)
*Chao Shi Bing Yuan* (Source of Diseases by Chao Yuanfang), Pediatric Xuan Syndrome: Xuan disease arises from the struggle between wind pathogen and blood/qi within the skin, failing to dissipate and transforming into urticaria-like rashes. The rashes are millet-grain sized, taking square or round shapes, gradually spreading and enlarging, accompanied by itching and pain. Scratching yields exudate; this condition is named Xuan. For pediatric facial xuan, where the skin resembles rough scales and appears dry, it is called Ru Xuan (Milk Lichen). This occurs when milk spills on the infant's face during feeding; washing the affected area with milk leads to recovery.
*Tong Ying Bao Jian*: Pediatric xuan results from a mother bathing in the wind, drying incompletely before nursing the child with water-mixed milk, or failing to apply powder after sweating in summer. The sores appear as fine, star-like spots.
*Qian Jin Fang* (Essential Prescriptions Worth a Thousand Gold) formula for treating pediatric damp xuan.
Take root bark of *Lycium chinense* (Gouqigen), pound into powder, mix with lard collected in the twelfth lunar month, and apply topically.
*Qian Jin Fang*, another formula.
Take green peel of peach (*Tao Qingpi*), pound into powder, mix with vinegar, and apply topically, twice daily.
*Qian Jin Fang*, another formula.
Abrade the lesion, then apply saliva from the cow's nose topically.
*Qian Jin Fang*, another formula.
Boil horse urine and wash the affected area.
*Qian Jin Fang*, another formula.
Burn dog feces to ash, mix with lard, and apply topically.
*Qian Jin Fang* formula for treating pediatric xuan.
Take fruit of *Cnidium monnieri* (Shechuangshi), pound into powder, mix with lard, and apply topically.
*Qian Jin Yi Fang* (Supplement to Essential Prescriptions) formula for treating damp xuan.
Take soil from the east wall, rub onto wet or dry xuan lesions; highly effective.
*Tai Ping Sheng Hui Fang* (Holy Prescriptions of the Taiping Era) formula for pediatric xuan with unceasing itching and pain. Bai Fan Gao (White Alum Ointment):
Bai Fan Hui (Ash of Alum), Huang Liu (Sulfur), Ni Fen (Calomel/Basic Mercury Chloride) (each 1 qian), Lv Fan (Green Vitriol) (0.5 qian), Chuan Da Huang (Rhubarb) (1 fen, powdered).
Grind all ingredients into fine powder. Boil with 1 sheng of rice vinegar until resembling dark maltose syrup. Store in porcelain. Apply as needed.
*Tai Ping Sheng Hui Fang* formula for pediatric damp xuan. Fuzi San (Aconite Powder):
Fu Zi (Aconite Root) (0.5 liang, peeled), Xiong Huang (Realgar) (finely ground), Bai Fan (Alum) (each 1 fen), Wu Zhu Yu (Evodia Fruit) (0.5 fen), Mi Fen (Rice Flour) (0.5 fen).
Pulverize all ingredients into a fine powder. Apply three times daily using cotton cloth to dab/powder the area.
*Tai Ping Sheng Hui Fang* formula for chronic pediatric xuan. Xiong Huang Gao (Realgar Ointment):
Xiong Huang (Realgar) (finely ground), Nian Nian Xie Gen (Roots of Allium macrostemon aged many years), Bai Fan (Alum), Li Lu (Veratrum Root) (rhizome removed), Gua Di (Melon Pedicel), Hu Fen (Lead Carbonate) (each 1 fen), Shui Yin (Mercury) (3 fen, ground with Hu Fen and a little water until mercury granules disappear).
Grind all ingredients into fine powder. Mix Hu Fen and Mercury thoroughly. Blend with lard to form an ointment. Gently abrade and apply.
