申斗垣曰∶下唇下巴骨生疮故名。乃任脉经湿热所生也,在承浆穴地角边,宜除湿清热药主之。(《启玄》)
羊胡散(申斗垣)。烟胶(五钱) 轻粉(一钱) 羊胡须(一撮烧灰)
共研。湿则干擦,干则油调搽之。
陈实功曰∶肥疮由胎毒而成者少,因饮食之后油手摩头,或枕头不洁而成者多。(《正宗》)
申斗垣曰∶此疮宜槐条煎汤洗净,以烟胶、枯矾、轻粉研细,熟油调搽。(《启玄》)
冯鲁瞻曰∶此疮乃脏腑不和之气上冲,血热之毒上注,小儿阴气未足,阳火有余,
故最多犯之。宜内服连翘、天花粉、荆芥、防风、贝母、元参、赤芍药、生地黄、牛
蒡子清热解毒,凉血和血之剂,俟毒瓦斯少解,方外用药以涂之。切不可骤加寒凉涂
遏,以致热毒内攻不救。盖小儿脏腑娇嫩,易入难出也。(《锦囊》)
肥疮
胡黄连 轻粉 雄黄(各三分) 胆矾(二分) 枯矾(一钱) 猪蹄鞋(三个, 存性)
研细。将疮洗净搽之。
又方 肥皂子 存性研末,猪胆汁调搽。
又方
松香 血丹(各等分)
研细,猪板油捣汁,青布卷条烧之,取油搽。
又方
东丹(八分) 枯矾(一钱) 真铅粉 松香(各二钱,入葱管内饭上蒸化,待冷去葱用)
共研细末。热香油调搽。
又方
黄花(烧灰) 轻粉(少许) 研匀干搽。
小儿头上肥疮黄水疮梅花秃。
铜绿 松香(各三钱) 黄蜡(二钱)
香油一两五钱熬匀,涂之。
头上生疮,俗名粘疮绝妙方(《集验》)
海螵蛸(二钱) 白胶香 轻粉(各五分)
研匀。清油润疮,以药干擦。
肥疮极凶者,苦参、何首乌、当归、威灵仙、甘草、金银花、胡麻、石菖蒲、连
翘、生地、蝉蜕,酒水同煎。
又方(鸿禧东房传。)
大枫肉(五钱) 白信(三分) 油核桃(五个)
共捣匀,作三丸,夜间取一丸在心口用手擦,至二更天药气散开,仍聚胸膛,仰
面而卧;次夕亦然,间一夜再擦一丸,七日后痊愈。
头面肥疮。(《经验》)
轻粉 飞血丹 白矾 雄黄(各等分)
研细。装入葱管内两头扎,煨过加龟版灰少许研,菜油调搓立效。
Shen Douyuan stated: It is named so because the sores appear below the lower lip and on the chin bone. This condition arises from damp-heat accumulation in the Ren Mai (Conception Vessel) meridian, located near the Chengjiang acupoint at the angle of the mandible. It should be treated primarily with herbs that drain dampness and clear heat. (From *Qixuan*)
Yanghu San (Decoction for Goat Beard Sores) (Formula by Shen Douyuan). Yanjiao (Tobacco Resin, 5 qian) Qingfen (Calomel, 1 qian) Yanghuxu (Goat beard hairs, a pinch, calcined to ash)
Grind together into fine powder. If the lesion is moist, apply dry powder; if dry, mix with oil and apply externally.
