小儿或因跌扑，或刀斧破伤，风邪暗袭，伤处发肿，谓之破伤风。速宜治之，不然则发
痉矣。内服疏风活血散，外以紫金锭一块磨水涂之。
疏风活血散 治小儿出血破伤风，已痉未痉者。
全当归 怀生地 赤芍药 北防风（以上各一钱二分） 鲜红花 正川芎 广苏木 炙甘草
（以上各六分） 生姜（三片） 大枣（一枚） 水煎热服。
紫金锭
山慈菇（三两） 五倍子（三两） 红芽大戟（去芦，一两五钱） 明雄黄 镜辰砂（各五钱） 真麝香
（三钱）
共为细末，糕米饮和药捣干，锤为锭，磨水涂之。
（四条）
忌刀针，宜用消瘰丸，并贴万全膏。俱见内科并外科。
马刀生耳之前后，有疮作核如杏核，大小不一，名马刀疮，为瘰 之根∶用桃白皮，切
三指大一块，刮去外皮，留内一层，贴疮上，以艾炷于桃皮上炙之，觉极痛即止，毋令伤皮
，明日又炙，不数次而核消矣。
治小儿瘰 未溃者，令内消；已破者，能收口，服此一月痊愈∶用直僵蚕半斤，先用清
水洗三次，去锻石净，晒干炒枯。另将晚禾米半斤，炒极热，共研细末，米糊为丸，重一钱
一个，每日空心服，以夏枯草煎汤下。儿大者二丸，小者一丸，研烂调服，常须以甘肥荤润
之物滋泽之。
紫霞膏 治瘰 未成者，贴之自消；已成者，贴之自烂；已溃核存者，贴之自失。并治
诸色顽疮破烂不愈疼痛不已者俱效。
明净松香（一斤，研末） 鲜色铜绿（二两，研末）
以真麻油四两，先煎数沸，下松香熬化，次下铜绿，煎至白烟将尽，膏已成，退火倾入
瓷罐收贮，用时将热汤熔开，旋摊旋贴之。
专治瘰 破烂，多年不愈，连及胸腋∶用新出窑矿锻石一块，滴水化开成粉，用生桐油
调匀，干湿得中，先以花椒葱煎汤，洗净其疮，以此涂之，不数日痊愈，真奇方也。
Take 1 to 2 liang of *Bencao* (a medicinal herb, likely referring to a specific root or bark mentioned in local materia medica) and decoct it in water for bathing. It is also excellent for washing clothes with this decoction.
If children suffer from falls or cuts by knives and axes, wind-pathogens may secretly invade the injured area, causing swelling at the wound site, which is called Po Shang Feng (Broken Injury Wind / Tetanus). Immediate treatment is required; otherwise, Jing Zheng (Spasms / Convulsions) will develop. Internally administer Shu Feng Huo Xue San (Wind-Dispersing and Blood-Activating Powder), and externally apply water-ground Zijin Ding (Purple Gold锭 / Plaster) to the affected area.
Shu Feng Huo Xue San: Treats Po Shang Feng caused by bleeding or broken injuries in children, applicable whether Jing Zheng has already occurred or not.
Ingredients: Quan Dang Gui (Whole *Angelicae Sinensis Radix*), Huai Sheng Di (Huai-grown *Rehmanniae Radix*), Chi Shao Yao (*Paeoniae Radix Rubra*), Bei Fang Feng (*Saposhnikoviae Radix*) (each 1.2 qian); Xian Hong Hua (Fresh *Carthami Flos*), Zheng Chuan Xiong (Authentic *Chuanxiong Rhizoma*), Guang Su Mu (*Daemonorops Draco*), Zhi Gan Cao (Honey-fried *Glycyrrhizae Radix et Rhizoma*) (each 0.6 qian); Sheng Jiang (Fresh Ginger, 3 slices), Da Zao (Jujube, 1 piece). Decoct in water and take hot.
Zijin Ding:
Ingredients: Shan Ci Gu (*Smilacis Glabrae Rhizoma*, 3 liang), Wu Bei Zi (Galla Chinensis, 3 liang), Hong Ya Da Ji (Red-bud *Euphorbiae Pekinensis Radix*, remove rhizome, 1.5 liang), Ming Xiong Huang (Bright Realgar, 5 qian), Jing Chen Sha (Mirror Cinnabar, 5 qian), Zhen She Xiang (Authentic Moschus, 3 qian).
Grind all ingredients into fine powder. Mix with Gao Mi Yin (Rice porridge drink) to knead the medicine, pound into a solid form (ding), and grind with water for external application.
(Four entries regarding Luo Li / Scrofula)
Avoid using needles or scalpels; it is suitable to consume Xiaoluo Wan (Scrofula-Dissipating Pill) and apply Wanchun Gao (Wanquan Plaster). (See Internal Medicine and Surgery chapters for these formulas.)
Madao Chuang (Horse Knife Sore) occurs before and behind the ear, presenting as sores forming nodules like apricot kernels of varying sizes. This is named Madao Chuang and serves as the root of Luo Li (Scrofula): Take Tao Bai Pi (Inner bark of peach tree), cut a piece about three fingers wide, scrape off the outer skin leaving only the inner layer, and apply it to the sore. Moxibustion (Ai Zhu) is applied on top of the peach bark. Stop when extreme pain is felt, ensuring the skin is not damaged. Repeat moxibustion the next day; after several sessions, the nodule will disappear.
To treat Luo Li in children that has not ulcerated, to cause internal resolution; or if already ulcerated, to promote healing: Take Ban Jin Jie (Half a jin of *Bombyx Batryticatus*). First wash three times with clear water to remove any residual Duan Shi (calcined alum), dry in the sun, and stir-fry until charred. Separately, take Ban Jin of late-harvest rice, stir-fry until extremely hot. Grind both together into fine powder. Use rice paste to make pills, each weighing 1 qian. Take one pill daily on an empty stomach, washed down with a decoction of Xia Ku Cao (*Prunellae Spica*). Older children take two pills, younger ones take one; grind thoroughly and mix for administration. Regularly nourish the child with rich, fatty, and moistening foods.
Zixia Gao: For Luo Li that has not yet formed, application leads to spontaneous resolution; for those already formed, it causes spontaneous ulceration; for those already ulcerated but with residual nodules, it causes the nodules to fall off spontaneously. It is also effective for various stubborn sores that are broken, non-healing, and painful.
Ingredients: Ming Jing Song Xiang (Clear Pine Resin, 1 jin, powdered); Xian Se Tong Lv (Fresh Copper Green / Verdigris, 2 liang, powdered).
Heat 4 liang of genuine Sesame Oil (*Sesamum indicum* oil), boil briefly, add pine resin and melt, then add copper green. Boil until white smoke nearly ceases and the ointment is ready. Remove from heat and store in a porcelain jar. To use, melt with hot water and apply immediately while warm.
Specifically treats Luo Li ulcers that have persisted for years without healing, extending to the chest and axilla: Take a piece of newly kiln-fired Kuang Duan Shi (Mineral Calcined Alum). Dissolve with a few drops of water into powder. Mix evenly with raw Tung Oil (*Verniciae Folium* oil) to achieve moderate consistency. First, wash the sore with a decoction of Sichuan Pepper (*Zanthoxyli Fructus*) and scallion. Apply this mixture. The condition will heal within a few days; truly a miraculous formula.