（附论）
夫月蚀多小儿有之。盖由嗜甘肥。荣卫不清。风热毒热之气。蕴蓄脏腑。其疮多生于两
耳及
疮衰
方
兔头散（出圣济总录）治月蚀下部湿 。
腊月兔头（一枚烧过） 代赭（一两） 地黄叶灰（半两） 虎头骨（炙令黑赤色二两）
贝子（烧
枣核大。纳下
胡粉散（出直指方）治月蚀疮。
胡粉（微炒黄） 白矾（ ） 虢丹（ ） 黄连（净） 轻粉（各二钱） 胭脂（一
钱） 麝（少许）
水银膏（出圣济总录）治月蚀疮多生在两耳上及窍旁。随月盈虚。
水银（一分） 胡粉（研） 黄连（去须为末） 松脂（各半两） 猪脂（四两） 上
先熬脂令沸。下
甘草散（出圣惠方）治月蚀疮。
甘草末 青蛙（自死者烧作灰） 母猪蹄甲（烧作灰） 救月杖（烧灰各一两） 上捣
罗研拌。以
腻粉散（出圣惠方）治月蚀疮。
腻粉（一两） 黄连（一两去须捣为末） 胡粉（一两炒令微黄） 松脂（一两） 上
都细研。先以温盐浆水洗疮令净。拭干以散敷之。如疮干。用生油调涂。以瘥为度。
又方
虎头骨（末） 猪脂（各三两） 浮萍（屑一两） 上和调如糊。先用盐汤洗疮。涂敷
疮上。日三
硫黄涂敷方（出圣济总录）治月蚀疮息肉。
石硫黄（细研） 茹（末各一两） 斑蝥（去足半两细研） 上捣研和匀。先用盐汤
洗疮后。
半夏根散（出圣济总录）治月蚀湿虫疮 。
半夏根（五月五日取一两） 木瓜根 乌头（各一两） 上阴干细锉。捣罗为散。每取
枣核许大
矾石涂敷方（出圣惠方）治月蚀疮。
矾石（研） 石硫黄（研各半两） 虾蟆（五月五日自死者一枚烧作灰） 上研细为末。
先以盐汤
茱萸汤 治月蚀疮息肉。
茱萸根 地榆根 蔷薇根（各一两） 上细锉。以水五升。煎至二升半。去滓。温洗疮。
冷即
豉涂敷方（出圣济总录）治蚀疮入鼻口及九窍孔并诸疮。
豉 虾蟆（五月五日取一枚自死者） 上将盐豉。不以多少。填满虾蟆腹。挂于屋北令
干燥。
猪脂和
鼓皮醋（出圣惠方）治月蚀疮。
鼓皮（如手掌大） 醋（二升） 上以醋浸皮。经一宿取涂。汁敷疮上。日三五度。又
去。醋烧
酥粉涂敷方（出圣济总录）治月蚀疮。
酥（二两） 胡粉（一两和研） 上调和如糊。涂敷疮上。日三五度。
又方（出圣济总录）
射干（三两） 甘草（炙一两） 上粗捣筛。每服五钱。用盐水一盏半。煎至八分。滤
去滓。
涂敷方（出肘后方）治猝得月蚀疮。
虾蟆（一枚自死者） 兔屎（月望夜取） 上破虾蟆腹。纳兔屎满合定。于炭内烧过。
细研为末
又方（一名圣灰散）治小儿月蚀疮。耳后耳下。或鼻内生疮是也。（出圣惠
方）
地龙粪（烧赤为末） 猪脂（各三两） 上调。涂敷疮上。日三五次。以瘥为度。
涂敷方 治猝得月蚀疮。（出圣惠方）
取罗摩草研。绞取汁涂敷。日三五度。
疗大人小儿猝得月蚀疮方。（出圣惠方）
取五月五日虾蟆烧灰。以猪膏和。涂之瘥止。
又方
取烛燃照疮。使烛热气相及疮。即愈。
又方（出肘后方）
取虎头骨二两捣碎。以猪脂一斤煎之。以骨焦黄色。去滓涂之为度。
治月蚀疮阴疮痿疮（出本草）
取 鱼烧灰。敷之（一名鳔生南海）
治月蚀疮及月割耳（出本草）
以救月杖烧为灰。油和敷之。
治耳后月蚀疮（出本草）
取桂子研碎。敷摩疮上。
治月蚀疮。夫月蚀疮者。生于两耳及鼻面间。并下部诸孔窍侧及至筋骨。月初则疮盛。
月末
以手
上以地龙粪一合。用猪脂和令匀。涂之。
(Attached Discussion)
Yueshi Chuang (Moon-eating ulcer), also known as tinea capitis or auricular eczema in children, is mostly seen in infants and young children. This is primarily due to a preference for sweet and fatty foods, leading to turbid Ying and Wei (Nutritive and Defensive Qi). Wind-heat toxic pathogens accumulate in the Zang-Fu organs. These ulcers typically occur around both ears and the lower orifices. When the ulcer subsides:
Formulas:
Tutou San (Rabbit Head Powder) [from *Shengji Zonglu*]: Treats Yueshi Chuang with dampness in the lower body.