Chen Shigong stated: Few cases of Feichuang (Greasy Scabs/Tinea Capitis) are caused by fetal toxins; most result from touching the head with oily hands after eating or using unclean pillows. (From *Zhengzong*)
Shen Douyuan stated: For this type of sore, it is suitable to wash clean with a decoction made from locust tree branches, then grind Yanjiao (Tobacco Resin), Kufan (Calcined Alum), and Qingfen (Calomel) into fine powder, mix with cooked oil, and apply externally. (From *Qixuan*)
Feng Luzhan stated: This sore is caused by disharmonious Qi of the Zang-Fu organs rushing upward and toxic heat-blood pouring upwards. Children have insufficient Yin Qi and excess Yang fire, making them most susceptible. Internal administration of Lqiao (Forsythia Fruit), Tianhuafen (Trichosanthes Root), Jingjie (Schizonepeta Spike), Fangfeng (Saposhnikovia Root), Beimu (Fritillaria Bulb), Yuan Shen (Scrophularia Root), Chishao (Red Peony Root), Sheng Dihuang (Rehmannia Root), and Niubangzi (Arctium Fruit) — agents that clear heat, detoxify, cool blood, and harmonize blood — is appropriate. Only after the toxic pathogen has slightly subsided should external medications be applied. One must not abruptly use cold/cold-natured topical applications to suppress the heat, as this may cause the heat-toxin to penetrate inward, leading to untreatable conditions. This is because children's Zang-Fu organs are delicate, and pathogens enter easily but exit with difficulty. (From *Jinnang*)
Feichuang (Greasy Scabs)
Huhuanglian (Coptis Chinensis Rhizome) Qingfen (Calomel) Xionghuang (Realgar) (each 3 fen) Danfan (Chalcanthite, 2 fen) Kufan (Calcined Alum, 1 qian) Zhu Tixie (Hoof shoes of piglets, 3 pieces, preserved nature)
Grind into fine powder. Wash the sore clean and apply.
Another prescription: Fanzizi (Soapberry seeds, preserved nature, ground to powder), mixed with pig bile for external application.
Another prescription
Songxiang (Pine Rosin) Xuedan (Blood Cinnabar) (equal parts)
Grind into fine powder. Squeeze juice from pork lard, roll green cloth into strips, burn them, and collect the oil for application.
Another prescription
Dongdan (Lead Oxide, 8 fen) Kufan (Calcined Alum, 1 qian) Zhen Qianfen (True Lead Powder) Songxiang (Pine Rosin) (each 2 qian, placed inside scallion tubes, steamed over rice until melted, cooled, and scallions removed)
Grind together into fine powder. Mix with hot sesame oil for application.
Another prescription
Huanghua (Yellow Flowers, calcined to ash) Qingfen (Calomel) (a small amount)
Grind evenly and apply dry.
For pediatric Feichuang (Greasy Scabs), Huangshui Chuang (Weeping Sores), and Meihua Tu (Plum-blossom Baldness) on the head.
Tonglv (Verdigris) Songxiang (Pine Rosin) (each 3 qian) Huangla (Yellow Beeswax, 2 qian)
Boil with 1.5 liang of sesame oil until uniform, then apply.
Excellent prescription for sores on the head, commonly known as Nian Chuang (Sticky Sores) (From *Jiyan*)
Haipiaoxiao (Cuttlefish Bone, 2 qian) Bai Jiaoxiang (Mastic Resin) Qingfen (Calomel) (each 5 fen)
Grind evenly. Moisten the sore with clear oil, then apply the dry powder by rubbing.
For severe and dangerous cases of Feichuang: Kushen (Sophora Root), Heshouwu (Polygonum Multiflorum Root), Danggui (Angelica Sinensis Root), Weilingxian (Syringa Stem), Gancao (Licorice Root), Jinyinhua (Honeysuckle Flower), Huma (Sesame Seed), Shichangpu (Acorus Rhizome), Lianqiao (Forsythia Fruit), Shengdi (Rehmannia Root), Chantui (Cicada Slough). Decoct together in water and wine.
Another prescription (Transmitted by Hongxi Dongfang)
Da Feng Rou (Big Maple Meat/Aleurites Moluccana Seed, 5 qian) Bai Xin (White Arsenic, 3 fen) You Taohe (Oil Walnut, 5 pieces)
Pound together until uniform, form into three pills. At night, take one pill and rub it onto the chest center (Renying area) with the hand. Wait until the second watch (approx. 9-11 PM) when the medicinal vapor dissipates and gathers in the chest; lie supine. Repeat the next night. Apply another pill every other night. Recovery occurs after seven days.
Feichuang on the head and face. (From *Jingyan*)
Qingfen (Calomel) Fei Xuedan (Flying Blood Cinnabar) Bai Fan (Alum) Xionghuang (Realgar) (equal parts)
Grind into fine powder. Place inside scallion tubes, tie both ends, roast/bake, add a small amount of Guiban Ash (Turtle Shell Ash), grind again, and mix with vegetable oil for rubbing. Immediate effect.