《圣惠》云∶夫小儿腑脏有热,热熏皮肤,外为湿气所乘,则变生疮,其热偏盛
者,其疮发势亦盛,初生如麻子,须曳王大,汁溃烂如汤火所伤灼,故名王烂疮也。
治小儿王烂疮,一身尽如麻子,有脓汁,乍痛乍痒,或时壮热。
赤芍药 甘草 白蔹(各三分) 黄芩 黄连(去须) 黄柏(微炙。各半两)
上为末。蜜水调涂,日三两上,瘥。
治小儿王烂疮及恶疮。
秫米 竹筱
上,烧灰细研。以田中禾下水调涂之,立效。
治小儿王烂疮,初患一日肉色变,二日HT 浆出,或四畔时赤,渐长,若HT 浆匝身,
即不可治,其状如汤火烧,宜速用黄连散
黄连末 胡粉(各一两)
上,研匀。以生油调涂之。
治小儿王烂疮,初起 浆似火烧疮,宜用此方。又,桃仁,汤浸,去皮,研细,以
面脂和涂。又,以艾烧灰敷,干,即用生油涂。又,十字街土、并釜下土研敷
之。又,烧牛粪灰敷。又,酒煎吴茱萸汁涂。又,酥和赤地末敷。
治小儿身体发疮,初出甚小,后有脓汁,浸淫不已,渐大,名浸淫疮,若先从四肢
起,渐向头面者难治也。
鲫鱼(一尾长三寸者) 豆豉(一合)
上杵如膏涂之。又疗马鞍疮。
又方 苦瓠(一两),蛇蜕(半两,烧) 露蜂房(半两,微炙) 梁上尘
为末,油调涂。又方伏龙肝(三分),乱发(三分,烧) 为末,猪脂和涂。又方,取鸡冠
血涂。鸡冠血和黄连末涂。煎鲫鱼膏涂。生切鲫鱼片,和盐贴患处。烧胡燕
窠,水和涂之。
The *Shenghui Fang* states: When a child's internal organs have heat, the heat steams and scorches the skin. If externally invaded by dampness, sores will arise. If the heat is particularly prevalent, the onset of the sores will be vigorous; initially appearing like hemp seeds, they quickly enlarge, with pus and ulceration resembling burns from boiling water or fire, hence named "Wang Lanchuang" (King's Ulcer).
To treat Wang Lanchuang in children, where the entire body is covered with hemp-seed-like sores containing pus, alternating pain and itching, or accompanied by high fever:
Chi Shao Yao (Radix Paeoniae Rubra), Gan Cao (Radix Glycyrrhizae), Bai Lian (Rhizoma Bletillae) (each 3 fen), Huang Qin (Scutellariae Radix), Huang Lian (Coptidis Rhizoma) (remove roots), Huang Bo (Phellodendri Cortex) (lightly roasted, each 0.5 liang).
Grind all into powder. Mix with honey water and apply topically two to three times daily until healed.
To treat Wang Lanchuang and malignant sores in children:
Shu Mi (Sorghum Vulgare Grain), Zhu Xiao (Bamboo Shoots).
Burn these to ash, grind finely. Mix with mud-water from beneath field crops and apply topically for immediate effect.
To treat Wang Lanchuang in children: On the first day, skin color changes; on the second day, blisters appear; or the periphery becomes red and gradually enlarges. If blisters cover the whole body, it is incurable, resembling burns from boiling water or fire. One should promptly use Huang Lian San (Coptidis Powder):
Huang Lian Mo (Coptidis Rhizoma Powder), Hu Fen (Cerussa/Lead Carbonate) (each 1 liang).
Grind uniformly. Mix with raw oil and apply topically.
For Wang Lanchuang in children starting with blistering similar to burns: Use this method. Additionally, soak Tao Ren (Persicae Semen) in hot water, remove the skin, grind finely, and mix with animal fat (Mian Zhi) for topical application. Alternatively, burn Ai Ye (Artemisiae Argyi Folium) to ash and apply; when dry, reapply raw oil. Alternatively, apply powder from soil at crossroads or from under cooking stoves. Alternatively, apply ash from burned cow dung. Alternatively, decoct Wu Zhu Yu (Evodiae Fructus) in wine and apply the juice. Alternatively, mix Su (Butyrum) with Chi Di Mo (Red Earth Powder) for application.
To treat sores arising on the child's body, initially small but later producing pus, spreading incessantly and enlarging, known as Jin Yin Chuang (Oozing Sore). If it starts from the limbs and spreads toward the head and face, it is difficult to treat:
Ji Yu (Cyprinus Carpio Fish) (one fish, 3 cun long), Dou Chi (Fermented Soybean).
Pound into a paste and apply topically. This also treats Saddle Sores.
Another formula: Ku Hu (Lagenariae Fruit), She Tui (Bombyx Batryticatus/Molting Skin of Snake) (half liang, burned), Lu Feng Fang (Vespa Nidus) (half liang, lightly roasted), Liang Shang Chen (Dust from Roof Beams).
Grind into powder, mix with oil, and apply topically.
Another formula: Fu Long Gan (Dragon's House Liver/Baked Clay) (3 fen), Luan Fa (Human Hair) (3 fen, burned).
Grind into powder, mix with Pig Fat (Zhu Zhi) and apply.
Another method: Apply Ji Guan Xue (Rooster Comb Blood). Mix Ji Guan Xue with Huang Lian Mo (Coptidis Rhizoma Powder) and apply. Decoct Ji Yu paste for application. Slice fresh Ji Yu (Cyprinus Carpio Fish), mix with salt, and apply to the affected area. Burn Hu Yan Ke (Swallow Nest), mix with water, and apply.