Ingredients: Rabbit head from the twelfth lunar month (one piece, calcined), Daizhe (Hematite, 1 liang), Dihuangye Hui (Ash of Rehmannia Leaf, 0.5 liang), Hutou Gu (Tiger Head Bone, roasted until blackish-red, 2 liang), Beizi (Concha Arcae, calcined). Grind into fine powder. Apply an amount the size of a jujube pit into the affected area.
Hufen San (Lead White Powder) [from *Zhizhi Fang*]: Treats Yueshi Chuang.
Ingredients: Hufen (Basic Lead Carbonate, lightly stir-fried until yellow), Baifan (Alumen), Guodan (Red Lead), Huanglian (Coptidis Rhizoma, cleaned), Qingfen (Calomel, each 2 qian), Yanzhi (Vermilion/Rouge, 1 qian), She (Musk, a small amount).
Shuiyin Gao (Mercury Ointment) [from *Shengji Zonglu*]: Treats Yueshi Chuang occurring on the upper ears and beside the ear canals, fluctuating with the waxing and waning of the moon.
Ingredients: Shuiyin (Mercury, 1 fen), Hufen (Lead White, ground), Huanglian (Coptidis Rhizoma, de-stemmed and powdered), Songzhi (Pine Rosin, each 0.5 liang), Zhuzhi (Porcine Fat, 4 liang). First boil the porcine fat, then add the other ingredients.
Gancao San (Licorice Powder) [from *Taiping Huimin Heji Jufang*]: Treats Yueshi Chuang.
Ingredients: Gancao Mo (Licorice Root Powder), Qingwa (Green Frog, naturally dead and calcined), Zhu Mu Ti Jia (Sow's Hoof Claws, calcined), Jiuyuezhang (Ash of *Ligustrum lucidum* stem, calcined, each 1 liang). Pound, sieve, and grind evenly... (text missing, usually implies mixing with oil or water for application).
Nifen San (Calomel Powder) [from *Shengji Zonglu*]: Treats Yueshi Chuang.
Ingredients: Nifen (Calomel, 1 liang), Huanglian (Coptidis Rhizoma, de-stemmed and powdered, 1 liang), Hufen (Lead White, stir-fried until slightly yellow, 1 liang), Songzhi (Pine Rosin, 1 liang). Grind all ingredients finely. First wash the ulcer with warm saline solution to clean it, dry it, and apply the powder. If the ulcer is dry, mix with raw sesame oil for application. Continue until healed.
Another Formula:
Ingredients: Hutou Gu (Tiger Head Bone, powdered), Zhuzhi (Porcine Fat, each 3 liang), Fuping (Marsilea quadrifolia, powdered, 1 liang). Mix and adjust to a paste consistency. First wash the ulcer with salt water, then apply the paste. Three times daily.
Liuhuang Tufu Fang (Sulfur Application Formula) [from *Shengji Zonglu*]: Treats polyps caused by Yueshi Chuang.
Ingredients: Shi Liuhuang (Native Sulfur, finely ground), Ru Cao (Radix Isatidis/Isatis Root, powdered, each 1 liang), Banmao (Mylabris, legs removed, finely ground, 0.5 liang). Pound and mix evenly. First wash the ulcer with salt water... (text missing, usually implies applying the powder).
Banxia Gen San (Pinellia Root Powder) [from *Shengji Zonglu*]: Treats damp insect ulcers associated with Yueshi Chuang.
Ingredients: Banxia Gen (Pinellia Root, collected on the 5th day of the 5th lunar month, 1 liang), Mugua Gen (Chaenomeles Root), Wutou (Aconiti Lateralis Radix Praeparata, each 1 liang). Dry in shade, cut finely, pound, and sieve into powder. Take an amount the size of a jujube pit... (text missing, usually implies application).
Fanshi Tufu Fang (Alum Application Formula) [from *Shengji Zonglu*]: Treats Yueshi Chuang.
Ingredients: Fanshi (Alumen, ground), Shi Liuhuang (Native Sulfur, ground, each 0.5 liang), Xama (Toad, naturally dead on the 5th day of the 5th lunar month, one piece, calcined). Grind into fine powder. First use salt water... (text missing, usually implies washing before application).
