儿生无皮有二端，父母梅毒遗染传，或因未足月生早，无皮赤烂痛难堪。梅毒换肌消毒散，胎怯
当归饮能痊，外敷清凉鹅黄粉，毒解形完肤自坚。
【注】婴儿生下无皮，其证有二∶或因父母素有杨梅结毒，传染胞胎，故生下或上半
身赤烂，或下半身赤烂，甚至色带紫黑；又有因月分未足，生育太早，遍体浸渍红嫩而
光。二证俱属恶候。遗毒者，内服换肌消毒散，外用清凉膏或鹅黄散敷之；胎元不足者，
内服当归饮，外用稻米粉扑之。毒解形完者，
谓解去毒瓦斯，其皮自渐渐生完而坚实矣。
换肌消毒散
当归 生地黄 赤芍药 川芎 皂刺 土茯苓 金银花 连翘（去心） 甘草（生） 白芷 苦
参白藓皮 防风
引用灯心，水煎服。
【方歌】无皮换肌消毒治，四物皂刺土茯苓，银花连翘草白芷，苦参白藓共防风。
当归饮
何首乌（制） 白藓皮 白蒺藜 甘草 当归 生地黄 白芍药 人参 黄 川芎
水煎服。
【方歌】当归饮治儿无皮，面白肢冷服最宜，首乌藓皮白蒺藜，甘草四物共参 。
清凉膏
锻石（未经水湿成块者，四两。）
用水泡之，没指半许，露一宿，面上有浮起如云片者，轻轻取之，微带清水，视其多寡，对小磨香油亦如之，以顺
搅成膏为度，用鸡翎搽之自愈。
鹅黄散
黄柏（生） 石膏（ ，各等分。）
共研为细末扑之，湿则干扑，干则用猪苦胆调搽。
扑粉法
早稻白米作粉，时时扑之，其皮渐生。
Congenital absence of skin in newborns has two main causes: one is the transmission of syphilis from parents; the other is prematurity, where the fetus is born before full term. The infant presents with missing skin, redness, swelling, and ulceration, accompanied by unbearable pain. For cases caused by maternal syphilitic toxin, internal administration of HuANJI Xiaodu San (Muscle-Replacing Detoxification Powder) combined with external application of Qingliang Ehuang Fen (Cooling Goose-Yellow Powder) can resolve the toxin and heal the skin. For cases caused by congenital deficiency (prenatal weakness), internal administration of Danggui Yin (Angelica Decoction) promotes skin recovery.
[Note] Infants born without skin present with two types of syndromes: One type results from parents having had Yangmei Jiedu (Chancre/Condyloma Acuminatum/Syphilitic Toxin), which infects the fetus, causing the infant to be born with red, ulcerated skin on either the upper or lower body, or even turning purple-black. The other type results from premature birth before full term, causing the entire body's skin to appear macerated, tender, red, and smooth. Both conditions are considered critical prognoses. For those with transmitted toxins, internally administer HuANJI Xiaodu San, and externally apply Qingliang Gao (Cooling Ointment) or Ehuang San (Goose-Yellow Powder). For those with insufficient prenatal essence, internally administer Danggui Yin, and externally dust with rice flour. "Resolving the toxin and completing the form" refers to the process where, after the toxic qi is cleared, the skin gradually regenerates completely and becomes firm.
HuANJI Xiaodu San (Muscle-Replacing Detoxification Powder)
Ingredients: Danggui (Radix Angelicae Sinensis), Shengdihuang (Radix Rehmanniae Preparata), Chishaoyao (Radix Paeoniae Rubra), Chuanxiong (Rhizoma Chuanxiong), Zaoci (Spina Gleditsiae Sinensis), Tufuling (Rhizoma Smilacis Glabrae), Jinyinhua (Flos Lonicerae Japonicae), Lianqiao (Fructus Forsythiae, heart removed), Gancao (Radix Glycyrrhizae, raw), Baizhi (Radix Angelicae Dahuricae), Kushen (Cortex Phellodendri), Baixianpi (Cortex Dictamni), Fangfeng (Radix Saposhnikoviae).
Usage: Add Dengxincao (Medulla Junci) as a guiding herb, decoct in water, and take orally.
[Fangge - Formula Song]
To treat congenital absence of skin, use HuANJI Xiaodu Zhi;
Sijun (Four Substances), Zaoci, and Tufuling combine therein;
Jinyinhua, Lianqiao, Gancao, and Baizhi align;
Kushen, Baixianpi, and Fangfeng together entwine.
DANGGUI YIN (Angelica Decoction)
Ingredients: Heshouwu (Radix Polygoni Multiflori Preparata), Baixianpi (Cortex Dictamni), Baijili (Fructus Tribuli), Gancao (Radix Glycyrrhizae), Danggui (Radix Angelicae Sinensis), Shengdihuang (Radix Rehmanniae Recens), Baishao (Radix Paeoniae Alba), Renshen (Radix Ginseng), Huangqi (Radix Astragali), Chuanxiong (Rhizoma Chuanxiong).
Usage: Decoct in water and take orally.
[Fangge - Formula Song]
Danggui Yin treats infants' lack of skin;
Best for those with pale face and cold limbs;
Heshouwu, Baixianpi, and Baijili begin;
Gancao and Sijun with Renshen and Huangqi win.
QINGLIANG GAO (Cooling Ointment)
Main Ingredient: Duanshi (Calcined Stone/Lime, unmoistened and clumped, 4 liang).
Preparation: Soak the Duanshi in water until it submerges about half an inch below the finger surface. Leave overnight. When cloud-like flakes float on the surface, gently skim them off, retaining a small amount of clear water. Measure the volume of these flakes and add an equal volume of sesame oil (pressed with a small mill). Stir in one direction until it forms an ointment consistency. Apply using a chicken feather to the affected area for self-healing.
EHUANG SAN (Goose-Yellow Powder)
Ingredients: Huangbai (Cortex Phellodendri, raw), Shigao (Gypsum Fibrosum, calcined), in equal parts.
Preparation: Grind into a fine powder and dust onto the affected area. If the area is moist, apply dry powder; if dry, mix with pig gallbladder bile for application.
Rice Flour Dusting Method
Grind early-ripening white rice into powder. Dust frequently onto the affected area; the skin will gradually regenerate.