*Tai Ping Sheng Hui Fang* formula for pediatric xuan regardless of wet/dry type, with unceasing itching. Ci Huang Gao (Orpiment Ointment):
Ci Huang (Orpiment) (ground), Huang Lian (Coptis Rhizome) (fibers removed), She Chuang Zi (Cnidium Fruit), Huang Bo (Phellodendron Bark) (chopped), Xiao Shi (Niter), Wu Yi (Myrobalan), Mang Cao (Artemisia Argyi Herb), Li Lu (Veratrum Root) (rhizome removed), Ku Shen (Sophora Root) (chopped, each 0.5 liang), Song Zhi (Pine Resin) (3 liang), Xing Ren (Apricot Seed) (1 liang, soaked in hot water, peeled, separately ground into paste).
Grind all ingredients into fine powder. Melt half a jin of lard (collected in the 12th lunar month) with pine resin. Add Xing Ren first, then other herbs. Stir evenly and boil into ointment. Store in non-porous vessel. Before use, cleanse wound with rice water, dry, apply to old cloth, and patch. Change twice daily.
*Tai Ping Sheng Hui Fang*, another formula.
Yang Ti Gen (Root of Rumex japonicus), Gan Sun (Dried Bamboo Shoots) (burned to ash, each 1 liang).
Grind into powder, mix with sesame oil, and apply.
*Tai Ping Sheng Hui Fang* formula for chronic pediatric xuan.
Du Su Gen (Root of Polygonum aviculare) (cleaned, 1 handful), Fu Zi (Aconite Root) (2 pieces, peeled and navel removed, raw).
Pound into paste. Mix with good wine and apply. Before application, wash with soap pod decoction, dry, then apply. Twice daily.
*Tai Ping Sheng Hui Fang* formula for pediatric dry xuan.
Shui Yin (Mercury), Hu Fen (Lead Carbonate) (each 1 liang).
Grind with a little water until mercury disappears. Mix with rooster comb blood and apply.
*Tai Ping Sheng Hui Fang* formula for pediatric wet and dry xuan.
Xiong Huang (Realgar) (1 fen), She Xiang (Musk) (1 qian).
Finely grind and mix with Jia Jian You (Shell Lac Oil) for topical application.
*Tai Ping Sheng Hui Fang*, another formula.
Burn dried toad to ash, finely grind, mix with lard, and apply.
*Tai Ping Sheng Hui Fang* formula for chronic pediatric xuan.
Use 1 liang of Huang Fan (Yellow Alum), burn to ash, finely grind. Wash with water before use, dry, and apply.
*Tai Ping Sheng Hui Fang*, another formula.
Pound Xie Gen (Allium macrostemon root), mix with vinegar, and apply.
*Tai Ping Sheng Hui Fang*, another formula.
Mix Jiang Ban (Fermented Soybean Paste) and Que Fen (Sparrow Droppings), grind, and apply.
*Tai Ping Sheng Hui Fang*, another formula.
Pound Yang Ti Cao Gen (Root of Rumex japonicus) thoroughly, mix with honey, squeeze out juice. Abrade lesion before applying.
*Tai Ping Sheng Hui Fang*, another formula.
Apply white sap from Chu Zhu (Paper Mulberry Stump).
*Tai Ping Sheng Hui Fang*, another formula.
Burn hair to ash, finely grind, mix with lard, and apply.
*Tan Shi Shu Sheng* Formula: Infantile milk lichen covers the body; eyelashes and eyebrows fall out and do not regrow. This is caused by the mother's "Five Leaks" injury, damaging the fetus. Wild oil flower and Tian Ma (Gastrodia) pounded together; Chi Jian (Rhizoma Cibotii) dispels wind, lightening the limbs. Tian Zhu Wu Xi Xuan Jian Zi, Chan Sux (Toad Venom), Xiong Huang (Realgar), Long Nao (Borneol) are most efficacious.
Chi Zhi Yin Zi (Red Mushroom Drink):
Ye You Hua (Wild Oil Flower, also known as You Fu Hua), Tian Ma Miao (Tian Ma Sprout, also known as Tian Jian Miao), Fang Feng (Saposhnikovia Root) (equal parts).
Grind into powder. After washing the lichen, apply mixed with oil, then administer Wu Xi Wan.