Zhuyu Tang (Cornus Decoction): Treats polyps from Yueshi Chuang.
Ingredients: Zhuyu Gen (Corni Fructus Root), Diyugen (Sanguisorbae Radix), Qiangweigen (Rosa Rugosa Root, each 1 liang). Cut finely. Boil in 5 sheng of water until reduced to 2.5 sheng. Strain and wash the ulcer with the warm liquid. Do not use if cold.
Chi Tufu Fang (Fermented Soybean Application Formula) [from *Shengji Zonglu*]: Treats ulcers invading the nose, mouth, nine orifices, and various sores.
Ingredients: Chi (Fermented Soybean), Xama (Toad, naturally dead on the 5th day of the 5th lunar month, one piece). Fill the abdomen of the toad with salted fermented soybeans (quantity unspecified). Hang in the north side of the house to dry. Then mix with Zhuzhi (Porcine Fat)... (text missing, usually implies application).
Gupi Cu (Drum Skin Vinegar) [from *Shengji Zonglu*]: Treats Yueshi Chuang.
Ingredients: Gupi (Skin of fermented bean drum, palm-sized), Cu (Vinegar, 2 sheng). Soak the skin in vinegar overnight, then take out and apply. Apply the juice to the ulcer 3-5 times daily. Additionally, burn vinegar... (text missing).
Supen Tufu Fang (Butter Powder Application Formula) [from *Shengji Zonglu*]: Treats Yueshi Chuang.
Ingredients: Su (Clarified Butter/Ghee, 2 liang), Hufen (Lead White, mixed and ground, 1 liang). Mix into a paste. Apply to the ulcer 3-5 times daily.
Another Formula [from *Shengji Zonglu*]:
Ingredients: Shegan (Belamcandae Rhizoma, 3 liang), Gancao (Licorice Root, honey-fried, 1 liang). Coarsely crush and sieve. Take 5 qian per dose. Add 1.5 zhan of salt water, decoct until 8 fen remains. Strain and remove dregs.
Tufu Fang (Application Formula) [from *Zhouhou Beiji Fang*]: Treats sudden onset of Yueshi Chuang.
Ingredients: Xama (Toad, naturally dead, one piece), Tush (Rabbit feces, collected on the night of the full moon). Break open the toad's abdomen, fill with rabbit feces, seal, and roast in charcoal. Grind into fine powder... (text missing, usually implies application).
Another Formula (also known as Shenghui San): Treats pediatric Yueshi Chuang, manifesting as ulcers behind or below the ears, or inside the nose. [from *Shengji Zonglu*]
Ingredients: Dilong Fen (Earthworm Feces, calcined until red and powdered), Zhuzhi (Porcine Fat, each 3 liang). Mix and apply to the ulcer 3-5 times daily until healed.
Application Formula: Treats sudden onset of Yueshi Chuang. [from *Shengji Zonglu*]
Grind Luomo Cao (Herba Siegesbeckiae), squeeze out the juice, and apply. 3-5 times daily.
Formula for Adults and Children with Sudden Yueshi Chuang. [from *Shengji Zonglu*]
Take toads calcined on the 5th day of the 5th lunar month, mix with Zhigao (Lard/Porcine Fat), and apply. Stop when healed.
Another Formula:
Burn a candle and shine its heat onto the ulcer. The heat from the candle flame will cure it.
Another Formula [from *Zhouhou Beiji Fang*]:
Take 2 liang of Tiger Head Bone, crush it, and decoct in 1 jin of Porcine Fat until the bone turns scorched yellow. Strain and apply.
Treating Yueshi Chuang, Yin Chuang (Genital Ulcer), and Wei Chuang (Atrophic Ulcer) [from *Bencao*]:
Calcify Bi Yu (Fish Maw) into ash and apply. (Bi Yu, also called Biao, lives in the South Sea).
Treating Yueshi Chuang and Yue Ge Er (Ear Cutting/Mutilation) [from *Bencao*]:
Calcify Jiuyuezhang (Stem of *Ligustrum lucidum*) into ash, mix with oil, and apply.
Treating Yueshi Chuang behind the Ear [from *Bencao*]:
Crush Guizi (Cinnamon Berries) and apply/massage onto the ulcer.
Regarding Yueshi Chuang: It occurs between the ears and the nose/face, as well as around the lower orifices, extending to muscles and bones. The condition worsens at the beginning of the lunar month and... (text missing, usually implies improves at the end).
Use hand... (text missing).
The above formula uses 1 he of Earthworm Feces, mixed evenly with Porcine Fat, and applied.