经曰∶诸痛痒疮疡,皆属心火。
按∶疮疖疥癣,小儿独多。由胎毒淫火使然也。治之者,宜清热解毒,使之外出可也。倘医者视为泛常,
不先内托解毒,误用砒、硫毒药搽之,逼毒内入,以致疮忽自平,其证腹胀便闭,身无血色,目闭不开,手足
动摇。此毒瓦斯内攻也。
此条与方脉之发背痈疽,偶伤风湿,而手足搐搦,角弓反张者,大不相侔。盖彼因误伤风湿而病痉,此因
误用搽敷而致搐。病因不同,治宜各别。速服雄黄解毒丸微下之,疮出则吉,疮不出如喘者死。
雄黄解毒丸 治疮疡毒瓦斯内攻,腹胀便闭,身无血色,目闭不开。并能解一切疮疥之毒,更可下痰追
虫打积。
明雄黄(一钱) 川郁金(二钱) 巴豆霜(一钱)
上为细末,醋打米糊为丸,绿豆大。每服三五丸,白汤送下,以利为度。
痘禀先天胎元之毒,遇时行而即发,其证初起,两眼含泪,珠如水晶,鼻气出粗,睡中惊惕,两耳纹现,
恶热不恶寒,痘证也。
按∶初起发热三四日间,应与疏通腠理,微解表邪,使毒瓦斯易出;若不行疏散,以致腠理固闭,热盛神昏
而搐矣。此常候也。先宜人参败毒散升散之,次用导赤散加朱砂,以制其猖撅。痘出则吉,屡搐者凶。
收靥后作搐,此痘毒倒陷,雄黄解毒丸紫草汤下。痘复出者吉,搐不止者凶。五六卷痘疹门论证最详,
宜考。
The *Hangxie Dan* (Hanging Mist Pill) recorded in *Youyou Jicheng* can be found in the "Fetal Disease Discussion" chapter of Volume 2.
The *Cifeng Bianfa* (Magnetic Point Method) is described in the "Treatment of Erysipelas and Toxemia" chapter of Volume 4.
The *Classic of Medicine* states: All pain, itching, sores, and ulcers belong to Heart Fire.
Commentary: Boils, abscesses, scabies, and tinea are most common in children. This is caused by fetal toxins and excessive fire. Treatment should employ clearing heat and detoxifying methods to allow the pathogenic factors to exit from the exterior. If physicians treat it as a trivial matter and fail to first use internal support and detoxification, but instead mistakenly apply toxic medicines such as Realgar (Realgar) or Sulfur externally, they may force the toxin inward. This results in the sudden flattening of sores, accompanied by abdominal distension, constipation, pallor, closed eyes that cannot open, and trembling of the limbs. This indicates the internal attack of toxic vapors.
This condition differs significantly from cases in internal medicine pulse-syndrome differentiation where carbuncles on the back occur, or where accidental exposure to wind-dampness leads to limb spasms and opisthotonos (body bent backward like a bow). The latter arises from wind-dampness causing spasm disease, whereas the former results from spasms due to mistaken external application. Since the etiologies differ, treatments must also differ. One should quickly administer *Xionghuang Jiedu Wan* (Realgar Detoxification Pill) to induce mild purgation. If the sores re-emerge, the prognosis is auspicious; if the sores do not emerge and wheezing occurs, the prognosis is fatal.
*Xionghuang Jiedu Wan*: Treats internal attack of toxic vapors from sores and ulcers, characterized by abdominal distension, constipation, pallor, and closed eyes. It can also resolve toxins from all types of sores and scabies, and further aids in expelling phlegm, driving out parasites, and resolving accumulations.
Ingredients: Ming Xionghuang (Realgar, 1 qian), Chuan Yujin (Curcuma Aromatica Rhizome, 2 qian), Badou Shuang (Croton Seed Frost, 1 qian).
Grind the above ingredients into a fine powder. Use vinegar to mix with rice paste to form pills, sized like mung beans. Take three to five pills each time, swallowed with warm water. Stop when bowel movement becomes smooth.
Varicella (Smallpox/Chickenpox) inherits the toxicity of the congenital fetal origin. When encountering epidemic pathogens, it manifests immediately. Initial symptoms include: eyes filled with tears, pupils shining like crystal, coarse nasal breathing, startle during sleep, appearance of ear veins, aversion to heat without aversion to cold. These are characteristics of varicella.
Commentary: During the initial fever lasting three to four days, one should employ methods to unblock the couli (skin pores and interstitial spaces) and slightly release exterior pathogens, facilitating the expulsion of toxic vapors. If dispersal is not performed, leading to the closure of couli, intense heat causing coma and spasms, this represents a common progression. Initially, *Renshen Baidu San* (Ginseng Detoxification Powder) should be used to ascend and disperse, followed by *Daochi San* (Guide Out Red Powder) added with Cinnabar to restrain the rampant toxin. If the rash emerges smoothly, the prognosis is auspicious; frequent spasms indicate a ominous prognosis. If spasms occur after the rash has crusted over, this indicates the reversal and sinking of varicella toxin. Administer *Xionghuang Jiedu Wan* with Zicao Tang (Arnebia Decoction). If the rash re-emerges, the prognosis is auspicious; continuous spasms indicate an ominous prognosis. Volumes 5 and 6, under the "Varicella and Rash" section, provide the most detailed arguments, which should be consulted.