*Tan Shi Shu Sheng* Wu Xi Wan (Black Rhinoceros Pill):
Xi Jiao (Rhinoceros Horn) (powdered, 1 qian), Hei Dou (Black Soybean) (2 qian), Gan Chan (Dried Toad) (powdered, 3 qian), Long Nao (Borneol) (a small amount).
Grind into powder. Form pills the size of mung beans using bear bile. Dissolve one pill in warm water and drink.
*Yang Sheng Bi Yong* formula for pediatric and adult damp xuan.
Gan Cao (Licorice Root) (2 fen), Lu Hui (Aloe) (4 fen, separately ground).
Grind into powder. Wash wound with warm grain water, then apply medicine.
Mr. Mao: Formula for infants over one year old developing fine sand rash, called milk lichen.
Di Long (Earthworm) (cleaned, stir-fried black, powdered), Huang Lian (Coptis Rhizome) (powdered), Dou Chi (Fermented Soybean) (powdered).
Mix equal parts of the three herbs with Qing Fen (Calomel). Mix with oil and apply.
*Ying Ru* formula for pediatric head and face sores/xuan.
Take 5 sheng of Hemp Seeds (Da Ma Zi), grind into powder. Mix with water, squeeze out juice, blend with honey, and apply. White dog bile applied topically is also effective.
Zhang Rui's *Ji Feng Fang* formula for chronic wet and dry xuan.
Apply fresh Paper Mulberry leaves with sharp spines directly onto the sore. Pat gently with hand. Wait for yellow fluid to drain completely; heals upon drying.
*Hui Yan Guan Zheng* Fang Feng Yin Zi (Saposhnikovia Drink) formula for wind-deficiency sores/xuan.
Fang Feng (Saposhnikovia Root), Gan Cao (Licorice Root) (roasted), Lian Qiao (Forsythia Fruit) (each 1 liang), Shan Zhi Zi (Gardenia Fruit) (0.5 liang).
Grind into powder. Take 2 qian per dose. Decoct in 0.5 sheng water for 3-5 boils. Strain and drink.
*Zhang Shi Jia Chuan* formula for pediatric lead-silver sores/xuan on head and face.
Huang Lian (Coptis Rhizome) (powdered), Huang Bo (Phellodendron Bark) (thick slice, 1 qian each), Qing Fen (Calomel) (2 qian bing), Ru Xiang (Frankincense) (small amount, finely pounded), Bai Jiao Xiang (Amber/Polymer Balsam) (fine powder), Bai Fan (Alum) (raw if itchy, calcined if not, 0.5 qian each).
Grind into fine powder. First melt Bai Jiao Xiang, add Huang Lian and Huang Bo. When warm, add Qing Fen and Ru Xiang. If clumping occurs, re-grind extremely fine. Apply to sore.
*Zhang Shi Jia Chuan* formula for adult and pediatric damp xuan.
Jie Geng (Platycodon Root), Zao Di Huang Tu (Soil from bottom of stove), Dou Chi (Fermented Soybean) (each 0.5 liang), She Xiang (Musk), Ni Fen (Calomel) (small amounts each).
Grind first three ingredients into powder. Add Musk and Calomel. Mix with dark sesame oil. Wash with warm water first, then apply. One application followed by one wash.
*Zhuang Shi Jia Chuan* formula for pediatric xuan and adult malignant sores.
Duan Shi (Calcined Alumen), Huang Dan (Minium/Red Lead).
Mix equal parts. Stir-fry together until purple. Grind into powder. Apply dry; highly effective.
*Wang Shi Shou Ji* formula for pediatric milk lichen.
Take Ku Lian Zi (Chinaberry Seed) in any quantity. Burn to ash retaining properties. Finely grind. Add Ni Fen (Calomel). Mix with raw oil and rub; extremely effective.
*Ji Shi Jia Chuan* formula for dry xuan.
Ba Dou (Croton Seed), Ban Mao (Mustard Beetle) (each 1 piece).
Grind into extremely fine powder until no granules are visible. Mix with La Yan Zhi (Winter Swallow Blood/Lip Balm base) and apply. Three times daily.